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Yadav, Pradeep Kumar
- A Study on the Cause of Death Due to Burn Cases and Histopathological Changes in North Indian Setting-A Cross Sectional Study
Authors
1 Senior Resident, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, UP, IN
2 Associate Professor, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, UP, IN
3 Professor, King George’s Medical Universities, Lucknow, UP, IN
4 Assistant Professor, King George’s Medical Universities, Lucknow, UP, IN
5 Associate Professor, King George’s Medical Universities, Lucknow, UP, IN
Source
Medico-Legal Update, Vol 20, No 1 (2020), Pagination: 47-50Abstract
Background: Fatal burns and related injuries are major cause of death and disability. There are certain pathological changes such as lungs shows necrotizing pneumonia, congestion of alveolar walls, capillary proliferation, intra alveolar oedema, giant epithelial cells Objective: To study on the cause of death due to burn cases and histopathological changes in north Indian setting. Method: This was a cross-sectional study. All autopsies with history of burn injury were studied to find out the significant histopathological change in lung. Cases was thoroughly studied using specially designed proforma that included demographic profile of deceased, history from relatives, police & hospital records, autopsy findings. Results: The most common cause of death due to burn injury was found to be Sepsis (48.2%) and neurogenic shock (29.5%). On histopathological examination, Congestion in trachea was present in majority 434 (78.9%) cases while Tracheal soot particles were present in only 40 (7.3%) cases. Specimens of 375 cases were available for histopathology out of which 52 (13.9%) specimens were autolyzed. Changes suggestive of Pneumonia (50.1%), Congestion (83.7%), alveolar and interstitial haemorrhage (63.2%) were present in majority of the cases while changes suggestive of alveolar interstitial edema (64.3%), alveolar wall disruption (66.1%), inflammatory cells (55.5%), hyaline membrane (79.7%) and Fibrin strands (79.7) were absent in majority of cases. Capillary dilatation was present in 39.2%. Conclusion: In the present study, an important observation in burn deaths is the Sepsis and Neurogenic shock. Congestion in trachea was most common on histopathological change.Keywords
Fatal burns, Cause of death, Histopathological change- Medical Needs of Different Age Groups of Substance Dependent Subjects: A Cross-sectional Study
Authors
1 Department of Psychiatry, Institute of Medical Sciences - Banaras Hindu University (IMS BHU), Varanasi – 221005, Uttar Pradesh, IN
Source
Journal of Health Science Research, Vol 5, No 2 (2020), Pagination: 62-68Abstract
Background: There are several bio-psychological and social factors contributing to substance abuse. These factors could differ in different age groups. This study provides important information regarding different Psychosocial factors in different age groups contributing to substance abuse which would help in planning better psychosocial intervention fitting to specific age groups. Objective: This was cross-sectional study comparing socio-demographic characters among treatment seeking substance abuse patients to find out any correlates between substance abuse and sociodemographic factors across different age groups. Methods: All patients with SUD and without any comorbid physical or mental illness were included in the study. Patients were divided into three groups based on age group, each group consist of 30 participants and were applied DAST, SDS, CPC, SDS & AUDIT and applying using SPSS software. Results: In Young adult prevalence of Tobacco-93.3%, Alcohol-56.6%, Cannabis-20%, Opioid-20%, Benzodiazepine-6.6%, Polysubstance-83.3% in Middle ageprevalence of Tobacco-96%, Alcohol-76.6%, Cannabis-16.6%, Opioid-16.6%, Benzodiazepine-10%, Polysubstance-96.6% in Elderly age- prevalence of Tobacco-96%, Alcohol-23.6%, Benzodiazepine-6.6%, Polysubstance-23.3%. Discussion: Our study showed tobacco is most commonly used substance followed by alcohol followed by cannabis and other substances. Prevalence of alcohol and illicit drugs use decrease with increasing of age. Conclusion: The present study shows that the commonest substance of abuse is tobacco and this is also the gateway substance of abuse, so legal and awareness methods should be adopted to limit its abuse.
Keywords
Socio-demographic Characters, AUDIT, DAST, SDS, SUD.References
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