آصف علی
افسوس ہے پچھلے چند گھنٹوں کے فصل سے ہندوستان کی عموماًاوردہلی کی خصوصاً دونامور ہستیوں نے اس دنیا کوخیرآباد کہا۔آصف علی مرحوم نے وطن سے بہت دور دیارغیر میں جان جان آفریں کوسپرد کی لیکن وطن کی خاک نے یہ کشش دکھائی کہ ان کی نعش ہوائی جہاز کے ذریعہ سوئٹزرلینڈ سے دہلی پہنچی اورشفیق الرحمن صاحب قدوائی اوروہ دونوں یہیں دفن ہوئے۔ سیاسی مسلک کے علاوہ دلّی کی خاص وضع داری اورشرافت، خوش اخلاقی اوروسعت ظرف وعالی حوصلگی کے اعتبار سے دونوں میں بہت کچھ مشابہت ومماثلت تھی تاہم ہر ایک کی چند خصوصیات تھیں جن کے باعث دونوں اپنا اپنا الگ مقام رکھتے تھے۔آصف صاحب نہایت ذہین انگریزی اور اردو دونوں زبانوں کے خوش بیان مقرر اور ادیب تھے اوراردو زبان کے خوش گوشاعر بھی تھے، چنانچہ انجمن ترقی اردو ہند کے سہ ماہی رسالہ’ اردو‘کے ابتدائی دور میں ان کی بعض نظمیں شایع ہوئی تھیں۔ اردو طرز تحریر میں ان پر ٹیگوریت غالب تھی جس کاثبوت ان کی کتاب’ پرچھائیں‘ سے ملتاہے ۔تحریک آزادی کے زمانہ میں ان کاشمار صف اوّل کے کانگریسیوں میں رہا۔ آزادی حاصل ہونے کے بعد وہ امریکہ میں ہندوستان کے سفیر رہے پھر اڑیسہ کے گورنر بنادیے گئے اوراب آخر میں سوئٹزرلینڈمیں اپنے ملک کی سفارت کی خدمات انجام دے رہے تھے کہ اسی عہدہ پرداعی اجل کولبیک کہا ـع
حق مغفرت کرے عجب آزاد مرد تھا
[مئی۱۹۵۳ء]
Background Patients seeking emergency department (ED) care for non-acute conditions are a major contributor to ED overcrowding, which results in longer wait times. Method This was a cross-sectional study, conducted using an online survey among the Saudi population to assess their awareness about primary healthcare clinics (PHCCs) and urgent care clinics (UCCs), their role, and their scope of practice. Results A total of 565 participants were included in this study. Most of the respondents (81.1%) reported lengthy waiting times in the ED. Moreover, most (81.6%) stated that they had never visited a family doctor, yet they (92.6%) favoured having one for follow-up care. Close to half of the participants (50.3%) reported attending PHCCs without an appointment, and the majority of them (69.2%) said that PHCCs were overcrowded. Finally, most participants (92.4%) had not heard aboutUCCs. Conclusion ED overcrowding and prolonged waiting times remain a public concern. PHCCs and UCCs are underutilised, and this is attributed to the lack of awareness about their scope and their services.
Introduction: Non-alcoholic fatty liver disease is often an asymptomatic condition one of the leading causes of chronic liver disease and is associated with an increase in cardiovascular morbidity. Being overweight or obese has been positively linked to non-alcoholic fatty liver disease in children. There is evidence to show that when detected early, non-alcoholic fatty liver disease is reversible primarily upon institution of lifestyle changes targeted at weight reduction.
Establishing the prevalence of non-alcoholic fatty liver disease in overweight and obese Kenyan children would serve as a benchmark for long term monitoring of associated morbidity and guide in public health policies aimed at early screening and intervention.
Objectives: The aim of this study was to investigate prevalence of non-alcoholic fatty liver disease in overweight and obese children aged between six and eighteen years using liver ultrasonography.
Methodology: A descriptive cross sectional study was carried out in 103 overweight and obese school aged children aged six to eighteen years seeking ambulatory health care services in Nairobi. Consent was obtained from the primary caregivers. A questionnaire was administered to collect information on bio data. Blood pressure readings were taken and plotted in age and gender specific charts and a liver ultrasound was done to assess and grade fatty changes.
Data Analysis: Statistical analyses were conducted using SPSS version 11.5 (SPSS, Chicago, IL, USA). Categorical variables were analyzed using median (IQR) and summarized using frequency counts and percentages. Chi-square test was used to determine odds ratios for association between presence of fatty liver and other categorical variables using 2x2 tables. All clinically important variables were then included in multiple logistic regression model adjusting for age and sex to find if there was any association with fatty liver. All analyses were two-tailed and P-value less than 0.05 was considered statistically significant.
Results: A total of 103 children were recruited in the study. The prevalence of fatty liver change was 26.2% (27/103; 95%CI=18.0%-35.8 %). There was no association between sex and fatty liver disease (OR=1.13, p=0.82; 95%CI=0.4-3.2) Obese children were four times more likely to have fatty liver compared to overweight children (OR=4.52 p=0.02, 95%CI=1.4-19.0). Slightly more than a third of the children, 40.8% (n=41) had elevated blood pressure. However, there was no association between elevated blood pressure and fatty liver disease (OR=2.06; p=0.27; 95%CI=0.6-7.6). Older children (13-18 years) were four times more likely to have fatty liver vi