scholarly journals Position of Knot and Relation With Working Hand in Hanging Cases- A Medico Legal Study

KYAMC Journal ◽  
2019 ◽  
Vol 10 (1) ◽  
pp. 17-20
Author(s):  
Mushtaq Ahmad ◽  
Farial Naima Rahman ◽  
Zubaidur Rahman ◽  
Prodip Biswas

Background: Hanging is the most common form of violent asphyxial death in our country. Typical and atypical variety of hanging depends on position of knot at the victim body. Objective: The objective of this study was to find out the position of knot of ligature material and relation of knot with the working hands in hanging cases along with socio demographical status of the study subjects. Materials and Methods: This retrospective study was conducted among 574 Autopsy cases of hanging victims at the Dhaka Medical College Morgue during the period January 2013 to December 2015. Results: Out of 574 cases, 159 (27.71%) were male and 415 (72.29 %) female. Among them 304(52.96%) were married and 270(47.04%) were unmarried. Most of the victims 269(46.86%) were from the age group 21- 30 years. Considering the knot, most were situated at right side of neck 281 (48.95%), followed by left side 235 (40.94%), at the nape of neck 50(8.71%) and in front of neck below chin 8(1.39%). Most of the study subjects were right handed. Dopatta (orna) was the commonest 237(41.28%) ligature material. 556 (96.86%) cases had some form of ligature mark in neck. Most of the victims 401(69.86%) hanged themselves at night. 545 body (94.95%) were recovered from inside the living rooms. 472 (82.23%) victims had complete suspension and 102 (17.77%) were cases of partial hanging. Conclusion: To reduce the number of suicidal hanging cases a well designed and comprehensive programme is needed, which will identify the causative factors and prevent of suicidal behaviors of affected persons. KYAMC Journal Vol. 10, No.-1, April 2019, Page 17-20

2020 ◽  
pp. 80-82
Author(s):  
Shweta Shah ◽  
S.K. Suri ◽  
Ami Shah

Background: Most frequently performed gynaecological surgery is hysterectomy. The prevalence of hysterectomy varies within different regions. There are mainly two types of hysterectomies according to which part of uterus is removed. The main types of hysterectomy are total and subtotal or partial hysterectomy. The hysterectomy can be performed by three routes abdominal, laproscopic and vaginal hysterectomy. The main objective of our study is to know most common pathology and different age groups of the patients underwent hysterectomy. Materials and Methods: In this retrospective study was carried during period 6 months, at GCS medical college, hospital and research centre, Ahmedabad. Total 100 hysterectomy specimens were analyzed for histopathological lesions. We had taken the clinical and histopathological findings of these cases from the records of department of pathology, GCS medical college , hospital and research centre. Results: In our study of 100 cases, most common age group underwent hysterectomy was 40-49 years and least common age group was 20-29 years. Type of hysterectomy performed most commonly in this study was total abdominal hysterectomy with bilateral salpingoophorectomy. Most of lesions were seen in the myometrium 42 cases (42%), Endometrium 32 cases (32%), Cervix 16 cases (16%) and Ovary 10 cases (10%). Hysterectomy remains the widely used treatment modality.


Author(s):  
Sona Singh ◽  
Nagendra Singh ◽  
Jagriti Kiran Nagar ◽  
Sarvesh Jain

Background: Maternal mortality is the death of a woman while pregnant or within 42 days of termination of pregnancy irrespective of the duration and site of pregnancy from any cause related to or aggravated by the pregnancy, but not from accidental or incidental causes. The aim of this study is to find out the causes of maternal mortality and the complications leading to maternal death.Methods: A retrospective study was conducted by reviewing the hospital records to study the maternal deaths and complication leading to maternal death over the period of one year from July 2016 June 2017 in the Department of Obstetrics and Gynecology, Bundelkhand Medical College, and associated hospital Sagar, Madhya Pradesh. All the maternal deaths were scrutinized for various aspects likely to be related to death such as age, locality of residence, antenatal care, admission death interval and the cause of death.Results: The maternal mortality ratio in the present study is 292.33/100,000 live births. There were 28 maternal deaths out of 9578 live birth during the study period. The majority of deaths occurred in the 20-30 age group. hemorrhage (32.14%) and hypertensive disorders (14.28%) are two most common direct cause of maternal deaths. 42.85% of maternal deaths occurred within the first twenty-four hours of admission. Post-operative and post abortal sepsis, amniotic fluid embolism and pulmonary embolism are other direct causes. Indirect causes of maternal deaths account for 21.42%. Severe anemia was the leading indirect causes of maternal deaths.Conclusions: Hemorrhage, hypertensive disorders, and anaemia remain the major cause of maternal deaths. Delay in decision making, provision of treatment and referral to tertiary centre contributed higher maternal mortality. This requires more efforts to recognize the direct and indirect causes of maternal deaths.


Author(s):  
Neha Varun ◽  
Nidhi Gupta ◽  
Sana Khan

Background: Abnormal uterine bleeding (AUB) is one of the most commonly encountered gynecological problem and almost 33 % of women in gynecological outpatient department presented with abnormal uterine bleeding. Dilatation and curettage (D and C) have been the main diagnostic procedure in the evaluation of abnormal uterine bleeding patients for decades. The objective of the present study was to analyze the different types of endometrial histopathology of patients presented with the abnormal uterine bleeding and its correlation with the different types of abnormal uterine bleedingMethods: This is a retrospective study, conducted in a medical college in the Department of Obstetrics and Gynecology over a period of one year from June ’17 to June ’18. All cases of AUB more than 35 years of the age group who underwent D and C procedure were included in this study. Total 100 patients were analyzed.Results: Total 100 patients were analyzed. Age group ranges from 35-58 years and most common age group presenting with AUB was 35-39 years. The most common presenting complaint was menorrhagia 54% (54/100). Histopathology of endometrium showed non-organic causes in 80% (80/100) of AUB patients and the remaining 20% (20/100) had organic causes. Most common endometrial histopathology among non-organic causes was proliferative endometrium 43.75% (35/80) and the most common organic cause was endometrial polyp 40% (8/20). Endometrial hyperplasia was found in 30% (6/20) and endometrial carcinoma was found in 20% (4/20) of cases among organic causes.Conclusions: D and C is the useful and the cost-effective diagnostic procedure in the evaluation of AUB. Histopathological evaluation of endometrial samples is especially indicated in AUB patients to rule out carcinoma and preneoplastic conditions as histopathology is 100% diagnostic in cases of endometrial hyperplasia and carcinoma.


2015 ◽  
Vol 22 (06) ◽  
pp. 798-803
Author(s):  
Mariam Arif

Introduction: There are three types of compression of neck which are of primeforensic importance – (1) Manual strangulation (2) Hanging (3) Ligature strangulation. Ligaturemark is found in the latter two types.1 Ligature mark is a pressure mark on the neck underneaththe ligature. Initially it appears as a pale groove which on drying becomes yellowish brownparchment like.2,5 Objective: The aim is to study the information provided by a ligature markin ligature asphyxial deaths. Methodology: Study Design: A retrospective study on ligatureasphyxial deaths. Setting: Forensic Medicine and Toxicology Departments of King EdwardMedical University, Lahore and Nishtar Medical College, Multan. Period: January, 2012 toDecember, 2013. Results: The incidence of violent ligature asphyxial deaths was 4.21% of thetotal medicolegal deaths autopsied. Age group 21 to 30 years accounted for the maximumcases (37.6%). Male: female ratio was 1.02. Nylon rope (44.7%) was the most common ligaturematerial used. Ligature mark was single in all cases and was situated above thyroid cartilage in82.92% cases of hanging. In ligature strangulation deaths, mark was one in number in 93.18%cases and was below thyroid cartilage in 97.72% cases. The manner of death in hangingwas mostly suicidal (90.24%) as compared to homicidal in all cases of ligature strangulation.Ligature mark was incompletely encircling the neck in 85.36% cases and obliquely present in100% cases of hanging. In all deaths due to ligature strangulation, it was completely encirclingand transversely present around the neck. Underlying soft tissues of neck were glisteningwhite in all hanging deaths while it showed extravasations of blood in all ligature strangulationcases. Conclusions: A meticulous examination of the ligature mark during autopsy, though notconclusive, can give valuable information that can be very helpful in diagnosing deaths due tohanging and ligature strangulation.


Author(s):  
Subha Sivagami Sengodan ◽  
Mohana Dhanapal

Background: Abruptio placenta is separation of a normally situated placenta after 20 weeks of gestation and prior to the birth of the fetus. It is an important cause of antepartum haemorrhage and presents as an acute abdomen in the third trimester of pregnancy. Obstetrical haemorrhage is one of the triad (Haemorrhage hypertension and infection) of causes of maternal deaths in both developed and underdeveloped countries.Methods: This is a retrospective study of Abruptio Placenta cases carried out between January 2015 and December 2015 at Government Mohan Kumaramangalam Medical College Hospital, Salem and about its perinatal and maternal outcome.Results: Incidence of Abruptio placenta is 0.5%. It is most common in the women of age group 26-30yrs. 67% of cases were associated with severe pre-eclampsia. Live births were 69.8% while stillbirths were 30.2%. PPH occurred in 19.6% of cases. DIC accounts for 16.7% of the complication.Conclusions: Abruptio placenta is associated with poor maternal and fetal outcome. Hence early diagnosis and prompt resuscitative measures would prevent both perinatal and maternal mortality and morbidity.


2014 ◽  
Vol 2 (1) ◽  
pp. 7-11
Author(s):  
S Shrestha ◽  
AK Jha ◽  
DP Thapa ◽  
CK Bhattarai

INTRODUCTION: Seasonal variation in disease frequency has been observed for centuries. The direct effects of climate on the skin play a small but significant role in determining the geographical and seasonal variation of many skin disorders also in pediatric age group. In our country Nepal where there is a wide range of climates and where pediatric population of 0 to 14 years constitutes 34.19% of the total population there is a need for studying the seasonal variation of pediatric dermatoses separately. MATERIAL AND METHODS: A retrospective study was conducted in the outpatient department of dermatology of Nepal Medical College and Teaching Hospital for a period of 1 year. The total patients were divided according to 4 seasons spring, summer, autumn and winter and analyzed with Chi square test. RESULTS: Out of total 2032 patients 52% was male and 48% was female. Majority of the visits was in the winter season, followed by summer, spring and autumn. The five most common dermatological problems in the pediatric age group were impetigo, lichen urticatus, scabies, seborrheic eczema and milaria. lichen urticatus, seborrheic eczema and milaria showed statistically very significant seasonal variation but impetigo and scabies did not. The age wise variation of these common dermatoses was also statistically highly significant. CONCLUSION: Many common dermatoses in the pediatric age group show seasonal variation and age wise variation. DOI: http://dx.doi.org/10.3126/jucms.v2i1.10483 Journal of Universal College of Medical Sciences (2014) Vol.2(1): 7-11


1970 ◽  
Vol 6 (2) ◽  
pp. 37-39 ◽  
Author(s):  
M Ahmad ◽  
MZ Hossain

This retrospective study was conducted on 145 postmortem cases of hanging victims at government medical college morgue over a period of two years. The objective of this study was to find out the pattern of hanging cases as a proper method of suicide and to evaluate the present situation of hanging in this capital city. Out of 145 cases, 41% were male and 51% were married. One hundred and one victims hanged themselves at night, while 44 at day time. In 72 victims, stomachs were found empty. Most (97%) of the bodies were recovered from inside the living rooms. Ninety seven percent had complete suspension. One hundred and forty two (98%) cases had ligature mark in neck. Thirty nine cases had fracture of hyoid bones, 27 cases had fracture of thyroid cartilages. Most of the victims (45%) were from the age group 20- 30 years. Dopatta (orna) was the commonest (35%) ligature material. Quarrel among husband and wife was the commonest (31%) cause of suicidal hanging. Hanging was observed as a frequently used method of suicide in Bangladesh. Key words: Hanging, suicide; post mortem DOI: 10.3329/jafmc.v6i2.7273JAFMC Bangladesh. Vol 6, No 2 (December) 2010 pp.37-39


KYAMC Journal ◽  
2013 ◽  
Vol 3 (2) ◽  
pp. 298-300
Author(s):  
MM Rahman ◽  
MZ Rahman ◽  
MG Hossain

Suicide is one of the forms of criminal offence in our country and it is also prevailing in other countries of the world. Whenever attempts to commite suicide and does any act towards the commission of such offence, shall be punished with simple imprisonment for a term which may extend to one year or with fine or with both. Shooting, hanging and stabbing are a 'hard way' of committing suicide and typically a male choice. Poisoning and drowning are 'soft way' of committing suicide and typically a female choice. A retro spective study was conducted on suicidal death, the department of forensic medicine, Dinajpur medical college. 20 cases were examined from June 2004 to June 2006 for 2 years. All the cases were referred from 13 different police stations and one railway station of Dinajpur district. Among them the highest number of cases were brought by Kotowally police station and the lowest from Hakimpur police station. But among the 20 cases 70% were female Muslims. The highest frequency of offence was found in lower socioeconomic growth. The age group of the was from 20 - 35 years. KYAMC Journal Vol. 3, No.-2, January 2013, Page 298-300 DOI: http://dx.doi.org/10.3329/kyamcj.v3i2.15171


Author(s):  
Rajesh Ban Goswami ◽  
A. Dutta

is a massive electrostatic discharge caused by the circulation of warm moisture-filled air through unbalanced electric field in the atmosphere, accompanied by the loud sound of thunder.: The present study was conducted to ascertain the pattern of lightning cases along with distribution of cases based on age, sex, season, location, activity of the victim and injury pattern in the corpse.: The present cross sectional retrospective study was carried out in the department of Forensic Medicine at Govt. Medical College, Raigarh, CG. All autopsy cases of lightning deaths from 2018 to 2019 (two years) were considered for the study.: Most of the deceased were in the age group of 31-40 years. All incidents happened in open field. High incidence of lightning deaths occurred during monsoon season and peak incidence in evening hours. In most cases arborescent mark was found as pathognomonic finding.: Lightning incidents are always accidental in nature. They are fatal and need prompt resuscitative measures. Lightning injuries have bizarre presentation in the body, therefore the autopsy surgeon needs meticulous and detailed methodical approach during autopsy.


2012 ◽  
Vol 1 (2) ◽  
pp. 45-49
Author(s):  
Naba Raj Koirala ◽  
Rajesh Yadav ◽  
Ajay Kumar Das ◽  
Jwalanta Poudel ◽  
Santosh Kumar Bhagat

Study on prevalence of psychiatric disorders in Eastern part of Nepal, is relatively understudied subject in Nepal. The present study is undertaken with the aim to study the socio-demographic characteristics and diagnostic profile of patients attending the psychiatry OPD of Nobel Medical College, that provides both outpatient and inpatient services to psychiatric patients residing in eastern part of Nepal and nearby Indian villages. It was a retrospective study where all consecutive patients attending the Psychiatry OPD from 1st May 2011 to 30th April 2012 and fulfilling the diagnostic criteria for Category F of ICD-101 were included in the study. Amongst the total number of 637 patients, cases with Epilepsy (N=44), Headache (N=53), other medical disorders (N=13) and incomplete case record (N=17) were excluded, and the final sample size was comprised of 510 cases (males=214 and females=296). Maximum numbers of patients were in the age-group 16-40 years (N=238, 47%) and were married (N=416, 79.04%). Most of the patients suffered from Neurotic stress-related and somatoform disorders (N=214, 41.96%), followed by Mood (N=168, 32.94%) and Schizophrenia, schizotypal and related disorders (N=56, 10.98%).DOI: http://dx.doi.org/10.3126/jonmc.v1i2.7299 Journal of Nobel Medical College (2012), Vol.1 No.2 p.45-49


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