scholarly journals Death due to Poisoning - a Medicolegal Study at Dhaka Medical College, Dhaka

2015 ◽  
Vol 9 (2) ◽  
pp. 76-79 ◽  
Author(s):  
Mushtaq Ahmad ◽  
Farial Naima Rahman ◽  
Md Mozaharul Islam ◽  
Md Rakib Uddin Majumder

Self destruction or suicide by pesticide poisoning is a burning problem of Bangladesh. Rapid development in science and rapid growth in agricultural activities has led to the increase in the incidences of poisoning. The objective of this study was to find out the incidences and pattern of poisoning in an urban area, different aspects of poisoning along with demographic pattern, social factors related and other related perimeter, and modality to prevent loss of precious life due to poisoning. This retrospective cross sectional study was conducted among victims of poisoning at Dhaka Medical College, Dhaka Morgue during the period of January 2008-December 2009. Specific identification of poisons was made from Chemical Examiner's report. All the data were later on analyzed. A total of 5114 medico legal post mortems were performed during this study period. Among these 300 (5.87%) cases were suspected poisoning. Out of these cases specific poisons were identified in 131 (43.66%) cases. Among the detected poisoning cases OPC was the commonest agent 103 (78.63%) followed by alcohol/rectified spirit 12 (9.16%) and barbiturate 7 (5.34%). No poison was detected (Negative results) in 116 (38.66%) cases and no reports from chemical examiner were received in 53 (17.66%) cases during the study period. Out of 300 victims 174 (58%) were male and 126 (42%) were female. Highest incidence of poisoning was observed in 21-30 years age group 117 (39%) followed by age group of 31-40 years 84 (28%). Most of the victims were agricultural workers/ farmers 108 (36%) followed by housewives 51 (17%). Among the study subjects 178 (59.33%) were illiterate and 198 (66%) were married. Considering manner of death 274 (91.33%) victims committed suicide by poisoning and rests 26 (8.67%) were due to accidental poisoning. To reduce poisoning cases proper emphasis should be given for safe use of pesticides and consciousness should be created among the population about poisonous compounds. Detail study regarding death due to poisoning is required to be carried out in this country.Faridpur Med. Coll. J. 2014;9(2): 76-79

1970 ◽  
Vol 40 (1) ◽  
pp. 18-21 ◽  
Author(s):  
MN Hossain ◽  
Z Rahman ◽  
S Akhter

A cross sectional study was carried out at the department of Forensic Medicine in Dhaka Medical College during the period of January 2008 to December 2009. Data were collected from 3rd copy of the post mortem reports which were preserved in the department of Forensic Medicine with the verbal consent of the doctors who performed autopsy report. During this period total 5114 autopsies were conducted. Out of this 970 cases (19%) were suicidal in nature. It was noticed that all suicidal deaths occurred from 10 years to all age group respectively, but top amongst age group of suicidal deaths occurred in between 21 to 30 years of people. Suicidal deaths are more common in female than male. Suicidal deaths due to hanging is highest, next common causes of death due to organophosphorus compund poisoning. Suicidal deaths by hanging is more in female than male but in poisoning cases male are more lvictimised than female. Objectives of our study are to see the occurrence and methods of suicidal death. DOI: http://dx.doi.org/10.3329/bmj.v40i1.9957 BMJ 2011; 40(1): 18-21


2020 ◽  
Vol 14 (2) ◽  
pp. 97-100
Author(s):  
Md Abdul Wahab ◽  
Md Mustafizur Rahman ◽  
Md Abdur Razzak ◽  
Md Habibur Rahman ◽  
Mimi Parvin ◽  
...  

Introduction: Metabolic syndrome (MetS) is a multifaceted syndrome comprises a cluster of metabolic abnormalities including hypertension, central obesity, insulin resistance, dyslipidemia, and is strongly associated with developing diabetes mellitus and cardiovascular diseases. Prevalence of MetS differs in different ethnic population by using different definition. Objectives: To determine the prevalence of the MetS and its component risk factors among Border Guard Bangladesh (BGB) personnel working in Chattagram Hill Tract (CHT). Materials & Methods: This descriptive cross-sectional study was conducted from October 2016 to February 2018 among 1455 male BGB personnel aged between 40 to 59 years and working in CHT of Bangladesh. Study subjects were selected at BGB hospital, Guimara, Khagrachari. The new International Diabetes Federation (IDF) guidelines were used to identify MetS. Detail history, clinical examination, anthropometry and blood pressure (BP) were measured and fasting plasma glucose (FPG) and lipid profile were assessed. Results: Among the 1455 respondents’ BMI, waist circumference, systolic and diastolic BP were found more than normal in 34.1, 37.7, 16.4% and 12.3% respectively. Biochemical parameters including FPG, TC, TG, and LDL-C was raised in 28.7%, 49.8%, 52.2% and 37.7% of respondents respectively. HDL-C was found decreased in 26.9% respondents. Age wise prevalence of MetS for age group 40-44, 45-49, 50-54 and 55- 59 years were found 21.3%, 21.7%, 24.1% and 26.1% of the respondents respectively. The overall prevalence of MetS was found 22.4%. Conclusion: The prevalence of the MetS in BGB personnel was found 22.4%. Appropriate measure should be taken to lower the MetS cases. Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 97-100


2021 ◽  
pp. 96-98
Author(s):  
Nikhil B Chavda ◽  
Kinjal Lathiya ◽  
Devang A Raval ◽  
R.Naredra Kumar ◽  
Hetal Patel ◽  
...  

Road accidents had been a major cause for concern across the Indian subcontinent. In 2019 alone, the country reported over 151 thousand fatalities due to road accidents. Each year, about three to ve percent of the country's GDP was invested in road accidents. Road accidents are on the rise in countries that have experienced signicant and rapid development. This is due to the increased use of automobiles as a result of urbanization and development. A cross-sectional study of undergraduate medical students at a government medical college in Ahmedabad was done. Present study done among 298 under graduate students; out of them 203 were male and 95 were female students. Although the study population had good knowledge regarding trafc rules, only 36.24% were using helmet, 46.31% were using seat belts regularly, 57.72% were using mobile while driving. 76.17% were serviced vehicle properly, 75.84% were slowed down their vehicle when they see yellow light at trafc signal. Almost 98.99 % were using signal to change lane.


KYAMC Journal ◽  
2017 ◽  
Vol 6 (1) ◽  
pp. 553-556
Author(s):  
Farial Naima Rahman ◽  
Mushtaq Ahmad ◽  
Md Zubaidur Rahman

Vitriolage or acid violence is a burning human right violation problem of our country. Over the last few years, acid throwing in Bangladesh was a regular phenomenon where most of the victims were female. This descriptive cross sectional study was carried out from July 2011 to June 2012 among the victims of vitriolage who underwent treatment at One stop Crisis centre (OCC) and burn unit of Dhaka Medical College Hospital and also at the rehabilitation and treatment clinics of acid Survivors Foundation (ASF). Among the victims 92% were female and 25% belonged to 21-30 years age group. Most of the victims were from low socio economic background. Failure in marriage (22%), refusal of indecent proposal for sexual relationship (17%), failure in love affairs (13%) were the main causes behind acid violence. Fifty four percent (54%) had injuries in hand, 51 % (51) had injuries in neck and throat, 43 % (43) in back of body and 41 % (41) in face. The victims of vitriolage suffer in the form of physical, social, mental and economical ways. Rehabilitation centre for the victims, prevention of indiscriminate sale of acids, prompt trial of the accused, creation of acid crime tribunal in each district etc can improve the situation.KYAMC Journal Vol. 6, No.-1, Jul 2015, Page 553-556


2017 ◽  
Vol 5 (2) ◽  
pp. 89-93 ◽  
Author(s):  
Asma Begum ◽  
Nashid Tabasum Khan ◽  
AKM Shafiuzzaman ◽  
Farhana Shahid ◽  
AM Ashraful Anam ◽  
...  

Background: Hanging is always suicidal unless otherwise proved. It is a form of violent asphyxial death. It produces painless death for the victims so that it is a widely practiced method of suicide. In Bangladesh hanging is one of the commonest methods of suicide.Objective: The objective of this study was to find out socio-demographic characteristics of victims, common ligature materials used by victims and post-mortem findings.Materials and method: A retrospective cross sectional study was done in Dhaka Medical College Mortuary during the period of January 2009 to January 2010. During this period data were collected from 2133 cases of medicolegal autopsies by purposive sampling.Results: A total of 2133 medicolegal autopsies were analyzed of which 78 (3.65%) were deaths due to hanging. Out of these 78 cases maximum 37 (47.44%) deaths due to hanging were in the age group of 21-30 years. Majority of the cases (48; 61.54%) were observed in females. Majority (32; 41.03%) of victims had used Dopatta (orna) as a ligature material. Cyanosis of fingertips and nail beds was the commonest (75; 96.15%) findings in cases of asphyxial death due to hanging.Conclusion: Suicidal hanging is observed in this study mostly within the young age group ranging from 21-30 yrs. So, awareness at the level of family and community should be raised to improve personal and social relation in every sphere. The factors provoking an individual for an attempt to suicide should also be investigated for its prevention.Delta Med Col J. Jul 2017 5(2): 89-93


KYAMC Journal ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 166-170
Author(s):  
Mushtaq Ahmad ◽  
Farial Naima Rahman ◽  
Md Zubaidur Rahman ◽  
Md Zulfikar Ali ◽  
Mohammad Ali

Background: COVID-19 is an emerging infectious disease which has created a global health emergency status. It is now super spreading in the community of Bangladeshi population causing morbidity and mortality amongst masses. Objectives: The aim of this study is to find out the knowledge, attitude and practices of medical college students and their family members towards the Covid-19. Materials & Methods: This online cross sectional study was conducted from the 15 April to 30 April 2020 during the lockdown period in Bangladesh. Collected data was analyzed by using SPSS IBM version 22.0. Results: A total of 517 responses were obtained. The majority of the population 326 (63.06%) were female and 352 (68.09%) belonged to an age group of 21-30 years. This study has revealed that 412(79.69%) believe COVID-19 affect all age group, 311(60.15%) thinks that it affect the elder people seriously, 215(41.59%) thinks specific treatment is not available for COBID-19, Greater part of respondents 256(49.52%) says COVID-19 infection is preventable, 452(87.43%) gives positive opinion about government lockdown to avoid further spread of infection and 402(77.76%) believes physical distancing is helpful to prevent spread of this disease. Regarding 14 days quarantine period 375(72.53%) give positive answer, 425(82.20%) says COVID-19 affects world economy badly, 298(57.64%) thinks the situation may be controlled soon. Conclusion: Since prevention is better that cure, hence an increasing need of awareness amongst the local population regarding COVID-19 is required. Further extensive survey studies are required in future that can provide supportive data in developing and implementing public health policies regarding COVID-19 pandemic in our country. KYAMC Journal Vol. 11, No.-4, January 2021, Page 166-170


Author(s):  
Rashmi Kumari ◽  
Usha Kumari ◽  
Krishna Sinha

Aim: Serum magnesium levels in women’s who attained menopause naturally and surgically. Methods: The present analytical cross sectional study was conducted on patients (out patients and in patients) in Department of Obstetrics and Gynecology, Jawaharlal Nehru Medical College and Hospital, Bhagalpur, Bihar, India.  Group 1 (N=60): Women who had undergone hysterectomy with bilateral salphingoophorectomy at least 6 month ago. Group 2 (N=60): Women who have attained natural menopause at least 1 year ago. Serum magnesium was estimated by magnesium by Xylidyl blue colorimetric assay. Results: In the present study maximum number of the patients 26 (43.3%) were in the age group of 46-50 years for the post surgical menopausal group and in the natural menopausal group maximum number of the patients were in the age group of 51-55 years 23 (38.3%). Maximum numbers of patients are multiparous in both groups. Hypomagnesemia was observed in 29 (48.3%) natural menopausal group and 17 (28.3%) were postsurgical menopausal. Hypermagnesemia was observed in 1 (1.7%) postsurgical menopausal group. Conclusions: The prevalence of osteoporosis is very high in this part of India. Both natural and post- surgical menopausal women have lower levels of serum magnesium. Keywords: Osteoporosis, Serum Magnesium


2019 ◽  
Vol 16 (2) ◽  
pp. 88-91
Author(s):  
Neha Priyadarshani Chaudhary ◽  
Pramod Sharma Gautam

Objective: To observe the subjective acceptance in presbyopic patients following prescription of spectacles. Material and method: This is a hospital based cross sectional study which was conducted in 100 presbyopic patients in age group of 35 to 60 years at outpatient department of ophthalmology in Nobel Medical College Teaching Hospital, kanchanbari from 1 August 2018 to 30November 2018. The patients were divided into two groups, First group received the presbyopic correction according to conventional method of age and the second group received the prescription according to their amplitude of accommodation. Patient's satisfaction in terms of symptoms like eyestrain, headache or difficulty with the usage of glasses was noted. The data collected were subjected to statistical analysis. Conclusion: When presbyopic correction is given according to amplitude of accommodation in patients belonging to 36-45 years age group, it is tolerated better and patients are more satisfied in terms of symptoms like eyestrain and headache than getting the simple correction as per their age. However after the age of 45 years, presbyopic correction given according to age is equally tolerated well among all refractive error groups. Results: 100 patients in this study who visited our OPD with presbyopic symptoms were divided into two groups, each of 50 patients. Patient's satisfaction and tolerance was better when presbyopic correction was given on the basis of their amplitude of accommodation in age group 36-45, in comparison to the prescription given according to conventional method of their age. However, there was no statistically significant difference in the patient's satisfaction level in the two groups after the age of 45.


2015 ◽  
Vol 9 (2) ◽  
pp. 19-25
Author(s):  
Md Abdus Samad Al-Azad ◽  
Mushtaq Ahmad ◽  
Md Zubaidur Rahman ◽  
Mohammad Ali ◽  
Sk Md Jaynul Islam

Introduction: Forensic Pathologists are often performing autopsies in death investigation. There are five legally-defined manners of death namely natural deaths, accidental deaths, homicidal deaths, suicidal deaths and undetermined deaths. Natural deaths are those that occur from natural causes such as disease or old age rather than from violence or an accident. Objectives: To determine the socio-demographic profile of postmortem cases and to evaluate information regarding manners of deaths as determined by those cases. Methods: This record based cross-sectional study of postmortems performed at the mortuary of the Department of Forensic Medicine; Dhaka Medical College (DMC) was conducted during the period of January 2006 to December 2006. Most of the victims were brought to DMC morgue from south-eastern part of Dhaka district. A total of 3012 autopsies were analyzed during the period. Morgue caters 18 police stations under Dhaka city. Data were collected using a pre-designed schedule from Post mortem registers and reports. All the data were collected in a predefined data collection sheet and necessary statistical analyses were performed by using the computer software SPSS (Statistical Package for Social Science) for window 17.0 and were expressed in frequency and percentage. 19 JAFMC Bangladesh. Vol 9, No 2 (December) 2013 Results: A total of 3012 postmortems were studied. Of them 1640 (54.45%) cases were of accidents, 722 (23.97%) cases were of suicide, 542 (17.99%) cases were of homicide, 84 (2.79%) cases were of undetermined and 24 (0.80%) cases were of natural deaths. Most of the postmortem cases were in the age group of 20-40 (54.71%) years, which is the most productive period in life cycle followed by 24.90%, 15.50% and 4.89% in the age group of 0-20 years, 41-60 years and 60 years respectively. Of them 2258 (74.97%) were male and rest 754 (25.03%) cases were female. Conclusion: Accidents, mainly Road Traffic Accident (RTA) and railway accidents, comprise a major manner of death which reduces the most productive period in the life cycle causing serious effects in socio-economic development of the country. RTA can be prevented by specific preventive measures and also by taking personal precautions. Suicide is the second commonest manner of unnatural death flanked by accident and homicide. It is not feasible to draw a concrete conclusion. Homicide is a relatively rare offence than accidents or suicides but it is one of the most notifiable crimes in the country as they are widely publicised by the media due to their severity and visibility. DOI: http://dx.doi.org/10.3329/jafmc.v9i2.21820 Journal of Armed Forces Medical College Bangladesh Vol.9(2) 2013


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