In our Unit, the incidence of significant iatrogenic ureteric injuries has shown a decline over a 5-year period. We attribute this trend to the prophylactic use of "J" stents or ureteric catheter placement and good surgical technique during major abdomino-pelvic surgeries in our hospital. Endourological procedures are the commonest causes of ureteric injuries. Prompt diagnosis and institution of appropriate corrective surgical procedures often result in a very satisfactory outcome in about 94% of cases.
Abstract:Little information is available on the assessment of health impact concerning the Middle Eastern dust storms and PM 10 concentration levels despite the aridity of the region and frequent dust storms occurring in this part of the world. A prospective study was conducted to determine the association between dust particles and morbidity and mortality rates for respiratory and cardiovascular diseases in Kuwait. Spearman and Pearson's correlations were used to identify such associations. Results revealed a significant correlation between dust storms, suspended dust and rising dust (p < 0.01). Correlation between the occurrence of respiratory and cardiovascular diseases and dust storms showed that PM 10 concentrations were significantly correlated with bronchial asthma at the 0.05 level (Pearson r = 0.292). Significant correlations at the 0.01 level were shown between bronchial asthma and both acute lower respiratory tract infection (r = 0.737) and acute upper respiratory tract infection (r = 0.839). Respiratory and cardiovascular mortality rates were both equal to 0.62 per 10,000 persons, each corresponding to 8.7% proportionate mortality rate. This study provides a good evidence of the consistent relationship between dust storm events, PM 10 concentration levels, and respiratory diseases.
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