عہد رسالت سے قبل قیام امن کے اقدامات

The teachings of all religions are based on peace but the Islamic principles of peace surpass others in their effectiveness. For the attainment of peace and harmony in this world, it is imperative to respect all the religions. The Prophet Muḥammad (ﷺ) was indeed a peacemaker and a mercy to all the mankind. The author of this paper feels that it is also very important to study the history of Prophet Muḥammad (ﷺ) prior to his prophethood, because, those a as image and reputation (صلى الله عليه وسلم) his shaped that years the were peacemaker in the eyes of the people of Makkah. His early years of virtue soon followed by a lifetime of nobleness and greatness. The incident of the placing the Black Stone, for example, is a confirmation to the said fact. It is one of the first examples in the life. Goodwill nurturing and conflicts mitigating of (صلى الله عليه وسلم) prophet the of or himself by stone the placed have could (صلى الله عليه وسلم) Prophet Holy The asked anyone of the elders of his nation to do it, but being a peacemaker, he saw that, thatwas going to be a model to mitigate conflicts and nurture goodwill among the leaders of the tribes., first the of milestone the laid (صلى الله عليه وسلم) Muhammad Prophet The the just and the civilized human society. A commitment to peace was a way of his life. This is the quality that ought to become the cornerstone of the policy and the personality of a sound Muslim leader.

Chronic Post Mastectomy Pain in Adult Female Patients at Aga Khan University Hospital Nairobi

Introduction: Breast cancer is a major cause of morbidity and mortality worldwide among women. The improvement in diagnostic and treatment strategies has led to a larger number of survivors who have breast cancer. However, there are complications attributed to breast cancer treatments, including chronic post mastectomy pain (CPMP). CPMP causes physical, social, emotional and functional disability. Once established, it is difficult to treat and negatively impact quality of life of the affected patients. Despite the big number of patients with breast cancer who undergo mastectomy at AKUHN, the burden of CPMP and factors associated with it remain unknown. Objectives: To determine the burden of CPMP and its associated risk factors in adult female patients at AKUHN. Study design: A descriptive cross-sectional study. Study setting: The AKUHN. Study population: Female breast cancer patients who underwent mastectomy at AKUHN between January 2008 and December 2017. Sampling process: Stratified sampling with subgroups based on year of surgery. Sample size: Assuming a CPMP prevalence of 10% and an attrition rate of 10% in the study population, a sample of 370 patients would be required to detect an odds ratio of developing CPMP of 2.5 with a p-value< 0.05. Statistical analysis: By the use of SPSS version20. The study outcome: A total of 480 patients’ contacts were successful, of which 49 declined the interview, 22 were deceased, while 409 patients were alive and responded to the study interview. The prevalence of PMCP was 14.4% with 9.3% who also had arm pain. The severity of pain was distributed as mild, moderate and severe at 55.9% (33), 40.7% (24) and 3.4% (2) respectively. The only predictor of CPMP which was statistically significant in this current study was age while the rest were not. Conclusion: The prevalence of CPMP in the current study in our institution is relatively low compared to other studies. In the study, the only associated factor with CPMP that is statistically significant is age; which corresponds with the studies reviewed. Recommendation: We recommend a closer follow up of patients under the age of fifty years as they are more prone to develop CPMP. We also recommend a multicenter study which will give a larger sample size with a population of diverse demographic profiles; subjected to different types and techniques of breast surgeries, different surgical set-ups; different post-operative care; and different post-operative pain management for a more conclusive outcome.