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Indian Journal of Forensic Medicine & Toxicology
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Articles 5,497 Documents
Clinical Profile of Pediatric Patients with Acyanotic Congenital Heart Disease in Dr. Soetomo General Hospital Surabaya Kartika Hardiyani; Taufiq Hidayat; Alit Utamayasa; Mahrus Abdur Rahman; Teddy Ontoseno
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.v15i2.14306

Abstract

Congenital Heart Diseases (CHD) are classified as Acyanotic or Cyanotic CHD. Prevalence of CHDaccording to various studies is 8-10 per 1000 live births worldwide, 10% of cases became infant mortalityin developing countries. This research aims to study the characteristics and clinical presentations in childrenwith acyanotic CHD in Dr. Soetomo General Hospital. A retrospective observational study from children withacyanotic type of CHD from medical record outpatient clinic in the Division of Neonatology and PediatricWard at Dr. Soetomo General Hospital from June to December 2016. Age, sex, heart defect, comorbid andnutritional status were taken from the medical record. The most dominant clinical profile was female witha mean age of 4 years. Atrial Septal Defect was the most common type of left-to-right shunt, followed byVentricular Septal Defect, and Patent Ductus Arteriosus. Pulmonary Stenosis was the most common typeof obstructive lesion, followed by Aortic Stenosis. Complications of acyanotic CHD were dominated byrecurrent respiratory tract infections followed by growth and developmental disorder, and heart failure. Themost common nutritional status was moderate malnutrition.
NSAID-Induced Adverse Drug Reaction: Mechanism and Management Katherine A.Tjenggal; Rano K. Sinuraya; Cherry Rahayu; Rizky Abdulah
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.v15i2.14308

Abstract

Non-steroidal anti-inflammatory drugs (NSAIDs) are drugs to reduce pain or swelling. The use of these drugsin high doses or long-term can cause side effects or hypersensitivity problems, also known as Adverse DrugReaction (ADR). A literature review was carried out using the PubMed database by inserting the keywords‘NSAID’, ‘adverse drug reaction’, and ‘hypersensitivity’. All studies related to NSAIDs and their adversedrug reactions were included in this review, while genetic or pharmacogenomics studies and NSAIDs’effectiveness were excluded. The results showed that gastrointestinal (GI) problems such as duodenal ulcersor erosive gastritis are the most common diclofenac effects (2.05%). Cardiovascular issues, such as acutemyocardial infarction, were mostly caused by rofecoxib (2.12%). Hypersensitivity, both respiratory andskin, is commonly caused by ibuprofen with prevalence 50% and 67%, respectively. The most frequentkidney problem related to NSAIDs use is acute kidney injury. In comparison, the common hypersensitivityproblems are asthma, urticaria, and angioedema. Adverse drug reactions can be prevented or treated bylowering the dose, reducing the duration of treatment, adding companion drugs, or changing the type ofNSAID. In conclusion, it can be seen that ibuprofen severely caused kidney problems and hypersensitivity.On the other hand, diclofenac caused digestive issues, and rofecoxib caused cardiovascular problems.
To Assess the Effectiveness of Planned Teaching on Knowledge Regarding First Aid Measures for Selected Minor Injuries among Anganwadi Workers Kavita J. Gomase; Chetana Dilpe; Chanda Dobale; Dipa Dofe; Shraddha Gaidhane; Snehal Gaikwad
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.v15i2.14309

Abstract

Background: First aid is the temporary and immediate care given to the person who is injured or suddenlybecome ill. First aid can save a victim’s life especially if the victim is bleeding heavily and has stoppedbreathing it also prevents additional medical emergencies that can arise from an injury or illness. Anganwadiworker have an important role to play in child protection. Their role can only be properly carried out,if teachers are equipped with the relevant skills. Appropriate in servicers training in children protectionfor teacher is of key importance is both emphasizing child protecting issues and in promoting these skillsin teachers. Method: Pre-experimental one group pre-test and post –test research design is used .Nonprobability convenience sampling is used . Sample size are 100 Anganwadi Workers. Tools are Structuredquestionnaire for assessing the knowledge. Results: 8% of the Anganwadi workers in pretest had averagelevel of knowledge score, 51% in pre test had good, 38% in pre test and 13% in post test had very good and3% in pre test and 87% in post test had excellent level of knowledge score. the planned teaching programmeon overall knowledge regarding first aid measures for selected minor injury among Anganwadi workers inAnganwadi centre was effective Conclusion: Planned teaching significantly brought out their improvementin the knowledge regarding first aid measure for selected minor injuries among Anganwadi workers. Analysisof the data shows that there was significant difference between pre test and post test knowledge.
A Study to Assess the Effectiveness of Self Instructional Module on Knowledge Regarding Management of Selected Minor Ailments of Preschool Children among Anganwadi Workers Kavita J. Gomase; Pradnya Sakle; Pranali Bhoyar
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.v15i2.14311

Abstract

Background: Child healthy development is an investment in the growth and prosperity of the country. Asan opportunity for the future, the value of maintaining child safety can not be overlooked. Most countries’advances have yielded nothing because this dimension was over-looked. An active and successful populationcannot develop from unhealthy children chronically affected by recurrent minor ailments.Objectives:1.To assess the knowledge regarding management of selected minor ailments of preschool children amongAnganwadi Workers.2. To assess the effectiveness of self instructional module on knowledge regardingmanagement of selected minor ailments of preschool children among Anganwadi Workers.3. To associatethe post test knowledge score with selected demographic variables. Materials and Method: This researchwas based on the design of Pre experimental one-group pre-test post-test study. This research examined 100anganwadi workers. This research has attempted at various centers in Anganwadi. The sampling techniqueused in this study was a sampling technique intended for non probability. The data were obtained usingstructured questionnaire. Results: In the post-test 1(1 percent) of the women had very good knowledge andonly 99(99 percent) of them had excellent knowledge score. The minimum score in the posttest was 20 andthe highest score was 25, the mean score for the posttest was 24.05±0.892 with an average percentage scoreof 96.2 percent. Conclusion: The results of this study indicate that the post-test workers at Anganwadi hadexcellent knowledge. The post-test score was significantly higher at 0.05 than the pre-test score. Thus it washypothesized that SIM as a teaching tool was found to be effective in addressing selected minor ailments.
Potential Stem Cells of Oral Origin- A review on Induced Pluripotent Stem Cell Technology Keerthi Narayan. V; Vasumathi.D; Pavithra.D; NirmalFamilaBettie
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.v15i2.14312

Abstract

Mesenchymal stem cells are isolated from multiple tissues, such as bone marrow, peripheral blood,umbilical cord blood, adult connective tissue, dental tissues, placenta, and amniotic membrane. Oralderived mesenchymal stem cells (OMSC’s) are multipotent cells, though differentiates into odontoblast,cementoblast, osteoblast, chondrocyte, adipocyte, melanocyte, endothelial cell hepatocyte, myoblast andneural cell but shows limited differentiating into only these specific types of cells or mesenchymal origincells. Induced pluripotent stem cells (iPSC’s) are the potential stem cells induced through reprogrammingsuch somatic cells genetically by presenting with distinct or causative factors. Growth factors and signallingmolecules have the capacity to induce cellular proliferation and cellular differentiation. Addition oftranscription factors to a population of differentiated cells does not promise reprogramming of the potentialstem cells. Furthermore, ethical issues related with the development of embryonic stem cells (ESC’s) do notapply to iPSCs, which offer a non-controversial strategy to create patient-specific stem cell lines. Hence thepresent review article was aimed to briefly describe numerous oral mesenchymal stem cells (OMSC’s) androle of Induced potential pluripotent stem cells (iPSCs) in the regenerative medicine and dentistry with afocus on various iPSCs reprogramming techniques in the current scenario.
Effectiveness of Gyro Based Handglove for Improving Activities of Daily Living among the Individuals Suffering with Hand Tremors Vaishnavi S Desai; S. Anandh
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.v15i2.14313

Abstract

Objectives: Tremor patients can face many difficulties and challenges in performing their daily lifeactivities. The impact of tremor on patients’ lives has various dimensions, captured by questionnaires fortremor severity, disability, handicap, and quality of life. Quality of life is substantially decreased mainly formental domains, indicating a major impact of psychosocial aspects. The purpose of this study is to reducehand tremors with the help of gyro based hand glove to improve the activities of daily living of the patient.Methodology: 24 subjects (M:16; F:8) suffering from hand tremors were selected on the basis of inclusioncriteria. Name, age and gender of the individuals participating the research was documented. ADL and IADLscore of all the individuals was calculated both pre application of the glove and post application of glove.The scale used for assessing the score of ADL and IADL was ‘Katz index of independence in activities ofdaily living scale’ and ‘Lawton-Brody instrumental assisted activities of daily living scale’ respectively.Result: From this study we get to know that there is increase in the score of ADL by 17.8%. that there isincrease in the score of ADL by 38.63%.Conclusion: On the basis of the result of the study, it was concluded that subjects suffering with handtremors had significant increase in the score of the activities of daily living as well as the score of theirInstrumental activities of daily living.
Assess the Effectiveness of Planned Teaching on Knowledge Regarding the Ill Effects of Wearing High Heels among Adolescence Girls Khushbu Meshram; Arundhati Borkar; Sneha Chaudhari; Suvidha Bhujade; Akanksha Chavhan; Tejashri Chandekar
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.v15i2.14314

Abstract

Introduction: Fashion is like a circle; after some time it keeps changing and gets to the same position. Highheels are frequently worn by many women and form an important part of female gender identity, with highheels, the center with gravity shifts against a person wearing high heels and the buttocks and spine are outof balance.Long use of High Heels tends to increase buttock size. Aims: Assess the effectiveness of plannedteaching on knowledge regarding the ill effects of wearing high heels among adolescence girls. Materialsand methods : Present study is Pre experimental one group pretest ,post test design was used study has beenconducted among 60 adolescence girls in R.S. Mundle Dharampeth, Arts and Commerce college, Nagpur.Structured questionnaires given to assess the existing knowledge and the planned teaching were given afterthe pre test and assess the post test knowledge to see the effectiveness of planned teaching. Results: Thelevels of knowledge were seen into 4 categories, poor, average, good and excellent of antenatal mothers,frequency and percentage wise distribution of antenatal mothers according to post test level of knowledgeregarding ill effects of wearing high heels. The Mean score of knowledge in post test was 16.10 ± 0.70 andof excellent knowledge score in post-test was 94.70 ± 4.15.Conclusion- Present study identify the existingknowledge of adolescence girls structure teaching It was found that adolescence girls having a good levelof knowledge regarding ill effects of wearing high heels in pre test and which were significantly moreimprovement after attending structured teaching and they have been more gained knowledge about the illeffects of high heels with scientific rationale. So planned teaching was effective in enhancing the knowledgeof ill effects of wearing high heels.
Socio-Epidemiological Variables and Medicolegal Considerations in Freshwater Drowning Deaths: A Decadal Autopsy Study (2006-2015) Kuldip Kumar; Manoj Kumar Sharma; Jasbir Singh; Ashok Chanana; Jaspinder Pratap Singh; Deep Rattan Mittal
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.v15i2.14317

Abstract

Drowning is significant public health problem commonly affecting the most productive age groups. Thedecadal retrospective study presents detailed analysis of socio-epidemiological characteristics of 120 victimsof drowning death and stresses upon prevention of such deaths. It also undertakes medicolegal analysis ofdrowning deaths with regard to identity, manner and time since death.Drowning deaths comprised nearly 30% of violent asphyxial deaths, following hanging (50.37%). Overall,the most affected ages were third and fourth decade of life accounting for 46.7% cases. Young adults in theirsecond decade of life were commonest victims of accidental drowning. Suicidal deaths were more frequentamong females. Canal water was the most common source of fatal drowning in 62% cases, followed byponds, river and drains.Significantly 28.3% victims of drowning were unidentified and in about 2/3rd of these cases time sincedeath exceeded 3 days. Among 82 victims with known manner of death, accidental deaths accounted for79.3% cases; suicides for 18.3% cases and 2.4% were homicidal cases. Minor injuries were observed in16.6% cases, none contributing to the cause of death.
Prevalence of Microscopic Calcium Oxalate crystalluria in Biochemically Normal Urine Samples Kuntal Devesh Patel
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.v15i2.14318

Abstract

Background: Calcium oxalate is the major cause of human kidney stones in all over the globe. These arecolorless, refractile, and envelope-shaped. Sometimes dumbbell-shaped or peanut-like forms are seen. Theyare soluble in dilute Acids. Consumption of some types of foods like tomatoes, spinach, cabbage, asparagus,etc. causes upsurge in its number. A large number are seen in ethylene glycol poisoning.Method : This present research was aimed at investigating the prevalence of calcium oxalate crystalluria inbiochemically normal urine samples came to Clinical pathology section of Central Diagnostic Laboratory,Dhiraj General Hospital for the period of two months from 1st December 2019 to 31st January 2020. Theurine samples were centrifuged at 3000 rpm for 15 min. The supernatant were decanted and the sedimentswere viewed under microscope using high power objective lens with 40x magnification. Total 400 urinesamples with normal urine protein and normal urine sugar were analyzed microscopically using an Olympusmicroscope 4000x. Results showed that calcium oxalate crystals had the prevalence rate of 13.26 %.Conclusion: The study showed that this much of prevalence of COC was associated with food intake andthe social life style.
Exfoliative Cellular Study of Pathological Body Fluids – 1 year Retrospective Study Kuntal Devesh Patel
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.v15i2.14319

Abstract

Background: Body fluids are straightforwardly gained by tapping. For fluid routine and microscopicexamination, laboratory receives pleural, peritoneal, CSF, Urine and Synovial fluids. The cytologicalevaluation and biochemical study of these received fluids can be fruitful as assistance to the diagnosis.Present study is an attempt to analyze all the samples referred for cytological evaluation.Method: The study is cross-sectional descriptive, analytical and retrospective kind of study carried out inCentral Laboratory of Dhiraj Hospital, over a period of one year from June2019 to May2020. Fluids suchas peritoneal, pleural, CSF, synovial, etc. were received were examined under light microscope and foundpathologies are classified in malignant and non-malignant entities. A total of 506 body fluids were receivedin the one year period. Majority of the cases were Peritoneal fluid comprised of 242 (47.8 %) followed bypleural fluid with 162 cases (32.0 %). Majority cases were categorized under Non-malignant group. Slightmale dominance was observed with the mean age of 46.2 years.Conclusion: Thorough analysis and appropriate clinical correlation will aid in improving patient treatmentand care. Cytology of the fluid is a rapid and simple diagnostic technique for diagnosis of pathologicalconditions in malignant and non-malignant cases.