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Stirring the hornet’s nest 搅马蜂窝
Pub Date : 2023-10-15 DOI: 10.18231/j.ijfcm.2023.025
None Srijith, None Rajakumar S, Santhosh C Siddappa
Hornets are widely distributed in India, and their stings manifest from non-specific skin lesions to fatal complications as a result of a myriad of proteins in the venom. We report a case of a 52-year-old man who was attacked by a swarm of hornets and succumbed four hours later in rural Davangere district. Forty sting marks were noted on autopsy. Histopathology revealed histiocytic infiltration surrounding sting marks and laryngeal subepithelial oedema. The cause of death was opined to be laryngeal oedema following anaphylaxis. We conclude that a focus on preventive strategies, public awareness programmes, and providing protective gear to the vulnerable is vital.
大黄蜂广泛分布在印度,它们的螫伤表现为从非特异性皮肤损伤到致命并发症,这是毒液中无数蛋白质的结果。我们报告一例52岁的男子谁是由一群大黄蜂袭击,并死亡四小时后在农村达万热区。尸检时发现了四十处刺痕。组织病理学显示刺痕周围组织细胞浸润和喉上皮下水肿。死亡原因被认为是过敏反应后喉水肿。我们的结论是,把重点放在预防战略、公众意识计划和向弱势群体提供防护装备上是至关重要的。
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引用次数: 0
A rare cases of ferrous sulphate poisoning- A case study 罕见的硫酸亚铁中毒案例-个案研究
Pub Date : 2023-10-15 DOI: 10.18231/j.ijfcm.2023.024
Manishi Shriwas, Vaishali Sinha, Dinesh Sharma
A poison is a substance which when administrated, inhaled or ingested is capable of causing deleterious effect on the human body. The circumstances may be suicidal, homicidal or accidental. A suicidal poison of choice must be cheap, easily available and capable of being administered is any food or drink. It must have pleasant taste and no repulsive smell. The action of poison may be local, remote, combined and general. The preparations of iron salt, which are largely used in medicine are mostly prepared from sulphate, carbonate and perchloride of iron. When these salt are administered in large doses, they produce poisonous symptoms and may even cause hemosiderosis as a manifestation of chronic poisoning. Iron sulphate (ferrous Sulphate, FeSo4) is commercially known as green vitriol of sulphate. It forms green, efflorescence monosymmetric crystals on exposure to the atmosphere. It is freely soluble in water. It is used in making blue ink and dyes, but sometimes as a pesticide. In this case study, we'll talk about a woman who died after consuming an corrosive drug at home. For medico-legal purposes, it was critical to correlate autopsy results with medical care records and the place of the incident.
毒物是一种经施用、吸入或摄入能够对人体造成有害影响的物质。情况可能是自杀,杀人或意外。自杀性毒药的选择必须是便宜的,容易获得的,并且可以是任何食物或饮料。它必须有令人愉快的味道,没有令人厌恶的气味。中毒的作用可以是局部的、远距离的、联合的和全身性的。在医学上广泛使用的铁盐的制剂主要是由硫酸盐、碳酸盐和过氯铁制备的。当这些盐被大量使用时,它们会产生毒性症状,甚至可能引起含铁血黄素沉着症,这是慢性中毒的表现。硫酸铁(亚铁硫酸盐,FeSo4)在商业上被称为硫酸盐的绿色硫酸。暴露在大气中会形成绿色的、开花的单对称晶体。它易溶于水。它用于制造蓝色墨水和染料,但有时也用作杀虫剂。在这个案例研究中,我们将讨论一位在家中服用腐蚀性药物后死亡的妇女。出于医疗法律目的,将尸检结果与医疗记录和事故地点联系起来至关重要。
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引用次数: 0
Work life balance among self-dependent pregnant women; challenges and solutions 自立孕妇工作与生活的平衡挑战与解决方案
Pub Date : 2023-10-15 DOI: 10.18231/j.ijfcm.2023.019
Hanitha Rajasekar
Work life balance among self-dependent pregnant women; challenges and solutions - IJFCM- Print ISSN No: - 2394-6768 Online ISSN No:- 2394-6776 Article DOI No:- 10.18231/j.ijfcm.2023.019, Indian Journal of Forensic and Community Medicine-Indian J Forensic Community Med
自立孕妇工作与生活的平衡IJFCM- Print ISSN No:- 2394-6768 Online ISSN No:- 2394-6776文章DOI:- 10.18231/ j.j IJFCM .2023.019, Indian Journal of Forensic and Community Medicine-Indian J Forensic Community Med
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引用次数: 0
Recent reforms in competency-based medical education in India 印度最近在基于能力的医学教育方面的改革
Pub Date : 2023-10-15 DOI: 10.18231/j.ijfcm.2023.018
Shiv Kumar Yadav
Recent reforms in competency-based medical education in India - IJFCM- Print ISSN No: - 2394-6768 Online ISSN No:- 2394-6776 Article DOI No:- 10.18231/j.ijfcm.2023.018, Indian Journal of Forensic and Community Medicine-Indian J Forensic Community Med
印度基于能力的医学教育的最新改革- IJFCM-印刷ISSN号:- 2394-6768在线ISSN号:- 2394-6776文章DOI:- 10.18231/ J . IJFCM .2023.018,印度法医和社区医学杂志-印度J法医社区医学
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引用次数: 0
A community-based cross-sectional study on stressors and gender differences in coping strategies among primary caregivers of cardiovascular disease in the capital city of India, New Delhi 一项基于社区的横断面研究,探讨印度首都新德里心血管疾病初级护理人员应对策略的压力源和性别差异
Pub Date : 2023-10-15 DOI: 10.18231/j.ijfcm.2023.023
Prabhjeet Kaur, Manish Kumar Goel, J. G Prasuna
Apart from the impact on mortality rates, CVDs often present as chronic conditions, adding to the stress of caregiving to their caregivers. Males and females cope differently with the stressors in general. In this study, we aim to investigate the gender-based variations in coping strategies among primary caregivers of individuals with CVD. : A sample size of 384 households was selected using systematic random sampling for the study and household was the primary sampling unit. The information was collected regarding the stressors and various coping strategies utilized by primary caregivers to navigate different stressors. Out of the total 384 caregivers, stressors were found in 347 caregivers who were then studied for coping strategies. Among primary caregivers, the proportion of women (58%) was more than men (42%)Planful problem-solving (85.9%) was found to be the most commonly preferred coping strategy among both genders, with no significant association. Among other problem-oriented coping strategies, men caregivers reported using confrontive coping more frequently. While assessing emotion-focused coping strategies, Accepting responsibility (77.5%), Self-controlling (68.9%), Positive appraisal strategy (61.4%) and Distancing (36.3%) were found more likely to be adopted by women. Seeking social support (69%), both problem-focused and emotion-focused coping strategies were found more among women caregivers. By implementing gender-sensitive approaches, we can better support caregivers and help them navigate the challenges of caregiving for individuals with cardiovascular diseases.
除了对死亡率的影响外,心血管疾病往往以慢性病的形式出现,增加了照顾者的压力。一般来说,男性和女性应对压力的方式不同。在本研究中,我们旨在调查心血管疾病患者主要照顾者应对策略的性别差异。:采用系统随机抽样方法,以住户为主要抽样单位,样本量为384户。收集了主要照顾者应对不同压力源的信息和应对策略。在384名照顾者中,347名照顾者中发现了压力源,然后研究了他们的应对策略。在主要照顾者中,女性所占比例(58%)高于男性(42%)。有计划地解决问题(85.9%)是男女最普遍的首选应对策略,但无显著相关性。在其他以问题为导向的应对策略中,男性照顾者报告说他们更频繁地使用对抗性应对。在评估以情绪为中心的应对策略时,女性更倾向于采用承担责任(77.5%)、自我控制(68.9%)、积极评价策略(61.4%)和保持距离(36.3%)。寻求社会支持(69%)、以问题为中心和以情绪为中心的应对策略在女性照顾者中更为常见。通过实施对性别问题敏感的方法,我们可以更好地支持护理人员,帮助他们应对照顾心血管疾病患者的挑战。
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引用次数: 0
Socio-demographic and medico-legal study of hanging and strangulation deaths in South Kerala 南喀拉拉邦绞刑和勒死的社会人口和医学法律研究
Pub Date : 2023-07-15 DOI: 10.18231/j.ijfcm.2023.013
Nivin George, S. Devassy
Hanging is a quick and very effective method used to commit suicide. The ligature material used for hanging is one of the important factors that determine the type of ligature mark or the pressure abrasion. The study was carried out at the Department of Forensic Medicine and Toxicology, Govt. Medical College in Thiruvananthapuram. The demographic characteristics of victims of hanging and strangulation as well as medico-legal findings in such situations were the key variables of the study. There were total 75 asphyxial fatalities, out of which 70 were caused by hanging and 5 by strangulation, were examined. According to the study's findings, men and young people between the ages of 21 and 40 are more likely to die violently from asphyxia. Suicidal hanging was a prevalent method among the unemployed. In the married group, hanging and strangulation deaths are more common. In most cases, a current psychological issue was the cause of suicide. Ligature marks from hanging were usually clearly defined, higher than the thyroid cartilage, discontinuous, and free of internal neck injuries.
上吊是一种快速而有效的自杀方式。吊挂用的绳纹材料是决定绳纹类型或压力磨损的重要因素之一。这项研究是在蒂鲁凡得琅政府医学院法医和毒理学系进行的。绞刑和勒死受害者的人口特征以及在这种情况下的法医调查结果是这项研究的关键变量。共有75人死于窒息,其中70人死于上吊,5人死于勒死。根据这项研究的发现,年龄在21岁到40岁之间的男性和年轻人更有可能死于窒息。上吊自杀在失业者中是一种普遍的方法。在已婚人群中,上吊和勒死更为常见。在大多数情况下,当前的心理问题是自杀的原因。悬挂的勒痕通常清晰,高于甲状软骨,不连续,无颈内损伤。
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引用次数: 0
An autopsy based study of corrosive acid poisoning and its medico-legal aspects – A case report 基于尸体解剖的腐蚀性酸中毒及其法医学方面的研究-一个案例报告
Pub Date : 2023-07-15 DOI: 10.18231/j.ijfcm.2023.016
A. Abhay, Anil Shandil, K. Ranjan, Dilesh Kumar, Irfan Ali, Suresh Kumar
The study is of ingestion of corrosive substances and its medico-legal aspects. Corrosive refers to any chemicals (strong acids and alkalis) that dissolve and destroy the structure of an object. Corrosives corrode and damage the tissue on contact. In dilute form it acts as an irritant. Strong acid reacts violently with water and generates heat and fire. In our study, corrosive acid ingestion and its deteriorating & devastating effects ranging from signs, symptoms and internal damage leading to death have been analyzed. Here we discuss a case of an adolescent girl who ingested a corrosive substance at home, was rushed to hospital in a gasping stage where resuscitated treated and finally succumbed to death. Correlating the autopsy findings, medical treatment records and the scene of incidence was crucial to determine medico-legal aspects.
本研究是关于腐蚀性物质的摄入及其医学法律问题。腐蚀性物质是指能溶解和破坏物体结构的任何化学物质(强酸和强碱)。腐蚀剂在接触时会腐蚀和损坏组织。稀释后的它有刺激物的作用。强酸与水剧烈反应,产生热和火。在我们的研究中,腐蚀性酸的摄入及其恶化和破坏性影响,从体征,症状和内部损害导致死亡进行了分析。这里我们讨论一个案例,一个青春期的女孩在家里摄入了腐蚀性物质,在喘气的阶段被紧急送往医院,在那里进行了复苏治疗,最终死亡。将尸检结果、医疗记录和事故现场联系起来,对于确定医学法律方面的问题至关重要。
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引用次数: 1
Economic parameter of modified Kuppuswamy socioeconomic status scale for the year 2023 2023年修正Kuppuswamy社会经济地位量表经济参数
Pub Date : 2023-07-15 DOI: 10.18231/j.ijfcm.2023.017
Shifana Ayoub, R. Raja
Socioeconomic status SES is one of the most important indicators to consider when assessing a family's health and nutritional status. It is a position that any person can achieve within a hierarchical social framework. Academicians and medical researchers have made several attempts in the past to create a collection of composite indices to assess an individual's or a family's socioeconomic status (SES) whether they reside in a rural or urban location. The Hollingshead, Nakao, and Treas, Blishen, Carroll, and Moore, Tiwari, Kumar, and Agarwal, Jalota, and Kuppuswamy scales are a few of the notable scales. The scales have several factors that account for information about a person or a family. Among all the SES, the most widely used scale in India is ‘The Modified Kuppuswamy SES’. Based on the total score of the Kuppuswamy scale, which ranges from 3-29, families are categorized into five classes, from upper class to lower class. Owing to constraints, the Kuppuswamy SES requires frequent updates for income levels that are dependent on shifting consumer price index (CPI) values, making the scale susceptible to changes over time. This paper aims to update and provide an “Updated Modified Kuppuswamy SES" for the year 2023.
社会经济地位社会经济地位是评估家庭健康和营养状况时要考虑的最重要指标之一。在等级制的社会框架中,这是一个任何人都可以获得的职位。院士和医学研究人员过去曾多次尝试创建一套综合指数,以评估个人或家庭的社会经济地位(SES),无论他们居住在农村还是城市。Hollingshead、Nakao和Treas、Blishen、Carroll和Moore、Tiwari、Kumar和Agarwal、Jalota和Kuppuswamy是一些著名的音阶。这些量表有几个因素可以解释一个人或一个家庭的信息。在所有SES中,印度使用最广泛的是“改良库普斯瓦米SES”。根据库普斯瓦米量表(Kuppuswamy scale)的总分(3-29分),将家庭分为从上层到下层的5个阶层。由于限制,Kuppuswamy SES需要经常更新依赖于不断变化的消费者价格指数(CPI)值的收入水平,这使得该量表容易随着时间的推移而变化。本文旨在更新并提供2023年的“更新修改库普斯瓦米SES”。
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引用次数: 0
Building community capabilities to mitigate and respond to public health emergencies due to climate change 建设社区能力,以减轻和应对气候变化引起的突发公共卫生事件
Pub Date : 2023-07-15 DOI: 10.18231/j.ijfcm.2023.010
P. Singh
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引用次数: 0
Indian forensic pharmacovigilance: status quo 印度法医药物警戒:现状
Pub Date : 2023-07-15 DOI: 10.18231/j.ijfcm.2023.015
Laavanya Venati, A. Vora
To give the judicial system relevant information, forensic science collects, examines, and applies scientific data. Pharmacy fills a forensic niche. The majority of pharmacists moonlight or work in forensics part-time in their day jobs. A person with expertise in pharmacology has professional knowledge and practical experience in the fields of therapeutics, pharmacokinetics, and toxicology in addition to having been exposed to areas like forensic medicine during medical school. All of these knowledge areas can be used in forensic scenarios and serve as an interface. A forensic pharmacologist's training and experience can be beneficial in a wide range of legal issues. The development and integration of forensic pharmacologists in the Indian legal system are urgently required due to the country's rising frequency of criminal and civil cases. A substantial technological improvement in pharmacology research has allowed it to broaden its use beyond the field of medicines, allowing Indian pharmacologists to study the specialized field of forensic pharmacology. The many facets of forensic pharmacology include the different pharmacokinetics and pharmacodynamics of drugs in living and dead people, drug interactions, drug abuse, personal injury or death brought on by drug exposure resulting in medico-legal issues, environmental chemical exposure, doping, and forensic pharmacovigilance. Forensic pharmacologists have shown to be invaluable assets in a variety of criminal and civil cases across various nations. They use their pharmacological expertise in civil and legal matters, such as settling disputes, the drug approval process, and the criminal justice system. The role of thorough investigation in determining the cause of death in crime scenes with positive drug screens has been demonstrated via several research papers and case studies. Even the general public is aware of the importance of forensic sciences in the legal system of justice.
为了向司法系统提供相关信息,法医学收集、检验和应用科学数据。药房填补了法医的空白。大多数药剂师在日常工作中兼职或从事法医工作。具有药理学专业知识的人除了在医学院期间接触过法医学等领域外,还具有治疗学、药代动力学和毒理学领域的专业知识和实践经验。所有这些知识领域都可以在取证场景中使用,并作为一个接口。法医药理学家的训练和经验可以在广泛的法律问题上是有益的。由于印度的刑事和民事案件日益频繁,法医药理学家在印度法律体系中的发展和整合是迫切需要的。药理学研究的重大技术进步使其能够将其用途扩大到药物领域之外,使印度药理学家能够研究法医药理学这一专门领域。法医药理学的许多方面包括药物在活人和死人体内的不同药代动力学和药效学、药物相互作用、药物滥用、药物暴露导致的医疗法律问题、环境化学暴露、兴奋剂和法医药物警戒。法医药理学家在不同国家的各种刑事和民事案件中显示出宝贵的资产。他们将药理学专业知识用于民事和法律事务,如解决纠纷、药物审批程序和刑事司法系统。若干研究论文和案例研究证明了彻底调查在确定毒品筛查呈阳性的犯罪现场的死因方面的作用。甚至一般公众也意识到法医学在司法法律制度中的重要性。
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引用次数: 0
期刊
Indian journal of forensic and community medicine
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