Pub Date : 2023-01-01DOI: 10.48165/jiafm.2023.45.1.19
R. Radhika, A. Rawekar
Currently, the world is responding to a pandemic of contagious respiratory disease caused by a novel corona virus and its emerging new variants of concern, COVID-19 that has impacted all aspects of our lives, including education. Hence, online classes have become a key component in the continuity of medical education, it allows the students to interact with their teacher face-to-face through the internet using online tools and so on, which can be combination of blended learning (attending classes along with virtual class). In online learning, academic dishonesty in institutions is one of the major ethical challenges which is affecting negatively on the character and personality of student. The present study is conducted to assess the perceptions and awareness of ethical issues in online learning by study participants. A self-administered online questionnaire using Google Forms® having combination of closed- and open-ended questions was given to participants. The data collected was analyzed in excel sheets using simple statistical tool. 62 (36%), out of 171 students disagreed that online teaching sessions were more effective and helped them to study better, they considered it is not effective in delivering or promoting effective teaching learning in medical education considering various barriers to it. However, 19 (76%) out of 25 faculty agreed that Online learning in medical education enables students to continue their education similar to the traditional approach. Participants awareness on ethical issues was good when using online learning systems in medical education and the students should be made fully knowledgeable about ethical issues to avoid unethical behavior during their academic period.
{"title":"Awareness of Ethical Issue in Online Teaching for Medical Education, West Bengal, lndia","authors":"R. Radhika, A. Rawekar","doi":"10.48165/jiafm.2023.45.1.19","DOIUrl":"https://doi.org/10.48165/jiafm.2023.45.1.19","url":null,"abstract":"Currently, the world is responding to a pandemic of contagious respiratory disease caused by a novel corona virus and its emerging new variants of concern, COVID-19 that has impacted all aspects of our lives, including education. Hence, online classes have become a key component in the continuity of medical education, it allows the students to interact with their teacher face-to-face through the internet using online tools and so on, which can be combination of blended learning (attending classes along with virtual class). In online learning, academic dishonesty in institutions is one of the major ethical challenges which is affecting negatively on the character and personality of student. The present study is conducted to assess the perceptions and awareness of ethical issues in online learning by study participants. A self-administered online questionnaire using Google Forms® having combination of closed- and open-ended questions was given to participants. The data collected was analyzed in excel sheets using simple statistical tool. 62 (36%), out of 171 students disagreed that online teaching sessions were more effective and helped them to study better, they considered it is not effective in delivering or promoting effective teaching learning in medical education considering various barriers to it. However, 19 (76%) out of 25 faculty agreed that Online learning in medical education enables students to continue their education similar to the traditional approach. Participants awareness on ethical issues was good when using online learning systems in medical education and the students should be made fully knowledgeable about ethical issues to avoid unethical behavior during their academic period.","PeriodicalId":53547,"journal":{"name":"Journal of Indian Academy of Forensic Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70563457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.48165/jiafm.2023.45.1.14
S. Parate, S. Debbarma, V. Vaibha, A. Verma
Construction industry in India is vast and complex involving modern technology as well as the workforce. Annually construction industry alone contributes 24.2 % (on an average 38 people per day) fatalities out of estimated 48000 fatal occupational accidents occurred in India. As government megaprojects are in progress, an incidence of occupational injuries also rose among construction workers in Uttarakhand. This study aims to present a profile of victims of construction workers, the contributory factors and consequences of fatal accidents at construction sites. Cases of construction accident victims' data between October 2018 to September 2020 brought for an autopsy were studied. All victims were male out of which 16 (88.8%) were in 21 to 40 years of age. Majority was migrant workers from other states. Among the total victims, 12 (66.6%) were engaged in highway construction work and 6 (33.4%) in building construction work. Landslide and fall from height were common causative factors of an accident. Most of the victims died due to multiple injuries sustained on the body.
{"title":"Occupational Injury Related Deaths among Construction Workers in Uttarakhand- A Retrospective, Descriptive Study","authors":"S. Parate, S. Debbarma, V. Vaibha, A. Verma","doi":"10.48165/jiafm.2023.45.1.14","DOIUrl":"https://doi.org/10.48165/jiafm.2023.45.1.14","url":null,"abstract":"Construction industry in India is vast and complex involving modern technology as well as the workforce. Annually construction industry alone contributes 24.2 % (on an average 38 people per day) fatalities out of estimated 48000 fatal occupational accidents occurred in India. As government megaprojects are in progress, an incidence of occupational injuries also rose among construction workers in Uttarakhand. This study aims to present a profile of victims of construction workers, the contributory factors and consequences of fatal accidents at construction sites. Cases of construction accident victims' data between October 2018 to September 2020 brought for an autopsy were studied. All victims were male out of which 16 (88.8%) were in 21 to 40 years of age. Majority was migrant workers from other states. Among the total victims, 12 (66.6%) were engaged in highway construction work and 6 (33.4%) in building construction work. Landslide and fall from height were common causative factors of an accident. Most of the victims died due to multiple injuries sustained on the body.","PeriodicalId":53547,"journal":{"name":"Journal of Indian Academy of Forensic Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70563643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.48165/jiafm.2023.45.2.20
N. M. Sam, R. Raveendran, S. Deepthi
Adverse event following immunization is any untoward medical occurrence which follows immunization and which does not necessarily have a causal relationship with the usage of the vaccine. Here we had a case where a 20-year-old male, who had taken second dose of Covishield vaccine and presented with complaints of fever, vomiting and abdominal pain. He was managed conservatively, but he collapsed and died at home, the next day. Autopsy revealed it as a case of small bowel volvulus with complications like gangrene and peritonitis. Volvulus of small intestine is a rare condition; non-specific clinical features and laboratory investigations make it difficult to diagnose. Coincidence with vaccination perhaps complicated the diagnosis in this case, which needed to be dealt as a surgical emergency.
{"title":"An Unexpected Cause of Sudden Death Reported as a Case of Adverse Event Following Immunization (AEFI)","authors":"N. M. Sam, R. Raveendran, S. Deepthi","doi":"10.48165/jiafm.2023.45.2.20","DOIUrl":"https://doi.org/10.48165/jiafm.2023.45.2.20","url":null,"abstract":"Adverse event following immunization is any untoward medical occurrence which follows immunization and which does not necessarily have a causal relationship with the usage of the vaccine. Here we had a case where a 20-year-old male, who had taken second dose of Covishield vaccine and presented with complaints of fever, vomiting and abdominal pain. He was managed conservatively, but he collapsed and died at home, the next day. Autopsy revealed it as a case of small bowel volvulus with complications like gangrene and peritonitis. Volvulus of small intestine is a rare condition; non-specific clinical features and laboratory investigations make it difficult to diagnose. Coincidence with vaccination perhaps complicated the diagnosis in this case, which needed to be dealt as a surgical emergency.","PeriodicalId":53547,"journal":{"name":"Journal of Indian Academy of Forensic Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70565090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.48165/jiafm.2023.45.2.15
S. E. Devi, M. Phanjoubam, A. Angami, T. M. Devi
According to World Health Organization, road traffic accident claims 1.2 million deaths annually and causes up to 50 million non-fatal injuries. Alimb injury is any injury to a limb, either a leg or arm, or to the toes and fingers. Limb injuries include broken bones (cracked or fractured bones, eg. a broken arm), dislocations (when a bone has been moved or dislodged, eg. a dislocated shoulder), sprains (injuries to ligaments, eg. a sprained ankle), strains (injuries to muscles, eg. a strained thigh), nail injuries (injuries to toenails and fingernails, eg., a stubbed toe), and bruises (colored marks caused by bleeding under the skin due to an impact). Across-sectional study was conducted in the mortuary of a tertiary health care centre in North-East India. The study was done from September 2019 to August 2021. All road traffic accident cases which were brought for medico legal autopsy were included. From the present study, it was found that maximum number of victims was due to two-wheeler accidents and most of the fatalities occurred after reaching hospital, mostly due to lack of prompt aid for the victim and less trauma center in the region. Injuries mostly seen are abrasion and a few cases of fracture. The cause of death is injury to major vessels involved in the fracture causing shock and hemorrhage. It is also observed that multiple limb injuries and limb injuries associated with fracture could be fatal which is significant (p< .001).
{"title":"Pattern of Limb Injuries in Road Traffic Accident: A Cross-Sectional Study in a Tertiary Health Care Centre in North East India","authors":"S. E. Devi, M. Phanjoubam, A. Angami, T. M. Devi","doi":"10.48165/jiafm.2023.45.2.15","DOIUrl":"https://doi.org/10.48165/jiafm.2023.45.2.15","url":null,"abstract":"According to World Health Organization, road traffic accident claims 1.2 million deaths annually and causes up to 50 million non-fatal injuries. Alimb injury is any injury to a limb, either a leg or arm, or to the toes and fingers. Limb injuries include broken bones (cracked or fractured bones, eg. a broken arm), dislocations (when a bone has been moved or dislodged, eg. a dislocated shoulder), sprains (injuries to ligaments, eg. a sprained ankle), strains (injuries to muscles, eg. a strained thigh), nail injuries (injuries to toenails and fingernails, eg., a stubbed toe), and bruises (colored marks caused by bleeding under the skin due to an impact). Across-sectional study was conducted in the mortuary of a tertiary health care centre in North-East India. The study was done from September 2019 to August 2021. All road traffic accident cases which were brought for medico legal autopsy were included. From the present study, it was found that maximum number of victims was due to two-wheeler accidents and most of the fatalities occurred after reaching hospital, mostly due to lack of prompt aid for the victim and less trauma center in the region. Injuries mostly seen are abrasion and a few cases of fracture. The cause of death is injury to major vessels involved in the fracture causing shock and hemorrhage. It is also observed that multiple limb injuries and limb injuries associated with fracture could be fatal which is significant (p< .001).","PeriodicalId":53547,"journal":{"name":"Journal of Indian Academy of Forensic Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70565109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.48165/jiafm.2023.45.2.23
P. Chatterjee
Necrophilia, the act of engaging in sexual activity with a dead body, represents a disturbing and rare form of paraphilia. This research paper explores the historical origins, psychological aspects, and legal dimensions of necrophilia, focusing on its classification into different classes based on intent and actions. Through the analysis of numerous case studies from various regions, the motivations behind such acts are examined, ranging from psychological disorders to revenge and sadism. The paper emphasises the need for specialised diagnosis and treatment, as necrophilia can manifest in different ways, from accidental tactile arousal during medical dissections to deliberate mutilation of corpses. Distinguishing between necrophilia as a psychological issue and as a criminal act is crucial, necessitating the involvement of both criminological and psychological expertise in handling such cases. To ascertain whether necrophilia should be considered a crime or a psychological disorder, the paper investigates the context of each incident, including the victim's cause of death and any prior sexual assaults. It calls for increased public awareness to facilitate early detection and appropriate treatment, preventing the escalation of these disturbing behaviours. The distinction between criminal necrophilia and paraphilic necrophilia is essential in determining suitable punishment and ensuring that those with psychological disorders receive medical care and rehabilitation to address their aberrant urges. In conclusion, this research forms the groundwork for comprehensive legal provisions and psychological support systems to address the complex intersection of necrophilia as a crime and as a mental health issue.
{"title":"Necrophilia: A Complex Intersection of Crime and Psychological Disorder","authors":"P. Chatterjee","doi":"10.48165/jiafm.2023.45.2.23","DOIUrl":"https://doi.org/10.48165/jiafm.2023.45.2.23","url":null,"abstract":"Necrophilia, the act of engaging in sexual activity with a dead body, represents a disturbing and rare form of paraphilia. This research paper explores the historical origins, psychological aspects, and legal dimensions of necrophilia, focusing on its classification into different classes based on intent and actions. Through the analysis of numerous case studies from various regions, the motivations behind such acts are examined, ranging from psychological disorders to revenge and sadism. The paper emphasises the need for specialised diagnosis and treatment, as necrophilia can manifest in different ways, from accidental tactile arousal during medical dissections to deliberate mutilation of corpses. Distinguishing between necrophilia as a psychological issue and as a criminal act is crucial, necessitating the involvement of both criminological and psychological expertise in handling such cases. To ascertain whether necrophilia should be considered a crime or a psychological disorder, the paper investigates the context of each incident, including the victim's cause of death and any prior sexual assaults. It calls for increased public awareness to facilitate early detection and appropriate treatment, preventing the escalation of these disturbing behaviours. The distinction between criminal necrophilia and paraphilic necrophilia is essential in determining suitable punishment and ensuring that those with psychological disorders receive medical care and rehabilitation to address their aberrant urges. In conclusion, this research forms the groundwork for comprehensive legal provisions and psychological support systems to address the complex intersection of necrophilia as a crime and as a mental health issue.","PeriodicalId":53547,"journal":{"name":"Journal of Indian Academy of Forensic Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70565646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.48165/jiafm.2023.45.1.15
B. Ominde, J. Ikubor, W. Iju, A. Ebeye, P. Igbigbi
The morphometric parameters of the maxillary sinus are important in the forensic identification of unknown human skulls. This study aimed at determining the accuracy of using the dimensions of the maxillary sinus in sex determination. Skull Computed Tomography images of 292 adult patients, stored in the Radiology Department of a teaching hospital in Nigeria were retrospectively used to measure the dimensions of the maxillary sinus after obtaining the institution's approval. Using the Statistical Package for Social Sciences Version 23, the side and gender comparisons were evaluated using student's t-test while the correlation between the metric parameters was determined using Pearson's test. P-value was considered significant at <0.05. Discriminant function analysis was used to evaluate the accuracy of using the dimensions for sex prediction. The dimensions of the maxillary sinus were significantly larger in males than in females (p<0.05) but lacked significant association with age (p>0.05). The left maxillary sinus height was the best sex discriminating variable (238,81.5%). The accuracy of correct sex prediction increased when all the dimensions of the right (240,82.2%), left (243,83.2%) or both maxillary sinuses (258,88.4%) were used. In conclusion, the MS dimensions may be used for sex determination with acceptable accuracy in the studied population.
{"title":"Morphometry of the Maxillary Sinus and its Role in Sex Determination in Delta State Nigeria: Retrospective CT Study","authors":"B. Ominde, J. Ikubor, W. Iju, A. Ebeye, P. Igbigbi","doi":"10.48165/jiafm.2023.45.1.15","DOIUrl":"https://doi.org/10.48165/jiafm.2023.45.1.15","url":null,"abstract":"The morphometric parameters of the maxillary sinus are important in the forensic identification of unknown human skulls. This study aimed at determining the accuracy of using the dimensions of the maxillary sinus in sex determination. Skull Computed Tomography images of 292 adult patients, stored in the Radiology Department of a teaching hospital in Nigeria were retrospectively used to measure the dimensions of the maxillary sinus after obtaining the institution's approval. Using the Statistical Package for Social Sciences Version 23, the side and gender comparisons were evaluated using student's t-test while the correlation between the metric parameters was determined using Pearson's test. P-value was considered significant at <0.05. Discriminant function analysis was used to evaluate the accuracy of using the dimensions for sex prediction. The dimensions of the maxillary sinus were significantly larger in males than in females (p<0.05) but lacked significant association with age (p>0.05). The left maxillary sinus height was the best sex discriminating variable (238,81.5%). The accuracy of correct sex prediction increased when all the dimensions of the right (240,82.2%), left (243,83.2%) or both maxillary sinuses (258,88.4%) were used. In conclusion, the MS dimensions may be used for sex determination with acceptable accuracy in the studied population.","PeriodicalId":53547,"journal":{"name":"Journal of Indian Academy of Forensic Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70563218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.48165/jiafm.2023.45.2.17
P. S. Kandade, N. P. Zanjad
COVID 19 pandemic continues to pose serious public health problems and also problems related to financial, social and psychological issues. Because of factors such as loneliness, stress, financial issues, many people committed suicide during pandemic. Hanging was the most common method adopted for committing suicide. The present study was conducted to highlight the current prevalence and pattern of suicidal deaths by hanging during COVID19 pandemic. We retrospectively reviewed suicidal deaths by hanging autopsied at tertiary medical care centre of Western Maharashtra st th during the period of 1 January 2021 to 30 June 2021. During the study period, 3780 medico-legal autopsies were performed, of which total 368 cases (9.73%) of death due to hanging were observed. Among 368 cases of death due to hanging, 366 (99.45%) were suicidal in nature while 02 cases (0.55%) were accidental in nature. Male outnumbered female with male: female ratio 3.46:1. The maximum number of cases (60.92%) was observed in age group of 21 to 40 years. The soft material was used in 190 cases (51.91%) while hard material was used in 176 cases (48.08%). The ligature material most commonly used for committing hanging was rope (46.17%) followed by saree (28.96%) and dupatta (17.75%). Most of victims 342 (93.44%) committed suicide by hanging in closed space like home and common close places.
{"title":"Pattern of Suicidal Deaths by Hanging at Tertiary Health Care Centre During COVID Pandemic","authors":"P. S. Kandade, N. P. Zanjad","doi":"10.48165/jiafm.2023.45.2.17","DOIUrl":"https://doi.org/10.48165/jiafm.2023.45.2.17","url":null,"abstract":"COVID 19 pandemic continues to pose serious public health problems and also problems related to financial, social and psychological issues. Because of factors such as loneliness, stress, financial issues, many people committed suicide during pandemic. Hanging was the most common method adopted for committing suicide. The present study was conducted to highlight the current prevalence and pattern of suicidal deaths by hanging during COVID19 pandemic. We retrospectively reviewed suicidal deaths by hanging autopsied at tertiary medical care centre of Western Maharashtra st th during the period of 1 January 2021 to 30 June 2021. During the study period, 3780 medico-legal autopsies were performed, of which total 368 cases (9.73%) of death due to hanging were observed. Among 368 cases of death due to hanging, 366 (99.45%) were suicidal in nature while 02 cases (0.55%) were accidental in nature. Male outnumbered female with male: female ratio 3.46:1. The maximum number of cases (60.92%) was observed in age group of 21 to 40 years. The soft material was used in 190 cases (51.91%) while hard material was used in 176 cases (48.08%). The ligature material most commonly used for committing hanging was rope (46.17%) followed by saree (28.96%) and dupatta (17.75%). Most of victims 342 (93.44%) committed suicide by hanging in closed space like home and common close places.","PeriodicalId":53547,"journal":{"name":"Journal of Indian Academy of Forensic Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70564751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.48165/jiafm.2023.45.2.19
N. Alagarasan, M. R. Sahu, M. K. Mohanty, S. S. Sahu, S. Purkait
The sudden death of a bread winning adult in the family is devastating for any family. Even worse is when the adult dies in his young adulthood. Cardiovascular pathologies dominate the causes of sudden deaths in young adults more than the central nervous and respiratory systems. The enlarged heart or cardiomegaly at autopsy is the first indication of such cardiac pathology. Cardiomegaly may result from various pathologies such as hypertension, cardiomyopathies, rheumatic valvular diseases, etc. The resultant increase in the heart's weight due to the cardiac myocytes' adaptive response to meet the demand in the above conditions is known as cardiac hypertrophy. Although multiple reports on cardiomegaly were described from clinical settings based on imaging modalities like X-ray or echo cardiography, the data is lacking from forensic autopsies, especially from India. This is the first case report describing a young adult male of 30 years old who died due to massive cardiomegaly with a heart weight of 878 g from hypertrophic cardiomyopathy.
{"title":"Hypertrophic Cardiomyopathy with Massive Cardiomegaly in Indian Young Adult: Autopsy Case Report","authors":"N. Alagarasan, M. R. Sahu, M. K. Mohanty, S. S. Sahu, S. Purkait","doi":"10.48165/jiafm.2023.45.2.19","DOIUrl":"https://doi.org/10.48165/jiafm.2023.45.2.19","url":null,"abstract":"The sudden death of a bread winning adult in the family is devastating for any family. Even worse is when the adult dies in his young adulthood. Cardiovascular pathologies dominate the causes of sudden deaths in young adults more than the central nervous and respiratory systems. The enlarged heart or cardiomegaly at autopsy is the first indication of such cardiac pathology. Cardiomegaly may result from various pathologies such as hypertension, cardiomyopathies, rheumatic valvular diseases, etc. The resultant increase in the heart's weight due to the cardiac myocytes' adaptive response to meet the demand in the above conditions is known as cardiac hypertrophy. Although multiple reports on cardiomegaly were described from clinical settings based on imaging modalities like X-ray or echo cardiography, the data is lacking from forensic autopsies, especially from India. This is the first case report describing a young adult male of 30 years old who died due to massive cardiomegaly with a heart weight of 878 g from hypertrophic cardiomyopathy.","PeriodicalId":53547,"journal":{"name":"Journal of Indian Academy of Forensic Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70564915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.48165/jiafm.2023.45.2.8
K. Garg, M. Nigam, R. Nigam, N. Solanki
COVID-19 came as a challenge to the world. Several ad hoc measures were adopted by countries to control the spread of the virus. These measures involved lockdowns which encompassed the closure of workplaces, entertainment places, and schools, loss of jobs, loss of income and inability to leave the house. These led to an increase in mental health issues in the population ultimately leading to an increased incidence of suicides. This study was done to identify the prevalence of suicide cases before and during the COVID-19 pandemic in the Vidisha district and to find various reasons and perceptions behind the suicides that happened during the COVID-19 period. First-order family members of 11 deceased individuals were interviewed with a semi-structured questionnaire. It was found that the number of suicides during-COVID period increased to more than 1.5 times the pre-COVID number. This might be due to the unavailability of poison due to the lockdown, that the number of hanging cases increased more as compared to poison. Females had a significant association between the manner of suicide and the period. Pandemic-associated lockdown closure of economic activities, isolation and increased domestic conflicts were found to be the major factors that were responsible for suicides during the pandemic. Studies also showed that suicide is perceived as a weakness and a quick escape from problems.
{"title":"Impact of COVID-19 Pandemic on Suicide Rates in Vidisha: A Record and Verbal autopsy Based Mixed Method Study","authors":"K. Garg, M. Nigam, R. Nigam, N. Solanki","doi":"10.48165/jiafm.2023.45.2.8","DOIUrl":"https://doi.org/10.48165/jiafm.2023.45.2.8","url":null,"abstract":"COVID-19 came as a challenge to the world. Several ad hoc measures were adopted by countries to control the spread of the virus. These measures involved lockdowns which encompassed the closure of workplaces, entertainment places, and schools, loss of jobs, loss of income and inability to leave the house. These led to an increase in mental health issues in the population ultimately leading to an increased incidence of suicides. This study was done to identify the prevalence of suicide cases before and during the COVID-19 pandemic in the Vidisha district and to find various reasons and perceptions behind the suicides that happened during the COVID-19 period. First-order family members of 11 deceased individuals were interviewed with a semi-structured questionnaire. It was found that the number of suicides during-COVID period increased to more than 1.5 times the pre-COVID number. This might be due to the unavailability of poison due to the lockdown, that the number of hanging cases increased more as compared to poison. Females had a significant association between the manner of suicide and the period. Pandemic-associated lockdown closure of economic activities, isolation and increased domestic conflicts were found to be the major factors that were responsible for suicides during the pandemic. Studies also showed that suicide is perceived as a weakness and a quick escape from problems.","PeriodicalId":53547,"journal":{"name":"Journal of Indian Academy of Forensic Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70565387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.48165/jiafm.2023.45.1.12
A. Mitra, D. Sahoo, A. Sahoo, M. Rath, S. Das, K. B. haradwaj
Organophosphorus Compound Poisoning is one of the most common toxicological emergencies encountered particularly in rural agricultural patients presenting to the emergency department of Hitech Medical College and Hospital in Bhubaneswar, Odisha. Atotal 372 cases of organophosphorus compound poisoning were analyzed during the three-year period from January 2017 to December 2020. The basic demographic data such as age, sex, socioeconomic status, occupation along with specific data such as motive of poisoning, types of compound consumed with its quantity, distance from referral place and the final prognosis. The commonest patients were Young Male agricultural workers. Suicidal intent mainly due to financial crisis was seen to be the commonest among both males and females with Dichlorovos being the most used poison. Of all the cases there were three cases of respiratory failure resulting in multi organ failure.
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