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Necrophilia: A Cruelty Towards Corpse-Review Analysis 恋尸癖对尸体的残忍--评论分析
Pub Date : 2024-07-10 DOI: 10.37506/8bk74k78
Athulya S Menon, Nitin Nishad
Necrophilia is a paraphilia in which the offender finds sexual gratification in having sex with the dead. Most nations and jurisdictions have laws against this practice. According to a report from Legal Services India, currently, cases of Necrophilia in India are being referred to under the provisions of Section 297 and Section 377. There hasn't been much research done in that field. History and several case studies indicate that this is exceedingly destructive, not just for the person with the disorder but also for society as a whole. The focus of the current research project is to describe and investigate the problem of sexual encounters with corpses and their social repercussions. The paper explores conceivable motives for having sex with the deceased. Additionally, how such drives can impact the psychological forensic evaluation of criminals who have had sex with corpses.
恋尸癖是一种变态狂,犯罪者通过与死者发生性关系来获得性满足。大多数国家和司法管辖区都有禁止这种行为的法律。根据印度法律服务机构的一份报告,目前印度的恋尸癖案件是根据第 297 条和第 377 条的规定处理的。这方面的研究还不多。历史和一些案例研究表明,这不仅对患者,而且对整个社会都具有极大的破坏性。本研究项目的重点是描述和调查与尸体发生性关系的问题及其社会影响。本文探讨了与死者发生性关系的可想象动机。此外,这种动机如何影响对与尸体发生性关系的罪犯进行心理法医评估。
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引用次数: 0
Para-suicide by Self-Poisoning: Profile of Toxic agents used in Aligarh District of India 自毒自杀:印度阿利加尔地区使用的毒剂概况
Pub Date : 2024-07-10 DOI: 10.37506/xkg8c383
Faiz Ahmad, Kashif Ali
Background: Para-suicide by self-poisoning is a major public health concern throughout the world, especially in developing countries. It is a cause of considerable morbidity and mortality as well as consuming scarce medical resources which would have been used otherwise. The survival of such patients to a considerable extent depends on the competence of the attending doctors, nature of toxic agent consumed and the availability of specific antidote.Objective: The sole purpose of this study is to provide proper knowledge and awareness of health professionals on the common toxic agents used for self-poisoning. Material and methods: This prospective study was conducted by identifying and reviewing all self- poisoning cases that were presented at the emergency department of JNMCH, A.M.U Aligarh, over a span of 2 years. A total of 375 cases of self-poisoning were entered into the emergency department register, but only 315 files were considered for this study.Results: In this study majority patients belong to 15-24 years’ age group i.e. 153 (48.57%) with male dominance. The most ingested substance for non-fatal self-poisoning was a pharmaceutical drug 71 (22.54%) followed by agrochemicals like rat poison 60 (19.05%), Aluminium phosphide 46 (14.60%) and organophosphate 33 (10.48%). There were significant (p<0.01) gender differences noted in type of substance used.Conclusion: Accessibility has been noted as a factor affecting the choice of drug used. Implementing the pesticide act strictly will allow the government to have control over the production, sale, distributi, storage, and use of pesticides.
背景:在世界各地,特别是在发展中国家,自毒自杀是一个重大的公共卫生问题。它不仅导致大量的发病率和死亡率,还消耗了本可用于其他用途的稀缺医疗资源。这类病人的存活在很大程度上取决于主治医生的能力、所服用毒剂的性质以及是否有特效解毒剂:本研究的唯一目的是向医疗专业人员提供有关用于自毒的常见毒剂的正确知识和意识。材料与方法这项前瞻性研究是通过鉴定和审查两年内阿利加尔大学 JNMCH 急诊科接诊的所有自我中毒病例来进行的。急诊科登记在册的自我中毒病例共有 375 例,但本研究只考虑了其中的 315 例:在这项研究中,大多数患者属于 15-24 岁年龄组,即 153 人(48.57%),其中男性居多。摄入最多的非致命性自毒物质是药物 71(22.54%),其次是农用化学品,如老鼠药 60(19.05%)、磷化铝 46(14.60%)和有机磷 33(10.48%)。在使用的物质类型方面,性别差异明显(P<0.01):结论:可及性被认为是影响用药选择的一个因素。严格执行农药法将使政府能够控制农药的生产、销售、分销、储存和使用。
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引用次数: 0
An Unusual Case Report of Unplanned Complex Suicide 一个意外的复杂自杀案例报告
Pub Date : 2024-07-10 DOI: 10.37506/8vm7wr47
Allen Mark Jeffrey, Meenakshi Malhotra, Hemant V. Vaidya, N. P. Zanjad, Junior Resident, Pune B. J. Medical College, Senior Resident, Professor Head, al. An, Unusual Case
The phenomenon of complex suicide is well-known and defined as the use of more than one suicidal method to cause death. It accounts for 1.5 to 05 % of all suicidal deaths. In complex suicides, planned and unplanned acts are differentiated. In unplanned suicides, one or more methods are used consecutively after the previous method failed and did not result in death. The present case report discusses the unplanned suicide of a young, extremely obese, 18-year-old boy. The boy was found in an unconscious state at his home in the bathroom, in sitting position on the floor with his neck suspended to the shower head with a rope with multiple cut marks over his body. During the autopsy, external examination revealed a ligature mark around neck and multiple superficial incised injuries over his face, neck and both wrists. Detailed autopsy examination confirmed the cause of death as asphyxia due to suicidal hanging with multiple incised injuries over the body. It is of utmost importance for the forensic investigator to have in-depth knowledge about different unusual suicidal methods. This will prevent unnecessary criminal investigation and help in the concrete establishment of the manner and cause of death.
复合自杀现象众所周知,其定义是使用一种以上的自杀方法导致死亡。它占自杀死亡总数的 1.5%至 05%。在复合自杀中,有计划的行为和无计划的行为是有区别的。在计划外自杀中,在前一种方法失败且未导致死亡后,会连续使用一种或多种方法。本病例报告讨论的是一名极度肥胖的 18 岁年轻男孩的计划外自杀。该男孩被发现时处于昏迷状态,他坐在家中的浴室地板上,脖子被绳子吊在淋浴喷头上,身上有多处割伤痕迹。尸检时,外部检查发现他的脖子上有一道勒痕,面部、颈部和双腕有多处浅表切口。详细的尸检证实,死因是自杀性上吊导致窒息,身上有多处割伤。对法医调查员来说,最重要的是深入了解各种不同寻常的自杀方式。这将避免不必要的刑事调查,并有助于具体确定死亡方式和原因。
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引用次数: 0
Homicide-Suicide : A Systematic Review in Indian Scenario 杀人-自杀:印度的系统回顾
Pub Date : 2024-07-10 DOI: 10.37506/4n9h1y06
Rajshekhar Myageri, Anand Patil Patil, Nitin Pattanashetty Pattanashetty, Namrata Balaraddiyavar Namrata Balaraddiyavar
'Homicide-suicide' is the death of both the victim and the assailant. These violent acts involve the killing of the most intimate partner or family members, followed by suicide. The circumstances that provoke may vary from person to person, the most common being family and marital disputes. The dyadic death cases are of immense importance as they reflect on the mental health of society, the financial problems of the country, or the breakdown of family relations. An increase in such cases in India points towards undetermined psychological stress and depression in the population. Identifying and creating awareness in the population can help mitigate such violent crimes.
杀人-自杀 "是指受害者和袭击者同时死亡。这些暴力行为涉及杀害最亲密的伴侣或家庭成员,然后自杀。引发的情况因人而异,最常见的是家庭和婚姻纠纷。二人死亡案件非常重要,因为它们反映了社会的精神健康状况、国家的经济问题或家庭关系的破裂。印度此类案件的增加表明,人口中存在未确定的心理压力和抑郁症。确定并提高民众的认识有助于减少此类暴力犯罪。
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引用次数: 0
Splenic epithelial cyst: A rare entity on autopsy 脾上皮囊肿:尸检中的罕见病例
Pub Date : 2024-07-10 DOI: 10.37506/rw6nnj22
R. Agarwal, S. Kaur, Parul, P. Rana, Kulwant Singh, Monika B. Gathwal, Senior Resident, Case Study
INTRODUCTIONSplenic cyst is a rare entity with very few cases reported in literature. The diagnosis is usually incidental on autopsy, associated with symptoms due to enlargement, rupture, infection, or hemorrhage. It can be of two types - parasitic or non parasitic cyst.CASE REPORTPost mortem viscera of 33 year old male were received in the department of Pathology for histopathological examination. Grossly, an enlarged spleen weighing 180 gm and measuring 9x8x6 cm was identified. On cut section, an eccentric unilocular cyst measuring 7x6 cm was identified. The cyst was filled with brownish mucoid material and thickness of cyst wall was 0.1-0.2 cm. Microscopically, the cyst wall was lined by cuboidal epithelium with fibrocalcified wall.CONCLUSIONPrimary splenic cyst is a rare diagnosis. Although the diagnosis of splenic cyst can be established by radiological means, histopathology is mandatory to determine whether the cyst is primary or secondary in origin.
简介:脾囊肿是一种罕见病,文献报道的病例极少。诊断通常是尸检时偶然发现的,与肿大、破裂、感染或出血引起的症状有关。病例报告病理科接收了一名 33 岁男性的尸检内脏,进行组织病理学检查。大体上,脾脏肿大,重 180 克,大小为 9x8x6 厘米。在切片上,发现了一个 7x6 厘米的偏心单孔囊肿。囊肿内充满褐色粘液状物质,囊壁厚度为 0.1-0.2 厘米。显微镜下,囊壁由立方体上皮衬里,囊壁纤维钙化。虽然脾囊肿的诊断可以通过放射学手段来确定,但要确定囊肿是原发性还是继发性的,必须进行组织病理学检查。
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引用次数: 0
A Cross Sectional Study on Estimation of Stature from Head length in the Population of Telangana 根据头长估算特兰甘纳邦人口身材的横断面研究
Pub Date : 2024-07-10 DOI: 10.37506/arabt838
K. Srinivasulu, Punyala Kavya Sree, Gaddam Sreenidhi Yadav, Meka Sahasra Reddy, Managali Meghana, Butta Ramesh
Determination of stature from head length is equally significant like determining from other body parts. A cross sectional study on estimation of stature from head length was conducted in the population of Hyderabad, Telangana at Malla reddy institute of medical sciences. Study population consists of 154 members, who include 75 males and 79 females, participants were in the age group of 18-23 years. Data was collected from participants after obtaining informed consent. Measurement of head length was taken from the top of vertex to the bottom of the chin in centimeter (cm) scale. A linear regression formula was obtained to correlate head length and height. Linear regression equations for total study population is Y=77.59 + 4.135( HL), male population is Y=118.5 + 2.46 (HL) and female population is Y=159.71 + 0.062 (HL). Statistical results of the study, R2 = 0.333, Standard error = 0.475 and P value <0.0001 reveals statistical significance of the study. Separate formulae for male and female individuals will give more accurate results. ±5 cm difference in the stature was observed in the study population with the derived equation. Height is aproximately 8 times the head length in Female population and 7.5 times in male population in the study group.
根据头长确定身材与根据身体其他部位确定身材同样重要。马拉-雷迪医学科学研究所在特兰加那邦海得拉巴的人群中开展了一项关于根据头长估计身材的横断面研究。研究对象共有 154 人,其中男性 75 人,女性 79 人,年龄在 18-23 岁之间。研究人员在获得知情同意后收集数据。头长测量以厘米(cm)为单位,从头顶至下巴底部。头长与身高之间的相关性通过线性回归公式得出。研究总人口的线性回归方程为:Y=77.59 + 4.135( HL),男性人口的线性回归方程为:Y=118.5 + 2.46 (HL),女性人口的线性回归方程为:Y=159.71 + 0.062 (HL)。研究的统计结果显示,R2 = 0.333,标准误差 = 0.475,P 值 <0.0001 表明研究具有统计意义。将男性和女性的计算公式分开,可以得出更准确的结果。根据推导出的公式,研究人群的身材差异为 ±5 厘米。在研究组中,女性的身高约为头长的 8 倍,男性的身高约为头长的 7.5 倍。
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引用次数: 0
Retrospective Analysis of Hospital Deaths in a Rural Tertiary Care Hospital 一家农村三级医院住院死亡病例的回顾性分析
Pub Date : 2024-07-10 DOI: 10.37506/5csr8f53
G. Sneha, B. Muppala, Marishikyam Rangaswamy, Srinivasulu Pothireddy, P. Samatha
 Death is an inevitable aspect of life, impacting every individual universally. While it cannot be avoided, efforts can be made to delay it and enhance life expectancy. This retrospective study analysed 860 hospital deaths in the year 2022 at Great Eastern Medical School & Hospital, focusing on various epidemiological and chronological factors. The highest number of deaths occurred in the age group of 60- 70 years, while the lowest number of deaths were recorded in the age group of 10-20 years. A higher incidence of deaths was observed in medical branches compared to surgical branches. The common diagnoses leading to death were cerebrovascular accidents and chronic kidney disease, with septic shock and multiorgan dysfunction identified as the predominant cause of death.
死亡是生命中不可避免的一个方面,对每个人都有普遍影响。虽然死亡无法避免,但可以努力延缓死亡并延长预期寿命。这项回顾性研究分析了大东方医学院附属医院 2022 年的 860 例住院死亡病例,重点关注各种流行病学和年代学因素。60-70岁年龄组的死亡人数最多,而10-20岁年龄组的死亡人数最少。与外科相比,内科的死亡发生率更高。导致死亡的常见诊断是脑血管意外和慢性肾病,脓毒性休克和多器官功能障碍被确定为主要死因。
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引用次数: 0
Sex Estimation using Mandibular First Molar and Maxillary First Molar: A Comparative Study 使用下颌第一磨牙和上颌第一磨牙估计性别:比较研究
Pub Date : 2024-07-10 DOI: 10.37506/191vcx09
Mohammad Abdurrahman Khan, Manisha Verma, Anoop Kumar Verma, Syed Belal Hassan, Syed Fiza Mustaqueem, Iram Khan
Introduction: Estimation of sex from skeletal remains is an important initial medicolegal aspect of forensic and anthropological examination. Among various methods of sex estimation only DNA analysis gives absolute proof of sex estimation, but such methods are meticulous, immoderate and relatively prolonged and involves difficult DNA extraction technique. Teeth are strongest and toughest structure in the human body which are resistance to fire, decomposition and many other changes and teeth development completed before bone maturation making teeth relevant sex indicator hence teeth can be used for sex estimation. The 1st molar tooth is suitable tooth since it erupts early and very little chance of impaction than other teeth.   Aim: The aim of our study was to evaluate the sex estimation by mesiodistal width of mandibular and maxillary 1st molar teeth in north Indian population. Materials and Methods: The sample comprised of dental impression from 106 individuals (53 males and 53 females), all young adults between 20 and 35 years of age. Impressions of the teeth were made using irreversible hydrocolloid (alginate) material and casts poured in dental stone. Mesiodistal (MD) dimensions of mandibular and maxillary 1st molar of both right and left side were measured by digital caliper. Results: Data were summarized as Mean and SD. Groups (in Gender Male vs female) were compared by unpaired or independent Student’s t test. Mean maxillary width of 1st molar of both right and left side were higher in male than female but were statistically not significant whereas mean of maxillary 1st molar width of right side though slightly higher in male than female but was statistically not significant whereas of left side mean was lower in male than female and statistically not significant in young north Indian population. Very little sexual dimorphism shown by maxillary and mandibular 1st molar. Conclusion: The study confirmed that maxillary and mandibular 1st molar did not establish a tool for sex estimation in north Indian populations since there was no statistically significant difference in mesiodistal width of mandibular and maxillary 1st molar among males and females on both the right and the left sides jaw.
介绍:从骨骼遗骸中估计性别是法医和人类学检查的一个重要的初步医学方面。在各种性别估计方法中,只有 DNA 分析法能提供性别估计的绝对证据,但这种方法细致、耗时较长,而且涉及困难的 DNA 提取技术。牙齿是人体中最坚固、最坚韧的结构,可以抵御火、腐烂和许多其他变化,牙齿的发育在骨骼成熟之前完成,因此牙齿是相关的性别指标,可以用来进行性别鉴定。第 1 颗臼齿是合适的牙齿,因为它萌出较早,与其他牙齿相比发生嵌塞的几率很小。 目的:我们的研究旨在评估北印度人群通过下颌和上颌第 1 磨牙的齿间宽度进行性别估计的情况。材料和方法:样本由 106 人(53 男 53 女)的牙印组成,他们都是 20 至 35 岁的年轻人。使用不可逆的水胶体(藻酸盐)材料制作牙齿印模,并在牙科石中浇注石膏。用数字卡尺测量了左右两侧下颌和上颌第一磨牙的牙间隙(MD)尺寸。结果数据以平均值和标度汇总。通过非配对或独立的学生 t 检验比较各组(性别为男性 vs 女性)。在北印度年轻人群中,右侧和左侧上颌第一磨牙的平均宽度男性均高于女性,但在统计学上无显著性差异;右侧上颌第一磨牙的平均宽度男性略高于女性,但在统计学上无显著性差异;左侧上颌第一磨牙的平均宽度男性低于女性,在统计学上无显著性差异。上颌和下颌第一臼齿的性别二态性非常小。结论研究证实,在北印度人群中,上颌和下颌第 1 磨牙并不能作为性别估计的工具,因为男性和女性下颌和上颌第 1 磨牙的齿间宽度在统计上没有显著差异。
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引用次数: 0
A Study on Suicidal Poisoning in a Tribal Area of Mahabubabad, Telangana 特伦甘纳邦马哈布巴德部落地区自杀性中毒事件研究
Pub Date : 2024-07-10 DOI: 10.37506/5e6tc656
Sarella Prasanth Kumar, Aswan Gaddala, S. Junapudi, Professor Syam Sundar Junapudi
Background: Pesticide poisoning kills hundreds of thousands of people in the Asia Pacific region each year. The majority are from deliberate self-poisoning with organophosphorus pesticides (OP),paraquat etc. It is a critical health problem in rural areas, where hazardous pesticides are easily available. Very few studies were present regarding this in India and research on anti-dotes to commonly available pesticides is very minimal. According to WHO report, it is the 2nd most common cause of death among people aged 15-29 years. Methodology: An observational study was conducted to study suicidal poisoning cases from Jan-June 2022 in a retrospective record-based manner.Qualitative variables were represented with graphs and tables. Quantitative variables were represented with mean and Standard deviation. Multinomial logistic regression was done to test the significance of poisoning agents with survival status. Nagelkerke R-squared mean regression model was considered in the analysis. p-value less than 0.05 was considered significant. Results: The incidence of suicidal poisoning was 696(~0.46%) during the study period. The mean age of the study population is 32.5±12.3 years. Majority of the cases were Organophosphorus compounds and paraquat comprising a total of about 26.11%. Fatality rate was 17.4% Multinomial logistic regression of various poisoning agents showed high significance of mortality OP poisoning(p=0.03), Paraquat poisoning (p<0.001) and Herbicides(p=0.02). Conclusion: Young populations were more prone to commit suicide suggesting increased recognition of the need for a coordinated response involving public health officials and psychiatric specialists to conduct mental health awareness camps and to provide counselling. Strengthening of translational research to develop anti-dotes for commonly available pesticides.
背景:亚太地区每年有数十万人死于农药中毒。其中大多数人是因故意使用有机磷农药(OP)、百草枯等农药自毒而死。在农村地区,危险农药很容易获得,因此这是一个严重的健康问题。印度在这方面的研究很少,对常见农药的解毒药研究也非常少。根据世界卫生组织的报告,它是 15-29 岁人群中第二大常见死因。研究方法:以回顾性记录为基础,对 2022 年 1 月至 6 月期间的自杀性中毒病例进行了观察研究。定量变量用平均数和标准差表示。多项式逻辑回归用于检验中毒剂与生存状况的相关性。分析中考虑了纳格尔克R平方均值回归模型,P值小于0.05为显著。结果在研究期间,自杀性中毒的发生率为 696(约 0.46%)。研究对象的平均年龄为 32.5±12.3 岁。大多数病例为有机磷化合物和百草枯,共占约 26.11%。死亡率为 17.4% 各种中毒剂的多项式逻辑回归显示,有机磷中毒(p=0.03)、百草枯中毒(p<0.001)和除草剂(p=0.02)的死亡率具有高度显著性。结论年轻人更容易自杀,这表明人们越来越认识到有必要采取协调一致的应对措施,让公共卫生官员和精神科专家参与进来,开展心理健康宣传营并提供咨询。加强转化研究,开发常用杀虫剂的解毒剂。
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引用次数: 0
An Autopsy Based Study of Suicidal Deaths in Gandhi Hospital, Secunderabad 塞康德拉巴德甘地医院自杀死亡尸检研究
Pub Date : 2024-07-10 DOI: 10.37506/gwvawn75
Mukkera Tejaswini, Iqbal Banu Hussain, K. Ahmed, Krupal Singh, Sultan Rizwan Ahmad, Khazi Mudabbir, Ahmed al. An Autopsy
Suicide is a serious global public health issue. Suicide refers to the act of intentionally causing one’s own death. The aim of the study is to find the pattern of suicidal deaths and to identify the high-risk groups. The       study was carried out in the Department of Forensic Medicine and Toxicology, Gandhi Medical College, Secunderabad, Telangana. This was based on the observation of 200 deaths due to     suicides in 18 to 45 age group during the study period January 2020 to July 2021. It is observed that majority of victims were aged between 18-25 years (33.50%) and married (61.50%). Males (77.00%) are more victims as compared to females. The leading motive behind suicide was emotional factors (32.5%) and most commonly adopted method to commit suicide was hanging (41.50%). Health education, counselling, timely crisis intervention either by medical or social methods will reduce the number of suicide victims.
自杀是一个严重的全球公共卫生问题。自杀是指故意造成自己死亡的行为。本研究旨在发现自杀死亡的模式,并确定高危人群。这项研究是在特伦甘纳邦塞康德拉巴德甘地医学院法医学和毒理学系进行的。研究基于对 2020 年 1 月至 2021 年 7 月期间 200 例 18 至 45 岁年龄组自杀死亡病例的观察。据观察,大多数受害者的年龄在 18-25 岁之间(33.50%),已婚(61.50%)。与女性相比,男性(77.00%)更多。自杀的主要动机是情绪因素(32.5%),最常用的自杀方法是上吊(41.50%)。健康教育、咨询、通过医疗或社会方法及时进行危机干预将减少自杀受害者的人数。
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引用次数: 0
期刊
Indian Journal of Forensic Medicine &amp; Toxicology
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