Bibhuti Panda | Vanivihar University (original) (raw)

Papers by Bibhuti Panda

CRC Press eBooks, Jun 8, 2023

European Journal of Molecular & Clinical Medicine, Dec 29, 2020

The aim of this study was to investigate the perceived sources of stress and the role of parents ... more The aim of this study was to investigate the perceived sources of stress and the role of parents in its etiology among dental students in a private dental school in India. A self-reporting questionnaire (SRQ), prepared by WHO, for measuring stress level, was administered to 256 dental students. The main sources of stress were found to be fear of facing parents after failure, full loaded day, and fear of failing course or year. Students whose first choice of admission was dentistry experienced less stress than students whose first choice was another field. Also the students who joined dentistry due to parental pressure showed a greater stress than those who joined of their own accord. Male students experienced greater stress than females. The results of this study indicate that a congenial environment needs to be created for dental education and parents also need to be counseled against forcing their children to join an educational program that is not of their choice.

Innovative Publication, 2014

Duties of registered medical practitioner (RMP) while dealing a suspected poisoning case increase... more Duties of registered medical practitioner (RMP) while dealing a suspected poisoning case increases as it is a medical emergency along with the legal issues associated with it. The role of doctor is not only to follow a basic management protocol, but also to handle the legal formalities, following the treatment part. The basic treatment modalities should be supportive care, accurate diagnosis, use of toxidromes, removal of unabsorbed poison, elimination of absorbed poison and antidote administration if available. The legal documentation, following treatment should be clear and accurate. Police information should be given where necessary. The doctor is duty bound to all other legal and ethical work, concerning a poisoning case otherwise liable for punishment as per the current law. So by applying our skill and knowledge and doing our duty correctly, we doctors not only save the life of the patients but also protect the legal rights of individual or the state.

International Journal of Medical Research and Health Sciences, 2016

Sex determination from a single or a part of bone is always difficult in absence of other bones o... more Sex determination from a single or a part of bone is always difficult in absence of other bones of the same individual. The current study is an attempt to know the sex of an individual from the study of posterior ramus of mandible. The study was done from December, 2014 to August, 2015 in various Medical Colleges of the state of Odisha, India with the use of morbid anatomical specimen of mandibles and simple measuring instruments. The posterior ramus of adult mandibles were studied for presence or absence of any notching and if present its position in relation to occlusal plane. The study resulted, that there was a role of notch position in sex determination. The presence or absence of the notch though was not a consistent finding of all the mandibles. Males had frequent notching at the level of occlusal plane (P< 0.01) and females had frequent notching above the occlusal plane (P < 0.01). Notch present below the occlusal plane had no relation with sex. Accuracy of sexing mand...

IOSR Journal of Dental and Medical Sciences, 2016

Background: Road traffic accident is any vehicular accident occurring on the road way. Death due ... more Background: Road traffic accident is any vehicular accident occurring on the road way. Death due to road traffic accident (RTA) is one of the leading causes of death in our country. Depending upon the severity of head injuries sustained in a Road traffic accident, death may occur at the spot within minutes to hours or in certain cases may be delayed for days to months. The gravity of head injuries, involvement of vital organs, immediate hospitalization, onset of treatment and quality of care are some of the important factors which decide the fate of the victim of accident. Keeping in view the above mentioned facts, the present study is taken up to analyze the fatal Head injuries of victim within 72 hours from the time of accident. Fatality in RTAs can be due to immediate causes like hemorrhage, injury to vital organs, vagal inhibition, neurogenic shock, embolism etc and late causes like infection, complication of injuries, mismatched blood transfusion etc. Materials used: Dead bodies coming for the autopsy within 72 hours of RTA death. Observation: The motorcycle-riders were found leading & most of the victims were not wore helmet and leads to fatal head injuries. Maximum case fatality resulted from injury to head & neck. Combination of Subarachnoid and Subdural hemorrhage are common among the victims of road traffic accidents. Conclusion: Efforts should be made to make safer on roads and mandate/ educate drivers to adapt safe behavior during driving. Safety of riders, pillions and occupants and pedestrians should be an integral part of Road safety Programmed.

Journal of Preventive Medicine and Holistic Health, 2015

This study was conducted to assess the various facilities available at Government Healthcare faci... more This study was conducted to assess the various facilities available at Government Healthcare facilities for providing Family Welfare services. The facilities assessed were regarding general information, infrastructural facilities, facilities available at Operation Theater, staffpattern, record keeping and logistics. The facilities were studied to see their readiness for providing hospital based family planning services in-stead of earlier camp based approach. The findings were that 15.26% healthcare institutions have laparoscope sets and 18.11% healthcare institutions do not have empanelled surgeons at their establishments, 75% health institutions do not have space earmarked for examination & counseling and 73.62% healthcare institutions do not have clean bed, linen for post-operative care. In 63.89% healthcare institutions they do not have clean functional toilets and 38.89% healthcare institutions do not follow wet mopping. 47.21% healthcare institutions possess NSV kits for male sterilization, 55.55% healthcare institutions have emergency resuscitation equipment and 41.66% healthcare institutions have emergency medicine tray available with them.

International Journal of Biomedical and Advance Research, 2016

The external findings are utmost important in the opinion formation during autopsy of hanging dea... more The external findings are utmost important in the opinion formation during autopsy of hanging deaths. Thus the current study was done with the aim of studying the significance of external findings in hanging cases during post-mortem examination in the Department of FMT, RIMS, Ranchi prospectively from 1 st March, 2013 to 30 th May, 2014. Majority of cases of hanging had not received any treatment. In maximum cases the nature of suspension was complete type. Atypical hangings were seen in most cases. Most commonly used ligature materials were Jute Rope and Dupatta. In majority cases the ligature mark was above the thyroid cartilage followed by at and above the thyroid cartilage. In maximum cases the position of knot was present at occipital region of the neck, followed by at over left mastoid region of the neck. In majority of case the ligature mark was prominent and discontinuous. The colour of ligature mark was dark brown in more than half of the cases followed by yellowish brown. In majority of cases the post-mortem staining was present. Only about 39% of cases the dried salivary stain was found. Involuntary discharge was seen only in 17% of cases. Tongue protrusion was found in 29.87 % of cases.

Journal of Forensic Medicine, 2021

Even before the primitive man learnt to use fire, he has been a victim of it. Our study was carri... more Even before the primitive man learnt to use fire, he has been a victim of it. Our study was carried out overa period of 2 years starting from 1st September 2012 to 31st August 2014 at SCB Medical College, Cuttack,Odisha on burn deaths. Aim and objective of the study was to know demographic pattern, cause of death andrelation of body surface involved.The rate of burn death was 16.7% of the total autopsy. Female victims outnumbered male victims with afemale to male ratio approximately 3.2 : 1. Majority of the cases belong to adolescent and young adult (11-40 years) age group. Maximum no. of victims were married. In most of the cases fatal period was within24 hours. Most of the deaths occurred when >40% of TBSA is involved. Most of the victims died within1 week. More than 80% of TBSA are involved in majority of cases of shock, whereas a wide range ofTBSA(30-100%) is involved in cases of septicaemia. Major cause of death in burn was septicaemia.

Medico-Legal Update, 2021

Stature is one of the primary identifying features helpful in both living and dead. In this study... more Stature is one of the primary identifying features helpful in both living and dead. In this study we determinedthe stature from the percutaneous length of ulna in living population of Odisha. The study was conducted inHi-Tech Medical College and Hospital, Bhubaneswar during Oct-2013 to Sept.-2015 for two years. Staturewas measured as the crown to heel length of the person in standing position. Percutaneous length of ulnameasurement as the straight distance from most proximal point of olecranon process to the most distal pointof ulnar tuberosity with forearm fixed to 900angle. The finding were studied for establishing the co-relationof percutaneous ulnar length to that of the body height and a suitable mathematical formula established toestimate the body height. The estimated heights so found in both sexes are accepted within a range of errorand are in very close approximation with each other.

Global journal for research analysis, 2016

Hanging is one type of unnatural death amongst death due mechanical asphyxia, which is commonly e... more Hanging is one type of unnatural death amongst death due mechanical asphyxia, which is commonly encountered in the autopsy room. The present study was carried out in the Department of FMT, RIMS, Ranchi prospectively from 1 st March, 2013 to 30 th May, 2014 with the aim of studying the demographic profile of hanging deaths. It was found the highest number of hanging was reported in males as compared to females. Highest numbers of deaths due to hanging were in the age group of 21-30years. Most of the people prefer indoor locations for hanging. Majority of cases of hanging had not received any treatment and death occurred at place of incidence. In maximum cases the nature of suspension was complete type. Atypical hangings were seen in most cases. Most commonly used ligature among hard ligature material was Jute Rope, whereas Dupattawas most commonly used among soft ligature material. In maximum cases the position of knot was present at occipital region of the neck, followed by at over ...

Duties of registered medical practitioner (RMP) while dealing a suspected poisoning case increase... more Duties of registered medical practitioner (RMP) while dealing a suspected poisoning case increases as it is a medical emergency along with the legal issues associated with it. The role of doctor is not only to follow a basic management protocol, but also to handle the legal formalities, following the treatment part. The basic treatment modalities should be supportive care, accurate diagnosis, use of toxidromes, removal of unabsorbed poison, elimination of absorbed poison and antidote administration if available. The legal documentation, following treatment should be clear and accurate. Police information should be given where necessary. The doctor is duty bound to all other legal and ethical work, concerning a poisoning case otherwise liable for punishment as per the current law. So by applying our skill and knowledge and doing our duty correctly, we doctors not only save the life of the patients but also protect the legal rights of individual or the state.

The present study was carried out prospectively on 111 homicidal victims coming for medicolegal a... more The present study was carried out prospectively on 111 homicidal victims coming for medicolegal autopsy to the mortuary of SCB Medical College, Cuttack, Odisha from October 2010 to September 2012 to know the significance of defence wound by determining its incidence and pattern of wound. Out of the 111 homicidal deaths, 31 cases (27.92%) were found with defence wound. Males were approximately 1.43 times more defensive than females. Most common age group showing defence wound was 21-30yr. Sharp weapon was used in 45.16% cases where as blunt weapon in 38.71% cases. Most common type of defence wound was incised wound (29%), followed by bruise (22.58%).

Indian Journal of Forensic Medicine and Pathology

Journal of Indian Academy of Forensic Medicine

Toxicology International (Formerly Indian Journal of Toxicology)

Indian Journal of Forensic Medicine & Toxicology, 2015

Death due to choking is observed in all age group but small children below 4 years of age are the... more Death due to choking is observed in all age group but small children below 4 years of age are the common victims. Choking is commonly seen in children when objects such as small toys, table tennis ball and coins are placed in mouth or inhaled. Children younger than 1 year of age are more likely to aspirate food; whereas older children tend to choke on non-food items. We hereby report a case of death due to choking which was brought to the mortuary of SCB Medical College, Cu 1 0 0 1 3 4 ack for autopsy. A 7yr old male child of southern part of Odisha sent for autopsy to the medical college with a history of an impacted foreign body (whistle) in the respiratory tract. The deceased accidentally swallowed the whistle 2 days back and after proper investigation failed to remove it by the local doctors. Then he died on the way to our medical college for treatment. On autopsy the place of sticking of the whistle within the larynx was noticed. The autopsy findings along with its treatment aspect are discussed in the paper.

Medico-Legal Update, 2015

The study was carried out on female medico-legal cases that came to the casualty of IMS &amp;... more The study was carried out on female medico-legal cases that came to the casualty of IMS &amp; SUM Hospital, Bhubaneswar, Odisha prospectively from August 2013 to February 2014. Medico-legal cases are as such challenges not only for the management of the patient but also for the legal formalities following the treatment. The study aimed to know the current trends of female medico-legal cases in Urban Hospital and that can be used for the further benefit of patients. The Incidence of female medico-legal case was 27.69% of all the medico-legal cases. Most of the female victims were of the age group 31-40 years. Most of the victims belong to middle class family and are married. Place of occurrence in most cases were home. Poisoning cases had the highest incidence in relation to the cause of admission. Suicide cases constituted the dominant group in relation to manner. Most of the patient had been completely cured. Most of the patient reported to the hospital within 2 to 4 hour of sustaining the injury or illness. Most of the cured patients were presented early to the hospital.

Journal of Indian Academy of Forensic Medicine, 2015

Morbidity and mortality as a result of poisoning, is a raging problem worldwide. The poignant par... more Morbidity and mortality as a result of poisoning, is a raging problem worldwide. The poignant part of the problem is that these are mostly preventable, if a basic treatment infrastructure facility is available with immediate accessibility. The present study was conducted from August 2013 to January 2014 in IMS &amp; SUM Hospital, a tertiary care teaching hospital at Bhubaneswar, Odisha, India. In this prospective study we analyze, the various factors that play a role in the poisoning cases and the treatment outcome along with attempts to find solutions to prevent such tragic deaths and morbidity, in this part of the country. In this study incidence of poisoning cases are 40% out of all medico-legal cases registered. Most of the poisoning cases are males, aged between 20 to 30 years and unmarried. Suicide is the most common manner of poisoning. Home is the most suitable site for poisoning, followed by work place and remote place. Insecticides are the most common poison encountered in this region, followed by snake bite. Majority of the patients presented to the hospital within four hours of poisoning and most of them were completely cured after the treatment.

Journal of Indian Academy of Forensic Medicine, 2015

Death due to accidental choking is observed in all age group and small children below 4 years of ... more Death due to accidental choking is observed in all age group and small children below 4 years of age are the common victims. Choking is commonly seen in children when objects such as small toys, table tennis ball and coins are placed in mouth and inhaled. Food is the most common cause of choking and food which is the life provider can become an asphyxiating agent at times. Children younger than one year of age are more likely to aspirate food, whereas older children tend to choke on non-food items. Aspiration of gastric contents is common in individuals with a decreased level of consciousness in drug overdose and during anaesthesia. The risk of aspiration is high after removal of an endotracheal tube because of residual effects of sedative drugs, the presence of a nasogastric tube, swallowing dysfunction related to upper airway sensitivity, glottic injury and laryngeal muscular dysfunction. Aspiration can present with acute respiratory distress but in many elderly individuals, it is silent. We hereby report cases of sudden death due to choking which were brought to our mortuary for autopsy.

International Journal Of Medical Science And Clinical Invention, 2016

Questions of Cat (B), (C) and (D) are discussed here as it had less number of correct responses a... more Questions of Cat (B), (C) and (D) are discussed here as it had less number of correct responses as compared to Cat-(A) and (E)

CRC Press eBooks, Jun 8, 2023

European Journal of Molecular & Clinical Medicine, Dec 29, 2020

The aim of this study was to investigate the perceived sources of stress and the role of parents ... more The aim of this study was to investigate the perceived sources of stress and the role of parents in its etiology among dental students in a private dental school in India. A self-reporting questionnaire (SRQ), prepared by WHO, for measuring stress level, was administered to 256 dental students. The main sources of stress were found to be fear of facing parents after failure, full loaded day, and fear of failing course or year. Students whose first choice of admission was dentistry experienced less stress than students whose first choice was another field. Also the students who joined dentistry due to parental pressure showed a greater stress than those who joined of their own accord. Male students experienced greater stress than females. The results of this study indicate that a congenial environment needs to be created for dental education and parents also need to be counseled against forcing their children to join an educational program that is not of their choice.

Innovative Publication, 2014

Duties of registered medical practitioner (RMP) while dealing a suspected poisoning case increase... more Duties of registered medical practitioner (RMP) while dealing a suspected poisoning case increases as it is a medical emergency along with the legal issues associated with it. The role of doctor is not only to follow a basic management protocol, but also to handle the legal formalities, following the treatment part. The basic treatment modalities should be supportive care, accurate diagnosis, use of toxidromes, removal of unabsorbed poison, elimination of absorbed poison and antidote administration if available. The legal documentation, following treatment should be clear and accurate. Police information should be given where necessary. The doctor is duty bound to all other legal and ethical work, concerning a poisoning case otherwise liable for punishment as per the current law. So by applying our skill and knowledge and doing our duty correctly, we doctors not only save the life of the patients but also protect the legal rights of individual or the state.

International Journal of Medical Research and Health Sciences, 2016

Sex determination from a single or a part of bone is always difficult in absence of other bones o... more Sex determination from a single or a part of bone is always difficult in absence of other bones of the same individual. The current study is an attempt to know the sex of an individual from the study of posterior ramus of mandible. The study was done from December, 2014 to August, 2015 in various Medical Colleges of the state of Odisha, India with the use of morbid anatomical specimen of mandibles and simple measuring instruments. The posterior ramus of adult mandibles were studied for presence or absence of any notching and if present its position in relation to occlusal plane. The study resulted, that there was a role of notch position in sex determination. The presence or absence of the notch though was not a consistent finding of all the mandibles. Males had frequent notching at the level of occlusal plane (P< 0.01) and females had frequent notching above the occlusal plane (P < 0.01). Notch present below the occlusal plane had no relation with sex. Accuracy of sexing mand...

IOSR Journal of Dental and Medical Sciences, 2016

Background: Road traffic accident is any vehicular accident occurring on the road way. Death due ... more Background: Road traffic accident is any vehicular accident occurring on the road way. Death due to road traffic accident (RTA) is one of the leading causes of death in our country. Depending upon the severity of head injuries sustained in a Road traffic accident, death may occur at the spot within minutes to hours or in certain cases may be delayed for days to months. The gravity of head injuries, involvement of vital organs, immediate hospitalization, onset of treatment and quality of care are some of the important factors which decide the fate of the victim of accident. Keeping in view the above mentioned facts, the present study is taken up to analyze the fatal Head injuries of victim within 72 hours from the time of accident. Fatality in RTAs can be due to immediate causes like hemorrhage, injury to vital organs, vagal inhibition, neurogenic shock, embolism etc and late causes like infection, complication of injuries, mismatched blood transfusion etc. Materials used: Dead bodies coming for the autopsy within 72 hours of RTA death. Observation: The motorcycle-riders were found leading & most of the victims were not wore helmet and leads to fatal head injuries. Maximum case fatality resulted from injury to head & neck. Combination of Subarachnoid and Subdural hemorrhage are common among the victims of road traffic accidents. Conclusion: Efforts should be made to make safer on roads and mandate/ educate drivers to adapt safe behavior during driving. Safety of riders, pillions and occupants and pedestrians should be an integral part of Road safety Programmed.

Journal of Preventive Medicine and Holistic Health, 2015

This study was conducted to assess the various facilities available at Government Healthcare faci... more This study was conducted to assess the various facilities available at Government Healthcare facilities for providing Family Welfare services. The facilities assessed were regarding general information, infrastructural facilities, facilities available at Operation Theater, staffpattern, record keeping and logistics. The facilities were studied to see their readiness for providing hospital based family planning services in-stead of earlier camp based approach. The findings were that 15.26% healthcare institutions have laparoscope sets and 18.11% healthcare institutions do not have empanelled surgeons at their establishments, 75% health institutions do not have space earmarked for examination & counseling and 73.62% healthcare institutions do not have clean bed, linen for post-operative care. In 63.89% healthcare institutions they do not have clean functional toilets and 38.89% healthcare institutions do not follow wet mopping. 47.21% healthcare institutions possess NSV kits for male sterilization, 55.55% healthcare institutions have emergency resuscitation equipment and 41.66% healthcare institutions have emergency medicine tray available with them.

International Journal of Biomedical and Advance Research, 2016

The external findings are utmost important in the opinion formation during autopsy of hanging dea... more The external findings are utmost important in the opinion formation during autopsy of hanging deaths. Thus the current study was done with the aim of studying the significance of external findings in hanging cases during post-mortem examination in the Department of FMT, RIMS, Ranchi prospectively from 1 st March, 2013 to 30 th May, 2014. Majority of cases of hanging had not received any treatment. In maximum cases the nature of suspension was complete type. Atypical hangings were seen in most cases. Most commonly used ligature materials were Jute Rope and Dupatta. In majority cases the ligature mark was above the thyroid cartilage followed by at and above the thyroid cartilage. In maximum cases the position of knot was present at occipital region of the neck, followed by at over left mastoid region of the neck. In majority of case the ligature mark was prominent and discontinuous. The colour of ligature mark was dark brown in more than half of the cases followed by yellowish brown. In majority of cases the post-mortem staining was present. Only about 39% of cases the dried salivary stain was found. Involuntary discharge was seen only in 17% of cases. Tongue protrusion was found in 29.87 % of cases.

Journal of Forensic Medicine, 2021

Even before the primitive man learnt to use fire, he has been a victim of it. Our study was carri... more Even before the primitive man learnt to use fire, he has been a victim of it. Our study was carried out overa period of 2 years starting from 1st September 2012 to 31st August 2014 at SCB Medical College, Cuttack,Odisha on burn deaths. Aim and objective of the study was to know demographic pattern, cause of death andrelation of body surface involved.The rate of burn death was 16.7% of the total autopsy. Female victims outnumbered male victims with afemale to male ratio approximately 3.2 : 1. Majority of the cases belong to adolescent and young adult (11-40 years) age group. Maximum no. of victims were married. In most of the cases fatal period was within24 hours. Most of the deaths occurred when >40% of TBSA is involved. Most of the victims died within1 week. More than 80% of TBSA are involved in majority of cases of shock, whereas a wide range ofTBSA(30-100%) is involved in cases of septicaemia. Major cause of death in burn was septicaemia.

Medico-Legal Update, 2021

Stature is one of the primary identifying features helpful in both living and dead. In this study... more Stature is one of the primary identifying features helpful in both living and dead. In this study we determinedthe stature from the percutaneous length of ulna in living population of Odisha. The study was conducted inHi-Tech Medical College and Hospital, Bhubaneswar during Oct-2013 to Sept.-2015 for two years. Staturewas measured as the crown to heel length of the person in standing position. Percutaneous length of ulnameasurement as the straight distance from most proximal point of olecranon process to the most distal pointof ulnar tuberosity with forearm fixed to 900angle. The finding were studied for establishing the co-relationof percutaneous ulnar length to that of the body height and a suitable mathematical formula established toestimate the body height. The estimated heights so found in both sexes are accepted within a range of errorand are in very close approximation with each other.

Global journal for research analysis, 2016

Hanging is one type of unnatural death amongst death due mechanical asphyxia, which is commonly e... more Hanging is one type of unnatural death amongst death due mechanical asphyxia, which is commonly encountered in the autopsy room. The present study was carried out in the Department of FMT, RIMS, Ranchi prospectively from 1 st March, 2013 to 30 th May, 2014 with the aim of studying the demographic profile of hanging deaths. It was found the highest number of hanging was reported in males as compared to females. Highest numbers of deaths due to hanging were in the age group of 21-30years. Most of the people prefer indoor locations for hanging. Majority of cases of hanging had not received any treatment and death occurred at place of incidence. In maximum cases the nature of suspension was complete type. Atypical hangings were seen in most cases. Most commonly used ligature among hard ligature material was Jute Rope, whereas Dupattawas most commonly used among soft ligature material. In maximum cases the position of knot was present at occipital region of the neck, followed by at over ...

Duties of registered medical practitioner (RMP) while dealing a suspected poisoning case increase... more Duties of registered medical practitioner (RMP) while dealing a suspected poisoning case increases as it is a medical emergency along with the legal issues associated with it. The role of doctor is not only to follow a basic management protocol, but also to handle the legal formalities, following the treatment part. The basic treatment modalities should be supportive care, accurate diagnosis, use of toxidromes, removal of unabsorbed poison, elimination of absorbed poison and antidote administration if available. The legal documentation, following treatment should be clear and accurate. Police information should be given where necessary. The doctor is duty bound to all other legal and ethical work, concerning a poisoning case otherwise liable for punishment as per the current law. So by applying our skill and knowledge and doing our duty correctly, we doctors not only save the life of the patients but also protect the legal rights of individual or the state.

The present study was carried out prospectively on 111 homicidal victims coming for medicolegal a... more The present study was carried out prospectively on 111 homicidal victims coming for medicolegal autopsy to the mortuary of SCB Medical College, Cuttack, Odisha from October 2010 to September 2012 to know the significance of defence wound by determining its incidence and pattern of wound. Out of the 111 homicidal deaths, 31 cases (27.92%) were found with defence wound. Males were approximately 1.43 times more defensive than females. Most common age group showing defence wound was 21-30yr. Sharp weapon was used in 45.16% cases where as blunt weapon in 38.71% cases. Most common type of defence wound was incised wound (29%), followed by bruise (22.58%).

Indian Journal of Forensic Medicine and Pathology

Journal of Indian Academy of Forensic Medicine

Toxicology International (Formerly Indian Journal of Toxicology)

Indian Journal of Forensic Medicine & Toxicology, 2015

Death due to choking is observed in all age group but small children below 4 years of age are the... more Death due to choking is observed in all age group but small children below 4 years of age are the common victims. Choking is commonly seen in children when objects such as small toys, table tennis ball and coins are placed in mouth or inhaled. Children younger than 1 year of age are more likely to aspirate food; whereas older children tend to choke on non-food items. We hereby report a case of death due to choking which was brought to the mortuary of SCB Medical College, Cu 1 0 0 1 3 4 ack for autopsy. A 7yr old male child of southern part of Odisha sent for autopsy to the medical college with a history of an impacted foreign body (whistle) in the respiratory tract. The deceased accidentally swallowed the whistle 2 days back and after proper investigation failed to remove it by the local doctors. Then he died on the way to our medical college for treatment. On autopsy the place of sticking of the whistle within the larynx was noticed. The autopsy findings along with its treatment aspect are discussed in the paper.

Medico-Legal Update, 2015

The study was carried out on female medico-legal cases that came to the casualty of IMS &amp;... more The study was carried out on female medico-legal cases that came to the casualty of IMS &amp; SUM Hospital, Bhubaneswar, Odisha prospectively from August 2013 to February 2014. Medico-legal cases are as such challenges not only for the management of the patient but also for the legal formalities following the treatment. The study aimed to know the current trends of female medico-legal cases in Urban Hospital and that can be used for the further benefit of patients. The Incidence of female medico-legal case was 27.69% of all the medico-legal cases. Most of the female victims were of the age group 31-40 years. Most of the victims belong to middle class family and are married. Place of occurrence in most cases were home. Poisoning cases had the highest incidence in relation to the cause of admission. Suicide cases constituted the dominant group in relation to manner. Most of the patient had been completely cured. Most of the patient reported to the hospital within 2 to 4 hour of sustaining the injury or illness. Most of the cured patients were presented early to the hospital.

Journal of Indian Academy of Forensic Medicine, 2015

Morbidity and mortality as a result of poisoning, is a raging problem worldwide. The poignant par... more Morbidity and mortality as a result of poisoning, is a raging problem worldwide. The poignant part of the problem is that these are mostly preventable, if a basic treatment infrastructure facility is available with immediate accessibility. The present study was conducted from August 2013 to January 2014 in IMS &amp; SUM Hospital, a tertiary care teaching hospital at Bhubaneswar, Odisha, India. In this prospective study we analyze, the various factors that play a role in the poisoning cases and the treatment outcome along with attempts to find solutions to prevent such tragic deaths and morbidity, in this part of the country. In this study incidence of poisoning cases are 40% out of all medico-legal cases registered. Most of the poisoning cases are males, aged between 20 to 30 years and unmarried. Suicide is the most common manner of poisoning. Home is the most suitable site for poisoning, followed by work place and remote place. Insecticides are the most common poison encountered in this region, followed by snake bite. Majority of the patients presented to the hospital within four hours of poisoning and most of them were completely cured after the treatment.

Journal of Indian Academy of Forensic Medicine, 2015

Death due to accidental choking is observed in all age group and small children below 4 years of ... more Death due to accidental choking is observed in all age group and small children below 4 years of age are the common victims. Choking is commonly seen in children when objects such as small toys, table tennis ball and coins are placed in mouth and inhaled. Food is the most common cause of choking and food which is the life provider can become an asphyxiating agent at times. Children younger than one year of age are more likely to aspirate food, whereas older children tend to choke on non-food items. Aspiration of gastric contents is common in individuals with a decreased level of consciousness in drug overdose and during anaesthesia. The risk of aspiration is high after removal of an endotracheal tube because of residual effects of sedative drugs, the presence of a nasogastric tube, swallowing dysfunction related to upper airway sensitivity, glottic injury and laryngeal muscular dysfunction. Aspiration can present with acute respiratory distress but in many elderly individuals, it is silent. We hereby report cases of sudden death due to choking which were brought to our mortuary for autopsy.

International Journal Of Medical Science And Clinical Invention, 2016

Questions of Cat (B), (C) and (D) are discussed here as it had less number of correct responses a... more Questions of Cat (B), (C) and (D) are discussed here as it had less number of correct responses as compared to Cat-(A) and (E)