Search

Ø  it is a preventable cancer.

Ø  a known etiology, a hpv ( human papilloma virus)

Ø  a known mode of spread i.e sexually transmitted

Ø  a very good and inexpensive screening test called pap smear which identifies it several years ahead at a precancerous stage making it amenable to prevention and early treatment with good prognosis.

Ø  an effective vaccine

Ø  unlike other stis (sexually transmitted infections) it is not fully protected by condoms.

we live in an era of sexual liberalisation with far reaching consequences. stis are a rising concern, with long term consequences. hiv is just the tip of iceberg.

the high risk factors are those with

-        multiple sex partners

-        early initiation of sexual activity

-        poor knowledge of contraception

-        hesitation in using barrier method by male partners

-        low socio-economic status with poor access to health care services, including pap tests

-        prostitutes, prison inmates,  drug addicts, those attending sti clinics

-        smoking, low immunity status like hiv, use of birth control pills for > 5 years, being younger than 17 at the time of first delivery, multiparity i.e having 3 or more children.

even the first wife dying of a cervical cancer placed the second wife at high risk.

yet despite the familiarity with the disease, it continues to flourish especially in developing countries. most of those who suffered rarely made to the hospital in time. educated women, even doctors hardly turned up for their pap smear in time. may be it was a feminine trait, being indifferent to their own health.

an effective vaccine lay underutilised because of unawareness and sometimes non affordability.

a  report published by the centers for disease control and prevention (cdc) tells,

       young people aged 15-24 years develop half of all new sexually transmitted infections (stis),

       1 in 4 sexually active adolescent females has an sti

no wonder the lower limit of giving hpv vaccine, that acts best when given before the sexual debut has been brought down to 9 years of age; a definite sign of society’s paradigm

“this epidemic is one result of a sexually saturated culture and the myth perpetuated by academe, medicine and pharmaceutical companies that latex, contraception and  vaccines can make all sexual behavior risk free.” 

even among prime-time network television shows, there is only 1 portrayal of protective behavior or comment regarding stis for every 25 instances of sexual behavior shown.

sadly one-quarter of adolescents and young adults in high-risk age groups for stis did not have health care coverage.

only 11 percent of teenagers surveyed reported getting most of their information regarding stis from their parents or other family members.

knowledge and awareness of stis among the public is poor; almost two-thirds of women,18-60 years of age surveyed knew nothing or very little about stis other than aids.

young women and female adolescents are more susceptible to stis compared to their male counterparts because of their biological characteristics. during puberty and young adulthood, specific cells (columnar epithelium) are especially sensitive to invasion by certain sexually transmitted organisms are more exposed.

women and female adolescents may also find it more difficult than men to implement protective behaviors, partly because of the power imbalance between men and women

the only way to curb the rising epidemic was by :

  • inculcating responsible behaviour

sounds like a cliché but if you don’t take a detailed sexual history of your partner on your date, you don’t know him well enough to have sex.

and ‘safe sex’ is sex with your faithful spouse!  

  • encourage use of contraception ( barrier method )

§  enforcing pap smear in sexually active women ( 21-65 years) at least every 3 year( even in those previously vaccinated with hpv vaccine), or combining it with hpv testing every 5 years ( >30 years of age).

“screen-and-treat” and “screen, diagnose and treat” are both valuable approaches

 

  • promoting cervical cancer vaccine; may be a government initiative making the vaccine cost effective, mandatory or even free to all adolescent girls.
  • health education
  • tracing contact/ partner & treatment  for stis , wherever possiblecancer cervix is the leading cancer in indian women and the second most common worldwide. the precancerous changes start early, usually in the twenties, once the women is sexually active and if undetected and untreated  may turn into a full blown cancer by the time the woman is in her 50s.

    ironically, there are several good things about this cancer.

    Ø  it is a preventable cancer.

    Ø  a known etiology, a hpv ( human papilloma virus)

    Ø  a known mode of spread i.e sexually transmitted

    Ø  a very good and inexpensive screening test called pap smear which identifies it several years ahead at a precancerous stage making it amenable to prevention and early treatment with good prognosis.

    Ø  an effective vaccine

    Ø  unlike other stis (sexually transmitted infections) it is not fully protected by condoms.

    we live in an era of sexual liberalisation with far reaching consequences. stis are a rising concern, with long term consequences. hiv is just the tip of iceberg.

    the high risk factors are those with

    -        multiple sex partners

    -        early initiation of sexual activity

    -        poor knowledge of contraception

    -        hesitation in using barrier method by male partners

    -        low socio-economic status with poor access to health care services, including pap tests

    -        prostitutes, prison inmates,  drug addicts, those attending sti clinics

    -        smoking, low immunity status like hiv, use of birth control pills for > 5 years, being younger than 17 at the time of first delivery, multiparity i.e having 3 or more children.

    even the first wife dying of a cervical cancer placed the second wife at high risk.

    yet despite the familiarity with the disease, it continues to flourish especially in developing countries. most of those who suffered rarely made to the hospital in time. educated women, even doctors hardly turned up for their pap smear in time. may be it was a feminine trait, being indifferent to their own health.

    an effective vaccine lay underutilised because of unawareness and sometimes non affordability.

    a  report published by the centers for disease control and prevention (cdc) tells,

           young people aged 15-24 years develop half of all new sexually transmitted infections (stis),

           1 in 4 sexually active adolescent females has an sti

    no wonder the lower limit of giving hpv vaccine, that acts best when given before the sexual debut has been brought down to 9 years of age; a definite sign of society’s paradigm

    “this epidemic is one result of a sexually saturated culture and the myth perpetuated by academe, medicine and pharmaceutical companies that latex, contraception and  vaccines can make all sexual behavior risk free.” 

    even among prime-time network television shows, there is only 1 portrayal of protective behavior or comment regarding stis for every 25 instances of sexual behavior shown.

    sadly one-quarter of adolescents and young adults in high-risk age groups for stis did not have health care coverage.

    only 11 percent of teenagers surveyed reported getting most of their information regarding stis from their parents or other family members.

    knowledge and awareness of stis among the public is poor; almost two-thirds of women,18-60 years of age surveyed knew nothing or very little about stis other than aids.

    young women and female adolescents are more susceptible to stis compared to their male counterparts because of their biological characteristics. during puberty and young adulthood, specific cells (columnar epithelium) are especially sensitive to invasion by certain sexually transmitted organisms are more exposed.

    women and female adolescents may also find it more difficult than men to implement protective behaviors, partly because of the power imbalance between men and women

    the only way to curb the rising epidemic was by :

    • inculcating responsible behaviour

    sounds like a cliché but if you don’t take a detailed sexual history of your partner on your date, you don’t know him well enough to have sex.

    and ‘safe sex’ is sex with your faithful spouse!  

    • encourage use of contraception ( barrier method )

    §  enforcing pap smear in sexually active women ( 21-65 years) at least every 3 year( even in those previously vaccinated with hpv vaccine), or combining it with hpv testing every 5 years ( >30 years of age).

    “screen-and-treat” and “screen, diagnose and treat” are both valuable approaches

     

    • promoting cervical cancer vaccine; may be a government initiative making the vaccine cost effective, mandatory or even free to all adolescent girls.
    • health education
    • tracing contact/ partner & treatment  for stis , wherever possible
  • What are the symptoms of dehydration?
  •   Dr. Nitya Narayanan , ENT (EAR-NOSE-THROAT)
  •   Dr. Neeti Nepal , Gynecologist Obstetrician
  •   Dr. Chander Mohan Mittal , Cardiologist
  •   Dr. Neeraj Aggarwal , Cardiologist
  •   Dr. Rama Chandra , Nephrologist
  •   Doctor Today IVF and Multispeciality Hospital, Faridabad
  •   DWTI Prabhu General Hospital & Bankers Heart Institute, Surat
  •   Primus Super Speciality Hospital, Delhi
  •   Neelkanth Fertility And Women Care, Udaipur
  •   Bikram Joint & Trauma Center, Faridkot
  • -->

    Living without & Feeling the tension, 

    Feeling the tension, is a common complaint and often without any reason people get tensed. Proper mind control by doing mediation is a very useful method and have to follow many steps as described here

    To be a safe and predictable person for those around you at work and at home, it is essential that you are able to maintain your composure when you feel like your 'buttons' are being pushed. This strength will help you to achieve your goals in business as well as your goals for your personal relationships.

    1. Share negative emotions only in person or on the phone. E-mails, answering machine messages, and notes are too impersonal for the delicate nature of negative words. What feels like a bomb on paper may feel like a feather when delivered in person.

    2. Pepper your responses with the phrase, "I understand". This phrase will support your goals when the tension is high and you need to find common ground to form compromises or agreements with the other party.

    3. Take notice when you feel threatened by what someone is saying to you. Resist the temptation to defend yourself or to "shut down" the other person's communication. It will take this kind of discipline to become an open, trusting communicator.

    4. Practice making requests of others when you are angry. It is often much more useful to make a request than to share your anger. For example, if the babysitter is driving you crazy by leaving dirty dishes in the sink, it is better to make a request of them than to let your anger leak out in other ways such as by becoming more distant.

    5. Try repeating the exact words that someone is saying to you when they are in a lot of emotional pain or when you disagree with them completely. This mirroring technique can keep both the speaker and the listener 'cantered' in a difficult conversation, especially when the attitude of the person doing the mirroring is to gain an understanding of a different point of view.

    6. Take responsibility for your feelings to avoid blaming others. Notice when 'blame-shifting' begins to leak into your speech. "I feel angry when you are twenty minutes late and you don't call me" is much better than, "You make me so mad by being late."

    7. Learn to listen to the two sides of the conflict that you are in as if you were the mediator or the counsellor. If you can listen and respond in this way you will bring peace and solutions to the conflict more quickly. For example, in response to an employee's raise request, you might say, "On the one hand I understand that you really need the raise, and on the other hand I represent the company, whose funds are very scarce at this time. Is there a way that I can work on your compensation package that does not involve cash?" Here, the mediator's point of view can look for the creative compromise that takes into account the limits and the needs of both parties.

    8. Take a playful attitude towards developing the skill of emotional self-control in high conflict situations. You could view maintaining self-control in a tense, angry conversation as an athletic feat. You could also view developing this skill is similar to working out at the gym with weights - the more that you use your self-control muscle the bigger it will grow and the easier it will be to remain calm when tension is great.

    9. Wait a few days to cool down emotionally when a situation makes you feel wild with intense feelings, such as rage. As time passes, you will be able to be more objective about the issues and to sort out the truth about the situation more clearly.

    10. Make a decision to speak with decorum whenever you are angry or frustrated. If you give yourself permission to blow up, people will not feel safe around you. They will feel that you are not predictable and will carry 'shields' when they are near you. The fear and walls of others will not support your goals for success in relationships or at work.

     

    Gallery Images

    Previous picture Next picture Close gallery

    Send Your Message


    or

    By signing up, I agree to terms

    or