A Retrospective Descriptive Study on Death Due to Cyanide Poisoning Over a Period of 20 Years in Government Medical College, Thiruvananthapuram

2021 ◽  
Vol 8 (30) ◽  
pp. 2697-2701
Author(s):  
Sasikala K ◽  
Vitni Fernz ◽  
Abitha Raj B.T ◽  
Ajith V. Asok ◽  
Amritha Mathew ◽  
...  

BACKGROUND Cyanide is a rapidly acting poison which has been the suicidal agent of choice since time unknown. Its notoriety also extends to homicide, and it has often been used by serial killers. It is found in nature and is used in various industries, but is difficult to obtain nowadays as a result of strict policy implementation. METHODS All cases of cyanide poisoning over a period of 20 years from 2000 to 2019 were studied. Samples were sent for identification and quantification by GC-MS to the chemical examiner’s laboratory. Data was collected in pro forma and entered into Microsoft Excel and analysed using statistical package for social sciences (SPSS). RESULTS A total of 84 cases were studied over a period of 20 years. The majority of cases were recorded in the first decade of the study period. Most common age group involved was 31 to 40 years. Males comprised 84.9 % of the total. Majority were suicidal in nature, and 22.6 % were suicide pacts. The reason for committing suicide could not be found in 59.3 %. 67.9 % were found dead or brought dead to the hospital. In 24 % cases, the typical smell of bitter almonds was identified. Police were able to make out the presence of poison in 83.3 % during the preliminary investigation. CONCLUSIONS Males were the commonly affected. Ingestion of poison was the method of administration in all cases. Majority were suicides, and occurred in the residence of the victims. In majority of cases, police could identify the cause of death as poisoning. The characteristic smell could be identified only in a few cases. KEYWORDS Cyanide, Corrosion, Poisoning, Suicide

2011 ◽  
Vol 6 (2) ◽  
pp. 794-797
Author(s):  
SANIA TANWEER KHATTAK ◽  
MOHAMMAD SAJJAD ◽  
MUSHTAQ AHMED ◽  
IMRAN UD DIN ◽  
MOHAMMAD ASIF

BACKGROUND: Adenomyosis is a gynaecological condition in which there occurs an ectopicendometrial tissue in myometrial layer of uterine wall. Adenomyosis is one of the most common causesof abnormal uterine bleeding.OBJECTIVE: To determine the incidence of adenomyosis and their association with other uterinepathologies in hysterectomy specimens in northern district of Khyber pukhthunkhwa.MATERIALS AND METHODS: This descriptive study was conducted in Gynecology department andPathology department of Saidu Medical College / Saidu teaching hospital Swat. The study period wasfrom June 2013 to June 2016. A total of 250 hysterectomies were included in the study. The inclusioncriteria was only hysterectomies specimens of any age, whereas exclusion criteria were autolysedspecimen. A minimum of two sections and a maximum of six sections were taken from the uterine wall.Sections 5 micron thick were stained with H&E and reported by histopathologists. The data wasanalysed in Statistical Package for Social Sciences (SPSS) version 16 for frequencies with percentagesand mean with standard deviation.RESULTS: A total of 250 hysterectomies were included in this study with mean age of 37.5±8.47 yearsand age range was from 25 to 65 years. The incidence of adenomyosis was 34.8% amongst 250hysterectomies specimens and was the second common lesion where as leiomyoma was the firstcommon lesion. The most common age group in adenomyosis was between 35-45 years 43(49.42%)cases followed by 25-35 years 32(36.78%) cases etc. Adenomyosis was present in 84(95.40%) caseswith endometrial wall thickness of more than 2.5 millimeter.CONCLUSION: Adenomyosis was the second commonest lesion in hysterectomy specimen and wassignificantly associated with other uterine pathologies.KEY WORDS: Hysterectomy, Adenomyosis, Uterine wall thickness.


2013 ◽  
Vol 12 (3) ◽  
pp. 44-48
Author(s):  
Joyabrata Das ◽  
Subash Majumdar ◽  
Subrata Das ◽  
Saiem Nurul Anwar ◽  
Hossain Ahmed ◽  
...  

Background: The liver is the organ most subjected to the development of abscesses and made up 48 % of all visceral abscesses' and 7% of all intra abdominal abscesses. Liver abscess should be suspected when there is a combination of fever, leucocytosis, constitutional symptoms, and pain in the right upper quadrant, and tenderness over the liver or right lower rib cage. The liver is affected by a number of local and disseminated infections; their frequency and types vary considerably around the world. Parasitic disorders are more prevalent in developing countries. Methods: It was a cross-sectional descriptive study. The cases were taken from the admitted patients of Medicine unit of SMCH, Chittagong. The study was conducted over a period of one year with a sample size of 50 patients and sample was taken by purposive sampling. Results: Among 50 patients 40 (80%) were diagnosed as ALA and 10 (20%) were diagnosed as PLA. ALA cases are common in 21-30 years age group & PLA cases are more common in >50 years of age group. Majority of the cases were from rural area. Common clinical features were fever, abdominal pain, nausea and tender hepatomegaly. Diarrhea was present on admission in 7 (15.9%) patients of ALA. Anaemia was common in both but polymorphonuclear leucocytosis was moderate to severe in PLA. Microscopic examination of stool samples for E. Histolytica trophozoites was positive in 3 (7.5%) cases and cysts in 4(10%) cases. Nine patients had right sided pleural effusion. Conclusions: Clinical features are common in both ALA and PLA. Liver abscesses are more common in men and more prevalent in rural areas. ALA more commonly occurs in 21-30 years age group but can occur at any age. Pyogenic abscess is more common in older age group (>50 years) and E. Coli is the commonest organism. Chattagram Maa-O-Shishu Hospital Medical College Journal Volume 12, Issue 3, September 2013: 44-48


2016 ◽  
Vol 5 (2) ◽  
pp. 26-28
Author(s):  
Zubaida Gulshan Ara ◽  
ASM Shafiqul Islam ◽  
Umme Kulsum Sharmin Zaman ◽  
Anjuman Ara ◽  
Reeva Aireen Busreea

This cross sectional descriptive study was done to see the length of the cervix in Bangladeshi cadaver to find out the anatomical variation and to compare it with other study findings. 60 post mortem specimens containing female genital organs particularly uterine cervix were collected by purposive sampling technique from cadavers of different age groups. All the collected specimens were fixed in 10% formalin solution. This study was carried out in the department of Anatomy, Mymensingh Medical College from July 2006 to June 2007. Both gross and fine dissections were performed to measure the length of the uterine cervix. We compare our study findings with that of the references. Maximum mean length of the cervix was found in the 13-45 years age group. It was 2.89 cm. CBMJ 2016 July: Vol. 05 No. 02 P: 26-28


Author(s):  
Rakulini Raveendran

Introduction: Siddha Medicine is a system of traditional medicine originating in ancient Tamil Nadu in South India and Sri Lanka. Traditionally, it is taught that the siddhars laid the foundation for this system of medicine. Siddha system has a unique diagnostic method to identify the diseases and their causes. According to the Saint Theraiyar, there are eight tools of diagnosis: symptoms of the body, the colour, the voice, the eyes, the tongue, stools, urine and the pulse. Aim: The aim of this study was to study the siddha diagnostic methodology of envagaithervu for gunmam patient sat government siddha medical college & hospital, palayamkottai. Study Setting: Government Siddha Medical College, Palayamkottai from April to August 2019. Methodology: It is an observational study. After identifying the eligible subjects, Data will be collected by using the interview administrated questionnaire & relevant data will be collected by measurement. Collected data were processed and statistically analysed by a simple statistical method using Microsoft Excel. Results and Discussion: Majority of the gunmam subjects were females (60%) and age group within 41-60 & 51-60 years. The maximum number of subjects were observed in Pitha Kaalam. Majority of the gunmam subjects had Abdominal pain, eructation, generalized body weakness. Vali azhalnaadi (38%) and azhalvalinaadi (32%) were observed in majority of the gunmam subjects. Neikuri was observed as valiazhal & azhalvali in gunmam subjects. Conclusion: This study has given quite evidence for literatures. These collected information are helpful for further studies in gunmam.


2015 ◽  
Vol 30 (2) ◽  
pp. 14-17
Author(s):  
Nirupama Talukder ◽  
Kh A Karim ◽  
Tarana Chowdhury ◽  
Ashan Habib ◽  
Azreen Momen Chowdhury ◽  
...  

Introduction: Hanging is one of the most commonly used methods for suicide in most countries. Commission of suicide by hanging is increasing in the people of Bangladesh. Suicidal hanging is detrimental to social health. Appropriate measures to prevent it are essential. Objectives: To find out the demography, cause and nature of suicidal hanging. Study design: It is a cross sectional type of descriptive study. Setting: Data was collected on predesigned proformas from postmortem reports recorded by the students of DFM and MD in Forensic Medicine at Dhaka medical college during their course. Subject: Autopsy performed on the cases of suicidal hanging at Dhaka Medical College Morgue from September, 2011 to June, 2013. Result: Out of 100 cases, eighty two (82%) were female and the most commonest (50%) age group were from 11-20 years. In 18(18%) cases Dopatta were the commonest material used for hanging. Quarrel with husband 12(12%) were the predominant cause to destroy life. In ninety (90%) cases had complete suspension where the most commonest situation of gap was on the back (38.89%). During autopsy of suicidal hanging there were injuries on the body of deceased in few cases. But these injuries did not result in death of the victim. DOI: http://dx.doi.org/10.3329/bjpp.v30i2.22677 Bangladesh J Physiol Pharmacol 2014; 30(2): 14-17


2020 ◽  
Vol 52 (1-2) ◽  
pp. 21-24
Author(s):  
Baishakhi Islam ◽  
Md Aslam Hossain

Background: The unsolicited practice for self medication is commonly seen all over the world. In our country it is also commonly practiced even by health care professionals. Objectives: This study is done to focus on the prevalence and other associated factors in various aspects of self medication among medical students. Methods: This was a descriptive study conducted within 4th year students among 113 participants by using a researcher made questionnaire in Gazi Medical College, Khulna from January 2019 to June 2019. Data analysis was done by using Microsoft excel. Results: The prevalence of self medication was reported at 88.49%. The most important reasons for self medication was previous experiences with the illness (48%), minor illness (30%), and time saving (25%). The greatest number of students used self medication to treat headache (30%), gastric acidity (28%), fever (22%), and runny nose (14%). The data reveals that the highest proportion (38%) of students learned medications from old prescription of doctor provided to cure their past illness. The respondents used different group of drugs where greatest number (32%) used analgesics followed by anti ulcerants (28%), antipyretics (25%), and antibiotics (22%). Conclusion: Due to high prevalence of self medication, it is necessary to implement strict rules and regulations to prevent this practice and provide adequate facilities to access medical services properly. Bang Med J (Khulna) 2019; 52 : 21-24


Author(s):  
Manju Thandayan Lakshmanan ◽  
Jayasree Anandabhavan Kumaran ◽  
Varsha S. Kumar ◽  
Shwetha Suresh

Background: Tuberculosis (TB) is a worldwide public health problem. India has the highest TB burden in the world. India accounted for a quarter of global incident TB cases, 24% of multi drug resistance (MDR) TB cases and highest TB mortality rate in 2017. Thus it is important to understand the profile of TB patients. The objective of the study was to assess the profile of TB cases attending a directly observed treatment short-course (DOTS) center in North Kerala.Methods: A retrospective record based, descriptive study was done in the DOTS center of Government Medical College Kannur, in North Kerala, to assess the profile of TB patients who attended the centre from January 2015 to July 2018. Details of 548 patients were collected from the record maintained at DOTS center. Data was entered in Microsoft Excel and analysed using Epi info7 software.Results: The age group of 21-60 years was most affected. 68.53% of the patients were males. 45.62% of patients had extra-pulmonary TB (EPTB). Among the pulmonary TB patients, 74.27% tested positive for acid fast bacilli. Among cases of EPTB, most common type was TB lymphadenitis (40.8%) followed by tuberculous pleural effusion (22.4%). 87.59% of TB patients were started on category I treatment under DOTS.Conclusions: In our study, affected population was mostly males and those in productive age group. This is the group that has maximum chances of exposure to TB patients. 45.62% patients had EPTB. Total number of cases is on the rise each year, with maximum cases in 2018.


e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Adelia S. Ekwendi ◽  
Maya E. Mewengkang ◽  
Frank M. M. Wagey

Abstract: Obesity is a problem throughout the world and is commonly found among women in the region of Southeast Asia. Obesity in pregnant women increases the risk of complications associated with an increasing incidence of caesarean section and a decreasing incidence of vaginal delivery. This study aimed to determine the comparison of caesarean section and vaginal delivery in pregnant women with obesity. This was a descriptive study with a cross-sectional approach. This study used data of the patients’ medical record. Samples were all pregnant women with obesity (BMI ≥30 kg/m2) at the end of pregnancy who underwent caesarean sections and vaginal deliveries in Prof. Dr. R. D. Kandou Hospital Manado from January 2014 until October 2015. The data were processed by using the Microsoft Excel. The results showed that the number of pregnant women with obesity was 926 and of pregnant women who underwent caesarean section was 50.22%. Pregnant women with obesity in the age group over 30 years, nutritional status obese II and III, and body weight over 85 kg were more frequent in undergoing the cesarean section. Conclusion: The higher BMI, body weight, and age of a pregnant woman, the higher risk of undergoing cesarean section compared to vaginal delivery. Keywords: BMI, obesity, caesarean section, vaginal delivery   Abstrak: Obesitas merupakan masalah yang mendunia dan paling banyak dialami oleh wanita di wilayah Asia-Tenggara. Obesitas pada wanita hamil meningkatkan risiko terjadinya komplikasi yang berhubungan dengan peningkatan angka kejadian persalinan seksio sesarea dan penurunan kejadian persalinan pervaginam. Penelitian ini bertujuan untuk mengetahui perbandingan persalinan seksio sesarea dan pervaginam pada wanita hamil dengan obesitas. Penelitian ini menggunakan metode deskriptif dengan pendekatan potong lintang. Penelitian dilakukan dengan melihat catatan rekam medis pasien. Sampel penelitian ialah seluruh wanita hamil dengan obesitas (IMT ≥ 30 kg/m2) pada akhir kehamilan yang menjalani persalinan seksio sesarea dan pervaginam di RSUP Prof. Dr. R. D. Kandou Manado dari bulan Januari 2014 sampai Oktober 2015. Data yang diperoleh diolah dengan menggunakan Microsoft excel. Hasil penelitian menunjukkan bahwa jumlah wanita hamil dengan obesitas 926 orang dan yang menjalani seksio sesarea sebanyak 50,22%. Wanita hamil dengan obesitas pada kelompok umur di atas 30 tahun, status gizi obes II dan III, serta kelompok berat badan lebih dari 85 kg lebih banyak menjalani persalinan seksio sesarea. Simpulan: Semakin meningkat IMT, berat badan, dan usia seorang wanita hamil, maka semakin tinggi risiko menjalani persalinan seksio sesarea dibandingkan pervaginam. Kata kunci: IMT, obesitas, seksio sesarea, persalinan pervaginam


2015 ◽  
Vol 3 (1) ◽  
pp. 16
Author(s):  
Pratistha Shrestha ◽  
Jameel Akhtar Mikrani

Introduction: The pattern of skin disease differs in different countries, and within various region of a country depending on socio-economic, racial and environmental factors. Many researchers have reported various patterns of skin disease in different countries. This type of study has not been done in this part of country. So, we decided to study, assess and compare the different pattern of dermatological disease in patients visiting our centre. Methods: This was retrospective study done from the hospital record of Lumbini Medical College Teaching Hospital (LMCTH). The study was carried out from September 2014 to December 2014 while the data were accessed from the records of respondents from September 2013 to August 2014. The diagnosis was categorized into 10 groups. The diagnosiswhich did not fit any category was kept in "Others". The 10 categories include acne, bacterial infection, dermatophytes, eczema, leprosy, pigmentory diseases, psoriasis, scabies, urticaria and viral infection. Data was collected based on gender and categorized according to the diagnosis. Microsoft Excel was used for data entry while all the analysis both descriptive and inferential statistics was done using SPSS version 21. Results: There were a total of 7967 patients visiting Dermatology OPD. Out of the total patient, there were 52.10% female and 47.89% male and this difference was statistically significant. In both gender eczema was the most common skin disease. Eczema was significantly more common in male whereas acne was significantly common in female. Most of the patients were from age group of 15-30 yrs with eczema being commonest in this age group. Conclusion: Eczema and dermatophytes are the most common dermatological diseases. Eczema is significantly more common in male. Acne is significantly more common in female.


2020 ◽  
Vol 8 (1) ◽  
pp. 24-28
Author(s):  
Vijay Gaikwad ◽  
J. Deshmukh ◽  
Prachi Deshmukh ◽  
Anant Takalkar

Introduction: Defined by the triad hyperglycemia, acidosis, and ketonuria, DKA can be inaugural or complicate known diabetes. With many improvements in the treatment of DKA and in understanding of the metabolic and electrolyte changes and their treatment, it is possible to prevent and treat this condition. Objectives: To assess the seasonal trends laboratory profile of patients presenting as Diabetic Ketoacidosis (DKA). Methodology: It is a descriptive observational study was conducted at Department of Medicine, Dr. Shankarrao Chavan Medical College and Hospital, Nanded. The study included 77 patients of diabetic ketoacidosis (DKA) from Male Medicine ward, Female Medicine ward, Medical Intensive Care Unit. The study was carried out during Jan 2012 to October 2013. The data was analyzed using SPSS 24.0 version. Results: 40.3% patients were from 10-20 years age group. Overall incidence of DKA was 0.33% and slightly more in males (0.35%) than in females (0.30%). Cases were more in summer and spring especially high summer i.e. 18.66%. Maximum patients i.e. 47% have blood sugar level above 600 mg/dl. 38(49%) patients showed sodium level slightly lower than normal. Hypokalemia was observed in 13(17%) patients. Conclusion: Cases were more in summer and spring especially during high summer i.e. 18.66%. BSL was above 600 mg/dl in almost half of the DKA patients. Hyponatremia and hypokalemia were predominant findings in our study.


Sign in / Sign up

Export Citation Format

Share Document