ڈاکٹر عبدالحق
ادھر عرصہ سے کوئی مہینہ خالی نہیں جاتا جب سینہ ملت کو کوئی نہ کوئی تازہ داغ نہ اٹھانا پڑتا ہو۔ ابھی مولانا مدنی اور مولانا ابوالکلام کا غم تازہ تھا کہ افضل العلماء مولانا ڈاکٹر عبدالحق صاحب نے داعی اجل کو لبیک کہا، وہ مدراس کے تھے، اس لیے شمالی ہند کے خواص کے علاوہ عام لوگ کم ان سے واقف تھے، وہ اپنے اوصاف و کمالات کے اعتبار سے بہت بڑی شخصیت رکھتے تھے اور آج مسلمانوں میں جیسے مرد مومن کی ضرورت ہے اس کا نمونہ تھے، ان میں علم و عمل کے سارے کمالات جمع تھے، دینی علوم کے بھی باضابطہ عالم تھے اور علوم جدیدہ کے بھی فاضل تھے، انھوں نے عربی کی تکمیل کے بعد انگریزی پڑھی اور آکسفورڈ سے ڈاکٹریٹ کی ڈگری حاصل کی، اس علم و فضل کے ساتھ بڑے دیندار اور عملی انسان تھے، انتظامی قابلیت بھی ان میں اعلیٰ درجہ کی تھی، مدراس کے مسلمانوں کی انھوں نے بڑی خدمت کی، تنہا اپنی کوشش سے مسلمانوں کے کئی ڈگری کالج قائم کیے اور وہ بجاطور پر مدراس کے سرسید کہلاتے تھے، مختلف اوقات میں بڑے بڑے تعلیمی عہدوں پر ممتاز رہے۔
اب سے چند سال پیشتر مسلم یونیورسٹی کے پرو وائس چانسلر بھی رہے تھے، اور اپنی قابلیت، دینداری اور حسن انتظام سے یونیورسٹی کی فضا بدل دی تھی، مگر اس سیکولر دور میں پھر مسلم یونیورسٹی جیسے مسلم ادارہ میں اس کی گنجائش کہاں، اس لیے تھوڑے ہی دنوں کے بعد مدراس پبلک سروس کمیشن کے ممبر بنادیئے گئے، اس وقت اس کے چیرمین تھے، مگر ان کی قابلیت اور تعلیمی تجربات کی بناء پر ممبر کی حیثیت سے یونیورسٹی کی مختلف تعلیمی اور انتظامی کمیٹیوں سے برابر ان کا تعلق قائم رہا اور وہ اس سے عملی دلچسپی لیتے رہے، حقیقۃً وہ...
Background and Aims: Muscle strength is the key area to measure the functional status of an individual. Different tools and techniques has been used to detect strength differences and deficits. Hand- held dynamometer is one of the most affordable and handy tools used for this purpose. This study was designed to determine intra-rater reliability of hand- held dynamometer to measure muscle strength in different muscle groups of lower extremity of young athletes. It will further explore the reliability of hand- held dynamometer.
Methodology: In this cross- sectional study young players of squash and badminton in the age group of 18-26 years were selected. The participants were recruited by non- probability convenience sampling technique. The strength of major muscle groups of lower limb was measured by a single male tester twice with gap through isometric make test of dynamometer. The intra-class correlation coefficient was then calculated for two readings of each muscle group by using SPSS version 21.
Results: The intra- class correlation coefficient showed good to excellent reliability. The hip abductors, hip adductors, hip extensors of left side, knee flexors and knee extensors showed excellent reliability. Whereas, hip flexors, ankle plantar- flexors and dorsi-flexors of both sides showed excellent reliability at 95 % confidence interval.
Conclusion: The isometric make test of dynamometer is a reliable tool for the objectification of strength of lower limb in young players participating in squash and badminton.
Background: Epidural volume extension (EVE), is a technique whereby a small-dose intrathecal block is enhanced by an epidural injection of physiological saline. This epidural injection exerts a compression effect on the dura, which then leads to a cranial increase in sensory spread of the intrathecal local anaesthetic. The lower dose of local anaesthetic required in the EVE technique has made it possible to avoid the side effects of the conventional dose of local anaesthetic while still having the benefit of adequate anaesthesia. Several studies have been conducted in this area; these studies have either used or omitted fentanyl. The successful results demonstrated in these trials have been solely attributed to the EVE effect without taking into consideration the pharmacological effect of fentanyl on the total outcome. No study has been done to demonstrate the effect of fentanyl on the epidural volume extension block and whether adding or omitting it would make a difference on spinal block level and other characteristics. Objective: The study aims at determining the effect of fentanyl plus low dose bupivacaine on the spinal block level of combined spinal epidural (CSE) anaesthesia utilizing the Epidural Volume Extension technique. Study design: A randomised controlled trial Methods - Intervention: Forty four women scheduled for elective caesarean section were randomized to 2 groups. One group got intrathecal bupivacaine with fentanyl followed by Epidural Volume Extension with physiological saline (Fentanyl group). The second group got intrathecal bupivacaine without fentanyl followed by epidural volume extension with physiological saline (No-fentanyl group). - Outcome measures: The outcome measures for this study were, the maximum sensory level which was measured by loss of sensation to temperature using a cold spirit swab, the motor block which was assessed using the Bromage score and the time to first request to analgesia taken as the time the patient first needed to use their PCA device or epidural supplementation intraoperatively. Results: The sensory block level after epidural volume extension increased in both arms. The increase was more in the intervention arm (Fentanyl group) than in the control arm (Nofentanyl group). This increase was however not statistically significant P=0.19. The sensory block level after epidural volume extension in the fentanyl group was 4 levels higher than the initial intrathecal block, while in the control arm the change was 3 levels higher than the than the initial intrathecal block. The time to first request of analgesia was shorter in the no-fentanyl