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Home > Status of Antioxidant Defenses in Response to Exercise & Antioxidant Therapy in Knee Osteoarthritic Patients.

Status of Antioxidant Defenses in Response to Exercise & Antioxidant Therapy in Knee Osteoarthritic Patients.

Thesis Info

Access Option

External Link

Author

Shamim, Mahwish

Program

PhD

Institute

Baqai Medical University

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2015

Thesis Completion Status

Completed

Subject

Biochemistry

Language

English

Link

http://prr.hec.gov.pk/jspui/bitstream/123456789/13167/1/Mahwish%20Shamim_Biochem_2014_Baqai_Main%20part.pdf

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676727238077

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The aging population and increasing cost of health care will greatly impact on future health care system and the methods used to treat conditions like osteoarthritis. With numerous treatment options for osteoarthritis, decisions about treatment should ultimately be made between the patient and the physician and consider factors such as the degree of pain and incapacitation, potential drug interactions, as well as medical reimbursement. Knee osteoarthritis is a difficult condition to treat. The recent, American college of rheumatology guidelines highlights the major pharmacologic and non-pharmacologic treatments available; other international guidelines supplement these recommendations. There is good evidence for the use of medications such as acetaminophen, topical and oral nonsteroidal anti-inflammatory drugs, and tramadol; injectables including viscosupplementation and intra-articular steroids; lifestyle interventions such as education, exercise, weight loss, and mineral baths; and braces such as a knee brace, knee sleeve, and shoe inserts. There are many controversial treatments needing more study. Ideally, treatment should involve the use of multiple modalities to allow for synergy of interventions. In the future, there is the potential for disease modifying interventions but none have been studied well enough to make recommendations at this time. These disease-modifying interventions would expand the non operative treatment options available for knee osteoarthritis. The present study is unique in the area because as per evidence, this is the first study to prove the efficiency of the exercise and antioxidant supplementation effects alone and when given in combination as an exclusive treatment, in the improvement of the knee osteoarthritis. The effects of exercise, antioxidant supplements, and the combination of both have been observed in osteoarthritic patients .The result attained in this study encouraged us to conclude that in treating osteoarthritis ,collective outcomes of the two, potentiate each other becoming a lot more than their individual effects.It shall have considerable effects on community sociably and economically. Forthcoming idea for molecular biology of superoxide dismutase under the consequences of various treatments will surely open the immense perspective of the research. But further research and evidences are necessary for efficacy of exercises and other treatment additions of antioxidant supplement therapy in osteoarthritis of knee.
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غزلیات

غزلیات

زندہ رکھی ہے ترے پیار کی خوشبو ایسے
اپنے شعروں میں دیے تیرے حوالے میں نے
کیوں نہ ہر لفظ پہ آنکھوں سے یہ ٹپکیں آنسو
جس قدر درد ملے شعر میں ڈھالے میں نے

ز
اپنی ذات کے اندر آ!

خواب نگر سے باہر آ!
شیش محل میں کس نے کہا

ہاتھ میں لے کر پتھر آ!
دیکھ کے صحرا نے یہ کہا

آنکھ میں بھر کے ساگر آ!
تجھ سے مسخر دل نہ ہو گا

لاکھ تو بن کے سکندر آ!
ہنس کے کہا درویش نے یہ
غم کی آگ میں جل کر آ!
ز
یوں تو کہنے کو فقط صبح کا تارا ڈوبا
ہاں، مگر رات کے راہی کا سہارا ڈوبا
جس کی باتوں سے سدا پیار کی کرنیں پھوٹیں
اُس کی آنکھوں میں مری سوچ کا دھارا ڈوبا
میری قسمت بھی ہے روٹھی مرے ساجن کی طرح
میں جو منجدھار سے نکلا تو کنارا ڈوبا
آج پھر سُرخ گھٹائوں کی ہے آمد آمد
آج پھر ۱ور کوئی درد کا مارا ڈوبا
کیسا کہرام مچا ہے لبِ دریا یونسؔ
ایسا لگتا ہے کوئی جان سے پیارا ڈوبا
ز
مل کر جو چلا جاتا

کیا اس میں ترا جاتا
معیار سے اپنے تو

کیوں کر ہے گرا جاتا
منزل نہ بھلے ملتی

رستہ تو دیا جاتا
ہوتی ہے وہاں غیبت
میں کیسے بھلا جاتا
ز
اب خونِ جگر دے کے یہ پالا نہیں جاتا
آ جا کہ ترا درد، سنبھالا نہیں جاتا
ہم جس کے سبب نقل مکانی پہ تلے ہیں
کیوں شخص وہ بستی سے نکالا نہیں جاتا
روتے ہو یہ بتلائو کہ تم ہجر میں کس کے
بے وجہ تو آنکھوں کا اُجالا نہیں جاتا

The Present Day Applications of Initial Muslim-Christian Interactions.

Throughout history, Interfaith Dialogue has been a continuous activity in Muslims and Christians alike. According to the historian, incident of Wafad-e-Najran[i] (Najran’s Delegation) was the first ever regular interaction between Muslims and Christians.  Therefore, this incident has an academic and historic importance in Muslim -Christian perspectives.  The Holy Quran describes this incident in detail. First 80 verses of Surah Ale-Imran were revealed in this context.  Further information is found in the books of Hadith, Seerah and Islamic History. This incident can become a base for modern Muslim- Christian Dialogue and we can derive from it some basic principles of Dialogue. This article elaborates the incident of Wafad-e-Najran, its importance and also derives some important rules from it. These principles are: interfaith tolerance, harmony, communication, understandings, peaceful co-existence, honour and respect, wisdom and beautiful reasoning, common basis for interfaith dialogue, Daw’ah and perfection of Hujjah. This article also describes its applications in the Present Dialogue.   [i] Wafad-e-Najran:   It is an Arabic word, used in Hadith History and other Islamic literature. It is meant by Najran’s Delegation and I shall use throughout the article as Wafad-e-Najran. 

A Novel Hybrid Model by Integrating Scrum, Xp and Rup

Scrum and Extreme Programming (XP) are frequently used models among all models of agile. Where as Rational Unified Process (RUP) is a conventional plan driven software development model. The agile and plan driven approaches both have their own strengths and weaknesses. A good feature of RUP model is that RUP works well for medium and large scale projects. Although RUP model has certain drawbacks, such as tendency to be over budgeted, slow in adaptation to rapidly changing requirements and reputation of being impractical for small and fast paced projects. Agile models being alternative to conventional models are not appropriate for large scale projects with significant light documentation. Strengths of Scrum and XP are that they are self managed processes through iterative planning. RUP is slow in adaptation to rapidly changing requirements due to well established requirement documentation. This feature is not lacking in Scrum and XP models as they respond well to creeping requirements. Advantage of RUP model is that it focuses on satisfying business and customer needs by delivering quality software and gives comprehensive planning for the system. Major drawback of RUP model is that it fails to provide clear implementation guidelines and leaves the tailoring to the user entirely. XP and scrum are self managed techniques through iterative planning. XP model has certain drawbacks such as weak documentation and poor performance for medium and large development projects. XP has a concrete set of engineering practices that emphasizes on team work where managers, customers and developers are all equal partners in collaborative team. Scrum is more concerned with the project management. It has seven practices namely Scrum Master, Scrum teams, Product Backlog, Sprint, Sprint Planning Meeting, Daily Scrum Meeting and Sprint Review. Keeping above mentioned context in view, this thesis successfully proposed a SPRUP model by combining strengths of Scrum, XP and RUP as well as narrower the weaknesses to produce quality software. Proposed SPRUP model was validated through a controlled case study. The results of this case study were then compared with the results of three of the case studies of Scrum, XP and RUP