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Radiographic Evaluation of Third Molar Development in Relation to Chronological Age among South Indian Population
Nanditha Sujir,1 Nidhi P Chauhan,2 Keerthilatha M Pai,3 Junaid Ahmed,4 Ceena Denny5 , Nandita Shenoy
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd
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DOI: 10.37506/ijfmt.v14i4.11481
Background: The aim of the study was to correlate the radiologic development status of third molars withthat of chronologic age specifically among individuals belonging to Dakshina Kannada and Udupi districtin the age group of 16-22 years.Method: A total of 152 orthopantomograms (OPG) were evaluated to assess the development status andscored using the evaluation method suggested my Gleiser and Hunt. Intra- and Inter-observer reliabilitywas evaluated using the k statistics. Statistical test used were multiple regression analysis and Pearsoncorrelation coefficients.Results and Conclusion: The formula to determine chronological age among females is Age= 13.416 +(-0.873 Upper Right (UR)) + 0.803 Upper left (UL) + 0.536 Lower left ( LL) + 0.362 Lower Right (LR)with standard deviation of 1.61, and for males is Age = 12.766 (-0.187 UR) + 0.748 UL + 0.873 LL + (-0.541LR) with SD of 1.57.
Soft Tissue Cephalometric Norms for Orthognathic Surgery in South Indian Population
Murali P S1, K Saidath2 , Sonika Achalli3 , Azhar Mohammed1 , Crystal Runa Soans1 , U S Krishna Naya
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd
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DOI: 10.37506/ijfmt.v14i4.11482
Background and Aim: Orthodontic treatment is aimed at achieving good facial aesthetic and occlusion.Proportioned soft tissue contours form an integral part of orthodontic treatment. It is important to establishstandard cephalometric norms for various population groups. The present study was aimed to establish softtissue norms (for Orthognathic surgery) for South Indian population and to compare the values with that ofCaucasian standards.Materials and methods: 50 South Indian subjects comprising of 25 males and 25 females in the age groupof 18-30 years were selected based on inclusion and exclusion criteria who were subjected to lateralcephalometric radiographic analysis. Soft tissue parameters were analysed in the study group and comparedwith the Caucasian group based on Burstone and Legan analysis.Results: South Indian population showed increased lower face protrusion, lower lip protrusion, upper lipprotrusion and deep mentolabial sulcus in both males and females when compared to Caucasian population.An increased lower face-throat angle was seen in South Indian males. Diverse results were also seen in someother soft tissue parameters.Conclusion and clinical significance: The current study shows that certain soft tissue cephalometricparameters in South Indian population are significantly different from the Caucasian population in bothmales and females. The differences in both racial groups are clearly evident in the study and can thus be ofutmost clinical importance while planning out orthognathic surgery.
Assessment of Extraction Technique Using Physics Forceps and the Conventional Method : A Comparative Study
Prasanna Shetty1 , Sharma2 , Nivya John3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd
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DOI: 10.37506/ijfmt.v14i4.11483
The subsequent bone loss that occurs after extraction is inevitable.The morphologic changes seen followingtooth extraction is due to the body deactivating the system caused by disuse atrophy.1Extraction usingconventional elevators and forceps involves the separation of the periodontal ligament attachments,expansion of the alveolus and lifting of the tooth out of the socket with the forcep beaks which invitesunnecessary trauma including broken roots and bone, inflammation and post operative pain, loss of tissue,and stress for the patient and dental team.2Nevertheless, These can be easily reduced through current sitepreservation techniques such as using the ‘Physics ForcepsTM’ that can reduce the degree of damage andextent of resorption that physiologically occurs following tooth extraction by utilising just two opposingforces. These two forces eliminates the need for the third force (the clinician’s arm) and thereby the risk offracturing the dental structures would be dramatically reduced.In addition to this the extraction procedurecan be much more comfortable to the patient.3The following study aimed at assessing the amount of extraction defect caused by the conventional extractiontechnique and the physics forceps design which employs a new extraction technique.In this study ,100patients indicated for extraction were categorised in two equal groups using the two techniques.Both the extraction defects in these groups was assessed with the use of an Atraumatic Safe ExtractionScore, Extraction Defect Sounding Classification System, Visual Analog Scale and the Amount Of Strainexperienced by the operator.The results showed that there was significant success with tooth extraction using the Physics forceps TMas compared with the conventional technique. Moreover the results indicated that the Physics ForcepsTMcauses less bone defect , reduced operator strain and minimal discomfort to the patient than the conventionaltechnique.
Correlation between Gestational Age and Head Circumference in Third Trimester
Pande Varsha 1 , Patond Swapnil 2, Patil Bharat3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd
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DOI: 10.37506/ijfmt.v14i4.11484
Introduction: In today’s advanced medical world maternal child health care the important part of the healthcare system and import components is estimation fetal gestational age.Gestational age is age of unborn baby, defined in weeks as beginning from first day of last menstrualperiod prior to conception. Trimester is period of three calendar months during a pregnancy. Clinically, thegestational period is divided into three trimesters. Estimation of gestational age and thereby forecastingexpected date of delivery (EDD) is not only concern of the Individual but it is invaluable in the diagnosis ofintrauterine growth retardation of fetus and obstetric planning other fetal parameters are useful Hence; weplanned the present study to estimate fetal HC length for measuring the gestational age and compare it withother parameters.Material and methods: The study Correlation between gestational age and head circumference in Thirdtrimester was carried out at Govt. Medical College and Hospital, Nanded, between July 2011 to July 2013period . The study included 132 pregnant women the data so collected was then subjected to statisticalanalysis by expert statistician with the help of SYSTAT Crainsoft version 12 software. Standard statisticalmethods, parametric methods were used for the evaluation and significance.Results: As the value of R is 0.8612, the variation in fetal growth on the basis of Head Circumference duringthird trimester can be explained to the extent of 86.12%. The value of R is highly significant (Student’s‘t’test value = 228.92, p<0.0001, very highly significant) showing that there is statistically highly Positive orstrong positive association between gestational age and head CircumferenceConclusion: From the present study Head Circumference found to be statistically highly significant. Theregression equations derived for growth parameter for estimating gestational age in a normally developingfetus, increase with gestational age, showed good correlation with gestational age. In Present study, Headcircumference is the sensitive parameter and a result of present study was comparable with previous studies.
Assessment of Knowledge, Attitude and Practices of Allied Health Care Professional Students Towards Universal Precaution
Patond Swapnil1 Dakhode Sarika2 , Rawekar Alka3 , Pande Varsha4
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd
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DOI: 10.37506/ijfmt.v14i4.11485
A universal precaution is an approach to infection control to treat all human blood and certain human bodyfluids. History and examination cannot reliably identify all patients infected. Universal precautions areframed to prevent health care professionals who are exposed to various infections and by practicing variousbasic principles of infection control. A cross sectional survey was conducted to assess knowledge, attitudeamongst allied health care professional about universal precautions and to investigate their practicetowards universal precaution. First year Students of School allied health sciences, who were willing toparticipate included in the study. Study showed overall moderate knowledge among the students. Hencetraining sessions of universal precaution may need to be conducted regularly for these students. Awarenessamongst students can be achieved to maximum level by conducting awareness programs every year by theInfection control committee in the medical college.
An analysis of the Inventory Level of Consumables in the Wards of a Tertiary Care Teaching Hospital in South India
Bhargav Kumar, Rajesh Kamath2 , Jibu Thomas3 , Karan Giriyan4, Nagraj5 , Abhishek Pallerla6
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd
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DOI: 10.37506/ijfmt.v14i4.11486
Material management is important and crucial for all healthcare industries because it not only deals with thefinancial aspects but also deals with the well-being of the hospital and quality care of the patient. Reducinginventory cost is a critical responsibility of healthcare managers in hospitals. Inventory management shouldbe done with the help of proper value analysis. This study attempts to assess the inventory techniques andmonthly maintenance figure which have contributed to efficient inventory management in a tertiary careteaching hospital
COVID -19 Pandemic: Immediate Psycological Impact During The 3TD Stage of Lockdown among General Population of Selected Areas of Vadodara City
Ishita Shah1 , Jalpa Prajapati1
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd
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DOI: 10.37506/ijfmt.v14i4.11487
The Covid -19 pandemic & lockdown has cause deliberate effect to human’s physical & mental health &trigger many psychological problems like anxiety, loneliness, stress, depression & other panic disorder.The investigators interested to find out the psychological impact of lockdown among general population &correlation with different components of modified psychosocial impact event scale. Researchers have usednon – experimental descriptive research deign with Non – randomized convenient sampling & 500samplerecruited for the study. Researchers have used standardized modified impact event scale in the form of5 point likert scale, they have identified that 366 sample(73.2%)have moderate stress,110 sample (22%)identified with severe stress & remaining 24 sample (4.8%) have mild stress. Another finding revel that eachcomponent having positive correlation with each other. The significant association of psychological impacts& selected demographic variables were found with use of modified impact event scale. Researcher haveconcluded that this type of event or diseases outbreak affect the mental health of the person , increased stressamong individual & also affect the daily life of the person.
Study of Pattern of Fusion of Coronal Suture Using Skull Radiography and its Association with Documented Age in Males
Ishita Thakur1 , Rashid Nehal Khan2 , Thippesh Kumar3 , Abhijit Rudra3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd
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DOI: 10.37506/ijfmt.v14i4.11488
Cases of age estimation are seen by Forensic Practitioners. Identification is the establishment of theindividuality of a person. A medico-legal dispute can arise at any age. Age estimation is needed to applyfor government posts or pension or in cases of amnesia. Legal enforcement agencies often bring casesfor estimation of age, a few examples are that for employment, superannuation, pension settlements andbenefits. Use of fusion of sutures on the skull with other factors has been found reliable for age estimation.In the present study we studied skull roentgenogram of patients. These patients were advised roentgenogramfor diagnostic and therapeutic purpose from other clinical departments. We studied the stage of fusion ofcoronal sutures in those roentgenograms where age of the patient was documented after verification againsta standard identity proof. The suture was divided into upper half and lower half and stage of fusion wasdocumented. We followed the Key stage of fusion of sutures. The earliest age of commencement of suturefusion was at 34 years and 30 years in its upper half and lower half respectively in our study. The earliest ageof completion of suture fusion was 56 years in upper half and 50 years at lower half.
Pattern of Firearm Injuries: A Five Year Retrospective Study at a Tertiary Care Centre in Central India
Juglan Sarthak1 , Mustaria Pankaj Kumar Shushil2 , Singh Sandeep3 , Dhingra Vinod4
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd
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DOI: 10.37506/ijfmt.v14i4.11489
Firearm injuries are reported all over the world. From very basic thermodynamic structures to the mostsophisticated semi-automatic and automatic guns of the present times, firearms are one of the commoncauses of significant mortality. In our country there is rampant use of unlicensed country - made firearms,particularly in rural areas. The present study was conducted at a teaching cum tertiary care hospital inGwalior region of Central India, a region which is notoriously famous for the use of illicit firearms.The study was retrospectively done analysing the firearm injury cases brought to the mortuary of G.R.Medical College, Gwalior from January 2015 - December 2019 for post-mortem examination. All relevantinformation regarding autopsy cases were gathered from relatives, police paper; inquest reports, ballisticreports, crime scene findings, autopsy reports. A scientific tabulation of all relevant information was done toarrive at various epidemiological markers relating to firearm injury cases.In the present study it was concluded that young males were more vulnerable for firearm related deathswith 21-30 years age range showing maximal preponderance. While country made weapons and shotgunsaccounted for greater majority of cases, rifled weapons were involved either. A plethora of underlying socialand psychological factors accounted for such death though region specific familial rivalries stood first inorder. Maximum observed diurnal frequency of firearm deaths were reported in relatively calm hours ofnight, though no time segment was spared. While in most cases single shots were reported, few other hadmultiple inflictions. Head (including face) was the commonest site involved followed by thoraco-abdominalinjuries. Homicide was the most common manner of firearm deaths.
Accuracy of Mesiodistal Crown Measurements using CBCT Images: A Comparison with Plaster Models
Kanak Priya1, Poonam Agrawal2 , Dinesh Kumar Bagga3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd
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DOI: 10.37506/ijfmt.v14i4.11490
Aim: Comparison of the mesiodistal crown measurements made on plaster models and CBCT-images.Materials & Methods: Thirty pre-existing CBCT records of the maxillary arch and type-III stoneorthodontic models, soaped and polished were used in this study. A digital vernier caliper was used to makemeasurements on each cast. The largest mesiodistal crown dimension of each tooth was measured fromcentral incisor to the second premolar of one quadrant of the maxillary arch. The OnDemand 3D program(Cybermed Co, Seoul, Korea) was used to convert CT DICOM images into 3D reconstructed images. Themesiodistal crown width measured using the OnDemand 3D program.Results: The precision of the measurements on the plaster models and on the CBCT 3D reconstructedimages were the same. There was no significant difference between them as evaluated by paired t test.Conclusion: The distance and the precision of the measurements on the plaster models and on the CBCT3D reconstructed images are equivalent. CBCT 3D reconstructed images can replace the process of makingplaster models.