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May01
HIV/AIDS :WHAT SHOULD BE TESTED AND HOW AND WHEN ? TEST RECOMMENDED AT DIFFERENT STATES FOR HIV/AIDS -DO IT UNDER MEDICAL GUIDANCE ONLY AS NEED INTERPRETATION BY EXPERT
HIV/AIDS :WHAT SHOULD BE TESTED AND HOW AND WHEN ? TEST RECOMMENDED AT DIFFERENT STATES FOR HIV/AIDS -DO IT UNDER MEDICAL GUIDANCE ONLY AS NEED INTERPRETATION BY EXPERT

PROF.DRRAM ,HIV/AIDS,SEX DIS.,SEX WEAK.& ABORTION SPECIALIST
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After any reason mentioned in previous page the suspected person should undero different tests for conformation:

1.antibodies test: done by Elsia,western blot and simple antigen,antiody card test must be confrmed at least two times and if possible by western blot for confirmation of HIV I AND II,KIT SHOULD DETECT BOTH HIV I AND II,althouh HIV ii is rare in our country and these tests are never positive befor 21 days post infection but maynot positive in some patients even upto 6 months and rarely upto 12 or a8 months in slow progressors .It may be negative in advanced stage and may be false positive if coinfection with hbsag or hcv infection or serum kept for long time ,other immunity disorders.
2.P-24 Antien test and antibodies test: may be positive within 14 days of infection and may show positivity in new born of infected mother even within 1-3 months,antibodies test positive after 6-8 months and then p24 antigen disappears but may re appear if disease is advanced .
KEY to diagnosis of HIV /AIDS or any other Sex transmitted disease is testing by blood or body fluid like csf,vaginal,semen or ascitic or pleural fluid and now a days urine and salivary secretion too.
3.HIV DNA PCR : detect hiv even in early sae in new born and in a patient although positive but hiv rna pcr is negative.
4.HIV RNA PCR : both qualitative and quantitative indicate positivity strongly and determine stae of disease as per viral load.
5.HIV Genotype : both for HIV I and II differnet enotype study indicate for different strains prsent
6.Hiv drug sensitivity: different strains and drugs sensitivity done to know resistance and change the drug.
7.Simple Blood test nd test of total wbc count and Lymphocytes,esr ,crp and neutrophils count.
8.CD$ and CD8 cells count cd4 diminishes and cd8 increases in HIV infection so ratio is always low,if cd4 count is fallin 30-40 pm disease progressin very fast.CD$ cells percentae to lymphocytes is more important in children if fall beow 20% treatment is started but now for every asymptomatic child too we offer treatnment.
9.Neopterin level : it increases as more macrophages infection.it is non specific.
10.B2 micoglobulin level: due to increase macrocytic activity reaction it is more liberated.
11.Interleukin -2 level it increases as more cellular immunity comes in focus.
SO MANY TESTS AND THEIR INTERPRETATION IS DIFFICULT SO ONE PERSON SHOULD NOT GET FRIGHTENED IF ONE POSITIVE SHOULD O FOR MORE DETAILS AND THIS IS POSSIBLE BY ONLY AN EXPERT SO SELF TESTIN WILL INCREASE DIFFICULTIES ONLY,ONE SHOULD GO TO EXPERT AND HE./SHE WILL DECIDE WHICH IS BEST FOR ONE PATIENT SEEING HIS GENERAL CONDITION AND OTHER INFECTIONS AND STATUS AND DAY OF REPORTING AND ECONOMICAL STATUS.
Now a days any person can ask for testing although advanced nation are asking for everybody to et tested for hiv but still in India,FSW,CSW, Sexworkers, Migratory labors,truckdrivers,all patients at std clinic,prenant mothers and blood donors are tested only.
But in all private hospital of metro and big cities are getting tested for HBSag,HCV and HIV mandatory without counselling (which is illegal)


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May01
HIV/AIDS :TESTING IS ONLY WAY OF CONFIRMATION -WHO SHOULD BE TESTED AND HOW ? DO IT UNDER MEDICAL GUIDANCE AS NEED INTERPRETATION BY EXPERT-SELF TESTING MAY BE DANGEROUS
HIV/AIDS :TESTING IS ONLY WAY OF CONFIRMATION -WHO SHOULD BE TESTED AND HOW ? DO IT UNDER MEDICAL GUIDANCE AS NEED INTERPRETATION BY EXPERT-SELF TESTING MAY BE DANGEROUS

PROF.DRRAM ,HIV/AIDS,SEX DIS.,SEX WEAK.& ABORTION SPECIALIST
profdrram@gmail.com,+917838059592,+919832025033,DELHI –NCR,IND
HIV/ AIDS,CANCER LATEST MEDICINES AVAILABLE AT CHEAP RATE.
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KEY to diagnosis of HIV /AIDS or any other Sex transmitted disease is testing by blood or body fluid like csf,vaginal,semen or ascitic or pleural fluid and now a days urine and salivary secretion too.
Now a days any person can ask for testing although advanced nation are asking for everybody to et tested for hiv but still in India,FSW,CSW, Sexworkers, Migratory labors,truckdrivers,all patients at std clinic,prenant mothers and blood donors are tested only.
But in all private hospital of metro and big cities are getting tested for HBSag,HCV and HIV mandatory without counselling (which is illegal) .
1.You should be tested at least once a year if you are sexually active, particularly with three or more sexual partners in the last 12 months.
2.You had a possible exposure to HIV either through vaginal or anal intercourse without the use of a condom or have been involved in any other risky sexual behaviorwithout condom or oral sex with unknown person both homo or hetrosexual or even with known person but without confirmation of his her hiv positivity .Or Condom breaks or spillage of vaginal fluid or semen happens or you donot remeber what happened as intoxicated or under drug,all rape victims or forced or lured sex.
3.You have shared/reused needles or syringes to inject drugs (including steroids), or for body piercing, tattooing, or any other reason.
4.You are a health care worker who's had a work-related accident such as direct exposure to blood or have been stuck with a needle or other object or getting body fluid or blood coming incontact with eye mouth or direct blood .
5.You are uncertain about your sexual partner's risk behaviors or your sexual partner has tested positive for HIV.
6.You are pregnant or are considering becoming pregnant.
7.You have had certain illnesses including TB (tuberculosis), or an STI (sexually transmitted infection), such as syphilis or herpes.
8.You have any reason to be uncertain about your HIV status.
9.If you have engaged in behaviors that have put you at risk of becoming infected with HIV, you may also have been exposed to other STIs. Some of these can be quite serious and require immediate treatment, such as syphilis or hepatitis C virus (HCV). If you are being tested for HIV you should also discuss with your provider whether you are at risk and should be tested for these STIs
10.If you are sufferin from sever body weight loss,fever for 1-2 months,white patches over mouth,tounge,ulcers over penis,vagina or enlared lymphnodes or mental aony and dementia or recurrent chest infections,diarrhoes or neurological infections not subsidin with normal therapy.
11.your doctor suspect and ask for it even you had no history of any abnormal sex encounter or blood transfusion or needle injuries.one should gives consent for this


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May01
NAMASMARAN AND WALKING DR SHRINIWAS KASHALIKAR
NAMASMARAN AND WALKING DR SHRINIWAS KASHALIKAR

Student: Sir; what is your favorite way of practicing NAMASMARAN?
Teacher: When I am free from my duty of the day I prefer to take shower. I begin to walk slowly and steadily. With every step I synchronize SHRI RAM JAY RAM JAY JAY RAM. On empty stomach and in absence of hernia, abdominal wound, abdominal distention due to any reason or history of recent surgery etc; I practice KAPALBHATI, which in short, is active abdominal expiration and passive thoracic inhalation and synchronize it with my steps and NAMASMARAN. At the end I feel happy and triumphant for utilizing my time maximally in the process of SELF REALIZATION and GLOBAL BLOSSOMING.
SHRIRAM SAMARTH!


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Apr30
Labial fusion
Labial fusion, or labial adhesion, is when the small lips around the entrance to the vagina become sealed together and covered with a fleshy membrane. It is sometimes seen in babies and young girls and is usually nothing to worry about.
The membrane usually completely seals the vaginal opening, leaving a very small gap at the front through which urine passes.
For most babies or girls, labial fusion does not cause any problems and is often discovered accidentally by a parent or carer during nappy changing or bathing.

Read More: http://drbcshah.com/labial-fusion/


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Apr30
POST PREGNANCY LESS SEX DEMAND SO SEX DESIRE IS LESS BUT STILL NEED PROTECTION OF PREGNANCY BY USE OFCONVENTIONAL CONTRACEPTIVE
POST PREGNANCY SEXUAL DESIRES ARE LESS IN PARENTS

PROF.DRRAM ,HIV/AIDS,SEX DIS.,SEX WEAK.& ABORTION SPECIALIST
profdrram@gmail.com,+917838059592,+919832025033,DELHI –NCR,IND
HIV/ AIDS,CANCER LATEST MEDICINES AVAILABLE AT CHEAP RATE.
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Parents experience a change in sexuality following the birth of a child, with low sexual desire linked to factors related to the care of the baby like stress and fatigue, suggests new research in the US.

The retrospective online survey, involving 114 partners of postpartum women (95 men, 18 women, 1 unspecified), questioned new parents about their sexuality in the 3 months following the birth of their youngest child to determine changes in physical, social, psychological and relational experiences.

The results showed that in the first 3 months following birth, 81.7 percent of partners reported reengagement of sexual intercourse with the birth mother, 69.6 percent reported participating in oral sex and 72.7 percent reported masturbating. Masturbation occurred earlier in the postpartum period than did intercourse (p<0.001), oral sex on the mother’s partner (p<0.048) or oral sex on the birth mother (p<0.001). There were no significant differences in the time it took to reengage in intercourse and oral sex on either parent. The mother’s partner enjoyed reported higher enjoyment with oral sex than intercourse or masturbation (all p<0.030), but there was no significant differences in enjoyment between intercourse and masturbation (p=0.902). Both groups participated equally in initiation of postpartum intercourse (p=0.359).

Participants ranked factors related to sexual and intimate feeling in participants and their partners as most frequently contributing to high desire and fatigue and stress as the top influences for low desire. Time constraints was selected as the third most common factor contributing to low postpartum sexuality. There were no significant differences between the genders in self-reported perceived stress, body image self-consciousness or average level of fatigue (all p>0.40). However, women partners of new mothers perceived more support from their significant others and friends and had significantly higher overall social support scores than their male counterparts (all p<0.035).

“Results from this study and previous research suggest that postpartum sexuality can be conceptualized as an individualized experience within a partnership, as well as one that occurs in a larger social and relational context,” said study author Dr. Sari M. van Anders of the University of Michigan, Ann Arbor, Michigan, US, and colleagues.


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Apr30
CIGARETTE -STOP SMOKING HOW EFFECTIVE IS e -CIGARETTE ,SMOKING REALLY HARMS BOTH MALE ,FEMALE,SHOULD QUIT IT
CIGARETTE -STOP SMOKING HOW EFFECTIVE IS e -CIGARETTE

PROF.DRRAM ,HIV/AIDS,SEX DIS.,SEX WEAK.& ABORTION SPECIALIST
profdrram@gmail.com,+917838059592,+919832025033,DELHI –NCR,IND
HIV/ AIDS,CANCER LATEST MEDICINES AVAILABLE AT CHEAP RATE.
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Nicotine is very injurious to health,inform of Biddi or Cigarette it doesnot harm only smokers but pass by standing persons too it causes more lung cancer prone person for raised Bp,Heart attacks,Brain stroke,kidney changes etc beside disease of leg apins and gangrene,in female harm baby in pregnancy .If taken by gutka or khaini or chewing it leaves cause cancer of mouth ,oral cavity,lung and larynx beside ulcers in gi tract and other crdiovascular damges .
SO,cigarette or Bidi smoking or chewing nicotine should be banned in this regard for stopping smoking in advanced world E-CIGARETTE HAS COME which is like cigrette burnt electronically and smoked but harmful nicotine is lacking so very easily accepted in western world.The uptake of e-cigarette use by nicotine consumers in the US and Europe over the past 5-7 years has been nothing short of remarkable. Millions of people in these markets have now switched from smoking to ‘vaping.’

these are good alternative to nicotine simulating patches or spray of chewing tablets as these are costly and donot give satisfication of holding like cigarette and mental satisfication of smoking,so e cigareete is providing a very good gesture by many and people are easily attracted by it.
However, not everyone is happy, convinced or willing to accept this new development and well-funded public relations campaigns have sprung up attempting to persuade policy-makers, the media and the public that e-cigarettes should be regulated or banned because they are harmful or a ‘gateway’ to tobacco smoking. So many contra study is coming in USA nd UK but in country like ours it will be accepted more as it is a good alternative


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Apr30
BHANG OR ,MARIJUANA May Have Potential as an HIV Treatment,IMPROVES DEPRESSION AND IS USEFUL THAN ADDICTION MEDICINE
BHANG OR ,MARIJUANA May Have Potential as an HIV Treatment

PROF.DRRAM ,HIV/AIDS,SEX DIS.,SEX WEAK.& ABORTION SPECIALIST
profdrram@gmail.com,+917838059592,+919832025033,DELHI –NCR,IND
HIV/ AIDS,CANCER LATEST MEDICINES AVAILABLE AT CHEAP RATE.
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As marijuana continues to gain legal status in some U.S. states, evidence is emerging that it may be able to help in the fight against HIV -- but legal restrictions are making it difficult for scientists to find out for certain.
Tetrahydrocannabinol (THC), the main active ingredient in marijuana, could help prevent HIV from spreading throughout the body, according to a recent study. A team of Louisiana State University researchers is behind the findings, which it reached by studying a group of macaque monkeys infected with SIV, the simian form of HIV. After the monkeys received a daily injection of THC for 17 months, researchers saw a dramatic decrease in the damage to the monkey's duodenum (part of the small intestine) and an increased population of healthy cells near the damaged tissue compared to macaques who didn't get THC treatment.

"It adds to the picture and it builds a little bit more information around the potential mechanisms that might be playing a role in the modulation of infection," said Patricia Molina, M.D., Ph.D., lead author of the study.

Molina's study is in line with science that is researching the gut as a key area of importance in fighting HIV. Also, research suggests that THC could be helpful in preventing infected cells from entering the brain, and that cannabis may have beneficial properties for those with advanced HIV. Several studies have also pointed to marijuana's ability to ameliorate common side effects of HIV and treatment, like loss of appetite and pain.
Finding out whether marijuana has medicinal benefits for people living with HIV may prove difficult, as the substance is still classified as a Schedule I drug -- the most restrictive of the five categories outlined by the Controlled Substances Act. As a result, scientists who want to use marijuana in their research often have trouble getting funding, and the federal government controls access to the small legal supply of "research" marijuana and THC


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Apr30
HIV/AIDS: WHY LESS PEOPLE IMPROVES THAN PEOPLE TAKING TREATMENT -POVERTY AND ADHERANCE IS CAUSE
HIV /AIDS : MANY PEOPLE AE TAKING TREATMENT FROM DIFFERENT AT CENTRES BUT FOR MOST DISEASE IS NOT UNDER CONTOL THIS O THAT OPPURTUNISTIC INFECTIONS OCCURS AS THEY AE VERY POOR OR ECONNOMICLLY IN BAD CONDITION ,THEY HAVE TO RUN FOM ONE PLACE TO ANOTHER SO DRUG INTAKE IS NOT REGULAR ,EVEN AT ONE PLACE DONT COME TO TAKE DRUG REGULA FOM ART CENTRE O EVEN TAKEN DUE TO LACK OF AWARENESS AND EDUCATION FOGET TO TAKE IT REGULALY SO NO GOOD ADHERANCE SO FAILURE IS MORE.
BESIDE AWARENESS THEIR NUTRITION AND REST IS SO NEGLIGENT THAT THEIR IMMUNITY REMAINS COMPROMISED TO FIGHT A VULNEABLE DISEASE LIKE HIV WHICH CAN SPRED TO ANY PART OF BODY.
PROF.DRRAM ,HIV/AIDS,SEX DIS.,SEX WEAK.& ABORTION SPECIALIST
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. MANY PATIENT CANNOT AFFORD MANY INVESTIGATIONS AND THERE IS SHORTAGE OF MEDICINES AND DIAGNOSTIC KITS AT ART CENTES SO CANNOT SEE WHETHE DRUG IS EFFECTIVE OR NOT,TESTS LIKE VIRAL LOAD OR DRUG SENSITIVITY IS ALMOST NEVER DONE SO PERSON TAKING DUG OR DOCTOR CANNOT ASSESS WHETHER DUG IS EFFECTIVE OR NOT EXCEPT EVALUATION BY CLINICAL SYMPTOMS AND SIGNS IMPROVEMENT OR DETERIORATION.
THEREFORE OUT OF 100% TAKING MEDICINE ONLY 25% SHOWS GOOD CONTROL


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Apr30
HIV/AIDS: WHY SO HARD TO TREAT ? CAUSE OF DRUG RESISTANCE AND INABILITY TO MAKE GOOD VACCINE
HIV /AIDS: HIV VIRUS IN HUMAN BEING MUTATE OR CHANGE SO BADLY IN SIDE BODY THAT DRUGS ONCE BEING STARTED IF NOT TAKEN REGULARLY THEN DRUG RESISTANCE OCCURS BECAUSE VIRUS CONFIGURATION OR PROTEIN OR ITS VARIETY CHANGES AND DRUG BECOMES LESS EFFECTIVE .
PROF.DRRAM ,HIV/AIDS,SEX DIS.,SEX WEAK.& ABORTION SPECIALIST
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SUCH MUTATION OR CHANGE IN VIRUS IS MORE AS IT IS A SIMPLE VIUS HAVING A SMALL PROTEIN AS NULCEAR MATERIAL WHICH CHANGES SO THAT DRUG CANNOT KILL IT MORE AND THAT IS WHY EVEN VACCINE PODUCTION AGAINST VIRUS IS NOT POSSIBLE.
AS VACCINE WORKS FOR ONE VIRUS AND AS VIRUS CHANGES OR MUTATES SO NEW STAIN PRODUCED SO THIS VACCINE BECOMES INEFFECTIVE SO VIRUS REMAIN GROWS.SAME FOR DRUG ,THEREFORE WE GIVE TWO OR THREE DRUG COMBINATIONS SO THAT VIRUS CANNOT MUTATE EASILY AND ONE AND ANOTHER DRUG WILL KILL IT UNLIKE IF WE USE ONE DRUG TO WHICH IT WILL MUTATE EASILY,SAME WAY NEW DRUGS ACTING DIFFERENTLY AS NULEOSIDE OR NUCLEOTIDE REVERSE TRANSVERSE INHIBITORS as Lamivudine ,NON NUCLEOSIDE REVERSE TRANSCRIPTOR INHIBITORS Efavirenz ,PROTEASE INHIBITORS as ritonavirFUSION INHIBITORS,RECEPTOR BLOCKERS as Raltegravir used
HIV VIRUS OCCUPIES SOME CD4 CELLS OF HOST WHICH HIDE WELL INSIDE BODY AND REMAIN SO FOR YEARS HARD TO KILL THESE CELLS WHICH ARE HIDDEN INSIDE BODY SO CANNOT BE ERADICATED COMPLETELY WHENEVER DRUG IS ABSENT OR PATIENT IMMUNITY COMPROMISES THE THIS VIRUS AGAIN GROWS AND PRODUCE SYMPTOMS,SO ONCE TREATMENT STARTS THEN IT IS FOR LIFE WITH ADVICE OF GOOD LIFE FULL OF EXCERCISE AND NUTRITION SO THAT IMMUNITY REMAINS HIGH.
SAME WAY IF PERSON AFFECTED CONTINUE TO SEX WITHOUT CONDOM WITH MULTIPLE PARTNERS WHETHER HOMO GAY OR LESBIN OR HETERO OR MSM THEN NEW STAIN ENTERS MIX WITH ANOTHER OF PT AND PRODUCE A NEW STRAIN HRD TO BE CONTROLLED BY ARV MEDICINES USED AND PATIENT BECOMES RESISTANT TO ALL DRUGS SO PATIENT SHOULD LIVE A LIFE LOYAL TO PARTNER AND USE CONDOM DURING SEX WITH WIFE EXCEPT FOR TAKING CHILD ONCE OR TWICE UNDER MEDICAL GUIDANCE COMPLETELY WITH VERY VIRAL LOAD AND FULL ARV COVERAGE OF MEDICINES.


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Apr30
NAMASMARAN AND HELPLESSNESS: DR SHRINIWAS KASHALIKAR
NAMASMARAN AND HELPLESSNESS: DR SHRINIWAS KASHALIKAR

Student: Sir, sometimes I feel helpless for a strange reason!
Teacher: What is it?
Student: Sir, I get sunken in questions; “How did I get into today; from yesterday; without any specific intention? Has anyone “transported” me irrespective of my wish from yesterday into today? Who is He? In fact; who made me live from my childhood up till now? Who made me feel, think and act?”
As these questions overpower and engulf me! I get terrified and helpless! I get shattered as I appear to lose everything - my possessions, my status, my passions, my feelings, my thoughts, my qualities, my values, my missions, my people and even the devotion and dedication for NAMA that I cherished for decades! My inner world full of love, justice, freedom and joy; appears deserted! This void is killing! I feel as if I cease to exist!
Teacher: Indeed your puzzle is uncommon! Very few people may be facing this!
The reason for your questions is this. We, who are actually beyond time; are trapped and wrapped in time, space and energy and the sensations, instincts, feelings and thoughts. This is actually trivialization of our selves. But this happens in most of us.
As a result we get addicted to this caricature state; and all the subjectivity and/or pettiness inherent to it!
As and when our true self - NAMA; involves us in its SMARAN i.e. NAMASMARAN, we begin to get deaddicted to our caricature state. But this deaddiction is painful. It does not happen as smoothly as we would have liked it! There are hiccups!
Your “helplessness and sinking” is the result of the “abstinence syndrome”, as is seen initially; in a drug addict, when denied a drug!
Student: Does everyone go through such deaddiction?
Teacher: Everyone goes through this process but variably. Everyone may not confront with the same questions and the same experiences. But this happens in every being and is often experienced by many as some inexplicable and indescribable restlessness referred to as; VISHVAACHE AARTA by Saint Dnyaneshvar.
Student: Can this happen due to physical pains?
Teacher: This happens due to the experience of physical pains, transient nature of pleasures, nostalgia of lost moments, dejected feeling due to alienation from the global events; and so on! All this is due to the process of “our retrieval to original state; from our amalgamation” with our caricature existence.
Student: What should I do?
Teacher: Always remember that the future road map is inbuilt in this state! The NAMA, true self or Guru; would involve you in NAMASMARAN and “restore” you from body and senses; to you original subtle nature! You WOULD get freed from the “hitherto cherished possessions as well as your caricature self”! Ultimately when you become the void itself, you would find NO VOID; BUT the whole universe TO BE within you!


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