معاصر خانقاہی نظام میں خانقاہ سراجیہ کے امتیازات

Mawlānā abu Sa'ad Ahmed Khan's sincerity, piety, adherence to the sunnah of the prophet and simplicity in his lifetime made this monastery a unique city in the subcontinent and a centre of universal growth and guidance. Gave after him Mawlānā Abdullah Ludhianvi, Khwaja Khan Muhammad and Khwaja Khalil Ahmad continued his mission. In addition to reforming the human population, the shuyūkh of this monastery has been following the sunnah of the prophet, reforming society, promoting education, preserving the belief at the end of prophethood, patronage of madrassas and religious parties, charitable work and promoting Naqshbandiyya.  And the emperors and officials have done their best to play their role in the implementation of the Islamic system and the establishment of the justice system in the country. Mashaikh of the monastery broke the intellectual statement of the religious schools by imparting practical training, Self-purification, spiritual asceticism, religious support, prophetic politics and modern insights. On the other hand, volunteer religious services and selfless sacrifice to bring the right path to the people, as well as the public meetings, strong character and perseverance religious influenced by source. Through his voluntary religious services and selfless sacrifices, he tried to bring them to the right… In this way, these gentlemen addressed the masses through Zikr, strong character and religious perseverance, influenced by source.

Evaluating the Diagnostic Performance of an Initial Transvaginal Sonogram Tvs in Patients With Suspected Ectopic Pregnancy

Purpose of the study: To evaluate the diagnostic performance of an initial transvaginal sonogram (TVS) in patients with suspected ectopic pregnancy (EP). Objectives: 1) To determine the accuracy, sensitivity, specificity, positive and negative predictive values of an initial TVS scan in patients with suspected EP. 2) To determine the diagnostic utility of TVS findings as predictors of EP. Methodology: This was a descriptive, prospective study of 131 consecutive mothers who had TVS for clinical suspicion of EP at the Aga Khan University hospital over a 12 month period between November 2007 and October 2008. The scans were performed in our radiology department by sonographers, residents and consultant radiologists. The mothers were followed-up to determine their clinical or surgical outcome, which was then used as a reference standard. The accuracy, sensitivity, specificity, positive predictive value and negative predictive value for the initial TVS and sonographic predictors of EP were calculated. The study was approved by the University Research and Ethics Committee. Results: The accuracy of an initial TVS in this study was 96% (126 / 131). Sensitivity, specificity, PPV and NPV of initial TVS was 84% (21 / 25), 99% (105 / 106), 95.5% (21 / 22) and 96.3% (105 / 109) respectively. The prevalence of EP in our study was 19.08 % (25 / 131). In this study, 69.4% (91/131) of mothers had intrauterine pregnancies while 10.4% of them were not gravid. Adnexal mass, hemoperitoneum and tubal ring sign had high specificities but low sensitivities. Presence of an extrauterine gestational sac with or without an embryo was associated with 100% specificity and PPV. Conclusion: This study demonstrates that initial TVS is a highly accurate and reliable tool in the evaluation of mothers with clinical suspicion of ectopic pregnancy. With the high accuracy, specificity and predictive values more than 95% of mothers will be evaluated correctly.