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INDONESIA
Indian Journal of Forensic Medicine & Toxicology
Published by Official Organ of Indian Association of Medico-Legal Expert
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Public Health
Arjuna Subject : Kedokteran - Epidemilogi
Articles 5,497 Documents
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Study of Maternal and Fetal Outcome Following Term Prelabour Rupture of Membrane in a Peri Urban Tertiary Care Centre Priya Nair1 , Amruta Chaudhary1 , Arpita Jaiswal2
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.12606

Abstract

Background: Prelabour rupture of membrane at term accounts for 2-10% incidence. It is associated withsignificant maternal and fetal complications if not timely managed. Early complications include cordprolapse, cord compression and placental abruption and delayed complications include chorioamnionitis,maternal and fetal sepsis. The present study was undertaken to study the labour outcome following activemanagement of term prelabour rupture of membrane and associated maternal and fetal outcome.Method: Cases of spontaneous rupture of membranes with singleton pregnancy with gestational age >37weeks with confirmed PROM by a speculum examination were selected. A detailed history was taken andgestational age confirmed, general, systemic and obstetric examinations were done. Non stress tests andblood investigations were sent to rule out sepsis. All patients received prophylactic antibiotics. After takingconsent, induction of labour was done with oral misoprostol and maternal vitals were recorded four hourlyand fetal heart rate was recorded for variability. Induction to delivery interval was recorded and maternal andfetal outcome following PROM was noted.Results: PROM was more common in primigravida. Majority of women were admitted within 12 hoursof PROM (87.83%). Recurrent episodes of urinary tract infection was found a significant cause for PROM(33.78%). Patient delivered vaginally with 55.40%. Post delivery complications included post partum sepsisin 12.16%. No maternal mortality was noted. Neonatal sepsis was seen in 6 babies (8.10%).Conclusion: PROM is associated with many maternal and fetal complications which can be reduced byeducating the women to have regular antenatal check up and early recognition of urinary and genital tractinfection, and treat appropriately and to report at the earliest in case of rupture of membrane for timelymanagement to reduce maternal and fetal morbidities and mortalities.
Single Dose Methotrexate in Successful Evacuation of Second Trimester Placenta Accreta Snehal Deshmukh Senior1 , Mugdha Jungari2 , Priya Nair3 , Kshipra Bhangdia4
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.12607

Abstract

Morbidly adherent placenta is a serious and life-threatening condition. High index of suspicion for placentaaccreta can save patient from undergoing hysterectomy. Timely and appropriate treatment modality is keyin reducing morbidity of the patient Reporting herewith a case of 22-24 weeks intrauterine fetal demisein a primigravida patient who was diagnosed with Placenta accreta. Ultrasonography and MRI confirmedthe diagnosis. Primigravida with no live issue, no active bleeding and stable vital parameters favoredthe option of conservative management in the form of “single dose methotrexate regime”. Patient wasthen given Injection methotrexate 50 mg IM on day 1. Regularly monitored with CBC(complete bloodcount),LFT(Liver Function Test),KFT(kidney Function Test), beta HCG, USG and pelvic doppler. On day 7piecemeal removal of complete placenta accrete was successful under USG guidance.
Case Report on Marfans Syndrome Chetan Saoji1 , Sonal Muley2 , Sachin Daigavane3 , Tejas Sadavarte4
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.12608

Abstract

Marfan syndrome (MFS) is one of the most common inherited disorders of connective tissue. It is anautosomal dominant condition with a reported incidence of 1 in 3000 to 5000 individuals. There is a widerange of clinical severity associated with MFS with classic ocular, cardiovascular and musculoskeletalabnormalities, while some patients demonstrate significant involvement of the lung, skin and central nervoussystem. A 11 years old female child came to the ophthalmology OPD with chief complaints of diminution ofvision in both eyes, more in right eye since last 2 months. Patient also complains of pain in right eye sincelast 3 days. On examination patient had a tall stature, arachnodactyly with positive wrist and thumb signs,right eye had superotemporal subluxation of lens,the left eye had temporal subluxation with iridodonesis onautorefractometer patient was having high myopic reading
Anaphylactic Reactions to Blood Transfusion in a Patient with Iron Deficiency Anemia: A Case Report Shadma H. Quazi1 , Sharjeel H. Khan2 , Sushil K. Varma3 , Shailesh Nagpure4
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.12609

Abstract

Obstacles of transfusion of blood are uncommon but can endanger the health. Anaphylactic reactionsassociated with the blood transfusion (BT) of PRC blood components presents as bradycardia followed bytachycardia and urticaria within 15 minutes of transfusion. In suchcases, clinicians should strictly monitorthe patient’s condition at least while the patient receives blood transfusion.Here we are reporting a case of 28 year old pregnant female presented with Iron deficiency anemia (IDA), aLSCS (caesarean section) delivery was performed and blood was transfused, who was affected by an acuteanaphylactic reaction following red cell transfusion. This case highpoints the need to examine potential riskof transfusion of the blood component against the alleged advantage.
Assessment of Pulmonary Functions in Obese Young Adults Swapnil Bhirange1 , Chitra Pillai2 , Komal Meshram3
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.12610

Abstract

Introduction: Obesity, especially, adolescent obesity is specially a matter of concern and the causes aremanifold that includes lack of regular exercise, sedentary life style, over consumption of high caloric foods;genetic, endocrine and metabolic mechanisms and perinatal and early life factors.Pulmonary function testingis the most commonly performed lung function test and are considered to be the initial screening tool forpulmonary diseases. Medical students of M.B.B.S. course have a hectic schedule along with inappropriatediet and sedentary lifestyle of can cause them to gain weight. Since obesity in these young adults is associatedwith various pulmonary function alterations, it becomes necessary to assess the respiratory functions ofthese medical students.Aim: To assess the pulmonary functions in obese young adults.Objectives: To compare the effects of central obesity versus peripheral obesity on pulmonary functions ascompared to the normal.Settings: Department of Physiology Jawaharlal Nehru Medical College, Datta Meghe Institute of MedicalSciences, Wardha and Department of Medicine, TNMC & BYL Nair Ch. Hospital, Mumbai Central, Mumbai.Method: After taking informed written consent, anthropometric data was recorded from each participant.Obese medical students were divided into central and peripheral obese groups on the basis of waist hipratio and waist circumference. On brief general and clinical examination, pulmonary function tests (FVC,FEV1 and FEV1/FVC ratio) of central obese, peripheral obese and healthy subjects were recorded usingMIR Spirometer with Winspiro-Pro 4.4 software after one practice attempt and report was interpreted.Comparison of data among various study groups was done by using Chi square test and one way Analysis ofVariance (ANOVA) – Tukey’s post hoc test. The level of significance was set at 5%. The P-value ?0.05 wasconsidered as statistically significant.Interventions: Not applicable.Results: There was a statistically significant difference of mean values of FVC, FEV1 and FEV1/FVC %between normal and peripheral obese groups and between normal and central obese groups and also betweenperipheral obese and central obese groups.Conclusion: This study shows that young obese adults have lower pulmonary function tests values ascompared to normal individuals whereas the detrimental effect is more in the central obese than peripheralobesity. Hence early identification and initiation of preventive measures to prevent the deterioration of lungfunctions in susceptible young adults is crucial.
Effect of Covid-19 Lockdown on Perceived Stress Scale in Medical Students Pranjali Parikshit Muley1 , Parikshit Ashok Muley2 , Komal Ajay Meshram3
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.12611

Abstract

Background: Stress is defined as the physiological and psychological state which could overburden anindividual’s ability to appropriately respond to it. In India,the corona virus pandemic had created a suddenclosure of educational institute which leads to shift of conventional classes to virtual classes because ofwhich the medical students were in a stage of dilemma. The present study aimed to assess perceived stressduring the COVID 19 lockdown, among the medical students.Aim and Objectives: To assess the perceived stress of medical students in regard to corona pandemiclockdown.Materials and Method: A cross-sectional online survey study was done on 300 medical students whoseperceived stress were assessed using an online questionnaire. The stress test was done with the help ofPerceived Stress Scale (PSS) which has got 14 items.Results: In 300 medical students (151- boys and 149 girls), the mean perceived stress score was observed as27.60. In boys the PSS score was found to be 27.85 and in girls it was 27.52. When the score were comparedwith the mean validated score the students were having moderate amount of stress (p value < 0.05).Conclusion: The present study concluded that the medical students perceived the moderate level of stress.The study thus concludes that lockdown has affected the psychological well being of medical students.
Bilateral Spontaneous Twin Tubal Ectopic Pregnancy: Case Report Priya Pratapan Nair1 , Amruta Chaudhary2, Mrunal Nakade3
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.12612

Abstract

Ectopic pregnancy is a condition where the fertilized oocyte gets implanted outside the uterus. Tubal ectopicpregnancy accounts for 95 % of the ectopic gestation. Remaining 5 % involves the ovaries, cervix, cornua,abdominal and scar site pregnancies. Spontaneous ectopic pregnancy occurs when there is no prior infertilitytreatment taken. Bilateral spontaneous tubal ectopic pregnancy is a rare form of ectopic gestation. HerebyI would discuss a case of spontaneous bilateral ectopic pregnancy and its outcome. Case: A 35 years oldgravid 2 abortion 1 with secondary infertility of 13 yrs came to emergency casualty with complaints of lowerabdominal pain, spotting per vagina with giddiness and syncopal attack.Diagnosis: Based on clinical findings of acute anaemia due to internal blood loss and free fluid in thelower abdomen with fullness on forniceal palpation and bulky uterus. Trans abdominal ultrasonography wasconfirmatory in diagnosing bilateral adnexal mass with free fluid in pouch of Douglas.Intervention: Emergency exploratory laparotomy with adequate blood transfusion. Patient recovereduneventfully.Conclusion: Women in reproductive age group with history of amenorrhoea with irregular spotting and acuteabdominal pain with syncopal attack should be managed vigorously keeping in mind ectopic pregnancy soas to have less morbidity and chances of good future pregnancy. Salphingotomy as an alternative methodshould be practiced.
Comparative Study of Effect of Specific Yogasanas and Exercise in Obesity Namrata B. Chouragade1 , Prashant S. Bhokardankar2 , Swapnil S. Bhirange3
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.12613

Abstract

The reason for the study is to analyze the impact of chosen Yoga-Pranayama on obese individual of influencedpeople, in Mahatma Gandhi Ayurvedic college Hospital and Research Centre, and Datta Meghe Institute ofMedical Sciences Wardha, Maharashtra. Sixty selected participants were arbitrarily separated in to twogroups of thirty each, out of which group I (N-30), underwent Yogasan and group II-aerobic exercise (N30). Pre-test and post test were directed for every one of the two groups on Weight, Basal Metabolic Index(BMI), chest circumference, abdominal circumference and waist circumference. The test group took part intheir separate chosen yogasana schedule for a time of about two months. In short the Post-test concentrateobviously demonstrates that there is a critical distinction of Weight, BMI, chest circumference, abdominalcircumference and waist circumference on pre-test and post test.
Role of Vrishyashatavarighrit on Sukrakshaya (Oligospermia) by Studying Siddhant Snehal V. Kukade1, Bhokardankar Prashant S 2, Milind Rampurkar3, Abhishek Joshi4
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.12614

Abstract

Ayurveda is oldest tradition addressing major healthcare issues in sophispticated way. There are number ofmodern medicines giving relief to the patients but having adverse effects at highest level. Ayurveda smartlynot only addresses the issues but having less side effects. Current study focuses the use of Shatavarighritinshukrakshay (oligospermia) patients. The study comes to a conclusion with a promising results in the patientsof oligospermia. The study result to reduce the burden for patients and giving light who having infertility.
Review on Effect of Sarshap Taila and Til Taila in Prevention of Atiyog of Karnendriya with Special Reference to Karnanaad Vivek V. Dhongdi1 , Premkumar Badvaik2 , Shailesh Nagpure3
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.12615

Abstract

Lifestyle changes has created lot of hurdles for simple upkramas of Dincharya like Karnapuaran in dailyroutine, leading to commonly occurring disease i.e Karnanad (Tinnitus). It has remained as a formality inHindu festivals like Diwali & Dashera. In some parts of the country to follow rituals like applying Taila onthe body or procedures like Abhyanga and in that case people done karnapuran as well. So, problems relatedto Ear like Karnanad are increasing day by day in atiyog of karnendriya and old aged people in modern era.There are different treatment modalities available for the same, but these are costly. These treatments are notaffordable by low socio economic people. So this review focused with Sarshap Taila and Til Taila to preventatiyog of Karnendriya given in Ayurved.

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