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Nephron Sparing Surgery in Renal Tumors : A Case Report A 69 yrs old male presented to our OPD with h/o left sided varicocele. A known case of Diabetes, hypertension and bilateral medical renal disease, he underwent MRI abdomen which revealed a large lower pole lesion in left kidney with no renal vein or IVC thrombus. DTPA Scan revealed a 61% function in the affected kidney. Due to his bilateral medical renal disease and poorly functioning contra lateral kidney, he was planned for Nephron Sparing Surgery / partial nephrectomy (L) and DJ Stenting under cold ischaemia. Post op patient initially showed a rise in creatinine levels which gradually settled down to pre operative levels. Before we go into the discussion of partial nephrectomy or nephron sparing surgery (NSS) in RCC, I would like to emphasize on the presenting complaint. Varicocele in the left side is one of the presentation of Left sided kidney mass, which occurs due to the drainage of the gonadal vein into the renal vein on the left side and generally indicates tumor thrombus in the venous system renal/ IVC, however in this case it was because of compression of left gonadal vein by the renal mass. Renal tumors comprise approximately 3.8% of all new cancers with median age at diagnosis of 64 yrs. It is the third most common urological malignancy. The rate of RCC has increased by 1.6% per year for last 10 yrs, the reason of which is unknown. Majority of them are renal cell carcinomas and 80% of them are clear cell variety. Smoking and obesity are high risk factors of RCC. Some genetic diseases are also associated with RCC, like Von Hippel Lindau (VHL) disease. At presentation 25% are locally advanced. More often patient presents with metastatic disease (20%) . Only a few patients present with Virchows Triad - the 'too late triad' ( of hematuria, abdominal pain and flank mass). A CT Scan or MRI of the whole abdomen including pelvis clinches the diagnosis. A NEEDLE BIOPSY IS NOT NE

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Viral gastroenteritis, also known as stomach flu, is an inflammation of the mucous coating of the stomach and intestines caused by certain groups of viruses. They settled in the epithelial cells of the mucosa, where they multiply and cause damage to the normal structure and function. The stomach flu is a highly infectious and very common - every year there are tens of millions. Rotavirus. Rotaviruses are the leading cause of stomach flu in infants and young children. Incubation was continued for 1 to 3 days. Usually, the infection is accompanied by watery diarrhea, vomiting, fever and muscular pain for 3 to 7 days. Rotaviruses can infect and adults in contact with the ailing child. In adults, the stomach flu symptoms less severe. Calicivirus. Cause infections in people of all ages. Noroviruses are the most common calicivirus and the most common cause of stomach flu in adults. Often reaching epidemic. Usually epidemics broke out from October to April, but are possible at any time of year. Typical stomach flu symptoms include nausea, vomiting, abdominal pain, fatigue, headache and muscle aches. The symptoms started 1-2 days after contact with the virus and still 1 to 3 days. Adenoviruses. Mainly infects children under 2 years. There are 49 types of adenoviruses, one of which affects the gastrointestinal tract and causes nausea and diarrhea. The incubation period is 8-10 days and symptoms persist between one and two weeks. Adenoviral infections may occur at any time of year. Astroviruses. Infect mostly infants and children less adults. The symptoms are watery diarrhea and vomiting, continuing for up to one week, and appears after an incubation period of 3-4 days. Symptoms were less severe than Norovirus or rotavirus infections. Astroviruses stomach flu are most common during the winter months.

Top máy lọc nước để gầm bán chạy nhất trong năm 2021 Nội dung bài viết 1. Thông tin chung Bước sang năm 2021 thị trường máy lọc nước trở lên sôi động hơn bao giờ hết. Các hãng và các thương hiệu đua nhau mở các chiến dịch lớn để tiếp cận và chiếm lĩnh thị trường. Trong đó nhiều hãng lớn cũng cho ra mắt các sản phẩm mới trong năm 2010 như Kangaroo, Mutosi, Karofi. Nhu cầu sử dụng máy lọc nước gia đình là rất lớn. Trong đó phải kể đến máy lọc nước thiết kế chuyên để gầm tủ bếp. Thị trường bất động sản, nhà ở kinh doanh nở rộ trong vài năm trở lại đây. Từ nhu cầu thực tế nhà ở từ 40-50 mét vuông . Được thiết kế sẵn tủ bếp để có thể để vừa máy lọc nước bên trong. Giúp tiết kiệm không gian trong gia đình. Sau đây, máy lọc nước Anh Đức xin được giới thiệu tới các bạn top những máy lọc nước để gầm tủ bếp bán chạy nhất năm 2021. Và rất đáng quan tâm 2. Máy lọc nước để gầm 2021 - Aosmith M1 Kể đến đầu tiên là dòng thương hiệu máy lọc nước Aosmith M1. AOSmith là thương hiệu máy lọc nước Mỹ thuộc dòng sản phẩm cao cấp. Đã có hơn 145 năm hình thành và phát triển. Máy lọc nước Aosmith M1 với thiết kế để gầm nhỏ gọn, giá thành cực kỳ hợp lý. Chúng ta cùng điểm qua các ưu điểm nổi bật của sản phẩm này nhé: Tính năng nổi bật của máy lọc nước Aosmith M1: Aosmith-m1 ✔ Giá bán lẻ 7.390.000 VNĐ. Mức giá cực kỳ hợp lý với thương hiệu Mỹ ✔ Kích thước (Rộng x Sâu x Cao) (cm) - 26 x 41x 42. Phù hợp tuyệt đối không gian tủ bếp ✔ Sở hữu 5 cấp lọc mạnh mẽ từ công nghệ

Conclusions/interpretation These results show that the previously demonstrated beneficial effects of these agents on complication-causing pathways in rodent models of diabetic complications also occur in humans with type 1 diabetes. Oral benfotiamine plus alpha-lipoic acid normalises complication-causing pathways in type 1 diabetes. Du X, Edelstein D, Brownlee M. Diabetologia. 2008 Oct;51(10):1930-2. Epub 2008 Jul 29. PMID: 18663426 DOI: 10.1007/s00125-008-1100-2

Vitamin D: importance in the prevention of cancers, type 1 diabetes, heart disease, and osteoporosis.\nHolick MF.\nAm J Clin Nutr. 2004 Mar;79(3):362-71. Review. Erratum in: Am J Clin Nutr. 2004 May;79(5):890.\nPMID: 14985208

Hathcock JN, Shao A, Vieth R, Heaney R. \nRisk assessment for vitamin D.\nAm J Clin Nutr. 2007 Jan;85(1):6-18. Review.\nPMID: 17209171 [PubMed - indexed for MEDLINE]

Zittermann A, Schleithoff SS, Koerfer R. \nVitamin D and vascular calcification.\nCurr Opin Lipidol. 2007 Feb;18(1):41-6. Review.\nPMID: 17218831 [PubMed - indexed for MEDLINE

Pomegranate juice: a heart-healthy fruit juice. Basu A, Penugonda K. Nutr Rev. 2009 Jan;67(1):49-56. PMID: 19146506 DOI: 10.1111/j.1753-4887.2008.00133.x

Wang C, Harris WS, Chung M, Lichtenstein AH, Balk EM, Kupelnick B, Jordan HS, Lau J. \nn-3 Fatty acids from fish or fish-oil supplements, but not \nalpha-linolenic acid, benefit cardiovascular disease outcomes in \nprimary- and secondary-prevention studies: a systematic review. \nAm J Clin Nutr. 2006 Jul;84(1):5-17. Review. \nPMID: 16825676

Use of vitamin D in clinical practice. Cannell JJ, Hollis BW. Altern Med Rev. 2008 Mar;13(1):6-20. PMID: 18377099

Vitamin D's days of obscurity seem pretty much over. Once just an afterthought to most people-relegated to the sides of milk cartons and the pages of medical texts-it's now on the cusp of becoming a full-fledged disease prevention star. Although vitamin D has long been known as an important factor in bone health, a quickly growing body of evidence now shows that it may also help lower the risk of cancer, heart disease, and even premature death.[1], [2] Not surprisingly, scientists and the public have started to take note, particularly of vitamin D's potential to protect against cancer

Review: vitamin D, immunity and lupus. Cutolo M, Otsa K. Lupus. 2008;17(1):6-10. Review. PMID: 18089676 DOI: 10.1177/0961203307085879

Would you believe that the lettuce you are eating in your dinner salad could possibly be a cure for Type 1 diabetes? A diabetic could be swallowing a capsule containing ground up lettuce with insulin for a few weeks and be cured.

Lu Z, Chen TC, Zhang A, Persons KS, Kohn N, Berkowitz R, Martinello S, Holick MF. An evaluation of the vitamin D3 content in fish: Is the vitamin D content adequate to satisfy the dietary requirement for vitamin D? J Steroid Biochem Mol Biol. 2007 Mar;

Inositols prevent and reverse endothelial dysfunction in diabetic rat and rabbit vasculature metabolically and by scavenging superoxide. Nascimento NR, Lessa LM, Kerntopf MR, Sousa CM, Alves RS, Queiroz MG, Price J, Heimark DB, Larner J, Du X, Brownlee M, Gow A, Davis C, Fonteles MC. Proc Natl Acad Sci U S A. 2006 Jan 3;103(1):218-23. Epub 2005 Dec 22. PMID: 16373499 doi: 10.1073/pnas.0509779103