Panacea Journal of Medical Sciences

3-7

Authors: Padhy Gouri Kumari, Mishra Abhishek, Pal Anjali, Dash Shreemanta Kumar.

Violence against women is a global public health problem of epidemic proportion, requiring urgent action and India ranks 4th in the world as per recent statistics of rapes. An increasing trend in the incidence of rape has been observed during the periods 2010 - 2014. The reported figures are only the tip of the iceberg. Only 1% of sexual violence victims in India report the crime. The victims of sexual violence experience a wide range of physical and psychological problems. The number of disability-adjusted life years (DALY) lost by women for this is comparable to diseases such as tuberculosis, HIV, cardiovascular diseases or cancer. It contributed about 5% of the total global disease burden. The causes for this problem are multifaceted, so are the solutions. Fear of punishment cannot be the sole solution, as it may lead to increased rate of murder of victim to destroy evidence. Considering the rising incidences of sexual assaults in the society an attempt is made in this article to suggest some measures which can bring down these incidences. The role of yoga, meditation and moral education in different stages of life becomes very crucial in this context. But all these are long term interventions. Hence along with these measures some urgent steps need to be taken to tackle this problem. Measures like decriminalizing/ legalizing prostitution, cuddle cafe and phone sex are being used in some countries as newer approaches to satiate the desire for sex.

13-19

Authors: Choudhary Sumer, Abraham Rini, Tayade B, Khan Shafee, Doshi Virag, More Vishal.

COPD is a disease state that causes lot of human suffering, is now recognized as a common disease in developing countries and is one of the fastest growing chronic cause of death. Pulmonary function tests are essential for the diagnosis and evaluation of the severity of COPD but other measures of functional status such as dyspnoea, exercise performance and health status are important components of COPD that cannot be measured by this method. The COPD assessment test (CAT) is a new eight-item specific questionnaire and is intended to provide a short, simple and self-administered test for evaluating symptoms, in assessing the impact of COPD on health status (Quality Of Life) .This study shows the usefulness of CAT score in our region. The clinical characteristics, Gold Severity and FEVI 1 % of present study were compared with earlier studies of different countries. Total 70 patients with COPD were studied from May 2014 to September 2014. Detail clinical history was obtained. Assessment of symptom severity was made based on the CAT questionnaire. They were subjected to pulmonary function test (pre and post bronchodilator therapy) and oxygen saturation measurement. Majority of the patients were Male 42(60%). Total 41(58.6%) patients were smokers of which 36 (87.8%) were males. 18(25.7%) patients had positive history of Chula exposure of which 17(94.4%) were females Mean age of patients was 60.3 years SD 9.9, Mean FEV1 62.33 SD 18.2, and SPO2 94.2 SD 2.27. Patients were classified into two groups. Group 1 of low symptoms having CAT Score <10 and high symptoms Group2of patients having CAT score >10. More than half of the patients 80% had a high CAT score of >10 of Group 2. Most of the patients were of moderate obstruction50%. Patients in whom Forced expiratory volume in 1 s percent (FEV1%) predicted was significantly decreased had a significantly increased the CAT score (t = 2.67 p= .009). Patients with severe stage of the disease (as GOLD criteria) had high CAT score i.e. have a positive correlation whereas CAT score and FEVI % had inverse co relation. The mean FEV1% predicted was similar to France where as high compared to Germany, Netherlands, Spain and USA and lower than Belgium. The CAT questionnaire proves to be a sensitive test in detecting COPD health status as a simple and reliable tool. By the help of CAT questionnaire the patients and clinician’s awareness of COPD would be improved to make an early diagnosis thus providing a useful and objective tool for early recognition and long-term clinical and therapeutic monitoring of COPD patients especially in the clinical settings where spirometry is not yet available.

26-30

Authors: Vijay Nikita, Kumare Bhavna.

Labour is the most crucial period for the foetus to see whether it can sustain hypoxia due to stress of uterine contraction. Fetal surveillance during labour is a demanding and arduous task. However, the wellbeing of the foetus in labour is one of the cardinal concerns in obstetric care. The present study was carried out to determine the effectiveness of labour admission test in case of detecting fetal hypoxia in labour and to correlate the findings of the test with perinatal outcome irrespective of their antenatal risk status. A prospective observational study was undertaken in 100 pregnant women with 37 completed weeks of pregnancy in early stage of labour with cephalic presentation. Data generated was analysed statistically by nonparametric Chi-square test with SPSS package version10. Statistical significance was calculated between reactive and nonreactive group with p-value of < 0.05. The results of labour admission test were reactive in 77%, equivocal in 20% and ominous in 3%. Women with reactive LAT were observed low risk of developing intrapartum fetal distress (5.2%) as compared to 40% of equivocal and 66.7% of ominous group. The incidence of moderate to thick meconium stained liquor was significantly high in ominous (33.3%) and equivocal group (25%) as compared to reactive group (3.9%). The admission in neonatal intensive care unit (NICU) was significantly high in ominous test group (66.7%) as compared to those with equivocal (15%) and reactive (1.3%) test groups. Neonatal mortality was also observed in one (33.3%) baby from ominous test group. Operative delivery for fetal distress was observed in 3.9% of reactive group, in 40% of equivocal group and in 66.7% of ominous group. The labour admission test is a simple, suitable and economical viable test for the detection of intrapartum fetal distress in case of next few hours of labour in low resource countries where pregnant women presents first time labour or where the facilities of scalp pH is not available or the procedure is not done in labour wards.

34-36

Authors: Jain Aarushi, Kasulkar Arti, Mardikar PA.

Identity is a set of physical characteristics, functional and pathological, that defines an individual. The various identification data that can be used are fingerprints, handwriting, lip marks, DNA fingerprinting, etc. The present study was carried out in 100 undergraduate medical, dental and physiotherapy students to screen thumbprint patterns of various individuals, to screen ‘ABO’ blood groups of the same individuals, and to study the relationship between thumbprint type and blood group. We found that B +ve type was the commonest (53%), followed by O +ve (23%), and A positive (12%) and AB positive (8%). Loop pattern was commonest with blood group B +ve (25%), whorl pattern is found most commonly in blood group B +ve followed by blood group A and AB. We may conclude that there is an association between distribution of thumbprint patterns and blood group. Determination of blood group of a person is possible based on his/her thumbprint patterns.

40-43

Authors: Tyagi Sagar, Hans Parveen, Kumar Hemant, Mohan Virinder.

Ingestion of corrosive substances can produce severe injury to the gastrointestinal tract and can even result in death. The degree of damage depends on the type of the substance, morphologic form of the agent, and the quantity ingested. Long term complications include stricture formation, antral stenosis, gastric ulcers and the development of esophageal carcinoma. Three cases of corrosive poisoning diagnosed on the basis of barium studies and subsequent correlation with history of accidental corrosive intake in two and suicidal intake in one case are reported in this communication. The literature on the subject is scanty and hence the report.

46-49

Authors: Gajare Leena, Joshi Archana, Mahore Sadhana.

Primary fallopian tube carcinoma (PFTC) is a rare gynaecological malignancy. It presents as adnexal mass or tubo-ovarian abscess. It is rarely diagnosed preoperatively as there are no specific symptoms. PFTC resembles ovarian carcinoma both histologically and clinically. Although the aetiology of this tumour is unknown, it may be associated with chronic tubal inflammation, infertility, tuberculous salpingitis and tubal endometriosis. Very few cases of PFTC have been reported till date. Here we report a case of 50-year-old menopausal female with PFTC.