چلے چلو کہ منزل ہے ابھی نہیں آئی
ہے جستجو کہ خوب سے ہے خوب تر کہاں
اب ٹھیرتی ہے دیکھیے جا کر نظر کہاں
منزل کے حصول کے لیے جدوجہد اور کدوکاوش ہرذی روح کا وتیرہ رہا ہے۔ منزل انہیں ملتی ہے جو جستجوئے منزل میں اپنے شب وروز گزار دیتے ہیں۔ منزل انہی کا استقبال کرتی ہے جو اس کے حصول کے لیے راستے میں آنے والی رکاوٹ کو ختم کر کے اپنا سفر جاری رکھتے ہیں۔ کچھ لوگ منازل کے تعین میں ہی اپنی زندگیاں صرف کر دیتے ہیں۔ لیکن وہ نہیں کر سکتے کہ اپنی منزل مقصود کا انتخاب کر لیں۔ بے معنی اور لایعنی باتوں کی طرف توجہ ان کی عادت ثانیہ بن چکی ہوتی ہے۔ بعض لوگ ایسے ہوتے ہیں جو منزل کا تعین تو کر لیتے ہیں لیکن عاقبت نا اندیشی کی بدولت ان کا تعین ہی صائب اور درست نہیں ہوتا۔
حشرات الارض سے لے کر انسان تک جو اشرف المخلوقات گردانا جاتا ہے ہر ایک اپنی اپنی منزل کی طرف گامزن ہے۔ مورومگس کی منزل اور ہے، گل و لالہ کی منزل اور ہے، جو ئے نغمہ خواں کی منزل اور ہے۔ حریرو پر نیاں کی منزل اور ہے، زمین پر رینگنے والے کیڑے کی منزل اور ہے، پھول کے گرد بھنبھنانے والی شہد کی مکھی کی منزل اور ہے، غلاظت کے ڈھیر پر چکر لگانے والی مکھی کی منزل اور ہے۔ گلستان سرسبز میں چہچہانے والی بلبل کی منزل اور ہے، برگد کے درخت پر بیٹھے بوم کی منزل اور ہے، آبادی کے مضافات میں شجر بار آور کی منزل اور ہے، ویرانی میں کھڑے خشک تنے والے درخت کی منزل اور ہے، فضاء میں محو پرواز عقاب وشاہین کی منزل اور ہے مردار کے گرد چکر لگانے والی گدھ کی منزل اور ہے۔
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Im?m Al Sh?f? Has great contribution towards grammatical and principled Arabic poetry. It is observed that his poetry is rich with ethical values. He gained his reputation at the same time as a Muslim jurist and a great man of wisdom. He is the writer of many books regarding Islamic jurisprudence, and a famous book of poetry “Deewan e Sh?f.” More over his books contain such ethical values in couplet mood. All of these discussed values, he truly abstracted and retrieved from the holy Quran and hadith. This article presents a special study regarding his valuable topics of ethics. The article is a comprehensive study of the ethical values found in the poetry of Al imam Al-Sh?f. The important ethical values of his poetry are: true advice of Muslim and knowledge positively. He also discussed some bad habits to aware the people about their bad impacts on nature and gives examples of their destructions in human beings. Some of them are fraud, cruelty and being the secretary of the ruler etc. He also discussed some bad habits to aware the people about their bad impacts on nature and gives examples of their destructions in human beings. Some of them are fraud, cruelty and being the secretary of the ruler etc.
Title: Diagnostic Utility of WHO Defined Sepsis syndromic Criteria with Procalcitonin in Identification of Sepsis in Children with Suspected Infections Background: Bacterial infections are a major cause of morbidity and mortality in children but accurate and timely diagnosis remains a challenge to the frontline clinicians. Cultures of sterile bodily specimens are considered the gold standard but are insensitive and results are delayed. Procalcitonin (PCT) has recently emerged as a biomarker with high sensitivity and specificity making it superior to culture based techniques performed in non-ideal circumstances which prevail in resource poor settings. This study investigated the diagnostic utility World Health Organization (WHO) defined criteria for sepsis in diagnosis of bacterial sepsis using procalcitonin (PCT) as the “gold standard”. Methods: This was a prospective survey conducted between July to October 2014 whose primary objective was to determine the sensitivity, specificity, and predictive values of WHO definitions of sepsis syndromes using procalcitonin as the ‘gold standard’ in children with suspected infections. Our secondary objective was to investigate association between PCT elevation and severity of disease and other markers of sepsis. The study was conducted at the paediatrics casualty of the Aga Khan University Hospital, Nairobi (AKUHN) and enrolled children aged >30 days and ≤15 years with suspected infection. This was defined as presence of systemic inflammatory response syndrome (SIRS) (abnormal temperature (>38.5°C or12hours. Children with obvious causes of SIRS such as mechanical/surgical trauma, severe burns, cancer, and without parental/guardian consent were excluded. A standard clinical proforma that allowed classification into various WHO clinical sepsis syndromes for enrolled patients was fulfilled by attending clinician. Blood sample of 0.5ml was collected and PCT test done. Sensitivity (Sp), specificity (Sn), negative and positive predictive values (NPV, PPV), and positive and negative likelihood ratios (LR+, LR-) were calculated for the WHO syndromic definitions. The gold standard for bacterial sepsis was defined as PCT level ≥0.5μg/l. Logistic regression was done and odds ratios calculated to test for association between procalcitonin and disease severity/clinical signs. Kaplan Meier survival analysis was done to compare duration of hospitalisation in various sub-groups. Results: A total of 231 children were enrolled and 22% (51 children) fulfilled criteria for WHO sepsis syndrome. WHO sepsis syndromes definitions had low Sn, 56.9% (95% CI; 50.5%, 63.3%) and Sp, 66.7% (95% CI; 60.6%, 72.8%) for diagnosis of sepsis. PPV was 32.6% (95% CI; 26.5%, 38.6%) and NPV was 84.5% (95% CI; 79.8% 89.2%). Presence of WHO