حکیم حبیب الرحمن مرحوم ڈھاکہ
ڈھاکہ کے متعدد دوستوں کے خطوط سے یہ معلوم کرکے بڑا افسوس ہوا کہ بنگال کے جادو نگار ادیب اور نادرۂ روزگار طبیب شفاء الملک حکیم حبیب الرحمن نے یکم ربیع الثانی ۱۳۶۶ھ کی شب میں ضغطہ دم (بلڈ پریشر) کی بیماری میں سنہ قمری سے اڑسٹھ اور شمسی سے چھیاسٹھ برس کی عمر میں دفعتہ وفات پائی، مولانا ظفر احمد صاحب عثمانی تھانوی اپنے والا نامہ میں لکھتے ہیں:
’’آپ کو وفیات لکھنے میں ملکہ ہے ایک اور وفات نامہ معارف میں لکھ دیجیے، آپ کے اور میرے مخلص دوست حکیم حبیب الرحمن صاحب کا یکم ربیع الثانی ۱۳۶۶ھ مطابق ۲۳؍ فروری ۱۹۴۷ء کی شب میں دفعتہ بلڈ پریشر بڑھ جانے سے انتقال ہوگیا، اناﷲ۔
مرحوم حضرت حکیم الامت تھانویؒ کے ابتدائی صرف ونحو کے شاگرد اور بڑے عاشق تھے، علامہ شبلی کے دوستوں میں تھے، مسلم لیگ کی جب بنیاد ۱۹۰۶ء میں ڈھاکہ میں رکھی گئی اور نواب سر سلیم اﷲ خان اس کے صدر ہوئے تو مرحوم جوائنٹ سکریڑی ہوئے تھے، علم طب حکیم عبدالمجید خان صاحب سے حاصل کیا، اور اس میں کمال کا درجہ پایا، بنگال میں اس وقت ان کے درجہ کا کوئی طبیب نہیں سنا گیا، ڈھاکہ میں طبیہ کالج قائم کیا، اور بڑی ہمت سے اس کو چلانے سے گورنمنٹ نے شفاء الملک کا خطاب دیا، جس کو ( لیگ کی تحریک کی بنا پر) ستمبر میں واپس کردیا‘‘۔
ان کے اس کالج سے بہت سے اطبا پیدا ہوئے اور اب بھی سلسلہ درس جاری ہے اور خدا کرے برابر جاری رہے۔
مولانا شبلی مرحوم مسلم ایجوکیشنل کانفرنس کے سالانہ اجلاس کے سلسلہ میں ۱۹۰۶ء میں ڈھاکہ تشریف لے گئے تھے، وہاں سے دو دوستوں کے نام ہم لوگوں کے لیے تحفہ میں اپنے ساتھ لائے، ایک کا نام مرزا فقیر محمد صاحب...
Gender matters and has an impact, and it is intended to encourage readers to think about this important issue in clinical practice, education, research, and a wider context of public health1. Due to the dearth of gender theoretical knowledge that has been discovered within the field of physiotherapy, there are still many difficulties that women must overcome in today's world of gender equality and feminism for women's rights2. Historically, women are predominated in the physiotherapy profession, although this has gradually changed throughout the years3. According to Chartered Society of Physiotherapists (CSP) data for both practicing and non-practicing physiotherapists, the gender split changed from 76% female to 24% male to 74% female to 26% male between 2017 and 2020. Although women make up more than 50% of the physiotherapy workforce globally, they make up fewer than 50% of executive positions in national physiotherapy associations3.
Title: Diagnostic Utility of WHO Defined Sepsis syndromic Criteria with Procalcitonin in Identification of Sepsis in Children with Suspected Infections Background: Bacterial infections are a major cause of morbidity and mortality in children but accurate and timely diagnosis remains a challenge to the frontline clinicians. Cultures of sterile bodily specimens are considered the gold standard but are insensitive and results are delayed. Procalcitonin (PCT) has recently emerged as a biomarker with high sensitivity and specificity making it superior to culture based techniques performed in non-ideal circumstances which prevail in resource poor settings. This study investigated the diagnostic utility World Health Organization (WHO) defined criteria for sepsis in diagnosis of bacterial sepsis using procalcitonin (PCT) as the “gold standard”. Methods: This was a prospective survey conducted between July to October 2014 whose primary objective was to determine the sensitivity, specificity, and predictive values of WHO definitions of sepsis syndromes using procalcitonin as the ‘gold standard’ in children with suspected infections. Our secondary objective was to investigate association between PCT elevation and severity of disease and other markers of sepsis. The study was conducted at the paediatrics casualty of the Aga Khan University Hospital, Nairobi (AKUHN) and enrolled children aged >30 days and ≤15 years with suspected infection. This was defined as presence of systemic inflammatory response syndrome (SIRS) (abnormal temperature (>38.5°C or12hours. Children with obvious causes of SIRS such as mechanical/surgical trauma, severe burns, cancer, and without parental/guardian consent were excluded. A standard clinical proforma that allowed classification into various WHO clinical sepsis syndromes for enrolled patients was fulfilled by attending clinician. Blood sample of 0.5ml was collected and PCT test done. Sensitivity (Sp), specificity (Sn), negative and positive predictive values (NPV, PPV), and positive and negative likelihood ratios (LR+, LR-) were calculated for the WHO syndromic definitions. The gold standard for bacterial sepsis was defined as PCT level ≥0.5μg/l. Logistic regression was done and odds ratios calculated to test for association between procalcitonin and disease severity/clinical signs. Kaplan Meier survival analysis was done to compare duration of hospitalisation in various sub-groups. Results: A total of 231 children were enrolled and 22% (51 children) fulfilled criteria for WHO sepsis syndrome. WHO sepsis syndromes definitions had low Sn, 56.9% (95% CI; 50.5%, 63.3%) and Sp, 66.7% (95% CI; 60.6%, 72.8%) for diagnosis of sepsis. PPV was 32.6% (95% CI; 26.5%, 38.6%) and NPV was 84.5% (95% CI; 79.8% 89.2%). Presence of WHO