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پروفیسر منظور حسین شورؔ

پروفیسر منظور حسین شورؔ 
(ڈاکٹر غلام مصطفےٰ خان)
شور صاحب (اﷲ بخشے) میرے دیرینہ کرم فرما تھے۔ ان کا بچپن کا نام منظور علی تھا جیسا کہ میں نے ان کے مکان پر ایک کتاب میں لکھا ہوا دیکھا تھا۔ بعد میں ان کا نام منظور حسین ہوا۔ دوھیال ایچپور کی تھی اور ننھیال اکولہ کی تھی۔ یہ دونوں شہر برار میں ہیں، وہ امراؤتی (برار) کی شہر پناہ کے ناگپوری دروازے کے قریب ایک آبادی میں جو سادات کی تھی دسمبر ۱۹۱۰؁ء میں پیدا ہوئے۔ والدضامن علی صاحب جو بعد میں کراچی آکر ۱۹۶۸؁ء میں فوت ہوئے، تھانیدار تھے۔ بہت سیدھے سادے تھے، امراؤتی میں بارہا ان سے شرفِ ملاقات حاصل ہوا تھا، شور صاحب کی ابتدائی تعلیم امراؤتی ہی کے محمڈن اسکول میں ہوئی، اس زمانے میں میٹرک کی گیارہویں جماعت ہوا کرتی تھی، یہ اسکول جس کا نام اب تبدیل کردیا گیا ہے مال ٹیکری کے قریب ہے۔ اور اب اس ٹیکری پر شیوا جی کا مجسمہ نصب کردیا گیا ہے۔ شور صاحب نے ۱۹۲۸؁ء میں وہاں سے میٹرک پاس کیا۔ پھر علی گڑھ تشریف لے گئے۔ وہاں میرس ہوسٹل میں ان کا قیام تھا۔ ناگپور کے مونس حسین ان کے خاص دوست تھے، علی گڑھ کے انٹرمیڈیٹ کالج میں اس وقت نویں دسویں گیارہویں اور بارہویں جماعتیں تھیں، میرس ہوسٹل، ارون سرکل یانیوسرکل کے چار ہوسٹلوں میں سے ایک تھا۔ اس کے علاوہ منٹو سرکل میں ان طلبہ کے لیے چار ہوسٹل تھے اور وہاں دو ہوسٹلوں (اے۔بی) میں تعلیم بھی ہوا کرتی تھی۔ ڈے اسکالر اور سیمی بورڈ ان کے علاوہ تھے۔ مولانا احسن مارہروی مرحوم کی وجہ سے طلبہ میں شعر و شاعری کا ذوق زیادہ پیدا ہوگیا تھا۔ وہ طرحی مشاعرے بھی منعقد کراتے تھے اور کل ہند مشاعرے بھی انہی کے دم سے قائم ہوئے تھے۔ شور صاحب کی...

Infant and Young Child Feeding Practices among Mothers in Lahore, Pakistan: A Cross-Sectional Study

Background: Inadequate child feeding practices lead to malnutrition, higher under-five mortality rates and adverse effects on quality of life. This study aimed to assess the breastfeeding and complementary feeding practices of mothers as well as the influence of various sociodemographic factors on them in local families of Lahore. Methods: This is a cross-sectional, descriptive study. It was conducted in CMH (Combined Military Hospital), Lahore in 2018. It comprises a sample of 203 mothers with children of at least two years of age, from various urban areas of Lahore. The subjects were selected on the basis of the inclusion criteria. Mothers with psychiatric illnesses and children with congenital anomalies were excluded from the study. Mothers were approached in the paediatric outpatient departments of four tertiary care hospitals of Lahore. Responses were recorded using a modified version of the Action Contre La Faim (ACF) questionnaire. Independent sample t-test and chi-square test were applied for analysis of the data. Results: Early initiation of breastfeeding within one hour from birth was observed in 83.3% children. Most children were administered colostrum (69.5%). The rate of exclusive breastfeeding for the first six months was 45.3%.  A child was being breastfed 8.21 ± 6.67 (mean ± SD) times a day. Maternal educational status, total number of adults in a household, and access to free healthcare were identified as important factors influencing the practice of breastfeeding. Porridge, khichdi, eggs, fruit and yoghurt were the most frequently used complementary foods. Conclusions: A high rate of an early start of breastfeeding and a low rate of exclusive breastfeeding for at least six months were predominant in our population. Administration of colostrum was observed in approximately two-thirds of the study participants. Education of the mother, type of the family system (nuclear or combined), and access to free healthcare strongly influence the breastfeeding practices.

A Double-Blind Randomized Controlled Trial Comparing Effectiveness of 0. 2% Topical Nifedipine Versus 0. 2% Topical Glyceryl Trinitrate in the Treatment of Chronic Anal Fissure

Background: The medical management of chronic anal fissure varies among clinicians because no single treatment has yet approached an overall healing rate similar to lateral sphincterotomy. However, chemical sphincterotomy has the advantage of not carrying the presumed high risk of faecal incontinence. Glyceryl Trinitrate is commonly used in our practice with varied response. This study set out to evaluate the effectiveness of a locally compounded preparation of 0.2% topical Nifedipine in the treatment of chronic anal fissure and to compare the investigational product to 0.2% Glyceryl Trinitrate in overall healing rate and relieving pain. Design: Single centre, parallel, double-blind randomized controlled trial. Setting: The surgical outpatient department at Aga Khan University Hospital (Nairobi). Participants: Patients with chronic anal fissure were recruited from the surgical outpatient department. Intervention: A computer generated randomization sequence was used to allocate treatment. Patients were randomly allocated to receive Glyceryl Trinitrate or Nifedipine, both applied 12 hourly topically to the perianal region for a period of eight weeks. Main Outcome measure: The primary outcome measure was overall healing rate of chronic anal fissure after eight weeks of treatment. Secondary outcome measures were cumulative healing rate, time to resolution of pain and occurrence of headache. Results: There was no significant difference recorded between the test and control drugs with regard to age, gender, duration of symptoms, fissure position or entry VAS pain score. Seventy five patients (Glyceryl Trinitrate n=38; Nifedipine n=37) were randomized. The mean age was 36.3 years (SD 11.9) with a mean duration of symptoms of 37.4 weeks (SD 36). Males comprised 48.6 percent of the patients. Seven patients were excluded from analysis because of loss to follow up or missing data, leaving 68 (n=33; n=35) patients for intention to treat analysis. Healing rate was higher (p=0.001) with Nifedipine (94.3 percent) as compared with Glyceryl Trinitrate (60.6 percent). The mean time to healing was shorter (p<0.001) in patients treated with Nifedipine (6.5 ± 1.2 weeks) compared with Glyceryl Trinitrate (9.1 ± 1.9 weeks). The mean pain scores after two and four weeks of treatment differed (p<0.001) with quicker resolution in the Nifedipine group. On completion of treatment at eight weeks, pain scores were significantly lower in both groups (0.25 in Glyceryl Trinitrate and 0 in Nifedipine versus 7.0 and 7.8, respectively). Headaches were more frequent (p<0.001) with Glyceryl Trinitrate (69.7 percent) as compared with Nifedipine. Conclusion: Topical application of 0.2% Nifedipine was more effective than
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