To Establish the Cause, Manner and Modalities of Death in Medicolegal Autopsies Performed at Lahore General Hospital

2021 ◽  
Vol 15 (8) ◽  
pp. 2187-2189
Author(s):  
Uzma Zaheen ◽  
Muhammad Anwar Sibtain Fazli ◽  
Ambreen Sarwer ◽  
Khizer Hayat Sukheria

Objectives: To evaluate and compare findings with special reference to mode, manner and cause of different cases of autopsies conducted at Lahore General Hospital during a particular time period. Study Design: Cross sectional. Place and Duration of Study: Autopsy Section of Lahore General Hospital, Lahore 1st January 2019 to 31st December 2020. Methodology: Fifty (74% males, 26% females) medicolegal autopsies were collected. The observations recorded in predesigned Performa with an emphasis on age and sex of subjects, type of injuries, identify fatal injuries, and month-wise variation in performing autopsies. Results: 30% of the deaths were found to be due to non-apparent causes of death. Firearm accounted for 12% of the deaths whereas 9% were asphyxial deaths. Majority of the victims belonged to age group 20-30 years (22%). Majority of the cases came on the month of August. Conclusion: In majority of the medicolegal autopsies, male population was involved and caused by Firearm injuries (Homicidal) although number of cases where there was no apparent cause define was also high. Most affected age group was 20-30 years (22%). August and October were the months where majority of the cases came. Keywords: Medicolegal autopsy, Cause, Manner, Modalities

Author(s):  
Agus Bhayu W. Wiwekananda ◽  
I Wayan Arimbawa ◽  
Ratna Rayeni Natasha Roosseno

Background: Trauma is one of the leading causes of death among people under 40 years of age and approximately 10 percent of the cases have been maxillofacial trauma. There was limited number of studies on maxillofacial fractures in Indonesia. Thus, this research attempted to investigate the characteristics and patterns of maxillofacial fractures at Mangusada General Hospital in Badung-Bali.Methods: This research was a cross-sectional descriptive study which conducted at Mangusada General Hospital in the period of 1 January 2016 - 31 December 2017. The 127 samples selected using non-probability sampling. The inclusive criteria involved all maxillofacial trauma cases and the exclusive criteria focused on maxillofacial fractures that received intervention or with incomplete medical records. Each data was collected from the medical records and then analysed descriptively.Results: From 127 samples, male dominated the sample on the gender-based criteria (70.1%) and the highest frequency of all age groups is 21-30 years old on the age group based criteria (23.6%). Maxillary fractures are the most occurring maxillofacial cases, which took up 33.6%. The main cause of the cases is traffic accidents (89.0%).Conclusions: Maxillary fractures are the highest maxillofacial cases at Mangusada General Hospital on 1 January 2016 - 31 December 2016 period of time. The productive male age groups are the most affected groups due to traffic accidents.


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 30 (1) ◽  
pp. 16
Author(s):  
Ovin Nada Saputri ◽  
Viskasari P. Kalanjati ◽  
Mahrus A. Rahman

Background: Malnutrition is a common cause of morbidity and mortality amongst children with TOF. Objective: To analyze the BMI profile of children with TOF age 0 – 18 years old at Pediatric Department, Dr. Soetomo General Hospital, Surabaya. Material and method: A cross-sectional study of the BMI from the medical record of TOF patients age 0 – 18 years old at the Pediatric Department, Dr. Soetomo General Hospital, Surabaya since January 2016 to December 2017 was conducted. The data included gender, age group, demographic distribution, weight, and height. BMI was calculated by WHO formula reference; body weight (kg) divided by height squared body (m2), which was converted into z-score histogram size. BMI classification was guided by the Government’s Anthropometry Standards for Nutritional Status Assessment. Result: From 84 TOF patients, there were 43 males (51%) and 41 females (49%). The most dominant age group is 0 – 4 years old (n=47;56%). The majority of patients were from outside of Surabaya (n=64;76,2%). Based on their BMI, 36 patients (42.9%) have severe underweight, 10 patients (11.9%) were underweight, and 35 patients (41.7%) were normal, whilst the rests (3.6%) were overweight. Conclusion: In this study, the number of male patients was slightly higher than female patients. The majority of TOF patients were 0 – 4 years old and resided out town of Surabaya. The predominant BMI found was the underweight and severe underweight below of normal BMI.


Author(s):  
Nazia Ayub ◽  
Mahliqa Maqsud ◽  
Huma Tahseen ◽  
Mehmona Sharif ◽  
Nahid Waris ◽  
...  

Objective: To find out the knowledge, awareness and screening practices of cervical cancer among nurses at Lahore general Hospital, Lahore, Pakistan. Materials and Methods: This cross-sectional, interview based study was conducted on 250 nurses at Lahore general Hospital, Lahore, Pakistan. The duration of this study was one year from 2017 to 2018. All the cases underwent interview based information regarding cervical cases. The questionnaire was applied to assess the knowledge, awareness and screening practices about cervical cancer among nurses. Data was collected via self-made proforma. Results: Most of the study participants were less than 35 years. 72% nurses were married and 28% were married. Most of the study participants 96% known that cervical cancer is the abnormal growth of cervical cells and few were unaware regarding it. According to causes of cervical cancer, 70% to 75.6% participants agreed with the causes of early marriage and multiple sex partners, while others had ideas of smoking, infection and hereditary causes. 25.5% nurses answered that it can occur in any age group, 11.2% replied in reproductive age group, 42.8% were agreed with menopausal age group and 20.4% had no idea. 75.6% to 95.5% nurses were in the favor of scanning, pap smear test and cervical biopsy methods. 85 participants said it is a preventable disease via vaccination, early diagnosis and safe sex activities. Conclusion: It was concluded that nurses had satisfactory knowledge and screening practice cervical cancer at Lahore general Hospital.


Author(s):  
Romana Malik ◽  
Muhammad Hammad ◽  
Nasim Irshad ◽  
Babur Rashid Chugtai ◽  
Riffat Masood ◽  
...  

Introduction: Objectives: To study the prevalence of domestic torture in Rawalpindi. Study design: Retrospective, cross-sectional. Place and duration of study: DHQ Hospital Rawalpindi, from 1st January 2016 to 31st Dec 2016. Material and methods: Record of Medico-legal cases of domestic violence was obtained from DHQ Hospital Rawalpindi. Analysis of all the domestic torture cases regarding age group involved, injury pattern, pregnant/non-pregnant victims, urban/rural distribution and culprits were done. Results: A total of 118 cases of domestic torture reported at the DHQ Hospital Rawalpindi. All the victims were females, 110 cases of blunt trauma and 8 cases of firearm injuries reported. 12 females were pregnant, the most common age group of victims was 20-30 years, and 113 cases belonged to urban areas as compared to only 5 cases of rural area. Conclusion: Effective legislation, strict implementation, awareness among public and speedy trial is required to control cases of violence in the society. Keywords: Violence, torture, society and domestic.


2021 ◽  
Vol 6 (2) ◽  

Background: Autopsy is a traditional method in pathology for the study of diseases or injuries, being key to elucidate the cause of death. However, the number of autopsies has been decreasing progressively. Design and Context: Retrospective cross-sectional study to analyze the presence of discrepancy between clinical and pathological diagnoses as to the cause of death according to the Goldman criteria, verify the epidemiological profile of the main causes of death, and tabulate the number of procedures conducted annually. Method: Analyzing clinical records and autopsy reports from the Department of Pathology and Legal Medicine of the Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA) from 1963 to 2012 and performing statistical analysis on the data collected. Results: The predominant age group was of dead fetuses (30.6% of all cases). The main cause of death was infection (68.4% of diagnoses). After a peak in the early 1980s, there was a progressive drop in the rates of postmortem examination. In the 1990s, the average number of autopsies fell by 58% in relation to the previous decade, and the last decade of the Century registered a decrease of 80% as compared to the average of the 1980s. According to the Goldman criteria, there was discrepancy between ante- and postmortem diagnoses as to the cause of death in 26.2% of the cases. Conclusion: The rates of discrepancy between clinical diagnoses and autopsy findings regarding the cause of death remain high, even though medicine has become more and more advanced in technology.


2020 ◽  
pp. 1-6 ◽  
Author(s):  
Kirsten Mehlig ◽  
Irene Blomqvist ◽  
Sofia Klingberg ◽  
Marta Bianchi ◽  
Josefin Sjons ◽  
...  

Abstract Objective: This study examines secular changes in diet-related greenhouse gas emissions (GHGE) in younger and older Swedish adults, since the turn of this century. Design: Two cross-sectional health examination surveys were conducted in 2001–2004 (T1) and 2014–2018 (T2). At both times, an eighty-six-item FFQ was embedded in the survey. From the food frequencies and age-standardised portion sizes, GHGE estimates (kg CO2e/year) were calculated. GHGE was modelled as a function of time period and covariates, for five distinct age groups. Setting: The municipality of Gothenburg, in western Sweden. Participants: Women and men aged 25–34, 35–44, 45–54, 55–64 and 65–75 years were randomly selected from the population registry and recruited for examinations. After exclusion of participants with incomplete dietary data, the analytic sample consisted of 2569 individuals at T1 and 2119 at T2. Results: Lower dietary GHGE scores were observed at T2 compared with T1, in each age group, adjusting for sex, BMI and education. The largest differences in GHGE were observed in the youngest age group (approximately 30 % reduction). Decreasing trends in GHGE from animal-based foods were observed at all ages and were accompanied by smaller increases from plant-based sources in younger groups only. At all ages, GHGE from discretionary foods decreased, and prevalence of overweight remained stable. Conclusions: Optimal dietary trends should support both human health and planetary health. Our results suggest that Swedish adults have moved in this direction, e.g. through less intake of red meat products and stable weight status.


2016 ◽  
Vol 50 (3) ◽  
pp. 390-398 ◽  
Author(s):  
Elieni Paula dos Santos ◽  
Rosângela Aparecida Pimenta Ferrari ◽  
Maria Rita Bertolozzi ◽  
Alexandrina Aparecida Maciel Cardelli ◽  
Christine Bacarat de Godoy ◽  
...  

Abstract OBJECTIVE To analyze infant death after discharge from maternity in the time period between 2000 and 2013. METHOD A cross-sectional retrospective quantitative study in a municipality northward in the state of Paraná. Data were analyzed using the SPSS®, and were subjected to Chi-square test, logistical regression, 95% confidence interval, and a significance level of p <0.05. RESULTS Two hundred forty-nine children were born, discharged from maternity and subsequently died; 10.1% in the neonatal period and 89.9% in the post-neonatal period. Pregnancy follow-up, birth, and child monitoring took place mainly in the public health system. There was a statistically significant association between the infant component and place of delivery (p =0.002; RR=1.143; IC95%=1.064-1.229), and a lower number of childcare medical visits (p =0.001; RR=1.294; IC95%=1.039-1.613). The causes of death in the neonatal period were perinatal conditions (40%); external causes (32%); and congenital malformations (20%). In the post-neonatal period, congenital malformations (29.9%), external causes (24.1%); and infectious-parasitic diseases (11.2%) were the causes of death. CONCLUSION Virtually all children were born in conditions of good vitality that were worsened due to potentially preventable diseases that led to death.


Author(s):  
Natasa Mihailovic ◽  
Nebojsa Zdravkovic ◽  
Biljana Milicic ◽  
Sanja Kocic ◽  
Vesna Milicic ◽  
...  

Abstract Mortality rate represents a number of deaths on a particular territory per time unit. There are general and specific mortalities. Th e aims at analysing the characteristics of mortality in Sumadija District for the time period ranging from 2010 - 2017. The study includes all death cases in the District of Sumadija in period 2010-2017, 34681 cases. The data are described and analysed with χ2 test and linear trend. The trend analysis does not indicate any significant variations during the given time span. The gender analysis reveals that there is a significantly higher number of deceased persons among male population (52.2%, 47.8%, р<0.05). The average age of the deceased females (76.2±13.4) was higher than the average age of males (73.8±14.1) (р<0.05). The cause-specific analysis shows that natural causes of death dominate absolutely (96.5%) over violent deaths (2.7%) and undetermined causes (0.8%). The distribution of death causes according to ICD 10 shows that the most frequent causes of death are heart and blood vessel diseases, respiratory and neoplasm diseases. The life expectancy of the inhabitants of Sumadija District is increasing over time. There was a slight decrease in the mortality rates during the observed time period. The highest number of the deceased people is 65 or more years old. Men have higher mortality rates throughout their lives. Natural death and non-communicable diseases are dominant. The most common causes of death are heart and blood vessels diseases, in women, and respiratory and neoplasm diseases, in men.


2020 ◽  
Vol 54 (5) ◽  
Author(s):  
Edward James R. Gorgon

Objective. The Timed Up-&-Go Test (TUGT) is a clinically useful measure that has been widely used in practice toassess functional mobility in older people. Interpretation of TUGT scores relies on appropriate reference values.This study aimed to describe preliminary age- and sex-related reference values for the TUGT for Filipinos aged60–79 years. Methods. This is a descriptive cross-sectional study. We included Filipino adults aged 60–79 years, with no significantdisability, and resided in metropolitan areas in the National Capital Region and rural communities in southernLuzon. All participants completed the TUGT. Data were analyzed descriptively and reported as means, standarddeviations, and 95% confidence intervals. Results. A total of 156 community-dwelling older adults participated in the study with mean age (SD) of 68 (5)years. The majority were women (103/156, 66%). Mean (SD) TUGT score for all participants was 11.0 (2.4) seconds.Overall, men completed the test faster compared to women, and individuals in the 60–69 years age group hadshorter completion times than those in the 70–79 years age group. Conclusion. In the absence of definitive reference values for older Filipino adults, this study provides preliminaryguidance for interpreting TUGT performance for the purposes of screening and monitoring functional mobilityimpairments in this population.


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