Introduction: All penetrating or non-penetrating intentional ocular trauma causing loss of an organ or part of an organ and which have as a consequence the facial disfigurement or post trauma sequelae formation have forensic implications. Objectives: To study the pattern of ocular injuries its forensic implications and meticulous documentation in ocular medicolegal cases. Methodology: This hospital based cross sectional study was carried out by Forensic medicine personnel in Department of Ophthalmology and Emergency Department of Manipal Teaching Hospital Pokhara, Nepal. A total of 251 cases of ocular injury constituted the sample size. Cases were analyzed according to age, sex, type of trauma, causative agent, and manner of injury and ocular injuries having any medicolegal value. All data was evaluated and relevant information were extracted and entered into a database. Results: Male subjects 174 (69.32%) were more susceptible to ocular injuries and age group 21-30 years 66 (26.3%) were more predisposed to ocular injuries. The commonest cause of ocular trauma was due to fall on blunt objects 42(16.73%). The most common site of injury was cornea 120(47.81%) and corneal abrasion 65(54.16) was the most common ocular finding. Accidental manner of injury was observed in majority of the cases 230 (91.60%). Ocular injuries sustained were all simple in nature 251(100%) as a result no fatality was observed following ocular injury. Conclusion: Proper history taking and methodical documentation of injuries not only assist in diagnosis and management of the patient but also holds an evidentiary value in medico legal cases.

Background: Lip prints are considered as very useful and are to be important forms of transfer evidence like finger prints. Studies have shown that even lip prints are unique for an individual and hence have the potential for personal identification. Aims and Objectives: To correlate the distribution of lip print pattern and its gender wise predominance. Material and Methods: The study comprised of 100 Nepalese medical students (50 males; 50 females). A photographic method was adopted rather than the old traditional lipstick method. The photographed lip prints were transferred into a computer to identify the character/lip print pattern. Statistical analysis was done using the SPSS (version 23.0) software package and Chi-square test was applied to evaluate the existence of correlation of lip print pattern with gender. Results: Type- II lip print pattern was frequently observed in all the four quadrants of both the sexes. This was followed by in order Type-I’>Type-I> Type-IV and Type-III lip patterns. There was a difference in gender wise distribution of lip prints. Conclusion: Further specific population based and gender specific studies on lip prints with larger sample size are required for comparison of lip prints with gender, so that a database could be created and used for representing sex differentiation.

Introduction: Medical students encounter a constant pressure of academic and clinical activities, as well as easy access to drugs which could enable them to use different substances. Medical students who use substances can endanger others by losing sound judgment, failing to take responsibility, and causing harm to service recipients. Objective: The study was aimed to find out the prevalence and pattern of substance use among undergraduate medical students of Birat Medical College and Teaching Hospital, Nepal. Methodology: This hospital based cross sectional study was carried out from January 2021 to February 2021 at Birat Medical College and Teaching Hospital, Morang Nepal. A total of 207 subjects were included in the study, which was selected using convenience sampling. All participants were given a self-prepared semi-structured pre-tested questionnaire in order to gather information about their sociodemographic profile and pattern of substance use. Result: The overall prevalence of substance use among students of BMCTH was 59 (28.50%) (n=207). Males were significantly associated with substance use than females (P < 0.001). Prevalence of substance use were maximum among final year students 26(76.47%). The most common used substance was alcohol 49 (83.05%) followed by tobacco smoking 24 (40.67%) and cannabis 11 (18.64%).Curiosity of experience 39 (35.77%) and seeking pleasure 19 (17.43%) were the main reason of substance use among students. Conclusion: In this study students were found to be involved in some form of substance use, with many of them initiating after enrolling in medical school. Majority of students used for the sake of fun which they use as a source of entertainment to deviate their minds from the pressure of studies.

Background: The superficial veins of the cubital fossa are frequently variable in existence and arrangement. Many clinical procedures, such as reconstructive microsurgery and arterial bypass surgery, as well as intravenous injections or therapy, require the use of superficial veins. Aims and Objective: The aim of the study was to observe and describe the variations in anatomical distribution of the superficial veins of the cubital fossa in Nepalese pre-clinical medical students. Materials and Methods: The cross-sectional study included a total of 98 students between 18 to 24 years of age. A total of 196 anterior aspects of both arms were examined for cubital venous pattern. A tourniquet was applied at the mid-arm and drawing of the pattern of veins was made on a separate unglazed paper. The venous patterns in the cubital fossa were then categorized based on their gender. Results: Six patterns of superficial veins of the cubital fossa were observed. The commonest pattern in both genders was type I pattern. No statistical significant difference was observed between patterns of superficial veins on the right and left cubital fossa (P = 0.728 and 0.825 respectively) in both male and female subjects. Conclusion: Our research showed six venous patterns of superficial veins at the cubital fossa in Nepalese population. Understanding the common anatomy, patterns and variations of superficial vein anastomosis is imperative as this knowledge would help those needing venous access for various medical procedures.

Introduction: A medico-legal issue arises whenever an injured person visits a hospital. Therefore, all physicians who treat such patients have a legal duty to accurately document injuries as part of medical treatment. The study aimed to find out the prevalence of mechanical injury among medicolegal cases in the Department of Emergency in a tertiary care centre. Methods: A descriptive cross-sectional study was conducted among patients admitted to the Emergency Department of a tertiary centre from May 2018 to April 2020 after obtaining ethical approval from the Institutional Review Committee (Reference number: 356). Convenience sampling method was used among patients who met the eligibility criteria. All relevant data were extracted using hospital records. Point estimate and 95% Confidence Interval were calculated. Results: Out of 3486 medicolegal cases registered in the Department of Emergency, 856 (24.55%) (28.37-29.96 at 95% Confidence interval) were cases of mechanical injuries. Males 616 (71.96%) outnumbered females for all types of mechanical injuries. Road Traffic Accident 527 (61.56%) was the leading cause of injury and lacerations 351 (29.52%) were the most common pattern of injury. The majority 628 (73.36%) of the injuries were simple in nature. Conclusions: The prevalence of mechanical injuries among medicolegal cases was similar in our study compared to other studies done in similar settings. The majority of the injuries were caused by traffic accidents, which could have been prevented if a safe system approach to road safety was followed.