Recently an increasing number of patients with complications related to pierced body jewellery have been seen. Often removal of the jewellery is indicated. Removal of these items may also be required for radiological purposes. If the doctor is familiar with the opening mechanism of the item, removal is not usually difficult. Uninformed attempts at removal may cause unnecessary trauma and distress. In a survey of 28 accident and emergency doctors, only six were able accurately to describe the opening mechanisms of all three commonly used types of jewellery. Descriptions of the types of jewellery currently used are not available in the medical literature. The aim of this article is to familiarize doctors with the types of jewellery used, describe their opening mechanisms, and suggest techniques for their removal. The complications of body piercing and the indications for the removal of body jewellery are also outlined.
There are different ways for suicide, which widely varies from one region to another. Among the world, India still is the single largest country to face large number of suicide cases. Being a forensic expert, knowledge of different methods of suicide as well as to differentiate suicidal deaths from other types of death like homicidal and accidental death is essential. Programmed death chooser can use various methods viz. physical as well as chemical to end their own lives. Attempted suicide is an unlawful act and a person is held responsible for the immediate consequences of the act. A thorough review has been made to provide a brief explanation of each of these methods along with its medico-legal impact.
Introduction: Road traffic injuries are recognized globally as a major public health problem, for being one of the leading causes of deaths, disabilities and hospitalization, imposing huge socio-economic costs. In case of India, road injuries is one of the top four leading causes of death and health loss among persons of age group 20-60 years. It has been estimated that without immediate effective intervention, Globally it will become the fifth leading cause of death by 2030 resulting in an estimated 2.4 million fatalities annually. The aim of present study is to study pattern of injuries, to find out cause of death and demographic distribution of fatal RTA cases in IGIMS, Bihar. Materials and Methods: In this observational study carried out at Department of FMT, IGIMS, Patna, autopsies of RTA cases were analysed for type, pattern and distribution of injuries, body parts involved and cause of death. Results: A total of 248 cases were brought for medico-legal autopsy into the department during the study period of which 135 (54.43%) cases were of victims of road traffic accidents. 118(87.40%) of them were male. Major cause of death was observed to be polytrauma (45.93%) followed by head injury which accounts for 40.74% of cases. Abrasion was most common injury pattern seen in 121 cases. Conclusion: Strict licensure procedure along with minimum level of education regarding road safety should be imparted. The present study emphasizes the need of compulsory implementation of helmet wearing for motorcyclist.
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