scholarly journals A Clinical Analysis of the Medicolegal Cases Presented at Khawaja Muhammad Safdar Medical College, Sialkot

2021 ◽  
Vol 15 (10) ◽  
pp. 2820-2822
Author(s):  
Usman Shahid Butt ◽  
Kanwal Zahra ◽  
Maryam Shahid
Keyword(s):  
Alcohol Intake ◽  
Road Traffic ◽  
Winter Season ◽  
Clinical Analysis ◽  
Blunt Injury ◽  
Cross Sectional ◽  
Medical College ◽  
Gunshot Injuries ◽  
Acid Intake ◽  
Blunt Injuries

Objective: To determine the clinical pattern of the medicolegal cases presented at Khawaja Muhammad Safdar Medical College, Sialkot Material and Methods: It was a retrospective Hospital based cross-sectional study, which was conducted at medicolegal clinic of government Khawaja Muhammad Safdar Medical College, Sialkot. All the cases those, who were presented at emergency department (medicolegal clinic) with history of industrial injuries, Road traffic accidents, burns, Assault, Falls and Poisoning and others with either of age and gender were included. This analysis was of one year from January 2020 to December 2020. All the data was recorded via self-made study proforma and analyzed by using SPSS version 20. Results: A total of 1079 medicolegal incidents were analysed. Out of all blunt injury, sharp weapon injury, poisoning, acid intake and road traffic incidences were found to be commonest as 27.20%, 20.60%, 15.60%, 12.40% and 10.20% respectively. Blunt injuries, sharp weapon injuries, gunshot injuries and alcohol intake incidences were significantly higher among males and poisoning and acid intake incidences were significantly high among females (p-<0.05). Blunt injuries, sharp weapon injuries, alcohol and poisoning events were seen significantly high almost during winter season from January to march (p-0.001). Conclusion: In the study conclusion, blunt injury, sharp weapon injury, poisoning, acid intake and road traffic incidences were observed to be the commonest medicolegal incidences. These events mostly observed during January to March duration. However blunt injuries, sharp weapon injuries, gunshot injuries and alcohol intake incidences were mostly observed among males, while poisoning and acid intake incidences among females. Keywords: Medicolegal events, gender, season

scholarly journals Epidemiologic Characteristics of Patients Presenting with Head Injury due to Road Traffic Accident and Factors Associated with Outcome: Experience of a Tertiary Care Center in Northern Kerala

2019 ◽  
Vol 08 (01) ◽  
pp. 039-046
Author(s):  
Mandaka Rajeev ◽  
Vattaparambil Shinihas ◽  
Pankaj Chauhan
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Alcohol Intake ◽  
Road Traffic ◽  
Care Center ◽  
Tertiary Care ◽  
Health Resources ◽  
Medical College ◽  
History Of ◽  
Limited Health

Abstract Background In India, most factors related to road traffic accident (RTA) causation and outcome go improperly documented, and database regarding RTA-related traumatic brain injury (TBI) seems inadequate. Two-wheeler drivers form the largest segment of people affected by RTA. The socioeconomic and neurologic burden, imposed by TBI due to RTAs (largely preventable), is overwhelmingly significant, especially for a developing country like India. Materials and Methods Descriptive study involving patients, presenting to the casualty of Government Medical College, Kozhikode, Kerala, was performed, and various demographic features were analyzed. Usage of helmet and history of alcohol intake were also noted. Patients were evaluated according to their presenting Glasgow coma scale (GCS), investigated and either operated or managed conservatively, and their outcome was assessed with Glasgow outcome score (GOS) at 3 months. Results Bike drivers formed the single largest proportion of RTA victims (53.7%). Proportion of helmet users was 17.9%, whereas 21.9% were found with history of alcohol intake. There was a consistent trend toward a favorable outcome in patients with no alcohol intake (17.08% deaths compared with 34.07% patients with alcohol intake) and with helmet usage (14.55% compared with 22.18% in patients without helmet). However, the absolute contribution of these factors cannot be inferred. Conclusion Various factors related to RTA need evaluation for pooling and compilation of data at regional and national levels. Mandatory helmet laws and strict implementation and provision of subsidized helmets (standard, full coverage) will go a long way in reducing the burden on limited health resources.

scholarly journals Profile of unnatural deaths in a teaching hospital of West Bengal, India

2020 ◽  
Vol 7 (3) ◽  
pp. 971
Author(s):  
Satabdi Mitra ◽  
Saumabrata Panja
Keyword(s):  
Traffic Accidents ◽  
Burn Injury ◽  
Road Traffic ◽  
Care Facility ◽  
Health Care Facility ◽  
Binary Logistic Regression ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Fall From Height

Background: Enquiry into unnatural deaths with all its manners being, suicidal, accidental or homicidal depends on circumstantial evidences for acceptable judgment in court of law. Objectives were to study socio-demographic characteristics of the study and to find out influencing factors, if any, behind these sudden, suspicious, undesirable deaths.Methods: A record-based, descriptive study with cross-sectional design was conducted for first six months of 2017 in NRS medical college hospital among 1603 unnatural deaths undergone police inquest. Besides the records obtained from medical record section, findings were corroborated from mortuary. Data were analyzed in SPSS 22.0 and Epi Info 7.0.Results: Mean age of the deceased was 37.18±17.42 years. Regarding cause of injury, more than 1/3rd (36.6%) was attributed to poisoning, followed by burn injury (24.8%), road traffic accidents (22.8%), fall from height (6.9%) and others the rest. Majority (68.3%) died within twenty hours of reaching the health care facility. More than half of the deceased committed suicide followed by accident and suicide the least. Binary logistic regression revealed, unnatural deaths inflicted by selves or others, i.e. suicide or homicide respectively, had statistically significant (p<0.05) association to productive age, urban residence, burn and RTA, longer survival and conservative nature of management.Conclusions: As suicide was found to comprise lion share of unnatural deaths, development and implementation of addressing the issue at all the levels, starting from individual to community is the need of the hour.

scholarly journals Study of Abdominal Injury: An Analysis of 50 Cases

1970 ◽  
Vol 17 (2) ◽  
pp. 84-88 ◽  
Author(s):  
MAB Siddique ◽  
MK Rahman ◽  
ABMA Hannan
Keyword(s):  
Road Traffic ◽  
Penetrating Injury ◽  
Abdominal Injury ◽  
Blunt Injury ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Clinical Presentations ◽  
Stab Injuries ◽  
Age Range

Abdominal injury is an important aspect of trauma because of difficulty in diagnosis and its lethal potential if not properly treated. Fifty cases of abdominal injury admitted in the surgical wards of Rajshahi Medical College Hospital over 2 years have been studied here. All the patients underwent laparotomy for their management. The age range of the patient was 14 to 70 years and most commonly involved age group was 21 to 30 years. Male to female ratio was 15.6:1. The incidence of penetrating injury predominated (64%) over non-penetrating injury and majority had stab injuries. Road traffic accident predominated in blunt injury. Small gut injury outnumbered all other injuries in both groups. Abdominal pain was the most frequent symptom. Most of the patient arrived in the hospital within 24 hours. Considering clinical presentations and results of investigations, decision for laparotomy was taken with prior resuscitation.   doi: 10.3329/taj.v17i2.3452 TAJ 2004; 17(2): 84-88

scholarly journals Analytical report on post traumatic hydrocephalus

YMER Digital ◽  
2022 ◽  
Vol 21 (01) ◽  
pp. 144-147
Author(s):  
R Srinivas ◽  
◽  
Mohamed Naleer ◽  
Kishore Kumar ◽  
◽  
...  
Keyword(s):  
Head Injury ◽  
Ct Scan ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Head Injuries ◽  
Clinical Analysis ◽  
Medical College ◽  
Fall From Height ◽  
Post Traumatic ◽  
Set Up

Post-traumatic hydrocephalus (PTH) is a field and disorder less explored in neurosurgery though we see many cases. The commonest causes in our set up includes head injury for which people have undergone decompressive craniectomies, severe head injuries with raised ICP. We did a clinical analysis on 23 cases in a period of 3 years duration from 2018 -2021. We did Evd in few cases for emergency purposes when there was decerebration and we went ahead with VP shunt in all the patients who had gross ventricular dilatation. We have projected our analytical report in these cases. METHODS A retrospective study was conducted in the Department of Neurosurgery in Sri Ramachandra medical college. The clinical outcome of patients diagnosed with PTH was studied. These cases were treated by surgery. The stastical analysis along with cause of the hydrocephalus with the outcome in pre and postoperative period were studied. RESULTS Among the 23 patients studied 82% were males. Road traffic accident was the main cause of injury. The other main cause was a fall from height. Assault was another reason for head injuries which we recorded. We found all road traffic accidents were only because of bike riders either pillion or the people driving the vehicle. . Craniotomy was done in 50 % of the patients, 90 % of the patients recovered who had a gcs of 13 to 7. People with gcs lss than 7 were intubated recovery rate was 7.5 %. . There was 100%mortality because of primary head injury in all the patients who had brain stem contusions with dilated pupil. CONCLUSIONS Trauma to head and who were operated had the highest incidence of post tramatic head injury. Smaller the decompressive craniectomies had symptomatic post traumatic head ache with post traumatic hydrocephalus.. CT scan of the brain is considered the choice of investigation toearly diagnose PTH.we even analysed the ct scan and found when there was periventricular lucency the patient outcome after VP shunting is good. KEY WORDS Hydrocephalus, Head Injury, Trauma

scholarly journals Comprehensive study of blunt injury abdomen in medical college, Chennai, India

2018 ◽  
Vol 5 (12) ◽  
pp. 3909
Author(s):  
Vimala Gopalakrishnan ◽  
Sangamithra Anandaraja ◽  
Vinayak Rengan ◽  
Chetna Ravindra
Keyword(s):  
Head Injury ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Ct Scanning ◽  
The Other ◽  
Blunt Injury ◽  
Medical College ◽  
The Third ◽  
Comprehensive Study

Background: Abdomen is the third most common organ injured following extremities and head injury. CT scanning has increased the identification of injuries. The care of the trauma patient is demanding and requires dedication, diligence, and efficiency. To evaluate the type and frequency of injury of various intraabdominal organs in the blunt trauma of the abdomen.Methods: After a primary survey of these patients, brief history and complete physical assessment all the basic investigations were done. Skiagrams were taken routinely. Ultrasonogram (F.A.S.T SCAN) was done for all cases and a CT scan was done for selected cases.Results: Road traffic accident was the most common mode of injury accounting for 76% cases. 36% of the cases were in the third decade of their lives. Spleen was the most common injured organ accounting for 52% of the cases.Conclusions: Solid organs like spleen and liver were more commonly injured in blunt injury to abdomen than the other organs like mesentery, retroperitoneum, bladder etc.

scholarly journals Determination of manners of death: an analysis of 3012 postmortem cases

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
Keyword(s):  
Life Cycle ◽  
Road Traffic ◽  
Computer Software ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Age Group ◽  
Cross Sectional ◽  
Manner Of Death ◽  
Medical College ◽  
Death Investigation

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

scholarly journals A study on socio-clinical profile and associated risk factors of stroke patients admitted to neurology department of SCB medical college, Cuttack, Odisha

2021 ◽  
Vol 10 (1) ◽  
pp. 92
Author(s):  
Minakshi Mohanty ◽  
Saswati Sahu ◽  
Sushanta K. Jena
Keyword(s):  
Risk Factors ◽  
Alcohol Intake ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Priority List ◽  
Medical College ◽  
Different Types ◽  
Clinical Profiles ◽  
The Mean ◽  
Associated Risk Factors

Background: Non-communicable diseases (NCDs) are ragging reality of today’s world and have moved up the priority list of most countries worldwide including India. Objectives were to find out prevalence of different types of strokes among the patients admitted in neurology department of SCB medical college, to study socio-clinical profiles of admitted stroke patients and to find out associated risk factors with different types of strokes.Methods: Cross-sectional hospital-based study in neurology ward of SCB MCH, Cuttack, Odisha in 2019-20.Results: The mean age 60.93±12.8, males are more affected, 60-69 years were more affected, 76% were ischemic strokes, 85% cases weakness of limbs reported, hypertension, diabetes, alcoholism, smoking, dyslipidemia were major risk factors. Hypertension and smoking found to be highly significant in case of young stroke patients.Conclusions: Major modifiable risk factors were hypertension (63.3%) followed by alcohol intake 53.9%.

scholarly journals The measurement of blood pressure in winter season and its co-relation with blood pressure after cold exposure in summer season: a cross-sectional study in Gauhati medical college and hospital, Guwahati, Assam, India

2017 ◽  
Vol 5 (7) ◽  
pp. 3111
Author(s):  
Mousumi Chakrabarty ◽  
Bonti Bora
Keyword(s):  
Blood Pressure ◽  
Cold Exposure ◽  
Cold Water ◽  
Winter Season ◽  
Cross Sectional Study ◽  
Summer Season ◽  
P Value ◽  
Cross Sectional ◽  
Borderline Hypertension ◽  
Medical College

Background: The aim of the study was to correlate the change in blood pressure in winter season to that in summer season after exposure to localized cold stimuli.Methods: Basal blood pressure in healthy males of 20-40 years was recorded during winter season by conventional method using sphygmomanometer and stethoscope. During summer, the same subjects were taken and their baseline blood pressure was recorded. Thereafter their feet were immersed in cold water at 12 degree centigrade and blood pressure was recorded at 5 minutes and 10 minutes interval. The systolic and diastolic BP during winter, summer (baseline), and after 5 minutes and 10 minutes of cold exposure was compared. P value <0.001 as obtained by using student t test (student graph pad) was taken as significantResults: It was observed that systolic and diastolic BP showed a significant increase (p<0.001) in response to the cold stimuli. The increase was comparable to the rise in BP during winter.Conclusions: Present study has revealed a higher systolic and diastolic BP in winter and in summer after cold stimuli than baseline summer BP; So we conclude that subjects with borderline hypertension who are more likely to develop higher BP in winter season are also likely to develop high BP after cold stimuli in summer season.

scholarly journals A study on knowledge and practice of road safety among medical students of S.N. Medical College, Karnataka

2017 ◽  
Vol 4 (6) ◽  
pp. 1993
Author(s):  
Manjula R. ◽  
Vijaylaxmi B. H. ◽  
Ashok S. Dorle
Keyword(s):  
Medical Students ◽  
Road Traffic ◽  
Good Practice ◽  
Cross Sectional Study ◽  
P Value ◽  
Undergraduate Medical Students ◽  
Cross Sectional ◽  
Middle Income ◽  
Road Traffic Crashes ◽  
Medical College

Background: Globally 1.25 million people die each year as a result of road traffic crashes. Road traffic injuries are the leading cause of death among young people, aged 15–29 years. 90% of the world's fatalities on the roads occur in low- and middle-income countries. Aims and objectives: to know the socio- demographic profile and knowledge, attitude and practice among medical students in S.N. Medical College Bagalkot.Methods: A cross sectional study. Study was conducted from March-June 2016. Data collected from 90 undergraduate medical students after obtaining informed consent. It was semi- structured questionnaire. Results: Good knowledge was seen among 74 (82.2%) of the participants. Majority had good attitude 80 (88.9%) about RTA. But the good practice is seen only among 53 (58.9%) and 37 (41.1%) have poor practice among participants. Gender is statistically significant with knowledge (p value-0.015). Conclusions: The knowledge didn’t translate into practice. Hence laws should be made stringent.

Sign in / Sign up

Export Citation Format

Share Document