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The hemogram suggested mild leukocytosis with neutrophilia and the urine showed red blood cells, some of which were sickled. The patient was advised hemoglobin electrophoresis which suggested sickle cell trait (Hb-AS). We conclude that sickled erythrocytes should not be ignored in a sample of urine as it may serve as an important clue to the diagnosis of sickle cell trait or disease.

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Levins tube is used for Gastro intestinal drainage.Manufactured from non toxic, medical grade PVC compound.Distal end is coned with four lateral eyes for efficient drainage. The tube is marked at 45, 55, 65 and 75 cm from the distal end for accurate placement into the abdomen.

The journal publishes original papers and reviews on cell therapy and islet transplantation, clinical transplantation, experimental transplantation, immunobiology and genomics and xenotransplantation related to the kidney. The journal also publishes short communications, case studies, letters to the editors, an annotated bibliography and a column on news and views.Journal is published Bimonthly.

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Ilizarov External Fixator offered provides usage as most stable external fixation for distal tibial fractures.Solutions comprise fully circular rings with 3 or 4 connecting rods between each rings, The ring with tensioned wires comes attached to distal tibial articular segment.

Segmental fractures of humerus are difficult to treat. Various options exist for treating ipsilateral metadiaphyseal fractures of humerus but have their own set of complications. Management of these fractures with long angular stable plates gives us an advantage of treating these two level fractures simultaneously thereby reducing complications and postoperative morbidity. Applying minimally invasive plate osteosynthesis (MIPO) principles helps in the biological healing of fracture by being minimally invasive and preserving blood supply to the soft tissues. We are presenting a small series of ipsilateral metadiaphyseal fractures humerus using long angular stable plates in an MIPO fashion.

The patients were followed regularly for a period of two years. These fractures were fixed with proximal femoral nail. The final outcome measurement was done according to Harris hip scoring (HHS) method of functional assessment. Results: Sixty three percent of cases of our study presented with non union and 37% showed osseous union of which three were of basal type and five were of transcervical type. Out of the 22 patients assessed according to Harris hip score only 27.24% cases showed good result whereas 63.56% cases showed poor results. Results based on the anatomical type of fracture showed basal type of fractures with good results of union while 73.68% of the transcervical type of fractures showed poor results. Fair results were seen in 10.25% while only 15.26% of the patients showed good results in transcervical type of fractures. Good results obtained in transcervical type of fracture were the ones associated with subtrochanteric fracture femur. The purely transcervical type of fracture showed fair results in only two patients while the rest showed non union. Conclusions: After conduction of this study on results of the treatment of intracapsular fracture neck of femur by proximal femoral nailing we conclude that (A) proximal femoral nail is useful in basal type of fracture and in those types of transcervical fractures which are associated with ipsilateral subtrochanteric fracture. (B) Proximal femoral nail should be avoided in pure transcervical fracture neck of femur.

In few centers, LLDN, particularly on the right side, is performed through retroperitoneal approach but working space is limited and sub-capsular hematomas may occur due to prolonged pressure by fan retractor. [15]

dialysis fluid we need to verify that you are a human and not a computer. This website has been inundated with requests from remote servers instead of people, which caused a high load. By forcing this captcha on you, we can ensure that we offer you desired results.

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Chronic osteomyelitis is a dreaded sequel to acute haematogenous osteomyelitis. It is also more frequent following open fracture and orthopedic surgeries. Principle in treatment of chronic osteomyelitis based on removal of devitalized tissue and filling up of dead space. Systemic antibiotic therapy may not provide minimum inhibitory concentration for prolong period. Antibiotic laden bone cement can be used in adjunct to usual treatment of debridement and systemic antibiotic therapy for local antibiotic delivery and filling dead space temporarily. Material and Method: 32 cases of chronic osteomyelitis (7 haematogenous and 25 exogenous following trauma or surgery) were included in our study which included 21 male and 9 female, age ranging from 18 to 55 year. Pre-operative culture from sinus tract, ESR, and CRP were done. All patient were treated with debridement and removal of implant if present, followed by filling the dead space by antibiotic laden bone cement beads or antibiotic laden bone cement coated nail. Control of infection was assessed by laboratory parameter. Antibiotic cement was removed at an average of 10.62 weeks. All patients were followed up for at least 2 years. Result: Infection was controlled in 28 patients out of 32 patients at the time of cement removal, secondary procedure was done in all patients of infected non union in the form of bone grafting and definite fixation except 3 patients where antibiotic cement coated nails are retained till union as there was callus formation at the end of three month. Conclusion: Antibiotic laden cement is an effective method in local control of infection in chronic osteomyelitis without any systemic side effect.

To determine the diagnostic quality and complication rates of 16G and 18G needles in biopsy of the kidney, we performed renal biopsy using a biopsy gun under ultrasound guidance in 50 patients who were prospectively and evenly assigned to one of the two needle biopsy

The objective of this study was to determine the pain produced from needle insertion at bilateral labial site prepared with topical application of 2% lidocaine gel, 20% benzocaine gel, and placebo paste at subsequent visits in a same patient.

The apical constriction where the pulp is linked to the apical periodontal tissue referred to as the minor diameter is recommended by many as the appropriate landmark where root canal preparation and obturation should terminate.

Hepatitis C virus (HCV) is a significant problem among hemodialysis population, especially in India where renal transplant often gets delayed in the presence of live-related donors. An acceleration of liver cirrhosis and poor renal allograft outcomes are often witnessed in allograft recipients with high viral load. Use of interferon in the postrenal transplant setting for the treatment of hepatitis C viral infection was limited to a few grave situations, fearing the precipitation of allograft rejection and poor efficacy for sustained virological remission. However, the availability of newer direct-acting antivirals has opened a new tool box in the management of HCV in the postrenal transplant setting and in reducing the pretransplant waiting period.

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