PEDIATRIC – OPTHALMOLOGY
EYE SIGNS IN PEDIATRICS
DR. P.SELVARAJ MD. DCH.,
CONSULTANT PEDIATRITIAN
SRM GENERAL HOSPITAL
RAMAPURAM
CHENNAI – 600089 TAMILNADU
ABSTRACT:
In a busy general practioner’s office practice, inspection of eye can be often missed, unless the patient’s complaints point towards eyes. 19 clinical conditions can be diagnosed by inspection of eyes alone if one includes eyes also in the cursery exam. All conditions discussed briefly.
KEY WORD:
· Bitots Spots
· Keratomalasia
· Film star Eyelashes
· Cretinism
· Leukocoria
· Down’s syndrome
· Cataract
· Kayser – Fleischer ring
· Phlectan
· Hydrocephalus
· Naso lacrimal duct obstruction
Aim:
To focus important ‘Eye Signs’ on naked eye examination by inspection alone. Commonest conditions met in the day to day practice while dealing with the children is emphasized. Only external & surface manifestations on the eyeballs are considered. Internal, retinal, optic disc manifestations & ocular syndrome manifestations are not aimed at. It is hoped that this article may be found also useful for a paediatric post graduate/ undergraduate student both for exam point of view & practical usability.
Introduction:
“Eyes don’t see what the mind doesn’t. Therefore it is important that a clinician remembers to look into eyes of children whenever and wherever necessary as a routine examination. Many important diagnosis can be missed if eyes are not looked into. Eye is only a small part of the body reflecting great pathological – events taking place inside body as a whole sometimes very early and sometimes late. Though it is late its significance may be great. (Eye is said to be the window of the brain. This is mainly true with regard to fundus specially during seizure episodes to assess evidence of raised intra- cranial tension where there is a blurred disc margin on fundus examination by opthalmoscope.)
1.Clinical Conditions:
Nineteen important clinical signs pertaining to various clinical –Pathological states are discussed, in brief. Their significance is not only helpful for diagnosis and treatment, but can also alert a physician a possible and impending risky situations likely to be met by the practicing physician during busy hours leading to medico- legal implications.
Vitamin A deficiency – due to nutritional deficiency. The conjunctive of sclera are dull / brownish / silvery scales / plaques/ loose conjuctive with fissues / folds / furrows / Bitots spots / corneal ulceration with different colours and opacification / wrinkling / cloudiness of cornea ( Keratomalacia) & melting of cornea
Film Star Eye lashes:
Dense abnormally long & curved eye lashes on both upper & lower eye lids. Usually seen as a Vit A difficiency as an associated sign along with other signs of malnutrition with or without evidence of primary complex clinically or radiologically. In a well nourished child such a sign may be due to hyper vitaminosis A
Keratomalacia in AGE
Acute onset of keratitis leading to ulcer cornea and eventual blindness observed in most of the diarrhoeal states. During a diarrohoeal episode, inflammed intestinal mucosa can not absorb Vit A. If there is an associated lack of Vitamin A storage in liver, it leads to a sudden lowering of circulating serum vitamin A level which in turn predisposes to development of keratitis. Hence the convenient dictum in all diarrhoeal cases is to give vitamin A 7500 μg as a single stat dose IM Xeropthalmia is a permanent corneal lesion and can not be cured medically though corneal transplantation is the final answer. Medical treatment with injection Vitamin A 7500 μg daily once till healing takes place is recommended.
Exopthalmose:
Sign of hyper thyroidism when the eye is made to look downwards the upper eye lid lags behind. Impairment of convergence and retraction of upper eyelid and in frequent blinking may be present.
Confirm diagnosis by other signs & symptoms as in adults. Blood T3 T4 raised TSH suppressed.
Congenital hyperthyroidism
(Neonatal hyper thyroidism)
Eyes are widely opened and appear exophthalmic all other equivalent signs & symptoms of adults present. Associated jaundice plus or minus
T4 level markedly elevated
Can be due to maternal diseases
Cretinism ( genitically determined)
Narrow palpabral fissure. Very small portion of cornea seen. Confirm with associated signs & symptoms like a. prolongation of neonatal physiological jaundice b. no social smile c. No head control at age 6 months d. lack of alert appearance e. female sex preponderance f. Lithargic state g. Low T3 , T4 & high TSH
Difficult to describe in words. Has to be appreciated by photo or actual looks by visualization
The eye signs & facies are abnormal and is kept in exams for spotter – diagnosis
Treatment: Thyroxine – life long – mental retardation preventable
Diminished Visual acuity
Infant or young child, having poor Visual attention, inability to fixate on an object or reduced response to bright light may suggest diminished acuity of vision.
Nystafmus may be a sign of decreased vision.
Leukocoria: (white pupil) or cats’ eye appearance
Sign of unilateral retinoblastma in the age group of 1 -3 yrs. Strabismus occular misallignment is the first sign of ocular malignancy in 25% of cases. Typically diagnosed in the first year of life in the familial & bilateral cases where both pupils will appear white.
Down’s syndrome:
Distance between central points of both cornea will be greater than normal
Epicanthic folds present
Palpabral fissure tilted upwards and laterally & bilaterally (oblique)
Confirmed by
1. Associated flat nasal bridge
2. Single palmar crease
2. Protruding tongue
3. Mal formed ear lobes
4. Mental retardation
5. High arched palate
6. CHD (VSD)
7. Decreased acetabular / iliac angles (X- ray pelvis)
8. Trisomy 21 ( chromosomal analysis)
Anaemia ( Pallor):
Routinely inspected to see the inside of lower eye lid for presence of pallor. In a neonate it may be a congenital problem either in the bone marrow or red cell destruction due to various causes notably maternal malaria during pregnancy leading to congenital malaria . In Rh incompatibility the yellow colour seen in a pale background
10. Icterus:
Jaundice in a neonate on D1, D2, D3 could be due to blood group incompatibility specially Rh. It is a sign of Hepatitis and Hepato- biliary disease. Currently Leptospirosis and hepatitis A are predominent causes ( most children immunized with Hep-B Vaccine) still blood test for HBs – AG has to be done to rule out ‘Hep B’ or ‘Non- B’ jaundice on D3 and after in a neonate especially in a premature baby is often due to physiological jaundice
11. Phlectanular kerato conjunctivitis:
One or two isolated blood vessels running from angle of eye ending and merging in the lateral margin of cornea, usually unilaterally. It is a sign of Tuberculosis and hence requires confirmation by investigations. It is due to allergy to bacterial (AFB) Protein .
12. Measles conjunctivitis:
Like any other conjunctivitis there is florid inflammation of both conjunctivae Eyes & lower eye lids are deeply inflamed. Associated oral inflammation signs plus fever after D3 confirms. Often there is continuous cough day & night . Maculo – popular rash all over the body is pathagnamonic & diagnostic
13. Madras Eye/ Bombay Eye/ Acco
Purulent conjunctivitis of sudden onset. Often there is widespread diseases in the community as an epidemic. Prior to actual conjunctivitis, puritus, intense over both eyes are significant , conjunctivitis within 24 hrs of pruritis is important. Profusely purulant conjunctivitis within 24 hrs of birth may be due to Gonococcal infection. When conjunctivitis occurs sporadically with closure of eyelids due to purulent material the cause is bacterial often. Antibacterial eye drops recommended for both.
14. Naso Lacrimal duct obstruction
Usually seen in Neonates or young infants.Purulent secretions formed in either eye or both eyes at medial aspect. Gentle rubbing on the surface marking of Naso lacrimal duct 25 times x 2-3 times daily for 1-2 weeks with eyedrops improves condition. Usually reported to doctor after 1-2 weeks of eye drops alone not improving situation without physiotherapy of facial skin.
15. Dehydration:
Eye balls are sunken. Conjuctiva dry, cornea dry only in severe dehydration. Lacrimation less in a crying child. History of diarrhoea /vomiting confirms along with the other signs of clinical dehydration
15. Cataract : ( often Congenital)
May be unilateral or Bilateral may be obviously visible or by ophthalmic microscope usually due to congenital Rubella as a sole finding or with after associated findings like microcephaly , Hepatosplenomegaly CHD/VSD + CNS signs
17. Kayser – Fleis cher ring
Due to deposition of copper in Descemets membrane of over the iris muscle and appears as a fine golden ring around cornea, best appreciated by slit lamp. This is pathagnomonic & diagnostic of wilson’s diseases ( Hepto lenticular degeneration) Any liver disease above age 5 should be thought of and excluded wilson’s disease. Many wilson’s disease in children appear and mimic as an ordinary Hepatitis with jaundice whenever neurological symptoms occur with a liver dysfunction, serum ceruloplasmin level estimated and also urinary copper excretion done.
18. Hydrocephalus:
Eye sign is setting sun appearance on both eyes. Depending upon degree of intra - cranial pressure and CSF obstruction the eye balls are tilted forwards to down wards and the disappearance of significant portion of cornea underneath the lower eyelid is appreciable confirmation by measurement of head circumference 2 to 2-5 cm more than normal is significant. Otherwise serial CT scan brain & serial head circumference measurements are mendatory. This will rule out development of ventriculomegaly and fecilitate early surgical treatment for correction ( Ventriculoperitoneal shunt). This should be strongly suspected in all cases where corrective surgery for meningo – myeerocele’ already done as CSF obstructive signs and symptoms most likely to develope in such infants. Early VP shunt procedure lessens risk of neuronal degeneration of brain tissue.(Brain atrophy)
19. Impending Death
Corneal haziness in a case of very severe dehydration over 15 %, all vital parameter’s come down gradually for a stand still. If cornea is shining it is a sign of life. The lacrimal secretion stops when all after body function stops due to decreasing general blood circulation. It is a sign of end stage of any disease more so and earlier in dehydration .First there is cloudiness, haziness and dusty opacification of transparency of cornea leading to opacification. There is diminished eye ball movements. Puplis are dilating and sluggishly reacting to light gradually unfolding the impending death signs. The HR& RR are gradually coming down. Thus the signs of tissue death noticed earlier in eyes than in any other organs.
Conclusion
The basic rule of clinical medicine is inspection, palpation , percussion and auscultation we skip over occasionally during busy hours this important inspection aspect as we know the diagnosis through other sources many times. Jaundice, anaemia, cataract missed in infants. Like touching anterior fontenalle as routine in a neonatal exam or looking for meconium for anal patency at birth during neonatal resuscitation, looking at eyes routinely can give valuable information in all age groups, more so in pediatrics. One may not make exact diagnosis on inspection. But it will be helpful far further investigation & confirmation. Eye is not only the window of the brain but also the window of the practicing physicians mind. It is the physician’s choice to keep the window closed or open however.
References
Test book of pediatrics: Waldoo Nelson 14th edition 1992
Text book of principles of internal medicine by Harrisons 8th edition 1977
American Academy of ophthalmology 1999- 2000 ( Peadiatric ophthalmology)
Wednesday, September 24, 2008
AIDS IN POETRY.
INTRODUCTION
1. This is a virus human DISEASE.
Kills numerous at EASE
Post pubertal entering into ‘depth’ AFFECTED.
All extra-maraital / personal intimacy INFECTED
HISTORY
2. History of HIV infection is amazingly CHILLING
Positive sero conversion discovered THIRILING
From a blood sample of the year 1947
So the age of the culprit virus is at least years 57.
3. First noticed from immuno-compormised African HOMOS
Undergoing Chemotherapy at HOMES.
Pneumocystis corni and KAPOSI-SARCOMA.
Found together as flower and AROMA
4. HIV discovery established IN 1984.
In the age group of 14 TO 44 WITH SYMPTOMS FOUR.
Kaposi-sarcoma, T-cell reduction in DEPTH.
Opportunistic infection and ultimate DEATH.
5. What does HIV mean In ANALOGY?
H stands for Human in ANTHRAPOLOGY
I means Immune deficiency in MICROBIOLOGY.
V for virus in the science VIROLOGY.
6. ‘Acquired’ - contracted through source EXTERNAL.
‘Immune’ - Body’s defence from source INTERNAL
‘Deficiency’ - lack or reduction or ABSENCE.
‘Syndrome’ - group of signs, symptoms PRESENCE.
7. Place of origin of HIV is African CONTINENT.
Spread is via multiple points PERTINENT
Syninges, needles, blood, tatooing PERFUSED & ABUSED
Most important is ‘secret (private) cells’ USED.
8. In congenital protective protein is ABSENT.
In acquired, HIV Killing T-cells is PRESENT.
T-cell is important for Body’s DEFENCE
Its absence causes infection in ABUNDANCE.
9. Organisms invasion is nature’s law is ANOMALY.
Different for different species of ANIMALS ONLY
Organisms have species specificity LIMITED
But when rule broken, devastation is UNLIMITED.
10. What is essence of these two on FINE TUNE.
Poor defence leading to infection OPPORTUNE.
In Congenital it is absence of a GLOBULIN.
In Acquired it is HIV throughout GLOBE-IN
HIV-VIURS TRANSFORMATION
11. This is true in transformation of HIV.
Simian (monkey) immune deficiency virus is SIV.
When SIV enters human, it becomes HIV I.
Killing white cells almost leaving NONE.
12. Monkeys don’t eat MONKEYS.
But chimpanzees hunt for only MONKEYS.
Some humans eat chimpanzee MEAT.
Thus virus transformation COMPLETES.
13. Siv Cpz (chimpanzee Virus) enters HUMANS.
This Zoonosis transforms to HIV ONES.
Another animal is sooty mangabeys in W.AFRICA.
This SIV becomes HIV II entering humans even in NON-AFRICANS
14. When HIV & HTLV contracted through “ILIACS”
Especially through transfusion in HEAMOPHILIACS
Aids may become more possible and FIRM.
Western blot, Immunoassay are tools to CONFORM.
15. HIV colonises at point of ENTRY.
Omnipotent in blood tissues like SENTRY
Placenta IN infected pregnancy is TRANSFORMER.
Identifies embryopathy as INFORMER.
HIV-INCUBATION
16. Perinatal incubation is 6-36 MONTHS.
Foetal virus isolation in pregnancy after 4 MONTHS
Post Transfusion incubation is 2 years in PEDIATRICS.
The same is 5-18 yrs in GERIATRICS.
17. HIV’s transport vehicle is infected MONOCYTE
The destination point is CNS ON SITE
Leading pulmonary macrophages INFECTED.
Pneumocystis carni / interstitial pnueumonia develop UNAFFECTED
MODE OF SPREAD OF HIV
18. Spread of HIV by intimate physical CONTACT.
The ‘exchange’ is via red and white fluid passing INTACT
Essence of Microbiology is presence of BODY CELLS.
Deeper muscles / fluid secretions provide MICROSPOIC CELLS.
19. Hepatitis B virus is dangerously AWFUL.
HIV is Ten times Les POWERFUL
Hep N can enter through needle INJURY
But HIV entry often after ‘muscles’ get MERRY
20. Causative agent is electron MICROSCOPIC
Point of body entry is often MACROSCOPIC
Human desire is via muscular ENDSCOPIC
Virus Lives a distance deeper and PROCTOSCOPIC
21. HIV II is less dangerous than HIV I.
Both coextist in certain death in HIV I.
Uncommon death weast africans HIV II.
But Both Spread by via naturalis is TRUE
22. HIV is in Africa and US PREVALANT
Birth place of I and II are Africa DIVALANT
HIV II is more common in WEST AFRICA.
Only to spread to Brazil, UK & N-AMERICA.
23. ‘X Active’ Men (70%) are like HONEY BEES.
Thus Happens ‘Pollengrain’ TRANSFER.
‘X Active’ Women (30%) ‘X Workers, are LIKE FLOWERS.
‘Samething’ Happens in HIV TRANSFER
24. Haiti & Hawaii Have HIV in ABUNDANCE.
Unchecked Blood Transfusion (5%) another HINDERANCE
Mother to Child Vertical Transmission 5-10% Hence.
Any AIDS Secretions / Body Fluids Spreads HIV SINCE
HIV VIRUS ITS CHARECTERISTICS
25. Killed readily by HEAT.
Otherwise remains alive life long very NEAT.
Though incubation maximum is SIX YEARS.
Progression to Aids faster without ARREARS.
26. Acetone, Ethanol, Beta PROPIOLACTONE.
Inactive HIV virus to ATONE
‘Hot cone ice’ is vibrant for infection ACTIVITY
Yet another modality for spread in CAPTIVITY.
27. All that glitter are not GOLD.
All HIV don’t cause AIDS to be BOLD.
But all AIBS are due top HIV ONLY.
AODS is a Killer disease CERTAINLY.
28. Namakkal and Chennai have HIV HIGHEST.
Even school children are affected MODEST.
Gravity of situation WORSENING
Government is engrossed in pointless PLANNING
29. When HIV enters blood it is infection ONLY.
It by itself is not a disease TRULY.
When virus produces symptoms of DISEASE
It is AIDS’ problem with no SOLACE
30. HIV with symptoms of AIDS.
Always deteriorates with virus RAIDS.
Diagnostic Confirmation is final and LAST.
Lies in the patients when breathings LOSt.
31. HIV differs from other INFECTION
In its multifacted PRESENTATION
Important aspect in new PRODUCTION
Is constant mutogenic strains of REPRODUCTION
32. After HIV hep B was trouble SHOOTER
Outcome of both remain HOTTER.
Luckily hep B vaccine DISCOVERED
But mystery of HIV remain UNCOVERED.
33. An imprtant thing is Respiratory SIGN.
Hand in gloves is AIDS and TB FINE.
Either singularly or with other ILLS.
TB in AIDS is like primary complex in MEASLES.
34. Defence crakes and breaks in MEASLES.
In AIDS it is shattered to PIECES.
TB may affect not essentially only LUNGS.
Other organs are not out of BOUNDS.
35. A Syndrome consists symptom COMPLEX
Not unique to any disease to PERPLEX.
Many diseases have fuatures SIMLARITY.
‘Secret hide outs’ nurtures agents in UNIFORMITY.
36. Symptoms vary from fatigue FEVER
Malaise and night sweats EVER.
Weight loss, pain and PYORRHOEA.
Always omni present is DIARRHOEA.
37. Signs are not UNCOMMON.
Lymphadenopathy and wasting EVEN.
Oral leukoplakia, SPLENOMEGALY,
Perianal herpes and ORGANO MEGALY.
38. Poor growth, failure to THRIVE.
Interstitial pneumania and hepatomegaly ARRIVE.
Systemic / pulmonary signs dominate AMERICA.
Diarrhoea, inanition, wasting predominate AFRICA.
39. Patulous lips and Triangular PHILTRUM.
Box forehead and short nose ANTRUM.
Oblique eyes and long palpabral FISSURE.
Facial signs of pediatric AIDS AT LEISURE
40. `What are the AIDS signs?
Prolonged diarrhoea, fever, vomiting, PAINS.
Problematic coughs, kaposi sarcoma GROWTH.
Conventional treatment failure is TRUTH.
41. TB in AIDS is compared to SNAKES.
Lid of snake box is defence at STAKES.
Once lid of box REMOVED.
The ‘TB snake’ raises its HOOD.
42. Pediatric AIDS....
In HIV case if Tuberculin is POSITIVE.
Star INH prophylaxis with INITIATIVE.
Oral polio for HIV children CONTRA INDICATED.
Inactivated polio vaccine SUBSTITUTED.
43. Hypo / Agamaglobulinaemia is CONGENITAL.
Arresting exposure to infection is URGENT AND VITAL.
Often the modus operundi is same as HIV.
Except for the absence of virus HIV.
44. In both child succombs to opportunistic infection O! MAN.
Where conventional therapy failure is COMMON.
If cause is virus AHT is Treatment of CHOICE.
In ELISA negative case aptimmune globulin
replacement WISE.
45. All 2 years and older symptomatic / ASYMPTAMATIC.
Pnemococal vaccine is given AUTOMATIC.
No contra indication for MMR VACCINE.
Immune globulin considered GENUINE.
46. Prognosis in Pediatric AIDS Treatment
Prognosis is always bad and WORSE.
With complication TIDES.
Overall survival upto ten YEARS.
Worse in infection and encophalopathy with FEARS.
47. AIDS –Prevention should at ROOT CAUSE.
Eating monkeys prohibited as FIRST CAUSE.
Monkeys brain is a DELICACY
In star hotel of singapore honkong as FANCY.
48. Aide itself is ACQUIRED.
Congenitally ‘acquired’ exists when ENQUIRED
Prevention strategy is current RESEARCH.
Pediatic AIDS tops the list in scientists SEARCH.
49. Infected mothers transmit HIV to 30 % CHILDREN.
If there is no treatment for mothers and CHILDREN.
transmission rate falls down to 2 %
When both mother and child are treated 100%
50. AZT given during and 3 months prior DELIVERY
Azt given also for 7 days to the NEONATE.
Additional nevirapine treatment given single DOSE.
For mother and child to achieve purpose at EASE.
51. Last but not least researcher SAY.
To keep the mothers breast milk AWAY.
Virus transmission in breast milk is proven
CONTRA-INDICATION.
Formula Bottle feeding along is final DESTINATION.
52. All immune deficiency states and AGE
prone to Infection at some STAGE
low dose antibiotics is a MUST
To escape from infecting organisms THRUST
53. Sulpha, INH, Metrogyl worth CONSIDERING
Frequently at repeated interval DOSING
Though this may not kill HIV
Life prolongation is definite and HEAVY.
54. Curing aids is out of QUESTION.
Prevention helps n disease reduction BEST IN.
Arresting spread will control DISEASE.
AIDS guarnteed even after decades at EASE.
55. AIDS affect Children INNOCENT.
But mode of virus entry is UNPLEASANT.
Through mother’s milk is SUPERFICIAL.
Through maternal blood transfusion it is.
deep and ESSENTIAL.
AIDS – PATHOGENESIS
56. Children in general have less DEFENCE.
AIDS affected children have poor DEFENCE.
It is like adult mechanism of disease PRODUCTION.
Suffering infection due to defence REDUCTION.
57. In adult it is T-cell REDUCTION.
Leads to embarassing INFECTION.
In Children gamaglobulin DEFICIENCY.
Contribute to infection’s EFFICIENCY.
58. HTLVI is a close relative of HIV I.
Lives in human T-cell Lymphocytes OFTEN.
Children are targets from nursing MOTHER.
Other route per via naturalis blammed TOGETHER.
59. This innocent pediatric infection SPREAD.
Through needles, syringes and blood with SPEED.
While remaining asymptomatic decades with ANAEMIA.
May develop Adult T-cell LEUKAEMIA.
60. Half of all pediatric AIDS POPULATION.
Contributed by black POPULATION.
Main cause is non-use of LATEX OR ‘BRAKES’
25% are due to ‘swimming’ BACK STROKES.
61. ‘Same side’ goal strikers are 50%
Opposite side strikers are LESS PERCENT.
Coagulation disease sufferes from 25%
‘Vat 69 or upside down opposite amount 75%
62. Pediatric AIDS in USA FORMS.
Seventh leading cause of death – 1989
WHO INFORMS.
Male female ratio in USA is 3:1.
Same in Africa is 1:1.
63. Pediatric HIV-3 Million WORLDWIDE.
Surviving Under Conrtesy of WHO AID
50% Die Before AGE FIVE.
Within Age Ten Others are not ALIVE.
64. Mother to child HIV Transmission 90%
Through Placental Blood without Intermission 25%
During Delivery Per Via Naturalis 50%
While Breast Feeding Naturally is 15%.
65. Statistics in India Rapidly RAISING.
1% of States Population AIDS SUFFERING.
10 Million Indians will Have AIDS in 5 Yrs.
By Year 2020 Life Expectancy Reduction to 20 Yrs.
66. Statistics in India Rapidly RAISING.
1% of States Population AIDS SUFFERING.
10 Million Indians will Have AIDS in 5 Yrs.
By Year 2020 Life Expectancy Reduction to 20 Yrs.
67. Spread of AIDS can be arrested SOON.
Specially from ‘XXX workers’ as BOON.
Technology available from SELSON.
For proof of pudding dial 044 – 4217-7784 on
68. Many maniacs switch over to VIAGARA.
Only to die in the great falls of HIV NIGARA.
Some develope genital / oral ulcer CHOLERA AND PELLAGRA.
AIDS is an ugly grave unlike TAJ MAHAL OF AGRA.
69. OF AIDS and Simple HIV Infection TEALLY.
Which is more Dangerous TRULY ?
AIDS is Smoked out CIGRAETTE BUTT.
HIV without AIDS is a Tiger with a COW’S SKIN BUT.
70. AIDS diagnosed first IN 1980.
In two decades it multiplied in PLENTY.
AIDS Spread can be arrested in 2 YEARS.
Virus spread can be retarded and checked for ALL YEARS.
71. Prolonged Breast Feeding increases RISK.
Recent Postnatal (Maternal) infection also BRISK & RISK.
Campared to BM Cholostrum has LESS RISK.
During First 90 Days (age) Doubles INFECTION RISK.
HIV AND BREAST MILK
72. How to stop HIV through milk of MOTHER.
When virus swim in maternal blood HITHER AND THITHER.
Either AZT or equilavalent are required to KILL.
Side effect and expenses may swell the BILL.
73. Can we use mother’s milk FILTERS ?
By internal or external source TILT OVER?
Can Mothers milk extracted and IRRADIATED?
Can milk treatment by drugs / UV rays EXPEDITED ?
74. Less Risk Encountered When BM BOILED HA.
Risk in wet nursing by HIV Negative Women FOILED.
AZT to Mother helps throughout PREGNANCY.
AZT + Nevirapine for Neonate helps without POLGNANCY.
75. What are the mother’s milk ADVANTAGES ?
Most important is Immune globulin APPENDRAGES
Bifidus Factor stops neonatal DIARRHOEA.
Last but not least is ‘maternal bonding in SCENERIA.
76. All three are managable as per AREA.
Hygiene sanitation averts DIARRHOEA.
Cheating techique illusions BONDING.
Gamaglobulin injection solution ASTOUNDING.
AIDS – PREVENTION
77. Prevention should hit at root ROOT CAUSE.
Eating monkeys prohibited as first CAUSE.
Monkey brain is a DELICACY.
In star hotels of signapore honkong as FANCY.
78. Current best prophylaxis is LATEX.
Non – use perpertraters regret LATEST.
“Revolutionary method” is better then BEST.
Available by selsens improvised NEST.
79. In this noval method affected destined to DIE.
But unaffected remain non – ingfected after ‘TIE’.
Needles / Syringes / blood are exempted TRULY.
Beneficial fo ‘professional’ workers GENUINELY.
80. Dead yesterday, unborn TOMORROW.
Why fret about them if today has NO SORROW.
Omar kayam’s philosophy applicable TRUE HERE.
WHO should think laterally for the Present and future NEAR.
HIV – ITS COMPLEXITIES
81. Who will do the job of ‘BELL – CATS’?
Non bailable viral arrest warrant is with BILL GATES.
New selson prophylaxis is best to STOP AIDS.
Serious practical thinking helps scientific SIDES.
82. Cure for AIDS is not today’s need – it is a GREED.
Selsens formula sure to arrest the spread INDEED.
Priority to be given to stop speedy SPREAD.
Selson (044-42178874) knows the sensitive THREAD.
83. Will the house-wives and GENTLE MEN.
Opt for Anti-HIV vaccine IN-COMMON?
All or none law ‘applicable in HIV VACCINATION.
Imagining benefit will be fantacy and FACINATION.
84. Drinking, Smoking, Opium are HIV’s cousin BROTHERS.
All drug addictions are HIV’s younger BROTHERS.
HIV itself is like ‘DADH’s half BROTHER.
But father of all brothers is ‘cyanide’ – HIV’ elder BROTHER.
85. ‘Garibi-hatavo’ said Indira GANDHI.
Means ‘poverty go-away in simple HINDHI.
Now ‘HIV hatavo’ says sonia GANDHI.
Like Small pox Exadication for Man Kind’s SHANTHI.
86. Feelings are Pschyo-Physiological CONFLICTS.
Very difficult to tame ‘TARGETS’.
The ‘urge’ has an eye on the ‘BULLS EYE’.
Better to fortify the garden of Edens’s GAL AND GUY.
87. Mangolians and Africans possess eating SIMILARITIES.
In their taste buds of Tongue as SPECIALITIES.
Hypothalamic center is unique IN BOTH.
Desire for delicacies uniformly complied with salivation FROTH.
88. ALDS or SARS as virus diseases Everyone WHO KNOWS.
Is Prevalant in Peculiar flesh eaters as ZOONOSIS.
AIDS originated from eaters of MONKEYS.
SARS originated from eaters of DOGS AND FROGS.
89. Kings / Monarcs in African COUNTRIES.
Subject even their proposed wives to HIV test BOUNDARIES.
The reason is distressing and ALARMING.
40% African population are positive in HIV NAMING.
90. Global Terrorism is due to POPULATION EXPLOSION.
Death Terrorism is due to AIDS EXPLOSION.
Population reduction in hurricane, Floods and VALCANOS.
AIDS more dangerous than nature’s death CASINOS.
NEW AIDS-PREVENTION STRATEGY
91. Selsen has prophylatic specific STATEGY.
Yet Undisclosed by any scienfic TECHNOLOGY.
Practical application will proove TOO GOOD.
Number of strategy are TWO GOOD.
92. Prophylactic researches are in FULL SWING.
To discover anti HIV vaccine to CLING.
Virus Vaccine Production will be a WASTE.
As no one will use it in HASTE.
93. Immune deficiency is the central PIVOT.
Altering immune system is like a RIVETTE.
Can You Thrust vaccine on EVERY ONE?
What is its use if it has no support on ANY ONE?
94. HIV and small pox are not COMPARABLE.
Small pox spread by air is TOLERABLE.
Hence Small pox eradication was POSSIBLE.
HIV vaccine on everyone is UNACCEPTABLE.
95. In small pox entire global population with sincerity VACCINATED.
Scientists call it as Herd IMUNITY.
If entires population NON-VACCANTED.
HIV vaccine a great loss in IMPUNITY.
96. When any STD is clinical / SERLOGICAL
ELISA For HIV throughts LOGICAL
When secretions / ulcers predominate around PUBIS.
HIV’s presence dominate allriound VISA-VIS.
97. one more Childhood immune deficiency is NON-GENITAL
This is different and CONGENITAL.
Cause is agama globulinaemia
98. Syringes and needles sterilisatio IMPOSSIBLES.
After AIDS and hep B – All became DISPOSABLES.
Most blood banks never tested STD in the RACe.
ELISA for HIV is the order of medico-legal CASE.
99. Best of all idea is very SIMPLE.
Economically viable and lie at DIMPLE.
Practicabilty is alternate POSSIBILITY.
Better than best is BM Bank AVAILABILITY.
ANTI – RETROVIRAL DRUGS – FOR AIDS.
100. Zidovudine has life PROLONGATION.
If cd 4 count is 500 confirms HIV INFECTION.
in symptoms with 200 – 500 CD4 COUNTS.
Only zidavudine will help by ALL COUNTS.
101. If CD is less than 200 + in AIDS
Zidavudine as stat doze aids.
But switch over is NECESSARY.
Often with DDI / DDC as COMPULSORY.
102. Selsen’s formula sure to arrest spread and BREED.
Cure for AIDS is not today’s NEED.
Priority given for stopping SPEEDY SPREAD.
AIDS Exlosion is in near vicinity INDEED.
1. This is a virus human DISEASE.
Kills numerous at EASE
Post pubertal entering into ‘depth’ AFFECTED.
All extra-maraital / personal intimacy INFECTED
HISTORY
2. History of HIV infection is amazingly CHILLING
Positive sero conversion discovered THIRILING
From a blood sample of the year 1947
So the age of the culprit virus is at least years 57.
3. First noticed from immuno-compormised African HOMOS
Undergoing Chemotherapy at HOMES.
Pneumocystis corni and KAPOSI-SARCOMA.
Found together as flower and AROMA
4. HIV discovery established IN 1984.
In the age group of 14 TO 44 WITH SYMPTOMS FOUR.
Kaposi-sarcoma, T-cell reduction in DEPTH.
Opportunistic infection and ultimate DEATH.
5. What does HIV mean In ANALOGY?
H stands for Human in ANTHRAPOLOGY
I means Immune deficiency in MICROBIOLOGY.
V for virus in the science VIROLOGY.
6. ‘Acquired’ - contracted through source EXTERNAL.
‘Immune’ - Body’s defence from source INTERNAL
‘Deficiency’ - lack or reduction or ABSENCE.
‘Syndrome’ - group of signs, symptoms PRESENCE.
7. Place of origin of HIV is African CONTINENT.
Spread is via multiple points PERTINENT
Syninges, needles, blood, tatooing PERFUSED & ABUSED
Most important is ‘secret (private) cells’ USED.
8. In congenital protective protein is ABSENT.
In acquired, HIV Killing T-cells is PRESENT.
T-cell is important for Body’s DEFENCE
Its absence causes infection in ABUNDANCE.
9. Organisms invasion is nature’s law is ANOMALY.
Different for different species of ANIMALS ONLY
Organisms have species specificity LIMITED
But when rule broken, devastation is UNLIMITED.
10. What is essence of these two on FINE TUNE.
Poor defence leading to infection OPPORTUNE.
In Congenital it is absence of a GLOBULIN.
In Acquired it is HIV throughout GLOBE-IN
HIV-VIURS TRANSFORMATION
11. This is true in transformation of HIV.
Simian (monkey) immune deficiency virus is SIV.
When SIV enters human, it becomes HIV I.
Killing white cells almost leaving NONE.
12. Monkeys don’t eat MONKEYS.
But chimpanzees hunt for only MONKEYS.
Some humans eat chimpanzee MEAT.
Thus virus transformation COMPLETES.
13. Siv Cpz (chimpanzee Virus) enters HUMANS.
This Zoonosis transforms to HIV ONES.
Another animal is sooty mangabeys in W.AFRICA.
This SIV becomes HIV II entering humans even in NON-AFRICANS
14. When HIV & HTLV contracted through “ILIACS”
Especially through transfusion in HEAMOPHILIACS
Aids may become more possible and FIRM.
Western blot, Immunoassay are tools to CONFORM.
15. HIV colonises at point of ENTRY.
Omnipotent in blood tissues like SENTRY
Placenta IN infected pregnancy is TRANSFORMER.
Identifies embryopathy as INFORMER.
HIV-INCUBATION
16. Perinatal incubation is 6-36 MONTHS.
Foetal virus isolation in pregnancy after 4 MONTHS
Post Transfusion incubation is 2 years in PEDIATRICS.
The same is 5-18 yrs in GERIATRICS.
17. HIV’s transport vehicle is infected MONOCYTE
The destination point is CNS ON SITE
Leading pulmonary macrophages INFECTED.
Pneumocystis carni / interstitial pnueumonia develop UNAFFECTED
MODE OF SPREAD OF HIV
18. Spread of HIV by intimate physical CONTACT.
The ‘exchange’ is via red and white fluid passing INTACT
Essence of Microbiology is presence of BODY CELLS.
Deeper muscles / fluid secretions provide MICROSPOIC CELLS.
19. Hepatitis B virus is dangerously AWFUL.
HIV is Ten times Les POWERFUL
Hep N can enter through needle INJURY
But HIV entry often after ‘muscles’ get MERRY
20. Causative agent is electron MICROSCOPIC
Point of body entry is often MACROSCOPIC
Human desire is via muscular ENDSCOPIC
Virus Lives a distance deeper and PROCTOSCOPIC
21. HIV II is less dangerous than HIV I.
Both coextist in certain death in HIV I.
Uncommon death weast africans HIV II.
But Both Spread by via naturalis is TRUE
22. HIV is in Africa and US PREVALANT
Birth place of I and II are Africa DIVALANT
HIV II is more common in WEST AFRICA.
Only to spread to Brazil, UK & N-AMERICA.
23. ‘X Active’ Men (70%) are like HONEY BEES.
Thus Happens ‘Pollengrain’ TRANSFER.
‘X Active’ Women (30%) ‘X Workers, are LIKE FLOWERS.
‘Samething’ Happens in HIV TRANSFER
24. Haiti & Hawaii Have HIV in ABUNDANCE.
Unchecked Blood Transfusion (5%) another HINDERANCE
Mother to Child Vertical Transmission 5-10% Hence.
Any AIDS Secretions / Body Fluids Spreads HIV SINCE
HIV VIRUS ITS CHARECTERISTICS
25. Killed readily by HEAT.
Otherwise remains alive life long very NEAT.
Though incubation maximum is SIX YEARS.
Progression to Aids faster without ARREARS.
26. Acetone, Ethanol, Beta PROPIOLACTONE.
Inactive HIV virus to ATONE
‘Hot cone ice’ is vibrant for infection ACTIVITY
Yet another modality for spread in CAPTIVITY.
27. All that glitter are not GOLD.
All HIV don’t cause AIDS to be BOLD.
But all AIBS are due top HIV ONLY.
AODS is a Killer disease CERTAINLY.
28. Namakkal and Chennai have HIV HIGHEST.
Even school children are affected MODEST.
Gravity of situation WORSENING
Government is engrossed in pointless PLANNING
29. When HIV enters blood it is infection ONLY.
It by itself is not a disease TRULY.
When virus produces symptoms of DISEASE
It is AIDS’ problem with no SOLACE
30. HIV with symptoms of AIDS.
Always deteriorates with virus RAIDS.
Diagnostic Confirmation is final and LAST.
Lies in the patients when breathings LOSt.
31. HIV differs from other INFECTION
In its multifacted PRESENTATION
Important aspect in new PRODUCTION
Is constant mutogenic strains of REPRODUCTION
32. After HIV hep B was trouble SHOOTER
Outcome of both remain HOTTER.
Luckily hep B vaccine DISCOVERED
But mystery of HIV remain UNCOVERED.
33. An imprtant thing is Respiratory SIGN.
Hand in gloves is AIDS and TB FINE.
Either singularly or with other ILLS.
TB in AIDS is like primary complex in MEASLES.
34. Defence crakes and breaks in MEASLES.
In AIDS it is shattered to PIECES.
TB may affect not essentially only LUNGS.
Other organs are not out of BOUNDS.
35. A Syndrome consists symptom COMPLEX
Not unique to any disease to PERPLEX.
Many diseases have fuatures SIMLARITY.
‘Secret hide outs’ nurtures agents in UNIFORMITY.
36. Symptoms vary from fatigue FEVER
Malaise and night sweats EVER.
Weight loss, pain and PYORRHOEA.
Always omni present is DIARRHOEA.
37. Signs are not UNCOMMON.
Lymphadenopathy and wasting EVEN.
Oral leukoplakia, SPLENOMEGALY,
Perianal herpes and ORGANO MEGALY.
38. Poor growth, failure to THRIVE.
Interstitial pneumania and hepatomegaly ARRIVE.
Systemic / pulmonary signs dominate AMERICA.
Diarrhoea, inanition, wasting predominate AFRICA.
39. Patulous lips and Triangular PHILTRUM.
Box forehead and short nose ANTRUM.
Oblique eyes and long palpabral FISSURE.
Facial signs of pediatric AIDS AT LEISURE
40. `What are the AIDS signs?
Prolonged diarrhoea, fever, vomiting, PAINS.
Problematic coughs, kaposi sarcoma GROWTH.
Conventional treatment failure is TRUTH.
41. TB in AIDS is compared to SNAKES.
Lid of snake box is defence at STAKES.
Once lid of box REMOVED.
The ‘TB snake’ raises its HOOD.
42. Pediatric AIDS....
In HIV case if Tuberculin is POSITIVE.
Star INH prophylaxis with INITIATIVE.
Oral polio for HIV children CONTRA INDICATED.
Inactivated polio vaccine SUBSTITUTED.
43. Hypo / Agamaglobulinaemia is CONGENITAL.
Arresting exposure to infection is URGENT AND VITAL.
Often the modus operundi is same as HIV.
Except for the absence of virus HIV.
44. In both child succombs to opportunistic infection O! MAN.
Where conventional therapy failure is COMMON.
If cause is virus AHT is Treatment of CHOICE.
In ELISA negative case aptimmune globulin
replacement WISE.
45. All 2 years and older symptomatic / ASYMPTAMATIC.
Pnemococal vaccine is given AUTOMATIC.
No contra indication for MMR VACCINE.
Immune globulin considered GENUINE.
46. Prognosis in Pediatric AIDS Treatment
Prognosis is always bad and WORSE.
With complication TIDES.
Overall survival upto ten YEARS.
Worse in infection and encophalopathy with FEARS.
47. AIDS –Prevention should at ROOT CAUSE.
Eating monkeys prohibited as FIRST CAUSE.
Monkeys brain is a DELICACY
In star hotel of singapore honkong as FANCY.
48. Aide itself is ACQUIRED.
Congenitally ‘acquired’ exists when ENQUIRED
Prevention strategy is current RESEARCH.
Pediatic AIDS tops the list in scientists SEARCH.
49. Infected mothers transmit HIV to 30 % CHILDREN.
If there is no treatment for mothers and CHILDREN.
transmission rate falls down to 2 %
When both mother and child are treated 100%
50. AZT given during and 3 months prior DELIVERY
Azt given also for 7 days to the NEONATE.
Additional nevirapine treatment given single DOSE.
For mother and child to achieve purpose at EASE.
51. Last but not least researcher SAY.
To keep the mothers breast milk AWAY.
Virus transmission in breast milk is proven
CONTRA-INDICATION.
Formula Bottle feeding along is final DESTINATION.
52. All immune deficiency states and AGE
prone to Infection at some STAGE
low dose antibiotics is a MUST
To escape from infecting organisms THRUST
53. Sulpha, INH, Metrogyl worth CONSIDERING
Frequently at repeated interval DOSING
Though this may not kill HIV
Life prolongation is definite and HEAVY.
54. Curing aids is out of QUESTION.
Prevention helps n disease reduction BEST IN.
Arresting spread will control DISEASE.
AIDS guarnteed even after decades at EASE.
55. AIDS affect Children INNOCENT.
But mode of virus entry is UNPLEASANT.
Through mother’s milk is SUPERFICIAL.
Through maternal blood transfusion it is.
deep and ESSENTIAL.
AIDS – PATHOGENESIS
56. Children in general have less DEFENCE.
AIDS affected children have poor DEFENCE.
It is like adult mechanism of disease PRODUCTION.
Suffering infection due to defence REDUCTION.
57. In adult it is T-cell REDUCTION.
Leads to embarassing INFECTION.
In Children gamaglobulin DEFICIENCY.
Contribute to infection’s EFFICIENCY.
58. HTLVI is a close relative of HIV I.
Lives in human T-cell Lymphocytes OFTEN.
Children are targets from nursing MOTHER.
Other route per via naturalis blammed TOGETHER.
59. This innocent pediatric infection SPREAD.
Through needles, syringes and blood with SPEED.
While remaining asymptomatic decades with ANAEMIA.
May develop Adult T-cell LEUKAEMIA.
60. Half of all pediatric AIDS POPULATION.
Contributed by black POPULATION.
Main cause is non-use of LATEX OR ‘BRAKES’
25% are due to ‘swimming’ BACK STROKES.
61. ‘Same side’ goal strikers are 50%
Opposite side strikers are LESS PERCENT.
Coagulation disease sufferes from 25%
‘Vat 69 or upside down opposite amount 75%
62. Pediatric AIDS in USA FORMS.
Seventh leading cause of death – 1989
WHO INFORMS.
Male female ratio in USA is 3:1.
Same in Africa is 1:1.
63. Pediatric HIV-3 Million WORLDWIDE.
Surviving Under Conrtesy of WHO AID
50% Die Before AGE FIVE.
Within Age Ten Others are not ALIVE.
64. Mother to child HIV Transmission 90%
Through Placental Blood without Intermission 25%
During Delivery Per Via Naturalis 50%
While Breast Feeding Naturally is 15%.
65. Statistics in India Rapidly RAISING.
1% of States Population AIDS SUFFERING.
10 Million Indians will Have AIDS in 5 Yrs.
By Year 2020 Life Expectancy Reduction to 20 Yrs.
66. Statistics in India Rapidly RAISING.
1% of States Population AIDS SUFFERING.
10 Million Indians will Have AIDS in 5 Yrs.
By Year 2020 Life Expectancy Reduction to 20 Yrs.
67. Spread of AIDS can be arrested SOON.
Specially from ‘XXX workers’ as BOON.
Technology available from SELSON.
For proof of pudding dial 044 – 4217-7784 on
68. Many maniacs switch over to VIAGARA.
Only to die in the great falls of HIV NIGARA.
Some develope genital / oral ulcer CHOLERA AND PELLAGRA.
AIDS is an ugly grave unlike TAJ MAHAL OF AGRA.
69. OF AIDS and Simple HIV Infection TEALLY.
Which is more Dangerous TRULY ?
AIDS is Smoked out CIGRAETTE BUTT.
HIV without AIDS is a Tiger with a COW’S SKIN BUT.
70. AIDS diagnosed first IN 1980.
In two decades it multiplied in PLENTY.
AIDS Spread can be arrested in 2 YEARS.
Virus spread can be retarded and checked for ALL YEARS.
71. Prolonged Breast Feeding increases RISK.
Recent Postnatal (Maternal) infection also BRISK & RISK.
Campared to BM Cholostrum has LESS RISK.
During First 90 Days (age) Doubles INFECTION RISK.
HIV AND BREAST MILK
72. How to stop HIV through milk of MOTHER.
When virus swim in maternal blood HITHER AND THITHER.
Either AZT or equilavalent are required to KILL.
Side effect and expenses may swell the BILL.
73. Can we use mother’s milk FILTERS ?
By internal or external source TILT OVER?
Can Mothers milk extracted and IRRADIATED?
Can milk treatment by drugs / UV rays EXPEDITED ?
74. Less Risk Encountered When BM BOILED HA.
Risk in wet nursing by HIV Negative Women FOILED.
AZT to Mother helps throughout PREGNANCY.
AZT + Nevirapine for Neonate helps without POLGNANCY.
75. What are the mother’s milk ADVANTAGES ?
Most important is Immune globulin APPENDRAGES
Bifidus Factor stops neonatal DIARRHOEA.
Last but not least is ‘maternal bonding in SCENERIA.
76. All three are managable as per AREA.
Hygiene sanitation averts DIARRHOEA.
Cheating techique illusions BONDING.
Gamaglobulin injection solution ASTOUNDING.
AIDS – PREVENTION
77. Prevention should hit at root ROOT CAUSE.
Eating monkeys prohibited as first CAUSE.
Monkey brain is a DELICACY.
In star hotels of signapore honkong as FANCY.
78. Current best prophylaxis is LATEX.
Non – use perpertraters regret LATEST.
“Revolutionary method” is better then BEST.
Available by selsens improvised NEST.
79. In this noval method affected destined to DIE.
But unaffected remain non – ingfected after ‘TIE’.
Needles / Syringes / blood are exempted TRULY.
Beneficial fo ‘professional’ workers GENUINELY.
80. Dead yesterday, unborn TOMORROW.
Why fret about them if today has NO SORROW.
Omar kayam’s philosophy applicable TRUE HERE.
WHO should think laterally for the Present and future NEAR.
HIV – ITS COMPLEXITIES
81. Who will do the job of ‘BELL – CATS’?
Non bailable viral arrest warrant is with BILL GATES.
New selson prophylaxis is best to STOP AIDS.
Serious practical thinking helps scientific SIDES.
82. Cure for AIDS is not today’s need – it is a GREED.
Selsens formula sure to arrest the spread INDEED.
Priority to be given to stop speedy SPREAD.
Selson (044-42178874) knows the sensitive THREAD.
83. Will the house-wives and GENTLE MEN.
Opt for Anti-HIV vaccine IN-COMMON?
All or none law ‘applicable in HIV VACCINATION.
Imagining benefit will be fantacy and FACINATION.
84. Drinking, Smoking, Opium are HIV’s cousin BROTHERS.
All drug addictions are HIV’s younger BROTHERS.
HIV itself is like ‘DADH’s half BROTHER.
But father of all brothers is ‘cyanide’ – HIV’ elder BROTHER.
85. ‘Garibi-hatavo’ said Indira GANDHI.
Means ‘poverty go-away in simple HINDHI.
Now ‘HIV hatavo’ says sonia GANDHI.
Like Small pox Exadication for Man Kind’s SHANTHI.
86. Feelings are Pschyo-Physiological CONFLICTS.
Very difficult to tame ‘TARGETS’.
The ‘urge’ has an eye on the ‘BULLS EYE’.
Better to fortify the garden of Edens’s GAL AND GUY.
87. Mangolians and Africans possess eating SIMILARITIES.
In their taste buds of Tongue as SPECIALITIES.
Hypothalamic center is unique IN BOTH.
Desire for delicacies uniformly complied with salivation FROTH.
88. ALDS or SARS as virus diseases Everyone WHO KNOWS.
Is Prevalant in Peculiar flesh eaters as ZOONOSIS.
AIDS originated from eaters of MONKEYS.
SARS originated from eaters of DOGS AND FROGS.
89. Kings / Monarcs in African COUNTRIES.
Subject even their proposed wives to HIV test BOUNDARIES.
The reason is distressing and ALARMING.
40% African population are positive in HIV NAMING.
90. Global Terrorism is due to POPULATION EXPLOSION.
Death Terrorism is due to AIDS EXPLOSION.
Population reduction in hurricane, Floods and VALCANOS.
AIDS more dangerous than nature’s death CASINOS.
NEW AIDS-PREVENTION STRATEGY
91. Selsen has prophylatic specific STATEGY.
Yet Undisclosed by any scienfic TECHNOLOGY.
Practical application will proove TOO GOOD.
Number of strategy are TWO GOOD.
92. Prophylactic researches are in FULL SWING.
To discover anti HIV vaccine to CLING.
Virus Vaccine Production will be a WASTE.
As no one will use it in HASTE.
93. Immune deficiency is the central PIVOT.
Altering immune system is like a RIVETTE.
Can You Thrust vaccine on EVERY ONE?
What is its use if it has no support on ANY ONE?
94. HIV and small pox are not COMPARABLE.
Small pox spread by air is TOLERABLE.
Hence Small pox eradication was POSSIBLE.
HIV vaccine on everyone is UNACCEPTABLE.
95. In small pox entire global population with sincerity VACCINATED.
Scientists call it as Herd IMUNITY.
If entires population NON-VACCANTED.
HIV vaccine a great loss in IMPUNITY.
96. When any STD is clinical / SERLOGICAL
ELISA For HIV throughts LOGICAL
When secretions / ulcers predominate around PUBIS.
HIV’s presence dominate allriound VISA-VIS.
97. one more Childhood immune deficiency is NON-GENITAL
This is different and CONGENITAL.
Cause is agama globulinaemia
98. Syringes and needles sterilisatio IMPOSSIBLES.
After AIDS and hep B – All became DISPOSABLES.
Most blood banks never tested STD in the RACe.
ELISA for HIV is the order of medico-legal CASE.
99. Best of all idea is very SIMPLE.
Economically viable and lie at DIMPLE.
Practicabilty is alternate POSSIBILITY.
Better than best is BM Bank AVAILABILITY.
ANTI – RETROVIRAL DRUGS – FOR AIDS.
100. Zidovudine has life PROLONGATION.
If cd 4 count is 500 confirms HIV INFECTION.
in symptoms with 200 – 500 CD4 COUNTS.
Only zidavudine will help by ALL COUNTS.
101. If CD is less than 200 + in AIDS
Zidavudine as stat doze aids.
But switch over is NECESSARY.
Often with DDI / DDC as COMPULSORY.
102. Selsen’s formula sure to arrest spread and BREED.
Cure for AIDS is not today’s NEED.
Priority given for stopping SPEEDY SPREAD.
AIDS Exlosion is in near vicinity INDEED.
Saturday, September 20, 2008
AIDS
SELSEN'S SECRET FORMULA FOR PREVENTION OF AIDS:
(REF: STANZA NO. 91 & 102)
THESE ARE THE IMPORTANT SENTENCES IN THE BOOKLET.& NECESSARY EXPLANATIONS WILL BE GIVEN IN DETAIL
FOR THOSE WHO SEEK FURTHER INFORMATIONS ON THE SUBJECT.WITH ME BY E-MAIL.(PHONE;9144-23790380,
9144-4217 8874,MOBILE-91-9841354335)THIS IS A SIMPLE TECHNIC FOR PREVENTIONOF AIDS,TEORITICALLY SUCESSFUL 100% & WILL BE COMMERCIALLY ALSO VIABLE.A CONFERENCE OF SEXOLOGISTS, VENERIOLOGIST,EXPERTS ON SEXUAL MEDICINE IF CONDUCTEDWILL HAVE GENERAL AGREMENT REGARDING THE APPLICABILITYOF THIS NEW TECHNOLOGY, NOT THOUGHT OF,OR PUBLISHED ANYWHERE IN THE WORLD MEDICAL LITERATURE.I HAVE WRITTEN TO VARIOUS INTELCTUALS ON THIS ISSUE,INCLUDING DR.ABDUL KALAM PAST PRESIDENT OF INDIA.ALL MY LETTERS WENT TO AIDS CELL FOR HYBERNATION!,EXCEPT ONE WHO WAS A LIEUTINANT GENERAL,OFFICER COMMANDING SOUTHEN COMMAND,INDIA.HE RECOMMENDED THAT THIS MAY BE XEROXED & SUPPLIED TO ALL MEDICAL OFFICERS UNDER HIS COMMAND 5 YRS BACK.THERE WAS NO INTERACTION BETWEN ME &ANY POWER HOLDING AUTHORITY.I ASSURE ANY READER THAT THIS NEW TECHNOLOGY CAN BE PROOVED TO CONTAIN AIDS &PREVENT FURTHER SPREAD IF PRACTICED METICULOUSLY.
SELSEN IS A PARAMEDICS IN A US HOSPITAL IN TEXAS.
(sd) DR.PSELVARAJ.FORMERLY PROFESSOR.
NOW,CONSULTANT PEDIATRITIAN.S R M GENERAL HOSPITAL
RAMAPURAM.CHENNAI.600 089.TAMILNADU.INDIA.
(REF: STANZA NO. 91 & 102)
THESE ARE THE IMPORTANT SENTENCES IN THE BOOKLET.& NECESSARY EXPLANATIONS WILL BE GIVEN IN DETAIL
FOR THOSE WHO SEEK FURTHER INFORMATIONS ON THE SUBJECT.WITH ME BY E-MAIL.(PHONE;9144-23790380,
9144-4217 8874,MOBILE-91-9841354335)THIS IS A SIMPLE TECHNIC FOR PREVENTIONOF AIDS,TEORITICALLY SUCESSFUL 100% & WILL BE COMMERCIALLY ALSO VIABLE.A CONFERENCE OF SEXOLOGISTS, VENERIOLOGIST,EXPERTS ON SEXUAL MEDICINE IF CONDUCTEDWILL HAVE GENERAL AGREMENT REGARDING THE APPLICABILITYOF THIS NEW TECHNOLOGY, NOT THOUGHT OF,OR PUBLISHED ANYWHERE IN THE WORLD MEDICAL LITERATURE.I HAVE WRITTEN TO VARIOUS INTELCTUALS ON THIS ISSUE,INCLUDING DR.ABDUL KALAM PAST PRESIDENT OF INDIA.ALL MY LETTERS WENT TO AIDS CELL FOR HYBERNATION!,EXCEPT ONE WHO WAS A LIEUTINANT GENERAL,OFFICER COMMANDING SOUTHEN COMMAND,INDIA.HE RECOMMENDED THAT THIS MAY BE XEROXED & SUPPLIED TO ALL MEDICAL OFFICERS UNDER HIS COMMAND 5 YRS BACK.THERE WAS NO INTERACTION BETWEN ME &ANY POWER HOLDING AUTHORITY.I ASSURE ANY READER THAT THIS NEW TECHNOLOGY CAN BE PROOVED TO CONTAIN AIDS &PREVENT FURTHER SPREAD IF PRACTICED METICULOUSLY.
SELSEN IS A PARAMEDICS IN A US HOSPITAL IN TEXAS.
(sd) DR.PSELVARAJ.FORMERLY PROFESSOR.
NOW,CONSULTANT PEDIATRITIAN.S R M GENERAL HOSPITAL
RAMAPURAM.CHENNAI.600 089.TAMILNADU.INDIA.
Thursday, September 18, 2008
ENGLISH TRANSLATION OF
MR.S.VAIRAMUTHU'S
LETTER OF CONGRATULATIONS:
DEAR DR.PSELVARAJ.CHENNAI.
RECEIVED YOUR LETTER.
GOOD ATTEMPT.
CONGRATULATIONS.
I, CONSIDER YOUR POETRY AS A SERVICE.CONTINUE.
AFFECTIONATELY,
(SD) S VAIRAMUTHU.
---------------------------------------------------------------------------------------------------
PREFACE.
THIS IS NOT A SERIOUS BOOKLET FOR READING.OR IS THIS A TREATISE OR A MEDICAL TEXT BOOK ON AIDS.
IT IS MEANT FOR CASUAL RELAXED READING.BUT IT CONTAINS ALMOST ALL THE BASIC DETAILS OF AIDS.
IT IS PRESUMED THAT YOUNG DOCTORS,MEDICAL STUDENTS GENERAL PRACTITIONERS& ALL THOSE WHO KNEW ENGLISH CAN HAVE WIDE GLIMPSE & A BIRD'S EYE VIEW OF AIDS.THE STYLE OF PRESENTATION IS TOTALLY &UNCOMMONLY DIFFERENT.MANY MEDICAL MATTERS ARE EXPRESSED IN A PARTIALLY HIDDEN MANNER,SO THAT THE READER IS COMPELLED TO STRETCH HIS IMAGINATION TO ARRIVE AT THE CORRECT MEANING.LAST BUT NOT LEAST IT CONTAINS A NEW MESSAGE--TO STOP THE SPREAD OF AIDS &MAINTAINED AS A CAT NOT NOT LET OUT OF THE BAG.SO FOR THIS NEW THOUGHTS HAS NOT BEEN DISCUSSED OR PUBLISHED ANYWHERE IN THE MEDICAL LITERATURE.
WRITTEN IN THE FOLLOWING SUB TITLES.
1)HISTORY2)WHAT IS AIDS IF EXPANDED.3)HIV VIRUS TRANSFORMATION4)HIV INCUBATION.5)MODE OF SPREAD OF HIV.6)HIV VIRUS -ITS CHARACTERS/PROPERTIES.7)AIDS -SIGNS &SYMPTOMS.8)PEDIATRIC -AIDS.9)PROGNOSIS IN PEDIATRIC AIDS.10)AIDS-PATHOGENESIS.11)HIV&BREAST MILK.12)AIDS PREVENTION.13)HIV-ITS COMPLEXITIES.14)NEW AIDS PREVENTION STRATEGY.15)ANTI RETROVIRUS DRUGS FOR AIDS.
MR.S.VAIRAMUTHU'S
LETTER OF CONGRATULATIONS:
DEAR DR.PSELVARAJ.CHENNAI.
RECEIVED YOUR LETTER.
GOOD ATTEMPT.
CONGRATULATIONS.
I, CONSIDER YOUR POETRY AS A SERVICE.CONTINUE.
AFFECTIONATELY,
(SD) S VAIRAMUTHU.
---------------------------------------------------------------------------------------------------
PREFACE.
THIS IS NOT A SERIOUS BOOKLET FOR READING.OR IS THIS A TREATISE OR A MEDICAL TEXT BOOK ON AIDS.
IT IS MEANT FOR CASUAL RELAXED READING.BUT IT CONTAINS ALMOST ALL THE BASIC DETAILS OF AIDS.
IT IS PRESUMED THAT YOUNG DOCTORS,MEDICAL STUDENTS GENERAL PRACTITIONERS& ALL THOSE WHO KNEW ENGLISH CAN HAVE WIDE GLIMPSE & A BIRD'S EYE VIEW OF AIDS.THE STYLE OF PRESENTATION IS TOTALLY &UNCOMMONLY DIFFERENT.MANY MEDICAL MATTERS ARE EXPRESSED IN A PARTIALLY HIDDEN MANNER,SO THAT THE READER IS COMPELLED TO STRETCH HIS IMAGINATION TO ARRIVE AT THE CORRECT MEANING.LAST BUT NOT LEAST IT CONTAINS A NEW MESSAGE--TO STOP THE SPREAD OF AIDS &MAINTAINED AS A CAT NOT NOT LET OUT OF THE BAG.SO FOR THIS NEW THOUGHTS HAS NOT BEEN DISCUSSED OR PUBLISHED ANYWHERE IN THE MEDICAL LITERATURE.
WRITTEN IN THE FOLLOWING SUB TITLES.
1)HISTORY2)WHAT IS AIDS IF EXPANDED.3)HIV VIRUS TRANSFORMATION4)HIV INCUBATION.5)MODE OF SPREAD OF HIV.6)HIV VIRUS -ITS CHARACTERS/PROPERTIES.7)AIDS -SIGNS &SYMPTOMS.8)PEDIATRIC -AIDS.9)PROGNOSIS IN PEDIATRIC AIDS.10)AIDS-PATHOGENESIS.11)HIV&BREAST MILK.12)AIDS PREVENTION.13)HIV-ITS COMPLEXITIES.14)NEW AIDS PREVENTION STRATEGY.15)ANTI RETROVIRUS DRUGS FOR AIDS.
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