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20. Ta Ha/Ta Ha

20. Ta Ha/Ta Ha

I/We begin by the Blessed Name of Allah

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

20:01
Ta Ha!

20:02
a. WE have not sent down The Qur’an on to you - O The Prophet - to make you distressed,

20:03
a. rather, it is a Reminder to those who stand in awe of Allah – The One and Only God.

20:04
a. It is a sending down from the One WHO created the terrestrial world and the celestial realm, so high -

20: 05
- The Immensely Merciful,
On the Throne of Almightiness HE established HIMSELF.

20:06
To HIM belongs whatever is within the celestial realm and whatever is within the terrestrial world,
as well as whatever is between and beyond them,
and whatever is even beneath the ground.

20:07
And it does not matter whether you speak aloud, HE certainly Knows all that is even secret
- in a person’s consciousness,
and whatever is even more deeply concealed - a thought which is in the subconscious.

20:08
Such is Allah!
There is no entity of worship apart from HIM!
For HIM are the Names, Most Glorious, and the Attributes of Perfection.

20:09
a. And has the narrative of Moses reached you – O The Prophet?

20:10
When Moses was traveling with his family in the Sinai desert he perceived a fire at some distance.
He said to his family:
‘Wait here!
In fact, I perceive a fire.
Maybe I can bring you a firebrand from it, or find some guidance by the fire’...

ROLE OF KINESIOPHOBIA ON PAIN, DISABILITY AND QUALITY OF LIFE IN PATIENTS WITH CHRONIC LOW BACK PAIN: A SYSTEMATIC REVIEW

Background and Aim: The majority of people suffered with low back pain (LBP) at least once during their lifetime. As such, LBP is a highly prevalent and costly condition. People respond inappropriately as a result of current or possible risks and establish defensive habits (for example, hyper-vigilance) that aim at avoiding new injuries. A continued reconciling of studies which provide various answers for the same issue will be necessary for treatment decisions. This study is performed to conclude the function of Kinesiophobia and check it on   Pain, Disability and Quality of Life in Patients that are suffering from Chronic Low Back Pain: A Systematic Review. Methodology: A Systematic Review has been conducted. Secondary data collected from Electronic database including PubMed, Medline and Cochrain Library from inception to 2010. Total 554 Article found out of which 10 articles included in the study after excluding the duplicate article, Quality screening through Pedro Scale, and article don’t fulfilling the inclusion criteria of the study. Review completed within 9 months after approval of synopsis. Results: According to this Review total Sample size was 554 with mean Sample size 130±90, mean Age 46±5 years, Mean of Pain Intensity (VAS 0-10) 6.12±1.5, mean Pain Duration 30±14, mean Kinesiophobia Measures (Tampa Scale of Kinesiophobia 0-68) 37±6.5, mean Disability (Oswestry Disability Index 0-100%) 56±27, mean Quality of Life (SF 36 0-100) 39.17±15.197.  Conclusion: TSK scores showed a statistically significant correlation with Pain, Disability, education level, and SF-36 QOL. As the education level decreases, kinesiophobia scores increase and as kinesiophobia scores increase, Level of disability increases and the quality of life decreases. Patients with kinesiophobia presented greater pain intensity, a greater fear of movement and of performing physical activities and it was also associated with worse quality of life.

Factors Associated With Late Diagnosis of Congenital Heart Disease in Kenya

Introduction: Congenital heart disease (CHD) is the most common congenital anomaly (one-third of all congenital anomalies) with a global birth prevalence of 8/1,000 live births. About 30-50% of all CHD can be categorized as those that will result in death or long-term disability if surgery or catheter-based intervention is not done within one year (major CHD) or four weeks (critical CHD). Early diagnosis of CHD with subsequent prompt surgical/catheter-based interventions has been associated with better outcomes. In this study, late diagnosis of CHD is defined as cases of CHD diagnosed after the first year of life. Knowledge on presentations of CHD, rates of late diagnosis and associated factors is required to bridge knowledge and care gaps that currently exist locally. Research Question: What are the factors that are associated with late diagnosis amongst children diagnosed with CHD in Kenya? Study Objectives: This study aims to describe the proportion of patients with CHD who are diagnosed late as well as the factors that are associated with the late diagnosis. It also aims to assess access to corrective surgery/catheter-based intervention by children with CHD in Kenya. Study Methods: This is an analytical cross-sectional study of children 18 years and below diagnosed with CHD on follow up at the three major cardiac referral centers in Kenya (Aga Khan University Hospital, Nairobi, Mater Hospital and Kenyatta National Hospital) between January 2011 and December 2016. A total of 411 Patient files were analyzed after randomly selecting patients from all three referral centers based on the number of patients with CHD on follow up in each facility using the ratio (26:75:75). Patients with CHD were categorized into those who were diagnosed late and those who were diagnosed early. Continuous variables were analyzed using summary statistics such as means (ranges) or median (IQR) and categorical and discrete data were analyzed using percentages/proportions. Tests of association between variables and outcome was performed using chi square for categorical and continuous variables and any variable with p-value <0.25 was included in the model. Multiple logistic regression analysis was used to determine factors associated with the late diagnosis of CHD adjusting for age and sex of the patient. P value of <0.05 was considered statistically significant. Results: Out of the 411 patients analyzed, 205 (49.9%) were male and 206 (50.1%) were female. The median (IQR) age at diagnosis was 15 (5-48) months and the proportion of patients with CHD who were
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