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It is a historical narrative of human progress, in which the author has included his own experience on three continents. The first part of this book focuses on the emergence of the 'Modern Age' in the West. In the second part, the author describes the arrival of Muslim invaders, Arabs, Afghans and Turks, their conquest and long rule in India to provide a contextual background for the evolution of an Indo-Muslim culture. The third part includes a description of the conditions of India in the eighteenth century, including the disintegration of Mughal Empire and the contest for power and territory among the native regional groups (Afghans, Marathas, Sikhs, and Jats) along with the European trading companies. It was during this period that two of the author's ancestors migrated from the Roh (hills in the north-west) to the Gangetic plain: Rohila settlements in the Gangetic plain were the foundation for his family's march of progress. The fourth part comprises an account of the arrival of Europeans in India, rising power of the East India Company, consolidation of the British Raj, and the events leading to the partition and independence of India in 1947. It was during the British rule that the ideas of progress imported from the West were grafted on to a very diverse cultural and social landscape of India. Paradoxically the British imperial rule laid the foundation for modernity in India. In the final part of the book, the author writes about his family's three migrations, the first two of his ancestors on the sub-continent and the last his own to Canada via the Netherlands. The narrative ends with optimism about the future, given the experience of progress so far and the great potential that humans possess.
CHD is the most common cause of heart disease and is the single most important cause of premature death in developed world. Recognizing a patient with ACS is important because the diagnosis triggers both triage and management. cTnI is 100% tissue-specific for the myocardium and it has been shown to be a very sensitive and specific marker for AMI. Ventricular function is the best predictor of death after an acute coronary syndrome. It serves as a marker of myocardial damage, provides information on systolic function as well as diagnosis and prognosis. The study aimed at investigating the impact of elevated Troponin-I level on severity of LV systolic dysfunction in patients with first attack of NSTEMI. This cross-sectional analytical study was conducted in the department of cardiology in Mymensingh Medical College Hospital from December, 2015 to November, 2016. Total 130 first attack of NSTEMI patients were included considering inclusion and exclusion criteria. The sample population were divided into two groups: Group¿I: Patients with first attack of NSTEMI with LVEF: ¿55%, Group¿II: Patients with first attack of NSTEMI with LVEF:
This study examines a particularly successful rural development program: the partnership of the Aga Khan Rural Support Program (AKRSP) and the small farmers of northern Pakistan.
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