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Prevalence of Bladder Dysfunction in Children With Primary Nocturnal Enuresis Presenting to the Hospital

Thesis Info

Author

Jethwa, Nikita Pravin

Department

Paediatrics and Child Health (East Africa)

Program

MMed

Institute

Aga Khan University

Institute Type

Private

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2016

Thesis Completion Status

Completed

Subject

Medicine

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676728060466

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Introduction: Bladder dysfunction is thought to be a common cause of nocturnal enuresis. It can either be overactive, underactive or dysfunctional. Currently, there is a paucity of data on what proportions of children with nocturnal enuresis have bladder dysfunction. Studies have shown the prevalence of bladder dysfunction to be as high as 77-94.5% (28), and children with bladder dysfunction have poor response to treatment. There are currently no protocols for investigating and managing children with nocturnal enuresis. The decision for bladder ultrasound is usually made by the primary physician, and at times after the child has been on treatment for a long duration. Studies have shown boys are affected more than girls. Nocturnal Enuresis causes psychological stress and low self-esteem in the child (2). Diagnosis is made by history taking and examination of the child. Bladder ultrasounds and urodynamic studies are not routinely done to rule out bladder dysfunction, and therefore the prevalence of bladder dysfunction in children with NE is underreported. Objectives: This study was designed to investigate the prevalence of bladder dysfunction in children with primary nocturnal enuresis presenting to Aga Khan University Hospital and Gertrude’s Children Hospital. In addition, the type of bladder dysfunction and the factors associated with bladder dysfunction Methodology: It was a cross sectional study carried out in children between the age group five to eighteen years presenting with primary nocturnal enuresis to Aga Khan University Hospital and Gertrude’s Children Hospital. Fifty-six children with primary nocturnal enuresis were recruited for the study. A questionnaire was completed by the parent/caregiver/ child ≥ 18 years. Bladder ultrasound was done to determine the bladder volume and bladder wall thickness, which was used to calculate the bladder volume wall index, which was compared to normal bladder volume wall index (BVWI) for age. (27) Results: the prevalence of bladder dysfunction using the BVWI in children between five to eighteen years presenting with primary nocturnal enuresis to Aga Khan University Hospital and Gertrude’s Children Hospital was 92.9% (52 children). The male to female ratio was 1:1. The prevalence of overactive bladder was 92.9% (95 % CI 82.7 – 98%) (52) and 7.1% (4) of children had normoactive bladder, there was no child with underactive bladder. The prevalence of bladder dysfunction was noted to be the similar to other studies. (28) Conclusion: The prevalence of bladder dysfunction in enuretic children seen in Kenyan referral facilities is high. It is important for
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مرزا احسان احمد

مرزا احسان احمد
افسوس ہے کہ ہمارے شہر کے مشہور وکیل اور نامور شاعر مرزا احسان احمد صاحب کا گزشتہ مہینہ انتقال ہوگیا، ان کی صحت عرصہ سے خراب تھی، ادھر کچھ دنوں سے صاحب فراش ہوگئے تھے، ۲۳؍ دسمبر کو وفات پائی، وفات کے وقت ۷۷ سال کی عمر تھی، مرحوم شاعری کے ساتھ اردو کے ادیب و نقاد بھی تھے، ان کا ادبی ذوق بڑا بلند اور پاکیزہ تھا، ان کے کلام اور ادبی مضامین کا مجموعہ شائع ہوچکا ہے، ایک زمانہ میں ان کے اور اقبال احمد خاں صاحب سہیل مرحوم کے دم سے اعظم گڑھ میں شعر و شاعری کا بڑا چرچا تھا، مگر مرحوم جب چشمہ کے ایجنٹ اور بعد میں شاعر کی حیثیت سے اعظم گڑھ آتے تھے تو مرزا صاحب ہی کے یہاں ٹھہرتے تھے، اور شعر و شاعری کی محفل گرم ہوتی تھی، اس میں مولانا عبدالسلام مرحوم پابندی سے اور کبھی کبھی سید صاحبؒ بھی شریک ہوتے تھے، جگر صاحب کے کلام کا پہلا مجموعہ داغ جگر اعظم گڑھ ہی سے شائع ہوا، اس پر مرزا احسان احمد صاحب کا مبسوط مقدمہ ہے اسی سے جگر صاحب کی شہرت کا آغاز ہوا، مرزا صاحب کے گھر میں دارالمصنفین کے تعلقات بڑے گہرے تھے، ان کے بڑے بھائی مرزا سلطان احمد صاحب مرحوم دارالمصنفین کی مجلس انتظامیہ کے ہمیشہ رکن رہے، ان کے بعد مرزا صاحب منتخب ہوئے، اور اپنی وفات تک رہے، ان کی زندگی بڑی سادہ اور درویشانہ تھی، استطاعت کے باوجود تکلفات سے ہمیشہ بری رہے، طبیعت میں بڑا استغنا تھا ان کا پیشہ ضرور وکالت تھا مگر اس کی طرف ان کا طبعی رجحان نہ تھا، بس بقدر ضرورت ہی وکالت کرتے تھے، اور ادھر دس بارہ سال سے بالکل چھوڑ دی تھی، طبیعت بڑی مرنجان مرنج تھی، کسی کے معاملات اور مقامی سیاست سے...

Protection of Working Women Rights in the Light of the Teachings of Islam

Men and women are the backbone of human civilization and both play their due roles in the society. In the present era, women are found engaged in every walk of life. Their potential was appreciated in the fields of education, research and medical since long but now they have also got prominence in the fields like army, politics, games, culture, economy, engineering and even avionics. Woman of the modern era is now a good mixture of a conscious wife, affectionate and educated mother and an active worker by increasing her importance and status through achievements in all walks of life. The main purpose of the paper was to identify the rights of women at workplace and to highlight the protection given by Islam for the rights of working women. The study was descriptive in nature. Relevant Hadiths and the examples from the lives of Sahaba regarding the justification of women to work and how their rights to be protected, was discussed. The need of the hour is to create a protected environment for women to work with dignity, without the fear of harassment and abuse which will in turn bring higher productivity and better quality of life at work.

الاعجاز البیانی فی ضوء النصوص القرآنیة

There is no doubt that the Holy Qur'an is a great blessing from Almighty Allah. If this had been the only blessing bestowed on this final Ummah, we would still have surpassed all previous ummahs in blessings. This book is the epitome of sweetness. Its beauty stretches from the tongue of the .2 gam and can be felt in the very depths of the heart of the listener. One can not tire of reading it, nor of listening to it; the more one delves into it, the richer its treasures reveal themselves to be. This book appeals equally to a scholar and a layperson at the same time, and guides them both. It has the power to awaken nations from ignorant slumber, and to show them the path to success. One aspect of this brilliance is the fact that not only does it encompass vast treasures of wisdom and knowledge, but it is also a literary and linguistic miracle. This latter point is expounded further in this present research work. The direct and implied meaning of the text of the Holy Book is indeed beautiful. The very vocabulary and its mesmerizing usage are so apt and balanced that there can be absolutely no comparison. Revealed at the time when Arabia was at the pinnacle of linguistic excellence, nothing could face up to its splendor, attempts by the disbelievers who put together all their resources to this futile end notwithstanding. This was one reason why the opponents of this message, having completely failed this way, resorted to violence and warfare. If they could have countered the linguistic beauty of the Holy Qur'an, the world would not have seen the battles of Badr, Uhud and Khandaq. To illustrate this linguistic miracle of the Holy Qur'an, a few styles have been selected from its vast treasures of Ilm-ul-Bayan. These include, but are not limited to, the vocabulary, the usage of similes and metaphor etc. that challenge human ability and leave it pale in comparison. The Holy Qur'an chooses different styles beautifully based on specific contexts, catering beautifully to the addressee and the message. Where the circumstance calls for simplicity, the Holy Qur'an employs a simple yet brilliant style, and where the need is for eloquence, it engages a sparkling dignity. Thus it is a direct and correct conclusion that the Holy Qur'an's linguistic approach is a string of gems that embodies many different styles; each gem is magnificent on its own, and at the same time, the majesty of the string is revealed even more fully when considered as a whole. A miracle of the Holy Qur'an is that it showcases divine brilliance in a way that is comprehendible by efforts of human knowledge and imagination without compromising its full magnificence. This becomes evident in another way also. It is interesting to note that the best amongst human literature now employs the same vocabulary and similar linguistic techniques, and yet the distinction between the products of the human mind and this divine book has not been bridged at all. 1. Arabic, for the larger Islamic concept of 'nation' that surpasses all geographic boundaries. 2. Arabic, for one who recites. 3. The three battles from the early age of Islam. Holy Qur'an stands to this day, and shall continue to do so for all time, with all its glory as a shining testament to the boundary less divine wisdom and magnificence, for which even the entire creative prowess in the world around us is no match. This research has engaged several noted exegesis of the Holy Qur'an to identify, understand and classify a part of the linguistic magnificence of this divine book. The Glorious Qur'an's eloquent stylizations embody infinite beauty, and showcase the miracle of the brilliance of the divine wisdom. It presents a spectacular combination of eloquence that radiates beauty, and comprehensive conciseness. These are just two of the miracles that form the Holy Qur'an. The characteristics outlined in these preceding lines, and subsequently in this research show the outline of a magnificent picture, and yet this only be labeled as being hardly a drop in the ocean in comparison to the full glory of the Holy Book. I pray to Almighty Allah to accept my endeavor to showcase some of this grandeur in this research, and to make it beneficial for me, and the whole Muslim Ummah.