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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
 464   465   466   467   468 
Maternal Health in View of COVID 19: Women’s Awareness, Attitude and Self reported behavior Deepak
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (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.v15i3.15300

Abstract

Background & Aim:Pregnancy is a distinctperiod of enjoyment and keenness. But for expectant mothers facing the outbreak of corona virus disease, this otherwise happy moment is clouded by terror, anxiety and uncertainty. When pregnant women are infected with viruses from the same family as COVID-19 and other viral respiratory infections, such as influenza, they have a higher risk of serious illness. Most women are unaware of the pregnancy effects of COVID 19 and how to protect themselves and their infants. The purpose of this study was to assess awareness, attitude and self-reported behavior is assessed about impact of COVD 19 on pregnancy and newborn outcomesMethods:Cross sectional research design was employed in the study. Data was collected through online survey from 500 adult women using Total enumerative sampling technique. Self-structuredquestionnaire and likert scale was used.Result: Result showed that most of the women (84.2%) age group 20-30years. 64.8% of women were Graduate and 23% of women were Postgraduate. Mean knowledge score on maternal health 5.52±1.608. Knowledge score of women residing in Urban and rural area was found significant and in different states at p<0.05.The correlation between awareness and attitude which shows weak positive correlation as coefficient value was 0.109.Conclusion : The results of the study revealed that adult women have little knowledge about impact of COVID 19 on maternal health.There was weak positive correlation between knowledge and attitude regarding impact of COVID 19 on maternal health.
An Observational Study to Compare the Effects of Esmolol and Diltiazem in Attenuating the Haemodynamic Response to Laryngoscopy and Endotracheal Intubation Dinesh Chauhan; Avani Vayeda; Jigisha Mehta
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (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.v15i3.15301

Abstract

Background - Laryngoscopy and endotracheal intubation are two most essential part of anaesthetic management. They help in control of airway during general anaesthesia and produce transient marked sympathetic response which manifest as an increase in heart rate, blood pressure, intraocular and intracranial pressure. Esmolol is a selective beta adrenergic receptor antagonist and diltiazem is a calcium channel blocker. The drugs were compared towards reducing the haemodynamic stress response.Methods –This study included 50 patients of both gender, with ASA grade I to IV, aged between 18 to 60 years, scheduled for surgery under general anaesthesia. Among these 25 patients were given inj. esmolol with dose of 1mg/kg i.v.bolus and 25 patients were given inj. diltiazem with dose of 0.2mg/kg i.v.bolus . The haemodynamic parameters were recorded at baseline , just after premedication , after injecting the drug under study, after intubation at 1 , 3 , 5 and 10 minutes. Conclusion –Patients who received inj. esmolol in dose 1mg/kg i.v. showed marked attenuation in both heart rate as well as systolic and diastolic blood pressure whereas inj. diltiazem with dose of 0.2mg/kg only showed attenuation in systolic and diastolic blood pressure but failed to achieve any control over heart rate.
A Case Report of Juvenile Intraoral Pleomorphic Adenoma Gupta Radhika; Chandavarkar Vidyadevi; Sinha Abhishek; Mishra Mithilesh
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (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.v15i3.15302

Abstract

Pleomorphic adenoma (PA) is the most common tumour of the salivary glands. About 90% of these tumours occur in the parotid gland and ten % in the minor salivary glands. The most common sites of Pleomorphic adenoma of the minor salivary glands are the palate, followed by lips and cheeks. Throat, floor of the mouth, tongue, tonsil, pharynx, retro molar area and nasal cavity are rarely involved. Pleomorphic adenoma typically present as a slow growing, unilateral and painless mass of salivary glands, with a predilection for recurrence and risk of malignant transformation (about 1.5% up to five years and increases to 9.5% after more than 15 years). This case report describes a case of Pleomorphic adenoma of buccal mucosa in a 13-year-old male patient.
Comparative Evaluation of Disinfection on Elastomeric Impression Material using 2% Gluteraldehyde, Ultra Violet Radiation and Gaseous Ozone using Customised Disinfection Unit - An In-Vitro Study Hetal Purohit; Sweta Kale Pisulkar; Seema Sathe Kambala; Surekha Dubey Godbole; Chinmayee Dahihandekar; Rohit Ashok Mistry
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (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.v15i3.15303

Abstract

Dental impressions is the preliminary step for any procedure and acts as a microbial source leading to contamination to the operator and lab technician. Hence, the disinfection of these impressions materials should be carried out unfailingly. The device was fabricated which helped in easy and effective disinfection.Aim: The aim of the study is to Compare and Evaluate the Efficacy of Disinfection on Elastomeric Impression material using 2% Gluteraldehyde, UV Radiation Disinfection and Gaseous Ozone. Objective: The efficacy of the disinfectants was compared based on the ability of the disinfectants in reducing the microbial colonies on the impression material. Methodology: Microbiological analysis was done and the colony forming units were evaluated and compared. The disinfection was done with a customized disinfection chamber which can be readily installed in the clinic and has multitudes of use other than disinfection. Result: Dry Gaseous Ozone as a disinfectant proved to be efficacious as compared to the other disinfectants. Conclusion: Dry gaseous ozone can be used effectively for disinfection of impressions without altering its dimensional stability. The customized disinfection unit is portable and can be readily installed in the clinic.
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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.v15i2.15304

Abstract

T
Epidemiological Study of Cases of Death Due to Drowning at Mortuary of North Bengal Medical College Hospital Jagadish Biswas; Vivek Kumar; Tenzing Zampel Bhutia; Prabir Kumar Deb; Mrinal Kanti Jha
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (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.v15i3.15305

Abstract

Drowning is a mode of asphyxia which literally means, ‘suffer death by submersion in water or any other liquid’ or ‘suffocation by submersion in water or any other liquid because of being unable to breath’. As per WHO, in 2015, an estimated 360 000 people died from drowning, making drowning a major public health problem worldwide. We have conducted this study in Morgue of North Bengal Medical College, Siliguri to find out the demographic profile of drowning cases of North Bengal Region. In this study we have analysed the 55 cases of drowning deaths autopsied in the mortuary of Department of Forensic Medicine, NBMCH, Darjeeling, West Bengal in the last one year from 1st January 2020 to 31st December 2020. All data were analysed by appropriate statistical tools like SPSS software. In this study we found that most of the cases belong to young adult age group (29%) and cases are mostly of males (82%). In the month of July to September (34.54%) cases of drowning deaths were high and most of deceased died due to fall inside the well (43 %). Incidence of drowning deaths were mostly seen between 12 noon to 4 pm (60%) and 89.09 % cases of drowning deaths occurred immediately after the incidence.
Study of Knowledge, Attitude and Practice among the Nursing Students Regarding COVID-19 Preparedness in A Rural Tertiary Care Center in Eastern India Uttam Majumder; Jagadish Biswas; Avik Kumar Layek; Sabita Tamang
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (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.v15i3.15306

Abstract

The present pregression of the highly contagious novel coronavirus [COVID-19] has been testing thehealthcare system globally pressing the medical staff everywhere. Present and future healthcare workers’updated knowledge, proper attitude towards the pandemic and adequate preventive practices are ofparamount importance for the combat effectiveness of the healthcare burden.This study assessed theknowledge, practice and attitudes regarding COVID-19 among the nursing students of a tertiary care centerin Eastern India. KAP scores were compared with their socio-demographic variables. Inter-relation betweenknowledge, attitude and practice was also assessed.Out of the 131 students participated in the study the KAPparameters were not significantly different based on the socio-demographic factors. Though knowledgeand attitude parameters were positively correlated among them, it was found that practice was negativelycorrelated to both knowledge and attitude. This finding can be attributed to them being non-exposed andinexperienced in the regular healthcare activities as well to the fact that Indian population was to some extentunprepared to cope up with this type of epidemic for a long time. Training on the updated knowledge alongwith exposure to simulated environment with scheduled supervision to reflect the behavior of the studentsis of great importance so that in extreme situation, the trainee students can also come handy into utilizationif needed.
A Study to Assess the Effectiveness of Lukewarm Water Footbath Therapy on Quality of Sleep among Elderly People Staying in Nadiad Jasmin Prakashbhai Patel; Bhoomi Bhoopendrabhai Patel; Shruti Bharatbhai Patel; Pavitra Sanjaykumar Prajapati; Janki Kamleshbhai Patel; Bhavisha Rameshbhai Sonara; Nickson Das
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (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.v15i3.15307

Abstract

Introduction: Sleep is necessary for human being regardless of age. Specifically elderly people havecomplaints in sleep disturbances which if treated can improve quality to sleep.Aim: To identity the sleep quality among elderly people and to evaluate effectiveness of lukewarm waterfootbath therapy.Materials and Methods: An interventional study was conducted among 40 old age people staying in selectedold age home, Nadiad. The purpose of the study was to improve the quality of sleep amongst elderly. Thesamples were selected by non-probability convenient sampling technique. The tool used for data collectionwas Pittsburgh sleep quality index which is a self rated questionnaire. Lukewarm water foot bath therapywas used as an intervention after taking consent from the samples. Pre-test was conducted from samples byusing Pittsburgh sleep quality index followed by which researcher has given intervention (lukewarm waterfoot bath therapy) for 10 days consecutively before sleep at same time for 20 minutes. Later on, post-testwas conducted after 1 week by using Pittsburgh sleep quality index. Descriptive and inferential statisticswas used to analyze the data obtain was tabulated analyzed and interpreted in terms of objective of the study.Results: The demographic data related to age 12(27.9%) belonged to 71-75 years, gender 23(53.5%) werefemales and 17 (39.5%) were males, education the majority of the people 23 (53.5%) was from secondaryeducation, the source of income 16(37.2%) were having pension, social status 25(58.1%) was from middleclass, medications 23(53.5%) were taking and 17(39.5%) were not taking, factors affecting sleep 20(46.5%)were having anxiety, activity 15(34.9%) was doing recreational activity, night hours of sleep 16(37.2%)was having 6-7 hours, hours of sleep in day time 16(37.2%) was having 2-2.5 hours, habit 24(55.8%) washaving alcohol habit. Researcher applied Mann-Whitney test for comparison between pre-test and post-test.Calculated Mann-Whitney pre-test values were 2.5 and post-test values were 4.29 which prove there is asignificant effectiveness of lukewarm water footbath therapy on quality of sleep.Conclusion: It conclude that assessment of sleep quality after Lukewarm water footbath therapy shows thatthe lukewarm water footbath therapy is helpful for improving the sleep quality among the elderly.
An Observational Study of Propofol Mct-Lct Versus Propofol Lct with Lidocaine Pretreatment for Pain During Induction in General Anaesthesia Jatin Patel; Chandini D; Malini Mehta
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (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.v15i3.15309

Abstract

Aims and Objectives: To compare efficacy between Propofol Medium Chain Triglycerides-Long ChainTriglycerides and Propofol Long Chain Triglycerides with lidocaine pretreatment under venous occlusionon propofol induced pain.Material and Methods: 50 patients of age 18 to 55 years of either gender of ASA I or II Grade were assignedto two groups of 25 each undergoing elective surgeries under general anaesthesia.Patients in Group Mreceived Propofol MCT-LCT 1% (without any pretreatment with Lidocaine) and Group L received PropofolLCT 1% with Lidocaine pretreatment under venous occlusion. Following propofol injection, patients wereasked for any sensation of pain at injection site during propofol injection till patient was unconscious. It wasgraded as per 4 point verbal pain score, with 0 being No pain to 3 being severe pain.Anaesthesia was induced by a standard technique of intravenous induction. Endotracheal intubation wasdone after giving injection succinyl choline (2mg/kg) I V and was maintained on O2, N2O, Isofluraneand Atracurium. Monitoring of heartrate, blood pressure and SPO2 were done during the surgery . Aftersurgery, reversal of neuromuscular blockade was done and extubation was performed. After that patient wastransferred to recovery room.Result and Summary: Both the groups were comparable in term of demographics and ASA grading. It wasobserved that in the group L a significantly higher proportion (80%) of patients experienced pain while inthe Group M only 44% patients experienced pain during propofol administration. (P value-0.0044- highlysignificant). We observed that the pain intensity score seen in group L was 0, 1, 2 and 3 in 20%, 48%, 20%and 12% of the patients , while in the group M was 0 and 1 in 56% and 44% of the patients, respectively andnone of the patients had pain score of 2 and 3. A significantly higher proportion of patients in group M hadpain intensity score of 0 (P value<0.01)which was statistically highly significant. Pre and post-operativevitals were comparable in both the groups.Conclusion: The study concluded that Propofol MCT-LCT is better in view of less incidence and severityof pain on injection during induction of anaesthesia than Propofol LCT with lidocaine pretreatment undervenous occlusion.
Round Cell Tumors - Classification & Overview Kush Pathak; Prachi Nayak; Asha Karadwal; Sushruth Nayak; Satyajit Tekade
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (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.v15i3.15310

Abstract

Round cell tumors from time indefinite have been affecting mankind, not only by their dangerous and lifethreatening nature but also by their vast variety. Number of tumors share similar histology, composed ofrelatively uniform primitive Small Round Blue Cells. They also share many demographic, radiographicand clinical similarities, which often lead to misinterpretation and wrong diagnosis. These tumors, althoughsharing similar looks which is quite confusing, come from different origin, in different sizes, colors, site ofaction & most importantly nature. A few are aggressive and others are latent and benign. In some cases theetiology is known, however on the other hand a large number of these tumors have an idiopathic etiology.Whatever the lesion or however the appearance clinically, histopatholgically or cytologically, these round celltumors, continue to fascinate and confuse us & lack of a proper classification adds to the misinterpretation.This review article is thus an attempt to go through this vast variety of tumor thoroughly along with anattempt to provide a proper classification for the tumor itself.

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