The study of co-relation of pap smear with colposcopy and histopathology in sexually active woman with unhealthy cervix

Background: Unhealthy cervix is a group of cervical lesions, mostly chronic. Cervical cancer is the second most frequent cancer worldwide in women after breast carcinoma cervical cancer is a preventable and curable malignancy if identified and managed early. Primary objective was to study pap smear, colposcopy and histopathology in unhealthy cervix in sexually active woman with secondary objective to screen woman who have abnormal unhealthy, foul smelling cervical discharge.Methods: The present study was conducted in the department of obstetrics and gynecology L.L.R.M. medical College and associated SVBP hospital, Meerut from June 2019 to May 2020 with sample size of 70. Participant who fit the inclusion criteria were included in the study after taking a written and informed consent. The colposcopy finding was correlated with histopath findings of cervical biopsy that was undertaken.Results: Co relation of pap smear with colposcopy had sensitivity of 78% and specificity of 92% with positive predictive value of 52%and negative predictive value of 97%, p value less than 0.0001. The pattern of distribution of histopathological assessment with respect to the pap smear findings was significant statistically (p<0.0001). The proportion of patients with NILM on pap smear was significantly higher in the VILI negative category compared to the VILI Positive category (94.12% vs 77.78%, p=0.0525). In the present study, prevalence of CIN of any grade was detected in 8 (11.4%) cases. With CIN 1 in 5 (7.14%) and CIN2 in 2 (2.86%) and CIN3 in 1 (1.43%) case were seen.Conclusions: Several screening modalities are available of which pap smear is most widely used. colposcopy has been proven very useful to identify and guide the biopsy of dysplastic lesion.

Agripina e o diálogo com o poder: Reflexões sobre gênero e sexualidade em Roma Antiga

Os estudos sobre questões de gênero e sexualidade no Império Romano têm crescido cada vez mais no mundo acadêmico. No entanto, cabe ainda entender de que maneira essas experiências do passado podem ser atribuídas aos conceitos e às situações metodologicamente novas do presente, e o respectivo desafio do historiador em pensar na dialética dos tempos. O objetivo deste artigo, portanto, é analisar o papel de Agripina como mulher politicamente ativa na biografia de Nero, articulando com os conceitos de misoginia, virilidade, homossexualidade, e, ao mesmo tempo, fazendo uso da própria obra de Suetônio como instrumento de diálogo temporal. Palavras-chaves: Gênero, Agripina, Misoginia, Sexualidade.Abstract The studies about issues of gender and sexuality in The Roman Empire are growing every day in the academic world. However, it remains difficult to not only understand how these old experiences could be developed into new methodological situations and concepts, but also the challenge of the historians face when thinking in the dialectics of time. Therefore, this article seeks to analyze Agrippina's role as a politically active woman in Nero’s biography, by articulating the concepts of misogyny, virility, and homosexuality, all the while using the Suetonius’s work as an instrument of dialogue.Keywords: Gender, Agrippina, Misogyny, Sexuality.

THE IMAGE OF AN ACTIVE WOMAN IN THE SPIRITUAL HERITAGE OF EASTERN THINKERS

The purpose of this article is to study the image of socio-political activity of women, their role and importance in the life of the state and society.In this, we referred to the unique books of orientalists and studied their opinions and views on this topic. The article considers the socio-political activity of women, their role in the state and society, the role of the mother in the family and raising a child, oriental culture, national and spiritual values, traditions and social significance of women

The Other Cornwall Girl: Morgause in Twentieth-Century English Literature

Morgause is an understudied character in Arthurian scholarship. In Malory, she is relatively positively presented as a queen, as a mother of knights and as a sexually active woman; she is always seen from these perspectives, which define her as a character. In modern portrayals, there is no novel with Morgause as a main character, but she appears frequently as a secondary one. The focus is on her sexuality, which is sometimes contrasted against Morgaine le Fay’s. Morgause’s sexual independence is frequently condemned and used to depict her as a negative character, or even the villain of the piece.

Awareness Regarding Emergency Contraception

<p><strong>Objective:</strong><strong>  </strong>To know the awareness of emergency contraception (EC) among our population.</p><p><strong>Patients and Methods:</strong><strong>  </strong>Women were asked about their age, education, socioeconomic condition and parity.</p><p><strong>Results:</strong><strong>  </strong>Total 400 women were interviewed in the cross – sectional survey. Out of these, only 193 had heard about EC and they were further asked about knowledge relating to EC utilization. 132 (68.39%) answered incorrectly about emergency contraception. While only 31 (16%) women had knowledge of its correct utilization. Only 19 (9.84%) women knew that OCPS can be used as EC while 151 (78.23%) answered incorrectly that it can be used on regular basis. Out of 193 women, 53 (27.46%) women practiced EC while 140 (72.53%) had never used EC.</p><p><strong>Conclusion:</strong><strong>  </strong>Our study showed limited knowledge of women concerning EC. Media should be used to disseminate the awareness of women about safety, use</p><p>and effectiveness of EC. Also it is responsibility of health care providers that they should give information of EC to every sexually active woman visiting their clinics.</p>

Seven Decades So Far

For a number of years Bea V. Larsen, senior mediator at the Center for Resolution of Disputes in Cincinnati, Ohio, www.cfrdmediation.com, presented weekly commentaries on public radio, both on her professional work as a mediator and on her more personal experiences. These broadcasts reached thousands of listeners in a number of Midwestern states. A new series of online commentaries at www.bealarsen.com now continue that tradition. Here she writes as a professionally active woman of 77 years, seeking to distill what she has learned over the years into thought-provoking stories.