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Profile of paediatric medico legal cases admitted to a tertiary referral hospital over a period of one year 一家三级转诊医院一年内收治的儿科医疗法律案件概况
Pub Date : 2024-01-15 DOI: 10.18231/j.ijfcm.2023.031
Mrunalini K, Kaustubh Verma, S. Siddappa
A retrospective study was conducted on the medico-legal cases admitted to the Department of Pediatrics over a period of one year (September 2022-August 2023). A majority of cases reported were accidental poisoning cases (46.47%) among which paint thinner poisoning was the most common. Other cases reported include burns, head trauma, road traffic accidents, fall from height, drowning, hanging and electrocution. A majority of cases reported were in the age group of less than five years. A mortality rate of 3.75% (n=57) was recorded.
本研究对儿科在一年内(2022 年 9 月至 2023 年 8 月)收治的医疗法律案件进行了回顾性研究。大部分报告病例为意外中毒病例(46.47%),其中最常见的是油漆稀释剂中毒。其他报告案例包括烧伤、头部外伤、道路交通事故、高空坠落、溺水、上吊和触电。报告的大多数病例发生在 5 岁以下年龄组。记录的死亡率为 3.75%(n=57)。
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引用次数: 0
Nutritional assessment of children in the selected anganwadis in field practice area of RVM medical 对 RVM 医疗中心实地实践区选定的 anganwadis 中的儿童进行营养评估
Pub Date : 2024-01-15 DOI: 10.18231/j.ijfcm.2023.030
Aruna P. Tubachi, Bhaskar Kurre, Christina Karthaka, Jagadeep Adhikam
: Malnutrition stands as one of the most prevalent conditions impacting the well-being of children. It heightens a child's vulnerability to infections, delays recovery, and increases mortality rates. Nutrition significantly influences the physical, mental, and emotional development of children.: A cross-sectional descriptive study was conducted among five anganwadi centers in Mulug Mandal, Siddipet which comes under the filed practice area of R V M Medical College. The study focused on children under five years of age who attended the Anganwadi centers during September 2023 to November 2023.: Out of 100 participants majority children had normal weight(63%), followed by underweight(18%), above normal(15%) and lowest proportion of color category of weight of the child is severely underweight (4%). There was a statistically significant association of weight with knowledge about growth chart among mothers.: To prevent or minimize the problem of malnutrition, various nutrition intervention programmes have been introduced, from time to time, in India.
:营养不良是影响儿童福祉的最普遍状况之一。它使儿童更容易受到感染,延迟康复,并增加死亡率。营养在很大程度上影响着儿童的身体、智力和情感发育:我们对 R V M 医学院备案实践区内西迪佩特 Mulug Mandal 的五个 anganwadi 中心进行了横断面描述性研究。研究的重点是 2023 年 9 月至 2023 年 11 月期间在 Anganwadi 中心就诊的五岁以下儿童:在 100 名参与者中,大多数儿童体重正常(63%),其次是体重不足(18%)、体重高于正常(15%),体重严重不足(4%)的儿童比例最低。从统计学角度看,体重与母亲们对生长图表的了解有很大关系:为了预防或尽量减少营养不良问题,印度不时推出各种营养干预计划。
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引用次数: 0
All murders are culpable homicides, but all culpable homicides are not murders 所有谋杀都是应受惩罚的杀人,但所有应受惩罚的杀人都不是谋杀
Pub Date : 2024-01-15 DOI: 10.18231/j.ijfcm.2023.034
Ramalingam S, Narayanan S, Narendar R
There is always a correlation between any trauma and disease that the trauma may have caused death or disease would have caused the death where the trauma may have been aggravated the disease process. This is very important in the aspect of legal system that the IPC sections may vary, and the role of a forensic surgeon to clarify it medically. Here is the case where the deceased died due to her pre-existing illness, which the alleged accused is not aware of, but the alleged accused is charged of murder under S 302 IPC instead of culpable homicide not amounting to murder under S 304 IPC.
任何创伤和疾病之间总是存在关联,创伤可能导致死亡,或者疾病可能导致死亡,而创伤可能加重了疾病过程。这一点在法律体系中非常重要,因为《伊斯兰刑法典》的条款可能会有所不同,而法医的作用就是从医学上澄清这一点。在本案中,死者是死于已有的疾病,而被控被告并不知情,但被控被告却被控犯有《伊斯兰刑法典》第 302 条规定的谋杀罪,而不是《伊斯兰刑法典》第 304 条规定的不构成谋杀的过失杀人罪。
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引用次数: 0
Improved treatment success rate in a cohort of TB patients supported by Nikshay Mitra in CSR–NGO Mix model in Haridwar district, Uttarakhand 在北阿坎德邦哈里瓦地区的企业社会责任-非政府组织混合模式中,Nikshay Mitra 援助的一批结核病患者的治疗成功率得到提高
Pub Date : 2024-01-15 DOI: 10.18231/j.ijfcm.2023.026
Pankaj Kumar Singh, Prashant Chaudhary, Vikas Kumar Pandey, Anil Negi, Avneesh Kumar, R. K. Singh, Manish Dutt
Under the aegis of Pradhan Mantri TB Mukt Bharat Abhiyan, a Corporate Social Responsibility (CSR)–NGO Mix model demonstrated the improved treatment success rates among tuberculosis (TB) patients in Haridwar district, Uttarakhand.The initiative, launched by the Government of India, addresses the bidirectional relationship between undernutrition and TB, emphasizing the need for holistic support beyond medical interventions. The Nikshay Mitras, acting as companions, not only provide nutritional assistance but also contribute to reduce the stigma associated with TB and offer comprehensive support, including job opportunities.Uttarakhand has actively implemented the initiative, with various support models, including individual Nikshay Mitra, NGOs, and Corporate Sectors contributing through CSR support. The editorial focuses on the impact of CSR initiatives on TB treatment success rates, presenting data from Haridwar district. The unique CSR-NGO model, showcased a significant improvement in the treatment success rate, reaching 94% for a cohort of 304 TB patients. No mortality or loss to follow-up was reported, highlighting the effectiveness of this collaborative approach.The success in Haridwar district demonstrates the positive outcomes of engaging NikshayMitra, blending corporate support, NGO facilitation, and government oversight.
在 Pradhan Mantri TB Mukt Bharat Abhiyan 的支持下,企业社会责任(CSR)-非政府组织混合模式在北阿坎德邦哈里瓦地区的肺结核(TB)患者中证明了治疗成功率的提高。印度政府发起的这一倡议解决了营养不良与肺结核之间的双向关系,强调了医疗干预之外的全面支持的必要性。尼克什米特拉作为陪伴者,不仅提供营养援助,还有助于减少与肺结核相关的耻辱感,并提供包括工作机会在内的全面支持。北阿坎德邦积极实施了该倡议,采取了各种支持模式,包括尼克什米特拉个人、非政府组织和通过企业社会责任支持作出贡献的企业部门。社论重点关注企业社会责任倡议对结核病治疗成功率的影响,并提供了哈里瓦地区的数据。独特的企业社会责任-非政府组织模式显著提高了治疗成功率,304 名结核病患者的治疗成功率达到 94%。在哈里瓦尔地区取得的成功表明,与 NikshayMitra 合作,将企业支持、非政府组织促进和政府监督结合起来,可以取得积极的成果。
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引用次数: 0
Bio-Social correlates of nutritional status among the Bengali Muslim and the Meitei Women of Cachar district of Assam, India 印度阿萨姆邦卡查尔县孟加拉穆斯林和苗族妇女营养状况的生物-社会相关因素
Pub Date : 2024-01-15 DOI: 10.18231/j.ijfcm.2023.029
A. Barbhuiya, Nazia Parveen, Suhenaz Barbhuiya
Nutritional status based on BMI is not only influenced by biological factors but also affected by demographic, economic, socio-cultural and environmental conditions of a population. The present paper intends to study the nutritional status with reference to age and family income among the Bengali Muslim and Meitei Women of Cachar District, Assam. The data have been collected by household census method and nutritional anthropometry among 172 Bengali Muslim and 181 Meitei women of 20 to 64 years age. The study reveals that 40.1% of Bengali Muslim and 30.4% of Meitei women are suffering from CED malnutrition while very few women are found to be overweight or obese in both the communities. Chi-square test doesn’t show any significant (p-0.195) difference in nutritional status between the two communities. More than 50% of Bengali Muslim women who belong to higher age group (50+) are found to be suffering from CED malnutrition while frequency of CED malnutrition is high among the middle aged Meitei women. CED malnutrition is found to be more among the Bengali Muslim women of lowest family income category but it is high among the Meitei women who belong to middle income group. Although slight negative correlation exists between BMI and age of the Bengali Muslim women but opposite picture is observed among the Meitei women. BMI of both Bengali Muslim (r=0.209, p<0.01) and Meitei women (r=0.165, p<0.05) demonstrate significant positive correlation with annual family income. The study indicates the affect of family income in nutritional status. However, further studies are required considering other correlated bio-social factors to get deep insight knowledge on it.
以体重指数(BMI)为基础的营养状况不仅受生物因素的影响,还受到人口、经济、社会文化和环境条件的影响。本文旨在研究阿萨姆邦卡恰尔地区孟加拉穆斯林和密特族妇女的营养状况与年龄和家庭收入的关系。通过家庭普查法和营养人体测量法收集了 172 名孟加拉穆斯林妇女和 181 名年龄在 20 至 64 岁之间的苗族妇女的数据。研究显示,40.1% 的孟加拉穆斯林妇女和 30.4% 的苗族妇女患有 CED 营养不良症,而这两个族群中只有极少数妇女超重或肥胖。卡方检验(Chi-square test)未显示出两个族群在营养状况上有任何显著差异(P-0.195)。超过 50% 的孟加拉穆斯林妇女属于高年龄组(50 岁以上),她们患有 CED 营养不良,而中年密支那妇女患 CED 营养不良的频率很高。在家庭收入最低的孟加拉穆斯林妇女中,CED 营养不良的发生率较高,但在属于中等收入群体的密支那妇女中,CED 营养不良的发生率较高。虽然孟加拉穆斯林妇女的体重指数与年龄之间存在轻微的负相关,但在密支那妇女中却观察到了相反的情况。孟加拉穆斯林妇女(r=0.209,p<0.01)和密支那妇女(r=0.165,p<0.05)的体重指数与家庭年收入呈显著正相关。这项研究表明了家庭收入对营养状况的影响。不过,还需要进一步研究其他相关的生物-社会因素,以深入了解这方面的知识。
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引用次数: 0
Suicidal strangulation with uncommon ligature material – two case report 用不常见的结扎材料勒死自杀者--两例报告
Pub Date : 2024-01-15 DOI: 10.18231/j.ijfcm.2023.033
Mohammed Iliyas Sheikh, Jignesh Brahmbhatt, Jayeshkumar Kanani
Strangulation is one type of asphyxia death in which compression of neck with ligature material without suspension of the body and commonly homicidal in nature. Self-strangulation by ligature is uncommon. It must be differentiated from homicidal strangulation, accidental strangulation and from sexual asphyxia. The ligature material in suicidal strangulation may be knotted or multiple circle around the neck or tightened like a tourniquet. The uniqueness in the present study is the use of ‘self-retaining’ nature of the ligature material. The ligature material was found in situ, completely encircled the neck. Two cases of self-strangulation are discussed here. One case was found inside closed room and other was found on the bank of the river. In both cases two self-locked ligature material was used. Both cases were meticulously investigated by postmortem examination, scene of crime and circumstantial evidences, all are suggestive of suicidal strangulation.
勒死是窒息死亡的一种类型,即用结扎材料压迫颈部而身体不悬空,通常具有杀人性质。自我勒死的情况并不常见。必须将其与他杀性勒死、意外勒死和性窒息区分开来。自杀性扼颈的结扎材料可能是打结或在颈部多圈缠绕,或像止血带一样收紧。本研究的独特之处在于使用了 "自锁 "性质的结扎材料。结扎材料是在原位发现的,完全环绕着颈部。这里讨论两个自缢案例。一例是在封闭的房间内发现的,另一例是在河岸边发现的。在这两起案件中,都使用了两种自锁结扎材料。通过尸检、犯罪现场和间接证据对这两起案件进行了细致的调查,所有证据都表明这是一起自杀性勒颈案。
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引用次数: 0
A quasi-experimental study to evaluate the effectiveness of a structured teaching programme on knowledge regarding dysmenorrhea among adolescent girls at selected schools in Madurai district 一项准实验研究,旨在评估结构化教学方案对马杜赖地区部分学校少女痛经知识的有效性
Pub Date : 2024-01-15 DOI: 10.18231/j.ijfcm.2023.028
M. P. Israel, K. Priscilla
Adolescence is indeed a transitional phase of growth and development that occurs between childhood and adulthood, typically spanning from 10 to 19 years of age, as defined by the World Health Organization (WHO). During this period, individuals undergo rapid physical, cognitive, and psychosocial changes, which can influence their emotions, thoughts, decision-making abilities, and interactions with the world. It is worth noting that psychological factors, including anxiety and anger, may contribute to dysmenorrheal problems, which are painful menstrual cramps. However, as women age, dysmenorrheal often decreases and may completely resolve after childbirth. The study aims to assess the effectiveness of a structured teaching program in improving knowledge about dysmenorrhea among adolescent girls. By implementing this program, researchers seek to measure the impact it has on enhancing the understanding and awareness of dysmenorrhea among this specific population. The evaluation will provide valuable insights into the effectiveness of structured teaching in improving knowledge about dysmenorrhea among adolescent girls.In a quasi-experimental research study conducted in the Madurai district, a one-group pre-test and post-test design was utilized. A simple random sample of 40 adolescent girls participated in the study. A structured teaching program was implemented, covering all aspects of dysmenorrhea. The knowledge of the adolescent girls was assessed both immediately before and a week after the structured teaching program. The results of the study indicated that the majority of the adolescent girls (47%) were 14 years old, and a significant proportion (62%) had no prior information about dysmenorrhea. In the pre-test, all of the adolescent girls (100%) demonstrated inadequate knowledge regarding dysmenorrhea. However, in the post-test, 80% of the participants showed adequate knowledge, while 20% had moderate knowledge on the subject. The paired t-test analysis revealed a statistically significant improvement in knowledge from the pre-test (10.3 ± 2.87) to the post-test (41.17 ± 8.75) (p < 0.05), indicating that the structured teaching program was effective in enhancing knowledge about dysmenorrhea among the adolescent girls in the study. The present study concludes that recently dysmenorrhea is a quite common problem all over the world affecting the quality of life of women significantly. Despite the growing awareness, there remains a considerable deficiency of knowledge on causes, treatment, and home remedies of dysmenorrhea. Further research is required for a large population including women from various backgrounds to better assess and strategize to manage this rising problem. It will help future mothers to take care of them during menstruation, and they will educate the future generation regarding dysmenorrhea.
根据世界卫生组织(WHO)的定义,青春期是介于儿童期和成年期之间的一个生长发育过渡阶段,一般从 10 岁到 19 岁。在这一时期,人的身体、认知和社会心理都会发生迅速变化,从而影响到他们的情绪、思想、决策能力以及与世界的互动。值得注意的是,包括焦虑和愤怒在内的心理因素可能会导致痛经问题,也就是痛经。不过,随着年龄的增长,痛经往往会减轻,分娩后可能会完全缓解。本研究旨在评估结构化教学计划对提高少女痛经知识的有效性。通过实施该计划,研究人员试图衡量它对提高这一特定人群对痛经的理解和认识所产生的影响。在马杜赖地区开展的一项准实验研究中,采用了单组前测试和后测试的设计。简单随机抽样的 40 名少女参与了研究。研究实施了结构化教学计划,涵盖了痛经的各个方面。在结构化教学计划实施前和实施一周后,对少女的知识进行了评估。研究结果表明,大多数少女(47%)为 14 岁,其中相当大的比例(62%)以前从未听说过痛经。在前测中,所有少女(100%)都表现出对痛经的认识不足。然而,在后测试中,80% 的参与者对痛经有足够的了解,20% 的参与者对痛经有一定的了解。配对 t 检验分析表明,从测试前(10.3 ± 2.87)到测试后(41.17 ± 8.75),受试者对痛经的了解程度有了显著提高(p < 0.05),这表明结构化教学计划有效地提高了受试少女对痛经的了解程度。本研究的结论是,近期痛经是全世界相当普遍的问题,严重影响了妇女的生活质量。尽管人们对痛经的认识在不断提高,但对痛经的原因、治疗和家庭疗法的了解仍然相当匮乏。需要对包括来自不同背景的妇女在内的大量人群进行进一步研究,以便更好地评估和制定策略来应对这一日益严重的问题。这将有助于未来的母亲在月经期间照顾好自己,并对下一代进行有关痛经的教育。
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引用次数: 0
Tobacco use and outcomes of pregnancy: A community-based cross-sectional study among the women in the reproductive age group in the rural area of Belgaum District, Karnataka, South India 烟草使用和妊娠结局:印度南部卡纳塔克邦贝尔高姆县农村育龄妇女的社区横断面研究
Pub Date : 2023-10-15 DOI: 10.18231/j.ijfcm.2023.020
Namratha Kulkarni, Vijaya A Naik
Exposure to tobacco smoke affects all stages of human reproduction. Smoking is not rare among Indian women, but research over the past decade has shown that Indian women’s use of smokeless tobacco products is substantial and increasing, with negative consequences for both oral morbidity and perinatal health, including premature delivery, low birth weight, and birth length. This study was done to know the prevalence of tobacco consumption among rural women in the reproductive age group and its association with the outcomes of pregnancy A community-based cross-sectional study, was conducted from January 2011 to December 2011 among 1200 rural women aged between 15 years to 49 years residing in Primary Health Centre (PHC) Vantmuri area, Belgaum, Karnataka, India. Statistical analysis was done using rates, ratios, and chi-square tests. The prevalence of tobacco consumption was 9.7%. In this study, we found that except for the first pregnancy outcomes, and all the subsequent outcomes of the pregnancies, the differences are statistically significant indicating an association between tobacco consumption and the outcome of pregnancy. Also, a significant association was found between tobacco consumption and low birth weight. Women under the reproductive age group constitute an important cohort of the population. A significant association was found between tobacco consumption and the outcomes of pregnancy. It has become the need of the hour to provide enough evidence on the correlates of tobacco use in the community and to put increasing effort against the expansion of tobacco companies in developing countries, which are often aimed at women.
接触烟草烟雾会影响人类生殖的各个阶段。吸烟在印度妇女中并不罕见,但过去十年的研究表明,印度妇女使用无烟烟草制品的人数大量增加,对口腔发病率和围产期健康都产生了负面影响,包括早产、出生体重过低和出生长度过长。2011年1月至2011年12月,对居住在印度卡纳塔克邦贝尔高姆vanmuri地区初级保健中心(PHC)的1200名年龄在15岁至49岁之间的农村妇女进行了基于社区的横断面研究。采用率、比和卡方检验进行统计分析。烟草消费流行率为9.7%。在本研究中,我们发现除了第一次妊娠结局,以及所有妊娠的后续结局,差异具有统计学意义,表明烟草消费与妊娠结局之间存在关联。此外,还发现烟草消费与低出生体重之间存在显著关联。育龄以下妇女是人口中的一个重要群体。研究发现烟草消费与怀孕结果之间存在显著关联。就社区中烟草使用的相关性提供足够的证据,并加大力度反对烟草公司在发展中国家的扩张,这些公司往往以妇女为目标,已成为当务之急。
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引用次数: 0
Road traffic accidents presenting to the emergency department of a tertiary care hospital in North-East India: A cross-sectional study 印度东北部三级医院急诊科的道路交通事故:一项横断面研究
Pub Date : 2023-10-15 DOI: 10.18231/j.ijfcm.2023.022
Sushmita Salam, Asho Angami, Thounaojam Meera Devi
Road traffic accidents (RTA) are one of the most common cases brought to a hospital daily. The severity of the situation is not known to most of the masses. It has a high chance of mortality and high disabling capacity due to injuries to the main vital parts of the body. : A cross-sectional study was conducted to analyse the pattern of road traffic accidents as regards the type of victims, offending vehicle, place & time of occurrence, type of injuries sustained, fatality among the RTA victims admitted in the emergency department of a tertiary care hospital in North-East India during January 2021-June 2022. A total of 1002 RTA cases were reviewed, and it was found that most of the RTA (76.3%) were males and 32.7% of the cases belonged to the age group of 21-30 years, followed by the age group of 31-40 years (20.5%). RTAs commonly occurred between 12:01 p.m-6 p.m.; the offending vehicles were 4-wheelers (38%) followed by 2-wheelers (36.4%). Most of the victims were 2-wheeler riders (62.2%) followed by pedestrians (16.8%); the head & face were most affected body parts (42.2%) followed by lower limbs (30.6%) and Imphal West was the most common place of occurrence (48.8%). With the increasing use of motor vehicles, the number of road traffic accidents is rising. It is important to find a pattern of these cases in this part of the country so that we can prevent such unfortunate and unnatural deaths.
道路交通事故(RTA)是每天送到医院的最常见病例之一。大多数群众并不知道情况的严重性。由于对身体主要重要部位的伤害,它具有很高的死亡率和致残能力。:我们进行了一项横断面研究,分析道路交通意外的模式,包括受害人类别、肇事车辆、地点及交通意外;2021年1月至2022年6月期间在印度东北部一家三级医院急诊科收治的RTA受害者的发生时间、受伤类型和死亡情况。1002例RTA患者中,男性占76.3%,21 ~ 30岁占32.7%,31 ~ 40岁占20.5%。rta通常发生在下午12:01至6点之间;违规车辆以四轮车为主(38%),其次是两轮车(36.4%)。受害最多的是两轮车(62.2%),其次是行人(16.8%);头& &;以面部为最常见部位(42.2%),其次为下肢(30.6%),以鼻西面为最常见部位(48.8%)。随着机动车使用量的增加,道路交通事故的数量正在上升。重要的是在该国这一地区找到这些病例的模式,以便我们能够防止这种不幸和非自然死亡。
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引用次数: 0
Determination of Cd, Co, Cr, Ni and Pb metals in lipsticks samples by Flame atomic absorption spectrophotometry (FAAS) 火焰原子吸收分光光度法测定口红样品中的Cd、Co、Cr、Ni和Pb金属
Pub Date : 2023-10-15 DOI: 10.18231/j.ijfcm.2023.021
A K Jaiswal, Raksha Chourase, Anita Yadav
The study was conducted this work to analyze levels of toxic metals in lipsticks specifically sold in the Bhopal area. Acid digestion process was used to prepare the samples and to quantify the levels of heavy metals, including Cd, Co, Cr, Ni, and Pb Flame Atomic Absorption Spectrophotometry was used. Calibration curves were prepared with good linearity for accurate measurement of concentrations of these metals. All heavy metal observed were within the allowable limit. To assess the health risks, Average daily dose (ADD) and Hazard quotient (HQ) (Ingestion) for all the lipstick samples were calculated. Among these samples, three samples shows higher values among them one belonged to a branded category, while the remaining two were from the non-branded category. These particular Lipsticks samples exhibited higher HQ values (higher than 1), indicating a probable hazard linked of toxic-metals.
这项研究是为了分析博帕尔地区专门销售的口红中有毒金属的含量。采用酸消化法制备样品,并采用火焰原子吸收分光光度法测定样品中Cd、Co、Cr、Ni、Pb等重金属的含量。为准确测定这些金属的浓度,制备了线性良好的校准曲线。所有检测到的重金属均在允许范围内。为了评估健康风险,计算了所有口红样品的平均日剂量(ADD)和危害商(HQ)(摄入)。在这些样本中,有三个样本值较高,其中一个属于品牌类别,其余两个来自非品牌类别。这些特殊的口红样品显示出较高的HQ值(高于1),表明可能存在与有毒金属有关的危害。
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引用次数: 0
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Indian journal of forensic and community medicine
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