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.

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/

(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/

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.

HIV/AIDS &STDS PROTECTED BY CONDOMS-HOW TO USE MLE/FEMALE CONDOM

PROF.DRRAM ,HIV/AIDS,SEX DISEASES,SEX WEAKNESS & ABORTION SPECIALIST
profdrram@gmail.com,+917838059592,+919832025033 DELHI �NCR,INDIA
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Condom is the best protection to prevent HIV,AIDS,HERPES,SYPHILLIS,GONORRHOEA,CHLADYMIA,TRICHOMONIASIS,CANDIDIASIS INFECTION OF GENITILIA,HERPES,LG,IG,DUCREY'S ULCER ETC which is contacted due to unsafe and unprotected sex with an infected partner whether homosexual or hetrosexul as change of pertners more in homosexuals so chance of fgetting infected with an infected partner is more,CONDOM can only protect it not prephrophylxis dru like RRUVADA ALSO as it has to be taken long not used as conddom use and throw at the time of sex only.
MALE CONDOMS ARE MAINLY USED AND DIFFERENT VARIETIES ARE AVAILBLE MIN THING IS THIS THAT IT SHOULD BE THIN SOTHAT PLASURE OF SEX DOESNOT GO AND IT SHOULD NOT RUPTURE ALSO DURING SEX INTERCOURSE AND AGAIN AFTER SEX SPILLAGE OF SPERM SHOULD NOT OCCUR IN VAGNA OR VAGINAL FLUID SHOULD NOT TOUCH BARE MALE PENIS.CONDOM PROVIDE 985 PREVENTION OF STDs.
FEMALE CONDOMS ARE ALSO USEFUL AND EASY TO BE USED ONCE PRACTICE THINGS ARE SIMPLE.
MANY VARIETIES OF CONDOMS ARE PRODUCED.
A Japanese condom manufacturer has claimed to have created the world�s thinnest condoms, which measures just one sixth of a human hair. Sagami Rubber industries reportedly spent 10 years to create its new ultra-light polyurethane condom, News.com.au reported.The condom�s called �Sagami Original 0.01′ and is priced at 13 dollars. The company tested over 20,000 condoms to come up with its final design, the skin of which measures only 0.01 mm. (10-5m).
Condom dos and don�ts

While the perfect-use failure rate is only 2%, the typical-use failure rate is 15%. This is mostly because of the mistakes that people usually make when using them. These include:
Tearing the packet wrong: Some people tend to rip off the condom packet using their teeth. This can cause tears or breakages in the condom which will lead to a not-so-happy ending.
Completely unrolling it: Another common mistake is completely unrolling the condom before putting it on which makes them loose and ineffective.
Putting it on wrong: Sometimes people accidentally roll the condom on the wrong way and after realising their mistake then roll it back the right way and use it. This is dangerous because some of the pre-ejaculate material might accidentally get on the outer surface of the condom which can cause pregnancies.
Using the wrong lubricant: An important thing you need to keep in mind is you need to use compatible lubricants with condoms. For example if you�re using latex ones you should stay away from oil-based lubricants like petroleum jelly, hand lotion or cold cream can damage latex condoms. You should use water-based ones like glycerine or lubricating jellies which can be purchased at most chemist shops.
Not squeezing out the air: Before putting on a condom you need to squeeze out the little air bubble in it.Failure to do so can result in the condom breaking.
Not leaving space: This issue occurs when guys put it on without leaving some space at the tip for semen which results in breakages.
Taking it off before they�re done: Some users tend to take it off before they�re done which renders the contraception useless.
Taking it off too late: Others tend to leave the condom on even after they lose an erection which can result in the sperm seeping out. It�s vital to immediately remove and dispose of the condom after use.
Tie at tip :to preventspillage after release and taking it out tie it t tip with finges sothat no spillage over vagina occurs .