Pattern of non-fatal head injury in adult cases reported at J.N.M.C. Hospital, A.M U, Aligarh.

Head injury is one of the major public health problems and has already attained epidemic proportions in India. The incidence of head injuries is growing with greater mechanization in industry and an increase in high velocity mode of transport. The injuries could be caused by a penetrating or blunt force either by direct violence or indirectly. The Present study was conducted in cases admitted to Emergency section of J.N. Medical College Hospital, A.M.U. Aligarh. All the cases (2850) of head injury reported from 01/01/2008 to 31/12/2009 for treatment were included in the study. Most of the cases of head injury belong to younger age group (15-34 yrs) comprising of 56.61% with male preponderance of 85.68% with majority of the cases belonging to road traffic accident (55.02%).Scalp injury in 2365 cases where as 969 were cases of skull fractures and extradural hemorrhage(17.36%) was most common intracranial injury followed by subdural hemorrhage(7.6%).

Self Autonomy and informed consent in clinical setup.

A human being having intelligentsia of good personality or in simpler terms a personage is in full control of his body by the international convention. This is called as self-autonomy. Therefore, self-autonomy of a patient should be respected in terms of medical treatment protocol also. Informed consent should be encouraged in all the disciplines of medicine as we are entering the era of patient as a consumer and doctor as a service provider. The rising literacy in our community is esteeming the self-respect in people. Therefore, all the procedures involving medical treatment, surgical operations, assisting reproductive technologies, treatment of mentally disabled persons, and treatment of children should have proper consent in terms of age, mental capacity, free will, and full disclosure.