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<![CDATA[Correlation between Stature and Length of Clavicle in Female Population of Central India ]]>
<![CDATA[Pande Varsha1, Patond Swapnil 2 Patil Bharat3]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 3 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i3.10414
<![CDATA[Introduction: Anthropology plays an important role in various medicolegal aspects; apart from determination of Age, Sex and Race of individual, stature is also one of the important parameter of identification various civil and criminal cases. Therefore efforts have been made to determine association between stature and length of clavicle if any. Materials and Method: The present research was carried out in department of Anatomy JNMC Sawangi (M) Wardha; was conducted on total 50 Female individual of age 17–24. The length was calculated with the help of osteometric callipers for clavicles from anatomical landmarks and stature was calculated in centimetres. Conclusion. From present research it was concluded that the length of clavicle and stature reveals positive correlation and the linear relationship between the living stature and length of clavicle of each side was carried out in the form of regression equation.]]>
<![CDATA[Forensic Investigation and Comparison of Blood Sample Referring to Thalassemia ]]>
<![CDATA[Pankila Khanna1 , Surender Sehrawat2 , KS Rana3]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 3 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i3.10415
<![CDATA[Identification of an individual is one of the significant features of forensic investigation. The present study was conducted to study the difference between normal and thalassemic blood. The study was conducted on 40 blood samples aim to compare control and disease wet blood samples by using different methods of microscopy. The comparison was done based on the morphology of the RBCs and red blood cell count. A (monolayer) thin blood film is prepared on a slide with a wet blood sample and observed under a compound microscope. Red blood cell count is performed with the help of Neubauer’s chamber. Observation shows the changes in the morphology of red blood cells in the thalassemic population as compared to the control population, moreover based on total RBCs count the number red blood cell count found higher in the thalassemic population as compared to the control. Both morphology and Count significantly differed from the control population. Thus, the present method can be used in the daily routine at forensic science casework.]]>
<![CDATA[Perspective of Maternal Deaths: A Retrospective Autopsy Study ]]>
<![CDATA[Patekar M B.1 , Jagtap N.S.1 , Pawale D.A.2]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 3 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i3.10417
<![CDATA[Reducing maternal mortality has been a constant struggle globally. The major causes of maternal mortality remain to be ante and post-partum haemorrhage, anaemia, obstructed labour, hypertensive disorders and post-partum infections, liver disorders as observed in various studies. The present study was carried out with view to determine factors causing maternal deaths, and utility of autopsy with autopsy record as a useful and adjunct data source for ascertainment of maternal deaths. In this study we have retrospectively considered the autopsy of maternal cases during 2015 to 2019 referred to RCSM GMC Kolhapur, Kolhapur, Maharashtra. Of the total 66 cases of maternal deaths, maximum number of cases were seen in age group of 20 to 29 years comprising 42 out of 66 (63.63%), Maximum cases 53 (81.30%) were resident of rural areas. Maximum causes of death on autopsy were direct causes, of which hemorrhage was the predominant cause. Most of the cases (42 out of 66 ) died within 24 hours of admission to the hospital. The determinants of maternal mortality need to be studied through the lens of autopsy.]]>
<![CDATA[Effect of Nordic and Normal walking on coronary risk factors among middle aged obese population: Comparative Study ]]>
<![CDATA[Pradnya P. Ghadage1 , T. Poovishanu Devi2]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 3 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i3.10418
<![CDATA[Background: In recent years, obesity significantly increased in all the age groups due to sedentary lifestyle. It can result into chronic heart disease. So walking is very beneficial for every individual therefore this study is aimed to compare the effect of Nordic and Normal walking on coronary risk factor in middle aged obese population. 32 middle aged obese individuals were participated in this study they were divided into 2 group. One group performed Nordic walking and other Normal walking and evaluate the efficiency of Nordic and Normal walking for the coronary risk factor. Objective: To assess the W-H Ratio BMI, HDL and LDL level To find out the pre and post effect of Nordic and normal walking on the coronary risk factors. Methodology: The study subjects were 32 middle aged obese individuals. They were divided into 2 groups. The primary intervention to Group A consist of a Nordic Walking and Normal walking for group B. Individuals were selected according to inclusion criteria age between 45-65 years, Body Mass Index ?30 kg/m2 , Waist – Hip Ratio > 0.9 cm for men and 0.8 cm in female, HDL < 40mg/dL, LDL > 130 mg/dL and exclusion criteria was individuals taking medication which influence the variable measured, any orthopedic condition that limit the exercise, unstable angina, uncontrolled hypertension – SBP ? 200 mmHg and DBP ?110 mmHg. Result: Statistical analysis for BMI, Waist – Hip ratio, LDL and LDL level was significant (P value = 0.0001) in individuals performed Nordic walking. In normal walking P value is changes in BMI, W-H ratio, HDL and LDL level which was not significant. Conclusion: From this study, it can be concluded that the Nordic walking reduces the coronary risk factor in middle aged obese population than the normal walking.]]>
<![CDATA[Awareness among Intern Doctors Regarding Privacy and Confidentiality in Medical Practice ]]>
<![CDATA[Pragnesh Parmar1 , Swapnil Patond2 , Gunvanti Rathod3 , Sudhir Ninave4]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 3 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i3.10420
<![CDATA[Background: Privacy and confidentiality in medical care are deeply rooted in core professional ethical standards across a variety of health professions. Present project aimed to study perceptions of intern doctors regarding privacy and confidentiality in medical practice. Materials and methods: Total 100 intern doctors of GMERS Medical College, Valsad, Gujarat were subjected to pre-tested and pre-validated Likert scale type questionnaire regarding knowledge and awareness of privacy and confidentiality in medical practice after obtaining their informed written consent. Data obtained were analyzed via median score and tabulated. Results: Out of 100 respondents, 58 were male and 42 were female. Knowledge and awareness regarding many of the facts related to privacy and confidentiality of medical practice found to be satisfactorily with median score of more than 3. Professional secrecy is implied term of contract between doctor and patient, patient can sue the doctor for damages if disclosure is done without his consent and harm him and not in the interest of public, etc. showed median score of 3. Disclosure to parents without consent in case of major and breach of professional secrecy is professional misconduct of doctor showed median score less than 3. Conclusion: Intern doctors had little knowledge regarding disclosure to parents without consent in case of major and breach of professional secrecy is professional misconduct of doctor. Intern doctors were not sure about Professional secrecy is implied term of contract between doctor and patient and patient can sue the doctor for damages if disclosure is done without his consent and harm him and not in the interest of public. Knowledge and awareness regarding rest of the facts related to privacy and confidentiality of medical practice found to be satisfactorily among intern doctors.]]>
<![CDATA[Awareness among Intern Doctors about Medical Records and Duty of Doctors in Tertiary Care Hospital, Valsad ]]>
<![CDATA[Pragnesh Parmar1 , Swapnil Patond2 , Gunvanti Rathod3 , Sudhir Ninave4]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 3 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i3.10421
<![CDATA[Background:Optimum knowledge of medical records and duty of doctor is must for every doctor to enhance safe health care delivery in an unbiased standardized way. Present study was undertaken with aim to assess awareness of intern doctors towards medical records and duty of doctors. Materials and methods:Present study was undertaken at Gujarat Medical Education and Research Society (GMERS) Medical College, Valsad, Gujarat after obtaining ethical approval from the Institutional Ethical Committee of Valsad. Total 10 questions were prepared and validated on Likert scale (1 to 5, 1 – Strongly Disagree, 5 – Strongly Agree) regarding medical records and duty of doctors. Total 100 intern doctors of GMERS Medical College, Valsad, Gujarat were subjected to pre-tested and pre-validated Likert scale type questionnaire regarding medical records and duty of doctors after obtaining their informed written consent. Data obtained were analyzed via median score and tabulated. Results:Students were well aware about following facts like Maintenance of patients’ record is legal duty of hospital, Every operation required informed written consent of patient, Fail to attend patient during emergency is punishable, Patient has right to refuse treatment, and Carelessly leaving object into patient body during operation is negligent act. Students were not sure of facts like Patients’ records are property of patients, Refusing patient on religious ground is punishable, Not to treat patient due to HIV is punishable, and doctor has right to choose patient. Students were not aware regarding either doctor can refuse to attend medico-legal case or not. Conclusion: Intern doctors had no awareness regarding duration of preservation of hospital records. Students were not sure of various aspects of medical records and duty of doctors. Compulsory internship in Forensic Medicine subject as well as sensitization workshop regarding medical records and duty of doctors for interns at beginning of their internship may build confidence among them to be aware with various duties of doctors.]]>
<![CDATA[Effect of Tactile Stimulation and Joint Integrity Exercises on Hemineglect in Stroke Survivors ]]>
<![CDATA[Prajakta S.Kadam1 , Suraj B.Kanase2]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 3 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i3.10422
<![CDATA[Background: Unilateral spatial neglect is likely to be associated with poor functional outcome in sub acute phase. During this period, intensive rehabilitation is needed to obtain higher ADL scores. If greater efficacy of rehabilitation can be brought about by early intervention for unilateral spatial neglect, patients with unilateral neglect might achieve higher ADL goals. Material and Method: In this pre-post intervention study 25 neglect patients were included with less than six month of stroke.Tactile stimulations and joint integrity exercise protocol was set for four weeks. After pre-post assessment, data was analysed with help of appropriate statistical methods. Results: According to this study, there is increase in tactile stimulation (p=0.0023), kinaesthetic stimulation (p<0.0001),stereognosis (p<0.0001) and motor outcome (p=0.0001). This indicates an overall increase in sensory and motor outcome. Conclusion: Tactile stimulation and joint integrity exercises appears to be beneficial for improving motor outcome in hemineglect patients after stroke.]]>
<![CDATA[Clinical Evaluation of Ocular Foreign Bodies ]]>
<![CDATA[Pranali Shah1 , V.H.Karambelkar2]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 3 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i3.10423
<![CDATA[Background : Ocular foreign body can affect at any age as well as in both genders. Foreign body introduction in eye leads to various disturbances which can create significant health related problem. The study of the ocular foreign body gives unparalleled opportunities in reducing morbidity as well as for realizing significant savings for both financial as well as human terms. Material and Method: This prospective study was conducted in ophthalmology department at of Krishna hospital, Karad, Hundred patients with ocular foreign bodies were included in study with consideration of inclusion and exclusion criteria. Results : A study of 100 subjects showed that incidence of extraocular foreign bodies is very common compared to intraocular foreign bodies. Amongst that, corneal foreign bodies found to be have highest incidence. Commonest foreign body observed -iron particle (43%) and thorn/vegetative material (38%). Average age-40 years. Males are having higher incidence than females. Average interval between incident and intervention – 2.6 days (day 0 to day 10). Amongst the affected population, farmers and welders are maximum in number. Conclusion : Though incidence of intraocular foreign body is very less, it has bad prognosis in relation with vision as well as progresses to endophthalmitis. Early visit to ophthalmologist showed better prognosis and thus visual outcome specially in cases of vegetative foreign body in which delayed treatment lead to further complications.]]>
<![CDATA[Correlation of Perkins Hand-Held Applanation Tonometer with Non-Contact Tonometer ]]>
<![CDATA[Prashant Bulchandani1 , Girish A. Gadre2]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 3 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i3.10424
<![CDATA[Aim: To correlate the IOP by the use of Perkins hand-held applanation tonometer (PAT) with Non-contact tonometer (NCT). Materials & Methods: Prospective cross-sectional study done on 148 eyes & 3 readings were taken for each method & mean calculated. Statistical analysis: Unpaired-T test & Correlation-co efficient, Sensitivity & Specificity were calculated for the NCT. Results: Mean age of subjects was 56.01± 9.73 yrs. Mean IOP with PAT & NCT 15.43 mmHg (95% CI 15.14–15.76) & 15.13 mmHg (95% CI 14.81– 15.46) respectively. NCT shows excellent agreement with PAT. Correlation coefficient(r) of IOP measured by NCT & PAT is 0.97 & 0.91 for RE & LE respectively with p value <0.05, showed strong positive correlation between the IOP measured by NCT & PAT. The NCT showed high sensitivity 86% & high specificity 97.9 % respectively, coming across an excellent agreement with PAT. Interpretation: NCT is easy to operate (non medical & Paramedical staff), minimum risk of infection & without any observer bias. Only drawback is the cost. Conclusion: The current study shows that the NCT compares well with the PAT. The NCT can be used as a reliable screening tool.]]>
<![CDATA[Theatrical Prosthesis – Widening Horizons of Prosthetic Dentistry – A Case Report ]]>
<![CDATA[Prashant Kothari1 , Veena Hegde2]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 3 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i3.10425
<![CDATA[A movie or a play is said to be great if it can imprint an image in our mind forever. To accomplish this, even the unnatural looking characters should look real. This case report describes a temporary prosthesis which alters the look of a theatre artist suited as a Dracula. Mock wax-up was done on the stone cast and an index of same was made using putty material. After dewaxingof the cast, tooth colored self-cure acrylic resin was mixed and poured into the index and stone cast with separating medium applied over it was pressed into the index. Prosthesis was retrieved, trimmed, polished and then delivered to patient.]]>
