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Biomedical subjects

B B Agarwal

Publications and source records attributed to B B Agarwal.

10 recordsLinked to original sources

Hanging-delayed death (a rare phenomenon).

Hanging is one of the most common methods of suicide in India in which death of the individual occurs instantaneously. However, a few cases have been reported in literature in which death has occurred after a certain period of time or the patient has survived after prolonged resuscitative measures. A case of a 20-year-old female is described who survived for nine days after hanging, remaining unconscious throughout in the hospital. She died due to cerebral damage caused by cerebral anoxia.

Adult↗

Medical certification in respect of alleged torture victims.

Torture is a global problem and affects a large number of people worldwide. The opinion of doctors in certifying various types of physical, and psychological injuries being caused accidentally or resulting from attempted suicide or by torture is very significant. A number of times, discrepancies between complaints and physical findings are noted. Meticulous examination is desirable in order to prove guilt or innocence.

Certification↗

Accidental hanging with delayed death in a lift.

While hanging is a common method of committing suicide in India, accidental hanging is uncommon. However, it does occur when people are engaged in auto-erotic practices. An adult male who was helping passengers trapped in the lift of an outpatient department at a teaching hospital was accidentally hanged. He survived for 39 days. This case highlights a rare but serious hazard in the use of lifts.

Accidents, Occupational↗

Estimation of age from epiphyseal union at the wrist and ankle joints in the capital city of India.

Various studies conducted in and outside India for estimation of age from long bone joints revealed that unlike other vital parameters no uniform pattern exists for epiphyseal union of long bones in different countries of the world and also in different parts of the same country. A radiological study was conducted in 180 boys and girls of the capital city of India, Delhi, between the age group of 14-20 years to find out the age at which epiphyseal union at wrist and ankle joint takes place. The result of the study showed that the wrist joint epiphyseal union is completed in all cases in the age group of 19-20 years in males and 18-19 years in females. In the ankle joint, 17-18 years was the age group in males and 16-17 years the age group in females which showed complete epiphyseal union in all cases.

Adolescent↗

Sudden death in neurocysticercosis by trauma.

Neurocysticercosis (NCC) is the commonest parasitic infection affecting the central nervous system in the world. However, sudden death is rare in these cases. Increased intracranial pressure, hydrocephalus, acute encephalitis, meningitis and reaction to antilarval drugs are the common causes of death in NCC. The case reported here is a rare case of sudden death, in an apparently healthy asymptomatic young adult male, who met with a vehicular accident and died almost instantaneously due to ruptured cysts of cysticerci produced by trauma. Possible mode of death is also discussed.

Accidents, Traffic↗

Accidental strangulation in a cycle rickshaw.

A 50-year-old female was accidently strangulated when her chunni (a piece of cloth worn around the neck) was caught in the moving wheel of a rickshaw in which she was travelling. She was brought to the nearest hospital and died within 16 hours, remaining unconscious throughout the hospital stay. Cause of death was asphyxia as a result of constriction of the neck by ligature strangulation.

Accidents↗

Study of head injury victims in fatal road traffic accidents in Delhi.

The study revealed 31% were the victims of Head injury injury in this part of Delhi in vehicular accidents. Although majority of the fatalities were on the spot quite a number of such victims survived for a varied period. A multipronged approach including the preventive and curative measures for this man-made calamity is the need of the hour. Amongst various preventive measure are wearing helmet be made compulsory for both the driver and pillion riders of two-wheelers, development of a safe traffic sense amongst the road users. Traffic Police should be honest, exemplary punishment for the reckless driver, decongestion of Delhi roads etc. The curative measures are facilities of CT scanners and neurosurgeons in all the major hospitals, provision of first-aid in the PCR (Police control room) vans, to institute immediate treatment to the victim without waiting for the medico-legal formalities, opening of more fully equipped Accident and trauma centres. It is high time the concerned authorities gave some serious thought towards this avoidable epidemic on Delhi roads.

Accidents, Traffic↗

Accidental strangulation in a rickshaw.

A 40-year-old female was accidentally strangulated by a 'Chunni' (piece of cloth worn around neck) while travelling in a cycle rickshaw. She was declared dead on arrival in the hospital. This case highlights the hazards of wearing cloth loosely around the neck while travelling in a rickshaw which is a common mode of transport for short distances in India and other South-East Asian countries.

Accidents↗