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STRESS AND KUMBHA
The kumbha Mela takes place in four places in India viz. Ujjain, Nashi, Haridwar and Waranasi (Alahabad). The auspicious period repeats itself every twelve years. Millions of people collect and take bath in Ganga.
Sep
18
Patients Must Be Told To Undertake Lifelong Art. Start Treatment For Symptomatic Patients Regardless Of Cd4 Cell Count. Start Drugs For Asymptomatic Individuals With Cd4 Cell Counts <500/l. Do Risk Reduction Counseling At Each Patient–clinician Interaction. Regimen: Consider Resistance–testing Results And Predicted Virologic Efficacy, Toxicity And Tolerability, Pill Burden, Dosing Frequency, Drug–drug Interactions, Comorbidities, Patient And Practitioner Preference, And Cost And Affordability. Combine Two Nucleoside Reverse Transcriptase Inhibitors And A Potent Third Agent From Another Class. Prefer A Fixed–dose Formulations And Once–daily Regimen. Suppress Hiv To Less Than 50 Copies/ml (polymerase Chain Reaction) Or 75 Copies/μl (branched Dna) By 24 Weeks. To Detect Failure: Repeat Testing Of Hiv–1 Rna 2 To 8 Weeks After Initiation, Every Four To Eight Weeks Until Suppressed, And Then Every 3 To 4 Months For At Least The First Year. Monitor Cd4 Cell Counts At Least Every 3 To 4 Months After Starting Therapy, Especially In Patients With Counts <200/μl, To Assess Whether Prophylaxis Is Needed For Opportunistic Infections. Do More Frequent Monitoring In Patients Who Have Changed Therapy Because Of Virologic Failure. Even If One Or More Regimens Have Failed, The Therapeutic Goal Should Still Be Undetectable Plasma Hiv–1 Rna Levels. Achieve This Goal With New Drugs And Regimens. If An Elevation In Viral Load Occurs After Complete Suppression Is Achieved, Consider Poor Adherence, Drug–drug Interactions, Concurrent Infections And Recent Vaccinations As Possible Causes Before Changing Regimens. Repeat Testing For An Isolated Detectable Viral Load To Exclude Errors Or Self–resolving Low–level Viremia. When Changing Regimens After First– Or Multiple–regimen Failure, Consider The Stage Of Hiv, Nadir And Current Cd4 Cell Count, Comorbidities, Treatment History, Current And Previous Drug Resistance Tests, And Drug Interactions. Include At Least Two Drugs, And Preferably Three Fully Active Drugs Or Drugs From New Classes. Single–agent Switches To Decrease Toxicity, Avoid Drug Interactions, Or Improve Convenience And Adherence Are Possible, Provided The Potency Of The Regimen Is Maintained And Drug Interactions Are Managed. Boosted Protease Inhibitor Monotherapy Is Not Recommended, Except When Other Drugs Raise Issues Of Toxicity Or Tolerability. Delaying Such Switches May Affect Adherence And Risk Development Of Resistance
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Oct
18
Be Cautious In Life You Are Answerablegod Won't Ask What Kind Of Education Degree You Have,but Will Ask How Many People You Taught Or Make Them Educated.god Won't Ask How Humble Soft You Describe Your Self ,but Will See How Humbly You Behave With Fellow Persons.god Won't Ask You How Wise And Diplomatic You Are,but How You Utilise These To Improve Humility And Humanity. God Won't Ask What Kind Of Car You Drove, But Will Ask How Many People You Drove Who Didn't Have Transportation. God Won't Ask The Square Footage Of Your House, But Will Ask How Many People You Welcomed Into Your Home.god Won't Ask About The Fancy Clothes You Had In Your Closet, But Will Ask How Many Of Those Clothes Helped The Needy.god Won't Ask About Your Social Status, But Will Ask What Kind Of Status You Raised To Down One Fellows.god Won't Ask How Many Material Possessions You Had, But Will Ask Whether You Utilised Them To Show Yourself. God Won't Ask What Your Highest Salary Was, But Will Ask If You Compromised Your Character To Obtain That Salary.god Won't Ask How Much Overtime You Worked, But Will Ask If You Worked Overtime For Your Family And Loved Ones. God Won't Ask How Many Promotions You Received, But Will Ask How You Promoted Others. God Won't Ask What Your Job Title Was, But Will Ask If You Reformed Your Job To The Best Of Your Ability.god Won't Ask What You Did To Help Yourself, But Will Ask What You Did To Help Others. God Won't Ask How Many Friends You Had, But Will Ask How Many People To Whom You Were A True Friend. God Won't Ask What You Did To Protect Your Rights, But Will Ask What You Did To Protect The Rights Of Others.god Won't Ask In What Neighborhood You Lived, But Will Ask How You Treated Your Neighbors. God Won't Ask About The Color Of Your Skin, But Will Ask About The Content Of Your Character. God Won't Ask How Many Times Your Deeds Matched Your Words, But Will Ask How Many Times They Didn't.god Won't Not Ask You How Strong Your Body Is,but Ask You How You Make Many Weak Persons Strong One.god Won't Ask You How Rich Wealty You Are,but How You Donate This Wealth To Welfare Down Trodden And Poors.god Won; Ask You How Popular Are You In Media,but Ask Your Popularity In Heart Of Common Man Living With You.so Be A Really A Good Man By Heart Not A Show Mandr.d.r.nakipuriaambika Chikitshalya29 Agrasen Road,siliguri-509434143550
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Nov
08
Eye Care Is Especially Important For People With Diabetes Because They Are At Increased Risk Of Developing Eye Complications From The Disease. All People With Diabetes Should Take Precautions To Help Reduce Their Risk Of Developing Eye Problems. Here Are Some Eye Care Tips. Maintain Control Of Your Blood Glucose Levels. Keep Your Blood Pressure In Control. High Blood Pressure By Itself Can Lead To Eye Disease, So If You Have High Blood Pressure As Well As Diabetes, It Is Especially Important That You Take Steps To Control Both Conditions. Get Your Blood Cholesterol Levels Under Control. Eat A Healthy Diet. Avoid Smoking. Exercise Regularly. Schedule Regular Appointments With Your Eye Doctor So That Any Eye Problem Can Be Detected Early And Treated.
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