Thursday, 12 February 2015

13 February, 2015

Indian Doctors Save Leg of Uzbek Cancer Victim

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Indian doctors have managed to save the life and limb of a 24-year-old medical student from Uzbekistan who suffered from tumour bone malignancy at multiple points between the knee and hip for four years.

According to sources, three surgeries had failed to check the spread of the tumour and, when amputation was suggested by doctors in his home country, he rushed to India seek medical help.

"This is a rare case of cancer in the right femur. When the patient came to us, we found tumour was present at three points on the right femur bone between the hip and knee," said Dr Rajeev K Sharma, senior consultant, orthopaedics and joint replacement surgeon at Indraprastha Apollo Hospital.

The doctor added that a rare bone replacement surgery, from hip to the knee, was conducted to save his limb. " To be able to get rid of the cancer completely, we had removed the entire thigh bone from the right hip to the right knee and reconstructed the same artificially," said Dr Sharma. The surgery was done about two weeks ago. 

Son of a physiotherapist in Qarshi, a city in southern Uzbekistan, Sobidjan Juraev was diagnosed with tumour bone malignancy in the femur in March 2011. "The pain has lessened now and I am more than glad to be returning home," Juraev said.


13.02.2015





Reduction in Systolic Blood Pressure Below 140 is Important in Primary Stroke Prevention

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A new study by researchers at Miami and Columbia University has revealed that people 60 or older, especially minorities and women, have a lower risk of stroke if their systolic blood pressure is below 140 millimeters of mercury (mm Hg).

Lead author Chuanhui Dong said, "Raising the treatment bar could lead to more strokes. The elevated stroke rate for people in the 140-149 range is close to the 80 percent higher risk the study found for people with systolic readings at or above 150, suggesting that blood pressure from 140-149 is just as strong of a stroke risk factor as levels of 150 and greater."

Hispanics with systolic readings of 140-149 had 2.4 times higher risk of stroke. Blacks with systolic readings of 140-149 had double the risk. No such difference was seen in non-Hispanic whites. However, their numbers in the study were too small for firm conclusions to be drawn. Women in the study with a systolic pressure of 140-149 faced nearly twice the risk of stroke, compared with those below the 140 threshold, while men in the 140-149 range had a 34 percent higher risk.

Dong said, "Healthcare providers should heed these findings, because Hispanics and blacks are known to suffer strokes more frequently than whites and raising the threshold for hypertension treatment could have a worse effect on racial-ethnic disparities in stroke risk reduction. Hypertension is the most established and modifiable risk factor for stroke, one of the leading causes of death and disability and reduction in systolic blood pressure below 140 is important in primary stroke prevention, even among those over 60 without diabetes or chronic kidney disease."

13.02.2015







Forgiveness does not change the past, but it does enlarge the future

Paul Boese



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