ABSTRACT
Age of medicine is as old as the age of human on the earth. The doctor today is a scientist, technologist and healer at the same time. The ethics germane to the medical profession can’t be simple and uniform. Nor is the ethics simply a matter between the doctor and the patient; the society with its entire economic and political dimension is involved in much bigger way. Certain basic traditional thoughts given by ancient Indian teachers like Hippocrates, Charaka, Sushrutha and Vagbhata are still become relevant. Medical ethics in the medical curriculum, must be included not as a normative discipline but as a practical course with its own problems and considerations. As per Indian outlook, the role of ethics is certainly vast and varied, from treating a common cold, to the controversy on euthanasia, from the simple obligations of a family doctor, to the specialist services in the high cost, high technology five star nursing homes.
ABSTRACT
Background: Myocardial infarction is one of the major causes of sudden death in present era and cardiac arrhythmias are common complications of it. Material and methods: Present study was conducted at intensive coronary care unit (I.C.C.U) of tertiary care hospital, Ahmedabad on 100 cases of acute myocardial infarction to study the incidence of arrhythmia and their nature in relation with the site of infarction and to evaluate prognostic value of arrhythmias in Acute Myocardial Infraction (AMI). Results: Incidence of various arrhythmias was 76% in present study. S. tachycardia was more common (68%) than S. bradycardia (19%). S. tachycardia and tachyarrhythmia occurred more commonly with anterior wall myocardial infarction, while S. bradycardia and bradyarrhythmia with inferior wall myocardial infarction. Conclusion: Study of incidence of various cardiac arrhythmias, their nature and relation to site of infarction as well as prognostic value in patients of acute myocardial infarction proper treatment.
ABSTRACT
Nature is everywhere surrounding us in different form. It includes single cell structure to extremely complex, living or non living, substance or creature. One of the important part of nature is diatom - submersion of body into water is known since ages. Diatoms study in case of drowing death is very useful for forensic investigators. It is one of the best example in which nature helps to solve the crime. In present article, we discussed about diatoms, diagnosis of drowning death and length of submersion of body in water with help of diatoms, collection, identification and preservation of diatoms for forensic analysis.
ABSTRACT
Background: Myocardial infarction is one of the most common causes of death in adult and elderly people. Aim and objectives: To study age and sex wise incidence, various risk factors, involvement of anatomical site and mortality in cases of acute myocardial infarction. Material and Methods: The present study included 100 cases of acute myocardial infarction admitted in the intensive coronary care unit of tertiary care hospital, Ahmedabad. Patients with classical ECG changes of hyper-acute or acute MI with transient rise in cardiac enzyme levels and presence of pathological q waves accompanied by elevation of ST segment and symmetrical inversion of T waves with rise in cardiac enzyme levels were included. Results: Maximum MI cases occurred in sixth decade and more common in male. smoking was the most common risk factor and enterior wall MI was most common. Maximum mortality was found in MI involving anterior wall, inferior wall and right ventricle all together. Conclusion: Study of pattern of myocardial infarction, age and sex wise incidence, risk factor, anatomical site and mortality in cases of myocardial infarction is very useful for the treatment and prevention purposes.
ABSTRACT
Background: Obesity and its associated co-morbidities like hypertension and diabetes is recent out bursting problem all over the world. Aim: To study prevalence of obesity and its relation with hypertension and diabetes. Material and methods: Total 70 patients who came to outdoor patient department of Gayatri Hospital, Gandhinagar from January, 2014 to June, 2014 were included in present study. Body mass index, waist circumference, blood pressure and random blood sugar were estimated in all patients to detect obesity, hypertension and diabetes. Results: Out of 70 subjects, 30 were male and 40 were female. Total 29 subjects were found obese with BMI >25. Out of 29 obese subjects, 18 were hypertensive and 13 were diabetic. Among 19 >90 cm, total 12 were hypertensive and 4 were males with waist circumference diabetic. Among 19 males with waist circumference >90 cm, total 12 were hypertensive and 4 were diabetic. Among 20 females with waist circumference >80 cm, total 16 were hypertensive and 8 were diabetic Conclusion: General obesity determined by help of BMI is associated with hypertension and diabetes in both males and females while central obesity determined by help of waist circumference is associated with hypertension and diabetes in females only.