Analysis Of Palatal Rugae Pattern In Population Of Abbottabad: A Forensic Study.

BACKGROUND: Identification of unknown dead bodies' especially bony remains is done by different methods like DNA typing, Finger printing, Dental and other skeletal data, facial reconstruction and rugae pattern study. Palatal rugae pattern study or Ruguscopy gives a unique method of identification in cases of skeletal remains due to its uniqueness, resistance to heat, and stability throughout life. METHODS: This simple random sampling was carried out on 102 study models (casts of palate) of patients having 880 rugae patterns above 20 years of age in Khan Dental Clinic near Ayub Medical College, Abbottabad. The study is based on classification given by Thomas et al. Casts were taken from palate and then individual casts studied for rugae pattern. They were classified and variations studied for uniqueness. RESULTS: Each individual had different set of palatal rugae which are not same, in all its dimensions like size shape number etc. CONCLUSIONS: With the help of this study we can conclude that Palatal rugae pattern give unique method for individual identification.

Left Hand Thumb Imprint Patterns Among Medical Students.

BACKGROUND: Finger printing is an absolute method of identification. Recovery of finger prints from a crime scene is an important method of Forensic identification. Human finger prints are detailed, unique, difficult to alter, easily classifiable and durable over life making them stable and long-term tool of human identification. METHODS: This cross-sectional study was conducted on 95,3rd year MBBS students of Ayub Medical College Abbottabad from December 2014 to August 2015 to establish the frequency of left hand thumb imprints by rolling and plain method. RESULTS: Study shows Loops among most common finger print pattern in 55 (58%) students out of 95, followed by whorls 33 (35%), arches 5 (5%) and composite 2 (2%). CONCLUSIONS: It is thus concluded that most common finger print pattern is loops followed by whorls, arches and composite.

Frequency and types of bodily medico-legal injuries in a rural area.

BACKGROUND: The primary objective of the study was to know the types and frequency of the bodily medico legal injuries in a rural setup. METHODS: Data was retrospectively collected by selecting 55 cases consecutively. Data of injury types was analysed. RESULTS: The number of injured males in this study was 48 (87.3%) while the females were 7 (12.7%). The most common type of injuries were shajja (45.9% among males and 71.4% among females). CONCLUSIONS: Our study shows relatively true picture of frequency and types of injuries. It was observed that male population is more prone to violence than females owing to the conservative life style of women in our society.

Morbidity & mortality of firearm injury in Peshawar Region.

BACKGROUND: Firearm injuries cause significant morbidity and mortality among its victims. The present study, carried out at a major tertiary care hospital of Peshawar, Pakistan was aimed at highlighting the extent and severity of firearm-related morbidity and resultant mortality despite expert medical care. METHODS: All victims of firearm injury brought to the Lady Reading Hospital Peshawar Emergency Department and thereafter admitted to hospital wards during the period mid-2006 to mid-2007 were included in the study prospectively regardless of age, gender or socio-economic status. Data relevant to the background of firearm use, type of firearm used, types and extents of injuries, clinical condition of the patients and final outcome were collected on performas and entered into SPSS 15.0 for analysis. RESULTS: Seventy-four cases of firearm injury were recorded during the study period, with a predominant male to female ratio (9.6:1). Most victims (79.7%) were in the age group of 15-35 years. Although there were more cases from Peshawar (28.4%), there was no major referral pattern noted. High velocity weapons were used in 95.9% of cases and homicide was the main motive for injury (60.8%). Injuries were sustained most frequently in the abdomen and pelvis (44.6%) and 67.6% of victims sustained internal injuries. There were only 5 (6.8%) deaths from firearm injuries. CONCLUSION: It is concluded, the young males of the population must be targeted for lifestyle adjustments such as training to refrain from anger or disputes (usually over petty things) and to prevent the easy access of firearms as a weapon to settle disputes.

Morphological changes in human placenta of wet snuff users.

BACKGROUND: Wet snuff is commonly used by both males and females in different parts of Pakistan. Apart from other ingredients, tobacco is the major component of snuff. Adverse effects of smoking on morphology of human placenta have been shown by some previous studies. But snuff is not considered as dangerous as smoking during pregnancy. This study was designed to see the effects of snuff on morphology of human placenta. METHODS: In present study total 80 human placentae, 40 from normal and 40 from snuff users were used. This study was carried out in the Department of Anatomy Basic Medical Sciences Institution (BSMI) Karachi. Duration of study was six months. Samples were obtained from Gynaecology and Obstetric unit-I JPMC. Placentae washed well with running tap water to remove blood clots. Umbilical cord and other membranes were removed and placenta gently squeezed to expel the foetal blood. Gross features like weight, diameters, central thickness and attachment of umbilical cord were noted in normal and snuff users' placentae. Then placentae were preserved in 10% formalin for at least five days before the sectioning for micromorphology. Placentae divided in two groups-A & B. 4 microm thick sections of the tissue were taken on rotary microtome and stained with H & E, Mallorys trichrome and methanamine silver for different histological observations. RESULTS: Micromorpholgical changes have been observed in placentae of snuff users leading to loss of functional components of placentae. This loss of functional component may have deleterious effects on outcome of pregnancy. No significant gross morphological changes were found in snuff user placentae. CONCLUSION: Wet snuff effect the micromorphology of placenta leading to loss of functional component and in turn effects the exchange of materials between mother and foetus which may leads to intrauterine growth retardation. Loss of trophoblasts may lead to hormonal imbalance necessary for normal pregnancy and this imbalance can cause premature labour. Nocotine can cross the placental barrier, which may produce foetal tachycardia.

Penile fracture: experience at Ayub Teaching Hospital.

BACKGROUND: Penile fracture is a relatively rare traumatic rupture of the tunica albuginea of one or both corpora cavernosa of an erect penis. It is a real urological emergency which needs early assessment and surgical management. METHODS: Twelve (12) cases of penile fracture were reviewed from July, 1997 to July, 2007 in the Department of Urology, Ayub Teaching Hospital Abbottabad. All cases presented with classical history of penile fracture and the diagnosis was made on the basis of history and clinical examination only. RESULTS: All the patients underwent immediate surgical repair with well preserved potency and excellent overall results. CONCLUSION: Penile fracture has typical signs. Standard treatment consists of immediate surgical repair of penile fracture with a low incidence of late complications. Post op complications including urethral strictures and erectile dysfunction should be ruled out by regular follow-up.

Occupational stress and its effect on job performance. A case study of medical house officers of district Abbottabad.

BACKGROUND: Doctors especially house officers are under a great deal of stress related to a variety of occupational stressors. Occupational stressors contribute to organizational inefficiency, high staff turnover, absenteeism due to sickness, decreased quality, and quantity of practice, increased costs of health care, and decreased job satisfaction. One of the organizational outcomes that affected by occupational stress is job performance. The purpose of the present study was to investigate the effect of job stress on job performance. METHODS: The universe of the study is District Abbottabad and the complete population of house officers was targeted which were present at that time were 55. The data obtained through questionnaire was analyzed using the statistical methods including descriptive statistics, Spearman's correlation and multiple regression. RESULTS: The analysis showed strong support for the hypothesis that there is an inverse relationship between job stress and job performance indicating that there is high job stress in the house officers, resulting in low job performance. CONCLUSION: Correct stress management should start from improved health and good intrapersonal relationships. The prevention and management of workplace stress requires organizational level interventions, because it is the organization that creates the stress. Success in managing and preventing stress will depend on the culture in the organization. A culture of openness and understanding, rather than of criticism, is essential. Those house officers who had high level of job stress had low job performance. All the factors affected male house officers more than the female house officers.

Epidemiology of suicide in Faisalabad.

BACKGROUND: Suicide is one of the ten leading causes of death in the world, accounting for more than 400,000 deaths annually. The incidence and pattern of suicide vary from country to country. Cultural, religious and social values play some role in this regard. Very few studies about the epidemiology of suicide have been conducted in Pakistan. We conducted this study on the patterns of suicide in autopsies conducted at Faisalabad from 1998 to 2001, to know the incidence of suicide, which subgroups of the population were most vulnerable to such deaths and the methods being used. MATERIALS AND METHODS: The study includes 95 cases of suicidal deaths of both sexes belonging to different age groups autopsied at the Department of Forensic Medicine, Punjab Medical College, Faisalabad. Cases were selected on the basis of information from the scene of crime, police inquest, autopsy findings and interview with the acquaintances of the victim. Findings were tabulated and analyzed. RESULTS: The study revealed that suicide rate was 1.12/100,000, with male preponderance. The peak incidence was in 20-29 years in males and 10-19 years in females. Hanging was the most common method. A seasonal surge in spring was noted. CONCLUSION: Suicide in Faisalabad is much lower compared to western countries. Suicides occur at a younger age in Faisalabad compared to western countries.