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Perception of Rehabilitation Professionals Towards Multidisciplinary Team Approach in Stroke Rehabilitation

Thesis Info

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Author

Muhammad Naveed. Babur

Program

PhD

Institute

Isra University

City

Islamabad

Province

Islamabad Campus

Country

Pakistan

Thesis Completing Year

2017

Thesis Completion Status

Completed

Subject

Health Sciences

Language

English

Link

http://prr.hec.gov.pk/jspui/bitstream/123456789/9375/1/Muhammad%20Naveed%20Babur%20Index.docx

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676726849813

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Benefits of multidisciplinary team in health care setups cannot be denied. If effectively developed and implemented patients and team members both gets immense advantage from it.Unfortunately in developing countries due to other constraints this part of health care is still neglected. There are multiple reasons behind it which include lack of clear vision, organizations are not sure what they want from a multidisciplinary team. Benefits although know but are not crystal clear to administration resulting in neglect from there end in facilitation for development of multidisciplinary team. Lack of appropriate curriculum, at degree level. Professional entering the field lack basic knowledge regarding multidisciplinary team approach. Limited research facilities and rigid mind set leads to a group of professionals who are in field to practice in a traditional way. Lack of continuous teaching and training is observed, professionals are reported to be so busy that attending refreshers and relevant workshops is not possible for them. There is absence of staff to provide cover for professionals attending workshops or seminars. Frequent political shifts and security concerns never let policy makers focus on emerging trends in health care. GDP allocated to health care restrain teaching and training of professionals and advent of multidisciplinary team in long run. Lack of Skill mix is another issue, services of allied health professionals are scarce and professionals are reluctant to perform duties in far off areas or less privileged areas of country.
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کرم مجھ پر بھی اے فخرِ بشرؐ کر دے

کرم مجھ پر بھی اے فخرِ بشرؐ کر دے
خذف ہوں اک نظر کرکے گہر کر دے

سیہ راتیں لہو میں دوڑتی ہیں اب
من آنگن میں کبھی آکر سحر کر دے

میں جلوہ ہائے شہرِ علم پا لُوں گا
مگر پہلے عیاں اسرارِ در کر دے

ہو نقشِ پا ترا مسجودِ چشمِ تر
اِسی صورت بصارت معتبر کر دے

ثنا کی رُت قلم پر بھیج کر اب کے
مری شاخِ سُخن کو باثمر کر دے

Conceptualizing Poverty in Capitalism and Islam

This study investigates poverty in Capitalism and Islam in terms of both; as an economic ism and as a living ideology. Capitalism as a living ideology, based on its’ philosophical foundations, eventually yields class conflict, deprivation, discrimination and accumulation of wealth in the hands of a few capitalists. Capitalism as an economic ism has become unpopular in the world not only because of socioeconomic injustices but also due to environmental degradation and losses in biodiversity. Theoretical analysis reveals that the built in mechanism (Demand-Supply) of capitalism is incapable to resolve the issue of poverty effectively. Poverty in Islamic context is a pure economic concept which does not affect the social class system and social values of humans. Furthermore, the measurement concept of poverty in Islam is different from the Capitalism. Poverty has been measured based on the minimum prescribed amount (Nisab) postulated by Islam. Various categories of the poor have been identified while benchmarking the minimum prescribed amount. Keeping into consideration the philosophical foundation of the Capitalism and Islamic Economic System (IES) the study reveals that IES has more potential to resolve the issue of poverty on more fair and equitable basis than the Capitalism.

Synthesis and Biological Studies of Some Isatins-3-Hydrazones Imines and Their Metal Chelates

The main focus of this thesis is on the synthesis and biological studies of some novel isatin-derived hydrazones, imines and their metal chelates/complexes. Thus, initially, three series of target potential biologically active hydrazones and imines i.e. (47-54), (55-93) and (94-100) were prepared and evaluated for selected biological activities in the present study. The synthesized hydrazones (47-54) were screened for their in vitro antibacterial, antifungal and cytotoxicity potential. Of these, (50), (51) and (54) showed significant antibacterial activity against P. aeruginosa. Similarly, in antifungal assay, compounds (49-52) displayed significant activity against T. longifusus. Also, compounds (49), (51) and (52) proved to be active in a brine shrimp (Artemia salina) lethality bioassay, exhibiting a high degree of cytotoxic activity with LD50 values 3.82×10-5, 2.34×10-5 and 1.53×10-5 M, respectively. The synthetic hydrazones (55-93) were evaluated for their antibacterial, antifungal, phytotoxic, cytotoxic and urease inhibitory effects. In antibacterial assay, none of these was found to be active against any of the tested bacteria. On the contrary, in antifungal assay, twenty six compounds i.e. (55-59), (62-64), (66), (69-70), (72), (78), (80-85) and (87-93) were found to be active, exhibiting weak or non-significant activity (10-30%) against one, two, or three tested fungi. Similarly, in phytotoxicity assay, six compounds i.e. (63), (76), (77), (79), (86) and (91) demonstrated weak or non-significant activity (5-30%) at the highest tested concentration (500μg/mL). To the contrary, in the brine shrimp assay, all the compounds gave LD50 values >1.62 x 10-4 – 2.16 x 10-4 M and, therefore, considered to be almost inactive. However, in urease inhibition assay, they proved to be potent inhibitors of the enzyme, showing IC50 values ranging from 3.70 ± 0.62 to 849 ± 2.26 μM. Compounds (57), (61-63), (65), (68), (70), (71), (77), (79), (80), (82-84), (88), (92) and (93) were found to be relatively more potent, displaying antiurease activity (IC50 = 3.70 ± 0.62 – 20.9 ± 0.57 μM) even better than the reference inhibitor, thiourea (IC50 = 22.3 ± 1.12 μM). Molecular docking studies were also carried out for the hydrazones (55-93) to elucidate their relationship with the binding pockets of the enzyme. Like compounds (55-93), the synthesized bis-imines (94-100) were screened for their in vitro antibacterial, antifungal, phytotoxic, anticancer and antiurease influences. All the compounds were found to be active in antibacterial assay, demonstrating weak to moderate activity against one or more bacterial stains. Similarly, in antifungal assay, all except (100) proved to be active, displaying weak to significant activity against one or more fungi. Furthermore, all the imines also appeared to be active in phytotoxicity assay, showing varied degree of plant growth inhibition (5-100%) at the highest tested concentration (500μg/mL) but much inferior to the reference compound, paraquat, which shows 100 % growth inhibition at 0.015 μg/mL concentration. In sulphorhodamine B (SRB) assay, however, they were found to possess good anticancer activity (IC50 = 2.32 ± 0.11 − 3.88 ± 0.34 μM) against lung carcinoma (H157) cells and low cytotoxicity at Vero cells. Also, in urease inhibition assay, they proved to be potent inhibitors of the enzyme, exhibiting IC50 values in the range 0.04 ± 0.004 – 25.2 ± 1.34 μM. The synthetic bis-imines or Schiff bases (94-100) were used as ligands for synthesizing their Cu(II) complexes (101-107), which were evaluated for their antibacterial, antifungal, anticancer and antiurease potential. All the compounds except (107) were found to be active in antibacterial assay, exhibiting weak to moderate activity against one or more bacterial stains. Similarly, in antifungal assay, all except (102) and (107) displayed weak to good antifungal activity against one or two fungal strains. In anticancer (SRB) assay, coordination/chelation of the Schiff base ligands (94-100) to metal ion was found to cause significant enhancement of activity in all the cases. However, in urease inhibition bioassay, it was found to cause reduction in the enzymatic activity of all the compounds except (105).