Introduction: Victim of injuries presenting to a hospital is a medico-legal issue. So, with medical management, proper documentation of injuries should be done as a legal duty by all physicians attending such cases. The study aims to find the prevalence of injury amongst medicolegal cases inthe Department of Forensic Medicine in a tertiary care centre. Methods: A descriptive cross-sectional study was done amongst 328 medicolegal cases presenting at a tertiary center, from January 2019 to February 2021. Ethical approval was obtained from the Institutional Review Committee (Reference number: 2603202101). Convenience sampling was used to select study samples. After detailed history regarding the incidence, injuries were examined and documented in a performa. The data were entered in Statistical Package for Social Sciences version 18. Point estimate at 95% Confidence Interval was calculated along with frequency and percentagefor binary data. Results: Among 328 cases presenting to hospital for medicolegal issues, 237 (72.25%) (67.40-77.09 at 95% Confidence Interval) had injuries, out of which 170 (71.73%) cases were due to physical assault, 64 (27%) cases due to accident; 2 (1.26%) were undetermined. Majority of victims of injury were adult males, with mean age of 32.41±13.96 years. In most accidental injuries internal organs were also injuries and life-threatening. Conclusions: The prevalence of injuries amongst medicolegal cases was found to be higher in our study in comparison to other studies done in similar settings. Most of the injuries were due to physical assault; however, the majority of road traffic injuries were life-threatening. These road traffic injuries could have been prevented by following a safe system approach to road safety.
The nature of air disasters includes factors that exacerbate challenges in the identification process. Of the 49 deceased in the US Bangla air crash in Kathmandu, Nepal, four were intact, 11 presented with burn injuries, another 11 presented with partial charring, and 23 were completely charred. Personal belongings were useful in the identification phases for all types of victims. Fingerprints were obtainable and useful in intact victims and victims with less severe burn injuries; medical and surgical information was useful in bodies with burn injuries; finally, dental findings were useful in cases of extensive charring. Other useful methods in the process included marks of identification, physical features, and exclusion. In certain resource‐limited settings, especially in closed population disasters, where scientific identification (DNA, dental records, etc.) is not currently available, personal belongings, clothing, and physical findings analyzed by an identification team using a structured organization may be cautiously used as the primary means of identification.
Introduction: Ear is the most defining feature of the face and its structure shows the signs of age and sex. The external ears consist of the auricle and the external acoustic meatus. This study was specifically under taken to study the variations in the auricle dimensions, specially height and width, amongst Nepalese medical and nursing students and compare them. Materials and Methods: This study was conducted on medical and nursing students of National Medical College, Birgunj, Nepal, with no evidence of congenital ear anomalies or previous ear surgeries. The study consisted of 110 females and 110 males, aged 18–25 years. Results: The descriptive statistics of the ear variables evaluated and measured on both right and left sides. The ear length ranged from 6.31- 6.30 cm with the right ear length being significantly larger than the left ear length (p=0.010). Similarly, the right ear breadth was significantly wider in comparison to the left ear breadth, range from 3.39- 3. 38 cm (p=0.084). The lobular length range 2.38- 2.36 cm (p=0.001) and the lobular breadth range 1.96- 1.93 cm (p=0.000) which were also larger in the right ear compared with the left ear and the differences reached the level of statistically significant. Conclusion: The ear anthropometric measurements of male students showed higher value when compared to the female nursing students. These results support the findings that the sexual dimorphism does exit and showed the statistically significant differences between the sexes. The length of the ear was found to be higher when compared to the width of the ear in both sexes.
When dealing with cases of sharp force penetrating injuries, survival of the victim depends on injury to major blood vessels or major organs resulting in internal or external hemorrhage. Stab with intention of homicide although common, self inflicted stab injuries are less reported. We present an unusual self inflicted stab injury over an abdomen extending from front to back of the abdomen over epi-gastric region by a 52 years old male who managed to survive as it missed all the major blood vessels and solid organs that lied in between. On observation of characteristics of the wound, we have made an attempt to opine that the incident was self- inflicted with suicidal intentions.
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