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Retrospective Observational Study on Relevance of Delayed Clinical Examination in Cases of Sexual Assault Survivor 关于性侵犯幸存者案例中延迟临床检查相关性的回顾性观察研究
Pub Date : 2024-01-18 DOI: 10.37506/rf034654
Hemant Shandilya, Anil yadav, Sandeep, Deepali Pathak, D. K. Sharma
Rape is a heinous crime that can have devastating effects on the survivor, The immediate medical examination and treatment of a rape survivor are crucial for their well-being and to-gather the necessary evidence to strengthen the case. Proper evidence collection is important for a successful legal prosecution. The earlier a survivor arrives for evaluation in the emergency department, the greater the chance of obtaining critical forensic evidence such as DNA samples. When patients delay presentation, or shower and change their clothes, relevant microscopic and macroscopic evidence is often lost. Evidence collection, including injury documentation, becomes less fruitful as time passes and tissue heals. Medical documentation has been shown to be positively associated with filing of charges and conviction. A Retrospective analysis of 67 cases of sexual assault examined at Department of Forensic Medicine at SMS medical college from 1st Jan to 31st Oct, 2020 was done, The clinical findings of the survivors were correlated to the time duration elapsed between incidence and medico-legal examination for all cases. 15 out of 67 cases (22%) were reported within 72 hrs; out of which 9 (60%) cases had corroborative clinical findings, 45 (67%)cases, who had reported later than 7 days only 1 (2%) had corroborative clinical findings. delayed reporting is most common hurdle for corroboration of material evidence and alleged accusation in these cases, The correlation of time of examination and clinical findings, in the present study, questions the relevance of mandatory medical examination in all cases.
强奸是一种令人发指的罪行,会对幸存者造成毁灭性的影响。对强奸幸存者进行及时的医疗检查和治疗对其健康和收集必要的证据以加强案件至关重要。适当的证据收集对于成功的法律起诉非常重要。幸存者越早到急诊科接受评估,就越有可能获得关键的法医证据,如 DNA 样本。当患者延迟就诊或洗澡换衣时,相关的微观和宏观证据往往会丢失。随着时间的推移和组织的愈合,包括伤情记录在内的证据收集工作也会变得不那么富有成效。事实证明,医疗记录与提出指控和定罪呈正相关。我们对 SMS 医学院法医系在 2020 年 1 月 1 日至 10 月 31 日期间检查的 67 例性侵案件进行了回顾性分析。67起案件中有15起(22%)在72小时内报案,其中9起(60%)有确凿的临床结果,45起(67%)在7天后报案,只有1起(2%)有确凿的临床结果。
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引用次数: 0
Analysis of Signature Patterns: Consistency and Distinctiveness in Handwritten Signatures for Forensic Authentication 签名模式分析:用于法医鉴定的手写签名的一致性和独特性
Pub Date : 2024-01-18 DOI: 10.37506/c15rg139
Diksha Singh, Dileep Kumar, Poonam Prakash
Handwritten signatures are unique behavioural attributes that serve as a distinct form of identification forindividuals. This study focuses on the analysis of signature patterns using various parameters, including aspect ratio, angle of the first letter with respect to the baseline, and the ratio of the area of a circle to its radius within the signature. A dataset consisting of 1200 genuine and 1200 simulated (English) signature samples from 12 individuals were examined using an image analysis tool to record measurements for these parameters. The primary objectives were to investigate the consistency of signatures within the same person and to compare genuine signatures with simulated ones. This study contributes to the field of forensic investigations by offering insights into the authentication of signatures and the measurement of dissimilarities between signatures of the same and different individuals based on their patterns. The findings aid in identifying most influential parameter in distinguishing genuine signatures from counterfeits and enhance the evidential value of handwritten signature samples. Additionally, the simplified approach employed in this study allows for universal applicability across languages. Future research endeavours could expand the dataset and explore additional parameters to further improve the accuracy and reliability of signature verification methods in forensic analysis.
手写签名是一种独特的行为属性,是个人身份识别的一种独特形式。本研究侧重于使用各种参数分析签名模式,包括长宽比、第一个字母相对于基线的角度以及签名中圆形面积与半径之比。我们使用图像分析工具检查了由 1200 个真实签名样本和 1200 个模拟(英文)签名样本组成的数据集,以记录这些参数的测量结果。主要目的是研究同一人签名的一致性,并比较真实签名和模拟签名。这项研究为法医调查领域提供了关于签名认证以及根据签名模式测量同一人和不同人签名之间差异的见解。研究结果有助于确定区分真假签名的最有影响力的参数,并提高手写签名样本的证据价值。此外,本研究中采用的简化方法可普遍适用于各种语言。未来的研究工作可以扩大数据集并探索更多参数,以进一步提高法证分析中签名验证方法的准确性和可靠性。
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引用次数: 0
Trends of Poisoning Cases Coming to a Tertiary Care Center in Lucknow: A Retrospective Observational Study 勒克瑙一家三级医疗中心的中毒病例趋势:回顾性观察研究
Pub Date : 2024-01-18 DOI: 10.37506/9tk7yq22
Richa Chaudhary, Rajiv Ratan Singh, Sachin Kumar Tripathi, Pradeep kumar Yadav
Introduction: The term “suspected poisoning” describes the potential exposure of a human or animal to a poisonous chemical, which might result in a variety of symptoms ranging from minor symptoms to severe consequences. The kind and quantity of the poison implicated may affect the symptoms. If poisoning is suspected, it’s crucial to get help right away so that the correct toxin can be identified and the proper management can be given.Aim: To monitor the epidemiological traits and clinical trends of poisoning cases at the emergency department of Dr. RMLIMS Lucknow.Methods: All 295 instances of acute poisoning were reported to the emergency department between April 2022 to March 2023. It is retrospective observational research of 12 months duration carried out in a tertiary care hospital. Data on the patient’s age, gender, kind of poisoning, length of hospital stay, and result were gathered from hospital medical records and examined.Result: The majority of victims have married housewives with poor socioeconomic and educational standingwho were between the ages of 31 and 40. Agriculture poisons and domestic poisons were the two most often used toxins. Most of the time, the general health at the time of presentation was unstable.Conclusion: Suspected poisoning is a serious medical emergency that might have life-altering effects on thevictims. Knowledge of the probable causes and symptoms of poisoning is crucial to ensure prompt diagnosis and treatment. Those who have been exposed to harmful chemicals can recover and prevent long-term harm with the proper measures.
导言:所谓 "疑似中毒",是指人类或动物可能接触到有毒化学物质,从而导致轻微到严重后果的各种症状。毒物的种类和数量可能会影响症状。如果怀疑中毒,必须立即寻求帮助,这样才能确定正确的毒素并采取适当的治疗措施。目的:监测勒克瑙 RMLIMS 医生急诊科中毒病例的流行病学特征和临床趋势:方法:2022 年 4 月至 2023 年 3 月期间,急诊科接报的所有 295 例急性中毒病例。这是在一家三级医院进行的为期 12 个月的回顾性观察研究。研究人员从医院病历中收集了患者的年龄、性别、中毒种类、住院时间和结果等数据,并进行了研究:结果:大多数受害者为已婚家庭主妇,社会经济地位和教育水平较低,年龄在 31 岁至 40 岁之间。农业毒物和家用毒物是最常使用的两种毒物。大多数情况下,患者发病时的总体健康状况并不稳定:结论:疑似中毒是一种严重的医疗紧急情况,可能会对受害者的生命造成影响。了解中毒的可能原因和症状对于确保及时诊断和治疗至关重要。只要采取适当措施,接触过有害化学物质的人就能康复并避免长期伤害。
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引用次数: 0
The Dogs Prey – A Canine Menace: A Case Report 狗的猎物--犬类的威胁:病例报告
Pub Date : 2024-01-18 DOI: 10.37506/rq4ewd93
R. Varun Kumar, M. Taqiuddin Khan
A 13 years old male found dead with several bite marks in the body, with some 8 to 10 dogs around that area.The deceased body was brought to Mortuary, Osmania General Hospital at 03:30 PM on 19/05/2022 by the Investigation Officer and requested for postmortem examination under section 174 Criminal Procedure Code.On postmortem examination, there were multiple claw marks, avulsed lacerations, puncture wounds present all over the body, laceration of platysma and a retro-laryngeal hematoma with fracture of 6th cervical vertebrae were noted, all were suggestive of canine tooth injury. All the internal organs were pale and cause of death was given as massive haemorrhage consequent to animal bites over head, neck and trunk.
调查官于 2022 年 5 月 19 日下午 3 时 30 分将死者尸体送往奥斯曼尼亚总医院停尸房,并要求根据《刑事诉讼法》第 174 条进行尸检。尸检结果显示,尸体上有多处爪痕、撕裂伤、全身穿刺伤、胸骨撕裂伤、喉后血肿和第六颈椎骨折,所有这些都表明是犬齿损伤。所有内脏器官均呈苍白色,死因是头部、颈部和躯干被动物咬伤导致大出血。
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引用次数: 0
Study of Sudden Natural Death: An Autopsy Based Cross Sectional Study in a Tertiary Care Medical College and Hospital of Assam 自然猝死研究:阿萨姆邦一所三级医疗学院和医院的尸检横断面研究
Pub Date : 2024-01-18 DOI: 10.37506/c8z55f74
Ardra P Mohan, Nayan mani Choudhury, Yengkhom Nungshiton Singha, Pranay Sharma, Bishal Koiri, Rajkumari Preety
Sudden natural death accounts for significant portion of mortality. Autopsy is the only solution for finding the definite cause of sudden deaths. The aim of this study is to find out the causes of sudden natural death and to evaluate associated factors. Study comprise 64 cases of Sudden Death autopsies performed in Silchar Medical College during the period 1st May 2022 to 30th November 2022. The organs were retained for histopathological examination. Information gathered from available documents in departmental records. Inferences made after analyzing data. Out of 514 autopsies during the study period, 64 cases were sudden natural death. Male dominated over female victims. The maximum death occurred in the age group 40-50 years followed by 30-40 years. The cause of deaths in 39% were attributed to cardiac causes and the remaining were due to non-cardiac causes. Sudden unexpected death requires significant health concern as most death occurs in the age ranging from 30 to 50 years. Cardiac causes contribute the maximum and male population are mostly affected. This kind of death of adulthood affects the financial stability of whole family as well as the Society.
自然猝死占死亡率的很大一部分。尸检是找到猝死明确原因的唯一办法。本研究旨在找出自然猝死的原因并评估相关因素。研究包括 2022 年 5 月 1 日至 2022 年 11 月 30 日期间在西尔查医学院进行的 64 例猝死尸检。尸体器官被保留进行组织病理学检查。从部门记录的现有文件中收集信息。分析数据后得出推论。在研究期间进行的 514 例尸检中,64 例为自然猝死。男性受害者多于女性受害者。40-50岁年龄组死亡人数最多,其次是30-40岁年龄组。39%的死亡原因归咎于心脏原因,其余则为非心脏原因。意外猝死需要引起人们对健康的高度关注,因为大多数死亡发生在 30-50 岁之间。心脏原因导致的猝死最多,男性患者居多。这种成年死亡会影响整个家庭和社会的经济稳定。
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引用次数: 0
Prospective Study on Estimation of Stature of Adult from Length of Clavicle in a Tertiary Care Hospital in Tamilnadu 泰米尔纳德邦一家三级医院根据锁骨长度估算成人身材的前瞻性研究
Pub Date : 2024-01-18 DOI: 10.37506/eysny530
D. Prakash, MN Rajamani, Bheem Rao, Vijay Balaji, R.Raguram, K. Priyatharsini
Forensic anthropology can play an important role in the identification process. Besides determination of race, sex and age of the unknown individual, estimation of stature enhances the reliability of identification. It is easier to get those data when the whole body or the entire skeleton isavailable to the forensic anthropologist. However incases of deliberate mutilation and disposal in parts, interference by wild animal and bomb blast by terrorist attack, recovery of the whole body or complete skeleton may not be possible. In those cases, in the forensic anthropologists have to give this opinion based upon the available supplied skeleton remains. Although approximate stature of the individual can be estimated from most of the long bones using either multiplication factors or regressionformulae, studies on estimation of stature from clavicle are limited. In the past, Terry, Oliver and Thieeme have tried to estimate the stature of the individual from clavicle. So the present study is planned to determine the stature from clavicle.
法医人类学可在身份鉴定过程中发挥重要作用。除了确定身份不明者的种族、性别和年龄外,对其身材的估计也能提高鉴定的可靠性。如果法医人类学家可以获得整具尸体或整个骨骼,则更容易获得这些数据。但是,在蓄意肢解和分尸、野生动物干扰和恐怖袭击炸弹爆炸的情况下,可能无法找到整个尸体或完整的骨骼。在这种情况下,法医人类学家必须根据现有的骸骨遗骸提出意见。虽然可以使用乘法因子或回归公式从大多数长骨中估算出个人的大致身材,但根据锁骨估算身材的研究却很有限。过去,Terry、Oliver 和 Thieeme 曾尝试通过锁骨来估计个体的身材。因此,本研究计划通过锁骨来确定身材。
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引用次数: 0
Comparative Soil Analysis from Different Crime Prone Areas of Kottayam and Kollam Districts of Kerala for Forensic Characterization 喀拉拉邦科塔亚姆县和科拉姆县不同犯罪高发区的土壤分析比较,以确定法医特征
Pub Date : 2024-01-18 DOI: 10.37506/xvha4v74
Elsa Kurian, Pooja Rana, Lav Kesharwani
Soil is the loose surface material that covers land on which plants grow. It consists of a mixture of organic remains, clay, and rock particles, which gives it its uniqueness from place to place. Because of the uniqueness of soil, it has a high evidential value in the field of forensic science. In the present study, research has been conducted to check the range of variations in the soil collected from different crime-prone areas of Kottayam and Kollam districts of Kerala by physical, chemical, microscopic, and instrumental examination. In physical examination, soil colour, texture, consistency, and density were measured, and in chemical examination, pH and total soluble sulphate of the soil were measured. In instrumental examination, Heavy metal analysis was done by using Atomic Absorption Spectrometry (AAS), which helps to measure the amount of trace elements present in the soil. The study found that each soil has some significant variations that make it unique. In the field of forensic science, this can be highly helpful in determining the origin of soil by examining its colour, texture, structure, content, etc.
土壤是覆盖土地的疏松表层物质,植物在上面生长。它由有机残留物、粘土和岩石颗粒混合而成,因此在不同的地方都有其独特性。由于土壤的独特性,它在法医学领域具有很高的证据价值。在本研究中,研究人员通过物理、化学、显微镜和仪器检查,检查了从喀拉拉邦科塔亚姆和科拉姆地区不同犯罪高发区采集的土壤的变化范围。在物理检查中,测量了土壤的颜色、质地、稠度和密度;在化学检查中,测量了土壤的 pH 值和总可溶性硫酸盐。在仪器检查中,使用原子吸收光谱法(AAS)进行了重金属分析,这有助于测量土壤中微量元素的含量。研究发现,每种土壤都有一些明显的差异,使其具有独特性。在法医学领域,这对通过检查土壤的颜色、质地、结构、含量等来确定土壤的来源大有帮助。
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引用次数: 0
Awareness, Attitude and Behavior of Dentists Towards Domestic Violence Victim Patients 牙科医生对家庭暴力受害者的认识、态度和行为
Pub Date : 2024-01-18 DOI: 10.37506/9kryp827
N. Kokane, Vandana B. Kokane, Neena Dongre
Background: Domestic violence is referred as shadow pandemic because it is seen globally. Domestic violence abuse is usually considered a problem that requires involvement of police or social services and not a problem that requires dental interference, but it is important to take under consideration that other services may even not be approached by the victim due to various reasons6. However, they may approach a dentist for facial trauma.Hence it is important to understand awareness, attitude and behaviour of dentists towards domestic violence victim patients.Materials and Methods: in this cross-sectional study, a self- administered, structured questionnaire was sent to dentists practicing in central India. Collected data were subjected to statistical analysis using Chi-square test, and P < 0.05 was considered statistically significant.Result: Mostly dentists were aware about and have heard about domestic violence in practice. As many as 37.6% dentist have encountered domestic violence victims in their practice but only 11.7% participants took any measures to record or report or refer DV victimsConclusion: As dental professionals are usually the first line of contact for patient with head and neck trauma,they would need to undergo special training to identify, support, and treat domestic violence patients.
背景:家庭暴力被称为 "影子流行病",因为它在全球范围内都存在。家庭暴力虐待通常被认为是一个需要警方或社会服务部门介入的问题,而不是一个需要牙科介入的问题,但重要的是要考虑到,由于各种原因6 ,受害者甚至可能不会求助于其他服务部门。因此,了解牙医对家庭暴力受害者的认识、态度和行为非常重要。材料和方法:在这项横断面研究中,我们向印度中部地区的牙医发送了一份自我管理的结构化问卷。收集到的数据采用卡方检验法进行统计分析,P < 0.05 为具有统计学意义:结果:大多数牙医都知道并听说过家庭暴力。多达 37.6%的牙医在执业过程中遇到过家庭暴力受害者,但只有 11.7%的参与者采取了任何措施记录、报告或转介家庭暴力受害者:结论:由于牙科专业人员通常是头颈部外伤患者的第一联系人,因此他们需要接受特殊培训,以识别、支持和治疗家庭暴力患者。
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引用次数: 0
Estimation of Time Since Death by Potassium ion Level in the Vitreous Fluids: A Postmoterm Study in a Tertiary Care Center, South India 通过玻璃体液中的钾离子水平估计死亡时间:印度南部一家三级医疗中心的一项死亡后研究
Pub Date : 2024-01-18 DOI: 10.37506/17jpph73
Balavenkataperumal R, Vinoth Kumar.V, Rajkumar.G, Udhayabanu .R, Jeyasingh.T
Background: It is of great value to find time since death in the medicolegal investigations like serious crimes.Vitreous humor was more often used for the biochemical analysis as it is less contaminated or not affected by the putrefactive changes than other fluids of the body. It was stated by many researchers that potassium levels in the vitreous humour is more accurate in predicting time since death.Aim: The aim of the study is to assess the time since death using potassium level in the vitreous humorMethodology: This study includes 54 cases of victims brought to the tertiary care hospital based on inclusion and exclusion criteria. Cases with known time of death and with clear vitreous humor samples were included. Baseline characteristics like name, age, gender, exact time since death was collected. Vitreoushumor was collected through appropriate standardized technique. Sampling time was also noted. The collected data was entered in MS excel and analysis done in SPSS 23 software. P value <0.05 is considered to be significant.Results: Majority of the study participants belongs to 57-67 years of age group (28%) followed by 27-37 years of age (22%).Male predominance was observed in our study 41(76%). There is a linear correlation found between the vitreous potassium concentration and the postmortem interval (R2=0.907). The rate of the vitreous potassium increase was 0.36 meq/hr (Coefficient of regression =2.76 meq/l/hr)Conclusion: There is a linear relationship found between vitreous potassium concentration and time since death.Thus potassium in the vitreous can be used for assessing the time since death.
背景:玻璃体液通常用于生化分析,因为与其他体液相比,玻璃体液污染较少或不受腐败变化的影响。许多研究人员指出,玻璃体液中的钾含量能更准确地预测死亡时间。研究目的:本研究旨在利用玻璃体液中的钾含量评估死亡时间:本研究根据纳入和排除标准纳入了 54 例被送往三级医院的受害者。其中包括死亡时间已知且玻璃体样本清晰的病例。收集了姓名、年龄、性别、确切死亡时间等基线特征。通过适当的标准化技术采集玻璃体。同时还记录了采样时间。收集的数据输入 MS excel,并在 SPSS 23 软件中进行分析。P值小于0.05为有意义:大部分研究参与者属于 57-67 岁年龄组(28%),其次是 27-37 岁年龄组(22%)。玻璃体钾浓度与死后间隔时间呈线性相关(R2=0.907)。玻璃体钾的增加速度为 0.36 meq/hr(回归系数 =2.76 meq/l/hr):因此,玻璃体内的钾可用于评估死亡时间。
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引用次数: 0
期刊
Indian Journal of Forensic Medicine &amp; Toxicology
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