النورسي ومعالجته النقدية الايجابية البناءة للقضايا

From the very first day, the scholars of the Ummah, Particularly from the time of Im฀m Sh฀f฀ movements of Islamic thought originated, which affected not only the Arabic world but the whole Islamic world. There had been movements of severe revenge and bloodshed and a lot of people were killed. Im฀m Nawras฀ is one of those unique people who served the Islamic thought from such dangerous storms. Day and night he made selfless efforts. He criticized the falsehood and injustice. The period of Im฀m Nawras฀ was plagued with severe gales of argumentations. This became the cause of Invitational, reformative and renewing movement of Im฀m Nawras฀. It faced the western and European attacks which appeared after Industrial and ideological revolutions of Europe. Before starting the movement, he did deep study of current affairs, Islamic thought and history. He studied the reasons due to which chaos of Islamic thought began. It was necessary to study all the situations and to fight with the contemporary Atheistic thought and wipe out its effects. So this article discusses intellectual contributions of Im฀m Nawras฀. He is great in handling the critical situation, and his conservative positive criticism is excellent. He is one of those luckiest persons who survived and got a chance to serve humanity. He was unique in handling intellectual issues away from dialectical demagoguery. Im฀m Nawras฀ really worked great for Islam. His principles regarding intellectual positive criticism, his philosophical thoughts, his criticism on mystic issues are presented here in this article. It is important to study and analyze Nawras฀ ’s amazing ability and his critical positive approach and treatment of constructive issues away from the ego.

Uterine Fibroid Embolization for Symptomatic Fibroids; Correlation of Mid-Term Changes in Disease-Specific Symptoms and Magnetic Resonance Imaging Results at a Teaching Hospital in Kenya

Background: Uterine fibroid embolization, though a widely available option in high income countries in managing symptomatic fibroids is relatively new in the East African region. It is currently offered at only one tertiary facility for the past three years. The symptom and radiological response in these patients, who literature suggests may have bigger fibroid burden and worse symptoms, is the subject of this study. Objective: Characterization of MRI imaging features in women undergoing uterine fibroid embolization and identification of clinical correlates in an African population. Methods: Patients with symptomatic fibroids who are selected to undergo UFE at the hospital formed the study population. The baseline MRI features, baseline symptom score, short term imaging outcome and mid-term symptom scores were analysed for interval changes. Assessment of potential associations between short term imaging features and the mid-term symptom scores were also done. Results: UFE resulted in statistically significant reductions (P< 0.001) of dominant fibroid and uterine volumes and in symptom severity scores of 43.7%, 40.1% and 37.8% respectively. Strong enhancement at baseline was a strong predictor of response to UFE.59% of respondents had more than ten fibroids. The predominant location of the dominant fibroid was intramural. No statistically significant association was found between clinical and radiological outcome. Discussion: UFE is a new treatment option for treatment of uterine fibroids in Kenya. This study was aimed at assessing outcomes to this treatment option compared to other parts of the world. The response of uterine fibroids to embolization in the African population is good but not different from findings reported in other studies in the West. The presence of multiple and large fibroids seen here is consistent with the case mix described in studies of African-American populations. No significant association is seen between radiological and clinical outcomes to UFE. Conclusion: UFE treatment for fibroids has good outcome. Further studies lasting beyond one year are indicated for further detailed outcome in the local African population. Recommendations: Patient counselling should emphasise the independence of volume reduction and symptom improvement. Volume changes are of relevance for the Radiologist in aiding understanding of the evolution of the condition and identifying potential technical treatment failures but should not be the main basis of evaluation of treatment success.