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Shrigiriwar M.B.,Svn Government Medical College | Gadhari R.K.,SBH Government Medical College | Jadhao V.T.,B J Medical College | Tingne C.T.,Indira Gandhi Government Medical College | Kumar N.B.,Indira Gandhi Government Medical College
Journal of Indian Academy of Forensic Medicine | Year: 2014

In Nagpur region of Maharashtra (India), many deaths were reported due to lightning strikes. In most cases of deaths due to lightning, bodies of deceased persons were found in remote areas with torn clothes and burn injuries. The injuries present over body may apprehend the relatives and raise suspicion of foul play. In this study total 31 cases were studied which were brought for medico legal post-mortem with history of lightning of which 87% were farmers and farm labourers. Twenty nine percent of cases belonged to the age group of 41-50 years. Most of the cases were found in the months of June, July and October. Filigree burns were found only in 4 cases. Careful examination of victims along with history of thunderstorm in the vicinity will help the autopsy surgeon to confirm the diagnosis of lightning.

Kumar N.B.,Indira Gandhi Government Medical College | Ghormade P.S.,Indira Gandhi Government Medical College | Tingne C.V.,Indira Gandhi Government Medical College | Gadhari R.K.,SBH Government Medical College
Indian Journal of Forensic Medicine and Toxicology | Year: 2015

Kite flying is a popular sport in India among children and young adult males especially during spring season. However this sport turned fatal for a girl aged five years when she sustained fatal cut throat injury by a kite thread. The girl was seated in front on a motorbike driven by her father when her neck came across the kite string of a flying kite. She succumbed to her injuries within an hour of the accident. Fatal cases due to cut throat injury by kite thread are rarely reported in literature. The case highlights the need for law enforcement agencies to create awareness among people and form rules and regulations to avoid fatal consequences of such a sport. © 2015, Indian Journal of Forensic Medicine and Toxicology. All rights reserved.

Mane A.Y.,Saraswati Institute of Medical science | Bhagwat V.R.,SBH Government Medical College
Biomedicine | Year: 2011

Baackground and objectives: Thyroid disorders often accompany abnormal serumenzyme levels and disturbances in liver functions. This study was done to assessrelationship between serum enzymes and liver functions in thyroid disorders. Methods: Serum levels of aspartate transaminase (AST), alanine transaminase (ALT), alkaline phosphatase (ALP) and creatine Phosphokinase (CPK) were determined by uv-kinetic methods in 94 thyroid patients and 71 euthyroid controls. Serum total bilirubin, total protein and albumin were also assayed by colorimetric methods. Results: Serum AST and ALT levels were significantly higher while ALP was significantly low in hypothyroidism. Transaminases levels in hypothyroid patients were more than the upper limits of normal range. The serum ALP activity was found to be highest in hyperthyroid patients compared to hypothyroids and the controls. There is an inverse relation of serum triiodothyronine and CPK levels in hypothyroid disease. In hypothyroid patients mean CPK level was significantly higher by 4.2 times that of the controls. Conclusion: The results indicate that liver functions in both hypo and hyperthyroid patients are normal. Marginally elevated AST and ALT levels point to muscle dysfunction while high ALP level in hyperthyroids suggests disturbance in bone homeostasis. Serum CPK assay together with thyroid profile increases diagnostic sensitivity in subclinical hypothyroidism.

Bawa M.S.,SBH Government Medical College | Srivastav M.,Lokmanya Tilak Municipal Medical College
Indian Journal of Occupational and Environmental Medicine | Year: 2013

Background: Work hazards have been a major cause of concern in driving industry especially in taxi drivers. This study integrates the various factors that influence physical and emotional well-being of taxi drivers into the theoretical model that shows that the work environment, stress and personality characteristics directly influence taxi drivers′ health. Objective: The aim of the following study is to study the relative and combined influence of work environment, personality characteristics and stress on the health of taxi drivers. Meterials and Methods: The present study is cross-sectional (descriptive) study taxi drivers in Mumbai. They are selected using multistage random sampling method. Calculated sample size is 508. Data produced after the survey is analyzed using IBM SPSS 16.0 software. Results: Nearly 65% of taxi drivers belonged to middle-age group of 21-40 years of age. Majority (59%) of taxi drivers belonged to the lower upper socio-economic class. 70% of taxi drivers worked for more than 8 h daily. 63% gave the history of one or more addictions. 52% taxi drivers had type B1 personality, only 6% had stress prone and aggressive type A1 personality. Traffic congestion (67.1%) was reported as the leading stressor followed by narrow bottle neck roads (43%), too many speed breakers (41%), rude gestures and behavior by other drivers (42%) and bad weather (36%). Nearly 86% taxi drivers had one or more symptoms of morbidities. Gastrointestinal symptoms predominated followed by musculoskeletal symptoms and depression. Conclusion: Socio-demographic attributes, work environment, stress and personality significantly influence physical and psychological morbidities in taxi drivers.

Dhole S.D.,P.A. College | Kher A.S.,Columbia Asia Hospital | Ghildiyal R.G.,TN Medical College | Tambse M.P.,SBH Government Medical College
Journal of Clinical and Diagnostic Research | Year: 2015

Aim: The main aim of the study is to study the clinical profile of disorders of the liver and hepatobiliary system in paediatric patients and to correlate the histopathology findings of liver biopsy in chronic liver disease. Another aim being to assess the prognosis and to know the outcome and the effects of treatment in chronic liver diseases in paediatric age group. Materials and Methods: It was a prospective study, included the clinical profile of Chronic Liver Diseases (CLD) in children and the histopathological correlation. A total of 55 children were thoroughly investigated by doing relevant investigations and liver biopsy. Observations and results: A male predominance (60%) was noted with maximum incidence in the age group of 6-12 years. The incidence of CLD was 1.1% of total admissions. The most common presenting complaint was jaundice and abdominal distension. Hepatic encephalopathy was noted in 29% patients. Hepatomegaly was seen in 63% patients and spleenomegaly was seen in 60% patients. The incidence of . cirrhosis on liver biopsy was 42% (23cases) in CLD patients. The most common diagnosis on histopathology was Wilson’s disease (22%), followed by hepatitis and autoimmune hepatitis. The predominant spectrum of CLD was metabolic liver disease and also the predominant cause of death. conclusion: As the incidence of CLD is quite low, a very high index of suspicion is required for its diagnosis. Some uncommon causes of CLD in children were seen in our study like neutral lipid storage disease, α1-Antitrypsin deficiency disease, lupus hepatitis, Alagille syndrome and Budd-Chiari syndrome. A patient of CLD with jaundice and hepatomegaly should be treated aggressively as those are the poor prognostic indicators of the disease. Hepatic encephalopathy and cirrhosis are also associated with poor outcome in patients with CLD. Liver biopsy histopathology by an expert and its correlation with laboratory investigations plays an important role in the diagnosis of CLD. The major cause of deaths in patients with CLD is due to end stage liver disease and fulminant hepatic failure and the only way to prevent and treat these patients is by liver transplantation. © 2015, Journal of Clinical and Diagnostic Research. All rights reserved.

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