Background: Although spinal anesthesia is generally well tolerated, hypotension is a common adverse effectof subarachnoid block in some patients. In pregnant women, it was demonstrated that sympathetic activity isincreased as compared with that of not pregnant women.Aim of study: To determine whether preoperative heart rate is a predictor for post spinal hypotension or not inobstetric patients.Methods: A prospective trial study that was conducted in the Obstetrics operating room at Al-Imamain Al-Kadhmain and Baghdad Teaching Hospitals, Baghdad, Iraq for a period of 12 months from Nov. 2019 to Nov.2020. It involved 100 healthy full term pregnant women scheduled for elective C/S under spinal anesthesia.Baseline systolic, diastolic, mean arterial pressure, and heart rate were recorded. Blood pressure was monitoredwith an automated cuff blood pressure monitor at three-minute intervals until 30 minutes then every five minutes.Results: In this study, 55% of study patients complained from hypotension after spinal anesthesia. mean ofbaseline HR was significantly higher in patients who developed post spinal hypotension than that in those whodidn’t. The cut point of baseline HR was 92 beats/mint., so baseline HR > 92 beats/mint. is predictive for postspinal hypotension. Requirement of ephedrine was significantly higher in hypotensive patients who had baselineHR > 92 than that in those who had baseline HR ≤ 92.Conclusion: Preoperative heart is a good predictor for post spinal hypotension in pregnant women underwentcesarean section under spinal c anesthesia.
{"title":"Baseline Heart Rate as a Predictor of Post-Spinal Hypotension in Patients Undergoing a Caesarean Section","authors":"","doi":"10.37506/mlu.v23i1.3353","DOIUrl":"https://doi.org/10.37506/mlu.v23i1.3353","url":null,"abstract":"Background: Although spinal anesthesia is generally well tolerated, hypotension is a common adverse effectof subarachnoid block in some patients. In pregnant women, it was demonstrated that sympathetic activity isincreased as compared with that of not pregnant women.Aim of study: To determine whether preoperative heart rate is a predictor for post spinal hypotension or not inobstetric patients.Methods: A prospective trial study that was conducted in the Obstetrics operating room at Al-Imamain Al-Kadhmain and Baghdad Teaching Hospitals, Baghdad, Iraq for a period of 12 months from Nov. 2019 to Nov.2020. It involved 100 healthy full term pregnant women scheduled for elective C/S under spinal anesthesia.Baseline systolic, diastolic, mean arterial pressure, and heart rate were recorded. Blood pressure was monitoredwith an automated cuff blood pressure monitor at three-minute intervals until 30 minutes then every five minutes.Results: In this study, 55% of study patients complained from hypotension after spinal anesthesia. mean ofbaseline HR was significantly higher in patients who developed post spinal hypotension than that in those whodidn’t. The cut point of baseline HR was 92 beats/mint., so baseline HR > 92 beats/mint. is predictive for postspinal hypotension. Requirement of ephedrine was significantly higher in hypotensive patients who had baselineHR > 92 than that in those who had baseline HR ≤ 92.Conclusion: Preoperative heart is a good predictor for post spinal hypotension in pregnant women underwentcesarean section under spinal c anesthesia.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135470802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Organ donation is remarkable achievement in modern medicine which helps those suffering from chronic incurable end organ diseases. However, the process of organ donation and transplantation is not devoid of ground level difficulties like timely diagnosis of brain death, harvesting of organs during the supravital period, transporting the retrieved organ to a facility where transplantation is to be conducted and in Medicolegal cases the Forensic Pathologist has to examine the patient and allow/disallow the retrieval of organ based on their necessity in determining cause of death. The Forensic Pathologists can do their bit in expediting the above mentioned process by conducting the autopsy in operation theatre where organs were retrieved. This practice is being followed in Telangana, Tamil Nadu and now in Karnataka. This paper aims to study the profile of organ donors, analyze the types of organs retrieved and to highlight the role of Forensic Pathologistsin expediting the process of organ donation and transplantation.
{"title":"An Autopsy based Study of Profile of Organ Donors and type of Organs Retrieved in Cases Attended by Faculties of Department of Forensic Medicine and Toxicology, Sabvmcri, Bengaluru- A Cross-Sectional Study","authors":"","doi":"10.37506/mlu.v23i4.3452","DOIUrl":"https://doi.org/10.37506/mlu.v23i4.3452","url":null,"abstract":"Organ donation is remarkable achievement in modern medicine which helps those suffering from chronic incurable end organ diseases. However, the process of organ donation and transplantation is not devoid of ground level difficulties like timely diagnosis of brain death, harvesting of organs during the supravital period, transporting the retrieved organ to a facility where transplantation is to be conducted and in Medicolegal cases the Forensic Pathologist has to examine the patient and allow/disallow the retrieval of organ based on their necessity in determining cause of death. The Forensic Pathologists can do their bit in expediting the above mentioned process by conducting the autopsy in operation theatre where organs were retrieved. This practice is being followed in Telangana, Tamil Nadu and now in Karnataka. This paper aims to study the profile of organ donors, analyze the types of organs retrieved and to highlight the role of Forensic Pathologistsin expediting the process of organ donation and transplantation.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136260030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Morphometric Examination of Scapula to Determine Sexual Dimorphism","authors":"","doi":"10.37506/mlu.v23i1.3360","DOIUrl":"https://doi.org/10.37506/mlu.v23i1.3360","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88474983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correlative Study of Diameter of Carotid Canal with Cranial Index in Maharashtra Population","authors":"","doi":"10.37506/mlu.v23i2.3387","DOIUrl":"https://doi.org/10.37506/mlu.v23i2.3387","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73100644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An Evaluation of Profile of Medico-Legal Autopsy Cases Reported at Department of Forensic Medicine & Toxicology inA Government Medical College of Garhwal Region, Uttarakhand: A Retrospective Study","authors":"","doi":"10.37506/mlu.v23i2.3389","DOIUrl":"https://doi.org/10.37506/mlu.v23i2.3389","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81210771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Persistent use of lip cosmetics makes them one of the most regular evidence in crime againstfemales, with this concern, plenteous work has been done to differentiate various types of lip cosmetics on basisof their composition. However, the forensic and DNA perspective regarding the same remains unexplored to ahuge extent.Study: We looked at the DNA implications of lip stains as well as several ways for extracting DNA from lipcosmetic prints in this work.Conclusion: We came to the conclusion that DNA profiles created from lip cosmetics imprints are extremelyvaluable in forensic examination for personal identification because they are regarded the most crucial type oftransmission traces and are equivalent to finger-marks.
{"title":"DNA extraction from lip cosmetics’ prints: A Review","authors":"","doi":"10.37506/mlu.v23i4.3444","DOIUrl":"https://doi.org/10.37506/mlu.v23i4.3444","url":null,"abstract":"Background: Persistent use of lip cosmetics makes them one of the most regular evidence in crime againstfemales, with this concern, plenteous work has been done to differentiate various types of lip cosmetics on basisof their composition. However, the forensic and DNA perspective regarding the same remains unexplored to ahuge extent.Study: We looked at the DNA implications of lip stains as well as several ways for extracting DNA from lipcosmetic prints in this work.Conclusion: We came to the conclusion that DNA profiles created from lip cosmetics imprints are extremelyvaluable in forensic examination for personal identification because they are regarded the most crucial type oftransmission traces and are equivalent to finger-marks.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136259059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Epidemio-Demographical Study of Anemia in School: Aged groups","authors":"","doi":"10.37506/mlu.v23i1.3358","DOIUrl":"https://doi.org/10.37506/mlu.v23i1.3358","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73199927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Post-Mortem Findings in Deaths due to Drowning, a Study on Autopsied Cases at Government Medical College Hospital Jammu: A Retrospective Study","authors":"","doi":"10.37506/mlu.v23i2.3388","DOIUrl":"https://doi.org/10.37506/mlu.v23i2.3388","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85784381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Road traffic injuries are a major public health problem and a leading cause of death and injury around the world. Each year nearly 1.2 million people die as a result of road crashes, and millions more are injured or disabled. According to the National Highway Traffic Safety Administration (NHTSA), motorcycle riders are 26 times more likely to die in a traffic collision than passenger vehicle occupants, and 5 times more likely to be injured. In a study conducted by NHTSA on 104,472 motorcyclists injured in traffic crashes, 15 percent of helmeted and 21 percent of unhelmet riders suffered TBI. A helmet aims to reduce the risk of serious head and brain injuries by reducing the impact of a force or collision to the head. A helmet works by, reducing the deceleration of the skull, spreads the forces of the impact over a greater surface area and by preventing direct contact between the skull and the impacting object. Present study was carried out in Mahadevappa Rampure Medical College, Kalaburagi with the aim to know cause of death in deaths due to bike accidents autopsied at Mahadevappa Rampure Medical College, Kalaburagi between 2011 to 2016(6-year retrospective study). Results of the study shows that out of 100 cases, in 65 cases cause of death was head injury and in 35 cases it was hemorrhagic shock, septicemia, multi organ failure and others. In 48% of cases injuries were seen in thoracic region and in 40% of cases abdominal injuries. Whereas in 34 cases except intracranial hemorrhage no other injuries were seen on the body. The present study shows that maximum deaths can be prevented by wearing a proper protective helmet.
{"title":"Importance of Wearing Helmet in Preventing Death due to Motor Cycle(Bike) Accidents","authors":"","doi":"10.37506/mlu.v23i4.3451","DOIUrl":"https://doi.org/10.37506/mlu.v23i4.3451","url":null,"abstract":"Road traffic injuries are a major public health problem and a leading cause of death and injury around the world. Each year nearly 1.2 million people die as a result of road crashes, and millions more are injured or disabled. According to the National Highway Traffic Safety Administration (NHTSA), motorcycle riders are 26 times more likely to die in a traffic collision than passenger vehicle occupants, and 5 times more likely to be injured. In a study conducted by NHTSA on 104,472 motorcyclists injured in traffic crashes, 15 percent of helmeted and 21 percent of unhelmet riders suffered TBI. A helmet aims to reduce the risk of serious head and brain injuries by reducing the impact of a force or collision to the head. A helmet works by, reducing the deceleration of the skull, spreads the forces of the impact over a greater surface area and by preventing direct contact between the skull and the impacting object. Present study was carried out in Mahadevappa Rampure Medical College, Kalaburagi with the aim to know cause of death in deaths due to bike accidents autopsied at Mahadevappa Rampure Medical College, Kalaburagi between 2011 to 2016(6-year retrospective study). Results of the study shows that out of 100 cases, in 65 cases cause of death was head injury and in 35 cases it was hemorrhagic shock, septicemia, multi organ failure and others. In 48% of cases injuries were seen in thoracic region and in 40% of cases abdominal injuries. Whereas in 34 cases except intracranial hemorrhage no other injuries were seen on the body. The present study shows that maximum deaths can be prevented by wearing a proper protective helmet.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136259614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Procedure to Proceed Under the Provision of Section 161 CrPC","authors":"","doi":"10.37506/mlu.v22i4.3327","DOIUrl":"https://doi.org/10.37506/mlu.v22i4.3327","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74511049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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