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A Study on Sociodemographic Profile and Comparison of Pattern of Facial Injuries in Victims of Two Wheeler Road Traffic Accident with and without usage of Helmet in South Chennai
P. Shruthi1, R.Venkat2
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.v14i4.13203
Background and Aim: Road traffic accident a cause of unnatural death is the third major preventable oneamongst all death. Maxillofacial trauma is often encountered in accidents either as isolated injury or alongwith several injuries to the head, neck, chest and abdomen.Materials and Method: A retrospective observational study was conducted in the Department of ForensicMedicine and Toxicology at Saveetha Medical College between January 2018 to December 2018 with anobjective to analyse the Sociodemographic profile and compare the pattern of facial injuries in Road TrafficAccident cases with and without helmet usage.Results: Out of total 2438 RTA cases analysed, 1523 were two wheeler RTAs (62.5%). Amongst 1523cases,173 (11.36%) had facial injuries. The peak incidence of maxillofacial injuries (42.7%) was observed inthe age group of 21 to 30 years, with males outnumbering females in all age groups. The maximum numberof trauma cases was reported in late evening hours. Maximum RTAs occured in the months of winter usuallyin the semi urban areas. The injuries were sustained mostly due to frontal impact. Injuries to lip particularlylaceration injuries were most frequent. Injuries occured most commonly to the riders. The injuries were seenmore amongst the non helmet usage cases amounting to 68% of cases.Conclusion: The changing trend of etiology of maxillofacial injuries due to Road traffic Accidents inChennai necessitates strict traffic legislation and better health care facilities with respect to maxillofacialunits.
Quality of Life among Post CABG Patients
Ambina K.1 , Shalimol U.S.2 , Anjana A.P.2
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.v14i4.13204
Introduction: Coronary artery bypass grafting (CABG) surgery is one among the most common proceduresperformed in the world, and it is one of the possible treatments for coronary artery disease (CAD). Althoughthe effectiveness of coronary artery bypass grafting (CABG) is being evaluated in terms of mortality,complications or recurrence of symptoms, empirical studies assessing the change in patients quality of life(QOL) after CABG need to be studied as findings keep changing as time progress. A systematic analysisof how well the patient is considering a multiple variable need to be studied which has greater impact inimproving the overall performance of the patients after CABG.Aim: Aim of the study is to assess the quality of life among post coronary artery bypass grafting (CABG)patients.Method: A quantitative approach with a descriptive design using a non-probability convenience samplingtechnique was used to collect data from 101 post CABG patients. The setting used for the study was CVTSOPDs at AIMS, Kochi. A standardized quality of life questionnaire (SF-36) along with a semi-structuredquestionnaire to assess socio-demographic and clinical data.Results: The study result showed that the majority of samples (97%) had good QOL with mean score of69.22. PCS (96%) showed higher value than MCS (68. 3). A significant association found between QOL andsocio-demographic variables like occupation (p=0.018).Conclusion: Overall QOL improved one year after CABG.
Pulpectomy: A Comprehensive Review
Akankhya Jena
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.v14i4.13267
Several pulp therapies both vital and non-vital pulp therapies for preserving the physiologic integrity aswell as the well being of the tooth have been developed as a necessity for the healthy growth of the teeth. Itmainly aims at protecting the teeth from trauma, caries, or any other infections. Pulp exposures resultantsto caries are the most universal in deciduous teeth due to the relatively bulky size of the pulp chamber.The pulp in deciduous teeth is capable of healing, following control of infection, and inflammation. Apulpectomy is mainly preferred in non-vital teeth (done in various vital teeth also), where the teeth canbe cleaned and disinfected and preserved for more no. of coming years. Pulp rehabilitation for pulpallyimplicated deciduous teeth continues to be a confront to practitioners. One of the majority important areasof continued examination is in the area of discovering obturating resources to suit the precise properties ofthese teeth. This piece of writing aims at reviewing the objectives, types, technique, restorative materialsused, indications and contraindications and conclusion
Ethical Marketing in Orthodontics: A Review
Sumita Mishra1, Ananya Panda2, Smruti B. Nanda3
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.v14i4.13268
Due to rise in the Orthodontic treatment by general dental practitioners and pedodontists, there has beena widespread increase in the mass promotion and publicizing by the Orthodontists about their specialtyand particular expertise. Earlier, treatments were advocated in the form of maintenance of good oralhealth, however, it is now being recommended to patients as life-enhancing. Commercialism in publicizingorthodontic care has taken up the field. Because of the elective nature of Orthodontics, highly productivemarketing strategies are aimed at those with discretionary income or insurance benefits. This kind ofcommercialism deteriorates the name and fame of the Orthodontist and the opinion of the people by castinga picture of greed. Inappropriate advertising can make a dental practitioner look more like a business personthan a professional service provider.
Effect of Nursing Intervention on Prevention of Exclusive Breastfeeding Discontinuation
Sahar S. Kamal1, Wafaa E. Ouda2, Safy S. Al-Rafay2, Fatma M. Mohamed3
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.v14i4.13302
Introduction: Planned nursing intervention and health education regarding exclusive breastfeeding (EBF)improved knowledge, practice and attitude of mothers and contributed to prevention of EBF discontinuationwhich can consequently reduce the worldwide infants’ morbidity and mortality rates. Aim of theStudy: The present study aimed to investigate the effect of nursing intervention on prevention of EBFdiscontinuation. Study Design: A quasi-experimental design was utilized. Setting: Obstetric OutpatientClinic, Breast Feeding Room in NICU of Children’s Hospital affiliated to Ain Shams University hospitalsand MCH center in Abassia sector/Cairo/Egypt. Subject: A purposive sample of 100 mothers of infantsaged from birth up to 6 months. Tools of the Study: Predesigned questionnaire to assess: mothers andinfants characteristics, knowledge regarding factors affecting EBF discontinuation and its prevention,Iowa Infant Feeding Attitude Scale and observational checklists to assess mothers? breastfeeding practice.Results: It was clear that the majority of the studied mothers had good knowledge, positive attitude towardsprevention of EBF discontinuation and improved practice of breastfeeding post implementation of nursingintervention. There was statistical significant difference between total knowledge of the studied mothersregarding factors affecting EBF discontinuation and its preventionand total practice of breastfeeding pre/post nursing intervention. Conclusion: Nursing intervention had a positive effect on prevention of EBFdiscontinuation. Recommendation: Developing initiatives,pre and postnatal health education programs forprotecting, promoting and supporting breastfeeding which aid in the prevention of EBF discontinuation.
Socio-Demographic Profile of Fatal Poisoning in a Tertiary Care Teaching Hospital of Coimbatore District-A Retrospective Study
Angayarkanni S1 , Jeyasingh T2
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd
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DOI: 10.37506/ijfmt.v15i1.13365
Background: Poisoning poses a major public health problem mainly in developing countries. Because ofthe rapid industrialization and advancement in agricultural sector, fatality by poisoning also increases dayby day. The aim of this study is to determine the socio-demographic profile of fatal poisoning in CoimbatoreDistrict. Methods: This retrospective study was carried out in Department of Forensic Medicine, CoimbatoreMedical College, Coimbatore, Tamil Nadu with data obtained from fatal poisoning cases brought forpostmortem examination from January 2016 to December 2016. Identification of specific poisons were donewith chemical examiner’s report. All collected data were analyzed in various possible aspects in the preparedproforma. Results: During the study period the total number of medico legal autopsies conducted were 3675out of which fatal cases due to poisoning were 600(16.33%) cases. The study showed that the incidence ofpoisoning was more common among married men ie.303 cases (50.5%) out of 600 total number of poisoncases. The incidence was more common in the age group 31 – 40 years in males (86 cases) which formed14.3 % and in females it is 21-30 years (65 cases) which formed 10.8%.When we observed the religion wisedistribution, Hindu males out numbered 369 out of 600 cases which formed 61.5%. Conclusion: Morbidityand mortality due to poisoning can be minimized by health education, early referral, establishment oftoxicological units for detection of specific poisons and appropriate guidance for proper management ofpoisoning cases at hospitals and primary health care centers.
Impact of Pilates Training versus Progressive Muscle Relaxation Technique on Quality of Life in Menopausal Women- A Comparative Study
Anjali Bais1 , Pratik Phansopkar2
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd
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DOI: 10.37506/ijfmt.v15i1.13366
Background: Menopausal women shows common symptoms which includes night sweats and hot flushes,heart distress, disturbances in sleep, depression, irritability, anxiousness, weight changes, physical andmental fatigue, joint and muscle pain. This affects the Quality Of Life of the Menopausal women. PilatesTraining has proven beneficial for enhancing Quality Of Life in menopausal women but there is paucityof evidence of effect of Progressive Muscle Relaxation Technique in Menopausal women on QOL. Theresearch is an initiative study that focuses on the effectiveness of PMRT on the various aspects of QualityOf Life of the menopausal women and comparison of the Pilates training and PMRT in order to enhance theQOL of participants.Aim and Objective: Effect of Pilates training & Progressive Muscle Relaxation Technique on menopausalwomen’s Quality Of Life and comparison of both the technique.Methods: 42 participants aged more than 45 years will be randomly categorized in two groups: Group A(n= 21) and Group B (n=21). The study duration will be of 6 months. The pre and post Intervention willbe taken from both the group and data will be analyzed with the help of main outcome measure which isMenopause specific Quality Of Life (MENQOL).Result- The expected result would include the details about whether the measures are effective for improvingthe quality of life in menopausal women, as well as the comparison of both the interventions. Data will beanalyzed using paired t-test.Conclusion- It will be published after results are analyzed
Comparison of Muscle Length in Dominant Versus NonDominant Lower Extremity in Young Asymptomatic Individuals- A Research Protocol
Anushree Pawar1 , Pratik Phansopkar2 , KiranKumar3
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd
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DOI: 10.37506/ijfmt.v15i1.13367
Background: Muscle length is defined as the length at which the maximum amount of force a muscle isable to produce. This length is determined by the joint angle corresponding to that muscle. Understandingthe optimal muscle length as well as its comparison between the extremities is very important as a partof examination in physiotherapy, particularly in the cases of musculoskeletal disorders. Several tests areavailable for testing the muscle length. However standardize and reliable tests have been chosen to preventthe error while testing. Many studies have shown that there was difference in the lengths of muscle of lowerextremity which was assessed in different players. However there is paucity of study on the muscle lengthof individuals who are completely normal and not the athletes.Objectives: The objective of this study is comparison between the length of iliopsoas, hamstring,gastrocnemius, rectus femoris in dominant to non-dominant extremity in young asymptomatic individualsaged between 18-25 years.Methods: Measurement of hamstring, iliopsoas, rectus femoris and gastrocnemius length will be acquiredthrough standard goniometer. The methods of assessment that will be used are; active knee extension (AKE)tests the hamstrings, Thomas and modified Thomas test to evaluate iliopsoas and rectus femoris while prone,figure-four position accompanied by dorsiflexion for gastrocnemius.Results: Once the study is completed, the parameters of outcome measure will be statistically analyzed andcalculated.Conclusion: Based on the previous data we assume that there can be a significant difference between themuscle lengths of lower limb in normal person.
Isoniazid Mono Resistance: Changing Trends in Drug Resistant Pulmonary Tuberculosis. – A Case Series of 3 Patients
Arti D. Shah1 , Anchal Jain2 , Apoorva3 , Kusum V. Shah4 , Yash Rana5 , Saket kumar6
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd
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DOI: 10.37506/ijfmt.v15i1.13368
Drug resistant tuberculosis is a major public health concern in many countries including India, Isoniazidresistance (INH) accounts for 7.2 % of new cases globally.1In our case series 3 patients had INH monoresistance out of which 2 patients had no previous history anti tuberculosis therapy (ATT). All 3 patientsreceived 6 months of standard regimen under National Tuberculosis Elimination Programme (NTEP).All patients showed clinical improvement. INH mono resistance diagnosis is often delayed due to lack ofinfrastructure of 1st line probe assay (LPA) at various centres. INH mono resistance if diagnosed early canalso help in prevention of Multi drug resistant tuberculosis (MDR TB)
Study on Effectiveness of Chakramarda (Cassia tora) Ghrit and Go-Ghrit in the Management of Parikartika (Fissure in Ano)
Alok Kumar Diwedi1,Alok Kumar Diwedi1, Kiran Khandare2 , Pooja Shrivastav3 Kiran Khandare2 , Pooja S
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd
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DOI: 10.37506/ijfmt.v15i1.13369
The term Parikartika is used for the condition of Guda (anus) where cutting and burning pain occurs, also alongwith this pain occurs in anus, penis, umbilical region and neck of urinary bladder with cessation of flatus. In modernmedicine trend of the management depends on the type of the disease, e.g. in cases of acute variety with short historyof the problem can be treated on the conservative lines, which results in healing of almost all acute and majorityof chronic fissures. Priority must be placed normalization of bowel habits such that the passage of stool causes lesstrauma to anoderm. The addition of fiber to the diet to bulk up the stool, stool softener and adequate water intake arethe simple and helpful measures. In the present study, an effort was made to derive a standard and easily accessibletreatment for fissure-in-ano. Chakramarda is having vra?a shodhana and ropa?a properties which can help the Vra?a(ulcer) to heal rapidly. Its base is Ghrit which itself is having Samskaranuvarti (i.e. it enhances the properties of drug)and healing properties. Chakramarda Ghrit is economically beneficial by virtue of easily available ingredients anda time tested classical formulation. Hence, it was selected for the clinical evaluation in the present study. It provedto be significant in managing Fissure in ano, it reduced pain, itching, bleeding and promoted healing. Properties ofits chemical constituent’s probable mode of action can be derived that Chakramarda is efficient in healing any ulcerlike anal fissure.