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Indian Journal of Forensic Medicine & Toxicology
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Articles 5,497 Documents
Factors Affecting Natural Illnesses during the Covid-19 Pandemic- Autopsy Findings in a Series of Cases Padmini Hannah Noone; Asma Kausar; Dayananda R
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.v15i2.14354

Abstract

The Covid 19 pandemic brought about many changes. People were stressed, also they didn’t get treatmenton time. Because of this there was worsening of pre-existing disease. There was also increase in stressrelated diseases like myocardial ischemia. Lockdown and sudden change of plans also affected the treatmentof cases. Some cases could also be due to undiagnosed Covid infection, since there is no test that is 100%sensitive and specific to detection of the virus1 especially during the post-mortem period. Here we arediscussing some selected cases which we have come during the period and the autopsy findings thereof. Thisarticle highlights the importance of negating fear and increase awareness. It also conveys the significance ofverbal autopsy as a tool to help certify death.
Combined Effect of Proprioceptive Neuromuscular Facilitation And Electrical Muscle Stimulation In Hemiplegic Stroke Patients To Enhance Upper Extremity Function: A Research Protocol Palak P. Darda; Divya Jethwani; Moh’d Irshad Qureshi; Ragini Dadgal
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.v15i2.14355

Abstract

Background- : Stoke is characterized as rapid clinical signs of focal (or global) impairment of brainfunction, with symptoms that last longer than one day or lead to death, with no other apparent cause thanvascular origin. Globally, Cerebrovascular(CVE)damage is the second-biggest root cause of death and thethird-largest cause of disability. This is 1 in 19 deaths. Stroke is a significant source of injury in the longterm and is more disabled than fatal. This protocol has been created that describes the design of experimentalstudy to evaluate the combined effect of Neuromuscular Electrical Stimulation(NMES) with ProprioceptiveNeuromuscular Facilitation(PNF) to enhance the upper- extremity functions in hemiplegic stroke patients.Methods-The participants (n=26) will be recruited in the study suffering from stroke and meeting theinclusion criteria. Two groups will be formed such that patients in group A will be treated with conventionaltherapy and PNF group B will be treated with PNF and NMES in alongwith conventional therapy. Theprotocol will cover 6 weeks of treatment. Regular assessment at 0,3rdand 6th week will be carried out.In the rehabilitation period, we will evaluate upper extremity function, activities of daily living(ADLs),mental status examination at regular interval during the rehab.Our outcome measures will be- Glasgowcoma scale (GCS), Mini-Mental Scale Examination (MMSE), Modified Ashworth Scale (MAS), ModifiedBarthelIndex(MBI) and Action Research Arm Test(ARAT).Discussion-Efficacy of the intervention will be evaluated by analyzing the upper extremity function usingAction Research Arm Test (ARAT) and level of disability by using Modified Barthel Index Scale. The resultof the study will significantly provide affirmation on using combination therapy of PNF with NMES instroke patients
Sexual Dimorphism in Superadded Teeth - A Cross Sectional Study Conducted among Students of South Indian States Pavan Kumar G; Dileep Kumar R; Hemanth Raj M N; Anand Patil
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.v15i2.14356

Abstract

The present cross sectional study was conducted on students of south Indian states of SSIMSRC, Davangere.A study casts of 200 was taken (104 males and 96 females) in the age group of {18-25} years. The Mesiodistal and Buccolingual diameters of first and second permanent molars of both maxillary and mandiblewere measured on the study casts, using sliding verneir callipers.The buccolingual and mesiodistal dimensions measured, in both maxillary and mandibular molars, showedhigher values in males compared to that of females. Amongst the parameters studied, the buccolingualdimensions of maxillary molars showed highest sexual dimorphism with an accuracy of 82.1% and themesiodistal dimension exhibited least sexual dimorphism. In present study showed that the maxillary molarsexhibited highest percentage of dimorphism, compared to the dimensions of mandibular molars, the existenceof statistically significant sexual dimorphism in maxillary molars especially the first maxillary molars.
Bacteriological Profile of Health Care Associated Infection and Antibiotic Resistance Pattern of Isolates at Picu in a Tertiary Care Hospital Pawan Kumar Barolia; Daisy Khera; Bharat Choudhary; Vibhor Tak; Kuldeep Singh; Vijay Laxmi Nag
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.v15i2.14357

Abstract

Background: Healthcare Associated Infections (HAIs) are a major cause of morbidity and mortality inPediatric intensive care units (PICUs). The aim was to determine bacteriological profile of HAI and toestablish an antibiogram of isolates in our PICU.Materials and Method: This was a retrospective study conducted at the Department of Pediatrics (PediatricIntensive Care Unit) of AIIMS, Jodhpur. Data was collected over 2 years from January 2017 to December2018. Among the114 culture positive isolates, 50% (57/114) were gram negative and 22.8% (26/114) weregram positive organisms. Culture positivity for fungal growth was 14 % (17/114) and rest 12.2% (14/114)were contaminants. The most common isolate in gram negative organism was Acinetobacter baumannii andin gram positive organism most common isolates were Enterococcus. Most commonly detected HAI typeswere ventilator associated pneumonia (VAP) - 34% (20/59). All gram negative organisms were resistant tocarbepenems except Pseudomonas (100% sensitivity). Among gram positive organisms, methicillin resistantstaphylococcus aureus (MRSA) was 100% sensitive to gentamicin, amikacin, vancomycin and linezolid.Conclusion: The retrospective study showed that both gram positive and negative bacteria as well as fungalorganisms are responsible for HAIs. Most of the strains were multi drug resistant.
A Comprehensive Study of Deaths from Corrosive Poisoning Pondurthi Srinivasa Rao; V. Jayasurya Prasad Babu; B. Naga Mohan; Jakkam Surendar
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.v15i2.14358

Abstract

Paracelsus, the father of toxicology, once wrote:”Everything is poison, there is poison in everything. Onlythe dose makes a thing not a poison.” A corrosive is a substance which has surface-destructive effect oncontact. Corrosive poisoning results from ingestion, topical exposure or inhalation of compounds, thatcauses tissue injury by chemical reaction. An average home contains a dozen different cleaning products.These products are used in many industries. These are responsible for a large number of accidental andintentional poisoning. This study “A Comprehensive Study Of Deaths from Corrosive Poisoning” is takenup Over 47 corrosive poisoning fatalities autopsied at the Department of Medicine and Department ofForensic Medicine, Osmania General Hospital, Hyderabad to make an attempt to ascertain the frequencyof poisoning fatalities and to suggest suitable remedial measures to reduce the morbidity and mortality dueto corrosive poisoning. Incidence in males (66.91%) is more than in females (33.09%).The most frequentlyinvolved victims belong to the age groups 21 to 30 years, than 11 to 20 years and 31 to 40 years. In majorityof the cases, the poisoning was suicidal (93.62%) and then they were accidental (6.38%).
Predicting 10-year Cardiovascular Risk Using WHO/ISH Risk Prediction Chart among Rural Population in Haryana, India Pooja Jaswal; Pabalpreet Kaur; 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.v15i2.14359

Abstract

Background: CVD are leading cause of premature Deaths worldwide. Coronary vascular disease (CVD)risk estimation tools are a simple means of early identifying those at high risk in a community. It seems to bea cost-effective strategy for CVD prevention in developing countries. The WHO /ISH risk prediction chartsestimates risk of people having CVD’s for next ten years, who do not develop coronary heart disease orstroke. Methods: A total of 100 subjects between 40 to 70 years of age were included in this cross sectionalstudy. Total 100 families were visited and subjects were selected randomly. CVD risk was calculated byasking information from the subjects regarding Age, gender, smoking status, measuring their blood pressure,history of diabetes. The chart classifies an individual into different risk of having CVD’S that categorizedinto low (<10%), moderate (10% to <20%), high (20% to <30%), and very high (>30%) risk groups. Results:Less than two-third (62%) of population has less than 10% CVD risk, followed by less than one-third (31%)of the population had CVD risk of between 10- to <20% for the next 10 years. Only 6 subjects had 20-<30%of risk followed by 1% CVD risk between 30-<40%.Age, More SBP, Abdominal obesity, smoking, diabetesmellitus and More BMI (p<0.0001) were significantly associated with higher CVD risk. Conclusions:WHO/ISH Chart should be used by peripheral health workers for early identification of people with a highrisk for CVD and provide timely services in reducing the complications and premature deaths related toCVD in India.
Observational Study to Compare Transdermal Nitroglycerin and Placebo Patch in Enhancing the Post-Operative analgesic Effect of Intrathecal Clonidine with Bupivacaine in Abdominal Hysterectomies Pooja Shah; Kandarp Vyas; Dinesh K. Chauhan; Jigisha Mehta
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.v15i2.14360

Abstract

Background: Hyperbaric Bupivacaine 0.5% is the most commonly used for spinal anaesthesia.To improve thequality & duration of analgesia many adjuvants have been used.Intrathecal clonidine binds with postsynapticalpha-2 receptors at the dorsal horn of the spinal cord,resulting in anti-nociceptive action.Transdermalnitroglycerin (tNTG) has been found to be converting nitroglycerin to Nitric Oxide(NO),which results inpain modulation in the central and peripheral nervous system by cyclic Guanosine Monophosphate(cGMP)through which the post-operative analgesia effect enhances.Method: Sixty patients Of ASA I/II aged between 20to60 years posted for hysterectomy under spinalanaesthesia were selected.Patients were randomly allotted into 2 equal groups.Group A received:Hyperbaric bupivacaine 0.5% (17.5 mg)+clonidine(50 mcg) + placebo patchGroup B received:hyperbaric bupivacaine0.5% (17.5 mg) + clonidine (50 mcg) + nitroglycerin (tntg)patch(nitroglycerin 25 mg/patch)We have observed onset and duration of sensory.and motor block,two segment regression time, duration ofanalgesia, hemodynamic changes and complication if any.Results: There was no statistically significant difference in demographic data and onset and duration ofmotor and sensory block. Duration of analgesia was significantly prolonged in clonidine with tNTG groupas compared to clonidine group with placebo group.Conclusion: Transdermal Nitroglycerin patch with intrathecal clonidine prolonged duration of analgesiawithout any changes in onset and duration of sensory and motor block.
Development of Simulated Educational Joint Mobilization Module Using Leap Motion Controller Pooja Shah; Waqar M. Naqvi; Sakshi P. Arora
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.v15i2.14361

Abstract

Background: Joint mobilization is a complicated task in terms of learning as well as teaching and ischaracterized by great inter subject variability. With reference to the acquisition of skills such as jointmobilisation, only a few studies have investigated the effectiveness of the provision of real-time visualfeedback on a computer screen in terms of students’ ability to establish optimal force and demonstrateadequate performance. There is lack of training in theory and practical skills in mobilization given to thePhysiotherapy students. Thus, an effort has been made in to practice it virtually using Leap Motion Controller.Method: Total 138 participants will be recruited as per the inclusion and exclusion criteria. A briefexplanation about the study will be given. Participants will be given exposure to the software and modalitybeing used along with demonstration. Followed by, a questionnaire to evaluate the effective learning usingthe System Usability Scale.Conclusion: The results from the study will significantly provide efficacy of the simulative device andevidence on the use of LMC for learning joint mobilization using the System Usability Scale.
Perception of Nursing Students Regarding Clinical Learning Environment, Supervision (CLES) Poonam Sheoran; Simarjeet Kaur; Neha Patyal; Neetu; Hemlata; 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.v15i2.14362

Abstract

Background: In nursing education, clinical placement is a vital part of nursing students’ education. Theclinical learning environment is considered as first place of professional practice for nurses and student’sopinion contributes to its improvement. Theaim of the current study was to assess the perception of nursingstudents regarding clinical learning environment supervision in obstetric and gynecological department.Method: A quantitative research approach with descriptive survey research design was used to collect datafrom 222 nursing students using total enumerative sampling technique from September 2017 to April 2018.Clinical Learning Environment and supervision scale (CLES) was used to assess the perception of nursingstudents with their clinical learning environments. Results: The study results showed that the sub domainof supervisory relationship (90.62%) was having highest mean percentage and relationship between student,staff and teacher sub domain has lowest mean percentage (84.38%). The nursing students evaluated the subdomain of relationship between student, staff and teacher (22.07%) as ‘need to improve’ andintegrationof theory and practice (67.57%) as ‘good.’There is significant positive co-relation between all domains ofclinical learning and supervision.Conclusion: It was found that the student valued supervision, pedagogical and learning environment.Majority of nursing students experienced the content of supervisory relationship was the most importantdimension in CLES. This means that nursing students were oriented tounit settings/ wards by clinicalinstructor/teacher, they felt that they receive individualized supervision and continuous feedback andsuggestions of improvement from clinical instructors/teacher and there were frequent bed side rounds.
Evaluation of Halitosis and Sialometry in Emirati Diabetic Patients before and after Periodontal Treatment Hossam Abdelatty Eid Abdelmagyd; Prabhu Manickam Natarajan; Walid Shaaban Moustafa Elsayed
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.v15i2.14363

Abstract

Halitosis is an important social complaint which affects both healthy and periodontally diseased individuals.Oral malodor is mainly caused by a microbial degradation of both sulfur-containing and nonsulfur-containingamino acids into volatile, bad-smelling gases. Anaerobic gram-negative bacteria, the same species that havebeen linked to periodontal diseases, are especially involved in this process, explaining the link between oralmalodor with periodontitis. The following study was done to investigate the parameters of halitosis andsialometry of Emirati diabetic patients in correlation with oral concentration of volatile sulfur compounds(VSC), salivary flow rate before and after non-surgical periodontal treatment (scaling & root planning) forpatients having moderate Generalized and/localized chronic periodontitis.Subjects and Methods: Eighty-one (81) Emirati subjects volunteers were recruited from the dental hospital,with average age 38-49 years. They have been divided into in three groups: Group I (negative control),Group II, and Group III and Group IIIa. Halitosis measurements for all volunteers had been recorded usingGas Chromatography. For group III samples were collected before periodontal treatment, and subsequentlyat two- & four-weeks following start of non-surgical periodontal treatment (Scaling & root planning).Results: There were 54 patients participated in this study. Of the 54, 27 were control and the remainingwere controlled DM. The mean and SD of all variables before and after the intervention showed that thevalues of all variables reducing after the intervention. All the difference observed was statistically significant(P<0.001). This study observed that the mean value of unstimulated salivary flow rate and stimulated salivaryflow rate was less in the controlled DM group compared to control group, but for probing picker depth, CALand average bone loss was more in controlled DM group compared to control group.Conclusion: Based on the findings, it can be stated that diabetes is a major risk factor for periodontitis, andthe risk of periodontal disease increases if glycemic control is poor; it was also proved beyond doubt thatpeople with poorly controlled diabetes are at an increased risk of periodontal disease and loss of alveolarbone. Controlling diabetes by successfully improving glycemic control will reduce the risk and severity ofperiodontal diseases.