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Awareness and Attitude about Social, Ethical and Legal issues Related to Assisted Reproductive Techniques (A.R.T) amongst Medical Students and Interns in a Tertiary Care Hospital at Chennai P Shruthi; Sri Jayanth
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.v15i2.14349

Infertility is an issue on the rise worldwide. Infertility treatment globally has undergone a gradual revolutionfrom the traditional treatment to the use of assisted reproductive technology (ART). ART is presently themost sought after technology that successfully treats millions of infertile couples over the world. However,the utilization of ART still differs between various nations owing to varying socioeconomic, cultural andreligious reasons. The sudden increase of this technology has introduced numerous social, ethical, and legalchallenges. This paper assesses the awareness level and attitude amongst medical students and interns inChennai regarding some of the most vital and tricky topics in the field of ART and outlines the ethical,legal and social challenges they bring in. This questionnaire-based study involved 427 participants whoencompassed medical students and interns from tertiary care hospital at Chennai. The responses werecollected, tabulated and statistically analysed. About 2/3rd of the participants were females. 94% of therespondents declared that they are aware of ART (401), 63% answered that all the information was obtainedfrom the medical college. Over 2/3rd of the study population was aware of one of the ART methods. 70.8%(302) amongst the participants felt that ART solved all problems of infertility.86.7% of the respondents(370) knew that Spousal agreement to opt for A.R.T is a must. 90.6% (387) of the study population were ofthe opinion that revealing the identity of the sperm donor would cause psychological, social and attitudinalissues among the recipients & the spouse. 29.6% of the participants felt that donation of the surplus embryosfor research purposes was the best option. The gaps in knowledge about newer methods and proceduresregarding ART were identified. Medical students must be agents of socio-medical information and thismakes them good ambassadors for healthy living and fertility awareness. The introduction of governmentrun ART centres and reduction in the cost of the services will go a long way in encouraging more personsto use the services.

Awareness about Consumer Protection Act amongst Patients Visiting a Private Medical College and Hospital at Chennai: A Descriptive Study P Shruthi; Uma Maheshwari
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.v15i2.14350

Objectives: To assess the knowledge regarding Consumer Protection Act amongst patients visiting a tertiarycare hospital at Chennai.Methodology: A cross-sectional descriptive questionnaire based survey was carried out on 550 patientsvisiting a private medical college and hospital at Chennai and the data was collected. The interview consistingof closed ended questions on CPA. Statistical analysis was done using appropriate statistical tools in SPSSsoftware.Observation and Results: Young male respondents were found to have more awareness in comparisonwith females. Education and monthly income were found to have positive association with the level ofawareness.62% of the study participants have heard about CPA. In cases of medical negligence, 78%participants would visit police station rather than a consumer redressal forum.80% of the participants wereunaware of the location of consumer court. Approximately half of the respondents (45%) felt that medicalservices by doctors were liable for punishment under CPA in case of negligence.Conclusion: Knowledge of what may influence patients is of utmost importance in cases of meeting theirexpectations and demands. Although the Consumer protection Act empowers patients to demand qualitycare, still complaints against medical professionals for errors, unfair access and poor satisfaction inservice rendered remains. Hence awareness of patients rights and legislations would pave a path towardsimprovement in the quality of medical service rendered , thereby providing satisfaction to both patients andhealth care provider.

Knowledge and Attitude Towards Euthanasia and Advance Directives amongst Medical Students in a Private Medical College and Hospital at a Metropolitan City of India P Shruthi; G Sudaakar
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.v15i2.14351

Background - Decision making about ‘End of life’ is value-laden with respect to the context of culture andethics. Advanced and improved medical technologies and well qualified health care professionals are alwaystrying to sustain life , sometimes even when there is no hope of recovery .This has led to a need for an endof life decision making legislation more than ever.Euthanasia (Painless or mercy killing) and advance directives are less popular concepts in Indian context asagainst the many of the nations worldwide.Objective- To study the knowledge and attitude of medical students toward euthanasia and advancedirectives.Methodology - 400 medical students were chosen randomly and a cross-sectional descriptive questionnairebased study was conducted administering a pre-tested, semi structured questionnaire to assess theirknowledge and attitude regarding euthanasia and advance directives in a private medical college and hospitalat Chennai. The data collected was statistically analysed using appropriate statistical tools in SPSS software.Results- Female preponderance, 246 (61.5%) was noted in the study with female to male ratio being 1.6:1.76% of them had heard about Euthanasia and 29% of them were aware of the concept of advance directives.61% of them wanted active euthanasia to be legalised. 54% of them believed that this concept may easilybe misused and that was the reason against opting for euthanasia. 34% of them were aware that the mentalhealth act (MHCA) , 2017 promoted advance directive in India.Although none of them had helped anypatient write an advance directive, 77% of them felt that health care providers should always anticipatediscussion about end-of-life issues with the patient.Conclusion- This study concludes that majority of the medical students in teaching medical colleges andhospital had moderate to high level of knowledge of euthanasia and moderate to poor level of knowledgeregarding advance directives.

A Study of Cheiloscopic Pattern in Relation to Gender and Blood Groups in a Tertiary Care Hospital at Chennai S Surya; P Shruthi
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.v15i2.14398

Personal identification is of vital importance in forensic odontology for ethical, humanitarian and criminalenquiries. The applicability of Cheiloscopy ( study of pattern of lip print), one of the easiest tools availablein individual and medicolegal identification, is an area of extensive research in recent years. With theobjective to investigate the uniqueness of lip patterns in relation to gender and blood groups, this study wasconducted on 100 subjects, which included 50 males and 50 females. The lip prints obtained were studiedby applying Suzuki and Tsuchihashi’s classification.Type 2 (37%) was the most common lip print type inmales and Type 3 (38.5%) was the most common lip print type in females. The Lower lip print can helpin gender determination. No significant statistical correlation was found between the lip print patterns andblood group. Along with the traditional methods of identification like fingerprint analysis,Cheiloscopy canalso be helpful in the identification of a person.However, the utility of the same in forensic medicine stillremains largely untapped and unacknowledged. Similar studies with larger sample sizes are required toobtain statistically significant reports thereby allowing a more impactful emergence of lip print patternsusage in forensic analysis.

Sociodemographic Profile and Pattern of Injuries Due to Fall From Height in a Tertiary Hospital of South India- A 2 Year Retrospective Study P Shruthi; U.S Tanuja
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.v15i2.14427

Globally, falls from height (FFH) are a substantial public health peril and are among the foremost causesof serious and fatal injuries sustained to a victim. Falls are the second leading cause of accidental orunintentional injury deaths worldwide. This retrospective study consisting of 182 cases was undertakento study the sociodemographic profile and injury pattern in victims of fall from height for a period of 2years . Males outnumbered the females (3.04:1). Most of the victims were construction workers (43.40%)by occupation . Most of incidents 117 (64.28%) took place in semi urban area and 45 (24.72%) victimsoccurred in the Urban locality. 49.45% of the cases (90) occurred in the summer season.37.91% of the eventswere seen between 12 Noon to 6 PM. In majority of cases, side of the body was the primary site of impact(25.27%) followed by head injury (21.43). 12.08% of the cases turned fatal. Implementation of adequatesafety measures would effectively reduce the incidence of mortality and morbidity associated with fall fromheight .

Awareness about Acts and Amendments in Bills Related to Sexual Offences amongst Medical Students and Interns In A Private Medical College and Hospital at Chennai Sushanth Satish; P Shruthi
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.v15i2.14454

Women and Children constitute one of the vulnerable sections of our society. Proactive scheduling andstipulation of services to them is an asset for the future of our country. Their care and protection has emergedas a precedence for the Government .The objective of the study was to assess and analyze the awarenessabout the amendments in acts and introduction of new bills related to sexual offences amongst Medicalstudents and Interns in teaching medical colleges,hospitals at Chennai. 300 participants took part in thiscross sectional study which revealed that almost one fifth of them (20%) felt that only children below 16years came under the POCSO Act 2012. Nearly 55% of the participants were unaware of the exact featuresof the POCSO Act 2012. Only one fourth were aware that as per the new amendment in the proposed MTPbill regarding requirement of only a single RMP’s opinion for termination of pregnancy up to 20 weeks,while 56% of the participants were unaware of the minimum punishment for the rape of a girl under 16years.The study result implies the need to have more educational sessions for the students regarding the amendmentsin the acts.

Awareness and Attitude Towards Organ Donation Under Transplantation of Human Organ Act 1994 amongst Medical Students in Teaching Hospital at Chennai S. K .Tanissha; P Shruthi
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.v15i2.14462

Organ transplantation, a treatment procedure to save the lives of patients with end stage organ failure is agrey zone about which the multitude is still unaware. The attitude of the Indian population towards organdonation is very bleak accounting to a rate of 0.26 per ten lakh people. A cross-sectional study was conductedamong 300 medical students with a pre-tested, semi structured questionnaire to assess their knowledge andattitude regarding organ donation. Data collected was statistically analysed using SPSS software. 96% ofthe study participants were aware about organ donation and 98.5% believed that organ donation should bepromoted. 4.8% participants of this study had already signed up the organ donation form .Willingness fororgan donation was significantly associated with knowledge about organ donation. When compared to boys,girls reported higher mean scores in knowledge (8.48±1.11) and attitude (7.38±0.85). Though most of thestudents had adequate knowledge, gaps existed in their practices. By providing adequate knowledge andorientation about the topic, all the Medical graduates can become the potential organ donors in the futureand also abide by the law of land by motivating the patients to donate their organs.

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