Transcript Narayanan R ObG Watch

Narayanan R
The next time some one says that you
come from monkeys, you have a right to
feel insulted, because it is now proved that
you don't really come from monkeys,
but ---
Scientists say this
RAT
was your
Great-Great-GreatGreat (…..)
Great-Great-GreatGreat-Great
Grandmother!
-Science, Feb 2013
Scientists have discovered after six years of
research that
—the Protungulatum donnae
is the common ancestor to all mammals, from
humans to horses to lions
The insect-eating critter reproduced just like
us, having a two-horned uterus and a
placenta, which held the baby and provided
nourishment until it was fully formed like
humans or chimps
What is MUFF?
A muff is a fashion accessory for
outdoors usually made of a cylinder
of fur or fabric with both ends open
for keeping the hands warm
• Definition of MUFF
transitive verb
• to handle awkwardly
• to fail to hold (a ball)
when attempting a
catch
intransitive verb
• to act or do something
stupidly or clumsily
• to muff a ball — fumble
Labiaplasty
Surgery to reduce the size of Labia Minora
Reasons for seeking Labiaplasty
• Personal hygiene
• Interference with
Intercourse
• Discomfort while walking,
sitting, cycling, wearing
jeans…
• Cosmetic appeal
Reconstruction of
labia minora defects
secondary to trimming
labia reductions is
very successful using
a combination of
clitoral hood flaps,
wedge excisions, and
YV advancements
• One of the most common female genital
aesthetic surgeries today
• JL Walden, plastic surgeon,Texas has
done 25-50 procedures annually during
past 9 years
• A 2011 study in the Journal of Sexual
Medicine shows that male physicians are
more likely to recommend cosmetic
labiaplasty than their female counterparts
References
• Mass SM, Hage JJ. Functional and aesthetic
labia minora reduction. Plast Reconstr Surg.
2000;105:1453-1456.
• Alter GJ. Labia minora reconstruction using
clitoral hood flaps, wedge excisions, and YV
advancement flaps. Plast Reconstr Surg.
2011;127:2356-2363.
• Murariu D, Jackowe DJ, Parsa AA, Parsa FD.
Comparison of wedge versus straight-line
reduction labiaplasty. Plast Reconstr Surg.
2010;125:1046-1047.
Hands on course in
Cosmetic vaginal Surgery
July 2013, Athens, Greece
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Labiaplasty
Clitoral lifting
Laser vaginal tightening
G-spot augmentation
Labia majora augmentation
(fat & fillers)
• Perineoplasty
This is Barney & his pregnant ‘MOM”
• This woman in England suffered from
anxiety & post-traumatic stress
disorder
• She wanted her therapy dog which
helped her to stay calm to be present
during her birth
• She didn't ask for her husband, but
asked for her dog Barney
• The dog was present in LR when she
gave birth on 28th January 2013
• There was a lot of backlash among
British doctors who said it is
unhygienic. The dog might
communicate diseases.
• “We should not open the door to
every barnyard creature even when
the mom-to-be says that she would
like to have her pet at her birth”
• But can we make a case for some,
such as this woman who has a
special relationship with her pet?
• Or a blind woman who wants her
guide dog?
“If we can make a case for letting men
in the labor room, why can we not let
a dog or a cat be there?
- Art Caplan NYU Langone Medical Center, US
Robert Lanza
• in 1969 Lanza
distinguished himself by
transferring genes from
black chickens to white
ones when he was just
14
• Lanza’s team cloned
endangered species first
Therapeutic Cloning
• If one can create a human
embryo genetically
identical to the adult, one
can replace any tissue
without fear of rejection
• The breakthrough
promises cures for several
terrible diseases
Lanza has devised a new
technique to derive embryonic
stem cells in mice, which
avoids the destruction of the
embryo
A fully dressed
Robert Lanza
On the front page of
New York Times
This technique could shift the
moral & ethical aspects of
debate on Humans
Persaud of Johns Hopkins' Children's
Center in Baltimore
First ‘Functional Cure’ in HIV
• Baby delivered on 03.03.13 at 35 wks to
HIV + Mother who had no prior anti
retroviral Trt
• At 30 hours of age, the infant was started
on anti-HIV drugs
• HIV + status confirmed by PCR on the 2nd
day
• On discharge 1 wk later, combination
therapy started
• On Day 29, the infant’s viral load had fallen to
< 50 copies of HIV per ml
• five months later, blood sample revealed
undetectable HIV levels (less than 20
copies/mL) and no HIV-specific antibodies.
• Ultrasensitive viral RNA and DNA tests revealed
extremely low viral levels.
• Presently the child is on no antiretroviral therapy
with no identifiable levels of HIV.
• Conclusion: Antiretroviral therapy within the very
first few days of life to infants infected with HIV
through their mothers via pregnancy or delivery
may achieve a “cure”.
• French researchers reported 14 adults
who experienced a similar remission from
HIV.
• The patients had been off HIV medications
for up to 10 years.
• "I know that the U.S. term is 'functional
cure’, in France, we speak about
'remission.' … The patient controls the
virus, but they still have the virus."
-Rouzioux
Vitamin D and Pregnancy
Vit D deficiency & Pregnancy
outcome
• Associated with an increased risk of
gestational diabetes, pre-eclampsia, and
small for gestational age infants
• Pregnant women with low 25-OHD levels
had an increased risk of bacterial
vaginosis
-Syst review, Meta analysis: BMJ, March 2013