Talking about 'sex' among us will automatically grab the attention of
any person making it more inquisitive. Everyone hesitate to talk about
sex, they take it as a bad thing not even the parents as well as the
teachers. Teachers in school doesn't provide the adequate knowledge
about 'sex' and their associated diseases to the students, and so on
the increasing age increases the desire of sex among the youngsters,
which is a normal physiological phenomenon and oneday they may get
involved in such activities called 'sex'. But talking about STD, we
know these get transferred in people during unprotected sexual
intercourse, not only the sex but the sexual activity where there is
involvement of genital secretion and as well as unscreened or poorly
screened of blood transfusion also transfer these diseases.
Age group of 18 - 25 years are the main victims of STD's. In context
of Nepal the most common is Gonorrhoea, as it is caused by the virus
it has got cure till now, but HIV AIDS is the matter of concern
because it develops slowly and sometime it may be asymptomatic and on
later stage make the person immunocompromised and favour other
infections. And now the Genital Herpes has come to contrast and is
increasing. HIV and Genital Herpes both are caused by the viruses, but
death due to HIV take years than Genital Herpes. Due to less anti
viral drug these viral infections can't get a proper cure.
People rarely visit doctor in Nepal, usually they feel shy and also
they fear of disclosing their secrecy. So most of the patient remain
out of treatment in the primitive stage of the disease and at last
when the disease get worsen they come alone or with their family.
Doctor should also be faithful and concerned about disclosing the
patient privacy.
People should be aware that most of the STD's are curable, so if they
have any genital problems they should consult the doctor soon as
possible, as there is a saying "Stitch in time, saves Nine". To stop
transmission always use a condom, do regular check up and do timely
screening of blood. So, practice safe sex and enjoy a happy life.
Sex and STD's
Seasonal Change and Common Cold
As we can see nowadays many people suffering from cold as the winter
season is on its way, this cold happens to be, due to change in
season. In context of Nepal, its prevalence increases slowly after the
end of Dashain or we can say from 1st week of Kartik and remains high
to last week of Kartik or it may extend to the 2nd week of Mangshir
aswell (October-November), and than it slowly declines. Seasonal
change in realtive humidity may also affect the prevalence of colds.
As well as, many schools and colleges remain shutdown for winter
vacation which prompt people spend more time indoors which increase
the chances of spread of cold viruses from one person to another.
The most common cold causing viruses survive better when humidity is
low, the colder months of the year. Cold weather also may make the
nasal passages lining drier and making more vulnerable to viral
infection.
¤ Spreading of Colds
It usually depends on various means, and most of all it depends on the
type of the virus. Any or all of the following routes may be the cause
of transmission:-
1) Touching:- Infectious respiratory secretions can be present on any
material or article or surfaces. This mode is most common and gets
transmitted while touching the infectious particle and then touching
the eye or nose.
2) Inhalation:- This usually occurs in a close confined room or in the
crowdy places. It can be sub-divided in two parts,
i) Inhaling relatively large particles of respiratory secretions
transported briefly in air, and
ii) Inhaling droplet nuclei, these are the smaller infectious
particles suspended in the air for long periods of time.
Rhinovirus, the most common virus known to cause the common cold,
which are shed in highest concentraion in the nasal secretions. A
person is most likely to transmit rhino viruses in the second to
fourth day of infection, when the virus in the nasal secretion is
highest. Latest study reveal that treatment of colds increase the
amount of virus in the nasal secretion which make the sufferer more of
a hazard to others.
¤ Prevention
Handwashing is the simplest and most effective way to keep from
getting rhinovirus colds. Not touching the nose or eyes is another.
Individuals with colds should always sneeze or cough into a facial
tissue, and promptly throw it away. If possible, one should avoid
close, prolonged exposure to persons who have colds. Because
rhinoviruses can survive up to three hours outside the nasal passages
on inanimate objects and skin, cleaning environmental surfaces with a
virus-killing disinfectant might help prevent spread of infection.
Donate Car to Charity California
The way you think is better than other and your work of car donation
will be blessings to you from all the people. You get life once, if
you are capable than why not to donate something to needy, if it can
help them? Car donation is the better way to help & support to people
who have to need without bothering himself. You are donate the car for
remove the old car. It is good alternative for people who have old car
by getting rid of an old useless vehicle. With this donation you are
also help to other people. There are no need to a better condition car
for donation. Cracked or Broken cars may also donate. You have also
other choice to donate money through your old car. There are many
social company are make the auction of this type of cars and make the
profit. The profit is use in social works. After the car donation you
can get your donation receipt. There are 20 percent of Poor families
are not able to purchase the car. They are spent large budget of their
income in transportation. Social companies provide them a car or money
through your donation. The poor families are also happy through
getting the car or money.
Other benefits of your car donation in California is free towing
services offered. In this offer you are not required to take the car
at Center for Car Donation. The Center Authorities providing pickup
facility to you. They pick up the car from your home. For the car
donation you have to prepare some important documents like insurance &
registration and if you do not have the title, the Center Authority
provides you duplicate form of title.
Donation center also give the facility for donate your car. At the
time of pick up the car the donation center give you the tax form
which is very important for you because this tax form is provides tax
deduction from your tax. You can ask the picker about the form
filling. They are introduce to you about the tax form. Donation of
your car is one of the most rewarding work. When you donate the car,
you do support the people who are poor & you shining other's life by
helping poor peoples. There are many homeless family in California &
their children are not able for go to school. By helping this type of
peoples you get great blessings from the mouth of poor families.
***Views Shared From in public interest for "Donate Car to Charity
California" for betterment of poverty and wishes of poor people.
Mesothelioma
Mesothelioma is a rare and very serious form of cancer. The only known
cause of mesothelioma is exposure to asbestos. that develops from
cells of the mesothelium, the protective lining that covers many of
the internal organs of the body. The most common anatomical site for
mesothelioma is the pleura (the outer lining of the lungs and internal
chest wall), but it can also arise in the peritoneum (the lining of
the abdominal cavity), the pericardium (the sac that surrounds the
heart), or the tunica vaginalis.
Signs and symptoms of mesothelioma include shortness of breath due to
pleural effusion (fluid between the lung and the chest wall), chest
wall pain, and constitutional signs such as unexplained weight loss.
The diagnosis may be suspected based on chest X-ray and CT scan
findings, but must be confirmed either by examining serous effusion
cytology or with a biopsy (removing a sample of the suspicious
tissue). A thoracoscopy (inserting a tube with a camera into the
chest) can be used to acquire biopsy material, and allows the
introduction of substances such as talc to obliterate the pleural
space (a procedure called pleurodesis), preventing more fluid from
accumulating and pressing on the lung. Despite treatment with
chemotherapy, radiation therapy or sometimes surgery, mesothelioma
carries a poor prognosis. Research about screening tests for the early
detection of mesothelioma is ongoing.
It is not usually transferred from male to female by any sexual means
but, in the developing country such as south asia the house wifes wash
the clothes of their husband and similarly the wife washing the
husband clothes who work in the asbestos industry are likely to get
affected aswell.
As it is rare but a serious medical conditions so many companies that
used asbestos have set aside billions of dollars in trust funds to
compensate victims of this disease. They have introduced Mesothelioma
Law Firm that is recognized nationally in USA their representation of
product liability and mesothelioma victims, and for our understanding
of and compassion for injured parties and their families.
The Thyroid, Thymus and the Parathyroid Glands
- The Inferior Thyroid Veins: The inferior thyroid veins, of which there are always a few on each side, leave the lower border of the gland and pass through the loose fascial space to join the left brachiocephalic vein. They are fragile and require being ligated single.
- The Middle Thyroid Veins: The applied anatomy of the middle thyroid vein is important because it is a short, thin-walled vessel, leaving the middle of the gland and directly coursing laterally to pass in front of behind the carotid artery and enter the internal jugular vein. It is the first vessel encountered in thyroidectomy and merits careful ligation when it is met early on during the development of the intercapsular space mentioned above.
- The Thyroidea Ima Artery: The Thyroidea Ima artery from the brachiocephalic trunk extending in front of the trachea is small and surgically irrelevant.
Instruction
Examine the thyroid.
Test this patient’s thyroid status.
Look at the neck.
Test sternomastoid function (this muscle may be infiltrated in thyroid malignancies).
Instruction
Look at this patient.
Determine this patient’s thyroid status.
Instruction
Examine this patient’s face.
Perform a general examination of this patient.
Instruction
Look at this patient’s legs.