Thursday, 14 February 2019

WHY YOU NEED TO TREAT CHANCROID BEFORE IT’S TOO LATE

What is chancroid?

Chancroid is a bacterial infection that causes open sores on or around the genitals of men and women. It’s a type of sexually transmitted disease (STD), which means it’s transmitted through sexual contact. It’s rarely seen in the United States. It occurs most frequently in developing nations.

The bacterium Haemophilus ducreyi causes this infection. It attacks tissue in the genital area and produces an open sore that’s sometimes referred to as chancroid or ulcer.
The ulcer may bleed or produce a contagious fluid that can spread bacteria during oral, anal, or vaginal intercourse. Chancroid may also spread from skin-to-skin contact with an infected person.

Who is at risk for chancroid?

If you’re sexually active, you may be at risk for chancroid. If you travel to or live in a country that’s lacking in certain resources, you may be more at risk than people who live in places with abundant resources. These resources include:

• healthcare
• food
• shelter
• water
If you’re a heterosexual male or a minority, you’re the risk of chancroid increases. Other risk factors for chancroid include:

• poverty
• sex with commercial sex workers
• drug and alcohol use disorder
• anything associated with higher risk sexual practices
• multiple partners

What are the symptoms of chancroid?

The symptoms may vary in men and women, but typically they begin four to seven days after exposure.

Men

Men may notice a small, red bump on their genitals that may change to an open sore within a day or two. The ulcer may form on any area of the genitals, including the penis and scrotum. The ulcers are frequently painful.

Women

Women may develop four or more red bumps on the labia, between the labia and anus, or on the thighs. The labia are the folds of skin that cover the female genitals. After the bumps become ulcerated, or open, women may experience a burning or painful sensation during urination or bowel movements.

Additional symptoms in men and women

• The ulcers can vary in size and are usually anywhere from 1/8 to 2 inches across.
• The ulcers have a soft center that’s gray to yellowish-gray with defined, or sharp, edges.
• The ulcers may bleed easily if touched.
• Pain may occur during sexual intercourse or while urinating.
• Swelling in the groin, which is where the lower abdomen and thigh meet, may occur.
• Swollen lymph nodes can break through the skin and lead to large abscesses, or collections of pus, that drain.

Diagnosing chancroid

Diagnosing the condition may involve taking samples of the fluid that drains from the sore. These samples are sent to a laboratory for analysis. Diagnosing chancroid currently isn’t possible through blood testing. Your doctor may also examine the lymph nodes in your groin for swelling and pain.

Treating chancroid

Chancroid may be successfully treated with medication or surgery.

Medication

Your doctor will prescribe antibiotics to kill the bacteria that are causing your ulcers. Antibiotics may also help decrease the chance of scarring as the ulcer heals.

Surgery

Your doctor may drain a large and painful abscess in your lymph nodes with a needle or through surgery. This reduces swelling and pain as the sore heals but might cause some light scarring at the site.

What is to be expected in the long term?

The condition is curable if treated. Chancroid sores may heal without noticeable scarring if all medications are taken as prescribed by your physician. Untreated chancroid conditions may cause permanent scarring on the genitals of men and lead to serious complications and infections in women.
If you’re diagnosed with chancroid, you’re also at risk for all other STDs so you should be tested for them as well. Additionally, people who are HIV positive that contract chancroid tends to heal more slowly.

Prevention

You can avoid getting this disease by using condoms during sexual contact.
Other preventive measures include:
• limiting the number of sexual partners and practicing safe sex
• avoiding high-risk activities that may lead to getting chancroid or other sexually transmitted infections
• alerting all partners if you develop the condition so that they may be tested and treated as well

FACTS ABOUT CHLAMYDIA INFECTION

What’s a chlamydia infection?

Chlamydia is a common sexually transmitted infection (STI) caused by bacteria. People who have chlamydia often don’t have outward symptoms in the early stages. That might make you think you shouldn’t worry. However, chlamydia can cause health problems later, including preventing women from getting pregnant or even endangering their pregnancies.

If you have unprotected sex with someone whose STI status you’re not certain of, get tested for chlamydia and other STIs. You should get tested every time you might be exposed.
The treatment for chlamydia is oral antibiotics given either in multiple doses or just one dose. Take all medication as prescribed until the pills are gone. Waiting too long to treat chlamydia can cause serious complications. Make sure you talk to a doctor as soon as you think you might have been exposed.

Causes

Sex without a condom and unprotected oral sex are the main ways a chlamydia infection can spread. You don’t have to experience penetration to get it. Touching genitals together may transmit the bacteria. It can also be contracted during anal sex.

Newborn babies can acquire chlamydia from their infected mother during birth. Most prenatal testing includes a chlamydia test, but it doesn’t hurt to double-check with your OB-GYN during your first prenatal checkup.

You can get a chlamydia infection in the eye through oral or genital contact with the eyes, but this isn’t common.

Risk factors

Men and women can both get the infection, but women are more likely to be diagnosed. Statistically, you’re more likely to get an STI if you have sex with more than one person. Infection rates are highest among younger women, partly because their immature cervical cells are more vulnerable to infection, but older age isn’t a protection.

The Centers for Disease Control and Prevention recommends that all sexually active women aged 25 years and younger get screened for chlamydia every year, as well as older women with risk factors like multiple or new partners.
Other risk factors include having had an STI in the past or currently having an infection, because that could lower your resistance.

An act of sexual assault puts you at risk for chlamydia and other STIs. If you were forced into any sexual activity, including oral sex, you should get tested as soon as possible. Organizations like the Rape, Abuse & Incest National Network (RAINN) offer support for survivors of rape or sexual assault.


Recognizing the signs and symptoms

Many people don’t notice the symptoms of chlamydia. Most people have no symptoms at all. If symptoms do appear, it’s usually one to three weeks after you’ve been infected.
Some of the most common symptoms include:

• burning sensation during urination
• yellow or green discharge from the penis or vagina
• pain in the lower abdomen
• pain in the testicles
• painful sexual intercourse in women (dyspareunia)
In some women, the infection can spread to the fallopian tubes, which may cause a condition called pelvic inflammatory disease (PID). PID is a medical emergency. The symptoms of PID are:

• fever
• severe pelvic pain
• nausea
• abnormal vaginal bleeding between periods

It’s also possible to get a chlamydia infection in the anus. In this case, the main symptoms are often discharge, pain, and bleeding from this area.

If you have oral sex with someone who has the infection, you may get it in your throat. You may notice a sore throat, cough, or fever. It’s also possible to carry the bacteria in your throat and not know it.

The symptoms of STIs in men and women can be different, so it’s important to talk to your doctor if you experience any of the above symptoms.

Diagnosing chlamydia

When you see a doctor about chlamydia, you’ll likely be asked about your symptoms. If you don’t have any, your doctor may ask why you think you might have the infection. In this case, it’s important to talk about how you think you were exposed.

The most effective diagnostic test for chlamydia is to swab the vagina in women and to test the urine in men. If there’s a chance the infection is in your anus or throat, these areas may be swabbed as well.

Treating chlamydia

The good news is that chlamydia is easy to treat. Since it’s bacterial in nature, it’s treated with antibiotics. Azithromycin is an antibiotic usually prescribed in a single, large dose, but the dose may also be spread out over five days. Doxycycline is an antibiotic thatmust be taken twice per day for about one week.

Your doctor may prescribe other antibiotics. No matter which antibiotic you’re given, you’ll need to follow the dosage instructions carefully to make sure the infection clears up fully. This can take up to two weeks, even with the single-dose medications.

Don’t have sex during the treatment time. You can get chlamydia if you’re exposed again, even if you’ve treated a previous infection.

Complications

If you see the doctor as soon as you suspect you’ve contracted chlamydia, you’ll likely be able to clear up the infection with no lasting problems. However, you may experience serious medical issues if you wait too long to treat it.

Female complications

Some women develop PID, an infection that can damage the uterus, cervix, and ovaries. PID is a painful disease that often requires hospital treatment. Women can also become infertile if chlamydia is left untreated because the fallopian tubes may become scarred. Pregnant women with the infection can pass the bacteria to their babies during birth, which can cause eye infections and pneumonia in newborns.

Male complications

Men can also experience complications when chlamydia is left untreated. The epididymis, the tube that holds the testicles in place, may become inflamed, causing pain. This is known as epididymitis. The infection can also spread to the prostate gland, causing a fever, painful intercourse, and discomfort in the lower back.

Another possible complication is male chlamydial urethritis. These are just some of the most common complications of untreated chlamydia, which is why it’s important to get medical attention right away. Most people who get treatment quickly have no long-term medical problems.

How to prevent chlamydia

The surest way for a sexually active person to avoid contracting chlamydia is to use a condom during sexual intercourse, unless you’re absolutely certain your partner isn’t carrying the infection. You should either avoid having oral sex, or use protection during oral sex, until you know the other person doesn’t have chlamydia.

Use protection with each new partner and get tested for chlamydia and other sexually transmitted diseases between each new partner.

ARE YOU A VICTIM OF SYPHILIS?

lets Teach ONE another(Syphilis)

Syphilis is one of the better-known sexually transmitted infections (STIs), also referred to as a sexually transmitted disease (STDs). It is caused by the bacterium Treponema pallidum and can often be recognized by the appearance of an open ulcerative sore, known as a chancre, on the genitals, mouth, anus, or rectum.

Antibiotics can treat syphilis, but the course depends on which stage the infection is in (primary, secondary, latent, and tertiary). Each stage has its characteristic signs and symptoms—and potential complications.

While the rate of syphilis infections dropped dramatically with the use of intramuscular penicillin in the 1940s, many of those gains have been reversed in recent years. Today, the disease affects more than 27,000 Americans annually and over 6 million individuals worldwide.

Though the very thought of syphilis can be distressing, the infection is often easily treated if recognized and detected, and readily avoided with the use of condoms and a reduction in the number of sex partners.

Symptoms

The symptoms of syphilis are characterized by the stage of infection. While some symptoms are unmistakable, others are less distinctive and may be misdiagnosed.

• Primary syphilis will often manifest with a chancre, usually within 21 days of exposure. Because chancres are usually painless and internal, they can be easily missed by both patients and doctors. Without treatment, a chancre will heal in anywhere from three to six weeks.

• Secondary syphilis occurs within four to 10 weeks of a primary infection. One of the characteristic symptoms is a widespread rash on the trunk, limbs, and (most tellingly) the palms and soles of the feet. Flu-like symptoms may accompany the rash. There are, however, cases that can manifest themselves in more unusual ways. Symptoms tend to resolve without treatment in three to six weeks.

• Latent syphilis is marked by the relative absence of symptoms, lasting anywhere from years to decades, and is based on blood tests. For diagnostic purposes, the stage is further described as being either early latent (less than a year from the last blood test) or late latent (more than a year from the last blood test).

• Tertiary syphilis is the most serious stage of infection. It's characterized by major diseases of the skin, bones, heart, liver, and other organs. Neurosyphilis, arguably the most severe complication, affects the brain and is, by far, the most difficult to treat.

Congenital syphilis is a serious medical condition in which an infected mother passes syphilis to her unborn baby. In addition to lung, liver, spleen, and brain disorders, congenital syphilis can lead to physical and facial malformations, developmental delays, and intellectual disability.
Get Familiar With the Symptoms of Syphilis

Causes

Treponema pallidum is a spiral-shaped bacterium that only causes disease in humans. Its corkscrew shape allows it to burrow into mucous membranes or enter minute breaks in the skin.

Syphilis is transmitted almost exclusively through oral, vaginal, or anal sex, or from mother to child during pregnancy. Less commonly, syphilis can be passed through kissing if broken skin comes into contact with an open sore. Syphilis cannot be passed through toilet seats, casual contact, or shared utensils or personal care items.

There are certain factors that can increase a person's risk of infection:

• Unprotected sex
• Multiple sex partners
• HIV infection
• Being a man who has sex with men (MSM), the population of which represents the majority of syphilis infections

Causes and Risk Factors of Syphilis

Diagnosis

Syphilis testing is a two-step process in which non-treponemal tests (which can detect damage caused by T. pallidum ) are used alongside treponemal tests (which can detect the bacterium itself). Both are blood-based tests. Because the non-treponemal tests are more sensitive, they are generally performed first.

If the tests are positive, the treponemal test would be used to confirm the diagnosis.With blood testing, syphilis can usually be detected within a week or two of exposure.The most accurate results can be obtained during the first three months, while the rate of false positives steadily increasing after 90 days.

Blood, tissue, and body fluids can also be directly tested using a procedure known as dark-field microscopy. While less commonly used today (due to the need for highly skilled technicians), dark-field microscopy can provide doctors with definitive, visual evidence of an infection. It can be used during very early infection or in later-stage disease when infections are harder to diagnose.

How Syphilis Is Diagnosed

Treatment

Syphilis infections can be cured with antibiotics. Penicillin (via injection) is considered the drug of choice, but others (such as doxycycline, tetracycline, azithromycin, or ceftriaxone) may be used if a person is allergic to penicillin.

The treatment of syphilis can vary by the stage of infection:

• Primary, secondary, and early latent syphilis can be treated with a single injection of penicillin.
• Late latent syphilis would require three shots, each given in one-week intervals.
• Tertiary syphilis would be treated in the same manner as late latent syphilis if the brain and central nervous system are not involved.
• Neurosyphilis requires an extensive 10- to 14-day course of treatment, either with intramuscular penicillin or a combination of penicillin shots and oral medications.
Even if a tertiary infection is cleared, any harm done to the brain or other organs may be irreversible. Additional interventions, including surgery, may be needed to help manage or repair the damage.

WATCH OUT FOR THE SIGNS OF GONORRHEA

Gonorrhea is a common sexually transmitted disease, sometimes referred to as "the clap." It affects hundreds of thousands of men and women annually. Globally, there are an estimated 78 million new cases of gonorrhea diagnosed each year.

Gonorrhea is easily treated but can cause serious and sometimes permanent complications. Pelvic inflammatory disease occurs in women when the gonorrhea infection affects their uterus or Fallopian tubes. The most serious complication associated with pelvic inflammatory disease is infertility.

Complications in men with gonorrhea include epididymitis (an inflammation of the tube which carries sperm) and infertility.

Fast facts on gonorrhea

• Gonorrhea is caused by the bacterium Neisseria gonorrhoeae.
• Gonorrhea can be passed from mother to baby during delivery.
• Gonorrhea and chlamydia can be experienced simultaneously.
• If untreated, gonorrhea can increase a person's risk of acquiring or transmitting HIV.

Symptoms

Symptoms may be absent despite an active gonorrheal infection. Symptoms can appear anywhere from 1-14 days following exposure to the infection.
Men and women experience slightly different symptoms; these can include:

Men:

• white, yellow, or green urethral discharge, resembling pus
• inflammation or swelling of the foreskin
• pain in the testicles or scrotum
• painful or frequent urination
• anal discharge, itching, pain, bleeding, or pain when passing stools
• itching, difficulty swallowing, or swollen neck lymph nodes
• eye pain, light sensitivity, or eye discharge resembling pus
• red, swollen, warm, painful joints

Women:

• painful sexual intercourse
• fever
• yellow or green vaginal discharge
• vulvar swelling
• bleeding in-between periods
• heavier periods
• bleeding after intercourse
• vomiting and abdominal or pelvic pain
• painful or frequent urination
• sore throat, itching, difficulty swallowing, or swollen neck lymph nodes
• eye pain, light sensitivity, and eye discharge resembling pus
• red, swollen, warm, painful joints
Anal gonorrhea signs include:
• itching, bleeding, or pain with passing bowel movements
• anal discharge
An itching or burning sensation in the eyes may be a symptom of conjunctivitis. If infected semen or fluid comes into contact with the eyes, a person can develop conjunctivitis.

Treatment

Upon displaying symptoms, a doctor may recommend a test for gonorrhea in addition to other diseases. Testing for gonorrhea can be completed by analyzing a urine sample or a swab of an affected area. Swab samples are commonly taken from the penis, cervix, urethra, anus, and throat.

Home kits for women are also available that include vaginal swabs. These kits are sent to a laboratory and results are reported directly to the patient. If testing is positive for a gonorrhea infection, the individual and their partner will need to undergo treatment. This typically involves:

• Antibiotics - a doctor will likely administer both a shot (ceftriaxone) and an oral medication (azithromycin).
• Abstaining from sexual intercourse - until treatment is complete, there is still a risk of complications and spread of infection.
• Repeat testing in some cases - it is not always necessary to be tested to make sure the treatment has worked. However, the CDC recommends retesting for some patients, and a doctor will decide if it is necessary. Retesting should be performed 7 days after treatment.
If a woman is pregnant and infected with gonorrhea, the infant will be given an eye ointment to prevent gonorrhea transmission. However, antibiotics may be required if an eye infection develops

How to Live Like a Millionaire Even If You Are Broke

Are you in a huge debt owing a lot of people lots of money? Fear not, despite everything, dare to live like a millionaire. Think it's impossible? Say to yourself instead: It is possible! And magic occurs. Read on to find out more. You have recently become broke but your refrigerator has a stock of food fortunately and there is canned food as well. You have cornflakes and oatmeal in the kitchen and you can depend on them for days.

You have a luxury of clothes which you bought last month and you can still wear smart clothes. Your house is full of junk material. You need to de-clutter your home to make space for more. Sell off the de-cluttered materials, for instance, old books, old clothes and old kitchen utensils which you no longer need. Once you have done that, there is space for more and energy flows freely everywhere in your home.

The new aura of energy fills your mind and body and you are able to think clearly. Make a plan on how to earn a little income based on which you can make more. You can have a great breakfast, wear matching smart outfits, write your resume and start dropping them off at various places you think yourself eligible.

Meanwhile, try to work online. Ask a knowledgeable expert or friend for help. You just don't want to work online from new experience. You want to acquaint yourself with a working system that helps you to make money online. With the money you earn online, you are able to pay your bills and gradually all your debts. You know you can make more money online but you prefer to work outside and give interviews. You contact the HR offices of the different companies you applied to. Some reject while some show promise.

All this was possible because you were living like a millionaire up until now with very little worry and an abundant mindset. If you have made it this far successfully, chances are you will make it in an interview if you are called in and you will be hired. Keep your fingers crossed while you wait to hear from them. You still have a stock of food and you still have the working system over the web to give you extra income. So far so good in spite of being broke.
Well, that would be too harsh to address you now. In fact, you are not a broke now - on the contrary, you are living like a millionaire with an open mind.

The HR office of one company that you applied does call you for an interview. And you find yourself over the moon! Your hard work of hunting out a working company is over and it paid off. Now you should face the interview boldly. Do not do everything alone. Ask a friend or mentor who is able to answer for you about how to prepare for the questions that you will be asked at the interview. Once you have started taking this preparation, there is an 85% chance for you to get that job.

And it turns out that you do land on that job. Your broke days are over. Thanks to you that you played out like a millionaire all along until today with very little worry. While you get handsomely paid, you need to update yourself with the fast pace of the web and start reading books in your niche. And only then you will stick to your job. Of course, you have the side option of making money online as well. So it's all set. Update your skill set and learn foreign languages.

They will probably augment your position at work and you may even ask for a raise or promotion. Stick to your job and stick to making extra income online and everything falls into place. After all, it did pay off playing like a millionaire for the time being. Remember you are no longer broke and you need to shoulder the responsibility to stick to your making incomes with a successful and abundant mindset.


HOW TO CHOOSE BEST EMAIL SERVICE PROVIDER

Many people try to figure out ways in which they are able to choose their best email service providers. But the reality is that you need to consider various factors before coming out with your final judgment. You have a long email service provider list that you can choose from, this makes it a simple task to some, but others also get confused because they do not know the right one for them. This article will address how you can choose the best email service providers for marketing

Choose an email service provider with a variety of products


Under this category, you will need to invest in an email service provider which is more customized with options to help you real all your intended customers. Features like contact management, reporting tools, email automation and email templets that can be customized should be of greater consideration before you choose your preferred email service provider.

• Customizable mobile-responsive templates. Most of your intended customers use phones for their daily communications, not all of them have access to computers or laptops. To ensure that all your emails reach the customers, you must consider this feature as it will enable your customers to read your emails on their mobile devices without any problem

• Contact management. This feature is ideal whenever you want to send some mail to a specified group. You will easily sort out the contacts and deliver the message easily

• Email automation. Manually writing emails to your customers may not be that simple. This is why you will need to use email automated system to help you send the message to your contacts depending on your setting

• Reporting tool. This is a great way to help you track all your emails if they have been opened, shared or clicked. With this feature, you can be able to plan on what step to take.

Provides best customer support


We can never be perfect in everything. This is why when you are choosing email service providers for business, you must look for one with full customer support service. Phone support can be very useful especially when you are faced with a problem and you are running out of time, you will not have to wait for your support providers to replay your mail after 2 hours. It will create a perfect channel for communication to sort out your issues. Options like social media support, community-based forums and blogs can also help many people. So invest on one with the best customer support option

Success story behind the email service provider.


If you need to succeed, then you must associate with the successful people. Choosing on a company like Microsoft 365 Malaysia that has shown long records of success can be helpful for your email marketing industry. This is because they know what it means to fail ort to win. They have all the strategies in place based on their longtime experience. If you need more about the company, then you can always check on what people say about it on the review pages, ask other business partners and read a testimonial about that company

Can the email hosting providers help you to archive your success goals?


If you need to get more out of such a company, then you will associate with one which can be able to give you a plan which is easy to follow. The email marketing plan can be useful as it helps you to be motivated, focused and accountable. So you are always good to make your choices

What is your budget?


Remember, this is business and what we need are results. You cannot spend more than what you can gain. The same applies here, do some research and find an email hosting providers which charges you within your budget plan. By so doing, you will be able to succeed with your email marketing

Conclusion


If you put all these factors into considerations, then we are very sure that you will always have the best email service providers for small business like Office 365 Malaysia. This is indeed the best option for those who do not seem to know the exact choice to make

inverse of a matrix 3x3 example