K. Srinivasulu, Nakkala Supraja Internee, Chittireddy Sainithya, Jupaka Om Shanti
The use of radiographic data for age determination is a widely accepted method and considered scientifically approved. The aim of the present study is to determine the age of epiphyseal union of lower end of ulna and radius among Telangana population. A cross-sectional study was conducted in the region of Telangana, with 100 participants include 50 males and 50 females, we observed that the ossification of lower end of radius completed at 17 to 18 years in females and 19 to 20 years in males, whereas ossification center of lower end of ulna ossified one year earlier than radius, it ossifies at 16 to 17 years in females and 18 to 19 years in males. Skeletal age is not uniform among all the participants. Ulna ossifies one year earlier than radius in both males and females. We also observed that the ossification completed early in females than in males. We found similar results in several studies conducted in India and abroad.
{"title":"Study on Age Determination by Epiphyseal Fusion of Distal End of Ulna and Radius in Telangana Region","authors":"K. Srinivasulu, Nakkala Supraja Internee, Chittireddy Sainithya, Jupaka Om Shanti","doi":"10.37506/mlu.v22i2.3234","DOIUrl":"https://doi.org/10.37506/mlu.v22i2.3234","url":null,"abstract":"The use of radiographic data for age determination is a widely accepted method and considered scientifically approved. The aim of the present study is to determine the age of epiphyseal union of lower end of ulna and radius among Telangana population. A cross-sectional study was conducted in the region of Telangana, with 100 participants include 50 males and 50 females, we observed that the ossification of lower end of radius completed at 17 to 18 years in females and 19 to 20 years in males, whereas ossification center of lower end of ulna ossified one year earlier than radius, it ossifies at 16 to 17 years in females and 18 to 19 years in males. Skeletal age is not uniform among all the participants. Ulna ossifies one year earlier than radius in both males and females. We also observed that the ossification completed early in females than in males. We found similar results in several studies conducted in India and abroad.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"124 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88472537","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}
I. G. P. B. Pambudi, I. Suryana, I. Rai, I. Kusumawardani, N. W. Candrawati, I. Sajinadiyasa, N. L. E. Arisanti
Background: COVID-19 is caused by the SARS-CoV2 virus which is a new type of virus that causes global morbidity and mortality. Several studies are needed to determine biomarkers to identify the severity of COVID-19. Objective: to analyze the correlation between Neutrophil to lymphocyte rate (NLR), C-Reactive Protein (CRP), D-dimer, dan Procalcitonin (PCT) on the severity of COVID-19. Method: A retrospective case-control study was done in our institution using data from June 2020 to March 2021. Data collected were serum NLR, CRP, d-dimer and PCT. Data were analysed using SPSS. Participants were divided into 2 groups, severe COVID-19 as case and mild to moderate as control group. The data collection was carried out in June 2020 – March 2021, included NLR, CRP, D-dimer, and PCT in patient serum. Data analysis using Chi-Square test and logistic regression with p < 0.05. Result: The NLR value of participants in case group is 11.4 ± 9.7 and in control group is 8.2 ± 8.5 (95% CI 1.081 – 4.641;p = 0.023). The PCT value of participants in case group was 10.3 ± 75.4 and in control group was 6.9 ± 41.4 (95% CI 1.495 – 6.908;p < 0.001). CRP values in case group (123.7 ± 108.9) were higher than control group (61.3 ± 60.8;95% CI 1.181 – 5.063;p < 0.001). Meanwhile, the value of D-dimer participants in case group was 3.5 ± 3.7 and control group was 2.7 ± 4.6 (95% CI 0.604 – 2.958;p = 0.473). Conclusion: increased values of NLR, CRP, and D-dimer are risk factors for severe COVID-19.
背景:COVID-19是由SARS-CoV2病毒引起的，SARS-CoV2病毒是一种引起全球发病率和死亡率的新型病毒。需要进行几项研究来确定生物标志物，以确定COVID-19的严重程度。目的:分析中性粒细胞对淋巴细胞率(NLR)、c反应蛋白(CRP)、d -二聚体、降钙素原(PCT)与COVID-19严重程度的相关性。方法:采用2020年6月至2021年3月在我院进行回顾性病例对照研究。收集的数据为血清NLR、CRP、d-二聚体、PCT，数据采用SPSS统计软件进行分析。参与者分为2组，重症为病例，轻至中度为对照组。数据收集于2020年6月至2021年3月进行，包括患者血清中的NLR、CRP、d -二聚体和PCT。数据分析采用卡方检验和logistic回归，p < 0.05。结果:病例组NLR值为11.4±9.7，对照组为8.2±8.5 (95% CI 1.081 ~ 4.641;p = 0.023)。病例组PCT值为10.3±75.4，对照组PCT值为6.9±41.4 (95% CI 1.495 ~ 6.908;p < 0.001)。病例组CRP值(123.7±108.9)高于对照组(61.3±60.8)，95% CI 1.181 ~ 5.063, p < 0.001)。同时，病例组的d -二聚体评分为3.5±3.7，对照组为2.7±4.6 (95% CI 0.604 ~ 2.958;p = 0.473)。结论:NLR、CRP、d -二聚体升高是重症COVID-19的危险因素。
{"title":"High Neutrophil to Lymphocyte Ratio, C-Reactive Protein, Procalcitonin and D-dimer as Risk Factors for Severe COVID-19","authors":"I. G. P. B. Pambudi, I. Suryana, I. Rai, I. Kusumawardani, N. W. Candrawati, I. Sajinadiyasa, N. L. E. Arisanti","doi":"10.37506/mlu.v22i1.3178","DOIUrl":"https://doi.org/10.37506/mlu.v22i1.3178","url":null,"abstract":"Background: COVID-19 is caused by the SARS-CoV2 virus which is a new type of virus that causes global morbidity and mortality. Several studies are needed to determine biomarkers to identify the severity of COVID-19. Objective: to analyze the correlation between Neutrophil to lymphocyte rate (NLR), C-Reactive Protein (CRP), D-dimer, dan Procalcitonin (PCT) on the severity of COVID-19. Method: A retrospective case-control study was done in our institution using data from June 2020 to March 2021. Data collected were serum NLR, CRP, d-dimer and PCT. Data were analysed using SPSS. Participants were divided into 2 groups, severe COVID-19 as case and mild to moderate as control group. The data collection was carried out in June 2020 – March 2021, included NLR, CRP, D-dimer, and PCT in patient serum. Data analysis using Chi-Square test and logistic regression with p < 0.05. Result: The NLR value of participants in case group is 11.4 ± 9.7 and in control group is 8.2 ± 8.5 (95% CI 1.081 – 4.641;p = 0.023). The PCT value of participants in case group was 10.3 ± 75.4 and in control group was 6.9 ± 41.4 (95% CI 1.495 – 6.908;p < 0.001). CRP values in case group (123.7 ± 108.9) were higher than control group (61.3 ± 60.8;95% CI 1.181 – 5.063;p < 0.001). Meanwhile, the value of D-dimer participants in case group was 3.5 ± 3.7 and control group was 2.7 ± 4.6 (95% CI 0.604 – 2.958;p = 0.473). Conclusion: increased values of NLR, CRP, and D-dimer are risk factors for severe COVID-19.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"66 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82850319","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":"Death Due to Domestic Violence in Imphal: A Retrospective Study of 10 Years","authors":"","doi":"10.37506/mlu.v22i2.3228","DOIUrl":"https://doi.org/10.37506/mlu.v22i2.3228","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75404133","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":"Hypoxic Brain Changes in Victims Who Died Due to Hanging- An Autopsy Based Study","authors":"","doi":"10.37506/mlu.v22i3.3303","DOIUrl":"https://doi.org/10.37506/mlu.v22i3.3303","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74293728","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":"Trip, Slip and Fall: ICD10 and Fall from Height","authors":"","doi":"10.37506/mlu.v22i2.3232","DOIUrl":"https://doi.org/10.37506/mlu.v22i2.3232","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"88 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76647913","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}
Introduction : Heart disease is a community health problem. It is expensive to care and cure and leading cause of death in Indonesia. The research aimed to analyze relationship and magnitude of the risk of exposure of heart disease in urban and rural communities according to age and sex factors. Methods : It was quantitative research with cross sectional design. Data came from Indonesia Basic Health Research at 2018 with all household as population. Sample were individuals aged ≥ 15 years. It used chi square and estimate risk analysis. Results : Heart disease was higher in urban areas, especially 54,6% women were more exposed to heart disease than 45,4% men. Also elderly group was the highest (65,8%) than other group. There were 66.7% elderly men and 65.0% women risk to exposed heart disease than other groups. There was a significant relationship between gender, age and region with heart disease cases. The exposure risk of heart disease for men in urban areas were 1.4 times greater than rural. The urban elderly group were 1.9 times greater than rural. The urban elderly men group were 2 times greater than rural. The urban elderly women group were 1.8 times larger than rural. Conclusion : Heart disease in urban areas was higher than rural areas. Women had more risk of heart disease. Elderly women group had highest risk than other age groups.
{"title":"The Case Study of Heart Disease at Urban and Rural Communities by Gender and Age in Indonesia in 2018","authors":"Mugeni Sugiharto, Lukman Prayitno, Galih Arianto","doi":"10.37506/mlu.v22i1.3190","DOIUrl":"https://doi.org/10.37506/mlu.v22i1.3190","url":null,"abstract":"Introduction : Heart disease is a community health problem. It is expensive to care and cure and leading cause of death in Indonesia. The research aimed to analyze relationship and magnitude of the risk of exposure of heart disease in urban and rural communities according to age and sex factors. Methods : It was quantitative research with cross sectional design. Data came from Indonesia Basic Health Research at 2018 with all household as population. Sample were individuals aged ≥ 15 years. It used chi square and estimate risk analysis. Results : Heart disease was higher in urban areas, especially 54,6% women were more exposed to heart disease than 45,4% men. Also elderly group was the highest (65,8%) than other group. There were 66.7% elderly men and 65.0% women risk to exposed heart disease than other groups. There was a significant relationship between gender, age and region with heart disease cases. The exposure risk of heart disease for men in urban areas were 1.4 times greater than rural. The urban elderly group were 1.9 times greater than rural. The urban elderly men group were 2 times greater than rural. The urban elderly women group were 1.8 times larger than rural. Conclusion : Heart disease in urban areas was higher than rural areas. Women had more risk of heart disease. Elderly women group had highest risk than other age groups.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88677511","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: Histopathological examination plays a significant role in the precise determination of the cause of death. Death scene investigation, full medical history of the patient, thoroughly performed macroscopic exploration of the bodyand its internal organs, supported by the results from a microscopic histological examination of the tissues, determine the forensic medical autopsy standards. These, as well as the skills and the experience of the forensic medical expert, guarantee an accurate forensic medical diagnosis for the medico-legal needs. Methods: In order to sustain our preposition, we present a case from our practice. A man died during a hospital treatment for anemia and an autopsy, requested by the relatives, was performed. It was concluded that the cause of death was a hypostatic pneumonia. During the autopsy a histological material was taken but no examination was made. Months later, following a prosecutor’s order a histological examination was performed and evidence for a disseminated intravascular coagulation was found. Conclusion: This is one of many cases in which there is a difference between the macroscopic and the histological diagnosis. Histopathological examination of the internal organs for the purpose of providing a medical cause of death is essential for the forensic practice and it should be undertaken whenever there is a doubt in the macroscopic diagnosis.
{"title":"The Importance of Histological Examination in Forensic Medical Practice","authors":"R. Hadjiev, Margarita Tankova, S. Philipov","doi":"10.37506/mlu.v22i1.3187","DOIUrl":"https://doi.org/10.37506/mlu.v22i1.3187","url":null,"abstract":"Background: Histopathological examination plays a significant role in the precise determination of the cause of death. Death scene investigation, full medical history of the patient, thoroughly performed macroscopic exploration of the bodyand its internal organs, supported by the results from a microscopic histological examination of the tissues, determine the forensic medical autopsy standards. These, as well as the skills and the experience of the forensic medical expert, guarantee an accurate forensic medical diagnosis for the medico-legal needs. Methods: In order to sustain our preposition, we present a case from our practice. A man died during a hospital treatment for anemia and an autopsy, requested by the relatives, was performed. It was concluded that the cause of death was a hypostatic pneumonia. During the autopsy a histological material was taken but no examination was made. Months later, following a prosecutor’s order a histological examination was performed and evidence for a disseminated intravascular coagulation was found. Conclusion: This is one of many cases in which there is a difference between the macroscopic and the histological diagnosis. Histopathological examination of the internal organs for the purpose of providing a medical cause of death is essential for the forensic practice and it should be undertaken whenever there is a doubt in the macroscopic diagnosis.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82988284","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":"The Strategy of Provision Time Length Improvement of Medical Record Documents in Bhayangkara Lumajang Hospital with PDCA Method – Indonesia","authors":"","doi":"10.37506/mlu.v22i2.3237","DOIUrl":"https://doi.org/10.37506/mlu.v22i2.3237","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89406604","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":"Analysis of Medicolegal Awareness Among Fresh Indian Medical Graduates","authors":"","doi":"10.37506/mlu.v22i3.3305","DOIUrl":"https://doi.org/10.37506/mlu.v22i3.3305","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"76 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85781188","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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