88. Al-Ghashiyah/The Overpowering Event
I/We begin by the Blessed Name of Allah
The Immensely Merciful to all, The Infinitely Compassionate to everyone.
88:01
a. Has the news of coming of the Overpowering Event reached you?
88:02
a. It will be the Time when some faces will be downcast with fear and shame -
88:03
a. having labored in the world only to weariness - with no payback in the Hereafter.
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a. They will enter the Blazing Fire.
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a. They will be made to drink from a boiling spring of extremely high temperatures.
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a. They will have no food other than bitter dry thorns/cactus -
88:07
a. neither nourishing them nor appeasing their hunger.
88:08
a. While, at the same Time, some faces will be blessed,
88:09
a. pleased with their striving for righteousness during the worldly life,
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a. dwelling in Paradise on high,
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a. wherein they shall never hear any absurdity or frivolous talk,
88:12
a. therein will be flowing spring of fresh sweet water,
732 Surah 88 * Al-Ghashiyah
88:13
a. and couches raised high,
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a. and cups set in place,
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a. and cushions lined up behind them,
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a. and rich carpets spread out beneath them.
88:17
a. Will they - who deny the Resurrection - not observe how the camels are created,
88:18
a. and the celestial realm -
b. how it was formed and raised...
Religious extremism has become one of the main problems of the world today and many non-Muslims believe that religious extremism is synonymous to Islam. This article discussed the topic of religious extremism and presents the solution to the problem. The Quran used the word ‘Ghuluw’ which can fairly be translated as extremism. The term is defined as ‘elevating someone or something to a level higher than its true reality’. If we look carefully into Islamic teachings we will see that Islam does not approved extremism, especially with regard to religion. Islam not only disapproved extremism, but also urges us to be moderate and disassociate ourselves from extremism.
Background: The medical treatment for chronic anal fissure is modeled to eliminate sphincter spasm and hypertonia so that blood flow to the anal sphincter improves and the fissure heals. Efficacious pharmacological therapy avoids complications related to surgical treatment including incontinence and the risks of surgery and anesthesia. Conservative treatment of chronic anal fissure has been reported with wide variation in the healing rates. However there are few reports of conservatively treated chronic anal fissures fromAfrica, with only one paper identified in this study. Furthermore, the influence of clinical characteristics of fissures on the healing rates and recurrences have not been widely reported.
Objective: To determine the healing rates of conservatively treated chronic anal fissure and to document the influence of fissure characteristics on healing and recurrence.
Setting: The Surgical Outpatient Clinic at the Aga Khan University Hospital, Nairobi, Kenya.
Patients and methods:Fifty (50) consecutive patients satisfying the criteria for chronic anal fissure were treated with local application of 0.2% glyceryl trinitrate (GTN) paste twice a day for 8 weeks and followed up for six months. Features of chronicity were defined and each given a score of 1. Patients with a score of 2 or less were compared to those with a score of 3 and above in terms of healing and recurrence.
Results: Thirty nine patients of the 50 analyzed (78%) healed after the 8 weeks of treatment. At six months follow up 10 patients (26%) had relapsed. This translated to an overall success rate of 58%. Three factors significantly affected healing of a chronic anal fissure- presence of indurated fissure edges (p=0.001, OR 12.19, 95 % CI 2.57-57.94), presence of symptoms for more than three months (p=0.014, OR 8.03, 95 % CI 1.52-42.52) and a score of 3 and above (p=0.004, OR 11.45, 95 % CI 2.13-61.67). There was no feature of chronicity that predicted recurrence of chronic anal fissure after initial healing.
Conclusion: GTN paste led to healing in the majority of patients. Features of chronicity may be helpful in predicting response to treatment. In the present study patients with a chronicity score of 2 and below respond better than those with a score of 3 and above.