Scientists increase momentum to solve AIDS




WASHINGTON: The race to end AIDS has picked up momentum in the past two years as scientific advances offer new hope of halting the spread of the disease nearly three decades after the epidemic surfaced.

Human immunodeficiency virus is well known to attack the body's natural defenses, but it has proven such a wily foe over the past 30 years because of the way it transforms, replicates and hides inside the body.

Scientists are learning more about how the virus infiltrates cells, and how to harness the body's own natural defenses to guard against it in the hope of closing in on new vaccines, strong prevention treatments and possibly, a cure.

"We have seen the light at the end of the tunnel," said Anthony Fauci, head of the National Institute of Allergy and Infectious Diseases and a longtime leader in the fight to end AIDS.

According to Seth Berkley, president of the International Aids Vaccine Initiative, the "last two years have been the most exciting" because researchers have made the "biggest advances" in vaccines and preventions.

High on the list is work on broadly neutralizing antibodies, potent antibodies made by about 10-20 percent of people who are simply born with better natural defenses against HIV.

Scientists have now isolated 15 of these antibodies, and they are working backward to find ways to force the human immune system to produce them. When two are combined, they have been shown to block 90 percent of known HIV strains.

"The idea is if we could identify a strategy for the human host to be tricked into making broadly neutralizing antibodies, that is a huge step toward making a vaccine," said Myron Cohen, a leading AIDS researcher at the University of North Carolina at Chapel Hill. Cohen.

The use of drug therapy as a way to prevent HIV transmission has also gathered steam with a series of important clinical trials. (AFP)

Dairy products(cheese & butter) don’t raise heart attack risk




LONDON: Cheese and butter eaters worry no more as researchers found that eating dairy products do not raise the risk of heart attack.

The nutritionists examined thousands of old-aged people and came to know that even those who ate more than half a kilo of cheese did not put them under increased risk.

Things like milk and cheese are very complex substance, explained researcher Stella Aslibekyan from Brown University, Rhode Island, where the study was carried out.

The study suggested that nutrients like calcium, vitamin D and potassium present in the dairy products may protect against heart disease for all but those who ate the most of them.

10 Androids That Outmuscle the iPhone



Apple's iPhone had a good run atop the smartphone league, but 10 Google Androids aim to bury the leader this year. 
Motorola Mobility, Samsung, HTC and LG have promised to deliver supercharged, ultra-thin, 4G Android devices in the coming weeks and months.

The giant Android attack features bigger screens, better cameras, faster processors and speedier 4G connections than the upcoming iPhone.

The Android's phone screens, for example, start at 4 inches and go to 4.5 inches, advancing the size standard for this generation of touchscreens. By comparison, Apple's next iPhone is expected to have a 3.5-inch screen.
The new Androids are 4G phones either on AT&T HSDPA-Plus network or Verizon's LTE network, and four of the 10 will come with dual core processors.
Apple, on the other hand, is expected to upgrade to a dual-core processor this year, but the 4G LTE iPhone has been delayed to 2012, as first reported.
The presumed delay of the next iPhone from June to September, and the decision to wait a year on 4G LTE upgrade highlight just a few of the areas where Apple has been lagging behind the leaders in the Android pack.

Here's a look at the top 10 Androids that could dwarf the iPhone:

Nokia 3620
Samsung Nexus S

Samsung Nexus S, Sprint

This is Google's second run at making its own phone, only this time Samsung is manufacturing the device and Sprint is selling it. Two years ago, the Nexus One was made by HTC and sold online by Google.

The Nexus S runs on Google Android 2.3 Gingerbread operating system and works on Sprint's WiMax 4G service. Because it is a phone built to Google's specifications, it includes some of Google's favorite projects including NFC or near field communications that may one day allow phones to make purchases with a swipe at a sales counter.

Samsung Cleo
LG Optimus

LG Optimus

The LG Optimus is one of the sleeker members of the new Android class. Even though it has a 4-inch screen, the phone is nearly a third of an inch thick, and at 3.8 ounces, it is a full ounce lighter than the iPhone.
The LG Optimus runs on Android 2.2 or Froyo and is powered by a 1-gigahertz OMAP processor
Research In Motion BlackBerry 8700
Samsung Droid Charge

Samsung Droid Charge, Verizon


The Droid Charge runs on Android 2.2, has a 4.3-inch LED screen and is powered by a 1-gigahertz Samsung Cortex A8 processor. According to analysts, Samsung has built the phone to consume about half as much battery power than its 4G LTE predecessor the HTC Thunderbolt.


Nokia 3620
Samsung Function, Verizon

Samsung Function, Verizon

Samsung is pushing hard to get on the 4G LTE bandwagon The Function is a member of the Samsung Galaxy family and a follow up to the 3G Fascinate, which debuted last year at Verizon.
The Function is a truly muscular phone. It runs on Android Gingerbread, it is powered by a dual-core 1.2-gigahertz processor, with 1-gigabyte of memory and another 32-gigabytes of built-in storage. And the 8-megapixel camera shoots 1080p HD video.
The Function is due later this year, and depending on the timing, may be one of the more formidable opponents to the iPhone next iPhone.


Sony Ericsson t61z
Motorola Mobility Targa, Verizon

Motorola Mobility Targa, Verizon

Speaking of formidable, Motorola Mobility apparently wasn't happy with how the Bionic was coming together and reworked the phone under the code name Targa. Bionic was expected to be the blockbuster 4G LTE phone for Verizon from Motorola

,
Motorola Nextel i500
HTC Sensation, AT&T

HTC Sensation

When and if it arrives at T-Mobile, the HTC Sensation promises to be a big step up from the HTC Thunderbolt. And that's no small feat. The Sensation is expected to have one of the first dual-core 1.2-gigahertz Qualcomm Snapdragon processors, which holds big promise for Qualcomm.
The Sensation has a 4.3-inch display, a 8-megapixel camera and it runs on Android's Gingerbread operating system. The phone has an aluminum unibody structure, a trend Apple started with its laptops.


Motorola Flipout
LG Revolution, Verizon

LG Revolution, Verizon

LG's focus on feature phones made it a weak player in the smartphone game, but the Korean electronics giant now wants to make up for lost ground in the super-phone category.
The LG Revolution is the heaviest of the five Androids, weighing 6 ounces. But it carries the weight well in a sleek half-inch-thick form with a large 4.3-inch display screen.
The phone runs on Qualcomm Snapdragon 1-gigahertz processor and has a whopping 16 gigabytes of storage. It has two cameras, one front-facing for video chats and the rear a less-than-robust 5-megapixel shooter.
The Revolution is a 4G LTE phone that was expected to start selling at Verizon in the first quarter.

LG VX9800
Samsung Infuse, AT&T

Samsung Infuse, AT&T

Samsung seems to be trying extra hard to be the iPhone replacement for AT&T. By appearances, the Samsung Infuse looks very much like a large version of the iPhone 4, at least from the front.
Samsung had reasonable success with Android phones in its Galaxy series; with the Infuse, it hopes to take that one more step higher. The phone has a massive 4.5-inch super-AMOLED-plus screen that is designed to provide better resolution and easier daylight viewing.
The Infuse runs on a speedy 1.2-gigahertz Hummingbird single-core processor. Its front-facing camera is a wimpy 1.3-megapixels, but the rear camera captures 8-megapixels. The Infuse runs on the HSDPA-Plus wireless technology, which AT&T started calling 4G.
The Infuse, sort of like the 5-inch Dell Streak, attempts to push the limits of super-phone sizes in an effort to skirt the fringes of the larger tablet market.
AT&T starts selling the Infuse this spring.

 HTC Apache
HTC Thunderbolt, Verizon

HTC Thunderbolt, Verizon

We got our hands on the HTC Thunderbolt when it arrived in March. Its speed is astonishing, but its battery life is terrible.
The Thunderbolt has the best name of the new crop of 4G devices that Verizon has introduced so far. The Thunderbolt looks very much like HTC's popular EVO at Sprint, with the same convex back and kickstand.
The Thunderbolt runs on Qualcomm's 1-gigahertz Snapdragon processor, has a 4.3-inch screen and a front-facing camera as well as an 8-megapixel rear camera. All those specs, by the way, are identical to its 4G WiMax brother, the EVO at Sprint.
The difference with the Thunderbolt is that it runs on Verizon's 4G LTE network. The Thunderbolt arrived in March quarter and was hailed as the first Verizon 4G LTE phone.


LG VX9800
Motorola Atrix, AT&T

Motorola Atrix, AT&T

If there was one phone that caught the most attention at CES, it was the Motorola Atrix, which AT&T had been promoting like crazy.
This Atrix uses a dual-core Nvidia processor like its sister phone the Bionic, and has similar specs. But it also features 1-gigabyte of RAM, the same deployed by small laptops. And curiously, that's how Motorola is pitching this device -- as a pocket computer.
During the Motorola demonstration, the Atrix was docked in an empty laptop shell, which, powered by a keyboard and big screen, made the Atrix the core of a notebook computer. The Atrix is designed to serve as both your super-phone and through a docking system, your PC.
With processing power and memory comparable to a netbook, the Atrix may help push Motorola devices further into the workplace, bumping up against Research In Motion and Hewlett-Packard's Palm business.

dreamlike, ambitious `Tree of Life'


 

Gorgeous and ambitious, pretentious and baffling, tightly controlled yet free-flowing, "The Tree of Life" is unlike anything you've ever seen before. And yet it's very much the culmination of everything Terrence Malick has done until now - all four features he's made over the past four decades.

All his thematic and aesthetic signatures are there from earlier films like "Badlands" and "The Thin Red Line": the dreamlike yet precise details, an obsession with both the metaphysical and the emotional, an ability to create suspense within a languid mood.

It is simultaneously mesmerizing and maddening as it encompasses nothing less than the nature of existence itself. As writer director, Malick ranges far and wide, from intimate moments with a growing family in 1950s Texas to the dawn of time - complete with awesome images of the cosmos and, yes, those dinosaurs you've surely heard about - and back again.

"The Tree of Life" is deeply spiritual, but Malick isn't one to preach. Instead, he gives you the sense that he's genuinely asking questions to which the answers may be unknowable - he's putting them out there for himself, and for us all. Of course, we'll never know his intentions: Malick is notoriously elusive, which is admirable from an artistic perspective but probably frustrating for those who'd like to know what the hell he means by all this.

But if you're open to letting the imagery wash over you, to allowing yourself to get sucked into the film's rhythms and fluidly undulating tones, you'll be wowed. And even if you're not a spiritual person yourself, given to the kind of seeking that frequently marks the characters' voiceovers in "The Tree of Life," you're unlikely to find the film's religious themes alienating.

"Lord, why? Where were you?" wonders the mother in the family, played as an idealized vision of nurturing womanhood by Jessica Chastain. "Who are we to you? Answer me."

Malick offers an intriguing contrast between these heavy, eternal concepts and prosaic childhood memories: light, wispy snippets of sight and sound, of trees and sky and grass, of a mother's voice. (The technical elements here are just stunning, including Emmanuel Lubezki's cinematography, Jack Fisk's production design and Alexandre Desplat's score). These moments are intentionally impressionistic - and "The Tree of Life" feels defiantly plotless and, sometimes, self-indulgent - but they all represent an accurate depiction of how our early recollections can come back to us in fragments. Some are idyllic, while others are frightening.

Eventually, "The Tree of Life" becomes rooted in the reality of the O'Brien family: a father (Brad Pitt), mother (Chastain), and three little boys. Pitt makes the character an intimidating figure, a capricious mix of toughness and tenderness, and it's probably the best work of his career. Chastain, a relative newcomer to the screen, balances him out with sweetness and grace but also with a playful nature and an open, expressive face; you get the sense that she only wants happiness for her children, in whatever form it comes to them.

But Hunter McCracken, the young actor playing Jack, the eldest of the three sons, has a startlingly confident and commanding presence, especially given that this is his first film. McCracken more than holds his own opposite Pitt, with whom he repeatedly clashes: He's truly the star. Jack will grow up to be played by Sean Penn, a Houston architect who's still shaken by a family tragedy decades later. This is one of the chief weaknesses here: Malick has Penn available to him, and all he does is ask him to walk around moping in Armani suits.

Still, "The Tree of Life" changed my mood for the rest of the day, too - and when you see a lot of movies, most of which tend to flee your memory leaving nary a trace on your heart or mind, that's rare. And it can't easily be dismissed. (AP)

Forensic OSPE

                                       




                                            FORENSIC OSPE 2009


                      FORENSIC OSPE 2011


                      FORENSIC OSPE IMAGES



NOTE :Pathology And Pharmacology OSPE will  also be uploaded Soon.....so stay Tune
   

Slides

DOWNLOAD FIRST THREE LINK FOR GUIDE TO HOW TO IDENTIFY SLIDE THEN BELOW ARE GIVEN PICS OF SLIDES















SPERM
ANIMAL HAIR

ANIMAL HAIR1
CAMEL RBC

CHICKEN RBCS

COTTON FIBRE

HUMAN HAIR

HUMAN HAIR

HUMAN RBC

SHEEP RBCS

SPERM

Forensic Ospe 2009

Here is link of forensic ospe paper(pdf) 2009..Click on the link to download the file


Guide to ospe paper(model paper)

 Paper1


Paper 2


Paper 3


Paper 4


Paper 5


Paper 6


Paper 7


Paper 8


Paper 9




Forensic ospe 2011


FORENSIC OSPE
  • Exit wound characteristics
  • Cadaveric spasm M/L
  • Capsicum M/L Uses
  • Chicken;s RBCs Characteristic
  • X ray of fracture.....,jurh
  • human hair slide
  • Muskit,firearm
  • characteristic of incised wound
  • Male orbit characteristic
  • Methods of abortion,abortion sticks
  • Emmenoagues.......
  • finger prints






Forensic Ospe:
  • Absorbtion spectrum,diff b/w oxy hb nd carboxy hb,caboxyhb test,animal hair specimen,
  • incised wound chracteristic,firearm,crotton oil fatal doz,period,active priciple
  • charas active priciple,Runamoke,Finger prints
  • Cadavaric spasm its M/L imp,wound of exit chracteristc
  • arsenic ka anyidote,fatal period,capsicum k 2 active principle nd uses,chicken RBCs
  • condition in whch human rbc r nucleated,skull,x.ray
  • slide prep of human hair......




    • mercury .. fatal perod AND MEDICOLEGAL SIGNIFICENCE
  •  firearm or musket.
  •  jurh jaifa  complicatns,
  • difference bw hanging and and strangulation, 
  • sex determnaton of saccrum,& medicolegal imp
  • tests for organic poisons, 
  • puterfactive changes in tatoo marks, 
  • obsrvd mein finger printing or
  •  specimen sending to chemical examiner
KEY"

Emmenagogues are herbs which stimulate blood flow in the pelvic area and uterus; some stimulate menstruation.

A musket is a muzzle-loaded, smooth bore long gun, fired from the shoulder.

The appearance of nucleated red blood cells (NRBC) in the circulation is associated with a variety of severe diseases, a malfunction of the bone marrow leads to this phenomenon is as unknown as the possible role that cytokines could play in this process. In critically ill patients.



Justin Bieber: 7th most popular woman on the web





COEDMagazine.com has revealed the 50 most popular women on the web according to Google search.
The top spots aren’t terribly surprising — #1 Lady Gaga, #2 Ke$sha, #3 Madonna. But scroll down a bit, and you might be alarmed to discover who occupies the #7 spot: Justin Bieber. Young Bieber’s name appears 34,200,000 times when searched and, while he’s not, in fact, a woman, he does have a high-pitched voice and is often mistaken for a lesbian. In fact, the 16-year-old has a huge fan base of lesbians who call themselves Biebians, and who claim they look like him 
We can’t say whether or not Bieber minds that he’s considered a woman by the magazine, but we bet not, as he seems pretty high on life. Tabloids now report that he might be dating the lovely Selena Gomez, and he recently told Vanity Fair, “if I walked down the street and a girl saw me, she might take a look back because maybe I’m good-looking, right?” So modest.

'Pirates' is box office gold






 LOS ANGELES: The fourth installment in the "Pirates of the Caribbean" series captured $90 million in box office treasures as Jack Sparrow's latest adventure debuted at number one, Sunday estimates said.

In "Pirates of the Caribbean: On Stranger Tides," Johnny Depp's character looks to get "savvy" with the Fountain of Youth. Penelope Cruz, Geoffrey Rush and Ian McShane co-star in the Disney romp, which has earned mixed reviews from critics.

The $90.1 million North American take was enough to knock "Thor" off its throne, according to estimates from industry tracker Exhibitor Relations.

The surprise hit "Bridesmaids" held onto the second spot, grossing $21 million in its second week. The comedy about an oddball group of women preparing for their wedding day supporting roles has earned $57.5 million total.

After two weeks on top, "Thor," starring Chris Hemsworth as the epic hero banished to Earth from the mystical world of Asgard, slipped to third, earning $15.5 million and raising its three-week total to $145 million.

"Fast Five" kept its engine revving by picking up $10.6 million. The fifth volume in the high-speed car chase series, which added action star Dwyane "The Rock" Johnson this time around, has grossed $186 million in a month.

In the fifth spot was "Rio," a family-friendly tropical bird comedy which took $4.65 million for a total of just over $131 million over its six-week run.

Horror flick "Priest" starring Paul Bettany on the hunt for vampires who kidnapped his niece fell two spots to number six. It grossed $4.6 million in its second week.

"Jumping the Broom," about two African-American families meeting for a wedding, earned $3.7 million, slipping one spot to seventh.

Next was romantic comedy "Something Borrowed" with $3.4 million, followed by Depression-era romance "Water for Elephants" with $2.1 million. Rounding out the top 10 was "Madea's Big Happy Family," which took in just under $1 million. (AFP)

Popular Cannes film reflects 'Arab Spring' spirit



Popular Cannes film reflects  CANNES: A film about a woman taking a stand against men in a North African village won cheers in Cannes Saturday, with some viewers moved by its expression of the spirit of the "Arab Spring" uprisings.

A small handful of critics also booed during the packed screening of "The Source," directed by Radu Mihaileanu, later telling journalists they found its depiction of Arab life over simplistic.

But the overwhelming majority of critics in the audience praised its resonance with real-life events, saying they would not be surprised to see it scoop a big prize at the annual film festival.

The Source was the last of 20 films shown in the festival's main competition ahead of the closing ceremony Sunday where the awards will be announced including the Palme d'Or for best picture.

Also premiered Saturday was "Once Upon a Time in Anatolia," a slow-paced, subtle examination of cruelty and betrayal by Nuri Bilge Ceylan.

The Source opens by declaring itself a fairytale in which Leila, the beautiful and feisty wife of teacher Sami, declares a "love strike," or ban on all sex, until the men in her village agree to carry the water from a spring high in the mountains.

In a time of economic hardship and unemployment, men sit and sip tea all day while women lug heavy loads up steep paths.

Leila decides to take a stand when her friend falls and loses her baby.

Men and women fall out, with violent consequences. Women bicker about the value of tradition over change while conservative clerics try to exploit the village's divisions.

"NEED FOR MORE REVOLUTIONS"

Mihaileanu, a Romanian-born French director, told a news conference in Cannes that the film was partly a reflection of the recent uprisings in Tunisia and across the Arab world.

"There has been tremendous hope since last December. There is hope for freedom and a strong desire to get rid of those in power and there is the idea of people deciding their own destiny," he said.

He added that revolution on the streets of Egypt, Tunisia, Syria and Bahrain had yet to be matched by a change in people's homes.

"There is a second revolution which is essential, which is the revolution in the home, and the place of women in the family. Women should be made equals at home as well."

The director, who is Jewish, said the idea for the film came from a true story in Turkey.

Leila leads the battle in the village, confronting the village imam and quoting from the Koran in defense of her case.

She is defended by one of the film's most colorful characters -- Mother Rifle, whose words are "like bullets," played by Algerian actress Biyouna.

Turkish entry One Upon a Time in Anatolia follows a group of police officers and a doctor as they look for the corpse of a murder victim buried in the countryside.

Light on plot, it has nonetheless won over critics with its craftsmanship. (Reuters)

'Tree of Life' takes top honour at Cannes film festival



 CANNES: "The Tree of Life", an epic and ambitious coming-of-age film that took years for enigmatic US director Terrence Malick to bring to the screen, won top honours Sunday at the Cannes festival.

Kirsten Dunst took best actress for her role in Lars von Trier's apocalyptic psychodrama "Melancholia" while France's Jean Dujardin claimed best actor as the leading man in Michel Hazanavicius's silent movie "The Artist".

Malick, 67, notoriously publicity shy, was not present to accept one of the most coveted prizes in cinema, leaving one of his co-producers, Bill Pohlad, to speak on his behalf.

"I know he is thrilled with this award, as are all of us," said Pohlad at the climax of a fast-moving twilight gala awards ceremony that brought down the curtain on the 64th edition of the 12-day film festival.

"'The Tree of Life' was a long road," he said of the richly textured story of a tyrannical father, portrayed by Brad Pitt, and his family of three sons in a Texas town in the 1950s. Sean Penn played the eldest son as an adult.

"About a year ago at this time (when it was expected to screen at Cannes), it seemed even longer, but coming here and having this happen and getting this award tonight has made it all worthwhile."

The verdicts of a nine-member jury led by US acting legend Robert De Niro capped a festival that was overshadowed by the organisers' decision to bar von Trier over remarks he made -- meant in jest, he said -- about Adolf Hitler.

"Well, what a week it's been," said Dunst, 29, who had looked uncomfortable when the Danish director uttered his controversial words at a press conference, but who Sunday was flushed with joy as she accepted her laurel.

She portrayed one of two sisters -- the other played by Charlotte Gainsbourg -- who react differently as Earth is about to be destroyed in a collision with another planet.

Forty-year-old Danish director Nicolas Winding Refn won the best director prize for his high-octane film noir "Drive" about a stuntman who moonlights as a getaway car driver in Los Angeles.

Refn came well-prepared for his moment of glory, reading his list of people to thank from his iPhone -- a list that veered wildly from his mother to "the Russian oligarchy" to his Canadian star Ryan Gosling.

The runner-up Grand Prix award was shared by two-time Palme d'Or winners Jean-Pierre and Luc Dardenne for "The Kid With a Bike" and Turkish director Nuri Bilge Ceylan for the police drama "Once Upon a Time in Anatolia".

French actress-turned-director Maiwenn, 35, won the jury prize for the third police story to get a Cannes gong, "Poliss".

She was overwhelmed with emotion as she ran breathless onto the stage in an off the shoulder red gown and thanked, among others, the Paris police child protection unit that she had shadowed day and night to develop her story.

Twenty features vied for top honours at the world's premier film festival, the lion's share of them this year from European directors, with relatively few from Asia-Pacific and none from Latin America.

Dujardin, 38, collected the best actor prize for his portrayal of a vain Hollywood star of the late 1920s in Hazanavicius's delightful and successful attempt to recreate the magic of silent black-and-white movies.

"I thought it would never be made," Dujardin, one of France's biggest stars but almost unknown abroad, told reporters. "You really had to believe in it."

Israeli director Joseph Cedar, 42, clinched the best screenplay prize for "Footnote", which recounts the decades-long rivalry between a father-son pair of Talmudic scholars.

Picking the winners with De Niro was a jury that included Hollywood stars Jude Law and Uma Thurman, Hong Kong's Johnny To and Shi Nansun, and Norway's Linn Ullmann, daughter of Liv Ullmann and Ingmar Bergman.

De Niro told reporters after the ceremony that "The Tree of Life" had "the size, the importance, the intention, whatever you want to call it, that seemed to fit the prize".

Festival-goers agreed that this year's edition surpassed last year when foul weather, a weak global economy and an Icelandic volcano that wreaked havoc on European air travel all conspired to put a damper on proceedings.

But it fell to von Trier, 55, a Palme d'Or winner in 2000 with "Dancer in the Dark", to add the missing ingredient of controversy when he was asked about his belated discovery of his German heritage.

"I really wanted to be a Jew and then I found out that I was really a Nazi," said the film-maker notorious for black humour and political incorrectness.

Von Trier later apologised, but it failed to stop festival organisers declaring him "persona non grata" -- in effect, telling him to keep away from awards night -- while retaining his film in competition.

Last year saw the Palme d'Or go to Thai director Apichatpong Weerasethakul for "Uncle Boonmee Who Can Recall His Past Lives". (AFP)

Lady Gaga hatches new album, to mixed reviews

 

Lady Gaga hatches new album, to mixed reviews LOS ANGELES: Pop provocateur Lady Gaga unveils her second full-length album this week, three years after taking the music world by storm -- but while sales will likely be huge, early reviews are mixed.

True to her social media-friendly form, the 25-year-old is releasing "Born This Way" in unconventional style by posting some songs on online social game Farmville ahead of Monday's launch, as well as other singles already issued.

The title track was released in February, shortly before Gaga -- real name Joanne Angelina Germanotta -- caused a storm by turning up inside a giant translucent egg at the music industry's annual Grammys awards show.

"I want to celebrate and share 'Born This Way' with my little monsters in a special way that's never been done before," Gaga said of the release of excerpts on her in-game "GagaVille" farm last week.

Her "little monsters" are the legions of fans who worship the star, whose hit singles from her first album, "The Fame," included "Bad Romance," "Paparazzi" and "Poker Face."

Gaga has sold over 15 million albums and 51 million singles worldwide, won five Grammys and was included in Time's list of the most influential people and the top 10 of Forbes' world's "100 Most Powerful Women," her website says.

Compared by some to chameleon-like pop legends David Bowie and Madonna, she has rocketed into the pop stratosphere despite only having made one full-length album, "The Fame" in 2008, followed by 2009's eight-track "The Fame Monster."

So the spotlight on her new record is intense.

But despite a massive publicity blitz and the likelihood that her fans will buy it in huge numbers whatever critics say, pre-release reviews have been decidedly mixed.

Britain's Guardian newspaper gave it four out of five stars, lauding Gaga as "the most exciting, confounding and mind-bogglingly creative artist on planet pop," while MTV talked about the album's 14 "darkly sumptuous tracks."

But Entertainment Weekly, noting that the album has leaked online already, called in "an inconsistent blend of icy techno-pop and greeting-card empowerment that's more a triumph of production than songwriting."

The LA Times sniffed: "Say what you want about Lady Gaga, but nuance is not one of her strong points, nor is musical adventure. She's unsubtle in her message, unsubtle in her dress, and most important, unsubtle aesthetically."

The New York-born star's ability to drive fans into a frenzy is already legendary, helped by her being a leader of the first generation of stars to use social media to connect with her audience.

Last week she became the first person with more than 10 million followers on Twitter, while she was the first artist to top a billion views on video sharing website YouTube.

The singer has quickly become part of the pop star firmament: in April Elton John revealed that he and his partner David Furnish had chosen Lady Gaga to be their newborn baby boy's godmother.

She has also made waves on political issues: in November she used her celebrity platform to press for repeal of a US law forbidding gays from serving openly in the military.

But for all her ubiquity, critics say she should focus on the music.

"If Gaga had only spent as much time on pushing musical boundaries as she has social ones, 'Born This Way' would have been a lot more successful," said the LA Times.

The Washington Post's reviewer was more blunt, lamenting: "Whether by fluke, curse or cosmic coinky-dink, Lady Gaga's new music is everything that she's not. It's boring." (AFP)

INGUINAL HERNIA EXAMINATION SCEHEME


Hernia Examination
Always start with the patient STANDING

Inspect standing

- Exposure is very important – ensure you can see from umbilicus to knees at
least!
- Look in the groin for evidence of a swelling – if you cant see one, then ask the
patient which side they have noticed a lump
- Look for evidence of previous hernia surgery – oblique scar often well hidden
in pubic hair line
- Any other obvious skin changes, swellings, lumps that may be relevant
- Ask the patient to look over their shoulder and cough (so they don’t cough into
your face!)
- As they cough, look at the lump to see if there is a cough impulse

Palpate standing

- Palpate the swelling
- Can you get above it (suggesting originates in scrotum/spermatic cord e.g.
hydrocoele)
- Does it feel soft, fluctuant, Pulsatile etc.
- Ask the patient again to cough, palpating for a cough impulse
- Ensure that you feel the opposite side, as bilateral hernias are very common,
often one being much more prominent

Auscultate

- Take this opportunity to auscultate the lump, as if it is readily reducible, there
will be nothing to listen too when the patient lies down.

Lie the patient down

Inspection

- Again, inspect the groin to ensure there is nothing missed from standing
inspection.
- Offer to palpate the abdomen for any cause of raised intra-abdominal pressure
such as ascites or mass, which can predispose to herniation

Palpation

- Having identified a hernia, the next task is to assess if it is indirect or direct.
- Ask the patient if they can reduce the hernia, if it has not done so by being
supine – NEVER do this standing as it is painful.
- Palpate the groin to assess if the hernia has completely reduced
- Warn the patient that you will palpate some bony points
- Feel for the anterior superior iliac spine and the pubic tubercle (delineating the
inguinal ligament – as opposed to the ASIS to pubic symphysis, to identify the
mid-inguinal point, the landmark for the femoral artery)
- Palpate the midpoint of the inguinal ligament (the surface landmark for the
deep inguinal ring) and ask the patient to cough
- If the hernia is CONTROLLED by pressure over the deep inguinal ring, it
suggests that the hernia is indirect.
- In order to confirm that you were in fact controlling the hernia, ask the patient
to cough without pressure to ensure that the hernia now appears.
- Offer to examine the scrotum, where you should palpate the testis and
epididymis (my finals hernia case had epididymal cysts which were expected
to be found)
That completes the examination of the hernia, but offer to examine the abdomen for
masses etc.
People often find hernias difficult as there is not much opportunity to practice –
however, as finals loom ensure you seek out hernia lists in day surgery as these cases
often come up.


Some theory

Hernia = protrusion of viscus through the confines of the cavity within which the
viscus normally lies

There are many types of hernia – ensure you are aware of the following types
- Inguinal – see below
- Femoral
o 1/3 hernias in women – i.e. more common in women but inguinal still
commoner
o Rare in males
o Arise inferiorly and laterally to the pubic tubercle
o More rigid boundary - inguinal ligament, pectineal ligament, lacunar
ligament and femoral vein being the boundaries
o More likely to strangulate
o Can be ‘richter hernia’ where a knuckle of bowel wall is trapped rather
than the entire circumference
o Can present as obstruction with no localising signs
- Sphigelian
- Umbilical
- Para-umbilical
- Epigastric
- Lumbar
- Obturator
- Hiatus

Inguinal hernias

These are the commonest type of hernia in both males and females.
Indirect – hernial sac passes through the deep inguinal ring, through the inguinal canal
and can pass into the scrotum. These tend to be found in younger men
Direct – hernial sac passes directly through the transversalis fascia and rarely pass
into the scrotum. These tend to be more prevalent in the older man. More precisely,
direct hernias pass through Hasselbachs triangle, delineated by the inferior epigastric
artery laterally, the rectus abdominus muscle medially and inguinal ligament
inferiorly.
In the exam, it would be prudent to comment that although your clinical findings
suggest that this is an indirect/direct hernia, this can only be confirmed at operation.
The precise definition of direct vs indirect is in relation to the inferior epigastric
vessels. Direct hernias arise medially to these vessels and indirect laterally.
It would be worth revising the anatomy of the inguinal canal and the contents of the
spermatic cord:
- 3 arteries – testicular artery, artery to vas, artery to cremaster
- 3 nerves – genital branch of genitofemoral, sympathetics and ilioinguinal (this
nerve actually travels WITH the spermatic cord rather than within
- 3 others – vas deferens, lymphatics, pampiniform venous plexus
- Some also include the 3 layers of fascia.

Common exam questions

1. What is the difference between indirect and direct? – see above
2. Discuss anatomy of inguinal canal
3. What investigation could be performed if unsure if hernia? – ultrasound is
often used if it is unclear if there is a hernia or not
4. What is the management?
- The answer should be repair of the hernia, as there is a risk of the hernia
becoming strangulated – unless there are contraindications to surgery –
however the repair can even be done under local anaesthesia
5. What are the operative options?
- There is the option of performing the repair open (Lichenstein procedure)
or using a pre-peritoneal laparoscopic approach which has the advantage in
bilateral hernias to do both with the same incision, and in redo operations.
The ‘pre-peritoneal’ means that the peritoneum is not breached.
Laparoscopic surgery is becoming more popular and is associated with
sooner return to work. Both types can be done as day surgery. The
principal of both types is the use of ‘tension free mesh repair’, whereby a
mesh is used to incite a fibrous reaction to create a strong barrier to
herniation that doesn’t rely upon the tension of sutures closing the defect
6. What is the differential diagnosis of a lump in the groin?
- Approach this systematically:
o Skin – sebaceous cyst
o Subcutaneous – lipoma, fibroma
o Arterial – femoral pseudo/aneurysm
o Venous – saphena varix
o Lymphatic – lymphadenopathy
o Psoas abscess
o Hernia – inguinal, femoral
o Ectopic testis

Justin Bieber, Selena Gomez To Present At Billboard Music Awards




It looks like Justin Bieber and Selena Gomez will be working on their next date night. The two teen stars have been announced as presenters at the 2011 Billboard Music Awards taking place this Sunday,
Other big names on hand to present include Kylie Minogue, Jada Pinkett Smith, Joe Jonas, Keri Hilson, Marc Anthony, "Glee" star Matthew Morrison, Nas, Scott Weiland, Tim Allen, Travis Barker, Trey Songz and "Modern Family" star Rico Rodriguez.
Rihanna, Jennifer Lopez, the Black Eyed Peas, Taio Cruz, Keith Urban and Lady Antebellum have all been tapped to perform at the show, which will air live on ABC from the Las Vegas MGM Grand.
Big nominees for the night include Rihanna (with a whopping 18 nods), Eminem, Lady Gaga, Bruno Mars and Justin Bieber. Bieber, Taylor Swift, Eminem, Rihanna and Gaga all face off for the night's big honor of Top Artist. As for the Top New Artist category, Bieber will be up against Taio Cruz, Ke$ha, Bruno Mars and Nicki Minaj.
Beyoncé will be honored with the Billboard Millennium Award as she amps up to drop her forthcoming album 4. Billboard named Beyoncé their Woman of the Year in October 2009 and Top Female Artist of the Decade in December 2009. This year, she will be honored for her work both as a solo artist and as a founding member of Destiny's Child.

Study urges three-year gap in cervical cancer test



 WASHINGTON: Healthy women over 30 who test negative for human papilloma viruses (HPV) may be able to safely extend the period between gynecological exams from every year to three years, said a US study Wednesday.

"Our results are a formal confirmation that the three-year follow-up is appropriate and safe for women who have a negative HPV and normal test result," said lead study author Hormuzd Katki.

The study followed 331,818 women who enrolled in a northern California testing program by Kaiser Permanente between 2003 and 2005, and followed them for five years.

Among women who had a normal Pap smear and tested negative for HPV, which can cause cervical cancer, the five-year cancer risk was "very low: 2.3 per 100,000 women per year," it said.

During a Pap smear, which all women should get annually, a doctor collects a sample of tissue from the woman's cervix and sends it to a lab for examination and to check for any abnormal cells.

A separate test for HPV is also done during a woman's annual gynecological appointment. It often uses the same cell sample but looks specifically for signs of the virus.

HPV is sexually transmitted and most of the time the body can clear it on its own.

However, in some cases the infection remains and can eventually lead to cervical cancer.

Women over 30 who test positive for HPV are usually retested in six months to see if the infection has cleared.

The researchers said that when comparing the two tests, the HPV test alone "identified more women at high risk for cervical cancer than Pap tests."

"These results also suggest that an HPV-negative test result alone could be enough to give a high level of security for extending the testing interval to every three years," said Katki.

More study is needed however to determine whether such recommendations should extend to the general population, the researchers noted.

"But we'll need additional evidence from routine clinical practice, and formal recommendations from guideline panels before that can be routinely recommended."

The Pap smear, invented in 1943, has reduced the number of cervical cancer cases but has not eliminated them -- some 11,000 women in the United States are diagnosed with cervical cancer each year. (AFP)

New `Pirates' sails old familiar, seas



New `Pirates At two hours and 16 minutes, "Pirates of the Caribbean: On Stranger Tides" — the fourth film in the ridiculously successful Disney franchise — is the shortest in the series. But it still feels overlong and overstuffed: needlessly convoluted yet, at the same time, phoned-in.

And the fact that this one's in 3-D — because everything's in 3-D, silly thing — does nothing to liven up the action. Those three-dimensional digital effects mainly consist of various swords and snakes and such being flung at our faces.

Boo! Did you jump?

That's not to say this summer behemoth doesn't have its thrilling moments. Rob Marshall ("Chicago," "Nine") takes over for Gore Verbinski, who directed the first three "Pirates" movies, and his knack for choreography comes shining through in individual set pieces. An early chase sequence, in which Johnny Depp as the randy Capt. Jack Sparrow escapes the clutches of the puffy, bloviating King George II (Richard Griffiths), is expertly staged. Jack swings from chandeliers and hangs from ropes, straddles moving carriages and steers a cart full of flaming coal, and we're right there alongside him every breathless step of the way.

Similarly, a nighttime attack by mermaids — beautiful, seductive, deadly mermaids with razor-sharp teeth — provides a jolt. Because what's hotter than mermaids, except maybe naughty vampire mermaids? And the first time Jack crosses paths (and swords) with his old flame Angelica, played by a spirited Penelope Cruz, it's in a lengthy, fluid battle across beams and atop barrels. (Oddly, Cruz and Depp, who co-starred together in 2001's "Blow," don't have a whole lot of chemistry once they have to actually stop and talk to each other.)

It's everything that happens in between, all the chatter and the exposition, that make the latest "Pirates" such a repetitive bore.

Depp's performance, which seemed like such a free, goofy, inspired bit of work when the first film came out back in 2003, now feels so dialed-down and obvious, it's as if he could do it in his sleep. With the (unexplained) absence of Orlando Bloom and Keira Knightley this time around, Depp's Sparrow is now front and center — he's almost the voice of reason — rather than the bejeweled and eyelinered clown riffing in the corner, commenting in the action.

As for the plot — not that it matters, really — this time the script from Ted Elliott and Terry Rossio centers on a search for the fabled Fountain of Youth. Jack has no ship anymore, so when Angelica kidnaps him and drags him aboard the Queen Anne's Revenge, the ship belonging to the fearsome Blackbeard (a constrained Ian McShane), he's stuck going along for the ride.

Blackbeard seeks the fountain after receiving a prophecy that he's going to die in two weeks. But the Spanish are after it, too. And so are the English, led by Jack's deceitful old nemesis Barbossa (Geoffrey Rush).

Did we mention that there are zombie pirates aboard Blackbeard's ship? The fact that they're zombies makes no sense at all — I mean, come on, wouldn't they be trying to eat the brains of the living pirates at every opportunity? — and feels like yet another attempt to inject arbitrary weirdness in the place of genuine inspiration.

Also on board is a hunky man of faith with just the right amount of facial scruff named Philip (Sam Claflin), who falls for one of the mermaids (Astrid Berges-Frisbey), who's been taken prisoner because her tears are required to activate the Fountain of Youth waters. (Don't ask.) Ostensibly, this relationship is intended to replace the young-people-in-love subplot that Bloom and Knightley provided, but it's so full of banal angst, it feels a little too much like something you'd see in the "Twilight" series.

But surely that's coming in the fifth Pirates movie: sexy werewolves.

"Pirates of the Caribbean: On Stranger Tides," a Walt Disney Pictures release, is PG-13 for intense sequences of action/adventure violence, some frightening images, sensuality and innuendo. Running time: 136 minutes. One and a half stars out of four. (AP)

Rare Heart surgery performed at Sharif Medical City Hospital

LAHORE – Head of Sharif Medical City Hospital’s Heart Surgery Department, Prof Mazhar-ur-Rehman conducted a successful operation of a complex and rare heart disease “Hypertrophic Obstructive Cardiomyopathy” (HOCM) of a 31-year-old patient Asif Ali, a second operation of its nature in Pakistan.
Project director Sharif Medical City Hospital Prof Dr Naseeb Awan told that Prof Mazhar also performed the same surgery of a patient in the Sharif Medical City Hospital in early 2006.
On this occasion, Prof Mazhar told that in this disease, a muscle inside the heart becomes thick and large causing obstruction to the flow of blood to human body. He said that this disease was the main cause of sudden death in youngsters. He said that his team done this operation free of cost. He said that the extra muscle was removed to release the obstruction and the patient was recovering fast now.
He said that this was the second case of HOCM conducted here and Sharif Medical City Hospital had become a HOCM heart surgery centre now. The younger brother of the patient Muhammad Amjad told that he contacted the doctors in Lahore and Karachi for the surgery of his brother but most of the doctors refused to perform the surgery due to risk factor.

Jolie Bosnia movie gets Dec. release

 

Jolie Bosnia movie gets Dec. release LOS ANGELES: Angelina Jolie's directorial debut -- a controversial movie set in wartime Bosnia -- has a name and a release date.

"In the Land of Blood and Honey" will be released in the United States on December 23, producers said in a statement on Monday, just in time for Oscar consideration.

"The film is specific to the Bosnian War, but it's also universal," Jolie said in a statement. "I wanted to tell a story of how human relationships and behavior are deeply affected by living inside a war."

Jolie, who also wrote the screenplay, last year described the then untitled movie as a love story between a Serbian man and a Bosnian woman on the eve of the 1992-95 Balkans conflict, in which 100,000 people died.

But it caused controversy in Bosnia with some female victims of sexual violence objecting to details in the plot and Bosnian authorities canceling a filming permit. As a result, some scenes scheduled to be shot in Sarajevo were moved to Budapest, Hungary.

Jolie, who won a supporting actress Oscar for "Girl, Interrupted", and who is a United Nations goodwill ambassador, has asked the people of Bosnia to withhold judgment until they see the completed film.

"In the Land of Blood and Honey" features a local cast, and was shot in both the English and Serbo-Croat languages.

Producers Graham King and Tim Headington on Monday called it a "bold new film (which) illustrates the consequences of the lack of political will to intervene in a society stricken with conflict." (Reuters)

Veena Malik injured in car crash




ISLAMABAD /LAHORE: Actress Veena Malik has suffered injuries in a car crash while travelling from Islamabad to Lahore.
According to latest information available, her car crashed on the motorway while travelling from the Federal capital to the provincial capital on Monday night.
The extent of her injuries could not be immediately confirmed, nor the nature or cause of crash.
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