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Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
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I had intercourse with my bf and I have to get marry next years wit other person nd I do not want him to knw abt dis, cn you plzz hlp me out, iz there any alternative apart hymenoplasty.
Tulsi - a **miracle** plant
Tulsi is regarded as an 'elixir of life' and believed to promote longevity. It is considered to be an adaptogen, balancing different processes in the body. It has also been suggested to possess antifertility, anticancer, antidiabetic, antifungal, antimicrobial, hepatoprotective, cardioprotective, antiemetic, antispasmodic, analgesic, and diaphoretic actions.
1. It is considered as a tonic to retain youth and avoid aging. Vitamin c, vitamin a, phytonutrients and the essential oils in tulsi are excellent antioxidants and protect the body from nearly all the damages caused by the free radicals.
2. It is anti-carcinogenic and it found to be effective in healing nearly all types of cancer and tumors.
3. It reduces total cholesterol levels and blood pressure. Thus, it is useful for heart disease patients.
4. It is useful in the treatment of respiratory system disorders. A decoction of the leaves, with honey and ginger, is an effective remedy for bronchitis, asthma, influenza, cough and cold.
5. It can protect from radiation poisoning and also heals up damages caused by radiations. It acts as a vaccine against pox if consumed regularly.
6. It is used as a mouth wash. It is very good for maintaining dental health, counteracting bad breath and for massaging the gums. It is also useful in pyorrhea.
7. It also cures ulcer in the mouth. It is also known to help inhibit the growth of oral cancer caused by chewing tobacco etc.
8. It is an excellent antibiotic, germicidal, fungicidal and disinfectant and very efficiently protects our body from nearly all sorts of bacterial, viral and fungal infections.
9. Consumption of tulsi leaves decoction helps prevent and heal fever.
10. It has a hypoglycemic effect, so it reduces blood glucose levels. Thus, it is useful for diabetics.
11. It helps in building up stamina, hence used to prepare herbal tea.
12. Its regular consumption can protect eyes from all the damages done by the free radicals, such as cataract, macular degeneration, glaucoma, vision defects, opthalmia etc. Due to its high antioxidant properties.
13. Recent studies on tulsi proved to be a useful medication for people living with human immunodeficiency virus (hiv), and acquired immune deficiency virus (aids).
14. Tulsi, being a detoxifier and mild diuretic in nature, can help reduce uric acid level (main culprit as far as kidney stones are concerned) concentration in the blood as well as helps cleaning of the kidneys through urination.
15. Tulsi oil application on the body keeps mosquitoes and other insects away.
B. How to use-:
1. Tulsi leaves extract (swaras)-
- how to prepare - take some fresh tulsi leaves, wash them, then crush them well and squeeze the pure extract.
- dose - 2tablespoon in adults empty stomach in the morning.
- beneficial in cold, cough, fever, oral ulcer, liver disorders, indigestion, bronchitis, insect bites, cancer ((bacterial and viral infections).
- extenal application of tulsi leaves extract- in fungal infections, ringworm, insect bites.
2. Tulsi leaves decoction (kaadha)-
- how to prepare - take some fresh tulsi leaves, wash them, boil with 4cups of water. Boil this until 1cup of water remains.
- dose- drink half cup (lukewarm) in the morning on empty stomach and a half cup in the evening.
- beneficial in pyorrhea, cold, cough, influenza, rheumatoid arthritis, gastric disorders, tuberculosis (bacterial and viral infections).
- a decoction of the whole plant lowers the blood sugar (glucose) level and is said to control diabetes mellitus.
- a decoction of the root of tulsi plant is given as a diaphoretic in malarial fever.
- the regular consumption of tulsi leaves extract or decoction helps prevent viral fevers, cough, cold and many other diseases.
Boerhaave first described the spontaneous rupture of the esophagus in 1724. It typically occurs after forceful emesis. Boerhaave syndrome is a transmural perforation of the esophagus to be distinguished from mallory-weiss syndrome, a nontransmural esophageal tear also associated with vomiting. Because it often is associated with emesis, boerhaave syndrome usually is not truly spontaneous. However, the term is useful for distinguishing it from iatrogenic perforation, which accounts for 85-90% of cases of esophageal rupture.
Diagnosis of boerhaave syndrome can be difficult because often no classic symptoms are present and delays in presentation for medical care are common. Approximately one third of all cases of boerhaave syndrome are clinically atypical. Prompt recognition of this potentially lethal condition is vital to ensure appropriate treatment. Mediastinitis, sepsis, and shock frequently are seen late in the course of illness, which further confuses the diagnostic picture.
See can't-miss gastrointestinal diagnoses, a critical images slideshow, to help diagnose the potentially life-threatening conditions that present with gastrointestinal symptoms.
A reported mortality estimate is approximately 35%, making it the most lethal perforation of the gi tract. The best outcomes are associated with early diagnosis and definitive surgical management within 12 hours of rupture. If intervention is delayed longer than 24 hours, the mortality rate (even with surgical intervention) rises to higher than 50% and to nearly 90% after 48 hours. Left untreated, the mortality rate is close to 100%.
Esophageal rupture in boerhaave syndrome is postulated to be the result of a sudden rise in intraluminal esophageal pressure produced during vomiting, as a result of neuromuscular incoordination causing failure of the cricopharyngeus muscle to relax. The syndrome commonly is associated with overindulgence in food and/or alcohol. The most common anatomical location of the tear in boerhaave syndrome is at the left posterolateral wall of the lower third of the esophagus, 2-3 cm proximal to the gastroesophageal junction, along the longitudinal wall of the esophagus. The second most common site of rupture is in the subdiaphragmatic or upper thoracic area. [1, 2]
Although likely underreported, the incidence of boerhaave syndrome is relatively rare. A 1980 review by kish cited 300 cases in the literature worldwide.  a 1986 summary by bladergroen et al described 127 cases.  of these, 114 were diagnosed antemortem; the others were diagnosed at autopsy. Overall, boerhaave syndrome accounts for 15% of all cases of traumatic rupture or perforation of the esophagus.
Race-, sex-, and age-related demographics
Cases have been reported in all races and on virtually every continent, affecting males more commonly than females, with ratios ranging from 2: 1 to 5: 1.
Boerhaave syndrome is seen most frequently among patients aged 50-70 years. Reports suggest that 80% of all patients are middle-aged men. However, this condiction has also been described in neonates and in persons older than 90 years. Although no clear explanation exists for this, the least susceptible age group appears to be children aged 1-17 years.
Prognosis is directly contingent on early recognition and appropriate intervention. Early diagnosis of boerhaave syndrome allows prompt surgical repair. Diagnosis and surgery within 24 hours carry a 75% survival rate. This drops to approximately 50% after a 24-hour delay and approximately 10% after 48 hours.
The mortality rate is high. Esophageal perforation is the most lethal perforation of the gi tract. Survival is contingent largely upon early recognition and appropriate surgical intervention.
Overall, the mortality rate is approximately 30%. Mortality is usually due to subsequent infection, including mediastinitis, pneumonitis, pericarditis, or empyema.
Patients who undergo surgical repair within 24 hours of injury have a 70-75% chance of survival. This falls to 35-50% if surgery is delayed longer than 24 hours and to approximately 10% if delayed longer than 48 hours.
Cases of patients surviving without surgery exist but are rare enough to warrant case reports in the medical literature.
Esophageal rupture may lead to the development of septicemia, pneumomediastinum, mediastinitis, massive pleural effusion, empyema, pneumomediastinum, or subcutaneous emphysema.
If the esophageal rupture extends directly into the pleura, hydropneumothorax is expected. In adults, this occurs more commonly on the left side of the pleura. In neonates, esophageal rupture usually occurs on the right side.
After esophageal rupture, free air enters the mediastinum and also may spread to the adjacent structures, resulting in mediastinal abscess or superimposed secondary infection.
Other complications include acute respiratory distress syndrome, pneumomediastinum, pneumothorax, and hydrothorax.