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Goel S.,GFIMS and R | Chikkara P.,PGIMS | Chhoker V.K.,P.A. College | Singh A.,Shaheed Hasan Khan Mewati Government Medical College | And 3 more authors.
Journal of Indian Academy of Forensic Medicine | Year: 2014

Currently a greater emphasis is being placed on the active participation of patients and their families; it is time that the attitude and feelings of the families with regard to autopsies are investigated. Therefore present study was planned with an objective to analyze deceased family member's attitudes towards medico-legal investigation and Forensic autopsy. An additional objective was to determine factors influencing autopsy refusal by relatives of the deceased. 200 family members or relatives were selected randomly from the list of address and contact number prepared from the autopsy cases from 2010 to 2012. Data of 165 was processed and analyzed. 30.9% of the respondents had a primary level of education while 35.2% of them were illiterates. A high proportion of study subjects considered that autopsy would result in visible disfigurement of the body. Involvement of police/ court (92.1%), no use in knowing the cause of death/ nature of death (88.6%) and autopsy delays funeral (83.4%) were three top most causes responsible for autopsy refusal by family members or relatives of the deceased. The experience and opinions of relatives and family members can be utilized in more effective management of medico-legal cases.

Rajesh D.R.,Indira Gandhi Medical College and Research Institute | Chikkara P.,Sanjay Gandhi Post Graduate Institute of Medical Sciences | Chhoker V.K.,Santosh Medical College | Singh A.,Shaheed Hasan Khan Mewati Government Medical College | And 2 more authors.
Journal of Krishna Institute of Medical Sciences University | Year: 2015

Background: At times fragments of soft tissues are found disposed off in the open, in ditches at the crime scene and the same are brought to forensic experts for the purpose of identification and such type of cases pose a real challenge. Objectives: This study was aimed at developing a methodology which could help in personal identification by studying the relation between foot dimensions and stature among south subjects using regression models. Material and Methods: Stature and foot length of 100 subjects (age range 18-22 years) were measured. Linear regression equations for stature estimation were calculated. Result: The correlation coefficients between stature and foot lengths were found to be positive and statistically significant. Height = 98.159 + 3.746 × FLRT (r = 0.821) and Height = 91.242 + 3.284 × FLRT (r = 0.837) are the regression formulas from foot lengths for males and females respectively. Conclusion: The regression equation derived in the study can be used reliably for estimation of stature in a diverse population group thus would be of immense value in the field of personal identification especially from mutilated bodies or fragmentary remains. © 2015 Journal of Krishna Institute of Medical Sciences University.

Kalhan S.,Shaheed Hasan Khan Mewati Government Medical College | Sharma P.,Army Hospital Research and Referral | Kakria N.,Army Hospital Research and Referral | Gupta A.,Saraswathi Institute of Medical science
Lung India | Year: 2015

Paragonimiasis is a food-borne parasitic zoonosis caused by the genus Paragonimus. Fresh water snails, crabs, and crayfish are the first and second intermediate hosts, respectively. Humans acquire this infection by ingesting uncooked/undercooked crustaceans. Laboratory diagnosis of Paragonimiasis is done by demonstration of ova in the sputum/feces/pleural fluid or by serology. A case of pulmonary Paragonimiasis is presented herewith; the patient having been diagnosed with pulmonary tuberculosis earlier. The aim of this presentation is to highlight this entity so that it is considered in the differential diagnosis in a case of hemoptysis. © 2015, Medknow. All rights reserved.

Grover S.,Jawaharlal Institute of Postgraduate Medical Education & Research | Avasthi A.,Jawaharlal Institute of Postgraduate Medical Education & Research | Gupta S.,NIMS Medical College and Hospital | Dan A.,Calcutta National Medical College CNMC | And 10 more authors.
International Journal of Social Psychiatry | Year: 2016

Aim: To assess the phenomenology and associated beliefs in patients with Dhat syndrome. Methods: A total of 780 male patients aged more than 16 years were recruited from 15 centers spread across the country and were assessed on Dhat Syndrome Questionnaire. Results: The most commonly reported reasons for passage of Dhat were excessive masturbation (55.1%), sexual dreams (47.3%), excessive sexual desire (42.8%) and consumption of high energy foods (36.7%). The most common situation in which participants experienced passage of Dhat were as 'night falls' (60.1%) and 'while passing stools' (59.5%). The most common consequence due to passage of Dhat was weakness in sexual ability (75.6%). In terms of psychological and somatic symptoms, the common symptoms included bodily weakness (78.2%); feeling tired or having low energy (75.9%); feeling down, depressed, or hopeless (67.9%); and little interest or pleasure in doing things (63.7%). In terms of treatment expectations, about half of the patients (49.1%) expected that energizing medications like vitamins/tonics/tablets were required and more than one-third (38.2%) expected that there was a need for taking energizing injections. Conclusion: Present study shows that Dhat syndrome is a distinct clinical entity seen all over India, with its characteristic features. © 2015 SAGE Publications.

Singhal S.,Postgraduate Institute of Medical science Campus | Katyal S.,Shaheed Hasan Khan Mewati Government Medical College | Singh S.K.,Shaheed Hasan Khan Mewati Government Medical College
Journal of Gynecologic Surgery | Year: 2014

Background: Vaginal leiomyoma is a rare solid tumor with variable clinical presentation. It is often difficult to diagnose, and its management is quite challenging. Case: The case of a 50- year-old multipara who presented with the chief complaints of menorrhagia, lower abdominal pain, and difficulty in defecation, is presented. On physical examination and ultrasonography, the tumor was diagnosed as a cervical fibroid that was 8×9. Hysterectomy was planned, but as preoperative diagnosis of vaginal leiomyoma was made, the leiomyoma was removed by an abdominal route. Results: This patient's postoperative period was uneventful. Conclusions: Although it is a rare tumor, a vaginal leiomyoma may present with a variety of clinical features and may be mistaken preoperatively for a cervical fibroid. Excision and enucleation are the treatments of choice. Removal of the tumor through an abdominal route appears to be the optimum management plan if the base of the tumor is not approachable. (J GYNECOL SURG 30:187) © Copyright 2014, Mary Ann Liebert, Inc. 2014.

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