دیہات میں قابل ڈاکٹروں کا فقدان
آج تک یہ المیہ ہی بنا ہوا ہے کہ شہروں میں زیادہ سہولتیں ہوتی ہیں اور دیہاتوں میں زندگی سہولتوںسے دور ہوتی ہے۔اسی بات کی وجہ سے لوگ شہروں کا رخ کرلیتے ہیںاور دیہاتوں میں پہلے سے بھی کم لوگ رہ جاتے ہیں۔جو افراد تعلیمی میدان کوفتح کرلیتے ہیںتو وہ دیہات میں رہنا پسند نہیںکرتے ،بوریا بستر سمیت شہروں کی طرف نکل پڑتے ہیں۔جیسے وہ پڑھائی ہی اس لیے کرتے ہیں کہ وہ شہروں کی طرف زندگی کو لے جاسکیں۔
ناطق نے بھی کہانی کے آغاز میں قاری کی توجہ اسی طرف مبذول کرائی ہے کہ دیہاتی زندگی بہت سادہ ہوتی ہے۔جہاں قابل ڈاکٹروں کا فقدان ہوتا ہے قابل ڈاکٹرز کا اس لیے کہ وہاں جو کوئی سیانا ہوتا ہے تو اسے علاج معالجے کیلئے مقرر کر لیا جاتاہے۔وہ اب چھوٹی موٹی بیماریوں بخار،زکام ،گلہ خراب جیسے امراض کا تو علاج کر سکتا ہے مگر بڑے مسائل کو حل کرنا اس کے لئے ناگزیر ہوتا ہے۔
دیہات میں خواتین اور ان کے نومولود بچوں کے حوالے سے بھی بہت سے مسائل کاسامنا رہتا ہے اور پورے علاقے میں زچگی سینٹر نہ ہونے کی وجہ سے اکثر انہیں جان سے بھی جانا پڑتا ہے۔ناول نگار نے بھی کہانی میں ایک سیانی عورت کا ذکر کیا ہے جو کہ دراصل خود کی پناہ کیلئے اس علاقے میں بسی اور پھر وہاں لوگوں کا علاج معالجہ کر کے گزارا شروع کردیااوراس علاج معالجے کا تجربہ اس عورت کو اس لیے تھا کہ اس کی ماں نرس تھی اور ماں کو دیکھ کر وہ کافی کچھ سیکھ چکی تھی۔
’’میری بیوی کا سارا علاج معالجہ اس نے کیا۔تمہیں تو ہماری مشکلوں کی خبر نہیں پر یہاں...
Aims of Study: The purpose of this study is to ascertain the impact of positional release technique and muscular energy technique on low back pain.
Methodology: It was a single blinded randomized controlled trial. Participants were enrolled using envelop method of simple random sampling technique. A total n=30 clinically diagnosed LBP patients with between 26 to 40 y/o were recruited and randomly divided into two groups. Group-A MET (n=15) patients receiving muscle energy technique and Group-B PRT (n=15) patients receiving Positional Release Technique for two weeks.
Results: Between groups analysis was performed using independent t test as the data was normally distributed. The results revealed statically significant results in both the groups. However, group A show more significant results with mean value of 2.0±0.53, 10.73±1.79, and 2.80±0.14 for NPRS, ODI, and Modified Schober’s Test Score respectively as shown in table 3.
Limitations and Future Implications: The study may have had a limited number of participants, which could affect the generalizability of the results. Secondly, the study might have focused on short-term outcomes, assessing the immediate effects of the interventions.
Originality: The study has used and compared new technique and have identified the efficacy between the two physical therapy intervention based study.
Conclusions
According to the findings of this study, both therapy options are successful in treating low back pain. The effectiveness of the patients in the muscle energy technique group, however, showed a substantial difference.
Present research work was planned for the formulation of cardioprotective nanosuspensions of four indigenous medicinal plants with improved bioavailability and better therapeutic efficacy. Ongoing research was divided into four different phases. First phase of the study was comprised of formulation and optimization of formulative parameters for the preparation of stable nanosuspensions by using CCD design of RSM. Characterization (ZP, SEM, AFM and FTIR) and stability studies of optimized nanosuspensions was the second phase of the study. In third phase of study, in-vitro dissolution testing and in-vivo pharmacokinetic profile of selected nanoformulations was determined. In fourth phase, different in-vitro and in-vivo bioactivities and toxicity studies of optimized nanosuspensions were evaluated with reference to the respective coarse plant suspensions. Results of stabilizer screening demonstrated that SLS was the best stabilizer for the formulation of A. cepa and C. oxyacantha nanosuspensions. HPMC was the selected stabilizer for P. nigrum and P-80 was chosen for the formulation of T. arjuna nanosuspensions. Among the optimized nanosuspensions, minimum particle size with appropriate PDI value was possessed by T. arjuna (79.1nm, 0.244) followed by C. oxyacantha (121.3nm, 0.241), P. nigrum (172.9nm, 0.328) and A. cepa (275.5nm, 0.415) nanosuspension. Results of zeta potential studies confirmed the stability of the optimized nanosuspensions. Results of AFM and SEM illustrated that nanosuspensions were in nanometer range with varied particle size and morphology. FT-IR studies indicated slight interaction between herbal extracts and stabilizers. Moreover, optimized nanosuspensions of all the four medicinal plants showed better stability at refrigerated conditions. Dissolution and pharmacokinetic studies demonstrated improved results for nanosuspensions as compared to coarse suspensions of the respective plant extracts. In-vitro (antioxidant, antimicrobial, hemolytic, thrombolytic) and in-vivo (cardioprotective) bioactivities also revealed better therapeutic efficacy of nanosuspensions over coarse suspensions. Results of toxicity studies confirmed the non-toxic nature of formulated nanosuspensions. From the present results it was concluded that nanosuspensions of the selected herbal extracts can be used as a better alternative to treat cardiovascular diseases with improved therapeutic efficacy as compared to their conventional coarse suspensions.