عشق کے نہ مسئلوں پہ بات کیجیے
آپ مجھ سے فلسفوں پہ بات کیجیے
واسطہ نہیں ہے اپنا نیند سے کوئی
ہو سکے تو رتجگوں پہ بات کیجیے
نام دوستوں کا بھی آئے گا چھوڑیے
چھوڑیے! نہ دشمنوں پہ بات کیجیے
ہر خوشی ہے عارضی سو اس لیے جناب
درد ہی کے سلسلوں پہ بات کیجیے
رہ کی مشکلوں سے ہمیں مت ڈرائیے
آپ سیدھا منزلوں پہ بات کیجیے
This study examines the community services and facilities provided seeking for, (صلى الله عليه وسلم) Prophet Holy of life the in Madinah of State the in guidance in the social development of community by fulfilling the basic needs of citizens in the modern-day. By declaring Medina a first Muslim state, the Holy Prophet (ﷺ) rendered invaluable services for the betterment of his people. He stressed upon providing fundamental rights of the human beings. The focus of this article is to shed light upon the ways of providing the most important needs of the citizens, which have been insured in the state of Madīnah, especially but not limited to those of a Muslim community. Nonetheless, it further elaborates how a civil government can provide the basic infrastructure, development of roads, religion abodes, supplying clean water, and promotion of peace and harmony among the people, and the rights of minorities in the light of Sīrat-e-Ṭayyibah. The method used in this article is descriptive and analytical study of the relevant Aḥādith, and building arguments on it. This study concluded State the in municipality the of foundations the led (صلى الله عليه وسلم) Prophet Holy that of Madīnah, and the basic needs of food, shelter, clean water. It ensured a peaceful society. Moreover, it is suggested that these aspects and teachings of Sīrat should be blazoned widespread to pave the way for social development, peace and harmony.
Background: There is increasing evidence that the incidence of postoperative residual paresis after using neuromuscular blockers ranges from 24 to 50% in post anaesthesia care unit and is associated with postoperative complications such as critical respiratory events as evidenced by hypoxia, hypoventilation and upper airway obstruction. Quantitative neuromuscular monitoring (such as the assessment of Train of four (TOF) ratio) and reversal of neuromuscular blockers has been shown to reduce postoperative residual paresis. There are very few outcome studies on effect of residual paresis in Post anaesthesia care unit (PACU). There are no published randomised control trials investigating whether using a TOF ratio ≥0.9 before endotracheal extubation compared to clinical assessment of return of neuromuscular function reduces the incidence of critical respiratory events in PACU. Primary Objective: To determine whether using TOF ratio ≥0.9 compared to clinical assessment of return of neuromuscular function before endotracheal extubation reduces the incidence of critical respiratory events in PACU Secondary objectives: To determine incidence and severity of hypoxia in PACU. To determine incidence of upper airway obstruction in PACU Study Design: Randomised, prospective, double blinded control trial Setting: Operating theatres of the Aga Khan University hospital Nairobi Population: Adults, aged 18-65 years ASA physical status I and II undergoing elective surgery under general anaesthesia. Sample size: 168 patients randomised to TOF ratio group and clinical assessment group, 84 per group. Methods: Patients requiring general anaesthesia for elective surgery with cisatracurium as the muscle relaxant were randomised into 2 groups using computer generated numbers. Group 1 were patients who required a TOF ratio of ≥0.9 before extubation. Group 2 patients were extubated based on clinical assessment of return of adequate neuromuscular function by the anaesthetist as is the standard of practice at the Aga Khan University hospital Nairobi. General anaesthesia was standardised in both groups. Both the investigators and patients were blinded during the study. Once the patient was transferred to PACU, oxygen saturation (SP02), respiratory rate and any signs of upper airway obstruction as demonstrated by stridor, laryngospasms or requirement of any airway manipulation was recorded for the first 30 minutes. Duration of anaesthesia and surgery was also recorded. Patient demographics were recorded and analysed. vii Results: There was no statistical difference between the 2 groups in terms of patient demographics, duration of surgery and anaesthesia and duration since last muscle relaxant was given. In terms of hypoxia on arrival in PACU, the incidence of