MELAKUKAN SHALAT JUM’AT YANG BERBILANG (TAADUD) PADA SATU TEMPAT (STUDI KOMPERATIF ANTARA IMAM SYAFI’I DAN IMAM ABU HANIFAH)

Skripsi ini berjudul “MELAKUKAN SHALAT JUM’AT YANG BERBILANG (TAADUD) PADA SATU TEMPAT (STUDI KOMPERATIF ANTARA IMAM SYAFI’I DAN IMAM ABU HANIFAH)”. Yang mendorong penulis memilih judul ini adalah bahwa shalat Jum’at merupakan satu ibadah menyatukan umat Islam seluruhnya.Shalat Jum’at ini hanya ada pada Islam tidak ada pada agama-agama lain. Shalat ini di syariatkan oleh Allah dengan jelas di dalam al-Quran yang tidak perlu kepada pembahasan tentang kefardhuan hukumnya lagi. Meninggal shalat Jum’at adalah satu dosa besar dan pemerintah boleh mengambil tindakan berat terhadap rakyatnya melainkan ke atas mereka yang telah diberikan keuzuran oleh syara’. Namun sejak akhir-akhir ini semakin ramai umat Islam yang tidak melaksanakan kefardhuan Jum’at ini. Juga dengan suasana cara hidup manusia pada akhir ini telah mengakibatkan tuntutan hidup keduniaan itu lebih di utamakan di bandingkan dengan tuntutan agama. Walhal tuntutan agama mempunyai hikmah yang besar kepada manusia itu sendiri lebih-lebih lagi mereka yang beriman kepada Allah dan hari akhirat. Walaupun begitu Islam bukan sebuah agama yang menyusahkan, keuzuran tetap ada kepada orang yang ditentukan iaitu musafir dan berpuasa umpamanya. Penelitian ini adalah penelitian kepustakaan (library research). Oleh itu apa yang penulis dapati terdapat ulama mazhab yang tidak bersetuju dengan pelaksanaan Jum’at berbilang namun kerna kondisi masa kini yang berbeza dengan zaman dahulu menyebabkan ada ulama yang memboleh shalat Jum’at secara berbilang. Untuk memperoleh bahan yang penulis butuhkan dalam pembahasan, penulis mengambil dari buku-buku yang ada kaitannya dengan masalah ini, terutama buku buku yang ditulis oleh ulama mazhab Syafi’iyyah dan Hanafiyyah. Bahan-bahan yang telah terkumpul kemudian dianalisa dengan menggunakan metode berfikir induktif, deduktif, dan kompratif. Apa yang saya dapat dari hasil penelitian ini bahawasanya Islam adalah agama yang universal dan bisa menyesuaikan diri tanpa meminggirkan hukum-hukum Allah. Di mana pada asalnya shalat Jum’at yang dilaksanakan hanya satu pada suatu tempat tetapi ianya dapat dilaksanakan berbilang lebih dari satu shalat Jum’at pada suatu tempat

Endovascular treatment of cerebral aneurysm: early experience in a Malaysian tertiary centre

Universiti Kebangsaan Malaysia Medical Center (UKMMC) started neurointerventional service in August 2008. In this study, we aimed to evaluate the immediate and short term outcome of endovascular treatment (EVT) of cerebral aneurysm during early period of the services. A retrospective study for cerebral aneurysm treated by endovascular technique, from the Neurosurgical and Radiology Department from September 2008 till February 2010 was performed. Patient's demographic data, initial clinical presentation and assessment of the aneurysm were performed. The immediate results and short term assessment post EVT were evaluated based on standard criteria. Recurrence and complications during and following EVT procedures, were recorded. Twenty one patients with total of 22 aneurysms were treated. The mean age was 54.52 years with 57 being males and 43 females. The majority (81) had single aneurysm. The most common site was anterior communicating artery (28 ). Mean aneurysm sac size was 6.19 mm and 2.55 mm for aneurysm neck. At follow-up, 3 (27.2) had a small residual neck. Four patients (37.2) had residual aneurysm filling, but three of them were treated with stent aiming to achieve flow diversion effect instead of complete occlusion during initial treatment. There was no rebleed or rupture from the immediate to follow-up. Significant complications up to 30-days was observed in 4 patients (20) whereby 2 patients showed improvement and 2 patients died (10 mortality rate). Endovascular treatment of cerebral aneurysms performed in our centre had early outcome, morbidity and mortality compared to other higher volume centres. Longer term follow up is needed to evaluate the long termoutcome/occlusion rate, morbidity and mortality

Hematospermia: an unusual cause of urology emergency

Hematospermia is a distressing disorder in sexually active men resulting in great concern to the patient. We report an unusual case of hematospermia with an atypical presentation, involving a 54-year-old man presented with acute urinary retention after sexual intercourse. Although the causes are widely known, arteriovenous malformation as the cause of this disorder has not much been reported in the literature. Transcatheter embolization of internal pudendal artery is a promising option for hematospermia caused by arterial fistula or bleeding

Successful intravenous thrombolysis of a wake-up stroke with underlying valvular atrial fibrillation

A 42-year-old female admitted with new-onset atrial fibrillation had a wake-up stroke on the high-dependency unit and the time last seen well (TLSW) was 6.5 h. She suffered left-sided body weakness and her National Institutes of Health Stroke Scale (NIHSS) score was 17. An emergency CT perfusion showed right M1 segment occlusion with more than 50% penumbra. She was given recombinant tissue plasminogen activator (r-tPA) at 9 h from TLSW. An immediate diagnostic angiogram with intention to treat, owing to the presence of large vessel occlusion, showed complete reperfusion after intravenous r-tPA. She was discharged with NIHSS of 2, and at 3-month follow up her Modified Rankin Scale was 0. We demonstrated a successful reperfusion and excellent clinical recovery with intravenous thrombolysis in a patient who presented with a wake-up stroke with underlying valvular atrial fibrillation despite evidence of large vessel occlusion. © 2018, Royal College of Physicians of Edinburgh. All rights reserved

The effects of intravenous infusion of autologous mesenchymal stromal cells in patients with subacute middle cerebral artery infarct: a phase 2 randomized controlled trial on safety, tolerability and efficacy

Background aims Mesenchymal stromal cells (MSCs) are characterized by paracrine and immunomodulatory functions capable of changing the microenvironment of damaged brain tissue toward a more regenerative and less inflammatory milieu. The authors conducted a phase 2, single-center, assessor-blinded randomized controlled trial to investigate the safety and efficacy of intravenous autologous bone marrow-derived MSCs (BMMSCs) in patients with subacute middle cerebral artery (MCA) infarct. Methods Patients aged 30-75 years who had severe ischemic stroke (National Institutes of Health Stroke Scale [NIHSS] score of 10-35) involving the MCA territory were recruited within 2 months of stroke onset. Using permuted block randomization, patients were assigned to receive 2 million BMMSCs per kilogram of body weight (treatment group) or standard medical care (control group). The primary outcomes were the NIHSS, modified Rankin Scale (mRS), Barthel Index (BI) and total infarct volume on brain magnetic resonance imaging (MRI) at 12 months. All outcome assessments were performed by blinded assessors. Per protocol, analyses were performed for between-group comparisons. Results Seventeen patients were recruited. Nine were assigned to the treatment group, and eight were controls. All patients were severely disabled following their MCA infarct (median mRS = 4.0 [4.0-5.0], BI = 5.0 [5.0-25.0], NIHSS = 16.0 [11.5-21.0]). The baseline infarct volume on the MRI was larger in the treatment group (median, 71.7 [30.5-101.7] mL versus 26.7 [12.9-75.3] mL, P = 0.10). There were no between-group differences in median NIHSS score (7.0 versus 6.0, P = 0.96), mRS (2.0 versus 3.0, P = 0.38) or BI (95.0 versus 67.5, P = 0.33) at 12 months. At 12 months, there was significant improvement in absolute change in median infarct volume, but not in total infarct volume, from baseline in the treatment group (P = 0.027). No treatment-related adverse effects occurred in the BMMSC group. Conclusions Intravenous infusion of BMMSCs in patients with subacute MCA infarct was safe and well tolerated. Although there was no neurological recovery or functional outcome improvement at 12 months, there was improvement in absolute change in median infarct volume in the treatment group. Larger, well-designed studies are warranted to confirm this and the efficacy of BMMSCs in ischemic stroke

Endovascular treatment of cerebral aneurysm: Early experience in a Malaysian tertiary centre

Universiti Kebangsaan Malaysia Medical Center (UKMMC) started neurointerventional service in August 2008. In this study, we aimed to evaluate the immediate and short term outcome of endovascular treatment (EVT) of cerebral aneurysm during early period of the services. A retrospective study for cerebral aneurysm treated by endovascular technique, from the Neurosurgical and Radiology Department from September 2008 till February 2010 was performed. Patient’s demographic data, initial clinical presentation and assessment of the aneurysm were performed. The immediate results and short term assessment post EVT were evaluated based on standard criteria. Recurrence and complications during and following EVT procedures, were recorded. Twenty one patients with total of 22 aneurysms were treated. The mean age was 54.52 years with 57% being males and 43% females. The majority (81%) had single aneurysm. The most common site was anterior communicating artery (28 %). Mean aneurysm sac size was 6.19 mm and 2.55 mm for aneurysm neck. At follow-up, 3 (27.2%) had a small residual neck. Four patients (37.2%) had residual aneurysm filling, but three of them were treated with stent aiming to achieve flow diversion effect instead of complete occlusion during initial treatment. There was no rebleed or rupture from the immediate to follow-up. Significant complications up to 30-days was observed in 4 patients (20%) whereby 2 patients showed improvement and 2 patients died (10 % mortality rate). Endovascular treatment of cerebral aneurysms performed in our centre had early outcome, morbidity and mortality compared to other higher volume centres. Longer term follow up is needed to evaluate the long term outcome/occlusion rate, morbidity and mortalit

Tackling iatrogenic post-percutaneous access femoral artery pseudoaneurysm – a case series of multiple closure techniques

Femoral artery pseudoaneurysm is an important post-procedural complication following percutaneous access/intervention. Whilst it is uncommon, it causes significant anxiety among clinicians including interventionists as it exposes the clinician to litigation concerns. The management of post-percutaneous access pseudoaneurysm can divided into several broad categories; namely conservative, endovascular or surgical managements. With rapid advancements of endovascular techniques, interventional radiologists has been at the forefront of managing this issue. We aim to highlight; with the aid of a cases series, the various weaponries at the disposal of an interventional radiologist to deal with post-percutaneous access femoral artery pseudoaneurysm

Isolated Blunt Lingual Artery Injury Secondary to a Road Traffic Accident: Diagnostic and Therapeutic Approach

Neurologic and airway compromise as a result of traumatic vascular injuries to the neck region often lead to more severe complications and thus require special consideration. Furthermore, these cases pose diagnostic and therapeutic challenges to healthcare providers. Here, we report a case of a 28-year-old motorcyclist presenting with progressively enlarged Zone 2 neck swelling on the left side following a high impact collision. There were no symptoms or signs suggesting neurologic or laryngeal injury. Computed tomography angiogram of the neck revealed signs of an active arterial bleed. The apparent vascular injury was managed by close observation for signs of airway compromise, urgent angiogram, and selective catheter embolisation of the left lingual artery. The patient subsequently recovered without further operative exploration of the neck. At 6 months post-trauma, the neck swelling fully subsided with no complications from angioembolisation. This case illustrates the individualised treatment and multidisciplinary approach in managing such cases. We review our rationale for this diagnostic and therapeutic approach