Naked women and snakes

Added: Jasson Kimbrel - Date: 13.02.2022 00:57 - Views: 41049 - Clicks: 981

Naked women and snakes

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Naked women and snakes

This study was undertaken, to assess the clinical parameters in patients of poisonous snakebite, complications which occurred in them, their outcome and to evaluate various clinical predictors of mortality. Four hundred and thirty-two patients of snake bite were admitted, of which did not show any s of envenomation and excluded. Two hundred and sixty patients had s of local or systemic envenomation and included. Complete clinical examination, blood counts, kidney function tests, serum electrolytes, coagulation profile was done in all patients.

All received tetanus toxoid and anti-snake venom ASV. Appropriate supportive treatment was given. Clinical and laboratory parameters were compared between patients who were discharged Group A and those who expired Group B. Out of patients, 58 died and survived. Mean age was One hundred and eighty-six One hundred and ninety-seven Seventy-seven Ptosis was present in all the 65 patients with s of neuroparalysis.

Eighty The mean duration of stay in survivors was 7. Mortality in patients with snake bite can be predicted by simple variables like presence of bleeding tendencies, respiratory failure, and shock. These parameters can help the doctors at peripheral health centers to predict outcome, so that such high risk cases can be referred to higher centers for expertise management without wasting time. About species of snakes exist in the world. India has over species and subspecies, out of which 50 are venomous. They are elapidae, including cobra Naja naja Naked women and snakes krait Bungarus caeruleus and viperidae- Russell's viper Daboia russelii and saw-scaled viper Echis carinatus.

Naked women and snakes

Worldwide, of the estimated 5 million people bitten by snakes each year, aboutdie. This study was undertaken, to assess the clinical parameters in patients of poisonous snakebite admitted at our institute, complications which occurred in them, their outcome and to evaluate various clinical predictors of mortality. This prospective observational study was conducted from to Naked women and snakes, at Department of Medicine in Government Medical College and Hospital, Nagpur, a tertiary care hospital serving population of central India.

Four hundred and thirty-two patients of snake bite were admitted, of which did not show any s of envenomation and were excluded from the study. Two hundred and sixty patients had s of local or systemic envenomation and were included, after an informed consent for participation in the study. The study was approved by Institutional Ethical Committee of our institute. Swelling confined only to the bite site was graded as mild; extension to more than half of the limb as moderate; and extensive swelling with tissue necrosis was graded severe.

All patients received tetanus toxoid and anti-snake venom ASV. The initial dose of ASV given was 50cc in mild local cellulitis, cc in moderate to severe envenomation and in those with complications. This dose was repeated as needed as per investigations and clinical improvement.

Patients with s of neuroparalysis were given inj. The patients were followed during the hospitalisation and outcome noted as discharged A or expired B. We used t -test for continuous normally distributed variables. For categorical data Chi-square statistics was used and Fischer-exact test was used for small s.

Naked women and snakes

For variables which were not normally distributed Wilcoxon's Mann-Whitney U-test was used. P value of 0. Crude hazard ratios were calculated to assess the strength of association between risk factors and outcome i. We used Cox proportional hazard regression model for analysis of multiple predictor variability. All data analysis was performed by using stata software version 10 and SPSS version Out of patients, 58 patients died and survived.

Naked women and snakes

Mortality rate was The mean age of patients was The mean age in survivor group A was Out of the paients, were males The male to female ratio was 1. Thus, rural: urban ratio was 2. Patients coming from rural areas were The of patients from urban areas were 60 Maximum no. Most of the cases around This was followed by winter season October to January in which of patients admitted were 60 The of patients admitted during summer March to May was 27 Only one patient had bite on head, face or neck HFN-ear and he survived.

In survivors group A Table 1 shows snake identification in the study. Local swelling was the second most common complaint present in Local swelling was present in This difference was statistically ificant. The systemic symptoms are shown in Table 2. Total 77 Out of them 66 This difference was statistically not ificant.

Naked women and snakes

Ptosis was present in all the 65 patients who had any of the s suggestive of neuroparalysis. Similarly, ophthalmoplegia was present in 62 Ophthalmoplegia was present in 35 Among the 64 patients with acute renal failure, oliguria was present in 46 Oliguria was present in 17 Mean clotting time was Albuminuria was present in all 80 patients with ARF.

Table 3 shows laboratory investigations in patients with acute renal failure and coagulopathy. The complications are depicted in Table 4. Six 2. Ventilatory support was given to all 33 Renal replacement therapy in the Naked women and snakes of either peritoneal dialysis or hemodialysis was given to 33 Various blood components like whole blood, fresh frozen plasma FFPplatelet transfusion were given to 80 Mean duration of stay for all patients was 6.

Mean duration of stay in survivors was 7. The multivariate analysis predictors of mortality is shown in Table 5. The higher incidence in rural areas in this study can be because of large of people working in fields in rural areas e. Kulkarni et al. Naik et al. Sharma et al. Maximum s of patients were admitted during rainy season. Probably because of the heavy rains, the holes and burrows are filled up with water and snakes come out of it and of encounters of men with snakes increase, increasing incidence of snake bites cases.

Naked women and snakes

The breeding habits of preys like frogs also follow the monsoon. Hansdak et al.

Naked women and snakes

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