Medpulse International Journal of Forensic Medicine

Medpulse International Journal of Forensic Medicine

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  • Publisher: MedPulse Publishing Corporation
  • Country of publisher: india
  • Date added to EuroPub: 2019/Nov/07

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  • Language of fulltext: english
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  • Year open access content began: 2017
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This journal has '43' articles

Estimation of stature from length of middle finger among nepalese medical student of Nepal Medical College and Teaching Hospital

Estimation of stature from length of middle finger among nepalese medical student of Nepal Medical College and Teaching Hospital

Authors: B Katwal, P P Panta, R Pandit, N Shrestha
Year: 2017, Volume: 3, Number: 1
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Abstract

Background: Estimation of height from different body parts has received great attention in anthropology and forensic sciences. Moreover, determination of stature is an important parameter of personal identification of an individual. The present study was undertaken to evaluate the correlation between right middle finger length and stature of Nepalese population of Kathmandu in order to derive a formula for estimation of height for this population. Methodology: A total of 200 M.B.B.S students between 18-25 years of age were included in this study. Stature of each individual was measured using a stadiometer with head positioned in Frankfurt plane. The middle finger length was measured using a Vernier caliper from the proximal mid-point to the tip of right middle finger. A linear regression equation was derived for stature estimation from right middle finger length in both the sexes. Pearson coefficients were used to correlate the relationship between stature and MFL. Result: The mean stature of males was 170.02 cm and mean of middle finger length was 7.79 cm. Pearson correlation coefficient (0.422) obtained showed high significant correlation between right middle finger length and the height. The mean stature of females was 157.76 cm and mean of middle finger length was 7.43cm. Pearson correlation coefficient (0.442) obtained showed high significant correlation between middle finger length and the height. Conclusion: This study showed good correlation between middle finger length and stature among males and females. The obtained regression equations can be used for estimation of stature of this regional population.

Keywords: Identification, stature, Right middle finger length, Nepal.
Causes of sudden natural non-traumatic death: A medico-legal autopsy study

Causes of sudden natural non-traumatic death: A medico-legal autopsy study

Authors: Radhey R Khetre, Rahul B Umbare
Year: 2017, Volume: 3, Number: 1
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Abstract

Background: Sudden natural deaths undoubtedly constitute a significant portion of deaths which undergo autopsy for investigation of death. In all such cases, an autopsy is necessary to obviate the possibility of unnatural deaths, escaping investigation. Therefore, medico-legal autopsy based study of SNNDs was decided to determine causes of population involved. Material and Methods: The present study was conducted in the Department of Forensic Medicine and Toxicology, S. V. N. Government Medical College, Yavatmal during 1st October, 2010 to 31st August, 2012. During the study period, a total of 1711 medico-legal autopsies were performed by the department, of which 125 (7.3%) cases were of SNND. The detailed post mortem examination was conducted to establish cause of death. Results: Maximum i.e. 41 (32.8%) cases were of cardiovascular causes followed by 32 (25.6%) due to respiratory causes. 17 (13.6%) cases were of central nervous causes, 20 (16%) were of gastrointestinal causes, 05 (04%) due to genitourinary causes and 10 (08%) were of miscellaneous causes. Out of cardiovascular causes, coronary artery disease contributed for 80.4% of cases. Conclusion: Statistics on causes of death in SNND may be employed in explaining trends and differentials in overall mortality, indicating priorities for health action and the allocation of resources. They are also helpful in designing intervention programmes, and in assessment and monitoring of public health problems and programmes.

Keywords: Sudden, natural, non-traumatic, death, autopsy, causes.
Pattern of craniocerebral injuries in fatal motorized two wheeler accidents

Pattern of craniocerebral injuries in fatal motorized two wheeler accidents

Authors: Rahul B Umbare, Radhey R Khetre
Year: 2017, Volume: 3, Number: 1
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Abstract

Background: Road Traffic accident is an endemic disease which affects mainly young people. Head and neck injuries are the main cause of severe injury, disability and death among motorcycle users. The present study aimed at the pattern of craniocerebral injuries due to road traffic accidents involving motorized two wheelers to provide a feed-back for controlling such injuries. Material and Methods: Total 95 cases of both sex and all age groups having craniocerebral injuries due to road traffic accidents involving motorized two wheelers were included in the study. A complete medico-legal autopsy was conducted on each of these, postmortem findings were recorded meticulously and results were analyzed carefully. Results: Among craniocerebral injuries scalp and membrane injuries/haemorrhages were more common as compared to skull fractures and brain injuries. Contusion (38.95%) followed by laceration (21.11%) was most common type of injury over the scalp. Linear fractures (54.74%) were most common among skull fractures. Subdural haemorrhage (80%) followed by subarachnoid haemorrahage (70.53%) was most common type of intracranial haemorrhage. Contusion (44.42%) was most common type of brain injury followed by Edema. Conclusion: For reducing fatalities among victims of two wheeler road traffic accidents, it is essential to study the cause of RTAs. It is time to recognize this public health problem as preventable cause of loss of healthy life.

Keywords:
Analytical study of deaths due to accidental burns among female population in a tertiary care centre

Analytical study of deaths due to accidental burns among female population in a tertiary care centre

Authors: G Mahender, L Ananda Kumar, Brethis Brethis, M Balaji Singh
Year: 2017, Volume: 3, Number: 1
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Abstract

Incidents of Burns among women are a major concern in India, as it has become pervasive throughout all social strata and geographical areas. The main objective of this study is to present the different epidemiological and medicolegal aspects of accidental burns in women. It contains 55 cases of deaths due to accidental burns in woman and were autopsied at Osmania General Hospital, Hyderabad in 3 years from 2009 -11. Married, low educated women from rural and low socio economic status were the majority of victims in our finding. Prevention programs should focus on children and adult women and target home environments and focus on safety education.

Keywords: Burn injury, Medicolegal aspects, Septicaemia, Joint family, Prevention.
Hanging: A five year retrospective autopsy study of death due to hanging in Jorhat district, Assam

Hanging: A five year retrospective autopsy study of death due to hanging in Jorhat district, Assam

Authors: Kanak Chandra Das, Himangshu Das, Nitu Kr Gogoi
Year: 2017, Volume: 3, Number: 1
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Abstract

A retrospective study was conducted from 1st January 2011 to 31st December 2015in Jorhat Medical College and Hospital, Jorhat, Assam, India. A total of 2488 autopsies were carried out of which 429 (17.24%) cases were death due to hanging. The keyobjective of the study was to find the magnitude of the problem within the study area and to determine the relevant factors associated with hanging cases. The study revealed that, the natures of hanging in all the cases were suicide. Male constitute 77.39% and female 23.61%. In regards to age, 58.04% of the cases felt within 20 to 40 years. The most common reason for the hanging was family disputes (34.50%). It was observed that 74.13% were married. The educational status of most of the victims was primary level of education. 72.95% were literate and 27.05 were illiterate. Occupational status of victims, it was observed that 42.19% were labour. The choice of ligature material was nylon rope (50.36%) followed by cotton rope (29.14%), metal wire (7.23%), Saree (5.36%), dhoti (3.50%), Chadar (2.09%), dupatta (1.39%) and bedsheet (0.93%) respectively.

Keywords: Hanging, suicide, retrospective study, Asphyxia deaths, Deaths due to hanging, Forensic Medicine, Ligaturemarks, Ligature materials, Knots; direction of hanging mark, Ligature points.
Study of fatal head injuries due to road traffic accidents in Kadapa

Study of fatal head injuries due to road traffic accidents in Kadapa

Authors: G Mahender, L Ananda Kumar, M Balaji Singh, Thamiz harasan
Year: 2017, Volume: 3, Number: 1
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Abstract

The mortality and morbidity associated with road traffic accidents are increasing at an alarming rate throughout the world as a direct result of rapid industrialization and increase of fast moving vehicles combined with lack of traffic sense of road users of this country. The present study includes 100 victims of Road Traffic Accidents who died due to fatal head injuries, which were autopsied at Rajiv Gandhi Institute of Medical Sciences, Kadapa, AP, over a period of 2years. Most of the accidents had taken place in the afternoon hours (12.01 - 18.00 hrs). There was a marked male preponderance (88%), and most vulnerable age group was 21- 30 years (34%). Two-wheeler occupants (57%) were most commonly involved. Head injury was present in 69 % of cases with skull fracture in 74 %. Fracture of the temporal bone was found in majority of cases (45 %), and base of the skull in 36% of cases. In brain injuries subdural haemorrhage was found in 77 % cases. We aimed to study, pattern of injuries especially fatal traumatic brain injuries occurring in vehicular accidents, which provide valuable data for implementing effective emergency services so that we can reduce trauma related mortality and strengthening legal measures in peak hours of fatal accidents.

Keywords: Road traffic accident, Accidents, Fatal, Trauma, Injuries, Mortality, Morbidity
A study of gender wise variation in eruption of third molar teeth by radiological method

A study of gender wise variation in eruption of third molar teeth by radiological method

Authors: Shivraj Mane, Girish Gutte, Chandrakant Dode
Year: 2017, Volume: 3, Number: 2
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Abstract

Introduction: Age of an individual is the sign of maturity which may be divided in to chronological age (attainment of a certain number of years), anatomical age (skeletal, radiological age), mental age, sexual age, and dental age. In this study we studied effect of gender on development of third molar. Aim and Objective: To study gender wise variation in eruption of third molar teeth Material and methods: The study was conducted on total 138 subjects, 68 males and 70 females of age between 15 to 25 years. Data was collected by clinical examination and Digital Panoramic Radiographs (DPR). OPG were done and reported by senior radiologist Developments of third molar tooth of all the subjects were evaluated by radiological examination according to Demirjian’s stages of development of third molar tooth. Result and Discussion: Of the total 138 cases, 68 were males and 70 were females. Mean age in years for developmental stages D, E, F, G, H of third molar tooth in males and females were 15.5+0.51, 16+ 0.67; 16.82+0.39, 16.86+0.35; 17.82+0.39, 17.86 + 0.42; 19.22+ 0.51, 19.03+ 0.54 ; 21.8+1.51, 21.85 + 1.62 years Conclusion: Different stages of development of third molar tooth are more or less similar in males and females.

Keywords: Blood glucose levels, Major depressive disorder, Suicidal behaviour, Suicidal ideation, Suicidal attempt.
Deaths in two wheelers due to road traffic accidents - An autopsy study

Deaths in two wheelers due to road traffic accidents - An autopsy study

Authors: G Mahender, L Ananda Kumar, M Balaji Singh
Year: 2017, Volume: 3, Number: 2
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Abstract

Two wheeler accidents are a common cause of death, disability and demand for emergency medical care. Mortality due to two wheeler accidents were increasing throughout the world. Our study was conducted to know the patterns of injuries in fatal accidents involving riders and pillion riders of two wheelers. It includes 179 victims who died due to two wheeler accidents in Road Traffic Accidents, and were autopsied at RIMS, Kadapa, in a period of 2 years from 1st January 2012 to 31st December 2013. There was a marked male preponderance (84.35 %) compared to females (15.64%), riders were the majority of the victims when compared to (73.74%) pillion riders (26.25%) and most vulnerable age group for both riders and pillion riders were in third and fourth decade involving (68.17%) and (72.33%) respectively. Head involvement was noted in majority of the riders and pillion riders.

Keywords: Riders, Pillion Riders, Helmet, Surveillance, Two wheeler, Road Traffic Accident.
A study of socio demographic profile of suicidal deaths in women of reproductive age group

A study of socio demographic profile of suicidal deaths in women of reproductive age group

Authors: Girish Gutte, Shivraj Mane, Chandrakant Dode
Year: 2017, Volume: 3, Number: 3
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Abstract

Background: Female is the backbone of the family, society, and Nation. The significance of women’s reproductive and nurturing role for health and development is undeniable. Aims and Objectives: To Study Socio Demographic profile of suicidal deaths in women of reproductive age group Methodology: A prospective study of pattern of alleged cases of suicidal deaths in women of reproductive age group was carried out in tertiary care hospital from 1st December 2014 to 30th November 2016. A total 200 cases of suicidal deaths in women of reproductive age group were studied out of 1680 autopsy conducted during the study period. All reproductive age group females (15-44yrs) cases with alleged history of suicide. Result: During two year study duration total 1690 autopsies were conducted, out of which 200 were of female victims of reproductive age group suicidal autopsies constituting 8.45%.Maximum number of victims belonged to age group 20-24 years constituting 31.5%. maximum number of deaths were observed in rural areas 138 (69%) 55% victims were housewives. Maximum number of deaths occurred in married 153 (76.5%). Maximum number of deaths were observed in March (12.5%) and February (11%). Maximum number of deaths were observed in high school 78 (39%). Maximum number of deaths occurred in class four 111 (55.5%). Maximum number of deaths occurred in Hindu 163 (81.5%). Maximum number of deaths occurred in joint family 139 (69.5%). Conclusion: The socio Demographic factors like Education, Rural area of residence, Occupation, Socio Economic status, Hindu religion and Joint were associated with the majority of the suicidal women so the women with these socio demographic background need more support in the for in the form of money by creating job opportunities, education facilities, increasing the age of marriage and psychological counselling if needed.

Keywords: Suicidal deaths in Women, SES( Socio Economic Status), Nuclear family, Joint Family.
Factors involved in post survival period of burns victims – An autopsy study

Factors involved in post survival period of burns victims – An autopsy study

Authors: G Mahender, L Ananda Kumar, Padmini Padmini
Year: 2017, Volume: 3, Number: 3
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Abstract

Burns have terrible medicolegal importance as they may be considered to be the commonest cause of unnatural death in India. The present study conducted at RIMS, Kadapa District, Andhra Pradesh, in 2012 and 2013, included 94 cases of suicidal deaths due to burns. Aimed to know the various factors influencing survival period of burns victims who were autopsied at RIMS, mortuary. Females (54.25%) outnumbered males (45.74%) with male to female ratio of 1:1.18. Most common age group involved was third decade (40.42%) followed by fourth decade (25.53%).Victims with total body surface area involving 40-60%TBSA were more (44.68%) compared to others. Second degree burns involved victims were more (47.87%) followed by third degree and first degree burns. victims who were presented with soot (13.82%) in respiratory tract (inhalational injury) were associated with higher mortality with less post survival period when compared with others. Most of the victims (44.68%) died in 5-7days of post survival period. Multi organ failure associated with sepsis was found in majority of the cases (46.80%). Young female with deep burns involving extensive body surface area with inhalational injury and multi organ failure associated with sepsis were the major factors influencing mortality of burns victims.

Keywords: burns, facial injury, mortality, total body surface area, soot, edema, inhalational injury.
Sex determination from foramen magnum parameters in Rajkot region: An autopsy study

Sex determination from foramen magnum parameters in Rajkot region: An autopsy study

Authors: K N Pipaliya, V J Aghera, H M Mangal
Year: 2017, Volume: 4, Number: 1
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Abstract

Objective: Sex Determination from Foramen Magnum Parameters like length, width and area. Materials and Methods: This study was conducted during the period of January 2012 to August 2013 at Department of Forensic Medicine, P.D.U. Govt. Medical College and Hospital, Rajkot. 100 Cases of 20 years and above has been selected for sex determination from foramen magnum. Results: Mean of LFM and WFM for male is 34.03 mm and 29.66 mm respectively, while for female it is 29.04 mm and 26.40 mm respectively. Mean of Area 1 (Routal formula) and Area 2 (Teixeira formula) for male is 797.57 mm2 and 802.11 mm2 respectively, while for female it is 606.42 mm2 and 608.29 mm2 respectively. Conclusion: Highest overall accuracy is of LFM (78%) followed by Area 1 (76%), Area 2 (76%) and lowest overall accuracy is of WFM (73%).

Keywords: Foramen Magnum Parameters, Foramen Magnum Area, Sex, Discriminant function analysis.
An autopsy study of thoracic injuries in road traffic accidents

An autopsy study of thoracic injuries in road traffic accidents

Authors: Mohan Gushinge, Mahadev Bansode, Radhey Khetre
Year: 2017, Volume: 4, Number: 1
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Abstract

Road traffic accidents are among the most common cause of death in India. According To WHO statistics it is the 9th leading cause of death in 2004 and projected to be the 5th leading cause by 2030. One among road traffic accidents (RTA) deaths, two wheeler accidents are common, followed by pedestrians. Pedestrian forms the most vulnerable group among road users. The current study was done for a period of three years on road traffic accidents. The incidence was common among the age group of 21 to 30 years with male predominance. Majority of individual died on spot without receiving any prelimina ry treatment. More commonly injured organ in thoracic region were lungs (76.31%), and rib fracture was the most common skeletal injury associated.

Keywords: RTA.
An autopsy based study of unnatural deaths among newly married women in and around Silchar, Assam

An autopsy based study of unnatural deaths among newly married women in and around Silchar, Assam

Authors: Jayanta Talukdar, Nayan Mani Choudhury, Diganta Thakuria
Year: 2017, Volume: 4, Number: 1
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Abstract

It has been observed that there is a substantial increase in unnatural and premature demise of newlywed female in Indian society in recent times. To curb down this alarming situation requires social awareness, female empowerment and a redefined approach of the administration with proper and complete investigation. In this study most of the victims were young (18-24 years) Hindu females of middle or lower-middle socioeconomic status with poor educational qualification living in a joint family with their husband and in- laws and died in suspicious circumstances within three years of their marriage. Majority of such deaths were suicidal or homicidal. Burning was the most common cause of death, followed by hanging and poisoning. Few of them were strangled to death and then burned to temper the evidences. Pressure for dowry was the single largest reason behind such deaths. Ill-treatment by the in-laws, rash and negligent behaviour or extra-marital affairs of husbands, and mal-adjustment in females were other important reasons. Many of these deaths were also accidental, catching fire while cooking or handling open lamp/fire carelessly. Loose synthetic saris of the victims were responsible for large number of mortalities in this study.

Keywords: Dowry, Newly married female, Husband and in-laws, arranged marriage.
Age estimation from pulp chamber dimensions of second and third molar tooth

Age estimation from pulp chamber dimensions of second and third molar tooth

Authors: Visnu Rajkumar J, Kumaran M, Arun M, Naveen N, Kagne R N
Year: 2018, Volume: 5, Number: 1
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Abstract

Age is an inevitable parameter in medico legal cases. Age estimation in the living done by various methods, one such method is by using the teeth. The present study was conducted in south Indian population using the x-rays of the individual whose age is between 11-25 years of age. The x-ray was digitalised and various parameters like tooth length, root length and pulp length and breadth of second and third molar teeth were measured The study was aimed at ascertaining a correlation between the measured parameters and age. There was increase in 2nd molar tooth length and its distal end of root length as age increased from 12-25 years.

Keywords: Tooth length, tooth pulp length, age, x-ray.
Gender determination of unknown - A CT guided study on the dimensions of frontal sinus

Gender determination of unknown - A CT guided study on the dimensions of frontal sinus

Authors: Joe David Anton J, Sengottuvel P, Kagne R N
Year: 2018, Volume: 5, Number: 1
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Abstract

Background: Gender and age estimation is considered as an important problem in the identification of an unknown skull. The paranasal sinuses by origin shows a significant variations among individuals. The frontal sinus dimensions were considered to be particularly significant. It is considered to be a useful tool for gender determination of unknown human skulls in the field of forensic medicine. Aim: To evaluate the fundamental importance and reliability of Frontal sinuses using CT measurements to aid in gender identifications Methodology: CT images of 106 individuals (male – 50 nos., female – 56 nos.), with the age ranging from 20 years to 50 years, were selected for the study. Anthropometric measurements of their frontal sinuses were studied. The width and the height of the frontal sinus were measured. Results: Discriminative Analysis predicted the gender with an accuracy of 30% in males and 100% in females with an overall accuracy rate of 54.6%. Gender determination using width and height of the frontal sinus on both sides showed that left frontal width is statistically significant. Conclusion: Gender determination with a fair degree of accuracy can be predicted using the various parameters of the frontal sinuses using Computed Tomography (CT), especially when the skull is the only source of evidence in the absence of whole skeleton.

Keywords: Computerized Tomography, Forensic Identification, Frontal Sinus, Gender Identity, Dimension.

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