حرص و ہوس کا زہر نکل جائے دل سے کاش !
ہو جائے ختم چٹکی میں فکر ۔ غم۔ معاش
کندھوں سے اپنے بوجھ اتار اس کی یاد کا
کب تک اٹھا کے پھرتے رہو گے یہ مردہ لاش
اے عشق ! تیرے حوصلے کی داد شرط ہے
پہلو میں حسن تھا مگر آئے نہ دی خراش
تنہائی کا شکار تھا وہ شخص اس قدر
میلے کی بھیڑ میں جسے اپنی رہی تلاش
پھر یوں ہوا کہ نیند ہی آنکھوں سے اڑ گئی
یہ کس نے کر دیے ہیں مرے خواب پاش پاش
زیر ۔ زمین کوئی رگڑتا ہے ایڑیاں
پیدا بلا جواز نہیں ہوتا ارتعاش
کانوں میں تیل ڈال کے سویا نظام عدل
پیدا ہوئے ہیں چوک چوراہے میں بد معاش
شاہد ! پرائے بت پہ نہیں لازم انحصار
بہتر ہے اپنے ہاتھ سے تو اپنا بت تراش
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The slowing spread of Covid-19 infections has brought positive changes in the education sector. The issue of implementing limited face to face learning begins to excite students in gaining knowledge. Online learning effects for approximately two years was relatively difficult to keep students away from themselves. This study time to determine how the level of student learning readiness in facing offline learning. This was quantitative research with a survey type. The population were State vocatoonal high school 2 Kendari students, totaling 558 students. The sample was drawn randomly with a magnitude estimated using the Slovin formula at a significance of 5% so that the total sample size was 233 students. Data were collected by learning readiness scale. Data were analyzed descriptively and comparative statistics. The results showed that the learning readiness of State vocatoonal high school Negeri 2 Kendari students was in the high category and female students had a higher level of learning readiness than male students.
Background: Women tend to have lower haemoglobin compared to men due to menstrual blood losses. This is often compounded by nutritional deficiencies. There is a further drop in haemoglobin during pregnancy due to red cell dilution. Pregnancy itself places a huge demand on maternal iron stores. High haemoglobin may reflect haemoconcentration due to a failure of the normal physiological expansion in plasma volume. Iron excess has also been associated with free-radical damage. In current practice, high maternal haemoglobin in pregnancy is often not given as much attention as anaemia. This study examines the association between high maternal haemoglobin in the third trimester and neonatal birth weights as well as other maternal and neonatal outcomes.
Objectives: To determine the potential association between elevated third trimester maternal haemoglobin and neonatal gestational age adjusted birth weights at term.
Methods: In this retrospective cohort study, women delivering at the Aga Khan University Hospital’s maternity unit who had either normal or high haemoglobin levels in their third trimester of pregnancy were recruited at delivery. Information about the pregnancy outcome was then recorded for analysis. The primary outcome measure was neonatal gestational age adjusted birth weights.
Results: No difference was found in the proportions of small for gestational age newborns between mothers with elevated haemoglobin and those with normal haemoglobin in the third trimester [9.9% 95% CI (7.4 to 13.1) and 9.7% 95% CI (6.5 to 13.8) respectively]. Similarly no difference was detected in the secondary outcomes of maternal hypertension, mode of delivery as well as other neonatal outcomes, though the study was not powered to detect differences in these outcomes.
Conclusion: There is evidence of no association between elevated maternal haemoglobin in the third trimester and small for gestational age newborns in this study population.