Repair of abdominal aortic aneurysm in heart transplant patients: before or after left ventricular assist device implantation?

Endovascular abdominal aortic aneurysm repair in decompensated heart failure patients requiring ventricular assist device (VAD) placement needs careful consideration of both complex disease states. We present this clinical dilemma and describe our choice of transcatheter aneurysm repair in the face of advanced refractory heart failure following VAD implantation.

Characteristics and economic implications of migration.

Factors affecting rural-urban migration in India are explored. "The study, based on the sample of 205 migrant households, conducted in the hill region of Uttar Pradesh, attempts to highlight the characteristics of migration and its effects on the pattern of income distribution among the households....[It is found that] migration...is primarily motivated by...socioeconomic condition of households, development of road transport and communication sources, level of education...and various geographical and physical conditions."

Testosterone in the management of cirrhosis of the liver--a controlled study.

The results of the controlled study covering 21 cases of decompensated hepatic cirrhosis are repoted. Nine controls received conventional therapy with diuretics and vitamin supplement. Testosteron 100 mg intramuscularly, on alternate days for four weeks, was administered to 12 others, in addition to the conventional therapy. Patients in the testosterone group responded with reduction in ascites and pedal edema together with a subjective feeling of improvement. Serum albumin rose at the end of the four weeks while globulin fell in those that received the hormone. The difference in respect of both serum albumin and globulin in the testosterone group became statistically significant at the end of four weeks.