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The heart of the matter

Heart doctor Michael Henein steps back to consider the unseen and unique wonders of the human body’s design.

Professor Michael Henein is a consultant cardiologist, and a Professor of Cardiology at Umea University, Sweden.

A model of a human heart on a short stand.
Photo by Jesse Orrico on Unsplash.

Shakespeare famously asked:

“What a piece of work is a man, how noble in reason, how
infinite in faculties, in form and moving how express and admirable, in action how like an angel, in apprehension how like a god! the beauty of the world, the paragon of animals—and yet, to me, what is this quintessence of dust?

Humans may be complex, capable of great heroism and deep depravity, yet it is worth stopping for a moment to look at the human body and mind to marvel in what we have become, and how we are made.

The visible design of the human body points out common features shared along with other members of the animal kingdom. Examples of these features are: two eyes, two ears, two nostrils, one mouth and four limbs, attached to a body and head. Detailed study of different seen parts of the body may, however, show some differences. For example, the presence of fingers and nails, hair distribution as well as a developed tail. While most members of the animal kingdom have teeth and a tongue, those two could also vary in their number and size, respectively, according to different species. Genetic investigations have shown that we humans share 99 % of our genes with animals, suggesting that our “earthly” component shares a common origin. Indeed, the twenty first century scientific findings match what is written in the Genesis story of creation, a story written over 3,500 years ago, well before genetic sciences came to light.

Creatures great and small

As for morphological differences between animal species, it is difficult to naively conclude why some are wild while others are man-friendly-even if the wild ones have different shapes, design, dietary habits, body size and life span.  Other important observed features of the members of the animal kingdom are that they are all born, they all age, then ultimately die.

If we are to look at the unseen features of the members of the animal kingdom, we can again identify similarities. For example, all have a gastrointestinal tract, a cardiovascular system, a reproductive system, a respiratory system, a urinary system and much more. While these systems may differ slightly between species, the overall structure and function achieve similar purposes.  For example, heart speed is faster in small animals like rats compared to big ones like elephants who have very slow hearts. Likewise, the respiratory system and the number of respiratory cycles per minute are significantly faster in running animals compared to the sedentary and slowly moving ones. Finally, the number of offspring also differs in different species, being just one at a time in big animals like elephants and horses, and many offspring in small animals like rabbits and mice. Such paradox between the number of offspring and animal size makes you think of the important determining role of the activity of those animals.

Unseen wonders

Now to turn to the rest of the animal kingdom and the unseen features of the human body. To start, let us look at the amazing functions of the human brain and its various functions. When humanity is sometimes described as the crown of creation, such a description is based on the superiority of human brain function and skills. Its sophisticated structure and how vital centres are created deep in the skull, to be protected from traumas, make you marvel. Also, the brain controls the different functions of the whole body, with its sensory and motor activities, various vital system functions including the lungs and the heart, all endocrine glands’ function, in addition to various receptors and centres that allow utmost precision and accuracy in everything we do. An example of this kind of precision is a doctor feeling a vein or an artery with the tip of a finger to insert a needle or a musician moving a finger a few millimetres while playing a violin, to produce the exact sound needed. Furthermore, the integrated function of human muscles, nerves and spinal cord is also amazing, let alone the synapsis between the nerve endings and muscle bundles, the chemicals secreted in them which allow electric stimulus transmission from the nervous system to achieve the motor function and desired movement.

The human brain also has the unique feature of storing knowledge. Of course, we should not ignore the importance of the training and programming ability of human brain. We learn how to drive a car, how to play games, how to study, how to operate safely on a sick patient.  Such acquired skills are quite limited in other members of the animal kingdom. Moreover, the human brain has the unique ability to invent, discover, improve and correct errors it identifies.

Another very unique feature of human brain is its ability to conduct speech, a feature of humans that is under-developed in other members of the animal kingdom. While most animals can make noise and sounds, only humans can articulate words, sentences and even sing very complex songs. This unique ability seems to be the underlying mechanism behind the development of languages which are based on the human ability to talk and transmit information and knowledge by words and phrases.

The unseen brain has allowed human life to develop over time, building skills and achievements from generation to generation. Millennia ago, humans lived in huts together with animals, and now they build houses and palaces to live in. Centuries ago, we used donkeys, horses and camels to travel but now we use cars, trains, ships and airplanes. Our ancestors burned wood and coal to cook and to warm but now we use electricity to do these.

When we look carefully at the unseen parts of the human body, we also realize that we cannot alter any of it, despite the scientific advances made over the years. We can understand what harms our body and take measures to avoid it. Out of the ability of our brain to discover and invent, we have now produced science-based means for curing various diseases. Consider how we can replace a dysfunctional heart valve or a mobility-limiting joint. These inventions have resulted in a better quality of life, alleviating of symptoms, even helping to avoid early death, in some cases such as heart disease and cancer. 

The heart of the matter

Another unseen source of life in humans is the heart. This fist-size organ is so complex in its structure and function. Recent scientific advances have enabled us to study heart function in milliseconds, hence the development of pacemaker treatments. They have also allowed clear imaging of the inside of the heart and the identification of pathologies, developments that guide practitioners to the optimum treatment of heart conditions. Recent discoveries have also allowed us to better understand how people develop coronary artery disease and how the pathology starts at the innermost layer of the arteries, particularly in individuals carrying significant risks for atherosclerosis including, smoking, high blood pressure, diabetes, high cholesterol and obesity. Amazingly, obesity has been shown to be the strongest underlying cause of other risk factors, hypertension, diabetes and hypercholesterolemia. So, nature cannot be blamed in many of these patients but our own patterns of behaviour. Science has shown that walking at least 5,000 steps each day, complying with the design of our body, reduces the likelihood of developing coronary artery disease by 15 per cent.

The unseen physiology of the rest of our body systems and the interaction between systems make us wonder how we are made.  A rise of our body temperature by one degree due to a bug infection affects all body systems from the brain to the heart. A virus which cannot be seen by the most powerful microscope can destroy our lungs and cause premature death, as was the case with COVID-19 and others.

Finally, human inventions in the form of powerful microscopes have allowed scientists to study the human cell, which is the smallest living component of our body.  Such small cells cannot be replicated in any factory in the twenty-first century, despite the vast scientific developments that surround us. You'll be surprised to learn how complicated and meticulously fine-tuned a human cell is and also how it functions, connects with other cells and other parts of the body. An example of this is the interaction between body minerals, calcium, sodium and potassium with heart and muscle individual cells. Such a function is critically controlled by many factors such as time, electric stimulation and pressure differences producing remarkably harmonious contractions and relaxation of the muscles without missing a beat.

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Freedom of Belief
5 min read

Iran: defender of minorities?

Making such claims is part of a carefully managed facade.

Steve is news director of Article 18, a human rights organisation documenting Christian persecution in Iran.

A toddler is held by her father while he stands next to her mother.
Lydia and her adoptive family.

It might surprise you to learn that the Islamic Republic of Iran likes to present itself as a defender of minorities. 

It’s certainly not the sort of title you might associate with a country with such a grim human-rights record, amounting to “crimes against humanity” according to the findings of an independent fact-finding mission. 

But akin to the template of the Russians and other rogue regimes, Iran knows well that when it comes to the international arena, appearances can often take the spotlight away from ghastly realities. 

And so, when the fact-finding mission releases a report, as it did last week, outlining violations against minorities with the title They have dehumanised us, while it may achieve little in terms of change on the ground, it has the potential to at least damage the Islamic Republic’s carefully managed facade on the international stage. 

In the five years I’ve been working for Iranian Christian charity Article18, I've grown extremely familiar with the way in which the Islamic Republic brings representatives of its recognised religious minorities - Jews, Christians, and Zoroastrians - to the United Nations in an attempt to prove its inter-religious tolerance.  

The latest example of this was in October, when the Armenian MP - one of five minority representatives in the Iranian parliament (as the Islamic Republic likes to remind us) - was rolled out before the UN Human Rights Committee to list the number of churches, synagogues and temples in Iran. 

The point? That if there are so many places where minorities can worship - for the record, he referenced 380 churches, 16 synagogues and 78 temples - then how can anyone claim minorities are persecuted? 

What the MP failed to mention was that those 380 churches, for example, are only open to those considered to have been born as Christians, which in Iran means Armenians or Assyrians.  

Meanwhile, the door remains firmly closed to anyone who may wish to convert to Christianity or even simply visit a church to find out more. 

Article 18 enshrines the freedoms to change one's faith and to share it with others. Both are denied to Iranians of all faiths and none. 

This hasn’t always been the case. There were once a large and growing number of churches that welcomed converts, but over the past 15 years they were either forced to close or to change the language in which they operate. These days, churches can only preach in Assyrian or Armenian.  

Last year marked the 10th anniversary of the forced closure of the largest Persian-speaking church in Iran, the Central Assemblies of God Church in Tehran, whose popularity ended up being its death knell. 

Just four Persian-speaking churches remain in the whole of Iran, all Anglican, and these can only welcome those who can prove they were Christian before the establishment of the Islamic Republic in 1979. They are not allowed to admit new members, and even these have not been permitted to reopen since their forced closure during the Covid-19 pandemic. 

So, while churches in the West are often derided for their ageing populations, for Iran’s last remaining Persian-language churches, that future is entirely inevitable. 

And while the Armenian MP talks about Iran’s hundreds of churches, he fails to mention that converts have nowhere to worship, as was highlighted in our #Place2Worship campaign, which was inspired by an open letter written by three converts serving long prison sentences for their membership of house-churches.  

The three wanted to know where they might worship, free from the fear of being re-arrested. 

Because that is why Christians are imprisoned in Iran - simply for meeting together in what we in the West call “house groups”, and what in Iran are known as “house-churches”, or, in the words of the Iranian authorities, “enemy groups”

But it isn't only the converts who suffer. Armenians and Assyrians have themselves received long prison sentences for their decision to share their faith, a right that is enshrined in international covenants that Iran has signed, including Article 18 of the International Covenant on Civil and Political Rights, from which my organisation derives its name.  

Article 18 enshrines the freedoms to change one's faith and to share it with others. Both are denied to Iranians of all faiths and none. 

But they aren't quite so fond of scrutiny, such as a 17,000-word report by a credible international team of experts. 

In this context, I find it both baffling and even slightly amusing whenever I see the Islamic Republic of Iran presenting itself as the defender of minorities.  

Iran’s new president, Masoud Pezeshkian, littered his "election" campaign with references to the “dignity” of Iran’s minorities; it’s common to see propaganda highlighting Iran's alleged defence of Christians in the region against ISIS, for example; and they love to talk about the number of churches and minority MPs that they have. 

But they aren't quite so fond of scrutiny, such as a 17,000-word report by a credible international team of experts.  

According to the experts, minorities in Iran face “ongoing institutionalised discrimination and marginalisation”, the “root causes” or “enablers” of which are the “gross human-rights violations against them”. 

The fact-finding mission highlight the example of a couple whose adopted daughter was ruled should be taken away from them because they had become Christians and she was considered to have been born a Muslim. 

I remember the story of little Lydia very well - certainly one of the most heart-wrenching of my time working with Article18.  

It also produced one of the strongest reactions, with 120 lawyers and activists signing a joint letter to the head of the judiciary at the time - one Ebrahim Raisi - calling for the decision to be overturned. 

It wasn’t. 

And while the Islamic Republic will no doubt seek to laugh or shrug off the “politically motivated” report, as they have countless others, it is to be hoped that at least some who may have been taken in by the regime's propaganda in the past will see reason to think twice the next time around.