Renal cell carcinoma (RCC) constitutes 2-3% of all adult malignancies and often diagnosed incidentally. Classical tried of RCC now rarely seen, it behaves unpredictably and having diverge range of clinical manifestation including paraneoplastic syndromes. Upper gastrointestinal (GI) bleeding due to stomach metastasis of RCC is uncommon and to the best of our knowledge, only few cases are reported in world literature and most of them were diagnosed during follow-up after complete treatment of RCC but in our case, it was the primary manifestation of disease. Our case also demonstrates the importance of imaging in undiagnosed cases of upper GI bleeding.

Context:Traditionally, circumcision wounds are closed by absorbable sutures. However, certain alternative methods are also being utilized to overcome the shortcomings of the conventionally used method for circumcision wound closuring. In the current study, the use of tissue glue ((iso amyl 2-cyanoacrylate) has been compared with traditional suturing for the approximation of circumcision wounds. In our study, both the methods were found to be comparable with significantly less time consumed in glue group.Aims:The purpose of the present study has been to compare directly cyanoacrylate as a better alternative to conventional suture material in terms of cosmetic result, time consumed and incidence of infection (comparative study).Materials and Methods:The results of all the patients seen in outpatient department for circumcision were included in this study. The study was conducted from Aug 2009 to May 2010. The tissue glue (iso amyl 2-cyanoacrylate) was compared to sutures as a method of wound approximation in circumcision.Results:Tissue glue group has been observed to have less wound inflammation, bleeding or hematoma rate and was cosmetically superior as compared to suture group; however, none of these findings could reach statistically significant level. The mean time taken for circumcision was 14.2 min (SD 2.42), when tissue glue was used for wound approximation. However, it was 24.4 min (SD 5.06) in case of the use of sutures. This difference was found as highly significant (P value < 0.001). However, regarding postoperative pain no significant reduction was observed when glue was used.Conclusions:This study showed that the use of tissue glue in comparison to sutures is having the following advantages: Cosmetically superiorLess time consuming All other parameters measured were nearly the same and statically insignificant.

Compared with expectant management, pessary could prolong pregnancy and reduce the rate of tocolysis and corticosteroids. More registered trials are ongoing which may substantially change our results.

India's voting system plays an important role in Indian Democracy. The existing system is offline and has certain weaknesses. In recent years, the spread of covid19, inefficient rural voters, people far from their place of birth, paper waste affecting nature, budgets that should be used for development, invisible fraud, waste of human labor, have been recorded and can be avoided by the virtual voting system. The research aims to supply an easy and secure electoral system in India. The method used descriptive qualitative. The results indicate that a virtual voting system is environmentally friendly and is considered a resource-saving way for the election. It is because minimizes errors and increases voter participation through convenient virtual voting. In conclusion, a virtual voting system can develop an Aadhar based advanced Electronic Voting Machine (EVM), which helps in a free and fair way of conducting elections

No abstract