Medicine
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This repository contains the published and unpublished research of the Faculty of Medicine by the staff members of the faculty
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Item An Analysis of medicolegal reporting in workman injuries referred for medicolegal examination in a Tertiary Care Hospital of Sri Lanka(Wolters Kluwer Medknow Publications, 2020) Kitulwatte, I.D.G.; Edirisinghe, P.A.S.INTRODUCTION: A reasonable number of workman injuries are reported for medicolegal examination every year. In addition to report on the degree of severity and consistency of the injuries with the historical evidence, the medical officers are expected to opine on degree of disability as well. However, routine Medicolegal Examination Form or Report used in Sri Lanka to report these cases does not carry a section for disability or impairment. Objective: To gain an insight into the pathology of workplace injuries and to evaluate the role of medicolegal examination and reporting among the victims presented with injuries at work. Methods: A retrospective descriptive study was carried out on workmen who were referred for medicolegal examination during a period of 5 years in a Tertiary Care Hospital in the Western Province of Sri Lanka. Results: Out of 172 subjects who got injured at work, none had claimed for a report of compensation. 47% (81) of the injured workers were in the age group of 19–30 years. 81% (139) were males. Factory workers were the most vulnerable workers (34%) followed by drivers (15%). A majority 39% (67) of injuries were located on upper limbs. 52% (90) of the victims had grievous injuries. However, a majority 61% (105) had no permanent disability. Conclusions: Disability is not a direct reflection of the category of hurt. Therefore, testifying on routine medicolegal reports on cases of workman compensation will not serve justice to the patient. KEYWORDS: Category of hurt, disability, injury, medicolegal examination, workmanItem Usage of digital photographs in forensic work in Sri Lanka(Sri Lanka Journal of Forensic Medicine, Science & Law, 2018) Nadeera, D.R.; Edirisinghe, P.A.S.; Kitulwatte, I.D.G.ABSTRACT: Forensic photography refers making of images to record objects, scenes and events to be used in the legal process. With popularization of digital cameras, forensic photography is being increasingly used as a tool in record keeping as well as evidence. The objective of this study was to evaluate available facilities and current practice of using digital photographs in forensic work by medico-legal doctors in Sri Lanka. A cross sectional descriptive study was conducted using a self-administered questionnaire among doctors engaged in forensic work in Sri Lanka. The study was conducted as an on-line survey from October 2018. Out of 102 doctors who participated in the survey, 51% (n=52) used camera-phones instead of DSLR cameras to take forensic photographs, although 72% (73) had a DSLR camera in the institution. The majority (96%) used a measuring scale in their photographs, but only 43% used a colour scale. 66% took more than two photographs for a single injury but only 26% used an external light source. 80% took photographs in all magisterial autopsies but only 48% incorporated them in their reports. Majority (74%) knew that forensic photographs are admissible in courts. Basic technical knowledge of functions of a camera was poor in a majority (85%) of doctors. Although basic technical knowledge of photography was poor in doctors engaged in medicolegal practice, many use photographs to compliment autopsy reports. Since comprehension of events using visual images is better than verbal descriptions, improving the quality of photographs submitted to courts should be the way forward. Therefore, forensic photography training should be encouraged.