INTRODUCTION TO NAMASMARAN DR. SHRINIWAS KASHALIKAR

1. NAMASMARAN is a process of chanting / remembering of the name of God. It is in vogue from the time immemorial. Lord Shankar, Valmiki, Ambarish, Pralhad, Dhruva, Adi Shankaracharya, Meera, Chaitanya Mahaprabhu, Namadeva, Dnyaneshwar, Tukaram, Eknath, Kabir, Samarth Ramadas, Chokhamela, Narahari Sonar, Gora Kumbhar, Gondavalekar Maharaj, Gajanan Maharaj, Sai Baba and so many from different religions and spiritual traditions practiced NAMASMARAN and advocated the same to the others. Mahatma Gandhi also practiced NAMASMARAN and wrote a book on it. NAMASMARAN has an extremely important place in almost all the spiritual traditions present all over the world.

But today it has become especially imperative to re-explore and experience its significance in view of preventing the imminent collapse of the edifice of humanity.

I don't wish to preach NAMASMARAN but only share my views about it with the readers.

NAMASMARAN is basically a means of Self-realization or in other words God realization. Thus religious and pious individuals can be seen chanting the name of a particular deity with a holy rosary in their hand. Chanting is done in different ways. It is done at different times of a day or night and with different types of rosaries with different numbers of beads. People remember silently or recite loudly. They remember specific names, with specific targets such as 3.5 lacs, 13 lacs, 3.5 crores, 13 crores etc. NAMASMARAN is practiced either with specific mundane intention or without any such desire of mundane nature. In my view practicing NAMASMARAN is of highest importance; and when done so with topmost priority; the other paraphernalia or rules and regulations assume lesser importance.

With utmost respect and gratitude for all the traditions and their followers I wish to point out that in my view NAMASMARAN in today's time will not only endow us with Self realization but it will simultaneously usher the dawn of universal welfare in terms of abundance and profundity. In fact this social implication of NAMASMARAN is the main theme of this book. I feel this way because in my view the chanting of the name of God can bring about (1) Enlightenment in one's personal life thus making life fearless, selfless and compassionate (2) Manifestation of light in one's perspective, thinking, feelings, instincts and actions in the profession, thus contributing to global welfare. (3) Self realization associated with bliss (4) Actual revelation and manifestation of already existing objective unity at the core of every being, thus improving relationships at personal, regional and national levels in the society all over the world (in the form of feeling as well as actual behavior) (5) Manifestation of cosmic will as against that of petty self in different fields (God's will, will be manifested and vested interests and antisocial plans would be defeated or crushed.) (6) As regards those who do not recite the name of God, even they would be benefited. NAMASMARAN would bring about emancipation of them because of the freeing influence of the unified reality realized and manifested in the life of those who chant the name of God.
Some people argue that many individuals practice NAMASMARAN but do not seem to get benefit. They cite the examples of beggars of whom many chant the name of God. Some people do not see any sense in simply chanting the name of God. Some also point out that thousands of great individuals never uttered the name of God, thus suggesting that NAMASMARAN is an unproductive and irrelevant activity. Many others can take yet another point of view and argue that there can be many ways to reach the truth.

To these arguments there are answers. But these answers are based on the vision of the self realized souls and the concept of rebirth. They are based on KARMAPHALASIDDHANTHA. Therefore they are accessible to enlightened individuals. But we can try to grasp the reality. Thus a person in beggarly attire is not necessarily a helpless and miserable creature as may seem from the appearance. In fact the beggarly look can be worn by a mighty (with tremendous inner strength) sage, a sanyasin or a saint. Simple chanting illuminates all planes of consciousness, like a single switch which can bring about flood lights illuminating every nook and corner.

Chanting the name of God is like removing the veils of subjective personality so as to open doors to cosmic wisdom. When we see many great individuals not practicing NAMASMARAN, we must realize that their greatness can be related to their penance in the past life/lives. Thus they also could be chanting; the name of God in the past life. Alternatively they could be practicing other forms of penance which can make a person great but not necessarily self realized. Lastly it must be understood that the concept of rebirth and KARMA-PHALASIDDHANTHA ought not to be used to justify injustice but should be seen as a source of inspiration to practice NAMASMARAN and rise above every kind of bondage. These explanations may not satisfy many readers.

This is because our intellectual capacity can (without losing subjective identity) comprehend or experience the input coming through three states, sleep, wakefulness and dream; three dimensions viz. length, breadth and depth; and three times viz. past, present and future. But the concepts mentioned above are beyond all these. They therefore are not describable by languages of quality and quantity.

Namasmaran can liberate us and enable us to "see" the concepts mentioned above as well as the universe appropriately.

Finally; NAMASMARAN ensures a timely evolutionary transformation or return to one�s original state of trans-temporal, immortal and eternal bliss.

HIV /AIDS LIFE EXPECTANCY : FACTORS GOVERNING LIFE OF AIDS PATIENTS

PROF.DRRAM ,HIV/AIDS,SEX DISEASES,SEX WEAKNESS & ABORTION SPECIALIST
profdrram@gmail.com,+917838059592,+919832025033 DELHI �NCR,INDIA
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Factors that influence life expectancy are generally considered either static (or fixed) or dynamic (able to change or fluctuate over a short period of time).

Static factors, like race or sexual orientation, influence life expectancy not so much because a person is either white or African American,African,Indian or from any where or identifies as gay or heterosexual. Rather, longevity is associated with a multitude of risk factors within these specific population groups.

For instance, high levels of poverty in African American communities (24.9%),African indian poor patients and the consequential lack of access to healthcare negatively impacts the survival rate when compared to white population. Conversely, stigma reduction and access to community-specific HIV care may be contribute to the higher survival rates among men who have sex with men (MSM).

Dynamic factors, on the hand, generally have very strong causal effects insofar as survival time is concerned. Some of these, like treatment adherence, relate specifically to the preservation or deterioration of a person's immune function. Others, like smoking, contribute to the premature development of non-HIV-related comorbidities, such lung cancer. Still others, like injection drug use, are affected both fronts�both behavioral vulnerability and a person's vulnerability to infection.

CD4 count at the time of cART initiation remains one of the strongest indicators of life expectancy. Starting therapy at a CD4 count below 350 cells/ �L correlates to a quantitative reduction in life-years. Simply put, as the CD4 continues to dip beneath the 350 threshold, so, too, does life expectancy�by as much as 22 years, according to an analysis of the NA-ACCORD study data.

HIV-infected smokers lose more life-years to smoking than to HIV, say researchers from Department of Infectious Diseases at the University at Copenhagen. In fact, the risk of death from smoking is twice as high among smokers with HIV than those without. When compared to non-smoking people with HIV, smokers with HIV trim as much as 12 years from their lives, reducing life expectancy to just under 63 years.

Race and HIV longevity are integrally linked. Quite simply, HIV-positive non-whites live, on average, 8.5 year less than their white counterparts. That's a 15% difference, with the lowest life expectancy seen among African-Americans.

Injection drug users (IDUs) suffer from substantially increased mortality, both in terms of HIV-related infections and non-HIV-related comorbidities (like liver cancer). According to a collaborative cohort study of 6,269 IDUs in North America and Europe, the strongest contributing factors to lower life expectancy rates were treatment adherence and hepatitis C (HCV) co-infections. All told, life expectancy for IDUs is 20 (or more) years less than all other HIV groups.
Meanwhile, most research indicates that gender has no impact whatsoever on either disease progression or mortality. Moreover, white MSM are seen to have among the longest life expectancy of all HIV groups.
IN BRIEF IF TREATMENT STARTED SOON NOT BELOW 350 AS IN INDIA WITH GOOD ARV DRUGS HAVING LESS SIDE EFFECTS NOT AS IN INDIA ART CENTRES WHERE ONLY STAVUDINE NOT GIVEN BUT ZIDUVUDINE AND LAMOVUDINE AND NEVIRAPINE STILL USED EVEN PROTEASE INHIBITOR LIKE RALETAGIVIR, ATZANIVIR, INDIVINAVIR,LACKING MODERN INHIBITOR AND RECEPTOR BLOCKERS NOT USED BUT STILL REGUAR TREATMENT,GOOD ADHERANCE,A GOOD LIFE STYLE WITHOUT ADDICTION OF MULTIPLE SEX PARTNERS,DEVOID OF ALCOHOL,DRUGS AND CIGARETTE WITH GOOD DIET,NUTRITION AND TAKING PREVENTION FROM UNNECSSARY COLD HEAT,TRAUMA,PERSONAL FOOD AND WATER HYGEINE ALL LEADS TO GOOD SURVIVAL .PREVENTING IMMUNISATION WITH PREVENTIVE PROPHYLAXIS OF SOME INVECTION LIKE PNEUMONIA,DIARRHOEA,TOXOPLASMA ETC AND ERALY CHECK UP FOR OPPUTUNISTIC INFECTIONS ETC ALL LEADS TO GOOD SURVIVAL.
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Introduction

Breast cancer is often thought of as a condition that only affects women, but men can also develop it.
However, breast cancer in men is much less common than breast cancer in women.
The most common symptom of breast cancer in men is a hard, painless lump that the develops on one of the breasts.

When to see Dr. B C Shah

You should always visit Dr. B C Shah if you notice a lump in your breast, or you have symptoms that affect your nipples, such as retraction or discharge.
While these symptoms are unlikely to be the result of breast cancer, they should be investigated further.

Treating breast cancer in men

In most cases of breast cancer, surgery is used to remove a section of the breast. This is usually followed by a long-term course of hormone therapy using a medication called tamoxifen.
Tamoxifen helps to block the effects of hormones on breast tissue that are known to stimulate the growth of cancerous cells. It should help to prevent the cancer from returning.
In some cases, radiotherapy and/or chemotherapy may be used for the same purpose.

Causes

The causes of breast cancer in men are unclear, but a number of risk factors for the condition have been indentified. These include:
Age � most cases of male breast cancer affect men who are over 70 years of age
Having a family history of breast cancer (both male or female)
Obesity - a body mass index (BMI) of 30 or more
Alcohol consumption

Who is affected?

The average age of diagnosis is 71 years of age.

Outlook

The outlook for breast cancer in men is less favourable than for breast cancer in women. This is because there is less awareness of the condition, so it often takes longer to diagnose.
Healthcare professionals assess the outlook for cases of cancer by measuring how many people survive for five years following the initial diagnosis. This is known as �the five year survival rate�. However, many men who are diagnosed with breast cancer survive for much longer than five years.
The estimated five year survival rate for:
Stage 1 breast cancer is 75-100%
Stage 2 to 3 breast cancer is 50-80%,
Stage 4 breast cancer is 30-60%

Symptoms of breast cancer in men

The most common symptom of breast cancer in men is usually a hard, painless lump in one of your breasts. However, in around 1 in 20 cases, the lump can be painful.
The lump is usually located underneath the nipple and areola (the circle of dark coloured skin that surrounds the nipple).
Less common symptoms of male breast cancer usually affect the nipple. These can include:
the nipple begins to turn in on itself (nipple retraction)
the nipple becomes hard, inflamed, and �sore looking� (nipple ulceration)
fluid leaking from the nipple (nipple discharge)
Additional symptoms usually only develop if the cancer spreads from your breast to other parts of the body, such as your bones, liver or lungs. This is known as metastatic breast cancer.

Symptoms of metastatic breast cancer include:
Bone pain
Swelling of the lymph nodes (glands) near your breast; usually in, or around, the armpit
Shortness of breath
Feeling unusually tired all the time
Feeling sick (nausea)
Itchy skin

When to seek medical advice

You should always visit Dr. B C Shah if you notice a lump in your breast or if you have symptoms that affect your nipples, such as retraction, ulceration or discharge. While symptoms such as these are unlikely to be of the result of breast cancer, it is important that they are investigated further.

Causes of breast cancer in men

Cancer begins with an alteration to the coding information in cells that tells them when to grow and replicate. The code is read from the deoxyribonucleic acid (DNA) that is found in all human cells. A change in the code is called a mutation and can alter the instructions that control cell growth.
If a mutation occurs, the cells carry on growing instead of stopping when they should. The cells reproduce in an uncontrollable manner, producing a lump of tissue that is known as a tumour.

How cancer spreads

Left untreated, cancer can quickly grow and spread to other parts of your body. There are two ways that breast cancer can spread:
Directly - where the cancer spreads outs of the breast tissue into surrounding muscle and skin

Indirectly - where cancer cells spread via the blood or lymphatic system (see below) to more distant parts of the body, such as the lungs and liver

The lymphatic system is a series of glands (or nodes) that are distributed throughout your body in a system that is similar to the blood circulation system. The glands produce many of the specialised cells that are needed by your immune system.

Risk factors for breast cancer in men

It is not clear exactly what causes the DNA inside the cells of the male breast to behave in this manner. However, a number of risk factors that can increase your risk of breast cancer developing have been identified (see below).

Due to the rarity of breast cancer in men, even if you had most of the risk factors outlined below (with the exception of having Klinefelter's syndrome), your risk of developing the condition would still be very small.

Genetics and family history

A genetic mutation is where the instructions that are carried in all living cells become scrambled in some way which means that one or more of the body�s processes do not work in the way they should.
There are a number of genetic mutations known to increase your risk of developing breast cancer. The most significant mutation identified to date is known as the BRAC2 mutation. One study that was carried out in the UK found that 1 in 20 men with breast cancer have the BRAC2 mutation.
There is also evidence that breast cancer can run in families, as 1 in 5 men who develop breast cancer, have a first-degree relative, such as a mother or sister, who also has a history of breast cancer.

Oestrogen exposure

There is evidence that prolonged exposure to the hormone oestrogen can increase the risks of breast cancer in men.
Compared to women, men tend to have low levels of oestrogen, but there are a number of circumstances that can increase the levels of oestrogen in men.
These include:
Hormone treatments � man-made (synthetic) versions of oestrogen are often used to treat prostate cancer and are also given to transsexuals who are undergoing a male to female sex change
Obesity � obese men have higher levels of oestrogen than normal
There is also rare genetic condition called Klinefelter's syndrome where baby boys are born with much higher levels of oestrogen than normal. It is estimated that 1 in every 1,000 people are affected by Klinefelter's syndrome.
Klinefelter's syndrome is a major risk factor for breast cancer in men. Men who have the condition are 20 times more likely to develop breast cancer than the male population at large.

Occupational risks

There is evidence that men who work in hot environments are twice as likely to develop breast cancer compared with men who work in cooler environments. Environments that have been linked to an increase risk of breast cancer in men include:
Blast furnaces
Steel works
Rolling mills � a factory where metal (usually steel) is shaped using rollers
Car manufacturing plants
One theory to help explain the link between working environment and the increased risk of developing breast cancer is that excessive heat may damage the testicles, which could lead to an increase in oestrogen levels.
Another theory is that working in hot environments usually involves exposure to certain chemicals which may increase a the risk of developing breast cancer in men.
Rates of breast cancer are also unusually high in men who manufacture perfumes and soaps.
They are seven times more likely to develop breast cancer than the male population at large. The reason for this increased risk is still unclear, although exposure to certain chemicals seems to be an obvious, although as yet unproven, factor.

Radiation

Exposure to radiation has been linked to an increased risk of developing breast cancer in men.
Research has found that men who received a course of radiotherapy (where high energy X-rays are used to kill cancerous cells) directed at the upper chest were seven times more likely to develop male breast cancer compared to the population at large.
However, it is important to put the increase risk in context. Even a seven-fold increase means that the chances of developing breast cancer is still very low at around 1 in 14,285.

Breast cancer in men � Diagnosis

If you have symptoms which might indicate breast cancer, such as a hard, painless lump in one of your breasts, Dr. B C Shah will carefully examine your breasts. During the examination, they will also be looking for other possible signs of male breast cancer, such as swollen lymph nodes (glands).
It is likely that your Dr. B C Shah will refer you for further tests. There are three tests that are used to help diagnose male breast cancer. These are:
A mammogram,
An ultrasound
A biopsy

Mammogram

A mammogram is a type of X-ray that can help determine whether there are any changes in breast tissue that could be the result of cancer.
During the mammogram procedure, a radiographer (a specialist in taking X-rays) will compress one of your breasts between two X-ray plates. This should not be painful, but you should tell the radiographer if you find it uncomfortable.
Once your breast has been correctly positioned, an X-ray will be taken which will produce a clear image of the inside of your breast. The procedure will then be carried out on your other breast.

Ultrasound

Ultrasound uses high frequency sound waves to produce an image of the inside of your breasts (in the same way that an unborn baby can be seen in the womb).
An ultrasound probe or sensor will be placed over your breasts to create an image of the inside of your breasts on a screen. The image will highlight any lumps or abnormalities that may be present in your breasts.

Biopsy

A biopsy may be recommended if a mammogram or an ultrasound scan highlight any lumps or abnormalities in your breasts. A biopsy is a test that can either confirm or rule out a diagnosis of male breast cancer. It involves taking a sample of suspected cancerous tissue and examining it in a laboratory for the presence of cancerous cells.
A type of biopsy that is known as a core biopsy is usually recommended for the diagnosis of breast cancer in men. This type of biopsy can usually indicate whether the cancer has started to spread from the breast into the surrounding area, which is known as invasive breast cancer.
During a core biopsy, a local anaesthetic will be used to numb your breasts. A hollow needle will then be used to remove a number of small tissue samples from the breast lump.
If cancer is found, it will also be possible to check whether there are special proteins, known as oestrogen receptors, on the surface of the cancerous cells. This is important because if oestrogen receptors are found (they are in an around 90% of cases), it is possible to treat the cancer using a medication called tamoxifen.

Staging

After breast cancer has been diagnosed, your care team should be able to provide information about what stage your cancer is at.
Staging is a system that is used to describe how far a cancer has spread at the point of the diagnosis. The higher the stage, the more advanced the cancer and the further it has spread. The staging system for male breast cancer is outlined below.
Stage 1 - the cancerous tumour is less than 2cm (three quarters of an inch) across and there are no signs that the cancer has spread to the lymph nodes near the armpit.
Stage 2 - the cancerous tumour is 2-5cm (three quarters to two inches) across and/or there are signs that the cancer has spread to the lymph nodes near the armpit.
Stage 3 - the cancerous tumour is larger than 5cm (2 inches) across and has started to move into surrounding tissues, such as skin and muscle. Near-by lymph nodes are also affected but there is no sign that the cancer has spread beyond the breast and armpit.
Stage 4 - there are signs that the cancer has spread to other parts of the body, such as the lungs or bones. This is known as secondary, or metastatic, cancer.
A cure may be possible in cases of stage 1, 2 and 3 male breast cancer. In cases of stage 4 breast cancer, a cure is unlikely but it may be possible to control the symptoms and slow the spread of the cancer.

Coping with a diagnosis

Being told that you have breast cancer can cause a wide range of emotions, such as shock, fear, confusion and, in some cases, embarrassment.
Most people assume that breast cancer only affects women, so it can be difficult for many men to come to terms with the diagnosis.
Feelings of isolation and being alone are common in men with breast cancer. This may be because there is little in the way of advice and support for men with breast cancer, particularly when compared to the support that is available for women with the condition.
Sometimes, men who find themselves in this situation can become depressed. You may be depressed if during the past month you have felt very down and you are no longer interested in doing activities that you used to enjoy. If you think that you may be depressed, you should visit your Dr. B C Shah. There are a range of effective treatments, such as medication and counselling, that can help relieve feelings of depression.

Treating breast cancer in men

Many hospitals use multidisciplinary teams (MDTs) to treat breast cancer in men. MDTs are teams of specialists that work together to make decisions about the best way to proceed with your treatment.
Members of your MDT may include:
A surgeon
A clinical oncologist (a specialist in the non-surgical treatment of cancer)
A pathologist (a specialist in diseased tissue)
A radiologist (a doctor who specialises in analysing the results of imaging tests such as X-rays and ultrasound scans)
A dietitian
A social worker
A psychologist
As well as having a specialist MDT, you may also be assigned a key worker who will usually be a specialist nurse. They will be responsible for co-ordinating your care.
Deciding what treatment is best for you can often be confusing. Dr. B C Shah will recommend what he think is the best treatment option but the final decision will be yours.
Before visiting hospital to discuss your treatment options, you may find it useful to write a list of questions that you would like to ask the specialist. For example, you may want to find out the advantages and disadvantages of particular treatments.

Your treatment plan

Your recommended treatment plan will depend on how far the cancer has spread. If the cancer has not spread significantly beyond your breast (stage 3 or below), a complete cure may be possible.
Surgery to remove the affected breast is usually recommended followed by radiotherapy, hormone therapy and /or chemotherapy to help prevent the cancer returning.
If the cancer has spread beyond your breast into other parts of your body, such as your lungs (stage 4 breast cancer), a complete cure will not be possible. However, hormone therapy and chemotherapy can be used to relieve symptoms, slow down the spread of the cancer and prolong lifespan.

Surgery

Surgery is the first treatment option that is often recommended for breast cancer and usually involves an operation called a modified radical mastectomy. This is where Dr. B C Shah removes the entire breast as well as the lymph nodes (glands) in the armpit.
Once surgery has been completed there will be a scar where your nipple used to be and an indentation in your chest where the breast tissue was.
It is possible to have reconstructive surgery after having a modified radical mastectomy. Tissue can be taken from other parts of your body, such as your lower abdomen or buttocks, and be used to recreate the shape of the breast.
An alternative option is to use breast implants that are similar to those that are used in cosmetic surgery. However, they are obviously much smaller. In many cases, reconstructive surgery can be carried out immediately after a mastectomy has been performed.
It is also possible to restore the appearance of a nipple by having a tattoo on your chest. �Nipple tattoos� can be created in around 30 to 40 minutes and have a very realistic appearance.
You should discuss the various options for reconstructive surgery with Dr. B C Shah.

See more at: http://drbcshah.com/breast-cancer-in-men/

HIV/AIDS -WHY PEOPLE LEAVE TAKING MEDICINES-ARV TO TREAT HIV/AIDS

PROF.DRRAM ,HIV/AIDS,SEX DISEASES,SEX WEAKNESS & ABORTION SPECIALIST
profdrram@gmail.com,+917838059592,+919832025033 DELHI �NCR,INDIA
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We all know why it's important to take your HIV medications every day. It keeps the virus in check, keeps you healthy and decreases your chances of becoming resistant to the meds.But for most people, taking HIV medications every day as prescribed isn't the easiest thing to do.And anyone who says otherwise is lying. The reality is that everyday life brings with it obstacles that can block the way between you and your meds.
SOME IMPORTANT REASONS ARE AS FOLLOWS:---
1.FORGETTNESS;How many times have you looked up and exclaimed, "Darn, I forgot to take my meds!" This happens more often than people admit. But remembering to take your meds is the key to compliance.The key to remembering is tailoring your meds to your schedule.
2.FINANCE: Many time your cash doesnot allow to purchase it in time as job may be lost or other emergency condition even in USA/UK Insurance doesnot support it fully but IN INDIA/AFRICA PROVIDED BY ART CENTRES ALL OVER COUNTRY IF POOR CANOT AFFORD privately register with THese ART centres and donot forget to get new pack of Medicine in time submitting old used pack.
3.Side effects of Medicine:These are some time alarming bt donot stop medicines but talking to physician will help out to move to new medicines or alleviate complications by adding some medicines ,nausea,vomiting,diarrhoes,skin rashes,dementia, jandice, lipidostrophy,anaemia,bone marrow depression,infections,kidney and liver failure are some importnat side effects
4.NO FIXED RESIDENCE/MIGRATION ;As Hiv persons are mostly poor and walk from one place to other for their living and earning so they forget to purchase medicines bt in India /Africa ART centres provide sch facilities if with ART book you may go any where and ask for medicines prior permission from place of living to going is more important too and should be done to check misuse of medicines.
5.FAMILY RESPONSIBILITY:Poor HIV / Aids patient has to run family ,many house hold works and social responsibility so he decides to off the medicine bt it is dangerous please adjust your need and donot stop it and if free from ART CENTRE THEN NEVER MISS IT.
6.DEPRESSION & MENTAL AGOINY; Mental health issues are not uncommon for people living with HIV. Stigma, isolation and rejection can lead to depression and if that depression goes untreated, it can deeply impact your ability to adhere to your medications. Even worse: Depression in the HIV community is massively underdiagnosed.

HIV care providers need to step up and screen better for mental health issues. But that doesn't mean that you can't open up and talk to your provider about how you are feeling emotionally, especially if those feelings are a factor in why you are not taking your medicine.

HIV /AIDS PATIENTS AND AGING :SCENARIO DIFFERENT IN UK /USA THAN INDIA

PROF.DRRAM ,HIV/AIDS,SEX DISEASES,SEX WEAKNESS & ABORTION SPECIALIST
profdrram@gmail.com,+917838059592,+919832025033 DELHI �NCR,INDIA
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IN INDIA HIV /AIDS MOST PATIENTS ARE YOUNG AS few patients reach in old age above 50 as few continue medicines for very long but still many have cossed 55 by good life style and regular HIV medicines buy in USA By 2015, half of all New Yorkers living with HIV will be over 50 and in 2017, the same will be true of the entire United States.GMHC created social media campaigns directed at older people to address this need. Our �HIV is Ageless� campaign utilized images of men and women over 50 showing this demographic people who look just like them.We know HIV can infect a person at any age and that people over 50 have sex. We must be proactive in talking with our �eldersexuals� about safer sex and the importance of getting tested.�

Medical research indicates that HIV accelerates the aging process. While we are still learning about the impact of anti-retroviral medications on the body, researchers have seen increased liver and kidney problems, higher incidences of cancer, depression, bone loss, frailty and some cognitive impediments among older people living with HIV and AIDS.

Beside awareness among these people for protected sex among themselves of same age or with younger partners use of condom is must beside prep medicine to partner.Following special care they need beside regular medicines with monitoring side effects of medicines or complication of disease.These care mostly provided in developed world but in our country too their good nutrition,psychosocial and working economical rehabilitation and mental support,providing regular medicines looking for BONE,FOOD INTAKE,RESPIRATORY DISEASES,LIVER,KIDNEY,SKIN AND CANCER IS MUST WHICH ARE MORE SEEN AS SIDE EFFECT OF DRUG OR COMPLICATION OF HIV ITSELG IN THIS OLD AGE
Nutrition Education:
GOOD NUTRITION AND EXCERCISE BOOSTUP IMMUNITY SO Certified and trained nutritionists provide counseling and enrollment in the food pantry program. Registered dieticians offer one-on-one counseling for clients who are interested in improving their health and quality of life through proper diet and nutrition.
Wellness Services:
Utilizing a holistic approach to client wellness, the Wellness center offers a variety of free, volunteer-led therapies and services, giving clients access to activities that may be otherwise unobtainable for those living with financial limitations, including yoga, massage therapy and exercise classes.

Mental Health Services:
GMHC provides individual, group and family counseling services to clients over fifty, which are always tailored to the client�s unique presentation of needs, and guided by treatment plans that are collaboratively developed. Common issues addressed by our mental health team involve adjustment to change, depression, anxiety, loss, grief, relationships, addictions and body image/esteem.
Advocacy and Benefits:
GMHC assists seniors daily in navigating their health care benefits and entitlement questions. An entire white paper about resources and needs of this population that is quickly becoming the majority of our HIV + population was written in preparation for this shift in population .

HIV Testing:
GMHC�s Geffen Center provides testing to people over the age of forty-five years, by providing point-of- care HIV rapid tests. Confirmatory tests are provided onsite on the same day preliminary positive results are given. Linkage to care is also initiated as soon as a preliminary positive result is given. Utilizing our Mobile Testing Unit, HIV Testing is offered at a number of NORC�s (Naturally Occurring Communities), and Testing is always available onsite at GMHC�s Center for HIV Prevention.

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