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Imidaclopride associated Convulsions - A rare case report 与咪达必利相关的惊厥--罕见病例报告
Pub Date : 2024-07-10 DOI: 10.37506/tf74zn70
Shashidhara Kc, Savitha V, Derek Jonathan Edwin, Mirza Asgar Baig, Sai Surya Chukkapalli
Background: Acute pesticide poisoning is a global health concern, with organophosphorus compounds contributing significantly. Neonicotinoids, like imidacloprid, have emerged as alternative insecticides due to their selective action on pest nervous systems. This case report explores imidacloprid poisoning, emphasizing clinical manifestations and the ongoing search for safer pesticides.Methods: A 46-year-old male, chronic smoker, and alcoholic, presented with suicidal imidacloprid poisoning. The patient experienced seizures, central nervous system (CNS) depression, hyponatremia, and respiratory arrest, necessitating mechanical ventilation. The case details the comprehensive evaluation, including imaging studies, and presents vital signs, laboratory results, and physical examinations. The patient received supportive care, and the discussion outlines the treatment strategy, highlighting the challenges and successes in managing imidacloprid toxicity.Conclusion: This case underscores the complexity of imidacloprid poisoning, particularly noting convulsions secondary to hyponatremia. It stresses the need for further research into imidacloprid's metabolic effects and advocates for vigilant monitoring and supportive care in such cases. The report calls for increased reporting to enhance understanding and knowledge sharing regarding the potential toxic effects of imidacloprid, contributing to better management strategies for pesticide poisoning.
背景:急性杀虫剂中毒是全球关注的健康问题,其中有机磷化合物是主要原因。新烟碱类(如吡虫啉)因其对害虫神经系统的选择性作用而成为替代杀虫剂。本病例报告对吡虫啉中毒进行了探讨,强调了临床表现以及对更安全杀虫剂的不断探索:一名 46 岁的男性,长期吸烟并酗酒,因吡虫啉中毒而自杀。患者出现癫痫发作、中枢神经系统(CNS)抑制、低钠血症和呼吸停止,需要进行机械通气。本病例详细介绍了包括影像学检查在内的综合评估,并介绍了生命体征、实验室结果和体格检查。患者接受了支持性治疗,讨论概述了治疗策略,强调了处理吡虫啉毒性的挑战和成功之处:本病例强调了吡虫啉中毒的复杂性,尤其是注意到了继发于低钠血症的抽搐。报告强调有必要进一步研究吡虫啉的代谢作用,并提倡在此类病例中进行警惕性监测和支持性护理。报告呼吁增加报告次数,以加强对吡虫啉潜在毒性作用的了解和知识共享,从而有助于制定更好的农药中毒管理策略。
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引用次数: 0
Correlation of Canine Height to Overall Facial Height: An Observational Study 犬类身高与面部整体高度的相关性:观察研究
Pub Date : 2024-01-18 DOI: 10.37506/yfqdwp76
Revati Keluskar, Namrata Patil, A. Bagewadi, Bds, Senior Lecturer Namratha Patil
Background: Identifying individuals by determining their body parameters plays a major role in criminalinvestigation. These parameters play an integral role in the identification of a person. Teeth, particularly canines,can help in identification, as they are the most stable teeth in the oral cavity because of the labiolingual thickness of the crown and root anchorage in the alveolar process.Aim: To establish a relationship, if any between the crown length of the maxillary canine tooth and the facialheight of an adult individual and intersex differences.Materials and methods: This study was conducted at a dental college where patients reported for treatment. The study group comprised 100 participants (50 men and 50 women, aged 18-23 years. To measure the facial height,photographs were taken and analyzed using Adobe Photoshop software. The face was divided into the upper,middle and lower thirds considering the hairlines, glabella, subnasalis, and menton as reference points. The length between the hairline and glabella is the upper facial height (UFH), that between the glabella and subnasalis is the middle facial height (MFH), and that between the subnasalis and menton is the lower facial height (LFH). For tooth measurements, impressions of the upper arches were made using alginate and dental stone casts were obtained. The length between the cervical line and cusp tip is the canine height(CH) and the mesiodistal length is the canine width(CW). Measurements of teeth were recorded using digital verniercalliper. Statistical analysis was performed using Statistical Package for the Social Sciences software (SSPS) version 16. The Mann-Whitney U test was used to determine the correlation between facial height and canine height.Results: Total Facial Height (TFH), Canine Height (CH), Canine Width (CW) in males and females was done using descriptive statistics. This study demonstrated a correlation between TFH and CH in both men and women. This study showed that, as TFH increased, CH also increased. Therefore, TFH and CH were directly proportional, and hence there was a correlation between TFH and CH.Conclusion: The total facial and canine heights are directly proportional to each other. There is a correlationbetween the facial height and canine height.
背景:通过确定个人的身体参数来识别个人身份在刑事调查中发挥着重要作用。这些参数在识别一个人的身份中起着不可或缺的作用。牙齿,尤其是犬齿,可以帮助识别,因为它们是口腔中最稳定的牙齿,因为牙冠的唇侧厚度和牙根锚定在牙槽突中。目的:如果上颌犬齿的牙冠长度与成年个体的面部高度和双性差异之间存在关系,则确定两者之间的关系:本研究在一所牙科学院进行,患者在该学院报到接受治疗。研究小组由 100 名参与者组成(男女各 50 名,年龄在 18-23 岁之间)。为了测量面部高度,拍摄了照片并使用 Adobe Photoshop 软件进行分析。将面部分为上、中、下三等分,以发际线、面颊部、鼻下部和耳门为参考点。发际线与帽檐之间的长度为上面部高度(UFH),帽檐与鼻下窝之间的长度为中面部高度(MFH),鼻下窝与门牙之间的长度为下面部高度(LFH)。为了测量牙齿,使用藻酸盐制作了上牙弓印模,并获得了牙石模型。牙颈线与尖牙尖之间的长度即为犬齿高度(CH),牙间距长度即为犬齿宽度(CW)。使用数字游标卡尺记录牙齿的测量值。使用社会科学统计软件包(SSPS)第 16 版进行统计分析。曼-惠特尼 U 检验用于确定面部高度和犬齿高度之间的相关性:使用描述性统计方法对男性和女性的面部总高(TFH)、犬高(CH)和犬宽(CW)进行了统计。该研究表明,男性和女性的面部总高度(TFH)和犬身高(CH)之间存在相关性。该研究表明,随着 TFH 的增加,CH 也随之增加。因此,TFH 和 CH 成正比,因此 TFH 和 CH 之间存在相关性:结论:面部总高度和犬齿高度成正比。结论:面部总高度和犬齿高度成正比,面部高度和犬齿高度之间存在相关性。
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引用次数: 0
Knowledge and Attitude towards Post-mortem Examination amongst the Residents of Imphal West 英帕尔西部居民对尸检的认识和态度
Pub Date : 2024-01-18 DOI: 10.37506/kef4ew52
A. Haricharan, T. M. Devi, B. Akoijam
A postmortem examination is still under an umbrella of misconceptions, myths, and emotions amongst thepeople as well as physicians. The knowledge and attitude of the general public towards medicolegal postmortem examination have not been investigated thoroughly. This cross-sectional study was conducted to assess the knowledge and attitude towards postmortem examination amongst the residents of Imphal West. A total of 450 participants were approached and analyzed. It was observed that 41% of the participants had adequate knowledge about the medicolegal postmortem examinations. Further, 11 % of the participants had negative attitude towards the postmortem procedure. Despite having an important role in the machinery of justice, the knowledge andattitude of the general public towards autopsy is still poor. From the findings of our study, it is evident thatmyths, misconceptions and lack of awareness still exist in the minds of people about postmortem examinations.There is a need for clarification about the essence of postmortem examination, which is an important tool in the administration of justice.
在民众和医生中,尸检仍被误解、神话和情绪所笼罩。公众对尸检的认识和态度尚未得到深入调查。这项横断面研究旨在评估英帕尔西部居民对尸检的认识和态度。共接触并分析了 450 名参与者。研究发现,41% 的参与者对尸检有足够的了解。此外,11% 的参与者对尸检程序持消极态度。尽管尸检在司法机制中发挥着重要作用,但公众对尸检的了解和态度仍然很差。我们的研究结果表明,人们对尸检仍然存在误解和认识不足。
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引用次数: 0
Epidemiologies of Fatal Ground Level Falls in Autopsies Conducted in A Tertiary Care Hospital: A cross sectional Study 一家三甲医院尸检中致命地面坠落的流行病学:横断面研究
Pub Date : 2024-01-18 DOI: 10.37506/kty65s31
Uthayakumar R., Rama V, Sabitha Devi C
Background: Falls are the second leading cause of unintentional injury deaths worldwide. Falls not only causes Mortality, but also Morbidity resulting in disabilities and loss of productivity. Death due to falls not only occurs in victims falling from a height but also in Ground level falls.Aim: To study the age and sex distribution, place, surface, time, and outcome of fatal accidental Ground LevelFalls.Methods: The present study was carried out as a descriptive study in which medico legal autopsies of 115 victims of ground level fall victims were included. Lettule’s method of en masse removal of viscera and dissection of organs was used for conducting medico legal autopsy. The Collected data was entered in MS excel and analysed.Conclusion: The current study revealed that most victims of ground level falls were more than 50 years of age and indoor falls were more common than outdoor falls.62% of the victims had suffered head injury. Effective fall prevention programmes should be framed to reduce the number of people who fall.
背景:跌倒是全球意外伤害死亡的第二大主要原因。跌倒不仅会导致死亡,还会导致残疾和生产力损失。目标:研究致命意外地面坠落的年龄和性别分布、地点、表面、时间和结果:本研究是一项描述性研究,其中包括对 115 名地面坠落事故受害者的法医尸检。在进行医学解剖时,采用了莱图尔法(Lettule's method of en masse removal of viscera and dissection of organs)。收集的数据输入 MS excel 并进行分析:目前的研究显示,大多数地面坠落的受害者年龄在 50 岁以上,室内坠落比室外坠落更常见。应制定有效的预防跌倒计划,以减少跌倒人数。
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引用次数: 0
Estimation of Pattern of Skull Fractures in Homicidal Deaths: An Autopsy Based Cross Sectional Study Conducted in a Tertiary Care Hospital 凶杀案中颅骨骨折模式的估计:在一家三甲医院进行的尸检横断面研究
Pub Date : 2024-01-18 DOI: 10.37506/kvapxj72
P.Praveen Kumar, K.Priyatharsini, S.Balasubramanian
The head is the most vital part of the body among various organs as the injury to the head will result in fataloutcomes compared to injuries sustained to other parts of the body. There has been an increased global incidence of head injuries in case of homicidal deaths. The present study aims to estimate the various patterns of the skull fractures in case of homicidal deaths and also the nature of injury causing such skull fractures in homicidal deaths.The present cross-sectional study revealed that out of 4036 autopsies, there were 74 cases of homicidal deaths with 67 male and 7 female cases. The skull fracture was noticed in 54 cases out of these 74 cases. The maximum number of homicidal deaths were found to be in the age group of 21 to 40 years. Among the different types of skull fractures, the isolated cut fracture contributed to 46.30% of cases followed by isolated fissured fractures and then by the combination of other types of skull fractures. The nature of injury causing skull fractures was blunt force in 51.8% of the cases then by sharp force injuries and then by the combination of these two. To bring down the incidence of homicidal deaths among the younger individuals, strict enforcements of law may be ensued on possession of blunt and sharp force weapons which are used for the brutal attacks.
头部是人体各器官中最重要的部位,因为与身体其他部位相比,头部受伤会导致致命后果。在全球范围内,凶杀致死案中头部受伤的发生率越来越高。本研究旨在估算凶杀死亡病例中颅骨骨折的各种模式,以及在凶杀死亡病例中导致此类颅骨骨折的损伤性质。本横断面研究显示,在 4036 例尸检中,有 74 例凶杀死亡病例,其中男性 67 例,女性 7 例。在这 74 例中,有 54 例发现颅骨骨折。21 至 40 岁年龄组的他杀死亡人数最多。在不同类型的颅骨骨折中,孤立的切割骨折占 46.30%,其次是孤立的裂隙骨折,然后是其他类型的颅骨骨折。造成颅骨骨折的伤害性质为钝器伤的占 51.8%,其次是锐器伤,然后是这两种伤害的合并。为了降低年轻人杀人致死的发生率,可以对拥有用于野蛮攻击的钝器和锐器的行为严格执法。
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引用次数: 0
DNA Extraction from Postmortem Blood: A Pilot Study for Advancing Molecular Diagnostics in Forensic Medicine Casework 从死后血液中提取 DNA:在法医学案例工作中推进分子诊断的试点研究
Pub Date : 2024-01-18 DOI: 10.37506/1p784p86
Sadhu Rama, Mohana Rao, Sravani Yandava, T. Mohit, Kumar Moses, K. A. Rupesh, K. Satyasree, K. Mamatha, Anuradha Argi
Background: DNA’s role in forensic practice is widely acknowledged for its unparalleled accuracy in identification. While developed countries have established molecular autopsy programs as early as two decades ago, India is yet to initiate such a program. The isolation of DNA serves as the crucial first step in the molecular autopsy protocol. The postmortem blood sample is one of the good sources for DNA extraction which wasn’t considered with rigor by the scientific community so far.Aims and Objectives: The aim of this study was to investigate the specific time period within which DNA canbe effectively extracted from postmortem blood samples. The objective was to identify if there are patterns in the quality and purity of the extracted DNA based on the postmortem interval. Additionally, the study aimed to investigate if the cause of death influenced DNA extractability.Observation and Results: DNA can be extracted from postmortem blood within a timeframe of up to 72 hours after death, given that the deceased body was preserved in cold storage within 12 hours after death. Both the salting out method and the phenol-chloroform method yielded bands of comparable quality, with the phenol-chloroform method showing a slightly higher DNA yield. The average absorbance ratio was 1.4 for the salting out method and 1.6 for the phenol chloroform method, as determined using a Nanodrop.Conclusion: This study concluded that DNA extraction from postmortem blood samples is feasible within 72hours after death. The integrity of the DNA remained intact during this time, but the quality and purity gradually decreased as the postmortem interval increased. The cause of death did not significantly affect DNA extractability.
背景:DNA 在法医实践中的作用因其无与伦比的鉴定准确性而得到广泛认可。发达国家早在二十年前就建立了分子尸检计划,但印度尚未启动此类计划。DNA 分离是分子解剖方案中至关重要的第一步。死后血液样本是提取 DNA 的良好来源之一,但迄今为止科学界尚未对其进行严格考虑:本研究旨在调查从死后血液样本中有效提取 DNA 的特定时间段。目的是确定根据死后时间间隔提取 DNA 的质量和纯度是否存在模式。此外,研究还旨在调查死因是否会影响 DNA 的提取:观察与结果:鉴于死者尸体在死后 12 小时内被冷藏保存,DNA 可在死后 72 小时内从死后血液中提取。盐析法和苯酚-氯仿法得到的条带质量相当,苯酚-氯仿法的 DNA 得率稍高。用 Nanodrop 测定,盐析法和苯酚-氯仿法的平均吸光度比分别为 1.4 和 1.6:本研究得出结论,从死后 72 小时内的血液样本中提取 DNA 是可行的。在这段时间内,DNA 的完整性保持完好,但随着死后间隔时间的延长,DNA 的质量和纯度逐渐下降。死因对 DNA 的可提取性没有明显影响。
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引用次数: 0
A Case Report of Amitraz Poisoning 双甲脒中毒病例报告
Pub Date : 2024-01-18 DOI: 10.37506/5qvens14
Chithrapathra K.E., Munasinghe R.H, Silva F.H.D.S.
Amitraz is a pesticide commonly used in agriculture and veterinary practice to repel ectoparasites and insects. Poisoning with amitraz is rare especially for the purpose of self-harm. Although rarely fatal, it can result in significant symptoms. Management typically involves symptomatic treatment. We report a 34-year-old man who attempted suicide by ingesting amitraz presenting with unconsciousness. He had miosis, persistent bradycardiaand extreme hypotension. Symptomatic treatment recovered him well with discharge from care with nocomplications and good health within 36 hours.
双甲脒是一种杀虫剂,通常用于农业和兽医领域,以驱除体外寄生虫和昆虫。使用双甲脒中毒的情况很少见,尤其是出于自残目的。虽然很少致命,但会导致严重症状。处理方法通常包括对症治疗。我们报告了一名摄入双甲脒试图自杀的 34 岁男子,他出现了昏迷症状。他出现瞳孔缩小、持续心动过缓和极度低血压。对症治疗后,他在 36 小时内康复出院,无任何并发症,身体状况良好。
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引用次数: 0
Comparative Study of Mandibular Canine Index and Maxillary Canine Index in Sex Estimation among North Indian Population 北印度人口下颌犬齿指数和上颌犬齿指数在性别估计中的比较研究
Pub Date : 2024-01-18 DOI: 10.37506/9q1xt843
M. A. Khan, Manisha Verma, Sangeeta Kumari, A. Verma, Kahkashan Riaz, Comparative
Introduction: Since teeth are easily approachable and each having different morphology, they form an excellent medicolegal and anthropological tool for sex estimation. Sexual dimorphism is difference in size and appearance among male and female teeth that can be applied for determination of sex. The basis of estimation of sex is comparing tooth parameters in male and female individual. Canine teeth shows highest sexual dimorphism among all teeth. Mesiodistal width of maxillary and mandibular canine can be used for sex determination based on sexual dimorphism.Aim: The aim of our study was to evaluate the comparative sex estimation by mandibular canine index andmaxillary canine index in north Indian population.Materials and Methods: The sample comprised of dental impression from 120 individuals (60 males and 60females), 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 dimensions and intercanine distance of mandibular and maxillary canine of both right and left side was measured by caliper. Mandibular and maxillary canine index was calculated by formula given by Nageshwar Rao et al.Results: Data were summarized as Mean and SD. Groups (in Gender Male vs female) were compared by unpaired or independent Student’s t test. When the level of accuracy for sex determination was measured using canine index it was found that 65% males and 65.83% females were predicted correctly. When maxillary canine index was used the sex was correctly predicted in it was found that 40.83% females and 32.50% males were predicted correctly.Conclusion: Mandibular and maxillary canine index can be used for sex estimation in North Indian population but accuracy of mandibular canine index is better than maxillary canine index.
介绍:由于牙齿很容易接近,而且每颗牙齿都有不同的形态,因此它们是医学和人类学上用来估测性别的绝佳工具。性二形是指男性和女性牙齿在大小和外观上的差异,可用于确定性别。性别估计的基础是比较男性和女性个体的牙齿参数。在所有牙齿中,犬齿的性别二形性最高。上颌犬齿和下颌犬齿的齿间宽度可用于根据性别二形性进行性别鉴定。研究目的:我们的研究旨在评估北印度人群通过下颌犬齿指数和上颌犬齿指数进行性别估计的比较情况:样本包括 120 人(60 名男性和 60 名女性)的牙齿印模,他们都是 20 至 35 岁的青壮年。使用不可逆的水胶体(藻酸盐)材料制作牙齿印模,并在牙石中浇铸牙模。用卡尺测量了左右两侧下颌和上颌犬齿的齿间尺寸和齿间距离。下颌和上颌犬齿指数按 Nageshwar Rao 等人给出的公式计算:数据以平均值和标度汇总。各组(性别为男对女)的比较采用非配对或独立的学生 t 检验。使用犬齿指数测量性别鉴定的准确度时发现,65% 的男性和 65.83% 的女性预测正确。使用上颌犬齿指数进行性别预测时,发现40.83%的女性和32.50%的男性预测正确:下颌犬齿指数和上颌犬齿指数可用于北印度人群的性别估计,但下颌犬齿指数的准确性优于上颌犬齿指数。
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引用次数: 0
Age Estimation among 12-18 Years Children by Studying the Ossification Centers of Hip Joint and Pelvis 通过研究髋关节和骨盆骨化中心估算 12-18 岁儿童的年龄
Pub Date : 2024-01-18 DOI: 10.37506/jetajz51
R. K. Punia, Suresh Kumar Kajala, Siddharth Vijay Vergia, Dipender Singh
Background: Bone age is an indicator of the skeletal and biological maturity of an individual. Skeletal ossification progression studies are one of them and are admissible in court as unparalleled scientific evidence for age estimation. Age group of juveniles between 12 - 18 years is dealt with special laws for medico- legal cases.Aims & Objective: To observe age of appearance and fusion of ossification centers of hip joint and pelvic bone in adolescent population of Jaipur.Material & Methodology: An observational prospective study that used inclusion and exclusion criteria wasconducted. Healthy Adolescents of 12-18 years of age group from Jaipur were taken in the study. The presentstudy had been conducted in the Department of Forensic Medicine & Toxicology, SMS Hospital, Jaipur withDepartment of Radiology, SMS Medical College and Attached Hospitals, Jaipur during the period from June 2021to May 2022.Result & Observation: Appearance of triradiate cartilage was found earliest at the age of 12 – 13 years in bothsexes, complete fusion was found earliest at the age 13 - 14 years in females and 14 – 15 years in males. Appearance of ossification centre of Ischial Tuberosity was found earliest at the age of 12 – 13 years in males and females; old fusion is earliest found at the age of 17 - 18 years in females and was not found in males. Appearance of ossification centre of Iliac Crest was found earliest at the age of 12 – 13 years in males and females; old fusion is earliest found at the age of 17 - 18 years in both male & females. Appearance of ossification centre of Pubis was found earliest at the age of 12 – 13 years in males and females; old fusion is earliest found at the age of 17 - 18 years in females and was not found in males.Conclusion: Appearance and fusion of ossification centers for hip joint & pelvis joint can be implemented inroutine forensic practice for 12 – 18 years age group to opine about age of subjects with lesser age range.
背景:骨龄是一个人骨骼和生理成熟度的指标。骨骼骨化进展研究是其中之一,可作为估算年龄的无与伦比的科学证据被法庭采纳。12 - 18 岁的青少年年龄组在医疗法律案件中受到特殊法律的保护:观察斋浦尔青少年髋关节和盆骨骨化中心出现和融合的年龄:采用纳入和排除标准进行前瞻性观察研究。研究对象为来自斋浦尔的 12-18 岁健康青少年。本研究于 2021 年 6 月至 2022 年 5 月期间在斋浦尔 SMS 医院法医和毒理学部、斋浦尔 SMS 医学院和附属医院放射科进行:三桡侧软骨最早出现在男女 12 - 13 岁,完全融合最早出现在女性 13 - 14 岁和男性 14 - 15 岁。男性和女性在 12 - 13 岁时最早发现髂骨骨化中心;女性在 17 - 18 岁时最早发现完全融合,男性则没有发现。髂骨骨化中心的出现在男性和女性中最早出现在 12 - 13 岁;男性和女性最早在 17 - 18 岁时发现老化融合。男性和女性的耻骨骨化中心最早出现在 12 - 13 岁;女性的老化融合最早出现在 17 - 18 岁,男性则没有发现:结论:髋关节和骨盆关节骨化中心的出现和融合可在常规法医实践中应用于 12 - 18 岁年龄组,以判断年龄范围较小的受检者的年龄。
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引用次数: 0
A Study on Pattern of Suicidal Deaths Brought for Medicolegal Autopsy at Mortuary of Siddhartha Medical College and Govt. General Hospital, Vijayawada, Andhra Pradesh 关于安得拉邦维贾亚瓦达悉达多医学院和政府综合医院停尸房送检的自杀死亡病例模式的研究
Pub Date : 2024-01-18 DOI: 10.37506/bj8xh441
Mohammad Ajas Khan, Nelapati Sushanth, M. D. V. Rajasekhar.
Background: The aim is to study the pattern of suicidal deaths, demographic profile including various contributary factors of victims and analyze the magnitude of deaths in and around Vijayawada part of Andhra Pradesh so that preventive measures can be set up to avoid such situation. A death by suicide is defined as the deliberate termination of life. For a death to be a suicide, it should be an un-natural death, the desire to die should originate within the person, and there should be a reason for ending their life, according to the National Crime Records Bureau. While India’s suicide rate of 14.04/lakh population in 2019 puts it at 49th rank globally, the grim reality of the highest numbers of suicides being reported annually from India cannot be overlooked. When you look at suicide deaths, the highest suicide rates are in the south. In central India, including Maharashtra, Madhya Pradesh and Rajasthan, you have “middling suicide rates”, and the rate falls up north, in Uttar Pradesh and Bihar.Material & Methods: A five years retrospective and cross-sectional study was conducted in Forensic Medicineand Toxicology Department, Siddhartha Medical College, Vijayawada, Andhra Pradesh. All the autopsiesconducted on victims of suicidal deaths during the period from Jan, 2016 to Dec, 2020 were studied from theavailable data. Inclusion criteria includes all the suicidal deaths due to poisoning, hanging and self-immolation by burns. Exclusion criteria includes suicidal deaths from causes other than poisoning, hanging and suicidal burns like drowning, electrocution, fall from height etc.Results: It is clear that committing suicide by consuming poison accounts for major number of deaths followed by committing suicide by hanging and least followed by committing suicide by self-immolation. It is also clear that committing suicides has increased year by year from 2016 to 2020 irrespective of committing suicide by hanging, poisoning. Coming to sex pattern, suicide by hanging was observed more in males. Sex pattern in suicidal deaths due to poisoning clearly showed that females outnumbered males. Sex pattern in suicidal deaths due to self-immolation clearly showed that females outnumbered males with high margin. Coming to the age pattern in committing suicidal deaths by hanging, 30 – 45 years age group showed highest incidence year by year followed by 45 – 60 years and least among 15 – 25 years age group. Where as in case of suicidal deaths by poisoning and self-immolation, incidence was highest in 30 – 45 age group followed by 15 – 30 years age group and least among 45 – 60 years group. Conclusion: According to the World Health Organization, in India, suicide is an emerging and serious publichealth issue. Suicide rates in India have been rising over the past five decades. India’s contribution to globalsuicide deaths increased from 25.3% in 1990 to 36.6% in 2016 among women, and from 18.7% to 24.3% among men. In 2016, suicide was the most common cause of death
研究背景:本研究旨在研究安得拉邦维贾亚瓦达市及其周边地区的自杀死亡模式、人口概况(包括各种诱发因素),并分析死亡的严重程度,从而制定预防措施,避免此类情况的发生。自杀死亡的定义是故意终止生命。根据国家犯罪记录局的说法,自杀死亡应该是非自然死亡,死亡的欲望应该来自于个人,并且应该有结束自己生命的理由。虽然印度 2019 年的自杀率为 14.04/10万,在全球排名第 49 位,但印度每年报告的自杀人数最高这一严峻现实不容忽视。从自杀死亡人数来看,自杀率最高的是南部地区。在印度中部,包括马哈拉施特拉邦、中央邦和拉贾斯坦邦,自杀率处于 "中等水平",而北方邦和比哈尔邦的自杀率则有所下降:安得拉邦维贾亚瓦达悉达多医学院法医学和毒理学系开展了一项为期五年的回顾性横断面研究。根据现有数据,研究了 2016 年 1 月至 2020 年 12 月期间对自杀死亡受害者进行的所有尸检。纳入标准包括所有因中毒、上吊和烧伤自焚导致的自杀死亡。排除标准包括除中毒、上吊和烧伤自杀以外的其他原因导致的自杀死亡,如溺水、触电、高空坠落等:很明显,服毒自杀占死亡人数的大部分,其次是上吊自杀,自焚自杀占死亡人数的最小部分。同样明显的是,从 2016 年到 2020 年,无论是上吊自杀还是服毒自杀,自杀人数都在逐年增加。从性别模式来看,男性更多采用上吊自杀的方式。中毒自杀死亡的性别模式明显显示女性多于男性。自焚自杀死亡的性别模式清楚地表明,女性人数远远多于男性。关于上吊自杀死亡的年龄模式,30-45 岁年龄组的发生率逐年上升,其次是 45-60 岁年龄组,15-25 岁年龄组的发生率最低。至于投毒和自焚自杀死亡,30-45 岁年龄组的发生率最高,其次是 15-30 岁年龄组,45-60 岁年龄组的发生率最低。结论世界卫生组织指出,在印度,自杀是一个新出现的严重公共卫生问题。过去五十年来,印度的自杀率一直在上升。印度占全球自杀死亡人数的比例从1990年的25.3%上升到2016年的36.6%,其中女性占18.7%,男性占24.3%。2016 年,自杀是印度 15-29 岁年龄组和 15-39 岁年龄组最常见的死因。研究发现,挫折、家庭问题、恋爱、贫困、骚扰、性暴力、社会抵制、慢性疾病和破产等因素是导致人们自杀的主要原因。这样一项国家战略将需要一种全面的方法,包括在全国范围内,在国家、地区和地方各级促进、协调和支持各项活动的实施。
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引用次数: 0
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Indian Journal of Forensic Medicine & Toxicology
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