SPECTRUM OF MEDICOLEGAL AUTOPSIES IN A TERTIARY CARE CENTER IN ANDAMAN AND NICOBAR ISLANDS : CAUSES AND TRENDS OVER TWO DECADES.

2021 ◽  
pp. 37-39
Author(s):  
Wajid Ali Shah ◽  
Sakshi Batra ◽  
Harsh Batra ◽  
C.P. Paul
Keyword(s):  
Human Life ◽  
Care Center ◽  
Demographic Data ◽  
Tertiary Care ◽  
Care Hospital ◽  
Andaman And Nicobar Islands ◽  
Female Ratio ◽  
Unnatural Death ◽  
Nicobar Islands ◽  
Te Material

Introduction: Deaths can be due to natural and unnatural causes. While the trend in natural deaths in an area reects the prevalent healthcare practices in an area, the pattern of unnatural deaths in an area conforms with the psychosocial, environmental and mental health. This was a retrospective study of autopsies conducted at a te Material And Methods: rtiary care hospital in Andaman and Nicobar islands over a period of 20 years from 1995-2015. The demographic data was collected from the institutional register. Record and analysis were done using MS Excel. Out of total of 3374 deaths, males Results: were 72.8% and females were 27.2%. Majority of deaths were in the productive age group of 20-39 years (46.5%). Cardiovascular deaths comprised maximum cases of natural deaths (59.8%). Hanging was the most common cause of unnatural death (25.1%) followed by RTA (17.4%). Amongst deaths due to RTA, male to female ratio was 2.5:1. However, deaths due to burns showed a higher predominance in females with female to male ratio of 6.4:1. Medicolegal Conclusion: proling of autopsy provides an important statistical measure to gauge the causes and patterns of untimely loss of human life. Analyzing these and taking imperative measures to curb the same helps in preserving human resources and contribute to country' s development.

scholarly journals Conjunctival Lesions: A 5-Year Basic Demographic Data and Clinicopathological Review in a Tertiary Eye Care Hospital

2021 ◽  
Author(s):  
Hind M. Alkatan ◽  
Khalid M. Alshomar ◽  
Hala A. Helmi ◽  
Wajda M. Alhothali ◽  
Abdulaziz M. Alshalan
Keyword(s):  
Wide Spectrum ◽  
Care Center ◽  
Demographic Data ◽  
Tertiary Care ◽  
Malignant Lesion ◽  
Histopathological Diagnosis ◽  
Care Hospital ◽  
Adult Males ◽  
Duration Of Symptoms ◽  
Malignant Lesions

Abstract Background Conjunctival lesions are common with a wide spectrum of benign, premalignant, and malignant lesions. Few histopathological studies have been conducted on conjunctival lesions with variable designs and results. Our aim in this study is to provide information on common conjunctival lesions seen in an ophthalmology tertiary care center in Saudi Arabia. Methods A retrospective, observational study of all consecutive conjunctival tissue specimens sent for histopathological assessment to the pathology department from 2015 to 2019 were analyzed. Clinical data were collected from medical records, and the histopathological slides were reviewed by a single pathologist. Results A total of 110 conjunctival specimens from 108 patients were included (mean age: 53 years, 67 males and 43 females). Bilateral involvement was mostly found in inflammatory lesions (40%). Most lesions were benign (91%), with a significantly longer duration of symptoms in malignant lesions (p = 0.036*). The clinical diagnosis matched the final histopathological diagnosis in 75.5% of the total specimens. The most frequent category of benign lesions was fibrodegenerative and proliferative lesions (53.6%), with a significantly higher prevalence among adult males (p < 0.001). Melanocytic lesions were more common in children (33.3%) than adults (9.8%), and the mean age of children was significantly lower (p = 0.013). The most frequent malignant lesion was ocular surface squamous neoplasia (50%), with equal prevalence among males and females. The overall outcome was favorable in 89.4% and unfavorable in 10.6%, mostly due to surgical complications, further progression of the lesion, or recurrence. Conclusion This study shows variability in the frequency of conjunctival lesions based on gender, age, geographical, racial, and environmental factors. There has been a shift in the gender-based prevalence of ocular squamous neoplasia over the last three decades, probably due to a change in lifestyle.

scholarly journals Institutional-based tumor registry of hematopoietic malignancies: A 4 years’ preliminary report from Karachi

2018 ◽  
Vol 10 (02) ◽  
pp. 168-172
Author(s):  
Sadia Sultan ◽  
Syed Mohammed Irfan ◽  
Navaira Ali ◽  
Neesha Nawaz
Keyword(s):  
Myeloid Leukemia ◽  
Lymphoblastic Leukemia ◽  
Health Planning ◽  
Care Center ◽  
Demographic Data ◽  
Tertiary Care ◽  
Future Health ◽  
Female Ratio ◽  
Tumor Registry ◽  
Hematological Cancers

ABSTRACT BACKGROUND: Pakistan has a population of over 198 million making it the world’s sixth populous country. However, operational population-based cancer registries in Pakistan are lacking. Limited data are available based on institutional or Karachi Cancer Registry from Karachi; however, no exclusive registry for hematological malignancies is established till date. Hence, we decided to conduct a database analysis to determine the frequencies of various hematological cancers in our tertiary care center in Karachi. PATIENTS AND METHODS: Retrospective assessment of 366 patients presented to Hematology Department, Liaquat National Hospital and Medical College from May 2012 to May 2016 with confirmed diagnosis of hematological cancers was performed. Data were retrieved from hospital-based tumor registry. All pro forma was filled by qualified medical research officer, which included demographic data as age, gender, history, disease type, and its stage at presentation. RESULTS: Male gender was predominant and accounted for 69.9% (n = 256) and female accounted for 30.0% (n = 110) of the total cases with the male-to-female ratio of ~2:1. The mean ages of female and male patients were 42.9 ± 20.7 and 49.7 ± 18.1 years with the median age of 45 and 51.5 years, respectively. In males, the three most frequent malignancies were chronic myeloid leukemia (CML) (16%), acute lymphoblastic leukemia (ALL), and acute myeloid leukemia (AML) (12.8% of each). In females, AML was the most common cancer accounting for 21.8% followed by CML (18.1%) and ALL (10%). CONCLUSIONS: Our institution-based tumor registry indicates CML and AML were the most common cancers in males and females, respectively, followed by ALL. Chronic lymphoid leukemia, unlike in the West, is seen infrequently in our population. National and provisional hematological tumor registry will be beneficial for future health planning and research.

scholarly journals ETIOLOGICAL PROFILE OF CHILDREN ADMITTED WITH FEVER WITHOUT FOCUS FOR LESS THAN 7 DAYS DURATION AT TERTIARY CARE CENTER

2021 ◽  
pp. 119-121
Author(s):  
RAJENDRA PRASAD NAGAR ◽  
TEENA NAGAR ◽  
MADHURIMA VERMA ◽  
RAKESH SHARMA
Keyword(s):  
Short Duration ◽  
Care Center ◽  
Tertiary Care ◽  
Febrile Illness ◽  
Control Measures ◽  
Care Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Study Results ◽  
Common Etiology

Objective: The objective of the study was to know about the etiology of acute undifferentiated febrile illness (AUFI) or fever without focus in children admitted at tertiary care hospital. Methods: A study was conducted at medical college, Jhalawar, for a period of 3 months. Pediatric patients presenting with fever for less than or equal to 7 days duration without focus, who required hospitalization were included in this study. Results: A total of 200 children enrolled in study. Male-to-female ratio was 1.9:1. Mean age of children was 7.21±4.2 years. About 142 (71%) patients presented after 3 days of fever. Average duration of fever before admission was 4.62±1.78 days. The most common cause of fever of short duration (less than 7 days) was dengue fever 74 (37%) followed by malaria 58 (29%) and typhoid fever 36 (18%). About 26 (13%) patients had mixed infection. Out of 200 patients, 70 (35%) patients had splenomegaly, 66 (33%) had hepatomegaly, and 26 (13%) patients had both hepatosplenomegaly. Conclusion: The common etiology of AUFI with short duration in children was dengue, malaria, and typhoid. Vector control measures, drinking water supply, and sanitation should be improved to prevent vector-borne and water-borne diseases.

scholarly journals Study on demographic factors of discharge against medical advice in pediatric population

2020 ◽  
Vol 7 (2) ◽  
pp. 359
Author(s):  
Vidya B. U. ◽  
Anil Shetty K.
Keyword(s):  
Lumbar Puncture ◽  
Care Center ◽  
Demographic Data ◽  
Tertiary Care ◽  
Medical Advice ◽  
P Value ◽  
Against Medical Advice ◽  
Female Ratio ◽  
Significant Difference ◽  
Discharge Against Medical Advice

Background: Discharge against medical advice (DAMA) is of serious concern among the pediatrics population. Parent(s)/guardians understanding about the disease and various other factors play role in their decision of DAMA. The aim of this study is to know the prevalence of DAMA in a tertiary care center and to observe the gender stratification in DAMA.Methods: A retrospective survey of medical records of children discharge against medical advice during the period January 2017 to January 2019. Demographic data, length of hospital stay, clinical diagnosis and procedure refused was collected.Results: Total 12977 were discharged during the study period of which, 387 children were DAMA, prevalence of DAMA was 2.9%, male to female ratio among DAMA patients is 1.2:1. The mean length of stay was 4.8 days. Among the DAMA patients’ newborns were predominant (61.6 %), p value = 0.0001, highly significant. No significant difference with respect to age and gender (p value = 0.535). Out of 370 DAMA patients, 211 patients who required further investigations and procedure was refused by parents/guardians (p value = 0.0001) highly significant. Phototherapy refusal was most common among newborn (59.7%), followed by neuroimaging and lumbar puncture in children (10.9%).Conclusions: DAMA was observed more among the newborns compared to infants, toddlers and children. Among newborns, phototherapy refusal was most common. In infants and children neuroimaging and lumbar puncture was the most commonly refused procedure. There was no gender bias.

scholarly journals A Study of Surgical Cases During Earthquake Disaster in A Medical College

2019 ◽  
Vol 57 (215) ◽  
Author(s):  
Kanchan K.C ◽  
Raj Kumar Thapa ◽  
Sanubhai Khadka ◽  
Damodar Paudel
Keyword(s):  
Surgical Procedures ◽  
Care Center ◽  
Tertiary Care ◽  
College Teaching ◽  
Treatment Modalities ◽  
Care Hospital ◽  
Female Ratio ◽  
Earthquake Disaster ◽  
Medical College ◽  
Richter Scale

Introduction: An earthquake is an intense shaking of earth’s surface which is caused by movements in earth’s outermost layer. The earthquake of 25th April 2015, with a magnitude of 7.8 richter scale with its major aftershock on 12th May 2015 of 7.3 richter scale claimed around 8,962 lives across several districts of Nepal with 22,302 injuries. In this study we tried to figure out various surgical cases and the surgical procedures performed in a tertiary care hospital during an earthquake disaster.Methods: This study was a descriptive cross-sectional study of hospital data on all admitted surgical cases during an earthquake disaster. A total of 238 earthquake victims brought to emergency department of Kathmandu Medical College Teaching Hospital , a tertiary care center, from 26th April 2015 to 7th Jun 2015, for the period of 42 days were included. Those brought dead and discharged after primary treatments were excluded. Data obtained were entered and analysed in Microsoft Excel 2010.Results: Among 238 patients enrolled, 122 (51%) were male and 116 (49%) female with male to female ratio of 1.05:1. Age group (31-60 years) with an average age of 45 years were encountered most frequently 110 (46%) with the maximum number of patient burden from Sindhupalchowk district 80 (33.6%). Orthopedic surgery 185 (76%) appeared to be the most frequent followed by neurosurgery, plastic surgery, general surgery and dental surgery.Conclusions: In natural disaster like earthquakes, traumatic injuries are very common and thereby various surgical procedures especially ortho-plastic are the domain of treatment modalities. Disaster preparedness and combined surgical team effort needs to be focused to reduce both mortality and morbidity. Keywords: disaster; earthquake; Nepal; surgery.

scholarly journals Maternal near miss: Unraveling our experience in the tertiary care hospital of Andaman and Nicobar Islands

2021 ◽  
Vol 46 (1) ◽  
pp. 35
Author(s):  
Charu Sharma ◽  
Anita Yadav ◽  
Manju Mehrotra ◽  
MrinmoyKumar Saha ◽  
RupaliR Tambe
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Near Miss ◽  
Maternal Near Miss ◽  
Care Hospital ◽  
Andaman And Nicobar Islands ◽  
Nicobar Islands

scholarly journals The Present Status of the Management of Colon and Rectal Cancer in Nigeria

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
David O. Irabor ◽  
O. Oludolapo Afuwape ◽  
Omobolaji O. Ayandipo
Keyword(s):  
Rectal Cancer ◽  
Colon Cancer ◽  
Demographic Data ◽  
Tertiary Care ◽  
Late Presentation ◽  
Resected Specimen ◽  
Rapid Progression ◽  
Care Hospital ◽  
Female Ratio ◽  
Colon And Rectal Cancer

Aim. To demonstrate the possibility of the uniqueness of colorectal cancer (CRC) in the native Nigerian by looking at the different facets of the challenges that management of this disease presents in a tertiary-care hospital in Ibadan, Nigeria. Method. A cohort study starting in 2009 where patients were seen in the out-patient’s clinic. All patients who presented with features suggestive of colon or rectal cancer were studied. Biopsies were performed to confirm CRC (especially rectal cancer); patients were then booked for admission and subsequent operation. Patients were excluded if the histopathology of a resected or biopsied mass turned out to be noncancerous or inflammatory. Demographic data like age and sex were recorded. The type of operation done, findings at surgery, and the histopathology of the resected specimen were all recorded. The time taken for the pathology department to process the biopsy and resected specimens was also recorded. Results. 120 patients with CRC were seen over the study period of 5 years (2009–2013) giving an average of 24 patients per annum. The male : female ratio was 1 : 1.14. 86 (71.7%) patients had rectal cancer while the remaining 34 (28.3%) had colon cancer. Most of the colon cancer cases were in the 51–60 age group. The rectum : colon ratio was 2.5 : 1.31% of the patients were 40 years and below. 37% of those with rectal cancer were 40 years and below. 50% of resected specimens were Duke’s B and above. 45% of patients had tumors with unfavorable grade or biology (mucinous 21.7%, signet ring 8.3%, and poorly differentiated 15%). Only 24% of patients below 40 years and 41% of those above 40 years with confirmed rectal carcinoma presented for operation. Conclusion. Advanced tumors at presentation may not always be as a result of late presentation. Unusual aggressiveness of the tumors may lead to rapid progression of the disease. Increasing incidence in younger patients makes abdominoperineal excision of the rectum difficult for such patients to accept.

scholarly journals A study of cutaneous morphological patterns of adverse drug reactions in tertiary care center, Chitradurga, Karnataka, India

2020 ◽  
Vol 6 (4) ◽  
pp. 499
Author(s):  
Nikitha Babu ◽  
Yogendra M. ◽  
Raghu M. T. ◽  
Virupakshappa H. E. ◽  
Ashwini S. ◽  
...  
Keyword(s):  
Drug Reaction ◽  
Drug Eruption ◽  
Tertiary Care Hospital ◽  
Past History ◽  
Care Center ◽  
Tertiary Care ◽  
Stevens Johnson Syndrome ◽  
Care Hospital ◽  
Female Ratio ◽  
Cutaneous Drug Reaction

<p class="abstract"><strong>Background:</strong> An adverse cutaneous drug reaction is an undesirable change in structure and function of skin, its appendages or mucous membrane due to drugs. The main aim of this study is to detect the pattern of adverse cutaneous drug reaction in a tertiary care hospital of Chitradurga district, Karnataka, India.</p><p class="abstract"><strong>Methods:</strong> A Hospital based cross sectional study was performed in a tertiary care hospital, Chitradurga for 6 months from January 2019 to June 2019. For each case, data regarding age, sex of the patient, clinical history, past history and comorbidities, name of suspected drugs, duration between drug intake and onset of reaction, morphology of drug eruption, associated mucosal or systemic involvement were analyzed.<strong></strong></p><p class="abstract"><strong>Results:</strong> During the 8 months study period, 30 patients have attended the dermatology outpatient department with cutaneous adverse drug reaction. Majority of the patients were in the age group 20-39 years and the male to female ratio was 1.1:1. The commonest drug reaction pattern observed was the maculopapular rash (40%), urticaria (20%), fixed drug eruption (5%), Stevens Johnson syndrome (10%), toxic epidermal necrolysis (6.7%) and exfoliative dermatitis (6.7%). Commonest drugs producing reactions were diclofenac (30%), amoxycillin (23.3%), carbamazepine (20%), anti-tubercular drugs (16.7%), phenytoin (6.7%) and dapsone (3.3%).</p><p class="abstract"><strong>Conclusions:</strong> Knowledge of the pattern and the offending drug helps in better management and reduced complications in these patients and also help in preventing recurrences.</p>

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