اعتراف
میں دو دیوتائوں کا بھگت
جنھوں نے میرا بخت چمکایا
پہلا دیوتا جس کا مندر
جیسا باہر ویسا اندر
جہاں محبت کی شمعیں جلتی ہیں
درد کے سنکھ بجتے ہیں
جس کی کشتِ سخن زرخیز ہے
جس میں گلاب و سمن مہکتے ہیں
اور مرغانِ خوش نوا چہکتے ہیں
میرے اندر کے تار بجتے ہیں
مجھے ذوقِ ادب کا خزانہ دیا
لکھنا، پڑھنا، بولنا سکھایا
اظہار و بیان کا سلیقہ سمجھایا
پھر میں ایک ایسے دیوتا کے سپرد ہوا
جس کا مندر دیوتائوں کاعجائب گھر
جہاں شعور و فکر کے دیپ جلتے ہیں
جہاں علم و سخن کے گَجر بجتے ہیں
جس نے میری تپسیا کو بھاگ لگائے
میرے لفظ و معانی کو راگ دیے
میری سوچ کو پر لگائے
لفظوں کے جنگل سے خیال و معنی کے پھول چننے کا سلیقہ سکھایا
مجھے تو دوئی راس آگئی
یعنی مجھے پیاس بھا گئی
This article discusses the Economic Reflections of Asean countries in facing the Covid-19 Pandemic in several Asean countries, namely Vietnam, Malaysia and Indonesia. Vietnam's economic growth was victorious, the economies of various countries in other Southeast Asian regions were battered by the corona virus. The process of economic growth is influenced by two kinds of factors, namely economic factors and non-economic factors. Economic factors, which are none other than production factors, are the main force affecting economic growth. Malaysia has proven to the world community that its country is capable of managing its economy even in challenging circumstances. He quoted the IMF as global economy recorded negative growth and in Indonesia it seems that contraction in income activities in some income classes is affected. In the second quarter there is a slowdown, then in the third quarter the savings are enormous. It could be that consumption, which has been a factor in economic growth, will be a challenge. In an effort to maintain economic stability during the Covid-19 pandemic. This reflects that the economies of ASEAN countries, even in the world, are currently under the same pressure due to the Covid-19 virus pandemic, the world economy this year will experience a recession.
Introduction: Congenital heart disease (CHD) is the most common congenital anomaly (one-third of all congenital anomalies) with a global birth prevalence of 8/1,000 live births. About 30-50% of all CHD can be categorized as those that will result in death or long-term disability if surgery or catheter-based intervention is not done within one year (major CHD) or four weeks (critical CHD). Early diagnosis of CHD with subsequent prompt surgical/catheter-based interventions has been associated with better outcomes. In this study, late diagnosis of CHD is defined as cases of CHD diagnosed after the first year of life. Knowledge on presentations of CHD, rates of late diagnosis and associated factors is required to bridge knowledge and care gaps that currently exist locally. Research Question: What are the factors that are associated with late diagnosis amongst children diagnosed with CHD in Kenya? Study Objectives: This study aims to describe the proportion of patients with CHD who are diagnosed late as well as the factors that are associated with the late diagnosis. It also aims to assess access to corrective surgery/catheter-based intervention by children with CHD in Kenya. Study Methods: This is an analytical cross-sectional study of children 18 years and below diagnosed with CHD on follow up at the three major cardiac referral centers in Kenya (Aga Khan University Hospital, Nairobi, Mater Hospital and Kenyatta National Hospital) between January 2011 and December 2016. A total of 411 Patient files were analyzed after randomly selecting patients from all three referral centers based on the number of patients with CHD on follow up in each facility using the ratio (26:75:75). Patients with CHD were categorized into those who were diagnosed late and those who were diagnosed early. Continuous variables were analyzed using summary statistics such as means (ranges) or median (IQR) and categorical and discrete data were analyzed using percentages/proportions. Tests of association between variables and outcome was performed using chi square for categorical and continuous variables and any variable with p-value <0.25 was included in the model. Multiple logistic regression analysis was used to determine factors associated with the late diagnosis of CHD adjusting for age and sex of the patient. P value of <0.05 was considered statistically significant. Results: Out of the 411 patients analyzed, 205 (49.9%) were male and 206 (50.1%) were female. The median (IQR) age at diagnosis was 15 (5-48) months and the proportion of patients with CHD who were