Tomorrow isn't fine- poem

  

Tomorrow is a wonderful day, 
Tomorrow will be fine, 
There are so many wonders
Waiting to be revealed, 
All the good times and
Rainbows are yet to come, 
Tomorrow shall be mine. 
Tomorrow, tomorrow, 
God given tomorrow, 
Will put an end to all
My treacherous sorrow. 

Yeh, but....... 
What about the day after? 
The week end, The next month, 
The new year, a decade later?
What if it wouldn't turn out 
Like I want it to? 
May be a nightmare, a blood splatter, 
Insignificant like a mindless chatter. 
Or even catch a flu? 

Is tomorrow ever fine? 
May be, the optimistic halo 
"Happily ever after", 
Is a overrated lie, 
And painfully shallow, 
The ignorant hope, 
We unquestionably muster, 
In reality 
Will leave us flustered. 

May be, 
Every Heart break, 
And love, 
Pain and pleasure, 
Every loss and gain 
Are not evil nor good, 
Rather flavors ushered, 
In proportional measures, 
For life to have a blissful taste, 
And distinct leisures. 

Give me something to boast about- poetry

Give me something to boast about,
Can't you see that's what I want, Something to clear off insecurities,
Walk with head held high, Something to proudly talk about in gettogethers,
Make them gasp,
Something that stops me from looking down every time I meet an eye,
Let them look up,
Something that convinces me there is meaning to all this charade called life,
So that I want to wake up next time,
Something materialistic, something superficial, something shiny, something that shouts hierarchy.
Heck, I will even take moral superiority,
Something that throws spotlight at me.
So my optimistic human side, gains power over the rebellious cynic with the crown called pride.
Let it run over any question unanswerable, unfavorable.
Let pride blind me, let pride spoil me, let pride save me.
Let it cloak me with deluded self importance and self love.
Give me something to boast about.

Vyapam scam- all you need to know

"Vyapam" ( Vyavsayik Pa riksha Mandal), is a autonomous body garnered with the  responsibility of conducting entrance exams in Madhya Pradesh.

The exams are held for admissions in to colleges in the state and recruitment for government jobs.

The Vyapam scam is irregularities in the admission procedures in a number of entrances examinations conducted by the Vyapam.

Undeserving candidates bribe politicians and officials through middlemen to get high ranks.

The scam involved 13 different exams conducted for selection to various colleges and jobs.

Impersonation, Copying, manipulation of records and answer sheets, leaking the answer key were the methods employed.

Though many complaints of foul play have been reported since the mid-1990s, the first FIR was filed only in 2000.

In 2009 when police were tipped off about irregularities in a premedical entrance.

They realized cases were not singular but were part of a organized crime racquet. 

A committee was formed to investigate the crime, which led to imprisonment of 100's by 2011.

On 13 July 2013, Jagdish Sagar the leader of the scam was arrested in Mumbai.

Later the involvement of former MPPEB  (Madhya Pradesh Professional Examination) board chairman Pankaj Trivedi was found.

Along with former BJP minister Laxmikant Sharma 1000's of parents, students and impersonators were arrested.

Questions have also been raised over the involvement of the Madhya Pradesh Governor Ram Naresh Yadav.

Suspicious deaths have further complicated the investigation, since 42 people involved in the scam have died.   

With the scam pointing out the corruption within the highest bodies of the government

It becomes yet another example as to why common people can't trust politicians and officials.

Bhutan- carbon negative

Kingdom of bhutan, is a landlocked country in south Asia at the eastern end of the Himalayas.

It is sandwiched between two political giants and rivals India and China.

Since it's small and non controversial, it is often overlooked by the international community. 

But the country of about 750,000 keeps making the world take notice of it again and again.

Bhutan is South Asia's happiest country.

Which is not surprising since its the one country that uses Gross Happiness Index to measure its growth.

But now Bhutan is in the news for different reasons, it became the world's first carbon negative country.

This means the country’s  forests and trees absorb more carbon dioxide each year than it produces.

According to numbers the country emits around 1.5 million tonnes of carbon annually, while its forests absorb over 6 million tonnes.

The achievement is due to  Bhutan's strong environment protection policies.

72% of the country is still forested, and it's constitution guarantees at least 60% will remain that way.

Last June, a team of 100 volunteers  for planting 49,672 trees in just one hour setting a new world record.

Even this march 82,000 households planted a tree to celebrate the birth of Queen's first child.

Bhutan has already shown us a way on how to halt global warming, but are we ready to listen?

Surgery notes- breast diseases

Breast

Cystic swellings of the breast
Inflammatory
Acute bacterial mastitis

Neoplastic
Benign- phylloides tumor
Malignant- Intracystic carcinoma

Non neoplastic
Fibroadenosis
Simple cyst of breast

Retention cyst of breast- galactocele

Others
Tuberculous mastitis
Lymphatic cyst of breast
Hydratid cyst of breast
Haemotoma of breast.

Fibroadenoma

Benign tumor of the breast.
Epithelium in a fibrous stroma.
It is an aberration in the normal breast.

Types
Intracanalicular (less fibrous, deep)
Pericanalicular (nor fibrous, superficial)

1 cm or smaller -normal
1-3 cm - large
More than 3- giant

Clinical features
- peak age 20 yrs
- Usually a single lobe
- Painless
- well defined, capsule
- freely moves throughout the breast (breast mouse) -not in elderly.

Treatment -
Excision- Pericanalicular is by Peri areolar incision
Intracanalicular is by sub mamillar incision.

Complication - breast ca.

Phylloides tumor

Fibroepithelial tumors
Also called cystosarcoma fibroid

Capable of attaining massive sizes.

Types- benign, borderline, malignant.

Clinical features
30-40 yrs age
Rapid growth
Stretched skin
Engorged veins
Bosselated appearance

Diagnosis
Clinical, ultrasound, trucut biopsy

Treatment
Excision
Malignant- mastectomy may be necessary

Difference from carcinoma-

Is not attached to skin or pectorals
Can cause multiple cysts due to necrosis
No nipple retraction
Histology- blanching pattern (leaf like)

Breast abscess

Acute bacterial mastitis
Antibioma
Retro maxillary abscess
Sub areolar  abscess
Tuberculous abscess

Acute bacterial mastitis

Etiology
Lactational mastitis
Cracks or fissures in the nipple

Haematoma-
Bacteria like staphylococci can infect haemotoma, can also proliferate intraductally and clot milk.

Non lactational- anaerobic bacterial causes. Occurs in patients with ductal ectasia and subareolar mastitis.

Other factors- diabetes, HIV.

Clinical features

Stage of cellulitis- Inflamed, tender, tense, warm breast.

Stage of Abscess- fever, chills - cystic swelling develops untreated- rupture- necrosis- ulcer+ discharge.

Signs- fluctuations may be positive.

Treatment-
Stage of cellulitis
Cloxicillin, NSAIDs - ibuprofen

Stage of abscess
Incision and drainage with antibiotic cover, if both breasts are affected- boil the milk and use.
Complication- abscess, necrosis and
Antibioma- when I and C is done without antibiotic cover, it is replaced by fibrous tissue leading to a firm/hard lump, its treated by excision.

Discharge per nipple

Classification
Types of discharge
Serous- fibrocystic disease, duct ectasia.
Milk- lactation, hyper prolactinoma
Blood- duct ectasia, papiloma
Green- duct ectasia
Yellow- abscess

Site
Unilateral- duct ectasia, fibrocystic - bilateral

With mensuration- fibrocystic

With mass- tender- fibrocystic, non tender- carcinoma

Spontaneous discharge- papiloma.

Investigation and management
Ultrasound, mammogram
TSH, prolactin
Examination of discharge.
- rule out carcinoma, antibiotics, core excision.

Galactorrhea

Discharge of milk from nipples other than breast feeding

Physiological Causes- stimulation during sex

Drugs-
Oral contraceptives
Anti hypertensives

Galactocele
-sub areolar retention cyst
- due to accumulation of milk
- blocked lactiniferous ducts by epithelial debris
- rarely undergoes calcification
-treatment -multiple aspirations.
Or lastly excision

gynecomastia

Unphysiological enlargement of male breast
(Physiological- obesity, adolescence)

Causes

M- malignancy
A-anorchism- absence of testis
S-sex chromosomal anomaly klinefelter's
T-tablets- cimentidine, stibesterol
I-idiopathy
A- atrophied testis(polio, liver failure)

Clinical features- enlarged tender breast, unilateral or bilateral
Examination of testis and liver function.

Treatment- lumpectomy or mastectomy with preserved nipples.

Etiology of breast carcinoma
Sex- women (100:1)
Age- above 35
Race- white
Genes- BRCA1, BRCA2
Diet- obesity
Hormones- early puberty late menopause is a risk factors
More the lactational period lesser the risk.
Hormone replacement therapy
Chest wall radiation- multiple cheast wall

Pathogenesis of breast cell ca
Scirrhous carcinoma
60-75 percent.
Fibrous reaction.
Hard lump.
Retraction of nipple.
Fixidity to skin and chest wall.
While necrosis and calcification
Occurs.
Histology- round or polygon cells.
Sometimes causes atrophic infiltrating ca.

Medullary carcinoma breast
15% of the breast ca
Soft to firm, undifferentiated cells, lymphatic infiltration, good prognosis.

Inflammatory ca
Less than 1%,
Lymphatic infiltration is present.
Rapidly growing tumor comes under local advanced breast carcinoma.
During Lactation and pregnancy
Pain, redness and enlargement present,
different from abscess by lack of fever and presence of peau d' orange.
Worst prognosis.

Paget's disease of nipple
Misnomer.
Carcinoma of the ducts
Unilateral, affects elderly women.
Causes fissures, cracks, ulcers in the nipple, sometimes completely destroyed.
Hyperchromatic halo cell (mucopolysacchsrides or Paget's cell is present)

Colloid ca
Production of mucin
Good prognosis.

Clinical classification and grading of breast cell ca.

Clinical features

Investigations

Management

Advanced breast cell carcinoma

Mastectomy.

Medical notes (hypospadias)

Pic- en.wikipedia.org

Hypospadias

Due to improper development of urethra the opening is user the penis.

Types

Glandular- Milli meters away from the usual opening

Coronal - junction between the gland and body

Penile- shaft

Peno- Scrotal- between the two scrotum- urethra is not deve at all.

Clinical features

Micturition is normal but can we clothes especially in types 3 and 4.
Penis is bent (chordee)
Sexual intercourse is difficult.
Hooded prepuce

Treatment

One stage urethroplasty
Treatment of chordee
Urethra formation by tube

Two stage urethroplasty
-chordee is corrected in 6-12 months after birth. (Orthoplasty)
- reconstruction of urethra at 5-6 years (urethroplasty)

Medical notes (BPH)

Pic- urology.jhu.edu/prostate/bph.php
Urology

Benign prostatic hypertrophy

(Benign enlargement of prostate)

Etiology
Hormonal theory- decreased androgen and increased estrogen leads to hypertrophy.
Neoplatic theory- benign neoplasm of fibrous, muscular and grandular parts of prostate.

Pathogenesis
There is obstruction of urethra by the elongated prostate.
- Urethral changes- elongates, narrows.
- Bladder changes- hypertrophies with folds, I.e fasciculations and sacculation, the urine is caught up in them and may even cause diverticuli or stones due to stasis.
Kidney changes- hydronephrosis (enlargement due to stasis of urine).

Clinical features

Frequency- due to ineffective emptying of bladder.
Urgency
Hesitancy to pass urine because it is ineffective.
Acute and chronic retention of urine.
Hematuria.

Complications
Diverticuli
Stone
Hydronephrosis
UTI
Renal failure

Investigation

Urea, creatinine- rule out hydronephrosis and renal failure
Uroflowmetry- measures the flow of urine with a flow meter. If the flow is less than 10 ml/sec its peak obstruction.
Ultrasounds- prostate, bladder, kidney.
CT, MRI.

Staging
1- 1-2 cm on rectal exam
2- 2-3 exam on rectal exam
3- 3-4 cms on rectal exam
4- more than 4 cm mass.

Treatment.
If there is no obstruction and not much symptoms no medication, just advice them avoid alcohol.

Drugs-
Finastride acetate
Alpha adnenergic drugs.

Surgery

Indications- urinary retention
Frequency is unbearable, complication.

Transurethral resection a prostate

A resectoscope is sent via the ureter, constant irrigation is applied with water, prostate is cut into pieces.
Post op recovery is smooth, but water intoxication can happen.

Transvesical suprapubic prostectomy
If gland weighs more than 100 g
The prostate is accessed via the extra peritoneal approach, and ennucleated (removal of the entire organ without cutting) with fingers.
Malicot's catheter is used to drain the bladder.
Prostatic Urethra is dissected, but a new one develops along the foley's catheter by fibrosis.

Retro pubic prostectomy

Other method
YAG laser.

Medical notes (ca prostate)

Urology

Carcinoma prostate

Etiology
65 years or older
Second most common type in old males

Clinical features
Might occur after prostatectomy
As the outer layer is left behind
Mass felt in the anterior rectal wall during rectal exam
Bone pain (metastasis)
Sciatica (thorocolumbar metastasis)
Hematuria
Acute Urinary retention
Difficulty passing urine

Spread
Prostate metastasis are multiple and moth like, osteoblastic.

Hematogenous- bones via veins especially the vertebrae, then femur, pelvis.

Lymphatic- first in the illiac, then para aortic, medistinal finally in left supraclvicular.

Direct- urithra, bladder, seminal vesicles, rectum.

Investigation

Serum acidic phosphatase: present in prostate, usually not detected in serum, but its found during malignancy.

Serum alkaline phosphatase

PROSTATE SENSITIVE ANTIGEN
Very important indicator
4nmol/ml - malignancy possible
10nmol/ml- malignancy
35 nmol/ml - disseminated.

Transrectal trucut biopsy

Xray (bones), CT, MRI, ultrasound, bone scan.

Staging
T0- nil. T1- T1a(<5%), T1b(>5%), T1c (all found only on histology, non symptomatic, not palpable)
T2- T2a (single lobe, within capsule), T2b (both lobes, within capsule).
T3- outside the capsule
T4- metastasis

Treatment-
Early malignancy (T1,T2)
PSA (prostate specific antigen) <20 nmol/ml
Radical prostectomy
Radical radiotherapy

Late malignancy
1.Androgen ablation-
Low orchidetomy
Oral Stillbestrol (estrogen)
(Disuria, pain disappears in 48 hrs)
Phosphorylated diethyl stilbestrol.

2.Radiotherapy-
Localized radiotherapy
Hemobody irradiation (one half of body radiation)

3.Chemotherapy-Mitomycin, nytrogen mustard.

Medical notes (ca penis)

Urology

Carcinoma of penis

It is most commonly a squamous cell ca, can also be melanoma, adenocarcinoma etc..

Premalignant lesions

Genital warts (warts are benign lesions that are caused after an infection) eg Buschke- Lowensteine lesion, a cauliflower like tumor.
Paget's disease of penis: a reddish raw lesion (erythroplasia)
Leukoplakia (white lesion)
Bowen's disease: a small eczematous plaque

Etiology: Phymosis- common in uncircumcised.

Clinical features
Common after 60 yrs
Foul smelling discharge
Hematuria
Phymosis
Ulceroproliferative growth with induration.
A fungating lesion which may make the external meatus (opening) disappear.

Spread:
Direct- prepuce (skin over the glans penis)- glans penis (the terminal part of penis)- shaft- corpora cavernosa.
Lymphatic- Inguinal ligament.

Investigation:
Wedge biopsy of growth
FNAC of nodes
CT, MRI
CT guided FNAC

Staging
1- tumor only in glans penis
2- tumor in shaft
3- lymphatic spread
4- metastatic, fixed nodes.

Treatment
Stage 1-
Only in prepuce- circumcision
In glans- partial amputation

Stage 2- partial amputation (at least 2.5 cms after lesion)
Or total penectomy and perineal urithrostomy (making a permanent urithral opening in perineum)
Or Radiotherapy

Stage 3
Total penectomy, or partial penectomy depending on the extent of lesion.

Lymph enlargement
Give antibiotics- enlargement persists- nodal dissection.
Or Radiotherapy

Stage four
Radiotherapy (external radiotherapy, intestesial radiotherapy)
+ chemotherapy (cisplatin, methotrexate, bleomycin)

Medical notes (surgery)

Urology

Phymosis and paraphymosis

Phymosis.           Paraphymosis.
Inability to            Inability to pull
Retract the           Retracted
Prepuce                prepuce    
(Foreskin).            forward.

Phymosis

Etiology-
Congenital
Chronic balanophosthitis (inflammation of glans penis and prepuse)
Chancre (painless ulcer due to infection)
Carcinoma

Clinical features
Ballooning of penis
Can't retract the skin over penis (prepuce)
Might in turn lead to balanophosthitis

Complications
Ca penis
Paraphymosis

Treatment- circumcision.

Paraphymosis

Pathogenesis

The non retractable skin forms a ring and compresses veins (venous congestion), causing glans penis to swell.

Causes - after urinary catheterization, after sexual inter course.

Clinic features- pain, swelling and edema of prepuce and glans penis.

Treatment
Injection hydrluronidase (250 units) on the ring then after swelling subsides physical manipulation.
Circumcision later.

Complication - ulcer and gangrene.

Medical notes (hydrocoele)

Pic- www.studyblue.com

Urology

Hydrocoele

Collection of fluid in the tunica Vaginalis

Types
Congenital

Due to patent processes vaginalis

Sub types
Vaginal hydrocoele- only around the scrotum (sac)
Infantile hydrocoele- till the external ring
True congenital hydrocoele- connection with peritoneum
Encysted-Appears like a small cyst at the root.
Hydrocoele en bissac- has connection with an abdominal sac.

Acquired.
Primary vaginal hydrocoele
Young or middle age
1.Due to increased secretion
2.Due to defective lymphatic drainage

Clinical features
Localized to scrotum, Cystic, transillumination positive, get above the swelling present.

Fluid- serous - albumin fibrinogen.

Secondary vaginal hydrocoele
Epididymo orchitis
1.Tuberculosis
2.Filariasis - recurrent, liquid fat
Tumor
Pyocoele- infection on an pre existing hydrocoele.
Hematocoele

Feature -transillumination negative
Also negative in thick tunical vaginalis

Treatment
1.Plication (making folds)- "Lords plication" done for small hydrocoele, tunica vaginalis is cut and plicated to tunica albugenia fluid is drained by lymphatics.
2.Partial excision and eversion, it is sutured to the back of testis.
3.Aspiration

Complication
Hematocoele
Pyocoele
Calcification
Rupture
Hernia of the sac

MGNREGA

MGNREGA

It is a rural employment program started by the government of India.

It was started in 2005, covered 200 districts in 2006, and by 2008 it covered all villages.

It was initially named as National Rural Employment Guarantee Act, then it was changed to Mahatma Gandhi National Rural Employment Guarantee Act.

It is hailed as the largest social security and public works program in the world.

Its objective is to provide at least 100 days of paid employment to a rural adult in each household.

And it is completely implemented by gram panchayaths, no contractors are used.

Every applicant who volunteers for the program should be given a job within 5 km of his house.

The applicant will work on creating durable assets such as roads, canals, ponds...

If work is not provided within 15 days of applying then he/she is entitled to an unemployment allowance.

Maharashtra under former Chief Minister Vasantrao Naik was the first to start such a scheme in 1970.

It was later taken up by the planning commission and made a national wide program.

The present Act is an integration of several such programs like the Employment Assurance Scheme from the 1970s'.

But corruption and politics have have dimmed it's magnificence, in 2014-15, only 28% of the payments were made on time. 

But its largely a success story, that has raised minimal wages, started 12 crore jobs, and completed 14.6 million projects.

Apart from providing economic security and creating rural assets, it has helped in protecting the environment and empowering women.

World Bank called MGNREGA a "stellar example of rural development", and we agree wholeheartedly.

Medical notes (surgery)

Urology

Pic- www.drtimnathan-urology.com.au

Varicocoele

Dilatation of testicular veins.

Right testicular vein drains in to Inferior vena cava
Left in to renal vein.
Left sided varicocoele is more common since its lower.

Etiology
Young, thin.
Old- Renal cell carcinoma

Clinical features
Dragging pain
On standing swelling enlarges.
Cough produces impulse in the veins
Valsalva's maneuver produces pulse - blow test- (blowing air via the ears)
Varices Reduces on lying down.

Types
1.Small (palpable on Valsalva's)
2.Medium (palpable without it)
3.Large (visible)

Complications
1. Oligospermia (temperature, hormones)
2. Hydrocele

Treatment-
Surgery
1. Inguinal approach - ligation of
Pampariform plexus
2. Retroperitoneal approach - ligation of one testicular vein.
3. Sub inguinal microscopic varicocelectomy.

Medical notes (surgery)

Pic- coreem.net

Urology

Torsion testis

Predisposing factors

1. Long redundant spermatic chord
2. Invertion of testis
3. Sudden contraction of cremastric muscle
4. Epididymis separated from testis.

Types of testicular torsion

1. Extravaginal
2. Intravaginal

Clinical features
10- 25 (age)
Sudden agonizing Pain.
Empty scrotum on the affected side also edematous.

Signs
Deming's sign - tender lump at external ring
Prehns' sign- rising the scrotum increases pain.
Angells' sign- opposite scrotum is horizontal.

Management

Preferred detortioned in first 4 hours
First hour- manual detorsion
If it doesn't work explore the scrotum and detorsion is dome and its fixed to scrotum.
If the testis is necrosed  then remove it.
The other testis should be fixed to scrotum as soon as possible to prevent damage as its at risk.

Medical notes (surgery)

Urology
Pic- doctorsgates.blogspot.com

Fournier's gangrene

Gangrene of the scrotum.

Etiology-
Low social economic factors and poor hygiene.

Pathogenesis
A trauma usually a scratch- infection - rapid inflammation of scrotum - fever and toxic symptoms - gangrene of the scrotum- exposed testis- spread to abdomen thigh even penis.

Organisms
Hemolytic Streptococcus
Staphylococcus
E coli
Anaerobes

Clinical features
Inflammation,
Scrotal gangrene
Fever
Toxic features
Spread

Treatment
Broad spectrum antibiotics
Ampicillin- gram +
Gentamycin- gram -
Metronidazole - anaerobes
Surgical excision of gangrene.
Implation in to thigh in case of exposed testis till
Skin graft is done.

Medial notes (surgery)

Pic - http://www.drugs.com/health-guide/hematuria.html

Hematuria

Hematuria is defined as blood in urine.

The blood can be microscopic and macroscopic.

It can also be early (at the start of urination)(urethra),  terminal (at the end) (bladder neck, prostrate), diffuse (throughout) (kidney, upper UTI).
Pseudo hematuria is pigmentation of urine by food.

Causes
Infection -
1.acute glomurulonephritis
2. TB
Infarction
1.Emboli in sub acute endocarditis to renal infact
2.Mismatched Blood transfusion
Injury
1.Stab or burn
Tumors
1.Wilms' tumor
2.Transitional cell carcinoma
Stones
Polycyclic kidney
Bleeding disorders- stickle cell.
BPH

Most common problems

Stone (ureter, urethra,  bladder)
Tumor (carcinoma bladder, prostrate)

Investigation
History
Age, Occupation

Color of urine (bright red, altered), Amount (small.rcc, profuse.papilloma)

Painless or painful

Early, terminal or diffuse

General exam- pallor, BP
Abdominal exam- kidneys palpable, bladder,

Rectal exam- prostrate.
Plain X- ray KUB
Urine exam- microscopy, culture, biochemistry (albumin, creatinine, urea)
Ultrasounds
IVP, IVUgraphy
CT
Urethroscope, cystoscope

Management- treat anemia, maintain blood volume and electrolytes, antibiotics, treat the cause.

Tuberculosis

The white old man tuberculosis, a "myco" bacteria clearly a racist by the way he sticks to the tropics.

Occupies your lungs without an invitation.

He rides mucus the sputum,  from noses to noses or mouths to mouths for recreation.

He converts them tissues in to curdy white cheese, by a process called calcification.

And he is bound to take a very long if not an indefinite lease, irregularly or in continuation. (Chronic)

He puts at least 5 lakhs (India) to external sleep, still the biggest killer since his coronation.

The old white man will make you cough your eyes out, burn with high fever.

Make you spit blood from your mouth (hemoptysis), loose weight and quiver.

You can try crying a river, but once he is set, he will not stop until everything he gets.

He can reach your gut, your brain, your spine, even your liver, he casts a wide net.

HIV and Smoke are two of his special hope, each pulls him in with a tight rope.

The white old man is certainly dope, but even he has enemies that will melt him like pears soap.

Rifampisin, Streptomycin, to name a few, can eat him up without a clue.

DOTS is a regimen that makes sure Rifampisin and his buddies are taken without fail, so TB gets cut off in its tail.

Remember the old white man may be gruesome and deadly, but he can be warted off or thrown out abruptly.

Porn industry

Though most men and some women (increasing number) watch porn, we have to agree there are a couple of majour problems in it.
1) It allows women and children to be trafficked and forced in (they are literally kidnapped and raped). Now this can be curtailed if government actually acknowledges such an industry exist and appoints a regulatory body that prohibits such activities, takes criminal action against them, make the production companies accountable for such incidents. If government turns a blind eye to porn itself how can it regulate it?.      It shld also Consider the people in the industry as normal working people not as social outcasts, so the ones who do it volunteerly and the ones who want to come out, do not do get stigmatized and discriminated, and their condition used against them.

2) Objectification of women. I think though both men and women show of their bodies and are sorta objectified, it is the women who bears the brunt more since, most porn are just men's brutal sexual fantasies, this can be solved if  women decide to make their our brand of erotica, create stuff that actually aroses them, homosexual men and women have their brand of porn why not heterosexual women?. 
Instead of acting like such a thing dosent exist (sex is probably the oldest human tradition!), it is necessary to have open conversations to solve problems.

Figurative box

Collect all the opinions, beliefs, fears, or cravings (lets call em beans) you hold,
In a figurative box,
Number the beans or name them, or colour them, to tell them apart, like you would on a door,
Empty the box, 
Spill them on a figurative floor,
Fasten your socks,
Its time to put them like they were before,
But as you pick each one up,
Inspect them closely,
Does that bean really fit in?,
Were you the one who put them
Inside,
Or were they always there,
Are there facts to back it up,
Is it a proven stereotype that you should bear,
Or is it one of those countless prejudices that lingers everywhere,
Would you believe it if your weren't born in to it?,
Is this dream really your own?,
Or by everyone else sown,
Is your fear really justified,
Are your cravings only to boast,
This way,
Many a bean shall be nullified,
Now your box will be lighter, it will float.

The Terrorist

When one whispers "terrorist",
What materializes
In to our heads,
Is men with cold, cold laughs,
Blood thirsty eyes,
The AK47s, bullets, making their beds,
Strapped rifles decorating their torsos,
Grenades, rage, hatred, and violence,
Tyrants,
Adhering to thickest mist, tallest trees, driest deserts and the most turbulent seas,
And so it goes.

What is ignored,
Or is never explored,
Is the centuries of oppression,  Colossal weights,
Thrusted over their heads,
That led to these high pressured
Volcanic eruptions.

The voices that were thrown
In to sound proof rooms,
Buried in sands of neglect,
Suppressed, denied, muffled,
Forced to explode in to booms.

Their empty bellies,
Milkless cattle,
Burned out fields,
Cracked tongues,
Trust broken to peels, 
That made them easy
Recruitment deals.

Rebellious youth yearning for
Change,
Some jobless,  some homeless,
Some aimless,  some nameless,
Searching for answers,
Taking one last leap of faith,
At misguided ideologies.

Places of agitation,
Viewed as political trump cards
Rather than displeased inhabitants,
People with needs, emotions, And families.

Populace stabbed by policies
That favor popularity over
Humanity,
Economic development over the
Survival of minorities,
Making living hard, and dying easy.

Terrorists are destructive Vibrations,
But they spread from roots of Injustice,
We have chosen to bomb these agitations,
Which are merely ripples,
The last disorderly cry for help,
And curse their
Epicenters (the terror outfits and their ideologies),
Which are just guises.
It is their hypocenters
(Reason for them to exist),
Which are forgotten, never spoken about, 
that must be localized,
Up rooted and neutralized,
To find peace and harmony.