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64. Al-Taghabun/Mutual Neglect

64. Al-Taghabun/Mutual Neglect

I/We begin by the Blessed Name of Allah

The Immensely Merciful to all, The Infinitely Compassionate to everyone.

64:01
a. Whatever is within the celestial realm the terrestrial world is Glorifying Allah – The One and Only God.
b. For HIM is The Sovereignty, and for HIM is The Praise and Gratitude.
c. And HE Manifests Sovereignty over all existence.

64:02
a. It is HE WHO created you as human species starting from Adam and Eve,
b. then, among you, some would be a disbeliever and among you some would be a believer.
c. And Allah Watches over whatever you do: good and evil.

64:03
a. HE created the celestial realm the terrestrial world with truth: meaningfully and for a
definite purpose,
b. and gave you shape and shaped you well,
c. and made the human form to be the best of forms.
d. And to HIM is going to be your return: starting with death and then upon the resurrection.

64:04
a. HE Knows whatever is within the celestial realm and the terrestrial world,
b. and HE knows whatever you hide of your motives and deeds as well as whatever you disclose of them.
c. And Allah is All-Aware of whatever is within the hearts.

64:05
a. Has not the account of those come to you who disbelieved before you in the Missions and the Messages of their Messengers?
b. So they tasted the evil consequences of what they did, and for them was a painful punishment.

64:06
a. That was so because their Messengers came to them with Clear Messages, but they would
mockingly say:
b. What!
c....

فروغ تعلیم: اسوہ رسول کی روشنی میں

Education has been considered the core value of human life. Religion and education are interrelated. The preaching of religion depends upon the education and training. Our holy Prophet (SAW) was an ideal educationist not only of his times but for the future generations as well. The article deals with the importance of education in the light of prophetic model. Prophet Mohammad (SAW) has emphasized on education and guidance of Muslims. He has established many educational policies for the Muslims which include Treaty of Madina, brotherhood of Muslims, construction of masajid, establishment of Suffa. These initiatives provided a ground work for future generations in shaping their educational syllabus and policies.

The Role of Inflammation in Contrast Induced Nephropathy

Background: Intravenously administered iodinated contrast media are widely and liberally used in daily diagnostic radiological investigations. Contrast-induced nephropathy (CIN) is notable as the third commonest cause of hospital-acquired renal injury. Justification: The global prevalence of CIN from various studies ranges from 2-5% but an incidence of CIN of 12-14% in Kenya was highlighted by a recent study without an explanation for the markedly increased incidence. Intravascular contrast has been demonstrated to commonly cause renal vasoconstriction. However, the low incidence of CIN in the general population infers that contrast alone cannot be a causative insult. This study proposes that inflammatory states, which are prothrombotic, when coupled with renal vasoconstriction may confer a higher relative risk for development of CIN. Objective: To determine the risk of developing CIN given the presence of an inflammatory state in patients presenting to a private university hospital in Kenya. Study design: Prospective cohort study of patients undergoing a contrast- enhanced CT scan (CECT) in Aga Khan University Hospital, Nairobi (AKUHN) Radiology department and who have no known risk factors for CIN. Methodology: A total of 423 patients were recruited over a period of 4 months. The patients were grouped into those without inflammation (unexposed) having serum C-reactive protein (CRP) levels ≤5mg/dL and those with inflammation(exposed) having CRP levels >5mg/dl. Serum creatinine (SCr) was measured before the CECT and 48 hours following the CECT with CIN diagnosed when there was an increase of >25% in the SCr from the baseline value. Relative risk was determined and multiple logistic regression analysis performed on the biophysical variables (age, weight, sex) and contrast volume to assess their effect on development of CIN. Results: CIN was present in 42 (9.92%) patients. Of the exposed group (elevated CRP), 29 out of 215 patients (13.5%) developed CIN. In the unexposed group, 13 out of 208 patients (6.25%) developed CIN. This gave arelative risk of developing CIN of 2.16(1.15 to 4.04, P=0.016).The attributable risk percentage is 7.24% (1.1% to 12.2%). No statistically significant association was seen between the biophysical variables and volume of contrast and development of CIN. Conclusion: Inflammation doubles the likelihood of development of CIN. Therefore a patient presenting with inflammation and any other risk factor for CIN should have a risk-benefit analysis to assess the need for administration of iodinated intravenous contrast.
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