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<![CDATA[Socio-Demographic Profile of Fatal Poisoning in a Tertiary Care Teaching Hospital of Coimbatore District-A Retrospective Study ]]>
<![CDATA[Angayarkanni S1 , Jeyasingh T2]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v15i1.13365
<![CDATA[Background: Poisoning poses a major public health problem mainly in developing countries. Because ofthe rapid industrialization and advancement in agricultural sector, fatality by poisoning also increases dayby day. The aim of this study is to determine the socio-demographic profile of fatal poisoning in CoimbatoreDistrict. Methods: This retrospective study was carried out in Department of Forensic Medicine, CoimbatoreMedical College, Coimbatore, Tamil Nadu with data obtained from fatal poisoning cases brought forpostmortem examination from January 2016 to December 2016. Identification of specific poisons were donewith chemical examiner’s report. All collected data were analyzed in various possible aspects in the preparedproforma. Results: During the study period the total number of medico legal autopsies conducted were 3675out of which fatal cases due to poisoning were 600(16.33%) cases. The study showed that the incidence ofpoisoning was more common among married men ie.303 cases (50.5%) out of 600 total number of poisoncases. The incidence was more common in the age group 31 – 40 years in males (86 cases) which formed14.3 % and in females it is 21-30 years (65 cases) which formed 10.8%.When we observed the religion wisedistribution, Hindu males out numbered 369 out of 600 cases which formed 61.5%. Conclusion: Morbidityand mortality due to poisoning can be minimized by health education, early referral, establishment oftoxicological units for detection of specific poisons and appropriate guidance for proper management ofpoisoning cases at hospitals and primary health care centers.]]>
<![CDATA[Impact of Pilates Training versus Progressive Muscle Relaxation Technique on Quality of Life in Menopausal Women- A Comparative Study ]]>
<![CDATA[Anjali Bais1 , Pratik Phansopkar2]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v15i1.13366
<![CDATA[Background: Menopausal women shows common symptoms which includes night sweats and hot flushes,heart distress, disturbances in sleep, depression, irritability, anxiousness, weight changes, physical andmental fatigue, joint and muscle pain. This affects the Quality Of Life of the Menopausal women. PilatesTraining has proven beneficial for enhancing Quality Of Life in menopausal women but there is paucityof evidence of effect of Progressive Muscle Relaxation Technique in Menopausal women on QOL. Theresearch is an initiative study that focuses on the effectiveness of PMRT on the various aspects of QualityOf Life of the menopausal women and comparison of the Pilates training and PMRT in order to enhance theQOL of participants.Aim and Objective: Effect of Pilates training & Progressive Muscle Relaxation Technique on menopausalwomen’s Quality Of Life and comparison of both the technique.Methods: 42 participants aged more than 45 years will be randomly categorized in two groups: Group A(n= 21) and Group B (n=21). The study duration will be of 6 months. The pre and post Intervention willbe taken from both the group and data will be analyzed with the help of main outcome measure which isMenopause specific Quality Of Life (MENQOL).Result- The expected result would include the details about whether the measures are effective for improvingthe quality of life in menopausal women, as well as the comparison of both the interventions. Data will beanalyzed using paired t-test.Conclusion- It will be published after results are analyzed]]>
<![CDATA[Comparison of Muscle Length in Dominant Versus NonDominant Lower Extremity in Young Asymptomatic Individuals- A Research Protocol ]]>
<![CDATA[Anushree Pawar1 , Pratik Phansopkar2 , KiranKumar3]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v15i1.13367
<![CDATA[Background: Muscle length is defined as the length at which the maximum amount of force a muscle isable to produce. This length is determined by the joint angle corresponding to that muscle. Understandingthe optimal muscle length as well as its comparison between the extremities is very important as a partof examination in physiotherapy, particularly in the cases of musculoskeletal disorders. Several tests areavailable for testing the muscle length. However standardize and reliable tests have been chosen to preventthe error while testing. Many studies have shown that there was difference in the lengths of muscle of lowerextremity which was assessed in different players. However there is paucity of study on the muscle lengthof individuals who are completely normal and not the athletes.Objectives: The objective of this study is comparison between the length of iliopsoas, hamstring,gastrocnemius, rectus femoris in dominant to non-dominant extremity in young asymptomatic individualsaged between 18-25 years.Methods: Measurement of hamstring, iliopsoas, rectus femoris and gastrocnemius length will be acquiredthrough standard goniometer. The methods of assessment that will be used are; active knee extension (AKE)tests the hamstrings, Thomas and modified Thomas test to evaluate iliopsoas and rectus femoris while prone,figure-four position accompanied by dorsiflexion for gastrocnemius.Results: Once the study is completed, the parameters of outcome measure will be statistically analyzed andcalculated.Conclusion: Based on the previous data we assume that there can be a significant difference between themuscle lengths of lower limb in normal person.]]>
<![CDATA[Isoniazid Mono Resistance: Changing Trends in Drug Resistant Pulmonary Tuberculosis. – A Case Series of 3 Patients ]]>
<![CDATA[Arti D. Shah1 , Anchal Jain2 , Apoorva3 , Kusum V. Shah4 , Yash Rana5 , Saket kumar6]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v15i1.13368
<![CDATA[Drug resistant tuberculosis is a major public health concern in many countries including India, Isoniazidresistance (INH) accounts for 7.2 % of new cases globally.1In our case series 3 patients had INH monoresistance out of which 2 patients had no previous history anti tuberculosis therapy (ATT). All 3 patientsreceived 6 months of standard regimen under National Tuberculosis Elimination Programme (NTEP).All patients showed clinical improvement. INH mono resistance diagnosis is often delayed due to lack ofinfrastructure of 1st line probe assay (LPA) at various centres. INH mono resistance if diagnosed early canalso help in prevention of Multi drug resistant tuberculosis (MDR TB)]]>
<![CDATA[Study on Effectiveness of Chakramarda (Cassia tora) Ghrit and Go-Ghrit in the Management of Parikartika (Fissure in Ano) ]]>
<![CDATA[Alok Kumar Diwedi1,Alok Kumar Diwedi1, Kiran Khandare2 , Pooja Shrivastav3 Kiran Khandare2 , Pooja S]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v15i1.13369
<![CDATA[The term Parikartika is used for the condition of Guda (anus) where cutting and burning pain occurs, also alongwith this pain occurs in anus, penis, umbilical region and neck of urinary bladder with cessation of flatus. In modernmedicine trend of the management depends on the type of the disease, e.g. in cases of acute variety with short historyof the problem can be treated on the conservative lines, which results in healing of almost all acute and majorityof chronic fissures. Priority must be placed normalization of bowel habits such that the passage of stool causes lesstrauma to anoderm. The addition of fiber to the diet to bulk up the stool, stool softener and adequate water intake arethe simple and helpful measures. In the present study, an effort was made to derive a standard and easily accessibletreatment for fissure-in-ano. Chakramarda is having vra?a shodhana and ropa?a properties which can help the Vra?a(ulcer) to heal rapidly. Its base is Ghrit which itself is having Samskaranuvarti (i.e. it enhances the properties of drug)and healing properties. Chakramarda Ghrit is economically beneficial by virtue of easily available ingredients anda time tested classical formulation. Hence, it was selected for the clinical evaluation in the present study. It provedto be significant in managing Fissure in ano, it reduced pain, itching, bleeding and promoted healing. Properties ofits chemical constituent’s probable mode of action can be derived that Chakramarda is efficient in healing any ulcerlike anal fissure.]]>
<![CDATA[Percutaneous Subclavian Artery Covered Stent Placement Following Inadvertent Subclavian Arterial Cannulation ]]>
<![CDATA[Cinosh Mathew1 , R Calton2]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v15i1.13370
<![CDATA[Inadvertent subclavian artery canulation although rare is a life threatening complication of central venouscanulation. Its prompt recognition and management by stent placement, thrombin injection, Angio seal orgel foam embolization is essential to minimize fatal complications. We describe a case report of subclavianarterial canulation which was recognized and managed percutaneously by covered stent placement withoutcomplications.]]>
<![CDATA[Correlation of Vitamin D level with severity of Coronary Artery Disease(CAD) in patients of Acute Coronary Syndrome(ACS) in a Tertiary Care Centre in Western India ]]>
<![CDATA[Cinosh Mathew1 , Nishant Saxena2 , Ashish Sharma2 , Jayesh Rawal3]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v15i1.13371
<![CDATA[Background : Vitamin D deficiency (VDD) is a widespread problem in developing countries. Recentstudies have shown association of Vitamin D deficiency with atherosclerosis and Coronary artery disease.This study was conducted to assess the relationship between Vitamin D and the severity of coronary arterydisease (CAD) in patients undergoing coronary angiography.Materials and methods: Consecutive patients who underwent coronary angiography for acute coronarysyndrome or effort angina were included in a descriptive cross-sectional study and their Vitamin D levelwas measured. CAD was defined as at least one vessel stenosis >50% on coronary angiography. Vitamin Dlevels were correlated to the CAG findings as to the severity and number of vessels involved and also to thetraditional CAD risk factorsResults: Vitamin D Deficiency was noted in 70.72% of the population in the study. Patients were classifiedas normal Vitamin D level(> 30ng/ml), Vitamin D insufficiency (20-30ng/ml) and Vitamin D Deficiency(<20ng/ml). Vitamin D levels had inversely correlated with significant coronary artery disease both fornumber of vessels involved and severity (p<0.001) and dyslipidemia(p=0.009). No significant associationwas found between VDD and other risk factors such as age, sex , hypertension, diabetes mellitus andsmoking.Conclusion : Vitamin D deficiency was noted in majority of the patients undergoing CAG and was foundto be significantly associated with the prevalence and severity of CAD. However studies involving largerpopulation are needed to evaluate whether supplementation with vitamin D may help in prevention ofatherosclerosis and further development of CAD.]]>
<![CDATA[A Questionnaire-Based Study to Evaluate the Basic Understanding of Pharmacovigilance of the Under Graduate Medical Students of a Rural Teaching Hospital ]]>
<![CDATA[Ervilla E. Dass1 , Maulin Mehta2 , Jayant Patharkar3]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v15i1.13372
<![CDATA[Introduction: Adverse Drug Reactions (ADRs) have presently been greatly contributing to the hospitaladmissions, prolongation of the hospital stays, visits to the emergency departments, in turn, contributingto the economic burden of healthcare management. Pharmacovigilance is predominantly concerned withADRs, and drug safety. The basic understanding about pharmacovigilance is essential for future medicalprofessionals as they will come in contact with the patients and can efficiently report the ADRs.Aim: To evaluate the basic understanding about pharmacovigilance and create awareness in medical studentsof a rural teaching hospital.Materials & Methods: This was a non-interventional questionnaire-based study, where medical studentsfrom a rural teaching hospital were included in the study. They were distributed a simple questionnairerelated to pharmacovigilance basic knowledge, through google form link, which they had submitted. Thedata was analysed.Results: Total 92 participants were included in the study. It was found that, 57.8% of these were female and42.2% were males. Moreover, regarding assessing the basic pharmacovigilance knowledge it was reportedthat 98.9% were aware about healthcare professionals who can report ADR. Nearly 83.5% were aware aboutpharmacovigilance. Nearly 70% of the participants had not heard about pharmacovigilance before joiningpharmacology lectures. Majority of the participants had never attended any seminar/workshops and agreedto attend in future.Conclusion: The results indicate that the basic understanding about pharmacovigilance is improving andmedical student shows interest about creating awareness related to pharmacovigilance, as it is an importantaspect of drug safety. However, to further improve their understanding awareness programs for medicalstudent can be conducted.]]>
<![CDATA[Assessing Fear-Avoidance Belief Questionnaire and Quality of Life in Housewives with Knee Osteoarthritis : A Research Protocol ]]>
<![CDATA[Dhanashri R Ghordadekar1 , Angela Kapoor2]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v15i1.13373
<![CDATA[Introduction - Osteoarthritis (OA) is an inflammatory disorder of cartilage, degeneration of synovial fluid,osteophyte formation, thinning of joint space and sub-chondral sclerosis. The prevalence of osteoarthritis inIndia was found to be around 28.7%. Females are generally more affected than males with the ratio of 2:1.Of all the joints knee and hip joint are seen to be most commonly affected joint in OA. Prevalence of kneepain is common amongst housewives due to prolong standing and frequent bending. Strenuous physicalactivity, especially activities requiring kneeling, knee-bending, stair climbing, squatting, prolonged standingas well as knee injury and trauma have also been linked to a high prevalence of symptomatic knee OA. KneeOA causes pain of various degree depending upon the severity of disease which can cause fear in patients.The fear related to pain can results in decrease in quality of life.Purpose - Purpose of this study was to assess fear amongst housewives related to OA using fear-avoidancebelief questionnaire and the effects of fear on their daily life using WHOQOL-BREF.Methodology - 200 housewives will be selected according to exclusion and inclusion criteria. Their kneeradiography was done to look for level of OA. Then those ladies were interview to find their fear related todisease and its effects and how that affects their quality of life.Results - Results are awaited till the study is completed.Conclusion - Conclusion of this study depends upon the result of this study.]]>
<![CDATA[Screening for Upper Cross Syndrome in Asymptomatic Individuals ]]>
<![CDATA[Heena Pathan1 , Pratik Phansopkar2 , Waqar M. Naqvi3]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v15i1.13374
<![CDATA[Background: Upper cross syndrome has become prevalent in today’s population. This syndrome refers totightness of muscles such as pectoralis major, upper trapezius and levator scapulae and weakness of deepneck flexors, scalene, rombhoids, serratus anterior, middle and lower trapezius. Poor posture is associatedwith imbalance created in musculoskeletal system and common condition to be reported as upper crosssyndrome. It is commonly seen in people with forward head posture, desk job workers, dentist, beauticiansetc. The resulting clinical presentation is complaint of pain in neck and shoulder, cervicogenic headache,hunched upper-back and rounded shoulder. Children are not as proactive today and the rate of the Uppercross syndrome is on the rise. This deviated posture and sedentary lifestyle continues, where it progressesmore as the age progresses in adulthood. Aims and objectives: To screen, detect, early treat as well asprevent upper cross syndrome in young individuals. Materials and methods: Asymptomatic individualwith 20-40 years of age group will be explained about the procedure before commencement of the study.Posture will be screened using Kinect Azure and REEDCO Posture Assessment Scale will be used forevaluation. Assessment of muscle tightness and weakness will be evaluated using muscle length tests andmanual muscle testing.Results: The expected results would include details about prevalence of UCS in asymptomatic individual.The parameters of outcome measures will be analyzed using the statistical test namely students paired T-test.Conclusion: Based on previous data we assume it is essential to screen asymptomatic individual to looks forsigns of Upper Cross Syndrome for early detection, prevention and treatment.]]>
