7. Al-A’raf /The Elevated
I/We begin by the Blessed Name of Allah
The Immensely Merciful to all, The Infinitely Compassionate to everyone.
07:01
Alif. Lam. Mim. Sad.
07:02
This Book - The Qur’an - is being sent down on to you O The Prophet.
So let there be no distress in your heart due to this.
While you are to warn the disbelieving audience through it,
this is a Reminder to the believers.
07:03
O The People!
Follow what is being sent down on to you by your Rabb - The Lord, and
do not follow the whims of others or take others for worship apart from HIM.
Yet little you understand and follow.
07:04
And how many of habitations have WE destroyed before!
So it happened that OUR Punishment came upon them suddenly - either by the night or
while they were in the midst of their noon-nap.
07:05
And when OUR Punishment finally overtook them, they had nothing to say, except crying out:
‘We have indeed been unfair’ to ourselves by sinning!
07:06
It will be during the Time of the Final Judgment that WE will certainly question those to whom WE had assigned OUR Messengers if they followed their teachings, and
WE will also question the Messengers if they had conveyed OUR Message and how did the people respond to it.
07:07
WE will definitely recount their deeds and dealings to them with knowledge and accuracy,
for WE were never absent from their midst!
07:08
And at The Time of the Final Judgment, the weighing of their deeds and dealings will be
fair and just.
Then whose deeds of righteousness will be heavier than their bad deeds on the scales,
those –...
In this study the researchers chose the research object, namely a building material trading company in Sampit, Central Kalimantan named PT. Samudra Mas Group. The urgency of this study is to determine whether the multi-channel retailing variable, cooperation synergy and accounting information systems affect business development strategies and ultimately have an impact on company performance. This is to ensure the use of a business development strategy for the next 5 years. The study was conducted using respondents who are employees of PT. Samudra Mas Group, which has director positions to middle management and has the authority to make decisions in company operations. Respondents amounted to 70 people. This research measurement method using Smart PLS Professional 3.0. Pulling data by observation, interviews and distributing questionnaires. The results showed that multi-channel retailing, synergy of cooperation and accounting information systems significantly influence business development strategies. As well as a business development strategy to mediate multi-channel retailing that affects business performance.
Objective: To characterize the immunophenotypic features of CLL/SLL among patients diagnosed at Aga Khan University Hospital, Nairobi.
Background: Cancer is a growing health burden worldwide. Rising to this challenge will require improved diagnostic services. Chronic lymphocytic leukaemia is common in elderly patients. Early laboratory criteria for diagnosis only required demonstration of persistent lymphocytosis and morphological evaluation. The current international standard in diagnosis however, incorporates findings of immunophenotyping. Facilities for immunophenotyping have generally been unavailable in Kenya. The Royal Marsden Hospital criteria (RMH) provide a scoring system that enables CLL/SLL to be distinguished from other mature B cell disorders.
Method: A laboratory based cross sectional survey conducted from August 2011 to April 2012. A census of eligible cases was conducted. Potential cases were identified based on the French-American-British (FAB) morphologic criteria for CLL. Consecutive samples were obtained and subjected to 3 colour immunophenotyping on a Beckman Coulter Cytomics FC 500 cytometer. A limited panel of antibodies was used. These included CD5, CD19, CD22, CD23, FMC7, kappa and lambda. CLL/SLL was defined using the RMH scoring system. The baseline clinical and diagnostic data were also obtained.
Results: Forty nine cases met the eligibility criteria. Thirty one were known CLL cases and 18 were newly diagnosed. Median age at diagnosis was 62 years (range 45-95 years). Male: Female ratio was 1.3:1. Black patients were more likely to present with high risk disease (Rai stages III-IV) and with higher lymphocyte counts than non-blacks at diagnosis. 26.5% presented in Rai stage 0. The prevalence of CD5/CD23 co-expression in cases defined as CLL was found to be 95.9%. CD5 was universally expressed whereas CD23 was present in all but 2 cases. Both were associated with atypical morphology. Complete absence of light chain expression using a monoclonal antibody was found in 12.2% of cases. Five patients had their diagnosis revised. Of 30 patients on follow-up for CLL, only 1 in 6 had had any form of immunophenotyping done.
Conclusion: Immunophenotyping is diagnostically productive and should be part of the diagnostic workup when a chronic lymphoproliferative disorder is suspected.