scholarly journals Thermal Burn Deaths: A Retrospective Study on Female Victims in Bihar

2021 ◽  
Vol 8 (2) ◽  
pp. 13-16
Author(s):  
Ranjay Kumar Ranjan ◽  
Radha Raman Singh ◽  
Rajiv Ranjan Das

Introduction: Burns are medicolegally importance as they are commonest cause of unnatural death in India. Burn is an important factor in suicide and homicide all over world. Burns remain a significant public health problem in low/middle-income countries, contributing to substantial morbidity and mortality Aims &Objectives: To find out how thermal burn affect incidence, age, habitat, marital status, manner of death and its medico legal consequence. Materials and Methods: This retrospective study was carried out in a tertiary care hospital during 2014 to 2018 to assess the pattern of burn deaths amongst females brought for Medico-legal Autopsy from various police stations of Patna district under F.M.T department of N.M.C, Patna in the State of Bihar. Total 540 female burn cases brought for autopsy were included in study. Results: The highest numbers of victims were in the age group of 21 to 30 years (42.23%). Majority of the cases were from rural areas 75.19% and 81.85% of the victims were married. Mostly manner of death is accidental 57.40%. Majority of the burn victims death of the studied case were Hindu. Conclusion: Married females of productive age group belonging to rural areas are worst affected in burn injuries. Awareness campaigns targeting safety precautions, opportunities for basic health education and a change in mindset of society towards females are necessary to curb this menace of burn injuries. Keywords: Burn, Female, Nature of Death, Bihar.

2015 ◽  
Vol 7 (1) ◽  
pp. 70-75 ◽  
Author(s):  
Shib Shankar Kuiri ◽  
Bikash Chandra Ghosh ◽  
Nilay Mandal ◽  
Mintu Mohan Nandi ◽  
Tusar Kanti Saradar ◽  
...  

Aims and Objectives: We conducted a retrospective analysis among 1984 burn patients to study the incidence, prevalence of burn injury, its various types and modes (actual event behind the burn injury), risk factors and to find out the preventive measures.Materials and Methods: The retrospective study was carried out among 1984 patients having burn injuries, admitted in a tertiary care hospital of West Bengal, India over a period of nine years. The sources of information were the admission registers and the patients' folders from the medical records department. The Ethical clearance was taken from the Institutional Ethical Committee. The information obtained included age, sex, whether accidental or suicidal, etiology of burn injury and particularly the mechanism of injury. Results: Females were mostly affected (83%) in comparison to males. Among the study population, most of the burn patients were in the age group of 21-30yrs i.e. 35.3%. The number of burn patients were less in number in the age group of 11-20yrs i.e. 7.3%. Most of the burn injuries (87%) were accidental. Suicidal burns occurred in 10% cases. Of which about 1/3rd of the cases were due to dowry related issues.  A significant number of teenagers also attempted suicides due to trivial reasons (e.g. failure in examination, quarrelling with parents). Gas oven related injuries occurred in 2.7% cases. Oil lamps (‘kupi’), candles and hurricane-lanterns, diyas were also responsible to some extent in rural India for flame burns(5%). Smoking related burn injuries occurred in 1.7% cases. Scald injuries occurred in 14% cases. Chemical injuries (0.3%) were due to spillage of unlabelled bottles of acid/alkali. Electrical burn injury occurred in 4.9% cases. Conclusion: Burn injury prevention is not easy, but to avoid the significant morbidity and mortality following injury we have to prevent it by any means. A coordinated and dedicated approach among social workers , medical and paramedical personnel, administrators can only minimize the incidence of burn.Asian Journal of Medical Sciences Vol.7(1) 2015 70-75


2020 ◽  
Vol 27 (11) ◽  
pp. 2399-2402
Author(s):  
Summyia Sadia ◽  
Bashir Ahmad Siddiqui ◽  
Kishwar Naheed ◽  
Altaf Pervez Qasim ◽  
Farwa Naqvi ◽  
...  

Objectives: To study the various aspects of fatal sharp force injuries in relation to the age groups, gender, affected body parts, manner of death, residential background & seasonal variation among the victims of unnatural deaths brought for medicolegal autopsy in a tertiary care hospital. Study Design: Cross sectional study. Setting: Postmortem Unit of DHQ Teaching Hospital, Sargodha. Period: 1st January, 2017 to 31st December, 2017. Material & Methods: The record of total 103 medicolegal autopsies were studied for the role of age, gender, body parts affected by external injury, area of jurisdiction of medicolegal cases with special consideration to mode, manner and cause of death. Results: Amongst the 103 medicolegal deaths, 98(95.15%) were male and rest 5(4.85%) were females. Those medicolegal cases belonged to different age group i.e. 1-10 years of age involved 3(2.91%), 11-21 years 11(10.68%), 21-30 years 37(35.92 %), 31-40 years 23(22.33%), 41-50 years 12(11.65%), 51-60years 14(13.59%) whereas age group of more than 60 years involved 3(2.92%) cases. Most of the victims 62(63.86%) were of rural back ground. Parts of body affected by visible injury included head 27(26.21%), neck 4(3.88%), thorax 13(12.62%), abdomen 2(11.65%), limbs 1(0.97%) while in 46(44.66%) cases multiple injuries were observed over different parts of body. Majority 65(63.10%) cases were homicidal while 8(7.76%) were suicidal, 19(18.44%) were accidental, 8 (7.76%) died in custody of police and 2(1.94%) cases remained undetermined. Conclusion: The sharp force injuries were observed in majority of males belonging to the rural areas among the age group of 21-40 years. The most commonly affected body part was head involving 27(26.21%) cases. The prevalence of these deaths was more in the months of June, July (summer) and then November.


Author(s):  
K. JYOTI PRASAD ◽  
B. VENKATESULU ◽  
M. ABDUL KHALID

Objectives: Death of an individual is a grave loss to the family and community at large. Death may be natural or unnatural. Analysis of unnatural deaths helps in understanding the causes, manner, and modes of deaths, thereby formulate and implement a proper policy to reduce incidence. Methods: This is a retrospective study of autopsies conducted over 3 years (2018–2020) in the mortuary of Sri Venkateshwara Medical College, Tirupati. During this period, 2579 autopsies were performed. Required data were collected from the requisitions of police, inquest reports, case sheets, medicolegal register, and postmortem reports in a preformed pro forma. Results: Out of the 2579 cases, majority were in the age group of 21–30 years (34.62%) followed by 41–50 years (18.06%). Male-to-female ratio was 2.5:1. Majority were Hindus (83.52%) and most of the subjects belonged to the rural areas (62.89%). Majority were married (78.40%). The most common cause of death was road traffic accident (48.04%) followed by poisoning (15.82%). Accidental deaths were the most common manner of death (60.56%) followed by suicides (33.96%). Conclusion: The present study reveals that the most cases were in 21–30 years age group. Males outnumbered females and the subjects were mostly married and were from rural areas. Road traffic accidents were common cause of death in males and poisoning was the common cause of death in females.


2019 ◽  
Author(s):  
Mahvish Ponum ◽  
Saadia Khan ◽  
Osman Hasan ◽  
Muhammad Tahir Mahmood ◽  
Asad Abbas ◽  
...  

BACKGROUND Stunting is a major public health issue in most of developing countries. Although, its worldwide prevalence is decreasing slowly but the number of stunted children is still rising in Pakistan. Stunting is highly associated with several long-term consequences, including higher rate of mortality and morbidity, deficient cognitive growth, school performance, learning capacity, work capacity and work productivity. To prevent stunting, we proposed Stunting Diagnostic and Education app. This app includes detailed knowledge of stunting and it’s all forms, symptoms, causes, video tutorials and guidelines by the Pediatricians and Nutritionists. OBJECTIVE The aim and objective of this study is to assess the prevalence of stunting in school-going children in Multan District of Punjab Pakistan and to analyze the risk factors associated with stunting in children under and over 5 age. This study presents Stunting Diagnostic and Education app to prevent the stunting in children under 5 age and children over 5 age (where required). METHODS A cross-sectional study has been conducted in schools of Multan District, Pakistan for the period of January 2019 to June 2019. Sample data of 1420 children, aged 4 to 18 years using three age groups, were analyzed by using SPSS version 21.0 to assess the prevalence of stunting and to analyze the main factors associated with it. Chi square test was applied in comparison with rural and urban participants and p-value <0.05 was considered as significant. This study includes distribution of sociodemographic characteristics, parental education, working status of mothers, dietary patterns of school going children and prevalence of stunting in school going children. After getting study results, Stunting Diagnostic and Education app was developed according to the instructions of child experts and nutritionists. RESULTS 354 (24.93%) participants were stunted out of 1420, 11.9 % children were obese and 63.17% children were normal. Out of 354 stunted children, higher ratio of stunting was found in the age group of 8-11 years children with 51.98 percentage. 37.85% stunted children were found in the age group of 4-7 years and 10.17% stunting was found in the age group of 12-18 years children. It was observed in the study that male children were highly stunted than female with 57.91 % and 42.09% respectively. Children living in rural areas were more stunted affected as compared to the children living in urban society with percentage 58.76 and 41.24 respectively. CONCLUSIONS Our study concluded that 24.93% children were stunted, out of which, age group of 8-11 years children were highly stunted. The study showed that the literacy of mother or caregiver had high impact on children’s health. Therefore, Stunting Diagnostic and Education app was developed to educate mothers to prevent stunting.


2015 ◽  
Vol 22 (10) ◽  
pp. 1345-1350
Author(s):  
Muhammad Saad Ullah ◽  
Sohail Safdar ◽  
Muhammad Nabeel Ahmad

Objective: The main objective of the present study was to find out visual outcomeof Low Vision Devices among patients suffering from different diseases causing reduced visualacuity in the area of Dera Ghazi Khan, Southern Punjab, Pakistan. Setting: OphthalmologyDepartment, Dera Ghazi Khan which is a tertiary care hospital. Period: 10th February, 2014 to31st December, 2014. Material and Methods: Patients (n=55) presented for their low visionassessment included two groups age wise as patients equal or more than 18 years age (n=22)and patients less than 18 years (n=33). LOG MAR VA charts, contrast sensitivity test, visualfields through arc perimeters, color vision with color pencils hue 16 test along with objective andsubjective refractions were applied. All the data were entered and analyzed using SPSS version16.00. Results: Patients (n=55) aged 7-90 years presented for their low vision assessment hadmean age 23.73+ 2.9 years. The patients were divided into two age groups. First group was22 (40%) patients equal or more than 18 years age and second consisted of 33(60%) patientsless than 18 years age group. Among the patients examined, 40 (72.7%) were males and 15(27.3%) were females. Our study results revealed that the low vision devices provision wasassociated with a statistically significant improvement in both near and distance visual acuitiesand with patients’ fulfillment. Conclusion: There was a significant improvement in far and nearvisual acuity of the patients suffering from a multiplicity of blindness caused diseases by whichpatients are able to improve their quality of life and able to do their tasks without getting helpfrom others.


2015 ◽  
Vol 22 (06) ◽  
pp. 798-803
Author(s):  
Mariam Arif

Introduction: There are three types of compression of neck which are of primeforensic importance – (1) Manual strangulation (2) Hanging (3) Ligature strangulation. Ligaturemark is found in the latter two types.1 Ligature mark is a pressure mark on the neck underneaththe ligature. Initially it appears as a pale groove which on drying becomes yellowish brownparchment like.2,5 Objective: The aim is to study the information provided by a ligature markin ligature asphyxial deaths. Methodology: Study Design: A retrospective study on ligatureasphyxial deaths. Setting: Forensic Medicine and Toxicology Departments of King EdwardMedical University, Lahore and Nishtar Medical College, Multan. Period: January, 2012 toDecember, 2013. Results: The incidence of violent ligature asphyxial deaths was 4.21% of thetotal medicolegal deaths autopsied. Age group 21 to 30 years accounted for the maximumcases (37.6%). Male: female ratio was 1.02. Nylon rope (44.7%) was the most common ligaturematerial used. Ligature mark was single in all cases and was situated above thyroid cartilage in82.92% cases of hanging. In ligature strangulation deaths, mark was one in number in 93.18%cases and was below thyroid cartilage in 97.72% cases. The manner of death in hangingwas mostly suicidal (90.24%) as compared to homicidal in all cases of ligature strangulation.Ligature mark was incompletely encircling the neck in 85.36% cases and obliquely present in100% cases of hanging. In all deaths due to ligature strangulation, it was completely encirclingand transversely present around the neck. Underlying soft tissues of neck were glisteningwhite in all hanging deaths while it showed extravasations of blood in all ligature strangulationcases. Conclusions: A meticulous examination of the ligature mark during autopsy, though notconclusive, can give valuable information that can be very helpful in diagnosing deaths due tohanging and ligature strangulation.


2016 ◽  
Vol 32 (1) ◽  
pp. 16-20
Author(s):  
Nayeem Anwar ◽  
Md Rezaul Karim Khan ◽  
Nawreen Binte Anwar ◽  
Shamsun Nahar ◽  
- Md Shahidullah

Background: Stroke is serious pathology with a immense impact on the functional and vital prognosis. It is the leading cause of death worldwide. The objective of the study was to observe clinical profile of stroke patients and important risk factors. Methods: It was a cross-sectional descriptive study conducted in the department of Neurology, BangabandhuSheikh Mujib Medical Universiy(BSMMU), Shahbag, Dhaka from August 2014 to November2015. All patients above 18 years of age and both sexes attending the above mentioned department meeting all inclusion and exclusion criterias and confirmed CT/MRI scan of Brain were included in this study. Results: A total of 219 patients were studied. Maximum 93(42.5%) patients were in age group of 61-70 years followed by 51(23.3%) and 30(13.7%), in the age group of 51-60 years and 71-80 years respectively. Male 138(63%) were predominant than female 81(63%). 78(35.61%) patients had weakness in both sides of the body, 66(30.1%) had weakness in the left side and 36(16.4%) had weakness in the right side of the body. 190 (87.7) patients had ischemic stroke and 29(12.3%) had hemorrhagic stroke. Among risk factors dyslipidemia was in 185(84.5%) patients, hypertension, smoking habits, diabetes mellitus and ischemic heart disease were present in 165(75.3%), 120(54.8%), 105(47.9%) and 42 (19.2%) patients respectively. H/O recurrent stroke was present in 55(25%) cases. Conclusion: Stroke cases were male predominant where dyslipidaemia was the most common risk factor, most common type of stroke was ischemic, most common presentation was hemiplegia/monoplegia and commonest age of presentation was seventh decade. Bangladesh Journal of Neuroscience 2016; Vol. 32 (1): 16-20


2021 ◽  
Vol 12 ◽  
Author(s):  
Jeffrey Poss ◽  
Lori Mitchell ◽  
Jasmine Mah ◽  
Janice Keefe

Publicly funded home care in Canada supports older adults in the community to delay institutional care, which results in complex care populations with multimorbidity that includes mental health problems. The purpose of this study is to examine prevalence of psychiatric diagnoses and other mental health symptoms among older clients in two publicly funded Home Care (HC) Programs and their psychiatry service utilization (psychiatrist visits) after being admitted to home care. This retrospective cohort study examines clients age 60 years and older in the two Canadian provinces of Manitoba (MB), specifically the Winnipeg Regional Health Authority (WRHA) (n = 5,278), and Nova Scotia (NS) (n = 5,323). Clients were admitted between 2011 and 2013 and followed up to 4 years. Linked data sources include the InterRAI Resident Assessment Instrument for Home Care (RAI-HC), physician visit/billing data and hospital admission data. Both regions had similar proportions (53%) of home care clients with one or more psychiatric diagnoses. However, we observed over 10 times the volume of psychiatry visits in the WRHA cohort (8,246 visits vs. 792 visits in NS); this translated into a 4-fold increased likelihood of receiving psychiatry visits (17.2% of WRHA clients vs. 4.2% of NS clients) and 2.5 times more visits on average per client (9.1 avg. visits in MB vs. 3.6 avg. visits in NS). The location of psychiatry services varied, with a greater number of psychiatry visits occurring while in hospital for WRHA HC clients compared to more visits in the community for NS HC clients. Younger age, psychotropic medication use, depressive symptoms, dementia, and having an unstable health condition were significantly associated with receipt of psychiatry visits in both cohorts. Access to psychiatric care differed between the cohorts despite little to no difference in need. We conclude that many home care clients who could have benefitted from psychiatrist visits did not receive them. This is particularly true for rural areas of NS. By linking the RAI-HC with other health data, our study raises important questions about differential access to psychiatry services by site of care (hospital vs. community), by geographical location (MB vs. NS and urban vs. rural) and by age. This has implications for staff training and mental health resources in home care to properly support the mental health needs of clients in care. Study results suggest the need for a mental health strategy within public home care services.


2014 ◽  
Vol 3 (2) ◽  
pp. 29-33
Author(s):  
Elias Bin Akber ◽  
Abu Jamil Forhad ◽  
Mohammad Habibuzzaman Chowdhury ◽  
AM Ashraful Anam ◽  
Israt Jahan

Poisoning with Organophosphorus compounds (OPC) is one of the important leading causes of morbidity and mortality for the countrymen of Bangladesh. OPC poisoning is a common cause of acute poisoning. The study was conducted to evaluate the magnitude of death due to OPC poisoning. This paper presents the study of total 852 cases of poisoning comprising 6.42% of the total 13,300 autopsies done during the period of three years (from 01/01/2009 to 31/12/2011) at Dhaka Medical College Mortuary. Of them, there were 478 cases of OPC poisoning. Most of the victims were from rural areas i.e. 296 cases (61.92%) and 182 cases (38.07%) from urban areas. 274 male victims (57.32%) outnumbered females i.e. 204 cases (42.67%) and the most affected age group was 21-30 years i.e. 214 cases (44.76% ). Farmers were the commonest victim i.e. 270 cases (56.48%) followed by housewives i.e. 105 cases (21.96%). Ingestion was the commonest route of poisoning i.e. 460 cases comprising 96.23% followed by 12 cases of inhalation (2.51%) and others. Suicide dominated the list of manner of death i.e. 466 cases comprising 97.48% followed by accidental i.e. 12 cases (2.51%) of the total 478 cases of OPC poisoning. CBMJ 2014 July: Vol. 03 No. 02 P: 29-33


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