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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
 303   304   305   306   307 
The Effect of Communication Ability of Care Workers in Charge of Visiting Care in Elderly at-Home Welfare Centers on Quality of Service: with Empathy as Mediator Hee Kyung Kim
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (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.v15i1.13695

Abstract

Background/Objectives: The purpose of this study is to provide data for nursing intervention developmentthat increases the quality of service of care workers by identifying the mediating effect of empathy in theeffect of communication ability on quality of service.Methods/Statistical analysis: Data were collected for 93 visiting care workers. Data were analyzed bydescriptive statistics, Pearson’s correlational coefficients, multiple regression and Sobel’s test.Findings: Subjects’ quality of service and communication ability (r=.62, p<.001), and empathy (r=.56,p<.001) showed high positive correlation. As a result of the mediating effect of empathy, communicationability had a significant effect on empathy in step 1 (?=.64), in step 2, communication ability affected thequality of service (?=.62), in step 3, communication ability had a positive effect on the quality of service(?=.45), and empathy also had a positive effect on quality of service (?=.28) and showed 42.2% explanatorypower. It was found that empathy had a partial mediating effect.Improvements/Applications: Care workers should make efforts to provide services by understanding andlistening to and empathizing with the expressions of the elderly. The directors of the visiting care centershould develop and train programs that can improve effective communication, empathy and quality ofservice.
Assessing the Training Needs Regarding ‘Breaking Bad News’ amongst Emergency Medical Services (EMS) Professionals in Pune India Parag Rishipathak1, Shrimathy Vijayaraghavan2, Dr. Anand Hinduja3
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (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.v15i1.13696

Abstract

Introduction:‘Breaking Bad News’ (BBN) in the scenario of poor prognosis or death is considered to beone of the most stressful aspects of the duties of a Healthcare professional. In the recent years, the subject ofBBN has gained traction among healthcare professionals and psychologist leading to the creation of somecomprehensive models to train professionals. Emergency Medical Professionals are among the likeliest toencounter BBN situations. Hence it is imperative that they be formally trained to deal with patients and theirfamilies effectivelyObjective: To assess the training needs regarding ‘Breaking Bad News’ (BBN); amongst EmergencyMedical Services (EMS) Professionals.Methodology: The study was conducted amongst 150 Emergency Medical Professionals in Pune, India. Apreviously tested and validated questionnaire developed by Rasmus etal in June 2020 was utilized for thestudy. Questionnaire was administered to the respondents through online mode after obtaining informedconsent. Responding to all questions was mandatory. The respondents were given one day to fill thequestionnaire. Any queries pertaining to questionnaire were clarified during data collection.Discussion: The present study was done to assess the baseline awareness of EMS professionals about BBNand to devise a customized training program for them. Unfortunately, majority of the respondents werenot even aware that BBN is a separate subject having specific procedures and protocols followed globally.The lack of training instils fear of facing such situations and adversely affects the mental health of EMSprofessionals. This can be corrected by utilizing tools like simulation and role play to provide adequateexposure to EMS professionals in a safe environment.Conclusion: The findings of the study point towards an emergent need of formal practical training on thiscrucial yet ignored aspect of the health care professionals’ duties. Comparative Studies can be conducted inthe future to assess the effectiveness of this training program.
Assessment of Awareness and Preparedness regarding Management of Major Traumatic Haemorrhage in Prehospital Settings amongst EMS Professionals, Pune, India Parag Rishipathak1 , Navnita Sengupta2 , Anand Hinduja3
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (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.v15i1.13697

Abstract

Background: In trauma cases acute major hemorrhage in the first few hours of injury is the leading cause ofdeath in as many as 30% – 40% cases. Major hemorrhage can result in the collapse of the circulatory systemand the patient can present to the emergency room in a state of shock. EMS professionals are expected tohave high degree of awareness as well as should possess the requisite skills and preparedness in the varioustechniques utilized to control life threatening hemorrhage.Aim: To assess the Awareness and Preparedness regarding management of major traumatic hemorrhage inprehospital settings among EMS students.Methodology: The study was conducted amongst 141 Emergency Medical Service professionals. Theoriginal questionnaire consisted of 2 parts, first containing two clinical scenarios testing the awareness leveland the second one containing twenty four items pertaining to the preparedness of EMS professionals inmajor traumatic hemorrhagic situations.Result: The mean score obtained for the parameter awareness was 18.32 out of maximum score of28.Respondents scored well on the parameter pertaining to the management of venous bleeding and amputatedlimb while scored relatively lower on the items pertaining to the management of capillary bleeding.Conclusion: The present study provides encouraging results with regards on the awareness and preparednesslevels of EMS professionals. It also provides insight into future training needs to enhance preparedness incases of infrequent hemorrhagic emergencies.
To Assess Awareness Regarding Child Abuse and Neglect , amongst Emergency Medical Professionals in Pune, India – A Pilot Sludy Parag Rishipathak1 , Monesh Bhandari2 , Anand Hinduja3
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (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.v15i1.13698

Abstract

Introduction: Violence against children is widespread and affects millions of children globally. Violenceagainst children occurs in various forms including physical violence, maltreatment, bullying, emotional orpsychological violence, forced and bonded labour, and trafficking.To prevent child abuse, it is essential that a high degree of awareness is essential amongst all stakeholdersincluding parents, educators and medical professionals. The common thread among all studies conducted inmedical professionals is the lack of focused training and sensitisation that can enhance the ability to detectsuch cases and respond to them promptlyObjective: To Assess Awareness Regarding Child Abuse and Neglect among Emergency MedicalProfessionals in PuneMethodology: As part of an awareness initiative by the Institute, an online session was conducted for theEmergency Medical Professionals (EMP) in Pune city. 65 Emergency Medical Professionals working invarious hospitals located around all parts of Pune participated in the session. After the session was completed,informed consent was taken from the participants for answering a questionnaire based on the subject.The questionnaire chosen for the study was Child Abuse and Neglect Awareness Scale (CANA-S) a pretestedand validated tool. The CANA-S tool comprises 4 sections, each section comprising a subscale dedicatedto one of the major categories of child abuse and neglect i.e. physical abuse, sexual abuse, emotional abuse,and neglect.Conclusion: Though the overall awareness about Child Abuse and Neglect is satisfactory, further trainingprograms should be encouraged, to achieve near 100 % awareness amongst EMS professionals in order toprevent and report every single case of Child Abuse and Neglect.
To Assess Preparedness in Disaster Management among EMS Professionals in Pune, India Parag Rishipathak1, Monesh Bhandari2, Anand Hinduja3
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (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.v15i1.13699

Abstract

Introduction: Natural disasters cause an estimated 60,000 deaths every year. Although low-frequency, highimpact events like earthquakes and tsunamis are not preventable, albeit loss of human lives can be preventedby developing an efficient disaster management system. In the last few decades robust emergency responsesystems, emergency preparedness, resilient infrastructure and accurate forecasting have significantlyreduced the death rate caused due to such calamities. Similar to natural disasters, MCIs drastically impactthe healthcare system and society at large.Emergency medical services (EMS) professionals play a pivotal role during disasters, mass casualty incidentsetc. and are an integral part of disaster management apparatus. The level of awareness and preparednessamongst EMPs with regards to disaster management is primordial. The areas requiring improvement includeskillset training strategic and operational planning and familiarity with the emergency preparedness indisaster management. Designing an effective training program for Indian EMS professionals, would requirea thorough understanding of the baseline level of preparedness among them.Objective: To assess preparedness in disaster management among Emergency Medical Professionals.Methodology: The study was conducted among Emergency Medical Professionals (EMPs) employed invarious hospitals in the city of Pune, India. The questionnaire tool utilized for the study was EmergencyPreparedness Information Questionnaire (EPIQ) a pretested and validated tool. The revised EPIQ toolcomprises of 42 items and is divided into eight sections.All 42 items were required to be mandatorily filled. The tool was administered through online mode. 119respondents reverted with completely filled questionnaire.Conclusion: Disasters although infrequent, cause significant morbidity and mortality. A high degree ofpreparedness is expected amongst EMP’s which can only be achieved with regular training and feedback.
A Comparative Study Between Nineveh and Tikrit Medical School Teachers Perceptions regarding the Effectiveness of OSCE in Clinical Examination Wafa Mahmood Jasim1 , Zahraa Ahmed Hassan2
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (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.v15i1.13700

Abstract

Assessment students competence is of much importance especially when evaluation the expected learningout come of medical education and because of increasing students number enrolled in medical colleges , thislead to enhance the chance of malpractice that compromise patient conditions , therefore it is challenging todevelop and implement such an objective assessment method in clinical examination. Objective of the study:The study aim is to compare the traditional and innovative medical school teachers perceptions regardingthe effectiveness of OSCE in clinical examination . A descriptive cross sectional study has been conductedin both (Nineveh and Tikrit medical college from the period of 15th February till 20 th April / 2014.The study was included 95 medical teachers from both traditional and innovative schools .( 55 teachersfrom the traditional school and 40 from innovative school). A special questionnaire form was prepared bythe researcher through direct interviewing with the study sample. The results show that 63.1% of medicalteachers are male , 49.5% aged between 40-49 years ,65.3 % from basic specialty sciences , 51.6% havinga period more than 10 years in teaching, 70.9% of traditional school teachers agree that OSCE evaluate thepractical objectives in comparison to 67.5% of innovative school teachers agree with that OSCE evaluateknowledge, understanding , practical , and intellectual objectives. The study concluded that more than halfof traditional medical teachers agree with the affectivity of OSCE in assessing large number of studentswithout bias while medical teachers from innovative school agree with the objectivity of OSCE in clinicalevaluation.
Assessment of Nurses Knowledge about Alzheimer’s disease Hussein A. Dabis1 , Amer A. Sachit1 , Fatima J. Shinjar1
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (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.v15i1.13701

Abstract

Insufficient information regarding Alzheimer’s disease (AD) among the healthcare workers can harmfullyaffect outcomes of the patient. This designate the necessity for constant knowledge supplement on ADamong them in order to deliver the best care to AD patients as possible and propose the necessity to evaluatethe level of AD understanding among nurses and identify their shortages so as to improve care quality andpromote life quality for individuals with AD. Aims of the study: Current study designed to (i) evaluate theknowledge concerning AD among the nurses working in the hospitals of Thi-Qar governorate/Iraq, and(ii) measure the relationship between selected nurses’ demographics and their knowledge on AD. A surveydesign was applied to assess the nurses’ knowledge regarding AD.(i) Self-designed questionnaire was used to collect Socio-demographic characteristics of the participantswhich included of 7 items (age, gender, years of experience, educational level, department of work, previoustraining, and previous caregiving experience).(ii) Alzheimer’s Disease Knowledge Scale (ADKS) were used to assess nurses’ knowledge regardingAD. This study was conducted in four Teaching Hospitals in Thi-Qar governorate /Iraq. A 622 nurseswere participated in the study. The results involved answers from 622 nurses. Nurses knowledge was inaverage (Mean=15.93). Also, there were a statistically significant relationship between certain demographiccharacteristics (Age, previous training, and previous caregiving experience) and knowledge of the nursesconcerning AD. This study exhibited many findings on this important subject, in addition to the demographiccharacteristics and its relation to nurses’ knowledge.
Demographic and Clinicohistological Profiles of Women Diagnosed with Breast Cancer at Al-El Wiya Maternity Teaching Hospital / Baghdad: A Retrospective Study Zaynab S. Abdulghany1*, Najim Al-Kalidy2 , Maeda H. Mohammad1 , Noor H. Ismail1
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (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.v15i1.13702

Abstract

Knowing the incidence of, breast cancer, diagnosis, and treatment methods given a strategic approach forcommunity awareness and rapid management. This study was aimed to: Estimate the demographic patternincluding age, marital status, number of children, mass location, lactation, using contraceptive and smokinghabit and to estimate the pattern of BC risk factors including family history, histological type, grading, andstaging. The retrospective cross-sectional descriptive design was utilized. A total of 282 confirmed breastcancer female patients for the years 2016 to 2018 were included. Overall result showed that the age ofBreast cancer female patients ranged from (25-80) years with a mean (49.12±0.67). Most Breast Cancercases were diagnosed with infiltrating ductal carcinoma (73.4%). The percentage of the discovered tumorwas dominating the right side of the breast (52.8%). Also, 11% of BC females were diagnosed with stageIIa. And 31.2 % of BC cases were diagnosed as grade II. However, 20.2% of the cases were having a familyhistory with breast cancer. Most of the cases (94.7%) were did not checked for biomarker testing, just 12cases (4.3%) were positive ER. And 3.9% of cases tested for PR only 11 cases were positive. While negativeresults for HER2/neu was only in 9 cases (3.2%). Current study validates scientific knowledge about BC inBaghdad. Each year, the incidence rates increase especially for age above 49.
Knowledge about COVID-19 among Citizens in Thi-Qar Governorate/Iraq: an Online Survey Fatima J. Shinjar1 ., and Ali T. Hameed2, Hussein A. Dabis1
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (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.v15i1.13703

Abstract

Epidemics of infectious disease, such as coronavirus disease 2019 (COVID-19), necessitates knowledgeassessment of pertinent populations as fast as possible because the findings are of great importance to thepublic health response. This study aims to (i) Assess the knowledge of Iraqi residents about COVID-19 and(ii) Identify the relationship between certain demographic features and the overall knowledge. This studywas conducted in Thi-Qar governorate/Iraq, the researcher used an electronic survey questionnaire (usinggoogle form), the Uniform Resource Locator was distributed through social media platforms with briefintroduction concerning the study. The tool of the study (questionnaire) involved of two parts: demographics(4 items) and knowledge questionnaire (3 sub-domains including 12 items). The total correct answers ratewas (88.1%). Lowest answers rate scored in routes of transmission sub-domain (82.5%) while control andprevention (92.7%) sub-domain scored the highest rate. Mean knowledge score of 10.57 (standard deviation:1.5, Range: 0-12). Also, results display highly significant relationships between overall knowledge anddemographic characteristics (P <0.001).Conclusion: Most well-educated Iraqi residents, particularly males, are knowledgeable about COVID-19.However, this result should be generalized with caution due to limited sample representativeness.
Study of Prevalence of Placenta Previa and Circumstances among Pregnant Women in Fallujah Hospital Eman Gadban Saleh1 , Yousra Abdulaziz Mohammed2 , Mahmood Nezar Mustafa3 , Zahraa Mohammed4
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (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.v15i1.13704

Abstract

Placenta previa refers to placenta which is totally or partly implanted in lower segment of the uterus.Mortality and morbidity of mother increase with placenta previa due to the increase in the incidence ofbleeding during pregnancy. This study aims to define placenta previa prevalence among pregnant womenat AL-Fallujah teaching hospital and to determine the risk factors and their association with placenta previaincidence in al-Fallujah city population.This retrospective cohort study investigated medical registry of 6339 gravid women in al-Fallujah teachingHospital in Iraq. We find 13 cases of placenta previa (0.21%) amongst the 6339 cases registered. The riskfactors that strongly appeared to affect the complication of pregnancy with placenta previa were; advancedmaternal age of ? 35, parity, previous curettage and previous cesarean section (P<0.01).The most important pregnancy outcomes of the placenta previa were lost blood of mother more than fivehundred cubic centimeter (P = 0.000) and Apgar score of the baby at first minute equal or less than 7 (P =0.003), Placenta accretta and cesarean hysterectomy (P< 0.01).These findings are the same as those recorded in other research for Asian, American and European gravidwomen, with some other detected factors.

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