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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

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.

"Dr. Jodie Burton is the acting principal investigator (PI) of the dose-escalation trial of oral vitamin D3 with calcium supplementation in patients with multiple sclerosis with Dr. O'Connor. She started the trial as his fellow, while doing an additional 2 years of training in MS specifically after she received her neurology certification. She completed her fellowship training in 2007. Now she is staff doing clinical research and continuing with the vitamin D trial. As of August 2009, she will be Assistant Professor in Neurology in the Department of Clinical Neuroscience in Calgary and at the University of Calgary. She will be part of the MS team there with Dr. Luanne Metz and the MS group. Please scroll down for an abstract of the trial: A Phase I/II dose-escalation trial of oral vitamin D3 with calcium supplementation in patients with multiple sclerosis." Conclusions: High-dose VD3 (~10 000 IU/day, possibly higher) in MS is safe and tolerable, with evidence of clinical improvement.

"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).

Mice injected with cancer cells experienced significantly elevated levels of C-reactive protein, white blood cells, and lipid peroxidation compared with control mice. These levels were reduced in animals that received cisplatin and/or DHA. While treatment with 125 mg/kg DHA inhibited tumor growth by 38 percent compared to untreated animals, 250 mg/kg suppressed tumor growth by 79 percent, which was a greater effect than that of cisplatin alone (which was associated with a 55 percent reduction). The combination of DHA and cisplatin resulted in an 81 percent inhibition of growth, while reducing elevated white blood cell levels (leukocytosis) to normal levels. Treatment with the higher dose of DHA alone was associated with a similar reduction in white blood cells, which, when elevated, are associated with tumor growth. A strong relationship was observed between tumor growth and white blood cell levels as well as C-reactive protein levels. In another experiment with rats treated with cisplatin, the addition of 250 mg/kg DHA prevented lethal kidney toxicity in 88 percent of the animals that received it, while none of the rats that received cisplatin alone survived.

Not enough vitamin D: health consequences for Canadians. Schwalfenberg G. Can Fam Physician. 2007 May;53(5):841-54. Review PMID: 17872747 Conclusion Low levels of VTD are considered a major public health problem in Canada, especially during the winter. Those with risk factors should be screened for low 25(OH)D levels and repletion therapy instituted if needed. Researchers have estimated that the oral dose of vitamin D3 to attain and maintain 25(OH)D levels >80 nmol/L is 2200 IU/d if baseline levels are 20 to 40 nmol/L, 1800 IU/d if levels are 40 to 60 nmol/L, and 1160 IU/d if levels are between 60 and 80 nmol/L.64 We need to ensure that patients have healthy blood levels of 25(OH)D to prevent levels of parathyroid hormone from rising and to maximize absorption of calcium, magnesium, and phosphate. Positive effects on bone are marginal at best unless patients consume at least 800 IU/d of VTD. The emerging and exciting role of the VTD receptor and the actions of VTD in maintaining health in other cell types have become more apparent during the last decade.

In the preceding few days hundreds of people in Soho had died from the ravages of cholera, one of the most devastating and least understood diseases of the age. The yellow flags were a traditional plague warning, the lime chloride a desperate attempt at disinfection. Having made an effort to arrest the disease, most of Soho's terrified inhabitants had fled. Local hospitals were over flowing with the dying. At the height of the epidemic, 143 deaths were recorded in a single day. Corpses were so numerous; they were unceremoniously piled on carts and taken away for burial.

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.

Working in the food industry, we tend to come across different food that we have never seen or eaten. Coming from the city I have heard of only a few types of ulam- ulaman. While working in the East Coast for a few years, I have found that there are lots of different things that can be used as ulam. And talking to some elderly people especially in my wife's village of Kampung Cheh, Kuala Kangsar, I have also found out that there are health benefits in eating ulam. That is why we see the people from the village are much more lively and healthier than some of us even the old there. Below are some of my findings. I will add more as I come across more ulam in my travels. What is Ulam? Ulam is a type of vegetable dish that is consumed fresh and raw. It is eaten with rice and other dishes as an appetizer to whet the appetite. As it is eaten raw and fresh, ulam-ulaman is high in vitamin and minerals. It has also anti bacterial and anti oxidant properties.

The flu is a disease, accompanied mankind for centuries, but it remains a serious medical and social problem in our days. The flu can be manifested in the form of pandemics, epidemics, local outbreaks and isolated cases. Worst flu epidemics caused by type A influenza virus.The flu epidemics occur almost every year. The main factors that determine the risk of disease are: level then its predecessor specific immunity and age of infected them - the final ages are extremely susceptible to infection. Complications of influenza are mainly from the lungs, and less of the nervous system. They are more common in patients of advanced age.

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

(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.

Breast cancer result from abnormal, uncontrollable replication of cells of the breast. one of the most common malignancies affecting women. Signs of breast cancer may include a lump in the breast, a change in breast shape, dimpling of the skin.

Vitamin K has been known as the coagulation vitamin, because of its role in the blood-clotting process. However, research over the last few decades has shown that the role of K Vitamins - and natural Vitamin K2, the menaquinones, in particular - has been greatly expanded. of note, K Vitamins activity outside the liver is required for calcium utilization, the key factor in maintaining both bone and cardiovascular health.\n\nVitamin K2 helps to activate vitamin K-dependent proteins responsible for healthy tissues. In bone, it activates osteocalcin, a protein required to bind calcium to the mineral matrix, thus strengthening the skeleton. In circulation, Vitamin K2 participates in carboxylation of Matrix Gla Protein (MGP), the most potent inhibitor of arterial calcification known, lowering the risk of vascular damage.

The prostate is the gland below a man's bladder that produces fluid for semen. Prostate cancer is the third most common cause of death from cancer in men of all ages. It is rare in men younger than 40. Levels of a substance called prostate specific antigen (PSA) is often high in men with prostate cancer. However, PSA can also be high with other prostate conditions. Since the PSA test became common, most prostate cancers are found before they cause symptoms. Symptoms of prostate cancer may include Problems passing urine, such as pain, difficulty starting or stopping the stream, or dribbling Low back pain Pain with ejaculation Prostate cancer treatment often depends on the stage of the cancer. How fast the cancer grows and how different it is from surrounding tissue helps determine the stage. Treatment may include surgery, radiation therapy, chemotherapy or control of hormones that affect the cancer.

With that innocent act, Viccars unleashed upon his community the most feared disease of the age. The package had come from London, where bubonic plague had been raging for months, and the cloth harbored fleas that carried the disease…By the end of September, five more people in the neighborhood had died, and in the first there days of October there were four more deaths. At the end of the month the toll had reached 23. The plague had come to the remote village of Eyam.

"This website is about Vitamin D and MS Multiple sclerosis (MS) is a chronic disease of the central nervous system (CNS), with an uncertain cause. Colleen Hayes and Donald Achaeson have suggested that insufficient sunlight exposure and chronic viral infections might be unrelated environmental risk factors for MS. These risk factors may act synergistically to enable the pathogenic autoimmune response. The prevalence of MS is highest where environmental supplies of vitamin D are lowest. Sunshine enables the production of vitamin D3 (VD3) in the skin. Epidemiological studies have shown that higher vitamin D blood levels are associated with lower risk, less relapses and a slower progression of multiple sclerosis. Higher vitamin D levels can be achieved in part by increased oral intake of VD3. Optimal health requires serum 25 hydroxyvitamin D levels higher than 20 ng/ml (50 nmol/L) P Lips, 40 ng/ml (100 nmol/L) P Heaney or at least 40 ng/ml (100 nmol/L) R Vieth. "

We all are creations of God. God has blessed each one of us with unique qualities & features. Out of all the creations of God, Women is considered to be the most beautiful creation for the very fact that only a women have the quality to give birth to another being. Blessed with such a unique quality, fortunate are those who have the ability to give birth naturally. The process of giving birth to an offspring is influenced by many factors such as the health of the women, hormones, etc. There comes a stage in every woman's life after which she loses the ability to bear children.

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.