scholarly journals Management of traumatic and non traumatic hollow visceral perforation in North India

2020 ◽  
Vol 6 (2) ◽  
pp. 53
Author(s):  
Naresh Pal ◽  
Vineet Mishra ◽  
Amit Jangra ◽  
Poonam . ◽  
Udit Jain
Keyword(s):  
The Body ◽  
North India ◽  
Special Investigation ◽  
Female Ratio ◽  
Accident And Emergency ◽  
Male Female Ratio ◽  
Perforation Peritonitis ◽  
Accident And Emergency Department ◽  
Ultimate Fate ◽  
Antibiotic Coverage

<p class="abstract"><strong>Background:</strong> Hollow visceral perforation is the commonest perforation among all the hollow viscera in the body. The perforation can be traumatic or non-traumatic and it constitute commonest surgical emergency worldwide. The diagnosis of perforation can be made clinically but for confirmation basic radiological investigations and sometimes special investigation are required.</p><p class="abstract"><strong>Methods:</strong> This is a prospective observational study conducted in our institute in the Department of General Surgery. The patients who are included in this study were more than 15 years of age in both sexes having hollow visceral perforation presenting in accident and emergency department.  </p><p class="abstract"><strong>Results:</strong> Out of 624 patients, 530 (84.93%) were males while only 94 (15.06%) were females, with a male: female ratio of 5.63:1. The site of perforation are ileum 37.01% duodenum, 28.36% maximum sites of hollow viscous perforation. Acid peptic disease was the cause of perforation in 27.40% of 171 cases. Enteric fever accounted maximally for 29% of 181 cases and all in the ileum. Acute appendicitis resulted in perforation of the appendix in 64 cases (10.25%) while blunt trauma abdomen causes perforation in 12.66% of 79 cases. Perforation due to stab injury accounted for 5.12% and fire arm injury perforation seen in 19 patients (3.04%).</p><p><strong>Conclusions:</strong> Early diagnosis of perforation, resuscitation with crystalloids with broad spectrum antibiotic coverage and urgent surgical intervention whenever patient is fit for anaesthesia are the important factors which decides the ultimate fate of the patient in case of hollow visceral perforation peritonitis. </p>

Teenage Attempted Suicide in Hong Kong

Crisis ◽  
1998 ◽  
Vol 19 (2) ◽  
pp. 67-72 ◽  
Author(s):  
Paul SF Yip ◽  
LH Chiu
Keyword(s):  
Hong Kong ◽  
Potential Health ◽  
Hospital System ◽  
Female Ratio ◽  
Teenage Girls ◽  
Sleeping Pills ◽  
Accident And Emergency ◽  
Accident And Emergency Department ◽  
The Mean ◽  
Male To Female

We examined the epidemiological profiles and characteristics of suicide attempters admitted to the Accident and Emergency Department of a regional hospital in Hong Kong (Princess Margaret Hospital) in the period from January to December 1995. These consisted of 101 adolescents (16 males and 85 females) aged between 10 to 24 years. There were significantly more female attempters than males, especially in the group aged 10-19, which had a male-to-female ratio of suicide rates of 1:11. Most of the methods used were nonlethal; the attempters were not serious enough and had no real intention to die. The use of painkillers and sleeping pills was most common. The main precipitating factor was interpersonal problems, for example, relationships, spousal and parental problems, especially among teenage girls. More than 90% of the cases stayed at the hospital for further observation, the mean length of stay in the hospital being 3.3 days. The potential health cost to the hospital system was around HK$ 11.7 million. Underestimating the prevalence of attempted suicides in Hong Kong could be a serious matter.

Electrocution deaths reported in South Delhi, India: A retrospective analysis of 16 years of data from 2002 to 2017

2019 ◽  
Vol 59 (4) ◽  
pp. 240-246
Author(s):  
Chittaranjan Behera ◽  
Asit Kumar Sikary ◽  
Ravi Rautji ◽  
Sudhir Kumar Gupta
Keyword(s):  
Retrospective Analysis ◽  
Low Voltage ◽  
Monsoon Season ◽  
Time Of Day ◽  
The Body ◽  
New Delhi ◽  
Adult Males ◽  
Medical Sciences ◽  
Female Ratio ◽  
Male Female Ratio

This study is a retrospective analysis of 428 cases of electrocution deaths in the region of South Delhi, India, which were autopsied at the All India Institute of Medical Sciences, New Delhi, during the 16-year period 2002–2017. The cases were analysed with regard to the age and sex of the victim, season of the year, site of the body, time of day, place of occurrence and presence of entry and exit wounds on the body. The cases represented approximately 1.8% of all autopsy cases during the period. The main findings of the study showed that the majority of cases involved adult males at home during the monsoon season, with a low-voltage electrical supply affecting the upper extremities. This study also confirms that not all cases of electrocution show electrocution marks. Comparison with an older study undertaken within the same population showed no difference in the pattern of cases, apart from a decreasing male-female ratio.

scholarly journals Pattern of injuries in trauma patients presenting in Accident and Emergency Department of Jinnah Hospital, Lahore

2016 ◽  
Vol 12 (2) ◽  
Author(s):  
Kamran Ali ◽  
Ghulam Mustafa Arain ◽  
Ahmad Sohail Masood ◽  
Aslam M
Keyword(s):  
Emergency Department ◽  
Upper Limb ◽  
Lower Limb ◽  
Tertiary Care ◽  
Age Groups ◽  
Exploratory Laparotomy ◽  
The Body ◽  
Trauma Patients ◽  
Accident And Emergency ◽  
Accident And Emergency Department

Objective: To observe the pattern of injuries in patients involved in different kinds of trauma presenting to the Accident and Emergency Department of Jinnah Hospital Lahore. Design: A prospective descriptive epidemiological study. Place and duration of study: Accident and emergency department of Jinnah Hospital Lahore. From 1st April 2005 to 30th September 2005. Subjects and methods: The study included patients presenting with different kinds of trauma to the emergency department of Jinnah Hospital, Lahore. They were further categorized into trauma of different regions of the body i.e. upper limb, lower limb, abdomen, head & neck, thorax and perineum. Then frequency of different types of trauma was determined. Results: During this period (1st April2005 to 30th September 2005), 111`413 patients presented in accident and emergency department and 4680 patients had traumatic injury. 1404 patients (30%) had blunt trauma, 134(2.86%) had penetrating firearms injury, 2433(51.99%) had penetrating sharp injury an d 709 patients (15.15%) had crush injury. Most patients got upper limb, lower limb, head & neck and abdominal injuries, in that order. Most patients received multiple injuries. 3340 patients (71.36%) got only minor surgery like stitching under local anaesthesia and 468 patients (10%) had no surgery at all. 872 patients (18.63%) underwent some kind of major surgical procedure like amputation, exploratory laparotomy, or stitching under GA etc. Conclusion: Trauma is a leading cause of morbidity and mortality among all age groups. Most of the trauma victims receiving minor injuries can be treated at primary heath care centers. This can decrease the load of tertiary care hospitals. Maximum impact in reducing the burden of trauma must come from injury prevention strategies.

scholarly journals Clinico Haematological Profile in Paediatric Patients with Bicytopenia and Pancytopenia in a Tertiary Care Referral Centre of North India

2021 ◽  
pp. 57-63
Author(s):  
Pankaj Katoch ◽  
Vipin Roach ◽  
Surinder Singh
Keyword(s):  
Scrub Typhus ◽  
Tertiary Care ◽  
North India ◽  
Age Group ◽  
Female Ratio ◽  
Paediatric Patients ◽  
Haematological Profile ◽  
Male Female Ratio ◽  
Paediatric Age ◽  
Common Sign

Background: Bicytopenia and Pancytopenia are relatively common presentations in adults as compared to paediatric patients.  Clinical features present in different manifestations in children with Pancytopenia/Bicytopenia, which can range from bone marrow suppression temporarily to marrow infiltration by life-threatening malignancies. Aim: To study the clinical and haematological profile in the paediatric age group withCytopenias. The study aims to analyze the severity of hematological findings as per causative factors in patients with Pancytopenia and Bicytopenia. Methods: Prospective Observational Study conducted in the Department of Paediatrics in Dr.RPGMC Tanda Himachal Pradesh (INDIA). The study included all patients except those falling in the exclusion criteria.It was performed after oral and written informed consent.A total of 50 children admitted with bicytopenia and pancytopenia were enrolled from March 2013 to March 2014. Results: Infection was the commonest etiology observed in 22(44%) patients with bicytopenia and pancytopenia. Bicytopenia was seen in 14 (20%) and pancytopenia in 8 (16%) cases with infection. Scrub typhus was the commonest Infection seen in 18(32%).Leukaemia was notedin 11(22%) cases. Conclusions: The commonest age group affected was 11-15 years with female domination with a Male: Female ratio of 0.78:1. The commonest symptom was fever 37(74%)  then generalized weakness in 29 (58%) cases.Pallor was the most common sign in 43(86%) followed by Hepatomegaly 32(64%), Lymphadenopathy 30(60%), and Splenomeagly in 29 (58%) patients.  Infection was the commonest etiology followed by leukemia and megaloblastic anaemia. Scrub typhus was the commonest infection encountered in the present study.

scholarly journals PROFILE OF MEDICOLEGAL CASES;

2017 ◽  
Vol 24 (03) ◽  
pp. 366-369
Author(s):  
Mariam Arif ◽  
Syed Hamad Rasool ◽  
Syed Muhammad Hammad Ali
Keyword(s):  
Emergency Department ◽  
Tertiary Hospital ◽  
Health Care Facilities ◽  
Legal Services ◽  
Legal Cases ◽  
Female Ratio ◽  
Accident And Emergency ◽  
Care Facilities ◽  
Accident And Emergency Department ◽  
Male To Female

Introduction: The accident and emergency department is the backbone ofevery tertiary hospital because it is providing medical as well as legal services to the patients.Objective: The aim of the study was to determine the pattern of medicolegal cases attendingaccident and emergency department of Services hospital, Lahore. Study Design: Retrospectivestudy. Setting: Accident and Emergency Department of Services Hospital, Lahore. Period: 1stJanuary, 2014 to 31st December, 2014. Materials and Methods: Data of medicolegal caseswas collected regarding age, gender and type of injuries. It was collected on a pre-testedstructured proforma and statistically analyzed using SPSS version14. Results: Total number ofmedicolegal cases was 2166 with male to female ratio 5.1 : 1. Commonest age group affectedwas third decade (37.6%). Blunt weapon injuries (64.77%) were most common followed byfirearm injuries (9.3%) and sharp weapon injuries (8.8%) while the least common were burns(0.2%) and poisoning (0.55%).Sexual assault was predominant in females (63.8%). Conclusion:Documentation of medico-legal cases should be done with great care. Injury related morbidityand mortality can be reduced by improvement in health care facilities.

A Regional Audit of Hand and Wrist Injuries

1998 ◽  
Vol 23 (2) ◽  
pp. 196-200 ◽  
Author(s):  
C. HILL ◽  
M. RIAZ ◽  
A. MOZZAM ◽  
M. D. BRENNEN
Keyword(s):  
Dominant Hand ◽  
Age Group ◽  
Wrist Injuries ◽  
Female Ratio ◽  
Left Hand ◽  
Accident And Emergency ◽  
Male Female Ratio ◽  
Isolated Injury ◽  
The Mean ◽  
The Right

This study reports the characteristics, causes and disposal of isolated injuries to the hand and wrist presenting to six accident and emergency departments over a period of 4 months. The rate of isolated injury to the hand or wrist was 6.6%. The male: female ratio was 2.2: 1, with the mean age for injury being 26.4 years in men and 29.2 years in women. The modal age group for injury was 21–25 years in men and 11–15 years in women. The right and left hand were injured almost equally. The dominant hand was more commonly injured although this was influenced by the cause of injury: 16.3% were caused by a fall; 15% by sport; and 7% were work/machinery related. 13.3% were referred to specialities for further treatment.

scholarly journals Skin disorders among elderly population without comorbidities: a hospital based study

2019 ◽  
Vol 5 (2) ◽  
pp. 290
Author(s):  
Pooja Bains
Keyword(s):  
Fungal Infections ◽  
Seborrheic Dermatitis ◽  
Systemic Disease ◽  
The Body ◽  
Seborrheic Keratosis ◽  
Female Ratio ◽  
Dermatological Disease ◽  
Male Female Ratio ◽  
Minimum Age ◽  
Baseline Information

<p class="abstract"><strong>Background:</strong> Aging is a permanent and progressive degenerative process which affects all organs of the body, including skin. There is a structural and physiologic transformation that arises as a result of intrinsic aging along with extrinsic damage which makes elderly skin more vulnerable to dermatologic disorders. In this study, we set out to determine the frequency and pattern of dermatological diseases in geriatric patients without chronic systemic illness and comorbidities like diabetes mellitus, hypertension and cardiac illness.</p><p class="abstract"><strong>Methods:</strong> We enrolled 350 patients of the age 60 years and above who were not suffering from any chronic systemic disease for the study. Baseline information and clinical examination were done to make the diagnosis.<strong></strong></p><p class="abstract"><strong>Results:</strong> The male: female ratio in our study was 1.14:1. The mean age of presentation was 68 year. The minimum age of patient was 60 years and maximum was 92 years. The most frequently encountered diseases in patients were eczematous dermatitis, fungal infections, scabies, xerosis and pruritus. Among eczemas, seborrheic dermatitis was the most common. Very few patients of solar lentigenes, skin tags and seborrheic keratosis came for dermatological consultation.</p><p class="abstract"><strong>Conclusions:</strong> Eczemas were the most common dermatological disease in elderly in our study and pruritus was the most frequent complaint for which elderly visited skin Out Patient Department. Most of the diseases could possibly have been prevented.</p>

Suicide in Nógrád County, Hungary, 1970-1994

Crisis ◽  
1999 ◽  
Vol 20 (2) ◽  
pp. 64-70 ◽  
Author(s):  
Tamás Zonda
Keyword(s):  
High Risk ◽  
Psychiatric Disorders ◽  
Suicide Rate ◽  
Risk Groups ◽  
The Elderly ◽  
Female Ratio ◽  
Suicide Notes ◽  
Suicidal Intention ◽  
Male Female Ratio

The author examined completed suicides occurring over a period of 25 years in a county of Hungary with a traditionally low (relatively speaking) suicide rate of 25.8. The rates are clearly higher in villages than in the towns. The male/female ratio was close to 4:1, among elderly though only 1.5:1. The high risk groups are the elderly, divorced, and widowed. Violent methods are chosen in 66.4% of the cases. The rates are particularly high in the period April-July. Prior communication of suicidal intention was revealed in 16.3% of all cases. Previous attempts had been undertaken by 17%, which in turn means that 83% of suicides were first attempts. In our material 10% the victims left suicide notes. Psychiatric disorders were present in 60.1% of the cases, and severe, multiple somatic illnesses (including malignomas) were present in 8.8%. The majority of the data resemble those found in the literature.

CLINICAL, ENDOSCOPIC AND PATHOGICAL CHARACTERISTICS OF COLORECTAL CANCER AT DA NANG HOSPITAL FROM 2016 TO 2017

2018 ◽  
pp. 9-14
Author(s):  
Thanh Trung Nguyen ◽  
Duc Nhan Le ◽  
Van Xung Nguyen ◽  
Hieu Trung Doan
Keyword(s):  
Colorectal Cancer ◽  
Descriptive Study ◽  
Bloody Stool ◽  
Key Words Colorectal Cancer ◽  
Right Colon ◽  
Female Ratio ◽  
Histopathological Classification ◽  
Male Female Ratio ◽  
Female Male Female ◽  
Colorectal Cancer Patients

Objective: To study the clinical, endoscopy and pathogical characteristics of colorectal cancer at Da Nang Hospital. Methods: A retrospectively descriptive study, performed from 01/01/2016 to 31/12/2017 at Da Nang Hospital. Results: During two years, there were 205 cases of colorectal cancer patients hospitalized to Da Nang Hospital. Male: 59.51%, female: 40.49%, mean age: 65.8 ± 16.07. Male is higher than female, male/ female ratio is 1.4/1. The period from the first symptoms to admission < 3months predominated (83.8%). The predominant symptoms: Abdominal pain (85.85%), bloody stool (63.41%), defecation (62.44%), anemia (34.63%), weight loss (25.85%), fatigue (17.56%), abdominal distention (12.19%), nausea and vomiting (5.36%). Location of Lesions: Rectum (43.42%), sigmoid colon (20%), right colon (10.73%),cecum (10.73%), transverse colon (7.80%), left-colon (7.32%). Type of lesion on endoscopy: Exophytic (63.41%), ulceration-Exophytic (21.95%), ulceration (7.32%), polyp chemotherapy (7.32). Tumor size: ≥ 3/4 perimeter (39%), occupying the whole circumference (37.0%), occupying ≥ 1/2 perimeter (15.6%), accounting for 1/4 Perimeter (8.4%). The colon completely narrowed rate: 70.73%., incompletely was 29.27%. Histopathological classification: adenocarcinoma (85.85%), Mucinous adenocarcinoma: (9.27%) and non-differentiated epithelial carcinoma was 4.88%. Conclusion: Colorectal cancer was quite popular and was usually detected at advanced stages.Therefore, screening for subjects with risk factors for early detection and treatment is recommended. Key words: Colorectal cancer, endoscopy, pathogical characteristics...

CLINICAL FEATURES, INDICATIONS AND RESULT OF TRACHEOTOMY

2017 ◽  
pp. 50-55
Author(s):  
Duc Luu Ngo ◽  
Tu The Nguyen ◽  
Manh Hung Ho ◽  
Thanh Thai Le
Keyword(s):  
Clinical Features ◽  
University Hospital ◽  
Female Ratio ◽  
Tube Obstruction ◽  
Level Ii ◽  
Study Results ◽  
Male Female Ratio ◽  
Hospital Patients ◽  
Level I

Background: This study aims to survey some clinical features, indications and results of tracheotomy at Hue Central Hospital and Hue University Hospital. Patients and method: Studying on 77 patients who underwent tracheotomy at all of departments and designed as an prospective, descriptive and interventional study. Results: Male-female ratio was 4/1. Mean age was 49 years. Career: farmer 44.2%, worker 27.2%, officials 14.3%, student 7.8%, other jobs 6.5%. Respiratory condition before tracheotomy: underwent intubation 62.3%, didn’t undergo intubation 37.7%. Period of stay of endotracheal tube: 1-5 days 29.2%, 6-14 days 52.1%, >14 days 18.7%. Levels of dyspnea before tracheotomy: level I 41.4%, level II 48.3%, level III 0%, 10.3% of cases didn’t have dyspnea. Twenty cases (26%) were performed as an emergency while fifty seven (74%) as elective produces. Classic indications (37.7%) and modern indications (62.3%). On the bases of the site, we divided tracheostomy into three groups: high (0%), mid (25.3%) and low (74.7%). During follow-up, 44 complications occurred in 29 patients (37.7%). Tracheobronchitis 14.3%, tube obstruction 13%, subcutaneous empysema 10.4%, hemorrhage 5%, diffcult decannulation 5.2%, tube displacement 3.9%, canule watery past 2.6%, wound infection 1.3%. The final result after tracheotomy 3 months: there are 33 patients (42.9%) were successfully decannulated. In the 33 patients who were successfully decannulated: the duration of tracheotomy ranged from 1 day to 90 days, beautiful scar (51.5%), medium scar (36.4%), bad scar (12.1%). Conclusions: In tracheotomy male were more than female, adult were more than children. The main indication was morden indication. Tracheobronchitis and tube obstruction were more common than other complications. Key words: Tracheotomy

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