غزل۔۔۔ڈاکٹرالیاس عاجز
مری آہ و فُغاں سُن کر خفا دربار ہیں مُجھ پر
مَیں باغی ہوں مگر پہلے بغاوت کا سبب جانو
اِدھر بے زار ہوں مَیں حاشیہ بردار ٹولے سے
اگر حکمِ اطاعت ہے تو پھر یہ یاد رکھ لینا
سُبُک سر لوگ بستی کے مرا اب خوں بہاٸیں گے
اسیری میں حُرِیَّت کی فضا میں خود بناٶں گا
مَیں بیعت کر تو سکتا ہوں مگر پھر جھوٹ پر مبنی
مرے لفظوں میں رنج و غم سمٹ آتا ہے اُمَّت کا
نہ سمجھو کھیل لفظوں کا یہ دل کو چیر نکلے ہیں
یہ لکھتے اُن کی جانب سے کٸی اخبار ہیں مُجھ پر
وگرنہ ہتھکنڈے اوچھے سبھی بے کار ہیں مجھ پر
اُدھر ظِلِّ اِلٰہی بھی بڑے قہار ہیں مُجھ پر
حُسینی ہوں کٸی واجب ابھی انکار ہیں مجھ پر
کہ کھینچے شش جِہَت سے تیر اور تلوار ہیں مجھ پر
فلک تک پھر اُٹھاٸے جو دَر و دیوار ہیں مُجھ پر
قصیدے شاہ کے لکھنا بڑے دُشوار ہیں مجھ پر
کہ ماضی حال و مستقبل سبھی بیدار ہیں مجھ پر
وَرُودِ جسم و جاں عاجز جو بھی اشعار ہیں مجھ پر
لسانیات اورمعاشرتی روابط Language is fundamental to any society. It is through language that we can communicate our thoughts to others. The more a language is used, the more it will develop. There are many types of languages including mother tongue, regional language, religious language, official language, business language, national language, international language and so on. When speaking, language and ascent are not taken into consideration, but there is a need to be careful while writing. People who cannot speak a language use specific gestures or symbols to convey their point of view to others. Therefore, we can say that the use of language began as soon as man came into this world.
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