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The study aimed to develop murottal audio media as a medium for memorizing the Qur’an in tahfiz learn this the schools of scholars boarding school payakumbuh. Learning tahfiz that uses murottal audio as a medium for memorizing the Qur’an will make the child even more excited in improving the improve onroveon. Every child who is given mutual audio will make a positive impact in continuing their memorization, the study therefore feelrefeel that beneficial helpful for student beneficialg out the recitation of the Qur’an seta in memorizing the Qur’totalottal audio applications straightforward effortless to get and also easy to download on mobile phones because increasingly sophisticated and modern technology makes it easy for us to get them. Making students easy to get as well as in any application even on social media, namely youtube, Instagram, WhatsApp, TikTok, vidmate and the Qur’an application. A media will have an impact if used appropriately. Therefore teachers must be wise in explaining the media to their students. Learning in which there is a medium will make the media significantly letediousiare. are there is media, dsssenly want to pay attention to the lessons given by their teachers, so in order not to happen boring lessons, a medium is needed in the learning process so that students are more enthusiasti about in a letherning that takes place.

IntroductionPakistan has the highest national prevalence of type 2 diabetes mellitus (T2DM) in the world. Most high-quality T2DM clinical practice guidelines (CPGs) used internationally originate from high-income countries in the West. Local T2DM CPGs in Pakistan are not backed by transparent methodologies. We aimed to produce comprehensive, high-quality CPGs for the management of adult DM in Pakistan.MethodsWe employed the GRADE-ADOLOPMENT approach utilizing the T2DM CPG of the American Diabetes Association (ADA) Standards of Medical Care in Diabetes – 2021 as the source CPG. Recommendations from the source guideline were either adopted as is, excluded, or adapted according to our local context.ResultsThe source document contained 243 recommendations, 219 of which were adopted without change, 5 with minor changes, and 18 of which were excluded in the newly created Pakistani guidelines. One recommendation was adapted: the recommended age to begin screening all individuals for T2DM/pre-diabetes was lowered from 45 to 30 years, due to the higher prevalence of T2DM in younger Pakistanis. Exclusion of recommendations were primarily due to differences in the healthcare systems of Pakistan and the US, or the unavailability of certain drugs in Pakistan.ConclusionA CPG for the management of T2DM in Pakistan was created. Our newly developed guideline recommends earlier screening for T2DM in Pakistan, primarily due to the higher prevalence of T2DM amongst younger individuals in Pakistan. Moreover, the systematic methodology used is a significant improvement on pre-existing T2DM CPGs in Pakistan. Once these evidence based CGPs are officially published, their nationwide uptake should be top priority. Our findings also highlight the need for rigorous expanded research exploring the effectiveness of earlier screening for T2DM in Pakistan.

Introduction Maximizing patients' quality of life (QoL) is a central goal in surgical oncology. Currently, both laparoscopic and robotic surgery are viable options in rectal cancer (RC) resections. The aim of this systematic review was to analyze the differences in postoperative QoL between the two operative modalities. Methodology This review was conducted in adherence to the PRISMA guidelines. MEDLINE, Embase, Scopus, and CENTRAL databases were searched for articles comparing QoL in patients undergoing laparoscopic versus robotic surgery for RC. Seven studies were included (two randomized controlled trials, four prospective cohorts, and one retrospective cohort) out of which six reported data suitable for meta-analysis. Global QoL and QoL subdomains, such as physical and social functioning, were meta-analyzed using a random-effects model. Risk of bias was assessed using the ROBINS-I and Cochrane RoB-2 tools. Results Data on 869 patients (440 laparoscopic and 429 robotic surgery) across six studies were meta-analyzed. There was no significant difference in global QoL (Mean Difference:-0.43 [95% Confidence Interval:-3.49-2.62]). Physical functioning was superior after robotic surgery (1.92 [0.97-2.87]). However, nausea/vomiting, pain, and fatigue did not differ between groups. Perception of body image was worse after laparoscopic surgery (-5.06 [-9.05--1.07]). Other psychosocial subdomains (emotional, cognitive, role, and social functioning) were comparable between groups. Conclusion Laparoscopic and robotic surgery for RC have comparable QoL overall, for both physical and psychological dimensions. Our results may assist the management-related decision-making in surgical treatment of RC.

Climate change has and will continue to lead to unexpected weather patterns worldwide. These threaten to increase the risk of numerous diseases and disasters that negatively impact the health of populations. As a developing country, Pakistan must bolster its preparedness for such weather-related health problems by efficienty allocating resources to preventive measures and proactively implementing them. In recent history, torrential rainfall in areas such as Karachi, which usually receive meagre amounts of annual rainfall, has left many economic and health-related issues that harm the health of the population and disrupt healthcare delivery. For example, the massive accumulation of stagnant water following heavy rainfall acts is a breeding ground for mosquitoes. Thus, urban flooding is often accompanied by an increase in mosquito-related diseases such as dengue and malaria (1,2). Furthermore, the presence of airborne and allergenic fungal spores in the environment is positively correlated with increased amounts of rainfall (3). Heavy rain damages infrastructure, such as roads and electricity lines in urban areas. In addition to the disruption of transport and utilities, such damage leads to numerous hospitalizations and deaths in incidents such as motor accidents, burns, electrocution, falling into exposed gutters, drowning, and other similar tragedies (4). Beyond these direct effects on human health, healthcare delivery and resource mobilization are also hindered (5), further hampering the responsiveness and effectiveness of the healthcare system. While measures like disinfection drives may be useful in decreasing rain-related morbidity and mortality, a reactive approach must become an initiative-taking one. With comprehensive analyses of trends, such as those of hospitalizations during the monsoon season or the frequency of rain-related injury and disease in different areas, more informed preventive measures and “evidence-based anticipation” (5) of health burdens can be devised and deployed. Programmes to promote safety measures and awareness can be tailored to the needs of at-risk communities and burdened health-care centres. The allocation of precious resources can be made to those that need them most ahead of destructive weather. Climate change is a stark reality, as is the shortage of resources in developing countries like Pakistan. It is vital to acknowledge the profound impact of destructive weather on the public’s well-being and to act efficiently and proactively to mitigate it.