Tertiary Care Hospital In Tamil Nadu Research Articles

Prospective Study on Estimation of Stature of Adult from Length of Clavicle in a Tertiary Care Hospital in Tamilnadu

Forensic anthropology can play an important role in the identification process. Besides determination of race, sex and age of the unknown individual, estimation of stature enhances the reliability of identification. It is easier to get those data when the whole body or the entire skeleton isavailable to the forensic anthropologist. However incases of deliberate mutilation and disposal in parts, interference by wild animal and bomb blast by terrorist attack, recovery of the whole body or complete skeleton may not be possible. In those cases, in the forensic anthropologists have to give this opinion based upon the available supplied skeleton remains. Although approximate stature of the individual can be estimated from most of the long bones using either multiplication factors or regressionformulae, studies on estimation of stature from clavicle are limited. In the past, Terry, Oliver and Thieeme have tried to estimate the stature of the individual from clavicle. So the present study is planned to determine the stature from clavicle.

Clinical profile of patients with secondary syphilis at a tertiary care hospital in Tamilnadu- a case series

Background: Over the past two years, there has been an alarming rise of syphilis in many of the developed and developing countries, owing to the increase in HIV/AIDS, changes in sex practices, drug abuse and so on. Methods: A total of 10 patients were diagnosed as secondary syphilis in the Venereology Out Patient Department of our hospital over a short period of 4 months from July 2021 to October 2021. Demographic details, presenting complaints, duration of skin lesions, sexual history, treatment history of any other STIs, history of drug abuse, blood transfusion was recorded. Serological tests like VDRL, TPHA, HIV, HBV and HCV were done for all patients. Dark field microscopy and biopsy were done in few cases. Informed and written consent was obtained from all the patients for taking clinical photographs. Results: In our case series we had 6 male patients and 4 female patients. Among six male patients, one was retro positive and he was on antiretroviral therapy. The majority of the patients (6 out of 10) were in the 20-40 years age group. One male patient was a teenager. Eight out of ten patients were married. Two out of 4 female patients were pregnant. Majority of the patients were misdiagnosed earlier as psoriasis, pityriasis rosea, haemorrhoids, perianal wart elsewhere by dermatologists and general practitioners. The commonest morphology of lesions was maculopapular followed by psoriasiform lesions, and pigmentation of palms and soles. Conclusion: Now- a- days, all dermatologists and non-dermatologists should have a heightened awareness of the varied clinical phenotypes of secondary syphilis, its timely recognition and treatment so as to prevent spread to the partners, and also to the community.

Reducing mortality in near-hanging patients with a novel early management protocol

BackgroundHanging is one of the most common causes of suicide world-wide, more prevalent in developing countries. There are no established protocols for early management of near-hanging patients who present to the emergency department (ED). The use of early intubation, strict blood pressure control and targeted temperature management has shown promise in small studies. ObjectiveTo detect changes in mortality and neurological deficits in near-hanging patients before and after implementation of a novel early management protocol in a tertiary care hospital in India. MethodsProspective cohort study conducted at a tertiary-care hospital in Tamil Nadu, India from August 2014–July 2016. For first year of study (pre-implementation), near-hanging patients were treated without a structured protocol. For second year of study (post-implementation), near-hanging patients were treated per a protocol including early intubation, strict blood pressure control and targeted temperature management. Primary outcomes included: (1) in-hospital mortality and (2) hospital discharge without neurological deficit. Results65 patients were included (27 in the pre-implementation phase and 38 in the post-implementation phase.) At presentation, there was no difference between the two groups in mean heart rate, mean arterial pressure, mean oxygen saturation, Glasgow coma score, or mean respiratory rate. Protocol implementation decreased mortality (10/27 (37%) versus 2/38 (5%), P < 0.05) and increased the number of patients discharged without neurological deficit (10/27 (37%) versus 35/38 (92%), P < 0.05). ConclusionsThis novel early management protocol reduced mortality and increased the number discharged without neurological deficit in near-hanging patients in a single tertiary care center in India.

A Clinico-Profile Study of Chronic Obstructive Lung Disease at a Tertiary Care Hospital in Tamilnadu

A Clinico-Profile Study of Chronic Obstructive Lung Disease at a Tertiary Care Hospital in Tamilnadu