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Effectiveness of Medical Management in Spontaneous Expulsion of Lower Ureteral Calculi: A Prospective Study

Surgical Science 2016年第7期7卷 321-324页

作者： Azher Mushtaq Sheikh Imran Farooq malik suhail ahmad Fahad ul Islam Mir Yassar Arafat Government Medical College Srinagar India

Purpose: We evaluated the efficacy of combined drug therapy with alpha1-adrenergic antagonist tamsulosin and corticosteroid deflazocort for conservative expulsive therapy in patients with lower ureteric calculi. Materials and Methods: A total of 100 consecutive symptomatic patients with stones located in the Lower ureter were selected for the study who received oral tamsulosin 0.4 mg daily for 4 weeks and deflazocort 30 mg daily for 10 days and diclofenac IM/Oral on demand. Ultrasound follow-up and medical visits and X ray KUB were performed weekly for 4 weeks. Stone passage rate and time, pain episodes and endoscopical intervention were evaluated. Results: The stone expulsion rate was 87.8%. Mean stone size was 6.5 ± 2.14 mm. Mean expulsion time was 8 ± 1.84 days. Mean pain episodes were 1.50 ± 0.87 days. 11 patients needed intervention for stone retrieval. There was no statistically significant difference between the expulsion rates of right and left ureteral stones (P value = 0.31). Conclusions: Medical therapy with a combination of α1 adrenergic blocker and corticosteroid achieve good stone expulsion rates, lower pain episodes and should be considered in all patients with lower ureteral stones of size less than 10 mm who are not having any contraindications for medical therapy.

关键词： Tamsulosin KUB Stone Ureteric Calculi

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A Prospective Study of Cholilithiasis in Children

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Surgical Science 2015年第3期6卷 149-156页

作者： Raiees ahmad Alfer Nafae Shahnawaz Bashir Pervaze Salam Qayoom Khan malik suhail Umer Mushtaq Javid ahmad Department of Surgery Government Medical College Srinagar Jammu and Kashmir India

Background: Gallstones are generally uncommon in infants and children. Formation of gallstone is a very poorly understood phenomenon. In general, the risk factors for cholithiasis in infants include patients who are ill, are receiving hyperalimentation, are premature, have congenital anomalies and have necrotizing enterocolitis. Children aged 1 - 5 years most frequently have hemolysis as the underlying condition [1]. Materials and Methods: From Jan 2012 to Feb 2014, a study entitled “A Prospective Study of Cholelithiasis in Children” was conducted in Postgraduate Department of General Surgery Govt. Medical College Srinagar. The patients selected for the study were in the age group of 1 to 14 years of either sex. There were a total of 141 cases, out of which only 38 had ultrasound documented gallstones. All the patients included in the study were evaluated for prevalence, clinical presentation, and pathological features of gallstones, and were analysed for metabolic causes of gallstones. Results: The prevalence of chliothiasis in symptomatic patients was found to be 26.95% higher than the prevalence of gallstones in children in other parts of world, also the mean age of presentation was 9.3 years ranging from 6 - 14 years. Male to female ratio was 3:2 and male predominance was found in all age groups contrary to female predominance in adults. Most common presenting symptom was right upper quadrant pain followed by vomiting and nausea similar to presentation of symptomatic gallstones in adults. 4 patients had a positive family history of cholithiasis in the first degree relatives;25 (65.7%) patients had no underlying risk factor for gallstones contrary to presumption that gallstones in children are mostly secondary to some hematological disorder or other predisposing factors. Chronic cholecystities was found in 81% of patients with gallstones and composition of gallstones retrieved was different from those of adult gallstones with calcium carbonate gallstones relative

关键词： Peadiatric Cholelithiasis Symptomatic Cholelithiasis Peadiatric Age Group Gallbladder Stones

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Isolated Blunt Traumatic Diaphragmatic Rupture in a Case of Situs Inversus

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Surgical Science 2015年第3期6卷 133-137页

作者： Raiees ahmad malik suhail Alfer Nafae Qayoom Khan Pervaze Salam Shahnawaz Bashir Yawar Nisar Department of Surgery Government Medical College Srinagar Jammu and Kashmir India

Situs inversus, a very rare congenital anomaly of reversal site of thoracic and abdominal organs, can be very problematic to surgeon while dealing with a case of trauma in emergency. Surgical procedures are considered difficult, complex and more challenging in patients with this condition due to the anatomical difference and position of organs. We came across an interesting and very rare case of isolated blunt traumatic diaphragmatic injury in a case of situs inversus. Traumatic injuries of the diaphragm are uncommon and isolated blunt traumatic injuries of diaphragm are very rare. Our case is very unique of its kind of situs inversus with isolated right sided diaphragmatic rupture in a 60-year-old male patient presenting 4 hours after blunt trauma to chest and abdomen.

关键词： Situs Inversus Isolted Diaphragmatic Injury Blunt Trauma

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推陈出新为有关当代艺术的悖论指点迷津

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收藏投资导刊 2015年第16期 76-80页

作者： suhail malik 董茜

当代艺术的好坏完全取决于新奇，或者说，至少取决于新奇。相比较于艺术创作的新手——古典主义创作的典型，那些现代主义艺术家根据与历史发展紧密关联的固有逻辑宣称要改变艺术的发展，当代艺术的艺术家则认为他们相对于其他人都必须... 详细信息

当代艺术的好坏完全取决于新奇，或者说，至少取决于新奇。相比较于艺术创作的新手——古典主义创作的典型，那些现代主义艺术家根据与历史发展紧密关联的固有逻辑宣称要改变艺术的发展，当代艺术的艺术家则认为他们相对于其他人都必须是独特的（与其他每个人相比都是新的），并且他们创作的每件作品都必须区别于与他有关联的其他艺术家。这就是新。

关键词：当代艺术悖论艺术创作艺术家古典主义现代主义关联

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