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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

A Track Your Plaque member brough the following webcast to our attention: Prospects for Vitamin D Nutrition\nwhich can be found at http://tinyurl.com/f93vl (The above link no longer seems to work, use http://wildhorse.insinc.com/directms13oct2005/ instead) Despite the painfully dull title, the webcast is the best summary of data on the health benefits on vitamin D that I've seen. The presenter is Dr. Reinhold Vieth, who is among the handful of worldwide authorities on vitamin D. In 1999, Dr. Vieth authored the first review to concisely and persuasively argue that vitamin D nutrition was woefully neglected and that its potential for health was enormous.

A Lecture by Reinhold Vieth, Professor, Departments of Nutritional Sciences and Laboratory Medicine and Pathobiology, Mount Sinai Hospital. Presentation Date: Friday, October 21, 2005 (works in Internet Explorer, but not properly in Firefox (slides don't change in Firefox)).

YouTube - Vitamin D and Cancer Prevention. A presentation by Dr. Cedric Garland.

Vitamin D and Prevention of Chronic Diseases. A presentation by professor Michael F. Holick

Children are God's gift and we are troubled most when they are ill at ease. The parents of a little boy all of 23 months were faced with a huge problem which would affect his future life. The testicles were not present - meaning the scrotum was empty.

Children are God's gift and we are troubled most when they are ill at ease. The parents of a little boy all of 23 months were faced with a huge problem which would affect his future life. The testicles were not present - meaning the scrotum was empty.

HIV is most certainly still a significant health problem in most of the developed world including Australia. Prostitution, sex tourism and emigration from lesser developed countries presents a risk of infection to the Australian population.

Cellulitis is an skin and any underlying tissue infection characterized with redness,warmth, swelling and pain to touch of affected area.This type of disease can appear anywhere on the body and is usually present where the bacteria first was able to enter the body,either by way of a cut, scratch or something similar.Disrupted areas of skin,such as where you've had recent surgery,cuts,puncture wounds,an ulcer,athlete's foot or dermatitis,serve as the most likely areas for bacteria to enter. 

ScienceDaily (Feb. 10, 2009) - UGR News Researchers of the Catalonian Institute of Oncology (Spain) and the University of Granada (Spain) have discovered that extra virgin olive oil may help to combat breast cancer, according to a paper published in a recent issue of 'BMC Cancer'. The scientists have confirmed the bioactivity of polyphenols (this is, natural antioxidants) present in olive oil in breast cancer cell lines.

In today's fast paced world, we sometimes do not eat a proper diet all of the time. Even celebrity Chef's like Jamie Oliver is highlighting this issue. He is presently going round to schools and towns trying to teach people how to cook healthy food. On one of his shows on Discovery Channel, he was at this town that had this one parent whose three year old child has never had a nutritious home cooked meal. On a Bill Cosby's Show "Kids Say The Darndest Things", when he asked a kid who cooks his meals at home the kid answers "Pizza Hut". Sad but true. Nowadays since both parents are working to make ends meet, they often resort to fast food to fill their family's tummies. Same goes with us, to keep up with the rat race we just pop whatever we can get into our tummies. So in order to acquire sufficient vitamins to help your body overcome nutritional deficiencies to function properly, you should compensate with natural vitamin supplements. Vitamins are organic components in food that are needed in very small amounts for growth and for maintaining good health. Growing up as a skinny kid, my parents made sure I had my Vitamin Supplements. They tried everything to get some flesh on this bag of bones. Then a doctor told them not too worries as long as I'm a healthy kid. I still took multivitamins. Nowadays I take a herbal supplement called spirulina. So far I have found Spirulina to be good for me; it helps to keep my toxins in my body to a minimum. I don't feel very tired in the morning.

"SCIENTISTS have shown that a new class of cancer drugs called PARP inhibitors, currently being tested in clinical trials to treat breast and ovarian cancer could have dramatic results when used to treat other solid tumours, according to work presented at the NCRI Cancer Conference today. "

"In 1995 my son received the devastating diagnosis of MS. Having been a research scientist for 30 years, I decided to plunge into the scientific literature for MS to determine the most likely factors which cause MS and to use this information to develop an effective therapy for my son. Notably, many people are having great success in halting or greatly slowing MS with nutritional strategies; many Testimonials are available. I am most pleased to report that my son remains in excellent health with no MS symptoms. I discovered abundant scientific evidence that indicates that various nutritional factors potentially play major roles in the onset and progression of MS. Strangely, this information was not being made available to persons with MS by doctors nor by established MS charities."

(Ulcerativecolitiscure.com) presents Ulcerin Compound 1 & Ulcerin Compound 2 capsules for Ulcerative colitis disease. It's really 100% effective and pure ayurveda based capsules without any side effects at affordable budget. Get more info about our capsules by call us at: 9910672020 or visit our website.

We present the 4 main happy hormones and neurotransmitters chemicals of happiness and the natural ways to stimulate them day by day.

SLE or Lupus is an autoimmune disease that causes inflammation of the organs and swelling of the joints. It has vast effects on the renal, skeletal, gastrointestinal and blood systems. It affects mostly people of Chinese and African origin and presents in a capricious and unpredictable manner.

10 May Is Lupus Day We Must Know About Lupus

Alpha-lipoic acid is a more suitable supplement for marathon athletes who want to lose weight than for bodybuilders and strength athletes, according to an animal study conducted by China's agricultural university. Most of the alpha-lipoic acid present in our organisms was produced by our own cells. We only get a minimal amount from the food we eat. The best source are organs with a high metabolic ratio, such as the kidneys, heart and liver.