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Indian Journal of Forensic Medicine & Toxicology
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Core Subject : Health,
Articles 5,497 Documents
Percutaneous Subclavian Artery Covered Stent Placement Following Inadvertent Subclavian Arterial Cannulation Cinosh Mathew1 , R Calton2
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i1.13370

Abstract

Inadvertent subclavian artery canulation although rare is a life threatening complication of central venouscanulation. Its prompt recognition and management by stent placement, thrombin injection, Angio seal orgel foam embolization is essential to minimize fatal complications. We describe a case report of subclavianarterial canulation which was recognized and managed percutaneously by covered stent placement withoutcomplications.
Correlation of Vitamin D level with severity of Coronary Artery Disease(CAD) in patients of Acute Coronary Syndrome(ACS) in a Tertiary Care Centre in Western India Cinosh Mathew1 , Nishant Saxena2 , Ashish Sharma2 , Jayesh Rawal3
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i1.13371

Abstract

Background : Vitamin D deficiency (VDD) is a widespread problem in developing countries. Recentstudies have shown association of Vitamin D deficiency with atherosclerosis and Coronary artery disease.This study was conducted to assess the relationship between Vitamin D and the severity of coronary arterydisease (CAD) in patients undergoing coronary angiography.Materials and methods: Consecutive patients who underwent coronary angiography for acute coronarysyndrome or effort angina were included in a descriptive cross-sectional study and their Vitamin D levelwas measured. CAD was defined as at least one vessel stenosis >50% on coronary angiography. Vitamin Dlevels were correlated to the CAG findings as to the severity and number of vessels involved and also to thetraditional CAD risk factorsResults: Vitamin D Deficiency was noted in 70.72% of the population in the study. Patients were classifiedas normal Vitamin D level(> 30ng/ml), Vitamin D insufficiency (20-30ng/ml) and Vitamin D Deficiency(<20ng/ml). Vitamin D levels had inversely correlated with significant coronary artery disease both fornumber of vessels involved and severity (p<0.001) and dyslipidemia(p=0.009). No significant associationwas found between VDD and other risk factors such as age, sex , hypertension, diabetes mellitus andsmoking.Conclusion : Vitamin D deficiency was noted in majority of the patients undergoing CAG and was foundto be significantly associated with the prevalence and severity of CAD. However studies involving largerpopulation are needed to evaluate whether supplementation with vitamin D may help in prevention ofatherosclerosis and further development of CAD.
A Questionnaire-Based Study to Evaluate the Basic Understanding of Pharmacovigilance of the Under Graduate Medical Students of a Rural Teaching Hospital Ervilla E. Dass1 , Maulin Mehta2 , Jayant Patharkar3
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i1.13372

Abstract

Introduction: Adverse Drug Reactions (ADRs) have presently been greatly contributing to the hospitaladmissions, prolongation of the hospital stays, visits to the emergency departments, in turn, contributingto the economic burden of healthcare management. Pharmacovigilance is predominantly concerned withADRs, and drug safety. The basic understanding about pharmacovigilance is essential for future medicalprofessionals as they will come in contact with the patients and can efficiently report the ADRs.Aim: To evaluate the basic understanding about pharmacovigilance and create awareness in medical studentsof a rural teaching hospital.Materials & Methods: This was a non-interventional questionnaire-based study, where medical studentsfrom a rural teaching hospital were included in the study. They were distributed a simple questionnairerelated to pharmacovigilance basic knowledge, through google form link, which they had submitted. Thedata was analysed.Results: Total 92 participants were included in the study. It was found that, 57.8% of these were female and42.2% were males. Moreover, regarding assessing the basic pharmacovigilance knowledge it was reportedthat 98.9% were aware about healthcare professionals who can report ADR. Nearly 83.5% were aware aboutpharmacovigilance. Nearly 70% of the participants had not heard about pharmacovigilance before joiningpharmacology lectures. Majority of the participants had never attended any seminar/workshops and agreedto attend in future.Conclusion: The results indicate that the basic understanding about pharmacovigilance is improving andmedical student shows interest about creating awareness related to pharmacovigilance, as it is an importantaspect of drug safety. However, to further improve their understanding awareness programs for medicalstudent can be conducted.
Assessing Fear-Avoidance Belief Questionnaire and Quality of Life in Housewives with Knee Osteoarthritis : A Research Protocol Dhanashri R Ghordadekar1 , Angela Kapoor2
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i1.13373

Abstract

Introduction - Osteoarthritis (OA) is an inflammatory disorder of cartilage, degeneration of synovial fluid,osteophyte formation, thinning of joint space and sub-chondral sclerosis. The prevalence of osteoarthritis inIndia was found to be around 28.7%. Females are generally more affected than males with the ratio of 2:1.Of all the joints knee and hip joint are seen to be most commonly affected joint in OA. Prevalence of kneepain is common amongst housewives due to prolong standing and frequent bending. Strenuous physicalactivity, especially activities requiring kneeling, knee-bending, stair climbing, squatting, prolonged standingas well as knee injury and trauma have also been linked to a high prevalence of symptomatic knee OA. KneeOA causes pain of various degree depending upon the severity of disease which can cause fear in patients.The fear related to pain can results in decrease in quality of life.Purpose - Purpose of this study was to assess fear amongst housewives related to OA using fear-avoidancebelief questionnaire and the effects of fear on their daily life using WHOQOL-BREF.Methodology - 200 housewives will be selected according to exclusion and inclusion criteria. Their kneeradiography was done to look for level of OA. Then those ladies were interview to find their fear related todisease and its effects and how that affects their quality of life.Results - Results are awaited till the study is completed.Conclusion - Conclusion of this study depends upon the result of this study.
Screening for Upper Cross Syndrome in Asymptomatic Individuals Heena Pathan1 , Pratik Phansopkar2 , Waqar M. Naqvi3
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i1.13374

Abstract

Background: Upper cross syndrome has become prevalent in today’s population. This syndrome refers totightness of muscles such as pectoralis major, upper trapezius and levator scapulae and weakness of deepneck flexors, scalene, rombhoids, serratus anterior, middle and lower trapezius. Poor posture is associatedwith imbalance created in musculoskeletal system and common condition to be reported as upper crosssyndrome. It is commonly seen in people with forward head posture, desk job workers, dentist, beauticiansetc. The resulting clinical presentation is complaint of pain in neck and shoulder, cervicogenic headache,hunched upper-back and rounded shoulder. Children are not as proactive today and the rate of the Uppercross syndrome is on the rise. This deviated posture and sedentary lifestyle continues, where it progressesmore as the age progresses in adulthood. Aims and objectives: To screen, detect, early treat as well asprevent upper cross syndrome in young individuals. Materials and methods: Asymptomatic individualwith 20-40 years of age group will be explained about the procedure before commencement of the study.Posture will be screened using Kinect Azure and REEDCO Posture Assessment Scale will be used forevaluation. Assessment of muscle tightness and weakness will be evaluated using muscle length tests andmanual muscle testing.Results: The expected results would include details about prevalence of UCS in asymptomatic individual.The parameters of outcome measures will be analyzed using the statistical test namely students paired T-test.Conclusion: Based on previous data we assume it is essential to screen asymptomatic individual to looks forsigns of Upper Cross Syndrome for early detection, prevention and treatment.
A Novel Research Protocol to Evaluate Psychological Perception Using Brain Gym Exercises in Physiotherapy Students Vaishnavi v. Siroya1 , Angela Kapoor2
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i1.13375

Abstract

Brain Gym is an academic kinesiological program that is promoted and applied with a consistent learningpurpose that aims at enhancing performance such as memory, psychological perception and cognitiveskills. The technique requires the participant to communicate with a series of activities that help the bodyto understand the primary behaviour and learn how to coordinate the brain and entire body. Brain Gymactivities includes of 26 basic motions, which are believed to improve perception and stimulates brainhemisphere by neural re-modelling to facilitate whole brain learning. By ways of balancing both the side ofbrain, behavioral difficulties, social and intellectual burdens are expected to be reduced.Aims and Objective: This study aims to evaluate the psychological perception and decrease depression inthe undergraduate physiotherapy students.Method: Here’s a idea we suggest to check the psychological perception with brain gym interventionand the duration for practices comprises of three days a week session, duration of 25 minutes, which iscompleted in one hour. The depression anxiety stress scale (DASS 21) is used to evaluate disorder which isa valid and reliable tool. This study will be conducted in Ravi Nair Physiotherapy college, Sawangi, Meghe,Wardha. The duration of the study will be six months. The study design is of before after-type with simplerandomized sampling.Result: The data will be analysed using Student paired t test.Conculsion: The expected outcome includes the detection of stress, depression and anxiety levels whichwill be evaluated by using DASS-21. Data analysis will be done using students paired t test and conclusionof the study will be published after the results are analysed.
Gaming addiction to Massively Multiplayer Online Games (MMOGs) and Quality of Life Divya Thakur1 , Kamalpreet Shergill2 , Gurpreet Kaur3 , Shindbir Kaur4 , Devakshi Abrol5 , Harjot Si
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i1.13376

Abstract

Context: Massively Multiplayer Online Games (MMOGs) are three dimensional games played on personalcomputers, mobile phones & video games. Millions of people of all ages worldwide participate in gamingand it has become most popular leisure activity for them which sometimes appear to develop problems asa result of excessive gaming, most commonly among young adults/young adults/ students. Aim: The aimis to assess the relationship between gaming addiction to Massively Multiplayer Online Games (MMOGs)and quality of life among young adults. Setting and Design: Data collection for the present study wasconducted at Private University of Punjab, India in April, 2019. A quantitative research approach withdescriptive research design was adopted to assess the relationship between gaming addiction to MassivelyMultiplayer Online Games (MMOGs) and quality of life among young adults. Subjects and Methods: Bypurposive sampling technique, 100 samples (18-21yrs) meeting the inclusion and exclusion criteria wereselected. Statistical analysis used: Descriptive and inferential statistics were used. Results: Findings of thestudy revealed that 61% young adults/ students were non addicted and 39% were addicted to gaming andquality of life was good among addicted and non addicted young adults/ students & there is no significantrelationship between gaming addiction to Massively Multiplayer Online Games (MMOGs) and Quality oflife at p<0.05.Conclusion: MMOGs can improve quality of life and playing these online games for long hours may havelong term ill effects on various components of health.
Knowledge, Attitude, and Practice about informed consent amongst Resident doctors at Rural Medical Institute of Central India Shashank Gotarkar1 , Prakash Mohite2 , Kumar Bijyendra Sourabh1 , Alka Rawekar3
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i1.13377

Abstract

Informed consent is the process by which the treating health-care provider discloses appropriate informationto the patient so that the patient may make a voluntary choice to accept or refuse treatment. There are fewstudies done amongst the medical residents in India about informed consent. The residents are the steppingstone of the Medical profession, it is proposed that the perception about the informed consent amongstthe residents shall be sought. Hence, the study was undertaken with the aim, to appraise the knowledge,attitude, and practices of residents of all three years toward ‘informed consent taking’ with the objectives ofassessing and comparing the knowledge, attitude and practices of obtaining informed consent. The surveyquestionnaire was circulated and data was collated. It was developed in Knowledge, Attitude and practicedomain and analysis was done. Based on the result, it was concluded that, in all three domains, there wasascendency of Knowledge, Attitude and Practice in three years of resident doctors.
Total Elbow Arthroplasty in a Rare Case of Giant Cell Tumour of Humerus: A Case Report Gajanan Pisulkar1 , Kiran Saoji1 , Ulhas Dudhekar1, Sridhar Reddy2 , Shivshankar Jadhav2 , Mohit Dad
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i1.13378

Abstract

Giant cell tumour forms 4 percent - 5 percent of all bone tumours & 20 percent of all benign bonetumours. It is responsible for 20 percent of bone tumours in China. It is usually single , aggressive locally& accounts for 5 percent of metastasis & 1 percent - 3 percent with malignant changes. Most commonlyit is found in people aged 30 to 40 years and in the long bones mainly the meta-epiphyseal region. It is most commonly affects the distal femur , distal radius , proximal tibia and proximal humerus.But the occurrence in the distal humerus is rare. A 50 year old male patient who came with complaintsof pain and swelling over right elbow since 3 years. Patient gave history of trauma to right elbow ashe met with a road traffic accident. After few days patient noticed swelling which was insidious inonset and gradually kept increasing in size. Patient also had pain in right elbow which was insidiousin onset and increased in severity daily. Pain was managed with total elbow arthroplasty and elbowrange of motion improved after the surgery. Patient was managed with total elbow arthroplastyand wide resection of tumour which has good functional outcomes , less complications and lowerrecurrences rates. Patient was followed up at 18 – month and free range of motion of 10º to 110ºwithout pain along with no proof of reoccurrence was noted .
Relationship between Working Tenure and Working Posture with Musculoskeletal Grievance in Batik Madura Workers Galuh Sistha Prabarukmi1 , Noeroel Widajati2
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i1.13379

Abstract

Introduction: Batik is one of the cultural heritages of Indonesian people. Batik is the result of acculturationof Javanese, Hindu and Islam which is written on a sheet of fabric. The process of making batik fabrictakes a long time. This condition causes many batik workers experience work related disease, such asmusculoskeletal grievance. This research aimed to analyze the relationship between working tenure andworking posture with musculoskeletal grievance in Batik Madura workers.Methods: This research was an observational research with a cross sectional design. The research populationwas all Batik Madura workers. The sample in this study was 61 Batik Madura workers. The variablesresearched included working tenure, working posture and musculoskeletal grievance.Data were collected by observation, filling out research questionnaires, and Nordic Body Map (NBM). Thedata analysis used was the Spearman correlation.Results: There was no relationship between working tenure with musculoskeletal grievance with a value ofp = 0.837 and there was relationship between working posture with musculoskeletal grievance with a valueof p = 0.000.Conclusion: The working tenure didn’t have relationship with musculoskeletal grievance. The workingposture had a relationship with musculoskeletal grievance.