A prospective study of medicolegal autopsies to establish profile of burn deaths

Burns injuries have been a one of the major cause of concern since prehistoric time to the present era of modern medicine. Burn is considered to be the commonest cause of unnatural death in India.Burns are injuries produced by application of dry heat such as flame, radiant heat or some heated solid substance like metal or glass to the body. Dry heat, application of hot bodies, licking by flames resulting in simple burns causes local injury to the body. Moist heat leading to scalds, corrosive poisons resulting in corrosive burns. Electric spark, discharges, flashes and lightning leads to electric burns.Present study aim to know the magnitude of burn deaths in the region of southern marathwada region. Two years prospective study was conducted at Government Medical College Latur. Study of medico legal autopsies to establish the profile of burn deaths was carried out. In the present study, it is found that burns are commonly found in female (72.04%) than in females. Housewives (43.52%) were common victims followed by works (9.80%). Most of the incidences took place in morning hours (45.53%). Most common place of incidence was house (83%). Kerosene (57.63%) was the most common accelerant used to cause burn. If percentage of burn increases, the survival period decreases and vice versa. Most common alleged manner of death was accident (53, 6%).

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A prospective study on the etiopathogenesis, clinical types and causes for recalcitrant nature of scalp psoriasis

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20193235 ◽

2019 ◽

Vol 5 (3) ◽

pp. 593 ◽

Cited By ~ 1

Author(s):

Shrinidhi Ramalingam ◽

Rajkumar Kannan ◽

Muthusubramanian Chandrasekar

Keyword(s):

Prospective Study ◽

Liquid Paraffin ◽

Critical Role ◽

Vascular Supply ◽

The Body ◽

Medical College ◽

Scalp Psoriasis ◽

The Social ◽

A Prospective Study

Background: Psoriasis, a common chronic disfiguring inflammatory and proliferative papulosquamous disorder of the skin in which both genetic and environmental influences have a critical role. Scalp becomes the most common site of involvement, both at the time of onset of the disease and also throughout the course of the disease. This prospective study is designed to have a thorough insight into the etiological factors, clinical types and to unearth the factors behind the recalcitrant nature of scalp psoriasis.Methods: A prospective study, conducted in the Department of Dermatology, Chengalpattu Medical College, Tamilnadu. 50 patients of scalp psoriasis enrolled between April 2017 and March 2018 were included in the study.Results: It was found in our study that lesions of scalp psoriasis took longer time (on an average 6-8 weeks more) to resolve than lesions of psoriasis elsewhere in the body following treatment with systemic drugs like methotrexate and topical agents like 0.1% betamethasone + salicylic acid ointment and liquid paraffin. Out of 50 patients, 30 were female (60%) and 20 were male (40%). Following were the clinical types of scalp psoriasis encountered in our study. Chronic plaque psoriasis- 25 (50%), sebopsoriasis- 13 (26%), erythrodermic scalp psoriasis- 8 (16%), pityriasis amiantaceae- 4 (8%), pustular psoriasis of scalp- 0.Conclusions: The density of scalp hair leading to reduced absorption of topical treatment and the social reasons affecting the quality of life of patients are crucial factors that determine treatment outcome. All these inconveniences result in non compliance of treatment. Hairy scalp, rich vascular supply, patient’s non-compliance, adverse effects of topical agents-all throw a challenge to the treating dermatologist where it poses recalcitrant nature to treatment.

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Peripheral intravenous catheter complications in critically ill children: a prospective study JS GARLAND, WM DUNNE JR, P HAVENS, ET AL Department of Pediatrics and Department of Pathology, Medical College of Wisconsin and Department of Nursing, Children's Hospital of Wisconsin, Milwaukee

Nutrition in Clinical Practice ◽

10.1177/088453369300800207 ◽

1993 ◽

Vol 8 (2) ◽

pp. 78-78

Author(s):

Beth Lyman

Keyword(s):

Prospective Study ◽

Critically Ill ◽

Critically Ill Children ◽

Intravenous Catheter ◽

Children's Hospital ◽

Medical College ◽

Children’S Hospital ◽

Peripheral Intravenous Catheter ◽

Catheter Complications ◽

A Prospective Study

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Comparative study between endoscopic cartilage myringoplasty and endoscopic temporalis fascia myringoplasty

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20185116 ◽

2018 ◽

Vol 5 (1) ◽

pp. 24 ◽

Cited By ~ 1

Author(s):

P. Chozhan ◽

M. Sankara Subramanian ◽

D. Kannathal ◽

R. Malarvizhi

Keyword(s):

Comparative Study ◽

Prospective Study ◽

Temporalis Fascia ◽

Ear Surgery ◽

Medical College ◽

The World ◽

Prospective Comparative Study ◽

Patient Series ◽

A Prospective Study

Background: Myringoplasty is a common ear surgery performed all over the world. This study is focused on prospective comparative study using two different graft materials.Methods: This was a prospective study done in the Department of ENT Stanley Medical College, Chennai during the period from March 2013 to September 2013. Sample size was 60 patients. Follow up was done till 6 months. Results: Graft acceptance was achieved in 28 patients (93%) who underwent palisade cartilage myringoplasty, whereas it was achieved in 24 patients (80%) in the temporalis fascia myringoplasty group.Conclusions: The outcomes in our patient series indicate that cartilage myringoplasty achieves good results. Cartilage, a very effective material for the reconstruction of the TM and grafts can provide an excellent anatomical result, perfect stability and good functional outcome.

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ESTIMATION OF FETAL WEIGHT BY CLINICAL METHODS AND ULTRASOUND AND CORRELATING ITS ACCURACY WITH ACTUAL BIRTH WEIGHT IN TERM PREGNANCIES AT ANMMCH, GAYA, BIHAR

10.36106/2332504 ◽

2021 ◽

pp. 17-19

Author(s):

Kumari Ragini ◽

Amit Kumar ◽

Reena Kumari ◽

Debarshi Jana

Keyword(s):

Birth Weight ◽

Prospective Study ◽

Fetal Weight ◽

Term Pregnancy ◽

Abdominal Girth ◽

Medical College ◽

Obstetrics And Gynaecology ◽

Clinical Methods ◽

Fetal Birth Weight ◽

A Prospective Study

Objective:This study was to estimate the fetal weight in term pregnancy by clinical methods and ultrasound and to compare the results with actual birth weight (ABW). Material and Methods:This study was conducted at Department of Obstetrics and Gynaecology, Anugrah Narayan Magadh Medical College and Hospital, Gaya, Bihar from December 2019 to May 2020. It was a prospective study covering 200 pregnant women at term gestation. Results: Estimated birth weight by abdominal girth × symphysis fundal height (AG × SFH) formula was closest to the ABW (P = 0.060), as compared to the estimated birth weight by Johnson's formula (P = 0.000) and Hadlock's formula (P = 0.000). Therefore, of the three formulae studied, AG × SFH formula had better predictive value as compared to Johnson's and Hadlock's formulae. The accuracy of AG × SFH (Insler's formula) for estimating the fetal weight at term was found to be comparable to Hadlock's formula (P= 0.104). Conclusion: Clinical estimation of birth weight denitely has a role in the management of labor and delivery. AG × SFH is a simple, easy, costeffective, and universally applicable method to predict fetal birth weight which can be used even by paramedics like midwives and also in centers where ultrasound is not available.

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Steatocrit Value in New-Born Babies

Paediatrica Indonesiana ◽

10.14238/pi35.7-8.1995.190-3 ◽

2018 ◽

Vol 35 (7-8) ◽

pp. 190-3

Author(s):

Johnwan Usman ◽

Irfan Abdullah ◽

Muhazar Muhazar ◽

Atan Baas Sinuhaji ◽

A. H. Sutanto

Keyword(s):

Body Weight ◽

Breast Milk ◽

Prospective Study ◽

The Body ◽

Milk Formula ◽

Preterm Newborn ◽

Formula Milk ◽

Diet Patterns ◽

Significant Difference ◽

A Prospective Study

A prospective study on steatocrit value in full-term or preterm newborn babies of~ 2 days of age in Dr. Pimgadi Hospital, Medan is reported. This study was conducted from December 7, 1992, to February 7, 1993; there were 72 newborn babies (37 males and 35 females). The body weight was> 2500 gin 60 babies and s. 2500 gin 12 babies. The median steatocrit value in babies with body weight of> 2500 g was 9%, and it was 32% in babies less than 2500 g of body weight. The proportion of babies with > 25% steatocrit value was larger in babies less than 2500 g than that in 2500 g by the diet patterns of breast milk, breast milk and milk formula, milk formula. The proportion of babies with < 25% steatocrit value was higher in babies with body weight of< 2500 g than that in babies > 2500 g for those who had either breast milk, breast milk and milk formula or milk formula. There was significant difference (p<0,05) in the steatocrit levels between babies with the body weight of > 2500 g and those who had body weight of ≤ 2500 g.

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Diagnostic accuracy of presepsin in predicting bacteraemia in elderly patients admitted to the emergency department: prospective study in Japan

BMJ Open ◽

10.1136/bmjopen-2019-030421 ◽

2019 ◽

Vol 9 (12) ◽

pp. e030421

Author(s):

Yoshiro Imai ◽

Kohei Taniguchi ◽

Ryo Iida ◽

Masahiko Nitta ◽

Kazuhisa Uchiyma ◽

...

Keyword(s):

Emergency Department ◽

Elderly Patients ◽

Prospective Study ◽

Characteristic Curve ◽

Ethics Committee ◽

Blood Sampling ◽

Medical College ◽

Reactive Protein ◽

Evaluation Scores ◽

A Prospective Study

ObjectiveEarly prediction of bacteraemia in the elederly is needed in the emergency department (ED).Design, setting and participantsA prospective study in Japan; single-centre trial in patients who satisfied the sepsis criteria was conducted between September 2014 and March 2016. Forty-six elderly patients aged ≥70 years were included. The study protocol was approved by the ethics committee of Osaka Medical College. Ethics Committee approval number was 1585.InterventionsBlood sampling to evaluate C-reactive protein (CRP), procalcitonin (PCT) and presepsin plasma levels; two sets of blood sampling for bacterial cultures; and evaluations of the Sequential Organ Failure Assessment and Acute Physiology and Chronic Health Evaluation scores were performed on arrival at the ED. The results were compared between patients with bacteraemia and those without bacteraemia.Main outcome measureThe accuracy of detecting bacteraemia.ResultsThe presepsin value was significantly higher in the bacteraemia group than in the non-bacteraemia group (866.6±184.6 vs 639.9±137.1 pg/mL, p=0.03). The PCT and CRP did not significantly differ between the groups. The area under the receiver operating characteristic curve values were not significantly different among presepsin (0.69), PCT (0.61) and CRP (0.53). Multivariate analysis showed that presepsin was independently associated with bacteraemia (OR 8.84; 95% CI 0.95 to 81.79; p=0.02).ConclusionPresepsin could be a good biomarker to predict bacteraemia in elderly patients with sepsis criteria admitted to the ED.

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