ABSTRACT
A retrospective study of medicolegal and social aspect of victims of rape was conducted at the Upgraded Department of Forensic and State Medicine, Medical College, Kolkata for a period 2005-2007 . 37% of the victim girls were found to be 16-20 yrs of age, 77% were from poor family, 45% were found to be illiterate, 72.5% showed recent tear of hymen.
Subject(s)
Adolescent , Crime Victims , Educational Status , Female , Humans , India , Rape/legislation & jurisprudence , Socioeconomic Factors , Sociological Factors , Young AdultSubject(s)
Adult , Autopsy , Child, Preschool , Female , Homicide , Humans , India/epidemiology , Male , SuicideABSTRACT
Usual torture victims examined by doctors do not have any physical evidence but careful history concerning the method of torture and their effect may provide important evidence. Psychological assessment is very important and will invariably reveal torture. The injury if present to be evaluated against the history and documented as common clinical documentation. Proper documentation is the best campaign of a doctor against torture.
Subject(s)
Documentation , Female , Humans , India , Injury Severity Score , Jurisprudence , Male , Medical History Taking , Torture/legislation & jurisprudence , Wounds and Injuries/classificationABSTRACT
Yellow oleander (Thevetia neriifolia) is a commonly grown tree found widely in Eastern India. The seeds of yellow oleander are highly poisonous and contain three glycosides--thevetin, thevetoxin and peruvoside. Yellow oleander seed ingestion is usually with suicidal intent in Eastern India. Manifestations range from mild to potentially fatal. It has significant cardiovascular effects with varying rhythm abnormalities. Effects of yellow oleander seed ingestion (YOI) were studied in 300 patients from 1986 to 1990 at BS Medical College, Bankura. Majority i.e., 246 (82%) were females and 226 (75.33%) were young in the age group 11-20 years. Most reported for treatment 6 to 8 hours after ingestion of seeds. The number of seeds swallowed varied from half to fifteen. Two hundred and ninety-two (97.33%) ingested seeds in the crushed form; 156 (52%) were asymptomatic, 92 (30.66%) had vomiting and 36 (12%) had palpitation. In electrocardiogram (ECG), 138 (46%) revealed varying types of arrhythmias including sinus bradycardia in 68 cases (49.27%). Ischaemic changes were present in 118 cases (39.33%). Number of seeds ingested did not bear any relationship with ECG changes in YOI. All 14 cases of death were autopsied. Subendocardial and perivascular haemorrhage with focal myocardial oedema was present in all. Median hospital stay was 5 days (range 2 to 24). During discharge, 256 (85.33%) had normal ECG, 14 (4.66%) had sinus bradycardia and 16 (5.33%) demonstrated ischaemic changes.
Subject(s)
Adolescent , Adult , Age Distribution , Aged , Arrhythmias, Cardiac/chemically induced , Cardenolides/poisoning , Child , Electrocardiography , Female , Humans , India/epidemiology , Length of Stay/statistics & numerical data , Male , Middle Aged , Plant Poisoning/epidemiology , Plants, Toxic/poisoning , Seeds/chemistry , Sex Distribution , Suicide, Attempted/statistics & numerical dataABSTRACT
To assess the effect of serum albumin and total protein on the fructosamine level 57 hypoalbuminaemic patients (serum albumin less than 30 g/1), of whom 44 were nondiabetics and 13 were diabetics, were studied. Fructosamine levels of hypoalbuminaemic diabetics was increased only marginally in comparison to healthy controls (P greater than 0.05) whereas in 122 other normalbuminaemic diabetics, the level was found to be significantly higher (P less than 0.001). In control subjects, the correlation between fructosamine and serum albumin (r = 0.69, P less than 0.001) was better than that of total protein (r = 0.42, P less than 0.01) whereas in hypoalbuminaemic patients the pattern was reversed (r = 0.51 and 0.59 respectively), indicating substantial contribution by the globulins. A working formula suggesting approximate contribution of each gram of albumin and globulin in healthy subjects was calculated. It is inferred that the use of serum fructosamine for assessment of glycaemic status could be misleading in patients with lower albumin values. Calculating serum fructosamine values from serum albumin alone in these patients is likely to be inaccurate, as it ignores the contribution of globulins which can be substantial in certain disease conditions. A gross idea regarding the glycaemic status can be obtained by comparing actual and calculated values of fructosamine from the formula.
Subject(s)
Analysis of Variance , Blood Glucose/analysis , Blood Proteins/analysis , Fructosamine , Hexosamines/blood , Humans , Serum Albumin/analysisABSTRACT
Homozygous familial hypercholesterolaemia is a rare disorder encountered in one in a million in the general population. Case reports of three patients from two families are presented. A 25 year male presented with extensive myocardial infarction and had a fatal outcome. His younger brother (14 years), as also a 12 year girl from another family with multiple planar xanthomata and tuberose xanthomata, are presented.