Objectives: Gestational diabetes mellitus (GDM) is a current health problem that affects a large number of female population and has deleterious impact on both the mother and the child. The aim of this study is to assess the awareness of GDM among females in the childbearing age in Sharjah community. Study Design: study is a quantitative "cross-sectional" descriptive. The study subjects have been chosen to represent the population, and all the data will be collected over a specifi c period of time (3 weeks). Methods: In this cross-sectional study awareness about GDM in females of general population aged between 18-45 years was assessed. A validated questionnaire was used. Responses were scored from 0-39, a score of 19 indicated awareness. Data was analyzed using Chi-square independent T-test for bivariate analysis, via SPSS 21 software. Results: Four hundred and fi fty women participated in the study, of whom 73.5% were aware of the disease. Married women had a higher level of awareness compared to non-married women (M=14.8, 12.44 respectively,); t (390)=2.46, p = 0.01. Awareness between Emirati and non-Emirati wasn't signifi cant, (M=13.80M=13.01, respectively) ; t (402)=1.00, p = 0.32 , Also a Chi-square test revealed no relationship was found between Age and the level of awareness of GDM , X2 (24, N = 450) = 21.42, p =0.61, as well as no relationship between level of Education obtained and the level of awareness of GDM , X2 (24, N = 450) = 19.92, p =0.70. Although the physicians and healthcare providers were the source of information about GDM in only 19.4% of the sample, they are still the most preferable method to get knowledge about the disease. Conclusion: Although the awareness of GDM as a disease in Sharjah community is high, the depth of knowledge was poor.

This study compared patient outcomes following irrigation applied using an automated pressure system (AP) to hand irrigation utilizing a syringe (HI) during ureteroscopy. Retrospective chart review was performed to evaluate ureteroscopy procedures without a ureteral access sheath. Procedures in which irrigation was applied by AP were compared to those with HI. Statistical analyses included chi-squared tests and Student's t tests. The AP group contained 206 procedures and the HI group, 25. The AP and HI groups were 54.9% and 36% male, respectively. Mean ages were 53.7 ± 18.9 years in the AP group and 44.0 ± 18.5 years in the HI group. Complication rates were 11.2% in the AP and 8.3% in the HI group (P > 0.99). One stone retrieval failure and one stone recurrence occurred in the HI group; one patient had residual stone in the AP group. No urinary tract infections occurred in the HI group; in the AP group, urinary tract infections occurred in 1.9% of cases. The postoperative pain incidence was equivalent (P ¼ 0.498). The AP group had one subcapsular hematoma; no calyceal ruptures occurred in either group. In conclusion, irrigation applied by an automated setup appears safe, with similar outcomes to irrigation applied with a handheld syringe.

objectivesTo examine the safety and effectiveness of the use of a stent with a string attached after ureteroscopy (URS) for self-removal of the stent by the patient.Patients and methodsAfter Institutional Review Board approval, a retrospective chart review was performed concerning patients who underwent URS and received an indwelling stent with or without a string attached to the stent (94 vs 349, respectively). Amongst the string group patients received a single- or a double-arm-stringed stent (31 vs 63, respectively). Statistical analyses included chi-squared and Student’s t-tests.ResultsThe string group consisted of 94 procedures, in which 59.6% of the patients were male with a mean (SD) age of 50.0 (16.5) years. In the no-string group, 51.3% of the 349 procedures were performed in males and the mean (SD) age was 54.9 (18.1) years. Complication rates were 12.8% in the string group and 14.0% in the no-string group (P = 0.867). In the string group, 17.0% of the patients returned to the Emergency Department, whilst 15.8% of the no-string patients returned (P = 0.753). The complication rate in the single- and double-arm groups were 12.9% and 12.7%, respectively (P > 0.910). Self-removal of stents was successful in 94.7% of patients (89/94).ConclusionsThe use of a stent with a string after URS appears safe and effective. Few patients had difficulty removing their stents and complication rates were similar in the groups with and without a string attached to their stents. Single- and double-arm-stringed stents have similar complication rates.

Introduction: Return for unplanned postoperative care is an important quality metric in the United States. Most of our postoperative return visits occur after ureteroscopy. Routine preoperative ureteral stenting is not recommended by the American Urological Association due to its impact on the quality of life, despite its proposed operative advantages. We evaluated the association between preoperative ureteral stenting and the resulting perioperative outcomes in the context of quality measures such as return to the emergency department (ED) and readmission rates. Materials and Methods: After the Institutional Review Board approval, a retrospective review of patients undergoing ureteroscopy from February 2014 to present was conducted. Patient's demographics and perioperative outcomes were compared based on the presence or absence of a ureteral stent before ureteroscopy. Details and rates of nurse calls, returns to the ED, and readmissions within 90 days were also compared. Results: A total of 421 instances of ureteroscopy, 278 prestented ureteroscopy (psURS), and 143 direct ureteroscopy (dURS) were included for analysis. Preoperative demographics were similar. The psURS cohort was more likely to undergo flexible ureteroscopy, utilized an access sheath more often ( P < 0.0001), and had less ureteral dilation ( P < 0.0001). Prestenting did not influence operative time ( P = 0.8534) or stone-free rates ( P = 0.2241). dURS patients were more likely to call the nurse; however, psURS versus dURS yielded no difference in return to the ED or readmission within 90 days. Conclusions: In this study, preoperative stenting offered few operative advantages and did not meaningfully influence returns to the ED and readmissions within 90 days after ureteroscopy.

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