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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
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Effect of Prolonged Use of Facemask on Ambulance Driver During Covid 19: A Questionnaires Study Shweta A. Panchbudhe; Milind Kahile; Neha Deshmukh; Neha Chaudhary; Anjali Chiwhane; Saurabh Hadke
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.v15i2.15082

Abstract

Background: The nose is a complex organ that shapes and has many roles as an integral part of the face.The nose’s primary purpose is to humidify, warm the inspired air, and also helps to remove the destructiveparticles from entering the lower respiratory tract. In general, an average adult inspires about 10,000 L ofair each day. Nasal mucosa is a highly vascular structure and has a large surface area of 150 cm square.Physiologically, the nose has 50% resistance in the entire airway, which when affected plays a significantrole in total respiratory function. that prolonged use of facemasks induces difficulty in breathing on exertionand excessive sweating around the mouth to the Ambulance driver which results in poorer adherence andincreased risk of susceptibility to infectionObjectives: The aim of this study is to determine the effects of prolonged usage of N95 respirators andsurgical facemasks on Ambulance driverMaterial and Methods: A self constructed questionnaire containing 10 questions regarding the prolongeduse of N95 respirators and surgical mask on Ambulance driver between the age group of 35 – 50 years werehanded to themResults: This study suggests that prolonged use of facemasks induces difficulty in breathing on exertionand excessive sweating around the mouth to the Ambulance driver which results in poorer adherence andincreased risk of susceptibility to infection.
A Comparative Study on Assessment of Pain as an Outcome by Vas Score in Patients of Adhesive Capsulitis Treated by Hydrodilatation with and without Corticosteroids Kunal.K.Saoji; Vasant Gawande; Tejas Sadavarte; Kiran M Saoji
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.v15i2.15083

Abstract

Background: Adhesive Capsulitis is a painful condition commonly occurring in middle age group populationand injectable corticosteroids have shown significant improvement in the pain as an outcome variable.Methodology: A prospective study was conducted from June 2010 to June 2012 for a period of 2 year, at atertiary care hospital in central India. Results: The marked difference in pain relief was seen on VAS scaleon pre intervention to follow up of 3rd week. The mean on pre intervention of steroid group was (8.10) whilethat post intervention 3rd week was (4.90). On the same basis, the pre injection mean was (7.55) in salinegroup while post injection 3rd week mean came out to be (5.75). Thus, pain was relieved on injecting bothsolutions. But, more improvement was observed in steroid group than saline group. Conclusion: Intra salinegroup and steroid group analysis revealed a marked improvement in shoulder range of motion and pain reliefon immediate post intervention and follow up in hydro dilatation of steroid group of patients
Study of LDH Isoenzymes in Myocardial Infraction at Vidharbha Region (Central India) Rakesh Kumar Jha; Pradip Jain; Ankita Khandolkar; Archana Dhok
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.v15i2.15084

Abstract

Introduction: A significant cause of morbidity and mortality worldwide is myocardial infarction (MI).Within the first few hours of the beginning of MI, the greatest risk of death occurs. Thus, for the effectivetreatment of patients with MI, early detection of cardiac ischemia is essential. Inappropriate diagnosis ofpatients with chest pain sometimes leads to improper admission, and vice versa, of patients without MI.Physical examination, precise ECG results and evaluation of cardiac biomarkers play an important rolein the early diagnosis of acute ischemia, in addition to clinical history. In the present analysis, the cardiacbiomarker lactate dehydrogenase released during a MI event is discussed in depth.Aim: We conducted a cross sectional study to examine the different levels of LDH isoenzymes in myocardialinfarction patients those admitted in cardiac care unit in SMHRC Nagpur.Material and Methods: The present study included 100 subjects of age group 30-80 years. Patients admittedto the coronary care unit at SMHRC & AVBRH between January 2020 and June 2020 was consideredeligible for the study. These guidelines ensured that sufficient blood samples were available and the criteriafor diagnosis were consistent. Lactate dehydrogenase isoenzyme was fractionated by agarose gel electrophoresis as described by Cawley and Eberhard. The stained slides were scanned on Chromoscan at 520 mixand the percentages of the fractions were quantitated.Results: The results obtained in the present study indicate that serum lactate dehydrogenase enzyme activityincreases 4-5 folds in the first 24-72 hours after the onset of clinical infarction with a peak on the second day.It then declines gradually towards the normal within two weeks. Thus, determination of total serum LDHis valuable if patients present themselves for clinical check up even after a week from the day of infarct.Although the contribution of myocardium to total serum lactate dehydrogenase is large, its interpretationbecomes difficult if the diseases of other organs such as liver, kidney, etc.Conclusion: In conclusion, the present data strongly support the use of Lactate dehydrogenase for thediagnosis of MI. Such a strategy should boost both the precision and sensitivity for myocardial infarctiondiagnosis.
Relation of CRP, Ferritin and Procalcitonin Level in People Infection with Covid- 19 Dattu Hawale; Archana Dhok; Pradip Jain
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.v15i2.15085

Abstract

To Assess the Study of Pro- BNP, CPK -MB and Troponin Level in Acute Myocardial Infarction Ranjit Ambad; Dattu Hawale; Pradip Jain
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.v15i2.15086

Abstract

Introduction: One of the greatest causes of death and morbidity in the world is acute myocardial infarction(AMI). Atherosclerotic coronary artery disease (CAD) with plaque erosion or breakup, causing transient,partial or total arterial occlusion, is the most common cause of AMI. Without appropriate blood flow, theheart cannot continue to function, and if it is severely compromised, death is inevitable. Simple and objectivemeasures of cardiac function are brain natriuretic peptide (BNP) levels. These measurements can be used todiagnose heart failure, including diastolic dysfunction, and have been shown to save money by using themin the emergency room setting. For the diagnosis of acute myocardial infarction, the most sensitive and mostprecise measure available is creatine phosphokinase (CPK-MB). The main biomarker for AMI diagnosis iscardiac troponin I. The level of troponin may also be elevated with important prognostic value in many otherdisorders, including heart failure.Methods: This study was a case-control study, conducted in the Medicine and cardiology Department atDMMC & SMHRC, Nagpur in collaboration with ABVRH, Sawangi (Meghe) during Nov 2020 to Jan 2020.Total 80 individuals were considered for the study, 40 each in case and 40 in control groups.Results: As present study show the Pro-BNP Levels were increased significantly (P<0.001) in the AMI(2200±601.30) as compared in controls (90.20±3.20). The mean values of serum CK-MB and troponin Iwere significantly (P<0.001) higher in the AMI (165±47.21, 1.48±0.45) as compared to those in the healthycontrols (11.50±0.80± 3.250, 0.03±0.01) respectively.Conclusions: These findings therefore indicate that the combined detection of CK-MB, Troponin I and NTPro-BNP levels will contribute significantly to the early diagnosis of AMI. It can also provide the clinic withdiagnostic evidence and thus reduce AMI mortality in the acute phase.
Perception of Final Year Physiotherapy Students about Effectiveness of Virtual Skills Lab Krishna Kumar Singh; Subrat Samal; Nitin Samal; Snehal Samal; Gauri Ajay Chaudhary; Vaibhav P. Anjankar
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.v15i2.15087

Abstract

Background: “The art of physical therapy is elaborately tied to the art of communication.” In ancientmedical course of study, communication isn’t schooled formally and this results in a spot in dependabilityand consistency of the teaching. Aim: To study the concept of Final year physiotherapy students aboutEffectiveness of virtual skill lab. Materials and Methods: This observational study was carried out atVirtual skill Lab of Datta Meghe College of Physiotherapy, Wardha. Feedback was obtained with the help ofa pre-validated questionnaire from 40 final year students of physiotherapy about their concept about utilityof the model taught in the Virtual Skill Lab including factors which helped them and which affected therelearning. Results: A total of 78.46% students were of the idea that Virtual Skill Lab posting is must for allmedical undergraduates. A 93.83% perceive that the module taught was very relevant and useful and weresatisfied with the duration of posting (81.47%). A 78.46% students experienced improvement in their virtualskill lab. They opined that more emphasis should be given on communication between doctor and patient(61.53%). Conclusion: The students found virtual skill Lab very useful. They desired more emphasis oncommunication between doctor and patient and sought more interactivity, video demonstrations to be partof the module.
Quality Assurance in Physiotherapy Education in India Subrat Samal; Varsha Nagarkar; Shiril Nagarkar; Nitin Samal; Snehal Samal; Krishna Kumar Singh; Vaibhav P. Anjankar
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.v15i2.15088

Abstract

Objectives: To investigate the quality assurance system in Indian physiotherapy education. Design: A crosssectional survey with mixed method was employed in this research. Participants: Forty two participantswere involved in the study and responded to a questionnaire. Seven participants out of the 42 were selectedfor video interview. Materials and Methods: A questionnaire and an audio or video interview techniquewere used for the data collection. Descriptive statistics was used to analyze the questionnaire. A qualitativemethod was analyzed with content analysis. Results: The questionnaire result showed that hardly one-thirdof participants were aware about quality in general in the physiotherapy education. In the analysis of theinterviews, four categories emerged: They indicated that awareness, skills, rating, and requirements relatedto quality seem to be important in developing quality assurance in physiotherapy. Conclusion: As a smallscale study of quality assurance system, this study can contribute to develop an overall awareness of qualitysystem in the Indian physiotherapy education. It can also contribute to the educational and professionallife ahead by developing experience and updating the upcoming new physiotherapy researches. However,affirmative effects can also extend physiotherapists in advance.
Effect of Cigarette Smoking on Vitamin C in Non Pregnant and Pregnant Women Ankita Khandolkar; Rakesh Kumar Jha; Pradip Jain; Archana Dhok
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.v15i2.15090

Abstract

Introduction: It is perceived that smoking cigarettes during pregnancy is unfortunate and can promptexpanded unconstrained early abortion in the first trimester, premature abruption of the placenta, pretermdelivery, decreased birth weight and SIDS. All things considered, children destined to mothers who smokeduring pregnancy weigh 150-300 gram not exactly those destined to mothers who don’t smoke and thedanger of little for-gestational age among ladies who smoke is at any rate twice as high as among ladieswho don’t smoke. For more seasoned ladies, the effect of smoking during pregnancy on fetal developmentand preterm conveyance are more noteworthy. The danger of placental issues can be expanded by long haulsmoking.Aim: Effect of cigarette smoking in non-pregnant and pregnant women’s on the blood serum level of vitaminCMaterial and Methods: The present study included 150 subjects of age group 25-35 years. Out which75 werenon-smokers pregnant women as a control group and 75 were smoker pregnant women as a studygroup. During this stage of pregnancy, the vitamin C levels in the maternal serum were colorimetricallydetermined. The respondents also answered a questionnaire about their smoking habits during pregnancy.Vitamin C intake was measured during the third trimester by monitoring food consumption over a 5-dayperiod (including Sunday) and vitamin C registration with dietary supplements.Results: In the present study, we found significant decreased levels of serum vitamin C and in pregnantcigarette smokers as compared to pregnant non-smokers.Vitamin C was protective for placental abruption innonsmokers but not in smokers (P=0.01).Conclusion: If the production of antioxidants (vitamin C) in smokers is lower compared to pregnant womenwho are not smokers, this could aggravate their newborn’s peroxidation problems. Supplementation ofvitamin C tends to be connected with a decrease in placental abruption and preterm birth in pregnant smokers.
The Effects of Traditional Strengthening Exercises Versus Functional Task Training on Pain, Strength and Functional Mobility in Knee Osteoarthritis Subrat Samal; Shiril Nagarkar; Varsha Pawar; Nitin Samal; Snehal Samal; Krishna Kumar Singh; Vaibhav P
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.v15i2.15092

Abstract

Osteoarthritis (OA) is the most common in India. The incidence of osteoarthritis in adults over the ageof 45. Although there is no evidence to suggest that genetics, heredity, histology and biochemistry play astrong role in its development. To date no cure for the disease exists. However, it has been proven that riskfactors for the onset and progression of disease can be decreased or avoided through lifestyle modificationssuch as weight loss, increased physical activity and dietary changes. Twenty subjects were divided into twoGroups. Training exercise group 7 subjects and functional task training 13 subjects. Baseline measures forperformance outcome measures were insignificant between groups for all of the following: Berg BalanceScale (BBS), (p=0.304), stair climb test (SCT), (p=0.567), timed up and go test (TUG), p=0.970. This studysupport that functional task training is a better option in improving walking speed in this 45-65 year oldpopulation having osteoarthritis knee
Determination of Age from Shoulder Joint by Radiological Examination of Epiphyseal Union of Proximal End of Humerus in Boys from Ahmedabad Region Kalpesh C Patani; Rajesh Babulalji Ramteke; Tikendra Dewangan; Ninad Nagrale; Swapnil Patond
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.v15i2.15093

Abstract

In law, crime and punishment is entirely based on criminal responsibility and this in turn depends on theage of a person. It is well known that appearance and fusion of epiphysis of long bone occurs at particularperiod of time and this in turns help in age estimation. As there is variation in appearance and fusion time ofepiphysis, aim of the present study is to determine Epiphyseal union of proximal end of humerus in boys inAhmedabad region. Present study was conducted by department of Forensic Medicine and Toxicology, B.J.Medical College Ahmedabad. Total 100 boys of age group between 14-20 years were included in the studyand were subjected for radiological examination. To study the appearance and fusion of ossification centreof upper end of humerus digital X-ray with AP view was taken. Result was tabulated and statistical analysisof result was done comparing with previous studies.

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