Introduction: Demographic and clinical profile of traumatic brain injury (TBI) of a particular place is very crucial for strengthening the guidelines. The details of same are scant from a tertiary institute, Nellore district. The present study aims to explore the demographic, injury and clinical aspects of cerebro-cranial injury patients from an institute setup. Methods: The study consists of two years retrospective data and one year prospective data. The study was approved by institute ethical committee. The patient data was entered on pre designed proforma that includes the desired variables. The data analysis was done using StatsDirect software. Both prospective and retrospective data was merged for analysis. Percentages for categorical data and mean values for continuous data were calculated. Results: There were total of 336 patients. Patients in age group of 21 to 50 years constituted 67% and males were four times higher than females. Nearly one fourth of patients were influenced by alcohol. Three fourth of accidents were due to road traffic accidents (RTAs) followed by falls (17%) and assault (6%). About one tenth of patients were pedestrians. One fourth of patients had associated injuries other than head and brain. On CT findings majority of patients had cerebral contusion (46%) followed by skull fracture (40%), SDH (28%) and EDH (23%). Twenty two patients died in the study period. Conclusion: Knowledge of injury and its later consequences to public is very important. Strict rules to consider safety precautions and compulsory family insurances should be encouraged. Rules to prevent paediatric drive.
Determination of age after 25 years becomes very difficult as all teeth will be erupted and ossification Centre's fused. Studies have shown that the changes in the morphological surface of pubic symphysis are the most reliable to estimate age between 20 to 40 years. We estimated the age based on the morphology of pubic symphysis and assessed the reliability of Mckern-Stewart criteria by comparing with actual age. METHODS: A total number of 80 male pubic bones from the dead bodies in the age group of 18-65 years were studied. Only bodies with known age, without a history of any disease or deformity of affecting the bones during their life time were included. Age of the deceased was estimated by using pubic symphysis and compared with actual age. RESULTS: The results show that the age can be estimated up to the accuracy of ±2 years up to the age of 30 years, ±6 years above 30 years and is not reliable beyond fourth decade. CONCLUSION: In our study, we observed Mckern-Stewart criteria for estimation of age using pubic symphysis is not reliable beyond 30 years of age. However, caution has to be executed in interpreting our study results as sample size is less.
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