طبقاتی نظام میں ہوا کی تقسیم
محمدجمیل اختر
درخت کم تھے، آبادی زیادہ اور ہوا اِس قدر آلودہ تھی کہ لوگ سانس لینے کی خاطر آکسیجن سلینڈر اپنے ساتھ رکھتے۔۔۔جگہ جگہ آکسیجن اسٹیشن بن گئے تھے جہاں لوگ لمبی قطاروں میں اپنی اپنی باری کا انتظار کرتے رہتے۔۔۔بڑی بڑی کمپنیاں دن رات اپنے اشتہارات تقسیم کرتی رہتیں کہ اگر اپنے پھیپھڑوں کو تندرست وتوانا رکھنا چاہتے ہیں تو اُن کی کمپنی کا آکسیجن سلینڈرحاصل کریں،اگرچہ فضا میں آکسیجن اب بھی موجود تھی لیکن اِن کمپنیوں نے جدید تحقیق سے یہ ثابت کر دیا تھا کہ اب بغیر آکسیجن ماسک کے سانس لینا زندگی کے لیے خطرہ ہے سو لوگ سانس لیتے ہوئے گھبرانے لگے۔
آکسیجن کی تقسیم میں بھی طبقاتی نظام رائج تھا، طاقتور کو زیادہ اور آسانی سے آکسیجن دستیاب تھی بلکہ اُنہیں کبھی بھی آکسیجن حاصل کرنے کی خاطر قطار میں نہ کھڑا ہونا پڑتا اور ابھی اُن کے گھروں کے سٹور روم میں کئی سلینڈر پڑے ہوتے کہ نئی کھیپ اُن کے دروازے پر پہنچ جاتی یہی وجہ تھی کہ اُن لوگوں نے کئی کئی سالوں کی ایڈوانس آکسیجن جمع کر رکھی تھی۔۔۔غریب لوگ اپنے پرانے سلینڈر ہاتھوں میں لیے قطار میں کھڑے رہتے، بہت سے لوگ دم گھٹنے کی وجہ جان کی بازی ہار جاتے۔۔اُن کے عزیز رشتہ دار سڑک بند کرکے احتجاج کرتے لیکن طاقتور طبقہ ہمیشہ یہی کہتا کہ ہمیں تمہارے دکھوں کا پوری طرح احساس ہے، جلد کوئی حل نکالتے ہیں، سڑک کھول دو۔۔۔سڑک کھل جاتی لیکن حل نہ نکلتا حتٰی کہ کوئی اور آدمی دم گھٹنے سے ہلاک ہو جاتا۔۔۔۔۔
In this paper, based on the primary sources, an attempt has been made to discuss the contribution and services of Mawlānā Abū Yūsuf Muḥammad Sharīf (d. January 1951) commonly known as Faqīh-i-Ā‘ẓam and Muḥaddith-i-Koṯalwī in the field of Ḥadīth, the second most important source of Islamic Law. Mawlānā Muḥaddith-i-Koṯalwī having a deep insight in the Science of Ḥadīth has written extensively on this facet of Islamic learning. Mawlānā Abū Yūsuf Muḥammad Sharīf Muḥaddith-i-Koṯalwī through his fatāwā, articles, sermons and books done a great service for the Science of Ḥadīth. He has explained the five pillars of Islam and other rituals in the light of different āḥādīth. Being a Ḥanafī ‘ālim, Mawlānā Muḥaddith-i-Koṯalwī also proved that the Fiqh-i-Ḥanafī, the most popular fiqh among the South Asian Muslims, is in accordance with the authentic āḥādīth. He has also discussed the difference between a Ḥadīth and Sunnah.
Background: Medication errors have potential to cause harm and death; especially children who are three times more vulnerable than adults. Risk of medication errors is higher in out- patient settings due to a stressful work environment with less familiarity of individual patients. This problem in sub-Saharan Africa is however largely undetermined. A Voice Recognition System that converts verbal messages into text and stores it in a database in a retrievable format could impact on reduction of medication errors. Objectives: The primary objective was to compare medication prescription and dispensing errors in written prescriptions with those from a Voice Recognition System. Secondary objectives were to determine the types and frequency of medication errors, determinants of medication errors and acceptability of routine use of a Voice Recognition System to make medication prescriptions. Study design: A before -after Intervention study to determine the impact of introduction of a Voice Recognition System on the occurrence of medication errors. Methods: Prescriptions issued from the Paediatric Accident and Emergency Department at Aga Khan University Hospital Nairobi over a six month period were randomly selected and analyzed for errors. Patient‟s bio-data, diagnosis, prescriber‟s specialization and time of prescription were retrieved from outpatient medical records and documented in a standard study tool. A Voice Recognition System was installed and doctors and pharmacists consenting to use Voice Recognition were trained to enhance proficiency in its use. During consultations, doctors enrolled patients who provided written informed consent to have their prescriptions made using Voice Recognition. Prescription and dispensing records were analysed to determine the occurrence of medication errors. Questionnaires were issued to pharmacists and doctors to rate the use of Voice Recognition in the medication process. Results: During the VRS phase the proportion of female patients reviewed were 56.9% compared to 40% in the pre VRS phase. (OR= 0.5 (95% CI 0.37-0.69), P<0.001). The top five conditions diagnosed at the pediatric A&E department were upper respiratory tract infections, urinary tract infections, tonsillitis, pharyngitis and gastroenteritis. Incidence was similar in both pre VRS and VRS phases. (51.5% and 58.3% OR=0.74 (95% CI 0.53-1.01), P=0.063.) Overall, there was a 19.5% reduction in prescription errors from 86.1% in the pre Voice Recognition phase to 69.3% in the Voice Recognition phase (P<0.001). Among prescription errors analysed, there was a 31.9% reduction in omitted drug route (P <0.001) and a 64.8 % reduction in incorrect drug dose (P<0.001). Analysis of dispensing errors revealed the greatest