حاجی احمد غریب
دوسراافسوس ناک سانحہ جولائی میں حاجی احمد غریب صاحب کاہوا۔حاجی صاحب بمبئی کے مشہور صاحب خیر تھے۔ ملّی اوراجتماعی کاموں میں بڑھ چڑھ کر حصہ لیتے تھے، اعلیٰ درجہ کے منتظم تھے۔ حجاج کی خدمت سے عشق تھا، بمبئی کی انجمن خدام النبی کے روح رواں تھے۔ صابو صدیق کامسافر خانہ کاانتظام بھی ان ہی کے ہاتھ میں تھا۔ ابھی چندسال ہوئے اس تاریخی مسافرخانہ کی اوپر کی منزل بڑے اہتمام سے تعمیرکرائی تھی۔جمعیۃ العلماء ہند کے زیر اہتمام۱۹۵۴ء میں جو دینی تعلیمی کنونشن بمبئی میں ہواتھااس کا اہتمام بھی مرحوم ہی نے کیا تھا۔
ندوۃ المصنفین سے بھی خاص تعلق رکھتے تھے اوراس کی خدمات کی قدر کرتے تھے۔ ایک سال سے زیادہوا کہ کراچی چلے گئے تھے، وہیں۱۴/جولائی کو اچانک دل کادورہ ہوا اورجاں بحق ہوگئے۔ اﷲ تعالیٰ مرحوم کی مغفرت فرمائے اوران کے نیک دل بھائی حافظ محمد صدیق صاحب حجازی اورتمام متعلقین کودولت صبر سے نوازے۔ [ستمبر۱۹۶۷ء]
This research work aims to investigate the impact of privatization on the performing efficiency of MCB Bank Limited Privatization and the phenomenon of denationalization after the failure of socialism and communism globally. As the direction of enteritis was predetermined by state which in long term affected the performance of state-owned entities on many fronts even they reached at the verge of collapse and state was compelled to inject capital for their survival. Ultimately the state took drastic steps and initiated the process of denationalization and privatization to keep the industry intact in the changed scenario. In 1974, during Z.A. Bhutto regime Pakistan’s banking industry was nationalized with prime objective to address the issues of backward segments of economy but unfortunately after privatization industry was used for political motives and witnessed poor performance and financial indiscipline due to frequent interference in the affairs of banks particularly in lending activities and hiring of inefficient human resources. Resultantly banks failed to deliver as per expectation of masses and could not deliver quality customer services on one hand and accumulation of infected portfolio on the other which in turn swallowed the profitability and the capital of banks. It is revealed that bank has tremendously performed in all Key Performing Indicators, it has improved its profitability manifold, deposit base is significantly enhanced and became more liquid and solvent.
Background: Uterine fibroid embolization, though a widely available option in high income countries in managing symptomatic fibroids is relatively new in the East African region. It is currently offered at only one tertiary facility for the past three years. The symptom and radiological response in these patients, who literature suggests may have bigger fibroid burden and worse symptoms, is the subject of this study.
Objective: Characterization of MRI imaging features in women undergoing uterine fibroid embolization and identification of clinical correlates in an African population.
Methods: Patients with symptomatic fibroids who are selected to undergo UFE at the hospital formed the study population. The baseline MRI features, baseline symptom score, short term imaging outcome and mid-term symptom scores were analysed for interval changes. Assessment of potential associations between short term imaging features and the mid-term symptom scores were also done.
Results: UFE resulted in statistically significant reductions (P< 0.001) of dominant fibroid and uterine volumes and in symptom severity scores of 43.7%, 40.1% and 37.8% respectively. Strong enhancement at baseline was a strong predictor of response to UFE.59% of respondents had more than ten fibroids. The predominant location of the dominant fibroid was intramural. No statistically significant association was found between clinical and radiological outcome.
Discussion: UFE is a new treatment option for treatment of uterine fibroids in Kenya. This study was aimed at assessing outcomes to this treatment option compared to other parts of the world. The response of uterine fibroids to embolization in the African population is good but not different from findings reported in other studies in the West. The presence of multiple and large fibroids seen here is consistent with the case mix described in studies of African-American populations. No significant association is seen between radiological and clinical outcomes to UFE.
Conclusion: UFE treatment for fibroids has good outcome. Further studies lasting beyond one year are indicated for further detailed outcome in the local African population.
Recommendations: Patient counselling should emphasise the independence of volume reduction and symptom improvement. Volume changes are of relevance for the Radiologist in aiding understanding of the evolution of the condition and identifying potential technical treatment failures but should not be the main basis of evaluation of treatment success.