Introduction: All penetrating or non-penetrating intentional ocular trauma causing loss of an organ or part of an organ and which have as a consequence the facial disfigurement or post trauma sequelae formation have forensic implications. Objectives: To study the pattern of ocular injuries its forensic implications and meticulous documentation in ocular medicolegal cases. Methodology: This hospital based cross sectional study was carried out by Forensic medicine personnel in Department of Ophthalmology and Emergency Department of Manipal Teaching Hospital Pokhara, Nepal. A total of 251 cases of ocular injury constituted the sample size. Cases were analyzed according to age, sex, type of trauma, causative agent, and manner of injury and ocular injuries having any medicolegal value. All data was evaluated and relevant information were extracted and entered into a database. Results: Male subjects 174 (69.32%) were more susceptible to ocular injuries and age group 21-30 years 66 (26.3%) were more predisposed to ocular injuries. The commonest cause of ocular trauma was due to fall on blunt objects 42(16.73%). The most common site of injury was cornea 120(47.81%) and corneal abrasion 65(54.16) was the most common ocular finding. Accidental manner of injury was observed in majority of the cases 230 (91.60%). Ocular injuries sustained were all simple in nature 251(100%) as a result no fatality was observed following ocular injury. Conclusion: Proper history taking and methodical documentation of injuries not only assist in diagnosis and management of the patient but also holds an evidentiary value in medico legal cases.
Background: Lip prints are considered as very useful and are to be important forms of transfer evidence like finger prints. Studies have shown that even lip prints are unique for an individual and hence have the potential for personal identification. Aims and Objectives: To correlate the distribution of lip print pattern and its gender wise predominance. Material and Methods: The study comprised of 100 Nepalese medical students (50 males; 50 females). A photographic method was adopted rather than the old traditional lipstick method. The photographed lip prints were transferred into a computer to identify the character/lip print pattern. Statistical analysis was done using the SPSS (version 23.0) software package and Chi-square test was applied to evaluate the existence of correlation of lip print pattern with gender. Results: Type- II lip print pattern was frequently observed in all the four quadrants of both the sexes. This was followed by in order Type-I’>Type-I> Type-IV and Type-III lip patterns. There was a difference in gender wise distribution of lip prints. Conclusion: Further specific population based and gender specific studies on lip prints with larger sample size are required for comparison of lip prints with gender, so that a database could be created and used for representing sex differentiation.
Background: In Nepal pesticide poisoning is a common problem and organophosphorus poisoning (OP) is the most common form of acute poisoning responsible for majority of deaths. However, sufficient data is still lacking from Western region of Nepal. The present study analysed the sociodemographic factors of OP poisoning cases, the association of severity based on admission clinical score (POP scale) and lag time with mortality.Methods: This is a cross-sectional study conducted in patients of organophosphorus poisoning, admitted to our casualty ward during a period of one-year June 2015 to 2016.Results: In this study incidence of OP poisoning was more in females 51 (65.38%) compared to males 27 (34.46%). The commonest age group involved in poisoning was 21-30 years 30 (38.4%). Housewives 32 (41.02%) were the commonest victims of poisoning. Incidence was high during rainy season 34 (43.58%) and mainly during late hours 27 (34.61%) of the day. Majority 24 (30.76%) cases reached hospital within 2 hours of poison intake. Methyl parathion (Metacid) 24 (30.76%) was the commonest OP compound consumed by the victims. Suicide 62 (79.48%) was the main motive of poison intake and financial problem (37.17%) was the main reason behind poison ingestion. In majority of the cases the sign and symptoms were mild (80.76%) in severity. In this study majority of the victims survived (9.30%) with prompt and appropriate treatment.Conclusions: The numbers of OP poisoning cases are increasing every year and poisoning is seen commonly in younger age groups. Therefore, strict legislature on the availability of OP compounds, preventive measures and appropriate health education should be introduced to decrease the incidence.
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