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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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Effect of Minerals on Markers of Risk of Pre-Eclampsia in Pregnant Women: A Hospital Based Study Ranjit S. Ambad1 , Roshan Kumar Jha2 , Nandkishor Bankar3, Brij Raj Singh4 , Deepti Shrivastava5
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.v14i4.12693

Abstract

Introduction: Pregnancy specific complication characterised by hypertension, proteinuria, after 20 weeksof the gestation, and along with various signs of damage to organ systems, haemolysis, elevated levels ofliver enzymes and low platelet count (HELLP syndrome) is collectively termed as eclampsia.Method: Cross-sectional study with 3 groups of pregnant women, were taken followed by inclusion andexclusion criteria for characterisation. The study was approved by ethical board of DMIMSU. Mineralsand their relationship were estimated using different method. Preeclamptic group with and withoutsupplementation and pregnant women without preeclampsia were included in the study. Significantdifferences were seen in Na+, K+, Ca, Mg, Se, and Mn when compared with each group.Result and Observation: The levels of K were increased significantly (P < 0.001) in pre-eclamptic groupas compared to control group. There was significant change in levels of Mn when pre-eclamptic groupwas compared to control. Mn was also found to decrease significantly (P < 0.001) in cases as compared tocontrol. However, the levels of Se, Mg, Ca and Na between cases and control were not highly significant. Insupplementation and without supplementation group, Significant differences were seen in levels of Na, K,Ca and very significant difference was seen in levels of Mn. (p<0.0001).Conclusion: Pre-eclamptic pregnant women have higher levels of serum potassium and our finding on Mn,an essential trace mineral, provides new insight into a potentially modifiable way to prevent preeclampsia.In multi-ethnic, predominantly urban and low-income pregnant women high level of Mn is associated withpre-eclampsia.
The Effects of Multi Vitamins Supplementation in the Prevention of Preeclampsia Ranjit S. Ambad1 , Nandkishor Bankar2 , Lata Kanyal Butola3 , Minal Kalambe4 , Brij Raj Singh5
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.v14i4.12694

Abstract

Introduction: Preeclampsia is a multifactorial pregnancy-specific disorder which is symbolized by thedevelopment of hypertension and proteinuria after 20 weeks of gestation. With the greatest morbidity andmortality, preeclampsia affects 5% to 7% of all pregnant women.Material And Method: 390 subjects were included in the study and were grouped.Results: Mean maternal age of cases in years was observed as 26.68±4.2, mean gestational age in weeks was36.2. Systolic and diastolic BP in mmHg was 159.4 and 104.8 respectively. Mean weight was observed as72.6 Kg and Height was 158.4 cm. There was statically significant correlation observed between vitamins inGroup I and Group II, but Vitamin E and Vit B 12 does not show any significant correlation between them.No Stastical significance were found in the vitamins level in Group III and Group II. Statistically significantdifference was observed between group I and Group III, for vitamin B12, vitamin D, vitamin C and vitaminA. No statistical significance difference was observed in vitamin E levels.Conclusion: The intended intervention of Vitamins has a protective effect against recurrent preeclampsia.Vitamins supplementation therapy in pregnancy could help in reducing the incidence of gestationalhypertension/preeclampsia.
Prevalence of Depression in College Students During Covid-19 Pandemic Samiksha Sathe1 , Kirti Thodge2 , Abhishek Joshi3
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.v14i4.12695

Abstract

The outbreak of Covid-19 has caused major amount of suffering around the globe. Along with the physicalsymptoms in affected cases, it has severely spoilt the mental health of general public. College students too arefacing multiple challenges in the stir of this COVID-19 outbreak. The present research is an attempt to assessthe prevalence of depression among students residing in Nagpur region. A total 433 students responded tothe online 9-item questionnaire (PHQ 9) based survey. Our survey showed that 96% of college students wereaffected with varied levels (minimal to severe) of depression resulting from the COVID-19 pandemic. ofthese, about 9% experienced severe depression, about 13% experienced moderately severe depression, about21% experienced moderate depression, about 29% experienced mild depression and about 23% experiencedminimal depression. It is suggested that a timely concern should be given to students’ psychological healthas they are flagbearers of country’s success and future.
Combination of Misoprostol with Transcervical Foley’s Catheter Compared to Misoprostol Alone for Cervical Ripening at Term and Labour Induction in Tertiary Care Hospital: A Randomized Trial Minal Kalambe (Akare)1 , Mugdha L. Jungari2 , Priya Pratapan Nair2 , Dipti Shrivastava3
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.v14i4.12696

Abstract

Background:Induction of labour is a very common in obstetrics, for that both mechanical and pharmacologicalmethod used for induction. Mechanical Foley’s with misoprostol is an effective method to cut out course oflabour in safe timely manner, for safe neonatal and maternal outcome.Aims and Objective: The aim of this study was to compare combination of transcervical Misoprostol withFoley’s catheter balloon to misoprostol alone for induction of labour and cervical ripening in uncomplicatedpregnancy, with regards to safety and effectiveness.Result: A prospective, randomized controlled study was conducted on 220 term singleton women admittedin our hospital for induction of labour were randomly allocated to Group 1 (combination of Foley’s andmisoprostol) and Group 2 means (misoprostol) each 110. Combination of Foley’s and vaginal misoprostolwas much more effective in nulliparous female than multiparous women. Induction delivery interval wasshorter in combination group;14.4±5.70 hours than misoprostol group; 17.1±5.62 hours; p value is 0.007.Conclusion: This study showed that the use of misoprostol with a trans cervical Foley’s is an effective methodto shorten the course of labour compared with misoprostol alone. This study suggest that combination maybe useful to achieve safe and timely delivery in unripe cervix.
Online Teaching in the Time of Covid 19-Effectiveness and Challenges Rucha R. Lohi1 , Nikita Dhahikar2 , Ranjit Ambad3 , Dhruba Hari Chandi4
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.v14i4.12697

Abstract

India is facing COVID 19 Education Crisis many students have been affected by the closure of schools andcolleges. This has caused a dramatic change in the education with a distinctive shift to e-learning where theteaching is done on digital platforms. Most of the schools and colleges are conducting online classes to copeup with the situation and to save the students from the loss. However it has its own drawbacks like issuesof internet connectivity, availability of required resources, understanding the software application and lackof personal attention, less student attentiveness, etc. This paper studies the effectiveness of online studentsclasses conducted to evaluate the effectiveness of online teaching. It also includes the software applicationsthat can be used to conduct online classes. Online teaching is the future of students.
Estimation of stature from foot anthropometry in Central Indian population Karan Jain1 , Ninad Nagrale2 , Ranjit Ambad3 , Nandkishor Bankar4 , Swapnil Patond5
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.v14i4.12698

Abstract

Out of many parameters for human identification, stature is a principal anatomical variable. Stature estimation,especially in post-mortem cases where only some parts of an individual is available or cases where onlyfootprints are available, foot anthropometry will be extremely useful. The objective of the current studyis to find out interrelationship between the stature & foot length & formulating a regression equation fordetermination of height from foot length among individuals from Central India. This cross sectional studywas conducted at the department of Forensic Medicine & Toxicology of Datta Meghe Medical College,Nagpur from June 2020 to August 2020. Collected data was entered in Microsoft Excel sheet & analysedusing SPSS software. Mean stature in male was 165.8 cm with SD of 6 cm, while in female, it was 159.9cm with SD of 6.7 cm. Gender wise difference in mean stature & foot length was statistically significant.This research found remarkable positive correlation between stature & foot-length in both sexes. Regressionformula was derived which will be extremely helpful to forecast the height of an individual from knownfoot-length in cases of medicolegal importance.
Radiological Evaluation of Innominate Bone for Age Estimation: A Cross Sectional Study from Central India Ninad Nagrale1 , Swapnil Patond2 , Ranjit Ambad3, Nandkishor Bankar3 , Karan Jain4
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.v14i4.12699

Abstract

Age is cardinal in both civil & criminal cases as it not only affects the way an individual is treated, both incourt and with regards to bail, but it also influences the defence under Indian Penal system. The defence forchildren is easier to establish than that for an adult. This study focuses on investigating the relationship betweenthe stage of fusion of secondary ossification centres of innominate bone & biological age in Chhattisgarhpopulation. This study was carried out in 140 healthy subjects (70males and 70 females) aging from 17 to 24years. The obtained results revealed that the complete fusion of both epiphyses of innominate bone is seenat 21-22 years. Comparatively, females were developing epiphysealunion at a younger age than their malecounterparts. Results also suggest that the age of epiphyseal fusion at iliac crest & ischial tuberosity is foundto vary greatly all over the India, indicating the need for separate standards for separateregions.
Age Estimation among Adolescent Individuals from Fusion of Tri-Radiate Cartilage: A Radiological Study from Central India Ninad Nagrale1 , Swapnil Patond2 , Ranjit Ambad3 , Nandkishor Bankar3 , Karan Jain4
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.v14i4.12700

Abstract

Age determination in living individuals, dead persons & in human remains may shed light on issues withnotable legal and social consequences for individuals as well as for the community. In the age determinationof the deceased individual; the post-mortem circumstances can change the body parts and make ageestimation difficult. In such cases, skeletal remains are extremely helpful for age determination. This studyfocuses on investigating the relationship between the stage of fusion of tri-radiate cartilage of innominatebone & biological age in population of Central India. This study was carried out in 120 healthy subjects (60males and 60 females) aging from 12 to 18 years. The obtained results revealed that the complete fusion oftri-radiate cartilageis seen at 16-17 years. Comparatively, females were developing union at a younger agethan their male counterparts. Results also suggest that the age of fusion of tri-radiate cartilage is found tovary greatly all over the India & world, indicating the need for separate standards for separate regions.
Comparison between Immediate Effects of MET and Passive Stretching Techniques on Hamstring Flexibility in Patients with Hamstring Tightness: An Experimental Study Samiksha Sanjiv Sathe1 , Tejal Rajandekar2 , Kirti Thodge3 , 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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.12701

Abstract

Background: Muscular flexibility is an important part of functioning of human being and hamstringmuscle is prominently found to be tight in human body. Hamstring muscle flexibility can be improved bya variety of stretching method and other techniques, yet very little work has been done to compare muscleenergy technique (MET) and passive stretching techniques. The objective of our study was to compare theimmediate effectiveness of muscle energy technique (MET) and Passive stretching on hamstring flexibilityin individuals with hamstring tightness.Method: 42 participants who met the inclusion criteria were randomly divided into two equal groups, GroupA – MET and Group B – Passive stretching. The range of motion (ROM) of knee extension was measuredbefore and after both the techniques by AKET using universal goniometer.Results: There was a significant improvement in hamstring flexibility in both the groups following theapplication of MET and Passive stretching.Conclusion: From the present study we can conclude that both MET and passive stretching techniques havean immediate effect on reducing hamstring muscle tightness. From the mean difference values it is visiblethat MET (12.81) is slightly more effective than passive stretching (6.38) although statistically significantdifference is not seen.
Role of Prolactin and ?-hCG in Female Infertility Mahendra Dhabe1 , Ranjit S. Ambad2 , Archana Dhok3
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.v14i4.12702

Abstract

The World Health Organization (WHO) describes infertility as a disability for couples in childbirth toattain pregnancy within 12 months of daily sexual intercourse. Infertility affects 13–20 per cent of couplesworldwide, regardless of race or ethnicity. Human chorionic gonadotropin (hCG), also known as the“pregnancy hormone,” plays a significant role in human reproduction. The present study was conductedin the departments of biochemistry and dept. of obstetrics and gynaecology. The study was conducted ontwo groups of 40 infertile Females and 40 healthy controls. Blood sample was collected for the estimationof prolactin and hCG was assessed by dry chemistry analyzer. Serum prolactin levels in infertile females is33.96±11.46 and hCG levels was86.38±12.45 which was higher in infertile female as compare to healthycontrol with a p value of<0.05. Present study concludes that hyperprolactinemia is a major contributinghormonal factor in infertility among infertile women and, as such, prolactin and hCG should be measuredin infertile women.

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