A new species of the hypoptopomatine genus Hisonotus (Loricariidae) is described from a small tributary of the upper rı́o Uruguay basin near the border between Uruguay and Brazil. The new species can be distinguished from all other congeners by the following combination of characters: (1) presence of serrae along distal two thirds of posterior margin of pectoral-fin spine (versus serrae absent, ...

BACKGROUND AND AIMS Patients with preascitic liver cirrhosis display significant renal sodium retention in the upright posture and an exaggerated natriuresis during recumbency. To date, intrarenal sodium handling in these patients has not been studied using lithium clearance and fractional excretion techniques during recumbency and orthostatism. METHODS Ten patients with preascitic (Child-Pug...

Diabetic cardiomyopathy (DCM), a common consequence of longstanding diabetes mellitus, is initiated by death of cardiomyocyte. Hyperglycemia-induced reactive oxygen species (ROS) overproduction is a major contributor of the chronic low-grade inflammation that characterizes as the DCM. ROS may promote the activation of nucleotide-binding oligomerization domain like receptor (NLR) pyrin domain co...

Three children with nephropathic cystinosis were treated with indomethacin 3 mg/kg a day for periods ranging from 9 to 18 months. The drug produced worthwhile clinical improvement in all, with marked beneficial effects on polyuria, polydipsia, and general wellbeing. Clearance studies performed under conditions of maximal water diuresis showed that proximal tubular sodium reabsorption was increa...

A 55-year-old female was diagnosed to have malignant mucinous cystic neoplasm (MCN) of the distal pancreas. Intraoperatively, the lesion was 10×10×15 cm in size arising from the distal pancreas involving the splenic hilum and transverse mesocolon with no evidence of dissemination. So she underwent en bloc resection of the tumor with distal pancreatectomy, splenectomy and segmental resection of ...

The ability to excrete an oral water load and the renal diluting mechanism were studied in hypothyroid rats and in age-matched euthyroid controls. Hypothyroid animals excreted a significantly smaller fraction of a 50-ml/kg oral water load than controls, demonstrating the same limited ability to excrete free water as thyroid-deficient man. During hypotonic (0.45%) saline infusion, absolute sodiu...

Giant-cell tumour is a locally aggressive tumour of long bones of epiphyseal region commonly occurring in adults aged 20-40 years. Most common location is distal femur, proximal tibia, and distal radius. Different treatment options being used are curettage with bone graft or bone cement, resection with arthrodesis, reconstruction, radiation, and chemotherapy. We are reporting a case of giant-ce...

Achilles tendon rupture is a common trauma requiring surgical management. For chronic Achilles tendon rupture in particular, reconstructive surgery is desirable and several methods have been described. Here we present a case of chronic Achilles tendon rupture reconstructed using the semitendinosus tendon because of the difficulty in pulling down the proximal stump to reach the distal stump and ...

BACKGROUND In autoimmune disorders, circulating autoantibodies identify healthy relatives at risk years before clinical presentation. Healthy relatives of patients with dilated cardiomyopathy (DCM) who have echocardiographic changes, including left ventricular enlargement or depressed fractional shortening at baseline, have increased medium-term risk for DCM development. Approximately one third...

In majority of the cases familial dilated cardiomyopathy (DCM) is inherited in an autosomal dominant manner. In rare instances, this condition is inherited in an autosomal recessive pattern. In other rare cases, DCM can be inherited in an Xlinked pattern. Establishing a genetic diagnosis confirms or modifies the clinical diagnosis and enables disease specific estimates on prognostics and treatm...