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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
 274   275   276   277   278 
Effectiveness of Transport Guidelines on Intra Hospital Transport Practices of Nurses and Occurrence of Mishaps among Critically ill Patients Gautam Sakshi1 , Sembian N2 , Kumari Vinay3
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.v15i1.13380

Abstract

Background: Intrahospital transport means transporting ill patients for diagnostic and therapeutic procedureswith in the hospital. Implementation of intrahospital transfer demands a well organized meticulous planningand prompt application of well designed plan.Objectives: To compare intrahospital transportation practices and occurrence of mishaps during intrahospitaltransport before and after administration of hospital transport guidelines and to determine the associationwith situational variables (level of floors and distance of destination)Methods: Quasi experimental one group pre test post test design was used in the study by event sampling.55 pre test transport and 62 post test events were selected. IHT guidelines was given to nurses working inoperation theater by using demonstration cum lecture technique, one on one teaching provided to individualnurse consecutively. Observational technique was used for data collection Result showed that the meanpercentage of intrahospital practice were higher(89.37%) then pre test (40.03) with a mean difference of49.33. Computed t value (t=37.46,p=0.000) was statistically significant .Chi square value of occurrenceof mishaps regarding intrahospital transport is(X2 =53.9,p=0.001) statistically significant F value betweentransportation practices with distance from OT were(f=1.68,p=0.16) and Computed t value practices withlevel of floor were (t=1.60,p=0.39) statistically not significant at 0.05 level of significance. ConclusionIntrahospital transportation guidelines are effective in reducing mishaps and increases transportationpractices.
Knowledge of Women about the Early Detection Methods of Cervical Cancer in Baghdad City Iman A Jaber
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.v15i1.13381

Abstract

Background: Cervical Cancer is considering a public health problem, leading cause of mortality andmorbidity among women.Objective: To assess women’s knowledge regarding cervical cancer and. early detection methodsMethodology: A descriptive study was conducted, included (200) women from different levels of educationwho work in the institute, from 5th November 2018 to 30 April 2019, by using interview technique and selfreporting technique . A non-probability (purposive) sample of (200) women. The questionnaire was usedfor data collection. The validity was estimated through a penal of experts related to the field of study, and sous the reliability was evaluated through a pilot study conduct included (10) women (except from the originalsample). Data is analyst through the implementation of descriptive and inferential statistical analysis.Results: The results of this study show that the knowledge of the study sample was low regarding earlydetection methods, prevention treatment and there was statistical significant relationship between level ofknowledge, and some variablesRecommendations: It was recommended that increase coverage in cervical screening programs from Iraqministry of health to encourage women in Iraq. In addition, training program should supply in educationalinstitute
Causative Microorganisms and Antibiotics Susceptibility in Neonatal Sepsis at Neonatal Intensive Care Unit: A Longitudinal Study from Diyala Governorate in Iraq Issam Tariq Abdul Wahaab1 , Sura Qais Mahmood Almaroof 2, Zaid Taha Yaseen3
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.v15i1.13382

Abstract

Background: Neonatal sepsis is classified into two types, early-onset and late-onset sepsis, depending onthe time of appearance of the clinical features of neonatal sepsis.Objective: We aim to detect the most common causative organisms of neonatal sepsis and to evaluate thecorresponding antibiotics susceptibility in the Diyala governorate.Patients and Methods: We prospectively collected a convenient sample of 106 sepsis-proven neonatesfrom the neonatal intensive care unit at Al-Batool teaching hospital. We assessed all cases based on clinicalfeatures, laboratory investigations, and demographics.Results: Late-onset neonatal sepsis was predominant (77.4%) among neonates, and it was significantlyassociated with neonatal prematurity and the mode of delivery at p-values of 0.03 and 0.045 respectively.Premature neonates and those who were the product of cesarean section were more prone to developlate-onset neonatal sepsis with a relative risk of 2.8 and 2.54 respectively. The most common causativemicroorganism of early-onset neonatal sepsis was found to be Escherichia coli in 45.8% of cases whilethose causing late-onset neonatal sepsis were mainly due to Gram-negative bacilli represented by Klebsiellapneumonia (46.3%) and Acinetobacter baumannii (24.4%). Multi-drug resistance was evident for most ofthe causative microorganisms.Conclusion: To recapitulate, late-onset sepsis appeared was more common among Iraqi neonates, and it wassignificantly associated with the neonate prematurity and C-section mode of delivery.
A Study Evaluating Correlation between Umbilical Cord Attachment on Placenta in Normotensive and Hypertensive Pregnant Females and its Effects on Fetus K M Parmar1 , Kinjal Jethva2 , Priyanka Sharma3 , Nirali Chavda4 , Hetal Vaisnani5
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.v15i1.13383

Abstract

Introduction: Well nourished newborn is a reflection of adequate placental function.The umbilical cordthat connects fetus and placenta can attach itself to placenta at different placenta.The incidence of central,eccentric, marginal and velamentous cord insertion is 18%,73%, 7% and 1-2%, respectively. This insertiontype significantly influences fetal growth and pregnancy outcomes.Methodology: This study was conducted in Department of Anatomy of SBKS MIRC, Vadodara. This was acomparative study between normotensive and hypertensive group in which 500 subjects, in each group wereincluded. Insertion of umbilical cord on placentawas determined and fetal growth and outcome with type ofinsertion were correlated.Results: The two groups were comparable in terms of demographics.Higher proportion of those inhypertensive group had marginal insertion of umbilical cord (23.40%) as compared to 2.90% in normotensivegroup. Mean systolic (150.10±7.51mmHg) as well as diastolic blood pressure (91.23±4.00mmHg) washigher in those with marginal insertion of placenta. Mean fetal birth weight and APGAR score at birth and 5minute and proportion of fetus reaching full term, live births were low in those in those in the hypertensivegroup especially in those with marginal insertion of placenta.Conclusion: Thus it can be concluded that abnormal attachment of umbilical cord on placenta has significantimpact on fetal growth and influences the outcomes of pregnancy directly and indirectly
A Cross Sectional Discriptive Study of Analysis of Lambdoid And Squamous Sutures Closure by Ct Scan for Age Estimation Kalpesh M Zanzrukiya1 , Lavlesh Kumar2, Ashish A Bhalodiya3
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.v15i1.13384

Abstract

Background– Identification is fixation of an individuality by various physical and biological parameters.An individual’s age determination is very important in various civil and criminal medicolegal cases. Ageestimation by cranial sutures closure is an old method. This study was conducted to analyze closure oflambdoid and squamous sutures for age estimation in living individuals by CT scan.Objectives– To study the pattern of closure of lambdoid and squamous sutures with relation to age ofperson. To detect bilateral and bisexual variations in same.Materials & Methods–We had done a descriptive cross-sectional study by CT scan head of 130 living adultpersons and analyzed them for closure status of lambdoid and squamous sutures in co-relation to age.Results– In Lambdoid suture complete closure observed 5yrs earlier in upper 2/3rd(L1&L2) parts of rightside than left side in both sex while while complete closure observed very late ages(>75yrs) or not atall(lapsed union) in lower 1/3rd(L3) part. Both sides of Squamous sutures follow more or less same patternfor closure in relation to age and sex while complete closure observed at very late ages(>75yrs) or not atall(lapsed union).Conclusion– Closure of Lambdoid and Squamous sutures should be used only as corroborative to othercriteria and evidences for age estimation as they might be unreliable as standalone until proven otherwise.
Effectiveness of Laughter Therapy on Reduction of Stress among Nursing Students Kanika Guleria1 , Pushplata Manta2
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.v15i1.13385

Abstract

Context: Stability of hormones are being effected by consistent stress in the human body which leads tochanges in thoughts and situations that make the individual perplexed, restless or anxious. Laughter therapy isthe antidote for stress. It helps to release serotonin in brain which is essential for the uplift of mood.Aim: The aim of this research is to find out the efficacy of laughter therapy on the decline of stress.Setting and design: Data collection for the commenced study was conducted at Sri Sukhmani College ofNursing and Amar Professional College of Nursing, Dyalpura, District Mohali, Punjab. A quantitative approachwith “Quasi-experimental design” was adopted to conduct this research.Methods and Material: Technique used for selecting the subjects was purposive sampling technique. 60subjects were selected and sub grouped into experimental and control group (30 each). 5 point likert scale i.e.Sheldon Cohen?s (1983) Perceived Stress Scale which includes 10 items, was selected to evaluate the level ofstress among nursing students.Statistical analysis used: Descriptive and inferential statistics were used.Results:• Before implementation of laughter therapy, it was identified that stress scores were approximately samein both the groups.• After implementation of therapy, it was identified that stress scores in the experimental group was lowerthan the control group.Conclusions: Study concluded with the result that stress level is alleviating among student nurses with helpof laughter therapy
Current Trends of Poisoning in Tertiary Care Hospitals Located in a Rural Area of Salem, Tamil Nadu, India Koteswara Rao. Vipparla1 , Vijaya Kumari2
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.v15i1.13386

Abstract

Time wise epidemiological studies are important to find out the trends of poisoning in each region. Thepresent study was conducted by collecting data regarding age, sex, marital status, religion, occupation, typeand manner of poisoning of cases which got admitted and treated over a period of 3 years to know the currentpattern of poisoning in tertiary care hospitals located in a rural area of Salem, Tamil Nadu.Total number cases studied were 170 cases, Among them 60cases (35.3%) belonged to 21-30yrs, maleswere 86 cases (50.6%) and females 84 cases (49.4%), both the sex were almost equally distributed, 103cases(60.6%) were married, 151cases(88.8%) came from rural area, 160 cases (94.1%) were suicidaland all belonged to Hindu religion. Occupation-wise 56 cases (32.9%) were house wives, students 51cases (31.8%), followed by farmers, laborers and others. Coming to the type of poisons, maximum wereorganophosphorous compounds 38 cases (22.4%), followed by Paraquat, 3% yellow phosphorous, oleanderseeds and others.
Epidemiological Profile of Burn Cases among autopsies Conducted in Dept. of FMT, RIMS, Ranchi
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.v15i1.13387

Abstract

Introduction : Every year, it was found that burns caused by fire were responsible for about 265,000 deathsglobally. More than 90% of fatal fire-related burns occur in developing or lower and middle income countries(LMICs). Out of this, South- East Asia alone accounts for more than half of these fire-related deaths. InSouth East Asian region, death due to Burns in girl / women is more than that of Tuberculosis, HIV/AIDSand malaria combined. In India, burn injury is found to be one of the major causes of death, especially infemales. The problem of death due to burns in developing countries like India is primarily due to varioussocio-cultural factors prevalent in the country. Some of these factors include poor housing conditions, poormaintenance of electrical appliances, and customs of wearing dresses like sarees or dupatta, practice ofdowry, illiteracy level and poverty.Material and Method: Materials for the present study were collected from the medico legal autopsies of296 burn cases, performed at the mortuary of Rajendra Institute of Medical Sciences (RIMS), Ranchi, duringthe period from January 2018 to December 2018. A detailed performa was designed with a definite set ofquestionnaire which formed the basis of this study.Results: In our study, out of the 296 cases, the most common age group involved was 21-30 years with afemale sex predilection (female to male ratio of 1.5:1). As far as the marital status is concerned, most caseswere of married men and women (66.22%) involving mostly Housewives (43.25%). The most common timeperiod involved was between 4 PM to 10 PM (35.47%). Most of the cases took place at home (75.34%).Conclusion:- Our study primarily focuses on the epidemiological profile of data involving burn cases in thispart of India which is relatively a backward area comprising of a majority of tribal population.
Systemic Sclerosis and Pulmonary Tuberculosis Associated with Interstitial Lung Disease: A Case Report
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.v15i1.13388

Abstract

A 59-year-old man had complaints of shortness of breath, thickened and dry skin especially on both hands.Results of thoracic HRCT obtained interstitial lung disease. A year after, the patient underwent geneXpertsputum test because he still complained of coughing with white phlegm and tightness while doing activity.The test obtained Mycobacterium tuberculosis 2+. He received anti-tuberculosis drugs. One monthafter infection, the patient was evaluated for Mycobacterium tuberculosis, while administration of antituberculosis drugs was continued for up to 8 months. In the second year, the patient had severe restriction,and was given advanced anti-tuberculosis drugs in the sixth month.
A Study Protocol for a Randomized Trial on Effect of Safe Patient Handling (SPH) program on Rehabilitation Outcomes and on Safety of Physical Therapists in Rural Hospital Poulami Bhandakkar1 , Deepali Patil2 , Angela Kapoor3
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.v15i1.13389

Abstract

Introduction: Patient management and intervention practices are a crucial component of patient treatmentin the hospitals. In recent times the focus is put on early and regular mobilization of patients to boost recoveryduring and after hospitalization. Increase in inpatient mobilization to improve patient treatment raises aphysiotherapist’s physical demands and therefore risk of injury. With the context of a patient mobilizationprogram, better work procedures and decrease in physiotherapist’s injuries while working, SPH programwill be incorporated.Purpose : The goal of this research is to evaluate the effect of SPH program and mobilization in context ofefforts to improve quality of health care and safety of patients as well as the physical therapist.Method : There will be 2 groups, intervention (SPH) and comparison (no-SPH) each group will consist of20 patients. The intervention group will be consisting the patients admitted in rehabilitation unit for the firstthree months of the research and the comparison group will consist the patients admitted in rehabilitationunit in the last 3 months of the research. Intervention group will undergo rehabilitation with SPH programwhich will include equipments like lifts based on ceiling and floors, sit to stand supports, motorized hospitalbeds and ambulation aids.Result : Statistical analysis will be conducted. Comparison will be made on a variety of characters such asage, duration of stay and diagnosis to determine equivalence between the groups. Evaluation of the impactof SPH program on recovery outcome will be done by linear regression model. FIM scores of interventiongroup at admission and discharge will be compared to the comparison group FIM scores at the time ofadmission and discharge. The linear regression model will represent the graphical overview of the meanmobility scores at the time of admission and at the time of discharge for each group.Conclusion: The publication of conclusion will be done after conducting the study and obtaining the resultsthrough statistical analysis.

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