Gender Differences in the Microanatomy of Skin of Palm in Humans

Knowledge of basic elements provides opportunity to make clear vision of structure of any organ. It is well known that accurate values of thickness of epidermis of skin and its variation with body site, age and sex are important in the fields of medical and biological research. The variations in skin reaction to certain stimuli could be due to biological factors such as the epidermal thickness, dermal thickness, distribution of epidermal appendages etc. Methods: Skin was procured from palm of six freshly embalmed human cadavers. Out of these three were males and three were females. Age of the male and female cadavers ranged between 60 to 70years (mean age 67years). Skin samples measuring 1cm (L) X 0.5cm (B) were taken from center of palm. Tissue was preserved in 10% formaldehyde for 48 hours. Fixed tissue specimens were dehydrated through increasing concentrations (30%, 50%, 70%, 90% and absolute) of ethanol. After clearing the tissue in xylene, embedding was done in paraffin wax. 5 µm thick sections were cut using rotary microtome. Whole thickness of tissue was sectioned. Haematoxylin[Harris’s] and Eosin stained section was observed for 3 different fields thus for each cadaver 27 observations were obtained. Results: In females thickness of epidermis(Edp) of were observed 404.43±23.41µm,thickness of stratum corneum (330±32.83µm),layers of stratum spinosum, stratum granulosum were 4 and 3 respectively, number of rete pegs (7.52±0.94), depth of rete pegs (195.78±18.05µm), thickness of papillary dermis and reticular dermis were(135.92±13.230µm) and (386.10±8.24µm) respectively. Whereas In males thickness of epidermis(Edp) of were observed (296.63±107.03µm),thickness of stratum corneum were (112.20±63.92µm),layers of stratum spinosum and stratum granulosum were 2, number of rete pegs 16.15±3.71, depth of rete pegs (104.56±15.28µm), thicknesss of papillary dermis and reticular dermis were(142.63±40.84µm) and (483.27±116.43µm) respectively. Conclusion: Despite of the fact that subjects from both sexes belonged to the same age group, clear and statistically significant histological differences were observed in the skin of palm. Females showed thicker epidermis as well as stratum corneum but thinner dermis in comparison to males. Males had more number of rete pegs but these are shallower than females.

Prostate cancer: emerging pharmacotherapeutic modalities.

Prostate cancer is the most common cancer in the world due to factors like old age, family history, ethnicity, diet and some elements exposure, with lot of controversies regarding prevention of prostate cancer. Though the exact pathogenesis is not clear, epidemiological evidence supports a relationship between prostate cancer and hormone levels. In this review article we are focusing on the advances in different pharmacotherapeutic modalities i.e. Chemoprevention, Prostate-Specific Antigen, Hormone Therapy, Anti-Inflammatory Drugs, SERM, Vaccines, Cryotherapy, Watchful Waiting, Radiotherapy and Androgen Deprivation Therapy etc. and new possibilities with strategies to provide maximal benefits while effectively balancing risks for the prostate cancer treatment.

Lipid profiles with increase blood lead level: Risk of cardiovascular disease in battery workers of Lucknow City.

In order to investigate the effects of lead exposure on risk of cardiovascular disease during Occupational battery workers i.e. lead exposure, plasma cholesterol and its fractions as high-density lipoprotein (HDL), low-density lipoprotein (LDL) and triglyceride (T.G.) were determined in various battery workers in Lucknow city U.P., India. Increased risk of cardiovascular disease was observed in the various battery workers. Total cholesterol in the battery workers and control group was 142.14±31.92 (mg/dl) and 95.72±11.57 (mg/dl) respectively, which is higher in the battery workers than that of present in control group, While LDL cholesterol in the battery workers and control group was 158.30±22.70 (mg/dl) and 103.77± 4.62 (mg/dl) respectively. HDL cholesterol in the battery workers and control group was 38.80±10.13 (mg/dl) and 65.53±6.52 (mg/dl) respectively. The triglyceride levels were 162.06±90.85 (mg/dl) and 138.62±5.65 (mg/dl) in the battery workers and control group respectively, which is not affected [p > 0.05]. The LDL/HDL and Total cholesterol/HDL cholesterol ratio, Blood pressure, and blood lead level, was also higher in the battery workers, Results suggest that lead exposure increases cholesterol synthesis and transport to peripheral tissues whereas reverse cholesterol transport to the liver is not affected.

Study of coronary artery atherosclerosis in sudden deaths and its medico-legal relevance.

The coronary artery diseases can play a crucial medico- legal role to decide the cause of sudden death whether natural or unnatural. There are certain occasions, when a person dies on the operating table or soon after surgery, and a coronary attack is probably the cause of death. A final coronary episode may sometimes be associated with an operative procedure supposedly due to hypotensive state. During driving or piloting a person may goes into a state of confusion because heart attack. In this state he may lose control and an accident can happen. These conditions indicate that intervention of Forensic Pathologist is significant to decide the actual cause of death apart from injury or disease of vital organs. We examine coronary arteries for atherosclerotic changes in 50 cases of sudden deaths. We observed that there were marked intimal thickening with luminal narrowing ≤ 75% of luminal diameter in 20 cases (40%) in total hearts. In natural deaths 17 cases (48.57%) showed luminal narrowing ≤ 75% of luminal diameter. These findings are suggestive of medico legal intervention to clarify the mode of death in some instances.

Abdominal organ involvement in blunt injuries.

Visceral injuries of the abdomen following blunt trauma present a great medico-legal problem to the forensic experts. Thus the doctor should remain alert to the development of signs and symptom after blunt trauma to the abdomen in vehicular accident otherwise he may be charged of negligence. Among 55 fatal cases of blunt abdominal injury, maximum number of cases belongs to the age group 20-29 yrs. Males were the predominant victims with ratio 4:1. It was found that road traffic accidents by heavy vehicle like bus; car and truck were responsible for 70% of blunt abdominal injuries. Among 55 cases of blunt injury, the incidence of the involvement of liver, spleen, small intestine, kidney, stomach and urinary bladder were 67%, 30.91%, 18%, 10.9%, 9.09%, 5% cases respectively. Genitals were found injured in 3% cases of blunt injury abdomen. For Blunt Injuries of Abdomen majority of the cases i.e. 78.18% were of accidental, 18.18% were homicidal and 3.6% suicidal in nature. Immediate cause of death was shock and hemorrhage and in those cases where death was delayed, cause of death was septicemia.

Study of medico-legal case management in tertiary Care Hospital.

Article 21 of the constitution guarantees protection of life and liberty to every citizen as well as non-citizens. Right to health care and medical assistance is integral to the right to life and the state has a constitutional obligation to provide health facilities. Failure of a government and other hospital to provide a patient timely medical treatment results in violation of the patient‘s right to life. The study comprising about medicolegal case (MLC) management, awareness and prevalent practices among the health care professionals especially among those who directly or indirectly involve with treatment of patients. As for awareness is concern regarding especially regarding procedural awareness, the documentation and various other medico-legal issues were studied in detail. Contrary to the popular belief that doctors who deals with the extreme situation of life but suffer some kind of medicolegal phobia in his work except few especially those who are in feeling of government immunity have genuine or in-genuine boldness in dealing with medicolegal cases.

Original research paper age at menarche and affecting bio-social factors among the girls of Lucknow, Uttar Pradesh.

The age at which first menstrual bleeding occurs in female, i.e menarche is viewed as an excellent physiological marker of adolescent maturation. The aim of this study is to determine the mean age at menarche among adolescent girls and to assess the influence of some Bio-social parameters affecting it.This study was conducted among 150 adolescent girls in the age group of 10 to 19 years, randomly selected from urban & rural government schools of Lucknow. 75 girls from each school were selected from November 2009 to March 2010. This was a cross sectional descriptive study. Girls were studied about their socioeconomic status, weight, height, place of residence. Out of 150 cases studied 108 cases were having menstruation, most frequent age of menarche being 13 years when 32 cases (29.63%) had its onset. The lowest age was 8 years and highest was 15 year. Mean age at menarche was found to be 12.43 ± 1.49. There seems to be definite association of various factors which modify the age at menarche like socio-economic status, body mass index, place of residence.

Fibular hemimelia.

We report three cases with congenital longitudinal deficiency of fibula. Two cases were of Type IB and one was Type II.

Additional malformations in femoral hypoplasia: unusual facies syndrome.

This syndrome comprises of bilateral femoral hypoplasia and unusual facies comprises of short nose with broad tip, elongated philtrum, thin upper lip, small lower jaw, cleft palate and antimongolian slant of palpebral fissure. Etiology is idiopathic, sporadic, few families have been reported to have autosomal dominant inheritance. We report a case with the additional finding of unilateral complete aplasia of femur, encephalocele, complete cleft lip, bilateral absence of 5th metatarsal and toe and hypospadias. The mode of inheritance appears to be sporadic mutation in this case.