This research discusses the most important pieces of evidence put forward by Ash'ari thinkers on two very important issues: formation of the world and the idea of causality. Depending on IbnRushd's reading, the paper also highlights the most import
ant loose and weak points Ash'ari inferences. Ibin Rushd, a pioneer of the intellectual trend in Islamic philosophy, saw in the treatment of these two issues represented an epistemological obstacle faced by Arab-Islamic mind and stood between it and the causal understanding of the universe. The philosopher Averroes sensed the danger of the absence of objective consciousness of the universe and the nature in Arabic and Islamic philosophy. In an attempt transform society from a state of theological submission to one of scientific certainty, he tried to lay the ground for a vision depending on the mind.
A retrospective study included 25 cases with inflammatory breast cancer. The patients were admitted to AL-Assad University Hospital, Lattakia, Syria (average age 55, and range 49-61 years old). The most common clinical signs and symptoms were: erythe
ma 100%, edema 100%, enlarged axillary nodes 100%, Nipple flattened/inverted 96%, warm Breast 92%, Ridges/thickening of breast 84%, Peau d’orange 88%, painful/tender Breast 88%, and Mass 80%. Mammography findings were: an increase in skin thickness 100%, an increased tissue density in the involved breast 100%, and an asymmetric widening of the sub-cutaneous lymphatic vessels 33.33%. 80% of cases were diagnosed as stage IV. All patients received primary neoadjuvant chemotherapy for three cycles. After that a modified radical breast mastectomy and axillary lymph nodes dissection were performed for all patients. The wound edges were closed primarily after dissecting the skin in 76%, for 4 patients 16% a split-thickness skin grafts were performed, and for 2 patients 8% a Latissimus dorsi pedicled myocutaneous flap was performed.
Aim:
To evaluate and compare the rate of cholesteatoma recurrence after Atticotomy surgery to that after Canal Wall Up Mastoidectomy (CWU).
Material and Methods:
The study involved 57 patients admitted to the ENT Department Almoassat Hospital. A
tticotomy was performed in 30 cases, whilst CWU mastoidectomy within 27 cases. Follow up period was extended for two years to compare the symptoms and the necessity for second Ossiculoplasty surgery.
Results:
The recurrence rate was 23.33 % within atticotomy group, whilst it was 22.21 % in CWU group. CWU mastoidectomy showed better outputs in diffused cholesteatoma cases.
Conclusion:
A limited cystic cholesteatoma can be treated effectively by atticotomy, however CWU mastoidectomy remains the favorable technique to manage a diffused cholesteatoma.
