ماما چبڑ
اک ہوندا اے ماما چبڑ، اوہنے واہی لئی دو بلد رکھے ہوندے نیں۔ اک دن اوہدے بلد کھل کے راجے دے کھیتاں وچ چلے جاندے نیں تے راجہ اوہناں نوں پھڑ کے بنھ لیندا اے۔ جدوں مامے چبڑ نوں پتہ لگا تاں اوہ اپنے بلد لین گھروں راجے ول ٹردا اے۔
ٹرے جاندے نوں رستے وچ اوہنوں اک شیر ملدا اے۔ شیر اوہدے کولوں پچھدا اے کہ ماما کتھے چلے او؟ اوہ آکھدا اے کہ راجے میرے بلد بنھ لے نیں۔ میں اوہ لین جا رہیا آں۔ شیر اوس نوں آکھدا اے کہ مینوں وی اپنے نال لے چل۔ ماما اوس نوں آکھدا اے کہ میرے کن وچ وڑھ جا۔ شیر مامے دے کن وچ وڑھ جاندا اے۔ ماما جدوں تھوڑا جیہا ہور آگانہہ جاندا اے۔ تاں اوس نوں اک بھونڈ ملدا اے۔ اوہ اوس کولوں پچھدا اے کہ ماما کتھے چلے او؟ ماما اوس نوں شیر والا جواب دیندا اے۔ بھونڈ اوس نوں نال لے جاون دا آکھدا اے ماما اوہنوں وی اپنے کن وچ واڑھ لیندا اے تے راجے دے محل ول سفر شروع کر دیندا اے۔ سفر کردے ہوئے اوس دریا پار کرنا ہوندا اے۔ دریا پچھدا اے کہ ماما کتھے چلے او؟ ماما پہلے والا جواب دیندا اے؟ دریا نال جاون دا آکھدا اے تے ماما اوس نوں اپنے کن اندر واڑھ کے راجے دے محل اپڑ جاندا اے۔
راجے نوں جدوں پتہ لگا کہ ماما اپنے بلد لین آیا اے تاں اوہ اوس نوں بکریاں والے واڑے وچ بند کر دیندا اے۔ رات نوں ماما اپنے کن وچوں شیر نوں کڈھ دا اے جو راجے دیاں ساریاں بکریاں کھا جاندا اے۔ اگلے دن راجہ مامے نوں مرغیاں دے کھڈے وچ بند کر دیندا اے۔ ماما اپنے کن وچوں بھونڈ نوں کڈھ...
At the time of arrival of Muslim community in Sub-Continent Region and due to their settlement in the region Arabic Language has been prevailed and such as the system of its publication and learning has been commenced. Because the directives of Islam and laws are in the Arabic Language as per Quran & Sunna so that it is necessary to learn the Arabic language for the awareness of Islamic directions. So that to achieve the knowledge of Sharia inclu-ding the expertise the peoples of Sub-continent has been achieved the expertise of Arabic language, literature, knowl-edge Ilmul Saraf al-khawa, knowledge of al-ishtiaq & Ilmul Balaghta etc. Moreover it is clarify that Scholar of religious have shown their expertise so that the scholar of Arab have been convinced their expertise. The basic point of service in Arabic Language of Scholars of Sub-Continent that they do not served only to enhance the language but the cause of service was to serve themselves on religious matters and represents themselves on work hard and tried themselves to achieve the better performance of identification of Islam. A positive result and effects have been achieved as a sun shining of Islam is remaining and its waves are enhancing all around the world such as the sun shining of Islam is remained in Arab world such as the publication of literature is also remaining in the Sub-Continent region in the actual shape and saved. Because the Islam will remain till the day of judg-ment and its representatives/workers will born till the date such as the scholars of literatures will also born and they will save the knowledge of Arabic. They will alive till the Day of Judgment.
Background: As the prevalence of cardiovascular diseases in Sub-Saharan Africa rises, coronary artery disease, with its acute presentations, is being increasingly recognized in Kenyans and treated at tertiary level hospitals. It is just over a decade since the introduction and wide availability of modern cardiology services, including interventional cardiology in Kenya.
Following an acute coronary syndrome (ACS), patients remain at high risk of death and other adverse events such as heart failure, recurrent myocardial infarction, stroke, and bleeding. Local and regional data on long-term outcomes following ACS are lacking. These data are important to clinicians for prognostication and to health care planners for resources allocation.
Objectives: The objectives of this study were to determine the in-hospital and long-term outcomes of patients following the treatment of Acute Coronary Syndromes. Specific objectives included determining in-hospital, 30-day and one-year mortality of ACS patients, and the rates of several non-fatal adverse outcomes including reinfarction, heart failure and cardiogenic shock, revascularization, stroke, major bleeding and re-hospitalization due to specific major adverse events.
Methods: The study was a retrospective chart review of ACS admissions during a two year period (2012-2013) for all acute coronary syndrome admissions. Data on patient characteristics, treatment, and inpatient and short-term outcomes were obtained from the patients’ medical records. Telephone interviews were conducted to determine long-term results.
Results: A total of 230 patients were included in the analysis. Of these, 101 had a diagnosis of STEMI, 93 suffered an NSTEMI, and 36 had UA. Males accounted for 81.7% of the patients, and the mean age was 60.5 years. Delayed presentation was common with more than 35% of patients taking longer than 24 hours to arrive. Coronary angiography was performed in 85.2% of the patients. The in-hospital mortality was 7.8% (14.9% for STEMI and 2.3% for NSTE-ACS), the mortality at 30 days and one year was 7.8% and 13.9% respectively. The most common in-hospital non-fatal adverse outcome was heart failure, occurring in 40.4% of STEMI and 16.3% of NSTE-ACS. Readmission rate due to recurrent MI, stroke or bleeding at one year was 6.6%.
Conclusion: In our cohort, in-hospital, 30 day and one year mortality following acute coronary syndromes remains high, particularly for STEMI. Delayed presentation to hospital following the onset of symptoms appears to be an important contributing factor.