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Predisposing Risk Factors Associated with Acute Myocardial Infarction (AMI): A Review
Mishra Mritunjay;
DVSS Ramavataram
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
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DOI: 10.37506/ijfmt.v15i2.14343
Among non-communicable diseases, cardiovascular diseases are major contributors to the resulting morbidityand mortality all over the world and India is no exception. Being one of the densely populated country andcategorized as developing country, the proportion of subjects who are being afflicted with this disease hasbeen progressively increasing. One of the leading causes for cardiovascular complications is myocardialinfarction. The incidence of Acute Myocardial infarction has been observed across all the populations andfrom early adulthood to old age. Over the years there has been change in life style and dietary habits whichis further contributing to increased prevalence. A number of risk factors have been found to be causativefactors for development of the disease. Which include, genetic, environmental, life style modifications etc.The risk factors can be categorized in modifiable and non-modifiable risk factors. Those factors which canbe controlled are categorized as modifiable and by changing them the risk level can be decreased whereasnon modifiable risk factors cannot be changed and by knowing them one can assess the amount of riskinvolved. The present review is focused on various risk factors which are known to cause cardiovasculardiseases and the role of each risk factor in the development of Acute Myocardial Infarction.
Efficacy of Innovative Table for Traction, Myofascial Release Along with Medicated Steam (Swedan) in Non-Specific Low Back Pain Patients: A Research Protocol
Neha Chitale;
Mitushi Deshmukh;
Pratik Phansopkar
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
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DOI: 10.37506/ijfmt.v15i2.14344
Background: Low back pain (LBP) is a common condition associated with work absenteeism, disabilityand large health care costs with an annual prevalence range from 22% to 65%.Chronic low back pain is thecondition where the back pain lasts for more than three months. Lumbar traction is the process of applying astretching force to the lumbar vertebrae through body weight, weights, and/or pulleys to distract individualjoints of the lumbar spine. Myofascial release (MFR) is a form of manual medicine which involves theapplication of a low load, long duration stretch to the myofascial complex, intended to restore optimallength, decrease pain, and improve function. Medicated steam therapy is a method of giving medicatedsteam over the affected muscular area in order to provide local effect of pain relief. All the three methodswill be applied together to see the effect.Methods/Design: The study will be designed as a pilot study. A total of 30 samples will be taken withnonspecific low back pain. NPRS and Modified Oswestry Disability index was taken before treatment.Intervention including traction, myofascial release therapy and medicated steam will be given. . Two sessionswill be given once a week for 3 weeks and outcome will be recorded.Discussion: Various studies have been conducted over the effect of lumbar traction over low back pain.Traction distracts the muscles and the joint helps in relieving the pain. One of the therapeutic options istraction, which can be combined with other physical therapy modalities. Combining effect of traction withhot fermentation has been effective study have shown. It has been claimed that traction therapy results inlessening the muscle spasm
A Case Report of 57 Year Old Male Having Post Fracture Stiffness of Right Shoulder with Supraspinatous Tear Case Report
Nikita Deshmukh;
Vaidehi kannao;
Waqar Naqv
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
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DOI: 10.37506/ijfmt.v15i2.14345
A case of lateral clavicle fracture associated with frozen shoulder is reported, which had reduced theabduction and lateral rotation due to frozen shoulder due to pain patient’s fear of being unable to do anyshoulder impact operation. MRI ruled out supraspinatous tear. Medical examination of the frozen shoulderconfirms the diagnosis. He was successfully treated with the combination of physical therapy treatmentwith the TENS, IFT, ultrasound and shoulder girdle mobilization electrotherapy modality. Scope of motioncomment per goniometer at 2, 4, 6, 8 weeks shoulder at. All the ranges are increased significantly.
Familiarity and Desire to Perceive Medical Education Courses among School Students in India- A Pilot Study
Nirmal Famila Bettie;
Keerthi Narayan.V;
Rathika Rai;
Mugesh Raj;
Karthikeyan;
Mohamed Azarutheen
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
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DOI: 10.37506/ijfmt.v15i2.14346
The number of dentist serving the rural areas is relatively low and the practice of seeking general physiciansfor dental treatments can still be evident in areas where dental services are not accessible. But it is unclearwhether students from suburban regions prefer to pursue dentistry as their first choice of preference. Hence,the present study was aimed to find the interest in dentistry among the aspiring school students, to evaluate ifthe existing exams remain a challenge, from choosing a medical course, and also to assess if the emergenceof COVID-19 has actually increased the popularity of traditional medicines. A survey questionnaire with16 questions was shared through online media to 200 school students both in urban and suburban regionsafter validation for this pilot study. After consent to participate, the responses collected were tabulated andstatistically analyzed. It was observed that only 64% (urban) and 73% (suburban) were aware of dentistrywith a slight increase in student’s choice for traditional medicine courses over allopathic medicine (40%urban, 48% suburban) post pandemic. Within the limitations of this study it is evident that school studentsare less aware of various dentistry courses, and access to training for the exams can motivate the number ofstudents seeking admission to dentistry courses.
Study of the Motives of Hanging Cases Brought for Medico Legal Autopsy in a Tertiary Care Medical College & Hospital of Assam
Nitu Kr. Gogoi;
Richa Pandey;
P.K. Thakuria
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
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DOI: 10.37506/ijfmt.v15i2.14347
Death is inevitable for every living being however sudden demise of a human being which is unexpected dueto unnatural causes is an immense loss of valuable human resources causing irreparable loss for the familyand society at large. There are various modes of committing suicide but death by hanging is quite commonamong the masses. The present study was conducted at Tezpur Medical College & Hospital, Tezpur, Assamto find out the various motives of hanging cases in medico legal autopsies during the period 1st January 2019to 31st December 2019.
Perception about Dental Myths among General Public
P S Gayathri;
Krithika C;
R Hema Maheshwari;
Jasti Keerthi;
Jenisha Priyavadhani S;
Harshada Ragunathan
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
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DOI: 10.37506/ijfmt.v15i2.14348
Introduction: Myths are part of everyone’s life. Considering the outcomes of beliefs, one should be awareabout the myths about health care as it may result in outrageous complication. Certain culture and culturalbeliefs have a greater impact in health and sickness which represents different ideas shared by differentpeople in India.Aim: This study was aimed to assess the knowledge about dental myths among general public, in TamilNadu.Methodology: A cross sectional study was conducted using self-administered questionnaire, through Googleforms, among 200 people from the age group of 17-54 years in Tamil Nadu, India. Statistics was done andtabulated.Results: Most of the participants were not having adequate awareness and knowledge about dental myths.Conclusion: Thus, awareness and knowledge about dental myths among general public has to be improvedby community oral health programs.
Awareness and Attitude about Social, Ethical and Legal issues Related to Assisted Reproductive Techniques (A.R.T) amongst Medical Students and Interns in a Tertiary Care Hospital at Chennai
P Shruthi;
Sri Jayanth
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
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DOI: 10.37506/ijfmt.v15i2.14349
Infertility is an issue on the rise worldwide. Infertility treatment globally has undergone a gradual revolutionfrom the traditional treatment to the use of assisted reproductive technology (ART). ART is presently themost sought after technology that successfully treats millions of infertile couples over the world. However,the utilization of ART still differs between various nations owing to varying socioeconomic, cultural andreligious reasons. The sudden increase of this technology has introduced numerous social, ethical, and legalchallenges. This paper assesses the awareness level and attitude amongst medical students and interns inChennai regarding some of the most vital and tricky topics in the field of ART and outlines the ethical,legal and social challenges they bring in. This questionnaire-based study involved 427 participants whoencompassed medical students and interns from tertiary care hospital at Chennai. The responses werecollected, tabulated and statistically analysed. About 2/3rd of the participants were females. 94% of therespondents declared that they are aware of ART (401), 63% answered that all the information was obtainedfrom the medical college. Over 2/3rd of the study population was aware of one of the ART methods. 70.8%(302) amongst the participants felt that ART solved all problems of infertility.86.7% of the respondents(370) knew that Spousal agreement to opt for A.R.T is a must. 90.6% (387) of the study population were ofthe opinion that revealing the identity of the sperm donor would cause psychological, social and attitudinalissues among the recipients & the spouse. 29.6% of the participants felt that donation of the surplus embryosfor research purposes was the best option. The gaps in knowledge about newer methods and proceduresregarding ART were identified. Medical students must be agents of socio-medical information and thismakes them good ambassadors for healthy living and fertility awareness. The introduction of governmentrun ART centres and reduction in the cost of the services will go a long way in encouraging more personsto use the services.
Awareness about Consumer Protection Act amongst Patients Visiting a Private Medical College and Hospital at Chennai: A Descriptive Study
P Shruthi;
Uma Maheshwari
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
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DOI: 10.37506/ijfmt.v15i2.14350
Objectives: To assess the knowledge regarding Consumer Protection Act amongst patients visiting a tertiarycare hospital at Chennai.Methodology: A cross-sectional descriptive questionnaire based survey was carried out on 550 patientsvisiting a private medical college and hospital at Chennai and the data was collected. The interview consistingof closed ended questions on CPA. Statistical analysis was done using appropriate statistical tools in SPSSsoftware.Observation and Results: Young male respondents were found to have more awareness in comparisonwith females. Education and monthly income were found to have positive association with the level ofawareness.62% of the study participants have heard about CPA. In cases of medical negligence, 78%participants would visit police station rather than a consumer redressal forum.80% of the participants wereunaware of the location of consumer court. Approximately half of the respondents (45%) felt that medicalservices by doctors were liable for punishment under CPA in case of negligence.Conclusion: Knowledge of what may influence patients is of utmost importance in cases of meeting theirexpectations and demands. Although the Consumer protection Act empowers patients to demand qualitycare, still complaints against medical professionals for errors, unfair access and poor satisfaction inservice rendered remains. Hence awareness of patients rights and legislations would pave a path towardsimprovement in the quality of medical service rendered , thereby providing satisfaction to both patients andhealth care provider.
Knowledge and Attitude Towards Euthanasia and Advance Directives amongst Medical Students in a Private Medical College and Hospital at a Metropolitan City of India
P Shruthi;
G Sudaakar
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
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DOI: 10.37506/ijfmt.v15i2.14351
Background - Decision making about ‘End of life’ is value-laden with respect to the context of culture andethics. Advanced and improved medical technologies and well qualified health care professionals are alwaystrying to sustain life , sometimes even when there is no hope of recovery .This has led to a need for an endof life decision making legislation more than ever.Euthanasia (Painless or mercy killing) and advance directives are less popular concepts in Indian context asagainst the many of the nations worldwide.Objective- To study the knowledge and attitude of medical students toward euthanasia and advancedirectives.Methodology - 400 medical students were chosen randomly and a cross-sectional descriptive questionnairebased study was conducted administering a pre-tested, semi structured questionnaire to assess theirknowledge and attitude regarding euthanasia and advance directives in a private medical college and hospitalat Chennai. The data collected was statistically analysed using appropriate statistical tools in SPSS software.Results- Female preponderance, 246 (61.5%) was noted in the study with female to male ratio being 1.6:1.76% of them had heard about Euthanasia and 29% of them were aware of the concept of advance directives.61% of them wanted active euthanasia to be legalised. 54% of them believed that this concept may easilybe misused and that was the reason against opting for euthanasia. 34% of them were aware that the mentalhealth act (MHCA) , 2017 promoted advance directive in India.Although none of them had helped anypatient write an advance directive, 77% of them felt that health care providers should always anticipatediscussion about end-of-life issues with the patient.Conclusion- This study concludes that majority of the medical students in teaching medical colleges andhospital had moderate to high level of knowledge of euthanasia and moderate to poor level of knowledgeregarding advance directives.
Knowledge and Attitude Towards Antibiotic Prescription among Dental Students
P.S. Gayathri;
Krithika C;
V. Sandhya;
E.Sangeetha;
T.Santhoshika;
Priya Ramani
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
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DOI: 10.37506/ijfmt.v15i2.14352
Introduction: Antibiotics play a crucial role in dental practice for both prophylactic and therapeuticpurposes. Excessive consumption of antibiotics or using them unreasonably not only cause emergence ofresistant bacterial strains and hostile drug reactions but also create an economic liability on the overall healthsystem of a country.Aim: The present study was aimed to evaluate the knowledge and attitude towards usage, antibioticprescription and various concerns associated with antibiotics among dental students.Methodology: A cross sectional study was conducted using self-administrated questionnaire, through Googleforms using various social media platforms such as whatsapp, facebook among 202 dental students of thirdyear, final year, interns and postgraduates across dental colleges in Tamil Nadu, India during COVID-19pandemic lockdown period. Statistics was done and tabulated.Results: Our study results show that the majority of dental students are aware of antibiotic prescription, usesof antibiotic and antibiotic resistance.Conclusion: Though the knowledge and attitude about antibiotic prescription is high among dental students,there are still few areas where they lack adequate knowledge; these deficits can be rectified by encouragingthem to attend cde programs, conferences related to antibiotic prescription.