Consensus statement on abusive head trauma in infants and young children

Abusive head trauma (AHT) is the leading cause of fatal head injuries in children younger than 2 years. A multidisciplinary team bases this diagnosis on history, physical examination, imaging and laboratory findings. Because the etiology of the injury is multifactorial (shaking, shaking and impact, impact, etc.) the current best and inclusive term is AHT. There is no controversy concerning the medical validity of the existence of AHT, with multiple components including subdural hematoma, intracranial and spinal changes, complex retinal hemorrhages, and rib and other fractures that are inconsistent with the provided mechanism of trauma. The workup must exclude medical diseases that can mimic AHT. However, the courtroom has become a forum for speculative theories that cannot be reconciled with generally accepted medical literature. There is no reliable medical evidence that the following processes are causative in the constellation of injuries of AHT: cerebral sinovenous thrombosis, hypoxic-ischemic injury, lumbar puncture or dysphagic choking/vomiting. There is no substantiation, at a time remote from birth, that an asymptomatic birth-related subdural hemorrhage can result in rebleeding and sudden collapse. Further, a diagnosis of AHT is a medical conclusion, not a legal determination of the intent of the perpetrator or a diagnosis of murder. We hope that this consensus document reduces confusion by recommending to judges and jurors the tools necessary to distinguish genuine evidence-based opinions of the relevant medical community from legal arguments or etiological speculations that are unwarranted by the clinical findings, medical evidence and evidence-based literature

Improvement in dye sensitized solar cells from past to present

Several emerging renewable technologies are available to satisfy the current energy demand and to minimize the effect of environmental degradation caused by high consumption of fossil fuels. These technologies are not mature enough to solve this problem but require more time for improving the efficiency, and cost reduction to become the economical alternative of fossil fuels. In this paper Dye-sensitized solar cell (DSSC) has been discussed in detail owing to advancement in the technology. Since each component of DSSC is responsible for a specific function, therefore, comprehensive literature studies has been done on individual section to understand the technology in depth. All the advancement in sensitizer, semiconductors, electrolyte, electrodes, additives, sealing and anchoring groups are included in this review with performance parameter of DSSC. Focus of this article is to provide summary of all available literature since beginning to date