International Journal of Forensic Medicine

Journal Information
ISSN / EISSN : 2707-4447 / 2707-4455
Published by: Comprehensive Publications (10.33545)
Total articles ≅ 30
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Wera M Schmerer
International Journal of Forensic Medicine, Volume 3, pp 18-22; https://doi.org/10.33545/27074447.2021.v3.i1a.35

Abstract:
PCR-based analysis of skeletonized human remains is a common aspect in both forensic human identification as well as Ancient DNA research. In this, both areas not merely utilize very similar methodology, but also share the same problems regarding quantity and quality of recovered DNA and presence of inhibitory substances in samples from excavated remains. To enable amplification based analysis of the remains, development of optimized DNA extraction procedures is thus a critical factor in both areas.The study here presents an optimized protocol for DNA extraction from ancient skeletonized remains using Chelex-100, which proved to be effective in yielding amplifiable extracts from sample material excavated after centuries in a soil environment, which consequently have high inhibitor content and overall limited DNA preservation. Success of the optimization strategies utilized is shown in significantly improved amplification outcomes compared to the predecessor method
Yadav P, Kaundal V, Kolta N, Diaz S
International Journal of Forensic Medicine, Volume 3, pp 14-17; https://doi.org/10.33545/27074447.2021.v3.i1a.34

Abstract:
Purpose: The purpose of this study was to compare the effectiveness of endoscopic vs microscopic excision of pituitary noninvasive adenoma.Materials and Methods: The current prospective comparison study was carried out at the Department of Neurology, Apex Hospital, Jaipur, Rajasthan, India among 40 patients who had been diagnosed with noninvasive pituitary adenoma....................Group I (n=22) had endoscopic trans-sphenoidal surgery performed on them. Group II (n=18) had trans-sphenoidal surgery using a microscopic approach.Results: An overall total of 40 individuals with pituitary nodules had transsphenoidal surgery as a result of this study. Endonasal endoscopic trans-sphenoidal surgery (Group I) was performed on 22 patients, whereas microscopic trans-sphenoidal surgery (Group II) was performed on 18 patients (group II). Complete tumour excision was accomplished in 14 (63.6 percent) of the patients in group I, while it was achieved in 10 (55.6 percent) of the patients in group II.Conclusion: Both techniques are valid for the treatment of pituitary noninvasive adenomas. However, endoscopy proves to be superior for resection followed by less post-operative complication in comparison to microscopic technique.
Samir Nya, Hind Abouzahir, Ahmed Belhouss, Hicham Benyaich
International Journal of Forensic Medicine, Volume 3, pp 04-06; https://doi.org/10.33545/27074447.2021.v3.i1a.31

Abstract:
Background: Filicide is the murder of a child by one of the parents. We report a case of filicide covered up as an accidental fall. Case Report: First year male child was beaten to death by his father. This latter reported the incident as an accidental fall. Postmortem examinations revealed skin bruises with bites marks, brain subdural hematoma and subarachnoid hemorrhage. The cause of death was head trauma, and the manner of death was criminal act. Conclusion: Forensic pathologist should verify any information reported by the parents and compare it with the postmortem examinations to determine the circumstances of death.
Hind Abouzahir, Samir Nya, Ahmed Belhouss, Hicham Benyaich
International Journal of Forensic Medicine, Volume 2, pp 17-20; https://doi.org/10.33545/27074447.2020.v2.i2a.27

Abstract:
Background: Carbon monoxide threatens its victims with sudden anoxic death and severe neurological sequelae. Materials and Methods: This is a descriptive and analytical retrospective study on 14 cases of deaths due to Carbon monoxide poisoning collected at the Forensic Department of Ibn Rochd University Hospital in Casablanca (UHC), over a two years period from January 2018 to December 2019. Results: Among the 14 deaths, there were nine (N=09) male victims (64%) and five (N=05) female (36%), aged 25 to 44 years in 43% of cases and 45 to 64 years in 36% of cases. Vast majority of cases (86%) involved accidental household poisoning. A water heater was incriminated in 36%. The source of Carbon monoxide was related to a defective device (36%). Neurological signs such as disturbances of consciousness were the most common (92%) symptom. The peak poisoning period (50%) occurred in December. Autopsy revealed pulmonary petechial spots (14%) and congestion of most organs. Carboxyhemoglobin (COHb) was positive in 8 cases with a rate> 5%, including 3 victims with no history of smoking and > 10% among 5 smokers. The value was negative for two victims who received oxygen therapy during hospital resuscitation efforts. The COHb level was indeterminable in 4 cases of which 3 victims were in advanced decomposition and one was exsanguinated. Conclusion: Prevention is key in reducing the morbidity and mortality of Carbon monoxide poisoning that can cause sudden anoxic death and severe neurological sequelae.
Narsireddy R, Srinivas Ch, Maleeswari
International Journal of Forensic Medicine, Volume 2, pp 08-13; https://doi.org/10.33545/27074447.2020.v2.i2a.24

Abstract:
Background: Nowadays, organophosphate (OP) compounds are widely used in agricultural field as an insecticide. Toxicity with these compounds is owing to inhibition of acetyl cholinesterase enzyme. Patients are presented with muscarinic and nicotinic side effects. Objective: To study the clinical aspect of OP poisoning in detail with hospital stay, clinical course, complication, and recovery and mortality in OP poisoning. Materials and Methods: This study was done at GGH, Vijayawada India, comprising 250 cases of OP poisoning. After taking written consent, personal history of the patients was taken. Then, a detailed history regarding poison and clinical symptoms was taken. Then, general and systematic examinations of patients were carried out, and blood samples were sent for investigations. We followed up the patients till discharge or death. Result: In our study, maximum incidence of OP poisoning was in between 21-30 years age group (37.5%), and male to female ratio was 4:1. Clinical symptoms such as unconsciousness, stupor (75%), vomiting (10%), convulsions (62.5%) are froth at mouth and nostrils (50%) and the common symptoms whereas constricted pupils (75%), pulmonary oedema (87.5%), Tachycardia (75%), hypotension (25%) are the common signs noted in this series of cases who were treated in the hospital and where the hospital records were available. Histopathological examination of tissue revealed usually congestion of brain, oedema and congestion of lungs and fatty degeneration in liver and in some cases cloudy swelling and tubular necrosis in kidneys Conclusion: Detailed history and thorough clinical examination of patients are helpful in diagnosing the patients of OP poisoning. Life-threatening complications occurred in these patients. Early detection and immediate treatment in intensive care units with injections atropine and PAM can increase the chances of survival rate of patients.
Kehava Hb, Hari Prasad V, Gurudut Ks
International Journal of Forensic Medicine, Volume 2, pp 04-07; https://doi.org/10.33545/27074447.2020.v2.i2a.23

Abstract:
A cross sectional study was conducted at Dept. of Forensic Medicine and Toxicology, Belgaum Institute of Medical Sciences, Belagavi for a period of one and half yrs. from November 2013 to April 2015, on the pattern of injuries among pedestrian deaths autopsied at Belgaum Institute of Medical Sciences hospital, Belagavi. During the study period of one and half yrs., 2670 cases of road traffic accident were admitted/brought dead to BIMS hospital, out of which 255 cases expired, thus mortality rate being 9.6%.Out of 255 Road traffic accident cases autopsied, 82 cases (32.1%) were pedestrians.
Sham Kishore K, Sudarshan Reddy, Amudha Saharan
International Journal of Forensic Medicine, Volume 2, pp 01-03; https://doi.org/10.33545/27074447.2020.v2.i2a.22

Abstract:
Blood alcohol level estimation is usually done in various circumstances where the blood collected from the accused/victim is then sent to the FSL for alcohol level estimation. In India there may be delay in this process, the delay may be due to the medical examiner or police to send the sample or by the FSL to analyze the same. The present study was done to find out the differences in the blood alcohol level due to the above said delays. The blood alcohol estimation was done using gas chromatography, and the test was done on 4 known samples with a time gap of 24 hours, 7 days and 14 days.
Hind Abouzahir, Samir Nya, Ahmed Belhouss, Hicham Benyaich
International Journal of Forensic Medicine, Volume 2, pp 14-16; https://doi.org/10.33545/27074447.2020.v2.i2a.26

Abstract:
Background: Body packing is the concealment of illicit drugs enclosed in containers inside the body by swallowing or insertion into the rectum or vagina, usually for transportation to escape detection by customs agents. This report seeks to explore ways of establishing general definition of body packer in the Moroccan context and assess it’s possible implications on data collection and future research. Materials and Methods: This is a descriptive and analytical retrospective study of two fatal cases related to Cocaine toxicity of body packers. The deceased underwent an autopsy at Medico-legal institute of Ibn Rochd University Hospital (UHC) of Casablanca, Morocco. Cases presentation: In these index cases, 02 male youths of foreign nationality in their twenties died in Casablanca airport. The young men took ill at the airport. Abdominal CT scan subsequently performed at the hospital revealed intra-abdominal capsules in both cases. Autopsy showed 47 whitish capsules in the stomach and colon in the first case and 67 similar capsules in the small intestine in the second case. Rapid toxicology testing in the forensic laboratory confirmed the powder to be cocaine. The cause of death was secondary to acute intoxication by leakage of cocaine substances from their packaging. Conclusion: Prevention and compliance with the legislation governing drug trafficking activities, are of vital interest in reducing the incidence of youth use as vectors of drugs and mortality consequence.
Priyanka Anant Patil
International Journal of Forensic Medicine, Volume 2, pp 16-20; https://doi.org/10.33545/27074447.2020.v2.i1a.20

Abstract:
Background: In India, dowry is a rising social evil contributing to female mortality.Material and Methods: Observational, prospective study of 84 alleged dowry deaths stratifying the socio-demographic pattern of alleged dowry deaths.Results: 57.1% were from 21to30 years of age group. Maximum females were illiterate (39.3%), housewives (77.4%) and from lower socio-economic strata of society (56%). In 70.2% cases, deaths occurred in own or in-law’s residence. 36.36 % burn victims were brought dead with 50% cases involving 71-90% of total body surface area. 29.8% were hospitalised. In 88.57 % of suicidal cases, menstruation was noted.39.29% deaths were within 1st year of marriage. In 84.84% cases, dowry was provocating factor. In 50 % cases Asphyxia was the cause of death.Conclusion: Domestic abuse and dowry were significant provocative factors for dowry deaths.
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