آلودہ پانی کی مروجہ تحلیل و تطہیر کا سائنسی و شرعی جائزہ

Water symbolizes life on the earth. All kinds of existence depend on water. Allah has created great reservoirs of water on this earth which cater to the needs of all living beings, but human negligence is making these resources polluted. Pollution not only poses threats to human life, it also endangers marine life and resources. These threats have been increased manifold by industrial revolution and increasing human population. The same factors are also responsible for the increased use of water. Many countries have employed distillation processes to provide clean water for the increasing demands of population, agriculture and industries. Islamic jurisprudence also takes into account different types of water, some of which can be used in cleansing rituals for worship, while some cannot be used. The question arises whether the purified water by scientific process will be "Ṭahir & Muṭṭahir" and can be used for ablution and other Islamic rituals? Will Islamic Jurist accept it as "Istiḥalah"? The following study will outline the details of distilled water to see whether it can be used for daily chores and ablution rituals or not.

Evaluation of Pyeloplasty Among Children With Pelvouretric Junction Stenosis at French Medical Institute for Mothers and Children, Kabul, Afghanistan

Introduction: PUJO is one the most common pathology in paediatric urology. It is the most common cause of Hydronephrosis that may progress to irreversible damage to the kidney if not resolved. Aim: The study is to evaluate outcome of pyeloplasty and find out the association of demographic characteristics and clinical factor on outcome of pyeloplasty among children at FMIC, Kabul, Afghanistan. Methodology: A hospital based retrospective Case Series study design was conducted at French Medical Institute for Mothers and Children, Kabul, Afghanistan. Records of 150 participants who were admitted at surgery department under diagnosis of UPJO reviewed from first January, 2010 till last December 2015, among them 110 patients based on inclusion and exclusion criteria enrolled in the study. Chi square, one way ANOVA and paired t- test were run to determine the association of factors with outcome of Pyeloplasty. Results: Our study findings have identified that among 110 patients, 90 (88.1%) were males. Most of patients had problem on left side 79 (71.8%), right kidney in 23 (20.9%) and bilateral involvement in 8 (7.3%), all except one who diagnosed prenatally were diagnosed in postnatal period. The diagnostic tools used in this study were US and IVU. The most common complaints reported were flank pain 45.5%. Around 9 (8%) of patients had associated anomaly; most common obstructive cause were narrow ureter 86 (78.1%). Urinary tract infection was identified in 13 (11.8) patients. Hydronephrosis grading was according SFU grading system as Grade 1 (1) grade 2 (13) Grade 3 (58) and grade 4 (44) patients. Out of 110 patients, 90 had undergone Pyeloplasty procedure, while 20 patients with complete destroyed kidney had undergone nephrectomy. Patients were divided into two groups (< 2 years and > 2 years) according to their age. The follow up modality were US parameters (anteroposterior diameter of pelvis and percentage of improvement in pelvis diameter. PI more than 15 was considered as successful outcome. The overall success rate of Pyeloplasty procedure was 82%. This study revealed the factors that affect the outcome of Pyeloplasty included: degree of hydronephrosis before operation and presence or absence of UTI. Conclusion: UPJO is one of the most common pathology in paediatric urology; in chronic case, it may progress to irreversible damage of kidneys, Aarly operation causes better outcome, as this study finds out, it improves the renal function, which approved this finding by improved in creatinine clearance level. Perusing international literature