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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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Chondroid Chordoma: An Uncommon Bone Neoplasm Anita B. Sajnar1 , Neha Bhatt2 , Obaid Noman3 , Pratibha Dawande4
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.v14i4.12703

Abstract

Chordomas are rare, slowly growing, locally aggressive neoplasms of bone that arise from embryonicremnants of the notochord. Chondroid-chordoma is an uncommon variant of chordoma. These tumorstypically occur in the axial skeleton. Here we report a rare occurrence of chondroid variant of chordomaat sacrococcygeal region in a 60 year old female. Magnetic resonance imaging revealed expansile massinvolvingsacrococcygeal region.Gross and microscopic examination confirmed chondroid chordoma.Laterpatient underwent radiotherapy, doingwell,on a one year follow up. Chondroid chordoma is discussed dueto its predilection for occurrence at sacrococcygealregion and its more favorable prognosis compared withthat of conventional chordoma.
Comparison between Immediate Effects of Post Isometric Relaxation and Reciprocal Inhibition Techniques on Hamstring Flexibility in Patients with Hamstring Tightness: An Experimental Study Samiksha Sanjiv Sathe1 , Tejal Rajandekar2 , Kirti Thodge3 , Ashwin Chavhan4
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.v14i4.12704

Abstract

Aim: There are studies comparing the effects of post isometric relaxation technique & reciprocal inhibitiontechnique on hamstring muscle flexibility but to the best of our knowledge there is hardly any study that hasreported comparative immediate effect of these two techniques. Thus the aim of our study was to evaluatethe immediate effect of these two techniques on hamstring muscle flexibility.Method: The research design used was Comparative Experimental study design. Total 46 participants werescreened and those meeting the inclusion criteria (n=40) were included in the study. The participants wererandomly divided into two groups- group A - post isometric relaxation and Group B - reciprocal inhibitionof 20 each. Pre and immediate post intervention scores were measured in terms of AKETFindings: Inter group comparison (student’s unpaired t test) showed that there was no statistically significantdifference between the two groups in terms of AKET. The comparison of pre and post intervention values ofthe outcome measure in both the groups showed a statistically significant difference.Conclusion: It can be concluded from the present study that both post isometric relaxation technique &reciprocal inhibition technique have an immediate effect on reducing hamstring muscle tightness. Fromthe mean difference values it is visible that PIR (13.20) is slightly more effective than RI (5.45) althoughstatistically significant difference is not seen.
Prospective Analytical Study of Burn Deaths in Infant and Children Below 6 Year Tikendra Dewangan1 , Rajesh Babulalji Ramteke1 , Kalpesh C. Patani2 , Ninad Nagrale3 , Shailesh Nagp
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.v14i4.12705

Abstract

Introduction: Burn injury is not only leading health problem in adult but it also cause significant mortalityand morbidity in children.Burns can be devastating injuries for children, the immediate effect of which iscompounded by ongoing pain, cosmetic and physical disfigurement, impairment, multiple dressing changesand surgical procedures. This prospective analytical study was planned to study the pattern of burn deathsin infant and children.Material and Method: This Study was carried out in department of forensic medicine and Toxicology, B.J.Medical College, Ahmedabad over the period of 2 year during which 30 cases were studied and analysed.Data was maintained using Microsoft Office Excel and analysed suing test of proportions.Result: Out of 30 cases studied during this period 18 (60%) cases were males and rest 12 (40%) werefemales. Most common type of burn was scald in 25 (83%) of cases, followed by electrocution in 3 (10%)cases and most common cause of death was septicaemia in 70% of cases followed by shock due to burns in6 (20%) cases.Conclusion: Burn injuries caused to them are because of their curiosity and innocent nature and unable tounderstand the extent of damage that will be cause by it. As these injuries are accidental and mostly occurin home, they are preventable.
Effect of Exposure of Smartphone Use on Visually Evoked Potential (VEP) in Healthy Adults Swapnil Bhirange1 , Alka Rawekar2 , Avinash Taksande3 , Komal Meshram4
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.v14i4.12706

Abstract

Aims: To assess and compare VEP parameter (amplitude and latency of P100) in healthy adults (MBBSstudents) using smartphone.Objectives:• To record P100 (latency, amplitude) in 1st year MBBS students using smartphone for less than threehours and for more than three hours after sunset• To record P100 (latency, amplitude) MBBS students using smartphone for duration of less than threeyears and for more than three years• To Compare P100 (latency, amplitude) 1st year MBBS students using smartphone for less than threehours and for more than three hours after sunset• To Compare P100 (latency, amplitude) MBBS students using smartphone for duration of less than threeyears and for more than three yearsSettings and Design: Neurophysiology Lab at the department of Physiology, JNMC, Sawangi (Meghe),Wardha.Method and Material: A cross sectional study was done in 50 healthy MBBS studentsfrom JNMC.Results: There is significant difference in the mean values of P100 latencies of right and left eye and in themean values of P100 amplitude of right and left eye in individuals with exposure of less than three and morethan three hours per day after sunset.Conclusions: We conclude that nocturnal use of mobile phones especially in the bright light exposes anindividual to the blue light resulting in various deleterious effects.
Metabolic and Cardiovascular Responses to External Weights During Treadmill Walk in Overweight Young Adults Swapnil Bhirange1, Dalia Biswas2 , Avinash Taksande3 , Prerana Agarwal1
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.v14i4.12707

Abstract

Aim and Objective: Compare the physiological responses within bouts of aerobic exercise varying inintensity and the presence of wearable weights.Study Design: Interventional studySettings: Exercise Physiology Lab at the department of Physiology, JNMC, Sawangi (Meghe), Wardha.Method and Material: Forty (18 females, 22 males, mean age = 22.23 ± 1.32) healthy volunteers weretested for aerobic fitness on a treadmill to determine VO2. Participants completed eight 30-minute walkingtrials on a treadmill and oxygen consumption (VO2) and heart rate (HR) were monitored while walkingat different speeds and with varying combination of upper and lower body external weights. The designincluded two intensities (slow walking and brisk walking) and four conditions (no weights, arm weights, legweights, and arm and leg weights) for a total of eight experimental trials.Statistical Analysis Used: ANOVA and pair-wise comparisons on SPSS software version 24.Results: VO2 was significantly lower without the wearable weights in comparison to wearing both upperand lower weights in the slow walk trial (P < 0.001; ES = 0.74) and also during the brisk walk trial (P <0.001; ES = 0.35). HR was significantly higher during the brisk walk trials with external weights on both thearms and legs (P=0.018, ES=0.37).Conclusions: Findings suggest that the metabolic responses were significantly increased wearing externalweights on both the arm and leg during walking exercise on treadmill and increasing energy expenditure(burning additional calories) over the 30 minute session and have minimal impact on heart rate.
Assessment of the Financial Status in Adult Diabetic Patients Attending the Diabetic Clinic in Bankura Sammilani Medical College, Bankura Indu Padmey1 , Karan Jain2 , Arindam De3 , 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.v14i4.12708

Abstract

Introduction: Diabetes and its complications impose significant economic consequences on individuals,families, health systems and countries. People living with diabetes and their families feel the impact ofdiabetes most directly, often through the expenses of diabetes treatment and loss of family income whendiabetes interferes with work.Objective: To assess the financial status of adult diabetic patients attending the diabetic clinic of BankuraSammilani Medical College, Bankura.Materials and Method: It is an Institution based, Cross-sectional, descriptive Study. Complete enumerationof all patients attending Diabetic clinic of Bankura Sammilani Medical College and hospital, Bankura, WestBengal was done. Eligible consenting of adult patients (> 18 years of age) who were diagnosed as a caseof diabetes at least 1 year back and on treatment were interviewed with review of medical record and Outof pocket expenditure information was collected in terms of INR. It views the cost of NCDs as the sum ofseveral categories of direct and indirect costs. The study was preceded after obtaining ethical clearance.Data were entered in MS Excel spread sheet. Calculation was done with the help of software SPSS 22.0 freeversion.Results: Majority of annual treatment expenses of study subjects were in Drugs and consumables (66.73%)followed by Investigation cost 15.19% and others. The average INR for annual total diabetes care was13,733.17±13,389.86.Conclusion: Drugs and consumables, investigation and transportation cost leads to more than 90.0% of outof pocket expenditure causing financial burden on both adult diabetic patient and its family.
Assessment and Comparison of Knowledge and Awareness about Hand Hygiene among Health Care Workers from PHC and Medical College Amit Pasari1 , Pratibha Deshmukh2 , Sweety Agrawal3
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.v14i4.12709

Abstract

Objectives: Present study was conducted to assess and compare the knowledge of hand hygiene (HH)according to WHO guidelines among healthcare workers (HCW) from medical college hospital and primaryhealth care centre (PHC). Improvement in knowledge of HH was assessed after training.Method: Cross-sectional study was conducted in two groups comprising of 167 HCW from a medical collegehospital (GROUP A) and from PHC (GROUP B). The WHO “Hand Hygiene Knowledge Questionnaire”was used to collect data. Multiple choice questions were given to participants before and after trainingprogram for HH.Results: Eighty & eighty seven HCW were recruited in group A & B respectively. Before HH trainingprogram, both the groups had very few people with good knowledge of HH (8.7% in group A & 5.7% ingroup B). After attending the HH training program, there was significant increase in the number of individualshaving good knowledge of HH practise (52.5% & 35.6 % in group A and B respectively, p<0.001 for thegroups).There was significant increase in the mean scores in both groups after HH training from 57.638+12.52% to 75.66 + 12.45%, p <0.001 in GROUP A & 46.66 +18.7% to 64.59 + 18.97%, p<0.001 in Group B.Conclusions: There was low level of awareness about HH practices in studied population. Regular awarenessprogram must be conducted to improve the knowledge of HH. Medical colleges should consider conductingsuch program for all HCW including PHC HCW at regular interval.
Myositis Ossificans Traumatica of the Wrist in Elderly: A Description of an Unusual Case Suvarn Gupta, Pratik Kawde, Aashay Kekatpure, Sonal Karmore, Romil Rathi
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.v14i4.12710

Abstract

Myositis ossificans commonly involves muscles and subcutaneous tissues in people of younger age group.The myositis ossificans is commonly seen around the muscles of elbow joint but occurs less commonly inmuscles around hands and wrist. We report a case of Myositis ossificans involving the wrist in a 65 year oldlady.
Prevalence of Different Resistance Pattern in Staphylococcal Aureus Isolates From Tertiary Care Hospital Dhruba Hari Chandi1 , Dr. Nandkishor Bankar2 , Ranjit Ambad3 , Brij Raj Singh4 , Karan Jain5
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.v14i4.12711

Abstract

Introduction: Staphylococcus aureus is common isolated pathogen from clinical specimen with increasingtrend of antimicrobial resistance. Staphylococcus aureus and Coagulase-negative Staphylococci (CoNS)infections have become common among both hospitalized and non-hospitalized patients.Aim: The aim of this study was to determine the inducible clindamycin resistance among the MRSA andMSSA.Material and Method: This study was prospective study which includes the entire sample obtained in theDepartment of Microbiology laboratory from Tertiary Care Hospital with bacterial infection and confirmedby positive culture. The standard microbiological protocol for detection of inducible clindamycin, Discapproximation method (D–test) was performed.Result: Out of 124 Staphylococcus aureus isolates, 17 (13.7%) were inducible clindamycin resistant; 6(35.29%) from (cefoxitin susceptible) MSSA and 11 (64.71%) from (cefoxitin resistance) MRSA.Conclusion: The incidence of inducible clindamycin resistance among the Staphylococcus aureus was high.This high rate screen among the MRSA and MSSA provokes the necessity of performing the D- test beforestarting the antibiotic therapy.
A Unusual Case of Charcot’s Arthropathy of Elbow Caused by Syringomyelia and Chiari Malformation Complicated with Scoliosis Suvarn Gupta1 , Vasant Gawande2 , Ankush Mohabey3 , Kunal Saoji4 , Ashwin Chauhan4 , Rohit Bhandari5
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.v14i4.12712

Abstract

Neuropathic joints, which is also known as Charcot’s Arthropathy, is a destructive joint pathology resultingfrom loss or decrease in proprioception, pain and temperature sensations. Patients suffering from diseasesassociated with neuropathy like diabetes mellitus, syringomyelia and syphilis are said to be prone to thedisease. Patients with syringomyelia commonly suffer with arthropathy involving shoulder. We report a caseof 35 year old male patient with syringomyelia and charcot’s arthropathy involving left elbow.

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