Setting: Study was performed in mortuary of B P Koirala Institute of Health Sciences (BPKIHS), Dharan. Objectives: 1. To know the various epidemiological factors related to road traffic accident cases. 2. To know the relationship of head injury in road traffic accidents with the factors like helmet use, type of vehicle involved in accident. Study design: longitudinal descriptive study. Study unit: 77 Dead bodies with fatal head injury from RTA coming to BPKIHS mortuary, a focal point in eastern Nepal Study variables: Demographic characteristics of the victims, time, day and month of accidents, type of accidents, vehicle involved in accidents etc. Statistical analysis: Proportion. Results: There were approximately 78% male and 22% female road traffic accident victims with head injury. Students were the highest (20.7%) among the victims. The highest number of accidents took place in the month of June (11.7%) and on Saturdays (24.6%). The pedestrians were the largest (45%) group of the victims. Among the motorized vehicles, two wheeler drivers were more (34%) victims in accidents. Out of 77 fatalities, 22% were found to have consumed alcohol. Conclusion: Due to bad and mismanaged roads and poor road traffic knowledge to the citizens, road traffic accidents are the most common cause of unnatural deaths in this region. Minimal use of helmet is the main cause of fatal head injury in two wheeler occupants.

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Traumatic asphyxia is a condition presenting with cervicofacial cyanosis and edema, subconjunctival hemorrhage, and petechial hemorrhages of the face, neck, and upper chest that occurs due to a compressive force to the thoracoabdominal region.In this case report a 52 years old lady who was brought to the mortuary because of death due to traumatic asphyxia as a result of being stampeded by her own cows upon her chest was discussed. Congestion on both the conjunctiva, cyanosis on chin and adjacent upper left side of neck found with a well demarcated area observed between the cyanosed area over face and the normal area of neck. Hematoma was present in the chin and the adjacent neck region.Apart from quickly eliminating organ pathologies and initiation of supportive therapy in a case of traumatic asphyxia, possibility of formation of hematoma in neck after few hours of getting injured should also be considered, as this type of hematoma may contribute to the cause of death.Journal of College of Medical Sciences-Nepal, 2014, Vol-10, No-3, 51-55

Introduction: Homicide means killing of one human being as a result of conduct of another human being. This study of medico-legal and epidemiological details of homicidal cases would help in enhancement of various stakeholders in law enforcing agencies with the view to benefit the process of scientific crime detection and proper administration of justice at large. Objective: To identify the various medico-legal and epidemiological factors involved in homicide. Materials and method: A prospective cross-sectional study was conducted in fatal homicide victims brought for medico-legal autopsy in BPKIHS, during the period of 15

Neurocysticercosis (NCC) is the most common parasitic infestation of the central nervous system and is one of the major public health problems in developing nations like Nepal. This study was conducted to find out total number of neurocysticercosis cases in BPKIHS from 2005 to 2013 AD and to know the duration for which cases were admitted and improvement seen in them. This is a hospital based retrospective study conducted from 31st March to 13th April 2014 to see the number of NCC in B P Koirala Institute of Health Sciences, Dharan of Nepal, a tertiary level referral hospital in the Eastern Nepal. It was study in which secondary data, consistent with the diagnosis of Neurocysticercosis was collected from the Medical Record Section of BPKIHS and reviewed. One hundred fourteen cases of neurocysticercosis were enrolled. The patients were predominantly males (nearly 63.2%) and it was more commonly seen in 2-20 years age group (42%). Most of the cases were from Sunsari District. Most of the patients (63.2%) were admitted in Medicine wards. Almost 90.4% of admitted Neurocysticercosis cases were improved in BPKIHS. The trend of Neurocysticercosis cases did not show any showed any consistent pattern in the past nine years. We conclude that the problem of Neurocysticercosis is common and has become a key public health concern for all.