وہ غیروں سے پیمان کرنے لگا ہے
سرا سر ہی نقصان کرنے لگا ہے
تمھاری توجہ، تمھارا تبسم
مرے غم کا درمان کرنے لگا ہے
تغافل ، جفائیں ، ستم کاریاں
بہت مجھ پہ احسان کرنے لگا ہے
مقام تشکر ہے وہ اب تو مجھ پر
دل و جان قربان کرنے لگا ہے
نظر لگ نہ جائے کہ تائبؔ کی خاطر
وہ راحت کے سامان کرنے لگا ہے
Music and the instruments used for it are forbidden clearly in Quran and Sunnah. The Prophet Muhammad SAW warned us about its punishment in hereafter. Along with it due to its attraction to human’s interests, Music is often added to various programs. Besides listening it in songs, it is used as background in various audios and videos. The aim of this background music is to make the program more effective and attractive to the audience. As nowadays TV and Radio are also being used as means of preaching Islam, especially in the current age of social media many web and social media channels have been emerged to propagate Islam. One of the main problems been faced by these channels is forbidden of music in Islam, due to which the public does not take enough interest in them as compared to other entertainment channels. In this paper after discussing shariah status of Music I have tried to come up with various alternate ways to make the religious and Islamic Programs more attractive and effective to the people.
Background: Palliative care is a modality of treatment that addresses physical, psychological and spiritual symptoms. Dignity therapy, a form of psychotherapy, was developed by Professor Harvey Chochinov, MD in 2005.
Methods: This was a randomized control trial of 144 patients (72 in each arm) randomized into group 1 (intervention arm) and group 2 (control arm). Baseline ESAS scores were determined in both arms following which group 1 received Dignity therapy while Group 2 received usual care only. Data collected was presented as Legacy documents to group 1 participants. Post intervention ESAS scores were obtained in both groups after 6 weeks. Analysis was based on the intention to treat principle and descriptive statistics computed. The main outcome was symptom distress scores on the ESAS (summated out of 100 and symptom specific scores out of 10). The student T-test was used to test for difference in ESAS scores at follow up and graphs computed for common cancers and comorbidities.
Results: Of the 144 (72 patients in each arm) patients randomized, 70%were female while 30% were male with a mean age of 50 years. At 6 weeks, 11 patients were lost to follow up, seven died and 126 completed the study. The commonly encountered cancers were gastrointestinal cancers (43%, p=0.29), breast cancer (27.27% p=0.71) and gynaecologic cancers (23% p=0.35).Majority of the patients i.e. 64.3% had no comorbidities.
After adjusting for baseline scores, the mean (summated) symptom distress score was not significant (GLM p=0.78). Dignity therapy group showed a trend towards statistical improvement in anxiety (p=0.059). The largest effects seen were in improvement of appetite, lower anxiety and improved wellbeing (Cohen effect size 0.3, 0.5 and 0.31 respectively).
Conclusion: Dignity therapy showed no statistical improvement in overall quality of life. Symptom improvement was seen in anxiety and this was a trend towards statistical significance (p=0.059).