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Jan27
Sebaceous Cyst Removal
Sebaceous cysts (epidermal cysts) may be a foreign term to you, but many women have indeed experienced them — perhaps without really knowing what they were at the time.
Sebaceous cysts are small lumps or bumps just under the skin. To be more specific, they are closed sacs that contain keratin — a "pasty" or "cheesy" looking protein that often has a foul odor.
Although they are usually found on the face, neck, and trunk, they also occur in the vaginal area or other parts of the genitalia. In cases of the latter, it is not uncommon for women to fear that they are the result of genital herpes. But genital herpes create a blister-type sore that eventually becomes crusty, not just a bump or lump under the skin.

What Causes Sebaceous Cysts?
Sebaceous cysts are often the result of swollen hair follicles or skin trauma.

Symptoms and Signs/Symptoms of Infection

Sebaceous cysts are usually painless, slow-growing, small bumps or lumps that move freely under the skin. It's important not to touch or try to remove the substance inside to prevent tenderness, swelling, and infection of a sebaceous cyst.
Occasionally, infections may occur. Signs or symptoms that may indicate infection of sebaceous cysts include:
Redness
Tenderness
Increased temperature of the skin over the bumps or lumps
Greyish white, cheesy, foul-smelling material draining from the bump or lump

How Are Sebaceous Cysts Diagnosed ?

Sebaceous cysts, to the trained eye, are usually easily diagnosed by their appearance. In some cases, a biopsy may be necessary to rule out other conditions with a similar appearance. You should see your doctor to get a formal diagnosis if you suspect that you have a sebaceous cyst.

Treatments for Sebaceous Cysts

Sebaceous cysts most often disappear on their own and are not dangerous. As stated, however, they may become inflamed and tender. Sometimes sebaceous cysts grow large enough that they may interfere with your everyday life. When this happens, surgical removal may be necessary, and this procedure can be done at your doctor's office. Small inflamed cysts can often be treated with an injection of steroid medications or with antibiotics.

Complications of Sebaceous Cysts

If sebaceous cysts become infected, they can form into painful abscesses.
The surgical removal of a sebaceous cyst that does not involve the excision of the entire sac may cause the cyst to come back (although, recurrence is not usual).
Remember to consult Dr. B C Shah anytime you notice any type of growth, bump, or lump on your body. Although sebaceous cysts are not dangerous, your doctor should examine you to ensure that another more dangerous concern is not present.

- See more at: http://drbcshah.com/sebaceous-cyst-removal/#sthash.FpyyRl4g.dpuf


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Jan25
HIV /AIDS PATIENTS AND AGING :SCENARIO DIFFERENT IN UK /USA THAN INDIA-HOW TO CARE HIV AGED PERSONS
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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Jan25
HIV /AIDS CAN BE PREVENTED BY A PILL(TRUVADA)-HOW TRUE IS STATEMENT ?
HIV /AIDS CAN BE PREVENTED BY A PILL(TRUVADA)-HOW TRUE IS STATEMENT ?

PROF.DRRAM ,HIV/AIDS,SEX DISEASES,SEX WEAKNESS & ABORTION SPECIALIST
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First time FDA in US approved a pill called Truvada (emtricitabine/tenofovir) as pre-exposure prophylaxis (PrEP) to prevent HIV in Negative persons like Sex partners of HOmosexuals and Heterosexals ,New born orchildrens or relatives and family members living in close contact with HIV positive very much exposed to HIV patients.
This is a good tool as now A PILL HAS BEEN USED AS PRE EXPOSURE PROPHYLAXSIS DRUG OR MEDICINE BT IT did not lead HIV-negative people in a large study to take increased sexual risks, although there are caveats to these findings,
Reuters reports. Approved in 2012 as an HIV prevention tool that can reduce the risk of transmission by more than 90 percent if used correctly, the antiretroviral has remained controversial,and sparsely used, in no small part because of concerns that it will lead to what is known as risk compensation. This phenomenon takes place when an individual responds to an intervention that lowers the risk of a harm by in turn exposing him or herself to greater risk of that harm—in this case, by having more unprotected sex or having sex with greater numbers of partners, for example. Such increased risk-taking could in theory negate the benefit of PrEP and also lead to the spread of other sexually transmitted infections (STIs).

Researchers at the Gladstone Institutes, an affiliate of the University of California, San Francisco, built upon their three-year 2010 Global iPrEx clinical study of Truvada as PrEP. Publishing their findings in PLOS ONE, they re-examined data of the nearly 2,500 HIV-negative gay men and male-to-female transgender women in six countries who participated, looking specifically at those who reported believing that they were not in the half of the study taking the placebo and also that the drug was working. Theoretically,those who believed to be on an effective HIV prophylaxis therapy would be more inclined toward risk compensation, but the investigators did not find this to be the case. In fact, the group’s behavior trended toward safer-sex practices. The rates of new HIV infections dropped four-fold. Syphilis rates fell as well.
Therefore,It has been concluded that this drug cannot be taken as CONVENTIONAL PILL USE IT AT A TIME OF SEX AND THROW AS CONDOM but has to be taken daily over months after a good medical checkup whether this drug or any other ARV MEDICINES can be used as prophylaxsis and its long term use need monitoring these persons clinically and by other investigations to ascertain whether any complication developing in them as we monitor HIV patients and with it more stress to protection by use of condom,Avoiding sex with multiple parteners,personal sexual Hygeine and protection from Blood or other secretions is a must if only PILLS TAKEN AND MULTIPLE SEX WITHOUT SAFE PRECATIONS IS DONE THEN IT MAY NOT RESLT IN BENEFIT AT ALL.
SO CONDOM AND GOOD LIVING STYLE IS BEST METHOD TP PREVENT HIV AND OTHER STDs this pill is very helpful but should be taken with above precautions too.


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Jan25
Concern From UNAIDS, Global Fund,NACO for LGBT Law in NIGERIA ,UGANDA & INDIA-profdrram
Concern From UNAIDS, Global Fund,NACO for LGBT Law in NIGERIA ,UGANDA & INDIA

PROF.DRRAM ,HIV/AIDS,SEX DISEASES,SEX WEAKNESS & ABORTION SPECIALIST
profdrram@gmail.com,+917838059592,+919832025033 DELHI –NCR,INDIA
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The Joint United Nations Programme on HIV/AIDS (UNAIDS) and the Global Fund to Fight AIDS, Tuberculosis and Malaria ,NATIONAL AIDS CONTROL ORGANISATION, INDIA express deep concern over a new law in Nigeria,Uganda and India that further criminalizes LGBT people, organizations and activities, as well as people who support them, according to statement issed by these organisations that htese organizations are concerned that the law will adversely affect access to HIV services, including prevention and treatment, for LGBT PEOPLE. In 2011, all U.N. member states committed to removing legal barriers and passing laws to protect people affected by HIV.
It is a tre fact that in GAY people HIV has been encountered more in these countries than HIV Prevalence in general people where it is reduced,such law will frther force,GAY people and other community of LGBT to seek treatment as Polcie and administartion will catch hold of them and so they will run way form diagnosis ,investigation and treatment.
Similiarly MSM people or lesbians and transgenders and Bisexuals and Hinzras are already discriminated and stigmatised in our society and now they will be more afraid to come in society so NAAZ foundation has reppealed in court to withdraw 377 rulings in INDIA.


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Jan22
Colonoscopy
A colonoscopy is an internal examination of the colon (large intestine) and rectum, using an instrument called a colonoscope.

The colonoscope has a small camera attached to a flexible tube that can reach and examine the entire length of the colon.

How the Test is Performed

You will usually be given medicine into a vein to help you relax and not feel any discomfort. You will be awake during the test and may even be able to speak, but you will likely not remember anything.

You will lie on your left side with your knees drawn up toward your chest. The colonoscope is inserted through the anus. It is gently moved into the beginning of the large bowel and slowly moved as far as the lowest part of the small intestine.

Air will be inserted through the scope to provide a better view. Suction may be used to remove fluid or stool.

Because Dr. B C Shah gets a better view as the colonoscope is pulled back out, a more careful examination is done while the scope is being pulled out. Tissue samples may be taken with tiny biopsy forceps inserted through the scope. Polyps may be removed with snares, and photographs may be taken.

Specialized procedures, such as laser therapy, may also be done.

See more at: http://drbcshah.com/colonoscopy/


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Jan19
NEW DRUG FOR STIMULATING OR AROUSAL OF FEMALES LIKE VIGRA -profdrram,hiv specialist
NEW DRUG FOR STIMULATING OR AROUSAL OF FEMALES LIKE VIGRA

PROF.DRRAM ,HIV/AIDS,SEX DISEASES,SEX WEAKNESS & ABORTION SPECIALIST
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Scientists are now testing a drug that could boost women’s desire for sex and also help them lose weight.With four in ten women saying that their sex life has lost its sizzle at some point, and Viagra already making over 2.5 billion dollars a year, drug companies have long tried to create a female version.

The drug, which acts on the brain to increase desire, is a synthetic version of melatonin, a hormone usually associated with tanning.Melatonin also has a role to play in libido – and appetite.The new tablet form is more convenient and has fewer side-effects. The pills could cause nausea, and regulators will have to be satisfied that they are not addictive.

The company plans to carry out three worldwide studies to measure the effects on women. If they show it to be safe and effective, the drug could be on sale in the UK by the end of 2015.Taken 15 minutes before sex, the tablets could boost libido for more than two hours. Studies of a jab with a similar formula showed it led to satisfying sex more often and while the pills are designed to increase sexual desire, they may also curb appetite.
How does regular Viagra work?Does it help woman:
Viagra is a wonder drug that has brought sex and confidence back into the lives of many men suffering from erectile dysfunction. It works by improving the blood flow to the genitals thereby facilitating an erection. It does so by blocking an enzyme called PDE5 in the penis. Viagra isn’t actually a drug which helps with arousal. It just improves the blood flow when you’re aroused. Most women face sexual arousal problems for a variety of reasons. Menopause, stress, and seeing their children go away are just some of the reasons for their loss of interest in sex. Some experts believed that Viagra should work similarly for women (the way it does for men), engorging the clitoris and making sex more pleasurable.
A research team separated two groups of women with sexual arousal problems. One group was given the blue pill, the other was simply given a placebo. The research showed that women, who took Viagra, achieved sexual satisfaction more often than those who simply took the placebo. However, the US FDA does not approve the use of conventional Viagra for women.
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Jan18
512 stones found in Gall bladder
(Dr. B C Shah recently performed Laparoscopic Cholecystectomy on Mr. N_____ G______ who had 512 stones!)

Mr. N_____ G______ came to me with history of chronic pain in upper abdomen. The pain would get aggravated after meals. His sonography revealed that his gall bladder was distended & full of stones. I performed Laparoscopic Cholecystectomy on him. It was a difficult case as there were lot of adhesions. The gall bladder was delivered successfully It was a pleasant surprise to find 512 stones in the Gall Bladder.

One often wonders as to why patients wait so long. Many times patients come to me with Gall Stones. Often they have only one small stone. The common question asked is "Do I still need surgery for just a small stone?"

As per my observation of last 23 years, one stone or many stones – all have a potential to create complications including even death. Its not just the numbers or size. One small stone can just simply slip into the bile duct and is sufficient to trigger Pancreatitis. I personally know of a patient who developed severe pancreatitis due to a 3 mm small stone. She battled for two months in one of the best hospitals in Mumbai and ultimately died.

In kidney stones, one of the criteria on which the therapy is based is the number of stones and its size. Smaller stones can pass out spontaneously and the patient's problem gets solved naturally. However, this is not the situation with gall stones. A gall stone or its fragment passing out can be dangerous as it can cause blockage of bile in liver or swelling in pancreas. Such complications can occur any time and no doctor on earth can predict when this will occur.

Many patients wait for the stones to grow and multiply. Surely this has a potential of inviting big untimely trouble. Don't wait. There are no warning signs.As far as records go, the largest number of gallstones removed was 3,110 in an open surgery in Britain in 1983, reported in the Guinness Book of World Records.

- See more at: http://drbcshah.com/512-stones-found-in-gall-bladder/


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Jan17
HIV /AIDS : MANY NGOs IN INDIA LOOTING HIV/AIDS FUND SHOWING HOUSE WIVES AS SEX WORKERS :A JOLT TO HIV/AIDS PROGRAMME -AN OPEN CORRUPTION
HIV /AIDS : MANY NGOs IN INDIA LOOTING HIV/AIDS FUND SHOWING HOUSE WIVES AS SEX WORKERS :A JOLT TO HIV/AIDS PROGRAMME -AN OPEN CORRUPTION
HIV /AIDS data in india is almost farce,hardly many countries trust it,the mennce of HIV/AIDS IS MUCH MORE IN INDIA OR AFRICAN COUNTRIES WHERE MYCH INTERNATIONAL AND INTERNATIONALS FUNDS ARE SIPHONED IN NAME OF HIV/AIDS,REAL HELP TO AFFECTED PERSONS HARDLY REACH AND MANY POOR PATIENTS DIE FOR LACK OF INVESTIGATION,TRATMENT OF CONQUOR OVER COMPLICATIONS AS THERE IS NO MONEY LEFT OUT.

IN MANY AFRICAN COUNTRIES AS USA PRESIDENT OFFERED HUGH FUND FOR INVESTIGATIONS AND TREATMENT IN AFRICAN COUNTRIES MNY PERSON ARE LOOTING HIV FUND FOR THEIR WELFARE AND EVEN GET THEMSELVES INJECTED WITH HIV AND MAKE THEMSELVES HIV PATIENT SO THAT HEY CAN GET GOOD FUND FROIM GOVERNMENT .
IN INDIA TOO FUNDS WERE LOOTED BY AN NGIO IN TRIPUR WHERE HOUSEWIVES FROM VILLAGES OF TRIBAL ORIGIN WERE SHOWN SEX WORKERES AND FUND WAS LOOTED.T
he Tripura government has ordered a probe against an NGO which reportedly enrolled housewives as sex workers to manipulate funds sanctioned to campaign against AIDS, a minister said on Thursday.

‘The government has ordered an investigation. If the NGO is found responsible for any wrongdoing, the government will take stern against perpetrators,’ Health and Education Minister Tapan Chakraborty said.

Congress leader Birajit Sinha had raised the issue in September.

The NGO, in north Tripura’s Kailashahar area, had allegedly enrolled around 600 housewives as sex workers and siphoned lakhs of rupees, Sinha told the House.

He said that housewives, tea workers and women belonging to minority groups had been enrolled as sex workers without their knowledge. The NGO collected blood samples on the plea of malaria finding exercise.

SUCH THING MUST BE STOPPED EVEN FILMY MELAS AND UNNECESSARY FOREIGN TRIPS MADE FOR THIS AIDS AWARENESS WHERE PATIENT DONOT GET DIAGNOSTIC KIT ND TREATMENT.


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Jan17
PREGNANCY WITHOUT INTERCOURSE A BOON FOR HIV PATEINTS & MANY INFERTILE PATIENTS -ROBOTIC SPERM - A GREAT INVENTION OF THIS CENTURY
PREGNANCY WITHOUT INTERCOURSE A BOON FOR HIV PATEINTS & MANY INFERTILE PATIENTS -ROBOTIC SPERM - AGREAT INVENTION OF THIS CENTURY:------

PROF.DRRAM ,HIV/AIDS,SEX DISEASES,SEX WEAKNESS & ABORTION SPECIALIST
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Sperm robots on way to deliver babies !-A BOON FOR INFERTILE PATIENT AND HIV PATIENTS AND HUSBAND BEING SERO NEGATIVE AND IF BOTH POSITIVE EVEN THEN SPERM WASHING AND CLOGGING IT IN MICROTUBULE REMOVES HIV PARTICLE is the most important invention of the year.

Sperm Apart from their natural act, sperms are set to be used as biological motors for transporting drugs, genes and other sperms to help treat infertility and other issues.

Called spermbots – sperms turned into micro-robots – they could be controlled from outside a patient’s body to deliver drugs, and even sperm itself, to parts of the body where it is needed, says a path-breaking research.

Researchers at Dresden Institute for Integrative Nanosciences in Germany are looking for a way to propel micro-robots through bodily fluids safely.

‘We thought of using a powerful biological motor to do the job instead and we came up with the flagella of a sperm cell, which is physiologically less problematic,’ professor Oliver G. Schmidt, director of the institute, was quoted as saying in Gizmag.com that covers new and emerging technologies.
To create these tiny robots, scientists designed microtubes, which are thin sheets of titanium and iron rolled into conical tubes and having a magnetic property.

They put the microtubes into a solution in a Petri dish and added bovine sperm cells, which are similar size to human sperm, said the report.

When a live sperm entered the wider end of the tube, it became trapped near the narrow end.

The scientists also closed the wider end, so the sperm wouldn’t swim out.

The trapped cell pushed against the tube, moving it forward.

Then, the scientists used a magnetic field to guide the tube in the direction they wanted it to go, relying on the sperm for the propulsion, the report said.


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Jan15
Intestinal Obstruction due to Stones
MRS R____ K____ , a 55 year old female was transferred from a local nursing home

She was admitted in a local Nursing home with abdominal pain & vomiting. She was treated as a case of acidity. In spite of the treatment for a week, she did not improve.

When she came to me, her symptoms were suggestive of intestinal obstruction (blockage). A CT scan of abdomen was undertaken. CT scan revealed that she had intestinal obstruction due to a large 5 centimeter stone. This is called Gall stone ileus.

How did the stone land up in her intestine?

No it was not a swallowed stone. This stone had formed in her Gall Bladder over many years. Due to its weight & chronic inflammation, the stone gradually perforated into her small intestine (duodenum). Since the stone was very large it could not pass thro the small intestine and got stuck in the last part of small intestine. Patient was having pain & constantly vomiting due to this blockage.

The treatment was done using minimal access surgery instead of making a big cut on her abdomen – laparotomy. Using laparoscopy, the site of blockage was identified. A small incision was made on her abdomen. The stone was cut open from the intestine (enterolithotomy) and the intestine was placed back into the abdomen.

The blockage was cleared and the patient recovered smoothly and was discharged in few days.

See more at: http://drbcshah.com/intestinal-obstruction-due-to-stones/


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