14 research outputs found
Frequency of Genital Tuberculosis in Patients Undergoing Diagnostic Laparoscopy for Infertility
No full textOBJECTIVES:
To determine the frequency of genital tuberculosis in patients undergoing diagnostic laparoscopy for infertility.
METHODOLOGY:
It is a descriptive (cross-sectional) prospective study. The study was performed within the duration of six months i.e., February 12th, 2020 to August 12th, 2020 at the Department of Obstetrics and Gynecology, Khyber Teaching Hospital, Peshawar. A total of 196 patients were observed by using 47.1% proportion of genital tuberculosis in infertility, 95% confidence interval with margin of error 7%, using software of WHO for sample size calculation. Further, sample collection was performed using non-probability (consecutive) sampling techniques.
RESULTS:
The mean age of the patients in our study was 30 years (SD+3.92). Fifty seven percent of cases were having primary infertility and 43% of patients were having secondary infertility. The incidence of genital tuberculosis undergoing infertility was 45%.
CONCLUSION:
Our study concludes that the incidence of genital TB in infertility in our setup was 45%
Efficacy of B-Lynch Compression Suture for Control of Primary Post-Partum Hemorrhage
No full textOBJECTIVES
This study aimed to evaluate the efficiency of the B-Lynch compression suture for primary post-partum hemorrhage control.
METHODOLOGY
It is a prospective cross-sectional study performed for two years, i.e., 1 November 2021 to 31 October 2023, at the Department of Obstetrics and Gynaecology in a tertiary care hospital. This study included 65 study cases out of 23,964 with primary post-partum hemorrhage (PPH) due to uterine atony during cesarean delivery not responding to pharmacological treatment and was managed by applying B-Lynch compression sutures. The amount of blood loss, demographic characteristics, birth weight of babies, causative factors, and other related complications were studied in such selected cases.
RESULTS
B-Lynch compression suture presented a success rate of 97% in the present study. 52% had blood loss of 1000-1500ml, 29% had loss between 1501-2000ml and 18% had 2001-2500ml blood loss. 6% had wound gaping, 10.7% had a fever, and 8% had more than seven days stay in hospital, and wound infections were noted.
CONCLUSION
Our study concluded that the B-Lynch compression suture had a success rate of 97% in the management of primary post-partum hemorrhage, with few post-operative complications. The current research demonstrates the efficacy of B-Lynch as a lifesaving, easy, effectual technique that avoids hysterectomy and thus avoids heavy blood loss
A View from Mecca: Notes on Gujarat, the Red Sea, and the Ottomans, 1517–39/923–946 H.
No full textAbstractThis article examines the history of Gujarat-Red Sea relations in the first quarter of a century after the Ottoman conquest of the Hijaz, in the light of Arabic narrative sources that have hitherto been largely neglected. While earlier historians have made use of both Ottoman and Portuguese archives in this context, we return here to the chronicles of Mecca itself, which prove to be an unexpectedly interesting and rich source on the matter. Our main interest is in the figure of Jarullah ibn Fahd and his extensive annalistic work,Nayl al-munā. A good part of our analysis will focus on the events of the 1530s, and the dealings of Sultan Bahadur Shah Gujarati's delegation to the Ottomans, headed by ‘Abd al-‘Aziz Asaf Khan. But we shall also look at the longer history of contacts, and conclude with brief remarks on the relevance of the career of the celebrated Gujarati-Hijazi intellectual, Qutb al-Din Muhammad Nahrawali. We thus hope to add another important, concrete dimension to our understanding of India's location in the early modern Indian Ocean world, as a tribute to the career and contribution of David Washbrook, our friend and colleague.</jats:p
Understanding the Coexistence of Adenomyosis and Uterine Fibroids in Patients with Endometriosis to Enhance Treatment and Fertility Outcomes
No full textOBJECTIVES
This study investigated the coexistence of adenomyosis and uterine fibroids in individuals diagnosed with endometriosis. This research seeks to contribute to understanding how these conditions interact, aiming to improve treatment strategies and enhance patient fertility outcomes.
METHODOLOGY
This study aims to evaluate 250 patients suspected of endometriosis with the help of clinical investigation and ultrasound (US). From the US study, we examined the existence of endometriosis with either uterine fibroid or adenomyosis based on patient age groups (less than 32 years, 33 to 42 years, and 43 and above). In addition, ovarian endometriosis and profoundly infiltrating endometriosis were evaluated.
RESULTS
US study diagnosed adenomyosis in 3.2% of cases, fibroids in 21.8%, and the coexistence of both fibroid and adenomyosis in 14.2% of the cases. Intranural fibroids were found at 11.4%, submucous fibroids 1.6% and subserous at 8.1% of the total. Patients with an age of more than 33 years were more affected by adenomyosis, uterine fibroids, and both adenomyosis and uterine fibroid. There was no statistically significant correlation between uterine diseases and endometriosis. Additionally, no correlation was found between endometriosis and the patient’s age.
CONCLUSION
Our findings indicate that women over 32 are more likely to experience these comorbidities, complicating infertility outcomes. The significant association between adenomyosis and severe endometriosis reinforces the need for comprehensive diagnostic evaluation to inform tailored treatment plans. Future research should investigate the interactions between these conditions further to improve diagnostic and therapeutic approaches
Postnatal Depression: Frequency, Demographic Characteristics and Risk Factors
No full textOBJECTIVES:
The iobjective iof ithe istudy iwas ito iestimate ithe iprevalence iof postpartum idepression iand iits iassociated irisk ifactors iamong imothers.
METHODOLOGY:
This icross-sectional istudy iwas icarried iout iin ithe iDepartment of iObstetrics i& iGynecology,iand iDepartment iof iPsychiatry, iKhyber Teaching Hospital iPeshawar 1st April 2018 till 31st March 2019. iA itotal i750 ipost-natal imothers iwere iscreened irandomly ifor ipostnatal idepression ifor ifirst i1-2 weeks ifollowing idelivery iby iusing iEdinburgh iPostnatal iDepression iScale (EPDS). 680 iaccepted ito iparticipate, i70 irefused ito iparticipate iand i504 ifulfill ithe inclusion icriteria. iA iscore iof i≥13 iwas iconsidered ihaving Ipostpartum depression.
RESULTS:
A itotal iof i168 iwomen ihad ian iEPDS iscore i10, iyielding ia icrude prevalence irate iof i34%. iThe iprevalence iof isuicidal iideation iwas i14 iout iof 504 (3%), iamong iwhich i11 i(79%) ihad iEPDS iscore iof i10. iWe ifitted multiple ilinear iregression imodels ito ievaluate ithe ipredictors iof ivariables measured ion ithe iEPDS. iThis imodel iwas istatistically isignificant p<0.0001 iin ipredicting ithe itotal iEPDS iscore. iWomen's iemployment istatus, domestic iviolence iand imarital iconflict iwere istatistically isignificant predictors.
CONCLUSION:
Thisistudy ireflected ithe ifacts ithat imany iof ithe ipostnatal mothers iof iour icircumstances isuffer ifrom ipostpartum idepression iand ineeds medical iattention. iScreening iof ipostpartum idepression ishould ibe iconsidered as ia iroutine ipart iof ipostpartum icare.
KEYWORDS: IPostpartum IDepression, Risk IFactors, Socio-Demographic IFactors, Pakista
MANAGEMENT OF PROXIMAL URETERIC STONE (10 – 15 MM SIZE) VIA URS & ESWL
No full textBackground: Urinary stone disease or nephrolithiasis is the third most common disease of the urinary tract is major health issue due to its high prevalence, occurrence and recurrence. The hallmark of a stone that obstructs the ureter or renal pelvis is excruciating, intermittent pain that radiates from the flank to the groin or to the inner thigh. Stone size influences the rate of spontaneous stone passage.
Objective: To compare the efficacy (frequency of stone free patients) at one week after extracorporeal shock wave lithotripsy (ESWL) and ureterorenoscopic (URS) manipulation for proximal ureteric stone (10 – 15 mm size)
Material & Methods: Study Design: Randomized control trial
Setting: Department of Urology, KRL Hospital Islamabad
Duration: 6 months i.e. 18-11-2019 to 18-5-2020
Data collection: After meeting the inclusion criteria 100 patients were enrolled and were divided into 02 groups. One group treated with ESWL and other with URS. Then procedures were done. Follow-up was noted after one week in stone clinic. All the data was collected on pre-designed proforma.
Results: The average age of the patients was 39.71±10.17 years. The efficacy in ESWL group was noted in 68% cases while in URS group the efficacy was achieved in 76% cases (p-value>0.05). Male were 3 times at higher risk as compared to females.
Conclusion: This study concluded that both ESWL and URS are statistically equally effective in terms of frequency of stone free patients at one week for proximal ureteric stone (10 – 15 mm size).
Keywords: Proximal Ureteric Stone, extracorporeal shock wave lithotripsy, ureterorenoscopic, manipulatio
Intellectual property laws and Islam in Malaysia.
No full textPhDThis study is undertaken on the premise that Islam and Islamic law is to be taken into
serious consideration in any future legislative reform of laws in Malaysia. Islam being
the religion of the country and the strong religious sentiment of the Muslims (who
form the majority in Malaysia) cannot be overlooked or dismissed lightly by the
legislators in Malaysia. Reformation of intellectual property laws is timely, as we are
now approaching to the dateline set by GATF-Trips agreement which aim is to
improve our standard of intellectual property protection. This study seeks to analyze
and evaluate the current legislation pertaining to intellectual property in Malaysia in
terms of the philosophy and rules governing the existence, ownership and exercise of
these rights and their consistency and inconsistency with Islam and Islamic law. The
main objective of this study is to prove that a coherent and logical conceptual
framework of ownership of intellectual property can be derived from an Islamic
perspective which not only offers the basis of rights but also defines the scope of
these rights. From the point of ownership of rights, support can be obtained from the
normative framework of property rights within the traditional classification of 'mal'
(property) and 'haqq al-milkiyyah' (ownership rights) under Islamic law. From the
point of exercise of rights, the exact scope can be defined from the analysis of
fundamental concepts which have been developed by Muslim jurists. It has been
established that Islam and Islamic law offers a sound and systematic paradigm, which
in deeper analysis, can satisfy both our current obligations under international
treatises, as well as our responsibility to practise our religion to the fullest
The state and politics of migrant labour in Kuwait
No full textThis study examines the relationship between the state in Kuwait and the use of large numbers of migrant workers in the Kuwaiti economy. Migrant labour has become essential not only in every aspect of economic life but also as a means of reproducing state power based on traditional social relations. An understanding of the migrant labour system is thus necessary for any understanding of the nature of political relations and political power. Although imports of foreign labour arose in response to economic,
rather than political, changes (specifically the development of the oil industry) the state has regulated its
presence in such a way as to strengthen its own position by increasin g the loyalty of Kuwaiti citizens. While migrants staff virtually all key sectors of economic and administrative life, oil revenues have been used to guarantee government employment and numerous state welfare benefits to all indigenous workers. The effect of this is an "embourgeoisement" of Kuwaiti labour with a consequence that a significant indigenous working class in the industrial sense does not exist. This situation has, in turn, served to legitimate the political system (and with it the traditional stratum of power holders) in the eyes of Kuwaitis. Migrant labour has also come to serve indigenous capitalists interests. Class fractions such as landlords and import merchants have constructed their prosperity around migrant labour, a factor which has served to lessen tensions between the merchant class and the ruling family and thus further stabilised and legitimised the state. Both Kuwaiti workers and merchants derive numerous state benefits from a legal structure which curtails the civil status of migrants, denying them political rights of expression and association, most social benefits and the right to own property, while simultaneously placing them in relationships of dependence on Kuwaits. The presence of migrants, therefore, makes possible the development
of Kuwait's oil wealth, ensure the profits and privileges of its citizens, and allows the state to use economic development and oil wealth to strengthen its own position and avoid the political challenges which modernisation might otherwise bring through the process of class formation
The relationship between ilm and khabar in the work of al-Shafii
No full textThis study examines in detail the basis of al-Shafi`i's arguments for the
supremacy of oral tradition over communal legal practice. It concentrates on one
broad issue, the definition of `ilm (knowledge) and one technical issue, the problem
of authenticating a particular khabar (oral tradition or report, plural akhbar, ) and its
binding nature, especially a report of the category known as the specialists' report
(khabar al-khassa). On the first issue, this study examines the concept of knowledge
based on reports (`ilm al-khabar) because it had an important influence on al-Shafi`i.
This is followed by a detailed account of al-Shafi`i's own discussion of `ilm. It brings
out clearly that al-Shafi`i means religious law when discussing `ilm. It also shows
how knowledge of religious law can be obtained. Al-Shafi`i's approach is to restrict
the argument to knowledge of specialised and debatable points, rather than what is
generally accepted. He seeks to prove the indispensability in this area of specialists'
knowledge of reliable documentation external to the law itself. The following chapter
deals with the question of authenticating a khabar from the Prophet (a hadith), not as
purely technical question but within a polemical context in which the practical
difficulty of authenticating a khabar was used by those opposed to the intellectual
dominance of oral tradition as a reason not to use the khabar. In the final chapter al-
Shaf i's arguments with two identifiable schools of opposing thought, ahl al-kaläm
and ahl al-figh, are examined in detail. The thesis as a whole gives a significant
insight into the efficacy and durability of al-Shafi`i's arguments, not so much by
defeating his opponents' arguments but by buttressing those of the defenders and
advocates of oral tradition
The inadequacy of consumer protection in the UAE: the need for reform
No full textThis thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University.This thesis addresses the consumer protection regime in the United Arab Emirates (UAE) against damages posed by defective industrial products, unfair business practices and misleading advertising. Nowadays, unfair and deceptive practices such as the selling of defective or sub-standard goods, the charging of exorbitant prices, misrepresentation of the efficacy or usefulness of goods, and negligence as to safety standards have become rampant. Accordingly, it has become necessary to promote the development and refinement of statutory measures, even in developed countries, to make producers/traders more accountable to consumers. This thesis examines the legal grounds on which consumer protection stands within the newly enacted legal framework for consumer protection in the UAE. In addition, this thesis elaborates upon relevant regulations provided by UAE legislators as well as related laws in selected Arab countries. It further investigates the adequacy of administrative authorities’ measures in the UAE, and explains whether respective administrative rules are capable of compensating consumers for material and physical damages incurred. It also explores the inadequacies of the administration’s measures and rules, and highlights the importance of integration between administrative bodies in achieving a sufficient level of protection for consumers.
The findings of this thesis are based on a detailed review of specific issues in consumer protection models in the Shari’a law and the United Kingdom (UK) model. Thus, it will refer to solutions devised by Islamic Shari’a law and the UK legal system to provide more comprehensive protection to consumers and strengthen their position in relation to that of traders. The study suggests that there is a need to amend the consumer protection in the UAE. It indicates a need for the unified, effective and meaningful implementation of consumer protection legal and administrative procedures in the UAE, and emphasizes that the non-governmental consumer protection association must be given a wider and legal role in supporting the governmental bodies. These findings may help in improving the current consumer protection regime in the UAE as well as reducing infringements committed by traders. This thesis concludes by making recommendations for drafting a comprehensive set of rules in the UAE in the hopes that such recommendations will contribute effectively toward the development of a consumer protection regime in the UAE.Dubai Police Headquarter
