Natural sexual offences; medicolegal assessment in Punjab

Globally, rape of women is a serious health, social and religious concern and is considered as a violation of women basic human right. The aim was to ascertain incidence of natural sexual offence [rape] in Punjab and to analyze the data with respect to sociodemographic characteristics, findings of medicolegal examination and results of evidence collected from victims of sexual assault. This retrospective study was conducted on 148 female victims of rape brought to Forensic Medicine Department of King Edward Medical University Lahore, Fatima Jinnah Medical College Lahore and Nishtar Medical College, Multan from January 2012 to December 2013 for medicolegal examination. Details pertaining to socio-demographic profile of the victim, incident, findings of medical examination and results of evidence collected were noted. Data was analyzed using SPSS version 20. The most affected age group was 11-20 years [60.8%]. Majority of victims were unmarried [70.9%], non- working [79.72%] and of lower socioeconomic class [71.6%] All were Muslims [100%]. The highest number of victims was examined on the second day [24.3%]. 31% cases were of gang rape. Majority knew the assailant [45.9%]. The commonest place of offence was an isolated place [66.2%] Extragenital injuries were seen in 10.8% cases. Hymen was intact in 3.3% victims. The tears of hymen were old in 77.6% and fresh in 22.3% cases. Semen was detected in 18.2% cases. 1.3% victims were pregnant and 4% were intoxicated. The study highlights the importance of addressing rape as an important health issue

Increasing tendency of "target killing" in Pakistan

To determine the increasing tendency of target killing in Pakistan. Retrospective study. This study was conducted at the Emergency Departments of Services Hospital Lahore, Gangaram Hospital Lahore, Mayo Hospital Lahore and Shahina Jamil Hospital Abbottabad from 01-01-2012 to 31-05-2013. 100 cases of Target Killing were selected from Emergency Deptt of services Hospital Lahore, Emergency Deptt of Gangaram Hospital Lahore, Emergency Deptt of Mayo Hospital Lahore and Emergency Deptt of Shahina Jamil Hospital Abbottabad. The data was collected from above said hospitals on proforma and analyzed for results. In our study the incidence of target killing was maximum at the age of 21-30 years [33%] and minimum at the age of 71-80 years as show in Table No.1. The incidence of target killing was 20% in lower class, 34% in middle class, 56% in upper class as shown in Table No 2. Addict people had 83% incidence of target killing and 17% in non addict people as shown in Table No 3. The incidence of target killing was 83% in people having mental / physical sickness has compared to healthy people [17%] as shown in Table No 4. The incidence of target killing was 37% in literate people and 63% in illiterate people as shown in Table No 5. The incidence of target killing was high 67% in people living in non joint family system as compared to people living in joint families [33%] as shown in Table No 6. The incidence of target killing was 37% in literate people as compared to illiterate people [63%] as shown in Table No 7. The trend of target killing was 67% in rural area and 33% in urban area as shown in table No. 8. Target Killing is a global problem. This problem is due to 1]Mental /physical or both Sickness of the people, 2] Frustration of people due to economical/ political/ sectarian disputes, 3] Far Away from Islamic teachings, 4] Out spread of addiction in Pakistan

Increasing trend of domestic violence with women in Pakistan

To study the increasing trend of domestic violence with women in Pakistan, Retrospective study. This study was carried at Emergency Departments of four hospitals namely Services Hospital, Lahore, Shahina Jamil Hospital Abbottabad, Gangaram Hospital Lahore and Mayo Hospital Lahore from 1[st] January 2012 to 31 May 2013. The cases of domestic violence with women were selected from aforementioned hospitals. The data was collected on proforma ad analyzed for results. In our study the incidence of Domestic violence with women was maximum at the age of 21 - 30 years [33%] and minimum at the age of 71 - 80 years as show in Table No. 1. The incidence was maximum with house wife [25 %] and minimum in wives of business man [0.5 %] as shown in Table No.2 The incidence of Domestic violence with women was 56 % in lower class, 34 % in middle class in 20 % in high gentry as shown in Table No 3. Addict member of family had 83 % incidence Domestic violence with women of and 17 % in non addict people as shown in Table No 4. The incidence of Domestic violence with women was 73 % in unmarried and 27 % in married as shown in Table No 5. The incidence of Domestic violence with women was 83 % in people having mental / physical sickness as compared to healthy people [17 %] as shown in Table No 6. The incidence of Domestic violence with women was 37 % in literate people and 63 % in illiterate people as shown in Table No 7. The incidence of Domestic violence with women was high 67 % in couples living in joint family system as compared to couple living in non joint families [33 %] as shown in Table No 8 The trend of Domestic violence with women was 67 % in rural area and 33 % in urban area as shown in table No.9. The tendency of domestic violence with women is a global problem It is increasing day by day in developed / under developed countries and nations. This trend is even going to be increased even in Muslims countries where domestic violence with women is prohibited [Haraam]

Laparoscopic cyst-gastrostomy for pancreatic pseudocyst

Pancreatic pseudocyst Is a complication following resolution of pancreatitis. The optimum treatment for this condition has been under much debate. Laparoscopic surgery has changed the outlook of surgical management for the condition by reducing the operation related morbidity. The procedure has not been reported in local literature and is relatively new for the medical-surgical community. We report a case of pseudocyst gastrostomy and explain the procedure through laparoscopic approach

Complete androgen insensitivity syndrome

The incidence of Complete Androgen Insensitivity Syndrome [CAIS] is about 1 in 20.000. People with CAIS are normal appearing females, despite the presence of testes and a 46, XY chromosome constitution. We came across a case in which a 17 years old girl presented with the complaint of inguinal hernia and amenorrhea. Subsequent investigations were done revealing absence of female internal genitalia and the presence of abdominal mass, possibly testes. Syndrome has been linked to mutations in AR, the gene for the human Androgen Receptor, located at Xq11-12 leading to the insensitivity of the receptor to testosterone. Gonadectomy was performed and life long Hormone replacement therapy was advised