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Biomedical subjects

S Hájek

Publications and source records attributed to S Hájek.

13 recordsLinked to original sources

[Complications of thermal injuries leading to death].

The authors analyzed a group of 194 decreased subjects, 119 men and 75 women aged 15.96 years who suffered thermic damage in the years 1981-1989. As compared with the source of burns in 1966-1974, there was a striking increase of subjects who suffered burns during propane-butane explosions. In the foreground of thanatological findings was pneumonia in 49%, shock in 28.3%, sepsis in 26.8% damage of the upper gastrointestinal tract in 23.7% and thrombotic embolism in 18% of the subjects who died. More than half of them died with normothermia, 25% with hyperpyrexia and more than 20% with hypothermia. As compared with values of LA50 in 1966-1974 an increase occurred which implies a more favourable prognosis of burns. The values of LA50 were higher in particular in in the age group from 15-50 years.

Adolescent↗

[Prognosis of burns in adults].

Based on a group of 220 deaths from sequelae of burns in 1966-1985 the author calculated from the area of the burns injury (grade II and III). from the period of survival and age of the patients the values of LA50 (lethal area 50), i. e. values, expressed in per cent of the body surface, when half the patients die. In the age group of 15-50-year-old ones the LA50 value was 55%, in the group of 51-60-year-old ones 32%, in the group aged 61-70-years 17%, in the group aged 71-80 years 12% and in those above 80 years 9%. On comparison with LA50 values assessed in the same manner in 133 deaths in 1966-1971 an increase of values was found in particular in young and middle aged patients which deadlined with the advancing age of the affected persons. The revealed increase suggesting a more favourable prognosis of burns is due to better therapy.

Adolescent↗

[Murder of children].

The author analyzed from the forensic aspect 72 murders and attempted murders of children by their own mothers. In 34 instances neonates were involved and in 38 cases older children. The author investigated the time and site of the murder, the way it was performed and the causes of death. More detailed attention was also paid to the persons committing the crime, to motives which made them commit the crime and the subsequent fate of the children.

Adolescent↗

[Analysis of the causes of fatal burns].

In 500 casualties who died from thermal injuries comprising 314 men and 186 women, all above 15 years of age, the causes of the injuries were analyzed. In 266 the injuries were contracted at home, 140 were industrial injuries and 94 other injuries (transport, criminal, agriculture). The authors discuss the causes of injuries and their frequency. Finally they draw attention to the adverse development of non-occupational injuries in the home.

Adolescent↗

[Fatal traffic accidents in pedestrians].

The author analyzed a group of 156 pedestrians (70 men and 86 women) above 50 years (Me = 72 years in men and 72.5 years in women) who died in 1967-1972 as a result of traffic accidents in the catchment area of the University Hospital in Prague 10. Head injuries were recorded in 73%, injuries of the chest in 62%, of the abdomen in 30%, of the spine in 26%, of the pelvis in 52%, of the upper extremities in 26% and of the lower extremities in 51% of the injured. In 20 (12.8%) a single injury was involved, in 136 (97.2%) multiple injuries, most frequently injuries of three parts of the body were observed - in 43 (27.5%) of the injured. The curve illustrating the number of surviving subjects in relation to the time which had elapsed since the injury displayed two definite and two indicated inflexions suggesting increased lethality. The first definite inflexion was between the second and third hour after injury and in those who died during this period fractures of the spine, bones of the lower extremities and pelvic bones with retroperitoneal bleeding were more frequent. The second definite inflexion was 36-48 hours after injury and in the patients pulmonary complications (atelectases, incipient inflammations) were more frequent. The indicated inflexion which was on the 9th day after injury was due to bronchopneumonias which were often observed at that time. Due to the small number of observations the authors were unable to interpret the infexions found on the 7th and 11th day after injury.

Abdominal Injuries↗