Student's Perspective on Existing Teaching Process of Forensic Medicine and Toxicology in a Government Medical College, West Bengal

2020 ◽  
Vol 13 (3) ◽  
pp. 377-382
Author(s):  
Arijit Dey
Author(s):  
Ranjan Das ◽  
Nazrul Mallick ◽  
Ashis Debnath ◽  
Bijit Biswas ◽  
Sumit Mukherjee

Introduction: Doctors working in a tertiary care teaching hospital suffers higher symptoms of psychological distress. The impact of excessive stress may affect the individual employee and the organisation in terms of productivity and performance. Aim: To estimate the perceived stress among doctors and to find out the sources of their stress in a peripheral Government Medical College of West Bengal. Materials and Methods: This was an observational study, cross-sectional in design, conducted to assess the perceived stress and specific stressors among 95 doctors who were posted in a peripheral Government Medical College from June to November 2019. A Perceived Stress Scale (PSS 10) questionnaire was used to assess the perceived stress. Psycho-social and Environmental stressors were assessed using 11 items questionnaire. Data were analysed using the IBM statistical package for social sciences, (SPSS) software program (version 20.0) (Chicago, USA). Results: The majority of the participant (80%) had moderate level of stress, while 10.5% had low stress and 9.5% had severe stress. The mean PSS score in this study was 20.49±5.61. In univariate logistic regression analysis, significant association was found with loneliness {Odds Ratios (OR) 9.3; 95% Confidence Interval (CI)= 2.9-29.9}, family problem (OR 2.7; 95% CI=1.1-6.6) and quality of food (OR 2.9: 95% CI=1.2-7.0). Finally, loneliness (AOR 9.6; 95% CI=2.7-34.1) and family problem (AOR 3.7; 95% CI=1.3-10.1) came out to be statistically significant predictors of stress in multivariable logistic regression. Conclusion: Majority of doctors had moderate level of stress and they felt upset, nervous and stressed in last one month of preceding the survey. Professional counseling for the doctors to improve their coping and resilience behaviours is highly recommended.


2021 ◽  
Vol 12 (7) ◽  
pp. 17-21
Author(s):  
Shilpa S Babu ◽  
Renju Raveendran ◽  
Anwar KA

Background: The coronavirus pandemic is one of the deadliest pandemic in history. The authorities worldwide responded to this pandemic by implementing business closures, travel restrictions, lockdowns and quarantines. Aims and Objectives: To determine the type of cases and compare the patterns of deaths which came for autopsy to Department of Forensic Medicine, Government Medical College, Kottayam during the Pre lockdown period in 2019 and COVID-19 Lockdown Period in 2020. Materials and Methods: This retrospective study was conducted in the Department of Forensic Medicine, Govt. Medical College, Kottayam. The study data was collected from postmortem reports of Department of Forensic Medicine, Govt. Medical College, Kottayam. Pre-lockdown period was taken as from 21 March to 31 May 2019.There were total 424 cases in 2019,whereas in the Lockdown period taken as from 21 March 2020 to31 May 2020,no: of cases reduced to 270. All these cases were grouped according to cause of death, manner of death and modalities of natural and unnatural deaths. Details of cases were entered utilizing a proforma. Results: There were total 424 cases in the pre-lockdown period in the year 2019, whereas in the lockdown period in 2020, number of cases declined to 270. Among the manner of deaths, accidents accounted for most of the deaths in the year 2019, i.e. 44.6% deaths due to accidents, whereas in the year 2020, deaths due to natural diseases topped the list, 46.3%. These differences in the manner of deaths were found statisticallysignificant. Conclusion: Two months into lockdown, statistically significant differences were noted in patterns of deaths. Further study should be conducted in the near future, when more data will become available. Providing early warning in patterns of mortality within the community could prove to be an invaluable public health asset.


2022 ◽  
Vol 8 (1) ◽  
pp. 379-384
Author(s):  
Jaspinder Pratap Singh

Background: The term abandonment refers to babies or foetuses which are found abandoned at various unwanted places such as gutter, rubbish dumps, railway tracts and bushes. It does not refer to live born babies left in places, such as hospitals where care can be given by someone other than the mother. Aims and Objectives: To find out the distribution of death cases of newborns/feotuses and to trace its probable reason and its relationship with female foeticide.Methods:A retrospective study of all the medico-legal autopsies of foetuses and newborns was conducted in Forensic medicine and Toxicology department, Government Medical College, Amritsar (Punjab) from Jan 1, 2014 to Jul 31, 2021. During this period, 46 cases of fetal and newborn deaths had been studied.Results:The dead bodies of known foetuses/newborns is 43.5% cases while total unknown cases were 56.5% cases. 32.6% cases were non viable foetuses while 10.8% cases died as a result of prematurity. All the unknown cases (56.5%) were found from the abandoned places like street, bushes, canal side, water bodies that mainly includes pond and railway tract.Conclusion:Despite, the problem is present in every corner of the nation, there is dearth of research studies on this issue. Stringent measures and strict checks are required against antenatal sex determination. The motive behind the abandonment of foetuses can be any, but this grave issue needs urgent attention.


1970 ◽  
Vol 40 (1) ◽  
pp. 18-21 ◽  
Author(s):  
MN Hossain ◽  
Z Rahman ◽  
S Akhter

A cross sectional study was carried out at the department of Forensic Medicine in Dhaka Medical College during the period of January 2008 to December 2009. Data were collected from 3rd copy of the post mortem reports which were preserved in the department of Forensic Medicine with the verbal consent of the doctors who performed autopsy report. During this period total 5114 autopsies were conducted. Out of this 970 cases (19%) were suicidal in nature. It was noticed that all suicidal deaths occurred from 10 years to all age group respectively, but top amongst age group of suicidal deaths occurred in between 21 to 30 years of people. Suicidal deaths are more common in female than male. Suicidal deaths due to hanging is highest, next common causes of death due to organophosphorus compund poisoning. Suicidal deaths by hanging is more in female than male but in poisoning cases male are more lvictimised than female. Objectives of our study are to see the occurrence and methods of suicidal death. DOI: http://dx.doi.org/10.3329/bmj.v40i1.9957 BMJ 2011; 40(1): 18-21


2016 ◽  
Vol 5 (10) ◽  
pp. 4982
Author(s):  
Archana Aher* ◽  
Satish Gore

This study was conducted to determine the clinical evaluation and various etiological factors of secondary seizures in patients admitted to Government Medical College, Nagpur. We evaluated 58 patients of secondary seizures from Dec 2011 to Oct 2013. Secondary seizures were defined as case of seizure with CT (brain) or MRI (brain) abnormality1. Out of 58 cases 35 were males and 23 were females. Mean age of study subjects was 34.85. The commonest presenting feature was generalized tonic clonic convulsions (42 patients) followed by focal seizures (16 patients).  Todd’s palsy was observed in 4 cases. Aura was present in 24 cases. According to CT brain scan the aetiology was – neurocysticercosis (34.48%), post stroke (27.59%), tuberculoma (24.14%). Space occupying lesions(SOLs) were present in 8 patients, out of whom 4 had brain tumour, 2 patients had brain abscess, 1 had hydatid cyst and 1 had metastasis. Majority of lesions were located in frontal region (58.62%), followed by in parietal region (44.83%), in temporal region (25.86%) and in occipital region (13.79 % patients). In our study neurocysticercosis was found to be the commonest cause of secondary seizures. As in a meta-analysis it was found that cysticidal drugs result in better outcome in patients of neurocysticecosis, we recommend that the patients of secondary seizures should be identified for the aetiology and treated at the earliest2.


Author(s):  
Sharmistha Sarkar ◽  
Dhruba Prasad Paul ◽  
Jayanta Ray

Background: Adverse maternal and perinatal outcomes are related to pregnancies spaced too closely together. Objective of present study was to compare the expulsion rate and complications between post placental IUCD insertion between caesarean section and vaginal delivery.Methods: This study was a prospective comparative study conducted in the department of Obstetrics and Gynecology, at Agartala Government Medical College over 1.5 Years (January 2016-June2017) All cases at term pregnancy delivering by caesarean section and vaginal delivery were divided into two different groups. Sample size of 105 in each group. Subjects recruited from-obstetrics OPD and casualty of Agartala Government Medical College (AGMC) and GB Pant Hospital expulsion rate and complications. Comparative evaluation of Expulsion rate and complications following post placental IUCD insertion between caesarean section and vaginal delivery at the end of six months, one year and one and half year.Results: There was no significant difference in either complications between the two groups (P value-.913) or outcomes (p value-.035). Expulsion rate 18.2% following vaginal delivery compared to those with intracaesarean insertion i.e 3.8%.Conclusions: The complications associated with postplacental Intrauterine device insertion is insignificant, still the awareness, acceptance and continuation are very low. Therefore Information, education Communication activity by the field workers must be enhanced to overcome this knowledge gap.


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