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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

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.

"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.

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With the increasing stress environment infertility has been steadily increasing in Gurgaon. in a recent survey 15 out of every 100 couples in urban india are opting for Alternate Reproductive Procedure (ARP). However choosing the right IVF Specialist can be a daunting task for the couples. Generally it is seen that Gurgaon couples start consulting for gynaecologists in South Delhi as south delhi has better quality of gynae doctors and facility. However it should be kept in mind that IVF is a complex and lengthy process so one should go for experts in IVF and not general gynaecologist and that too in Gurgaon. https://explorehealthnews.blogspot.com/2017/07/how-to-choose-right-ivf-specialist.html

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Kanker is zonder twijfel de meest dodelijke ziekte, zéker in de geïndustrialiseerde wereld. Valt de diagnose, dan worden we met het onvermijdelijke geconfronteerd en stort letterlijk onze wereld in. Er werden al wel heel wat therapieën ontwikkeld die de kankerpatiënt langer en in meer comfortabele omstandigheden doet leven. Een écht doeltreffend geneesmiddel tegen de gevreesde ziekte werd vooralsnog niet gevonden. Volgens sommigen ligt de oplossing nochtans voor het grijzen. Voedsel rijk aan vitamine B 17 is volgens velen in staat kankercellen te doden. Vitamine B 17 komt in heel wat voedingsstoffen voor en wordt niet voor niets de natuurlijke chemokuur genoemd. Wat is deze wondervitamine B 17 dan wel, en wat doet ze in ons lichaam?

March 13, 2009 -- Whether you drive, take the bus, or bicycle, being in heavy traffic triples your risk of heart attack within one hour. Air pollution from car fumes is the likely culprit, suggest Annette Peters, PhD, and colleagues at the institute of Epidemiology, Helmholtz Center, Munich, Germany. in a previous study, Peters and colleagues found that a sizeable proportion of heart attacks -- about 8% -- could be attributed to being in traffic. To follow up, the researchers interviewed 1,454 people who survived heart attacks. in the hour before their heart attack, many of the survivors had been in heavy traffic. Analysis of the data showed that these heart-attack-vulnerable people were 3.2 times more likely to suffer a heart attack if they'd been in heavy traffic in the previous hour.

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