Indian Journal of Forensic Medicine and Pathology

Mixed Tumor of soft tissue are not so rare but mostly under recognised Tumors. The mixed Tumor and myoepithelioma of soft tissue are ends of a spectrum. There are only less than two hundred cases reported in literature. We report a case of Malignant mixed Tumor of soft tissue in a 47 years old male. The excised specimen revealed a heterogenous neoplasm with rounded, plasmacytoid to spindle shaped cells, with areas of tubular differentiation in a chondromyxoid, hyalinised stroma with metaplastic bone. Cytological criteria of atypia, nuclear pleomorphism and Tumor giant cells favoured malignancy. Immuno Histochemistry confirmed the diagnosis. We report a case of Malignant mixed Tumor of soft tissue.

Keywords: Mixed Tumors; Malignant; Myoepithelioma; Soft tissue.

Bear bite injuries have become a common occurrence as the forest covers and natural habitats are diminishing.1 Patients injured in bear attack present with different patterns of injuries. A common protocol about the medicolegal cases of animal bite its opinion is not present in the system. These animals usually attack in remote areas where composite trauma centers do not exist and urgent referrals of these patients is essential. Final outcome influences the medico-legal opinion and compensation.2 The goal of the present case to document the injuries suffered in bear bite and provides the required medico-legal opinion.

Keywords: Bear bite; Medico-legal opinion; Compensation; Forest; Degloving injuries.

In suicide pact, two or more victims mutually agree and execute to end their lives together by predetermined method, preferably by hanging, drowning, gunshot, or poisoning. The victims are usually spouses, lovers, or friends, and the reasons behind such steps are various. In this reported suicide pact, a married couple was found hanging in their bedroom with each end of a single chunni (a cloth worn around the neck by Indian women) tied to the ceiling fan above their bed. Their bodies were found hanging in their bedroom by their neighbours. They were facing sudden financial constraints, and could not handle the stress.

Keywords: Forensic pathology; Suicide pact; Married couple; Partial hanging; Single ligature.

Retinal pattern, finger prints and DNA are unique and bite marks are often registered at the assault cases of the skin of the victims and effective method which is very helpful in identifying the criminals. Human bites are an alternative. The challenge in forensic dentistry is analysing the bite in human beings because the distortion of the human bite won’t give the exact mirror image of the bite, which complicate the investigators to identify the crime. Human bite changes with the time when the measurements taken. Hence, a broad search of published literature was performed electronically using the keyword human bite, identifying crime, human bite analysis technique from January 1974 to December 2018. Medline, Google scholar and text books. This article analyzis the methods of human bite recording and for identifying the criminals in forensic sciences.

Keywords: Distortion; Forensic dentistry; Human bite.

Introduction: Knowledge and attitude of medical students towards organ donation plays a major role in promoting the concept among general population. The study was done with objectives to assess the Medico-legal awareness, knowledge pertaining to organ donation among Undergraduate Medical Students and to determine the willingness and attitude of undergraduate medical students towards organ donation. Methodology: A cross sectional descriptive survey conducted over a period of 3 months under Forensic Medicine department of Sikkim Manipal Institute of Medical Sciences, Gangtok. Results: Students in Clinical years were better aware of the existence of the law on human organ donation in India (92%) as compared among pre-clinical students (71%). Exclusion of sperm and oocyte donation from organ donation was known to 78% of the pre-clinical and 87% of the clinical students. Majority of students (87% clinical) and pre-clinical students (85% pre-clinical) were unaware of possibility of organ donation in infectious and lifestyle diseases. Significantly high level of awareness was seen (96.5%) about kidney donation followed by eye donation (95.5%). Our study revealed that a higher percentage of female participants (96.72%) showed a positive attitude for organ donation. 15.57% of the female participants had donor card as compared to male participants (6.41%). Conclusion: Awareness and attitude of the medical students are important as they play a major role to motivate the society and spread awareness among community.

Keywords: Organ transplantation; Awareness; Attitude; Medical students.

Sexual violence is ubiquitous, a global problem and renders a huge negative impact to mind and health of the population. Our study aims to analyse the genital and bodily injury pattern along with laboratory findings in sexual assault cases. A total of 204 cases of sexual assault were studied in a two years period among victims ranging from 3 to 70 years and mean age 17.8 years which came to our hospital, in which detailed medico-legal examination findings, history from victim, police record, and laboratory findings were analysed. Majority of victims belonged to 16–17 years age group (27.45%) and 14–15 years (22.5%), also with maximum genital injury. Mostly occurred in evening between 4–6 pm in 40.2% cases and inside the house of victim and in only 22.5% occurred outdoor. In 88.2% cases assailant was known to victim producing genital injury in 14.4% cases. In 11.7% assailant was a stranger in which highest (25%) cases of genital injury was seen and all occurred in outdoor settings. In 96% cases which had single assailant showed 13.2% genital and 20.41% bodily injury but in gang rape (3.93%) 75% cases showed genital and bodily injury. 72.5% females had no prior sexual intercourse among them 78.4% had genital injuries and only 27.4% had experienced prior sexual intercourse among them only 8.9% had recent injury. Kidnapping (23.53%) and verbal threats to kill (20.59%) were used as coercion in most cases. Only 32.5% victims were examined within 72 hours and among them 42.4% evidenced recent genital injury and 30.3% bodily injury. Sites of genital injury evidenced were labia majora (8 cases), labia minora (10 cases), vagina (2 cases), posterior commisure, fourchette, fossa navicularis (10 cases), hymen-redness (16 cases), recent tear (10 cases). Only 11.3% cases revealed spermatozoa in vaginal smear and 0.1% cases were positive for urine pregnancy test/ultrasonography.

Keywords: Sexual assault; Rape; Medico-legal findings; Genital injury; Victims.

Forensic medicine is being taught to Indian Medical Graduates during 2nd to 4th semesters as per undergraduate curriculum. Aim: To understand whether the 2nd year medical students know the basic aspects of forensic medicine, autopsy and if they are interested in choosing forensic medicine as their career. Materials and Methods: Study was conducted in Department of Forensic Medicine, 121 students participated. A pre-formulated questionnaire was circulated after taking verbal informed consent. The responses were evaluated. Results and Conclusion: Most of the students were aware of the basic principles of forensic medicine and principles of autopsy. Greater number of students did not want to choose forensic medicine as there career.

Keywords: Forensic Medicine; Autopsy; Awareness; Medical Students; Career.