scholarly journals TRENDS OF POISONING AMONG CHILDREN AT KASTURBA HOSPITAL, MANIPAL

2013 ◽  
Vol 03 (02) ◽  
pp. 025-028
Author(s):  
Pratik Vijay Tarvadi ◽  
Shankar M. Bakkannavar ◽  
Manjunath S. ◽  
Vikram Palimar ◽  
G. Pradeep Kumar ◽  
...  
Keyword(s):  
Developing Countries ◽  
Retrospective Study ◽  
Forensic Medicine ◽  
Morbidity And Mortality ◽  
Medical Emergency ◽  
High Morbidity ◽  
Kasturba Medical College ◽  
Infants And Toddlers ◽  
Medical College ◽  
Childhood Poisoning

Abstract Background: Pediatric poisoning is a common medical emergency and also associated with a high morbidity and mortality in children. In developing countries like India, poisoning emergencies are becoming a major cause of mortality in infants and toddlers. Among the various studies conducted on poisoning in our country, the study on poisoning is predominantly on adults and hence this study is taken up to understand the incidence of childhood poisoning cases. Method: A ten year retrospective study from January 1999 to December 2008 was conducted at the Department of Forensic Medicine & Toxicology, Kasturba Medical College, Manipal, to comprehend the magnitude of childhood poisoning cases at Kasturba Hospital, Manipal. Results: Insecticide poisoning was the most predominant poisoning followed by venomous bites. Conclusion: Our study examines the most common poison involved and route of intake among children to identify specific ages at risk and give suggestions so as to reduce the morbidity and mortality.

scholarly journals GENDER DIFFERENCES IN CHILDHOOD POISONING

2013 ◽  
Vol 03 (02) ◽  
pp. 069-072
Author(s):  
Pratik Vijay Tarvadi ◽  
Shankar M. Bakkannavar ◽  
Vikram Palimar ◽  
G. Pradeep Kumar ◽  
Mahabalesh Shetty ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Morbidity And Mortality ◽  
Medical Emergency ◽  
High Morbidity ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Childhood Poisoning ◽  
Males And Females ◽  
The Difference

Abstract Background: Accidental paediatric poisoning is a common medical emergency and also associated with a high morbidity and mortality in children. In developing countries like India, the poisoning emergencies are becoming a major cause of mortality in infants and toddlers. Among the various studies done on poisoning cases in our country, the study on poisoning is more or less only on adults and hence this study is taken up to understand the number of childhood poisoning cases (based on gender). Method: A ten year record based cross sectional study from January 1999 to December 2008 was conducted at the Department of Forensic Medicine & Toxicology, Kasturba Medical College, Manipal, to understand the magnitude of childhood poisoning cases among males and females at Kasturba Hospital, Manipal. Results: Male children were predominantly affected (male: female::1.32: 1). Most of the poisoning cases occurred at home in both the genders with boy to girl ratio based on percentage in indoor poisoning being 0.92:1 and boy to girl ratio based on percentage in outcome being 1.06:1. Conclusion: Our study examines the difference in place and outcome of poisoning among boys and girls to identify population at risk and give suggestions so as to reduce the morbidity and mortality.

A STUDY OF THE UNNATURAL DEATHS COMING TO THE MORTUARY OF SILCHAR MEDICAL COLLEGE AND HOSPITAL FOR POST-MORTEM EXAMINATION: A RETROSPECTIVE STUDY.

2021 ◽  
pp. 47-48
Author(s):  
Y N Singha ◽  
Arpan Mazumder ◽  
unajit Das
Keyword(s):  
Developing Countries ◽  
Retrospective Study ◽  
Forensic Medicine ◽  
Developed Countries ◽  
Post Mortem ◽  
Post Mortem Examination ◽  
Medical College ◽  
Cause Of Deaths

With the increase civilization the number of unnatural deaths are also increasing. The death due to vehicular accident is more in developing countries than in developed countries. The prevailing system of dowry remains one of the major cause of deaths due to burn or by other means st (Dowry death). This retrospective study was conducted in the department of forensic medicine, Silchar during the period from 1 September 2019 st to 31 August 2020. During this period a total number of 710 autopsies were carried out, out of which 649 cases were death due to unnatural causes.

Rotavirus Infection as Cause of Diarrhoea in Under-3- Years Children at Siddhartha Medical College, Vijayawada AP - A Hospital Based Cross Sectional Study

2021 ◽  
Vol 8 (30) ◽  
pp. 2731-2737
Author(s):  
Anil Kumar Paruchuri ◽  
Gowri Edagotti ◽  
Ramu Pedada ◽  
Haresh Morri
Keyword(s):  
Low Socioeconomic Status ◽  
Andhra Pradesh ◽  
Diarrhoeal Disease ◽  
Morbidity And Mortality ◽  
Child Rearing ◽  
High Morbidity ◽  
Cross Sectional ◽  
Rotavirus Infection ◽  
Medical College ◽  
Diarrhoeal Diseases

BACKGROUND Diarrhoeal diseases are significant public health problems that lead to morbidity and mortality of infants and children particularly in developing countries and developed countries too. Rotavirus is the most important virus responsible for severe diarrhoea among young children. India being a developing country, the incidence of diarrhoeal diseases is high. In this part of Andhra Pradesh, low socioeconomic status, bad feeding, and child-rearing practices along with malnutrition contribute to the high morbidity and mortality due to diarrhoeal disease caused by rotavirus infection. METHODS This cross-sectional hospital-based study was conducted from January 2018 to December 2018 in the Department of Paediatrics, Old Government Hospital, Siddhartha Medical College, Vijayawada, Andhra Pradesh after obtaining ethical clearance from Ethical and Research Committee of our institute. One hundred (100) children, fulfilling the selection criteria who were admitted in the three paediatric wards were the subjects of study. RESULTS In this present study, the incidence of rotavirus infection was high in children aged ≤ 12 months and least in children between the age group of 25 to 36 months. In our study, we found that majority of cases with rotavirus infection occurred from September to February (60 %). Reverse transcription – polymerase chain reaction (RT-PCR) test done for the 24-enzyme linked immuno sorbent assay (ELISA) test negative samples of this study group. Out of 24 ELISA negative samples, PCR detects 4 samples as positive as PCR test is more sensitive than ELISA. CONCLUSIONS Rotavirus diarrhoea is the most common cause of severe gastroenteritis (GE) in children below five years of age in most regions of India. In this part of Andhra Pradesh, the low socioeconomic status, bad feeding, and child-rearing practices along with malnutrition contribute to the high morbidity and mortality due to diarrhoeal disease caused by rotavirus infection. This data on rotavirus disease burden may likely support evidence-based decisions regarding any further intervention. KEYWORDS Rotavirus, Diarrhoea, Diarrhoeal Diseases, Gastroenteritis (GE) Children, RT-PCR

scholarly journals The role of zinc supplementation for diarrhoea in children: a critical review

2019 ◽  
Vol 18 (2) ◽  
pp. 190-195
Author(s):  
Wulandari Berliani Putri ◽  
Syaefudin Ali Akhmad ◽  
Sufi Desrini
Keyword(s):  
Developing Countries ◽  
Zinc Supplementation ◽  
Controlled Trial ◽  
Medical Science ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Double Blind ◽  
Sanitation And Hygiene ◽  
Study Selection

Background: Nearly 1.7 million children suffer from diarrhoea and around 760,000 die each year. The high prevalence of diarrhoea in the developing countries is closely related to lack of safe drinking water, inadequate sanitation and hygiene, and poor health and nutritional status. These environmental conditions facilitate the spread of infectious disease easily. The great morbidity and mortality of this preventable and treatable disease raise concern on how to save children from this fatal disease by improving management of diarrhoea. Several studies suggest that zinc deficiency contribute towards high morbidity and mortality in diarrhoea. Further, there is an area of uncertainty regarding how significant zinc supplementation will help to reduce the duration and severity of diarrhoea in children compared to the diarrhoea management without zinc? Objective: To critically analyse the current evidences of zinc supplementation in diarrhoea. Data Sources: Keywords searching through MEDLINE Ovid database and additional references from retrieved articles. Study Selection: Limited to randomized controlled trial(RCT) study design and systematic review studies which were conducted from 2006 to 2016. However, there is one prospective cohort study included as it is a follow-up of subjects who participated in the previous double-blind randomized placebo-controlled trial. Data Synthesis: This review involves a summary of 10 articles that have been appraised on their relevance in evaluating the role of zinc in reducing severity and duration of diarrhoea in children. Further, the literature found is synthesised through method used in the studies and the effectiveness of zinc therapy Conclusion: Zinc is relatively safe to be used and it can improve diarrhoea management especially in developing countries. Bangladesh Journal of Medical Science Vol.18(2) 2019 p.190-195

scholarly journals Clinical Profile and Underlying Cause of Acute Pancreatitis among a Group of Bangladeshi Patients

2020 ◽  
Vol 32 (1) ◽  
pp. 21-24
Author(s):  
ANM Saifullah ◽  
Madhu Sudan Saha ◽  
Bimal Chandra Shil ◽  
Ali Monsur Md Shariful Islam ◽  
Arifa Akhter ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Abdominal Pain ◽  
Gall Stone ◽  
Clinical Profile ◽  
Medical Emergency ◽  
High Morbidity ◽  
Cross Sectional ◽  
Medical College ◽  
North East ◽  
Medicine Today

Introduction:Acute Pancreatitis is a medical emergency, which is one of the most common conditions for hospital admission. Very few studies have yet investigated in Bangladesh. Objective of this study was to define demographic characteristics, clinical profile & underlying etiologies. Materials and Methods: This hospital based cross sectional descriptive study was performed in Sir Salimullah Medical College Mitford Hospital, Dhaka & North East Medical College, Sylhet, Bangladesh from January 2015 to December 2017. One hundred and five consecutive patients of acute pancreatitis (AP) were enrolled for this study. Clinical features and investigations were systematically recorded. Diagnosis of acute pancreatitis was made by the presence of the two of the three following criteria: i. abdominal pain consistent with the disease ii. serum amylase and /or lipase greater than three times from the upper limit of normal, and/or iii. characteristic findings of abdominal imaging. Results: Total of 105 patients took part in the study, of them 65 were male. The mean age was 42.76 ±15.88. Abdominal pain & vomiting was the most common mode of presentation. Gall stone and hypertriglyceridaemia were responsible of 20% of acute pancreatitis. Ascariasis also causes acute pancreatitis in two patients. Conclusion: Acute pancreatitis is a condition associated with high morbidity and mortality. Ascariasis also causes acute pancreatitis in endemic area. Patients usually respond conservative treatment but endoscopic treatment is effective in few cases. Surgery is rarely required. Medicine Today 2020 Vol.32(1): 21-24

scholarly journals Violent Asphyxial Death: A Study in Dinajpur Medical College, Dinajpur

2013 ◽  
Vol 3 (2) ◽  
pp. 91-93
Author(s):  
Md. Mizanur Rahman ◽  
Md. Rezaul Haque ◽  
Polash Kumar Bose
Keyword(s):  
Retrospective Study ◽  
Forensic Medicine ◽  
Medical College ◽  
Petechial Haemorrhage

Background: The word asphyxia is now commonly used to describe a range of conditions for which the lack of oxygen whether it is partial (hypoxia) or complete (anoxia) is considered to be the cause. The cardinal signs of asphyxia are cyanosis, congestion and petechial haemorrhage. Objective: To investigate the causes and manner of asphyxial death. Materials and Methods: It was a retrospective study conducted in the department of Forensic Medicine, Dinajpur Medical College, Dinajpur during July 2004 to June 2006. A total of 96 cases were examined and recorded. These cases were brought to the morgue of Dinajpur Medical College from 13 different police stations and 1 railway GRP station of Dinajpur district. The data were collected from the autopsy reports (preserved third copy) with permission of the concerned autopsy surgeons. Results: 88.55% of asphyxia deaths were due to hanging, 6.25% due to strangulation and 5.20% were due to suffocation. Conclusion: Most of the asphyxial deaths are due to hanging. Journal of Enam Medical College; Vol 3 No 2 July 2013; Page 91-93 DOI: http://dx.doi.org/10.3329/jemc.v3i2.16131

scholarly journals LIGATURE MARK ON THE NECK

2015 ◽  
Vol 22 (06) ◽  
pp. 798-803
Author(s):  
Mariam Arif
Keyword(s):  
Retrospective Study ◽  
Study Design ◽  
Forensic Medicine ◽  
Soft Tissues ◽  
Thyroid Cartilage ◽  
Age Group ◽  
Manner Of Death ◽  
Female Ratio ◽  
Medical College ◽  
Male Female Ratio

Introduction: There are three types of compression of neck which are of primeforensic importance – (1) Manual strangulation (2) Hanging (3) Ligature strangulation. Ligaturemark is found in the latter two types.1 Ligature mark is a pressure mark on the neck underneaththe ligature. Initially it appears as a pale groove which on drying becomes yellowish brownparchment like.2,5 Objective: The aim is to study the information provided by a ligature markin ligature asphyxial deaths. Methodology: Study Design: A retrospective study on ligatureasphyxial deaths. Setting: Forensic Medicine and Toxicology Departments of King EdwardMedical University, Lahore and Nishtar Medical College, Multan. Period: January, 2012 toDecember, 2013. Results: The incidence of violent ligature asphyxial deaths was 4.21% of thetotal medicolegal deaths autopsied. Age group 21 to 30 years accounted for the maximumcases (37.6%). Male: female ratio was 1.02. Nylon rope (44.7%) was the most common ligaturematerial used. Ligature mark was single in all cases and was situated above thyroid cartilage in82.92% cases of hanging. In ligature strangulation deaths, mark was one in number in 93.18%cases and was below thyroid cartilage in 97.72% cases. The manner of death in hangingwas mostly suicidal (90.24%) as compared to homicidal in all cases of ligature strangulation.Ligature mark was incompletely encircling the neck in 85.36% cases and obliquely present in100% cases of hanging. In all deaths due to ligature strangulation, it was completely encirclingand transversely present around the neck. Underlying soft tissues of neck were glisteningwhite in all hanging deaths while it showed extravasations of blood in all ligature strangulationcases. Conclusions: A meticulous examination of the ligature mark during autopsy, though notconclusive, can give valuable information that can be very helpful in diagnosing deaths due tohanging and ligature strangulation.

scholarly journals Study using endoscopic procedures for removal of foreign bodies from aero-digestive tract conducted in Jahurul Islam Medical College Hospital, Bangladesh

Mediscope ◽  
2016 ◽  
Vol 3 (1) ◽  
pp. 22-27
Author(s):  
MS Islam ◽  
MA Gafur ◽  
PK Deb ◽  
A Bardhan ◽  
L Noor
Keyword(s):  
General Anesthesia ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Medical College Hospital ◽  
Morbidity And Mortality ◽  
Treatment Modalities ◽  
High Morbidity ◽  
College Hospital ◽  
Endoscopic Procedures ◽  
Medical College

Foreign bodies (FB) in the aero-digestive tract continue to be a common problem that contributes significantly to high morbidity and mortality worldwide. This study was conducted to describe our own experience with endoscopic procedures for removal of FB in the aero-digestive tract, in our local setting and compare with what is described in literature. This was a prospective descriptive study, which was conducted at Jahurul Islam Medical College Hospital between January, 2011 and January, 2014. Data were collected using a structured questionnaire and analyzed using SPSS computer software version 15. A total of 72 patients were studied. Males outnumbered females by a ratio of 1.4:1. Patients aged 2 years and below were the majority (75.9%). The commonest type of FB in airways was peanuts and coins. The trachea (52.2%) was the most common site of lodgment of FB in the airways, whereas cricopharyngeal sphincter (68.5%) was the commonest site in the esophagus. Rigid endoscopy with forceps removal under general anesthesia was the main treatment modality performed in 87.8% of patients. The FB were successfully removed without complications in 90.8% of cases. Complication rate was 7.1% and bronchopneumonia was the most common complication accounting for 42.8% of cases. The mean duration of hospital stay was 3 days and mortality rate was 4.1%. Aero-digestive tract FB continue to be a significant cause of childhood morbidity and mortality in our setting. Rigid endoscopic procedures under general anesthesia are the main treatment modalities performed. Prevention is highly recommended whereby parents should be educated to keep a close eye on their children and keep objects that can be FB away from children’s reach.Mediscope Vol. 3, No. 1: January 2016, Pages 22-27

scholarly journals CERVICAL OESOPHAGOTOMY IN A CAT FOR FOREIGN BODY REMOVAL - CASE REPORT

2021 ◽  
Vol 186 (2) ◽  
pp. 123-131
Author(s):  
Alexandra NEAMȚU ◽  
Liviu BURTAN ◽  
Dan Gheorghe DRUGOCIU
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Upper Airway ◽  
Morbidity And Mortality ◽  
Medical Emergency ◽  
High Morbidity ◽  
Foreign Body Removal ◽  
Large Size ◽  
Endoscopic Extraction ◽  
Complete Extraction

Oesophageal foreign bodies are a significant cause of morbidity and mortality in small animals, especially in carnivores. Due to the possibility of complications such as perforation or tracheal compression, the patient may present an upper airway obstruction, which might become a medical emergency. Here, we describe a rare case of a large cervical foreign object in a cat and review the diagnostic and therapeutic approach of this condition. A 4-year-old female cat was referred to our clinic with signs of dyspnoea, dysphagia and regurgitation. The history and clinical exam suggested an oesophageal foreign body, subsequently radiographically confirmed. Because its shape and position did not allow endoscopic extraction, the foreign body was removed via ventral cervical oesophagostomy. Due to its location and large size, it was necessary to fragment the foreign body into two pieces for complete extraction without injuring the oesophageal walls. The patient had no postoperative complications and was discharged 7 days after surgery. In this condition, an early diagnosis, followed by an immediate surgical repair and a rigorous postoperative care, correlates with patient recovery and survival, being crucial in reducing the high morbidity and mortality rates that are usually associated.

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