Contra-lateral paradoxical pleural effusion during antituberculous chemotherapy

Abstract

A 24-year old male developed left sided pleural effusion 10 days after the start of anti tubercular chemotherapy for right-sided pleural effusion and parenchymal lesion. This effusion seemed to be a paradoxical response as it resolved on follow up.

Shilajit: A panacea for high-altitude problems

“…Shilajit is a Sanskrit word meaning “Conqueror of mountains and destroyer of weakness” and ‘Winner of rock’. [ 24 ] Its other names are Silajit and Silaras in Sanskrit,[ 15 ] Shilajita Mumiyo, Mineral pitch, Asphalt, Jew's pitch, Mineral wax, or Ozokerite in English. [ 25 – 28 ] Shilajit is a pale-brown to blackish-brown exudate in the form of a smooth and clean gum that comes out of the mountains in the months of May-July.…”

“…[ 25 27 ] It is found in the lower Himalayan hills at altitudes between 1000 to 5000 meters in Uttarakhand, Himachal Pradesh, Kashmir, and Arunachal Pradesh. [ 23 ] It is also found in Afghanistan, Nepal, Bhutan, Pakistan, China, Tibet, and the former U.S.S.R.[ 11 15 23 ] Shilajit is composed of humus and organic plant materials that have been compressed by layers of rocks. [ 12 26 31 ] The humus consists of 60-80% organic matter, is bitter in taste, and has an odor like cow's urine.…”

“…[ 18 34 35 ] It is a natural medicine with a long history of human use for healing and performance-enhancement in diabetes and the urinary, immune, digestive, cardiac, and nervous systems. [ 13 15 – 18 21 22 25 26 31 34 35 ] Thus, Shilajit is an ayurvedic medicine with many properties and is capable of treating almost all kinds of body ailments. [ 25 – 27 31 36 37 ]…”

“…[ 14 – 18 ] It actively takes part in the transportation of nutrients into deep tissues and helps to overcome tiredness, lethargy, and chronic fatigue. [ 14 15 17 – 19 ] It also works effectively as a tonic for cardiac, gastric, and nervous systems, adaptogen and antistress agent. [ 15 – 18 20 – 23 ] In view of these properties, Shilajit can be used as a supplement to overcome high-altitude-related problems.…”

Purification and characterization of platelet aggregation inhibitor from the Gloydius blomhoffii brevicaudus venom

“…Це фактично означає, що в результаті розробки технології за рахунок максимально ефективного використання сировини собівартість продуктів може бути значно знижена. Зважаючи на те, що в країнах Азії (Китай, Індія, Таїланд, В'єтнам) і Південної Америки (Бразилія, Аргентина, Перу, інші) заготовляють сотні кілограмів отрути змій [10,14,16,17,33,52, 53], за-пропонований технологічний підхід зробить продукти, отримані з природної сиро-вини, більш конкурентоздатними за рахунок їх низької собівартості та природного походження, порівняно з рекомбінантними [4]. …”