میں جب بھی دیر سے گھر لوٹتا تھا
(اور اکثر دیر سے ہی لوٹتا تھا)،
تو میرے گھر کا دروازہ
مرے ہاتھوں کی دستک کے لیے
بے چین ملتا تھا،،،
مگر
بے چینئ در کا مداوا
ہو نہ پاتا تھا،،،،
مری ماں کی نگاہیں،
کان، لب، دست-دعا.....
سب جاگتے
اور اپنے اپنے کام میں
مصروف رہتے تھے،،،،
(چھیالیس سال میری ماں کے معمولاتِ روز و شب نہیں بدلے...... مری آوارگی کی عمر کے سب سال
میرے ڈھب نہیں بدلے)،،،
مرے ہاتھوں پہ لکھی دستکیں
تشنہ ہی رہتی تھیں،
کہ
*میری ماں*
*مرے پیروں کی آہٹ پر ہی*
*دروازے کی کنڈی کھول دیتی تھی،،،*
مرے ہاتھوں کی اور در کی وہ
*"مشترکہ سی خواہش"*
اب ہمیشہ *"نا مکمّل"*
اور
*"ادھوری"* ہی رہے گی،،،
میں اب گھر سے زیادہ دیر تک
باہر نہیں رہتا،
میں اب در بند ہونے سے
بہت پہلے ہی
گھر کو لوٹ آتا ہوں،،،
*مری ماں*
*اپنے معمولاتِ روز و شب*
*مکمل کر گئ ہے....!!!
Here are two opposing views of scholars and different religions regarding the permission or non-permission of war on the basis of honor and lawfulness of human life. The Hindus and Jews legalize war, whereas the Buddhists and Christians consider it illegal. Islam follows the middle path and attributes the legality of war to its purpose because only the purpose tells the righteousness or wrongfulness of any deed. Islam has prevented from all those purposes that eliminate the cause of Allah Almighty from war. Islam does not legalize war for any worldly purpose so the pursuit of fame, kingship, booty, conquering another land or national or personal revenge is not legal. Jihad has been enjoined for the elimination of hurdles in the path of Allah. It clarifies the policy of Islam that war is not an end but it is a means to an end. Today the west is doing propaganda against Islam that Islam spread through sword and the concept of jihad is being related to terrorism. The purposes of jihad should be kept in mind in order to understand the philosophy of jihad. The aim of this paper is to highlight the purposes of jihad and its importance. Views of various scholars have been observed in this study along with references from Quran and Hadith.
Background: An advance directive is a written or verbal document that legally stipulates a person’s health care preference while they are competent to make decisions for themselves, and which is then used to guide decisions on life-sustaining treatment in the event that they become incapacitated. Advance directives can take one of four forms: a living will, a limitation of care document, a do-not-resuscitate order, and an appointment of a surrogate by durable power of attorney. The completion rate of advance directives varies from region to region, and it is influenced by different patient, caregiver, legal, institutional, cultural, and religious factors.
Objectives: To determine the proportion of terminally ill patients at AKUHN with advance directives and to identify the factors that influence completion of advance directives amongst terminally ill patients at AKUHN.
Methods: The study was a retrospective survey. All available records of terminally ill patients seen at AKUHN between July 2010 and December 2015, and that met the inclusion criteria were included in the study.
Results: In total, 216 records of terminally ill patients met the inclusion criteria; 89 were of patients that had advance directives and 127 were of those that did not have advance directives. The proportion of terminally ill patients that had completed advance directives was 41.2%. The factors that were associated with completion of advance directives on bivariate analysis were history of ICU admission, history of endotracheal intubation, functional status, the medical specialty taking care of the patient, the caregiver discussing the AD with the patient, and a palliative specialist review. On multivariate regression analysis, discussion of AD with a caregiver and patient’s functional impairment were the only factors with statistically significant association with completion of AD.
Conclusions: The proportion of terminally ill patients that had advance directives in their medical records was significant but the majority of terminally ill patients did not have advance directives. Most of the factors associated with advance directives completion mirrored those seen in other regions of the world, and discussion between patient and their physician and patient’s functional impairment were the factors independently associated with completion of advance directives.