Download - forensic medicine

More documents

Recommendations

Info

JIAFM, 2007 - 29(4); ISSN: 0971-0973 Conclusions: 1. A <strong>forensic</strong> <strong>medicine</strong> specialist being an expert witness should be able to diagnose the medico legal injuries in their right perspective to help the investigating authorities and the courts of law for their logical conclusions. 2. Apart from playing the role of an expert witness, he must also maintain the comprehensive data pertaining to the injured and the injuries for epidemiological records to assist in the surveys pertaining to the crimes on humanity for behavioural treatment of the criminals and the assault victims. 3. Injuries caused by or sustained from sharp edged weapons may be suicidal, homicidal, selfsuffered, self-sustained or accidental but certain medico legal parameters definitely help to diagnose the nature or mode of these injuries. References: 1. Indian Penal Code 1860. 2. Indian Evidence Act, 1872. 3. Franklin C.A.: Modi’s Medical Jurisprudence and Toxicology (21 st Edition, 1988), 273-295. 4. Keith A. Mant: Taylor’s Principals and Practice of Medical Jurisprudence, 13th Edition, p. 214-248. 5. Nandy A.: Principles of Forensic Medicine (1st Edition, 1995), p. 212-265. 6. Rodrigues E.J.: Legal aspects of wounding; International Journal of Medical Toxicology & Legal Medicine, Vol. 9, No. 1, p. 24. 7. Dalal JS et al: Clue of weapon from description of apparel; JPAFMAT 2005, Vol. 5, p.47. 8. Bijoy S.: Suicidal cut throat – A case study; JIAFM 2005; Vol. 27, No. 4, p.260. 9. Thirunavukkarasu MD: Role of medical experts in criminal justice system; JKMLS; XII ISSUE, Vol. 1, p. 5. 10. Sharma SK et al: Problematic medico legal cases; JFMT Vol. XI, No. 1&2, p. 45-47. 11. Kumar A.: Evidentiary value of medical evidence in Indian courts; JIAFM Vol. 24, No. 4, p. 136. 114
JIAFM, 2007 - 29(4); ISSN: 0971-0973 Sudden Death during Sport Activities: A Malaysian Perspective O.P.Murty 1 , Anshoo Agarwal 2 , Kanageshwarri A/P N.S.Murugiah 1 , Siti Nurzawani Abdul Rahman 1 ,Nor Syuhada Binti din Mustafaha 1 , Kamarul Ariffin Abu Bakar 1 1 , University Malaya, 2 UITM MARA ,Department of Pathology, Malaysia Correspondence: Dr. O.P.Murty Professor Forensic Pathology , UITM , Malaysia Email : dropmurty@yahoo.co.in Abstract This is a retrospective study of sports related deaths on the human bodies brought for autopsy in the last 10 years (from 1995-2005) at University Malaya Medical Center (UMMC), Kuala Lumpur. The objective of this study was to know the cause of death, manner of death, ethnicity, food habits, timings of incident, number of cases and other related information like history of metabolic disorders or any other underlying diseases. All cases were analyzed in relation to age, gender, race, causes of death, type of sport activities and victim’s profile. The present study included those subjects who had died either during playing or immediately after it. Our results showed the most common age group affected in such sports related sudden deaths to be ranging between 40 – 49 years and the least affected were between 0 – 9 years of age. Out of 44 cases reanalyzed, 33 were male and1 was female. Among the ethnic group, most of the subjects were Chinese (45.45 %) followed by Malays (20.45%). This study also showed that 80% of the deaths were caused by ischemic heart disease IHD (50%) or coronary heart disease CAD (30%). Deaths were seen to be more in the subjects above 30 years of age which could be associated with the associated risk factors related to ageing. A significant number of deaths were observed while playing badminton and jogging. No serious need for mass screening was felt as the numbers of cases each year were not significant and they were isolated incidents. Although, there are few basic preventive measures like cardiac screening , lipid profile, avoidance of stressful working conditions which can be easily adopted to decrease loss of life. Incidence may decrease with recreational and health maintaining activities, but absolute prevention may still not be possible. Key Words: Sudden death; Sports activities; Causes of death; Types of sport activities; Family history; Risk Factors. Introduction: Sudden death is defined as "an abrupt unexpected death of pathological or idiopathic cause, in which death occurs within 1 to 12 hours of onset of symptoms" (1, 2). The majority of sudden deaths in this study occurred during or immediately after exercise (game, conditioning, training, etc). Autopsy is most often the only means in making a definitive diagnosis and for determination of the cause of sudden death. Sports are often regarded as a part of lifestyle owing to the widely held perception that it betters health and life in whole. The possibility of those indulge in sports to be susceptible to sudden death often seems to be ironic and counter intuitive. Nevertheless, such sudden catastrophes continue to occur, usually in the absence of prior symptoms. Attempts to understand the causes of such events regularly revolve around cardiac aetiology and to certain extend other causes. However, studies regarding these events are not as extensive as in the western regions in which the causative factors may vary given the diverse environment, cultural, social, economical and climacteric factors. In this study, consideration of subjects was based on the following criteria (3): • Individuals that participated in organized competitive sports • Individuals that exercised regularly and vigorously • Physically conditioned persons, e.g. military personnel Individuals that lead a sedentary lifestyle and exercise infrequently were also included in this study as the circumstances indicate that these subjects were in some points close to the sporting events that led to sudden death. Fortunately, sudden death associated with sports is rare. Its exact prevalence is unknown, since there is no national or regional database to track deaths in these individuals. The largest available studies estimate the risk among high school and collegiate (who are active in sports) 115
Page 1 and 2:
JIAFM, 2007 29 (4); ISSN: 0971-0973
Page 3 and 4:
JIAFM, 2007 29 (4); ISSN: 0971-0973
Page 5 and 6:
Copy Right: No part of this publica
Page 7 and 8:
JIAFM, 2007 - 29(4); ISSN: 0971-097
Page 9 and 10:
JIAFM, 2007 - 29(4); ISSN: 0971-097
Page 11 and 12:
JIAFM, 2007 - 29(4); ISSN: 0971-097
Page 13 and 14:
JIAFM, 2007 - 29(4); ISSN: 0971-097
Page 15 and 16:
JIAFM, 2007 - 29(4); ISSN: 0971-097
Page 17 and 18:
Human Organ Trade: Is enough being
Page 19 and 20: JIAFM, 2007 - 29(4); ISSN: 0971-097
Page 21 and 22: Table 8. Motives behind suicidal an
Page 23 and 24: Dilemma for Autopsy Surgeon JIAFM,
Page 31 and 32: Observations: Out of total 300 case
Page 43 and 44: 88 JIAFM, 2007 - 29(4); ISSN: 0971-
Page 49 and 50: 94 JIAFM, 2007 - 29(4); ISSN: 0971-
Page 51 and 52: mean bone age which was again found
Page 53 and 54: Battered Child? - A Case Report *Dr
Page 55 and 56: A New Way to Resist Rape *Dr. P.K.C
Page 61 and 62: TABLE-8: Regression Equation at Dif
Page 69: JIAFM, 2007 - 29(4); ISSN: 0971-097
Page 75 and 76: Figure 5: Distribution of type of s
Page 85 and 86: Contradictory Skull and Age Estimat
Page 87 and 88: A Study of Burn Deaths in Imphal JI
Page 97: 141 JIAFM, 2007 - 29(4); ISSN: 0971
show all

Download - forensic medicine

Create successful ePaper yourself

Delete template?

Save as template?