scholarly journals Atypical Presentation of an Adrenal Mass

Author(s):  
Krishna Swathi Pavuluri ◽  
N Senthil ◽  
RB Sudagar Singh ◽  
L Suja

Catecholamine-secreting tumours arise from chromaffin cells of the adrenal medulla, and the sympathetic ganglia referred to as pheochromocytomas and catecholamine secreting paragangliomas, respectively. The incidence of pheochromocytoma is less. This was about a 38-years-old male patient that complained of burning sensation while micturition and right loin pain. On evaluation he was found to have a right adrenal mass of size of 6 cm. The patient was found to have right ureteric caliculi and right Double J Stent (DJ) was done. He was advised for further evaluation but he was not willing at that point of time. Thus, pheochromocytoma has to be one of the differentials in a young person presenting with hypertension or with atypical presentation. Because pheochromocytoma is one of the correctable causes of hypertension and a person can have a near normal or average life span after surgery. This patient presented with urinary symptoms followed by typical features of cholelithiasis rather than symptoms of pheochromocytoma.

2021 ◽  
Vol 9788879169776 ◽  
pp. 35-45
Author(s):  
Antonio M. Carrassi

Medicine showed enormous progresses since the middle of the last century and, thanks to the overwhelming research activities, which characterized that period, the average life span of people has increased extraordinarily. Many diseases that once were considered incurable are now being successfully treated. However, the disease has often been placed at the core of the clinical process rather than the person, the individual, the patient. Even in recent years, the patient doesn’t always find in his doctor the appropriate degree of empathy, and the level of communication that would be desirable. Moreover, today we are living an extraordinary development and spreading use of digital resources and search engines. Patients exploit these tools to obtain any kind of information, included the one in the medical field. Information technology and search engines play an extremely important role in medicine, and they can be seen a pivotal communication instrument between clinicians and patients, although they can also provide inaccurate or incorrect feedback to laypeople looking for answers to health questions, who do not have enough medical knowledge to evaluate the reliability of the source. This problem has been raised by clinicians and, more generally, by health workers, who today operate with a view to greater psychological proximity to the patient, passing from a so-called Disease Centred Medicine to a clinical practice much more sensitive to the needs of the patient, to his experience, to the context in which he lives, thus achieving a Patient Centred Medicine. Listening, attention, empathy and the words that a clinician is required to use towards each patient, during the clinical routine, take on more and more value for a correct doctor-patient exchange and alliance.


Author(s):  
Naina Vishwakarma

Geriatric problems are arising much and more in the present Era. With the increase in average life-span due to medical facilities it resulted in large number of people with old age Worldwide. To overcome this Ayurved advocates healthy ageing through Rasayan Chikitsa. By proper administration of Rasayan Therapy as a preventive tool one can prevent Jarajanit(Geriatic) vyadhis. Many herbs and techniques which provide solution to ageing and their complications are described in Ayurved. The Herbs with their properties slows down the natural process of aging and help in managing geriatric problem and improving the quality of life. Here   Amalaki an Rasayan Dravya in Geriatric diseases is brought in focus.


1980 ◽  
Vol 49 (4) ◽  
pp. 634-637
Author(s):  
F. W. Booth ◽  
W. F. MacKenzie ◽  
M. J. Seider ◽  
E. W. Gould

The purpose of this study was to determine whether daily running lengthens the life-span of animals dying prematurely due to cardiovascular disease. We used a strain of rat that is genetically hypertensive and obese and is reported to develop atherosclerosis (Exp. Mol. Pathol. 19: 53--60, 1973). These animals were divided into three groups consisting of runners exercised daily on treadmills from an early age life, food-restricted sedentary rats, and libitum eaters that were sedentary. This latter group had significantly higher average daily food intakes and body weights than either of the other two groups. The average life-span of both sedentary groups was significantly longer than the running group. Runners had a greater frequency of focal myocardial necrosis, but atherosclerosis was absent in all three groups. We speculate that daily running may have accentuated the development of factor s that may have contributed to the early death of runners.


2019 ◽  
Vol 34 (Supplement_1) ◽  
pp. i129-i134
Author(s):  
Luis Meneses ◽  
Richard Furuta

Abstract A large portion of the research carried out in the digital humanities has an online digital object (usually referred as a project) as one of its components. In turn, these online digital objects can be catalogued as distributed resources, which implies that the administrative control of information related to a topic may be spread across online resources and/or collections maintained by multiple scholars in different institutions. This administrative decentralization can lead to changes in content that are often unexpected by a researcher, which can be caused by different factors or circumstances. This reasoning led us to formulate the following question: When can online digital humanities projects be considered abandoned? In this article, we carry out a study on the persistence and average life span of online projects in the digital humanities. More specifically, we will elaborate on their reliance on distributed resources and methods for measuring their shelf life: the average length of time that a digital project can endure without updates until it can ultimately be considered abandoned by its researcher.


1982 ◽  
Vol 72 (2) ◽  
pp. 207-214 ◽  
Author(s):  
A. J. Dabek

AbstractOllarianus balli (Van D.), a leafhopper vector of disease-associated mycoplasma-like organisms, was found to be rare in Jamaica. Its distribution and frequency were governed primarily by the distribution and density of its specific field host, the wild legume Rhynchosia minima on which it completes its life-cycle. Under suitable temperature conditions, O. balli was easily reared in captivity on R. minima and pigeon pea (Cajanus cajan), although the latter is not a natural host. It oviposited into the hypodermal tissues covering veins of sterns, petioles and the abaxial surfaces of older leaves. Eggs hatched 10–15 days after oviposition and there were five nymphal instars. Instar 1 was distinct from instars 2–5 which, except for size, were similar in appearance. The first adults matured some three weeks after the final moult. There appeared to be little difference in the average life-span of males and females of O. balli.


1999 ◽  
Vol 19 (6) ◽  
pp. 581-587 ◽  
Author(s):  
Alexander A. Boldyrev ◽  
Steven Ch. Gallant ◽  
Gennady T. Sukhich

Carnosine attenuates the development of senile features when used as a supplement to a standard diet of senescence accelerated mice (SAM). Its effect is apparent on physical and behavioral parameters and on average life span. Carnosine has a similar effect on mice of the control strain, but this is less pronounced due to the non-accelerated character of their senescence processes.


1992 ◽  
Vol 59 (4) ◽  
pp. 31-35 ◽  
Author(s):  
M. Pizzarella ◽  
G. Ferro ◽  
F. Invidiato ◽  
P. Ligato ◽  
M. Fiorello ◽  
...  

It is certainly true that increase of the average life span has caused a greater percentage of elderly people to visit urological departments. From April 1989 to December 1991, patients over 75 years under our observation were 10.8% of all operated patients. Only 5% of patients over 75 who needed to be operated, weren't actually operated. The numerical analysis of our experience has highlighted the fact that in patients who underwent an operation, the incidence and mortality caused by cardiovascular diseases weren't any higher than those found in other people of the same age. We are also convinced that prejudices about age limits should not prevent the elderly afflicted with a benign or malignant urological pathology from undergoing an operation.


Endocrinology ◽  
2005 ◽  
Vol 146 (9) ◽  
pp. 3718-3723 ◽  
Author(s):  
Andrzej Bartke

Abstract The important role of IGF and insulin-related signaling pathways in the control of longevity of worms and insects is very well documented. In the mouse, several spontaneous or experimentally induced mutations that interfere with GH biosynthesis, GH actions, or sensitivity to IGF-I lead to extended longevity. Increases in the average life span in these mutants range from approximately 20–70% depending on the nature of the endocrine defect, gender, diet, and/or genetic background. Extended longevity of hypopituitary and GH-resistant mice appears to be due to multiple mechanisms including reduced insulin levels, enhanced insulin sensitivity, alterations in carbohydrate and lipid metabolism, reduced generation of reactive oxygen species, enhanced resistance to stress, reduced oxidative damage, and delayed onset of age-related disease. There is considerable evidence to suggest that the genetic and endocrine mechanisms that influence aging and longevity in mice may play a similar role in other mammalian species, including the human.


1992 ◽  
Vol 8 (2-3) ◽  
pp. 97-105 ◽  
Author(s):  
Shunsaku Mizushima ◽  
Yukio Yamori

Nutritional conditions have improved remarkably for the past 40 years in Japan; major improvements are increases in protein intake (69.7 in 1955 to 79. 2g/day per capita in ‘88), and fat intake (20.3 in ‘55 to 58.3 g/day per capita in ‘88), both of which are significantly related statistically to the gradual reduction of stroke mortality (r = –0.74, not significant; r = –0.78, p .05) and to a remarkable extension of average life span (r = 0.91, p 0.01; r = 0.98, p 0.001) in the Japanese. Average heights of 12-year old male and female children, correlating significantly with these nutritional improvements, are significantly positively correlated with average life spans (men and women respectively; r = 0.97, p 0.001). Thus, general nutritional improvements among the Japanese are regarded as the major contributory factor to the recent achievement of top-ranked position for longevity in the world.


2018 ◽  
Vol 99 (5) ◽  
pp. 1033-1041
Author(s):  
Eric M Gese ◽  
William T Waddell ◽  
Patricia A Terletzky ◽  
Chris F Lucash ◽  
Scott R McLellan ◽  
...  

Abstract Cross-fostering offspring with nonbiological parents could prove useful to augment populations of endangered carnivores. We used cross-fostering to augment captive-born and wild-born litters for the endangered red wolf (Canis rufus). Between 1987 and 2016, 23 cross-fostering events occurred involving captive-born pups fostered into captive litters (n = 8 events) and captive-born pups fostered into wild recipient litters (n = 15 events). Percentage of pups surviving 3 and 12 months was 91.7% for captive-born pups fostered into captive recipient litters. For pups fostered into wild litters, percentage of pups surviving 5 months was > 94% among fostered pups (pups fostered into a wild red wolf litter or replaced a hybrid litter), pups in recipient litters (wild-born litters receiving fostered pups), and pups in control litters (wild-born litters not in a fostering event) when using pups with known fates. Including pups with unknown fates as deaths, percentage of pups surviving 5 months was > 54% among fostered pups, pups in recipient litters, and pups in control litters. Among wild litters, percentage of pups surviving 12 months was > 82% among fostered pups, pups in recipient litters, and pups in control litters when using pups with known fates. Including pups with unknown fates as deaths, percentage of pups surviving 12 months was > 48% among fostered pups, pups in recipient litters, and pups in control litters. Although survival to 12 months was similar among the groups, average life span was different with pups in control litters living 3.3 years, pups in recipient litters living 4.6 years, and fostered pups living 5.6 years. Of fostered pups surviving > 12 months in the wild, 9 animals whelped or sired 26 litters. Cross-fostering was successful at augmenting litter size for red wolves without any deleterious effects on recipient litters, illustrating fostering as a tool for increasing populations of endangered carnivores.


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