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Category : All ; Cycle : May 2013
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May31
TOBACCO –A KILLER SHOUL BE BANNED –NO TOBACCO DAY
TOBACCO –A KILLER SHOUL BE BANNED –NO TOBACCO DAY.----******@gmail.com
Smoking, the act of inhaling and exhaling the fumes of burning plant material. A variety of plant materials are smoked, including marijuana and hashish, but the act is most commonly associated with tobacco as smoked in a cigarette, cigar, or pipe. Tobacco contains nicotine, an alkaloid that is addictive and can have both stimulating and tranquilizing psychoactive effects. The smoking of tobacco, long practiced by American Indians, was introduced to Europe by Christopher Columbus and other explorers. Smoking soon spread to other areas and today is widely practiced around the world despite medical, social, and religious arguments against it.


CANCER OF LUNG AFTER TOBACCO SMOKING
Banning tobacco advertising and sponsorship is one of the most cost-effective ways to reduce tobacco consumption, according to the World Health Organisation (WHO).
“A comprehensive ban on all tobacco advertising, promotion and sponsorship could decrease tobacco consumption by an average of about 7 per cent, with some countries experiencing a decline in consumption of up to 16 per cent,” said Dr Samlee Plianbangchang, WHO Regional Director for Southeast Asia.
“Our efforts should focus on preventing the youth from being exposed to all forms of tobacco advertisement, promotion and sponsorship. Enforcement of a ban on sale of tobacco to minors should also be strengthened,” he added.



NO CIGARETTE OR SMOKE OR BIRI
Smoking and health
At the dawn of the 20th century, the most common tobacco products were cigars, pipe tobacco, and chewing tobacco. The mass production of cigarettes was in its infancy, although cigarette smoking was beginning to increase dramatically. According to the ninth edition of the Encyclopædia Britannica (1888), tobacco products were suspected of producing some adverse health effects, yet tobacco was also considered to have medicinal properties. Many scholars and health professionals of the day advocated tobacco’s use for such effects as improved concentration and performance, relief of boredom, and enhanced mood.
By the dawn of the 21st century, in stark contrast, tobacco had become recognized as being highly addictive and one of the world’s most-devastating causes of death and disease. Moreover, because of the rapid increase in smoking in developing countries in the late 20th century, the number of smoking-related deaths per year was projected to rise rapidly in the 21st century. For example, the World Health Organization (WHO) estimated that in the late 1990s there were approximately four million tobacco-caused deaths per year worldwide. This estimate was increased to approximately five million in 2003 and six million in 2011 and was expected to reach eight million per year by 2030. An estimated 80 percent of those deaths were projected to occur in developing countries. Indeed, although tobacco use was declining in many countries of western Europe and North America and in Australia, it continued to increase in countries of Asia, Africa, and South America The tobacco epidemic is one of the biggest public health threats the world has ever faced. Mass media campaigns, graphic warnings and alternative crop options for tobacco growers can help stop or reduce the estimated 800,000-900,000 tobacco-attributable deaths per year in India, experts say.
According to Global Adult Tobacco Survey (GATS) – India 2010, tobacco use is a major preventable cause of death and disease and is responsible for 1 in 10 death among adults worldwide. Approximately 5.5 million people die around the world every year – with India accounting for nearly a fifth of this..






Major health effects of tobacco product by type
product addiction1 heart disease lung cancer2 oral cancer chronic lung disease pregnancy problems
Cigarette +++ +++ +++ +++ +++ +++
Cigar ++ ++ ++ +++ ++ +
Pipe ++ ++ ++ +++ ++ +
Oral nonsmoked
(e.g., chewing tobacco) +++ + - +++ +

The primary constituents of tobacco smoke are nicotine, tar (the particulate residue from combustion), and gases such as carbon dioxide and carbon monoxide. The effects of nicotine, tar, and carbon monoxide on health are summarized in the table.The main health effect of nicotine is its addictiveness. Carbon monoxide has profound, immediate health effects. It passes easily from the lungs into the bloodstream, where it binds to hemoglobin, the molecule in red blood cells that is responsible for the transfer of oxygen in the body. Carbon monoxide displaces oxygen on the hemoglobin molecule and is removed only slowly. Therefore, smokers frequently accumulate high levels of carbon monoxide, which starves the body of oxygen and puts an enormous strain on the entire cardiovascular system.





Health effects of primary smoke constituents
substance addiction cancer heart disease lung disease pregnancy problems
Nicotine +++ - ++ +
Carbon monoxide - - +++ ++ +++
Tar (particulate residue) + +++ ++ +++ undetermined

The harmful effects of smoking are not limited to the smoker. The toxic components of tobacco smoke are found not only in the smoke that the smoker inhales but also in environmental tobacco smoke, or secondhand smoke—that is, the smoke exhaled by the smoker (mainstream smoke) and the smoke that rises directly from the smoldering tobacco (sidestream smoke). Nonsmokers who are routinely exposed to environmental tobacco smoke are at increased risk for some of the same diseases that afflict smokers, including lung cancer and cardiovascular disease.
Health consequences of smoking
ADDICTION
A major health effect common to all forms of tobacco use is addiction, or, more technically, dependence. Addiction is not lethal in its own right, but it contributes to tobacco-caused death and disease, since it spurs smokers to continue their habit, which repeatedly exposes them to the toxins in tobacco smoke. Although there are many historical accounts of the apparent ability of tobacco use to escalate into an addiction for some smokers, it was not until the 1980s that leading health organizations such as the Office of the Surgeon General in the United States, the Royal Society of Canada, and WHO formally concluded that cigarettes are highly addictive on the basis of their ability to deliver large doses of nicotine into the lungs, from which blood quickly carries it to the brain.
Tolerance—greater amounts of nicotine are needed in order to experience the same effect. Typically, when tolerance has developed and nicotine intake has increased, the body becomes physiologically dependent on nicotine, and any abrupt abstinence from smoking will trigger withdrawal symptoms. These symptoms include impaired ability to concentrate, irritability, weight gain, depressed mood, anxiety, difficulty sleeping, and persistent cravings. The symptoms typically peak within a few days and subside within a month. However, the experience varies from person to person, and, for some, powerful cravings can persist for years.
Nicotine’s ability to help tobacco users control their mood and appetite and sustain their attention when working undoubtedly contributes to the persistence of tobacco use. Some of these effects interact with physical dependence. For example, increased exposure to nicotine can increase physical dependence and thereby make the effects of withdrawal stronger. During withdrawal, resumption of smoking provides rapid relief of withdrawal effects. This reaction may lead the smoker to believe that smoking in itself enhances mood and performance, when in reality the effect is mainly that of reversing the withdrawal symptoms.

Methods to control Tobacco consumption in our country & current status:-----------
“Glamorisation of smoking” impacts young people, but counter messages during smoking scenes in films help in discouraging people.It is believed that if celebrities are shown smoking, it influences impressionable minds. To counter that, a new law mandating a disclaimer about the evils of tobacco use has to be flashed while showing smoking scenes in films or on television. “A brief interview of those who were addicted to tobacco or cigarettes should be shown instead of the same old images.,filmmakers can attach clippings of celebrities talking about the harmful effects of tobacco with their films. The government needs to convince farmers to not grow tobacco. They should be given incentives for growing other crops. This should be done gradually otherwise there will be a rise in farmer suicides. According to a study conducted by HRIDAY, the current use of tobacco is five times higher in students who were highly receptive to tobacco advertising than those who were least receptive. In India more than 5,000 youth initiate tobacco use every day.
The tobacco industry spends crores of rupees every year to market its lethal products by using sophisticated and covert forms of advertising and promotion sponsorship. It links its products with success, fun and glamour, a health minister said on World Tobacco Day. “We cannot indefinitely tolerate a public health hazard in the name of protecting livelihoods,” the minister said after releasing GATS – India 2010.
Later the Food Safety and Standards Authority of India (FSSAI), the apex body to ensure food quality in the country, under its Food Safety and Standards (Prohibition and Restrictions on Sales) Regulations, 2011 restricted the use of products that contain any substance that may be injurious to health.
Its immediate effect was when Madhya Pradesh banned gutka and pan masala. Kerala, Mizoram, Gujarat, Bihar, Rajasthan, Maharashtra, Haryana, Chhattisgarh, Jharkhand and Delhi soon followed and most recent to join the list is Tamil Nadu.

An anti-tobacco group on Thursday expressed “shock” over West Bengal chief minister Mamata Banerjee’s joke asking people to smoke more, so more revenue could be garnered to compensate investors of the collapsed Saradha chit fund.
“This is a great discouragement for those working in the area of public health,” said Bhavna Mukhopadhyay, executive director, Voluntary Health Association of India.
Mukhopadhyay said West Bengal chief minister announced a 10 per cent tax hike on cigarettes. “Higher prices discourage youth from initiating cigarette smoking and encourage current smokers to quit, but such a move should certainly not be accompanied by suggestions that people should use more tobacco.”

The Supreme Court on Wednesday directed 23 states and five union territories to file status report on the implementation of the notification issued by them banning the sale of gutka and pan masala containing tobacco or nicotine.The apex court bench of Justice G S Singhvi and Justice Kurien Joseph also directed the remaining states and union territories to explain the reasons why they had not imposed the ban and the time needed to do so.
The court passed the order after Additional Solicitor General Indira Jaising brought to its notice a circular issued by the union health and family welfare ministry in August 2012 asking the states to ban gutka (tobacco-laced areca nut pieces) and pan masala laced with tobacco and nicotine.But Nicotine and cigarette lobby & Pan Gtka lobby is so rich and of crores of rupees is playing a great role in its spread even by ban by bribing police,politicians,Bureaucrats and even hiring media and common people for not publishing stories against it,therefore in the country like us where corruption is ruling the country practical ban is still miles away so this great killer is killing innocent people like anything and one has to be alert onself to ban it otherwise we have to die as we are dying.
— with Shreya Nakipuria and 2 others.


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May31
Breast Biopsy (Excision)
What is the test?
In an excisional biopsy of the breast, Dr. B C Shah makes an incision in the skin and removes all or part of the abnormal tissue for examination under a microscope. Unlike needle biopsies, a surgical biopsy leaves a visible scar on the breast and sometimes causes a noticeable change in the breast’s shape. It’s a good idea to discuss the placement and length of the incision with your surgeon beforehand. Also ask Dr. B C Shah about scarring and the possibility of changes to your breast shape and size after healing, as well as the choice between local anesthesia and general anesthesia.
How do I prepare for the test?
You’ll undergo a breast exam and possibly a mammogram before the biopsy to determine where the lump is located. If you are having a sedative with local anesthesia, or if you are having general anesthesia, you’ll be asked not to eat anything after midnight on the day before the surgery
Tell Dr. B C Shah if you’re taking insulin, NSAIDs, or any medicine that can affect blood clotting. You might have to stop or adjust the dose of these medicines before your test.
What happens when the test is performed?
A surgical biopsy is done in an operating room. An IV line is placed in your arm so that you can receive medicines through it. Dr. B C Shah may use local anesthesia with sedation to help you relax during the procedure, or general anesthesia. Surgical biopsies take about an hour, and the recovery period is less than two hours.
An open biopsy that removes only part of a lump of suspicious tissue is called an incisional biopsy; one that removes the entire lump is called an excisional biopsy. An incisional biopsy is usually done when the lump is quite large, since removing a larger lump completely can alter the appearance of the breast. This procedure is appropriate for larger lumps in order to secure a diagnosis while minimizing the effect on the breast’s appearance. If the tissue proves to be cancerous, the remaining portion of the lump will be removed surgically, usually during a second surgical procedure that may be more extensive and involve removal of lymph nodes to determine whether the cancer has spread.
When a breast mass or an area of calcification cannot be felt, Dr. B C Shah may choose to use a procedure called wire localization to help identify the tissue for later surgical biopsy. The first part of this procedure is a mammogram. After applying a local anesthetic, he inserts a hollow needle into the breast and, guided by ultrasound or mammography, places the tip of the needle in the suspicious area. He then inserts a thin wire with a hook on the end through the hollow needle and into the breast alongside the suspicious area. Dr. B C Shah will then removes the needle, leaving the wire in place to serve as a guide to help him find the area of breast tissue to be removed later.
Must I do anything special after the test is over?
Dr. B C Shah will monitor you for a few hours after your surgery to make sure that you’re recovering well and not having any adverse reactions to anesthesia. Contact him if you develop a fever, strong pain at the incision site, or bleeding from the incision. You may need a follow-up visit so that Dr. B C Shah can remove stitches and make sure you are recovering well.
How long is it before the result of the test is known?
A preliminary report from the pathologist might be available when your surgery is over. A final report typically takes three to four days.


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May30
BREAST CANCER SURGERY: AFTER ANGELINA JOLIE’S MASTECTOMY
BREAST CANCER SURGERY: AFTER ANGELINA JOLIE’S MASTECTOMY
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Breast cancer is most prevalent Cancer in world about 22.9% of all invasive cancer and 16% of overall cancers
of Woman in world and about 4.5 lakh deaths occur due to it in World,Although a disease more seen in developed countries like USA OR UK 60-80 PER 1000 BUT ONL18 PER THOUSAND IN SOUTH EAST ASIA BECAUSE OF THEIR MODERN LIFE STYLE,obesity,high riched fatty food,less exercise,use of oral contraceptive,late marriage and less use of Breast for Breast feeding ,abortion,ecessive smoking,taking of Alcohol,less iodine and age and sex is important.It occurred after age of 50 in woman and above 60yrs of age in men and also common in woman in comparison to men.
This cancer has reached most discussed point after OSCAR WINNING ACTOR Mrs Angelina Jolie removed her both breast with a fear of getting Breast cancer in her life as one of her cousin had breast cancer and her mother died of Ovarian cancer at age of 56 yrs few years back and she is carring two genes BRCA1 and BRCA2 gene in her blood (these genes is responsible for 87% of cancer in breast and 40-50% of cancer in ovaries in woman and responsible for cancer of prostate and testicles in male not breast),she has told after surgeries that now she can enjoy her life with family without any fear and win over cancer-and her fans and advocates of such surgeries and so called person realted to war over cancer are heighlighting this like any thing and many person affected with cancer or who are at risk like Angelina or having any relative are thinking in the same line or are bound to think ,similisrly Hospitals/ Doctors ,Gene testing laboratories want to exploit her example to earn more money for submitting patients for surgery and earn by advising Gene test ,a patent law will be shortly passed by US COURT and therby hugh profit for company doing this test in coming days from whole world.
Therefore debate is open does Angelina did right thing or not,regarding this,to overcome mental trauma she took personal decision in consultation with her cancer doctors and family,so nobody including me has got no right of any comments but her decision should be extorted and twisted by MEDICAL MARKETING is always questionable.
Gene accounts for only 4-5%of total cancers of breast and ovaries in female so removing breast is not giving immunity for ovarian cancer too,Angelina has to remove ovaries now also ,after removing ovaries she has to undertake oesstrogen progesterone hormone for premenopausal symptoms which may cause thromboembolism,,weight increasing,stroke,hypertension ,cancer of uterus etc.So complete agony not achieved as mentioned.Secondly out of these gene mutation cancers 90% are due to BRACA genes but other Gene changes like p53,stk11,palb2,pten also exist so not only these genes many genes has to be studied and these are costly investigations and they should be done after 30 yrs of age if three members as daughter,mother,sister or grand daughter is affected in family .if lady has got cancer in a breast ,had radiations dur to multiple Mammography,is on estrogen therapy,heve cancer like lobular carcinoma in situ or ovarian cancerlady has got dense breast wher mammography is controversial in these condition PROPHYLACTIC MASTECTOMY 9REMOVAL OF BOTH BREAST) may be done after age of 50 not at 38 as done by Angelina on strong discussion with family and doctors and self decision as removal of breast cures 87% only,lady may have ovarian cancer ,should have regular mammography regularly which is difficult to do in Postmastectomy Silicon water filled implants used to construct breast after such surgeries as cancer is not completely removed as some breast tissue may remain even after good surgery,secondly operation is abig surgery requiring good cost,and chance of scar formation,infection,discharge,bleeiding,and long stay may be required for bsuch big surgery where to reconstruct breast surgey by silicon implants or tissue flaps are done in same sitiing or after 6-8 wks of first surgerywhere nipple with areola may be removed or preserved.
Therefore most Medical literature is of opinion that ladies should not adopt Angelin’s decision immediately and ask for costly Gene tests and ask for such surgeries if any one in family tree of three generation is involved with cancer of Breast or ovary as mandatory or with great fear.
Now a days a question of regular Mamography has ben raised as it causes no less mortality and reduce incidence of breast cancer but submit mor than 30% more unneccary surgeries and radiation to breast causing cancer.
So highly susceptible should do regular Self Breast eaxamination (it has also limitation as diagnose mostly cancer in little advanced stage) with suscpicion MRI testing annually or Mamography ,good life style having family life where Breast being used for Breast feeding,avoiding Smoking,Alcohol completely,reducing weight and avoiding high rich fatty food with regular exercise should be undertaken if GENE TESTING DONE THEN first Ovaries removal or use of drug like tamoxifen to stop estrogen inpost menopausal woman is very helpful,removal Breasts befor 50 is not recommended and absolutely not if gene not tested or no family history in three generation present.
Removal of any part of body for fear of cancer should not be accepted at all Body doesnot govern simply by gene but many environmental factors and strong psychological balnce and stong mind to fight cancer by prophylaxis of avoiding predisposing factors,good food,vitamins,minerals,good exercise and reular self and medical checkup and screening not mere removal of organs unnecessarily.


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May29
'Domestic remedy for Cough'
By Dr. Rakesh Aggarwal.

Rx:-1. Powder of root of yashtimadhu 3gm TDS water.
2. Gargle of 100ml of warm water with 1/2 gm of saphatika (Alum) many times a day.
3. Gargle of saline water.

Regimen:-1. Avoid smoking.
2. Avoid curd, milk, sour fruits, fried food ect.
3 hot fomentation of neck.


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May28
Belly button pain
Often female patients come with belly button pain or pain around belly button. There are many causes. Commonest cause is muscle stretching. In India its generally common in females because of multiple pregnancies, obesity, poor muscle tone & lifting heavy weight. The navel gets so stretched that it starts to tear and the contents which are suppose to be inside start protruding out. The belly button everts & protrudes out This is called herniation. Often due to obesity this protrusion is not recognized and the patients continues to experience pain and not realize the swelling in the belly button. Gradually these small defects grow to bigger defects. Most of these muscle defects in and around the navel can be repaired laparoscopically. Its a short procedure. The defect if very small can simply be closed by few stitches A synthetic material (mesh) is often used to reinforce the repair. This minimizes the chance of recurrence. So please report to your doctor if you experience a belly button or navel pain. One easy was to check if you are developing a hernia is by placing your tip of finger on your belly and coughing in standing position. If there is an expansile impulse or feeling that something is protruding out, there are chances that you may be developing an umbilical hernia. Report to your doctor. If diagnosed early, it can be repaired very easily. To prevent such umbilical (paraumbilical) hernia avoid lifting very heavy weights, do regular exercises especially after delivery and avoid obesity.


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May27
AMAZING WONDERFUL FACTS OF OUR HUMAN BODY
AMAZING WONDERFUL FACTS OF OUR HUMAN BODY:-----------

There are 100 trillion (100,000,000,000,000) cells in the average human body.
When the human body is adult, it has to replace two and a half million
red blood cells every second of its life
By 60yrs,60% men and 40% women snore wchich is usually 40-60decibels but
may be above 85 decibel to damage our hearing Our small intestines is 20-23 feet long.
Every inch of our skin has got 32 millions harmless bacteria
Our sneez can have speed of 100miles/hr
We can be without food for weeks but cannot awake after 11days, have to sleep
60000 miles of Blood vessels and ear pumps daily 2000 galons of blood.
We produce 25000 quarts of saliva in life,which can fill 2 big swimming pools
Scientists say the higher your I.Q. The more you dream.

The largest cell in the human body is the female egg and
the smallest is the male sperm.
You use 200 muscles to take one step.
The average woman is 5 inches shorter than the average man.
Your big toes have two bones each while the rest have three.
A pair of human feet contains 250,000 sweat glands.
A full bladder is roughly the size of a soft ball.
The acid in your stomach is strong enough to dissolve razor blades.
The human brain cell can hold 5 times as much information as the
Encyclopedia Britannica.
It takes the food seven seconds to get from your mouth to your stomach.
The average human dream lasts 2-3 seconds.
Men without hair on their chests are more likely to get cirrhosis of the liver than men with hair.
There are about one trillion bacteria on each of your feet.
At the moment of conception, you spent about half an hour as a

single cell.
Your body gives off enough heat in 30 minutes to bring half a
gallon of water to a boil.
The enamel in your teeth is the hardest substance in your body.
Your teeth start growing 6 months before you are born.
Tongue has got unique print as finger print and iris color
1,5 pounds of skin is shed every year by our body
At birth 350 bones but after fusion in adult 206 bones
when you are looking at someone you love, your pupils dilate, and
they do the same when you are looking at someone you hate.
Your thumb is the same length of your nose which can smell 50,000 scents.
At this very moment I know well you are putting this last fact to

the test…
now remove your thumb from your nose and pass this on to the friends

you think might be interested in comparing their thumbs to their noses

as well. .
******@gmail.com


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May24
ROBOT IN PRESENT MEDICAL SURGICAL WORLD & PATIENT CARE
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Robots are now part and parcel of modern medical world ,previously for doing security of our house ,caring for our needs in home,doing all our house hold activites ,understanding our command to receive our visitors,relatives at our home and office and offer them welcome and a warm reception to cooking our food ,serving on lunch or dinner table,locking our house ,office to be remain secutiy watcher all the day,night,giving us medicines,caring our old parents at home,taking them to doctor,calling doctor serving them with medicines ,every useful Robot is now a days avaible in market ,yes,it is a luxury and come with a hefty price and mostly usedin western or japanese world where lack of human service is present and people are so rich and affluent that money or price is nothing before purchasing any technolodgy or any help service for their house hold or official work.PARO,A THERAPETIC ROBOT AT THE COST OF DOLLAR 21THOUSAND is purchased in US for the senior and old senior citizens by their family members or themselves.
But Robot in medical field has also brought a revolution ,whether to perform a cardiac surgery without making a big cut in chest wall as in open surgery or a big cancer sugery of Prostate or oesophagus where space is limited and ofter we cannot reach to cancer involved part perfectly and cause more damage to near by structure or cannot remove the tumor completely but this ROBORT does it precisely in any narrow space,remove tumor completely, arrest bleeding with minimum injuries to surrounding structures so less post operative complications.so if we want to perform major surgeries through the smallest of incisions with the benefits of a definitive treatment but with the potential for significantly less pain, shorter hospital stay, faster return to normal daily activities as well as better clinical outcomes! The product is called ROBERT OF "DA VINCI " in name and honour of great inventor Leonardo da Vinci who first invented the first robot.
DA VINCI used his phisical knowledge of light and its mechanical utility along with its use in medicine by calculating unparelleled anatomical accuracy and three dimensional details to bring his masterpieces to life. It provides surgeons with such enhanced detail and precision that the system can simulate an open surgical environment while allowing operation through tiny incisions. With the da Vinci Surgical system hospitals are rewriting accepted standards for surgical care and changing the experience of surgery for difficult cancer surgeries of prostate,colon,retoperitoneal tumors,breast,pancreas,liver,kidneys,oesophagus ,ovaries,and mediastinal and brain tumors,liver and kidney transplant surgeries . This breakthrough technology is an effective minimally invasive alternative to both open surgery and laparoscopy. as cost is the factor otherwise even any surgery as removal of appendix or gall bladder of herni or hydrocoele can be done.
ONE ROBOT comes with a price of -6-10 crores in our country so they cannot be established every where in our country ,government is yet to bring ROBOT in premier institute like AIIMS OR PGI CHANDIGARH but PRIVATE PLAYERS who have hijacked whole our Meical industry with the help of Insurance company and charging ROBOTIC even for minor procedures or medical illness has brought ROBOT.ROBOTIC SURGERY IS NOW AVAILABLE IN APPOLO HOSPITAL many branches in Delhi,CHennai,Ganga ram Hospital,Few centres of Fortis and Max Hospital and Gigantic Meidcity of Guragoan or many centres in Banglore and Hyderabad. to serve the so called affluent section of our society or bringing patients from Gulf,UK,USA,Afghanistan,Nigeria,South Africa,Bangladesh,Nepal,Bhutan,Pakistan or srilanka ,japan etc.,in name of cheap treatment and Medical Tourism.
Through the use of the da Vinci Surgical system, surgeons are now able to offer a minimally invasive option for complex surgical procedures. Some of the major benefits experienced by surgeons using the da vinci over traditional approaches have been greater surgical precision, increased range of motion,improved dexterity, enhanced visualization and improved access, Benefits experienced by patients include a shorter hospital stay, less pain, less risk of infection, less blood loss, fewer transfusion, less scarring, faster recovery and a quicker return to normal daily activities.
Robort is not a very specilised human being NOR IT IS MASTER BUT it is SLAVE OF SURGEON,SURGEON SITS IN ITS CONSOLE out side OPERATION THEATRE 2-5 METERS AWAY OR SOME TIMES MILES AWAY IN OTHER COUNTRY AND HE SEES THE OPERATION FIELD AND THEN DECIDES HOW TO OPERATE HE IDENTIFIES STRUCTURES LIFT THEM CUT THEM BY PRESSING DIFFERENT BUTTONS AS WE DO IN COMPUTER OR ANY OTHER DIGITAL DEVICE,ROBOT ITSELF DOESNOT PERFORM SURGERY AS OUR HOUSEHOLD OR OFFICE ROBOT DO as programmes are reloaded in them and they do as per their programme but here surgeon every time gives command and these command are small precise and for time as required by Surgeon if surgeon does not understand ROBOT AS A SLAVE will follow it and cut wrong structure,it has no brain,it is controlled by surgeon's brain.So,no surgical outcome can be guaranteed, as surgery is necessarily both patient and procedure specific.
While clinical studies support the effectiveness of the Robotic surgeries, individual results may vary,There are no guarantees of outcome. All surgeries involve the risk of complications. Before we decide on surgery, we should discuss treatment options with patient and vice versa . Understanding the risk of each treatment can help us make the best decision for our individual situation so that post op consumer court cases may be avoided even civil and criminal cases avoided,so better to discuss every thing in detail and take written consent of patient in writing before proceeding for any surgery .For every patient ,it should be understood that it is a same type of surgeries as done conventionally by open method only procedure use ROBOT as instrument then man made Scissors and forcep of open instruments or laproscopic instruments ,only surgeon sees the structure sharply with the use of Computerised instruments and mini digital cameras .
The system replicates the surgeons movements in real time. It cannot be programmed, nor can it make decisions on its own to move in any way to perform any type of surgical maneuver without the surgeons input. Does the surgeon have any sensations while performing the procedures ? The system relays some force feedback sensations from the operative field back to the surgeon throughout the procedure. This force feedback substitutes for the tactile sensation and is augmented by the enhanced vision provided by the high resolution 3D view. Although seated at a console few meter away from the patient, the surgeon views an actual image of the surgical field while operating in real time through tiny incisions,using miniaturized, wristed instruments. The system does not maneuver on its own outside of the surgeons direct, real time control.
Robotic surgery, a new tehnology in different parts of the world has its disadvantages also. Its uses and efficacy has not been fully determined. There are not many long term studies on this to confirm or deny its effectiveness. The prominent disadvantages to robotics include Time, Cost , Efficacy and its Compatibility with current and existing conditions with hefty price which is a dream for even middle class in country like India what to talk of poor class. Robotic assisted heart surgeries can take nearly twice the amount of time and the patients are under anaesthesia for longer time . It definitely is more expensive.The cost may fall as surgeons gain more experience and start doing it more often but as the system gets upgraded and improved there are chances that the price may even go higher. Only when these systems gain more multidisciplinary use will the cost become more justified. Another disadvantage is the large system in an overcrowded operating room. The robotic arms are awkward and bulky and there are many instruments needed in the small space. For robotic assisted beating heart surgery the space is even smaller because stabilizers are needed. This cramped area can cause interference with the dexterity of the surgeon. The solution is to miniaturize the robotic arms or have larger operating areas. With either solution, robotics is an especially expensive technology. Current operating room instruments are not compatible with new robotic system. Without the correct equipment, tableside assistance is needed to perform part of the surgery. But with time and improvement in technology, these disadvantages will hopefully be remedied and we shall have a day when robot will be placed on patient on ot table programme will be loaded and like Human Brain or Surgeon it will take decision at every momment recognising normal and abnormal tissue or structur and performing difficult sergeries in no tme with very good result and post opeartive complication utilising less human resource and cost.


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May23
SEX BETTER PERFORMANCE -SOME TIPS OF SEX MISBELIEFS
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MAN SHOULD BE THE SEXUAL LEADER;
Sexual leader means the partner who has taken responsibility for arousing both oneself and other partner .But,this responsibility should be shared by both partners .if man is not doing so, he is losing the pleasure of sex and extra stimulation then that could be given to him by his partner. EVERY TIME PARTNER SHOULD CHANGE THEIR ROLE to get full pleasure and satisfication.
WOMEN SHOULD NOT INTIATE SEX;
Sex is a two way interaction and it should always be mutual. Both partners should have equal rights to play active role in sex.It is more pleasurable if female partner starts sexual act. MOST OF TIME WOMEN SHOULD INTIATE SEX AND IT IS BENIFICIAL FOR BOTH as female is passive partner and take a long time for arousal by man who oftern discharges before female is aroused so if Female initiates process then satisfication and pleasure will be unquestionable for both as man usually get aroused easily nd femal touch sparcks it better than reading story or watching mobile sms or video.
MEN SHOULD NOT EXPRESS THEIR EMOTIONS:
Those men are more emotional in their sexual act, are usually found to be good partners. Relations between man and woman should be emotionally very strong.MEN SHOULD EQUALLY EXPRESS THEIR EMOTIONS WITHOU EMOTIONS AND STRONG INTEREST IN PARTNER SEX IS INCOMPLETE AND IT IS A SIMPLE FILL UP BLANK AND EMOTION SHOULD BE EQUALLY RESPECTED AND RESPONDED BY FEMALE.
WOMAN SHOULD ALWAYS HAVE SEX WHEN HER PARTNER MAKE SEXUAL APPROCHES;
Women should right to say no, when she does want to have sex.As it is already mentioned sex is mutual act, both should mentally and physically ready.WOMAN’S NO MEANS NO.IT SHOULD BE NEVER BE AGAINST WILL OF ANY PARTNER AS SEX PROVIDES RELAXATION AND SATISFICATION ANY PHYSICAL OR MENTAL INJURY AFTER SEX IS UNWANTED AND BLAME THE WHOLE PROCEDURE.
ALL PHYSICAL CONTACT MUST LEAD TO SEX:
Touching , kissing and cuddling one’s partner can be very fulfilling and always leads to sex.PARTNER SHOULD ALWAYS GIVE EQUAL IMPORTANCE TO ALL PHYSICAL CONTACTS.INTRUSIVE SEX OR PENETRATION IS NOT ALWAYS RULE BUT END RESULT OF SEX.
GOOD SEX LEADS TO WILD SEX:
In reality , during sexual act concentration and arousal can be extremely difficult to maintained for lengthy periods and more typically they wax and wane throughout a sexual encounter.A more relaxed approached to sex, in which both partners take the time to talk, laugh and communicate can be equally or more satisfying.WILD SEX, MOST OF TIME IS TRAUMATIC FOR ONE OR OTHER PARTNER.VAGINAL UP DOWN POSITION IS BEST ONE ,DIFFERENT POSITIONS AND POSTURES MAY BE ACCEPTED BUT BESIDE IT ALL OTHER FORMS ARE ABNORMAL SEX BEHAVIOUR AND PRVERSIONS EVENAnal Sex and Oral Sex is not part of Normal sex and pleasure,these are more part of porn stars and videos whereabnormality is shown mostly for our excitement ,repeation 1-2 times at a time or 2-3 times may be accepted if decided by both partner in good seduce fearless non apprehensive cool and calm environment as possible with wife or loyal partner and here BIRTH of an Institution like Marriage took place.Sex with animals,using toys,giving pain and binding partners or with multiple partners or children or against will of partner or under influence of alchoholor drug or any alluration or within member of same sex (sodomy,phidophils,lesbianism and gay ) are considered as abnormal or perverted sex in India and many states of the world today.
A MAN FEELS LIKE SEX AT ANY TIME:
Life is often hectic , stressful and tiring and man should say ,”Not tonight,darling.i am feeling a bit too tired.Let’s just cuddle”.MAN SHOULD HAVE SEX WHEN HE IS MENTALLY AND PHYSICALLY SOUND not exhausted and tired .sex is essential but not necessarily daily,may be practsed once or twice a week in a Family or at more gap as married life increases in years.
SEX EQUALS INTERCOURSE:
Intercourse is a very pleasurable and very important aspect of sexual act ,however sex does not necessary require intercourse. Manual and oral stimulation can equally pleasurable and may provide a slightly different and noval stimulation, so intrusion or penetration is not always desirable as during mens of wife or pregnancy or any other disease of male or female private parts.
SEX HAPPENS AUTOMATICALLY:
Most of what we know about sex is learned from media, our parents, our friends.Much of this information promotes biased or unrealistic beliefs that may actually interfere with our enjoyment of sex.SEX EDUCATION AND INFORMATION SHOULD BE TAKEN FROM QUALIFIED PERSON.Sex is a wise act necessary to maintain Human race,every body needs a family which comes through sex but it should be planned and done with the consent of both partners in cool calmmy environment without any stress,not simple arousal and do it as formality as it never relaxes us and we became more tense or un satisfied looking for sex from another partner through out whole day and unnecessarily waste our time ,money and peace.
A ‘RESPECTABLE’ WOMAN SHOULD NOT ENJOY SEX TOO MUCH AND SHOULD CERTAINLY NEVER MASTURBATE.:
A respectable woman of any age is asexual being. She should feel free to experiment sexually in any way that feels comfortable.ENJOYMENT OF SEX IS HEALTHY, NATURAL, AND TO BE ENCOURAGED.social respect and position hasgot nothing to say in Sex ,it is involvement of two willing partners in seductive and peaceful environment.female can masturbate too if very much aroused and partner is away to cool themselves in hygienic manner.
ALL OTHER COUPLES HAVE SEX SEVERAL TIMES A WEEK AND HAVE ORGASM EVERY TIME THEY HAVE SEX & ORGASM SIMULTANEOUSLY:

This is not fact & this description of sex may hold in early stages of relationship, it becomes less true as relationship progress.COUPLES MAY BE LEFT WITH A SET OF UNREALISTIC EXPECTATIONS THAT MAY TRIGGER/EXCERBATE SEXUAL PROBLEMS.DO SEX WITH CONSENT OF PARTNENER INVOLVE EMOTIONS NOT FREQUECY OR QUANTITY MATTER BUT IT IS QUALITY WHICH BRINGS SATISFICATION AND PLEASURE.

THERE MUST BE SOMETHING WRONG WITH THE RELATIONSHIP IF SEX IS NOT GOOD:
While a bad relatiohship is unlikely to have good sex, the reverse is not true.A loving couple with stable and communicative relationship may have specific sexual difficulties. REMEMBER THAT GOOD SEX DOES NOT ALWAYS HAPPEN AUTOMATICALLY AND THAT SOME DEGREE OF LEARNING OR RELEARNING MAY BE REQUIRED.ANY DISESE IN MALE OR FEMALE GENITAL ORGANS OR MENTAL CONDITION MAY NOT YIELD GOOD SEX BUT HERE RELATIONSHIP IS RATHER STRONG IN COUPLES.
FORMATION OF SEMEN:
Semen is formed from blood and loss of it will lead to weakness.Like tear ,sweat,Cough it is formed by cells of Testes and seminal vesicles as egg of man to meet egg of female “ovum” formed in ovary during 5th -9th day of Mens cycle anddischrged in uterus on 9th 14th day so sex during this time only yield pregnancy but sperm is secreted 24x7 after stimulation or arousal.
MASTURBATION IS WRONG:
It is commonly believed that masturbation is wrong and leads to mental illness,physical weakness and decrease potency.IT SHOULD BE CLARIFIED THAT THERE IS NO SCIENTIFIC EVIDENCE TO SUPPORT THIS.However excess masturbation leads to early discharge during sex if practiced often.
ROLE OF ‘PHYSICAL STRENGTH’ OR ‘MUSCLE POWER’ IN SEXUAL PERFORMANCE.:
It is a common belief that muscular men or MACHO or ABBS can perform better than averagely built man. IT SHOULD BE CLARIFIED THAT THERE IS NO RELATION BETWEEN MUSCLE POWER AND SEXUAL PERFORMANCE AND WHAT MATTERS IS THE MOTIVATION AND PROPER KNOWLEDGE ABOUT SEX with emotions and cooperation of partners.
SIZE OF THE PENIS:
Very often males are preoccupied with the fact that larger penis are more effective.NORMAL SIZE PENIS IS APPROX. 5-7 INCH LONG but 2-5 inch is also normal .Female enjoys penetration in first 2 inch of her vagina only so these size penis is actively involved in sex pleasure .NO DRUG,ALLOPATHIC,HOMEO OR AYURVEDIC OR OIL OR ANY VIBRATOR CAN INCREASE PENIS LENGTH OR WIDTH so never use them.never get depressed with small size of penis.Similiary deep vagina is also not pleasurable as stated above,large penis or deep fast and strong stroke may rupture vaginal wall or cuffs around cervix or opening of uterus or womb of female in vagina causing serious problem,tightening of vagina is pleasurable so can be aske if repeated child birth has rlaxed vaginal floor muscles but never dilated permanently by ordinary sex.
BENDING OF PENIS.:
Some males are very much distressed with the curverture of penis.IT SHOULD BE NOTED THE SLIGHT CURVATURE OF SHAFT OF PENIS IS PERFACTLY NORMAL AND DOES NOT HARM INTERCOURSE.During sex blood fills in cavernous or venous space of covering of penis and that is why it gets straight and become large.No drug VIGARA OR TADALAFIL is needed to expedite such enlargement ,rather may cause prolonged erection or priaprism leading to fracture of penis if not treated immediately,similiarly female are always excited emotionally and physically ,no drug has got any role.Psychological or emotional roleis important in sexual desire and libido or orgasm or arousal only.
VASECTOMY/TUBECTOMY DECREASES SEXUAL POTENCY:
It is common disbelief.IN FACT USE OF CONTRCEPTION OR SUCH OPERATIONS ENSURE PREVENTION OF FERTILIZATION AND POSSIBLE CHANCE OF PREGNANCY AND HENCE ALLOW THEM TO ENJOY SEX MORE FREELY.EVEN HYSTRECTOMY AND OOPHORECTOMY doesnot decreses sex if our emotions are in place.
DRUGS ENHANCE SEXUAL POTENCY:
It is a common belief that alcohol and/or opioids,Ghaza,Afim, or other drugs improve potency.IT SHOULD BE CLARIFIED THAT THESE DRUGS may TEMPORARILY INCREASE A MEN’S SEXUAL DESIRE, BUT THEY DEFINITELY DECREASE THE SEXUAL PERFORMANC as distract our brain during performance,they create a seductive environment without any role in physical performance,so never use them in sex.
WRITER IS SEX SPECIALIST 07838059592,CONTACT FOR ANY PROBLEM RELATED TO SEX DISEASES OR WEAKNESS.


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May23
SOME MODERN SCIENTIFIC FACTS OF HIV/AIDS INFECTIONS
SOME MODERN SCIENTIFIC FACTS OF HIV/AIDS INFECTIONS;
------prof.drram ,******@gmail.com,07838059592(HIV/AIDS SPECIALIST)
It is caused by a RNA virus Human Immunodeficiency Virus which cripples our immunity or fighting system (by depleting T Lymphocytes or CD4 cells and increasing killer cells CD8 cells and later decresing our Humoral antibodies too) and invites multiple infections of bacterial,viral,fungal in origin like Pneumonia,Diarrhoea, meningitis and even tumors in side our body and very serious infections affecting any system of our body and killing human being but its symptoms does come after 6-10 yrs of its first entry either by unprotected sex (without condom with ulcers over vagina or cervix or during mens or ulcers or bleeding from penile or glans area,some time simple semen also transmit it if person has got advanced disease but here it spread only one in 1500 in male and one in 2500 female in vaginal sex but one in 3000 in anal sex,it also spread by kissing,or sucking of breast or female genitilia and vice versa but spreads more if puncture by needle as with drug injectors one in 150 but if contaminated by blood of patient by blood transfusion or by coming in contact with needle of pt whois highly infected mostly with doctors,nurse or relative of patient then chances is one in 50,here i mention that hepatitis B spread by such encounter one in 30 and Hepatitis spread one in 15 (so their chance of spread is much more than HIV )AND THEY TOO ARE TYPICALLY VERY BAD TOO AS ARE NEVER CURED and may cause chronic damage to Liver and its cancer.
Inspite of such damage if pt comes to a Doctor within 72 hours and take POST EXPOSURE PROPHYLAXIS (PEP) MEDICINES then it is completely checked,this virus is very heat labile simple wash with bleaching powder,phenol or simple heating or sun exposure kills it,so proper washing and cleaning afte sexual encounter is also very helpful.But if no such precautions taken so for first few days after encounter it cause mild fever pain in joint ,muscles etc and can subside it self usual serious ymptos comes not before 2yrs after exposure but mostly after 8-10 years so patients usually forget every thing but its virus remain patent inside his body and gradually weakens immunity and gradually invite many infections called opputunistic infections and if patient doesnot take medicines then usualldies within 2-3 yrs but if he starts treatment when his CD4 count is below 350 or 500 then with modern medicines which are called ART OR anti retroviral therapy ( as HIV IS a RNA RETROVIRUS as per viral classification Biologically)then his conditions improved Viral Load or quantity in blood decreases,CD4 or protective cells quantity increases in Blood and with this therapy which is taken daily and for whole life without any break in between from Government sponsored ART CENTRES opened in many medical colleges of our country and every district hospital of country or through HIV/AIDS specialist running private clinic.These medicines are safe and usually gives good control over virus and pt can be away from serious disease manifestation for life but it never cures the disease,he has to liva a good life with no unprotected sex,these patient usually maintain abarrier of mixing their blood,semen with others but sweatt,tears or eating playing or mixing or sharing food in same plate or talking or sharing cloth didnot transmit diseases provided if no ulcer or blood oozing present in patients body which can contaminate the nearby.
Therefore,these patients should be never discriminated from society,every body should welcome and mix with them.Even patient should never feel isolated or depressive as continuos treatment under care of ART CLINIC or HIV/AIDS specialist completely keeps disease under control and patient lives a normal life.after first detection of HIV patient in year 1980,much research has been done and Man has developed many good medicines and knowledge abot this virus and disease as a result of this today a patients lives a normal life with these medicines.Before 2-3 months back in Mississippi in US a child was declared completely cured of HIV as his treatment sarted with this ART medicines within 30 hrs of birth,similiarly 14 French patients who were given ART therapy within 10weeks of infection of HIV remains disease free till today even stopping their medication when viral loas was veryvery low but in these patients virus will remain present but if they lives a good healthy life taking precautions for sex,good hygenic food,excercise and prevention for seasonal diseases.
Therefore we say that any mishappening of unprotected sex under influence of alcohol or any reason stimulating it by mistake or by alluration ask for PEP within 72 hrs,consult HIV/AIDS SPECIALIST and then strat ART THERAPY AS SOON AS CD4 count less tha 500 ,in ART CENTRES ART not given if CD4 count less than 200 as it is Government programme so meicines given free and also first generation drugs and many tests like viral load and sensitivity not done but those who can pay get may consult good HIV /SPECIALIST and may start with few new combined good ART thearpy available in market with CD4 count less as stated above and even viral load,sensitivity,HIV GENOTYPE study etc can also be done and tests for many oppurtunistic infections can be also taken to check them by preventive prophylaxsis.
This Virus replicate and transmutes or changes its strain most rapidly then any other virus discovered so to develop an effective vaccine as we developed for small pox,measels,chicken pox ,polio is not possible.Every year 1-7 millions people dies due to this virus inspite of so much developed health infrastrucuture and treatment modalities.Therefore no effective vaccine against this Virus has developed even recently tried the HVTN 505 VACCINS STUDY ALSO FAILED TO CURE DISEASE AND PREVENT OCCURANCE OF THESE DISEASE IN MASS AS WE CONTROLLED POLIO ,INFLUENZA,SMALL POX.
iNDIA BECAME THE THIRD LARGEST COUNTRY AFFECTED WITH THIS VIRUS so its danger is very alarming in our country as modern urbanisation,modern life style,living in relations,our improving economical and social status ,boon in our it and computer sector and advanced internet surfing and mobile connectivity and developed transport ,more intake of alcohol/drug or other sducive advertisement or stimultants ,more modern parties singing,dancing and mating has brought more sexual exposure of young and middle and any unprotexted sex or even protected hasty sexual exposure definitely increases risk of this disesase in our society and many our health projects are conducted in civil hospitals or medical colleges where our middle or urban educated youths hardly go for checkups,didnot yield real picture of this virus incidence or prevalence where our Government is always insisting on hiding statistics and data to earn good name and fame to digest many government and international aid funds for this disease,so we,the people ,have to be more cautious to save ourselves from this disease or its threat to curb this virus nipped into bud by early reprting to HIV/AIDS SPECIALIST for its entry ,detection and treatment.


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May23
Benefit of good and relaxed sex on our body-male/female
BENEFIT OF SEX;--------
******@gmail.com
THERE ARE MANY BENEFIT OF GOOD SEX,MEANS A SEX IN FREE AND FAIR TENSIONLESS ENVIORNMENT WITH CONSENT OF BOTH PARTNERS IN SOUND BRAIN AND ENVIORNMENT BETWEEN TWO MATURED ADULTS IF INDULGE IN SEX WITH ONE'S WIFE OR CLOSE LOYAL PARTNER OR LIVING IN RELATION WHERE BOTH GET SATISFICATION AND RELAXATION DURING AND AFTER THE ACT BUT IF INDULGE IN SEX WITHOUT CONDOM AS COMMON NOW A DAYS,NOW PORN IS AVAIALBLE FREE ON NET BUT HERE YOU CAN DO ONLY OBSEVATORY SEX NOT INTRUSIVE SEX SO SEX RELATED DISEASES DONOT OCCUREXCEPT HABIT OF MASTURBATION MAY CHANGE YOUR SEXUAL SATISFICATION OR BEHAVIUORBUT NOW A DAYS ESCORT SERVICE,REV PARTIES OR INDULGING WITH YOUR CO WORKER OR PARTNER OR YOUR OFFICE MATE OR NEIGHBOUR UNDER INFLUENCE OF ALCOHOL OR MEGA SOUND MUSIC PARTY OF NEW YEAR ,BIRTH DAY OR ANY GOOD OCCASSION OR OTHERWISE COMMERCIAL AVALABLE FLYING OR COMMERCIAL SEX WORKER OR HOUSE MAID AS ADVERTISED ON EVERY NEWS PAPER BOLDLY ,YOU MAY GET AIDS/HIV.HEPATITIS B,HEPATITISC,HERPES,GONORRHOEA,SYPHILLIS,UTI ETC.SO ALWAYS DO PROTECTED AND SAFE SEX.
The BENEFITS of SEX.

Did you know that we can determine if a person is sexually active just by looking at his/her skin?person becomes more cool,calm and relaxed away from depression,anxiety and stress and better composed to take day long activities normally .
1. Sex is a beauty treatment. Scientific tests have shown that when a woman has sex she produces large amounts of estrogen which makes her hair shiny & soft.

2. To make love in a soft & relaxed way reduces the possibility of suffering from dermatitis & acne. The sweat produced cleans pores & makes the skin shine.

3. To make love always allows you burn all the calories accumulated daily.It is agood excecise to burn our extra calories.

4. Sex is one of the safest sports. It strengthens & tones all the body muscles. Its more enjoyable than doing 20 laps in the swimming pool & you don't need special shoes!

5. Sex is an instantaneous cure against depression & stress. It frees endorphines in the blood flow, creating a state of euphoria & leaves us with a feeling of well-being.

6. The more we make love, the more we have the capacity to do more. A sexually active body releases a higher amount of pheromone. This subtle aroma excites the opposite sex !

7. Sex is the safest tranquilizer in the world. ITS 10 TIMES MORE EFFICIENT THAN VALIUM.it endorses good and relaxed sleep.

8. To kiss everyday allows you to avoid the dentist. Kissing produces saliva in cleaning teeth & lowers the quantity of acids causing enamel weakening.

9. Sex relieves headaches. Each time we make love, it releases the tension in our brain veins.

10. To make love a lot can heal a nasal congestion. Sex is a natural antihistaminic. It helps fight asthma & spring allergies.

11.it kills your bad habit of masturbation,voyerism,sodomic behaviour,abnormal sex and doing crime in society in want of sex.
But this sex should be a simple good sex not what shown in porn films and shoot out,meeting after fore play and then proper stimulation,penetration,playing and then relaxation where no partner is hurt and both get good satisfication.


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