Those first six hours are crucial

The first six hours after a heart attack being a crucial period for
patients, cardiologists suggest thrombolytic treatment for those
suffering heart attacks inareas that are poorly connected.
Thrombolytic treatment is basically an injection that bursts or
dissolves the clot that clogs or obstructs the blood flow to a portion
of the heart. Saturday being observed as the World Heart Day, city
cardiologists explained to The Hindu both the advantages and
disadvantages of providing thrombolytic treatment to the needy
patients.
An ideal solution
Thrombolytic treatment could be an ideal solution as there may be a
delay in bringing patients to the hospital. It can be provided even by
a general physician within six hours of the attack and can help save
lives, especially in places that lack cardiac care facilities, says
C.N. Manjunath, director, Jayadeva Institute of Cardiovascular
Sciences and Research.
Medical treatment needs to be streamlined to avoid delay in bringing
the patient to the hospital. "If a patient does not get treatment for
every 30 minutes after the attack, the risk of death increases by 7
per cent," he adds.
Explaining the thrombolytic treatment, V.S. Prakash, head of the
Department of Cardiology at M.S. Ramaiah Hospital, says people seek
this treatment as it is less expensive compared to angioplasty. "While
thrombolytic treatment can cost anywhere between Rs. 10,000 and Rs.
40,000, an angioplastycosts close to Rs. 1 lakh."
However, Dr. Prakash cautioned that patients need to understand that
the treatment does not end at thrombolytic treatment. "After this
treatment, they need to consult a cardiologist who will suggest the
future course of treatment."
Though cardiologists say that the goal of the treatment after the
attack should aim at reducing the death rate, and survival with good
heart function, J. Kannan,cardiologist at Narayana Hrudalaya, pointed
that the thrombolytic treatment might be useful to 60 per cent of the
patients. Side effect of this treatment could sometimes cause
internalbleeding, he cautioned.
"After the attack, the heart muscle starts dying as the blood supply
is stopped. So there is a need to restore blood flow as quickly as
possible," he suggested.
Prevention
With the incidence of cardiovascular diseases increasing every year,
cardiologists say the best way is prevention. Annually, close to 2.5
million deaths in India are attributed to myocardial infarction
(commonly known as heart attack).
"In 1990, there were only1.2 million deaths because of this. But the
incidence is increasing rapidly and the only way to deal with it is by
working out preventive strategies," Dr. Prakash added.
A recent study conductedby the Jayadeva institute on 1,042 heart
patients identified diabetes, hypertension, cholesterol, obesity and
smoking to be the risk factors for heart attack. "As much as 25 per
cent of the heart attack patients are below 40 and the incidence is
increasing in the younger age groups," Dr.Manjunath pointed out, and
added that the family physician needs toplay a bigger role in
educating people about the risk factors."

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News - Sonia won’t respond toModi charges

Congress president Sonia Gandhi on Wednesday refused to react to
Gujarat Chief Minister Narendra Modi's attack on her and the Centre
demanding details of expenses on her foreign travels and said she was
not bothered about personal attacks on her.
"Whenever we have taken steps in the interest of the nation, there
have been all kindsof attacks against us.... Neither have we bothered
earlier, nor willwe worry about them in future," she said, launching
the party's pollcampaign in Gujarat at a farmers' convention in
Rajkot.
Launching a scathing attack on the BJP and theGujarat Chief Minister,
Ms.Gandhi said there was a "huge difference" between their preaching
and practice on the issue of corruption. Alleging that the BJP-ruled
states were "neck-deep" in corruption, she said the party was not
ready to act despite evidence and CAG reports against them."There is a
difference between their preaching and practice...They are not ready
to act against their states on the issue of corruption even though
there is evidence and CAG reports against them," she said.
Ms. Gandhi also lashed out at the BJP for not allowing the passing of
the Lokpal Bill in Rajya Sabha and attacked the opposition party for
not allowing Parliament to function. She also noted that the Gujarat
government had not appointed a Lokpal for the last eight years. "They
are not against corruption, they are against us...Those who do not
allow Parliament to function talk about being against corruption...Are
they against the government or the Constitution and the democracy of
the country? I leave it for youto decide as you are sensible to
understand this," she said.
She used the farmers rally to make a strong pitch for FDI in retail,
saying the move would help farmers get remunerative prices for their
produce by selling it directly in cities. She wondered as to why there
was so much hue and cry over allowing FDIin retail when it is not
mandatory for all states to implement.
Without directly naming Mr. Modi, Ms. Gandhi questioned why the people
of the country were being misled on theFDI in retail decision.
She also alleged that atrocities on women were being committed
inGujarat and that Dalits seeking their rights werebeing fired upon.

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Where Are the Answers?

"What am I going to do? Why is my life so messed up? Why can't I find
happiness? Why am I alone? Why do I feel stuck? Why do I have these
problems?'…
These questions only have meaning if we direct them to Allah. No one
else can answer them. Consider the wordsof the Prophet Ya'qub
(alayhis-salam, peace be upon him) when his son Yusuf (as) was
secretly thrown into a well by his brothers. They then reported to
their father that Yusuf had been killed by a wolf.
And he turned away fromthem and said, "Oh, my sorrow over Yusuf," and
his eyes became white from grief, and he fell into silent melancholy.
They said, "By Allah , you will not cease remembering Yusuf until you
become fatally ill or become of those who perish."
He said, " I only complain of my suffering and my grief to Allah , and
I knowfrom Allah that which you do not know.
- Quran, Surat Yusuf, 12:84-86
"I only complain of my suffering and my grief to Allah…"
When you feel stuck, when you feel that no one understands your
situation, when you're in pain and you can't even imagine a solution,
only Allah has the answers. You can't see a way forward, but He can.
You don't see your own worth, but He does. You can't figure out the
road to happiness, but He can show you.
I remember a night in Arizona when I was twenty six years old. I lay
on a cot in a small, frigid cell. There was snow outside and I had
only a thin blanket. As I often did, I put on all my clothing in
layers – three pants, three shirts, an army jacket and a pair of boots
– and still I kept waking up shivering and shaking. Yet, even more
than the physical discomfort, my spirit was tired. I had made mistakes
in my youth andhad been locked up for almost five years. I had become
hard mentally and physically, but my heart was full of sorrow. Ilay
there that night and I thought, "I have nothing in life. I have
accomplished nothing. I have no university degree, no wife, no
children, and not even my freedom."
That was a bad time. But I had my faith, and I usedto weep to Allah,
asking Him to have mercy on me. I think I gave up on myself for a
while, but I never gave up on Allah. Itwould not even have occurred to
me to do so. Idid cry to Him sometimes saying, "Why, Allah? Why? Why
am I here, suffering like this?" But itwasn't despair, only confusion.
In my heart I knew that He heard me and that an answer would come.
Shortly after that I received a letter from theparole board granting
me early release. I had previously been told veryclearly that I was
not eligible. It was entirely unexpected, and if you are familiar with
the American penal system, miraculous. But for Allah, nothing is
impossible or even difficult.
Within a few months I was free. I found a job a week after my
release, and I excelled. I began writing, sitting at my desk every
night after work and disciplining myself to work on poetry,stories and
articles. Eventually I went back to school and began a new career, got
married, bought a beautiful house, and one day had achild…
What can I say except Alhamdulillah! SubhanAllah! What can I do except
weep in gratitude for these blessings that I did nothing to earn, but
were given to me by my Lord who loves me and cares about me, and wants
good for me. I am so deeply touched and moved by the way Allah has
answered my prayersfrom the depths of darkness. If I did anything to
merit His blessings, perhaps it was only that I directed my pleas to
Him. I knew that no one else could help me.
This is a very emotional post for me to write. I want every Muslim to
have this sense of Allah astheir friend, as someone who cares for them
deeply. I want to put thatawareness into your heart like a gift.
When I was in that cell I used to pray the same dua' over and over,
begging Allah repeatedly.If I had made such pleas to a human being
they would have stopped hearing me long ago. When we're needy with
people it pushes them away, but when we're needy with Allah He comes
closer to us! He never tires of answering our need and forgiving us.
I know of many similar stories of people who have hit rock bottom
andhave called upon Allah – or , not even knowing "Allah" by that
name, have called to the Supreme Being, saying, "Iknow you hear me,
tell me what I need to do, show me the way!" – andthen, like a circle
of sunlight piercing a cloud,something or someone comes into their
lives to show them the way forward.
When we're out of ideas, surrounded by problems, and feeling totally
alone… we're not alone . Allah is with us. If we pray sincerely and
strive, He will put light in our hearts and help us from directions we
did not expect.
Ask Allah sincerely, open yourself to Him, and accept what He gives
youeven when it goes against your own desires.The answers to your
questions are there, with Allah, I promise you. All those terrible
questions that you ask yourself in the silence of your mind, the
answers are with Allah.
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Imam Nawawi

IMAM NAWAWI [631 - 676 A.H]
Birth and Birth place:
The complete name of Imam Nawawi is Abu Zakaria Mohiuddin Yahya, son
of Sharaf An-Nawawi, son of Murry,son of Hassan, son of Hussain, son
of Muhammad , son of Juma,son of Hazam. Nawawi refers to Nawa, a place
near Damascus, in the suburb of the city of Howran. One of his
ancestors named Hazam had settled at this place. Imam Nawawi was born
at Nawa in the year 631 A.H. His father, a virtuous and pious man,
resolved to arrange for proper and befitting education as he had
discovered the symptoms of heavenly intelligence and wisdom in his
promising child at an early stage.
Shaikh Yasin bin Yousuf Marakashi, a saintly figure of Nawa says: "I
saw Imam Nawawi at Nawa when he was a youth of ten years of age.Other
boys of his age used to force him to play with them, but Imam Nawawi
would always avoid the play and wouldremain busy with the recitation
of the Noble Qur'an. When they tried to domineer and insisted on his
joining their games, he bewailed and expressed his no concern over
their foolish action. On observing his sagacityand profundity, a
special love and affection developed in my heart for young Nawawi. I
approached his teacher and urged him to take exceptional care of this
lad as he was to become a great religious scholar and most pious saint
of future. His teacher asked whether I was a soothsayer or an
astrologer. I told him I am neither soothsayer nor an astrologer but
Allah caused me to utter these words." His teacherconveyed this
incident to Imam's father and he keeping in view the learning quest of
his son, decided to dedicate the life of his son for the service and
promotion ofthe cause of Islamic Faith.
In a short period, Nawawi learnt to read the Holy Qur'an and by that
time he nearly had attained puberty. Nawa had no academic or scholarly
atmosphere andthere were no religious academies or institutes where
one could earn excellence in religious learning, so his father took
him to Damascus, which was considered the center of learning and
scholarship, and the students from far and wide gathered there for
schooling. During that period, there were more than three hundred
institutes, colleges and universities in Damascus. Imam Nawawi joined
Madrasah Rawahiyah which was affiliated withthe Ummvi University. The
founder and patron of this Madrasah was a trader named Zakiuddin
Abul-Qassim who was known as Ibn Rawahah. Madrasah was named after
him. Noted and eminent teachers of the period taught in that Madrasah.
Imam Nawawi says, "I studied in this institution for two years. During
my stay in Madrasah Rawahiyah, I never had complete rest and lived on
the limited food supplied by the institution." As a routine he used to
sleep very little at night. When it became irresistible as a human
being, he would lean and slumber for a while against the supportof
books. After a short duration he would again be hard at his scholastic
pursuits.
His Teachers and Guides:
During his stay at Damascus, he studied from more than twenty
celebrated teachers. These teachers were regarded as masters and
authority of their subject field and disciplines they taught. Imam
studied Hadith, Islamic Jurisprudence, its principles, syntax and
Etymology from great scholars of his time. Abu Ibrahim Ishaq bin Ahmad
AI-Maghribi, Abu Muhammad Abdur-Rahman bin Ibrahim Al-Fazari,
Radiyuddin AbuIshaq Ibrahim bin Abu Hafs Umar bin Mudar Al-Mudari, Abu
Ishaq Ibrahim bin Isa Al-Muradi,Abul-Baqa Khalid bin Yusuf An-Nablusi,
Abul-Abbas Ahmad bin Salim Al-Misri, Abu Abdullah Al-Jiyani, Abul-Fath
Umar bin Bandar, Abu Muhammad At-Tanukhi, Sharafuddin Abdul-Aziz bin
Muhammad Al-Ansari, Abul-Faraj Abdur-Rahmanbin Muhammad bin Ahmad
Al-Maqdisi, Abul-Fada'il Sallar bin Al-Hasan Al Arbali etc.
His Students:
There were hundreds of Imam's students, among them some notables are:
Alauddin bin Attar, Ibn Abbas Ahmad bin Ibrahim, Abul-Abbas
Al-Ja'fari, Abul-Abbas Ahmad bin Farah, Rashid Ismail bin Mu'allim
Al-Hanafi, Abu Abdullah Al-Hanbali, AbulAbbas Al-Wasti, Jamaluddin
Sulaiman bin Omar Az-Zar'i, AbulFaraj Abdur-Rahman bin Muhammad bin
Abdul-Hamid AlMaqdisi, Badr Muhammad bin Ibrahim, Shamsuddin Muhammad
bin Abu Bakr, Ash-Shihab Muhammad bin Abdul-Khaliq, Hibatullah
Al-Barizi, Abul-Hajjaj Yusuf bin Az-Zaki etc.
His Desire and Crave for Learning:
Imam Nawawi had endless thirst for knowledge, and it can beguessed
from his daily practice of studies. He used to read daily twelve
lessons and write explanation and commentary of every lesson and also
made important additions. Whatever the book ImamNawawi read, he put
down the marginal notesand explanations on that book. His
intelligence, hard work, love, devotion and absorption in his-studies
amazed his teachers and they become fond of him and began to praise
and admire him. According toImam Dhahabi, Imam Nawawi's concentration
and absorption in academic love gained proverbial fame. He had devoted
all his time for learning and scholarship.Other than reading and
writing, he spent his timecontemplating on the interacted and complex
issues and in finding their solutions. Allah had also conferred upon
him the gift of fast memory and depth of thought, and he who makes the
right use of this boon, there remains no doubt in his sagacity and
discernment. Imam Nawawi made full benefit of his God given qualities
and potentialities and earnedthe highest degree of honor.
Imam's Simplicity and Niceness of Manners:
The learned persons, eliteof the society and the public greatly
respected the Imam on account of his piety, learning and excellent
character. He used simple dress and atesimple food. Devout scholars do
not care about worldly chattels, they give preference to religious and
academic pursuits, propagation of Faith etc. They experience more
heavenly delight and joy in such activities than those who seek
satisfaction in luxurious foods, precious clothes and other worldly
things.Imam Nawawi had a prominent place among the erudite notables of
his age. He was God-fearing person having illustrious and glorious
aims regarding propagation of Faith. Celebrated Sheikh Mohiuddin
expresses his impression about Imam Nawawi as thus:
"Imam Nawawi had threedistinctive commendable qualities in his person.
If anybody have only one out of these three, people return to him in
abundance for guidance. First, having knowledge and its dissemination.
Second, to evade completely from the worldly inclinations, and the
third, inviting to all that is good ( Islam ) enjoining Al-Ma'ruf
[i.e., Islamic Monotheism and all that Islam orders one to do] and
forbidding Al-Munkar [polytheism and disbelief and all that Islam has
forbidden]. Imam Nawawi had all three in him."
Imam Nawawi's worksand his death
The learned Imam had a very short life but even during this short
period, he had written a large number of books on different subjects.
Every work of the Imam is a masterwork and a treasure of knowledge.
Hundreds and thousands of people benefit from these works.
Some of the Prestigious Works of Imam Nawawi are:
Commentary on Sahih Al-Bukhari , Al-Minhaj fi Sharh Sahih Muslim ,
Riyad-us-Saliheen, Kitab-ur-Raudah, Commentary on Mohadhdhab,
Tahdhib-ul-Asma was-Sifat, Kitab-ul-Adhkar, Arba'een, At-Taqreeb fi
Ilmil-Hadith wal-Irshad fihi, Kitab-ulMubhamat, At-Tibyan, Al-Idah fi
Manasikil-Hajj, Sharh Sahih AlBukhari (Naqis), Sharh Sunan Abi Dawud
(Naqis), Tabaqat Ash Shafi'iyah, Muhimmatul-Ahkam,
Manaqib-ush-Shafi'i, Bustan-ulArifeen, Al-Khulasatu fil-Hadith,
Mukhtasar At- Tirmidhi , A1Masa'il Al-Manthurah, Al-'Umdah fi
Tashihit-Tanbih and others.
After spending 28 years of age, Imam Nawawi returned to his hometown.
Soon after his arrival at Nawa, he felt ill and died. Imam Nawawi is
still living in the hearts of Muslims. His works are of everlasting
value. May Allah bless Imam Nawawi.
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