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Age determination and the importance of teeth in forensic odontology: A retrospective review 年龄测定和牙齿在法医牙科学中的重要性:回顾性回顾
Pub Date : 2017-08-19 DOI: 10.18099/ijetv.v3i1.8794
G. Sam
Because of illegal immigrations, particularly after the so called Arab spring and the growing incidence of natural and man-made disasters which regrettably was very common in the last three to four decades, age determination has gained increasing importance in legal medicine. Forensic odontology is a branch of dentistry which deals with the proper handling and examination of dental evidence and the proper evaluation and presentation of dental findings in the interest of justice. There are various methods are used in Dentistry as an Evidence in Forensic Identification. Dental maturity, have a very imperative position in the assessment of age in children and adolescents forensic examinations. As time passes, with the increase in human greed and aspirations to conquer more and more nations in the false name of ‘removal of the dictators’ and the ‘forceful imposition of imported western democracy’ that has produced devastating results in the middle east and ultimately resulting in illegal mass immigration occurring towards Europe, eventually resulting in increase of crime and other legal and illegal activities, Forensic odontology as a branch in dentistry will continue to play its important role in legal medicine.
由于非法移民,特别是在所谓的“阿拉伯之春”和自然灾害和人为灾害日益增加之后,年龄测定在法律医学中变得越来越重要,令人遗憾的是,这些灾害在过去三、四十年中非常普遍。法医牙医学是牙医学的一个分支,它处理正确的处理和检查牙科证据,以及正确的评估和提出牙科调查结果,以维护正义。在法医鉴定中,有各种各样的方法被用作牙科证据。牙的成熟程度,在儿童和青少年法医鉴定年龄的评估中有着十分重要的地位。随着时间的推移,随着人类贪婪和渴望的增加,以“推翻独裁者”和“强行推行西方民主”的名义征服越来越多的国家,这在中东造成了毁灭性的后果,最终导致了向欧洲的非法大规模移民,最终导致了犯罪和其他合法和非法活动的增加。法医牙医学作为牙医学的一个分支,将继续在法律医学中发挥重要作用。
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引用次数: 0
Clinical ethics and law in health care system 医疗卫生系统中的临床伦理与法律
Pub Date : 2017-08-19 DOI: 10.18099/IJETV.V3I1.8793
Abhinav Gorea
Different situations arise while treating the patients when there are ethical dilemmas to give one or other type of treatment or not to do anything. Sometimes doctors and nurses consider that what is good for the patient must be done because the patient does not understand the situation and consequences. This may lead to complete cure and patient usually goes back to home happily but sometimes a complication may occur and the patient may sue the health care providers. When such situations are analyzed then principles of ethics and law are considered to see if any of these have been violated or not to reach the conclusion. In this study principles of law and ethics of treatment have been discussed to reach the right conclusion; which will be helpful in situations where there are ethical dilemmas during the treatment.
在治疗病人的过程中,出现了不同的情况,当有道德困境时,给予一种或另一种类型的治疗或什么都不做。有时医生和护士认为必须做对病人有益的事情,因为病人不了解情况和后果。这可能导致完全治愈,患者通常可以愉快地回家,但有时可能会发生并发症,患者可能会起诉卫生保健提供者。当分析这些情况时,考虑道德和法律原则,看看是否违反了这些原则,或者没有得出结论。本文对治疗的法律原则和伦理进行了探讨,以期得出正确的结论;这在治疗过程中出现道德困境的情况下会很有帮助。
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引用次数: 0
Identification from bite marks in a sexual assault case involving multiple assailants by DNA profiling 在一起涉及多名攻击者的性侵案件中,通过咬痕进行DNA鉴定
Pub Date : 2017-08-19 DOI: 10.18099/IJETV.V3I1.8797
Rajinderpal Singh, Pankaj Mahla, R. K. Gorea, Sarabjeet Singh, Y. Sharma
Bite mark evidence is often introduced as being close to DNA in terms of accuracy. Bite marks are generally found at the scene of violent crime murders, sexual assaults and are an extremely difficult process to collect the bite marks/saliva sample very lightly, otherwise, only victim profile will be generated. On examination of victim's right breast, a patterned injury was discovered and determined to be from adult male’s teeth. Evidence was collected by the forensic doctor according to established techniques including recovery of saliva from the bite mark area despite the body. DNA analysis by PCR using polymorphic STR markers revealed a DNA profile of mixed origin. With the advent of more sensitive typing methodologies, fingernails clipping for foreign DNA, as well as swabs collected from the area on the victim's body (kissed, licked, genital area, bitten area from breast and lips), are analyzed. In addition, finger swabs for nail scrapping in the case of digital penetration could also be collected from the suspect for DNA analysis, findings new repeats of DNA. Generally, Victim’s DNA profile, a genotype contribution from the perpetrator was identified as a minor component. Thus the DNA typing results from the bite mark correlated with the DNA typing results obtained from other biological trace evidence identified from the victim's genital samples. The bite mark and the DNA evidence were used to screen suspects and played an important role in obtaining resolution of this case. In this study DNA profiled from the breast swab from bitten area, finger swabs, and a control sample of assailants were obtained for all STR loci using AmpflSTR Identifier kit.
咬痕证据通常被认为在准确性方面接近DNA。咬痕一般出现在暴力犯罪、谋杀、性侵犯等案件的现场,很难轻易采集到咬痕/唾液样本,否则只能生成受害人的侧写。在检查受害者的右乳房时,发现了一个有图案的伤口,并确定是由成年男性的牙齿造成的。法医根据现有技术收集证据,包括从咬痕区域提取唾液。利用多态STR标记进行PCR分析,发现其DNA谱为混合起源。随着更敏感的分型方法的出现,对指甲剪取外来DNA以及从受害者身体部位(亲吻、舔舐、生殖器部位、乳房和嘴唇咬伤部位)收集的拭子进行了分析。此外,在数字渗透的情况下,也可以从嫌疑人身上收集指甲刮擦的手指拭子进行DNA分析,发现新的DNA重复。一般来说,受害者的DNA特征,来自犯罪者的基因型贡献被确定为次要成分。因此,咬痕的DNA分型结果与从受害者生殖器样本中鉴定的其他生物痕迹证据中获得的DNA分型结果相关联。咬痕和DNA证据被用来筛选犯罪嫌疑人,对此案的侦破起到了重要作用。在本研究中,使用AmpflSTR识别试剂盒从被咬区域的乳房拭子、手指拭子和攻击者的对照样本中获得了所有STR位点的DNA图谱。
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引用次数: 0
Social media and the medical profession 社交媒体和医疗行业
Pub Date : 2017-08-19 DOI: 10.18099/IJETV.V3I1.8790
R. K. Gorea
Social media is now increasingly being used by various professionals to enhance the professional outcome and solve the day to day problems and enrich their knowledge but the medical fraternity is lagging behind in this race. Medical professionals are using social media for private use but for professional use, trend is of hesitant use. There are two groups on the social media, one is of consumers and other is of providers and medical professionals best fit in the second category due to their knowledge, experience, and expertise but newly registered doctors fall into the first category. Limited use of social media is due to ignorance and fear of legal problems. Objective and purpose of this paper are to make medical professionals aware about the potentials, advantages, disadvantages, ethical issues, limitations, challenges and precautions about using the social media so that medical professionals can use the social media in a better and safe way.
现在越来越多的专业人士使用社交媒体来提高专业成果,解决日常问题,丰富他们的知识,但医学界在这场竞赛中落后了。医疗专业人员将社交媒体用于私人用途,但用于专业用途的趋势是犹豫使用。社交媒体上有两个群体,一个是消费者,另一个是提供者和医疗专业人员,由于他们的知识,经验和专业知识,最适合第二类,但新注册的医生属于第一类。社交媒体的有限使用是由于对法律问题的无知和恐惧。本文的目的和目的是让医疗专业人员了解使用社交媒体的潜力,优势,劣势,道德问题,局限性,挑战和注意事项,以便医疗专业人员能够更好,安全地使用社交媒体。
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引用次数: 0
Complete blood count, cholinesterase, and renal function of organophosphate sprayers in Kulonprogo 库隆普罗戈中有机磷喷雾器的全血细胞计数、胆碱酯酶和肾功能
Pub Date : 2017-08-19 DOI: 10.18099/ijetv.v3i1.8791
I. A. Wiraagni
Background: There are several risks to health associated with pesticide use. The use of Personal Protective Equipment (PPE) can minimize pesticide exposure to farmers. The aim of this study was to determine the basic characteristics of farmers, blood parameters (complete blood count, cholinesterase, and creatinine), patterns of pesticide use, and the use of PPE. Methods: This research was a cross-sectional study, with total sampling method. The data were taken from all farmers in Kulonprogo, Yogyakarta, Indonesia. Case group was organophosphate sprayers that have sprayed organophosphate for more than 1 year.Results: In case of group, there were 36 farmers (31 male and 5 female), while in control group, there were 11 persons (4 male and 7 female). The mean blood cholinesterase level in the exposed group was 7.8 ± 2.01Ku/L and in the control group 8.7± 1.56 Ku/L. The mean of exposed group blood urea nitrogen: 12.08±3.88 mmol/L and control Group: 11.4±3.11 mmol/L. The mean of blood creatinine was within normal limits (case group: 0.9 ± 0.17mg/dl and control group: 0.7 ± 0.19 mg/dl), but there were significant differences between them (p : 0.015).Conclusions: The results of a complete blood count, cholinesterase, and renal function in the organophosphate sprayers In Kulonprogro were within normal limits. There was an increase of creatinine levels on exposed group significantly, although still within normal limit. They have sufficient rest period for farmers (1 month) in every planting season. It is necessary to educate farmers about the importance of using PPE and management of acute pesticide poisoning.
背景:与农药使用有关的健康风险有几种。使用个人防护装备(PPE)可以最大限度地减少农药对农民的影响。本研究的目的是确定农民的基本特征、血液参数(全血细胞计数、胆碱酯酶和肌酐)、农药使用模式和个人防护装备的使用情况。方法:采用全抽样方法进行横断面研究。数据来自印度尼西亚日惹市Kulonprogo的所有农民。病例组为使用有机磷喷雾器1年以上。结果:病例组有36人,其中男31人,女5人;对照组有11人,男4人,女7人。暴露组血胆碱酯酶平均值为7.8±2.01Ku/L,对照组为8.7±1.56 Ku/L。暴露组血尿素氮平均值为12.08±3.88 mmol/L,对照组为11.4±3.11 mmol/L。血肌酐平均值在正常范围内(病例组为0.9±0.17mg/dl,对照组为0.7±0.19 mg/dl),但两组间差异有统计学意义(p: 0.015)。结论:库伦普洛普的有机磷喷雾器的全血细胞计数、胆碱酯酶和肾功能均在正常范围内。暴露组肌酐水平明显升高,但仍在正常范围内。每个种植季节都有充足的休息时间(1个月)。有必要教育农民使用个人防护装备和管理急性农药中毒的重要性。
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引用次数: 0
Study to assess the physical changes seen in old age in Punjab region (India) 印度旁遮普地区老年人身体变化评估研究
Pub Date : 2017-08-19 DOI: 10.18099/IJETV.V3I1.8792
Pardeep Singh, Davinder Kaur, R. K. Gorea, S. Oberai
in the present study, various physical changes that occur in old aged persons like arcus senilis, a cataract of eyes, presbyacusis, wrinkles on the skin of face and memory (intact or not) were studied. Old aged persons need special attention according to the physical change that has occurred, so they need tender care both psychological as well as physical care. regular mood and memory check-ups should be encouraged for all older adults, just as we now encourage regular physicals (1). The speed, at which people age, as well as how aging affects their outlook on life, varies from person to person (the speed at which people age, as well as how aging affects their outlook on life, varies from person to person).
在本研究中,研究了老年人发生的各种生理变化,如衰老弧、白内障、老年性耳聋、面部皮肤皱纹和记忆(完好与否)。老年人根据身体发生的变化需要特别的照顾,因此他们需要心理和身体上的温柔照顾。应该鼓励所有老年人定期进行情绪和记忆检查,就像我们现在鼓励定期体检一样(1)。人们衰老的速度以及衰老对他们人生观的影响是因人而异的(人们衰老的速度以及衰老对他们人生观的影响是因人而异的)。
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引用次数: 0
Stud guns, firearm injuries 螺柱枪,火器伤害
Pub Date : 2017-08-19 DOI: 10.18099/IJETV.V3I1.8796
Hatem M.Abd El Gawad
Wounds caused by stud guns are not infrequent in construction companies. Reported deaths following stud gun injuries are hardly met with in forensic literature. Also, the pathophysiological mechanism involved in the production of such type of wounds is not very clear. The article presents two reported cases of accidental fatal and stud gun injuries of chest together with a brief review of this type of industrial tool and its ammunition so that we can shed light on the wounding mechanism. The importance of careful post-mortem examination, and detailed investigation of the scene, to reconstruct the event, and to determine the manner of death are included.
在建筑公司中,由螺柱枪造成的伤口并不罕见。在法医文献中几乎没有见过钉枪造成的死亡报告。此外,这类创面的病理生理机制尚不清楚。本文介绍了两例胸部意外致死性钉枪伤害的报道,并对这类工业工具及其弹药进行了简要回顾,以阐明其致伤机理。包括仔细的验尸和对现场的详细调查,以重建事件和确定死亡方式的重要性。
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引用次数: 0
Age estimation from the fusion of distal end of fibula epiphysis 腓骨骨骺远端融合的年龄估计
Pub Date : 2016-12-28 DOI: 10.18099/IJETV.V2I02.6855
Pardeep Singh, Davinder Kaur, R. K. Gorea, S. Oberai, A. Kapila
The range of variation in epiphyseal fusion for the distal end of fibula epiphysis in Punjab, India populations has been studied in the present study. This study evaluates epiphyseal fusion of the distal fibula in 100 young individuals, 50 males, and 50 females with age range from 16-17 years to 24-25 years. Radiographs were performed at Rajindra Hospital, Patiala, Punjab, India with 10 cases from each age group in both males and females. Both AP and lateral views of X-ray were taken. Results indicate that complete fusion in males occur at the age of 18-19 age group and in females occurs at 16-17 year age group in the distal end of the fibula. Earliest union for males and females occur at 16 years.
在旁遮普,印度人口的远端腓骨骨骺融合的变异范围已经研究在本研究中。本研究评估了100名年轻人,50名男性和50名女性的腓骨远端骺融合,年龄范围从16-17岁到24-25岁。在印度旁遮普帕蒂拉的Rajindra医院进行了x光检查,每个年龄组有10例男性和女性。拍摄x线正位和侧位片。结果表明,男性腓骨远端完全融合发生在18-19岁年龄组,女性发生在16-17岁年龄组。男女最早结合发生在16岁。
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引用次数: 0
Ethics In Orthodontics: A Retrospective review 正畸伦理学:回顾性回顾
Pub Date : 2016-12-28 DOI: 10.18099/IJETV.V2I02.6856
G. Sam, Ziyad Alaskar, Mohammed Ali Elqomsan, M. A. AlAteeg
When treating a patient in an orthodontic clinic, significant ethical issues may arise unfolding to the best interests of the patient and decision making for them. The case of a patient with a cleft lip and palate whose parents failed to bring her in for medically indicated orthodontic care is offered. Ethical features of the case are discussed, including the need to benefit the patient, avoid harm, and respect the preferences of the parents. Ethical codes of the American Dental Association and American Medical Association are referenced. Ethical dilemmas include the variance between the orthodontist's commitment to the patient and the need to value the parental autonomy. Parental independence is respected up until the point at which significant harm to a patient may result. The orthodontist's primary ethical responsibility is to the patient and not to anybody else. The orthodontist providing medically indicated care should involve the craniofacial team or hospital social worker when parental decision making is in the query.
当在正畸诊所治疗患者时,可能会出现重大的伦理问题,以实现患者的最佳利益并为他们做出决策。一名唇腭裂患者的父母未能带她到医院接受医学指示的正畸治疗。讨论了该病例的伦理特征,包括需要使患者受益,避免伤害,并尊重父母的偏好。参考美国牙科协会和美国医学协会的道德准则。伦理困境包括正畸医生对病人的承诺和重视父母自主权的需要之间的差异。父母的独立性受到尊重,直到可能对病人造成重大伤害为止。正畸医生的主要道德责任是对病人,而不是对任何人。当父母的决定是在查询时,提供医学指示护理的正畸医生应包括颅面小组或医院社工。
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引用次数: 0
Is the manner of suicide predetermined? – Gastric contents can reveal the truth 自杀的方式是预先确定的吗?-胃内容物可以揭示真相
Pub Date : 2016-12-28 DOI: 10.18099/ijetv.v2i02.6854
S. Chattopadhyay, A. Mazumdar, R. Gangopadhyay
Suicidal deaths have been reported from across the world in different communities, religion, and socio-economic groups. In the developing countries, irrespective of the reason for such deaths the manners of suicide are usually by means of poisoning, hanging, burn or drowning. Rarely gunshot injuries or fall from height are resorted to. The present study aims to determine the different methods opted for suicide in a rural setting in West Bengal. Out of the 134 cases studied over a period of 2 years, hanging was the most common method among both sexes followed by poisoning. In the majority of the cases of hanging food was detected in the stomach while in cases of poisoning it was found only in 39.1% cases. This indicated the knowledge of the victims that food might interfere with the actions of poison and hence to avoid it before consumption of the toxic substance. The presence or absence of the gastric contents also points out towards the predetermined mindset of the deceased with regards to the choice of the method of suicide.
自杀死亡的报告来自世界各地不同的社区、宗教和社会经济群体。在发展中国家,不管这种死亡的原因是什么,自杀的方式通常是投毒、上吊、烧伤或溺水。很少有枪伤或从高处坠落。本研究旨在确定在西孟加拉邦农村环境中选择自杀的不同方法。在2年期间研究的134个案例中,绞刑是男女中最常见的方法,其次是中毒。悬吊食物在胃内的检出率最高,而中毒的检出率仅为39.1%。这表明受害者知道食物可能会干扰毒素的作用,因此在食用有毒物质之前要避免食用。胃内容物的存在与否也指出了死者在选择自杀方式方面的预定心态。
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引用次数: 1
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The International Journal of Ethics
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