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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
 466   467   468   469   470 
An Observational Study to Compare Patient and Surgeon Satisfaction and Hemodynamic Changes Occurring in Spinal Anaesthesia Versus General Anaesthesia in Patients Undergoing Percutaneous Nephrolithotomy Surgery Jatin Patel; Juhi Jain; Kalpesh Patil; Kirti Patel
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.v15i3.15324

Abstract

Background:Renal stones are the most painful condition of the urological system requiring hospital admission. The treatment depends upon type, number and size of renal calculi. Percutaneous nephrolithotomy (PCNL) can be conducted under regional anesthesia such as spinal anesthesia (SA) as well as in general anesthesia (GA).Methodology: In this study, we selected 50 patients of ASA-I &II of either sex, 18 to 60 years undergoing PCNL surgeries.GROUP S (n=25)- PCNL under spinal anaesthesiaGROUP G (n=25)- PCNL under general anaesthesiaResult: Mean pulse rate, Mean arterial pressure and Mean oxygen saturation were significantly lower in SA group during intraoperative period as compared to GA whereas the difference in both groups were insignificant postoperatively with p<0.01 and p>0.05 respectively.Mean VAS score for patient’s satisfaction were significantly lower in SA group as compared to GA group with p<0.01.Likert’s scale for surgeon’s satisfaction were significantly higher in GA group as compared to SA group with p<0.01Conclusion: My study concluded that VAS score (patient’s satisfaction) is better in spinal anesthesia whereas hemodynamic stability and Likert’s scale (surgeon’s satisfaction) is better in general anesthesia.
Pattern of Suicidal Deaths in Females- A Cross Sectional Study in the Age Group of 12-24 Years Kandagatla Krishnamurthy; S.M. Krishna Sagar; Abhijith Subedhar
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.v15i3.15326

Abstract

Background: Suicide is the fourth leading cause of death among young males and the third for young females, globally. Suicide affecting the youth is a big loss to the community. Hence, the aim of this study is to identify pattern of suicidal deaths in females belonging to 12-24 years age group.Methods: A cross sectional study was conducted in the Department of Forensic Medicine, Gandhi Medical College, Secunderabad, which included all the deaths that occurred due to suicide in females aged 12-24 years from January 2017 to November 2018. Results: Most victims belonged to the age group of 19-24 years (49%) and were from rural area (60%). Majority attempted suicide during day time (72%) and inside their own homes (89%). In 91% of the cases, there was no history of previous attempt and in 92%, no suicide note was found. 55% of deaths occurred on the spot. Most common method of suicide was hanging (53%).Conclusion: Suicide is a growing public health concern amongst the young. Peer support groups for adolescents and young adults, who have exhibited suicidal behaviours, must be established to help prevent repeated attempts.
The Hidden Smile- An Overview of the General and Oral Hygiene Status of Transgenders Manikandan Shanmugam; Kurunji Kumaran Navaneethakrishnan; Bhaskar Venkatachalam; Rajasigamani Kandasamy; Krishna Prasanth Baalann
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.v15i3.15327

Abstract

Transgenders constitute quite a sizeable population that remains a neglected group, facing much discrimination from the society in many respects especially in health. With their low self esteem and suicidal tendencies owing to neglect and shaming, financial constraints, they often neglect to maintain good personal hygiene. One such component is their oral health which is in a pitiful state. With this study we aim to assess the various factors that act as barriers to the transgender community obtaining quality dental care. Their healthcare access should be much more widened with their comfortable way of acceptance.
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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.v15i3.15328

Abstract

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Stature Estimation from Anthropometry of Foot in Adults of Border Areas of Punjab Megha Rapotra; Jaswinder Kaur
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.v15i3.15329

Abstract

Background: Stature is one of the various parameters of identification of the individuality of a person. Estimation of stature from various measurements of the body is of value in medicolegal investigations as well as in anthropology. The foot measurements are important in forensic field as they can be used as body height predictors for an individual.The current study deals with developing a regression equation for stature estimation from foot breadth and foot length and to find out the correlation between stature, foot breadth and foot length. Methods: The data was collected from 500 asymptomatic, healthy adults (250 males & 250 females) belonging to border areas of Punjab region of age group ranged between 18-50 years.Results: The correlation between foot length and stature (r= 0.337) was more than foot breadth and stature (r= 0.046) indicating foot length to be a better predictor of stature. Linear regression equations were derived for estimation of stature from foot breadth and foot length.Conclusion: Both foot breadth and foot length showed positive correlation with stature as indicated by the regression coefficient. The results indicate that one can successfully estimate staure from different foot dimensions. The calculated regression formulae show good reliability and applicability of estimate which would be useful for Anthropologists and Forensic Medicine experts.
An Observational Study between Intrathecal Fentanyl and Butorphanol with Low Dose Bupivacaine to Facilitate Early Ambulation in Perineal Surgeries Malini Mehta; Soumya Jha; Pooja Shah
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.v15i3.15330

Abstract

Background: Neuraxial opioids are widely used with local anaesthetics as they allow lower dose of local anaesthetics while providing adequate anaesthesia and faster recovery from spinal anaesthesia because of their sympathetic and motor nerve sparing activities. In the last few years the number of surgeries performed on an ambulatory basis has increased worldwide because of many advantages like short hospital stay, less chance of wound infection and less chances of deep vein thrombosis.Methods: 64 patients of ASA- I or II of either gender who underwent perineal surgeries were divided into two groups of 32 each:- Group BF patients received 1ml of 0.5% hyperbaric bupivacaine with 20µg fentanyl(0.4ml) and Group BB patients received 1ml of 0.5% hyperbaric bupivacaine with 200µg butorphanol(0.2ml) and normal saline(0.2ml).Patients were observed for onset of sensory and motor blockade, duration of sensory and motor blockade, duration of analgesia and time to unassisted ambulation. There was no difference in onset of sensory and motor blockade between the two groups(P> 0.005).Patients receiving butorphanol had statistically significantly longer duration of sensory and motor blockade and duration of analgesia than fentanyl(p-0.001).Patients receiving fentanyl were observed to ambulate unassisted significantly early compared to butorphanol (p-0.001).Conclusion: Patients receiving intrathecal fentanyl 20µg can ambulate earlier compared to patients receiving butorphanol 200µg when used as an adjuvant with low dose hyperbaric bupivacaine 0.5% without any complication.
A Study to Evaluate the Effectiveness of Awareness Programme on Knowledge Regarding Disaster Preparedness For Common Natural Disasters among the Adults Residing at Selected Rural Areas of Dehradun, Uttarakhand Manisha
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.v15i3.15331

Abstract

Disasters have a huge impact on humans, environment and economy throughout the globe. Preparedness for disasters is critical for individuals, households, businesses, organizations and communities, but many remain unprepared. India has been vulnerable to a large number of natural and human-made disasters on account of its unique geo-climatic and socio-economic conditions. The study was conducted to evaluate the effectiveness of awareness programme on knowledge regarding disaster preparedness for common natural disasters among the adults residing at selected rural areas of Dehradun, Uttarakhand. A quasi experimental study using non-equivalent control group pre-test post-test design was used. Purposive sampling technique was used to select 80 adults: 40 each in control group and experimental group. Data was collected using structured knowledge questionnaire. Collected data was analyzed by descriptive and inferential statistics using SPSS-16 programme. The findings showed that the pre-test mean knowledge score among the adults of control group was 15.88 and experimental group was15.35. The post-test mean knowledge score among the adults of control group was 16.02 whereas in experimental group it was 30.05. In post-test, in control group, maximum 62.5 % adults had average knowledge, 30% had poor knowledge and 7.5% had good knowledge, whereas in experimental group, maximum 82.5% adults had good knowledge, 17.5% had average knowledge and none had poor knowledge. Hence it was concluded that the awareness programme had significant impact on improving knowledge of adults regarding disaster preparedness for common natural disasters.
Knowledge and Awareness about Burning Mouth Syndrome among Dental Students Manju J; Mutum Sangeeta Devi; Meena.J; Rahul B; Kavitha.M; Niveditha.B
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.v15i3.15332

Abstract

Aim: This study was conducted to evaluate the knowledge and level of awareness about Burning mouth syndrome among dental students. Method: The study was carried out among the dental students.A self-constructed questionnaire was made and given to a total of 100 students. The answers were recorded and converted into numbers and percentages.Results: The results of the study reveal that undergraduate dental students have a fair knowledge about burning mouth syndrome.Conclusion: There is an increased need for comprehensive educational programmes and clinical exposure for students to be aware about burning mouth syndrome.
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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.v15i3.15333

Abstract

D
An Observational Study of Intravenous Granisetron Vs Oral Gabapentin in Preventing Postoperative Nausea and Vomiting after Middle Ear Surgery Malini Mehta; Akshata Thakurdesai; Sujay Thakkar
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.v15i3.15334

Abstract

Background- Postoperative nausea and vomiting (PONV) is one of the most unpleasant complications after middle ear surgery. Several studies have demonstrated use of gabapentin as antiemetic. This study aims at comparison of intravenous granisetron vs oral gabapentin in preventing PONV. Methods - 64 patients of ASA I or II between the ages of 18 and 65 years were divided equally into two groups. Patients in group I received 3mg granisetron iv 2 minutes and patients in group II received 300 mg gabapentin orally 1 hour prior to surgery. Patients were premedicated with inj. glycopyrrolate and inj. midazolam. Anaesthesia was induced, maintained and reversed in usual manner. Haemodynamic changes and number of episodes of nausea and vomiting were recorded upto 24 hours postoperatively. No statistically significant difference was observed in both the groups at 0 and 1 hour in preventing PONV (p<0.05). Next 24 hours postoperatively neither group showed PONV. No significant haemodynamic changes were observed and there were noside effects in either of the groups.Conclusion- There was no statistically significant difference in prevention of PONV in the patients who had either received inj granisetron 3mg i.v. 2 minutes prior to surgery or oral Gabapentin 300mg 1hour prior to surgery after middle ear surgery without any side effects.

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