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Indian Journal of Forensic Medicine & Toxicology
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Core Subject : Health,
Articles 5,497 Documents
Clinical Profile Management of Liver Abscess with Percutaneous Pigtail Cathater Honeypalsinh H. Maharaul; Vimal Vora; Ketul Shah
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (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.v15i2.14294

Abstract

Background: Management of liver abscess has advanced in this era with many patients wanting its nonsurgical treatment. Percutaneous drainage with Ultrasound guidance is one such minimal invasive procedurefor management of abscess with its own limitation and advantages. We have undertaken this study at ourinstitute to study clinical profile and management of liver abscess.Methodology: All the patient enrolled after taking detailed history and Ultrasound was done. After givingconsent an ultrasound guided pigtail catheter was insertion was done under local anesthesia. Post procedureall the parameters were observed and antibiotics was given and depending upon drainage of pus patientswere followed.Results: Total 30 patient of liquefied and partially liquefied liver abscess were enrolled in this study. Underlocal anesthesia ultrasound guided pigtail catheters of various sizes (14 F) were introduced in these patientsusing the Seldinger technique. There were 25 male and 5 female patients in this study.Most commonaffected age group was 31-40. Abdominal pain with fever was common presenting features. All the patientsrecovered in this study.Conclusion: Ultrasound guided percutaneouspigtail catheter drainage ofliver abscesses is cost effective andminimal invasive procedure for liquefied and partially liquefied abscesses.
Dissection of Learning Opportunities and Obstacles While Learning Through Video Conferencing Platform (VCP) - During Covid 19 Lockdown Jyoti; Khina Sharma; Jyoti Sarin
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (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.v15i2.14295

Abstract

Background- COVID 19 pandemic has influenced our lives in all the aspects, even the younger generationsare also not left untouched, specially their studies. Professional courses like nursing has integrated theorywith practical learning and due to the lock down situation both aspects of learning - theory as well asthe clinical learning are suffering. Though the teaching institutes have come up with the solutions likeonline lectures, using the video conferencing platform (VCP). This has expanded the horizon of traditionalclassroom. Though it is widely practiced in developed countries but in India it is still a new trend of learning.Purpose - of this study was to assess learner’s satisfaction level while learning through video conferencingplatform and various opportunities and obstacles learner’s faced were explored. Methods – nursing studentswere the participants and online self-reporting method was adopted for the data collection. Self-developedquestionnaire was completed by 138 participants and questionnaire had 36 items to respond on VideoConferencing Platform related to learner’s satisfaction, also opportunities & obstacles encountered whilelearning through VCP.Results – Majority (63%) of the participants were somewhat satisfied, learning through VCP and 26.1% werehighly satisfied. Observation of the opportunities were found to be better learning outcome – brainstormingstimulation, self-motivated learning, able to ask and clear doubts and lecture was reported to be captivating.Another opportunity reported was comfort while learning which included the learning in personal space,no compulsion of physical presence at teaching institute and freedom to choose which lecture to attend.Obstacles reported were related to the classroom environment where the chances avoiding questions andfooling the instructor was reported by majority participants, technical challenges like slow internet disturbedthe lecture and made it difficult to articulate lecture and also missed part of lecture. Other obstacles reportedwere decreased social interaction, participants found learning through VCP to be tiresome as compared totraditional classroom, connectivity issues disturbance create due to the surroundings. Association betweenthe course of study with satisfaction level, opportunities and obstacles were found to be significant, whereasthe association between the time spend on VCP was found to be significant only with obstacles.
Quality of Life Among Chronic Liver Disease Patients: An Exploratory Cross Sectional Survey Jyoti; Manisha Saklani; Jyoti Sarin
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (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.v15i2.14296

Abstract

Background: QOL is the general well-being of individuals and societies, outlining negative and positivefeatures of life. It observes life satisfaction, including everything from physical health, family, education,employment, wealth, religious beliefs, finance and the environment.1 Quality of life has an important statusin patient management suffering from chronic liver disease.Objectives: The present study was done to assess the quality of life among patients suffering from ChronicLiver Diseases.Material and Methods: A descriptive explorative cross-sectional research design was used. Data wascollected from 165 patients using purposive sampling technique. The quality of life Scale (QOLS) was usedto assess the quality of life among chronic liver diseases patient admitted at Institute of Liver and BiliarySciences. MELD and CTP score was used to assess the mortality and survival rate among chronic liverdiseases patient. The study participants and their care givers were informed that the study is harmless; all thegathered data was treated confidentially and used for research purpose only.Results: The results of the study revealed that 0.6 percent of the patients have poor, in 35.2 percent of thepeople have moderate whereas 64.2 percent of the people have good quality of life. In terms of physicalwellbeing of patient 11.52 percent of the people have poor, 73.93 percent have moderate while only 14.55percent have good quality of life. In relation with social wellbeing of the patient 0.61 percent of the peoplehave poor, 27.88 percent have moderate while only 17.51 percent have good quality of life. As per emotionalwellbeing of the patient 3.03 percent of the people have poor, 87.88 percent have moderate while only 9.09percent have good quality of life. In terms of functional wellbeing of patient 3.03 percent of the peoplehave poor, 60 percent have moderate while only 36.97 percent have good quality of life. The quality of lifein terms of cost showed that 11.52 percent of the patient had poor, 73.93 percent had moderate, and 14.55percent of the patient has good quality of life. The quality of life in terms of limitation due to signs andsymptoms showed that 1.21 percent of the patient have poor, 81.82 percent have moderate whereas 16.97percent of the patient had good quality of life. The weak positive correlation (r=0.48) was found betweenMELD and CTP score.Conclusion: The study concluded that only 35.2 percent of the patient have moderate quality of life, morethan half (64.2%) of the patient have good quality of life. So, the effective steps need to be taken to improvethe quality of life among patients with Chronic Liver Diseases.
Attitude of Physiotherapists Towards Dealing Subjects with Mental Illness K Jothi Prasanna; Ragini Kumari; Vigneshwar.D
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (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.v15i2.14297

Abstract

INTRODUCTION: The concept of mental health receives negative opinions and are stigmatized in publicdespite evidence of importance of mental health for social and human capital. It is important that thereshould be a multidisciplinary approach when it comes to rehabilitation of patients with Mental Illness thanconcentrating only in the psychiatry aspect. Patients with Mental Illness can also suffer from physical healthrelated co-morbidities in which physiotherapy can play a role in improving the lifestyle. OBJECTIVE:The aim of the study was to assess the attitude of physiotherapists towards subjects with mental illness.METHODS: A non-experimental study of convenient samples was carried out among 100 physiotherapists.Data collection was performed using the questionnaire MICA-4(Mental Illness Clinicians Attitude Scale).The questionnaire includes 16 items and has a 6- point Likert-type response format. Each item has itsown definite score. A higher score depicts negative attitude and a lesser score shows a positive attitude.RESULTS: The data was analysed using SPSS statistics version 23. The results revealed that 73% of thesubjects had neutral attitude towards dealing individuals with any form of mental illness. CONCLUSION:The neutral attitude recorded is indicative of lack of exposure of physiotherapists in the field of psychiatry.Training at an early stage can be beneficial for future therapists to deal in a better way with mental illnesspatient having physical health problems. It is important to promote this area of specialisation both for clinicaland research studies in order to implement strategies to avoid stigmatisation.
Prevalence of the Risk of Obstructive Sleep Apnea in Relation to Obese and Overweight Collegiate Students K.Jothi Prasanna; Shanmuga Vishnu. K
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (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.v15i2.14298

Abstract

INTRODUCTION: Obstructive sleep apnea is described as monotonous collapse and reopening of upperairway during sleep which affect the ventilation. This Obstructive sleep apnea is common among obese andoverweight individuals. OBJECTIVE: The objective of the study was to determine prevalence of the riskof obstructive sleep apnea in relation to obese and overweight collegiate students.METHODOLOGY: It is a non- experimental study with sample size of 100 which include obese andoverweight. 50 subjects with obese and 50 subjects with overweight are included and assessed for risk ofsleep apnea. OUTCOME MEASURES: Berlin Questionnaire RESULTS: Percentage of low risk wasabout 56, whereas the high risk Obstructive sleep apnea was 44% among overweight. Percentage of highrisk was 52 and low risk 48. CONCLUSION: This study concluded that the prevalence of Obstructive sleepapnea had a higher risk among obese when compare to the overweight individuals.
Influence of Index Plus and Index Minus Foot on Static and Dynamic Balance among Collegiate Girls K.Jothi Prasanna; Z.Ayesha Farvin
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (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.v15i2.14299

Abstract

Background: Index plus foot is defined as the first metatarsus being lengthier than the second whereasthe Index minus foot is a condition where the second metatarsus is extended than the first metatarsal. Theprevalence of index minus foot is higher among females, a study on balance with index minus and indexplus foot on normal individual females are lacking. Objective: The objective of the study is to determine theinfluence of index plus and index minus foot among collegiate girls Methodology: It is a non- experimentalstudy with sample size of 100 are taken and tested for both static and dynamic balance. Outcome Measures:Flamingo balance test and Star Excursion Balance Test. Results: The mean and standard deviation offlamingo balance test for index plus group is 9.24+2.77423 and the index minus is 15.04+1.6655. The meanvalue of star excursion balance test for both groups resulted with less noticeable difference. Conclusion:The study concludes that there is a difference in static balance, whereas there is no differences in dynamicbalance among collegiate girls.
Study of Sperm Dna Fragmentation Index in Patients from Rural Areas of Wardha Region Kanchi S. Goenka; Akash More; Mehul Salve; Deepti Shrivastava
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (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.v15i2.14300

Abstract

Background: Sperm DNA fragmentation test is an advanced test for proper sperm function with respectto semen analysis, as semen analysis is used for motility and morphology assessment, it cannot explainsperm at molecular level and thus SDF test has been introduced to evaluate male fertility. The integrity ofgenetic material in sperm is crucial for successful fertilization & normal embryo development as this willlead to proper transmission of genetic information. Patients having varicocele, recurrent failure of ARTtecniques and improper lifestyle (radiation, smoking, alcohol, BMI, ageing, etc) are considered for spermDNA fragmentation test. SDF test is useful in selecting patients for the ART procedures i.e. IVF/ICSI/IUIand highest pregnancy and live birth outcomes.Objectives:· To predict male infertility with normal semen parameters & its diagnostic values.· To investigate the clinical factors related to sperm DNA fragmentation in male with infertility.· To investigate the rate of sperm DNA fragmentation in male related to improper fertilization, embryodevelopment and recurrent pregnancy loss.Methods: The participants (n=40) with male fertility problems will be included in randomised control trial.All 40 participants will be randomly selected to evaluate their sperm DNA integrity from their respectivesemen samples using sperm chromatin dispersion test.Discussion: Efficiency of the Sperm DNA Fragmentation test is assessed by performing sperm chromatindispersion test on respective processed semen sample using Halosperm G2 test kit.
Estimation of Chronological Age from Advanced Glycation End Products Level in Vitreous Fluid Kanicnan Intui; Churdsak Jaikang; Somlada Watcharakhom; Yutti Amornlertwatana
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (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.v15i2.14301

Abstract

Background: Chronological age estimation is an important process for corpse identification. Advancedglycation end products (AGEs) are accumulated during lifetime and have been used for forensic identification.The AGEs in vitreous humor still lack of information for age estimation. Objective: To investigate correlationbetween the AGEs level contained in vitreous humor and chronological age in postmortem cases. Methods:The vitreous humor samples were collected from the postmortem cases (n=142). The AGEs levels weredetermined by spectrofluorometer and presented in microgram of quinidine hemisulfate equivalent (?g QE/mL) and nanogram of pentosidine equivalent (ng PE/mL). Stepwise linear regression was used to generatethe equation. Results: The QE and PE showed mild positive correlation (r = 0.350 and 0.195; p <0.001,respectively) while the PE/QE ratio showed moderate negative correlation with age (r = -0.561, p <0.001).The predicted equation showed error value 12 years and gave accurate prediction in range 40-59 years old.Conclusion: The AGEs contained in the vitreous humor correlated with chronological age in postmortemcases. The other fluorescence molecules might be interfere during the AGEs measurement then the specificmethods should be developed for measuring the AGEs level to decrease the error value.
Study to Assess the Effectiveness of Structured Teaching Programme on Hospice and Palliative Care among Nursing Students Kanika Guleria; Mandeep Kaur; Amandeep Kaur
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (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.v15i2.14303

Abstract

Context: Patient and family who are confronting the issues of life threatening diseases achieves personalgratification through palliative care.Aim: The primary goal of the investigation was to determine the adequacy of “structured teachingprogramme” on hospice and palliative care amidst nursing students.Setting: Quasi experimental study was conducted in Kular College of Nursing, Kishangarh.Methods and material: “Non-probability-convenience sampling technique was utilized to select sample.60 subjects were selected for the study. Self structured knowledge questionnaire was used for data collection.Results: The outcomes indicated that pre test mean score” was 16.86 & standard deviation was 3.1 while“post-test mean score” was 23.46 & standard deviation was 4.14.Conclusion: “Structured Teaching programme” was efficacious in enhancing knowledge of nursing students.
Knowledge Regarding Computer Ergonomics and Incidence of Musculoskeletal Disorders among Desktop Users Kanika; Bindu Joseph; Jimmy Dharwal
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (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.v15i2.14304

Abstract

The use of computers has become universal. Computer technology plays an integral role in our personal,professional and educational lives and neglecting the principles of ergonomics during computer utility raisesthe risk of health problems. Musculoskeletal disorders (MSDs), Visual symptoms and Insomnia are thecommon health problems among desktop users. Aims and Objectives: To assess the knowledge regardingcomputer ergonomics and incidence of musculoskeletal disorders Methodology: In this cross-sectionalresearch study 130 desktop users were recruited as study participants. The tool used i.e. selected variablesregarding study participants characteristics and Structured Knowledge questionnaire (35 items) Results:More than 2/3rd of study participants (90%) were reported about discomfort related to eye strain, head andneck, wrist and hand, elbow, upper back, lower back, hips and thighs and knees. Less than half of the studyparticipants were at average level of knowledge related to computer ergonomics and There was significantassociation of selected variables (discomfort and severity of hand and wrist discomfort) was found with theKnowledge of computer ergonomics. Conclusions: Findings of this study concluded that there was majorityof study participants reported discomfort related to the eye strain, head and neck, wrist and hand, elbow,upper back, lower back, hips and thighs and knees and severity of hand and wrist discomfort which showedthat these organs get influence more by desktop based on body configuration.