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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
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Influencing Reasons for Participation and Nonparticipation of Women in Cervical Screening Seeta Devi
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): 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.v14i4.12225

Abstract

Introduction and background: Cervical cancer is one of the leading responsible condition for causinghigh death rate among women after breast cancer. It is preventable and curable disorder, but the prevalenceof cervical cancer remaining too high in India. Majority of women do not aware of cervical screeningprocedures. Maharashtra is standing in second position in possessing more number of cervical cancer cases.Methodology: A quasi- experimental pretest and post research design was used to execute the study. Thisstudy was conducted in selected hospitals of PCMC. The samples were the women age group between 30-60 years attending Gynec OPD. The systemic random sampling techniques was used to select the samples.Total sample size was 501. A self-administered tool was administered to find the reasons for participationand nonparticipation in cervical screening. Tool and content validity was done. The reliability of the toolwas done r value is = 0.88. The study proposal has been approved by the Ethical Committee, MGM Instituteof Health Sciences, Kamothe, Navi Mumbai. Permission has been taken from the concerned authority ofthe selected urban health care centers for data collection. The content was prepared on prevention and earlydetection of cervical screening in the form of video and modules in their regional languages.Results: Majority of participants among three experimental groups, about 38.32 % in verbal group, 41.91%in written group and 40.71 % in video group have responded that they could not take part in the cervicalscreening programme as they are very embarrassed with cervical screening procedure. While others hadresponded that, I am healthy I do not have to go for this test, some women said, I have only one sexualpartner so I don’t require this test. A few women have assumed that the test is very expensive, thinkingthat not required the Pap test as no symptoms of cancer observed and other have stated that don’t know thefrequency of test.Conclusion: A key strategy to improve the attendance of the women for cervical screening is to spread theawareness on prevention and early detection of cervical cancer by using various educational methods.
Transformational Leadership Educational Bundle for Nursing Supervisors and Nurses in-Charges and its Impact on Clinical Performances of the Nurses in the Labour Room Seeta Devi1 , Manisha Mistry1 , Poonam Yadav2 , MerlinSuli2 , Priya Kamble2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): 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.v14i4.12226

Abstract

Background: In the process of transformational leadership, leaders and followers have mutual understandingand help each other to promote a higher levels of morale and motivation among them. Employees in theorganization take ownership of their roles and responsibilities and perform the work activities out ofexpectation of the leaders, leaders describe only the goals and objectives of the organization.Methodology: In this study quantitative research approach was used and one group pretest posttest quasiexperimental research design was used. The study conducted in the labour rooms of selected maternityhospitals. The samples were nursing supervisors, nursing in-charges and nursing officers of the maternitywards and participants were chosen by adopting convenient sampling technique. Structured questionnairewas used, one tool consisted of 20 questions regarding knowledge on transformational leadership andanother tool comprised of clinical performance evolution check list. Tools were validated by the expertsand reliability values includes Cronbach’s alphas were r= 0.88, & 0.96 for knowledge transformationalleadership and nurses’ job performance evaluation respectively.Results: Majority of the nursing officers were falling under the category of age between 26 to 30 years.Around 62 % of the nursing officers have an experience of 6 to 10 years. Majority of the nursing officershave completed GNM qualification. About 40 % of the nursing supervisors and nursing in charges havecompleted BSc Nursing qualification. In pretest, majority of supervisors and in charges have poor knowledgeregarding transformational leadership while in post test77 % of subjects gained the good knowledge. Inposttest majority of the nursing officers were competent in establishing the expected behavior of leaders,maintaining nursing process model, providing quality of the care and adequate information and education tothe patients and relatives as per the requirement.Conclusion: It is concluded that, as transformational leadership is successful in many domains of healthcare delivery system, and this study results showed that, using transformational is effectives labour roomand other maternity wards for successful maternal and newborn outcome.
Effectiveness of Structured Teaching Programme on the Level of Knowledge about Psychological First Aid among Psychiatric Nurses Working in Selected Psychiatric Nursing Homes in Pune City Sheetal Barde1 , Sheela Upendra2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): 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.v14i4.12227

Abstract

Introduction: Psychological first aid (PFA) is an important procedure which is designed and practicedwith an intention to reduce the incidence of disorders related to stress. The use of STP was effective toenhance the level of knowledge regarding the use of psychological first aid, thereby helped in improvingthe quality of life among people. Method: Research approach used for the study is Quantitative researchand the research design used is Pre-experimental research design. 60 samples were selected for the studyusing Probability sampling method. Pre-test was administered to subjects, followed by structured teachingProgramme through AV aid on psychological first aid was given, followed by post-test, which was carriedafter two weeks. Result: Findings revealed in Pre-test, average knowledge score was 12.66 with standarddeviation of 1.78 whereas in post-test average knowledge score was 19.99 with standard deviation of 3.26.This indicates that the structure-teaching programme was effective to enhance the level of knowledge aboutthe psychological first aid among the psychiatric Nurses. Conclusion: The present study enhanced theknowledge on the psychological first aid in psychiatric Nurses. The study found that majority of Nurseshave average knowledge towards psychological first aid
Effectiveness of antenatal IEC Package On Knowledge and Attitude of Antenatal Mother’s Spouses Chandbibi Pathan1 , Seeta Devi2 , Tejashri Ligade3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): 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.v14i4.12228

Abstract

Background: In a family, a spouse is the most important and liable family member to take care of thefamily members. He is the one who might take care of his wife in pregnancy period. Therefore, he mustbe knowledgeable regarding antenatal care of his wife in pregnancy, but in India, alas! There is no muchinvolvement of husband in taking care of an antenatal women during pregnancy. Moreover, pregnant womanis a care taker of a family and they are majorly neglected, it is happening since decades due to lack ofrespect for a daughter-in –law in family.OBJECTIVES: 1. to evaluate the knowledge of pregnant woman’sspouse about antenatal care. 2. To assess the attitude of antenatal mother’s spouse regarding Antenatal care.3. To assess effectiveness of antenatal care on IEC package the knowledge and attitude among the spouseof antenatal mother. Methodology: In this study researchers have adopted pre experimental one groupPre- test post-test design. It evaluates and assess the effectiveness of knowledge and attitude of antenatalcare IEC package among antenatal mother’s spouses. The researchers also described the association amonglevel of knowledge as well as attitude using personal characteristics included in this study was age, religion,education, family income and no of children. The sample size is 100. Non probability purposive sampletechnique is used in present study. RESULT: In this section the mainconclusions of the present studyhave been discuss as follows. The posttest knowledge score showed at higher level than the pretest score.The mean post test score was greater than the mean pretest score. Thecalculated t-test statistic value andCorresponding p-value are small and the posttest attitude score was greater than the mean pretest score.Conclusion: It indicates that the IEC package was effective method for enlightening the knowledge andattitude of mother’s spouses about antenatal care.
Smartphone Usage and Its Addiction among Undergraduate Nursing Students Chaitrali Khatgaonkar1 ; Wasiya Sayyad1 ; Dhananjay Mali1, Sharadha Ramesh2 ; Manisha Mistry3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): 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.v14i4.12229

Abstract

Introduction: The mobile phone is becoming an integral part of students concerning managing the criticalsituation and maintaining a social relationship. This behavior may reduce thinking capabilities, affectCognitive function. The sciences of Smartphone addiction are constantly checking the phone for no reason,feeling anxious, or restless without the phone, waking up in the middle of the night to check the mobileand communication update, delay in academic performance as a result of prolonged phone activities anddistracted with smartphone applications.Aim: Most of the global population, especially college and university students uses a Smartphone. Due toits wide range of applications, while beneficial in numerous ways, Smartphone has disadvantages such as areduction in academic performance, psychological addiction.Materials and Methods: In the present study, a Quantitative Research approach is used. The samplecomprised of 100 students, consisting of both male and female students. The convenient sample techniquewas used to collect the data from Students. Students were requested to fill a specially designed, selfAdministered, questionnaire which comprised the Socio-demographic characteristics, Frequency andpattern of mobile-phone usage, questions related to physical behavior, psycho-social behavior. Regardingtheir health, they were asked whether they felt eye pain, thumb pain, a backache, neck pain and tiredness,and total time spent on a mobile phone.Results: 73% of the students aged 18-21 years, 23% of them had age 22-25 Years and 4% of them had age26-29 years.98% of them had prepaid SIM card, and 2% of them had postpaid SIM.97% of them had theandroid, and 3% of them had IOS. 96% of them responded, that excessive use of the mobile phone can causeharm to health. All of them play PUBG on their Phone. 61% of them were using the mobile up for to 6 hours,31% of them were using the mobile for 7-12 hours, 2% of them were using the mobile for 13-18 hours and6% of them were using mobile for 19-24 hours. Majority of 79% of students used both internet and talk-timeplan, 17% of them had internet plan and 4% of them use only the talk-time plan. The majority of 77% ofthem feel that the use of a mobile phone affects the students in their academic performances. 38% of themuse a mobile-phone while lecture going in the class.48% of them often feel that your phone is vibrating, evenwhen it is not.96% of them responded that excessive use of the mobile phone can cause harm to health.11%of them had pain in the thumb. 9% of them had a backache after long time use of the mobile phone, 35% ofthem have a headache and 56% of them had pain in eyes after having used the mobile phone for a long time.Conclusion: Addiction of Smartphone among students has seen that its effect on academic performance and77% of them feel that the use of the mobile phone affects physical behavior.
A Study to Assess the Usage of Personal Protective Equipment among Health Care Providers Working in Covid-19 Wards in Pune City, Maharashtra Dipak Sethi1 , Sharadha Ramesh1 , Tejashree1
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): 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.v14i4.12230

Abstract

Background: The Protective equipment consists of garments placed to protect the health care workers or anyother persons to get infected. All personal protective equipment should be safely designed and constructed,and should be maintained in a clean and reliable fashion. It should fit comfortably, encouraging worker use.If the personal protective equipment does not fit properly, it can make the difference between being safelycovered or dangerously exposed. Personal protective equipment (PPE) limits the health care workers contactwith all secretions or biological products. This study was planned to find gaps between use of PPE amongthe health care providers (HCPs) in Pune city.Methods: A cross sectional design was used to assess the usage of PPE among health care workers selectedby purposive sampling. The Data were collected by pretested structured questionnaire. Data analysis wasdone using SPSS 20 version at 5% of level of significance.Results: 60 Health care workers were participated in study. Among them, there were 38.9% doctors, 51.9%nurses and 9.2% were technicians. 18.1% health care workers who work outside the ICU had appropriateuses of PPE. It was high among doctors 31.5% followed by nurses 9.3% and technicians 8.2%. which wasstatistically significant p=0.001.Conclusions: The study showed inappropriate use and poor usage and practice of PPE among HCWs.
A Study to Assess the Menstrual Hygiene Practices among the Women of Rural Community of Pune City Samiksha Pote1 , Geetanjali Yadav1 , Vishal Thopte1 , Sheela Upendra2 , Leeja Rajan3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): 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.v14i4.12233

Abstract

Background and objective: Poor menstrual hygiene is most common etiology in women for gynecologicalproblems especially in rural area where they cannot afford sanitary napkins or they don’t use it because ofbeliefs in myths and taboo. Methods: A Quantitative Approach: Non-Experimental descriptive design wasadopted to assess the knowledge on menstrual hygiene practices and demographic variables, which included100 samples from selected areas. Non-probability convenience sampling technique was adopted in thisstudy. The final draft of the tool consisted of 05 items on structured questionnaire to collect demographicdata and 10 items on self-administered practice questionnaire. After obtaining the consent form, the data wascollected from 100 women using structured questionnaire, which was prepared in Marathi language. Result:During assessment of knowledge on practice the findings were 58% of the study participants avoid religiousthings, 88% do not avoid going to school/college/office during menstruation, 44% women do not avoid anyevents or family functions, 85% women use disposal sanitary pads and 10% use old wash cloth, 39% womenchange their napkins or cloth twice a day, 44% change their panties during menstruation more than twicea day, 56% dispose used napkins in a paper wrap, 84% dispose used napkins or cloth in dustbin or PNCwaste collection and 13% burn it , 36% wash their perineum 3 to 4 times and 34% washes 1 to 2 times inday, 38% use soap and water to wash genital area, 36% use antiseptic and 24% use only water, Conclusion: Majority of the women have not attended the awareness programme in spite of that still majority of thewomen maintain good menstrual hygiene practice, it can be possible that they get information throughvarious sources. It is found that women in rural area still avoid the religious things during menstrual period.
Impact of Information Booklet on Harmful Effect of Use of Plastics in Relation to Practices among Urban Resident of Pune Greety Paul1 , Nakabuye Sharifah1 , Rupali Bhujbal1 , Shruti Thorat1 , Sonopant.G Joshi2 , Ranjana C
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): 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.v14i4.12234

Abstract

Introduction: Plastics are a wide variety of combinations of properties when viewed as a whole. They areused for variety of items and the list could go on and on and it is obvious that much of what we have todaywould not be possible without plasticsMaterial and Methods: An experimental study was conducted on practice of community regardingharmful effects of plastics among urban residents of Pune city. The pre-experimental design was adoptedand 40 samples were selected through simple random sampling technique. The data was obtained from theparticipants using an interview method which included details on socio-demographics of the participants,practice of plastics. The same Questionnaire were administered after providing informational booklet aswell.Result: The findings revealed that practice of people regarding the harmful effect of the use of plastics was45.65 % whereas Post –test score of the practice was 55.11 %, the practices in t-Test at 0.05 level hence thebooklet in improving practice needs more hammering among the urban residents.
A Study to Assess the Effectiveness of Information, Education and communication on Knowledge and Practice regarding MR Vaccination among the Mothers in Selected Slum Areas of Pune City Shaikh Salim Karim1, Jasneet Kaur2 , Mangesh Jabade3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): 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.v14i4.12235

Abstract

Measles is a very contagious disease which continues to become the killer disease for most of the childrenand infants. On the other side Rubella Infection also is deadly dangerous especially in the vulnerablepopulation of pregnant women where it disables a child for life with congenital rubella syndrome1. Thismay leads blindness, deafness, and other congenital cardiac defects. Bothe the diseases, however, can beprevented with a safe and effective vaccination of the long term immunity2. This immunization directlycontributes to the reduction of under-five child deaths across the country population, thereby reducing thedisabilities. The present study title: “A Study to Assess the Effectiveness of Information, Education andcommunication on Knowledge and Practice regarding MR Vaccination among the Mothers in Selected SlumAreas of Pune City.” The main purpose of the study was to assess the knowledge, practice and to evaluatethe effectiveness of IEC regarding MR vaccination among mothers of selected slum areas of Pune city andto determine associations of the findings with socio demographic variable. Material and Methods: A Preexperimental, one group-Pre- test post-test design was adopted for study . Study carried out on 80 samplesas below 15yrs. children in selected slum area. The non-probability convenience sampling technique wasused to collect the data through structured questionnaire and observational checklist. Ethical clearancewas Obtained from Institutional ethics committee. Data analysis was done mainly using descriptive andinfrantial statistics. Result: The mean post test score 14.27( SD=1.64) was higher than the mean pretestscore 8.48(SD=2.9) .The computed t-test statistic value is 15.124733, Corresponding p-value was 0.000,which is small (less than 0.05)and for the practice mean post test score 38.5(SD=7.63)was higher thanthe mean pretest 26.36(SD=4.25). As the calculated t-value is 12.725452 and p- value was 0.00, whichsmall(less than 0.05.Conclusion:Study conclude that the knowledge and practice of mothers was inadequatein pre-test but then after the administration of IEC there was an increase in the knowledge and practicesabout MR vaccination, so IEC was effective in increasing the knowledge and practice of mothers regardingMR vaccination.Recommendation: A similar study can be conducted in pediatric hospital settings, in PHSand CHC center in rural areas, and carried out to evaluate the efficiency of various teaching strategies likeself-instruction module, pamphlets, leaflets, on measles and Immunization.
A Study to Assess the Awareness and Attitude Towards maintaining Social Distancing during Corona virus Disease (COVID 19) Pandemic among Residents of Selected Area of Pune City Jasneet Kaur1 , Sheetal Barde1 , Shital Waghmare1 , Sheela Upendra2 , Priyanka Kadam3 , Suresh Ray4
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): 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.v14i4.12236

Abstract

There is a public health alert as a huge pandemic situation has emerged in the country and across the globeregarding the novel corona virus outbreak. India is on high alert as total cases crossed one lakh.1Maharashtrais leading the scoreboard with 33000 plus cases and number is increasing day by day. Social Distancingplays important role in combating the situation but depends on the attitude and awareness of the community2Objective: The main aim of the study is to identify the attitude and level of awareness among the communityregarding social distancing in pandemic situationMethods: A cross sectional design was used along with structured questionnaire tool for data collection.A snowball sampling method was adopted where a goggle form was developed which was sent throughvarious online modes. The study mode was purely online. Participants were from the age of 18 and abovewho knows English and were willing to participate in the study.Results: The results showed that People have partial awareness related to the pandemic situation of coronavirus spread. Surprisingly 33.1% people think that there is treatment of COVID 19. They showed goodinterest and positive attitude towards hand washing and maintain social distancing but for maintainingprotocols and guidelines to follow for social distancing they were not comfortable.

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