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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
 476   477   478   479   480 
Efficacy of Various Final Irrigant Activation Procedures on Smear Layer Removal - A SEM Study Amjed Majeed Khalaf; Biland M.S. Shukri
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.v15i3.15434

Abstract

Background: This in vitro study was intended to compare the removing efficacy of smear layer of the EndoVac , EDDY tip, XP - endo Finisher and conventional needle irrigation in palatal roots of extracted maxillary first molars, at the apical, middle and coronal levels by using scanning electron microscopy. Material and Method: The palatal roots of sixty recently extracted maxillary first molars were selected and divided into four groups (n=15) according to final irrigation agitation systems; EndoVac irrigation system,Eddy tip, XP - endo Finisher and conventional needle irrigation. Each root was prepared to 40/0.06 apical size with EDGEENDO X3 rotary files. Following splitting the root samples, single half of each sample was selected for examination under scanning electron microscope (SEM). The comparisons among irrigation activation devices were done using the Kruskal Wallis test and Mann-Whitney U test at 0.05 significance level. Conclusion: Within the limitations of the present study, no one of the tested systems can remove the smear layer completely. However, EndoVac system , Eddy tip and XP - endo Finisher remove significantly more smear layer than conventional needle irrigation at the apical third but there was no significant difference at middle and coronal thirds.
Impact of Pregnant Women’s Depression State upon their Pregnancy Outcomes at Maternity Hospitals in Baghdad City Raghad Z. Dosar; Najmah M. Meran
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.v15i3.15435

Abstract

Objective: To assess the impact of pregnant women’s depression state upon their pregnancy outcome Methodology: A descriptive purposive study was used to assess the impact of pregnant women’s depression state on their pregnancy outcomes. The study was conducted from (22nd \ September \ 2020 to 15th \ February \ 2021). A non-probability sample (purposive sample) was selected from 100 women. Data were collected through an interview with the mother in the counseling clinic, during the third trimester of pregnancy, as well as after childbirth in the labour wards to assess the outcome of pregnancy. Data were analyzed through descriptive statistics (frequency and percentages).Results: The most important thing observed in this study was the negative pregnancy outcome for women suffering from depression during pregnancy. Low birth weight (31%), premature labor (22%), stillbirth (2%), intrauterine growth restriction (1%)Recommendations: The study recommends according to the results. We suggest that health care providers pay attention to the mental state of pregnant women. Providing training and scheduling support during pregnancy for mothers in order to identify risk factors and achieve skills and knowledge to support mothers, as well as providing a soothing atmosphere to ensure a peaceful environment for pregnant women.
A Case of Multiple Mandibular Molar Extractions for a Hemophilia a Patient Aesa Alzaroug Jaber; Alshame M. J. Alshame; Prabhu Manickam Natarajan; Asok Mathew
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.v15i3.15436

Abstract

Hemophilia A is a genetic coagulation disorder associated with a deficiency of clotting factor VIII. It can be inherited or acquired and have different levels of severity. The present case report describes a Libyan male patient with Factor VIII deficiency who underwent multiple remaining roots extraction.The patient was a 26-year-old Libyan male with history of hemophilia A of mild type. The patient underwent blood tests and imaging to assess the severity of hemophilia and the condition of the surgical area. The blood examination revealed normal Bilirubin level (0.6), low levels of, RBC (4.55), HGB (10.9), PT (17.7) and slight changes in platelet count and Factor VIII level. The treatment plan for the day of surgery was accordingly, the patient was administered Factor VIII 24 hours before the day of surgery. The patient underwent the multiple roots extraction of lower left first and second molar under local anesthesia using 2% Lidocaine with 1:80, 000 Adrenaline. The Injection technique was regional nerve block (inferior alveolar, Lingual, and long buccal nerve block).After extraction, direct pressure on the area using a damp gauze swab, maintained for at least 30 min, a hemostat and multiple thread suture were applied. One hour after surgical removal of the roots again the patient administered Factor VIII.There was no subsequent bleeding or complications at follow-up in the first three days. In the fourth day there was moderate bleeding at the extraction sockets continued for a day. At fifth day the patient was admitted at the Sebha Medical Centre. The bleeding stopped after 24 hours. Treatment plan in the Medical Centre was administration of factor FVIII, tranexamic acid 500 mg three times a day and vitamin K once a day. All injections were given intravenously. Then the patient discharged from the Centre in the sixth day after bleeding controlled. The wound had healed completely without abnormalities.
Gigantomastia Bilateral Induced Efavirenz: A Case Report Amos Pongbulaan; Erwin Astha Triyono
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.v15i3.15437

Abstract

The prognosis of HIV-infection has improved dramatically since the introduction of Highly Active Antiretroviral Therapy (HAART). With the need for a lifelong treatment, the longterm side effect of antiretroviral agents is an emergent issue of concern. Gigantomastia is a rare condition characterized by excessive breast growth. It may occur spontaneously, during puberty or pregnancy, or while taking certain medications. HAART medications which probably associated with gigantomastia is efavirenz. A 25-yearold woman with HIV-infection who developed bilateral gigantomastia while receiving efavirenz-based HAART regimens. The diagnosis was made after other possible causes of disease-induced gigantomastia were exclude and confirmed by mammography. Surgical treatment has been considered after failure of medical treatment. Although it is rare, physicians should be aware so that a timely diagnosis can be made. In most cases, only conservative treatment is sufficient, but in severe cases surgical intervention might be required.
Assessing the Preparedness for Emergency Management of Status Asthmaticus in Pediatric Patients’ among EMS Professionals, Pune, India Parag Rishipathak; Navnita Sengupta; Anand Hinduja; Neha Ahire
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.v15i3.15438

Abstract

Background: Asthma is one of the most common diseases affecting children. Children affected by Asthma need recurrent hospitalization and show high degree of absenteeism in schools due to exacerbations. It is characterized as a state of hyper responsiveness triggered by allergens such as pollens, foods, dust mites and animal dander which irritate and cause bronchoconstriction. EMS professionals shoulder great responsibility in pediatric respiratory emergencies as their actions determine the long term quality of life of these childrenAim: The present study is aimed at assessing the preparedness with regards to management of Status Asthmaticus amongst EMS professionals in Pune, India.Methodology: The study was conducted amongst 189 Emergency medical Services professionals residing in Pune India. A pretested and validated questionnaire was utilized for the study. The questionnaire consisted of 21 items meant to assess the knowledge and skills with regards to Emergency Management of Status Asthmaticus amongst EMS professionals. Each correct answer was given a score of one with maximum score of 21. The questionnaire was administered online.Result: EMS professionals showed average level of preparedness with reference to management of Status Asthmaticus. Conclusion: EMS professionals need periodic training to improve their level of knowledge and skills. Simulation play a pivotal role in augmenting the skills of EMS professionals in order to identify suspected cases and provide accurate emergency management.
Assessment of Interpersonal Communication Skills Among Emergency Medical Professionals in Pune, India Parag Rishipathak; Monesh Bhandari; Anand Hinduja; Meenal Kulkarni
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.v15i3.15439

Abstract

Introduction: Effective interpersonal communication is one of the most important skills for healthcare providers to master, in order to deliver high quality patient care. Doctors need to communicate with a wide range of people including peers, administration staff, patients, their family members and caregivers. Of course, the most significant is doctor-patient communication as it forms the foundation of the healthcare delivery system.Poor inter-personal communication skills can jeopardize the patient care process and hence it is expected that healthcare professionals undergo formal training both as part of their medical curriculum and on the job Continued Medical Education. Studies have shown that effective interpersonal communication skills help improve overall healthcare outcomes especially while managing difficult encounters and breaking bad news.Designing training programs with contemporary relevance requires regular needs assessment. It is essential to evaluate the baseline levels of inter-personal communication skills amongst practicing professionals to devise appropriate training strategies.Objective: To assess inter-personal communication skills among Emergency Medical Professionals in Pune.Methodology: The study was conducted among 140 Emergency Medical Professionals (EMPs) employed in various hospitals in the city of Pune, India. A questionnaire tool designed in 2019 by Piyush Ranjan et al was utilized to assess inter-personal communication skills among Emergency Medical Professionals.The tool was administered through online mode. The respondents were given one-day deadline to revert with responses. Any queries pertaining to the questionnaire were clarified during data collection. 131 respondents reverted with completely filled questionnaire. Conclusion: It relies on self-assessment to assess interpersonal communication skills and has a limited sample size. Yet, the study is an eye-opener to the incidents of conflicts in emergency healthcare settings and the barriers that prevent a healthy doctor patient relationship
Assessment of the Level of Clinical Preparedness amongst EMS Professionals in Managing Life Threatening Emergencies in Suspected Covid 19 Patients Parag Rishipathak; hrimathy Vijayraghavan; Anand Hinduja; Prerana Dongre
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.v15i3.15440

Abstract

Introduction: SARS-CoV-2 virus has infected millions of people worldwide and has claimed lakhs of lives in its wake. The sudden onset of the pandemic has led to increased levels of anxiety and depression amongst healthcare workers. EMS professionals are the first responders and need to provide emergency Medical Care to their patients. They are required to perform lifesaving interventions in a short period of time. As it is not possible to ascertain the Covid status of the patient, hence EMS professionals are at the greatest risk of getting infected. The study aims to assess the level of clinical preparedness of EMS professionals and suggests recommendations to improve upon it. Objective: To assess the level of clinical preparedness amongst EMS professionals in tackling life threatening emergencies in suspected Covid 19 patients. Methodology: The study was conducted amongst 150 Emergency Medical Professionals in Pune, India. Respondents were asked to respond to each item using 5 point Likert scale. The Questionnaire was administered to the respondents through online mode after obtaining informed consent. Responding to all questions was mandatory. The respondents were given a period of two days to fill the questionnaire.Discussion: The present study was aimed at examining the current level of preparedness with regards to the disease after nearly a year of the pandemic. The result obtained in terms of knowledge were encouraging and pointed to the fact that the EMS professionals had received adequate training in identification of suspected cases and their initial management. Majority of the respondents suffered from high grade anxiety of contracting the infection. The study highlights the urgent need to conduct counselling and stress management sessions for better mental health of EMS professionals and showed that hospitals are slowly but steadily devising appropriate protocols and safety measures to protect their employees. Conclusion: The contribution of EMS professionals in providing emergency lifesaving care to suspected Covid 19 patients cannot be over emphasized. As the pandemic continues it is essential to ensure the mental and physical of all healthcare professionals. The study is a small attempt to portray the level of knowledge and mental attitude amongst EMS professionals. The findings need to be corroborated with a larger multicentric study.
Covid-19: Information, Transference, Properties of Human Coronaviruses, and Enhancing Immunity by Dietary Recommendations Dalia I. Hemdan
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.v15i3.15441

Abstract

In Wuhan City, China was found a new type of viral infection could be a novel CoV strain (2019-nCoV) which as an acute respiratory syndrome CoV-2 (SARS-CoV-2) and formerly, severe acute respiratory syndrome (SARS). All these emerging infectious diseases are caused great damage to general health.New Coronavirus has diffused very quickly at the world and the World Health Organization has declared it a pandemic. It usually affects people who are immunocompromised. Immunodeficiency often comes from nutritional deficiency and this makes viruses stronger. Therefore, this review focused on the identification of the SARS-CoV-2 virus, its transmission and spread, and the history of Coronavirus. In addition, how to boost immunity by learn about nutrition recommendations and healthy diets during the COVID-19 pandemic.
Seizures and Phytotherapy: The Most Important Medicinal Plants Used for Seizures in Children and Adults in Iranian Ethnobotanical Documents Halleh Mirbehresi
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.v15i3.15443

Abstract

Due to the relatively high prevalence of seizures (8%), the cases of prescribing these drugs are very high and usually have many side effects, so in this review study, the use of medicinal plants in different regions of Iran in ethnobotanical documents was extracted and reported. In this study, for this purpose, keywords such as convulsion (seizure), medicinal plants, ethnobotany, identification of medicinal plants, region and Iran were performed. Databases such as ISI Web of Science, PubMed, Scopus, ISC, Magiran and Google Scholar were used to review articles and resources. Based on the results, Anthemis nobilis L., Leonurus cardiac L., Lotus corniculatus L., Hyoscyamus niger L., Salvia spp., Grammosciadium platycarpum Boiss. & Hausskn., Nigella sativa L., Anethum graveolens L., Papaver fugax Poir., Lotus corniculatus L., Verbascum thapsus L., Ferula assa-foetida L., Ferula gumosa Boiss., Heracleum persicum Desf.ex Fischer., Angelica archangelica L., Vicia faba L., Verbascum pseudonobile Stoj & Stef., Melissa officinalis L., Teucrium polium L., Datura stramonium L., Hymenocrater spp. and Melissa officinalis L., are medicinal plants that are used in different parts of Iran to treat seizures. The data collected in this study were analyzed using Microsoft Excel program. According to the results, the plants of this study belong to 11 plant families. The aerial part with 32% is the most plant part used for seizures. Also, most of the medicinal plants used to treat seizures were related to the northern region of Khuzestan. Ethnobotanical knowledge can provide pure ideas for modern pharmacological knowledge and lead to the production of effective natural anticonvulsant drugs.
Impact of a Comprehensive Physiotherapy on a Complex Case of Locked Facet Joint: A Case Report Indrani Gurjalwar; Gouri Kalaskar; Mitushi Deshmukh; Pratik Phansopkar
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.v15i3.15444

Abstract

Introduction -Locked facet joint is a type of facet joint dislocation which occurs due to jumping of the inferior articular process over the superior articular process of the vertebra below and causes locking in that position. It can be unilateral or bilateral. In case of unilateral facet joint locking mechanism is flexion/distraction and rotation. Only 30% of cases associated with neurologic defect. Most often it occurs at C4-5 and C5-6 level. Inferior articular facet of superior vertebral body is locked in front of the superior facet of the more inferior vertebral body but only on one side. X-ray Image Findings in such cases are - subtle, slight anterior subluxation of one vertebral body on the one below usually less than 25% of the width. On lateral view of cervical spine, some bodies appear true lateral below level of injury and oblique above level of injury that is the “Bow-tie sign”. Spinous processes do not align on frontal film. Spinous processes of inferior vertebrae displace toward the locked side. In case of bilateral facet joint locking there is always a history of severe flexion injury. Both anterior and posterior ligamentous structures are disrupted at site of injury. More superior vertebra subluxes forward by 50% or more of the body below. Usually occurs in lower cervical spine. Generally, facet locking is a rare occurrence. Case Description – a case of 43 years old female is presented in the report who presented with pain and stiffness in neck which was sudden in onset was present since last two days. Assessment, patient’s history and treatment have been discussed in the case study. Conclusion – This case study concluded that there is a significant effect of the given therapeutic intervention on pain, range of motion and activities of daily living (ADL) of the patient.

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