Narayanan%20R

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ObG Watch
Narayanan R
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• 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 ---

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• Scientists say this
• RAT
• was your
• Great-Great-Great-Great (..)
• Great-Great-Great-Great-Great
• Grandmother!
• -Science, Feb 2013

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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
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What is MUFF?

• 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

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
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Labiaplasty
Surgery to reduce the size of Labia Minora
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Reasons for seeking Labiaplasty

• Personal hygiene
• Interference with Intercourse
• Discomfort while walking, sitting, cycling,
  wearing jeans
• Cosmetic appeal

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• 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

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• 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

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References

• Mass SM, Hage JJ. Functional and aesthetic labia
  minora reduction. Plast Reconstr Surg.
  20001051453-1456.
• Alter GJ. Labia minora reconstruction using
  clitoral hood flaps, wedge excisions, and YV
  advancement flaps. Plast Reconstr Surg.
  20111272356-2363.
• Murariu D, Jackowe DJ, Parsa AA, Parsa FD.
  Comparison of wedge versus straight-line
  reduction labiaplasty. Plast Reconstr Surg.
  20101251046-1047.

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Hands on course in Cosmetic vaginal Surgery
July 2013, Athens, Greece

• Labiaplasty
• Clitoral lifting
• Laser vaginal tightening
• G-spot augmentation
• Labia majora augmentation
• (fat fillers)
• Perineoplasty

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This is Barney his pregnant MOM
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• 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

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• 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

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• 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?

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• 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

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Robert Lanza
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• in 1969 Lanza distinguished himself by
  transferring genes from black chickens to white
  ones when he was just 14
• Lanzas team cloned endangered species first

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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

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                              Lanza has devised a
new technique to derive embryonic stem cells in
mice, which avoids the destruction of the embryo
This technique could shift the moral ethical
aspects of debate on Humans
A fully dressed Robert Lanza On the front page
of New York Times
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Persaud of Johns Hopkins' Children's Center in
Baltimore
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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

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• On Day 29, the infants viral load had fallen to
  lt 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.

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• 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                                       

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Vitamin D and Pregnancy
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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

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Thank you!