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<![CDATA[To Assess the Serum Vitamin D in Vitiligo Patients: SMHRC and AVBR Hospital of Vidarbha Region ]]>
<![CDATA[Ranjit S. Ambad1, Mihika Suryawanshi2, Rakesh Kumar Jha3, Pankaj D. Mulchandani2, Sudhir Singh4]]>
<![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.v14i4.12769
<![CDATA[Introduction: Vitiligo is a long-term skin condition that is characterized by skin patches which lose theirpigment. The affected skin patches are becoming white and typically have narrow margins. The skin haircan also turn white. Mouth and nose inside might also be involved. Occasionally, the vitiligo “comes infamilies,” implying a genetic origin. It ensures that the risk of other family members contracting vitiligois not predictable. Approximately 25 to 50 per cent of people with vitiligo have a parent with vitiligo, andaround 6 per cent have vitiligo siblings. Low serum levels of vitamin D have been associated with manyautoimmune disorders and a number of other skin conditions. Vitiligo is an autoimmune disease which ischaracterized by immune processes that kill melanocytes. Melanocytes express vitamin D receptors, andvitamin D status can affect their function.Objective: To assess serum Vit-D levels of vitiligo patients and contrast the outcomes and controls.Material and Method: In all out, 50 vitiligo patients and 50 controls were taken on the examination.Vit-D levels were estimated from blood tests. Gathering correlations were performed utilizing fitting factualstrategies.Observation and Results: The patients had lower serum Vit-D levels than the controls, yet this distinctionwas not noteworthy (p = 0.570).Conclusion: It stays obscure whether Vit-D inadequacy causes vitiligo. Bigger controlled investigations arerequired to demonstrate whether low flowing VIT-D is a causative factor in vitiligo.]]>
<![CDATA[Immediate Effect of Buteyko Breathing in Hypertensive Patients: An Experimental Prospective Study ]]>
<![CDATA[Samiksha Sanjiv Sathe1, Tejal Rajandekar2, Saurabh Hadake3, Vinayak Shegaonkar4]]>
<![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.v14i4.12771
<![CDATA[Background: There are ample studies showing effect of Buteyko breathing technique on cardiovascularparameters in asthmatics but very few studies have been done to see its immediate effect on hypertensivepatients.Aims: The aim of this study was to assess the immediate effectiveness of Buteyko breathing technique onhypertensive patients in terms of Systolic and Diastolic Blood pressure, Heart rate and Oxygen saturation(SpO2)Method: The research design used was Experimental prospective study design. Total 50 participants werescreened and those meeting the inclusion criteria (42) were included in the study. The participants wererandomly divided into two groups-experimental and control Group, by computer generated randomisedtable into groups of 21 each. The experimental group performed the Buteyko breathing exercises. Thecontrol group did not receive any treatment. Pre and immediate post intervention scores were measured interms of systolic BP, Diastolic BP, heart rate and SpO2.Findings: On comparing the pre and post intervention values of the outcome measures, it was observed thatthere was statistically significant difference in Systolic BP, Heart rate and SpO2 values in Buteyko breathinggroup. No significant difference was seen in Pre and Post values of Systolic and Diastolic BP, Heart rate andSpO2 values in Control group. On comparing between the groups, it was observed that there was statisticallysignificant difference between the two groups in terms of SpO2Conclusion: Thus it can be concluded from the present study that Buteyko breathing technique has animmediate positive response on oxygen saturation level in hypertensives.]]>
<![CDATA[Osteometric Evaluation of Human Skull for Sex Determination: A Comparative Study ]]>
<![CDATA[Karan Jain1, Ninad Nagrale2, Ranjit Ambad3, Nandkishor Bankar4, Swapnil Patond5]]>
<![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.v14i4.12772
<![CDATA[Background: Sex determination from analysis of bony remains is one of the most important arduous jobfor medicolegal experts, especially in cases where identity of the deceased person is in question. Aims& objectives: Our study focuses on evaluation of different osteometric parameters of skull which willbe helpful for sex determination.Material and Method: Current study was conducted on 60 human skullbones & they were studied by using calipers for various osteometric measurements. Results: In our studywe observed that, skull length, interorbital breadth, biorbital breadth, maxillo-alveolar breadth, maxilloalveolarlength, bizygomatic breadth & nasion-prosthion length are the statistically significant variables &are good determinants for sex than rest of the parameters. As compared to them, cranial breadth & orbitalheight are poor parameters for sex determination. Conclusion: Human Skull bone as a whole & it’s differentmeasurements taken from anatomical landmarks & their osteometric analysis is a good determinant for sexof an individual.]]>
<![CDATA[Review on Utility of Antitoxic Preparations in Non-Poisonous conditions w.s.r. to Agadtantra ]]>
<![CDATA[Anuja Vasant Nagrare1, Sonali Wairagade2, Tanvi Wairagade3, Anjali Chiwhane4]]>
<![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.v14i4.12773
<![CDATA[There are hundreds of formulations in the market, which are mostly prescribed by the physicians dependingupon their knowledge about the general context of reference. Analysis of the ingredients and the phalshrutiof each formulation give a clear picture about them and also help to make a better application in clinicalpractice. Nowadays, most of the diseases are caused due to unconventional etiology. When a disease is causedby unconventional etiology, it can be managed effectively by using principles of Agadtantra. Currently mostof the diseases require Nirvishikarana (Detoxification), for this reason Antitoxic formulations mentionedunder Ayurveda which contains singleantitoxicherb, combinationofanti-toxicherbs, herbs-mineralscombinations etc can be very effective insuch unknown etiology diseasedconditions. Antitoxic preparationswith Vishaharatwa(Antitoxic) property, as one of the action have a better effect in general diseases thanother formulation. This review article places of interest in the significant role of antitoxic formulationsmentioned in Agadtantra (Ayurvedic perspective of toxicology) to overcome diseases which are produceddue to unknown etiology.]]>
<![CDATA[Perception of Medical Professionals and Pharmacists towards Generic and Branded Drugs ]]>
<![CDATA[Shrikrishna Dhale1, Ankit Singh1]]>
<![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.v14i4.12774
<![CDATA[Background: Doctors and pharmacist are in a state of dilemma at the time of prescribing and dispensingmedicines. The Government of India is pushing the adoption of generic medicines to lower down the cost oftreatment and the perception of the medical practitioners and the pharmacists can play a crucial role in theimplementation of this initiative.Aim and Objective: To understand the factors affecting the prescription of drugs among medical professionals.To understand the factors affecting the dispensing of drugs, To study determinants of prescription of genericdrugs.Methodology: A study is been conducted on doctors and pharmacist were the sample size was taken as 100,it is a purposive study where the data is been collected through questionnaires. Out of 100 participants, 50were Doctors and 50 were pharmacist. The analysis of the data is performed in SPSS V20.Result: Out of 100, About 59% of participants perceived that generic drugs are as effective as original drugs.However, interestingly, when they were asked if they ever experienced the difference in quality between thetwo, 23% participants believed that the generic drugs were not as efficacious Only 64% of the participantsagreed that generic drugs are as safe as original drugs. About 46% of participants agreed that most of thegeneric drugs lack the quality of their branded counterparts. About 70% felt that more confidence should bebuilt among patients about generic medicines. A majority of physicians and pharmacist 61% considered thesocioeconomic status of the patient while prescribing medicines. About 24% of the doctors and pharmacistthink that generic drug hasa high side effect compare to branded drug, whereas 64% says that the genericdrug does not have much side effect. About 47% of the doctors and pharmacist think that they have highefficacy were as 47% thinks that the efficacy level of the drug is low compare to the branded drug.”Conclusion: This study found a gap between knowledge score and generic prescription practices. This canbe improved by the combined approach of Information, Education and Communication (IEC).Generic Medicine, Branded Medicine, Pharmacist, Doctor.Corresponding Author:]]>
<![CDATA[Drivers of Home Health Nursing Profession ]]>
<![CDATA[Ankit Singh1, Vivek Chaudhari1]]>
<![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.v14i4.12775
<![CDATA[Introduction: It is important to determine the perceived factors of home health nursing professionals whichare the drivers of home health nursing as a profession in developing countries.Objectives: To identify the variables driving the growth of the home care nursing profession.Methodology: Responses of 150 home health nursing professionals is processed with factor analysis.Result: Analysis reveals that the three factors together explained 45.6 percent variation in the data.Conclusion: The identified factors are “Comparative benefits over hospital care”, “Exclusive benefits ofhome healthcare”, and “Holistic view linking hospital care and home healthcare.”]]>
<![CDATA[Effectiveness of an Educational Program on Critical Care Nurses’ Practices Regarding Endotracheal Suctioning of Adult Patients Who are Mechanically Ventilated in Hospitals at AL-Najaf, Iraq ]]>
<![CDATA[Jihad Jawad Kadhim1, Fakhria Gaber Mhabes2]]>
<![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.v14i4.12777
<![CDATA[Background: Nurses need to participate in many different educational activities that enhance and promotelifelong learning, professional and personal growth. Structured endotracheal educational program isdeveloped to articulate new scientific approach by using researches in the clinical setting and apply researchfindings in clinical practice.Objective: The study is aimed to evaluate the effectiveness of an educational program on critical carenurses’ practices regarding endotracheal suctioning of adult patients who are mechanically ventilated inhospitals at AL-Najaf, Iraq.Methodology: This study is carried out by using quasi-experimental of pre-test and post-test one groupdesign. The study conducted over the period of time that started from December 10, 2019 and ended onFebruary 20, 2020, by using observational schedule that concentrated on critical-care nurses’ practicesrelated to endotracheal suctioning. The study involved observation of critical-care nurses’ practicesprior to educational intervention and post-test evaluation of participants’ practices after four weeks fromimplementing ETS educational program.Results: The preliminary assessment of participants’ practices related to endotracheal suctioning indicatedthat most of the nurses were not be committed to the best evidence-based recommended practice guidelines.Dramatically improvement in participants’ practices occurred after implementing educational interventionwith statistical highly significant indicators.Conclusion: In-service educational program is a cornerstone in clinical care settings in terms of promotinghealthcare providers’ knowledge and practices that can lead to quality care and achieve desired outcomes ofcritically ill patient.Recommendations: emphasizing on providing in-service educational program is an imperative aspect toenhance practicum skills for novice nurses. Incorporating most recent scientific approaches plays vitally important role in tracking recommended clinicalevidence that reflects on embracing change todaily practice standards]]>
<![CDATA[Nurse Educators Examine the Applicability of Health as Expanding Consciousness Theory: A Qualitative Review Study ]]>
<![CDATA[Jihad Jawad Kadhim1, Mansour Abdullah Falah2, Iman Qasim Kteo Al-hussein3]]>
<![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.v14i4.12778
<![CDATA[Background: Health as expanding consciousness (HEC) is a grand theory by Margaret Newman, and itis one of those key tools to be used in order to understand a patient as a whole. The theory is based onidentifying the pattern of an individual. The HEC focuses on all aspects of the individual as a social, cultural,physical, emotional, and spiritual. It works for understanding the disease as well as other factors pertainingto the pattern of the individual.Objective: The present review study is aimed to provide inside comprehension on the applicability andfeasibility of HEC from nurse educator perspectives based on review of qualitative studies.Results: This study shows how successfully the theory was applied to coronary heart disease patients,women with multiple sclerosis or rheumatoid arthritis, and pain during perioperative period. Thus, the theoryis effective in all scenarios and provides the nurse ways to understand patients from varied backgrounds. Theauthors of reviewed studies used the hermeneutic-dialectic approaches as a tool for the research study. Thenurses played an important role by help the patients to recognize their pattern and move to a higher level ofconsciousness. The nurse-patient relationship built on mutual trust and respect, which helped both nursesand clients to interact effectively in order to identify their pattern.Conclusion: Newman’s theory can be applied in every nursing setting in both short and long-term interactionwith the patient.]]>
<![CDATA[Assessment of Satisfaction Levels of Health Insurance Policy Holders with Claims Settlement Process in Pune, Maharashtra ]]>
<![CDATA[Neha Ahire1, Parag Rishipathak2]]>
<![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.v14i4.12779
<![CDATA[Introduction: Customer satisfaction is an important determinant of health insurance penetration. It isnot only indicative of customer loyalty but is also helpful in identifying the needs of the customer andfurther necessity of product innovation. As compared to other verticals of insurance, health insurance ismore complex as for the administration and implementation of the policy various stakeholders are involved.Theses take holders are namely hospitals, Third Party Administrators and health insurance agents andadvisors. Equally important is the satisfaction with the claim settlement process, which significantly impactoverall satisfaction with health insurance policies.Aim and Objectives: To assess of customer satisfaction levels with the claim settlement process amongsthealth insurance policyholders in Pune, Maharashtra. Further, the study is aimed to identify the potentialareas of dissatisfaction and weaknesses in the claim management system.Materials and Method: The study design is and exploratory and descriptive. Sequential random samplingused to select participants from the data of health insurance policyholders who have availed the benefit ofhealth insurance through hospitalisation. 5-point Likert scale was used to assess the responses on claimsettlement process.Results: Health insurance claims administration involves coordinated efforts of stakeholders viz insurancecompanies, TPA services, Hospitals and agents and advisors. The study shows scope of improvement inthe claims settlement process. The policyholders experience depends on the coordination, timeliness andtransparency in the process.]]>
<![CDATA[A Study to Assess the Knowledge, Attitude and Practice about Management of Acute Exacerbation of Chronic Obstructive Pulmonary Disease amongst EMS Professionals in Pune, India ]]>
<![CDATA[Parag Rishipathak1, Anand Hinduja2, Shrimathy V.3, Navnita Sengupta4]]>
<![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.v14i4.12780
<![CDATA[Background: Chronic Obstructive Pulmonary Disease (COPD) is one of the common, slow progressivedisorder the respiratory system, considered an important cause of morbidity and mortality across the globe.Although being a chronic disability, COPD presents with acute exacerbations in the form of breathlessnessand cough. Knowledge regarding about diagnosis of COPD, appropriate titration of Oxygen and effectivemanagement are essential to prevent mortality and morbidity due to COPD.Objective: To assess the Knowledge, Attitude and Practice level about management of Acute Exacerbationof COPD among EMS Professionals.Methodology: The study was conducted amongst 100 Emergency Medical Professionals in Pune, India.A previously tested and validated KAP questionnaire prepared by Sylvia Saade et al2 was utilized for thestudy. The questionnaire was administered through online mode after obtaining informed consent from therespondents.Discussion: The analysis of data shows EMS professionals are aware of the aetiology, pathophysiology andclinical features but require more training in management aspects of COPD. In terms of attitude towardsCOPD, broad agreement was found amongst respondents that COPD patients must quit smoking and passivesmoking contributed to COPD. However, opinion amongst respondents with respect to recommendationsregarding exercise was divided. In terms of Practices in COPD, broad consensus was found amongst therespondents on the usage and precautions regarding metered dose inhalers (MDI).Conclusion: The study finding point towards a healthy degree of knowledge, attitude, and practice withregards to COPD amongst EMS professionals. Although the finding do red flag areas of improvement whichcan be focused upon in future training session. The study is limited by number of respondents yet attemptsto provide a broad view on Knowledge, attitude and Practices in COPD.]]>
