Raja Sekhar Uppu
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Demographic Study of Unnatural Deaths in Paediatric Age Group in General Hospital, Khammam N. Devchand; A. Krishnanjaneyulu; Raja Sekhar Uppu; Uday Pal Singh
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 1 (2022): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v16i1.17421

Abstract

Introduction: The data regarding pediatric deaths are very limited particularly in developing countries due to lacunae in death registration system. The present study is a retrospective study regarding the causes which resulted in the deaths of children in pediatric age group from 0-12 yrs with an aim to know the overall incidence, the causes of death and manner of death. Unnatural childhood deaths are not only associated with intense trauma and distress, but also indicates a sense of self neglect to protect children from harm. The unnatural deaths may be due to unintentional or intentional acts.Materials and Methods: This study is a retrospective demographic study of unnatural deaths among pediatric age group children between 0-12 years. All the unnatural deaths that were autopsied at the mortuary, General Hospital, Khammam of Telangana state for a period of 2 years from August 2012 to July 2014 were studied based on inquest, post mortem examination findings to know the profile of paediatric deaths.Results and Conclusion: A total of 1283 cases were autopsied during the study period and out of that 2.4% of cases are unnatural deaths in pediatric age group of 0-12 years. The most commonly involved are male children in the age groups of the cases observed were between 3- 6 years and 9-12 years, the least involved age group was between 0- 3 years. Most common manner of death is accidental amounting to about 93.3%.Most common cause of death was due to road traffic accidents. These deaths are common in the rural population belonging to the low socio economic status.
Comparative Study of Various Human Ossification Centers From 10 Years to 20 Years of Age Y.V.Ratna Raju; M. Rajeev Varma; Raja sekhar Uppu; P Vijaya Kumar
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 1 (2022): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v16i1.17845

Abstract

Introduction: The appearance and fusion of different ossification centers has a sequence. The processof union of epiphysis and diaphysis is called fusion and the fusion is a process, not an event. This studyis an attempt to compare various human ossification centers radiologically in both males and femalesfor estimation of age.Materials and Methods: This is a retrospective study based on the radiological findings from the casesreferred to the Dept of forensic medicine, Rangaraya medical college, Kakinada. X-rays of shoulder,elbow, wrist and pelvis are utilized for this study. Age range of cases we studied was 10-20yrs of age.Ossification centers for upper end of humerus, medial epicondyle, upper end of radius, lower endof ulna, lower end of radius, pisiform, base of first metacarpal, iliac crest, femur head and greatertrochanter were studied in relation to each other. The ossification process is divided into 7 progressivestages (0-6) based on the stage of appearance and fusion of the ossification centers. Master charts wereprepared for boys and girls separately and analyzed.Results and Conclusion: Radiological findings of shoulder, elbow, wrist and pelvis from a total of 109belonging to the females and 40 belonging to the males were studied and a point score taking Gray’sanatomy as standard and making correction for Indians is given to the 10 ossification centers studied. Itis found that with increasing age the point score is increasing. It is found that the point score in femalesis higher than in males at a given age in majority of cases indicating ossification process concludingearly in females than in males.
A Medico Legal Study of Fetal Deaths in and Around Guntur A.Krishnajaneyulu; N. Devchand; Raja Sekhar Uppu; T.T.K.Reddy
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15264

Abstract

Introduction: There are quite a number of foetal deaths occurring in the developing country like India due to low socio economic status, illiteracy, ignorance, lack of interest, concealment of the birth, having female child etc. This is despite the fact that these occurrences are a world- wide phenomenon and by definition involve criminal law concerns such as illegal abortion, concealment of birth, murder, or neonaticide and abandonment of babies. This study is to make comprehensive and analytical study of various medico legal aspects of foetal and infant deaths in and around Guntur district during the period of 2013-2015.Materials and methods: This is a three year retrospective study of autopsies done on the foetus and infants at the Department of Forensic Medicine, GMC/GGH Mortuary, Guntur from 2013 to 2015. Inquest and autopsy findings are analyzed to evaluate demographic profile and various socio-economic factors contributing to the foetal deaths, the pattern of injuries, manner & cause of death of the foetuses, neonates and infants. Observations and conclusion: Total number of cases of foetal autopsy amounts to around 1.2 % of total autopsy during the study period but in the study, relatively large number i.e., 50% of cases of abortuses, foetuses and newborns indicated that the manner had been homicidal or death by abandonment. Female foetal autopsies amounted to about 52% of total foetal autopsies and homicidal male foetal deaths are 56% of total homicidal foetal deaths. This study is helpful to the investigating authorities to identify such cases for further investigation of the cases.