[Show abstract][Hide abstract] ABSTRACT: We present a case report of common bile duct injury which occurred in a patient who underwent laparoscopic cholecystectomy for cholecystitis and cholelithiasis. The patient died within 96 hours of the surgery. The case was investigated by the police as the relations of the victim alleged death due negligence on the part of treating doctors. The clinical details, autopsy findings, report of histopathological examination and medicolegal aspects are discussed along with relevant literature.
World Journal of Laparoscopic Surgery 05/2008; 1. DOI:10.5005/jp-journals-10007-1061
[Show abstract][Hide abstract] ABSTRACT: Death in custody causes one of the most embarrassing situation for the law enforcement agencies and medicolegal experts. The doctors has to follow the guidelines given by National Human Rights Commission while conducting postmortem examination in such cases and many a times doctors have been blamed for giving a biased opinion under influence to protect the interests of police and jail officials. This paper discusses postmortem examination in cases of custodial deaths and incidence of custodial death in India as well as other parts of the world. The cases of custodial deaths for which autopsy was conducted at AIIMS has also been discussed.
Journal of the Indian Medical Association 03/2008; 106(2):101, 104, 106.
[Show abstract][Hide abstract] ABSTRACT: Various studies have shown that the incidence of vehicular accidents is more among the drunken drivers. This study was done to study the incidence of alcohol use in RTA in South Delhi in fatal cases. Totally 500 cases were studied whose blood samples were screened for alcohol by cavett test and then quantified by Gas liquid chromatography. Totally 170 cases (34%) were positive for alcohol and the mean BAC was 196.9 mg%. The maximum cases i.e. 38.2% (65) belonged to the age group of 20-30 years. The highest number of victims were pedestrians i.e. 39% (66) and only 2.9% (5 cases) belonged to female.
Indian Journal of Forensic Medicine and Toxicology 01/2008; 2(1):29-32.
[Show abstract][Hide abstract] ABSTRACT: This prospective study was conducted at South Delhi, India over period
of about two years at casualty of a tertiary hospital. A total number of 207
cases were examined during this period, 90 (43.47%) were victims of
sexual assault and 117 (56.53%) were accused (offenders). Both were
brought to the Casualty for medical examination. South Delhi is thickly
populated with people ranging from lower socio-economic group to high
income group of varied occupation. It also has thick population of migrant
workers from rural India and neighboring countries. This study was planned
to make medical examination more objective and meaningful in view of
increasing crime rate. This study revealed that maximum number of victims
(25.55%) were brought for medical examination 5-7 days after the incident.
Maximum number of assailants (47%) brought for medical examination 5-
14 days after the incidence. Majority i.e. 62(68.88%) of alleged rape
victims were in the age group between 11 to 20 year. In a total 90 alleged
sexual offence victims, 80 (88.88%) were female victims and 10 (11.11%)
were male victims. Victim and accused were brought together for medical
examination in 41(19.80%) cases. Maximum numbers (64.10%) of
assailants were of the age group of 16 to 25 year. In maximum number
incidence of sexual offences occurred in victims’ houses (41.11%) followed
by in assailant’s house (28.88%). From education point of view 28.88% of
victims were illiterate, 33.33% of victims were literate up to class V
(primary) standard. 92.22% of victims and 88.88% of assailants were from
low socio-economic group. In term of relations of assailants with their
victims, 44.44% were having acquaintance and 18.80% were complete
strangers. 25.55% victims were involved in forcible rape, 43.33% were
involved in consensual rape. Only 11.11% were involved in unnatural
sexual offences and most of the victims were all male in sodomy cases.
Only 25.55% victims of alleged rape cases had some physical injuries which
varied from simple to grievous injuries. In 85.55% of rape victims rupture
of hymen was seen at multiple sites, but all were old ruptures. One (1.11%)
victim of alleged rape case became pregnant following rape and delivered a
Forensic Medicine and Toxicology, All India Institute of Medical Sciences,
New Delhi, 11029, India
Abstract Mal J For Path Sci (June 2008); Vol.3 No.2
full term male baby in the casualty. Forensic materials were collected from
victims in 81.11% cases. The results were positive in 5.55% of cases.
Forensic materials were collected from assailant in 21.36% cases. The
results were positive in 0.85% of cases. The single, separated, divorced, or
widowed female i.e. without a mate, is five times more prone to sexual
assault than the married, and those having the mate with her. Area
populated by factory and industrial labour , and slum clusters had highest
number of cases.
[Show abstract][Hide abstract] ABSTRACT: Knowledge of human anatomy is essential for all those practising medicine. The human skeleton is invariably used to study the anatomy of body structures. For this, many human skeletons are obtained from the market by students and teachers and are kept at home or in hostel rooms. However, after use the skeleton has to be disposed off properly. In the present case, a human skeleton used for study purposes was thrown away in garbage and someone informed the police about presence of skeletal remains in the garbage. The case was registered by the police and the skeletal remains were brought for medico-legal autopsy.
Medicine, science, and the law 02/2007; 47(1):86-7. DOI:10.1258/rsmmsl.47.1.86 · 0.53 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Anatomic trauma scoring systems are fundamental to trauma research. The Abbreviated Injury Scale (AIS) and its derivative, the Injury Severity Score (ISS), are the most frequently used scales. In a prospective study, 400 autopsies of road traffic accident victims performed between January 2002 and December 2003 were coded according to the AIS and ISS methods. All the cases were classified into different injury groups according to the Injury Severity Scale. Fifty-eight cases (14.5%) were assigned an ISS value of <25; 244 (61%) cases were valued between 25-49; 38 cases (9.5%) were valued between 50-74 and 60 (15%) cases had a value of 75. On analysis of medical care, in cases with ISS<50, about 96% of the victims did not receive optimal care quickly enough with a lack of pre-hospital resuscitation measures and lengthy transportation time to hospital being of major importance.
Medicine, science, and the law 04/2006; 46(2):157-65. DOI:10.1258/rsmmsl.46.2.157 · 0.53 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Exposure to arsenic has been associated with several health hazards. Worldwide the main reason for chronic human intoxication
with arsenic is intake of contaminated drinking water. Air acetylene type of atomic absorption spectrophotometer in combination
with hydride generator accessory was used to analyze arsenic level in 25 water samples collected from 25 booster pumping stations
and 313 water samples collected from tap water supply of 62 areas of Delhi. Results were analyzed using SPSS and Barlett’s
Chi Square Test. Mean arsenic level detected in water samples collected from booster pumping stations was 0.00976 ppm (Range
0.000–0.017 ppm, Standard Deviation 0.006 and Standard error of Mean 0.00118). Maximum arsenic level (0.017 ppm) was found
in water samples of booster pumping stations of Mehrauli, Punjabi Bagh and Ramjas Road. Mean arsenic level detected in samples
collected from tap water supply was 0.013 ppm (Range 0–0.0430 ppm, Standard Deviation 0.00911 and Standard error of Mean 0.000515).
In water samples of 42 areas arsenic level detected was exceeding WHO/EPA permissible limit of 0.01 ppm (10 ppb). The mean
arsenic level detected in water samples of booster pumping station was within WHO/EPA permissible limit while mean arsenic
level detected in tap water samples was marginally higher. Mixing of ground water and contamination through broken or leaking
channel could be the possible reason of higher arsenic level in tap water. Continuous monitoring of quality of drinking water
is required particularly in view of water contamination caused by industrial waste and uncontrolled ground water extraction.
Indian Journal of Clinical Biochemistry 03/2006; 21(1):70-76. DOI:10.1007/BF02913069
[Show abstract][Hide abstract] ABSTRACT: Any change produced, or feature introduced, in a body after death which is accidentally or physiologically unrelated to the natural state of the body is termed as an artefact. Since artefacts may lead to misinterpretation of post-mortem findings, it is important to rule them out. Artefacts may be produced for a variety of reasons. We present a case report where a young male in his late twenties committed suicide by hanging. He was suffering from haemorrhoids. Because of his posture, there was post-mortem bleeding, which was interpreted by the police as bleeding due to the self-cutting of his veins. Hence, we felt the need to report this case.
Medicine, science, and the law 08/2005; 45(3):265-6. · 0.53 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: INTRODUCTION Of all the crimes, sex related crimes arethe most barbarous and humiliating.Women and children remain the mostvulnerable group to this crime. Thealarming rise in the rate of sexual assaultworldwide represents a major public healthproblem.1In USA an estimate of one in every fourwomen and children,2 and in Nigeria fourout of every ten women are victims ofsexual assault.3 Incidence of rape in SouthAfrica is approximately 300 per 100,000women.4 In India over the last five years,rape cases have shown alternate increasingand decreasing trends with increase of 6.6per cent in year 2000 over 1999 and adecline of 2.5 per cent in year 2001. In year2001, a total of 16,075 (1.6 per 100,000population) cases of rape against womenand 2,113 (0.2 per 100,000 population) casesof child rape were reported all over India.This represents 11.2 per cent and 19.5 percent of total crime against women and
[Show abstract][Hide abstract] ABSTRACT: Surveillance of drinking water is essentially a health measure intended to protect the public from water borne diseases. Hydride
generator accessory coupled with atomic absorption spectrophotometer was used to analyze arsenic level in 49 ground water
samples collected from different areas of Delhi. Arsenic level in ground water samples was in the range of 0.0170 to 0.100
ppm (Mean-0.0431, Standard Deviation-0.0136, Std. error of Mean-0.00194) with minimum concentration at Raney Well No. 7 (0.0170
ppm) and maximum at Kotla Mubarak Pur (0.100 ppm). Arsenic containing sediments and percolation of chemicals into soil as
the result of dumping of garbage rich in chemicals into open landfills could be the possible source of arsenic in ground water
of Delhi. Extensive survey and continuous monitoring is required to be made to assess the magnitude of problem and earlier
Indian Journal of Clinical Biochemistry 07/2004; 19(2):135-140. DOI:10.1007/BF02894273
[Show abstract][Hide abstract] ABSTRACT: A 29-year-old male was found dead lying in a pool of blood inside a community toilet locked from inside. The individual is alleged to have committed suicide by cutting his throat with a safety razor blade, which was found at the scene by the investigating police authority. The deceased, as per his relatives, was suffering from depression for the last few days.
Forensic Science International 06/2004; 142(1):33-5. DOI:10.1016/j.forsciint.2003.12.020 · 2.14 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Autoerotic asphyxial activity may at times result in unexpected death. Although the majority of deaths that occur during autoerotic asphyxial episodes are accidental, the possibility of suicide must always be entertained. In the case presented here, a 22-year-old married male was found hanging by his neck in his bedroom, which was locked from the inside. He was suspended by a 'lungi' (male wrap-around cloth) from the ceiling fan hook in his room, with his feet touching the ground. He was dressed in a brassiere, panties, and silver anklets. There was no evidence of previous perverse behaviour, and investigation disclosed no evidence of previous autoerotic sexual activity, homosexual behaviour, drug abuse or suicidal ideation.
Medicine, science, and the law 05/2004; 44(2):173-5. · 0.53 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Autoerotic asphyxial activity may at times result in unexpected death. Although the majority of deaths that occur during autoerotic asphyxial episodes are accidental, the possibility of suicide must always be entertained. In the case presented here, a 22-year-old married male was found hanging by his neck in his bedroom, which was locked from the inside. He was suspended by a ‘lungi’ (male wrap-around cloth) from the ceiling fan hook in his room, with his feet touching the ground. He was dressed in a brassière, panties, and silver anklets. There was no evidence of previous perverse behaviour, and investigation disclosed no evidence of previous autoerotic sexual activity, homosexual behaviour, drug abuse or suicidal ideation.
Medicine, science, and the law 04/2004; 44(2):173-175. DOI:10.1258/rsmmsl.44.2.173 · 0.53 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: In cases of sudden death, in the presence of preexisting disease, determination of the actual cause of death has profound Medico-legal significance. In order to arrive at an accurate conclusion, a complete workup of the case is required to be carried out. The present case report illustrates how a suicide using multiple means was detected through a thorough examination in a case that was reported to be that of sudden natural deulh in the Police inquest report.
[Show abstract][Hide abstract] ABSTRACT: A 20-year-old girl along with four of her friends, all in their early 20s, met with a fatal accident in the early hours of the day. Their car was hit by a speeding truck at a crossing. All the occupants of the car sustained multiple injuries and died on the spot. The girl was decapitated in the accident. Her head was recovered outside the mangled remains of the vehicle and the rest of the body was extracted from the co-driver's seat of the damaged vehicle. (C) 2003 Published by Elsevier Ireland Ltd.
Forensic Science International 09/2003; 135(3):237-8. DOI:10.1016/S0379-0738(03)00209-3 · 2.14 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Since the legal consequences taking in consideration of Indian evidence Act 1857 of an unwarranted release of confidential information are uncertain and even the consequences may be serious, it is necessary that a physician be most cautious when divulging any information about a patient. Although there are exceptions to the proposition that all confidential information acquired from a patient should be kept secret, the basic rule to remember is that confidential information should not be revealed without obtaining the patient's consent unless law of the land like provision in criminal procedure code of India requires the physician to report the information, to any person or insurance company. Whenever a physician believes it is necessary to reveal a professional secret to protect the welfare of a patient, a third person, or the community, he should exercise caution in the method of disclosure. The following suggestions have been made to guide physicians under these circumstances: 1. Assure yourself that the person informed is sometime entitled to the information, such as the patient's parent or guardian. 2. Do not give information by telephone if you do not recognize the voice of the person making the request. 3. Avoid the use of telegrams or letters to communicate medical information of patient. 4. If you are in doubt about your right to release the information consult your legal council. 5. A person in police custody as an undertrial prisoner has the right not to permit the doctor who has examined him, to disclose the nature of his illness to any person. If a person is convicted, he has no right and the doctor can disclose the result to the authorities. 6. Never release the treatment history without written consent from patient or its legal heirs to any insurance company.
Indian Journal of Medical Sciences 11/1999; 53(10):429-33. · 1.67 Impact Factor