فتوی کا اسلامی منہج: مجموع فتاوی ابن تیمیہ کے تناظر میں

Im฀m Ibn Taymiyyah is a well-known scholar of Muslims. He was an ocean of knowledge and wisdom. His books prove his excellence He was born in 661 Hijrah in Harr฀n (Syria). He learned every kind of knowledge especially religious knowledge i. E knowledge of Qur’฀n, Tafs฀r, Had฀th, Fiqh, Jurisprudence, philosophy, inheritance law, mathematics, grammar, literature, and poetry etc. He wrote hundreds of books about the above mentioned fields. He was permitted to give Fatw฀ (verdict) in his early age. He was successful in achieving the position of Ijtih฀d (authoritative interpretation of Islamic Law). Ibn Taymiyyah Studied the Profound Books of religions and sects. Then he analyzed the works in the light of senior Imams and Qur฀n and Sunnah. He is an extra ordinary person in his knowledge and writings. In brief we can say the fatw฀s of Imam Ibn Taymiyyah have printed in thirty seven volumes. His first ratiocination in Fatwa is from the Holy Qur฀n. He presents the arguments from the Hadith and Sunnah of the Holy Prophet (S. A. W). He considered Ijm฀ ‘ (consensus of Muslim opinion) as a proof of Shar฀‘ah. He presents the point of view of various schools of thought, He trusted in the books of ancient scholars. He also answers the anticipating ambiguity and complication. A few of his fatwas begin with all praise to Allah. His fatw฀s are concordant with the life of the Muslims. In this article a deep study of fatwa of Ibn Taymiyyah has been taken as a guideline for fatwa in Islamic methodology.

The Role of Inflammation in Contrast Induced Nephropathy

Background: Intravenously administered iodinated contrast media are widely and liberally used in daily diagnostic radiological investigations. Contrast-induced nephropathy (CIN) is notable as the third commonest cause of hospital-acquired renal injury. Justification: The global prevalence of CIN from various studies ranges from 2-5% but an incidence of CIN of 12-14% in Kenya was highlighted by a recent study without an explanation for the markedly increased incidence. Intravascular contrast has been demonstrated to commonly cause renal vasoconstriction. However, the low incidence of CIN in the general population infers that contrast alone cannot be a causative insult. This study proposes that inflammatory states, which are prothrombotic, when coupled with renal vasoconstriction may confer a higher relative risk for development of CIN. Objective: To determine the risk of developing CIN given the presence of an inflammatory state in patients presenting to a private university hospital in Kenya. Study design: Prospective cohort study of patients undergoing a contrast- enhanced CT scan (CECT) in Aga Khan University Hospital, Nairobi (AKUHN) Radiology department and who have no known risk factors for CIN. Methodology: A total of 423 patients were recruited over a period of 4 months. The patients were grouped into those without inflammation (unexposed) having serum C-reactive protein (CRP) levels ≤5mg/dL and those with inflammation(exposed) having CRP levels >5mg/dl. Serum creatinine (SCr) was measured before the CECT and 48 hours following the CECT with CIN diagnosed when there was an increase of >25% in the SCr from the baseline value. Relative risk was determined and multiple logistic regression analysis performed on the biophysical variables (age, weight, sex) and contrast volume to assess their effect on development of CIN. Results: CIN was present in 42 (9.92%) patients. Of the exposed group (elevated CRP), 29 out of 215 patients (13.5%) developed CIN. In the unexposed group, 13 out of 208 patients (6.25%) developed CIN. This gave arelative risk of developing CIN of 2.16(1.15 to 4.04, P=0.016).The attributable risk percentage is 7.24% (1.1% to 12.2%). No statistically significant association was seen between the biophysical variables and volume of contrast and development of CIN. Conclusion: Inflammation doubles the likelihood of development of CIN. Therefore a patient presenting with inflammation and any other risk factor for CIN should have a risk-benefit analysis to assess the need for administration of iodinated intravenous contrast.