HIV/AIDS -WHY PEOPLE LEAVE TAKING MEDICINES-ARV TO TREAT HIV/AIDS-drug adherance ?
Posted by on Monday, 27th January 2014
HIV/AIDS -WHY PEOPLE LEAVE TAKING MEDICINES-ARV TO TREAT HIV/AIDS
PROF.DRRAM ,HIV/AIDS,SEX DISEASES,SEX WEAKNESS & ABORTION SPECIALIST
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We all know why it's important to take your HIV medications every day. It keeps the virus in check, keeps you healthy and decreases your chances of becoming resistant to the meds.But for most people, taking HIV medications every day as prescribed isn't the easiest thing to do.And anyone who says otherwise is lying. The reality is that everyday life brings with it obstacles that can block the way between you and your meds.
SOME IMPORTANT REASONS ARE AS FOLLOWS:---
1.FORGETTNESS;How many times have you looked up and exclaimed, "Darn, I forgot to take my meds!" This happens more often than people admit. But remembering to take your meds is the key to compliance.The key to remembering is tailoring your meds to your schedule.
2.FINANCE: Many time your cash doesnot allow to purchase it in time as job may be lost or other emergency condition even in USA/UK Insurance doesnot support it fully but IN INDIA/AFRICA PROVIDED BY ART CENTRES ALL OVER COUNTRY IF POOR CANOT AFFORD privately register with THese ART centres and donot forget to get new pack of Medicine in time submitting old used pack.
3.Side effects of Medicine:These are some time alarming bt donot stop medicines but talking to physician will help out to move to new medicines or alleviate complications by adding some medicines ,nausea,vomiting,diarrhoes,skin rashes,dementia, jandice, lipidostrophy,anaemia,bone marrow depression,infections,kidney and liver failure are some importnat side effects
4.NO FIXED RESIDENCE/MIGRATION ;As Hiv persons are mostly poor and walk from one place to other for their living and earning so they forget to purchase medicines bt in India /Africa ART centres provide sch facilities if with ART book you may go any where and ask for medicines prior permission from place of living to going is more important too and should be done to check misuse of medicines.
5.FAMILY RESPONSIBILITY:Poor HIV / Aids patient has to run family ,many house hold works and social responsibility so he decides to off the medicine bt it is dangerous please adjust your need and donot stop it and if free from ART CENTRE THEN NEVER MISS IT.
6.DEPRESSION & MENTAL AGOINY; Mental health issues are not uncommon for people living with HIV. Stigma, isolation and rejection can lead to depression and if that depression goes untreated, it can deeply impact your ability to adhere to your medications. Even worse: Depression in the HIV community is massively underdiagnosed.
HIV care providers need to step up and screen better for mental health issues. But that doesn't mean that you can't open up and talk to your provider about how you are feeling emotionally, especially if those feelings are a factor in why you are not taking your medicine.
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HIV /AIDS PATIENTS AND AGING :SCENARIO DIFFERENT IN UK /USA THAN INDIA-HOW TO CARE HIV AGED PERSONS
Posted by on Saturday, 25th January 2014
HIV /AIDS PATIENTS AND AGING :SCENARIO DIFFERENT IN UK /USA THAN INDIA
PROF.DRRAM ,HIV/AIDS,SEX DISEASES,SEX WEAKNESS & ABORTION SPECIALIST
profdrram@gmail.com,+917838059592,+919832025033 DELHI –NCR,INDIA
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IN INDIA HIV /AIDS MOST PATIENTS ARE YOUNG AS few patients reach in old age above 50 as few continue medicines for very long but still many have cossed 55 by good life style and regular HIV medicines buy in USA By 2015, half of all New Yorkers living with HIV will be over 50 and in 2017, the same will be true of the entire United States.GMHC created social media campaigns directed at older people to address this need. Our “HIV is Ageless” campaign utilized images of men and women over 50 showing this demographic people who look just like them.We know HIV can infect a person at any age and that people over 50 have sex. We must be proactive in talking with our ‘eldersexuals’ about safer sex and the importance of getting tested.”
Medical research indicates that HIV accelerates the aging process. While we are still learning about the impact of anti-retroviral medications on the body, researchers have seen increased liver and kidney problems, higher incidences of cancer, depression, bone loss, frailty and some cognitive impediments among older people living with HIV and AIDS.
Beside awareness among these people for protected sex among themselves of same age or with younger partners use of condom is must beside prep medicine to partner.Following special care they need beside regular medicines with monitoring side effects of medicines or complication of disease.These care mostly provided in developed world but in our country too their good nutrition,psychosocial and working economical rehabilitation and mental support,providing regular medicines looking for BONE,FOOD INTAKE,RESPIRATORY DISEASES,LIVER,KIDNEY,SKIN AND CANCER IS MUST WHICH ARE MORE SEEN AS SIDE EFFECT OF DRUG OR COMPLICATION OF HIV ITSELG IN THIS OLD AGE
Nutrition Education:
GOOD NUTRITION AND EXCERCISE BOOSTUP IMMUNITY SO Certified and trained nutritionists provide counseling and enrollment in the food pantry program. Registered dieticians offer one-on-one counseling for clients who are interested in improving their health and quality of life through proper diet and nutrition.
Wellness Services:
Utilizing a holistic approach to client wellness, the Wellness center offers a variety of free, volunteer-led therapies and services, giving clients access to activities that may be otherwise unobtainable for those living with financial limitations, including yoga, massage therapy and exercise classes.
Mental Health Services:
GMHC provides individual, group and family counseling services to clients over fifty, which are always tailored to the client’s unique presentation of needs, and guided by treatment plans that are collaboratively developed. Common issues addressed by our mental health team involve adjustment to change, depression, anxiety, loss, grief, relationships, addictions and body image/esteem.
Advocacy and Benefits:
GMHC assists seniors daily in navigating their health care benefits and entitlement questions. An entire white paper about resources and needs of this population that is quickly becoming the majority of our HIV + population was written in preparation for this shift in population .
HIV Testing:
GMHC’s Geffen Center provides testing to people over the age of forty-five years, by providing point-of- care HIV rapid tests. Confirmatory tests are provided onsite on the same day preliminary positive results are given. Linkage to care is also initiated as soon as a preliminary positive result is given. Utilizing our Mobile Testing Unit, HIV Testing is offered at a number of NORC’s (Naturally Occurring Communities), and Testing is always available onsite at GMHC’s Center for HIV Prevention.
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HIV /AIDS CAN BE PREVENTED BY A PILL(TRUVADA)-HOW TRUE IS STATEMENT ?
Posted by on Saturday, 25th January 2014
HIV /AIDS CAN BE PREVENTED BY A PILL(TRUVADA)-HOW TRUE IS STATEMENT ?
PROF.DRRAM ,HIV/AIDS,SEX DISEASES,SEX WEAKNESS & ABORTION SPECIALIST
profdrram@gmail.com,+917838059592,+919832025033 DELHI –NCR,INDIA
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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.
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Concern From UNAIDS, Global Fund,NACO for LGBT Law in NIGERIA ,UGANDA & INDIA-profdrram
Posted by on Saturday, 25th January 2014
Concern From UNAIDS, Global Fund,NACO for LGBT Law in NIGERIA ,UGANDA & INDIA
PROF.DRRAM ,HIV/AIDS,SEX DISEASES,SEX WEAKNESS & ABORTION SPECIALIST
profdrram@gmail.com,+917838059592,+919832025033 DELHI –NCR,INDIA
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The Joint United Nations Programme on HIV/AIDS (UNAIDS) and the Global Fund to Fight AIDS, Tuberculosis and Malaria ,NATIONAL AIDS CONTROL ORGANISATION, INDIA express deep concern over a new law in Nigeria,Uganda and India that further criminalizes LGBT people, organizations and activities, as well as people who support them, according to statement issed by these organisations that htese organizations are concerned that the law will adversely affect access to HIV services, including prevention and treatment, for LGBT PEOPLE. In 2011, all U.N. member states committed to removing legal barriers and passing laws to protect people affected by HIV.
It is a tre fact that in GAY people HIV has been encountered more in these countries than HIV Prevalence in general people where it is reduced,such law will frther force,GAY people and other community of LGBT to seek treatment as Polcie and administartion will catch hold of them and so they will run way form diagnosis ,investigation and treatment.
Similiarly MSM people or lesbians and transgenders and Bisexuals and Hinzras are already discriminated and stigmatised in our society and now they will be more afraid to come in society so NAAZ foundation has reppealed in court to withdraw 377 rulings in INDIA.
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NEW DRUG FOR STIMULATING OR AROUSAL OF FEMALES LIKE VIGRA -profdrram,hiv specialist
Posted by on Sunday, 19th January 2014
NEW DRUG FOR STIMULATING OR AROUSAL OF FEMALES LIKE VIGRA
PROF.DRRAM ,HIV/AIDS,SEX DISEASES,SEX WEAKNESS & ABORTION SPECIALIST
profdrram@gmail.com,+917838059592,+919832025033 DELHI –NCR,INDIA
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Scientists are now testing a drug that could boost women’s desire for sex and also help them lose weight.With four in ten women saying that their sex life has lost its sizzle at some point, and Viagra already making over 2.5 billion dollars a year, drug companies have long tried to create a female version.
The drug, which acts on the brain to increase desire, is a synthetic version of melatonin, a hormone usually associated with tanning.Melatonin also has a role to play in libido – and appetite.The new tablet form is more convenient and has fewer side-effects. The pills could cause nausea, and regulators will have to be satisfied that they are not addictive.
The company plans to carry out three worldwide studies to measure the effects on women. If they show it to be safe and effective, the drug could be on sale in the UK by the end of 2015.Taken 15 minutes before sex, the tablets could boost libido for more than two hours. Studies of a jab with a similar formula showed it led to satisfying sex more often and while the pills are designed to increase sexual desire, they may also curb appetite.
How does regular Viagra work?Does it help woman:
Viagra is a wonder drug that has brought sex and confidence back into the lives of many men suffering from erectile dysfunction. It works by improving the blood flow to the genitals thereby facilitating an erection. It does so by blocking an enzyme called PDE5 in the penis. Viagra isn’t actually a drug which helps with arousal. It just improves the blood flow when you’re aroused. Most women face sexual arousal problems for a variety of reasons. Menopause, stress, and seeing their children go away are just some of the reasons for their loss of interest in sex. Some experts believed that Viagra should work similarly for women (the way it does for men), engorging the clitoris and making sex more pleasurable.
A research team separated two groups of women with sexual arousal problems. One group was given the blue pill, the other was simply given a placebo. The research showed that women, who took Viagra, achieved sexual satisfaction more often than those who simply took the placebo. However, the US FDA does not approve the use of conventional Viagra for women.
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