Background Although HIV incidence has declined in India, men and transgender women who have sex with men (MSM) continue to have high rates of HIV and STD. Indian MSM face substantial pressures to marry and have families, but the HIV/STD burden among married Indian MSM is not well-characterized. Methods A diverse sample of Indian MSM was recruited through respondent driven sampling (RDS). Independent variables that produced a p-value of 0.10 or less were then added to a multivariable logistic regression model. Results Most of the 307 MSM (95 married, and 212 unmarried) recruited into the study were less than 30, and less than 1/3 had more than a high school education. Almost two thirds of the married men had children, compared to 1.4% of the unmarried men (p<0.001). The numbers of condomless anal sex acts did not differ by marriage status. Although unmarried MSM more often identified themselves as “kothi” (receptive role), their rates of HIV or bacterial STD were similar to married MSM, with 14.3% being HIV-infected. The RDS-adjusted prevalence of any bacterial STD was 18.3% for married MSM and 20% for unmarried MSM (NS). Participants reported high levels of psychological distress, with 27.4% of married and 20.1% of unmarried MSM reporting depressive symptoms (NS). Conclusions MSM in Mumbai had high rates of HIV, STD and behavioral health concerns. Clinicians need to become more comfortable in eliciting sexual histories so that they can identify MSM who need HIV/STD treatment and/or prevention services.
This peer mobilization pilot for HIV and syphilis testing used messaging on gay dating sites, clinic referrals, and peer recruitment to reach men who have sex with men in Mumbai. In 6 months, the pilot reached a relatively modest 247 individuals, 244 of whom had never tested for HIV. Challenges included low recruitment and loss to follow-up for posttest counseling and treatment initiation for individuals with HIV.
Shatavari, Asparagus racemosus is one of the most important herbal drugs used by Ayurvedic Vaidyas since ancient days. The drug is having wide range of therapeutic activity and mentioned as a Rasayan by ancient Ayurvedic texts. The main part used by Ayurvedic doctors is a root. It is mentioned as a tonic and having lactogenic function. Shatavari has also been successfully used by several Ayurvedic practitioners for Nervine disorders, Acid peptic diseases, certain infectious diseases and as a immunomodulant. Main use of this drug is in female disorders specially as a galactagogue and several menstrual disorders. Scientific fraternity is working on this drug at multidimensional level to prove this drug as a potent medicinal drug in multiple disorders. Various scientific studies are proved that this drug worked as a potent antitussive, antineoplastic, galactologue, antidiarroheal, and as immunomodulant. The main focus of this article is to review the scientific studies done on A.racemsosus mainly on its phytochemistry, pharmacology, therapeutic uses mentioned in both modern sciences as well as in ancient Ayurvedic texts. Additional attempt is made to find the clinical studies done on A.racemosus. The present review article includes the detailed scientific exploration of root extract of A.racemsosus in systematic way so that it can highlight future research prospects of this famous and commercially useful drug.
Today is HD (high definition)mobile era .peoples are more conscious about their health and skin also though multimedia .Usually 10-15% cases present before general practitioners are pertaining to skin diseases. Due to altered life style, lack of physical exercise, unhygienic, mental stress, over eating, nutrition deficiency ,more radiation skin diseases are commonly observed. Psoriasis is chronic disorder which is commonly encountered in day today’s clinical practices. It is one of the more discussing issues having social importance. Increased stress ,inorganic food materials and sedentary life style are main predisposing factor which is accounting for wide spared prevalence of this disease. All the skin diseases in Ayurveda have been discussed under the broad heading of Kushta, which are further divided into Mahakustha and Kshudra Kushta. This is a case study of Kitibha Kushta (Psoriasis) treated with the Ayurvedic principles in particular Shodhana Chikitsa and shaman chikitsa.
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