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Accidents are now one of the major causes of death. Present study consists of 439 medico legal post mortems performed in Forensic Medicine Department, GMERS Medical College and Hospital, Valsad, Gujarat during the period of last 2 calendar years (1st January. 2012 to 31st December. 2013). Out of them, 90.66% cases were of unnatural deaths. Out of unnatural death we found 146 cases (36.68%) died in road traffic accidents. In 36.98% cases were age group of 21- 30 years. 44.83% accidents occur in time period of 12- 18 hours. Thus all data including type of vehicle involved, head injuries, regional injuries,type of skull fracture in head injury, type of haemorrhage and how long victim survived.
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Background and Objectives: Stroke is a principal cause of death and functional impairment. While older people are particularly vulnerable to stroke, research suggests that they have the poorest awareness of stroke warning signs. This study explored knowledge of stroke warning signs among older adults. Methods: Randomly selected older people (aged ≥ 65) in rural area of Vadodara. Participants completed home interviews. Questions assessed knowledge of stroke warning signs for stroke. Results: Of the whole sample, Less than half identified established warning signs (e.g., weakness, headache), with slurred speech (54%) as the exclusion. In general, there were considerable gaps in alertness with poorest levels evident in those with primary level education only and in those alive in rural area of Vadodara. Conclusion: Knowledge deficits in this study suggest that most of the common early symptoms or signs of stroke were recognized as such by less than half of the older adults surveyed. Thus, they may lose vital time in presenting for medical attention. Lack of public awareness about stroke warning signs must be addressed as one important contribution to reducing mortality and morbidity from stroke.
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Objectives: To evaluate of the metabolic syndrome in a rural population of Surat, a zone located to the South of Gujarat. Methods: Randomly selected adults >20 years were studied using stratified sampling. Metabolic syndrome was diagnosed using Adult Treatment Panel-III (ATP-III) guidelines when any three of the following were present: (1) triglycerides ≥150 mg/dl, (2) HDL cholesterol < 40 mg/dl in men and <50 mg/dl in women, (3) systolic blood pressure ≥130mmHg or diastolic blood pressure ≥85mmHg, (4) fasting plasma glucose ≥100 mg/dL and (5) Truncal obesity (waist circumference more than 102 cm in men and >88 cm in women). Results: Metabolic syndrome was present in 23.6% subjects, 22.9% in men and 24.6% in women (P>0.05). The prevalence increased from 8.1% in the population younger than 30 y to 37.6% in ages more than 60 years. Low HDL was the most common metabolic abnormality in both sexes. The prevalence of obesity (BMI ≥ 30 kg/m2), hypercholesterolemia (≥200 mg/dl) and high LDL cholesterol (≥130 mg/dl) was greater in the metabolic syndrome group than normal subjects (P<0.05). Conclusion: There is a high prevalence of metabolic syndrome in this rural population of Surat. Focus of cardiovascular prevention should be undertaken in this area.
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Background and Objectives: After the earthquake in Bhuj, Gujarat, there is great development in this region. At the same time the Unnatural deaths are also increased. We have studied the pattern of unnatural deaths and tried to find out the various causes of death according to the cause of death. We also suggested the probable reasons and remedies for this. Method: The paper presents the retrospective study of 1110 post-mortem cases in New G.K. General Hospital, Bhuj during the span of three years (1st January 2008 to 31st December 2010). Results: We concluded that out of total 1110 cases of post-mortems total 1021(91.99%) cases were found of unnatural deaths. We found the pattern of unnatural deaths and among all unnatural deaths; the commonest cause was burns (358 cases, 35.25%). Rest of cases was of head injury, poisoning, regional injury, drowning, hanging, etc in descending order. We also found that majority of victims were males, young adults (21-30 years) and from rural areas. Conclusion: Majority of male deaths were due to injuries, probably accidental in nature and majority of females deaths were due to burns. We have also shown the probable reasons and future plans for this.