World's first medical networking and resource portal

Dr. Dewat Ram Nakipuria's Profile
SUPREME COURT FOR PG MEDICAL COURSES-CORRECT OR NOT
IMA and other Medical Associations should file a PIL against yestarday passed judgement of Supreme Court for PG Seats as PRIVATE MEDICAL COLLEGES are openly asking for 60-70 lakhs for a Diploma degree as DGO,D ORTHO,DA etc and 1 crore for pg in medicine,surgery,gynae,04 crores for MD in Radiology ,02 crore for MD in PAEDIATRICS,.
MCI has been made a simple office of our gulam nabi azad ,he has kept an IPS officer as MCI secretary totally violating every norm,he takes crores to give recognition for post graduation course to many medical colleges wher even MBBS cannot be allowed but he is allowing PG course for money.
now today verdict has given him more powers now every pg private or even government college which does not coduct any entrance exams(which were conducted for show only) will publish their result and will admit students who paid them in hefty.
very unexpected judgements,privat medical colleges are openly selling pg seats against hard donations in name of management quota as revealed by different sting operations,if private colleges are aloowed to prosper like this way,there is no meaning of education,only those having money will able to read,go to amny pg colleges and you will find these are not uptomark on number of beds,patients,teaching faculties etc,they got only recognition by manipulating by fictitious MCI created by our government having no true representation of state MCI and medical faculties ,this judgment will destroy every aspiration of a good student,when court has passed an order for organising a central exam for MBBS entrance all India basis ,what is problem in PG level,it is ablow to good students who cannot pay,please submit it for appeal or reversal it will destroy every thing corrupt officials,colleges and minister will earn in crores.
If in our country a single central examination is conducted by UPSC for administrative services like IAS,IPS,IFS,BANKING SERVICES,MEDICAL SERVICES AND MANY OTHER EXAMINATION OF CENTRAL GOVENMENT DEPARTMENTS ,a CBSE,ICSE exam by education Board,a central exam of CAT for management ,for IITs and Engineering courses then why not a COMMON ENTRANCE TEST FOR PG SEATS is not accepted? Why it is not binding for private colleges and state colleges to give 50% seats by this test? as being done and accepted for MBBS entrance NEET TEST.Is it only becuase crores of rupees are taken fr backdoor entry of ordinary student into PG courses conducting fictitious entrance examinations or is it becuase our MCI which is like CBI listens Master's voice only and grant permission to private medical colleges run by rich and powerful politicians having no infrastrcture of conducting such courses ?
If our Government is really serious so solve this problem as it filed a case in Supreme court to get a good guideline as now got a purchased guideline so to throw it should bring an ordinace for validity of such NEET examination so that ordinary student get a chance of reading in PG courses incapable of paying such high donations.
Dr.D.R.nakipuria senior Gen./lap surgeon cum endoscopist

Category (General Medicine)  |   Views ( 5127 )  |  User Rating
Rate It

AKSHA TRITYA -GOLD PURCHASE OR SOME THING ELSE
----DR.D.R.NAKIPURIA


Akshaya Tritya or also called as Akha Teej in Rajasthan,punjab Gujrat or Akshaya Teej or teej in Bihar ,UP,MP,Maharasthra is a great festival now a days well popularised by Goldsmiths,Gems and Jwellery sellers both corporate houses and simple shopkeeper to attract general people to purchase GOLD,SILVER etc on this day as purchase of these costly yellow and white materials will bring wealth,prosperity and happiness in their family as its Goddess "MAA Lakshmi" comes with it and reside in our home.But we donot know the actual great scientific facts of this day as beside the above only one proposed effect which has been commercialised and manipulated to the maximum extent for monetary and commercial gain.It is a great auspicious day in Hindu,jain,Sikh mythology recognised as most pious day of startiing all our new activities without any clash of Graha and Nakchhatras,some of its important significances are underlined as follows:--------------
1. Akshay Tritiya is one day which is never “absent” from the lunar Calendar like MAKAR SANKRANTI.

2. It is one of the most pious festivals in Hinduism. It’s begging of ‘Treta Yuga’.

3. Akshaya means imperishable. Japa, worship, purification of body, donations etc. done on this day remain imperishable.

4. All auspicious initiatives can be taken on this day without asking the priest.

5. The Day is worshipped as auspicious day in Jainism because it is said to have established the very first “ahar charya” a methodology to prepare and serve food to Jain Monks. Shreyansha Kumara offered Tirthankara Rishabhadeva sugarcane juice after one year of fast.

6. The day has great significance for taking holy dip in the Ganga River. The holy dip makes a person free from all sins and troubles. (Best day for self confession)

7. Sun baths during the month of Vaisakh also indicated toe need for sun bath to remove vitamin D deficiency from the body.

8. The day is also marked with the opening of doors of Badrinarayanji. (Best time to start new ventures: Vishnu symbolizes doing ventures)

9. It is believed that if you do charity on this day you will be blessed. The devotees should offer mishri and wet gram pulses.

10. One should donate water with sesame and Kusha grass to forefathers. (For treating attachment disorders)

11. One should also install free drinking water or sharbat centers (pyau) on this day. (denotes need to safe water in the summer)

12. This festival is charity-oriented. ( anything which in excess can harm should be donated)

13. One should also donate Sattu with sugar or Jaggery.

14. One must consume Sattu on Akshaya Tritiya. (Sattu is the fast food of summer with cooling properties, it’s a high energy drink)

15. Fast should be broken with sugarcane juice. (Sugarcane is the best summer drink provided it is hygienically made)

16. It is also traditionally celebrated as the birthday of the Hindu sage Parashurama, the sixth incarnation of the god Vishnu, who represents the quality to fight injustice.

17. The gold industry proliferates on the day and people like to buy gold on this day.

18. It is also worshiped as a combined day of Kubera and Goddess Lakshmi and works on the principle “what was lost will come back to you”

19.Akshaya means undestroyable and undamagable too so what ever we start today that will flourish and bring success as no evil power can damage or destroy it.

20.Akshaya will come only by mere starting work but donating some thing our excess to havenots ,a harmony in society brings growth,a chapter always told by every religion"BE HUMAN ,PROSPER YOURSELF AND BRING PROSPERITY TO OTHER FELLOWS TOO BY DONATIONS AND CHARITABLE WORK,EAT AND GIVE FOOD TO HUNGRIES,HAVE SHELTER AND GIVE SHELTERS TO HOMELESS,CARE FOR YOUR FAMILY BUT CARE FOR ORPHANS TOO ,YOU CANNOT PROSPER UNTIL THY SOCIETY OR NATION OR WORLD PROSPER.

Category (General Medicine)  |   Views ( 4991 )  |  User Rating
Rate It

MEDICAL STUDIES IN INDIA AND MCI
MEDICAL COUNCIL OF INDIA:RENOMINATION BY AN ORDINANCE
It is a second TOTA (PIGEON IN CAGE) like CBI as told by Supreme court even worse as it is totally controlled by a single politician Health Minister and present one,a pure political person having no medical knowledge except a very loyal and faithful of Soniaji nominated by Rajya sabha.
On notoriuos charge of open corruption by elected president of MCI Dr.ketan Desai (who was also a man of Soniaji but being 10 yrs on chair was not passing the income to headquarters and was openly looting new colleges in name of recognition,any punishment to that corrupt person is welcomed)but it is being told in Media that our present system started looting MEDICAL COLLEGES TOO and now through his appointed 07 Board of Governors too where no election took place (all are selected by Health Minister and his government without any criteria except of loyality to Government))since last 02 yrs and the Chairman and Health Minister are purely governing the Medical Colleges through so called MCI as if their simple office where as sports body like BCCI,IOA and Instituitions like MBA and IITs ,AMU,JAMIA ISLAMIA are autonomous.
Condition of MCI is very bad as it is taking no action against Private Medical Colleges which has come under so many large numbers in recent days to earn crores run by powerful politicians in nexus with bureaucrats as state or government medical colleges are almost 1/3rd in number only and with limited seats only.Every New private medical college so called conduct TEST FOR MBBS ,DENTAL and Nursing courses but seats are openly sold in market 05-06 months before so called examinations specially for MBBS COURSE ,most colleges charge Rs.20-30 lakh as donations for which no receipt is given and 05-08 lakh is their annual fee with or without hostel so a student guardian has to pay about 50-60 lakhs for MBBS study of his son or daughter.These private medical college say that they are charging this in Mangement quota seats but in practical all seats are distributed against payment of such donations where examinations are simply fictitious or show every thing starting from question paper to answer sheet and every successful name is well arranged and fixed as per payment recieved by these medical college through very selected brokers or dalal or agents who send sms to parent of all students applying for MBBS course from the month of nov-dec as examinations are mostly conducted from april to june and admission is done by july every month .such agents are now in thousands running their shop online sitting in every corner of country but no action is taken agianst them both by state or central governments as their business is completely illegal.
This has been shown by many Media channel openly and the system is more worst than what Dr.Ketan desai was doing as evident two times TWO SECRETARIES of MCI FIRST DR.MRS.SHARMA AND NOW DR.SRIVASTAVA has been removed (now against all rule, a IPS office,most confident our health minister, has been appointed secretary of MCI) ,now there is open robbery but no body can check or can take action against DR.Talwar,a confident of Mr.Gulam Nabi Azad and Mr.Azad is confident Sipahi of Sonia and Rahul.Even few Board Members has resigned due to autocratic style of working of these two persons but who bothers whom,any body who will not obey Boss will either quit or will be forced to quit.
In last few days showing Doctor population ratio very low,PG COURSES has been alotted to many PRIVATE MEDICAL COLLEGES taking bribes in crores ,most of these colleges has got no infrastructure to conduct even MBBS course ,no adequate teaching staff,no enough beds,no enough patients,no diagnostic facilities and no treatment facilities but all have been recognised and as shown by many STING OPEARTIONS in MEDIA these college charge 02-04 crore for a PG IN RADIOLOGY,01-02 CRORE for PG IN PAEDIATRICS,GYNAECOLOGY,MEDICINE and 01 crore for Surgery,Orthpaedics even Diploma seat is offered in 50-75 lakhs,all conduct examination but only for show all results are manipulated ,only criteria is money even you are just passed in high school ,you will be selected for MBBS COURSE and you are 02-03 times failed in MBBS BUT NOW JUST passed MBBS ,you can be selected for PG COURSE AS PER YOUR DONATIONS.Even many state run Medical Colleges are in clutch of State Ministers,Bureaucrats and Politicians that they openly mange seats in these medical colleges by manipulating exams conducted by them because vigilance MCI is corrupt and cannot say to These State Governments who are run by Congress or even by powerful BJP or other Governments as if action taken they dissolve it by central pressure and lobbying and that is why MANY STATE AND PRIVATE MEDICAL COLLEGES want to conduct their own examinations ,not a central NEET (as conducted for IITs,MBA,IAS,IPS etc) so that they can earn crores against few manipulated admissions after giving favour or free admissions to few top bureaucrats,Minister or Politicians and Judges son and daughters).It is an open fact known to every body even all politicians,journalist,Medical Doctors who are teaching there or associated or even practising in their town or city and even people living in surrounding these Medical Colleges know it but nothing can be done as system is totally corrupt,Here,so much crores of rupees are transacted that even our Supreme Court holding PG COURSE DECISION FOR 05 MONTHS inlast passed DECISION in favour of these PRIVATE MEDICAL COLLEGES and now every college will earn 50-100 crore for these seats for one session.Even question for such LOOT as shown by sting operations are asked to Health Minister he says MCI WILL SEE AND MCI Dr.Talwar donot reply at all saying Minister will say.
Now question in a simple brilliant so called poor or middle class Medical aspirant comes ,Mr.Azad removed Dr.Desai but who will remove these two great corrupt Desais,can they dream to study without paying donations on their hard work and intelligence?Answer is simply "NO" today.Such corruptions are open for so many scandals of Common wealth,2G gate,Coal gate,Manerga Gate,Land gate,Chit Fund gate, a new gate medical gate comes ,no problem if we can win election then we are pure and we need not to bother any charge ,all are simply inflicted by Opposition and Bad persons of the society who want to defame the government-this is simple attitude of all ruling party of India whether in Centre or in state.
As our parliament has been paralysed as mostly it doesnot function due to OPPOSITION hue and cry and even function then for such a short time that many important BILLS are passed without discussion so to bring a BILL of own choice is easily possible for any ruling party but as such prepared bill could not be passed in last session so,now The Union Cabinet today gave its nod for the issue of an ordinance to pave the way for an elected body of the apex medical regulator.The term of the Medical Council of India's Board of Governors has ended, rendering the apex medical regulator headless by 13th May2013. In this Ordinance Govennment is defining terms of MCI president for Two terms only and asking that all Doctors should be enrolled after every 10 yrs and power with Government to remove president and other officials if they found corrupt .All can be accepted but when a Minister cannot be removed or a MP can ask reelection if not proved guilty by Court then why a president or MCI Officials will be removed merely by Government instead of a Court,why Governmment elect Board of Governors ?why State MCI or other highly education body cannot nominate as nominating for IITS AND MBA COLLEGES AND UNIVERSITY GRANT COMMISSION OOR PUBLIC SERVICE COMMISSION?.In democracy how can a selection or nomination can be done and whole elected MCI removed not a single president.Corruption was also found in Dental Council and Engineering Board but why these were not dissolved because there money is transacted in lakhs not in crores as for MBBS AND ITS PG COURSE.
What will happen if Government is corrupt as being today where every body know that MEDICAL profession is on sale ,from where good Doctors will come if MEDICAL ADMISSIONS both at MBBS and PG level will be sold to ordinary student against hefty donations as being done today openly,why our Government donot do CBI enquiry in different examination done by PRIVATE COLLEGES and FEW STATE MEDICAL COLLEGES / why our Government didinot bring ordinace to challege recent judgement of Supreme court rejecting idea of NEET EXAMINATION FOR PG COURSE (see for MBBS IT has been accepted and why question not raised on the examinations conducted by these private medical college,a true judgement should consider common student and court should order CBI enquiry in these examinations of PRIVATE AND FEW STATE MEDICAL COLLEGEGES under its supervision if found correct examination then they can select students too except few seats they can fill by management or NRI quota to bear expenses not like today all seats are filled by manipulated examinations ) which was filed by this Government but it was a simple only for show, infact Government was wanting such judjement sothat their robbery and looting remain continued but this will last for one more year if election for LOKSABHA are held in 2014 as people are very vigilant ,such corruption is completely visible to every student,parent ,every house whose son or daughter want to be a Doctor or want to read futher for doing PG STUDY.
Be ware KARNATAKA ,West Bengal,PUNJAB,HIMACHAL PRADESH,UP,BIHAR elections have shown us that now corrupt leaders cannot survive and simple government achievements on government's advertisements on public money doesnot work as 'YEH PUBLIK HAI SAB JANTI HAI'.

Category (General Medicine)  |   Views ( 4385 )  |  User Rating
Rate It

SEX BENEFITS TO MALE / FEMALE IN OUR LIFE
Sex is a part and parcel and basic need of lifeas we feel hunger,thrist, air water,food ,money,pleasure so we require sex.Sex is the basic important factor behind the fact that that whole humanity is grown up because of this only.But,still in our society or any advanced society Sex is always considered as a subject of shame,disgust or embarrsement,something to hide or discussed openly in group or family members or society,any aberration in its performance either changing partner or male to male,female to female with desire and consent voluntarily or on payment or other entucement or without consent with force or under influence of some drug / alcohol or bad condition or using different postures and sites for sex pleasure than normal sex organs sites is taken into very bad sense and we start critising SEX in a way as it is an oofence and crime to perform sex.As crime is a crime whether it is done in Sexual act or in our normal day to day working for any reason,our legislators as of every country of world have dealt it in our Constitution and court is the highest temple to address it.Our purpose is simple, to encourage normal socially accepted SEX and to highlights its benefits in our day to day life.
In a recent survey conducted by kinsley institute of America's Indiana University over 1000 people 0f 1-51 yrs realotinship of different countries found that Woman gets more pleasure by Sex than by cuddles,kisses especially more when children are grown .This shows that how much is the need of Sex and especially in preor postmenopausal period in female where in oir country it seems as sin to talk sex in this age group in females but study shows something else,pleasure and demand are something which our social value cannot vanish but remains persist and gets fullfilled under cover of society .Male,although openly established as demanding partner in this study, gets satisfication by cuddling,kissing and huggging or watching sex on tv / Internet or Cinema but Females considers its of no better pleasure and accepts SEX ias only satisfying medicine.
Major benefits of Sex in our Life is as follows:-------------------------
These beefits are not anecdotal or hearsy AS "DADA-DADI KAHANI" but facts tested scietifically on our physical body and psychologically on our mind ,our vitl recordings as pulse,Bp,ECG,EEG,temperature,Respiration rate,sweating, shivering, change in voice,uttering of sounds our muscular activities as per different recordings on different instuments and now on PET SCAN and our behavioural changes to ourself, partner,family and in society recorded on many scales have established its benefits.
1. Sex Relieves Stress & Strain,calms and pacify us:
A big health benefit of sex is lower blood pressure and overall stress reduction, according to researchers from Scotland who reported their findings in the journal Biological Psychology. They studied 24 women and 22 men who kept records of their sexual activity. Then the researchers subjected them to stressful situations -- such as speaking in public and doing verbal arithmetic -- and noted their blood pressure response to stress.
Those who had intercourse had better responses to stress than those who engaged in other sexual behaviors or abstained.
Another study published in the same journal found that frequent intercourse was associated with lower diastolic blood pressure in cohabiting participants. Yet other research found a link between partner hugs and lower blood pressure in women.

2. Sex Boosts Immunity and power of reactions to protect us:
Good sexual health may mean better physical health. Having sex once or twice a week has been linked with higher levels of an antibody called immunoglobulin A or IgA, which can protect you from getting colds and other infections. Scientists at Wilkes University in Wilkes-Barre, Pa., took samples of saliva, which contain IgA, from 112 college students who reported the frequency of sex they had.
Those in the "frequent" group -- once or twice a week -- had higher levels of IgA than those in the other three groups -- who reported being abstinent, having sex less than once a week, or having it very often, three or more times weekly.
3. Sex Burns Calories reduces our fat and weight:
Thirty minutes of sex burns 85 calories or more. It may not sound like much, but it adds up: 42 half-hour sessions will burn 3,570 calories, more than enough to lose a pound. Doubling up, you could drop that pound in 21 hour-long sessions.It doesnot mean we have to do sex for such a long period continuosly but theme is that if we undergo Sex regularly and practice it in good sense then casual approach of performing sex for 02-05 min.withut any preexiciting partners,simple or mere its performance by discharge is no mor good .as we do pray or Puja taking all precautioned ,the same way sex should be planned and executed with a full preparation and with idea of a long duration so that more energy is burnt beside getting fullsatisfication and pleasure by both partners.
"Sex is a great mode of exercise," says Patti Britton, PhD, a Los Angeles sexologist and president of the American Association of Sexuality Educators and Therapists. It takes work, from both a physical and psychological perspective, to do it well, she says.
4. Sex Improves heart & brain ,prevent heart attack & stroke:
While some older folks may worry that the efforts expended during sex could cause a stroke, that's not so, according to researchers from England. In a study published in the Journal of Epidemiology and Community Health, scientists found frequency of sex was not associated with stroke in the 914 men they followed for 20 years.
And the heart health benefits of sex don't end there. The researchers also found that having sex twice or more a week reduced the risk of fatal heart attack by half for the men, compared with those who had sex less than once a month.It is said that a good Sex after proper excitement of both partners being conducted for a good time works as treadmill test to judge our coronary or cerebral arteries to challenge then to high delivery of Blood at rapid rate and to see how effective thes are? And simply putting them to such exercise regulary will increase their capacity to deal stress situation more effectively or other means of making them more stronger by regular excersises.
5. Sex Boosts Self-Esteem,confidence & performance:
Boosting self-esteem was one of 237 reasons people have sex, collected by University of Texas researchers and published in the Archives of Sexual Behavior.
That finding makes sense to Gina Ogden, PhD, a sex therapist and marriage and family therapist in Cambridge, Mass., although she finds that those who already have self-esteem say they sometimes have sex to feel even better. "One of the reasons people say they have sex is to feel good about themselves," she tells WebMD. "Great sex begins with self-esteem, and it raises it. If the sex is loving, connected, and what you want, it raises it."Sex is only tool of judging one's performance,many studies have shown that one who either lacks desire or erection,erection for good time,strengthened and tight long penis oe ejaculation or discharge after playing for some time or minutes/ hrs or unable to penetrate,tightening of pelvic floor Muscles and Vagina and erection and congestion of breasts and hotflushes,warming,vaginal lubrications ,abnormal sounding and cry and muscular movements ,hugging etc in Females ,it is being stated either in alone or by opposite partner that he is not a good man or she is not a good partner and so good sex makes you more self relied,more self confident and more energetic it it lacks then self despairness,frustation and depression is a rule and often leads to many psychosomatic diseases that neither Doctor asks such questions of sexual pleasure nor patients states them openly before a doctor as sex is understood as less to talk and reveal openly.
6. Sex Improves Intimacy,personal togetherness & bonds;
Having sex and orgasms increases levels of the hormone oxytocin, the so-called love hormone, which helps us bond and build trust. Researchers from the University of Pittsburgh and the University of North Carolina evaluated 59 premenopausal women before and after warm contact with their husbands and partners ending with hugs. They found that the more contact, the higher the oxytocin levels.
"Oxytocin allows us to feel the urge to nurture and to bond," Britton says.Higher oxytocin has also been linked with a feeling of generosity. So if you're feeling suddenly more generous toward your partner than usual, credit the love hormone.In early puberty or adloscent life we know how partners are made for each other ,they can break any norm ,any relation any bondage against their meeting.but even later in child bearing and rearing ages in single or joint families or in older,premenopausal or postmenopausal period Sex is very important if one practices it regularly will be very attractive and soothing for his her partner always and those who donot practice it but feels desire for it surely in their mind and reacts often violantly or otherwise if donot get chace to perform it by desire or undercompulsion.
7. Sex Reduces Pain of Body,head and Pelvic part & back:
As the hormone oxytocin surges, endorphins increase, and pain declines. So if your headache, arthritis pain, or PMS symptoms seem to improve after sex, you can thank those higher oxytocin levels.In a study published in the Bulletin of Experimental Biology and Medicine, 48 volunteers who inhaled oxytocin vapor and then had their fingers pricked lowered their pain threshold by more than half.
8. Sex Reduces Prostate Cancer/Vag. cancer Risk
Frequent ejaculations, especially in 20-something men, may reduce the risk of prostate cancer later in life, Australian researchers reported in the British Journal of Urology International. When they followed men diagnosed with prostate cancer and those without, they found no association of prostate cancer with the number of sexual partners as the men reached their 30s, 40s, and 50s.
But they found men who had five or more ejaculations weekly while in their 20s reduced their risk of getting prostate cancer later by a third.
Another study, reported in the Journal of the American Medical Association, found that frequent ejaculations, 21 or more a month, were linked to lower prostate cancer risk in older men, as well, compared with less frequent ejaculations of four to seven monthly.Similiary well planned reular sex with pre and post sex hygeine reduces chances of Vaginal cancers too.Makes person more caustioned to take precautioned against Sexually transmitted diseases and AIDS/HIV,use of condom,HPV Vaccine etc are adapted and more consultations for any abnormality in sexual organs are asked for resulting in early intervention and cure for these Diseases in those who practice it regularly than those who practise it occassionally under a shade and hide disease associated with Sex for a long .
9.. Sex Strengthens Pelvic Musclesor muscles of Genitilia:
as we know if we perform regular exercise we develop our muscles or stregthen them but if we donot do regualr exercise our muscles become puffy and swollen up and we feel pain and other problem so reguar exercise or warming is must for them.Similiary our pelvic Muscles or muscles controlling activites of our Genitilia need warming or exercise for better performance but even these are not utilised then a lot of somatic and psychosocial abnormality starts developing as our many hormones which rgulate or body,satisfication are not liberated in full leading to above discrepancies.
For women, doing a few pelvic floor muscle exercises known as Kegels during sex offers a couple of benefits. You will enjoy more pleasure, and you'll also strengthen the area and help to minimize the risk of incontinence later in life.
To do a basic Kegel exercise, tighten the muscles of your pelvic floor, as if you're trying to stop the flow of urine. Count to three, then release.
10. Sex induce better Sleep,relaxing our mind & body:
The oxytocin released during orgasm also promotes sleep, according to research.And getting enough sleep has been linked with a host of other good things, such as maintaining a healthy weight and blood pressure. Something to think about, especially if you've been wondering why your guy can be active one minute and snoring the next.Sex also induces sleep very fast and such sleep are often non rapid eye movement sleep as our body and minds have relaxed but it is only when a good sex giving full satisfication has been performed.
Abnormal organ sites,abnormal methodology, abnormal partners ,abnormal enviornment and surroundings, compulsion, force,entucement,abnormal behaviors and acts never achieve such benefits but rather harms our body physically and mentally and some time we move for a second mistake /crime to cover first one and makes ourselves more entangles in it.
Therfore a good sex in good enviornment with an interesting partner with full consent in full consciousness with well planning with enough time with good arousal or excitement or four play and without interrupting session of sex with fully relaxed and comfortable mind is the prototype for such benefits.
prof.D.ram
07838059592

Category (Sexuality & Venereal Disorders)  |   Views ( 14167 )  |  User Rating
Rate It

SUPER TOXIC BUG -NEW THREAT TO INDIA & WORLD
Super Toxic Bug” of Escheritia Coli strain- H4 0104 is a new threat to India and whole world as it causes first a bloody diarrhoea due to infection of gut and platelets leading to loss of water and blood causing Anaemia and setting a kidney failure and later failure of Liver,Lung,Brain and Heart or Multi Systemic Organ Failure and Death. Its toxicity is more alarming as no good vaccine or medicine is available to check its infection as this BUG OR TOXIN is resistant to most widely used Antibiotics like NDM-1 BACTERIA.Name of toxin of this E.COLI STRAIN (STEC 0104:H4) IS SHIGA TOXIN.but nothing is of very serious concernas it affects mainly children in summer season and it is also very dangerous in few cases only and as mode of transmission is mainly contact contamination in form of water or polluted food so a hygenic check up at personal or comunity level will control it completely but in country like us once infected will have to suffer a lot due to our style of living and hugh population and will cost us very high due to unavailability of any medicine or vaccine resulting our dependance only merely supportive treatment.
India,A FASTLY GROWING ECONOMY LIKE WHOLE WORLD is on high alert against the deadly strain of Shiga toxin-producing E coli (STEC 0104: H4) as this strain has infected over 1823 cases across 12 European nations (Austria, Czech Republic, Denmark, France, Netherlands, Norway, Spain, Sweden, Switzerland, Britain and the United States) including 520 cases of hemolytic uremic syndrome (HUS). Twelve HUS cases were fatal, and 6 deaths were reported among non-HUS cases. (17 deaths in Germany and 1 in Sweden).
The Food Safety and Standards Authority of India has informed its officials to watch out for all food items, especially fruits and vegetables, coming in from Europe.The FOOD source is organic Spanish cucumbers. Cucumbers, tomatoes, and lettuce are top suspects.E coli is a common bacteria in the GI tract and part of the normal bacterial flora. However, some E coli strains produce a toxin that could produce serious infection. The infection is acquired by consuming contaminated food or water.The incubation period is 3-4 days in conventional strain but in the STEC 0104: H4 strain it is 7-12 days. Most patients' symptoms resolve within 5 to 7 days. However, HUS STEC 0104: H4 can develop a week after diarrhea begins.
Symptoms range from mild to severe bloody diarrhea, mostly without fever. The strain STEC 0104: H4 is causing severe symptoms, including stomach cramps, bloody diarrhea, vomiting, and fever. However, fever is not usually high.
As per WHO, this STEC 0104:H4 strain of E coli "is a unique strain that has never been isolated from patients before" and there may be "various characteristics that make it more virulent and toxin-producing".The hemolytic-uremic syndrome (HUS) is characterized by the simultaneous occurrence of a triad of microangiopathic hemolytic anemia, thrombocytopenia, and acute renal injury.Microangiopathic hemolytic anemia: Hemoglobin levels are usually less than 8 g/dL. The Coomb's test is negative and the peripheral blood smear is characterized by the large number of schistocytes and helmet cells. There is no correlation between the severity of the anemia and the severity of the renal disease.Thrombocytopenia: Platelet counts are generally around 40,000/mm3. There is no correlation between the degree of thrombocytopenia and the severity of the renal disease.Acute renal injury: The severity of renal involvement ranges from hematuria and proteinuria to severe renal failure and oligoanuria, which occur in one-half of cases. Hypertension is also frequently observed. Although as many as 50 percent of those with HUS require dialysis during the acute phase, the prognosis for recovery of renal function is generally favorable.Up to 10% of patients with this latest infection with STEC 0104: H4 strain may develop HUS, with a case-fatality rate ranging from 3% to 5%.
Normally HUS is the most common cause of acute renal failure in young children but this strain (STEC 0104: H4) is affecting female adults above the age of 20.It can cause neurological complications like seizure, stroke and coma in 25% of HUS patients and chronic renal sequelae, usually mild, in around 50% of survivors.Usually HUS can be typical HUS or atypical HUS. Typical HUS is Shiga-like toxin (Stx)-associated HUS and atypical HUS is non-shiga toxin (NStx)-associated HUS.Typical Stx HUS occurs after a prodromal episode of bloody diarrhea. It normally affects children under the age of five years. On the other hand, atypical non-shiga toxin associated (NStx) HUS is a heterogeneous disorder distinguished clinically by the absence of diarrhea or Shiga toxin-producing E. coli infection, but with microangiopathic hemolytic anemia, thrombocytopenia, and acute renal injury.
Typical HUS primarily follows an infection with Shiga toxin producing strains of E coli. The most common serotype is O157:H7, which is found in 70 percent of cases. The annual incidence is 2 to 3 per 100,000 children less than five years of age. The current strain is different Shiga toxin–producing E coli O104:H4.This disorder is commonly observed during the summer.The differential diagnosis includes: Other enteric infections, Henoch-Schönlein purpura, systemic vasculitis, sepsis and disseminated intravascular coagulation.
There is no known effective therapy to prevent progression from the bloody diarrheal phase (acute infectious phase) to the post diarrheal phase of HUS.Therapy is supportive. One can give antibiotics but NOT anti-motility agents. Some research has shown that administering antibiotics may in fact increase their risk of developing HUS, but the CDC recommends that clinicians ultimately determine treatment according to each individual patient. There may be indications for antibiotics in patients with severe intestinal inflammation if perforation is of concern. Of note, isolates of STEC O104:H4 from patients in Germany have demonstrated resistance to multiple antibiotics.Patients may require red blood cell transfusions when the hemoglobin is below 6 g/dL.
Platelets are transfused when there is active bleeding or prior to a required invasive procedure in patients with platelet counts less than 30,000/mm3.Dehydration is corrected as per requirement.Dialysis is done as per standard indications.
Hypertension is managed by fluid restriction, antihypertensive agents, and dialysis if needed. Nifedipine is the drug of choice in initial phase to be substituted with ACE inhibitors later.
Parenteral diazepam, phenytoin, and fosphenytoin are used for seizures.One can try plasma exchange in cases with significant neurological symptoms.Do not use anti-thrombotic agents or oral Shiga toxin-binding agent.
In general, prognosis is excellent with mortality rates below 5%. Around 5% of patients will have significant long-term sequelae of either stroke or end-stage renal failure. In patients who require renal transplantation, recurrence of HUS is rare.
All stools submitted for testing from patients with acute community-acquired diarrhea should be cultured for STEC O157:H7. These stools should be simultaneously assayed for non-O157 STEC with a test that detects the Shiga toxins or the genes encoding these toxins.It is often difficult to isolate STEC in stool by the time a patient presents with HUS.
WHO does not recommend any trade restrictions related to this outbreak because it is not being spread as airborne infection as was SARS,SWINE FLU etc,so noquarantine checkup or isolation or any cholera type vaccination has been ordered but an immense research is going on world wide to develop vaccine against this toxin as we have got for typhyoid or paratyphoid bacteria or food sensitive Antibiotic to nip in the bud this wildly growing killer bug as called 'SUPER KILLING BUG OF THIS YEAR.-BY DR.D.R.NAKIPURIA,09434143550

Category (General Medicine)  |   Views ( 15421 )  |  User Rating
Rate It



None
To
Scrap Flag
Scrap