26. Al-Shu’ara’/The Poets
I/We begin by the Blessed Name of Allah
The Immensely Merciful to all, The Infinitely Compassionate to everyone.
26:01
a. Ta. Sin. Mim.
26:02
a. These are the Messages of the Clear Book - The Qur’an.
26:03
a. O The Prophet!
b. Perhaps you are going to destroy yourself with worry and grief just because they are not becoming believers.
26:04
a. If WE are to wish, WE can send down on them an Overpowering Sign from the heaven,
b. so that their necks/heads – pride and arrogance - will be forced to bow before it in
absolute humility and submission.
26:05
a. But WE have not wished it to be so,
b. thus whenever a new Message would come to them from the Immensely Merciful,
c. they would turn away in aversion from it.
26:06
a. Thus, indeed, they deny and belie it – The Qur’an;
b. but the truth of what they ridicule will come to haunt them in due course.
26:07
a. They demand a miracle while ignoring numerous miraculous signs of nature Allah has placed all around them; for example,
b. do they not observe the earth, how many of the beautiful pairs of useful vegetation, WE have made to grow on it?
26:08
a. Surely in this is a miracle,
b. yet most of them do not believe in these miracles.
26:09
a. And, your Rabb -The Lord – HE indeed is the Almighty to punish anyone for arrogance against the Truth, and yet the Compassionate especially to the reverent.
26:10
a. And remember when your Rabb - The Lord called out to Moses saying:
b. ‘Go to the people who are unjust ….
Pak-China relations have been exemplary in the contemporary international politics. Both States have been maintaining strong ties in terms of diplomatic and military cooperation. However, the close economic cooperation has added a new dimension in the Pak-China all weather partnership. Over the years, China and Pakistan strategic cooperation has evolved at unprecedented level. In the year 2013, the Chinese President Xi Jinping proposed the construction of One Belt One Road (OBOR) that aims to connect China with West Asia, Central Asia, South Asia and Middle East. It is a bitter fact that, since 9/11 Pakistan has suffered in socio-political and especially in economic dimension. The regional security environment and rise of extremism and terrorism has resulted into the hampering economic development. Therefore, the CPEC project will prove to be game changer and when completed it will have deep impact on economic development of Pakistan in future. The CPEC provides an opportunity for Pakistan to stabilize its society and reshape its positive image at international level from fragile State to emerging economy in the South Asian region. The rise of China in economic sphere has been jealously seen by other developed countries while for Pakistan it has been a blessing factor. Thus, Pak- China strategic partnership entered into the new phase of economic cooperation that will certainly change the dynamics of the regional politics. This paper aims to discuss the multiple dimensions of CPEC its importance for Pakistan and China along with its internal and external challenges. Moreover, economic and security perspectives will be focused in detail. To fully understand the role of CPEC as driving force of economic prosperity, this paper discusses its potential as a game changer for both China and Pakistan. ___________
Background: Gestational hyperglycaemia is associated with a higher incidence of adverse maternal and fetal outcomes than is seen in normal pregnancy. Untreated gestational diabetes mellitus (GDM) has an increased perinatal morbidity and mortality. Morbidity related to macrosomia includes shoulder dystocia with birth injury and perinatal asphyxia in the fetus. In the mother, macrosomia is a risk factor for genital tract injury, obstructed labour, uterine atony and increased risk of Caesarean section. Long term sequelae in the baby include obesity, development of type 2 diabetes mellitus, intellectual and neurological developmental problems. For the mother, GDM is a very strong risk factor for the development of type 2 diabetes later in life. Published studies show that after GDM, 35-60% of women develop type 2 diabetes within 10 years. Therefore it is prudent that gestational diabetes is diagnosed and appropriate treatment and monitoring instituted. Screening is an important component of the diagnostic process.
Objectives: To compare detection rates of the universal to the selective risk factor-based screening strategy for gestational diabetes mellitus.
Methodology: A prospective cross-sectional study involving 185 participants consecutively recruited at or less than 28 weeks gestation . All participants had their risk factors for gestational diabetes identified and recorded at the beginning of the study then underwent the 50g oral glucose challenge screening test. Detection rates and prevalence of universal and selective strategies were calculated and compared. An exploratory analysis of risk factors was also done.
Results: The Prevalence of an abnormal screening test in the sample with risk factors was 12.0% (95% CI: 6.0%, 17.9%) and in the sample without risk factors it was 19.1% (95% CI: 9.5%, 28.7%).
Conclusion: Overlap of confidence intervals indicates no evidence of a difference between the screening strategies. However despite the non-significant, higher detection rates by the universal strategy, clinical practice safety demands that as many cases of gestational diabetes as possible are detected because of adverse clinical correlates hence justifying universal screening.