Festive Vibes

At­tires to make your cel­e­bra­tions spe­cial.

Woman's Era - - Long Story -

My dis­tant rel­a­tive’s son is about 18 years old. He prefers to wear clothes like girls and his speech and be­hav­iour re­sem­bles girls. I want to know about this prob­lem.

Many men and women are psy­cho­log­i­cally dom­i­nated by sex­ual in­ver­sion, a per­sis­tence of the child­hood ten­dency. Ef­fem­i­nate be­hav­iour, speech, dress and sex­ual in­cli­na­tion pro­claim this fact. Transvestism is the most ob­vi­ous and com­plete ex­am­ple where men dress in women's clothes and vice versa. This is a type of psy­cho­log­i­cal prob­lem also called psy­cho­log­i­cal sex.

My el­der girl de­vel­oped pu­berty at the age of thir­teen years i.e. men­stru­a­tion and de­vel­op­ment of breast, but my younger daugh­ter who is now 14, still not show­ing any sign of pu­berty. I want to know the rea­son of de­layed pu­berty and the fea­tures of pu­berty also.

Pu­berty may be pre­co­cious, oc­cur­ring two or three years be­fore the ex­pected and recog­nised av­er­age or de­layed per­haps five years af­ter. If anatom­i­cally and clin­i­cally nor­mal, most girls men­stru­ate spon­ta­neously by the age of eigh­teen or nine­teen and these aber­ra­tions from the nor­mal need cause no anx­i­ety nor in­di­cate any treat­ment, in spite of parental anx­i­ety or at­tempted co­er­cion. Like the cli­mac­teric, pu­berty has vague bound­aries in time, whereas the menar­che is a rel­a­tively sud­den event.

Pu­berty is a slow process in­volv­ing sev­eral years dur­ing which the sec­ondary sex­ual char­ac­ter­is­tics de­velop to ma­tu­rity and men­stru­a­tion is es­tab­lished. The menar­che or time of on­set of men­stru­a­tion varies with race and to some ex­tent fam­ily but the av­er­age for most girls is from twelve to thir­teen years of age. Fea­tures of pu­berty are de­vel­op­ment of sec­ondary sex­ual char­ac­ter­is­tics, in­crease in breast size, de­vel­op­ment of ex­ter­nal gen­i­talia, ax­il­lary and pu­bic hair and en­large­ment of the in­ter­nal gen­i­talia re­sult­ing in men­stru­a­tion. Var­i­ous en­docrine glands and hor­mones are re­spon­si­ble for the de­vel­op­ment of pu­berty.

My daugh­ter is about 13 years old. She is sus­cep­ti­ble to get in­fec­tion very fre­quently. Which type of pre­ven­tive mea­sure she should take to avoid get­ting an in­fec­tion early and re­peat­edly?

The pre­ven­tion of in­fec­tion de­pends on three con­cepts which may be in­ter-re­lated. Elim­i­na­tion of the source of in­fec­tion in­clude the erad­i­ca­tion of tu­ber­cu­lo­sis and bru­cel­losis from cat­tle in many coun­tries and the world­wide elim­i­na­tion of small­pox. The lab­o­ra­tory screen­ing do­nated blood for syphilis and hepati­tis- B virus has vir­tu­ally elim­i­nated the sources of in­fec­tion. Pre­ven­tion of trans­mis­sion of in­fec­tion, this may be ac­com­plished by the iso­la­tion of in­fected pa­tients (source iso­la­tion) and of those such as the im­muno­sup­perssed who are par­tic­u­larly sus­cep­ti­ble to in­fec­tion ( Pro­tec­tive iso­la­tion). Strict an­ti­sep­sis in op­er­at­ing the­atres and good nurs­ing prac­tices in wards are es­sen­tial if trans­mis­sion of in­fec­tion is to be pre­vented. Hand wash­ing is of para­mount im­por­tance pro­tec­tion of sus­cep­ti­ble per­sons, this in­volve the ju­di­cious use of pro­phy­lac­tic an­tibi­otics and of ac­tive or pas­sive im­mu­niza­tion.

My mother is about 60 yrs old and suf­fer­ing from se­vere os­teoarthri­tis of knee joints. We have con­sulted an ortho­pe­dic sur­geon. He ad­viced us knee re­place­ment surgery or arthro­plasty. I want to know about the asthro­plasty and in which con­di­tions arthro­plasty is re­quired.

Arthro­plasty is an op­er­a­tion for con­struc­tion of a new mov­able joint. It is not ap­pli­ca­ble to ev­ery joint. In prac­tice it's use is al­most to the shoul­der, the el­bow, the hip, the knee, cer­tain joins in hand and the metatarso - pha­langeal joints in the foot. The in­di­ca­tions for arthro­plasty are not well de­fined, for there is con­sid­er­able di­ver­sity of opin­ion among dif­fer­ent sur­geons.

Broadly it has a use in con­di­tions like ad­vanced os­teoarthri­tis or rheuma­toid arthri­tis with dis­abling pain es­pe­cially in the shoul­der, el­bow, hip, hand and metatarso. Pha­langeal joint, for the cor­rec­tion of cer­tain types of de­for­mity, qui­es­cent tu­ber­cu­lous arthri­tis es­pe­cially of the el­bow or hip, cer­tain un­united frac­tures of the neck of the fe­mur. I am 40 yrs old work­ing woman. One year back a swelling de­velop on my wrist. This swelling is not in­creas­ing in size but some­times it be­comes painful. I have con­sulted a doc­tor for this prob­lem. He told me that this con­di­tion is called gan­glia and it must be re­moved. I want your opin­ion.

Gan­glia are lo­calised, tense (but of­ten pain­less) cys­tic swellings con­tain­ing clear gelati­nous fluid. The of­ten com­mu­ni­cate with and are al­ways ad­ja­cent to a ten­don sheath or the cap­sule of a joint. Their ori­gin is un­cer­tain but they are prob­a­bly caused by leak­age (and sub­se­quent fi­brous enap­su­la­tion) of syn­ovial fluid through the cap­sule of a joint or ten­don sheeth. They are some­times pre­dis­posed to by in­jury.

Sim­ple gan­glia are most com­monly found on the dor­sum of the wrist and the foot. Oc­ca­sion­ally minute gan­glia de­velop on the flexor as­pect of the fin­gers which although small, are exquisitely painful and ten­der. if they do not re­solve spon­ta­neously, they are ex­cised or re­moved.

This el­e­gant blue em­broi­dered dress is per­fect for the festive sea­son.

Turn heads in this per­fect eth­nic en­sem­ble. Pink and gold to­gether for a royal look.

A touch of pas­tel for some­thing sub­tle.

Make a state­ment with this quirky sari. Play with a lit­tle colour for an un­usual look.

Rich colour com­bi­na­tions to add to your beauty. Gau­tam Gupta, 9313709017 Asha Gupta, 9811213124 e-mail: ashaandgau­tam@gmail.com Left this sari speak your style this festive sea­son.

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