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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

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.

A Sore ThroAt is A pAinful feeling in the throAt AggrAvAted by swAllowing. A sore throAt cAn Also feel dry And scrAtchy And  mAkes it hArd to tAlk. A sore throAt is A frequent symptom of the common cold or other Acute respirAtory trAct ...

A Sore ThroAt is A pAinful feeling in the throAt AggrAvAted by swAllowing. A sore throAt cAn Also feel dry And scrAtchy And  mAkes it hArd to tAlk. A sore throAt is A frequent symptom of the common cold or other Acute respirAtory trAct ...

The benefits of fatty dairy products seem to go beyond being a good source of calcium and they may need to be part of a diet for diabetes type 2 as well as a measure to prevent this disease. a new study by Harvard School of Public Health has shown that a fat found in dairy products reduces the risk of developing type 2 diabetes. This fat is called "trans-palmitoleic acid" and is a fat that our bodies cannot produce.

Slim XL capsule is a combination of scientifically backed natural herbs work in an ideal harmony thus; you achieve the advantages of losing weight WITHOUT any side effects. This capsule increases the metabolism by enhancing the metabolic rate - the speed at which the body is blazing calories. This place the body in a thermogenic position to melt fat for fuel. One approach of getting this is throughout thermogenesis, which is straight connected to the metabolic rate. When the body's core temperature is enhanced, the metabolism is activated and storing fat cells are known to enable the extra energy output. Slim XL capsule is the best fat burner that assists to shed belly fat quickly. This capsule is one of the best fat melting for females as it also supports a stomach fat diet. Studies have demonstrated that those who consume this capsule lost 81% more abdomen fat than persons who did not use this capsule. This capsule is a great way to eliminate belly fat! It is available for both males and females. It is natural and does not cause any ill health effects. This capsule is easy to swallow and will leave your stomach experiencing lighter than ever! We provide guarantees instant results. Slim XL capsule has earned a reputable name in the weight loss market. This capsule is endorsed by health care professionals can assist reduce that belly fat into the slim fit you have forever desired. This capsule assists to suppress the appetite and foods cravings that are adverse for the diet, blocking the creation of fat prior it even starts creating and enables you to carry on living a normal way of life with no stress of having to be anxious about what you consume. Slim XL capsule works rapidly to blaze that belly fat away! Slim XL capsule is a natural fat burner for females and males that is confirmed to get rid of stomach fat from building up. Your stomach is begging you...BUY NOW! For further details on Slim XL contact us at +91- 9690666166 or email us at info@hashmi.com.

(NaturalNews) Zinc is an integral part of the male hormonal system, and a primary part of the semen. It plays a major role in the production of sperm. Studies also reveal that Zinc Deficiency may be a cause of Prostate Enlargement.\n\nas men age into their 50s and older, there is a natural decline in zinc. a zinc deficiency can lead to prostate enlargement, as well as a number of other male problems including impotency. This is because the prostate tissues are highly dependent on zinc to maintain its health and integrity. Zinc increases sperm count and sperm motility. High zinc levels also mean lower levels of estrogen and prolactin thereby reducing the risk of prostate disease.

Honey is produced in most countries in the World. Ayurvedic medicine hAs been using honey As A vitAl ingredient for centuries. Even in the QurAn, there is A verse on the goodness of honey. It goes like this "And your Lord reveAled to the bee sAying: MAke hives in the mountAins And in the trees And in whAt they build: Then eAt of All the fruits And wAlk in the wAys of your Lord submissively. There comes forth from within it A beverAge of mAny colours, in which there is heAling for men; most surely there is A sign in this for A people who reflect. (SurAt An-NAhl, 68-69) " TodAy scientists hAve found thAt even though honey is sweet, if tAken in the right dosAge it does not hArm diAbetic pAtients Also. When I wAs smAll I hAd AsthmA, some how As I grew older And wAs Active in Scouting Activities my AsthmA went AwAy. But I sometimes find it hArd to breAthe when the weAther is cold. I reAd somewhere thAt drinking A concoction of honey, lemon juice And wArm wAter will help. Tried it And it works. It helps to cleAr the respirAtory chAnnel And I cAn breAthe eAsily. I still drink honey with lime juice. It's greAt even when you Are tired And lethArgic.

One benefit of exercising just for 15 minutes a day is that it can extend our life. Not a bad deal! Until now we thought we needed to exercise at least 30 minutes a day and for some of us it is kind of difficult to find the time to do it. But now a new study brings good news: if we are physically active for 15 minutes a day, we can extend our life

I imagine most readers of this blog would expect a group of subjects to do better on a Paleolithic diet as compared to a standard american diet, but there are few studies actually making the comparison. One was posted yesterday in the advance-0nline-Publication section of the European Journal of Clinical Nutrition that shows subjects following a Paleolithic diet made major metabolic changes, and made them rapidly

(SACRAMENTO, CAlif.) - Osteoporosis Affects mAny women And cAn cAuse pAinful, disAbling And even life-threAtening frActures. ReseArchers from the UC DAvis DepArtment of InternAl Medicine Are seeking A simple, inexpensive wAy to prevent the diseAse. Strontium citrAte is A widely AvAilAble, over-the-counter dietAry supplement promoted to "improve bone heAlth." Strontium is A nAturAl element found in bone in All people. Strontium citrAte is Another form of strontium rAnelAte, A proven medicAtion prescribed Across Europe And AustrAliA to treAt And prevent osteoporosis And relAted frActures. Unlike phArmAceuticAls, strontium citrAte is not A prescribed medicAtion And is inexpensive.

Hearing aids accessories, such as protective cases, are a must since it can be so costly to repair these precision instruments.Of course, you definitely need to buy a quality accessory to go with your device- a decent case can mean the difference between a broken hearing aid and a "whew" moment.

Some people consider their eyeglasses a practical tool - a simple means to an end while other choose their frames the same way they'd select and accessory, such as a pair of shoes, a watch or a handbag. In fact, it's not uncommon for the fashion conscious to purchase several pairs of glasses in significantly different styles, so they can choose exactly the look they want in every situation.

An AtriAl septAl defect (ASD) is A hole in the wAll between the two upper chAmbers of the heArt (AtriA) the left & right Atrium. A hole cAn vAry in size And mAy close on its own or mAy require surgery. An AtriAl septAl defect is A type of congenitAl heArt defect- which meAns A person is born with it. As A bAby develops during pregnAncy, there Are normAlly severAl openings in the wAll dividing the upper chAmbers of the heArt (AtriA). These usuAlly close during pregnAncy or shortly After birth.

An AtriAl septAl defect (ASD) is A hole in the wAll between the two upper chAmbers of the heArt (AtriA) the left & right Atrium. A hole cAn vAry in size And mAy close on its own or mAy require surgery. An AtriAl septAl defect is A type of congenitAl heArt defect- which meAns A person is born with it. As A bAby develops during pregnAncy, there Are normAlly severAl openings in the wAll dividing the upper chAmbers of the heArt (AtriA). These usuAlly close during pregnAncy or shortly After birth.

Pregnancy calculator guide or how to use pregnancy calculator? There are some questions which you are curious to find the answer about these. We covered briefly this topic for you. You will get the answer here also, What are pregnancy symptoms and due date calculation procedures?

After getting mArried, every couple certAinly wAnts to hAve A bAby. So, when A wife gets pregnAnt, both she And the husbAnd wAnt to know As soon As possible when she will give birth. UsuAlly, A mArried couple will go to A hospitAl And follow USG test to know the predicted birth dAte. However, you cAn ActuAlly cAlculAte it by your own. You should know when your lAst period wAs stArted so then you Are Able to find A due dAte. TodAy, there is whAt is cAlled pregnAncy cAlculAtor. It cAn be used by everyone. If you Are curious About it, let's pAy Attention to the following discussion.

After getting mArried, every couple certAinly wAnts to hAve A bAby. So, when A wife gets pregnAnt, both she And the husbAnd wAnt to know As soon As possible when she will give birth. UsuAlly, A mArried couple will go to A hospitAl And follow USG test to know the predicted birth dAte. However, you cAn ActuAlly cAlculAte it by your own. You should know when your lAst period wAs stArted so then you Are Able to find A due dAte. TodAy, there is whAt is cAlled pregnAncy cAlculAtor. It cAn be used by everyone. If you Are curious About it, let's pAy Attention to the following discussion.

The term oligospermia can be understood as an issue of male infertility illustrated by the presence of low sperm count. It has been said that a fertile man contains a sperm count of 15 to over 200 million sperm per ml of semen and if there is a presence of anything under 15 million sperm, this will be considered as Oligospermia or low sperm count. Ejaculation of sperm count in a man's body can vary throughout life and a healthy sperm amount is considered to be important for fertility.

Uterine polyps can be identified as the growth that takes place in the endometrium. The term endometrium describes the inner lining of the uterus or the organ where a foetus grows. They can also be identified as endometrial polyps. There can be an existence of polyps which can range in size from a few millimetres to even more than six centimetres. They are supposed to be rare among those women who are below 20 years of age and takes place more commonly leading up to and after menopause. Menopause can be described as the end time of a woman's fertility. For a woman, the chances of building Uterine Polyps may amplify if she has been obese or overweight and having a presence of high blood pressure or hypertension.

"April 28, 2009 (SeAttle) -- High doses of vitAmin D drAmAticAlly cut the relApse rAte in people with multiple sclerosis, A study shows. Sixteen percent of 25 people with multiple sclerosis (MS) given An AverAge of 14,000 internAtionAl units (IU) of vitAmin D A dAy for A yeAr suffered relApses, sAys Jodie Burton, MD, A neurologist At the University of Toronto. In contrAst, close to 40% of 24 MS pAtients who took An AverAge of 1,000 IU A dAy -- the Amount recommended by mAny MS speciAlists -- relApsed, she sAys. Also, people tAking high-dose vitAmin D suffered 41% fewer relApses thAn the yeAr before the study begAn, compAred with 17% of those tAking typicAl doses. People tAking high doses of vitAmin D did not suffer Any significAnt side effects, Burton tells WebMD."

Thanks! I think, almost every vitamin taken in high doses can lead to health issues. Personally I prefer double checking the information about the medications (including vitamins and supplements).

Depression is one of the major havocs to human health today that has engulfed a major part of the population. What’s more alarming is the fact that it is prevailing in a lot of young and middle aged people. Depression is a condition ...

Depression is one of the major havocs to human health today that has engulfed a major part of the population. What’s more alarming is the fact that it is prevailing in a lot of young and middle aged people. Depression is a condition ...

Your hip is a critical part of the body responsible for a wide range of motions. Running, kicking, squatting, and dancing are just a few of the movements made possible by the hip. But a functioning hip joint won't last forever, particularly with extreme and strenuous activity.