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Deliberate Self harm- A Hospital based cross sectional study 蓄意自残——一项基于医院的横断面研究
Pub Date : 2023-01-01 DOI: 10.37506/mlu.v23i4.3443
Background: Self-harm is a growing concern especially among the teenagers and young adults. Non-Suicidal Self-Injury is defined as intentional destruction of one’s body tissue without suicidal intent.Material and methods: A 2 years’ retrospective studyfrom January 2021 to December 2022 comprising of 434 cases of deliberate self-harm that presented at the Trauma center of Jawaharlal Nehru Medical College, A.M.U, Aligarh, Uttar Pradesh.Results: Total 434 cases of self-harm were examinedin which 297 were males while 137 were females.Most of the survivors were from age groups 19-30 years (26.5%) and belonged to rural areas 291 (67.1%). The most common method used for self-harm was taking poison or medicinal drugs (80.9%).Conclusion: A significant proportion of suicide attempts are impulsive, solitary efforts that are often the result of interpersonal conflicts which can be avoided by supportive communication with the patient.Keywords: Self harm, Suicide, Poisoning, Hanging, Cut throat.
背景:自残是一个日益受到关注的问题,尤其是在青少年和年轻人中。非自杀性自伤被定义为没有自杀意图的故意破坏身体组织。材料和方法:一项为期2年的回顾性研究,从2021年1月到2022年12月,包括在贾瓦哈拉尔尼赫鲁医学院创伤中心提交的434例故意自残病例北方邦阿里格尔。结果:共调查自残434例,其中男性297例,女性137例。幸存者以19 ~ 30岁年龄组居多(26.5%),农村291例(67.1%)。自残最常见的方式是服毒或服用药物(80.9%)。结论:很大比例的自杀企图是冲动的,孤独的,通常是人际冲突的结果,可以通过与患者的支持性沟通来避免。关键词:自残,自杀,中毒,上吊,割喉。
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引用次数: 0
Sociodemographic Profile of Burns Case for Autopsy: One Year Study 尸检烧伤病例的社会人口学特征:一年的研究
Pub Date : 2023-01-01 DOI: 10.37506/mlu.v23i1.3355
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引用次数: 0
Comparison Between Volume Controlled Ventilation and Pressure Controlled Ventilation in Laparoscopic Cholecystectomy and their Effects on Hemodynamic and Respiratory Parameters 腹腔镜胆囊切除术中容积控制通气与压力控制通气的比较及其对血流动力学和呼吸参数的影响
Pub Date : 2023-01-01 DOI: 10.37506/mlu.v23i1.3354
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引用次数: 1
Medicolegal Aspects during Mass Casualty Due to Road Traffic Accidents in the Era of Covid: A Tertiary Care Institutional Experience 新冠肺炎时代道路交通事故造成大规模伤亡的医学法律问题:三级医疗机构的经验
Pub Date : 2023-01-01 DOI: 10.37506/mlu.v23i2.3381
A. Kumar, A. Chaudhary
Background: In March 2020, the world health organization declared COVID-19 a world wide pandemic. Countries introduced public health measures to contain and reduce its spread. The effect of mandated societal lockdown to reduce the transmission of corona virus disease 2019 (COVID-19) on road traffic accidents is not known. For this we performed an in-depth analysis singdata of emergency and trauma centre UPUMS, Saifai. As most of the manpower was involved in managing Covid patients directly or indirectly, it was a challenge to manage these mass casualty patients who require intensive care as well as Medicolegal documentation, record keeping, Consent for life saving procedures in absence of Relatives. Material(s) and Method(s): We reviewed data on total 2876 road traffic accident records in UPUMS, Saifai from January 1, 2020 through September 30, 2020. We treated March 20th as the first day of mandated societal lock down and 1st July as the first day of re-opening. Result(s): We have found that the reis increase in road traffic accidents resulting in serious or fatal injuries during lockdown and post-lockdown period. There was increased Medicolegal burden in spite of the decreased medical resources, manpower as most of manpower and resources were being utilized for covid patients. Conclusion(s): Road traffic accidents are a prominent contributor to hospitalization and may negatively impact the existing hospital resources directed towards COVID-19.Copyright © 2023, World Informations Syndicate. All rights reserved.
背景:2020年3月,世界卫生组织宣布COVID-19为全球大流行。各国采取了公共卫生措施来遏制和减少其传播。为减少2019冠状病毒病(COVID-19)传播而强制实施的社会封锁对道路交通事故的影响尚不清楚。为此,我们对赛法伊UPUMS急救和创伤中心的数据进行了深入分析。由于大多数人力都直接或间接参与了对新冠肺炎患者的管理,因此管理这些需要重症监护、医疗法律文件、记录保存和在亲属缺席的情况下同意救生程序的大规模伤亡患者是一项挑战。材料和方法:我们回顾了2020年1月1日至2020年9月30日期间赛法伊UPUMS共2876起道路交通事故记录的数据。我们把3月20日作为强制封锁的第一天,把7月1日作为重新开放的第一天。结果:我们发现,在封城期间和封城后,造成严重或致命伤害的道路交通事故有所增加。虽然医疗资源和人力有所减少,但由于大部分人力和资源都用于治疗新冠患者,医疗法律负担有所增加。结论:道路交通事故是导致住院的一个重要因素,并可能对现有的用于COVID-19的医院资源产生负面影响。版权所有©2023,世界信息集团。版权所有。
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引用次数: 0
Study of Elbow Joint for Estimation of Age in 11 to 18 Years in both Sexes of Andhra Pradesh 安得拉邦11 - 18岁男女肘关节年龄估计研究
Pub Date : 2023-01-01 DOI: 10.37506/mlu.v23i2.3385
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引用次数: 0
IdentificationAnalysis of Lip Prints as an Indispensable Tool for Identification and Sexual Dimorphism- A Cross Sectional Study 唇印作为鉴定和两性异形不可缺少的工具的鉴定分析——一项横断面研究
Pub Date : 2023-01-01 DOI: 10.37506/mlu.v23i4.3447
Introduction: Cheiloscopy is one of the investigative methods that utilises the anatomy and morphology of lips to identify individuals by their lip prints. Lip prints are a distinctive pattern made up of ridges and grooves on the labial mucosa, or sulci labiorum; cheiloscopy is the study of such patterns.Material and Methods: The study group comprised of 50 males and 50 females aged between 18 and 25 years in the Department of Forensic Medicine and Toxicology, Jawaharlal Nehru Medical College, AMU, Aligarh for a period of 1 year i.e., from August 2021 to September 2022.Results: Each individual lips were divided into 4 regions- upper right, upper left, lower right, and lower left and a total of 400 lip regions (100x4) were assessed for 6 types of lip groove patterns- Type I, Type I’, Type II, Type III, Type IV, and Type V as per the Suzuki and Tsuchihashi classification.The most common type of lip print pattern in males was Type III (32.5%) while in females it was Type II (36%).Conclusion: Lip prints are distinctive to each person and can be used to identify a person and ascertain their gender.
唇镜检查是一种利用嘴唇的解剖学和形态学通过唇印来识别个体的调查方法。唇印是由唇黏膜或唇沟上的脊和沟槽组成的独特图案;镜检学就是对这种模式的研究。材料和方法:该研究组由50名男性和50名女性组成,年龄在18至25岁之间,来自阿里格尔大学贾瓦哈拉尔尼赫鲁医学院法医和毒理学系,为期一年,即从2021年8月到2022年9月。结果:每个个体的嘴唇被划分为4个区域-右上、左上、右下和左下,总共400个嘴唇区域(100x4)被评估为6种类型的唇沟模式- I型、I型、II型、III型、IV型和V型,按照Suzuki和Tsuchihashi分类。男性中最常见的唇印类型为III型(32.5%),而女性中最常见的唇印类型为II型(36%)。结论:唇印对每个人来说都是独特的,可以用来识别一个人并确定他们的性别。
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引用次数: 0
Unintentional Deaths among Adolescents in the Age Group of 10 to 19 Years: An Autopsy Study 10至19岁青少年的意外死亡:一项尸检研究
Pub Date : 2023-01-01 DOI: 10.37506/mlu.v23i2.3383
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引用次数: 0
Pattern of Occurrence of Natural Deaths – A 3 years retrospective study 自然死亡的发生模式——一项为期3年的回顾性研究
Pub Date : 2023-01-01 DOI: 10.37506/mlu.v23i4.3448
The present study has been carried out to find the occurrence of natural deaths and the diseases causing them in Eastern part of Bengaluru with special emphasis on histopathological correlation. Medico legal autopsy cases with history of Natural Death over period of three yearsbetween January 2019 to December 2021were included in this study. A total of 799 cases were autopsied at our Institute during that period, out of which 104 deaths (13.01 %) were due to natural deaths, The highest number of cases were observed in the age group of 21-30 years (n=29, 27.9 %), Maximum cases (n=12, 11.5%) of cases were found in January month, Majority of the cases were due to the diseases of Cardiovascular system (n=67, 64.1 %) followed by diseases of Respiratory system (n=23, 22.2 %),Maximum cases of natural deaths were due to coronary artery disease (n=44, 42.3%)], followed by pneumonia (n=13, 12.5%).
本研究旨在发现班加罗尔东部地区自然死亡的发生和引起自然死亡的疾病,特别强调组织病理学相关性。本研究纳入2019年1月至2021年12月三年内有自然死亡史的法医法医尸检病例。同期共尸检799例,其中自然死亡104例(13.01%),21 ~ 30岁年龄组死亡病例最多(29例,27.9%),1月份死亡病例最多(12例,11.5%),以心血管系统疾病死亡病例最多(67例,64.1%),其次为呼吸系统疾病死亡病例(23例)。22.2%),自然死亡病例最多的是冠状动脉疾病(n=44, 42.3%),其次是肺炎(n=13, 12.5%)。
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引用次数: 0
An Autopsy Based Retrospective Study on Pattern of Thoraco-Abdominal Injuries in Fatal Road Traffic Accidents of Kolar, South India 基于尸检的印度南部Kolar致命道路交通事故胸腹损伤模式回顾性研究
Pub Date : 2023-01-01 DOI: 10.37506/mlu.v23i2.3384
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引用次数: 0
The Study of ‘Preparation Guidelines’ Towards Phetchabun Government Officers and Health Massage Establishments 对Phetchabun政府官员和保健按摩机构的"准备指南"的研究
Pub Date : 2023-01-01 DOI: 10.37506/mlu.v23i2.3382
B. Anusornpanichakul, K. Saeio
The purpose of research was to study practices, barriers, and solutions of Phetchabun health massage establishments under COVID-19 situation. Non-participant observation, informal interview, in-depth interview, and participation observation were carried out respectively. Purposive sampling was used with 15 health consumer protection officers in charge;11 district level, 2 provincial level, 2 regional level as well as each representative of 11 districts. Results after implementation of "Preparation Guidelines for Health Spa, Health Massage, and Beauty Massage to Promote Health Tourism During COVID-19 Pandemic" were categorized into two sections. Firstly, the practices, barriers, and solutions of government officer performances included preparation for reopening, monitoring of the provider practices, and performance report. Secondly, the provider operations consisted of doing "Self-Assessment of Health Establishment", logging-in webpage before reopening, and practices for clients included screening and report of patients under investigation, establishment monitor, service, and establishment cleaning. In summary, the preparation guidelines were purposed to reopen their business with numerous contents and messages written by official language, it caused establishment providers and practitioners difficultly understood when applying. LINE Application and making calls were easy and accessible methods for their communication to reach current data and to ensure exact information. Various encouragements and having compliments were also considerable to form trust and confidence among them, they also raised their proud.Copyright © 2023, World Informations Syndicate. All rights reserved.
研究的目的是研究新冠肺炎疫情下碧查汶保健按摩机构的做法、障碍和解决办法。非参与性观察、非正式访谈、深度访谈、参与性观察分别进行。采用有目的抽样,15名卫生消费者保护官员负责,11名区级官员、2名省级官员、2名地区级官员以及11个县的代表。实施《COVID-19大流行期间促进健康旅游的保健水疗、保健按摩和美容按摩准备指南》后的结果分为两部分。首先,政府官员绩效的实践、障碍和解决方案包括重新开业的准备、提供者实践的监控和绩效报告。其次,提供者的操作包括“卫生机构自我评估”,重新开业前登录网页,对客户的做法包括筛查和报告正在调查的患者,机构监测,服务和机构清洁。综上所述,编制指南的目的是为了重新开业,其内容和信息都是用官方语言书写的,这给机构提供者和从业者在应用时带来了难以理解的问题。LINE应用程序和拨打电话是他们沟通获取当前数据和确保准确信息的简单和可访问的方法。各种各样的鼓励和赞美也在很大程度上形成了他们之间的信任和信心,也提高了他们的自豪感。版权所有©2023,世界信息集团。版权所有。
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Medico-Legal Update
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