{"title":"Detection of C-9 as a Marker of Early Myocardial Infarction in Sudden Death Cases by Immunohistochemistry","authors":"","doi":"10.37506/mlu.v23i1.3359","DOIUrl":"https://doi.org/10.37506/mlu.v23i1.3359","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75480650","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}
{"title":"Profile Study of Railway Fatality Cases Brought for Postmortem Examination at SMS Medical College, Jaipur","authors":"","doi":"10.37506/mlu.v23i2.3390","DOIUrl":"https://doi.org/10.37506/mlu.v23i2.3390","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74360084","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}
{"title":"Comparison Between Ultrasonography and Capnography in the Assessment of Endotracheal Tube Placement after General Anesthesia","authors":"","doi":"10.37506/mlu.v23i1.3356","DOIUrl":"https://doi.org/10.37506/mlu.v23i1.3356","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80701813","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}
Background: Regular epidemiological investigations are essential for gaining insights into the incidence ofpoisoning in various geographical areas. The purpose of this study was to assess the characteristics and trendsof deaths due to poisoning in Gandhi Medical College, Secunderabad.Methods: Hospital records, inquest reports, post-mortem reports and toxicological analysis reports were analysedamong various age groups, sex, type and manner of poisoning. Snake bite poisoning cases were excluded.Results: Out of 318 cases, we got positive toxicological analysis report for 287 (90.2%) cases. In our studypredominance of male cases 259(81.45%) compared to female cases 59(18.55%) reported. In the age group mostinvolved was 21-30 yrs 107 cases (34%) followed by 31-40 yrs 82 (26%), 41-50 yrs 49 (15%). Organophosphatepoisoning reported in high number of cases 189(65.85%) followed by paraquat poisoning 44(15.33%), tabletpoisoning 23(2.01%), Sulphuric acid poisoning 22(7.67%) and others 9 (3.14%) (Rodenticide, phenol, pyrethroid,nitrite). In manner of death suicidal cases 311(97.80%) reported more followed by accidental cases 7 (2.20%). Insuicidal cases, economic constraints as a reason were outnumbered 209 cases (67.20%) followed by health issues52(16.72%), academic failure 35(11.25%), love failure 15(4.82%). In region wise, rural areas reported more cases244(76.73%) when compared to urban area 74 (23.27%). In season wise, more cases reported in April to July 148cases (46.50%) followed by December to March 97 cases (30.5%), August to November 73 (23%). Zero homicidalpoisoning noted.Conclusion: Organophosphate poisoning in active male population of rural areas with economic constraintswere reported to be predominant.
{"title":"Study on acute poisoning cases brought for Medico Legal Autopsy in Gandhi Medical College, Secunderabad","authors":"","doi":"10.37506/mlu.v23i4.3445","DOIUrl":"https://doi.org/10.37506/mlu.v23i4.3445","url":null,"abstract":"Background: Regular epidemiological investigations are essential for gaining insights into the incidence ofpoisoning in various geographical areas. The purpose of this study was to assess the characteristics and trendsof deaths due to poisoning in Gandhi Medical College, Secunderabad.Methods: Hospital records, inquest reports, post-mortem reports and toxicological analysis reports were analysedamong various age groups, sex, type and manner of poisoning. Snake bite poisoning cases were excluded.Results: Out of 318 cases, we got positive toxicological analysis report for 287 (90.2%) cases. In our studypredominance of male cases 259(81.45%) compared to female cases 59(18.55%) reported. In the age group mostinvolved was 21-30 yrs 107 cases (34%) followed by 31-40 yrs 82 (26%), 41-50 yrs 49 (15%). Organophosphatepoisoning reported in high number of cases 189(65.85%) followed by paraquat poisoning 44(15.33%), tabletpoisoning 23(2.01%), Sulphuric acid poisoning 22(7.67%) and others 9 (3.14%) (Rodenticide, phenol, pyrethroid,nitrite). In manner of death suicidal cases 311(97.80%) reported more followed by accidental cases 7 (2.20%). Insuicidal cases, economic constraints as a reason were outnumbered 209 cases (67.20%) followed by health issues52(16.72%), academic failure 35(11.25%), love failure 15(4.82%). In region wise, rural areas reported more cases244(76.73%) when compared to urban area 74 (23.27%). In season wise, more cases reported in April to July 148cases (46.50%) followed by December to March 97 cases (30.5%), August to November 73 (23%). Zero homicidalpoisoning noted.Conclusion: Organophosphate poisoning in active male population of rural areas with economic constraintswere reported to be predominant.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136259227","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}
Background: It has been found that so many biochemical materials, including electrolytes, remain remarkablystable after death while others show varying degrees of change; hence, the analysis of electrolytes in vitreoushumour has great medico-legal importance.Method: 95 autopsies were studied by making a puncture 5–6 mm away from the limbus by using a 10 ml sterilesyringe and 20 gauze needles. Aspirated vitreous was poured into a rubber stopped vial. The collected fluid wassent to the biochemistry department for electrolyte analysis. The analysis was carried out using the iron selectiveelectrode method, and the results were noted and compared.Results: The PM interval for 27 cases (28.4%) was < 12 hours, 32 cases (33.6%) was between 12-24 hours, and36 cases (37.8%) was >24 hours. In the study of different electrolytes, the sodium chloride value remainedinsignificant, but the potassium value had a highly significant p value (p<0.001). The highest mean value ofpotassium 10.62 (±1.90) in accidental falls and least in snake bite deaths was 6.7 (±0.23).Conclusion: The present pragmatic study has proved that vitreous potassium is the single best parameter toestimate and predict post mortem death accurately.
{"title":"Post Mortem analysis of electrolytes in vitreous humour to determine time since death","authors":"","doi":"10.37506/mlu.v23i4.3446","DOIUrl":"https://doi.org/10.37506/mlu.v23i4.3446","url":null,"abstract":"Background: It has been found that so many biochemical materials, including electrolytes, remain remarkablystable after death while others show varying degrees of change; hence, the analysis of electrolytes in vitreoushumour has great medico-legal importance.Method: 95 autopsies were studied by making a puncture 5–6 mm away from the limbus by using a 10 ml sterilesyringe and 20 gauze needles. Aspirated vitreous was poured into a rubber stopped vial. The collected fluid wassent to the biochemistry department for electrolyte analysis. The analysis was carried out using the iron selectiveelectrode method, and the results were noted and compared.Results: The PM interval for 27 cases (28.4%) was < 12 hours, 32 cases (33.6%) was between 12-24 hours, and36 cases (37.8%) was >24 hours. In the study of different electrolytes, the sodium chloride value remainedinsignificant, but the potassium value had a highly significant p value (p<0.001). The highest mean value ofpotassium 10.62 (±1.90) in accidental falls and least in snake bite deaths was 6.7 (±0.23).Conclusion: The present pragmatic study has proved that vitreous potassium is the single best parameter toestimate and predict post mortem death accurately.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136259612","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}
{"title":"Victimization of transgender people in India","authors":"","doi":"10.37506/mlu.v23i1.3361","DOIUrl":"https://doi.org/10.37506/mlu.v23i1.3361","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80965163","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}
{"title":"Epidemiological Profile of Medico-Legal Autopsy Cases Reported at a Tertiary Care Center","authors":"","doi":"10.37506/mlu.v23i2.3386","DOIUrl":"https://doi.org/10.37506/mlu.v23i2.3386","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80991362","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}
{"title":"Study of Skull Fractures and its Associated Features Due to Injury in Central Gujarat Region: A Retrospective Study","authors":"","doi":"10.37506/mlu.v23i1.3357","DOIUrl":"https://doi.org/10.37506/mlu.v23i1.3357","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78887017","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}
Adverse events during the pregnancy deter the mother’s health and raise questions regarding the country’sexistent healthcare. India is among the few nations responsible for two-thirds of all intrauterine fatalitiesworldwide. Intrauterine deaths risk medical negligence lawsuits by the aggrieved family members againstthe treating doctors and the hospital authorities. Fetal autopsy forms a valuable audit of clinical care, enableslearning about such adverse pregnancy outcomes, and assists in administering justice in medical lawsuits. Wediscuss a case of a 30-year-old pregnant female at 38 weeks +1 day of gestation. She was reported to a hospitalwith lower abdominal pain. Per abdomen examination, fetal heart sound was reported to be present, and shewas sent home. She presented with complaints of lower abdominal pain, rupture of membrane, and loss offetal movements the next day and was diagnosed as intrauterine fetal death. The family members alleged it asmedical negligence, and the fetus was sent for a medicolegal autopsy. During the autopsy, skin desquamation ofabout 75% of the total body surface area was present. The umbilical cord stump was dark reddish brown colored.Overriding of the cranial bones was noted. The diaphragm was present at the level of the 4th rib. The lungs werenon-crepitant and had liver-like consistency. Hydrostatic and stomach-bowel tests were negative. Cut sectionsof the lower end of the femur, the upper end of the tibia, and the body of the sternum, calcaneum, and talusshowed the appearance of the ossification centers. Medicolegal autopsy helped answer the investigating officer’squestions and establish fetal age, time since intrauterine death, and whether the fetus was live or dead born.
{"title":"An intrauterine fetal death alleged as medical negligence: an autopsy-based case report","authors":"","doi":"10.37506/mlu.v23i4.3450","DOIUrl":"https://doi.org/10.37506/mlu.v23i4.3450","url":null,"abstract":"Adverse events during the pregnancy deter the mother’s health and raise questions regarding the country’sexistent healthcare. India is among the few nations responsible for two-thirds of all intrauterine fatalitiesworldwide. Intrauterine deaths risk medical negligence lawsuits by the aggrieved family members againstthe treating doctors and the hospital authorities. Fetal autopsy forms a valuable audit of clinical care, enableslearning about such adverse pregnancy outcomes, and assists in administering justice in medical lawsuits. Wediscuss a case of a 30-year-old pregnant female at 38 weeks +1 day of gestation. She was reported to a hospitalwith lower abdominal pain. Per abdomen examination, fetal heart sound was reported to be present, and shewas sent home. She presented with complaints of lower abdominal pain, rupture of membrane, and loss offetal movements the next day and was diagnosed as intrauterine fetal death. The family members alleged it asmedical negligence, and the fetus was sent for a medicolegal autopsy. During the autopsy, skin desquamation ofabout 75% of the total body surface area was present. The umbilical cord stump was dark reddish brown colored.Overriding of the cranial bones was noted. The diaphragm was present at the level of the 4th rib. The lungs werenon-crepitant and had liver-like consistency. Hydrostatic and stomach-bowel tests were negative. Cut sectionsof the lower end of the femur, the upper end of the tibia, and the body of the sternum, calcaneum, and talusshowed the appearance of the ossification centers. Medicolegal autopsy helped answer the investigating officer’squestions and establish fetal age, time since intrauterine death, and whether the fetus was live or dead born.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136259063","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}
The main aim of teaching Forensic Medicine in our nation to develop doctors who are knowledgeable and wellaware about medico-legal Responsibilities in the practice of medicine. Forensic medicine and toxicology arerequired to be taught to MBBS undergraduate during their second professional year, which lasts 18 monthsin India. The study was done among a total of 352 MBBS undergraduates of VCSGGIMS & R Srinagar PauriGarhwal Uttarakhand after dividing them in to three groups. The Students were asked to express their responseson a scale with grading from 1 to 5 on a questionnaire for survey. 84.9% students strongly or somewhat hadagreed that the subject has utility after MBBS course for delivering health services especially in GovernmentHealth centre and While 5.1% strongly or somewhat had disagreed with it.
{"title":"Perception of Medical students about Forensic Medicine subject- A survey based study at Govt. Medical Institute situated in hilly region of Uttarakhand State","authors":"","doi":"10.37506/mlu.v23i4.3449","DOIUrl":"https://doi.org/10.37506/mlu.v23i4.3449","url":null,"abstract":"The main aim of teaching Forensic Medicine in our nation to develop doctors who are knowledgeable and wellaware about medico-legal Responsibilities in the practice of medicine. Forensic medicine and toxicology arerequired to be taught to MBBS undergraduate during their second professional year, which lasts 18 monthsin India. The study was done among a total of 352 MBBS undergraduates of VCSGGIMS & R Srinagar PauriGarhwal Uttarakhand after dividing them in to three groups. The Students were asked to express their responseson a scale with grading from 1 to 5 on a questionnaire for survey. 84.9% students strongly or somewhat hadagreed that the subject has utility after MBBS course for delivering health services especially in GovernmentHealth centre and While 5.1% strongly or somewhat had disagreed with it.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136259611","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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