cover
Article Per Year (5 Year)
All
Home Page
OAI Link
Editorial Team
Contact
Reviewer
Google Scholar
Contact Name
Masriadi
Contact Email
arimasriadi@gmail.com
Phone
-
Journal Mail Official
-
Editorial Address
-
Location
Unknown,
Unknown
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
 475   476   477   478   479 
Management Modalities and their Outcome in Patients of Acute Pancreatitis: A Cross Sectional Study Anil Akulwar; Ajonish Kamble; Chandrasekhar Mahakalkar; Dhruba Hari Chandi
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.v15i3.15422

Abstract

Background: Acute pancreatitis is a potentially serious condition with wide variation in severity rangingfrom mild and self-limiting to a rapidly progressive illness leading to multi-organ failure.Aim and Objective: To study early enteral feeding and their outcome in patients of acute pancreatitis.Methodology: Present study was a prospective study carried out in 60 patients out of 50 were male (83.3%) and 10 female (16.6 %) admitted as acute pancreatitis in the department of surgery, Shalinitai Meghehospital and Research centre, Datta Meghe Medical College, Nagpur. A thorough history was taken anddetailed clinical examination was conducted of all the patients on admission. All the patients were subjectedto biochemical and Radiological investigations. Radiological investigations like X-Ray chest abdomen andUltrasonography were carried out initially in all the patients. CT Abdomen performed as per requirement.Severity of disease was accessed on admission on the basis of BISAP scoring system. Conservativemanagement was instituted with early enteral feeding for all patients. All patients who recovered weredischarged and followed up on outpatient basis. Data was analyzed with appropriate statistical tests.Results: All the patients were initially managed conservatively with early enteral feeding. Type of feedingwas according to the severity of the illness. Oral in mild / moderate pancreatitis and nasogastric feedingin severe pancreatitis. Mild and moderate variety tolerated enteral feeding well thus need for intravenousinfusion was obviated. Out of these, 1 patient (1.7 %) required interventional management due to acutenecrotizing pancreatitis. This patient later required intravenous infusion and TPN in view of progressiveclinical deterioration due to necrotizing pancreatitis. The management of complications was essentiallyconservative. Acute necrotizing pancreatitis has a mortality of 100 % even with aggressive management.The overall mortality rate in our study was 1.7% .Conclusion: Conservative management is the mainstay of treatment in acute pancreatitis. Early enteralfeeding obviates the need for intravenous infusion in mild and moderate pancreatitis and in selected casesof severe acute pancreatitis. Early enteral feeding has advantages over Parenteral nutrition and reducesmortality, infectious complications, preventing malnutrition, reduction in length of hospital stay. Earlydetection and aggressive management of in acute severe pancreatitis can prevent its progression to acutenecrotizing pancreatitis and its complications.
A Prospective Study of Use of Modified Triple Test (MTT) in Diagnosing Breast Mass Anil Akulwar; Avinash Rinait; chandrasekhar Mahakalkar; Dhruba Hari Chandi
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.v15i3.15423

Abstract

Breast cancer is one of the most common cause of cancer related mortality and morbidity worldwide. A palpable breast mass in young women is a common cause of anxiety. It is indeed a frightful experience for the patient to directly undergo an invasive procedure like biopsy of breast mass. Hence the need for such diagnostic tool which is noninvasive or minimally invasive, quick, reliable, and also cost effective. Hence this study was undertaken to study the use of modified triple test (MTT) in the diagnosis of palpable breast mass. Methodology- The study was a prospective study done in the department of General Surgery in a tertiary care teaching hospital in Central India from January 2020 to December 2020. A total of 150 patients who presented with palpable breast mass were included. All the patients were investigated at first by sonomammography then FNAC. Either core biopsy or excisional biopsy of breast mass was done in all the cases. Findings were recorded and data analysis was done. Breast mass histopathology (HPE) report was considered to be gold standard and all the results were compared with HPE of the same breast mass. Observation and results: Out of total 150 patients studied, 148 were females and 2 were males. The sensitivity, specificity and accuracy of MTT is comparable with histopathology of the same breast mass. Conclusion: MTT is alone a reliable investigation for diagnosing palpable breast mass and biopsy of breast mass should be reserved only for doubtful cases.
Brachiobasalic Versus Brachiocephalic Arteriovenous Fistula for Vascular Access during Hemodialysis: A Review Chandrashekhar C Mahakalkar; Suhas N Jajoo; Meghali N Kaple; Shivani Kshirsagar; Melisa Philip; Vaibhav Thorat
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.v15i3.15425

Abstract

Introduction: A functional vascular access site is the lifeline for patients with end stage kidney disease that require chronic hemodialysis. The ground-breaking article by Brescia and Cimino in 1966 revolutionized the creation of the vascular access, and the Cimino fistula was soon used in almost all dialysis patients. Arteriovenous Fistula is an autologous arteriovenous access created by a connection of a vein to an artery where the vein serves as the accessible conduit. The vascular access can be created using Radial artery or Brachial artery. Common locations include the forearm (radiocephalic) and upper arm (brachiocephalic and brachiobasilic). Other less common combinations may exist, such as the ulnar-basilic fistula. When less commonly created vascular access are studied, a clear description of their surgical anastomosis is suggested. Aim: to review Brachiobasalic Versus Brachiocephalic Arteriovenous Fistula for Vascular Access during Hemodialysis. Conclusions: Most of the studies have measured the outcomes in terms of Time-dependent patency, Anatomic patency, Vascular Access Maturation and Complications related to surgical Procedures and Cannulation.
A Comparative Analysis between Laparoscopic and Open Cholecystectomy at a Tertiary Care Hospital in Patients with Acute Cholecystitis A V Akulwar; Ajonish Kamble; Neha Bhatt; chandrasekhar Mahakalkar
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.v15i3.15426

Abstract

Background: Acute cholecystitis is clinically characterized as an episode of acute biliary pain; fever and right hypochondrial tenderness with symptoms persistence exceeding 24 hours. Aims & Objectives: We compared and analyzed open and laparoscopic cholecystectomy in the current study on the basis of the duration of the operation, intra and postoperative complications and the length of hospital stay & return to work.Material and Methods: This was a prospective comparative, randomized hospital-based study performed in patients of 20 - 80 years of age with acute cholecystitis in the Department of General Surgery from July 2019 to January 2021 at SMH&RC, Datta Meghe Medical College Nagpur. Patients were divided randomly into two classes as Open cholecystectomy (60 patients) and laparoscopic cholecystectomy (60 patients). The key assessed outcome was death, peri-operative & post-operative complications; length of hospital stay and wound infection, return to work. The gathered data was statistically analyzed. Results: In both categories, the most common age group was 40-59 years old. The female population (78%) was greater than the male population (22 percent). 1: 3.6 was the male to female ratio. The mean time needed for open cholecystectomy was 53.18 ± 12.74 minutes, while 38.37 ± 6.21 minutes for laparoscopic cholecystectomy, and the difference was statistically important. 2 (3.3 percent) laparoscopic procedures involved conversion to open surgery due to difficult dissection, bleeding & blurred vision. In terms of postoperative pain (VAS > 4), hospital stay period and return to work, laparoscopic cholecystectomy had better outcomes than open cholecystectomy and the difference was statistically important. In Open Cholecystectomy patients, wound infection, post-operative paralytic ileus was substantially greater. There were 2 patients with wound dehiscence from open cholecystectomy. No significant morbidity or any mortality during the study period was reported.Conclusion: Laparoscopic cholecystectomy provides decisive advantages over open cholecystectomy in acute cholecystitis (e.g. shorter time of surgery, fewer post-operative complications, less paralytic ileus, less analgesic use, early discharge and mobilization).
Review of Concept of Agni in Ayurveda Namrata Chouragade; Bharat Chouragade; Anita Wanjari; Sanika Kalambe; Roshan 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.v15i3.15427

Abstract

The term Agni is used in the sense of digestion of food and metabolic products. So it is the great source of energy in universe as well as in the body. Ingested food is to be digested, absorbed and assimilated, which is essential for the maintenance of life and is performed by Agni in Ayurveda. Agni converts food in the form of energy, which is responsible for all vital function of the body. About the importance of Agni, Acharya Charaka has mentioned that the individual dies after stoppage of the function of Agni, and when the Agni of an individual is in equilibrium state, then person is healthy and would lead a long, happy and enjoying disease free life. But, if the Agni of a person gets disturbed by any means, the whole metabolism would be disturbed, resulting in ill health. Hence, Agni is said to be the base (mool) of life. Out of thirteen types of Agni, viz,- one Jatharagni, seven Dhatwagnis and five Bhutagnis, Jatharagni is the leading one controlling all other kinds through its power.
Case Report on Bilateral Retinoblastoma in Older Children Chetan Saoji; Sonal Muley; Ekanksha Kanfade; Sachin Daigavhane
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.v15i3.15428

Abstract

Retinoblastoma is a rare intraocular malignant tumour more commonly seen in children below five years of age. We presented a rare case of retinoblastoma in a 7 year old child who came to the ophthalmology OPD with complaints of loss of vision in both eye and deviation in right eye. Fundus examination showed multiple floating cotton ball opacities in vitreous cavity. B-scan was suggestive of Group E retinoblastoma in right eye and Group D retinoblastoma in left eye. To conclude, any unexplained visual loss in children of any age should be examined extensively by an ophthalmologist, as the risk of retinoblastoma cannot be ruled out.
Study of Biochemical Parameters Mothers and Neonates in Cigarette Smoke Exposure on Vitamin D Level in Vidharbha Region Gangaram Bhadarge; Prajakta Warjukar; Pratibha Dawande; Roshan Kumar 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.v15i3.15429

Abstract

Introduction: Vitamin D is a nutrient that is needed for bone growth and processing. Vitamin D and calcium are extremely important during certain stages of life, such as the baby’s development, childhood, childhood and adolescence, breastfeeding, lactation, and old age. Vitamin D and calcium deficiency have severe implications at this time. Aim: Study Of Biochemical Parameters Mothers And Neonates In Cigarette Smoke Exposure On Vitamin D Level In Vidharbha Region Material and Methods: Both pregnant nonsmoker women who were referred to Shalinitai Meghe hospital and Research center Consequently, Nagpur was hired for distribution on the basis of their reports; 54 subjects were exposed to tobacco smoke and 54 subjects were not exposed. Result: Status and metabolic parameters of maternal vitamin D With no important difference in both the uncovered and exposed categories, we find a low level of 25 vit (D) (OH) (depending on the level of urinary cotinine). (> 0.0113 p total) (8.71 4.33 ng / ml vs. 11.02 4.96 ng / ml).(See Table 1) Based on self-reported exposure, maternal serum calcium levels were lower in exposed populations than in untreated sub-jects (p = 0.001). There was a substantial variation between the groups in serum phosphorus levels. Based on independent expression, alkaline phosphatase levels in the articulated group were found to be higher than in the other group (p = 0.0129).Conclusion : The findings showed that second hand smoke consumption had a detrimental effect on pregnant women. In songs and babies, serum vitamin D levels were not substantially different between the two classes, but were lower in exposed persons.
A Review- Learning and Memory activity of Brahmyadi Ghrita Santosh Suryakant Pusadkar; Bharat Rathi; Kaustubh Bhoyar; Sunil G. Topre; Sanika Kalambe; Roshan 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.v15i3.15430

Abstract

Brahmyadi Ghrita (BG) is one of the formulations recommended in Ashtangahridya Balrogadhikara as medhya & Smritivardhak. It contains 8 ingredients Brahmi, Kushta, Sariva, Pippali, Vacha, Sidhartaka, Goghrita, Saindhav. These are mainly having Medhya, Rasayana, Krimihara, Shodhana, Hridya, Dipana, Pachana properties. In totality ingredient possess Tikta, Katu Rasa, Ushna Virya, Katu Vipaka. Due to these properties it acts as Kaphavatahar and by clearing ‘Srotorodh’ it makes the way for the action of Medhya drugs on target cells
Study of Pap Smear as Cervical Cancer Screening: A Prospective Study at a Periurban Tertiary Care Centre Priya Pratapan (Nair); Mugdha Jungari; Mrunal Nakade; Kiran Borkar; Saunitra A. Inamdar
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.v15i3.15432

Abstract

Background: Cancer cervix is fourth most common cancer in the world and second most common in India. In India, cervical cancer is the leading cause of mortality and morbidity amongst women. Methodology:This prospective study was conducted among 200 women undergoing Pap Smear Test at gynecology OPD between January-June 2020. Pap smear test was classified as per Bethesda system. Result: Abnormal pap smear report was seen among 25.5% women. Higher proportion of abnormal pap report was seen among women aged 21-30 years (41.17%), with a duration of married life between 10-20 years 33.3%. The common abnormal pap smear report finding were inflammatory changes and vaginosis. Epithelial cell abnormalities were found among 18 (9%) women. Conclusion: Pap smear test is a simple, affordable, effective, and practical screening test for early detection of cervical cancer, and it decreases morbidities and mortalities due to cervical cancer.
Outcome Analysis of Percutaneous Vertebroplasty in Osteoporotic Compression Fractures Suvarn Gupta; Tejas Sadavarte; Shraddha Singhania; Vasant Gawande
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.v15i3.15433

Abstract

Introduction: Osteoporotic compression fracture of vertebra are very commonly occurring with increasing age. Pain and deformity are most common features. Vertebral augmentation procedures like percutaneous vertebroplasty is a common surgical modality used for osteoporotic compression fractures. Materials and Methods: This prospective observational study was conducted on 36 patients of vertebral compression fracture that underwent percutaneous vertebroplasty in Datta Meghe Medical College in association with Jawaharlal Nehru Medical College. A thorough clinical assessment including physical, neurological, and systemic examination was carried out before taking up patients for percutaneous vertebroplasty. Bony Tenderness at fracture site was examined. Results: This study was conducted in 36 patients of vertebral compression fractures at our institute from January 2019 to January 2020. In our study, out of 36 patients, 24 (66.6%) were females and 18 (33.3%) were males. The mean age was 56.5 ± 6.2 SD years. D12 vertebral fracture was most commonly involved vertebra. The VAS score was used to assess pre and post procedure improvement. The mean pre-operative score 7.4 ± 1.1 SD which reduced to 2.2 ± 0.8 SD at 1 month followup and 2.1 ± 0.5 SD at 1 year follow up. There was significant reduction in pain score post operatively when compared with pre-operative scoring (p value < 0.01). Conclusion: On the basis of this study, we concluded that vertebroplasty is a safe, cost-effective, and pain relieving treatment option available for geriatric patient with osteoporotic vertebral compression fractures which are not relieved by conservative management.

Page 477 of 550 | Total Record : 5497

 475   476   477   478   479 

Filter by Year

2020 2022


Reset
Filter By Issues
All Issue Vol. 16 No. 3 (2022): Indian Journal of Forensic Medicine and Toxicology Vol. 16 No. 2 (2022): Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 1 (2022): Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 3 (2020): Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 1 (2020): Indian Journal of Forensic Medicine & Toxicology More Issue