Objective structured practical examination (OSPE) in Forensic Medicine: students' point of view.

The purpose of this study was to assess the attitudes of undergraduate medical students towards the objective structured practical examination (OSPE) in Forensic Medicine, in a medical college in Nepal. Participants included 59 undergraduate medical students of the 7th semester. Findings indicated that the OSPE was an acceptable tool considering the conduct of practical examination in Forensic Medicine at the undergraduate level. The overall mean attitude score was towards the favourable side. Students strongly agreed that the OSPE tested a wide range of skills. They also strongly agreed that it was a good form of examination as well as a learning experience. The introduction of the OSPE replacing the conventional method of practical examination in Forensic Medicine is a step in the right direction taken to objectively assess undergraduate medical students.

Estimation of stature from the length of the sternum in South Indian females.

Estimation of stature is one of the principal elements in practical forensic casework involving examination of skeletal remains. The present study was undertaken to estimate stature from the length of the sternum in South Indian females using a linear regression equation. The material for the present study consisted of intact sternums belonging to adult females of South Indian origin aged between 25 and 35 years of age obtained during medico-legal autopsies. The length of the sternum was measured as the combined length of the manubrium and the mesosternum (body of the sternum) from the incisura jugularis (central suprasternal notch) to the mesoxiphoid junction along the mid-sagittal plane using vernier calipers. A linear regression equation [Stature = 111.599 + (3.316 × Length of the sternum)] was derived to estimate stature from the length of the sternum. The correlation coefficient was 0.639. The standard error of the estimate was 4.11 cm. The present study concludes that the length of the sternum is a reliable predictor of stature in adult South Indian females and can be used as a tool for stature estimation when better predictors of stature like the long bones of the limbs are not available when examining skeletal remains.

An autopsy case of sudden unexplained death caused by malaria.

Sudden unexplained deaths, especially those unwitnessed can lead to forensic issues and would necessitate the need for a meticulous and complete postmortem examination including ancillary investigations to discover the cause of death. We herein report a case of sudden unexplained death caused by malaria in an apparently healthy individual. This fatal case is presented to remind the forensic pathologist of the possibility of malaria as a cause of sudden unexplained death in malaria-endemic regions. In the present case, histopathological examination demonstrated the presence of parasitized red blood cells with malarial pigment in the blood capillaries in the brain, myocardium, pericardium, lungs, kidneys, liver, and the spleen. Cerebral malaria with acute renal insufficiency or pulmonary edema with an acute respiratory distress syndrome might have been the cause of death.

Sex differences from fingerprint ridge density in the Indian population.

Determination of individuality is one of the prime concerns in forensic investigation. The study of fingerprints is widely used in providing a clue regarding identity. The present study was undertaken to study the sex differences in fingerprint ridge density in the Indian population. The study done on 100 males and 100 females revealed that significant sex differences occur in the fingerprint ridge density. The present study shows a statistically significant difference in fingerprint ridge densities of male and female fingerprints in people of Indian origin. A mean fingerprint ridge density of 12 ridges/25 mm(2) or less is found to be more likely to be of males and a mean ridge count of more the 12 ridges/25 mm(2) is more likely to be of female origin.

Stature estimation from the length of the sternum in South Indian males: a preliminary study.

Estimation of stature is one of the important initial steps during forensic analysis of human skeletal remains. The aim of the present study was to derive a linear regression formula for estimating stature of adult South Indian males from the length of the sternum. The study included 35 male sternums of South Indian origin dissected from cadavers during medico-legal autopsies. The linear regression equation [Stature=117.784 + (3.429 x Sternal length)] was derived to estimate the stature from the length of the sternum. The correlation coefficient was 0.638. The standard error of the estimate was 5.64 cm. This preliminary study concludes that the length of the sternum can be used as a tool for stature estimation in adult South Indian males.

Sternal index: Is it a reliable indicator of sex in the Maharashtrian population of India?

Sex determination is an important initial step in forensic investigation of unknown human skeletal remains. The present analysis is an attempt to determine the sex of the sternum using sternal index as a parameter in a Maharashtrian population of India. Sternal index is calculated in 115 adult sternums of confirmed sex (75 male and 40 female) for sexual dimorphism. The sternal index is derived by dividing the length of manubrium by the length of mesosternum and multiplying it by 100. Although the sternal index is found to be significantly higher in females, the analysis suggests that sex determination cannot be made conclusively from the sternal index in the Maharashtra region of western India. The study further concludes that the applicability of Hyrtl's law in sex determination is limited.