Healthyvives Health Blog

What is alternative medicine? The answer is very easy to reply, the use and applications of medicine instead of Allopathic, i.e. western traditional medicines is called alternative medicines. It is true that only the western medicines are not the approach to health and healing. There are so many systems existing in treatment history. Like as; naturopathy, homeopathy, traditional Chinese medicine, ayurveda, etc. by these medicine we can treat the whole person, mind and body over human society. Here a few discussion about those medicines.
Naturopathy: – this is the system formed mainly in India in ancient period, almost all over the world it was existed in contemporary ages. But the actual time was unknown. The emergence of naturopathy is for the need of people at ancient time, the emphasis is on supporting health rather than fighting disease. This form of medicine relies on natural remedies, such as sunlight, air and water, along with natural, supplements to promote well being. But it was not with out side affect natural herbs and supplements can have potentially dangerous side affects or interactions with certain drugs. Also practitioners can range from accredited, degreed naturopathic physicians to those with almost no training at all about total system of naturopathy.
Homeopathy: – as a system of alternative medicine homeopathy is very popular now a days. It believes that the body can heal itself. But this system is very lengthy, as people are treated based on many factors, such a body type, genetics and personal health history, and physically emotional and mental health symptoms. It is considered to be generally safe, but limited in the standard medical literature, homeopaths system believe that a disease can be cured by treatment with a substance that produces similar symptoms in healthy people. It also belief as the law of minimum dose, very small doses of high diluted substances stimulate the body to heal itself and that the diluted medicines still retains its original essence.
Traditional Chinese Medicine: – traditional Chinese medicine system originated in ancient china and has evolved over thousands of years. It is such health system that, approach includes many methods of treatment, although Chinese herbs and acupuncture are the most common. Traditional Chinese medicine include, the world is shaped by opposing, yet completely, force, the basis for yin-yan theory. Health depends on the harmonious balance of energy circulating through pathways in the body. Symptoms and conditions can be categorized using these eight principles, cold, heat, interior, exterior, excess, deficiency and yin yan. Five natural elements, fire, earth, metal, water and wood, reflect how our bodies work and correspond to different organs and tissues.
Ayurveda:-the word “Ayurveda’ means science of life. Ayurveda take its cures from the universe, these medicines are all about balance in one’s life. from the time of born our balance in life started, as a newborn, you possessed innate qualities that helped to frame your physical and mental patterns. The essence of who you are at the start of your life is called prakriti. At the other end of the spectrum is vikruti, which is who you are today. Vikruti is basically your prakriti combined with all that has affected you throughout life, this includes yours friends, what you choose to eat, the type of work you do, your hobbies. Ayurvedic practitioners consider carefully what dosha is of greatest influence in a person. Before identifying what disease may be at work, the practitioner needs to understand who the person is and if there’s great discord in the person’s life between the innate and the current self. Ayurveda considers everything you encounter to have therapeutic value. Whatever you come in contact with, the foods you eat, how you dress, the way you sleep, what you see and hear, affects you in some fashion and shapes you. Ayurveda consider the variables in our environment, it takes steps to counter discord in your life, ayurveda consider food as medicines and ayurvedic medicines practices appear to be safe and affective. But good quality scientific studies on ayurvedic practices are limited.

Erotic capital is a good condition of physical and mental attributes. It is like body fitness, good grooming, superior social skills and sex appeal. These qualities make a person powerful and it is an asset also. Of course, the more of each element of erotic capital you possess the higher would be your overall erotic net worth. This concept has largely been written about in relation to woman; through men are equal procreatory of erotic capital.
How to maximize the erotic capital here are some tips that maximize the erotic capital.
Physical fitness: – owner of a high erotic net worth is practically synonymous with being in shape. A sexy body indicates virility and vigor, which in woman’s minds translate into stamina and dynamite sack sessions. If you are aimed for V-Shape, you can achieve it through a combination of weight lifting and cardie. But if you are in over weight it is very difficult to motivate others. The right clothes will also go a long way toward creating the illusion of perfect body.
Social Skills: – if you feel extremely nervous in interpersonal interactions, it, is possible to turn your social anxiety around and become the guy in the room that every one gravitates toward. Men with a high erotic net worth are charming, persuasive, playful, witty, same time, recognize that being the most interesting man at the party does not always involve dominating the conversation. The capacity to laugh at you and take life is mishaps in stride shows self-confidence, which is infinitely more appealing than being upright.
Sex appeal: – you need to have a sex appeal. What you do need is the right body language, a healthy dose of confidence, a talent for flirting and amazing cologne. where as closed body language, typified by crossing your arms across your chest, keeping your hands in yours pocket and slouching, give of the impression that you are a defensive person. Generally women are programmed to pay attention to smell when selecting a mate, you should also choose your fragrance wisely, doing your best to track down the juice that complements yours natural body odor. Use humor to flirt and learn to read female body language.
Sexual competence: – while processing the previously mentioned elements of erotic capital will certainly increase your chances of finding yourself between the sheets with a potential mate, poor performance in this department will send your erotic stock plummeting. Fortunately, sexual skilled are learned rather than innate, so start reading erotic related articles and books to improve your power on erotic capital. Focus on finding way to increase your sexual stamina, such as yogic practices and free-hand exercises. Equally important in enhancing your sexual competence is figuring out the fine point involved , in giving great oral sex and committing to the time involved. It takes most women 20 minutes to achieve orgasm on average and a mind blowing finish will immediately secure a top spot on her list of lovers.
Self presentation: – wear a style dress and styled hair that all have a major impact on the first impression you create. Sure over time, many people might to be able to get, past greasy hair and tattered jeans to see the real you. But being negligent about your grooming routine and your wardrobe will cost you on the job in terms of salary and in the dating realm. To dress your best know where to splurge and when to save. Develop a signature style by determining what colors and cuts are most flattering on you. Stylish men have in common ability to wear trend without looking like fashion victims. Their secret is limiting themselves to one or two trend-driven pieces per outfit and ensuring that the rest of what they are wearing is classic. Be diligent about keeping your facial hair in cheek and whiten your teeth every six months.

According to encyclopedia Britannica,’ Adolescence is the time in a young person’s life between childhood and adulthood”. It is a period of transition from childhood to adulthood. The duration is between age 10-19, some where it is 12-19, and 12-20 years, it is also called teenager.
The adolescence period is very crucial; this period is the formative years in the life of an individual when major physical, psychological and behavioral changes take place. It is also an impressionable period of life. This is the period of preparation for undertaking greater responsibilities including healthy responsible parenthood. Future of a society depends on adolescents and they form a great human resource for the society and human being. The problems of health of adolescents are very different from those of younger children and older adults. Due to accurate information, adolescents are prone to various behavioral and reproductive health problems. The period of transition from childhood to adult-hood is hazardous for the adolescent’s health because they develop behavioral problems in absence of proper guidance and counseling.
In adolescent period girls physical changes may begin at around 10 years and it may reach their maximum growth by around 14 years, it is called puberty. But the puberty in boys usually appears later than in girls. In the time of puberty of boys begin with change in voice, growth of hair on chin, under arms, face, chest and public region. Sperm
Production start, occasionally penile erection and involuntary ejaculation also occur.
First menstruation which occurs in a young girl at around 12 years, and it is often recognized as the onset of maturity in girls. It is called menarche, but there are variation in the age at which menarche occurs. Good nutritional status will lower the age at menarche, which means girl will attain menarche earlier, while in malnourished girl’s menarche is delayed. If menstruation is not started by 16 years guardian should counsel with physician.
The nutritional requirement of adolescents is more due to rapid growth spurt and increase in physical activity. During this period, the adolescent are encouraged to develop healthy eating habits and life style. In this stage they need more of all nutrients particularly calcium, iodine and iron.
Adolescent is a time for exploration adventure and discovery on ones own body and one’s capability and potential. Some times this can lead to confusion and to experimentation with harmful substances like drugs, alcohol, risky driving and risky behaviors. During this transition period from childhood to adulthood due to rapid physical and sexual changes in the body, the adolescents develop anxiety and apprehension. Often adolescents hesitate to make communication about sexual development and other related matters with elders. In such situation they are not given appropriate information and education on these normal physical, sexual and psychological changes they are prone to health risk behaviors such as sex experiments and drug abuse leading to teenage pregnancy, contracting HIV/AIDS, RTI/STI, injuries, accidents, violence, rape, suicide, homicide etc. some other problems originating during adolescence may have lifelong consequences like use of tobacco, alcohol, drugs and harmful substance.
Adolescent’s health problems is a normal and nature matter. They should be taking an initiative protection of health. They also need to take care of personal their hygiene. They should follow like as to clean hands thoroughly before and after taking food and after going toilet, clean teeth and tongue twice daily once in the morning after leaving bed and second time before going to bed at night, bath daily, they should keep the groin clean and dry otherwise fungal infection, leading to the itching and other skin diseases. Boys clean “Smegma” during bathing and after urination.
During adolescence there is widespread ignorance among adolescents about risks associated with unprotected sexual activity, since adolescent sexuality remains taboo in many societies, unprotected sex may lead to unwanted pregnancy which is tern may lead to increased demand for induced abortion. Also pregnancy among unmarried girls may lead them to seek abortion services from untrained practitioners and become victims of consequence complications. Termination of unwanted pregnancy through induced abortion among adolescent girls cause greater risk to life than in adult women, even if pregnancy continues tendency to hide the same to avoid proper antenatal care among adolescents may lead to serious complications of pregnancy and child birth. It is also very risk to early married at very young age which leads to consequent early child bearing. They may suffer from anemia, retarded foetal growth; premature birth and complication during labour are significantly higher for adolescent mothers and may even lead to death. Unprotected sex among adolescents is the change of infection from Sexual transmitted disease which includes syphilis, gonorrhea and HIV/AIDS.
What may be our duty as a guide or guardian for adolescents? We inform them to use condom to provide and protection against unwanted pregnancy and STD, HIV/AIDS. They also need for practice of safe sex to avoid sexual transmitted diseases and unwanted pregnancy. Adolescents have to right to complete, correct and detailed knowledge and information relating to their developments; physical and psychological. Educate the community members as well as adolescents about the normal physical changes with special reference to nutrition and health needs of them. Parents and adult in the family must ensure a safe secure and supportive environment for the adolescents during their formative years of growth and development. Family members need to be informed and educated in this regard. A positive encouraging attitude among parents and family members to interact with adolescents and to give clarifications and correct information on their doubts will facilitate better relationship of trust and confidence.

Among infant deaths more than half percent new born died in first 28 days. Most of these deaths occur during first week of life. The major causes of these deaths are due to birth asphyxia, hypothermia and infection. Care of the mother during antenatal period and delivery, provision of essential care to the newborn at birth and during the neonatal period will have a significant impact on neonatal and infant mortality rates.
Where the delivery takes place that room should be clean, well ventilated and adequately lighted. During delivery period clean hands, clean surface, clean scissors and blade, clean cord tie and clean cord stump. Newborn should be place under heating sources, radiant may warmer and newborn should be received at birth in a dry, warm and clean cloth. The wet cloth of newborn should be discarded to prevent hypothermia after drying the newborn. The head of the baby should be wiped first, but not the vernix caseosa and also baby should be wrapped in a clean and dry cloth.
The umbilical cord of the baby must be cut with a sterile scissors about 2.5 cm from the abdominal skin surface. Baby’s cord should be tied with a sterile cord tie. Take care for stump for bleeding. Use another cord tie if bleeding. But do not use antiseptic or dressing and anything to the cord. Clean the eyes with clean cotton swabs using one for each eye. Clean from medial to the lateral side of the eye. Do not bathe the newborn; bathing may be delayed for one week but wipe the baby with soft cloth. Keep the labour room warm during this procedure or it can be lead to hypothermia. Weight the baby by using infant weighing scale. Wrap the baby in a single layer of linen during weighing. If the baby weight is less than 2500 gms then the baby is low birth weight. Baby should be kept with the mother for skin to skin contact and put to the breast immediately, if the baby’s weight is more than 2000 gms and less than 2500 gms. If the baby is very small that less than 2000 gms weight, baby must be examined by medical officer. The baby with birth weight above 1800 gms and less than 2000 gms who are sucking well and do not show any signs of illness can be managed at home atmosphere.
Breast feeding begins early as soon as possible after birth if the newborn do not show any signs of illness. It should be initiated within an half an hour after birth. This will provide nutrition, warmth and emotional bonding to the baby. This will also ensure early involution of the uterus and decreased risk of post partum bleeding of mother. Feeding is given whenever the baby demands. Encourage the mother to continue feeding as long as the baby needs. Advise her to feed the baby alternately on both breasts. At births, amniotic fluid, which covers the body of the newborn, evaporates causes heat loss. This can be prevented by dying, wrapping and putting the baby under heated environment or by close contact covered with a cap and the feet with shocks. The temperature should be within 36.5 to 37.5 c.
Be careful for infection and injury. Use clean cloth linen and equipment, also practice to minimize risks of infection. Baby should not be taken to the crowded areas, the zero dose of OVP and BCG should be given to the baby , mother must be informed about the immunization schedule and she need to bring her baby regularly for vaccination. If a baby does not cry or breathe till the time taken for drying and wrapping within 20-30 seconds after delivery or the baby is blue or limp then the resuscitation must be initiated immediately. But attention about this, most newborns cries spontaneously after birth. Do not slap the baby or hang it upside.
Attention:
All newborn less than 1800 gm need special care.
Take care for lethargy, fast breathing or chest indrawn, apnoea, abdominal distension, cyanosis, pathological jaundice, diarrhea, convulsions etc.
Danger Sign:
Not able to feed, increased drowsiness, difficult breathing or fast breathing, cold or hot touch, yellow staining of palm and soles, convulsions.

The term ‘Adolescence’ is derived from the Latin word ‘Adolescence’ meaning “to grow’, ‘to mature’. It covers a period of seven or eight years, normally from 12 to 20 years, some where 12 years to 18 or 19 years.
Stages of Human being Time frame
Prenatal Before birth
Infancy 0 to 1 year
Early childhood 1-3 years
Preschool 3-6 years
School Childhood 6-12 years
Adolescence 12-20 years
Young adulthood 20-30 years
Adulthood 30-50 years
Mature adult 50-65 years
Aging adult 65 years onwards
Adolescence is that span of years during which boys and girls move from childhood to adulthood mentally, emotionally, socially and physically.
This is the period of rapid physiological growth. At this stage changes in voice, change in weight, high and strength. At this stage social and psychological maturity takes place. Sexual maturity and the onset of sexual activity fulfilled in this time.
The adolescence not only increases in size or weight but all of their body alters; there are changes internal organs and body processes and subtle alterations in the composition of tissues. In males there is deepening of voice, the growth of the beard and the ability to produce semen. In girls there is the development of breasts changes in the uterine and the pelvic areas and the menarche. For both boys and girls we have the growth of the body hair particularly in the public and under arms areas, changes in contours of face and body, and the eruption of new teeth. Legs grow relatively longer up to 15 years and then stem length increases slowly. The bones increase not only in size but also in number. The chemical composition of the bones also changes. The nose becomes so prominent that it perplexes the sensitive boy. Sexual maturing, which is the most complicated process of growth and change at this stage of development, is the most prominent feature of adolescence. From 14 to 20 years of age there is a tremendous change in genital types, tests, ovary, epididymis, uterine tube, prostate urethra and seminal vesicles. A girl at 13 years looks practically a young woman but the other of the same age looks still a child. Such variability in the maturation rate is a striking feature of both sexes.
Factor of the disturbance for the emotional development of adolescence
Lack of security
Economic disparities
Fearful atmosphere
Emotional imbalance
Traditional concept of discipline
Disregard of individual difference
Lack of co-curriculum activities
Lack of sex education
Faulty examination system
Faulty curriculum
Role of guardian and teacher of the adolescence
Provide equal treatment irrespective of consideration of wealth status or gender of adolescence.
Boys and girls should give an opportunity for development of creating abilities i.e. through music, arts, drama, game and sport etc.
Provide healthy physical conditions and proper orientation.
Solve the curiosity also love and make affection.
Give due regard individual differences of the adolescence.
Give proper sex education to them.
Provide conductive environment.
Guardian and teacher should give students opportunities to solve problems and reason scientifically.
Every school has a responsibility for preparing able-bodied youths to serve the nation. sanitary conditions of school premises, a provision of well-ventilated school room, sufficient and well-planned programme of sports and games, periodical medical examination and dental care, are must for a good school. the school has to assume a wide responsibility in developing in its pupils social consciousness.

To satisfy a girl in bed is a technique and everyone wants to engage in better sex because the act can be one of greatest experiences one can ever endure. Many body are about to take a journey into sexual inner space, and practice until they get them. Here are some tips that to keep girls satisfied.
Tease her
You need to tease her using some funny words and encourage her to dig her nails into your buttocks and force you in. now come on, you have it in you to contain yourself, don’t give in too easily. Challenge, like rejection, is one of the greatest aphrodisiacs.
Mind play
Both you lie in bed and before touching her body tells her about what you imagine doing to her body. How you want to lick her from her lips, how often you envision the tip of your penis gently gliding around the mouth, her breast and of course the exclusive zone. But do not stop conversation because it will heighten the excitement and the outcome will be good and plenty
Lick her up
To awaken every parts of her body mainly lick her ankles, hips, thighs, waist, breast, neck, vagina, and anus. Awaken all part of the body using your tongue because it may a well-received and usually well-reciprocated act of kindness. Go crazy as you like.
Surprise her
To making surprise her know the element of surprise can wet any woman’s panties. Simply put, imagine her coming out of the shower, freshly cleansed. You approach her, remove her towel, lead her to the bed, make her lie back while her leg hang off the edge, spread her thighs, and get orally intimate with her femininity. Keep shocking her and the lust will last forever and forever.
Leg over head
You may keep her leg over your head, if you are tried of same old locations, then spruce things up by taking a hike in the forest, followed by a ride in an inconspicuous little spot. If the locations are not very exciting to you, then try some sexual position and add some sexual words.
More play
You need to make foreplay with her; there is so much foreplay than just kissing and the orals. For instance, you can initiate a little game and keep it up until she breaks the role playing and turns into the vixen you bring out of her. And carry on the enjoyment.
Get kinky
As a expert you can dominate in the bedroom; turn you’re her around and give her a spanking that will make her orgasm from here to eternity. And if spanking does not exactly make her hair curl, then deprive one of her senses while you make love to her.
AA Batteries
You also have to domain her body and if you are big on kinky trinkets and what have you in the boudoir, then check out all the orgasm including toys for the bedroom that will make her do back flips. But don’t worry there are lots of little pleasurable playthings for Mr. Penis as well. So go crazy.
Dress her
Let her to wear sexy dress. Some guys complain that their woman does, not wear matching lingerie, or that flannel pajamas are her idea of sexy bedroom attire. It is true, so brush up on what’s in lingerie and dress her up to the nines before you undress her in the bedroom as sexy image.
Oralise her
Oralise her using sexy talk and you can instantly gratify your woman by putting tongue to lower lips inhaling her hypnotizing aroma. And if you are good at it she will want to give you a licking that keeps on ticking as well.
Keep kissing
Kissing there are no alternative for kissing, so there is a purpose for kissing. The right amount of saliva, tongue maneuvering, lip teasing and sucking can make some women so crazy that they just fall to their knees and gratify you intensely. And still kissing is also very important.
Sensual food
You may get naked with her and feed each other sensual foods like chocolates, ice cream, bananas, strawberry, grapes and other exotic fruits. Pour syrup down and her back and enjoy some homemade cakes.
Blindfold her
Cover her eyes and use your hands and mouth to surprise her by attacking in different areas at quick pace. Or you can blindfold her and get her to go down on you while you admire her oral expertise.
Insert finger
What one can do with fingers, using the tips to gently glide them over her body ever so slightly will send chills up her spine and juice down her leg. Use your digits to explore her erogenous zones.
Full rubdown
Allow her to relax and get her in the moody by giving her a fully body rubdown. Encourage and taunt her by going extremely close to her vagina and her nipples without actually touching them. Keep the massage sensual but not sexual.
Position
There are so many positions of sexual enjoyments. Some are like star gazing position, the python, doorway to heaven, G-Spot Jiggy, Madame Butterfly, foreplay, One-on-one, your mission, face to face, woman on top, and front-to back.

Abortion is that termination from unwanted pregnancy or termination of pregnancy. Generally abortion arrange before 20 weeks or below 500 gm weighing foetus. It is true that medical termination of pregnancy (MTP) is safe than any other system. It is hygienic, legal and deliberate termination of pregnancy up to 20 weeks. Here a nurse has to play a vital role in this by providing services to ensure safe abortion and follow up care. But unsafe abortion can be result in life threatening situation. Infections resulting to various life threatening situations like peritonitis, septicemia, renal failure and death. Excessive vaginal bleeding resulting in shock and death. It may result in vesico-vaginal or recto vaginal fistulae.

What is MTP?

MTP, whose full form is medical termination of pregnancy, during MTP the product of conception, is removed from the uterus, under observation of safe clean condition by a qualified doctor after assessing the woman’s health condition provided the woman fulfills the criteria for performing MTP.MTP is done in a running hospital or health care center which has been approved by govt. and has been requisite facilities and qualified manpower. Abortion may be done only under the MTP act. MTP and abortion may be done if the continuation of pregnancy will endanger the life of the woman and cause grave injury to her physical and mental health. Abortion may be done if there is danger of the child being born with handicaps or there is risk of child having physical and mental abnormalities. Abortion may be done if the pregnancy had been caused by rape. Also abortion may be done if the pregnancy is due to failure of contraceptive methods by woman or man. The best and safe period for abortion is between 6-10 weeks of gestation and it can be done up to 20 weeks.

Complications of Abortion : Incomplete evacuation, continuation of pregnancy, trauma to the cervix and uterus leading to haemorrhage and shock, perforation of uterus, haemorrhage and shock due to incomplete abortion, thrombosis or embolism. Some remote complications are also found in this stage as like, menstrual disturbances, chronic pelvic inflammation, recurrent mid trimester abortions due to cervical incompetence, ectopic pregnancy, premature labour.

Counseling for woman and family

It is better to use of contraceptive than going for MTP as the complication are more in MTP. Abortion should be done only in a recognized center by trained health personnel. Abortion should be done between 6-10 weeks to minimize the complications. Abortion performed after 10 weeks of gestation has greater risk even if it is done by trained personnel, by untrained personnel can result in life threatening situation. It can also lead to infertility, ectopic pregnancy, fistula and chronic pelvic inflammatory disease. Use of contraceptives after abortion is advisable instead of repeated MTPs.

Role of Doctor and nurse in safe abortion

Use clean equipments to perform MTP. Maintain asepsis before and during the procedure. Dispose the waste, keeping in mind the principles of infection prevention. to check temperature, pulse and blood pressure and record it,  advise to come for follow up services after 2 weeks. Finally encourage for bed rest.

Preventive medicine or techniques are two kind, there are primary and secondary, in primary preventive stage prevent before create a disease and in secondary stage keep the disease under control. Also we can discuss like as primary prevention is as immunization, not to allow person to start smocking, secondary prevention like as measures are aimed at limiting the impact of established disease.

Preventive diseases

Infectious disease

Most of the infectious disease is attributable to public health measures, especially immunization, improved sanitation and better nutrition.

Immunization remains the best means of preventing many infectious diseases, in the United States childhood immunization has resulted in near elimination of measles, mumps, diphtheria, poliomyelitis, rubella, tetanus and pertussis. Substantial vaccine preventable morbidity and mortality continue to occur among adults from vaccine-preventable disease such as hepatitis, A, hepatitis B,influenza,  pneumococcal infections. Strategies have also been proposed to improve influenza, pneumococcal polysaccharide, and hepatitis B targeted vaccination, in other words, improve coverage among those adults aged 65 years or younger who are at high risk in general include increasing community demand for infection with H5N1 avian influenza in Vietnam, Thailand, Indonesia, China and Colombia, with mortality rate of 50 percent.

Cigarette Smoking

Nicotine of cigarette is highly addictive raises brain, levels of dopamine and produce withdrawal symptoms on discontinuation. Smoking prevalence rates have been increasing among high school and college students. There is also continued use of smokeless tobacco particularly among young people. Smokers have twice the risk of fatal heart disease, lung cancer, mouth cancer, throat, esophagus, pancreas, and kidney bladder and cervix higher incidence of stroke and peptic ulcers.

Cardiovascular disease

Cardiovascular diseases including coronary heart disease and stroke represent two of the most important causes of morbidity and mortality in developed countries.

Hyperhomocysteinemia

Elevated plasma homocystein may be an independent risk factor for coronary artery disease. Elevated level can be reducing with folate and pyridoxine treatment and with smoking cessation. But their clinical significance is unknown.

Lipid disorder

Evidence for the effectiveness of statin-type dgugs is better than for the other classes of lipid-lowering agents. Statin also reduce cardiovascular events for patients with diabetes. For patients with no previous history of cardiovascular events, statins reduced coronary events for men, but less evidence is available for women.

Hypertension

Improved diagnosis and treatment of hypertension is a major cause of the recent decline in stroke deaths. An invention that included patient education and provider education was more effective than provider education alone in achieving control of hypertension.

Chemoprevention

Low dose aspirin reduces stroke but not myocardial infarction in middle aged women.

Physical inactivity

Lack of sufficient physical activity is the second most important contributor to preventable deaths, trailing only tobacco use. Exercise may be benefited those with chronic disease. Some physical activity is always preferable to a sedentary life style. For home bound elderly who have limited mobility and strength such physical activity could focus on functional fitness, Such as mobility transfers and performing activities of daily living.

Overweigh and obesity

Obesity is now a true epidemic and public health crisis that both clinicians and patients must face. Prevention of overweight and obesity involves both increasing physically activity and dietary modification to reduce caloric intake. Clinical can help guide patient to develop personalized eating plans to reduce energy intake.

Cancer prevention

Mortality rates of cancer have begun to decrease, part of this decrease results from reductions in tobacco use. Since cigarettes smoking is the most important preventable cause of cancer.

Injuries violence

Prevention and management of physical or sexual abuse in particular routine assessment of women for risk of domestic violence and neglect of older adults are serious under-recognized problems.

Alcohol and illicit drugs,

Several pharmacologic agents are effective in reducing alcohol consumption. In acute alcohol detoxification standard treatment regiments use long acting benzodiazepines the preferred medications for alcohol detoxification, because they can be given on a fixed schedule or through front loading or symptom-triggered regiments.

The means of “safe motherhood” to creating circumstances within which a woman is enabled to choose whether she will become pregnant, and if she does, ensuring she receives care for prevention and treatment of pregnancy complications, has access to trained birth assistance, has access to emergency obstetric care if she needs it and care after birth, so that she can avoid death or disability from complications of pregnancy and child birth.

There are three stages of pregnancy. They are Antenatal, Intra-natal, and Postnatal.

Care for post natal stage

Post natal care of the woman starts after completion of third stage of labour and it includes the first six weeks after delivery. During this time the reproductive organs return to the non pregnant stage, lactation is established and the mother recovers from the stresses of pregnancy and delivery and assumes responsibility of caring the newborn. In this time each individual mother requires in order to recover from physical stress of labour and to grow her confidence to take care of her baby.

Each individual mother needs constant observation by you immediately after delivery for at least 1 hour for PPH even when she is fast asleep.

Mother needs to help to put her child to breast as early as possible, preferably within 30 minutes after delivery.

Mother needs to check by observing the vital signs, like pulse, BP, Temperature.

Mother needs to feel for uterine fundus after she empties her bladder. It is usually at the level of umbilicus soon after delivery. The uterus should be well contracted and hard in consistency.

Mother needs to check for the amount of vaginal bleeding.

In case of any injury like perineal laceration, immediately arrange for suturing.

Advise her to keep the perineal area clean by washing with warm water mixed with antiseptic lotion and put sterile pad.

Advise to her to sleep for at least 10 hours, 2 hours in the afternoon and 8 hours at night.

Baby is kept in a-cot with the mother. Mother can be woken up from sleep at night only for breast-feeding.

Mother is allowed to take full diet from the day of delivery. Additional daily 700 calories are required during postnatal period so long as she breast-feeds her baby.

If mother has constipation, give milk of magnesia or cremaffin 4-6 teaspoonful full at bed time.

Give and advise mother to clean the nipples and breasts with sterile water before and after feeding.

Teach her to practice some simple exercise such as deep breathing to tone up abdominal and pelvic floor muscles.

Mother should undergo two postnatal examinations first one at the time of discharge and the second on 6^th post partum week. During first check up check her general health, pulse, BP, temperature, breast engorgement, inverted, involution, inspect perineum and lochia, bladder and bowel functions.

During second check up check mother’s duration of lochia, onset of first menses, sleep, perineal wound, bladder, bowel function, breast feeding or bottle feeding, weight, BP, pulse, breast, abdomen, perineum and pelivic organs and estimate her hb.

Check up for infant weight, skin condition, jaundice, eyes, condition of umbilical cord, feeding, stool, urination,

To know about human sex, It does not take a degree in medicine to work out that sex is good for you. Anything that is free, feels fabulous and leaves you glowing is plainly a good idea.

But scientists are now beginning to understand that the perceived feel-good effects of sexual intercourse are merely the tip of the iceberg. Sex, they are discovering, can help protect you from depression, colds, heart disease and even cancer.

Professor Stuart Brody of the University of Paisley published a study showing that sex can lower blood pressure. According to Professor Brody, “we’re not just talking about the immediate effects of having had nice sex, the beneficial effects could last at least a week”.

One theory is that intercourse stimulates a variety of nerves, most notably the “vagas”nerve, which is directly involved in shooting and calming.

To see this benefit, you have to go the whole heterosexual hog. According to professor Brody, studies show that “penile-vaginal intercourse is the only sexual behaviors consistently associated with better psychological and physiological health”.

Such sex has been linked, in women, to a heightened emotional awareness, possibly because of the “love-hormone” oxytocin that is released.

One study even found that semen is a mood- enhancing ingredient.

Doctors speculate that this is because semen contains several other mood-altering hormones—including testosterone, estrogen, prolactin and several different prostaglandins—which can pass into the woman’s blood stream.

This explanation, says Dr David’s Hicks, sexology specialist and consultant in GU medicine at the Royal Hallamshire Hospital in Sheffield, “is certainly feasible”. Condom-free sex has its drawbacks, of course: contracting HIV or any other sexually transmitted disease, or becoming pregnant unintentionally.

If you are dogged by the sniffles at this time of year, regular love-ins could work wonders for your immunity-condoms and all. Psychologists have found that people who have sex once or twice a week have levels of immunoglobulin A(IgA) that are up to one third higher than their more restrained peers. IgA is an antibody that boosts the immune system and is the first line of defense against colds and flu. The health benefits for middle-aged men are also particularly persuasive. Recent studies suggest that men who have orgasms twice a week are half as likely to die early as men who orgasm less than once a month. The more frequently men ejaculate, the less likely they are to develop prostate cancer, and if middle-aged men have sex twice a week or more they also have a lower risk of heart attack. Much has been made of the slimming and toning effects of a sexual work-out. In fact, sex probably burns off about the same number of calories per minute as a brisk walk. “You get all the benefits of exercise”, confirms Dr Hicks. “This includes the release of endorphins, raised heart rate, moving the muscles and joints. One study even showed that arthritis can be delayed by regular sex”. You might also look younger. “Regular sex makes you feel younger as you are more relaxed, satisfied and less stressed”. “Sex has huge mental benefits,”

So sex could make you …

• Calm: up to a week after intercourse your blood pressure remains lower
• Happy: semen could have antidepressant qualities and hormones released during sex include oxytocin, which promotes loving feelings, as well as endorphins, the “feel-good” hormones
• Healthy: regular sex raises your levels of a cold-fighting antibody. It might protect men against prostate cancer and heart disease
• Youthful: sex increases longevity, might improve skin tone, and gives you a glow.
• Serene: Touch, which one specialist calls “vitamin T”, has Deep breathing also reduces stress
• Pain free: sex has been shown to relieve some of the symptoms of PMT, arthritis and, yes, headaches because of the release of endorphins-nature’s opiates
• Grounded: Intercourse, ideally with the same partner, creates an emotional and physical bond.