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  1. Article ; Online: Personal protective equipment and personal cooling garments to reduce heat-related stress and injuries.

    Tumram, Nilesh K

    The Medico-legal journal

    2020  Volume 88, Issue 1_suppl, Page(s) 43–46

    Abstract: Use of appropriate personal protective equipment is essential for healthcare workers when dealing with patients who have tested positive or are suspected of having Covid-19. Personal protective equipment is uncomfortable at best. In hot countries (like ... ...

    Abstract Use of appropriate personal protective equipment is essential for healthcare workers when dealing with patients who have tested positive or are suspected of having Covid-19. Personal protective equipment is uncomfortable at best. In hot countries (like India) or in a hot place of work, its wearers are at a high risk of heat-related illnesses. Once in personal protective equipment a healthcare worker can remain in it for at least 6 h at a stretch. In summer when it is hot and humid, personal protective equipment can cause wearer dehydration, heat exhaustion or heat fatigue. In a severe form, this can result in heat stroke and a collapse while on duty. Preventive measures are needed to protect healthcare workers. This review aims to highlight the efficacy and applicability of personal cooling garments.
    MeSH term(s) Body Temperature Regulation/physiology ; Heat Stress Disorders/prevention & control ; Hot Temperature ; Humans ; India ; Occupational Exposure/prevention & control ; Personal Protective Equipment/statistics & numerical data ; Protective Clothing/statistics & numerical data ; Tropical Climate
    Keywords covid19
    Language English
    Publishing date 2020-07-27
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 390918-9
    ISSN 2042-1834 ; 0025-8172
    ISSN (online) 2042-1834
    ISSN 0025-8172
    DOI 10.1177/0025817220935882
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  2. Article: Personal protective equipment and personal cooling garments to reduce heat-related stress and injuries

    Tumram, Nilesh K

    Med Leg J

    Abstract: Use of appropriate personal protective equipment is essential for healthcare workers when dealing with patients who have tested positive or are suspected of having Covid-19. Personal protective equipment is uncomfortable at best. In hot countries (like ... ...

    Abstract Use of appropriate personal protective equipment is essential for healthcare workers when dealing with patients who have tested positive or are suspected of having Covid-19. Personal protective equipment is uncomfortable at best. In hot countries (like India) or in a hot place of work, its wearers are at a high risk of heat-related illnesses. Once in personal protective equipment a healthcare worker can remain in it for at least 6 h at a stretch. In summer when it is hot and humid, personal protective equipment can cause wearer dehydration, heat exhaustion or heat fatigue. In a severe form, this can result in heat stroke and a collapse while on duty. Preventive measures are needed to protect healthcare workers. This review aims to highlight the efficacy and applicability of personal cooling garments.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #680501
    Database COVID19

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  3. Article ; Online: Personal protective equipment and personal cooling garments to reduce heat-related stress and injuries

    Tumram, Nilesh K

    Medico-Legal Journal

    2020  Volume 88, Issue 1_suppl, Page(s) 43–46

    Abstract: Use of appropriate personal protective equipment is essential for healthcare workers when dealing with patients who have tested positive or are suspected of having Covid-19. Personal protective equipment is uncomfortable at best. In hot countries (like ... ...

    Abstract Use of appropriate personal protective equipment is essential for healthcare workers when dealing with patients who have tested positive or are suspected of having Covid-19. Personal protective equipment is uncomfortable at best. In hot countries (like India) or in a hot place of work, its wearers are at a high risk of heat-related illnesses. Once in personal protective equipment a healthcare worker can remain in it for at least 6 h at a stretch. In summer when it is hot and humid, personal protective equipment can cause wearer dehydration, heat exhaustion or heat fatigue. In a severe form, this can result in heat stroke and a collapse while on duty. Preventive measures are needed to protect healthcare workers. This review aims to highlight the efficacy and applicability of personal cooling garments.
    Keywords General Medicine ; covid19
    Language English
    Publisher SAGE Publications
    Publishing country us
    Document type Article ; Online
    ZDB-ID 390918-9
    ISSN 2042-1834 ; 0025-8172
    ISSN (online) 2042-1834
    ISSN 0025-8172
    DOI 10.1177/0025817220935882
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Estimation of height from the foramen magnum in the adult population - a preliminary study.

    S Gilbe, Pratik / Parchake, Soniya B / K Tumram, Nilesh / G Dixit, Pradeep

    Archiwum medycyny sadowej i kryminologii

    2021  Volume 70, Issue 2-3, Page(s) 124–135

    Abstract: Stature estimation is an important early step during forensic analysis of human skeletal remnants. The aim of the present study was to obtain a linear regression formula for estimating stature from foramen magnum measurements of a central Indian ... ...

    Title translation Szacowanie wzrostu na podstawie wielkości otworu potylicznego wielkiego w populacji osób dorosłych – badanie wstępne.
    Abstract Stature estimation is an important early step during forensic analysis of human skeletal remnants. The aim of the present study was to obtain a linear regression formula for estimating stature from foramen magnum measurements of a central Indian population. The study includes 81 male and 55 female cadavers brought for medicolegal autopsies. The linear regression equations were derived from length (FML), breadth (FMB) and area (FMA) of foramen magnum. The regression model provided a 95% confidence interval of ± 11.1 cm, ± 10.4, and ± 10.5 cm and a correlation coefficient of 0.69, 0.75, and 0.74 for length, breadth, and area of male foramen magnum, respectively. Similarly, the regression model provided a 95% confidence interval of ± 13.4 cm, ± 11.4 cm, and ± 12.8 cm and a correlation coefficient of 0.45, 0.68, and 0.57 for length, breadth, and area of female foramen magnum. Compared to other studies, regression formulae based on the measurements of the foramen magnum provided slightly larger standard errors than that based on long bone lengths. The study indicates that foramen magnum measurements in relation with body stature show strong positive correlation, relatively moderate reliability in estimating stature, and some forensic value.
    MeSH term(s) Adult ; Body Height ; Female ; Foramen Magnum/anatomy & histology ; Forensic Anthropology ; Forensic Medicine ; Humans ; Male ; Reproducibility of Results
    Language English
    Publishing date 2021-04-14
    Publishing country Poland
    Document type Journal Article
    ZDB-ID 2780064-7
    ISSN 1689-1716 ; 0324-8267
    ISSN (online) 1689-1716
    ISSN 0324-8267
    DOI 10.5114/amsik.2020.104172
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: An SBQ-R assessment of the impact of COVID-19 pandemic on the mental health of young adults in North India.

    Rani, Deepika / Krishan, Kewal / Tumram, Nilesh / Parekh, Utsav / Kanchan, Tanuj

    Acta bio-medica : Atenei Parmensis

    2022  Volume 93, Issue 4, Page(s) e2022217

    Abstract: Background and aim: During the COVID-19 pandemic in India, an increase in the number of suicides was observed in India. Therefore, the present study aims to explore various factors affecting the mental health of an individual and their consequences. ... ...

    Abstract Background and aim: During the COVID-19 pandemic in India, an increase in the number of suicides was observed in India. Therefore, the present study aims to explore various factors affecting the mental health of an individual and their consequences. Moreover, it has been attempted to assess the suicidal risk in the population of North India by using the Suicidal Behaviors Questionnaire-Revised (SBQ-R).
    Methodology: The young adults from the North Indian population belonging to the age group of 18 to 35 years (24.93±4.42 years) have been incorporated into the study. A total of 190 responses (102 males and 88 females) were recorded through online mode. The present questionnaire has incorporated the Suicidal Behaviors Questionnaire-Revised (SBQ-R) and some of the parameters taken from the psychology today online survey.
    Results: The demographic characteristics of the respondents were described by using frequencies and percentages, means, and standard deviations. Cronbach's alpha, Kaiser-Meyer-Olkin (KMO), and the Bartlett sphericity were calculated. The mean SBQ-R score was recorded to be 4.62±1.5. Further, during the factor analysis with the principal component method, seven factors have explained the 70.797% of the cumulative variance with an eigenvalue of 1.
    Conclusions: The SBQ-R assessment revealed a minimal risk of suicidal behavior but the frequency distribution of the parameters taken for the psychological assessment has highlighted that anxiousness or worriedness has a significant impact on the mental health of the population at risk. Therefore, it is recommended that some precautionary measures, such as online mental health services, should be taken by the health ministry to keep the population healthy.
    MeSH term(s) Adolescent ; Adult ; COVID-19/epidemiology ; Female ; Humans ; India/epidemiology ; Male ; Mental Health ; Pandemics ; Suicidal Ideation ; Suicide/psychology ; Surveys and Questionnaires ; Young Adult
    Language English
    Publishing date 2022-08-31
    Publishing country Italy
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2114240-3
    ISSN 2531-6745 ; 0392-4203
    ISSN (online) 2531-6745
    ISSN 0392-4203
    DOI 10.23750/abm.v93i4.12805
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Estimation of height from the foramen magnum in the adult population – a preliminary study

    Pratik S. Gilbe / Soniya B. Parchake / Nilesh K. Tumram / Pradeep G. Dixit

    Archives of Forensic Medicine and Criminology, Vol 70, Iss 2-3, Pp 124-

    2021  Volume 135

    Abstract: Stature estimation is an important early step during forensic analysis of human skeletal remnants. The aim of the present study was to obtain a linear regression formula for estimating stature from foramen magnum measurements of a central Indian ... ...

    Abstract Stature estimation is an important early step during forensic analysis of human skeletal remnants. The aim of the present study was to obtain a linear regression formula for estimating stature from foramen magnum measurements of a central Indian population. The study includes 81 male and 55 female cadavers brought for medicolegal autopsies. The linear regression equations were derived from length (FML), breadth (FMB) and area (FMA) of foramen magnum. The regression model provided a 95% confidence interval of ± 11.1 cm, ± 10.4, and ± 10.5 cm and a correlation coefficient of 0.69, 0.75, and 0.74 for length, breadth, and area of male foramen magnum, respectively. Similarly, the regression model provided a 95% confidence interval of ± 13.4 cm, ± 11.4 cm, and ± 12.8 cm and a correlation coefficient of 0.45, 0.68, and 0.57 for length, breadth, and area of female foramen magnum. Compared to other studies, regression formulae based on the measurements of the foramen magnum provided slightly larger standard errors than that based on long bone lengths. The study indicates that foramen magnum measurements in relation with body stature show strong positive correlation, relatively moderate reliability in estimating stature, and some forensic value.
    Keywords forensic anthropology ; height ; foramen magnum ; cadaver ; adult population ; india ; Medicine ; R ; Social pathology. Social and public welfare. Criminology ; HV1-9960
    Subject code 310
    Language English
    Publishing date 2021-03-01T00:00:00Z
    Publisher Termedia Publishing House
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Fatal Aspiration of Barium Sulfate in a Case of Myasthenia Gravis: A Case Report and Review of Literature.

    Khartade, Harshwardhan K / Meshram, Vikas P / Tumram, Nilesh K / Parchake, Manoj B / Pathak, Harish M

    Journal of forensic sciences

    2020  Volume 65, Issue 4, Page(s) 1350–1353

    Abstract: Barium contrast radiography is a usual procedure performed for detecting lesions of the digestive tract using barium sulfate on X-ray irradiation. The aspiration of barium contrast is an uncommon but well-documented complication occurring accidentally ... ...

    Abstract Barium contrast radiography is a usual procedure performed for detecting lesions of the digestive tract using barium sulfate on X-ray irradiation. The aspiration of barium contrast is an uncommon but well-documented complication occurring accidentally during examinations of the upper gastrointestinal system using contrast media. Certain conditions that affect the anatomical and functional integrity of the oropharynx and esophagus can be predisposing factors. Barium is an inert material that can cause symptoms varying from an asymptomatic mechanical obstruction to severe respiratory distress that can result in death when aspirated. Sudden death due to aspiration of barium is rarely reported in the literature. We report a case of a 50-year-old female who suddenly developed difficulty in breathing, followed by loss of consciousness during barium swallow procedure due to aspiration of barium contrast. She could not be revived and died within a few minutes of the episode. The predisposing factor was the weakness of the muscles of deglutition due to myasthenia gravis. We also reviewed the literature available on cases resulting from the aspiration of barium sulfate during the barium study procedures. We considered the factors like the age, indications, the distribution of barium in the lungs, clinical presentation, the period of survival, and cause of death. We came across only four cases of death within 24 h following the aspiration of barium. This case report and review of literature emphasize the importance of consideration of predisposing factors before conducting barium contrast radiography and also the possibility of sudden death.
    MeSH term(s) Asphyxia/etiology ; Barium Sulfate/adverse effects ; Contrast Media/adverse effects ; Deglutition Disorders/etiology ; Fatal Outcome ; Female ; Humans ; Middle Aged ; Muscle Weakness/etiology ; Myasthenia Gravis/complications ; Respiratory Aspiration/etiology
    Chemical Substances Contrast Media ; Barium Sulfate (25BB7EKE2E)
    Language English
    Publishing date 2020-02-18
    Publishing country United States
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 219216-0
    ISSN 1556-4029 ; 0022-1198
    ISSN (online) 1556-4029
    ISSN 0022-1198
    DOI 10.1111/1556-4029.14297
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  8. Article ; Online: Sperm motility and viability extracted from penile tract of corpses: A preliminary study.

    Tumram, Nilesh K / Bardale, Rajesh V / Ambade, Vipul N

    The Medico-legal journal

    2016  Volume 84, Issue 3, Page(s) 132–134

    Abstract: Posthumous sperm retrieval is a procedure in which spermatozoa are extracted from a man after he has been pronounced legally brain dead. Sperm retrieval from the penis has not been studied previously to the best of our knowledge. Our purpose was to ... ...

    Abstract Posthumous sperm retrieval is a procedure in which spermatozoa are extracted from a man after he has been pronounced legally brain dead. Sperm retrieval from the penis has not been studied previously to the best of our knowledge. Our purpose was to determine the motility and viability of sperm from the penis with increasing time intervals from death. There was a progressive decrease in sperm motility with increasing post-mortem intervals, with a progressive increase in non-motility. Similarly, the sperm viability also showed a decreasing pattern with the increasing post-mortem interval. The sperm were found to be viable up to 24 h after death. Penile tract sperm retrieval has not been previously studied as far as we know.
    MeSH term(s) Adolescent ; Adult ; Autopsy/methods ; Cadaver ; Humans ; Male ; Middle Aged ; Sperm Motility ; Spermatozoa/physiology ; Time Factors
    Language English
    Publishing date 2016-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 390918-9
    ISSN 2042-1834 ; 0025-8172
    ISSN (online) 2042-1834
    ISSN 0025-8172
    DOI 10.1177/0025817216633358
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  9. Article: Role of total dose and hyperfractionation in reducing risk of radiation-induced optic neuropathy.

    Kumre, Dilip / Jeswani, Vijay / Benurwar, Saket / Tumram, Nilesh K

    Oman journal of ophthalmology

    2015  Volume 8, Issue 1, Page(s) 75–76

    Language English
    Publishing date 2015-02-24
    Publishing country India
    Document type Journal Article
    ZDB-ID 2484272-2
    ISSN 0974-7842 ; 0974-620X
    ISSN (online) 0974-7842
    ISSN 0974-620X
    DOI 10.4103/0974-620X.149901
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  10. Article ; Online: Role of total dose and hyperfractionation in reducing risk of radiation-induced optic neuropathy

    Dilip Kumre / Vijay Jeswani / Saket Benurwar / Nilesh K Tumram

    Oman Journal of Ophthalmology, Vol 8, Iss 1, Pp 75-

    2015  Volume 76

    Keywords Ophthalmology ; RE1-994 ; Medicine ; R
    Language English
    Publishing date 2015-01-01T00:00:00Z
    Publisher Medknow Publications
    Document type Article ; Online
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