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Primary Cartilage Tympanoplasty: Our Technique And Results.(dr Mubarak Khan,pune) Am J Otolaryngol. 2010 Sep 9. [epub Ahead Of Print]primary Cartilage Tympanoplasty: Our Technique And Results.khan Mm, Parab Sr.abstractcartilage Has Shown To Be A Promising Graft Material To Close Tympanic Membrane Perforations. However, Due To Its Rigid Quality, Doubts Are Raised Regarding Its Sound Conduction Properties. It Has Been Suggested That Acoustic Benefit May Be Obtained By Thinning The Cartilage. We Describe Our Innovative Method For Harvesting Tragal Cartilage From The Same Endaural Incision And Also Describe Preparation Of The Graft By Slicing It. We Present Our 3-year Experience Of Shield Cartilage Type 1 Tympanoplasty Using Sliced Tragal Cartilage-perichondrium Composite Graft.aim: The Aim Of This Study Was To Prove The Success Rate Of Our Technique Of Shield Cartilage Tympanoplasty Using Sliced Tragal Cartilage Graft In Terms Of Functional And Anatomic Results.study Design: Retrospective Analysis Of Type 1 Cartilage Tympanoplasties Using Sliced Tragal Cartilage Was Carried Out In Mimer Medical College And Sushrut Ent Hospital During May 2005 To January 2008 With A Minimum Follow-up Of 2 Years.method And Materials: A Total Of 223 Ears Were Operated By Our Technique.results: The Overall Success Rate Of Our Technique Was 98.20% In Terms Of Perforation Closure And Air Bone Gap Closure Within 7.06 ± 3.39 Db. The Success Rates In The Various Age Group Are As Follows: 11 To 20 Years, 97.67%; 21 To 40 Years, 99.12%; And 41 To 60 Years, 96.96%.conclusion: Our Technique Of Type 1 Cartilage Tympanoplasty Achieves Good Anatomic And Functional Results.

Woman Sexual & Physical Violence Commonly Seen-world Health Organisationthe World Health Organization Has Found That Physical Or Sexual Violence Affect More Than One Third Of All Women Globally! The Report, Global And Regional Estimates Of Violence Against Women: Prevalence And Health Effects Of Intimate Partner Violence And Non-partner Sexual Violence, Represents The First Systematic Study Of Global Data On The Prevalence Of Violence Against Women – Both By Partners And Non-partners. The Study Found:35% Women Experience Violence Of Some Sort30% Women Face Violence From Their Partners38% Women Who Were Murdered, Were Murdered By Their Partnersabused Women Likelier To Face Substance Abuse Problemsthey’re Likelier To Get Stisthe Study Found That They Are Also Likelier To Give Birth To Low-birth Weight Childrenthe Study Highlights The Need For All Sectors To Engage In Eliminating Tolerance For Violence Against Women And Better Support For Women Who Experience It. New Who Guidelines, Launched With The Report, Aim To Help Countries Improve Their Health Sector’s Capacity To Respond To Violence Against Women.impact On Physical And Mental Healththe Report Details The Impact Of Violence On The Physical And Mental Health Of Women And Girls. This Can Range From Broken Bones To Pregnancy-related Complications, Mental Problems And Impaired Social Functioning.‘these Findings Send A Powerful Message That Violence Against Women Is A Global Health Problem Of Epidemic Proportions,’ Said Dr Margaret Chan, Director-general, Who. ‘we Also See That The World’s Health Systems Can And Must Do More For Women Who Experience Violence.’the Report’s Key Findings On The Health Impacts Of Violence By An Intimate Partner Were:death And Injury – The Study Found That Globally, 38% Of All Women Who Were Murdered Were Murdered By Their Intimate Partners, And 42% Of Women Who Have Experienced Physical Or Sexual Violence At The Hands Of A Partner Had Experienced Injuries As A Result.depression – Partner Violence Is A Major Contributor To Women’s Mental Health Problems, With Women Who Have Experienced Partner Violence Being Almost Twice As Likely To Experience Depression Compared To Women Who Have Not Experienced Any Violence.alcohol Use Problems – Women Experiencing Intimate Partner Violence Are Almost Twice As Likely As Other Women To Have Alcohol-use Problems.sexually Transmitted Infections – Women Who Experience Physical And/or Sexual Partner Violence Are 1.5 Times More Likely To Acquire Syphilis Infection, Chlamydia, Or Gonorrhoea. In Some Regions (including Sub-saharan Africa), They Are 1.5 Times More Likely To Acquire Hiv.unwanted Pregnancy And Abortion – Both Partner Violence And Non-partner Sexual Violence Are Associated With Unwanted Pregnancy; The Report Found That Women Experiencing Physical And/or Sexual Partner Violence Are Twice As Likely To Have An Abortion Than Women Who Do Not Experience This Violence.low Birth-weight Babies – Women Who Experience Partner Violence Have A 16% Greater Chance Of Having A Low Birth-weight Baby.‘this New Data Shows That Violence Against Women Is Extremely Common. We Urgently Need To Invest In Prevention To Address The Underlying Causes Of This Global Women’s Health Problem.’ Said Professor Charlotte Watts, From The London School Of Hygiene & Tropical Medicine.need For Better Reporting And More Attention To Preventionfear Of Stigma Prevents Many Women From Reporting Non-partner Sexual Violence. Other Barriers To Data Collection Include The Fact That Fewer Countries Collect This Data Than Information About Intimate Partner Violence, And That Many Surveys Of This Type Of Violence Employ Less Sophisticated Measurement Approaches Than Those Used In Monitoring Intimate Partner Violence.‘the Review Brings To Light The Lack Of Data On Sexual Violence By Perpetrators Other Than Partners, Including In Conflict-affected Settings,’ Said Dr Naeemah Abrahams From The Samrc. ‘we Need More Countries To Measure Sexual Violence And To Use The Best Survey Instruments Available.’in Spite Of These Obstacles, The Review Found That 7.2% Of Women Globally Had Reported Non-partner Sexual Violence. As A Result Of This Violence, They Were 2.3 Times More Likely To Have Alcohol Disorders And 2.6 Times More Likely To Suffer Depression Or Anxiety – Slightly More Than Women Experiencing Intimate Partner Violence.the Report Calls For A Major Scaling Up Of Global Efforts To Prevent All Kinds Of Violence Against Women By Addressing The Social And Cultural Factors Behind It.recommendations To The Health Sectorthe Report Also Emphasizes The Urgent Need For Better Care For Women Who Have Experienced Violence. These Women Often Seek Health-care, Without Necessarily Disclosing The Cause Of Their Injuries Or Ill-health.‘the Report Findings Show That Violence Greatly Increases Women’s Vulnerability To A Range Of Short- And Long-term Health Problems; It Highlights The Need For The Health Sector To Take Violence Against Women More Seriously,’ Said Dr Claudia Garcia-moreno Of Who. ‘in Many Cases This Is Because Health Workers Simply Do Not Know How To Respond.’new Who Clinical And Policy Guidelines Released Today Aim To Address This Lack Of Knowledge. They Stress The Importance Of Training All Levels Of Health Workers To Recognize When Women May Be At Risk Of Partner Violence And To Know How To Provide An Appropriate Response.they Also Point Out That Some Health-care Settings, Such As Antenatal Services And Hiv Testing, May Provide Opportunities To Support Survivors Of Violence, Provided Certain Minimum Requirements Are Met.health Providers Have Been Trained How To Ask About Violence.standard Operating Procedures Are In Place.consultation Takes Place In A Private Setting.confidentiality Is Guaranteed.a Referral System Is In Place To Ensure That Women Can Access Related Services.in The Case Of Sexual Assault, Health Care Settings Must Be Equipped To Provide The Comprehensive Response Women Need – To Address Both Physical And Mental Health Consequences.the Report’s Authors Stress The Importance Of Using These Guidelines To Incorporate Issues Of Violence Into The Medical And Nursing Curricula As Well As During In-service Training.so Woman Violence As Now Feeled In Repeated Rape In Delhi, Rajasthan, Hariyana And West Bengal And Rest Of Our Country But It Is Seen All Ove World And Strigent Laws And Booking And Punishing Culprits In Time Bound Period And Social Education Will Only Bring Change Otherwise A Woman Who Is In One Form Our Mother Or Daughter Will Remain Harassed.