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Clinical Outcome of Supracondylar Femoral Fractures Managed Locking Plate Osteosynthesis in a Rural Hospital
Shashank Jain1 , Sunil Nikose2 , Sohael Khan3 , Suvarn Gupta3 , Ankush Mohabey4
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.v14i4.12616
Introduction: Distal femur fractures in the supracondylar region accounts for approximately seven per centof all femur fractures and are very challenging to manage. These fractures occurs majorly due to severegrade of injury in young age groups and low grade injury in geriatric people with significant soft tissueinjury with joint surface involvement and is bimodally distributed.Material and Method: This prospective study consisted of 45 patients of supracondylar femur fracturesurgically managed by locking plate osteosynthesis in Department of Orthopaedics at our institute withinthe study period of 2 years from June 2016 to June 2018. Functional outcome was measured using Neer’sscoring. Patient were followed up regular intervals of 12 weeks and last follow up was done at the end of 1year.Results: 45 patients were studied i.e 36 males and 9 females with a mean age of 45.46±17.55SD years.Road accident was the most common cause of injury (71.1%),AO classification was used to classify fractureconfiguration and most common was type “33 C3” (26.67%). 39 patients (86.66%) were treated with distalfemur locking plate osteosynthesis and 6 patients (13.33%) with external fixation which was later convertedinto plate osteosynthesis after infection control. Knee stiffness (17.78%) was a common complication andshortening was seen in 6 patients (13.33%). Neer’s scoring was used to calculate outcome of patients inwhich 31(68.89%) patients had excellent to good outcome, 9 patients had fair and 5 patients had pooroutcome.Conclusion: Distal femoral locking plate can be considered as a suitable choice for achieving adequatefixation in distal femoral fractures as there was significant progressive increase in Neer’s outcome scores inmajority cases
Investigate the Effect of Role Play on the Skill among 2nd Basic B.Sc. Students if SRMMCON Regarding Selected Community Procedure
Charlotte Paul1, Nikita Bhokare2, Swanand Pathak3
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.v14i4.12617
Background: Home visiting is a service offered to pregnant mothers, children from birth to eight years oldand their families in their homes. Home visits were found to enhance parenting, school readiness and health.Review of Home Visiting’s history indicates that home visitors’ roles and responsibilities have changed withthe passage of time. Today’s emphasis on family rather than individual, and on family control rather than adirective style means home visitors need more expertise, experience and versatility than ever before.Objectives: Short term- To enhance students learning experience by using role play.Intermediates: To develop innovative teaching learning approaches.Long Term:1. Using innovation in the health care settings by future nursing educators.2. Apply skills in Futuristic Research.Material and Method: Presents study is descriptive study conducted among 80 Students of Basic B.Sc.Nursing 2nd year by using non probability convenient sampling technique. The Checklist OSCE and feedbackform was selected as tool for data collection.Result: The mean score of Role play group is 9.32 and Non role play group 6.27 the essential skills areincreased with use of role play. The comparison between two groups shows that calculated value is morethan table value tcal = 16.51 and t tab = 1.98 p=0.0001 p<0.05 hence it is significant.The Major: The analysis of the data of the study samples gives an idea about the general information abouteffectiveness if using role play.Conclusion: After the detail analysis of the study, following conclusions were drawn. They require newinnovative teaching learning interactive method to enhance their knowledge and create more interest inlearning.
Domestic Violence: A Silent Panendemic on the Rise During Covid-19
Shaini Suraj1 , Vaishali D. Tendolkar2 , Rupali Sarode3
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.v14i4.12618
Staying at home is the best way to beat COVID -19. But nobody ever bothers to think about the victims whoare stuck up in abusive relationships with their partners. Naturally, lockdown has forced them to suffer evenmore. Their sufferings have increased in numerous ways. The data around the globe also shows that domesticviolence has been on the rise as the entire world was staying indoors. The National Commission for Women(NCW), which is the government body that receives complaints of domestic violence from all parts of India,has recorded more than twofold rise in gender-based violence during this lockdown. Domestic violencecases can go across social, racial as well as economic boundaries. Shattered dreams, bruised mentally andphysically, these victims are either shy or afraid to raise their voices against domestic abuse. Attention andcare is needed not only for the visible physical injuries, but also for the psychological and emotional hiddentrauma. The foregoing article takes stock of domestic violence during COVID-19 lockdown.
Analysis of Nidan (Etiological Factors) Of Metabolic Syndrome.
Sneha Chandankar1 , Vaishali Kuchewar2
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.v14i4.12619
Metabolic syndrome is a clustering of at least three of these-Abdominal (central) obesity, Elevated bloodpressure, Elevated fasting plasma glucose, High serum triglycerides and Low high-density lipoprotein (HDL)levels. In recent years, there is an alarming increase in metabolic syndrome. The overall prevalence rate ofmetabolic syndrome is 33.5%. It is 24.9% in males and 42.3% in females. The terminology ‘Metabolicsyndrome’ represents its relation with metabolism. It can be said that disequilibrium of metabolism causesmetabolic syndrome. The word metabolism can be correlated with ‘concept of Agni’ described in Ayurvedabecause entire range of digestive and metabolic activities of the body take place with the help of the biologicalfire of the body called Agni. This study was conducted to explore the nidan (Etiological factors) of metabolicsyndrome based on basic concepts of Ayurveda and it suggest to think about overcoming mental stress (asone of the prominent etiological factor) while managing Metabolic syndrome.
A Review of Advance Directives As Per Mental Health Care Act 2017
Sharjeel Khan1 , Shadma Quazi2 , Ranjit Ambad3 , Ragini Patil4 , Ajinkya S. Ghogare3
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.v14i4.12620
The year 2017 is surely a milestone year for the professionals of mental health and the mentally ill patients.The year marks the historic moment of the Mental Health Care Act (MHCA). The utmost significance of thisact cannot be ignored because it has come as a ray of hope because, for the first time, people with mentalillness have been granted few rights, such as the right of the mentally ill person to make advance directives.Hence, it can be said that its arrival is an important accomplishment and a ray of hope for the millions ofmentally ill people. It is an important critical step in addressing mental illness and focuses the public’sattention on the current status of the mentally ill patients. The attempts to have its implementation wouldsurely face several challenges. Understanding the values relevant to ADs is important for clinicians becausethey have a major role to act in coping with severe and chronic mentally ill person. The object of this articleis to gather the brilliant flashes and the boring aspects as well as drawbacks of the act. To start recognizingthe strengths and anticipating challenges in their implementation and the future solution.
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Swati Tikale1 , Krutika Umate2 , Madhulika Tiwari3 , Vasant Gawande4
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.v14i4.12621
Efficacy of Median Nerve Mobilization Versus Upper Trapezius Muscle Stretching on Extensibility of Median Nerve in Young Healthy Individuals: A Randomized Controlled Trial
Shiril R. Nagarkar1 , Varsha S. Nagarkar2 , Divya V. Bagaria3 , Vasant Gawande4
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.v14i4.12622
Objective: The purpose of this study was to compare the effect of upper trapezius muscle stretching andmedian nerve mobilization on median nerve extensibility.Design: A randomized controlled trial. Participants: 80 healthy participants with mean age range () wererandomized to two groups who received trapezius muscle stretching & median nerve mobilization.Outcome Measures: Right and left Elbow Extension Deficit Angle (EEDA) in degrees.Intervention: Passive stretching of upper trapezius was done 4 times per week, 3 repetitions, 30 sec holdbilaterally. Median nerve mobilization was done 4 times per week, 3 sets of 10 cycles each; 30 sec rest inbetween bilaterally. Supervised self stretching and nerve mobilization was done 3 times per week, withnumber of hold and repetitions being the same.Results: Baseline characteristics including demographic, anthropomorphic and EEDA between groupswere comparable. Intragroup comparison of right and left Elbow Extension Deficit Angle (EEDA) weredone using Repeated Measure Multivariate ANOVA. Inter group comparison was done using post hoc testBonferroni. The level of significance was set at P < 0.05.Conclusion: The study concludes that Upper trapezius muscle stretching is effective in improving mediannerve extensibility. Both treatment techniques are equally effective.
Simultaneous Ipsilateral Distal Interphalangeal and Metacarpophalangeal Dislocation of the Fifth Finger: A Rare Case Report
Suvarn Gupta1 , Vasant Gawande2 , Ankush Mohabey3 , Kunal Saoji3 , Ashwin Chavan4
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.v14i4.12623
There has been no case of simultaneous ipsilateral distal interphalangeal and metacarpophalangeal dislocationof little finger in the literature. We report a case of A 61 years old male patient with traumatic ipsilateraldislocation of the Dorsal Interphalangeal (DIP) joint with dislocation of the metacarpophalangeal (MP) jointof the little finger. Both the dislocations were reduced by traction and closed reduction
Current Treatment Approaches for Pandemic Corona Virus Disease 2019 (Covid 19)
Jagdish Nikose1, Swati Gaikwad2 , Sanjana Gaikwad2 , Ravi Kalsait3 , 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
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DOI: 10.37506/ijfmt.v14i4.12624
Coronavirus disease 2019 (COVID-19) is a respiratory disease, spread through personal contact or contactof person with the surface containing virus. First patient of COVID-19 was found in Wuhan, China whichis now been spreading all over the world.Coronaviruses belongs to the Coronaviridaefamily. Genomiccharacterization has shown that probably bats and rodents are the gene sources of Coronaviridaefamily.Today, more than 10 drugs are being undergonein clinical trials for the treatment of COVID-19. The presentreview article includes the causes of COVID-19 spread, symptoms of infections and their complicationsinvolved, current treatment strategies which various countries have been applying including plasma therapy,treatment using combination of antiviral drugs. It also comprises of ongoing clinical trials of vaccines onCOVID 19 patients. Overall, the present article gives the global current scenario of the COVID 19.
Selfcare Management and Strategies of Drug Development for COVID 19
Sanjana Gaikwad1 , Swati Gaikwad1 , Mayuri Deshmukh1 , Jagdish Nikose1 , Ravi Kalsait 1, Praful Pati
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.v14i4.12625
Corona virus disease (COVID 19) is a recently discovered pandemic. Coronavirus infectious diseaseoriginate from Wuhan, China and widely and quickly spread throughout the world. WHO pronounced it asPandemic. As the spread of disease is through contact and the rigidity of virus in term of its lifespan outsidethe human body its threat human beings is alarming with no thearapy to treat. As per the WHO guidelines theonly way to control is to prevent the disease by following selfcare method. Though the Scientific communitystarted research on the vaccine as well as newer drugs the development of which may require certain timeto reach at the people at large. Thus selfcare management is found to be the only strategy to combat theinfection by COVID 19.