خالی پنجرہ
میں تے دیس ماہی دے جانا
جا کے اوہدا درشن پانا
سوہنے سائیں سنہڑے گھلے
رستے سپاں شینہاں ملے
کوئی نہ سنگی، اسیں ہکلے
کیتا وعدہ توڑ نبھانا
دلبر سوہنا جدوں بلاوے
میری کوئی پیش نہ جاوے
ماں میری پئی وید بلاوے
پنجرہ چھڈ، پنچھی اُڈ جانا
ماں میری مینوں سمجھاوے
چڑھیں نہ بچہ عشق کچاوے
تھل مارو ایہہ عشق رلاوے
وچ جنگلاں تے بیاباناں
جیہڑا سچا عشق کماوے
کسے گھاٹی نہ اوہ گھبراوے
کالی کمبل ہیٹھ چھپاوے
اوہنوں دلبر بری کرانا
سانوں یار دی یاد ستایا
ہجر ماہی نے مار مکایا
جے نہ دلبر مکھ وکھایا
قادریؔ سکدیاں ہی مر جانا
Sains (ilmu pengetahuan) merupakan sesuatu yang penting dalam agama Islam. Integrasi sains dan agama berarti berupaya untuk memadukan antara sains dan agama, tak harus berarti menyatukan atau bahkan mencampuradukan, karena identitas atau watak dari masing-masing kedua entitas itu tak mesti hilang dan harus tetap dipertahankan. Dalam paradigma Islam, integrasi antara agama dan sains adalah sesuatu yang mungkin adanya, karena didasarkan pada gagasan ke-Esa-an (tauhid). Sudah saatnya, sains dan agama harus menghadirkan kesadaran yang muncul lewat pandangan-pandangan yang lebih harmonis, holistik, dan komprehensif. Alat digital merupakan salah satu medium terbaik untuk tujuan tersebut. Artikel ini merangkum bagaimana Integrasi Ilmu dan Islamisasi Digital menciptakan ruang bagi umat Islam untuk menggabungkan spiritualitas dengan teknologi, menghasilkan dampak positif dalam berbagai aspek kehidupan. Dengan mengambil langkah-langkah menuju integrasi ini, umat Islam dapat menjaga identitas keagamaan mereka sambil tetap berkontribusi dalam era digital yang terus berkembang.
Background: In emergency surgeries requiring endotracheal intubation, the time to effect of neuromuscular blocking drugs is a crucial time in which patients are predisposed to hypoxia and aspiration into the lungs. Various strategies have been undertaken to shorten this time, including the timing and the priming techniques, dose changes and use of a flush following the muscle relaxant. All these methods had positive results but some are associated with side effects. The effectiveness of a muscle relaxant can either be assessed using the train of four or intubating conditions on the Goldberg scale. In this study, the plan is to investigate the effects of a 20 ml saline bolus following intravenous rocuronium at 0.6 mg/kg on the proportions of patients with excellent intubating conditions at one minute.
Methodology: Fifty-two patients were randomly allocated to the saline bolus group or the no saline flush group. Anaesthesia was induced using propofol and remifentanil via target-controlled infusion (TCI) and maintained with the same. Rocuronium 0.6 mg/kg intravenous (IV) was administered followed by a 20 ml saline flush in the study group compared to administration of 0.6 mg/kg rocuronium without a saline bolus in the control group. Intubation conditions were assessed using the Goldberg scale filled by the intubating doctor. The onset of neuromuscular block was assessed by the train of four T1 height depression with an accelerometer attached to the adductor pollicis muscle.
Results: There were 25 patients in each group. Patients in both groups were comparable with respect to demographic profiles. In the group with a flush, 18(62.1%) patients had “excellent” and seven (33.3%) patients had “good” intubating conditions as opposed to 11 (37.9%) having “excellent” and 14 (66.7%) having “good” intubating condition in the group without a flush. The distribution of intubating conditions for the two groups showed a difference of 24.2% in the proportion of patients with excellent intubating conditions which was statistically significant (P=0.042). There was no association between twitch height at one minute and intubating conditions.
Conclusion: In this group of patients studied, the administration of a 20 ml saline flush after 0.6mg/kg rocuronium significantly increases the proportion of patients with excellent intubating conditions as compared to rocuronium without a saline flush.