Articles: ninos.
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A 60 years old male presented with a 10 years history of chronic discharging perineal sinuses with inguinal lymphadenopathy. Biopsy of the inguinal lymph node revealed follicular B-cell non-Hodgkin's lymphoma while the biopsy of the sinuses was non-specific. It was diagnosed as a case of primary nodal NHL with secondary cutaneous manifestations of multiple perineal sinuses (paraneoplastic dermatosis). After two courses of chemotherapy, the discharge from the sinuses disappeared and the lesions healed by scarring.
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J Coll Physicians Surg Pak · Aug 2007
Knowledge, attitude and practices (kap) regarding blood donation prevalent in medical and paramedical personnel.
To assess Knowledge, Attitude and Practices (KAP) regarding voluntary blood donation prevalent in medical and paramedical personnel having basic level of awareness on the subject. ⋯ It is concluded from our study that there is an urgent need to create and strengthen programs for motivation, recruitment and retention of Voluntary Non-remunerated blood Donors (VNDs) in our country on the basis of following observations of the study:- More blood donations from medical doctors are observed in our study as compared to the paramedics. This phenomenon seems to be related to the basic and advanced medical education of doctors that obviously tends to increase their level of awareness manifolds as compared to the paramedics. Maximum number of non-donors (both medical and paramedical) in the study stated the reason of their non-donation being "no one has ever asked them to donate blood". This implies that even the increased level of awareness on the subject does not result in actual act of donating blood. It would, therefore, not be justified to expect from general public 'humane gesture of preserving life' without creating in them awareness of the importance of voluntary blood donation.
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Rhabdomyolysis is defined as a pathological condition of skeletal muscle cell damage leading to the release of toxic intracellular material into the blood circulation. Its major causes include trauma, ischemia, drugs, toxins, metabolic disorders, and infections. ⋯ Clinically, the syndrome presents with severe muscular pain, weakness and myoglobinuria. Increased myoglobin and creatine phosphokinase as a consequence of muscular cell death are the major laboratory findings, which, in combination with the clinical presentation, lead the clinician to the final diagnosis of the syndrome.