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<![CDATA[A Study of Semen Parameter Contributing Infertility in Vidarbha Region ]]>
<![CDATA[Akash More1 , Brij Raj Singh2 , Deepti Shrivastava3 , Ujwal Gajbe4 , Nandkishor Bankar5]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.12585
<![CDATA[Introduction: As per WHO 2010 guidelines it states that, after one year of unprotected sexual relationif couple unable to achieve pregnancy can be labelled as infertility. The European societies for humanreproduction and embryology (ESHRE) defines infertility as, the failure of pregnancy occur within twoyear of regular coital exposure. The data reveals in an average 50% of all infertile couple, infertility couldbe caused by male partner. Infertility affects both partner equally and on an average 10% to 15% of couples(Either male or female or both) in developed country. The aim of this study is to understand abnormalsemen parameters of infertile male partner visiting infertility clinic and to study insight of the prevalence ofabnormal semen parameters in vidarbha region, also to study cause infertility in male.Aim and Objective: To study the prevalence of male factor contributing infertility with semen parameterin vidarbha region.Material and Methodology: This is been carried out from September 2019 to February 2020. This isretrospective study of patients visited to our infertility clinic Wardha Test Tube Baby Centre, AVBRH,JNMC for infertility reason.Observation and Result: It is observed that, 77 (64.16%) patients were from 31-40 years of age group. Outof total 120 patients, 71(59.17%) partner showed abnormal semen parameter and remaining 49 (40.83%)showed normal seminogram. This indicates that contribution of male pattern infertility was 59.17% ininfertile couple who enrolled for the study. Out of 71 patients, 50.70% patients were showed abnormality asoligozoospermia, 19.72% azoospermia, 12.67% asthenozoospermia, 11.26% Cryptozoospermia and 5.63%teratozoospermia.Conclusion: The endocrinologist/androloger’s role is primary and critical for full diagnostic evaluation andetiological therapeutic potential as reported in a wide range of pregnancies. We also confirm the importanceof research on the semen parameters that leads to understanding between fertile and infertile people.]]>
<![CDATA[Outcome of Infero Temporal Suture Less and Glue Free Conjunctival Autograft in Patients with Pterygium at a Tertiary Care Hospital of Vidarbha Region ]]>
<![CDATA[Chetan Saoji1 , Sonal Muley2 , Sachin Daigavane3]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.12586
<![CDATA[Introduction: Pterygium is a common degenerative condition of the conjunctiva specially in the dry andarid climate. There are numerous treatment options for pterygium. Gluefree & Sutureless conjunctivalautografting is one of the popular method to reduce its (Pterygium) recurrence.Purpose: To study outcome of inferior temporal conjunctival autografting which is sutureless & gluefree inPterygium patients.Material and Method: A Prospective study was carried out on 104 out of 123 patients, which met Inclusioncriteria. Pterygium surgery procedure include, pterygium excision followed by inferior conjunctivalautografting without any glue and suture. The patients were followed up post-operatively on day 1, 1week, 15 days, 1 month, 2 months. They all were examined for complications such as graft displacement,recurrence, haemorrhage along with routine post- operative examination.Results: The age of Patients varied between 21 to 70 years. 62.50 % of which were Male. Common age groupin our study was 41-50 years. Redness & watering was most common symptoms in our study. Recurrencewas seen 09 patients & graft displacement was seen in 7 patients. Recurrence was most commonly seen inpatients having grade 3 Pterygium.Conclusion: Pterygium excision followed by inferior conjunctival grafting has an advantage of leavingthe superior conjunctiva (commonly used in conjunctival autografting procedure) for glaucoma or cataractsurgery if need arises . its also economical in context to our Country. The study aims at exploring options toimprove the quality of life in cosmetically and visually challenged patients]]>
<![CDATA[Incidence of Post Dural Puncture Headache in Our Set Up with Quincke Spinal Needle: An Observational Crossectional Study ]]>
<![CDATA[Swapnil Meshram1 , Pratibha Deshmukh2 , Parag Sabale1 , Nandkishor Bankar3 , Vijay C. Chandak]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.12587
<![CDATA[Introduction: Post-dural puncture headache (PDPH) is an iatrogenic complication associated with spinalanaesthesia. The occurrence of PDPH is determined by different factors. They are sex, age, pregnancy, pastPDPH history, needle tip shape and needle size, bevel orientation, number of attempts, and approach usedfor lumbar puncture. We conducted the present study to find the incidence of PDPH.Material and Method: After ethics committee approval, we observed 500 patients who had undergonesurgery for lower abdomen and lower limb. Patients were randomly divided in Group A and Group B 250patients in each group and received spinal anaesthesia via 23 and 25 quincke spinal needle respectively.They were followed post operatively regularly for development of any signs and symptoms of post dualpuncture headache, which was end point of study.Results: Out of 500 patients 6 patient developed PDPH. The incidence was 1.2%. There was no statisticallysignificance with sex, number of attempts and guage of spinal needle.Conclusion: In our series the incidence was 1.2% which is far less than other studies. Taking intoconsideration cost effectiveness & success rate we feel that in our setup we can continue with use of 23 &25-gauge quincke needle.]]>
<![CDATA[Effectiveness of Mind Body Intervention on Subfertile Females: An Approach to Accesses Oocyte Quality ]]>
<![CDATA[Anupama Sawal1 , Ujwal Gajbe2 , Brij raj Singh3 , Akash More4 , Nandkishor Bankar5]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.12589
<![CDATA[Introduction: In recent times, there is a much greater emphasis on the physical causes of infertility so thatpsychological effects can be ignored. There are, of course, a number of physical and emotional factors thatcan induce infertility. Mind and body interventions are efficient in lowering psychological distress therebyincreases the ART success rate, fetal outcome by improving the psychological and physiological stress. Thepurpose of the current study is to assess the relationship between effect of mind body intervention and serumcortisol level and oocyte quality.Aim and Objectives: To study the effectiveness of mind body intervention on oocyte quality and serumcortisol level in subfertile females.Materials and Method: This study is done in wardha test tube baby centre AVBRH (SAWANGI) WARDHARelevant data on the demographics and treatment history as well as the indications for IVF treatment willbe recorded. Serum cortisol level of all participant were analysed and then stimulated using a routine shortantagonist protocol.Observation and Result: From total recruited patient, one didn’t attended intervention program at all. Fourpatients attended intervention program from 4 to 6 week in discontinuation manner. Eight patients attendedup to 70% to 90% of intervention program and remaining 24 patients attended complete 10 week mind bodyintervention program. In group of 7 to 9 week intervention 6 patient out of 8 showed decrease in serumcortisol level. Patient who attended complete 10 weeks intervention they are showing significant decrease inserum cortisol level. From 40 patient, 24 attended complete 10 week mind body intervention, among them16(66%) gave positive response to mature oocyte retrieval.Discussion: In this research, a mind body intervention on subfertile females was created and to see theirresponse to mature oocyte in IVF study. Study revealed that, there were very few studies examined the roleof cortisol in relation to M II oocyte and finally clinical pregnancy outcomes. Two studies reported thatpregnancy rates were enhanced by adopting the MBI. This is in support to our study.Conclusion: This study concludes that, thereis direct correlation of serum cortisol level andoocyte quality and Mind-Body intervention iskey factor to improve oocyte quality]]>
<![CDATA[Relevance of MCV and Knuckle Pigmentation in Early Diagnosis of Vitamin B12 Deficiency in Children ]]>
<![CDATA[Rohini Gulhane1 , Swarnika Barde2 , Swati Maldhure3 , Neelam Sukhsohale4 , Amit Gulhane]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.12590
<![CDATA[Background: Vitamin B12 deficiency is common in children, especially who take strict vegetarian diet.Limited data is available on relevance of knuckle pigmentation and elevated MCV for early diagnosis incentral India, especially in pediatric population.Aim: To study association of knuckle pigmentation and elevated MCV with vitamin B 12 deficiency inchildren in central IndiaMethod: This was hospital based cross sectional study, carried out from March 2019 to February 2020.41 children with anemia (Hb < 11 gm%) or knuckle pigmentation or elevated MCV (>100 Fl) or anycombination of these, were enrolled. The association of knuckle pigmentation and elevated MCV withvitamin B 12 deficiency was studied. Data was analyzed by Chi square test. P value < 0.05 was consideredto be statistically significant.Results: 29 out of 41 subjects had vitamin B 12 deficiency, maximum of which were strictly vegetarian.There was statistically significant association between vitamin b12 deficiency with elevated MCV but notwith knuckle pigmentation.Conclusion: Knuckle pigmentation and elevated MCV value may not be seen in every child with vitamin B12 deficiency, but their presence gives important clue to early diagnosis and hence leads to early treatment]]>
<![CDATA[A Prospective Clinical Study to Evaluate Recurrence and Infection in Laparoscopic Hernia in a Tribal Area ]]>
<![CDATA[Gode Dilip1 , Minaxi Yeola2 , Lamture Y.R.3]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.12591
<![CDATA[Background: Safe surgical service is mostly inaccessible to most of the poor tribal population of theGadchiroli district of Maharashtra. Temporary multidisciplinary surgery camps can be the answer, but itssafety and cost-effectiveness were always questioned.Method: This is a prospective interventional study included 172 laparoscopic ally operated cases of inguinalhernia at Hemalkasa camp from 2015 up to 2020. Along with a study of clinical parameters like demography,infection and recurrence were evaluated.Results: Most of cases in an age group of 20- 40 years and belong to the male gender with a presentationas indirect inguinal hernia. The right side was outnumbered than left. Mesh was not fixed and a single doseof antibiotic prophylaxis was administered. A promising zero infection rate was observed with recurrencewas only in 4(2.3%) cases. Most of the patients were operated by the TEP method. Clinical presentation wasreducible swelling in groin in maximum patients. The average operative time was 60 minutes. There wereno intraoperative (neurovascular, visceral) and any post-operative complications. 4 days early return to worktime was noted with very high acceptability laparoscopic surgery in tribals was observed.Conclusions: Laparoscopic hernia repair in tibal people in multi diagnostic camps is found to have acceptableand good results. It is a safe as having zero infection and minimal recurrence rate. This procedure is alsohaving less postoperative pain and discomfort, cosmetically good with early return.]]>
<![CDATA[Glimpses of Eugenics in Ayurveda WSR to Preconceptional and Antenatal Remedies ]]>
<![CDATA[Yogita Shrivas1 , Sujata Shamkuwar2 , Rekha Shinde3 , Arpita Jaiswal4]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.12592
<![CDATA[Every parent wish to have a good progeny. Improvement is basic human nature. Hence eugenics emerged in20th century as a movement in many countries which had its own pros and cons with serious ethical concerns.Though conception is a natural and physiological phenomenon, Ayurveda advocates that conception shouldnot be accidental, rather it must be planned. The planning includes preparation of body as well as mind.To fulfil the wish of getting a good progeny Ayurveda texts mention a detailed framework to be followed.It includes pre-conceptional preparation to be executed by the couple and anti-natal care of pregnant lady.This is uniform and open to all aspirant parents without any selective bias. It is purely aimed at achievinga healthy and intelligent future generation irrespective of any race, cast and creed. The unbiased holisticapproach of Ayurveda brings out positive aspect of eugenics to the society]]>
<![CDATA[A Comparative Study of Three Min Respiratory Exercise Test & Six Min Walk Test as a Means to Score Breathlessness in COPD Patients and Normal Healthy Individuals ]]>
<![CDATA[Shweta A. Panchbudhe1 , Umanjali Damke2 , Anjalee Chiwhane3]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.12593
<![CDATA[The Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2011 update recommends thatthe management and treatment of COPD be made to combine the impact of disease and future risk ofexacerbation.Objectives: The aim of the study was to compare 3MRET & 6MWT as a means to score breathlessnessin COPD patients & normal healthy individuals along with to analyse and compare POD index of 3MRET& walking POD index of 6MWT in COPD patients, normal healthy individuals and to analyse whetherPOD index of 3MRET or walking POD index of 6MWT is a better means to score breathlessness in COPDpatients when compared with normal healthy individuals.Material and Method: It was observational comparative study conducted in respiratory Physiotherapy setup on 45 Normal healthy individuals and 45 COPD patients between the age group 30-50 years.Results: Study found that there is a statistically highly significant difference between POD index of 3MRETand walking pod index of 6MWT in COPD patients. There is a statistically highly significant differencebetween the POD index of 3 MRET and walking pod index of 6MWT in normal healthy individuals. MRETis a better means to score breathlessness in COPD patients as compared to normal healthy individuals. It wasfound that 3MRET is a better means to score breathlessness as compared to 6 min walk test]]>
<![CDATA[Popliteal Artery Diameter: A Cadaveric Study ]]>
<![CDATA[Ujwal Gajbe1, Brijraj Singh2 , Nandkishor Bankar3]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.12594
<![CDATA[Introduction: Femoral artery proceeds as a popliteal artery from the osseo-aponeurotic opening of theadductor magnus to the caudal margin of the popliteal muscle. It passes through the adductor canal, theadductor hiatus then through the popliteal fossa ends at the lower margin of the popliteal muscle, in furthercourse it divided into the anterior and posterior tibial arteries. Popliteal aneurysm i.e. abnormal dilation ofthe whole or part of the popliteal artery causes edema and pain in the popliteal fossa. The popliteal arteryserves as bypass grafts in specific location i.e. above or below-knee. It is also often affected by penetratingand blunt trauma of the lower limb. As a consequence, the exposure of this artery is frequently and neededexploration of either in emergency or in elective vascular procedures.Material and Method: The present Study was carried out in the department of anatomy at Jawaharlal NehruMedical College in Collaboration with department of anatomy and Datta Meghe Medical College, NagpurMaharashtra. Total 102 lower limbs of 51 cadavers were included in the study.Observation and Results: In males the mean diameter of popliteal artery at it origin is 6.7 ± 0.7mm onright and 6.6 ± 0.6 mm on left respectively, whereas in females the mean diameter on right is noted as 6.4± 0.5 mm and on left it is 6.2 ± 0.3mm. At proximal to termination the mean diameter of popliteal artery inmales is observed to be 6.9 ± 0.7mm on right and 6.8 ± 0.7mm on left, while in females it is noted to be 6.6± 0.5mm on right and 6.4 ± 0.4mm on left respectively.Conclusion: To conclude the data from the present study is useful for the vascular surgeons, radiologists.]]>
<![CDATA[A Prospective Study of Dry Eye in Patients after Manual Small Incision Cataract Surgery ]]>
<![CDATA[Ekanksha Kanfade1 , Chetan Saoji2 , Sachin Daigavane3 , Sonal Muley4]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.12595
<![CDATA[Introduction: Dry eye is a multifactorial disease of the tears and ocular surface with symptoms of discomfort,visual disturbance, etc. with potential damage to the ocular surface. Additionally, it is followed by increasedtear film osmolarity and ocular surface inflammation. Schirmer’s I and tear film breakup time is performedto determine the dryness level as mild, moderate, and severe.Aim : The research aims to establish the incidence of dry eye in patients after small incision cataract surgery.Material and Method: 100 patients who met inclusion criteria were enlisted for cataract surgery. Everypatient was asked about symptoms related to dry eye and then they underwent Schirmer’s test 1 and tear filmbreakup time test. After this, patients were subjected to surgery with a 6-7 mm superior incision. On 1st, 7thand 30th day after operation schirmer’s and tear film breakup time test was again performed. The dryness ofthe eyes was then analysed and graded in accordance with the 2007 DEWS classification.Result: Out of 100 samples, 16% had dry eye preoperatively which increased to 89% postoperatively on 1stday. Out of these 89 patients having dry eye postoperatively, 35 were male and 54 were female. Gradually itreduced after 7th day and 30th day postoperatively. The mean age of the patients was 66.15 years with SD6.10. The schirmer’s test I and tear film breakup time p values were clinically significant< 0.0001.Conclusion: After manual small incision cataract surgery, moderate to severe dryness was observed. Thisdryness stabilized gradually after 1st week of surgery and improved significantly further after one monthwith the use of lubricants, antibiotic and steroid combination.]]>
