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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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What is the meaning of tpha positive Treponema pallidum haemagglutination ? Please explain in hindi. My husband is tpha positive. And tell treatment also.
Hi sir/mam meri age 23 hai aur mere wife ki age 19 hai aur uska weight 65 hai humari married 31 April ko hui tab se hum sex kar rahe hai man on top n doggy style mai lekin abi tak kuch pregnancy ki news nai mili aisa kyu ho raha hai please batao kya galat ho raha hai?
Post earthquake the biggest fear is cholera epidemic. One must learn lessons from the Haitri cholera epidemic where ten months after the largest urban disaster in modern history, a devastating 7.0-magnitude earthquake on January 12, 2010 that killed over 316,000 and affected 3 million, Haiti faced an outbreak of cholera.
By the end of 2011, the outbreak resulted in over 500,000 infections and 7,000 deaths. Cholera also spread to the Dominican Republic which by end of 2011 recorded over 21,000 cholera cases and 363 deaths. In the epidemic patient zero was identified as a 28-year-old Haitian who was exposed to cholera while bathing in, and drinking from, a river near the peacekeepers.
Ending the epidemic requires a concerted, multi-sectoral effort; reconstruction of water, sanitation and hygiene (WASH) infrastructure; hygiene education and free access to cholera treatment.
Cholera is a bacterial disease that can cause diarrhea and dehydration. It spreads through the ingestion of contaminated food or drinking water.
Travelers should drink and use safe water. Bottled water with unbroken seals and canned/bottled carbonated beverages are safe. One should use safe water to brush teeth, wash and prepare food, and make ice. One should clean food preparation areas and kitchenware with soap and safe water and let dry completely before reuse. One should not use piped water, drinks sold in cups or bags, or ice. All drinking water and water used to make ice should be boiled or treated with chlorine.
Safe water can be prepared by boiling it for one minute or treating the water with chlorine purification tablets or household bleach.
One can add 8 drops of household bleach for every 1 gallon of water (or 2 drops of household bleach for every 1 liter of water) and wait 30 minutes before drinking.
One should always store your treated water in a clean, covered container.
Washing hands is the best bet. One should wash hands often with soap and safe water before eating food, before preparing prepare food, before feeding children, after using the latrine or toilet, after cleaning child?s bottom and after taking care of someone ill with diarrhea. If no soap is available one can scrub hands often with ash or sand and rinse with safe water.
One should use latrines or bury the feces. One should not defecate in open. One can use chemical toilets. One should clean latrines and surfaces contaminated with feces using a solution of 1 part household bleach to 9 parts water.
One should defecate at least 30 meters away from any body of water and then bury the feces. One should dig new latrines or temporary pit toilets at least a half-meter deep and at least 30 meters away from any body of water.
Regarding cooking food, one should cook food well (especially seafood), keep it covered, eat it hot, and peel fruits and vegetables.
Remember the formula, Boil it, cook it, peel it, or leave it.
Sea food precautions, be sure to cook shellfish (like crabs and crayfish) until they are very hot all the way through.
Wash children, diapers, and clothes at least 30 meters away from drinking water sources.
My wife is 28 years old, she was thin and had perfect bmi last year. But for the past 6 months she is gaining weight especially in her arms and thighs. We have one child and planning for the second baby. Will this weight gain affect our second baby plan ? Pls suggest how to reduce her weight. Whether its a sign of thyroid ?
I got last year hyperplasia in uterus Dr. advised me to take medicine hormone medicine that are used as pills for not getting pregnant that we that fifth day after period and for 21 days by which my periods was proper and uterus wall was discharged in that duration of six months course my weight was perfect after delivery now when I left those medicines because it was six months course I started going weight and my periods are just for two days and period cycle is again irregular please advise I don't eat so much I do work also still why I am gaining weight after I had left that medical.
Sir, I and my bf participated in sex without protection on 2nd march my actual date is 15th march any chance to get pregnancy?
Dr. I'm 29 year old married women. Dr. Mujhe kuch dino se mere nipple mai pain ho raha hai halka sa. Aur nipple mai swelling bhi hai. please advice me.
Everyday I am waking up (at 5. am) due to severe lower abdominal pain. (in the centre) its more unbearable than the perriods pain. Ps: my periods are regular, I was detected pcod (left overy) in month of july 2014. Which was cured by medical treatment & reports came normal (dec2014) please help
I am a married woman and virgin. I did not intimate with husband yet. Me and my husband tried so many time but due to pain I can't allow to do sex. Please suggest me some medicine which can help to stop pain during sex.
Ive noticed a small bump like on my breast right under my nipple and its hard and hurts when I press it, I read that it could be a cyst but im not sure but its really worrying me, could it be something more?
A girl had sex 2 month before she is also getting her period but her nipples aeronals are becoming dark is she pregnant or there is other please answer me these question.
An estimated 22%of mercury used worldwide each year goes into electrical and electronic equipment including batteries flat panel display screens and switches and can cause damage to the brain, spinal cord, kidneys, liver and even for developing fetus.
Hello! Doc. S Group And Good morning everyone. I'm 20yrs. Old and I have a baby also 0.5years old and I'm also feeding to her so in this situation Dronis 20mg is suitable for me or not and how should I use it./Doges for me. And My period starts from 6 per month.
It's my 9th of pregnancy but I have a itchiness all over the body I don't know what to do next please help me.
Meri marriage 11aprill 2016 ko hoi thi muje last priod 4: 04:16 ko aye the .Mai ab kitne month ki pregnant hu?
I am 25 years old and I have two childrens with normal delivery. In my second delivery after 6 months I noticed this problem of uterine prolapse. How I will get cure from this problem.
New path to blood sugar control
Most dm drugs make pancrea to increase insulin other act on liver other act on body cell
To date, two of these new drugs have been approved by the u. S. Food and drug administration for treating type 2 diabetes. The first, canagliflozin (invokana®), was cleared last march; the second, dapagliflozin (farxiga®), was approved just this week.
Both drugs are so-called sglt2 inhibitors that act by blocking the kidneys’ reabsorption of sugar, or glucose. The result is that more glucose is released in the urine and the patient’s blood glucose level goes down — a major goal of diabetes treatment.
Most other available drugs for diabetes work by targeting the liver, pancreas or gut to improve insulin sensitivity, reduce insulin resistance or stimulate insulin secretion. In contrast, sglt2 inhibitors work completely independent of insulin.
The two new medications, which are taken by mouth in pill form, are approved for use as stand-alone drug therapy, in addition to changes in diet and increased exercise, or in combination with other drugs for diabetes. Their approvals were based on multiple clinical studies — nine for canagliflozin and 16 for dapagliflozin — showing that they effectively lowered hemoglobin a1c, a measure of average blood sugar level over the previous three months.
A surprise effect on the waistline
An added benefit is that sglt2 inhibitors are associated with modest weight loss. For instance, patients shed from 2.8 percent to 5.7 percent of body weight in clinical studies of canagliflozin.
“The weight loss is an appealing side effect of sglt2 inhibitors, especially in the growing population of obese individuals with type 2 diabetes,” says cleveland clinic endocrinologist mary vouyiouklis, md. “aside from metformin, which occasionally results in modest weight loss, other oral drugs used to treat type 2 diabetes are weight-neutral or can cause weight gain.”
Safety profile: keeping an eye on heart effects
Another potential benefit is also a potential adverse effect: the fact that sglt2 inhibitors have a mild diuretic effect (i. E, tend to increase urination). This results in lowering of blood pressure, which can be good for some patients who have high blood pressure but can also cause lightheadedness, dizziness or even fainting in other individuals. Dr. Vouyiouklis says caution is needed before these drugs are started in any patients at particular risk of the latter effects, such as the elderly or patients taking diuretics or multiple drugs for blood pressure.
The drugs’ other most common side effects in clinical trials — genital yeast infections and urinary tract infections — are also related to the fact that they act via the kidneys. Both drugs posed a low risk of hypoglycemia, the dangerously low blood sugar episodes associated with some diabetes therapies.
However, the new drugs were found to modestly increase levels of ldl (“bad”) cholesterol, which could be a concern because patients with diabetes are already at increased risk of heart disease. The potential for increased rates of heart attack, stroke and other cardiac events is being specifically monitored in large ongoing studies of both canagliflozin and dapagliflozin, but full results are not expected for several years.
Ongoing bladder safety scrutiny with dapagliflozin
Additionally, patients taking dapagliflozin in clinical trials showed a small increase in bladder cancer diagnoses compared with control patients. In fact, dapagliflozin was rejected for approval by the fda two years ago because of concerns over bladder cancer and liver toxicity.
The agency’s concerns about these risks were eased by additional data from dapagliflozin’s manufacturer this time around, but the drug’s approval included a requirement that it be studied for bladder cancer risk in patients in ongoing trials as well as in new animal studies looking specifically at effects on the bladder.
Canagliflozin does not appear to be associated with bladder cancer or liver toxicity, the fda concluded.
More agents in the pipeline
Several other sglt2 inhibitors may soon be available as well. One of them, empagliflozin, is in late-stage studies, and the fda is expected to decide on its approval by the end of march.
Who should get these drugs, and when?
Dr. Vouyiouklis says obese patients with type 2 diabetes and normal kidney function stand to benefit most from sglt2 inhibitors. In general, these drugs seem to be best tolerated by patients with normal kidney function and less well tolerated by those with moderate kidney disease (they should not be used by patients with severe kidney disease). They are not approved for use by pregnant women, patients under 18 or individuals with type 1 diabetes.
“Although sglt2 inhibitors are approved for use as single drug therapy, metformin remains my choice for first-line oral therapy,” says Dr. Vouyiouklis. “Because sglt2 inhibitors are relatively new and their long-term effects are not yet known, I prefer to reserve them for use as add-on therapy. I believe they will be a useful addition, especially in obese patients who are seeking to lose weight.”