جالب میں اور کوٹ لکھپت جیل
ڈاکٹر اسرار شاہ
لاہور میں دوست جالب میلے کا انعقاد کر رہے ہیں اور میں کاغذ اور قلم پکڑے اپنے ماضی میں کھو گیا دوستوں نے اصرار کیا کہ اسرار شاہ لکھو۔
میری دعا ہے کہ کوئی نیا ضیاء الحق پیدا نہ ہو اور مجھے عمرِ رفتہ میں لے جائے میںکالج سے نکلوں تو ایسی یونیورسٹی میں داخل ہو جائوں جہاں ڈاکٹر مبشر حسین ،میاں محمود علی قصوری رائو رشید،رضا کاظم ایڈووکیٹ چوہدری اعتزاز حسین ،جسٹس سعید حسن ،آئی اے رحمن ،پروفیسر امین مغل،چوہدری اصغر خادم ،رشید قریشی ،شعیب ہاشمی ،حمید اختر ،محمد علی ایکٹر اور حبیب جالبؔجیسے پروفیسر اور اساتذہ نظر بند ہوں نئی نسل نا واقف ہے کہ یہ تمام لوگ اپنی ذات میں ایک ادارہ تھے اور ان میں کچھ آج بھی حیات ہیں ۔
کوٹ لکھپت جیل بھی کیا جیل تھی ،جیل کے سپرنٹنڈنٹ نے جیل کی دیوار کے ساتھ شام کو واک کر نے کی اجازت دی ڈاکٹر مبشر صاحب جیل میں ’’ماں ‘‘کا کردارادا کر رہے تھے وہ جیل سے راشن لیتے اس کو پکواتے تمام لوگ چٹانوں پر بیٹھتے اور سب میں برابر تقسیم کرتے ۔صبح دس بجے سے لے کر دوپہرکے کھانے تک عبدا ﷲملک صاحب کے کمرے میں سٹڈی سرکل ہو تا اور آئی اے رحمن صاحب لیکچر دیتے اور تمام سر نگوں ہوتے ۔
حاجی رشید انور جن کا تعلق مزدور کسان پارٹی سے تھا کیا خوبصورت انسان تھے عمر کے اعتبار سے وہ میرے والد کی طرح تھے جسم میں سی آئی اے چونا منڈی کے تششدد کی دردیں موجود تھیں وہ صبح میرے جسم کو دباتے اور بچوں کی طرح پکارتے ہوئے اٹھاتے کہ ’’اسرار شاہ ‘‘اٹھ جائو سورج نکل آ یا...
Malaria is still a health problem in Indonesia. The number of malaria cases according to the 2018 RISKESDAS reached 8076 cases, and the highest number was obtained from Papua province with 3,334 cases. Multiple infection malaria in Indonesia according to RISKESDAS 2018, has a rate of 0.01% of the total cases, namely Plasmodium Falciparum malaria and Plasmodium non Falciparum malaria. A 47 year old man was referred from the clinic with complaints of high fever preceded by chills 10 days before being admitted to the hospital. Accompanied by shortness of breath, unable to get off the treatment bed due to feeling very weak, nauseous, sick and having a bulging stomach. Physical examination revealed a pale conjunctiva, ronkhi in the lower field of the right lung, dim percussion in the basal of the left lung, hepatomegaly, splenomegaly, shifting dullness. Ring form vivax, on chest X-ray found a left pleural effusion. It is known that the patient previously lived in Papua from September 2018 to May 2019. During treatment, the patient was given artesunate injection therapy, dihydroartemisin + piperaquine and primaquin for seven days of treatment. At the end of the treatment, another chest X-ray was performed and re-examination of the peripheral blood smear, no more pleural effusions were found and no parasites were found on re-examination of the peripheral blood smear. Mixed infection of vivax and falciparum malaria, is a rare case that may occur in endemic areas where both plasmodium can be found. The prevalence in Indonesia according to RISKESDAS is only about 0.01% of all malaria cases in Indonesia.
Background: Non-Communicable Diseases (NCDs) are fast becoming the leading causes of morbidity and mortality in Low and Middle-income countries (LMIC) with cancers and cardiovascular diseases (CVDs) becoming the most prominent. CVD can be prevented if appropriate measures of screening and treatment of modifiable risk factors are addressed. This may translate to reduced risk of CVDs and some cancers in the long term. Increasing evidence exhibits common risk factors for both CVDs and cancer and that CVDs and their risk factors when present in cancer patients may worsen the overall outcome.
Objectives: The primary objective was to determine and compare the prevalence of hypertension, diabetes, obesity and dyslipidaemia amongst newly diagnosed cancer patients and non-cancer patients (elective surgical patients). Secondary objectives were to estimate and compare the 10yrs predicted occurrence of major cardiovascular events using WHO Afri-E risk score and prevalence of metabolic syndrome in the two populations.
Methodology: a Cross-sectional survey of newly diagnosed cancer patients and non-cancer patients in the same institution.
Results: The prevalence of hypertension was 23.4 and 31.58% in the cancer and non-cancer group respectively (p-value = 0.62). Diabetes was more prevalent in the cancer group, but this was not statistically different (7.89% vs. 1.32% with a P-value of 0.05). Obesity was more prevalent in the non-cancer group than the cancer group (58% vs. 54%), but this was not statistically significant (p- value = 0.85). The prevalence of total cholesterol, LDL cholesterol, HDL cholesterol, triglycerides were higher in the cancer group (76.3%) than the non-cancer group (67.1%), but this difference was not significant (p-value =0.21) .The prevalence of metabolic syndrome was similar in both groups with the cancer group having a prevalence of 30.26% and the non-cancer group 31.58% (p-value=0.86). The AFRI-E CV risk estimations were similar across the various risk stratifications (p-values ranging from 0.32 – 1)
Conclusion: There is no significant difference in prevalence of hypertension, diabetes, obesity, but there was a significant difference in the HDL levels (p=0.009), with the cancer group with lower HDL levels, amongst newly diagnosed cancer patients and non-cancer patients at AKUHN. Despite this the prevalence of CVR is appreciable and warrants screening. Similarly, the CV risk scores and prevalence of metabolic syndrome were not significantly different.