https://t.me/mh_m_oud
لينك قناة فيها تلاوات أخونا محمود رحمة الله عليه
من استطاع منكم أن ينفع أخاه فليفعل
قال النبي الكريم صلى الله عليه وسلم
"إذا مات ابنُ آدمَ انقطع عملُه إلا من ثلاثٍ صدقةٍ جاريةٍ وعلمٍ ينتفعُ به وولدٍ صالحٍ يدعو له".
وهذا أخانا وحبيبنا وله حقٌ علينا جعل الله تلاواته زخراً له يوم القيامة.
لينك قناة فيها تلاوات أخونا محمود رحمة الله عليه
من استطاع منكم أن ينفع أخاه فليفعل
قال النبي الكريم صلى الله عليه وسلم
"إذا مات ابنُ آدمَ انقطع عملُه إلا من ثلاثٍ صدقةٍ جاريةٍ وعلمٍ ينتفعُ به وولدٍ صالحٍ يدعو له".
وهذا أخانا وحبيبنا وله حقٌ علينا جعل الله تلاواته زخراً له يوم القيامة.
❤8
Forwarded from PDFology (Basem Medhat)
سورة الكهف.pdf
3.7 MB
قال أبي سعيد الخدري رضي الله عنه: قال رسول الله صلى الله عليه وسلم: من قرأ سورة الكهف في يوم الجمعة، أضاء له من النور ما بين الجمعتين. رواه الحاكم والبيهقي وصححه الألباني.
قال الرسول ﷺ:
"إنَّ في الجُمُعَةِ لَساعَةً، لا يُوافِقُها مُسْلِمٌ، يَسْأَلُ اللَّهَ فيها خَيْرًا، إلَّا أعْطاهُ إيَّاهُ"
﴿ إِنَّ اللَّهَ وَمَلَائِكَتَهُ يُصَلُّونَ عَلَى النَّبِيِّ ۚ يَا أَيُّهَا الَّذِينَ آمَنُوا صَلُّوا عَلَيْهِ وَسَلِّمُوا تَسْلِيمًا﴾
[ الأحزاب: 56]
اللهم إنا نستودعك غزة وأهلها، اللَّهُم كُن لهم عونًا ومعينا، اللهم إنا لا نملك إلا اليسير، فيارب لا ترد لنا دعاء، ولا تخيب لنا رجاء وأنت أرحم الراحمين.
اللهم احفظ فلسطين وأهلها والسودان وأهلها، اللهم كن لأهلنا هناك عونا ومعينا، وللمسجد الاقصي حافظا وأمينا، اللهم إنا نستودعك غزة فأحفظها بحفظك يا خير الحافظين.
🚨 إعلانات التلجرام تظهر بشكل إجباري ولا يمكن إلغائها فضلاً عمل ريبورت لأي إعلان قد يظهر به شبهة حرمانية 🚨
قال الرسول ﷺ:
"إنَّ في الجُمُعَةِ لَساعَةً، لا يُوافِقُها مُسْلِمٌ، يَسْأَلُ اللَّهَ فيها خَيْرًا، إلَّا أعْطاهُ إيَّاهُ"
﴿ إِنَّ اللَّهَ وَمَلَائِكَتَهُ يُصَلُّونَ عَلَى النَّبِيِّ ۚ يَا أَيُّهَا الَّذِينَ آمَنُوا صَلُّوا عَلَيْهِ وَسَلِّمُوا تَسْلِيمًا﴾
[ الأحزاب: 56]
اللهم إنا نستودعك غزة وأهلها، اللَّهُم كُن لهم عونًا ومعينا، اللهم إنا لا نملك إلا اليسير، فيارب لا ترد لنا دعاء، ولا تخيب لنا رجاء وأنت أرحم الراحمين.
اللهم احفظ فلسطين وأهلها والسودان وأهلها، اللهم كن لأهلنا هناك عونا ومعينا، وللمسجد الاقصي حافظا وأمينا، اللهم إنا نستودعك غزة فأحفظها بحفظك يا خير الحافظين.
🚨 إعلانات التلجرام تظهر بشكل إجباري ولا يمكن إلغائها فضلاً عمل ريبورت لأي إعلان قد يظهر به شبهة حرمانية 🚨
❤7
What parameter should be monitored when using pioglitazone?
Anonymous Quiz
38%
Liver function test
37%
Kidney function test
14%
Lipid profile
11%
Thyroid function test
❤9
A patient on metformin experiencing tingling in fingers and toes.
What supplement should be given?
What supplement should be given?
Anonymous Quiz
2%
Vit C
4%
Vit D
2%
Vit E
92%
Vit B12
❤6
هل الباراسيتامول في الحمل ممكن يسبب توحد للجنين؟
🌼 Consensus
No conclusive evidence proves paracetamol in pregnancy causes autism.
WHO, EMA, and SMFM keep current recommendations unchanged.
---
🧬 Possible association
Some studies show higher autism/ADHD rates with prenatal paracetamol.
Proposed mechanisms: oxidative stress, hormone disruption, epigenetic changes.
---
⚠️ Limitations
Studies are observational, not causal.
Fever/illness itself may affect brain development.
Results are inconsistent, sometimes disappear with sibling controls.
---
🩺 Recommendations
Still the first-line pain/fever drug in pregnancy.
Use lowest effective dose, shortest time.
FDA notes “possible association” but advises against blanket avoidance.
#PDFology
#غزة 🇵🇸
🌼 Consensus
No conclusive evidence proves paracetamol in pregnancy causes autism.
WHO, EMA, and SMFM keep current recommendations unchanged.
---
🧬 Possible association
Some studies show higher autism/ADHD rates with prenatal paracetamol.
Proposed mechanisms: oxidative stress, hormone disruption, epigenetic changes.
---
⚠️ Limitations
Studies are observational, not causal.
Fever/illness itself may affect brain development.
Results are inconsistent, sometimes disappear with sibling controls.
---
🩺 Recommendations
Still the first-line pain/fever drug in pregnancy.
Use lowest effective dose, shortest time.
FDA notes “possible association” but advises against blanket avoidance.
#PDFology
#غزة 🇵🇸
❤10👍1
Forwarded from PDFology (Basem Medhat)
سورة الكهف.pdf
3.7 MB
قال أبي سعيد الخدري رضي الله عنه: قال رسول الله صلى الله عليه وسلم: من قرأ سورة الكهف في يوم الجمعة، أضاء له من النور ما بين الجمعتين. رواه الحاكم والبيهقي وصححه الألباني.
قال الرسول ﷺ:
"إنَّ في الجُمُعَةِ لَساعَةً، لا يُوافِقُها مُسْلِمٌ، يَسْأَلُ اللَّهَ فيها خَيْرًا، إلَّا أعْطاهُ إيَّاهُ"
﴿ إِنَّ اللَّهَ وَمَلَائِكَتَهُ يُصَلُّونَ عَلَى النَّبِيِّ ۚ يَا أَيُّهَا الَّذِينَ آمَنُوا صَلُّوا عَلَيْهِ وَسَلِّمُوا تَسْلِيمًا﴾
[ الأحزاب: 56]
اللهم إنا نستودعك غزة وأهلها، اللَّهُم كُن لهم عونًا ومعينا، اللهم إنا لا نملك إلا اليسير، فيارب لا ترد لنا دعاء، ولا تخيب لنا رجاء وأنت أرحم الراحمين.
اللهم احفظ فلسطين وأهلها والسودان وأهلها، اللهم كن لأهلنا هناك عونا ومعينا، وللمسجد الاقصي حافظا وأمينا، اللهم إنا نستودعك غزة فأحفظها بحفظك يا خير الحافظين.
🚨 إعلانات التلجرام تظهر بشكل إجباري ولا يمكن إلغائها فضلاً عمل ريبورت لأي إعلان قد يظهر به شبهة حرمانية 🚨
قال الرسول ﷺ:
"إنَّ في الجُمُعَةِ لَساعَةً، لا يُوافِقُها مُسْلِمٌ، يَسْأَلُ اللَّهَ فيها خَيْرًا، إلَّا أعْطاهُ إيَّاهُ"
﴿ إِنَّ اللَّهَ وَمَلَائِكَتَهُ يُصَلُّونَ عَلَى النَّبِيِّ ۚ يَا أَيُّهَا الَّذِينَ آمَنُوا صَلُّوا عَلَيْهِ وَسَلِّمُوا تَسْلِيمًا﴾
[ الأحزاب: 56]
اللهم إنا نستودعك غزة وأهلها، اللَّهُم كُن لهم عونًا ومعينا، اللهم إنا لا نملك إلا اليسير، فيارب لا ترد لنا دعاء، ولا تخيب لنا رجاء وأنت أرحم الراحمين.
اللهم احفظ فلسطين وأهلها والسودان وأهلها، اللهم كن لأهلنا هناك عونا ومعينا، وللمسجد الاقصي حافظا وأمينا، اللهم إنا نستودعك غزة فأحفظها بحفظك يا خير الحافظين.
🚨 إعلانات التلجرام تظهر بشكل إجباري ولا يمكن إلغائها فضلاً عمل ريبورت لأي إعلان قد يظهر به شبهة حرمانية 🚨
❤1
PDFology
Photo
هل في تداخل دوائي بين
Aspirin & Amaryl?
🩸 Increased hypoglycemia risk
Aspirin can enhance the glucose-lowering effect of glimepiride.
This may lead to an increased risk of hypoglycemia.
⚖️ Mechanism – Protein binding displacement
Both drugs are highly protein bound.
Aspirin may displace glimepiride from plasma proteins, raising free drug concentration.
🧪 Mechanism – Pharmacodynamic effect
High doses of aspirin can lower blood glucose independently.
This adds to the hypoglycemic effect of glimepiride.
⚠️ Clinical significance
The interaction is more pronounced with higher aspirin doses.
Low-dose aspirin (e.g., 75–100 mg/day for cardioprotection) usually has minimal effect.
👩⚕️ Monitoring and management
Monitor blood glucose levels more closely when both drugs are used.
Educate patients to recognize symptoms of hypoglycemia (e.g., sweating, dizziness, tremors).
#PDFology
#غزة 🇵🇸
Aspirin & Amaryl?
🩸 Increased hypoglycemia risk
Aspirin can enhance the glucose-lowering effect of glimepiride.
This may lead to an increased risk of hypoglycemia.
⚖️ Mechanism – Protein binding displacement
Both drugs are highly protein bound.
Aspirin may displace glimepiride from plasma proteins, raising free drug concentration.
🧪 Mechanism – Pharmacodynamic effect
High doses of aspirin can lower blood glucose independently.
This adds to the hypoglycemic effect of glimepiride.
⚠️ Clinical significance
The interaction is more pronounced with higher aspirin doses.
Low-dose aspirin (e.g., 75–100 mg/day for cardioprotection) usually has minimal effect.
👩⚕️ Monitoring and management
Monitor blood glucose levels more closely when both drugs are used.
Educate patients to recognize symptoms of hypoglycemia (e.g., sweating, dizziness, tremors).
#PDFology
#غزة 🇵🇸
❤19👍3
PDFology
Photo
هل المترونيدازول Carcinogenic؟
⚠️ Animal studies
Metronidazole has shown carcinogenic potential in rodents during long-term exposure.
These findings raised concerns about its safety in humans.
🧬 Mechanism
The drug may cause DNA damage through reactive metabolites.
This genotoxic effect is considered a possible pathway to carcinogenesis.
👩⚕️ Human data
Epidemiological studies in humans have not provided consistent evidence of cancer risk.
Most large studies did not confirm a significant link with malignancies.
📊 Regulatory stance
The International Agency for Research on Cancer (IARC) classifies metronidazole as Group 2B.
This means it is “possibly carcinogenic to humans,” based on limited evidence.
💊 Clinical relevance
Short-term therapeutic use is generally considered safe.
Concerns are mainly with prolonged or repeated high-dose exposure.
#PDFology
#غزة 🇵🇸
⚠️ Animal studies
Metronidazole has shown carcinogenic potential in rodents during long-term exposure.
These findings raised concerns about its safety in humans.
🧬 Mechanism
The drug may cause DNA damage through reactive metabolites.
This genotoxic effect is considered a possible pathway to carcinogenesis.
👩⚕️ Human data
Epidemiological studies in humans have not provided consistent evidence of cancer risk.
Most large studies did not confirm a significant link with malignancies.
📊 Regulatory stance
The International Agency for Research on Cancer (IARC) classifies metronidazole as Group 2B.
This means it is “possibly carcinogenic to humans,” based on limited evidence.
💊 Clinical relevance
Short-term therapeutic use is generally considered safe.
Concerns are mainly with prolonged or repeated high-dose exposure.
#PDFology
#غزة 🇵🇸
❤18
PDFology
Photo
هل فعلا مكملات الأرجنين ممكن تزود طول الطفل؟
🌱 Arginine is an amino acid that plays a role in growth hormone release.
It may indirectly support height growth in children.
🧬 Arginine stimulates the pituitary gland.
This leads to increased secretion of growth hormone, which is important for bone growth.
🥛 Arginine can be obtained from food sources like dairy, meat, poultry, fish, nuts, and legumes.
A balanced diet is more effective than supplements alone.
📊 Some studies suggest arginine supplementation may improve growth in children with low growth hormone levels.
But results are not consistent across all studies.
⚠️ Excessive arginine supplementation may cause side effects such as diarrhea, abdominal pain, or electrolyte imbalance.
It should not be given without medical supervision.
👨⚕️ Arginine is not a magic solution for increasing height in healthy children.
Height depends on genetics, nutrition, hormones, sleep, and overall health.
🏃 Proper nutrition, physical activity, and adequate sleep remain the main factors for healthy growth in children.
Arginine can only play a supportive role, not a primary one.
#PDFology
#غزة 🇵🇸
🌱 Arginine is an amino acid that plays a role in growth hormone release.
It may indirectly support height growth in children.
🧬 Arginine stimulates the pituitary gland.
This leads to increased secretion of growth hormone, which is important for bone growth.
🥛 Arginine can be obtained from food sources like dairy, meat, poultry, fish, nuts, and legumes.
A balanced diet is more effective than supplements alone.
📊 Some studies suggest arginine supplementation may improve growth in children with low growth hormone levels.
But results are not consistent across all studies.
⚠️ Excessive arginine supplementation may cause side effects such as diarrhea, abdominal pain, or electrolyte imbalance.
It should not be given without medical supervision.
👨⚕️ Arginine is not a magic solution for increasing height in healthy children.
Height depends on genetics, nutrition, hormones, sleep, and overall health.
🏃 Proper nutrition, physical activity, and adequate sleep remain the main factors for healthy growth in children.
Arginine can only play a supportive role, not a primary one.
#PDFology
#غزة 🇵🇸
❤19👍6
Forwarded from PDFology (Basem Medhat)
سورة الكهف.pdf
3.7 MB
قال أبي سعيد الخدري رضي الله عنه: قال رسول الله صلى الله عليه وسلم: من قرأ سورة الكهف في يوم الجمعة، أضاء له من النور ما بين الجمعتين. رواه الحاكم والبيهقي وصححه الألباني.
قال الرسول ﷺ:
"إنَّ في الجُمُعَةِ لَساعَةً، لا يُوافِقُها مُسْلِمٌ، يَسْأَلُ اللَّهَ فيها خَيْرًا، إلَّا أعْطاهُ إيَّاهُ"
﴿ إِنَّ اللَّهَ وَمَلَائِكَتَهُ يُصَلُّونَ عَلَى النَّبِيِّ ۚ يَا أَيُّهَا الَّذِينَ آمَنُوا صَلُّوا عَلَيْهِ وَسَلِّمُوا تَسْلِيمًا﴾
[ الأحزاب: 56]
اللهم إنا نستودعك غزة وأهلها، اللَّهُم كُن لهم عونًا ومعينا، اللهم إنا لا نملك إلا اليسير، فيارب لا ترد لنا دعاء، ولا تخيب لنا رجاء وأنت أرحم الراحمين.
اللهم احفظ فلسطين وأهلها والسودان وأهلها، اللهم كن لأهلنا هناك عونا ومعينا، وللمسجد الاقصي حافظا وأمينا، اللهم إنا نستودعك غزة فأحفظها بحفظك يا خير الحافظين.
🚨 إعلانات التلجرام تظهر بشكل إجباري ولا يمكن إلغائها فضلاً عمل ريبورت لأي إعلان قد يظهر به شبهة حرمانية 🚨
قال الرسول ﷺ:
"إنَّ في الجُمُعَةِ لَساعَةً، لا يُوافِقُها مُسْلِمٌ، يَسْأَلُ اللَّهَ فيها خَيْرًا، إلَّا أعْطاهُ إيَّاهُ"
﴿ إِنَّ اللَّهَ وَمَلَائِكَتَهُ يُصَلُّونَ عَلَى النَّبِيِّ ۚ يَا أَيُّهَا الَّذِينَ آمَنُوا صَلُّوا عَلَيْهِ وَسَلِّمُوا تَسْلِيمًا﴾
[ الأحزاب: 56]
اللهم إنا نستودعك غزة وأهلها، اللَّهُم كُن لهم عونًا ومعينا، اللهم إنا لا نملك إلا اليسير، فيارب لا ترد لنا دعاء، ولا تخيب لنا رجاء وأنت أرحم الراحمين.
اللهم احفظ فلسطين وأهلها والسودان وأهلها، اللهم كن لأهلنا هناك عونا ومعينا، وللمسجد الاقصي حافظا وأمينا، اللهم إنا نستودعك غزة فأحفظها بحفظك يا خير الحافظين.
🚨 إعلانات التلجرام تظهر بشكل إجباري ولا يمكن إلغائها فضلاً عمل ريبورت لأي إعلان قد يظهر به شبهة حرمانية 🚨
❤12
PDFology
Photo
كل ما تريد معرفته عن مرض
HFMD?
🦠 Cause
Hand, Foot, and Mouth Disease (HFMD) is usually caused by Coxsackievirus A16 or Enterovirus 71.
It spreads through direct contact with saliva, nasal secretions, stool, or fluid from blisters.
👶 Common Age Group
Most cases occur in children under 5 years old.
However, older children and adults can also get infected.
🤒 Symptoms
Fever is usually the first symptom.
Painful mouth sores appear inside the cheeks, tongue, or gums.
A red rash or blisters develop on hands, feet, and sometimes buttocks.
📅 Incubation Period
Typically 3–6 days from exposure to symptoms.
This makes it contagious even before symptoms appear.
🤧 Transmission
Spreads easily in daycare centers and schools.
It can be transmitted via coughing, sneezing, or touching contaminated surfaces.
🩺 Diagnosis
Usually based on clinical examination of mouth ulcers and rash.
Lab tests are rarely needed.
💊 Treatment
There is no specific antiviral treatment.
Supportive care includes fluids, pain relief, and rest.
Topical oral anesthetics may help with mouth sore pain.
🚫 Prevention
Good hand hygiene is the most effective preventive measure.
Avoid sharing cups, utensils, or towels.
Disinfect frequently touched surfaces.
📉 Complications
Most cases are mild and self-limiting.
Rare complications include viral meningitis, encephalitis, or dehydration from painful swallowing.
🛡️ Prognosis
Symptoms usually resolve within 7–10 days.
Immunity develops to the infecting virus, but reinfection with another strain is possible.
#PDFology
#غزة 🇵🇸
HFMD?
🦠 Cause
Hand, Foot, and Mouth Disease (HFMD) is usually caused by Coxsackievirus A16 or Enterovirus 71.
It spreads through direct contact with saliva, nasal secretions, stool, or fluid from blisters.
👶 Common Age Group
Most cases occur in children under 5 years old.
However, older children and adults can also get infected.
🤒 Symptoms
Fever is usually the first symptom.
Painful mouth sores appear inside the cheeks, tongue, or gums.
A red rash or blisters develop on hands, feet, and sometimes buttocks.
📅 Incubation Period
Typically 3–6 days from exposure to symptoms.
This makes it contagious even before symptoms appear.
🤧 Transmission
Spreads easily in daycare centers and schools.
It can be transmitted via coughing, sneezing, or touching contaminated surfaces.
🩺 Diagnosis
Usually based on clinical examination of mouth ulcers and rash.
Lab tests are rarely needed.
💊 Treatment
There is no specific antiviral treatment.
Supportive care includes fluids, pain relief, and rest.
Topical oral anesthetics may help with mouth sore pain.
🚫 Prevention
Good hand hygiene is the most effective preventive measure.
Avoid sharing cups, utensils, or towels.
Disinfect frequently touched surfaces.
📉 Complications
Most cases are mild and self-limiting.
Rare complications include viral meningitis, encephalitis, or dehydration from painful swallowing.
🛡️ Prognosis
Symptoms usually resolve within 7–10 days.
Immunity develops to the infecting virus, but reinfection with another strain is possible.
#PDFology
#غزة 🇵🇸
❤18
PDFology
Photo
Influvac & Vaxigrip
💉 Type & Composition:
Both Influvac and Vaxigrip are inactivated quadrivalent influenza vaccines (QIVs).
They protect against two influenza A strains and two influenza B strains recommended by WHO each season.
🏭 Manufacturer:
Influvac is produced by Abbott.
Vaxigrip is made by Sanofi Pasteur.
🧬 Vaccine Technology:
Both use split-virus technology, where the virus is inactivated and split to reduce side effects.
They contain no live virus, so they cannot cause flu infection.
💊 Formulation & Presentation:
Influvac comes as a 0.5 mL pre-filled syringe.
Vaxigrip also comes as a 0.5 mL pre-filled syringe, but may have different needle attachment systems depending on market.
🧠 Immune Response:
Both generate strong antibody responses.
Some studies show slightly higher seroprotection rates with Vaxigrip in younger age groups.
💥 Side Effects:
Common side effects for both include pain, redness, or swelling at injection site, mild fever, and muscle aches.
They are generally well tolerated.
🌡️ Storage:
Both should be stored at 2–8°C and must not be frozen.
📅 Dosing Schedule:
For adults and children ≥9 years: single annual dose.
For children 6 months–8 years (first-time vaccination): two doses, 4 weeks apart.
🛡️ Efficacy:
Efficacy depends on strain match with circulating viruses.
Both show similar protection levels in most comparative studies.
✅ Summary:
Both Influvac and Vaxigrip are safe, effective, and WHO-recommended flu vaccines.
Choice usually depends on availability, age indication, and local health authority preference.
#PDFology
#غزة 🇵🇸
💉 Type & Composition:
Both Influvac and Vaxigrip are inactivated quadrivalent influenza vaccines (QIVs).
They protect against two influenza A strains and two influenza B strains recommended by WHO each season.
🏭 Manufacturer:
Influvac is produced by Abbott.
Vaxigrip is made by Sanofi Pasteur.
🧬 Vaccine Technology:
Both use split-virus technology, where the virus is inactivated and split to reduce side effects.
They contain no live virus, so they cannot cause flu infection.
💊 Formulation & Presentation:
Influvac comes as a 0.5 mL pre-filled syringe.
Vaxigrip also comes as a 0.5 mL pre-filled syringe, but may have different needle attachment systems depending on market.
🧠 Immune Response:
Both generate strong antibody responses.
Some studies show slightly higher seroprotection rates with Vaxigrip in younger age groups.
💥 Side Effects:
Common side effects for both include pain, redness, or swelling at injection site, mild fever, and muscle aches.
They are generally well tolerated.
🌡️ Storage:
Both should be stored at 2–8°C and must not be frozen.
📅 Dosing Schedule:
For adults and children ≥9 years: single annual dose.
For children 6 months–8 years (first-time vaccination): two doses, 4 weeks apart.
🛡️ Efficacy:
Efficacy depends on strain match with circulating viruses.
Both show similar protection levels in most comparative studies.
✅ Summary:
Both Influvac and Vaxigrip are safe, effective, and WHO-recommended flu vaccines.
Choice usually depends on availability, age indication, and local health authority preference.
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