Many people with HIV
do not know they have it. The number of people with HIV is unknown.
Some of the infections and cancers that people with AIDS get are
not common. People who have good immune systems do not get these
diseases. Many of these diseases are called AIDS defining illnesses.
In medicine, transmission is the passing of a disease from an infected
individual or group to a previously uninfected individual or group.
The microorganisms (bacteria and viruses) that cause disease may
be transmitted from one person to another by one or more of the
following means:
· droplet contact - coughing or sneezing
on another person.
· direct physical contact - touching an
infected person, including sexual contact.
· indirect contact - usually by touching soil contamination
or a contaminated surface.
· airborne transmission - if the microorganism can remain
in the air for long periods.
· fecal-oral transmission - usually from contaminated food
or water sources
· vector borne transmission - carried by insects or other
animals .
A hypodermic needle is a hollow needle commonly used with a syringe
to inject substances into the body. They may also be used to take
liquid samples from the body, for example taking blood from a vein
in venipuncture.
A hypodermic needle is used for instant delivery of a drug, or when
the injected substance cannot be ingested, either because it would
not be absorbed (as with insulin), or because it would harm the
liver (as with testosterone). There are many possible routes for
an injection.
The diameter of the needle is indicated by the needle gauge. Various
needle lengths are available for any given gauge. There are a number
of systems for gauging needles, including the Stubs Needle Gauge,
and the French Catheter Scale. Needles in common medical use range
from 7 gauge (the largest) to 33 (the smallest) on the Stubs scale.
Twenty-one gauge needles are most commonly used for drawing blood.
Although reusable needles remain useful for some scientific applications,
disposable needles are far more common in medicine.
The twentieth century saw a remarkable shift in the way that vast
numbers of people lived, as a result of technological, medical,
social, ideological, and political innovation. Arguably more technological
advances occurred in any 10 year period following World War I than
the sum total of new technological development in any previous century.
Terms like ideology, world war, genocide, and nuclear war entered
common usage and became an influence on the lives of everyday people.
War reached an unprecedented scale and sophistication; in the Second
World War (1939-1945) alone, approximately 57 million people died,
mainly due to massive advances in weaponry. The trends of mechanization
of goods and services and networks of global communication, which
began in the 19th century, continued at an ever-increasing pace.
One million (1,000,000), or one thousand thousand, is the natural
number following 999,999 and preceding 1,000,001.
In scientific notation, it is written as 106. Physical quantities
can also be expressed using the SI prefix mega, when dealing with
SI units. For example, 1 megawatt equals 1,000,000 watts.
The million is sometimes used in the English language as a metaphor
for a very large number, as in "Never in a million years"
and "You're one in a million", or a hyperbole, as in "I've
walked a million miles". Hence, a millionaire is a rich person,
no matter the actual currency or the exact quantity. Il Milione
is the title of Marco Polo's narration of his travel to China. The
name is supposed to come from Polo's nickname after his tales of
riches and multitudes.
The word "million" is common to the short scale and long
scale numbering systems (and also to the proposed Rowlett numbering
system), unlike the larger numbers, which have different names in
the two systems.
Antiretroviral drugs are medications for the treatment of infection
by retroviruses, primarily HIV. Different classes of antiretroviral
drugs act at different stages of the HIV life cycle. Combination
of several (typically three or four) antiretroviral drugs is known
as Highly Active Anti-Retroviral Therapy (HAART).
Organizations such as the National Institutes of Health (Bethesda,
Maryland, USA) recommend offering antiretroviral treatment to all
patients with HIV-related symptoms. However, because of the complexity
of selecting and following a regimen, the severity of the side effects,
and the importance of compliance to prevent viral resistance, such
organizations emphasize the importance of involving patients in
therapy choices and recommend analyzing the risks and the potential
benefits to patients without symptoms.
Synergistic enhancers either do not possess antiretroviral properties
alone or are inadequate or impractical for monotherapy, but when
they are taken concurrently with antiretroviral drugs they enhance
the effect of that drug (often by altering the metabolism of the
other antiretroviral). These include ritonavir. Ritonavir is per
se an antiretroviral drug which belongs to the class of protease
inhibitors. It can however be administered at a "baby"
dosage to reduce the liver metabolism of other antiretroviral drugs.
Combinations of antiretrovirals create multiple obstacles to HIV
replication to keep the number of offspring low and reduce the possibility
of a superior mutation. If a mutation arises that conveys resistance
to one of the drugs being taken, the other drugs continue to suppress
reproduction of that mutation. With rare exceptions, no individual
antiretroviral drug has been demonstrated to suppress an HIV infection
for long; these agents must be taken in combinations in order to
have a lasting effect. As a result the standard of care is to use
combinations of antiretroviral drugs. Combinations usually comprise
two nucleoside-analogue RTIs and one non-nucleoside-analogue RTI
or protease inhibitor. |