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Anthropometric study of facial and nasal indices of the Akan ethnic population of Ghana 加纳阿坎族人口面部和鼻腔指数的人体测量学研究
Pub Date : 2023-06-30 DOI: 10.4038/sljfmsl.v14i1.7924
N. Appiah, A. Appiah, J. Tetteh, T. Diby, C. Abaidoo
Introduction: Facial anthropometry is required in many medical and dental disciplines, particularly for prosthodontists, orthodontists, plastic surgeons, maxillofacial surgeons, and forensic medicine experts. An individual's facial shape is a reflection of their race, age, and gender. The present study aimed at determining the facial and nasal indices among the Akan ethnic group in Kumasi, Ghana.Methodology: A total of 307 (182 males and 125 females) Akan adult volunteers between the age of 18 - 30 years were recruited for the study. Standard procedures were used to obtain the necessary facial and nasal measurements for generating the appropriate indices. A p-value of 0.05 or less was judged statistically significant.Results: In males, the facial index ranged from 75.28 to 117.90, while in females it ranged from 76.58 to 97.87. The nasal index ranged from 52.0 to 115.3 in males and 52.0 to 105.7 in females. There were significant differences between males and females in all facial parameters utilized to calculate facial and nasal indices. The facial index, but not the nasal index, differed significantly between Akan males and females. Mesoprosopic was the most prevalent face type in both male and female Akan populations, whereas mesorrhine was the most common nose type.Conclusion: The findings of this study can be used as a reference to improve the outcome of cosmetic and reconstructive facial surgery and rhinoplasty, as well as for medico-legal purposes in the Akan people of Ghana.
面部人体测量学在许多医学和牙科学科中都是必需的,特别是对于修复牙医、正畸医生、整形外科医生、颌面外科医生和法医学专家。一个人的脸型反映了他的种族、年龄和性别。本研究旨在确定加纳库马西阿坎族的面部和鼻腔指数。研究方法:共招募了307名(182名男性,125名女性)年龄在18 - 30岁之间的阿坎成人志愿者。使用标准程序获得必要的面部和鼻腔测量以生成适当的指标。p值小于等于0.05被认为具有统计学意义。结果:男性面部指数为75.28 ~ 117.90,女性面部指数为76.58 ~ 97.87。男性鼻指数为52.0 ~ 115.3,女性为52.0 ~ 105.7。用于计算面部和鼻指数的所有面部参数在男性和女性之间存在显著差异。阿坎人的面部指数,而不是鼻腔指数,在男性和女性之间存在显著差异。中鼻型是阿坎人男性和女性中最常见的脸型,而中鼻型是最常见的鼻子型。结论:本研究结果可为改善加纳阿坎人面部整形和鼻整形手术的效果以及医学法律目的提供参考。
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引用次数: 0
ChatGPT: To cite or not to cite? 引用还是不引用?
Pub Date : 2023-06-30 DOI: 10.4038/sljfmsl.v14i1.7942
K. Ekanayake
No abstract available
没有摘要
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引用次数: 0
Forensic approach towards criminal use of mercury in domestic violence 对在家庭暴力中犯罪使用汞的法医方法
Pub Date : 2023-06-30 DOI: 10.4038/sljfmsl.v14i1.7909
S. Sinha, K. Rao, A. Rawat
The prevalence of criminal cases against women is not first-hand with statistical data from the National Crime Records Bureau in India proclaiming an even rise in cases of domestic violence. Despite numerous laws to protect women against various crimes including rape, sexual harassment, dowry death, etc., there is less respite from violence toward women in India. Indian society needs to stand up and address the existence of many socio-cultural reasons for crime against women apart from literacy to lower these crime statistics. Forensic experts play a pivotal role in the scientific examination of evidence to support the criminal justice system which in the end affects the lives of millions of female victims. A case of attempted domestic homicide is presented wherein a 21-year-old married female was poisoned with some unknown substance laced in her milk by her in-laws. This case is of interest to the scientific community as well as to persons working within the medical and judiciary fraternity.Case history: A married woman aged 21 years alleged her in-laws including her husband of attempt to murder her by giving her milk laced with some unknown substance. She had severe vomiting after drinking milk where she noticed some shining materials in the vomitus. The vomitus and the gastric lavage were analyzed subsequently.Methodology: Physical and Chemical Examinations including visual analysis and solubility, odour, etc were initially conducted on the exhibits (Gastric Lavage and Vomitus samples) and results were further confirmed by Atomic Absorption Spectrometry.Results: An abnormally high level of mercury i.e. 9.88 ppm and 332.15 ppm were detected in Gastric lavage and vomitus respectively.Conclusion: The various scientific investigations determined that the female had been poisoned by using mercury justifying the essential role of forensics in linking shreds of evidence scientifically.
针对妇女的刑事案件的普遍程度并不是第一手的,印度国家犯罪记录局的统计数据表明,家庭暴力案件甚至有所上升。尽管有许多法律保护妇女免受各种犯罪,包括强奸、性骚扰、嫁妆死亡等,但在印度,对妇女的暴力行为较少得到缓解。除了扫盲,印度社会需要站起来,解决针对女性犯罪的许多社会文化原因,以降低这些犯罪统计数字。法医专家在科学审查证据以支持刑事司法系统方面发挥着关键作用,刑事司法系统最终影响到数百万女性受害者的生活。这是一起家庭谋杀未遂案件,其中一名21岁的已婚女性被她的姻亲在她的牛奶中加入了某种未知物质而中毒。科学界以及在医疗和司法领域工作的人员都对此案感兴趣。案例:一名21岁的已婚妇女指控她的公婆,包括她的丈夫,试图通过给她喝掺有未知物质的牛奶来谋杀她。她喝完牛奶后呕吐得很厉害,呕吐物里有一些闪闪发光的东西。随后对呕吐物和洗胃液进行分析。方法:首先对展品(洗胃和呕吐物样品)进行物理和化学检查,包括视觉分析、溶解度、气味等,并通过原子吸收光谱法进一步证实结果。结果:在洗胃液和呕吐物中分别检测到异常高水平的汞,分别为9.88 ppm和332.15 ppm。结论:各种科学调查确定该女性是被汞中毒的,证明了法医在科学联系证据方面的重要作用。
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引用次数: 0
Circumstances of fatal road traffic accidents among adolescents in a metro city of India 印度某大城市青少年致命道路交通事故的情况
Pub Date : 2023-06-30 DOI: 10.4038/sljfmsl.v14i1.7932
I. Das, K. Bag, N. Bag, D. Manna, S. Chatterjee
Road Traffic Accident (RTA) is an important public health problem globally in all age groups, particularly among adolescents. RTA is one of the leading causes of death in India. The long-term impact of RTA among adolescents is serious in society in terms of economy, disease burden, and future productivity.This study attempts to find out the circumstances of fatal road traffic accidents among adolescents in a metro city in India.This is an observational descriptive cross-sectional study, conducted at an autopsy center in Kolkata, India for a period of one year. Data were obtained from reports of post-mortem examinations and police inquests of fatal road traffic accidents in adolescents, reported to the institute. The data was compiled in Microsoft Excel and analysed by using a simple table.The total number of RTA deaths among adolescents during the study period was 45, with 91% of them male and 9% female. The most common offending vehicle in RTA deaths was a motorized two-wheeler (71%). 91% of the deceased were riders while 9% were pillion riders. 59% of them were below the age (18 years) of obtaining a valid driving license. The majority had collided with stationary objects during the RTA and died due to head injury (52%).
道路交通事故(RTA)是全球所有年龄组,特别是青少年中的一个重要公共卫生问题。RTA是印度的主要死亡原因之一。青少年RTA在经济、疾病负担和未来生产力方面的长期社会影响是严重的。本研究试图找出致命的道路交通事故的情况下,青少年在一个地铁城市在印度。这是一项观察性描述性横断面研究,在印度加尔各答的尸检中心进行了为期一年的研究。数据来自向研究所报告的关于青少年致命道路交通事故的验尸和警察调查报告。数据在Microsoft Excel中进行编译,并使用简单的表格进行分析。在研究期间,青少年因RTA死亡的总人数为45人,其中91%为男性,9%为女性。RTA死亡中最常见的肇事车辆是机动两轮车(71%)。91%的死者是乘客,9%是乘客。其中59%的人年龄在18岁以下,无法获得有效的驾驶执照。大多数人在RTA期间与静止物体相撞并因头部受伤而死亡(52%)。
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引用次数: 0
Foetal patients, surgeons, and medical negligence: An insight for a new legislation 胎儿病人、外科医生和医疗疏忽:一项新立法的见解
Pub Date : 2023-06-30 DOI: 10.4038/sljfmsl.v14i1.7933
A. P. Rathnayake
Foetal interventions are the direct result of developments in the field of medicine. The scientific advancements opened the way for pregnant women to select the treatment of the foetus ‘in utero’. This is an option available when the pregnant woman is reluctant to terminate the pregnancy on the grounds of congenital abnormalities of the foetus. Further, treatment of the foetus is considered a psychological relief to pregnant women who otherwise had to wait until the birth of the child to remedy the defects. The predominant method of treatment of the foetus is ‘foetal surgery’ which facilitates the treatment of the foetus in the womb. This demarcates the treatment of the fatal conditions of the foetus through invasive procedures or open surgery. The problem that arises in this context is whether the foetal surgeons exercise a medical duty of care towards the foetus. The problem is aggravated when the viable foetuses become patients as such patients have the potential to survive outside the womb (ex-utero) irrespective of the destruction of the life of the mother. Medical negligence and a course of action for medical malpractice litigation are established only upon the proof of the existence of a medical duty of care and the breach of it. This paper aims to provide insight into legislation on the medical negligence of surgeons performing surgeries on foetuses. The methodology adopted in the paper is qualitative in nature and a comparative legal analysis with the jurisdiction of the United States of America (USA). The paper's conclusion holds that foetal surgeons legally undertake to act for the benefit of foetal patients and have an obligation to avoid negligence.
胎儿干预是医学领域发展的直接结果。科学的进步为孕妇选择“子宫内”胎儿的治疗方式开辟了道路。当孕妇因胎儿先天畸形而不愿终止妊娠时,可选择这种方法。此外,对胎儿的治疗被认为是对孕妇的一种心理缓解,否则孕妇必须等到孩子出生才能弥补缺陷。治疗胎儿的主要方法是“胎儿手术”,这有助于治疗子宫内的胎儿。这区分了对胎儿致命状况的治疗是通过侵入性手术还是开放式手术。在这种情况下出现的问题是,胎儿外科医生是否对胎儿行使医疗照顾义务。当可存活的胎儿成为病人时,问题就更严重了,因为这些病人有可能在子宫外存活,而不管母亲的生命是否受到破坏。医疗过失和医疗事故诉讼的诉讼程序只有在证明存在医疗注意义务和违反这一义务的情况下才能确定。本文旨在为外科医生对胎儿进行手术的医疗过失立法提供见解。本文件所采用的方法是定性的,是与美利坚合众国(美国)的管辖权进行比较的法律分析。本文的结论认为,胎儿外科医生在法律上承担了为胎儿患者的利益行事的义务,并有避免过失的义务。
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引用次数: 0
A prospective study on the sexual victimization of adolescent females by romantic partners and the relationship to the age gap between the partners 青少年女性伴侣性侵害行为及其与伴侣年龄差距的关系研究
Pub Date : 2023-06-30 DOI: 10.4038/sljfmsl.v14i1.7929
R. Gunasekara, A. Vadysinghe, M. Sivasubramanium, A. Attanayake
Introduction: According to statistics, 70% of reported rape cases had happened with the willingness of the female partner, where the law enforcement authorities have charged as the victim is below 16 years. This study evaluated the sexual victimization of such females by their partners in relation to the age gap between the couple.Methodology: This is a descriptive study of 63 female victims of sexual assault aged 12 to 16 years, presented to the National Hospital Kandy during a one-year period. The sample was divided into three groups according to the age gap between the victim and perpetrator (P1; 0 to 5.9 years, P2; 6 to 11.9 years and P3; 12 to 18 years)Results: The age gap of the couples ranged from 1.8 to 17.7 years, with a mean of 9.5 years and 49% belonging to P2. The percentage of couples engaging in sexual relations with penile penetration was higher with an increasing age gap. In P1, 71% had willingly engaged in sexual activity, while it was only 45% and 44% in P2 and P3 respectively. Furthermore, in P3, 30% of the victims had allowed the alleged sexual act following intimidation, but it was not observed in P1. This study revealed that within a month of courtship sexual activity had occurred in 55% of cases in P3 while it was 32% in P2 and, only 21% in P1. In P3, 11% had engaged in sexual activity on the first encounter, whereas it was not observed in P1 and P2.Conclusion: With the increasing age gap, the vulnerability to sexual victimization of female adolescents by partners is more prevalent. Therefore, considering the age gap between partners may be more justifiable than adhering to a fixed age of consent to prosecute and punish in cases of sexual assault of adolescent females. Hence, it is evident that the application of the “Romeo and Juliet exemption” to the Sri Lankan setup is timely and justifiable.
导读:据统计,在报案的强奸案件中,有70%是在女方自愿的情况下发生的,执法部门因为受害者未满16岁而起诉。这项研究评估了这些女性被其伴侣的性侵害与夫妻年龄差距的关系。方法:这是一项描述性研究,对63名12至16岁的性侵犯女性受害者进行了为期一年的研究,这些受害者提交给康提国立医院。根据受害人与加害人的年龄差距将样本分为三组(P1;0 - 5.9岁,P2;6至11.9岁及P3;(12 ~ 18岁)结果:夫妻年龄差距1.8 ~ 17.7岁,平均9.5岁,49%属于P2。夫妻发生阴茎插入性关系的比例随着年龄差距的增加而增加。在P1中,71%的人愿意进行性行为,而在P2和P3中,这一比例分别只有45%和44%。此外,在P3中,30%的受害者在受到恐吓后允许所谓的性行为,但在P1中没有观察到这种情况。这项研究表明,在求爱的一个月内,55%的P3企鹅发生了性行为,而P2企鹅的这一比例为32%,P1企鹅只有21%。在P3中,11%的人在第一次见面时就有性行为,而在P1和P2中没有观察到这一点。结论:随着年龄差距的增大,女性青少年遭受性侵的脆弱性更为普遍。因此,考虑到伴侣之间的年龄差距可能比坚持一个固定的同意年龄来起诉和惩罚青春期女性的性侵犯案件更合理。因此,显然,“罗密欧与朱丽叶豁免”适用于斯里兰卡设置是及时和正当的。
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引用次数: 0
Excellence in HPB Surgery: A Journey Towards Fulfillment 卓越的HPB手术:实现之旅
Pub Date : 2022-12-31 DOI: 10.4038/sljm.v31i2.403
A. Dharmapala
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引用次数: 0
Psychological Morbidity in the Context of the COVID-19 Pandemic in Children and Adolescents in Sri Lanka: A Case Series 2019冠状病毒病大流行背景下斯里兰卡儿童和青少年的心理发病率:病例系列
Pub Date : 2022-12-31 DOI: 10.4038/sljm.v31i2.337
P. K. D. H. J. L. De Silva Rajaratne, D. Dahanayake
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引用次数: 0
Clinical Audit on Record Keeping Standards at a Specialized Out-patient Child Psychiatry Service in Sri Lanka 斯里兰卡一家专门门诊儿童精神病学服务机构记录保存标准的临床审计
Pub Date : 2022-12-31 DOI: 10.4038/sljm.v31i2.338
P. K. D. H. J. L. De Silva Rajaratne, R. M. Wijesiriwardane, B. D. J. V. Peiris, D. Dahanayake
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引用次数: 0
Gender Dysphoria and Morbid Sexual Jealousy in an Adolescent 青少年性别焦虑与病态性嫉妒
Pub Date : 2022-12-31 DOI: 10.4038/sljm.v31i2.342
L. Rathnayake, C. Kuruppuarachchi, M. Abeyrathne, P. K. D. H. J. L. De Silva Rajaratne, M. Chandradasa, K. Kuruppuarachchi
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引用次数: 0
期刊
Sri Lanka Journal of Forensic Medicine Science Law
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