Pub Date : 2022-03-15DOI: 10.18231/j.ijfcm.2022.004
Abdul Sami Khan, N. Bichha
Autopsy is a systematic scientific examination of dead body that helps in manifesting the information about the cause of death in case of an unnatural death. Medico legal autopsy profiling helps to understand the nature of casualties, it helps to assess the social and economic profile for understanding the nature of crime in particular area, helps to address the demographic needs according to the mortality statistics specific to that region and helpful to identify the need necessary to take preventive measures to stop the crime or unnatural deaths by means of spreading awareness and psychological course. This study aims to analyses the pattern of autopsy cases with manner and various causes of death which was conducted in a tertiary level hospital. This is a retrospective study conducted over a period of one year (Oct 2020 to Oct 2021) at Dhulikhel hospital, Nepal. During the study period on one year, a total of 258 cases of medicolegal autopsies were performed at Department of Forensic Medicine and Toxicology. Out of the 258 cases analyzed maximum incidence of the postmortems were reported in the age group of 43.80% was reported from 20 to 39 years aged group which are the most productive years in one’s life. The maximum incidence of the postmortems was reported in the male population of 70.54% compared to the female population (29.46%). Our strongest conclusion is that male/female differences in medicolegal autopsies are highly dependent on historical time and geographic location. The maximum incidence 32.56% was reported within 6 – 12 hours’ time group and minimum incidence 12.02% was reported within 0 – 6 hours’ time group. The maximum incidence 48.06% was reported from Suicide group and minimum incidence 6.20% was reported from Homicide group. The maximum incidence 33.72% was reported by Hanging group and minimum incidence 0.39% were reported from Choking and Traumatic Asphyxia groups during the medicolegal autopsies, , , , ,
{"title":"An epidemiological retrospective profile of medico-legal autopsy cases reported at a tertiary care center in Dhulikhel, Nepal","authors":"Abdul Sami Khan, N. Bichha","doi":"10.18231/j.ijfcm.2022.004","DOIUrl":"https://doi.org/10.18231/j.ijfcm.2022.004","url":null,"abstract":"Autopsy is a systematic scientific examination of dead body that helps in manifesting the information about the cause of death in case of an unnatural death. Medico legal autopsy profiling helps to understand the nature of casualties, it helps to assess the social and economic profile for understanding the nature of crime in particular area, helps to address the demographic needs according to the mortality statistics specific to that region and helpful to identify the need necessary to take preventive measures to stop the crime or unnatural deaths by means of spreading awareness and psychological course. This study aims to analyses the pattern of autopsy cases with manner and various causes of death which was conducted in a tertiary level hospital. This is a retrospective study conducted over a period of one year (Oct 2020 to Oct 2021) at Dhulikhel hospital, Nepal. During the study period on one year, a total of 258 cases of medicolegal autopsies were performed at Department of Forensic Medicine and Toxicology. Out of the 258 cases analyzed maximum incidence of the postmortems were reported in the age group of 43.80% was reported from 20 to 39 years aged group which are the most productive years in one’s life. The maximum incidence of the postmortems was reported in the male population of 70.54% compared to the female population (29.46%). Our strongest conclusion is that male/female differences in medicolegal autopsies are highly dependent on historical time and geographic location. The maximum incidence 32.56% was reported within 6 – 12 hours’ time group and minimum incidence 12.02% was reported within 0 – 6 hours’ time group. The maximum incidence 48.06% was reported from Suicide group and minimum incidence 6.20% was reported from Homicide group. The maximum incidence 33.72% was reported by Hanging group and minimum incidence 0.39% were reported from Choking and Traumatic Asphyxia groups during the medicolegal autopsies, , , , ,","PeriodicalId":13276,"journal":{"name":"Indian journal of forensic and community medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83002018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-15DOI: 10.18231/j.ijfcm.2022.009
P. Chhikara, Lalit Chopra, Arun Kumar
Mankind has been dependent on water for its survival since its inception. However, despite such protracted association with water humans could not develop the ability to survive in water resulting in mishap termed as drowning. Drowning is defined as a form of asphyxia due to submersion in a liquid. Drowning can be further classified into typical or wet drowning and atypical or Dry drowning. Typical or wet drowning can be identified by postmortem changes in the lungs and respiratory tract. Moreover, diatom test can provide an additional supportive evidence for the same. However, the tables turn in cases of atypical or dry drowning where although the external examination may be suggestive of drowning, neither the internal dissection of body shows typical changes in lungs, nor the diatom test is supportive. One such case which was presented to the authors is being shared herewith.
{"title":"Diatom negative drowning — The grey area for forensic expert: A case report","authors":"P. Chhikara, Lalit Chopra, Arun Kumar","doi":"10.18231/j.ijfcm.2022.009","DOIUrl":"https://doi.org/10.18231/j.ijfcm.2022.009","url":null,"abstract":"Mankind has been dependent on water for its survival since its inception. However, despite such protracted association with water humans could not develop the ability to survive in water resulting in mishap termed as drowning. Drowning is defined as a form of asphyxia due to submersion in a liquid. Drowning can be further classified into typical or wet drowning and atypical or Dry drowning. Typical or wet drowning can be identified by postmortem changes in the lungs and respiratory tract. Moreover, diatom test can provide an additional supportive evidence for the same. However, the tables turn in cases of atypical or dry drowning where although the external examination may be suggestive of drowning, neither the internal dissection of body shows typical changes in lungs, nor the diatom test is supportive. One such case which was presented to the authors is being shared herewith.","PeriodicalId":13276,"journal":{"name":"Indian journal of forensic and community medicine","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74935598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-15DOI: 10.18231/j.ijfcm.2021.047
Yuhesh Somasundaram, Amritha Sulthana, S. Subramanian, M. Chellasamy
One of the most common injuries and death in India are caused by falling from heights. Although a majority of these bereavements are accidental and are due to a slip from higher altitudes like multi storey buildings, trees, construction sites, etc., alcohol consumption also plays a vital role. In such occurrences of death due to falling from heights, head injury is a very common phenomenon and it complicates the investigation procedure for the investigators and the medico legal experts to arrive at a conclusion because these injuries impersonate the injuries sustained from other accident cases like a road accident per say. Due to the absence of eyewitness in most of these cases, a detailed analysis on the pattern and the nature of the injuries is required to arrive at a conclusion. These injuries sustained vary owing to the site of impact and the stature from where the victim had fallen and the critical answer to the medico legal queries lies in a detailed autopsy of the victim’s body and a thorough examination at the scene of occurrence. On the account of a comprehensive study insufficiency in Tamilnadu, a modest attempt was made to analyse the pattern of head injuries sustained on the victims of fall from different heights and is presented as a cross- sectional study.The case study on the fatal incidents of fall from height was recorded and analysed statically in a sampling of one hundred cases which was subjected to detailed autopsy in a tertiary care hospital. In this analysis the nature and pattern of injuries, data regarding the nature of fall, the site of primary impact, period of survival and a detailed examination of head injuries were all noted. The statistical analysis was carried out using Microsoft Excel 2009.From the analysis, it is observed that the maximum number of fall from height cases seemed to be from the age group of 31 years ~40 years (30%) and males contributed to a majority of these cases (90%). Amongst head injury cases, 82% of the cases had intracranial haemorrhage and 10% had facial bone fractures. In the 82% of cases, 76% of cases had both subarachnoid haemorrhage and subdural haemorrhage. Also skull fracture was seen in 40% of the cases and the base of the skull fracture was noted almost equally in 37% of the cases. Injuries to head and cervical spine constituted to the salient features of primary head impacts, SAH alone is rare in such cases.On the account of observation and analysis, it is noted that most of these cases were accidental in nature (93%) and Males (90%) in the age group of 31-40 years were in highest number (30%). Cranial injuries with subarachnoid and subdural haemorrhage seemed to be the most common cause of death amongst victims falling from heights. Also skull fracture were seen in 40% of the cases and base of skull fracture noted almost equally in 37% of the cases. While SAH alone in rare in these cases, injuries to head and cervical spine were the key impacts of primary head impacts.
{"title":"A prospective cross-sectional study on the cases in a tertiary care hospital about the patterns of head injury caused by falling from heights","authors":"Yuhesh Somasundaram, Amritha Sulthana, S. Subramanian, M. Chellasamy","doi":"10.18231/j.ijfcm.2021.047","DOIUrl":"https://doi.org/10.18231/j.ijfcm.2021.047","url":null,"abstract":"One of the most common injuries and death in India are caused by falling from heights. Although a majority of these bereavements are accidental and are due to a slip from higher altitudes like multi storey buildings, trees, construction sites, etc., alcohol consumption also plays a vital role. In such occurrences of death due to falling from heights, head injury is a very common phenomenon and it complicates the investigation procedure for the investigators and the medico legal experts to arrive at a conclusion because these injuries impersonate the injuries sustained from other accident cases like a road accident per say. Due to the absence of eyewitness in most of these cases, a detailed analysis on the pattern and the nature of the injuries is required to arrive at a conclusion. These injuries sustained vary owing to the site of impact and the stature from where the victim had fallen and the critical answer to the medico legal queries lies in a detailed autopsy of the victim’s body and a thorough examination at the scene of occurrence. On the account of a comprehensive study insufficiency in Tamilnadu, a modest attempt was made to analyse the pattern of head injuries sustained on the victims of fall from different heights and is presented as a cross- sectional study.The case study on the fatal incidents of fall from height was recorded and analysed statically in a sampling of one hundred cases which was subjected to detailed autopsy in a tertiary care hospital. In this analysis the nature and pattern of injuries, data regarding the nature of fall, the site of primary impact, period of survival and a detailed examination of head injuries were all noted. The statistical analysis was carried out using Microsoft Excel 2009.From the analysis, it is observed that the maximum number of fall from height cases seemed to be from the age group of 31 years ~40 years (30%) and males contributed to a majority of these cases (90%). Amongst head injury cases, 82% of the cases had intracranial haemorrhage and 10% had facial bone fractures. In the 82% of cases, 76% of cases had both subarachnoid haemorrhage and subdural haemorrhage. Also skull fracture was seen in 40% of the cases and the base of the skull fracture was noted almost equally in 37% of the cases. Injuries to head and cervical spine constituted to the salient features of primary head impacts, SAH alone is rare in such cases.On the account of observation and analysis, it is noted that most of these cases were accidental in nature (93%) and Males (90%) in the age group of 31-40 years were in highest number (30%). Cranial injuries with subarachnoid and subdural haemorrhage seemed to be the most common cause of death amongst victims falling from heights. Also skull fracture were seen in 40% of the cases and base of skull fracture noted almost equally in 37% of the cases. While SAH alone in rare in these cases, injuries to head and cervical spine were the key impacts of primary head impacts.","PeriodicalId":13276,"journal":{"name":"Indian journal of forensic and community medicine","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75446594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-15DOI: 10.18231/j.ijfcm.2021.044
M. Parande, Namrata D Mule, Sangita Shelke, M. Tambe, Rupali N Baviskar, Ganesh R. Jagadale, Minal B Hatnapure, Priyanka H Salunke
Dengue is fast emerging mosquito borne viral disease. There was sudden outbreak of dengue cases among Medical students and Health Care Workers in tertiary care hospital from September to November 2019. Therefore, outbreak investigation carried out and corrective actions taken to halt the outbreak. Study Objectives are to investigate outbreak of dengue cases in medical students and Health Care Workers and to take corrective actions to halt the outbreak.The outbreak investigations of Dengue cases was done as 28 cases were admitted which includes medical students and Health Care Workers in tertiary care hospital from September to November 2019. A thorough search for breeding sites of Aedes mosquito was done in premises of hospital, college and residential area. 5 teams were made consisting of Sanitary Inspector, interns, resident doctors and lecturer. House to house surveys were done for container index in Resident quarters and employees quarters. Health education on prevention of dengue was given to Medical students and Health Care Workers including interns, resident doctors, undergraduate students. Antilarval measures like abating, fogging and spraying of oildone.The mean age was 27.2 years, ranged for 14-68 years. Males 15(53.5%) and Females 13(46.4%). Out of 28,12(42.8%) Undergraduate students, 9(32.1%) Resident doctors and 7(25%) employees. 22(78.5%) NS-1positivecases and 16(57.1%) IgM dengue positive cases. The most common symptom found in this was fever (100%). Thrombocytopenia was most common abnormal laboratory finding which was present in 22(79%) patients out of 28 patients. Out of 22 patients having thrombocytopenia, platelet transfusion was done to 4 patients. Mean duration of stay in the hospital was 4 days.With the corrective measures taken, no new case of dengue was notified in November 2019 among Medical Students and Health Care Workers.
{"title":"An outbreak investigation of dengue in medical students and health care workers in a tertiary care hospital, Pune","authors":"M. Parande, Namrata D Mule, Sangita Shelke, M. Tambe, Rupali N Baviskar, Ganesh R. Jagadale, Minal B Hatnapure, Priyanka H Salunke","doi":"10.18231/j.ijfcm.2021.044","DOIUrl":"https://doi.org/10.18231/j.ijfcm.2021.044","url":null,"abstract":"Dengue is fast emerging mosquito borne viral disease. There was sudden outbreak of dengue cases among Medical students and Health Care Workers in tertiary care hospital from September to November 2019. Therefore, outbreak investigation carried out and corrective actions taken to halt the outbreak. Study Objectives are to investigate outbreak of dengue cases in medical students and Health Care Workers and to take corrective actions to halt the outbreak.The outbreak investigations of Dengue cases was done as 28 cases were admitted which includes medical students and Health Care Workers in tertiary care hospital from September to November 2019. A thorough search for breeding sites of Aedes mosquito was done in premises of hospital, college and residential area. 5 teams were made consisting of Sanitary Inspector, interns, resident doctors and lecturer. House to house surveys were done for container index in Resident quarters and employees quarters. Health education on prevention of dengue was given to Medical students and Health Care Workers including interns, resident doctors, undergraduate students. Antilarval measures like abating, fogging and spraying of oildone.The mean age was 27.2 years, ranged for 14-68 years. Males 15(53.5%) and Females 13(46.4%). Out of 28,12(42.8%) Undergraduate students, 9(32.1%) Resident doctors and 7(25%) employees. 22(78.5%) NS-1positivecases and 16(57.1%) IgM dengue positive cases. The most common symptom found in this was fever (100%). Thrombocytopenia was most common abnormal laboratory finding which was present in 22(79%) patients out of 28 patients. Out of 22 patients having thrombocytopenia, platelet transfusion was done to 4 patients. Mean duration of stay in the hospital was 4 days.With the corrective measures taken, no new case of dengue was notified in November 2019 among Medical Students and Health Care Workers.","PeriodicalId":13276,"journal":{"name":"Indian journal of forensic and community medicine","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83236014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-15DOI: 10.18231/j.ijfcm.2021.046
Rupali N Baviskar, Niteen N Abhivant, Malagori A Parande, M. Tambe, Namrata D Mule
Adolescence is a transitional period between childhood and adulthood it is a prime time for health promotion. Among adolescents, girls constitute a more vulnerable group. Family life education has due importance in adolescent stage of life to make them aware about reproductive health issues.To assess change in knowledge about reproductive health among adolescent girls after family life education intervention.This is a descriptive longitudinal study was conducted over the period of 18 month conducted on 150 girls.Semi structured questionnaire was used as tool to assess knowledge score of pre and post-test. Family life education intervention was given. Pre and post intervention scores were analyzed.All responses were tabulated by using Microsoft-Excel 2010 Software. Change in knowledge about reproductive health after intervention was assessed by using Mc-Nemar test.Significant improvement in knowledge about all components of Reproductive health after intervention was seen. In pre intervention 37(25.30%) participants had good knowledge score and its number significantly increased to 143(95.3%) after intervention. : The results of this study suggest that Family life education can improve knowledge about various components of reproductive health in adolescent girls. Such educational programs must be given due importance. : Family life education improves knowledge about reproductive health.
{"title":"Assessment of effect of family life education on the knowledge about reproductive health among adolescent girls in schools located in urban area","authors":"Rupali N Baviskar, Niteen N Abhivant, Malagori A Parande, M. Tambe, Namrata D Mule","doi":"10.18231/j.ijfcm.2021.046","DOIUrl":"https://doi.org/10.18231/j.ijfcm.2021.046","url":null,"abstract":"Adolescence is a transitional period between childhood and adulthood it is a prime time for health promotion. Among adolescents, girls constitute a more vulnerable group. Family life education has due importance in adolescent stage of life to make them aware about reproductive health issues.To assess change in knowledge about reproductive health among adolescent girls after family life education intervention.This is a descriptive longitudinal study was conducted over the period of 18 month conducted on 150 girls.Semi structured questionnaire was used as tool to assess knowledge score of pre and post-test. Family life education intervention was given. Pre and post intervention scores were analyzed.All responses were tabulated by using Microsoft-Excel 2010 Software. Change in knowledge about reproductive health after intervention was assessed by using Mc-Nemar test.Significant improvement in knowledge about all components of Reproductive health after intervention was seen. In pre intervention 37(25.30%) participants had good knowledge score and its number significantly increased to 143(95.3%) after intervention. : The results of this study suggest that Family life education can improve knowledge about various components of reproductive health in adolescent girls. Such educational programs must be given due importance. : Family life education improves knowledge about reproductive health.","PeriodicalId":13276,"journal":{"name":"Indian journal of forensic and community medicine","volume":"363 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76422829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-15DOI: 10.18231/j.ijfcm.2021.051
O. G. Singh
The present study is an epidemiological study of fatal Road Traffic (RTA) cases brought and admitted in our tertiary health care centre from Nov 2017 to December 2019. There were 148 fatal RTA cases involving 112 males and 36 female. In the present study males cases outnumbered the female with an approximate male female ratio of 3.1:1. Many cases of fatal head injuries were due to four & two wheelers. Most commonly seen external injuries were abrasions. Lower limbs showed fractured in 31 cases, 20.95%, and upper limbs showed fractured in 22 cases, 14.89%. So, far case fatality is concerned involvement of head plays the most important role.
{"title":"Epidemiological study of fatal road traffic accident cases","authors":"O. G. Singh","doi":"10.18231/j.ijfcm.2021.051","DOIUrl":"https://doi.org/10.18231/j.ijfcm.2021.051","url":null,"abstract":"The present study is an epidemiological study of fatal Road Traffic (RTA) cases brought and admitted in our tertiary health care centre from Nov 2017 to December 2019. There were 148 fatal RTA cases involving 112 males and 36 female. In the present study males cases outnumbered the female with an approximate male female ratio of 3.1:1. Many cases of fatal head injuries were due to four & two wheelers. Most commonly seen external injuries were abrasions. Lower limbs showed fractured in 31 cases, 20.95%, and upper limbs showed fractured in 22 cases, 14.89%. So, far case fatality is concerned involvement of head plays the most important role.","PeriodicalId":13276,"journal":{"name":"Indian journal of forensic and community medicine","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85407860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-15DOI: 10.18231/j.ijfcm.2021.053
M. Pathak, Srishti Rai
Telemedicine has been around for decades but it has taken foreground in health services recently. When COVID-19 cases started to be reported in the country it brought with itself panic and chaos. At all India level, the adult literacy rate is 77.7%, this could also be linked to unawareness related to the disease in rural areas. The sudden countrywide lockdown imposed was of no help and further worsened the situation for economically weaker section of the society. During the struggle of our nation to overcome the COVID-19 Telemedicine has indeed played a vital role. People in fear of contacting the disease and due to nationwide lockdown were unable to reach their health care provider. People with pre-existing conditions that needs regular monitoring, pregnancy related queries, queries on new symptoms, psychological counselling and many more could not wait for the COVID-19 to be over before they get any help on the issues. Telemedicine shall continue developing and be used in a multitude of settings by more health-care doctors and patients, and these standards of practice will be a crucial driver within this evolution.
{"title":"Telemedicine during COVID-19: India embracing the change","authors":"M. Pathak, Srishti Rai","doi":"10.18231/j.ijfcm.2021.053","DOIUrl":"https://doi.org/10.18231/j.ijfcm.2021.053","url":null,"abstract":"Telemedicine has been around for decades but it has taken foreground in health services recently. When COVID-19 cases started to be reported in the country it brought with itself panic and chaos. At all India level, the adult literacy rate is 77.7%, this could also be linked to unawareness related to the disease in rural areas. The sudden countrywide lockdown imposed was of no help and further worsened the situation for economically weaker section of the society. During the struggle of our nation to overcome the COVID-19 Telemedicine has indeed played a vital role. People in fear of contacting the disease and due to nationwide lockdown were unable to reach their health care provider. People with pre-existing conditions that needs regular monitoring, pregnancy related queries, queries on new symptoms, psychological counselling and many more could not wait for the COVID-19 to be over before they get any help on the issues. Telemedicine shall continue developing and be used in a multitude of settings by more health-care doctors and patients, and these standards of practice will be a crucial driver within this evolution.","PeriodicalId":13276,"journal":{"name":"Indian journal of forensic and community medicine","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89954293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-15DOI: 10.18231/j.ijfcm.2021.049
Narayanan S, Ramalingam S, R. Narendar
Ingestion of corrosive substances may cause severe to serious injuries of the upper aero-digestive tractand the poisoning can even result in death. Acute corrosive intoxications pose a major problem in clinical toxicology since the most commonly affected population are the young with psychic disorders, suicidal intent and alcohol addiction. In our case report, a 19-year-old male, 2year engineering student committed suicide by consuming a heavy metal salt available in his chemistry lab after leaving a suicidal note. He got treated in a private hospital for 2 days and later he succumbed due to poisoning. Though the findings of this heavy metal poisoning mimicks corrosive acid poisoning, it has to be viewed through the eye of forensic toxicology for a clear view in clinching the diagnosis in the earlier phase of treatment.
{"title":"A suicidal heavy metal poisoning mimicking corrosive acid poisoning: A rare case report","authors":"Narayanan S, Ramalingam S, R. Narendar","doi":"10.18231/j.ijfcm.2021.049","DOIUrl":"https://doi.org/10.18231/j.ijfcm.2021.049","url":null,"abstract":"Ingestion of corrosive substances may cause severe to serious injuries of the upper aero-digestive tractand the poisoning can even result in death. Acute corrosive intoxications pose a major problem in clinical toxicology since the most commonly affected population are the young with psychic disorders, suicidal intent and alcohol addiction. In our case report, a 19-year-old male, 2year engineering student committed suicide by consuming a heavy metal salt available in his chemistry lab after leaving a suicidal note. He got treated in a private hospital for 2 days and later he succumbed due to poisoning. Though the findings of this heavy metal poisoning mimicks corrosive acid poisoning, it has to be viewed through the eye of forensic toxicology for a clear view in clinching the diagnosis in the earlier phase of treatment.","PeriodicalId":13276,"journal":{"name":"Indian journal of forensic and community medicine","volume":"151 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74543067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-15DOI: 10.18231/j.ijfcm.2021.045
A. Rouf, Fouzia Nazir, M. Masoodi
COVID-19 Pandemic has severely affected the health care delivery system, economic and social progress since its inception. Although COVID-19 vaccines have given, a new hope but Vaccine hesitancy has been recognized as a serious public health problem that needs extensive research among different population groups. This study was aimed to assess awareness, attitude and practice towards COVID-19 vaccination and its association with Sociodemographicvariables among social media users in Jammu and Kashmir, India.The Department of Community Medicine, Government Medical College, Anantnag conducted this cross-sectional study in June 2021, among social media users, 18 and above years of age, using online questionnaire through Google Forms. The questionnaire comprised of four segments, sociodemographic details, awareness, attitude, and practice regarding COVID-19 vaccination, ten questions from each segment.In this study, although the calculated sample size was 423, a total of 425 respondents were included. The mean scores of awareness, regarding COVID-19 disease and its vaccination, was 3.68 ± 0.44, with overall awareness was 73.6%, positive attitude 3.53 ± 0.41, with an overall positive attitude of 70.6%, and good practice towards adopting COVID-19 appropriate behaviour and vaccination was 3.43 + 0.71 with an overall good practice of 68.6% respectively. Participants with higher awareness regarding COVID-19 disease and its vaccination were 9.1 times (95% C.I = 5.16-14.32) more likely to have a positive attitude towards using COVID-19 appropriate behaviour and its vaccination and 7.8 times (95% C.I = 4.62-13.83) adopting good practice than with the low level of awareness.In Jammu and Kashmir, social media users are having good awareness toward COVID-19 disease and its vaccination. Awareness generation seems to be a good tool for bringing behavioural changes and this platform should be used to disseminate information regarding COVID-19 appropriate behaviour and its vaccination.
自2019冠状病毒病大流行开始以来，严重影响了卫生保健服务体系、经济和社会进步。虽然COVID-19疫苗给了人们新的希望，但疫苗犹豫已被认为是一个严重的公共卫生问题，需要在不同人群中进行广泛的研究。本研究旨在评估印度查谟和克什米尔地区社交媒体用户对COVID-19疫苗接种的认识、态度和做法及其与社会人口变量的关系。Anantnag政府医学院社区医学系于2021年6月在18岁及以上的社交媒体用户中进行了这项横断面研究，通过谷歌表格使用在线问卷。问卷由社会人口学细节、对COVID-19疫苗接种的认识、态度和实践四个部分组成，每个部分10个问题。在本研究中，虽然计算样本量为423，但总共包括425名受访者。对COVID-19疾病及其疫苗接种的平均认知得分为3.68±0.44分，总体认知得分为73.6%;积极态度得分为3.53±0.41分，总体积极态度得分为70.6%;采取COVID-19适当行为和疫苗接种的良好做法得分为3.43 + 0.71分，总体良好做法得分为68.6%。对COVID-19疾病及其疫苗接种认识较高的参与者对采取COVID-19适当行为和疫苗接种的积极态度的可能性是认识水平较低的参与者的9.1倍(95% ci = 5.16-14.32)，采取良好做法的可能性是7.8倍(95% ci = 4.62-13.83)。在查谟和克什米尔，社交媒体用户对COVID-19疾病及其疫苗接种有很好的认识。提高认识似乎是带来行为改变的良好工具，该平台应用于传播有关COVID-19适当行为及其疫苗接种的信息。
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Pub Date : 2021-09-28DOI: 10.18231/J.IJFCM.2021.037
K. GopalB, R. JagannathaS., B. Viswakanth, G. HarshaR
Introduction: Hanging is the most frequently encountered asphyxial death in forensic medicine practice. It is the second most common method employed to commit suicide in India. Easy availability and presence of wide range of ligature materials at home itself makes hanging a preferred method of committing suicide. This study was done at Kempegowda Institute of Medical Sciences & hospital Bangalore with an aim to evaluate suicidal hangings through perusal of postmortem reports retrospectively during the study period between Jan 2011 to Dec 2013. Materials and Methods: During the 3-year study period the study population had a total of 519 decedents ranging between age 11 years to 77 years. Victims of both sexes comprised the study population. Suicidal hangings with reference to age, sex, socioeconomic status of the decedents, educational qualification, motive, time, type of suspension and position of knot were studied to evaluate the relationship between different parameters. Results: 62.63% of the decedents were males. The most common age group affected were in their third decade of life, who made 43.35 population 66.1% of victims died in complete suspension and remainder 33.0952% of victims had typical know placement while 47.6% had atypical knot placement. 58.38% of victims belonged to lower socioeconomic strata of which a majority shared an educational qualification up to pre-university weighing a percentage of 26%. The motive in majority of the deaths remained unknown (38.15%), family disputes ranked second with a percentage of 36.03. This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. For reprints contact: reprint@ipinnovative.com
{"title":"Analysis of suicide hanging deaths in South Bangalore: A three-year retrospective study","authors":"K. GopalB, R. JagannathaS., B. Viswakanth, G. HarshaR","doi":"10.18231/J.IJFCM.2021.037","DOIUrl":"https://doi.org/10.18231/J.IJFCM.2021.037","url":null,"abstract":"Introduction: Hanging is the most frequently encountered asphyxial death in forensic medicine practice. It is the second most common method employed to commit suicide in India. Easy availability and presence of wide range of ligature materials at home itself makes hanging a preferred method of committing suicide. This study was done at Kempegowda Institute of Medical Sciences & hospital Bangalore with an aim to evaluate suicidal hangings through perusal of postmortem reports retrospectively during the study period between Jan 2011 to Dec 2013. Materials and Methods: During the 3-year study period the study population had a total of 519 decedents ranging between age 11 years to 77 years. Victims of both sexes comprised the study population. Suicidal hangings with reference to age, sex, socioeconomic status of the decedents, educational qualification, motive, time, type of suspension and position of knot were studied to evaluate the relationship between different parameters. Results: 62.63% of the decedents were males. The most common age group affected were in their third decade of life, who made 43.35 population 66.1% of victims died in complete suspension and remainder 33.0952% of victims had typical know placement while 47.6% had atypical knot placement. 58.38% of victims belonged to lower socioeconomic strata of which a majority shared an educational qualification up to pre-university weighing a percentage of 26%. The motive in majority of the deaths remained unknown (38.15%), family disputes ranked second with a percentage of 36.03. This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. For reprints contact: reprint@ipinnovative.com","PeriodicalId":13276,"journal":{"name":"Indian journal of forensic and community medicine","volume":"49 1","pages":"181-184"},"PeriodicalIF":0.0,"publicationDate":"2021-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79482648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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