The document discusses various legal procedures and terms in forensic medicine and law. It defines forensic medicine, medical jurisprudence, medical ethics, and etiquette. It then discusses inquest procedures including coroner's, police, and magistrate's inquests. It also covers courts, evidence, legal terms like warrants, cognizable/non-cognizable offenses, and more.
This document provides an introduction to forensic medicine and legal procedures related to inquests in cases of unnatural death. It discusses key topics including forensic medicine, medical jurisprudence, medical ethics, types of inquests (coroner's, police, magistrate), powers and procedures of coroners, courts involved in legal cases, evidence presented in courts, and concepts like subpoenas, witness testimony, and dying declarations. The document also includes sample multiple choice questions for revision.
This document provides an overview of forensic medicine, including definitions, the Indian legal system, types of inquests, courts in India, evidence, witnesses, and a doctor's duties in court. It discusses legal medicine, medical jurisprudence, medical ethics, and the Indian Medical Council. Some key topics covered include types of evidence such as direct, indirect, documentary, and oral evidence. It also outlines punishments authorized in India, the duties of a doctor serving as a witness in court, and defines professional misconduct that could result in disciplinary action by the Medical Council.
This document discusses medical evidence and legal procedures related to medicolegal cases. It defines an inquest as a legal inquiry into circumstances and cause of death. The key types of inquests conducted in India are police inquests and magistrate inquests. It also discusses the roles of witnesses in legal proceedings, including common witnesses, expert witnesses, hostile witnesses, and penalties for perjury.
The document discusses various legal procedures in forensic or legal medicine in India. It describes different types of inquests like coroner's inquest, police inquest, and magistrate's inquest which are investigations into unnatural deaths. It also discusses courts like Supreme Court, High Courts, and Session Courts that deal with criminal cases. The Medical Examiner system prevalent in the US is described as the most superior form of investigation in cases of unnatural deaths.
This document discusses forensic or legal medicine and related topics. It defines forensic or legal medicine as applying medical knowledge to aid in the administration of justice. It also discusses medical jurisprudence, medical ethics, medical etiquette, legal procedures including inquests, courts and evidence. The key types of inquest discussed are coroner's inquest, police inquest, and magistrate's inquest. The document recommends books on these topics and provides details on courts, proceedings, summons, witnesses and evidence in India.
This document discusses legal procedures in India according to the Indian Penal Code and Code of Criminal Procedure. It covers topics such as inquests, courts, cognizable vs non-cognizable offenses, punishments, summons procedures, types of evidence including dying declarations, and procedures for examining witnesses in court. Police inquests and magistrate inquests are described as the main types of inquest conducted in India to investigate sudden, suspicious, or unnatural deaths. The roles of various courts like the Supreme Court, High Courts, and magistrate courts are also summarized.
Legal procedure in Bangladesh involves both civil and criminal courts. Criminal courts deal with offenses against public interest and can impose custodial punishments like imprisonment, while civil courts deal with disputes between private parties and typically award financial compensation. Witnesses play an important role in both civil and criminal cases by providing testimony in court. Medical evidence in the form of reports also provides important documentary evidence.
This document provides an introduction to forensic medicine and legal procedures related to inquests in cases of unnatural death. It discusses key topics including forensic medicine, medical jurisprudence, medical ethics, types of inquests (coroner's, police, magistrate), powers and procedures of coroners, courts involved in legal cases, evidence presented in courts, and concepts like subpoenas, witness testimony, and dying declarations. The document also includes sample multiple choice questions for revision.
This document provides an overview of forensic medicine, including definitions, the Indian legal system, types of inquests, courts in India, evidence, witnesses, and a doctor's duties in court. It discusses legal medicine, medical jurisprudence, medical ethics, and the Indian Medical Council. Some key topics covered include types of evidence such as direct, indirect, documentary, and oral evidence. It also outlines punishments authorized in India, the duties of a doctor serving as a witness in court, and defines professional misconduct that could result in disciplinary action by the Medical Council.
This document discusses medical evidence and legal procedures related to medicolegal cases. It defines an inquest as a legal inquiry into circumstances and cause of death. The key types of inquests conducted in India are police inquests and magistrate inquests. It also discusses the roles of witnesses in legal proceedings, including common witnesses, expert witnesses, hostile witnesses, and penalties for perjury.
The document discusses various legal procedures in forensic or legal medicine in India. It describes different types of inquests like coroner's inquest, police inquest, and magistrate's inquest which are investigations into unnatural deaths. It also discusses courts like Supreme Court, High Courts, and Session Courts that deal with criminal cases. The Medical Examiner system prevalent in the US is described as the most superior form of investigation in cases of unnatural deaths.
This document discusses forensic or legal medicine and related topics. It defines forensic or legal medicine as applying medical knowledge to aid in the administration of justice. It also discusses medical jurisprudence, medical ethics, medical etiquette, legal procedures including inquests, courts and evidence. The key types of inquest discussed are coroner's inquest, police inquest, and magistrate's inquest. The document recommends books on these topics and provides details on courts, proceedings, summons, witnesses and evidence in India.
This document discusses legal procedures in India according to the Indian Penal Code and Code of Criminal Procedure. It covers topics such as inquests, courts, cognizable vs non-cognizable offenses, punishments, summons procedures, types of evidence including dying declarations, and procedures for examining witnesses in court. Police inquests and magistrate inquests are described as the main types of inquest conducted in India to investigate sudden, suspicious, or unnatural deaths. The roles of various courts like the Supreme Court, High Courts, and magistrate courts are also summarized.
Legal procedure in Bangladesh involves both civil and criminal courts. Criminal courts deal with offenses against public interest and can impose custodial punishments like imprisonment, while civil courts deal with disputes between private parties and typically award financial compensation. Witnesses play an important role in both civil and criminal cases by providing testimony in court. Medical evidence in the form of reports also provides important documentary evidence.
Forensic medicine deals with applying medical knowledge to legal problems and aiding the administration of justice. It is used by legal authorities to help solve legal issues involving injuries, deaths, accidents, and other medically-relevant legal matters. The primary tool of forensic medicine is autopsy, which can be used to determine cause of death and provide other evidence for legal cases. Forensic medicine involves collecting and analyzing medical evidence to produce objective information for use in the legal system.
This document discusses different types of law and legal systems. It outlines two main types of law: common law and statute law. Common law refers to unwritten laws based on customs and precedents, while statute law is written law passed by a legislative body. Statute law is further divided into civil law, which deals with disputes between individuals or groups, and criminal law, which involves crimes and punishments. The document also discusses legal concepts like courts, plaintiffs, defendants, witnesses, evidence, and the court hierarchy in Pakistan.
This document discusses various types of inquests and courts in the legal system. It defines an inquest as a legal inquiry to determine the cause of an unnatural death. The three main types of inquests are police inquests, magistrate inquests, and coroner's inquests. Police inquests are inquiries by police into unnatural deaths. Magistrate inquests are conducted by magistrates in certain cases like deaths in custody. Coroner's inquests are conducted by legally trained coroners to inquire into all unnatural deaths. The document also discusses the court system and types of courts including supreme courts, high courts, and session courts. It provides details on criminal procedures and various legal
This document discusses key aspects of criminal law and procedure in India. It begins by outlining the main laws governing criminal matters - the Indian Penal Code, Criminal Procedure Code, and Indian Evidence Act. It then classifies crimes as civil or criminal, and based on warrant and bail. Examples are provided of civil and criminal offenses. The document goes on to describe the court system in India from the Supreme Court down to magistrates. It also covers criminal sentences, double jeopardy, and concepts like bailable/non-bailable offenses. Finally, it provides details on the process of inquest in cases of unnatural death.
No statutory duty for doctors to report a death to Coroner
For cremations only, a 2nd and 3rd certificant are required - allowing some further scrutiny.
Around 45% of deaths end up referred to the Coroner
of these, about 50% have a PM and 12% have an inquest
Who can certify a death?
A doctor who attended the deceased in their last illness*
Must have seen the deceased within 2 weeks prior to death, or see them after death
Must be confident of the cause of death “to the best of your knowledge and belief”
All deaths not notified directly to Coroner will be scrutinised by an Independent Medical Examiner
Doctors will have statutory duty to notify reportable deaths to coroner
No separate crem forms - unified certification process via ME, fee charged for all death certifications
Estimated that only 35% of all deaths will be reported to Coroner
Independent judicial officer
Responsible for investigating certain categories of deaths, to establish the identity of the deceased, and how, when and where they came by their death.
Can order a post-mortem examination of the body, if needed to determine the cause of death.
Each Coroner has a defined area of jurisdiction
A body can only be moved from one jurisdiction to a neighbouring one, by formal arrangement between the Coroners.
Procurator Fiscal has a similar role in Scotland
Who: Rule 6. “fully registered medical practitioner” whenever practicable, by a pathologist with suitable qualifications and experience
Rule 7: “Coroner to notify persons of post-mortem to be made” - a list of properly interested persons to be informed of the PM and who may be present, or represented, at the PM
When: “as soon after the death of the deceased as is reasonably practicable”
Where: Rule 11. “(1) No post-mortem examination shall be made in a dwelling house or in licensed premises.(2) Every post-mortem examination shall be made in premises which are adequately equipped for the purpose of the examination.”
What: Rule 9. “A person making a post-mortem examination shall make provision, so far as possible, for the preservation of material which in his opinion bears upon the cause of death for such period as the coroner thinks fit” & “Schedule 2” - the format for the written report.
At our Exeter claims club we cover the following topics:
• 'Inquests, the whys and the wherefores' - Dale Collins, partner at Browne Jacobson considers death at work, insurers position, witnesses, procedure and outcomes
• Nick Kitchen, Costs Draftsman at Burcher Jennings looks at recent costs decisions
• Mark Fowles, partner at Browne Jacobson looks at the role of witness statements - what should go in them, what should not, the format and their use at trial.
https://www.brownejacobson.com/insurance
An inquest is a legal inquiry into the cause and circumstances of an unnatural death. In India, there are two main types of inquests - a police inquest conducted by an officer and a magistrate's inquest ordered by a district magistrate. A police inquest is conducted under Section 174 of the Code of Criminal Procedure for any unnatural death. It involves examining the scene, speaking to witnesses, and may require an autopsy. Any discrepancies between the inquest report and autopsy report must be resolved.
ch 6- civics understanding our criminal justice system class 8vansh bansal
The criminal justice system involves law enforcement investigating crimes and prosecuting offenders while also protecting citizens' rights. Police conduct investigations by gathering evidence and witness statements. If they believe there is enough evidence, they may recommend charges. Prosecutors then represent the public interest in ensuring prosecutions are conducted fairly and respect defendants' rights. Judges oversee trials and juries determine verdicts. The right to a fair trial is an important legal concept that aims to respect defendants' rights throughout the legal process according to due process.
This document discusses different types of evidence used in legal procedures. There are two main types of evidence: documentary and oral. Documentary evidence includes medical certificates, medico-legal reports, and dying declarations. Oral evidence can be direct, indirect, or hearsay testimony from witnesses. A dying declaration is an admissible statement made by a dying victim about the cause of their death. Several requirements must be met for a dying declaration to be accepted as evidence in court cases. The document also defines what constitutes a witness and the different types of witnesses, including expert witnesses and hostile witnesses.
The document discusses the Indian Penal Code (IPC) and how it relates to the medical profession. [1] The IPC lists all crimes and punishments in India, including for doctors. [2] Sections of the IPC cover issues like good faith, consent, negligence, spreading disease, medical malpractice, and more. [3] The document outlines key legal terms and Supreme Court directives for roadside accidents.
This document discusses certification of death and guidelines around end of life care. It defines death, provides legal definitions, and outlines Gordon's classification of deaths. It describes tests to certify death, such as circulation and respiration stoppage tests. It discusses death certificates, the duties of doctors in certifying death, and special circumstances around organ donation and withholding life support. It summarizes Supreme Court of India rulings on withholding life support and provides guidelines from ISCCM on limiting life-prolonging interventions and providing palliative care.
This document defines key terms in forensic science and outlines several forensic science fields and techniques. It discusses forensic pathology, toxicology, anthropology, and their roles in criminal investigations. Forensic science applies scientific knowledge to legal problems, using techniques like analyzing evidence, maintaining chain of custody, and expert witness testimony. Forensic pathologists investigate unnatural deaths while forensic toxicologists identify toxins in bodies. Forensic anthropologists examine skeletal remains. Together these fields use medical and scientific analysis to help determine legal questions in criminal cases.
Forensic science applies scientific knowledge and technology to criminal and civil law. Forensic scientists analyze physical evidence found at crime scenes and compare it to evidence from suspects. Their work and expert testimony in court helps determine guilt or innocence. Crime labs employ various specialists like those in biology, chemistry, fingerprints, documents, and more to analyze different types of evidence. Their work is important for the justice system.
APPROACH TO HANDLING OF MEDICO-LEGAL CASESSohailislam12
This document provides an overview of handling medico-legal cases. It discusses what constitutes a medico-legal case, common types of cases, relevant laws, and the process of managing a case which includes identification, registration, examination, investigation, treatment, preparing a final opinion. Specific issues like consent, injuries, autopsy, poisoning, and transport accidents are also covered. The presentation was made by 11 students providing information on approaching medico-legal cases.
This document discusses various aspects of medical evidence and the law as it relates to courts. It covers:
1) Different types of laws including common law, statute law, criminal law, and civil law. 2) Principles guiding courts including presumption of innocence and benefit of doubt. 3) Types of courts including civil, criminal, and mixed jurisdiction courts. 4) Medical evidence and a doctor's role as an expert witness in court. 5) Factors affecting criminal responsibility such as insanity, intoxication, and age.
[Forensics] topic law and legal proceduresMuhammad Ahmad
Legal procedures involve applying medical knowledge to law and justice. There are different types of law depending on their origin, such as common law, statute law, and Shariat law. Courts handle both criminal cases, which deal with prohibiting harmful acts, and civil cases, which deal with disputes between individuals. In legal procedures, a case is brought before a judge, who arrives at a decision following proceedings based on legal codes and evidence. There are two parties involved - the prosecution, which brings charges, and the defense, which responds to charges. The conclusion of the judge is called the judgment. Various courts have jurisdiction over different types of cases and ability to impose punishments. Principles guiding courts include the presumption of innocence until proven guilty
Autopsy by Dr Yaseen Mohammad for 3rd year students MBBSYaseen Mohammad
The document discusses medico-legal autopsies and their protocols. It provides information on:
1. The objectives of a medico-legal autopsy which are to determine identity, cause of death, manner of death, and evidence left by perpetrators.
2. The precautions and protocols that must be followed which include obtaining proper authorization, examining relevant documents, and ensuring identification of the body.
3. The stages of an autopsy which involve external examination of the body and clothes, internal examination of organs, collection of specimens, and reconstruction of the body.
The criminal justice system regulates whether a person has violated criminal law. It involves the police investigating crimes and making arrests, filing charges with the court. The trial then begins, with a public prosecutor representing the victim and the accused defending themselves. The judge conducts the impartial trial and decides if the accused is guilty based on the evidence. They system aims to follow guidelines like the D.K. Basu Guidelines during arrest and interrogation to respect human rights.
Forensic medicine deals with applying medical knowledge to legal problems and aiding the administration of justice. It is used by legal authorities to help solve legal issues involving injuries, deaths, accidents, and other medically-relevant legal matters. The primary tool of forensic medicine is autopsy, which can be used to determine cause of death and provide other evidence for legal cases. Forensic medicine involves collecting and analyzing medical evidence to produce objective information for use in the legal system.
This document discusses different types of law and legal systems. It outlines two main types of law: common law and statute law. Common law refers to unwritten laws based on customs and precedents, while statute law is written law passed by a legislative body. Statute law is further divided into civil law, which deals with disputes between individuals or groups, and criminal law, which involves crimes and punishments. The document also discusses legal concepts like courts, plaintiffs, defendants, witnesses, evidence, and the court hierarchy in Pakistan.
This document discusses various types of inquests and courts in the legal system. It defines an inquest as a legal inquiry to determine the cause of an unnatural death. The three main types of inquests are police inquests, magistrate inquests, and coroner's inquests. Police inquests are inquiries by police into unnatural deaths. Magistrate inquests are conducted by magistrates in certain cases like deaths in custody. Coroner's inquests are conducted by legally trained coroners to inquire into all unnatural deaths. The document also discusses the court system and types of courts including supreme courts, high courts, and session courts. It provides details on criminal procedures and various legal
This document discusses key aspects of criminal law and procedure in India. It begins by outlining the main laws governing criminal matters - the Indian Penal Code, Criminal Procedure Code, and Indian Evidence Act. It then classifies crimes as civil or criminal, and based on warrant and bail. Examples are provided of civil and criminal offenses. The document goes on to describe the court system in India from the Supreme Court down to magistrates. It also covers criminal sentences, double jeopardy, and concepts like bailable/non-bailable offenses. Finally, it provides details on the process of inquest in cases of unnatural death.
No statutory duty for doctors to report a death to Coroner
For cremations only, a 2nd and 3rd certificant are required - allowing some further scrutiny.
Around 45% of deaths end up referred to the Coroner
of these, about 50% have a PM and 12% have an inquest
Who can certify a death?
A doctor who attended the deceased in their last illness*
Must have seen the deceased within 2 weeks prior to death, or see them after death
Must be confident of the cause of death “to the best of your knowledge and belief”
All deaths not notified directly to Coroner will be scrutinised by an Independent Medical Examiner
Doctors will have statutory duty to notify reportable deaths to coroner
No separate crem forms - unified certification process via ME, fee charged for all death certifications
Estimated that only 35% of all deaths will be reported to Coroner
Independent judicial officer
Responsible for investigating certain categories of deaths, to establish the identity of the deceased, and how, when and where they came by their death.
Can order a post-mortem examination of the body, if needed to determine the cause of death.
Each Coroner has a defined area of jurisdiction
A body can only be moved from one jurisdiction to a neighbouring one, by formal arrangement between the Coroners.
Procurator Fiscal has a similar role in Scotland
Who: Rule 6. “fully registered medical practitioner” whenever practicable, by a pathologist with suitable qualifications and experience
Rule 7: “Coroner to notify persons of post-mortem to be made” - a list of properly interested persons to be informed of the PM and who may be present, or represented, at the PM
When: “as soon after the death of the deceased as is reasonably practicable”
Where: Rule 11. “(1) No post-mortem examination shall be made in a dwelling house or in licensed premises.(2) Every post-mortem examination shall be made in premises which are adequately equipped for the purpose of the examination.”
What: Rule 9. “A person making a post-mortem examination shall make provision, so far as possible, for the preservation of material which in his opinion bears upon the cause of death for such period as the coroner thinks fit” & “Schedule 2” - the format for the written report.
At our Exeter claims club we cover the following topics:
• 'Inquests, the whys and the wherefores' - Dale Collins, partner at Browne Jacobson considers death at work, insurers position, witnesses, procedure and outcomes
• Nick Kitchen, Costs Draftsman at Burcher Jennings looks at recent costs decisions
• Mark Fowles, partner at Browne Jacobson looks at the role of witness statements - what should go in them, what should not, the format and their use at trial.
https://www.brownejacobson.com/insurance
An inquest is a legal inquiry into the cause and circumstances of an unnatural death. In India, there are two main types of inquests - a police inquest conducted by an officer and a magistrate's inquest ordered by a district magistrate. A police inquest is conducted under Section 174 of the Code of Criminal Procedure for any unnatural death. It involves examining the scene, speaking to witnesses, and may require an autopsy. Any discrepancies between the inquest report and autopsy report must be resolved.
ch 6- civics understanding our criminal justice system class 8vansh bansal
The criminal justice system involves law enforcement investigating crimes and prosecuting offenders while also protecting citizens' rights. Police conduct investigations by gathering evidence and witness statements. If they believe there is enough evidence, they may recommend charges. Prosecutors then represent the public interest in ensuring prosecutions are conducted fairly and respect defendants' rights. Judges oversee trials and juries determine verdicts. The right to a fair trial is an important legal concept that aims to respect defendants' rights throughout the legal process according to due process.
This document discusses different types of evidence used in legal procedures. There are two main types of evidence: documentary and oral. Documentary evidence includes medical certificates, medico-legal reports, and dying declarations. Oral evidence can be direct, indirect, or hearsay testimony from witnesses. A dying declaration is an admissible statement made by a dying victim about the cause of their death. Several requirements must be met for a dying declaration to be accepted as evidence in court cases. The document also defines what constitutes a witness and the different types of witnesses, including expert witnesses and hostile witnesses.
The document discusses the Indian Penal Code (IPC) and how it relates to the medical profession. [1] The IPC lists all crimes and punishments in India, including for doctors. [2] Sections of the IPC cover issues like good faith, consent, negligence, spreading disease, medical malpractice, and more. [3] The document outlines key legal terms and Supreme Court directives for roadside accidents.
This document discusses certification of death and guidelines around end of life care. It defines death, provides legal definitions, and outlines Gordon's classification of deaths. It describes tests to certify death, such as circulation and respiration stoppage tests. It discusses death certificates, the duties of doctors in certifying death, and special circumstances around organ donation and withholding life support. It summarizes Supreme Court of India rulings on withholding life support and provides guidelines from ISCCM on limiting life-prolonging interventions and providing palliative care.
This document defines key terms in forensic science and outlines several forensic science fields and techniques. It discusses forensic pathology, toxicology, anthropology, and their roles in criminal investigations. Forensic science applies scientific knowledge to legal problems, using techniques like analyzing evidence, maintaining chain of custody, and expert witness testimony. Forensic pathologists investigate unnatural deaths while forensic toxicologists identify toxins in bodies. Forensic anthropologists examine skeletal remains. Together these fields use medical and scientific analysis to help determine legal questions in criminal cases.
Forensic science applies scientific knowledge and technology to criminal and civil law. Forensic scientists analyze physical evidence found at crime scenes and compare it to evidence from suspects. Their work and expert testimony in court helps determine guilt or innocence. Crime labs employ various specialists like those in biology, chemistry, fingerprints, documents, and more to analyze different types of evidence. Their work is important for the justice system.
APPROACH TO HANDLING OF MEDICO-LEGAL CASESSohailislam12
This document provides an overview of handling medico-legal cases. It discusses what constitutes a medico-legal case, common types of cases, relevant laws, and the process of managing a case which includes identification, registration, examination, investigation, treatment, preparing a final opinion. Specific issues like consent, injuries, autopsy, poisoning, and transport accidents are also covered. The presentation was made by 11 students providing information on approaching medico-legal cases.
This document discusses various aspects of medical evidence and the law as it relates to courts. It covers:
1) Different types of laws including common law, statute law, criminal law, and civil law. 2) Principles guiding courts including presumption of innocence and benefit of doubt. 3) Types of courts including civil, criminal, and mixed jurisdiction courts. 4) Medical evidence and a doctor's role as an expert witness in court. 5) Factors affecting criminal responsibility such as insanity, intoxication, and age.
[Forensics] topic law and legal proceduresMuhammad Ahmad
Legal procedures involve applying medical knowledge to law and justice. There are different types of law depending on their origin, such as common law, statute law, and Shariat law. Courts handle both criminal cases, which deal with prohibiting harmful acts, and civil cases, which deal with disputes between individuals. In legal procedures, a case is brought before a judge, who arrives at a decision following proceedings based on legal codes and evidence. There are two parties involved - the prosecution, which brings charges, and the defense, which responds to charges. The conclusion of the judge is called the judgment. Various courts have jurisdiction over different types of cases and ability to impose punishments. Principles guiding courts include the presumption of innocence until proven guilty
Autopsy by Dr Yaseen Mohammad for 3rd year students MBBSYaseen Mohammad
The document discusses medico-legal autopsies and their protocols. It provides information on:
1. The objectives of a medico-legal autopsy which are to determine identity, cause of death, manner of death, and evidence left by perpetrators.
2. The precautions and protocols that must be followed which include obtaining proper authorization, examining relevant documents, and ensuring identification of the body.
3. The stages of an autopsy which involve external examination of the body and clothes, internal examination of organs, collection of specimens, and reconstruction of the body.
The criminal justice system regulates whether a person has violated criminal law. It involves the police investigating crimes and making arrests, filing charges with the court. The trial then begins, with a public prosecutor representing the victim and the accused defending themselves. The judge conducts the impartial trial and decides if the accused is guilty based on the evidence. They system aims to follow guidelines like the D.K. Basu Guidelines during arrest and interrogation to respect human rights.
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
Summer is a time for fun in the sun, but the heat and humidity can also wreak havoc on your skin. From itchy rashes to unwanted pigmentation, several skin conditions become more prevalent during these warmer months.
Nutritional deficiency Disorder are problems in india.
It is very important to learn about Indian child's nutritional parameters as well the Disease related to alteration in their Nutrition.
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...Université de Montréal
“Psychiatry and the Humanities”: An Innovative Course at the University of Montreal Expanding the medical model to embrace the humanities. Link: https://www.psychiatrictimes.com/view/-psychiatry-and-the-humanities-an-innovative-course-at-the-university-of-montreal
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)MuskanShingari
Statistics- Statistics is the science of collecting, organizing, presenting, analyzing and interpreting numerical data to assist in making more effective decisions.
A statistics is a measure which is used to estimate the population parameter
Parameters-It is used to describe the properties of an entire population.
Examples-Measures of central tendency Dispersion, Variance, Standard Deviation (SD), Absolute Error, Mean Absolute Error (MAE), Eigen Value
The biomechanics of running involves the study of the mechanical principles underlying running movements. It includes the analysis of the running gait cycle, which consists of the stance phase (foot contact to push-off) and the swing phase (foot lift-off to next contact). Key aspects include kinematics (joint angles and movements, stride length and frequency) and kinetics (forces involved in running, including ground reaction and muscle forces). Understanding these factors helps in improving running performance, optimizing technique, and preventing injuries.
Giloy in Ayurveda - Classical Categorization and SynonymsPlanet Ayurveda
Giloy, also known as Guduchi or Amrita in classical Ayurvedic texts, is a revered herb renowned for its myriad health benefits. It is categorized as a Rasayana, meaning it has rejuvenating properties that enhance vitality and longevity. Giloy is celebrated for its ability to boost the immune system, detoxify the body, and promote overall wellness. Its anti-inflammatory, antipyretic, and antioxidant properties make it a staple in managing conditions like fever, diabetes, and stress. The versatility and efficacy of Giloy in supporting health naturally highlight its importance in Ayurveda. At Planet Ayurveda, we provide a comprehensive range of health services and 100% herbal supplements that harness the power of natural ingredients like Giloy. Our products are globally available and affordable, ensuring that everyone can benefit from the ancient wisdom of Ayurveda. If you or your loved ones are dealing with health issues, contact Planet Ayurveda at 01725214040 to book an online video consultation with our professional doctors. Let us help you achieve optimal health and wellness naturally.
Nano-gold for Cancer Therapy chemistry investigatory projectSIVAVINAYAKPK
chemistry investigatory project
The development of nanogold-based cancer therapy could revolutionize oncology by providing a more targeted, less invasive treatment option. This project contributes to the growing body of research aimed at harnessing nanotechnology for medical applications, paving the way for future clinical trials and potential commercial applications.
Cancer remains one of the leading causes of death worldwide, prompting the need for innovative treatment methods. Nanotechnology offers promising new approaches, including the use of gold nanoparticles (nanogold) for targeted cancer therapy. Nanogold particles possess unique physical and chemical properties that make them suitable for drug delivery, imaging, and photothermal therapy.
Spontaneous Bacterial Peritonitis - Pathogenesis , Clinical Features & Manage...Jim Jacob Roy
In this presentation , SBP ( spontaneous bacterial peritonitis ) , which is a common complication in patients with cirrhosis and ascites is described in detail.
The reference for this presentation is Sleisenger and Fordtran's Gastrointestinal and Liver Disease Textbook ( 11th edition ).
The Children are very vulnerable to get affected with respiratory disease.
In our country, the respiratory Disease conditions are consider as major cause for mortality and Morbidity in Child.
3. Forensic Medicine
Forensic is also called as Legal Medicine( forensic = of
or used in courts of law) deals with the application of
medical knowledge to aid in the administration of
justice. It is used by the legal authorities for the solution
of legal problems. Some examples: are applying the
medical knowledge in deciding cases of injuries,
asphyxial deaths, sexual offences, infant deaths,
poisoning, etc. In short, it deals with the medical aspects
of law.
4. Medical Jurisprudence.
Medical Jurisprudence ( Juris = law; prudentia =
knowledge). It deals with legal responsibilities of the
physician with particular reference to those arising from
physician – patient relationship such as, medical
negligence cases, consent, rights and duties of doctors,
infamous conduct, medical ethics etc. In short it deals
with legal aspects of the practice of medicine.
5. Medical Ethics
Medical ethics deals with the normal principles
which should guide members of the medical
profession in their dealings with each other,
their patients and the state.
10. INQUEST
It is defined as an inquiry into the cause
of death which is clearly not due to natural
causes.
* Coroner’s inquest
* Police inquest
* Magistrate inquest
* Medical examiner system
11. CORONER
* Usually an advocate
* Attorney or Pleader
* First Class Magistrate with 5yrs experience
* Metropolitan Magistrate
* Medical Person
12. POWERS OF CORONER
Empowered to inquire into the causes of all unnatural or
suspicious deaths.
Power to commit suspected person or accused to stand
a trial before a magistrate
He can view a body to decide whether or not an
autopsy is required
* He can order the exhumation of a body for identification
or for M.L. examination
13. • * He is authorized to order any qualified R.M.P.
to do postmortem examination and summon him
as an expert witness to his court.
• * He can grant conduct money
* He is empowered to appoint an in-charge
coroner during his absence.
14. CORONER’S COURT :
* Court of inquiry into the causes of unnatural
deaths
* Presence of suspected or accused not
necessary
* It has no power to impose fines or
sentence.
15. Circumstances where Coroner’s
Inquest is held
* Sudden death
* Murder, infanticide or suicide
* Death by accident or poison
* Death due to mishap by machinery
* Death occurring during operation or under
anesthesia
* Deaths occurring in prison, police custody,
asylum, Brostal school etc.
16. Police Inquest :
Inquiry should be held by police in all unnatural
or suspicious death.
Not below the rank of head constable
The Police officer making the preliminary inquiry
is called the “ Investigating officer”
* Information to nearest area magistrate.
17. * He holds inquiry in presence of two or
more respectable person of the locality;
Panchas
Panch Witnesses
Panchayatdars
* He prepares a report as judged by him
and Panchas with signatures
Panchanama
Inquest report
18. * If no foul play is suspected, he can hand
over the body for disposal to relatives
* In case he suspects the doubt about the
cause of death, he can order for autopsy.
* Inquiry and trial of the case will start with
the production of entire case records to
Magistrate.
19. Magistrate’s Inquest
* Death of a convict in Jail
* Death of a person in police custody or during
interrogation
* Death as a result of police firing
* Exhumation cases
* Dowry deaths
20. Reasons of Magistrate’s Inquest
* No person is deprived of his liberty and his rights as a
citizen.
* No person is allowed to die, deprived of his right due to
neglect or brutality by the people in whose charge
he/she is.
* Doubt about the identity, cause of death, or manner of
death of a person who is already buried.
21. Medical Examiner’s system
Prevalent in the USA
Forensic pathologist
Superior to all other types of inquest
23. 1. The code that defines offences
and prescribes punishment is:
a) Indian Penal Code.
b) Criminal Procedure Code.
c) Indian Evidence Act.
d) Criminal Law Act.
24. 2. The term “inquest” refers to:
a) Burial of a dead body
b) Trial in a court.
c) Investigation of all deaths.
d) Legal inquiry in unnatural deaths.
25. 3. Which ONE of the following
systems exists in India:
a) Coroner’s inquest.
b) Medical Examiner’s system.
c) Trial by Jury.
d) Magistrate’s inquest.
26. 4. Police inquest is NOT applicable
in one of the following
situations:
a) Suicide.
b) Accidental death.
c) Homicide.
d) Dowry-related death.
27. 5.Magistrate’s inquest is mandatory
in which one of the following
cases:
a) Custodial death.
b) Exhumation
c) Dowry death
d) All of the above.
28. 6. Coroner’s inquest is still in force
in:
a) Calcutta
b) Bombay
c) Delhi
d) Not in India anymore
30. 8. Which of the following methods of
investigation is the most ideal in
unnatural deaths:
a) Police inquest.
b) Coroner’s inquest
c) Magistrate’s inquest
d) Medical Examiner system
31. 9. Indian Penal code 1860 deals with :
a) Criminal offences only.
b) Punishment for criminal offences
c) Both a) & b)
d) None of the above
32. 10.The term “ Panchanama” refers to ?
a) Dead body challan.
b) Inquest report
c) Post term report
d) The final report submitted by the police
to the court
37. Courts in India:
* Supreme Court (SC)
* High Courts (HC)
* Districts courts & Session Courts
Magistrates Courts
- Chief judicial Magistrate (CJM)
- Judicial Magistrate of First Class (JMFC)
- Judicial Magistrate of second Class
- Other Magistrates (DM, SDM,EM )
38. “ Sentences Authorised by Law”
Death Sentence
Life imprisonment
Imprisonment/ rigorous/simple/solitary
Forfeiture of Property (now abolished)
Fine
Training and rehabilitation of young offenders
39. Criminal courts of India
Supreme Court New Delhi Passes any sentence.
Usually considers appeal
from lower courts
High Court Capital of
State
Can try any offence &
pass any sentence
Sessions Courts
(District courts )
District HQ Can try only offences
committed to it by
Magistrate. Can pass any
sentence, death sentence
to be confirmed by High
Court
40. Criminal courts of India
Magistrate’s
courts:
Chief Judicial
Magistrate/ Chief
Metropolitan
Magistrate
District/
sub
division of
district
( City )
Can pass a sentence of
imprisonment up to 7
years; fine without limit
I class Judicial
Magistrate
Taluka Can pass a sentence of
imprisonment upto 3 yrs;
fine up to Rs 5000/-
II class Judicial
Magistrate
Sub Taluka Imprisonment upto 1 yr,
fine up to Rs 1000/-
41. Criminal courts of India
Executive
Magistrate
(Tahasildar)
District/
Taluka/
sub
division
of district
Not Judicial.
Appointed by the
Government/
Deputy
Commissioner/
Collector.
Tahsildar Conducts
Magistrate’s inquest.
Can pass an order
under Sec 144 of
Cr.PC
42. Proceedings in Courts:
* Subpoena
* Oath of Affirmation
* Recording of evidence / Proof
* Decision of Judge / Court
* Execution of Court orders
43. “Subpoena / Summons”
* It is a document commanding the
attendance of a witness in a court of law
under a penalty ( if not obeyed)
• It is issued by the court in writing, and
signed by the presiding magistrate
• Specific date & time
• It is served by a police officer or an officer
of the court
* It is sent in duplicate
44. * A summons must be implicitly obeyed,
unless there are valid and urgent reasons
* If the summoned witness fails to attend
the court, he is punished for guilty of
contempt of court
* Priority of attendance
* Conduct money
45. Case on the same day ?
Criminal courts have precedence over civil
court
Higher courts gets preference over lower
courts
The court which served the summons first
receives preference
46. Failure to obey Summons
Civil case- pay damages
Criminal- imprisonment / warrant of arrest
& compulsory attendance
47. Conduct money
In civil cases- a fee is tendered, to cover
the expenses of the witness to attend
court, at the time when the summons is
served
Paid by the party that has called the
witness
In criminal cases no conduct money, but
court has made provision to pay
reasonable expenses of witness
48. “ Witness”
A witness is a person who gives a
statement or testimony under oath or
solemn affirmation in the court of law
Common witness
* Expert or skilled
61. EVIDENCE
Evidence means any statement in relation to
a matter or fact under inquiry or a
document or something for the inspection
of the court.
* Oral Evidence
* Documentary evidence
62. Oral Evidence :
It is the evidence of a person who says he saw,
heard or perceived it in other words actual
witness.
Documentary Evidence
Any documents produced for the inspection of the
court, in relation to matter of fact under inquiry.
63. Medical evidence
Oral – direct evidence
indirect evidence
circumstantial evidence
Documentary – medical certificates
medico legal reports
dying declaration / deposition
64. Medical certificates
Sickness certificate
Medical fitness certificate
Fitness for employment
Vaccination certificate
Death certificates
65. Medico legal reports
Injury/ wound certificate
Age certificate
Impotency/ potency certificate
Drunkenness certificate
Examination of victim / accused of rape/
sodomy
Post mortem report
66. Oral Evidence
* Statement is given in person
= It must be direct
= Which refers to a fact
= Which can be seen, heard, or perceived-
he will be the actual witness.
= Oral evidence is superior to documentary
evidence
67. Primary Evidence
When documents are produced in the form of
evidence is called primary evidence.
Secondary Evidence
When certified copy, photocopy or counterparts of
original documents produced in the court called
secondary evidence.
68. Hearsay Evidence
Evidence of a person who has no personal
knowledge of the facts, but just repeats
what he/she heard others say
Circumstantial Evidence
It is an evidence when something is found
Which gives clues about the offence.
69. Dying Declarations:
Are the statements of a person who is
actually dying and who believes he is
dying, regarding the cause and
circumstance leading to his present state.
It is admissible as an evidence where the
cause of his death is under enquiry.
70. Dying declaration
Verbal/ written statement
Compos mentis
2 Witnesses
No leading questions to be asked
Signature/ thumb impression of
declarant, doctor, witnesses
Sent to Magistrate in sealed envelope
MLI
71. Dying deposition
It is a dying declaration made on Oath in
the presence of the accused or his legal
representative who has the opportunity to
cross examine the dying person.
This is recorded by the Magistrate, hence it
carries more value than dying declaration.
72.
73. In the Court :
“ If the law has made you a witness, remain
a man of science. You have no victim to
avenge, or guilty or innocent person to
ruin or save. You must bear testimony
within the limits of science.”
- Brouanrdel
74. An ‘Oath’
It is a declaration required by law, to be
made before the court, by the witness.
He swears in the name of God, that he will
tell the truth, the whole truth, and nothing
but the truth.
If the witness has religious scruples against
swearing, he will be permitted to make a
solemn affirmation.
75. Once a witness is thus sworn, if he does not
speak the truth, he is liable to be
prosecuted for the guilty of the crime,
called,
“ Perjury”
“ Willful utterance of falsehood”
It attracts section 193 of I.P.C.
76.
77.
78. Recording of Evidence - Pleading
Examination-in-chief
Cross-examination
Re-examination
Question by Judge
79. Examination-in-chief
Examination is done by the counsel side,
which has summoned him.
The object of the examination-in-chief is
to present all relevant facts of the case
before the court.
If witness is expert he may be asked to
elicit his inference or interpretations from
the facts.
80. No leading questions are allowed.
( leading question is one that suggest its
own answer)
Leading question can be asked when
witness become ‘ hostile’.
“Hostile witness is that witness who gives
evidence in the court of law under oath,
against the interest of the party who cites
him as witness.
Common witness/ An expert witness.
81. Cross Examination:
* Followed by examination-in-chief
* Examined by counsel for opposite party
* To bring out inaccuracies and
contradictions in his statements.
* To extract any facts which may be
favorable to his Client
* Leading questions are allowed.
82. * Cross examination need not be confined
to the statements;
= Qualification
= Experience
= Professional knowledge
= Character
* No time limit for cross examination.
83. Re-examination:
* After cross- examination, the witness can
be examined by the counsel who called
him.
* To remove any doubts that may have
arisen during cross examination
* Leading questions are not allowed.
84. Court Question:
* Presiding officer may /can ask question to
witness at any stage.
* He can call witness again for his evidence,
if needed by the court, related to the
same case.
92. Warrant
Written order with a sign & seal of
presiding officer of court
Bears name & designation of person who
is to execute it
Indicates name & address of accused
Bears the offence, he is accused of
Bears date of issue
93. Non-Cognizable offence
Any offence for which the police officer
cannot arrest the accused without a
warrant.
E.g. Bribery, defamation, perjury, causing
simple hurt, buying/ selling person for
slavery.
94. Cognizable offence
Any offence for which the police officer
may arrest the accused without a warrant
waging war against Government,
counterfeiting Indian currency,
adulteration of food, destroying, damaging
or defiling place of worship, theft,
robbery, murder, kidnapping, rape,
attempting suicide, causing grievous hurt,
dowry death, rioting.
95. Bailable & Non bailable offences
Bailable offence;
Attempting suicide, sale of obscene books,
bribery, rioting
Non bailable offences:
Adulteration of food, murder, dowry death,
counterfeiting Indian currency, destroying,
damaging or defiling place of worship
96. First Information Report (F.I.R.)
Any information given to the Police
Officer, related to a cognizable offence,
which is first, in point of time and on the
basis of which the investigation
commences
Where is it lodged?
What is its objective?
What is its importance ?
97. Doctor in the Witness box:
* Attending the court punctually with all
documents required by the court.
* Study of documents before attending the
court to refresh his memory
* Avoid any indiscriminate talk in the court
premises about the case.
98. * Evidence should be given with a clear and
loud voice.
* Statements should be in simple words and
avoid technical terms.
* He may demonstrate his evidence by
documentary support
e g: Photographs and diagrams.
99. Other common legal terms
Accused- accused/ alleged to have committed
crime
Acquittal-accused not guilty
Affidavit- voluntary written statement of facts
under oath before an officer of the court /
notary public
Appeal- complaint made to superior court
Appellant- person who makes appeal
Assailant- one who has committed an assault
100. Common legal terms
Bail-security on behalf of accused person, on
giving which, he is released from custody,
pending investigation/ court trial
Warrant case- relating to an offence punishable
with death, life imprisonment or imprisonment
exceeding 2 years
Summons case- relating to an offence, for which
the punishment is less than 2 years
imprisonment
101. Common legal terms
Civil case- dispute between 2 private parties
(wealth, property etc)
Criminal case- case between govt. and a private
party concerning matters of public interest &
safety (assault, robbery, murder, rape)
Contempt of court- intentional insult or
interruption to a court during judicial proceeding
Conviction- accused proved guilty in court of law
Culpability- being at fault, deserving punishment
102. Common legal terms
Damage- injury suffered by a party as a result of
action of another
Damages- compensation payable to a victim, as
decided by the court
Defendant- party against whom a complaint has
been filed (accused)
Defense counsel- legal practitioner who acts on
behalf of accused
Public prosecutor- lawyer appointed by
Government for conducting prosecution on
behalf of the state
103. Common legal terms
Search warrant- written authority issued
by magistrate to police officer, for search
of any general / specified thing/ document
Trial- legal process in accordance with the
law, to determine guilt / innocence
Verdict- formal decision or finding made
by a judge / jury at the end of a trial.
Judgment / Order - Same as above
106. 1. A government-appointed lawyer who
tries a case on behalf of the police is
called as ?
a) Defender lawyer
b) Public prosecutor
c) District attorney
d) Police lawyer
107. 2. The highest judicial appellate tribunal
in India is ?
a) High Court
b) Supreme Court
c) Ministry of legal affairs
d) Parliament
108. 3. A chief judicial magistrate can impose
punishment up to ?
a) 7 years imprisonment and unlimited fine.
b) 7 years imprisonment and fine up to Rs.
5000/-
c) 3 years imprisonment and fine up to Rs.
5000/-
d) 1 years imprisonment and fine up to Rs.
1000/-
109. 4. The method practiced in India to carry
out a judicial sentence of death is ?
a) Hanging
b) Electrocution
c) Gassing
d) Lethal injection.
110. 5. A juvenile offender (male) is one who
is below ?
a) 16 years
b) 14 years
c) 18 years
d) 21 years
111. 6. The term ”Subpoena” is also referred to
as ?
a) Summons
b) Panchnama
c) Warrant
d) Requisition
112. 7. The literal meaning of “Subpoena” is ?
a) Under penalty
b) Under suspension
c) Under force
d) Under threat
113. 8. Regarding attendance in a court of law to give
evidence,allof the following are true, EXCEPT?
a) Criminal cases have priority over civil cases
b) Higher courts have priority over lower courts.
c) If two separate summons are issued from the
same court, the summons issued second should
be given priority over the first.
d) In all cases, the witness should inform the other
court (which he is unable to attend), about the
reason of absence.
114. 9. A Coroner is empowered to do all of
the following EXCEPT ?
a) He can summon witnesses.
b) He can record evidence under oath
c) He can order for an autopsy
d) He can punish the guilty
115. 10.Immediately on receipt of information
of an unnatural death, a police officer
has to inform the ?
a) District collector
b) Superintendent of Police
c) Judicial Magistrate
d) District Health Officer
116. 11.Non-compliance of summons in a civil
court may render a person liable for ?
a) Damages.
b) Fine
c) Imprisonment
d) None of the above
117. 12.Police inquest is held as per ?
a) Sec 174 of the Criminal Procedure Code.
b) Sec 174 of the Indian Penal Code
c) Sec 174 of the Indian Evidence Act
d) Sec 174 of the Police Manual
118. 13.Evidence given to the court where the
witness has not witnessed the act, but
heard somebody talk about it, is
called?
a) Secondary evidence
b) Impersonal evidence
c) Hearsay evidence
d) Circumstantial evidence
119. 14.Dying declaration is a statement made
by ?
a) The accused in a criminal offence just
before the victim’s death
b) A victim of a criminal offence just before
his death
c) A witness in a criminal offence just
before the victim’s death
d) Any person in his death bed.
120. 15.When a magistrate is available to
record a dying declaration, the role of
a doctor is ?
a) Rendered superfluous
b) To act as a witness
c) To attest the declaration
d) To certify the victim’s mental status.