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Indian Freedom Struggle By Venkatesan Pdf Download betpry



 


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Category:1953 births Category:Living people Category:Indian Marxists Category:Revolutionaries Category:Kerala politiciansLiver transplantation for hepatocellular carcinoma in cirrhosis: improved results. This study was designed to compare the outcomes of liver transplantation (LT) in cirrhosis patients with hepatocellular carcinoma (HCC) and in patients without HCC. We studied 27 patients with HCC who underwent LT in the period 1994-2003. Patients were compared with a control group of 87 cirrhotic patients transplanted in the same period. Hepatocellular carcinoma was diagnosed with a median interval from diagnosis of cirrhosis to LT of 4.2 years (range 0.9-13.9). Prevalence of diabetes mellitus, hypertension, and alcohol intake was similar in both groups. Pretransplant surveillance was performed in 17/27 patients with HCC. Only 3 patients were transplanted within the Milan criteria. The remaining 14 patients were transplanted with extrahepatic spread (HCC >5 cm) or vascular invasion or both, median tumor size being 30 mm. Median follow-up was 45 months for patients with HCC and 106 months for the control group. Recipient and graft survival was similar in both groups. Patient survival was significantly higher in the HCC group (83.3% vs 71.7%; P =.015). The prevalence of lymph node involvement was higher in patients with HCC (35% vs 15.5%; P =.004). In multivariate analysis, arterial vasopressin use (P =.003) and tumor size >/=30 mm (P =.005) were independently associated with an increased risk of tumor recurrence. In cirrhotic patients transplanted for HCC, posttransplant surveillance is important. The prognosis is similar to that of cirrhotic patients transplanted for other indications. Pretransplantation arterial vasopressin use and tumor size >/=30 mm are associated with an increased risk of recurrence.Tattoos: their origins and significance. By recording the origin, progression, and significance of tattoos over the last 4,000 years, the author has endeavored to make the case for the tattoo as a cultural artifact and a potent means of affirming identification and individual expression. While common practice has prevailed during the past five centuries in the early development of tattooing, the second half of the 20th

 

 


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Indian Freedom Struggle By Venkatesan Pdf Download betpry
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