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Guntheti B.K.,Mamata Medical College
Journal of Indian Academy of Forensic Medicine | Year: 2014

The biggest challenge for a Forensic Pathologist is in the diagnosis of electrocution. This study consists eleven cases of electrical shock, which were brought to Mamata General Hospital Khammam, Andhra Pradesh; from Sept 2007 to Oct 2008. The characteristic feature of electrocution being electric contact mark over the body was not present in all mostall cases. Some time it is difficult for Forensic Pathologist to obtain electric mark by histopathological examination. The diagnosis of electrocution is confirmed by histopathological changes in skin. In all cases identified as dead due to electrocution samples were collected, preserved and undertaken for histopathological examination. The main objective is histopathological examination could be an important aid in diagnosis of Electrocution, where the findings were suggestive of electrical injuries. Considering the histopathological changes, nuclear steaming, dermo-epidermal separation and coagulative necrosis were the commonest features in skin with electric contact mark.

Background Postpartum Haemorrhage causes significant maternal mortality and morbidity all over the world. Active management of the third stage of labour with oxytocics is come into practice. If postpartum haemorrhage is anticipated conservative surgical procedures like B-Lynch suture is being applied. In this study prophylactic B-Lynch suture was applied in women undergoing emergency caesarean section who have additional high risk factors for atony of uterus. Objective To evaluate the effect of elective B-Lynch suture in preventing atonic postpartum haemorrhage during emergency caesarian section with high risk factors for atonicity. Method 40 antenatal women undergoing emergency caesarean section with risk factors for atony of the uterus were selected in our study. Thirty five women were selected before starting Lower segment caesarian section with risk factors like general anaesthesia, chorio-amnionitis, preeclampsia, prolonged labour, second stage arrest, multiple gestation and use of magnesium sulphate. Five women were selected during the caesarean section where uterus remained atonic despite of post delivery Oxytocics. Before the closure of uterus B-Lynch suture was applied. Need for additional intervention or use of blood transfusion was evaluated. The results were analysed by using appropriate statistical method. Result 75% of patients were in the age group of 18 to 23 years. 90% were nulliparous and 10% were parous women. Risk factors involved were Eclampsia in 20/40 (50%), multiple gestation in 6/40(15%), hydramnios in 6/40(15%) and prolonged second stage of labour in 4/40(10%) patients. Other risk factors were Chorio-amnionitis in 2/40(5%) patients and use of magnesium sulphate in 2/40(5%) patients causing uterine atony. The average haemoglobin level was 9.8 gms/dl. Pre and post operative haemoglobin levels differed by 0.4 to 1.8 gms/dl. There were no complications during the procedure and at three months follow up. All women resumed normal menstruation within 40 days after delivery. Conclusion In conclusion elective B-Lynch suture is cheap, quick and effective in preventing atonic Postpartum Haemorrhage in women undergoing Emergency Lower segment caesarian section who are at high risk for haemorrhage. © 2015, Kathmandu University. All rights reserved.

Gupta S.K.V.,Mamata Medical College
Techniques in Orthopaedics | Year: 2015

Hemiarthroplasty is a clinically efficient and cost-effective procedure for varied indications of hip pathology, which allows for early weight-bearing and recovery among elderly population. As a part of reduction of prosthesis after its implantation, most surgeons follow conventional method of reduction. The conventional method of reduction of prosthesis needs an assistant to reduce the prosthesis and is often a laborious step that needs experience of the assisting staff and is usually associated with high chances of intraoperative periprosthetic fractures. To eliminate the learning curve and avoid the complications, we describe a new technique of reduction of prosthesis in hemiarthroplasty, wherein operating surgeon himself would reduce the prosthesis, thereby minimizing the effort of reduction. In the present study we compare the complications and results of 508 patients who underwent hemireplacement arthroplasty, in whom prosthesis was reduced using newly described single-man technique and conventional method of reduction. © 2014 Wolters Kluwer Health, Inc. All rights reserved.

Gosavi Devesh D.,Pharmacology | John P.S.,Mamata Medical College
Asian Journal of Pharmaceutical and Clinical Research | Year: 2012

Introduction: Sushrut samhita, an authentic ayurvedic text mentions the use of Panchagavya Ghrita (PG) in the treatment of mania, epilepsy, fever and hepatitis. In an effort to correlate the ancient knowledge with the modern concepts of research in the pharmacology, we decided to study the effects of Panchagavya Ghrita on some neuropharmacological parameters including anticonvulsant activity in rats. Material and methods: For all the experiments, the animals were divided into four groups of 10 rats each. First three groups received Panchagavya Ghrita in the dose of 1(PG1), 2 (PG2), 4 (PG4) ml per Kg of body weight respectively and the fourth group received normal saline 2 ml per Kg orally twice daily (9am-9pm) for 30 days 1. Effect on general behavior: 2.Maximal electroshock induced convulsions: After screening convulsions were induced by maximal electroshock method. A current of 150 mA was delivered for 0.2 sec using Techno convulsiometer.3. Spontaneous motor activity (SMA): animals were screened for SMA using Actophotometer. Animals were allowed to adjust to the test chamber of the instrument for 30 minutes and then activity was counted using the digital counter for 5 minutes.4.Pentobarbitone induced sleep time:. Test and control animals both were injected with injection Pentobarbitone in the dose of 45-mg/Kg body weight. The animals were observed for loss and recovery of righting reflex for the calculation of duration of sleep Results: 1) PG protected rats from maximal electroshock induced convulsions 2) increased the spontaneous motor activity as measured by Actophotometer. 3) Inhibited the pentobarbitone induced sleep time in rats. There was no effect on the general behavioral profile of the rats except that there was increase in the locomotor activity in the cages. Conclusion: PG appears to be possessing anticonvulsant properties but the degree of protection is not sufficient to use it as single antiepileptic agent. This action of PG appears to be not mediated through GABA receptors.

Guntheti B.K.,Mamata Medical College
Journal of Indian Academy of Forensic Medicine | Year: 2014

A common witness is one who testifies only to the facts observed by him; his evidence requires only common intelligence and knowledge. He is not capable of forming of opinion or drawing conclusions from the facts observed by him. This principle is known as firsthand knowledge. Section 45 IEA deals with opinion of experts. An expert witness, or skilled witness, is one who is skilled in scientific, technical, or professional matters, and who on account of his professional training, experience, and ability, is capable of forming opinions, or drawing inferences an expert witness is especially skilled in Forensic Medicine, science or law, or art. Medico-legal expert, when mentions the nature of injuries and whether they were caused during life or after death, is an expert witness. Personally, the doctor abhors the vicious cross examination of some few trial counsels who resort to degrading the expert medico legal witnesswhen no other means are available to reduce the impact of his direct medical testimony.

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