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Contriving an Opinion of Cause of Death in Autopsies
Anu Sasidharan1 , Nadia M. Al-Kandary2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd
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DOI: 10.37506/ijfmt.v14i4.11440
Contriving an opinion of cause of death is something that requires a good expertise in the subject knowledgeand the right set of discriminative skills. The immediate and basic causes of death, circumstances surroundingthe death, and the investigation findings of police officers are all the necessary prerequisites to be gathered,before formulating an opinion. Decisions on the cause of death most often de facto will decide the mannerof death.A forensic pathologist can give causes of death in a logical sequential manner. Hume’s and Mill’s philosophyis something to be always borne in the mind of a forensic pathologist. Istanbul Protocol is the only literaturementioning as to how to opine an effect, with respect to the causes or circumstances that led to the effect.This can be extrapolated to have five different compartmentalised categories of opinions. Unless there iscertain uniformity in opining, the more are the chances of confusion among our fraternity and the judiciary
A Study of Patterns of Thoracic Injuries in the Victims of Vehicular Incidents Brought to the GMCH Mortuary for Medicolegal Autopsies
Anurupa Choudhury1 , Himangshu Das 2 , Ravi Kumar Sharma3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd
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DOI: 10.37506/ijfmt.v14i4.11441
The present study aims to highlight the pattern of thoracic injuries sustained by the victims of fatal roadtraffic accidents (RTA) brought to the GMCH Mortuary for medico legal autopsies. The study is an autopsybased observation during 1st April 2019 to 31st March 2020. In this study, incidence of thoracic injuryamong all cases of vehicular accident is 23.83%. A male preponderance (89%) was observed with a malefemale ratio of 7.7:1. Peak incidence was observed in the age group of 21-30 years (27.24%). In all cases,thoracic injuries are associated with external or internal injuries on other parts of the body. Pleura are themost commonly involved organs in the thoracic regions. Majority of the victims were pedestrians ((36.6 %)followed by two-wheelers (31.06%). The study indicates the pattern of thoracic injuries sustained along withthe trend of road traffic accidents in the region
Assessment of Knowledge and Attitude Towards Medical Ethics among Medical Students
Arti Ajay Kasulkar1 , Ayushi Keoliya2 , Madhur Gupta3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd
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DOI: 10.37506/ijfmt.v14i4.11445
Background: A sense of discontent with services of medical practitioners and growing reliance on alternativemedicine with increased public awareness, negative publicity leads to increased lawsuits against medicalprofessionals. Medical ethics training provides a basis for balancing one’s obligation to patient and practice,as well as responsibility to those seeking medical care. Aims and Objectives: To assess medical students’knowledge and attitude towards medical ethics. Material and Method: A cross-sectional questionnairebased study among 246 medical undergraduates was conducted. Data was analyzed for percentage, meanand ‘t’ test. Results: Majority knew importance of medical ethics in medical profession and existenceof institutional ethics committee. 84.9% agreed that written informed consent should be mandatory.Response was statistically significant regarding confidentiality (p=0.001883), utmost respect for humanlife (p=0.00542) and respect for dignity and privacy of patient (p=0.001408). 80.4% disagreed that ethicalconduct is important only to avoid legal action. 82.5% agreed strongly to integrate medical ethics in medicalcurriculum. Conclusion: Though students had adequate knowledge about medical ethics, reinforcement atall levels of medical education is necessary.
Different Types of Diatoms Seen in the River Narmada in India
Arushi Chawla1 , Dhwani Patel2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd
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DOI: 10.37506/ijfmt.v14i4.11446
Aim: To determine the different types of diatoms present in the waters of River Narmada flowing through5 distinct cities of India and ending into the Arabian Sea. Different types of Diatoms were observed withchange in the course of water. Objective: The study shall assist to determine the different types of diatomspresent in the river Narmada. Materials and Method: The study does not require any special instrumentsand the technique used to extract the diatoms from the waters is also very simple to perform. In this studythe acid digestion technique is not used but the technique is slightly modified in order to prevent the damageto the walls of the diatoms. Result: Various types of diatoms were seen and the diatoms present in the watercollected from different cities of India are found to be different including the species unique to the area.Conclusion: The study describes the type of diatom present in the water of river Narmada collected fromdifferent places.
A Study of Age Estimation by Radiological Assessment of Ossification Centers at Hand Wrist and Elbow Joint at a Tribal Teaching Medical College of Adilabad
B Shekhar Rao1 , Mohd Inayatulla Khan2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd
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DOI: 10.37506/ijfmt.v14i4.11447
Background: Radiological assessment of the skeletal ages is an important tool for the estimation of age inthe living. Such data can be very useful for forensic practitioners especially in developing countries some ofthe population is uneducated where the birth records are not present.Methods: This retrospective study was conducted in the Department of Forensic Medicine and Toxicology,Rajiv Gandhi Institute of Medical Sciences [RIMS], Adilabad. A total of n=26 males and n=46 females caseswere examined for the ossification at 4 areas which include left-Hand epiphyses (the distal end of radius andulna), Base of the first metacarpal and Conjoint Epiphyses. The assessment of radiographic images of handand elbow joints was based on the revised method for epiphyseal union assessment.Results: The mean ages at ossification for stage I in males were found to be 12.90 years. At stage II we foundthe mean age of 15.18 years. In stage III we found the mean age of 16.15 years and stage IV the mean agevalue at all ossification centers was 19.18 years. Similarly for females the mean values of all ossificationcenters at the stage I estimated the age of 14.12 years. In stage II the mean age estimated was 15.27 yearsand stage III the mean age estimated was 16.29 years and stage IV mean age estimated was 17.96 years.Conclusion: Within the constraints of the present study we found that hand wrist and elbow joint radiographsare very useful for estimation of bone age in cases up to 18 years of age. We used digital radiographs alongstages for determining the degree of ossification which has a greater degree of reproducibility and reliability.
Admission, Transfer and Discharge Procedure in Hospital: Review Article
Bhawna Sharma1 , Pratibha Thakur2 , Amoldeep3 , Sudhir Gupta4
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd
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DOI: 10.37506/ijfmt.v14i4.11448
Background: Admission to hospital can be traumatic experience with anxiety and fear for anyone. Theperson loses his identity, independence and control of daily living. The duration and severity of illnessinfluence his/her reaction to admission procedure. This study aim to determine the role of nurse in admissiondischarge and transfer procedure in hospitalMethods: A PubMed, Google scholar and textbooks (2000-2018) literature review was undertaken to definethe admission, discharge and transfer procedure in hospital.Results: We identified 10 relevant articles and books. The most frequently noted form of admission dischargeand transfer procedure in hospital.Conclusions: This article bring to light the procedure of admission, points to be remember duringhospitalization of patient because admission to hospital can be traumatic experience with anxiety and fearfor anyone
Descriptive Study on Emotional Intelligence Amidst Nursing Undergraduates of Choosed Nursing Institute
Binal Joshi1 , Franny Joel Emmanuel2 , Vipin Vageriya3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd
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DOI: 10.37506/ijfmt.v14i4.11449
Background: Emotional intelligence is that portion of the human soul which persuades people to perform.Emotional intelligence may accommodate student nurses while managing their personal and patients’emotions, manifesting genuine emotional reaction, while being empathetic and effective communicatorundergraduate nurse determine effective way to visualize emotions without introducing conflict of interest.It also helps in dealing with instinctive feelings, such as anger and dissatisfaction, in a nurse–patientrelationship.Objectives: Researchers have set the objectives of Computing the level of emotional intelligence amongnursing undergraduates, and to find out the Correlation among different components of emotional intelligencetool.Methodology: Researchers have used Descriptive research design, 179 Nursing Undergraduates of onenursing Institute, have been recruited as a sample with Consecutive non probability technique. Researchershave used standardized schutte self reported emotional intelligence tool in the form of 5 point likert scale,Results: Researchers have identify that 130 sample ( 72.63% ) have average emotional intelligence, 25sample ( 13.97%) have good emotional intelligence, 24 sample (13.41%) have poor emotional intelligence.Mean distribution suggests that perception of emotions has mean of 35.13, managing own emotions mean is35.21, managing others emotions mean is 31.41, Utilization of emotions mean is 24.55.Conclusion: It also reciprocates that each of the components of emotional intelligence tool have positivecorrelation with each other components. Thus Researchers have concluded that to boost the emotionalstability an individual should emphasize their own self. This may also lead in positive social change,reducing emotional conflicts, resulting in high productivity
Role of Cardiac Troponin I in Case of Death Time EstimationAn in Vitro Study
Boddupally Ravi Kumar1 , Prakash Chandra Jha2 , Shakti Shishodia3 , Dattatraya P. Kale4
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd
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DOI: 10.37506/ijfmt.v14i4.11450
Background- Beta blockers are used for treating hypertension but few of them when taken in overdosecan be fatal. Acebutolol is one such beta-adrenoreceptor blocking agent that is considered one of the mosttoxic beta blockers when taking overdose. Determination of postmortem interval is a common practice inmedicolegal investigation.Objective: The present study was conducted to investigate the degradation pattern of cTnI with respect totime.Materials And Methods: Group 1 were anesthetized with Sodium pentobarbital (40 IP). The chest cavitywas then quickly opened, and the heart was excised out. Group 2 (Asphxial Death) were sacrificed byclamping a tracheostomy tube. Group 3 (Acebutolol Death) were sacrificed by giving an oral lethal dose ofAcebutolol(6620mg/kg). Incubation at 28º C for different time interval (0 hrs, 6 hrs, 12 hrs, 24hrs, 48 hrs,72 hrs, 96 hrs and 100 hrs). The heart was then isolated and freezed at-80ºC.The extraction of protein fromtissue was optimized so as to stop or minimize the degradation of protein during the extraction process. Theconventional method was used for extraction with slight modifications in the extraction buffer and an addedstep of carrying every step of the extraction process at low temperature (1-4ºC)Results- The data clearly established that the degradation pattern of cTnI is different for all the three groupsControl, Acebutolol and Asphyxia. In case of Acebutolol the degradation of cTnI into its molecular fragmentsis at a much faster rate when compared to the Control and Asphyxia groups, The difference in degradationof cTnI is because Acebutolol is highly cardiotoxic, and its effect on cardiac tissues is high and immediate.Conclusion- The degradation of intact cTnI into smaller molecular fragments is also dependent upontemperature. In order to know more about the measurement of cTnI fragmentation for the determination ofthe postmortem interval, further investigations are necessary to understand more about the cTnI degradationpattern.
Estimation of Stature from head length in medical students.
Chandrakant M Kokatanur1 , Ajay V Patil2 , Vinay Bannur3 , Karan Deep Mishra4
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd
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DOI: 10.37506/ijfmt.v14i4.11451
Background: Identification of an individual, living or dead is of paramount importance in forensic practice,especially when dismembered body parts or skeletal remains are received for examination. Estimation ofstature is one of the important criteria in terms to determine the identity of individual. Many studies haverevealed the relationship between stature and some parts of the skeleton and the body parts in consideration.This study will helpful when only skull is available for medico-legal examination. Aim: To estimate statureof person from head length. Material and Methods: A cross sectional study was conducted in KrishnaInstitute of Medical Sciences for a period of 2 months from April to May 2018. Data was collected bymeasuring stature using stadiometer and head length using spreading calliper in 200 medical undergraduatestudents (100 males and 100 females). Results: There is low statistically significant correlation betweenhead length and stature (r=0.25 for males and r=0.22 for females). Conclusion: Accurate stature estimationis not possible from percutaneous head length
Comparative Evaluation of Stress Distribution Around Mandibular Overdentures Surrounded by Three and Four Implants: A Three?Dimensional Finite Element Analysis
Ashrath Azwin1 , Mayur Hegde2 , Vidya K Shenoy3 , Sathish Shenoy4 , Bharath Prabhu5 , Mithun Upadhya
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd
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DOI: 10.37506/ijfmt.v14i4.11453
Background and objectives: Placement of more than two implants in the interforaminal area may createa greater implant-to-bone contact area that allows for better stress distribution and minimizes crestal boneloss. The purpose of this study was to analyze and compare the stress distribution around implants of thethree or four implant?retained mandibular overdenture.Methodology: Two finite element models comprising an edentulous mandible with three and four implantsupported mandibular overdenture with bar and clip attachment was used. A vertical load of 30 pounds wasapplied bilaterally to the first molar. Maximum and minimum von Mises stress values in the bone aroundthe implants were evaluated.Results: The highest stress value was observed in the bone around the distal implants and lowest stressvalue was concentrated in the middle implant in the molar region in three implant supported overdenture.The highest stress value was concentrated in the bone around the distal implants and lowest stress value wasconcentrated in the anterior implants in four implant supported overdenture. Stress values were more on fourimplant supported overdenture than three implant supported overdenture.Conclusion: Within the limitation of the study, three implant supported overdentures demonstrated lesserstress in comparison to the four implant supported overdentures. The stresses generated were higher in thebone around the distal implants and lowest in the middle and anterior implants.