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حاجی محمد صالح

حاجی محمد صالح
دوسرا افسوسناک سانحہ۶/مئی کی شام کو محترم حاجی محمد صالح صاحب کی وفات کاپیش آیا۔ صالح صاحب کئی سال سے معذور ہوگئے تھے اورصاحب فراش تھے،یوں بھی عمر طبعی کی سرحد پارکرچکے تھے لیکن چل رہے تھے اوران کے صاحبزادے حاجی خواجہ محمد سلیم صاحب دل وجان سے ان کی خدمت کر رہے تھے۔ اس طویل مدت میں کبھی کبھی حالت نازک بھی ہوجاتی تھی مگرسنبھل جاتے تھے۔ ۶/مئی کی صبح کو آخری سانس لینے لگے اورشام کے ۵بجے ہمیشہ کے لیے رخصت ہوگئے۔ حاجی محمد صالح صاحب اپنی گوناگوں اورغیر معمولی خصوصیات کی وجہ سے دہلی والوں میں ممتاز بلکہ لاجواب تھے اوراپنی ذات سے صحیح معنی میں ایک انجمن تھے۔ اجتماعات اورمجالس کی رونق اورجان۔ سوسائٹی کے ہرطبقے میں مذہب و ملت کے امتیاز کے بغیر مقبول تھے اور قدرو منزلت کی نظر سے دیکھے جاتے تھے۔ان کی فرم ’’حاجی علی جان‘‘نہ صرف دہلی بلکہ پورے ملک کی روایتی فرم تھی، ایک زمانے میں اس کا کاروبار نہایت وسیع تھا،اوردہلی اورحجاز دونوں جگہ بڑے پیمانے پرلین دین ہوتاتھا۔ فرم حاجی علی جان کی امانت ودیانت کاعام شہرہ تھااس فرم میں لاکھوں روپے کی امانتیں رہتی تھیں۔حج کوجانے والے بے جھجک لاکھوں روپے اس فرم کو جمع کراتے تھے اورمکہ معظمہ میں صرف رقعہ دکھا کر رقم لے لیتے تھے۔ یہ کہنا شاید مبالغہ سے پاک ہے کہ فرم حاجی علی جان مسلمانوں کے لیے ریزرو بینک سے بھی زیادہ معتبر ومستند تھی۔ حاجی صاحب مرحوم اس تاریخی فرم کے مالک تھے، قومی اورملی کاموں میں بڑھ چڑھ کرحصہ لیتے تھے۔ ایک وقت میں بڑے بڑے اہم اجتماعات کوٹھی حاجی علی جان ہی میں ہواکرتے تھے۔ حاجی صاحب کے والد محترم حاجی عبدالغفار صاحب جن کی ہم نے بارہا زیارت کی تھی، حکیم محمد اجمل خاں اورڈاکٹر مختار احمد انصاری کے ندیم خاص...

Should teens be allowed to consent for vaccines?

Teens and children will need to be vaccinated in order to achieve herd immunity against COVID-19. Most parents are eager to have their teens immunized, whereas some are hesitant. Should teens be allowed to consent to immunization even if their parents’ objects? Vaccines are safe and effective, medically recommended, and good for both the individual and the community. Inspite of these powerful arguments, the law lags behind. Most parents want their teens to be immunized. Most vaccine-hesitant parents ultimately agree to vaccination. Furthermore, teens who get COVID generally have mild cases. For now, the law in most states does not permit teens to consent to the COVID-19 vaccine without parental permission.

The Association Between Asymptomatic and Mild Neurocognitive Impairment and Adherence to Antiretroviral Therapy Amongst People Living With Hiv

Background: HIV disease is associated with neurocognitive impairment which is one of the neurological complications of the viral infection. The spectrum of HIV Associated neurocognitive impairment has significantly changed since the advent of ART. The inclusion of the asymptomatic but cognitively impaired population of patients has changed the dynamics of this population, and requires further research to identify the impact it has on the progression of the disease as well as on any other aspects. Poor adherence to ART is one of the main causes of treatment failure and studies done previously point towards the milder forms of Neurocognitive Impairment as being a cause of poor adherence, among other aspects. Primary Objective: To assess the association between the milder forms of neurocognitive impairment and adherence to ART. Methods: The study was a cross-sectional survey, with consecutive sampling, with a total sample size of 218 patients. An association was sought between cognitive status and adherence as measured by objective means, self-reported means and last viral load value as a surrogate marker. The study utilised quantitative primary data on pre-defined baseline characteristics, neurocognitive assessment by MOCA, instrumental activities of daily living by Lawton score and objective and subjective adherence measures by medication possession ratio (MPR) and simplified medication adherence questionnaire (SMAQ) respectively. Univariate and bivariate analysis was conducted to determine the strengths of association between various predictor and the outcome variables. Results: A final sample size of 218 was selected out of all those eligible (500 patients). All study participants underwent a neurocognitive assessment, which revealed 69% minor neurocognitive impairment while 31% had no neurocognitive impairment. No patient was identified with HIV associated dementia on screening. Secondly, all study participants underwent adherence assessment which revealed optimal adherent rates of 66% and 77% by objective (by MPR) and subjective (SMAQ) measures respectively. There were no statistically significant differences in the baseline characteristics (age, gender, education, marital status, living arrangements, employment status, level of income) between the group of participants with cognitive impairment and those without impairment (p-value > 0.05). Similarly, when the same group were compared on characteristics related to their HIV diagnosis and treatment, no statistically significant differences were observed (p-value > 0.05). Discussion: Even though the rate of cognitive impairment in this study was high, it corresponds to some of the studies earlier carried out (CHARTER study = 53%), the majority of which were asymptomatic and Mild Cognitive Disorders, while only
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