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Narayanan R

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

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Page 1: 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

Narayanan R

Page 2: 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

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 ---

Page 3: 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

Scientists say this RAT was yourGreat-Great-Great-

Great (…..) Great-Great-Great-

Great-GreatGrandmother!

-Science, Feb 2013

Page 4: 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

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

Page 5: 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
Page 6: 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

What is MUFF?

• Definition of MUFFtransitive 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

Page 7: 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
Page 8: 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

Labiaplasty

Surgery to reduce the size of Labia Minora

Page 9: 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

Reasons for seeking Labiaplasty

• Personal hygiene• Interference with

Intercourse• Discomfort while walking,

sitting, cycling, wearing jeans…

• Cosmetic appeal

Page 10: 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

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

Page 11: 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

• 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

Page 12: 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

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.

Page 13: 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

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

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

Page 14: 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
Page 15: 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

This is Barney & his pregnant ‘MOM”

Page 16: 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

• 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

Page 17: 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

• 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”

Page 18: 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

• 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?

Page 19: 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

“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

Page 20: 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

Robert Lanza

Page 21: 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

• 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

Page 22: 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

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

Page 23: 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

                             

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 dressedRobert LanzaOn the front page ofNew York Times

Page 24: 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

Persaud of Johns Hopkins' Children's

Center in Baltimore

Page 25: 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

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

Page 26: 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

• 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”.

Page 27: 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

• 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                                       

Page 28: 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

Vitamin D and Pregnancy

Page 29: 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
Page 30: 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

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

Page 31: 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