|
(15:38:36)
NoName enters the chatroom. ...
(6:38:35)
NoName enters the chatroom. ...
(23:5:13)
NoName enters the chatroom. ...
(23:5:10)
NoName enters the chatroom. ...
(2:54:37)
NoName enters the chatroom. ...
click here to open the chat window...
There are 0 people chatting right now. |
|
| |
|
|
|
|
| Adverts: What to Expect on Your First Visit to Cosmetic Surgeon? |
|
 Anonymous writes "The following article lists some simple, informative tips that will help you have a better experience with cosmetic plastic surgery. You have taken the first steps to getting cosmetic plastic surgery and it is time to go to your first appointment."
|
|
|
|
|
|
| Adverts: The Top Six Massage Techniques |
|
Anonymous writes "Massage is probably the oldest and simplest existing form of medical care that it has been applied for relaxation, fitness, and other health purposes. Basically, massage therapy is a therapeutic technique that involves manipulation of the soft tissues of the body. It is the calming, therapeutic process of kneading, stroking, and pressing the different areas of the body to alleviate pain, relieve stress and tensions, or relax, stimulate and tone the body.
Well, as what most experts have said, massage, no matter how simple or complex the techniques involved, can really be a great healing system.
A number of massage techniques are available nowadays. The massage is commonly applied in different techniques and in different strokes. The techniques and strokes vary widely from the most delicate touch with the fingertips to the more focused deep tissue work. These techniques may even vary in speed as well as in pressure.
Below is a list of the top rated massage techniques. Read on for one of them might be the right option for you.
Deep Tissue Massage
The deep tissue massage, on the most basic, is a massage technique that focuses on the deeper layers of muscle tissue. It involves a number of slow movements, but generally the pressure is more intense as it aims to release the chronic patterns of tension in the body. The most common target of these movements and deep finger pressure are the contracted areas, either following or going across the muscles of the fiber, fascia and tendons. Usually, in this kind of massage, the therapists use their thumb, fingers and even elbows to apply the needed pressure.
Swedish Massage
Also included in the line of the top rated massage techniques is the so-called Swedish massage. Basically, this technique involves the use of kneading, tapping or calming strokes applied to the entire body to loosen sore joints and relieve muscle tension and pain. Well, what sets Swedish massage unique from the other massage techniques is that it involved five major beneficial strokes: effleurage, petrissage, friction, tapotement, and vibration. Although each of these strokes differ according to their movements and target points, all of them are developed to promote an ultimate feeling of being pampered.
There is one particular purpose that the Swedish massage is strongly holding – to increase the flow of oxygen in the blood and release toxins that were trapped in the muscles. With this purpose alone, the Swedish massage highly works to shorten the recovery time from muscular strain
Sports Massage
Sports massage, as you may know, is a form of massage that is applied for sports purposes, hence the name. It is the technique of kneading and manipulating the soft tissues in the body to help athletes improve their performance, prevent and treat sports injuries. It is highly considered in the field of sports knowing that as the participation in sports becoming more popular at all genders and ages and as performances continue to improve annually, more is expected and demanded from the athletes. It is with this situation that athletes start looking for some effective ways to boost their performances, and sports massage is one of the best solutions they’ve ever discovered.
Heated Stone Massage
Heated stone massage, also known as la stone massage, is widely appreciated and accepted in the healthcare and bodywork industry today. Several clinics, spas, fitness centers, and other healthcare establishments have in fact considered it a very effective alternative to the regular massage therapy.
During the heated stone massage procedure, the therapists and the clients themselves will notice certain changes on the body temperature, including the heart and breathing rates. Heated stone massage is used to indicate such changes to determine the flow of the blood and the exchange of blood and oxygen in the body, allowing a sense of well-being in the end. That’s basically how the heated stone massage works.
Neuromuscular Massage
This is actually a form of deep tissue massage that is applied to the individual muscles. However, the main purpose of the massage techniques involved here is to increase the blood and lymphatic flow, while reducing the pain and release pressure trapped on the nerves. The neuromuscular massage techniques are also considered to release the trigger points which could help relieve headaches and the pain in your shoulder.
Rolfing
Rolfing also hit the line of the most well-known and widely performed massage techniques available. This technique, on the most basic, involves reeducating the body about proper posture. Yes, posture is given much attention here for the belief that posture highly determines health problems like headaches, backaches and joint pain. With that focus, the rolfing massage techniques no doubt seek to straighten and realign your body by working the myofascia, which is actually the connective tissue that assists to hold your body together. This tissue surrounds your muscles.
"
|
|
|
|
|
|
| Adverts: Why is it Hard to Quit Smoking? |
|
| Anonymous writes "Smoking is emerging to be one of the major causes of death in the modern world. Smoking poses dangers directly and indirectly to the public. Several smokers claim to have been meaning to quit this habit; they just find it so difficult. Here are some of the major reasons why it is hard to quit smoking.
"
|
|
|
|
|
|
| Adverts: Alternatives For Cellulite Reduction |
|
| Anonymous writes "The following article lists some simple, informative tips that will help you reduce cellulite. This article can give you an insight into everything you've ever wanted to know about alternatives for cellulite reduction.
"
|
|
|
|
|
|
| Adverts: Natural Remedy For Arthritis |
|
| Anonymous writes "The article lists some simple, informative tips that will help you have a better experience with arthritis. If you've been thinking you need to know more about it, here's your opportunity.
"
|
|
|
|
|
|
| Education: The MACS Lift… how it differs from Conventional Facelifts |
|
Anonymous writes "
Background
The MACS lift (minimal access cranial suspension lift) was described as a modification of the S-lift by a Belgian group in 2001. It was reported in the Plastic & Reconstructive Surgery journal, which is the main scientific journal for plastic surgeons.
Essentially, it differs from a regular facelift in the following ways:
1. The incision is limited to the skin hairline junction above the ear and anterior to the ear. There is no extension behind the ear.
2. The area of undermining, unlike a conventional facelift, is much smaller and essentially involves a portion of the cheek. Because there is less undermining, the blood supply to the skin is much more robust and the technique is therefore safer in smokers. There is much less risk of any skin necrosis, unlike other lifts.
3. Permanent suspension sutures are used to elevate the underlying tissue. These pass down to the neck, jowls and malar fat pad. Unlike many other facelifts which do not include significant mid face elevation the MACS lift elevates the malar fat pad reducing the naso labial folds.
4. Because there is no undermining under the SMAS (superficial musculoaponeurotic system) there is very little likelihood of damage to the facial nerve.
5. Because the undermining and dissection is much more limited the post operative swelling and oedema is much less than in normal facelifts and recovery is therefore quicker.
6. Because the malar fat pad is elevated it combines very well with lower lid blepharoplasty, as can be seen in the illustrations. It essentially reduces the height of the lower eyelid giving a more youthful, smooth appearance.
7. In nearly all cases liposuction is performed to the neck area below the angle of the mandible, both to remove excess fat here and also to free up the skin to allow it to be re-draped by the suspension sutures.
8. In my opinion the MACS lift produces results at least equivalent, or in most cases, better than a conventional facelift. It is ideally suited to the younger patient with a sagging mid face. In patients with really excess skin facility in the neck region, it may be necessary in some cases to make an incision posterior to the ear to take up this slack, but in most cases this is not necessary.
Details of Procedure
The operation is performed under a general anaesthetic and most patients stay in hospital for two days post operatively. The operation generally takes about three hours and in nearly all cases should be combined with lower lid blepharoplasty, as lifting up the malar fat pad also lifts up the lower eyelids and it is relatively simple to remove the excess skin. Usually no additional work needs to be done to the fat pads because of the suspension of the malar area.
During the post operative night, the patient is placed in a firm bulky woollen bandage and two small non-suction drains are inserted behind the ear. The bandage is removed the following day, along with the drains. Following this, a light chin-up bandage is worn for one week. Following this, the patient normally looks fairly reasonable, although there may be some residual bruising, particularly around the eyes. This is treated with Arnica cream and massage on a twice daily basis.
Stitches in the lower blepharoplasty incision are removed at three days, those in front of the ears and alternate stitches in the hairline are removed at five days and the remaining sutures in the hairline at ten days.
In my opinion the MACS lift is a significant advancement in facial rejuvenation surgery as it involves relatively little undermining and consequently the recovery is quicker. It also has the significant advantage of improving the mid face and malar area which other facelift techniques do not tend to help.
I use this type of facelift now exclusively, and as I mentioned, in patients with really severe neck skin excess I would do a posterior skin excision, but this is not necessary in 90% of patients.
This lift is ideally suited to the younger patient with mid face ageing changes and moderate changes in the neck.
Author Bio
Mr Richards is a full member of the British Association of Aesthetic Plastic Surgeons (B.A.A.P.S) and the British Association of Plastic Surgeons (B.A.P.S) as well as a being a Fellow of the Royal College of Surgeons (FRCS) and registered on the specialist register of the GMC for plastic surgery.
Adrian Richards and Associates has a series of clinics and accredited hospitals across the mid shire counties and at 10 Harley Street Londonand offers a complete range of cosmetic surgery and non surgical procedures using the most advanced techniques available.
For further information or to find your nearest treatment centre visit http://www.arandassociates.co.uk or call the information line on telephone number ( UK) 0800 3285743 for specialist and sympathetic advice.
Mr A RICHARDS MSc FRCS (Plas)
Consultant Plastic and Cosmetic Surgeon
http://www.arandassociates.co.uk
Suite 3 , Samuel House
Chinnor Road
Thame
Oxon OX9 3
"
|
|
|
|
|
|
|
| Anonymous writes "The article is regarding a middle aged diabetic man who was admitted under our care in Royal Oldham Hospital with insulin requirement of 1000 units per day. This article tries to explain how the series of investigations revealed him to have a rare syndrome---' MOURIAC SYNDROME'"
|
|
|
|
|
|
|
Anonymous writes "Case Report:
Although there might be several cases of NSAIDs induced hepatic damage in Aligarh and elsewhere that are not being reported, but we could find one definite case of Nimesulide induced hepatitis in Aligarh.
The 5-year-old male child, wt 22 Kg came to see a private paediatric consultant with a complaint of fever for the last 8 days on 28.2.2003. The history of present illness was elicited from patient’s attendant who says that his child was apparently well before 8 days when he developed fever, which was unrecorded, continuous and low grade initially and not, associated with chills and rigors. The fever has increased in intensity for the last 8 days (It is very hot to touch the patient now). The fever was not associated with vomiting, cough or yellow discoloration of urine or clay colored stool. The patient was seen by pediatricians and started prophylactic treatment for Paratyphoid as Ofloxacin (Syrup Zenflox Forte) 1-1/4 spoonful twice daily for 10 days, Syrup Corcef 100 mg twice daily and Nimesulide (Syrup Nimica 50) 1-1/4 spoonful (5 ml). On second day, Enzymes (Syrup Gastrium) for 6 weeks and Multivitamins + Iron (Elixir Nigoadine) 1-1/4 spoonful thrice daily were added.
Haemogram and widal test were done. On the same day of visiting, the widal came out to positive. Other examination showed pulse rate as 110 /min; respiratory rate – 18/min; temperature 1040 F; pallor – mild; no icterus; tongue coated. On systemic examination, chest bilaterally was clear, on per abdominal examination, no tenderness, spleen was palpable but no hepatomegaly was there. No abnormality was detected during CVS and CNS examination. Patient had no history of jaundice in past or history of blood transfusion or antitubercular treatment or any other drug as such. Family history showed no history of contact with jaundiced patient in family. Immunization status showed no history of receiving Hepatitis B Vaccines.
After 15 days of the above treatment i.e. on 15.3.2003, the patient felt weakness and on 18.3.2003, the patient was diagnosed as a case of jaundice on the basis of the following signs and symptoms. On general examination, icterus was present, the liver found to be three-fingers enlarged and firm, simultaneously the spleen was also palpable; other systems were normal on examination. Following investigation were advised and their outcome: S. Bilirubin - 8.70 mg/dl; SGOT/AST - 293 U/L; SGPT/ALT - 785 U/L and Alkaline Phosphatase - 22 KAU; Australia Antigen [Hbs Ag] and Malaria Parasite [ELISA] - negative. One week after dechallenge of the suspected drug nimesulide, LFT was again advised: S. Bilirubin – 0.8 mg/dl; SGOT/AST – 45 U/L; SGPT/ALT – 40 U/L and Alkaline Phosphatase - 16 KAU. Causal relationship could thus be made on the basis of temporal sequence and positive dechallenge.
Conclusion: Nimesulide, similar to other nonsteroidal anti-inflammatory drugs (NSAIDs), has been associated with rare and unpredictable but serious hepatic adverse reactions (2). Many studies showed that nimesulide causes the most frequent dermatological and hepatic side effects in nature, including fatal Reyes syndrome (3). Concomitant therapy with other drugs (amoxicillin/clavulanic acid, lysine salicylate) in many of these cases prohibits a definitive causal link of the adverse reaction to nimesulide therapy. Authors believe when more safer drugs as paracetamol are already available it is irrational to prescribe me-too drugs of doubtful efficacy. It is high time that Drug Control Authorities in India review their policy for granting permission to drugs and drug formulations. India has more than 65000 formulations approved by Drug Controller of India, which is highest for any country in the world.
Even if the Indian drug control agencies are reluctant to impose a total ban on nimesulide, they should immediately forbid its use for treatment of fever or pain. It will be unfortunate if the Indian government waits for another "committee" report before stopping the use of nimesulide, even for the treatment of pain or fever, and lets more innocent patients suffer needlessly. Remember, in September 2002, the Drugs Controller General of India, ordered a review of the drug in view of concerns of hepatotoxicity and the review committee came with the distrustful results. "
|
|
|
|
|
|
|
Radiology-
Clinical Cases
Case1: Juvenile Polyposis: Dr. Sharad Bidari,et al.,Indira Gandhi Medical
College, Nagpur.
Case2: Histiocytosis- A Rare Case Of Familial Occurence: Dr.(Ms.)
Priti Dhakate,et al.,Indira Gandhi Medical College, Nagpur.
Case3: Radiological Diagnosis Of A Case Of
Congenital Diaphragmatic Hernia: Dr.Guddi Agrawal,et al.,Indira Gandhi Medical
College, Nagpur.
Case4: Radiological Diagnosis &
Differentiation Of Rare Cases Mucopolysaccharidosis: Dr. Prashant Shekar,et al.,Indira Gandhi
Medical College, Nagpur.
Case5: Lumbosacral Agenesis/ Caudal Regression
Syndrome: Dr.(Ms.)
Hima Pendharkar,et al.,Indira Gandhi Medical College, Nagpur.
Case6: Spinal Tuberculosis- A Rare Presentation
In Paediatric Age Group:
Dr.Amol Bitey,et al.,Indira Gandhi Medical College, Nagpur.
Case7: Two Cases Of Posterior Urethral Valve
With Vesicoureteric Calculus & Ureterocele: Dr.Parag Mahajan,et al.,Indira Gandhi Medical
College, Nagpur.
|
|
|
|
|
|
| Study Materials: TWO CASES OF POSTERIOR URETHRAL VALVE & VUJ CALCULUS & URETEROCELE |
|
CASE
OF A FRIENDLY CALCULUS AND A HELPING URETEROCELE !
TWO CASES OF POSTERIOR
URETHRAL VALVE & VUJ CALCULUS & URETEROCELE
Dr. PARAG MAHAJAN,Dr. (Mrs.) P.
S. PENDHARKAR, Prof. & Head,Dr. (Mrs.) B. D. SONAWANE, Asso.
Prof.
Dr. S. Z. SORTE, Asso. Prof.,Dr. R. R. KHANDELWAL, Hon. Asso.
Prof.,Dr. SURESH PHATAK, Hon. Asso. Prof.
Dr. DHANASHREE DANDE, Asst. Lect. DEPT. OF RADIOLOGY, INDIRA
GANDHI MEDICAL COLLEGE, NAGPUR.
CASE 1 :FILM1
MCU :
Dilated posterior urethra.
Changes of cystitis with sacculations
and irregularity of bladder wall.
Grade IV vesicoureteric reflux (VUR)
on left with gross hydroureteronephrosis.
Right VUJ calculus with Grade II VUR
on right with mild hydroureteronephrosis.
USG showed similar findings.
The cortical thickness of left kidney
was just 5 mm while that of right kidney was 14 mm.
The Right VUJ calculus has prevented
reflux on right side to some degree thus protecting the
function in right kidney as compared to the left one.
CASE 2 :FILM2
MCU :
Dilated posterior urethra
Changes of cystitis with sacculations
and irregularity of bladder wall.
Grade IV VUR on left with gross
hydroureteronephrosis.
Ureterocele on right seen as filling
defect on right.
Grade II VUR on right.
The ureterocele has prevented the VUR
on right to some extent thus decreasing the damage to right
kidney as compared to the left one.
DISCUSSION
Out of various investigations
available like USG, IVP, Renal scintigraphy and MCU (VCUG),
MCU is the procedure of choice to demonstrate PUV.
On voiding films, the posterior
urethra is markedly dilated and elongated.
Transition between dilated posterior
and anterior normal urethra is abrupt with thin stream.
The valves may be seen as two
radiolucent lines.
A posterior indentation or posterior
lip is often present at the level of bladder neck due to
bladder wall hypertrophy.
Secondary obstructive changes in
bladder, ureter and kidneys develop. Bladder hypertrophied,
trabeculated, develops saccules and diverticulae. In 50 % VUR
may be present. It commonly leads to renal infection and
consequent renal damage.
Ureters often dilated, elongated and
tortuous along with hydronephrosis.
Associated Renal Dysplasia common and
the affected kidney may be small. In our cases of PUV the VUJ
calculus and the ureterocele have prevented reflux on the
respective sides and thus protected the kidneys from damage
secondary to VUR. The other kidneys are damaged due to VUR
(and also back pressure changes due to PUV).
The VUR is more damaging than pure
obstruction because it carries infection to kidneys.
CONCLUSION
VUR associated with PUV contributes
to renal damage and end stage renal disease. It is more
damaging than pure obstruction because it carries infection
to kidneys. The damage secondary to VUR in cases of PUV may
be prevented or lessened by associated pathologies like
ureteric calculus or ureterocele.
TYPES OF POSTERIOR URETHRAL VALVE
GRADES OF VUR:
GRADE I :
Lower ureteral filling.
GRADE IIA :
Ureteral & pelviocalyceal filling
without other changes.
GRADE IIB :
Ureteral & pelviocalyceal filling
with mild calyceal blunting but without clubbing &
without dilatation of the pelvis or tortuosity of the ureter.
GRADE III :
Ureteral & pelviocalyceal
filling, calyceal clubbing & minimum to slight tortuosity
of the ureter.
GRADE IV :
Massive hydroureteronephrosis
–refluxing megaureter.
|
|
|
|
|
|
|
|
