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<![CDATA[Awareness of MBBS Students on Effects of Workplace Violence and Conflict Management in Hospital Scenario ]]>
<![CDATA[Divya Reddy Pannala1 , S.M. Krishna Sagar2 , Hemantha Rao Amara3]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.11467
<![CDATA[According to World Health Organisation, healthcare workers are four times more prone to injuries due toworkplace violence compared to other professions. An ongoing study by the Indian Medical Associationinferred that about 75% of doctors have faced violence at work, where many of the cases were reported fromEmergency wards and Intensive Care Units and the patient’s relatives were the prime offenders. Poor doctorpatient communication and weak conflict resolution skills are some of the preventable reasons for violenceon doctors. A questionnaire-based study was conducted on MBBS students to assess the effects of violenceon doctors and their level of preparedness in dealing with violent situations. Majority of the students werenot taught precautionary measures or methods of managing conflicts and thus are not properly equipped intackling workplace violence. By improving their manner of conduct towards the patients in likely incidentsof violence and training them in managing conflicts, such acts shall be curbed effectively]]>
<![CDATA[The Effectiveness of Information Education Communication (IEC) on Knowledge and Practices Regarding Patient Safety Measure among Nursing Officers in Selected Hospital of Pune City ]]>
<![CDATA[Divyank Kalal1 , Dipak Sethi2 , Ranjana Chavan3 , Sharadha Ramesh4]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.11468
<![CDATA[Background & Objective: Patient safety is very important in the provision of quality care. Our aim wasto assess the Information Education Communication (IEC) on knowledge and practices regarding patientsafety measure among nursing officers.Methods: A Pre-Experimental one group pre-test post-test design was adopted involving 60 nursing officers.After obtaining informed consent nursing officers were allocated by using the Non-probability Conveniencesampling technique. IEC module was given to the nursing officers after the Pre-test was taken. An intervalof 7 days was given then post-test was obtained. Tool used in the study are Self-Structured Questionnaire onassessment of knowledge and practice.Results: The average change in the level of knowledge was significantly increase in post-test as comparedto pre-test. In pre-test 70% of nursing officers have average knowledge, 28.33% have poor knowledge and1.67% have good knowledge. The mean knowledge of the nursing officers was 6.37 and standard deviationswas 0.71. While in the post-test 78.33% of nursing officers have good post-test knowledge, 21.67% haveaverage knowledge and no nursing officers have poor knowledge. The mean knowledge of the nursingofficers was 11.7 and standard deviations 1.75.The change in the level of practice was also significantly increase in post-test as compared to pre-test. Inpre-test 60% of the nursing officers have average practice score, while 36.67% have poor practice and3.33% have good practice. The mean practice of the nursing officers was 6.35 and standard deviations was2.37 while in the post-test 53.33% of the nursing officers have good practice, 46.67% have average practiceand no nursing officers have poor practice. The mean practice of the nursing officers is 13.5 and standarddeviations from to 0.71.Conclusion: The findings of the study shows that there is highly significant difference between the score ofpre-test and post-test. Therefore, and null hypothesis (H0) is rejected and IEC module is effective.]]>
<![CDATA[Study of Profile of Homicidal Deaths in South Chennai- A Retrospective Study ]]>
<![CDATA[Selvaraj.K1 , Rajalakshmi. S.2 , Vinoth K.V3 , Sivakumar. S.4 , Sudalaimuthu. R5]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.11470
<![CDATA[Killing of an individual is the highest level of aggression found in all cultures. The overall risk of sufferinga violent death as a result of intentional homicide has been declining steadily for a quarter of a century. In2017, there were 6.1 homicide victims per 100,000 population worldwide, compared with a rate of 7.4 in1993. The present study is a retrospective study conducted in Department of Forensic Medicine, GovernmentKilpauk Medical college in the period Jan 2017 to march 2019. A total of 70 homicidal death cases wereanalysed retrospectively. In analysing religion 61(87.14%) cases belong to Hindu religion, 33 (47.14%)cases were labourers, 68 (97.14%) belong to nuclear family, Some sort of quarrel or oral arguments was seenin 19 (27.14%) cases, place of death 28 (40%) cases seen in the victim own house. Cause of death is Shockand haemorrhage due to multiple cut injuries was seen in 22 (31.42%) cases. Head is the most common partof the body with injuries seen in 37 (52.85%) cases. Defence wounds seen in 20 (28%) of cases.Strengthening the rule of law is central to reducing homicide levels. Policies aimed at tackling homicideshould address drivers of homicide both at the individual level (such as the age and sex of a person) andat the macro level (such as unemployment, inequality, absence of the rule of law, the prevalence of genderstereotypes in society and the presence of organized crime). Targeted and efficient interventions require acomprehensive understanding of the scale of homicide and its various drivers, which is essential for ensuringthat Sustainable Development Goal targets related to violence can be met by 2030]]>
<![CDATA[YouTube TM Videos as a Source of Information on Clear Retainers ]]>
<![CDATA[Ramya Vijeta Jathanna1 , Krishnaraj K.K2 , P.N. Roopalekha Jathanna3 , Vinod Rakesh Jathanna4]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.11471
<![CDATA[Background: Internet is one of the most important information sources in dental field to obtain informationregarding treatment procedures. The content and quality of information about clear retainers available onYouTube is not known. The aim of the study was to analyze the source and quality of information about clearretainers on YouTube.Methods: The search keywords were “clear retainers”. The first 100 results were arranged in decreasing orderof “relevance” using default YouTube algorithm. Two orthodontists independently viewed and analyzed thevideos for video content using customized 10-point Likert scale and video information and quality index(VIQI) to determine the quality of the videos.Results: Out of 100 videos screened, 48 videos met the inclusion criteria. The inter investigator results weresimilar in evaluating video content and the findings was not significant except for comparison by investigatorII (p=0.006). For VIQI, internal consistency showed good reliability of Cronbach’s Alpha .855. Most ofthe videos were uploaded by layperson (64.6%) rather than dental professionals (29.2%). Instructions onretainer hygiene was the most commonly covered topic (64.6%), followed by handling the retainer (60.4%).The least mentioned content was the procedure of making the clear retainer (19.8%).Conclusion: The results of the study sheds light on the inadequacies in the content of the YouTube videoson clear retainers and also points out the underrepresentation of videos uploaded by dental professionals andorthodontists. The study suggests that YouTube is currently not an appropriate source of information on clearretainers. Dental professionals and academic institutions hold a responsibility for improving the content ofYouTube about clear retainers and directing the patients to professional online sites for reliable information.]]>
<![CDATA[Effect of Various Mesh Designs on Shear Bond Strength of New and Recycled Brackets –A Comparative, Invitro Study ]]>
<![CDATA[Kopal Agarwal1 , Siddarth Shetty2 , Asavari Desai3]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.11472
<![CDATA[Introduction: Various chemical and mechanical methods are used to enhance the retention of adhesive tothe metal bases of the brackets.Inspite of several efforts,bracket failure is one of the commonest problemsfaced during treatment.Debonded brackets are generally recycled and reused.This study was designed tocompare the shear bond strength(SBS)of five commonly available mesh designs and to determine whichmesh design offers least reduction of SBS following recycling.Method: Sample consisted of 5 types of brackets with different mesh designs, bonded to 70 extracted humanpremolars.The SBS was checked using Instron universal testing machine.The brackets were recycled usingsandblasting procedure and were rebonded on the sample teeth.Bond strength testing was again carried outusing the same procedure.Results: Mean SBS of Discovery smart bracket with laser structured base was highest followed by 3MUnitek brackets.The brackets by American Orthodontics had lowest bond strength.After recycling withsandblasting procedure,an insignificant reduction in SBS was noticed in all five groups.Conclusion: Laser structured base design was superior to other bracket base designs.All five bracket typeshad optimal bond strength required for successful bonding both before and after recycling (>7.8 MPa).]]>
<![CDATA[Medicolegal Aspects of COVID-19: Microbial Terrorism ]]>
<![CDATA[Ekampreet Kaur1 , Jaskaran Singh2 , Neeta Raj Sharma3 , Gitanjali Dass4]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.11474
<![CDATA[The entire World is going through hard times because of the emergence of new pandemic named Coronavirusor COVID-19. The virus originated from Wuhan and is spreading Worldwide. There are many questionsarising regarding the origin of this fatal virus; whether it is natural or man-made. In the past years, manymicroorganisms were used as a bio-warfare agents for causing destruction. In 2001, anthrax attack tookplace in US by the use of bacteria, Bacillus anthracis which acted as a bioweapon and lead to number ofdeaths in Texas, US. This review summarises the origin, epidemiology, medico-legal aspectsand the recentresearches of the virus indicating its nature of being manmade or a natural virus]]>
<![CDATA[Effectiveness of Module on Knowledge and Practice Regarding Prevention of Medication Errors among Critical Care Nurses in Selected Hospital ]]>
<![CDATA[Jeba B1 , Jasneet Kaur2 , Deepak Sethi3]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.11475
<![CDATA[Introduction and objective: Medication administration is the major tasks of each nurses in their clinicalpractice. Medication administration errors are preventable if the nurses have adequate knowledge andpractices regarding the medications. Hence the main objective of this study was to determine the effectivenessof module on knowledge and practices regarding prevention of medication errors among critical care nurses.Methodology: Pre experimental one group pretest and posttest research method used for the study. 50critical care nurses were selected using convenient sampling method and given questionnaire to assess theirknowledge in pretest and posttest done after 1week of intervention. Checklist used to assess their practicesin pretest and posttest.Result: The mean score of knowledge in pre-test was 13.2 and in post-test was 21.5 and the t-value was 27.7The p value was less than 0.05. The mean score of practice in pre-test was 35.3 and in post-test was 48.0,and the t value was 55.3 The p value was less than 0.05. This shows that the module is effective. Hence thenull hypothesis is rejected.Conclusion: The improvement found in the post test proved that the module is effective in improving theknowledge and practices regarding prevention of medication errors among critical care nurses.]]>
<![CDATA[Non-Compressive Mechanical Injuries to the Neck: An Autopsy based Study ]]>
<![CDATA[Jeeveswararao Bagadi1 , Sadu Rammohana Rao2]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.11476
<![CDATA[Study of non-compressive mechanical injury to neck determines the causes of deaths by these injuriesand preventive measures to be taken. The study was conducted in the department of forensic medicine,Government Medical College Srikakulam. Postmortem examination of each case was carried out varioustypes of non-compressive mechanical neck injuries were recorded, and analyzed over a period of 6 months.Total number of 354 postmortems were conducted among these 41cases had non-compressive mechanicalinjuries to neck. Injuries were most common in male gender (82.92%) and in age group between 20-40years. Improving proper traffic rules may reduce mortality due to these injuries.]]>
<![CDATA[Evaluate the Effectiveness of Recreational Therapy on Level of Wellbeing and Hope among Psychiatric Inpatients ]]>
<![CDATA[Luxmipyari Soubam1 , Ms. Parul2 , Manpreet Sharma3, Jyoti Sarin4]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.11477
<![CDATA[Background: In India at least 13.7 per cent of general population has various mental disorders, 10.6 per centof them require immediate interventions. While nearly 10 per cent of the population has common mentaldisorders, 1.9 per cent of the population suffers from severe mental disorders.Objective: To evaluate the effectiveness of recreational therapy on level of wellbeing and hope amongpsychiatric inpatientsMethod: The present study adopted a Quantitative research approach. The sample comprised of 33 psychiatricin patients with psychotic and neurotic disorder admitted in psychiatry ward of MMIMSR hospital, Haryanaon the basis of purposive sampling technique. The data were collected before and after the administration ofrecreational therapy, and only two components of recreational therapy (Physical exercise and Mandala Arttherapy) were administered to the patients for 8 consecutive days with 16 sessions. The level of wellbeingand hope were assess by using Wardwick Edenburg Mental Wellbeing scale and Herth Hope Index.Conclusion: The results of the study show a significant mean difference in the level of hope and level ofwellbeing. The value of p=0.00 was also statically significant at 0.05 level of significance. From the study, itcan be concluded that recreational therapy was effective in increasing the level of wellbeing and hope amongthe psychiatric inpatients]]>
<![CDATA[A Study of Autopsy Findings in Cases of Sudden Cardiac Death at Kakatiya Medical College and Hospital Warangal ]]>
<![CDATA[Mohd Raza Malik Khan1 , B Shekhar Rao2]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.11479
<![CDATA[Background and Objectives: The incidence of sudden cardiac death is increasing in developing countriesdue to changes in lifestyle and food habits. We in the present study tried to evaluate the autopsy findings ofcases of sudden cardiac death reported to Kakatiya Medical College and MGM Hospital Warangal.Methods: The present study was carried in the Department of Forensic Medicine and Toxicology, KakatiyaMedical College and MGM Hospital Warangal from January 2019 to Jan 2020. All the cases including bothsexes those who died suddenly and unexpectedly brought to the institute for post-mortem examination werestudied.Results: In 10% of cases major blockage was noted in both right and left main coronary arteries. Left maintrunk blockage was noted in 31% of cases 5% of cases the blockage was seen in only right coronary arteries.In 32% of cases, the blockage was severe >90%. The highest incidence of major blocks was seen in the agegroup 60-70 years. The younger age group showed the tendency of blockage of the left coronary arteries.The less commonly affected was the circumflex branch and right coronary arteries. MI was the cause ofdeath in 44% of cases and 5% of cases there was evidence of old and fresh infarcts.Conclusion: Within the limitations of the current study it can be concluded that most of the cases of suddencardiac death in this study were from 51-70 years. The most commonly affected victims were males by aratio of 17:3. Autopsy plays an important role in the accurate diagnosis of sudden cardiac death. Thereforemeticulous postmortem examination and histopathological examination are needed to minimize the risk ofnegative reporting]]>
