Body donation

遗体捐献
  • 文章类型: Journal Article
    身体防腐,一种在各种文化中有着深厚历史根源的做法,构成当代人体捐赠教育计划的支柱。在这项研究中,我们在六个南非人体解剖解剖计划中探索了当前的防腐实践,重点关注关键化学品福尔马林的使用和数量,苯酚,和酒精-及其相关的健康风险和潜在毒性。我们测量并比较了防腐实践的各个方面,例如身体保存的持续时间和每年的身体摄入量。发现南非不同大学的防腐实践和化学比率存在差异。然而,一直使用福尔马林,在所有六个项目中都观察到苯酚和酒精。南非解剖方案中使用的甲醛浓度在国际上普遍接受的范围内。关于动脉防腐,南非的解剖方案表明,人们普遍遵守国际防腐做法,一个程序使用的福尔马林浓度大大降低。在化学毒性方面,甲醛作为有效防腐剂和公认致癌物的双重性质与人类健康有关。苯酚,像甲醛,一直使用,因为它对抑制细菌和真菌生长很重要。酒精也一直在使用,但南非各机构的数量差异更大。我们的数据显示,储存时间与人防腐液中福尔马林和苯酚的体积之间存在轻微的正相关关系。南非监管机构实施了比世界卫生组织和欧洲各机构设定的更严格的暴露限制。虽然南非机构在国际上可接受的化学品使用范围内运作,既能最大限度地保存,又能最大限度地减少毒性,我们承认这些数据是初步的。鼓励进一步调查,以确保防腐做法有效地保护所有相关人员,并支持南非人体解剖计划的教育目标。
    Body embalming, a practice with deep historical roots across various cultures, forms the backbone of contemporary human body donation educational programmes. In this study, we explored current embalming practices within six South African human anatomical dissection programmes, focusing on the use and volumes of key chemicals-formalin, phenol, and alcohol-and their associated health risks and potential toxicity. We measured and compared aspects of embalming practices such as the duration of body preservation and the annual intake of bodies. Variations in embalming practices and chemical ratios across different South African universities were found. However, the consistent use of formalin, phenol and alcohol were observed across all six programmes. Formaldehyde concentrations used in South African dissection programmes were within the generally acceptable international range. Regarding arterial embalming, South African dissection programmes showed widespread adherence to international embalming practices, with one programme using a substantially lower concentration of formalin. The dual nature of formaldehyde as both an effective preservative and a recognised carcinogen was underscored in relation to human health regarding chemical toxicity. Phenol, like formaldehyde, was consistently used as it is important for the inhibition of bacterial and fungal growth. Alcohol was also consistently used, but there was much greater variation in its volume across South African institutions. Our data showed a slight positive relationship between storage duration and the volumes of formalin and phenol in human embalming fluid. South African regulators enforce stricter exposure limits than those set by the World Health Organisation and various European agencies. While South African institutions operate within internationally acceptable ranges of chemical use that both maximise preservation and minimise toxicity, we acknowledge that these data are preliminary. Further investigation is encouraged to ensure embalming practices effectively protect all those involved and support the educational goals of human anatomical dissection programmes in South Africa.
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    文章类型: Journal Article
    本专栏讨论了《1977年解剖学法案》(NSW)及其监管环境。该专栏首先研究了英国和澳大利亚的解剖学法规历史。然后继续分析新南威尔士州当前解剖学法规的历史,指出改革的领域。
    This column discusses the Anatomy Act 1977 (NSW) and its regulatory environment. The column begins with examining the history of anatomy regulation in the United Kingdom and Australia. It then goes on to analyse the history of the current anatomy regulation in New South Wales, pointing out areas for reform.
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  • 文章类型: Journal Article
    背景:教授解剖学的基础是使用人体尸体理解身体的结构。遗体捐献应该是一种完全自觉和自愿的行为。医学大学对人类尸体的需求不断增长。为了满足这些要求,有必要了解社会对遗体捐献的认识。
    方法:该研究使用专有的单选问卷,同时保持受访者的匿名性。这项研究包括1004个人,包括700名女性和304名男性。分析采用了曼-惠特尼检验,皮尔逊卡方检验与CramerV系数的计算。
    结果:在受访者中,56.37%的人考虑捐赠他们的身体用于科学和教育目的。在与捐赠相关的问题中,担心学生缺乏对遗体的适当尊重(18.23%),家庭反对(16.24%),突出了宗教原因(9.16%)。与宗教人士相比,非宗教人士更倾向于为科学和教育目的捐献遗体(p<0.001)。与大城市的居民相比,农村地区和小城镇的居民不太可能考虑出于科学和教育目的捐赠自己的身体(p=0.002)。多达85.76%的受访者认为,人类遗骸对于有效的解剖学教育至关重要。
    结论:提高公众对尸体捐赠的认识可能有助于提高医学院解剖学教学的有效性。
    BACKGROUND: The basis of teaching anatomy is the understanding of the body\'s structures using human cadavers. Body donation should be a fully conscious and voluntary act. There is a growing demand for human cadavers in medical universities. To meet these demands, it is necessary to understand the societal awareness regarding body donation.
    METHODS: The study utilized a proprietary single-choice questionnaire while maintaining the anonymity of the respondents. The study included 1004 individuals, comprising 700 women and 304 men. The analysis employed the Mann-Whitney test, Pearson\'s chi-squared test with calculation of the Cramer\'s V coefficient.
    RESULTS: Among the respondents, 56.37% consider donating their bodies for scientific and educational purposes. Among the concerns associated with donation, fear of lack of proper respect for the remains by students (18.23%), family opposition (16.24%), and religious reasons (9.16%) were highlighted. Non-religious individuals are more inclined to donate their bodies for scientific and educational purposes than religious individuals (p < 0.001). Residents of rural areas and small towns are less likely to consider donating their bodies for scientific and educational purposes than residents of large cities (p = 0.002). As many as 85.76% of respondents believe that human remains are essential for effective anatomy education.
    CONCLUSIONS: Increasing public awareness of cadaver donation may contribute to increasing the effectiveness of anatomy teaching at medical universities.
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  • 文章类型: Journal Article
    自愿捐赠是全世界解剖学教育在道德上可接受的全身获取方法。在非洲,教育机构为此而苦苦挣扎,因为由于文化和宗教信仰对决策的强烈影响,许多人仍然不愿意捐赠自己的身体。作为改善津巴布韦医学院机构道德来源的更广泛努力的一部分,严重依赖无人认领的尸体,这项研究试图确定传统和宗教信仰对这些决定的影响。我们确定了传统和宗教领袖对全身捐赠的了解,探索对死亡的文化和宗教观点,死亡和全身捐献及其根本原因。与传统酋长和基督教领袖进行了半结构化访谈,他们被认为是津巴布韦传统文化和基督教价值观的监护人,分别。对传统酋长访谈的主题分析显示,没有一个酋长对全身捐赠或所涉及的过程有准确的了解。由于围绕死亡设定了传统做法,大多数传统酋长认为这种做法是外来的,可能对解剖者产生负面影响。大多数基督教领袖都了解全身捐赠。他们的观点分为对全身捐赠的支持和对宗教和文化的不适应。总的来说,传统酋长和基督教领袖都理解全身捐赠的重要性,并要求进一步的社会宣传和教育,如果这种做法是成为社会可接受的。
    Voluntary donation is the ethically acceptable method for whole-body acquisition for anatomy education worldwide. In Africa, educational institutions struggle with this since many people remain unwilling to donate their bodies due to the strong influence of cultural and religious beliefs in decision-making. As part of wider efforts to improve the ethical sourcing of bodies in Zimbabwean medical schools, which are heavily reliant on unclaimed bodies, this study sought to determine the influences traditional and religious beliefs have on such decisions. We ascertained traditional and religious leaders\' knowledge of whole-body donation, explored cultural and religious views toward death, dying and whole-body donation as well as their underlying reasons. Semi-structured interviews were conducted with traditional chiefs and Christian leaders who are considered the custodians of Zimbabwean traditional cultural and Christian values, respectively. Thematic analysis of traditional chiefs\' interviews revealed that none of the chiefs had accurate knowledge regarding whole-body donation or the processes involved. Due to set traditional practices around death, most traditional chiefs viewed the practice as foreign with possible negative repercussions to the dissectors. Most of the Christian leaders had knowledge of whole-body donation. Their views were split between support for whole-body donation and regard as a religious and cultural misfit. Overall, both traditional chiefs and Christian leaders understood the importance of whole-body donation and requested further societal sensitization and education if the practice is to become socially acceptable.
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  • 文章类型: Journal Article
    在解剖学的未来视野下,强大的社会关系是强制性的。从16世纪开始,通过公共人类解剖,解剖实践经历了强大的社会参与。用一个视角来探索灵性与解剖学的交集,本研究分析了这一重要时期。从精神的角度来看,该研究还通过现行法规的棱镜反映了两个相关但目前未耦合的公共人类解剖和社会关系实体。在公共人类解剖中,公众的强烈代表主要是由精神倾向和宗教当局的认可所驱动的。为了规范大型集会,维护学术的神圣性,解剖剧院成为这种合并的专用空间。随着时间的推移和不断增长的财政支持,剧院从临时结构转变为精致的建筑奇迹,进一步推动与实践相关的已经牢固的社会联系。然而,多种因素的融合导致了精神原则的违反和社会参与的减少,从18世纪初,最终导致这种奇观的消亡。目前,公共人体解剖-完成后-主要是为了商业利益和违反道德规范而进行的。这违背了灵性的本质,并隐藏着社会联系的暗淡前景。相反,为促进社会参与(主要与身体捐赠有关)而采取的措施非常有效,并遵循了灵性原则。社会联系在过去曾为解剖学服务,如果通过正义的道路接近,可能会导致其进步。
    Under the futuristic vision of anatomical sciences, a strong societal connection is mandatory. The anatomical practice experienced robust societal participation through public human dissection from the 16th century onward. With a perspective to explore the intersection of spirituality with anatomy, the present study analyzed this momentous period. From a spiritual perspective, the study also reflects on two relevant but presently uncoupled entities of public human dissection and societal connection through the prism of current regulations. Strong representation from the general public during public human dissection was primarily driven by spiritual proclivity and an endorsement from religious authorities. To regulate large gatherings and maintain academic sanctity, anatomical theaters emerged as dedicated spaces for such a merger. With time and growing financial support, the theaters transformed from temporary structures to elaborate architectural marvels, further propelling already robust societal connections associated with the practice. Nevertheless, a confluence of multiple factors led to the violation of spiritual principles and a consequent decrease in societal participation from the early 18th century, eventually culminating in the demise of such spectacle. Presently, public human dissection-when done-is mostly conducted for commercial gains and in contravention of ethical norms. It is against the essence of spirituality and harbors a bleak prospect for societal connection. Contrastingly, measures adopted to promote societal participation (mostly related to body donation) were quite effective and followed the principles of spirituality. Societal connections served anatomy in the past and can lead to its advancement if approached through a righteous path.
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  • 文章类型: Journal Article
    目的:身体捐献者继续在医学院的解剖学教育中发挥重要作用。此外,随着预期寿命的增加,对器官移植的需求也在增加。在土耳其,我们正在努力使这两项捐款都能够通过一个单一的系统进行。这些问题是一起解决的,旨在评估医学和法律专业学生对组织器官和身体捐赠的知识和态度水平。
    方法:对693名个体进行了由29个问题组成的问卷,以测量这些方面。使用具有Bonferroni校正的单向方差分析来分析数据。在研究期间收集的分类数据以频率和百分比进行了总结。
    结果:当被问及他们是否愿意捐献遗体时,39.4%的人回答不,29.5%的人回答是,31.1%的人犹豫不决。关于器官捐赠,61.8%的参与者表示愿意,22.8%尚未决定,下降15.4%。值得注意的是,那些有器官组织和身体捐献知识的人和那些没有的人之间存在显著差异(p<0.001)。
    结论:我们的研究结果表明,有关器官组织和身体捐献的知识,以及捐赠的倾向,随着医学教育向临床实践的发展而增加。此外,发现大学生对该主题的知识水平与他们是否曾接受过有关该主题的培训有关。据观察,有必要为学生提供更多的教育,以了解器官和身体捐赠的重要性。
    OBJECTIVE: Body donors continue to have an important role in anatomy education in medical schools. Furthermore, the demand for organ transplantation is increasing as life expectancy increases. In Turkey, there are efforts to enable both donations to be made through a single system. These issues were addressed together, and it was aimed to evaluate the level of knowledge and attitudes of medical and law students regarding tissue-organ and body donation.
    METHODS: A questionnaire consisting of 29 questions was administered to 693 individuals to measure these aspects. Data were analyzed using a one-way analysis of variance with Bonferroni correction. Categorical data collected during the study were summarized in terms of frequency and percentage.
    RESULTS: When asked about their willingness to donate their bodies, 39.4% answered no, 29.5% responded yes, and 31.1% were undecided. Regarding organ donation, 61.8% of the participants expressed willingness, 22.8% were undecided, and 15.4% declined. Notably, there was a significant difference between those who had prior knowledge of organ tissue and body donation and those who did not (p < 0.001).
    CONCLUSIONS: The findings of our research indicate that knowledge about organ tissue and body donation, as well as the inclination to donate, increased as medical education progressed into clinical practice. Additionally, the level of knowledge among university students on this subject was found to be correlated with whether they had received prior training on the topic. It was observed that there is a need to provide more education for students to understand the importance of organ and body donation.
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  • 文章类型: Journal Article
    最近,一直强调使用供体材料进行解剖学研究,仅限于医疗和相关医疗保健专业人员的领域。鉴于网上有大量准确和不准确的信息,加上COVID-19大流行后对健康的高度关注,人们可能会质疑是否是时候审查谁可以使用捐赠者访问学习解剖学。2019年,布莱顿和苏塞克斯医学院(BSMS)获得了人体组织管理局公共展示许可证,目的是扩大可以使用供体材料教授的人的范围。2020年,BSMS收到了第一个全身捐赠者,并同意公开展示。向通常没有机会在解剖学实验室学习的学生团体提供了12个讲习班。调查回应(回应率为10.9%)强调,尽管担心看到死者体内,95%的人对身体有更多的了解。拍摄了一部纪录片“我的尸体”,关注捐赠者托尼·克鲁斯的罕见癌症。查看150万的数字,相当多的社交媒体评论强调了公众对这部纪录片的兴趣。对数字和社交媒体内容的主题分析强调了对Toni的钦佩和感激,教育的价值,虽然这部纪录片看起来很不舒服,它在提醒观众生活方面有价值,他们的身体,和他们的目的。完全同意的公众展示可以创造机会,促进健康意识的生活选择,并提高对人体的了解。
    Recently, there has been an emphasis on keeping the study of anatomy using donor material confined to the domain of medical and allied healthcare professionals. Given the abundance of both accurate and inaccurate information online, coupled with a heightened focus on health following the COVID-19 pandemic, one may question whether it is time to review who can access learning anatomy using donors. In 2019, Brighton and Sussex Medical School (BSMS) obtained a Human Tissue Authority Public Display license with the aim of broadening the reach of who could be taught using donor material. In 2020, BSMS received its first full-body donor with consent for public display. Twelve workshops were delivered to student groups who do not normally have the opportunity to learn in the anatomy laboratory. Survey responses (10.9% response rate) highlighted that despite being anxious about seeing inside a deceased body, 95% felt more informed about the body. A documentary \"My Dead Body\" was filmed, focusing on the rare cancer of the donor Toni Crews. Viewing figures of 1.5 million, and a considerable number of social media comments highlighted the public\'s interest in the documentary. Thematic analysis of digital and social media content highlighted admiration and gratitude for Toni, the value of education, and that while the documentary was uncomfortable to watch, it had value in reminding viewers of life, their bodies, and their purpose. Fully consented public display can create opportunities to promote health-conscious life choices and improve understanding of the human body.
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  • 文章类型: Journal Article
    背景:解剖学教育是临床护理的基本组成部分,但是解剖学课程可能会导致一系列的心理变化,比如死亡焦虑和生命意义感。这样的经历和变化可能会影响学生捐献身体的意愿。没有足够的证据证明解剖学课程是否会带来这些变化,经验背后的原因尚不清楚。关注这些变化对于改善护理领域的解剖学教育和促进护理领域学生的心理健康至关重要。
    目的:探讨死亡焦虑的变化及其根本原因,生活中的意义,以及在解剖学课程之前和之后捐赠尸体的意愿。
    方法:一项解释性序贯解释性混合方法研究。
    方法:共有60名学生完成了定量调查,16名来自定量阶段子样本的学生被纳入定性访谈。所有学生都来自长沙一所综合性大学,湖南省,中国。
    方法:数据收集时间为2022年9月至2023年4月,包括两轮问卷调查和一次访谈。问卷包括社会人口统计数据,死亡焦虑量表(CT-DAS),生命意义量表(MLQ),还有一个遗体捐献意愿的问题.根据研究目标进行访谈。统计方法包括描述性统计,z-tests,和专题分析。
    结果:定量结果显示死亡焦虑情绪维度降低(z=-2.534,P<0.05),遗体捐献意愿增加(z=-3.183,P<0.05)。定性分析揭示了认知体验和价值评估可能与变化有关。基于这两个主题,死亡焦虑在情感维度上的减少可以进一步归因于四个因素:去神秘化,工具化,脱敏,对捐助者的尊重和感激。遗体捐献意愿的提高可以进一步归结为两个方面:遗体捐献知识的增加和对捐献价值的肯定。
    结论:研究发现,学生在情感方面的死亡焦虑减少,在解剖学课程结束后捐献身体的倾向增加,这可能与认知经验和价值评估有关。未来的护理解剖学教育可以更深入地研究这两种观点,并通过丰富的死亡教育活动,如捐赠者纪念仪式,支持学生积极应对死亡焦虑,重新思考身体捐赠。这些结果为设计解剖学课程,提高护生的心理健康和专业能力提供了依据。
    BACKGROUND: Anatomy education is a fundamental part of clinical nursing, but anatomy courses may lead to a range of psychological changes, such as death anxiety and sense of meaning in life. Such experiences and changes may influence student\'s willingness to donate their body. There is insufficient evidence on whether anatomy courses bring about these changes, and the reasons behind experiences are unclear. Focusing on these changes is essential to improve anatomy education in nursing and to promote the mental health of students in the nursing field.
    OBJECTIVE: To explore changes and underlying reasons for death anxiety, sense of meaning in life, and the willingness to donate a body before and after anatomy courses.
    METHODS: An explanatory sequential explanatory mixed-methods study.
    METHODS: A total of 60 students completed quantitative surveys and 16 students from the sub-samples of the quantitative stage were included in the qualitative interviews. All students were from a comprehensive university in Changsha, Hunan Province, China.
    METHODS: Data were collected from September 2022 to April 2023, including two rounds of questionnaire surveys and one interview. The questionnaires included sociodemographic data, the Death Anxiety Scale (CT-DAS), the Meaning of Life Scale (MLQ), and a body donation willingness question. Interviews were conducted based on the research objectives. The statistical methods included descriptive statistics, z-tests, and thematic analysis.
    RESULTS: Quantitative results showed a decrease in emotional dimension of death anxiety (z = -2.534, P < 0.05) and an increase in body donation willingness (z = -3.183, P < 0.05). Qualitative analysis revealed cognitive experience and value assessment may relate to the changes. Based on the two themes, the reduction of death anxiety in emotional dimension can be further attributed to four factors: demystification, instrumentalization, desensitization, and respect and gratitude towards donors. The increase in willingness to donate bodies can be further attributed to two aspects: increase in knowledge of body donation and the affirmation of the value of donation.
    CONCLUSIONS: The study found that students experience a decrease in death anxiety in the emotional dimension and an increased inclination to donate their bodies after anatomy courses, which may be related to cognitive experience and value assessment. Future nursing anatomy education could delve deeper into these two perspectives and support students to positively cope with death anxiety and rethink body donation through enriching death education activities such as donor memorial ceremonies. These results provide a basis for designing anatomy courses and improving the psychological well-being and professional competence of nursing students.
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  • 文章类型: Journal Article
    遗体捐献是医学教育的宝贵资源,研究,临床诊断,和治疗。因此,捐献者在中国的医学院中被尊为“沉默的导师”。本文简要回顾了历史,当前状态,以及在中国推广遗体捐献的策略(不包括香港的数据,澳门,和台湾地区),并讨论了中国遗体捐献工作中遇到的问题。1949年中华人民共和国成立后,中央政府颁布了关于解剖体使用的条例。2001年,《上海市遗体捐献条例》正式实施,成为我国第一部有关遗体捐献的地方性法规。随后,各地出台了有关遗体捐献的地方性法规和规章,以促进遗体捐献的顺利进行。40多年来,我国遗体捐献取得了巨大的发展,由于传统伦理观念的影响,这项部分工作在各个领域的进展不平衡。是的,因此,必须在国家一级立法机构捐赠。提高公众的科学素养,改变传统的丧葬观念,可以为遗体捐献营造积极的社会氛围,从而提高了公众捐赠遗体的意识和意愿。在生命的尽头捐献身体有助于生命科学和医学事业,是一种值得称赞的高尚行为。
    Body donation is a valuable resource in medical education, research, clinical diagnosis, and treatment. Consequently, donors are honored as \"Silent Mentors\" in Chinese medical schools. This article briefly reviews the history, current status, and strategies to promote body donation in China (excluding data from Hong Kong, Macao, and Taiwan regions) and discusses the problems encountered in body donation work in China. After establishing the People\'s Republic of China in 1949, the central government issued regulations on the use of dissected bodies. In 2001, the \"Shanghai Regulations on Body Donation\" were officially implemented and became China\'s first local legislative regulation on body donation. Subsequently, local legislative regulations and rules on body donation were issued in various regions to promote smooth and orderly body donation. There has been tremendous development in body donation in China for more than 40 years; however, the progress of this partial work has been uneven in various areas owing to the influence of traditional ethical concepts. It is, therefore, imperative to legislate body donations at a national level. Raising the public\'s scientific literacy and changing the traditional concept of funerals can create a positive social atmosphere for body donation, thus increasing the public\'s awareness and willingness to donate their bodies. Donating the body at the end of life contributes to life science and medical causes and is a noble act worthy of praise.
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  • 文章类型: Journal Article
    人体解剖是一种古老的教学方法,在现代解剖学课程中仍然具有重要意义。从中世纪时代到现在,用于解剖目的的身体采购过程经历了重大演变,因此,人体捐赠已成为医学教育中人体的主要来源。遗体捐献者的答谢仪式是推广遗体捐献计划的绝佳方式,解剖和鉴赏仪式都有效地灌输医学生的职业行为和利他主义。尽管解剖和这样的仪式有好处,穆斯林学者和学生之间对这些方法的可接受性存在矛盾的想法。因此,这篇文章提供了对人类解剖的神学伊斯兰解释,遗体捐献,来自伊斯兰法律的四个来源——《古兰经》,哈迪斯,Idjmaa,和Qiyas-为穆斯林参与上述活动辩护。重要的是要注意,伊斯兰教的基本原则是服从唯一上帝的意志,真主Subhanahuwata\'ala(SWT)并承认先知穆罕默德(和平在他身上)是上帝最后的使者。因此,穆斯林的行为强烈地基于信仰和美德。
    Human dissection is an ancient pedagogical method that is still relevant in modern anatomy curricula. The body procurement process for dissection purposes has undergone significant evolution from the medieval era until now, whereby body donation has become the main source for human bodies in medical education. The appreciation ceremony for body donors is an excellent way to promote a body donation program, whereby both dissection and appreciation ceremonies are effective in inculcating professional behaviors and altruism among medical students. Despite the benefits of dissection and such ceremonies, conflicting ideas about the acceptability of these methods exist among Muslim scholars and students. Hence, this article provides a theological Islamic interpretation of human dissection, body donation, and appreciation ceremonies from four sources of Islamic law-the Qur\'an, Hadith, Idjmaa, and Qiyas-to justify Muslims\' involvement in the aforementioned. It is important to note that the fundamentals of Islam are submission to the will of the one and only God, Allah Subhanahu wa ta\'ala (SWT) and recognition of Prophet Muhamad (peace be upon him) as the last messenger of God. Therefore, the actions of a Muslim are strongly based on faith and virtue.
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