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Role of Forensic Nurses in the mortuary and postmortem examination 法医护士在停尸房和尸检中的作用
Pub Date : 2020-06-30 DOI: 10.18099/ijetv.v6i01.1
R. K. Gorea
Forensic nursing science is a developing at a fast pace in the developed countries of the world and the forensic nurses have gained valuable roles in the different departments. Mortuary services are often in a state of neglect in the developing countries especially the postmortem examination. Mainly this is due to lack of assistance to forensic physicians by educated and trained professionals. Forensic nurses can do a variety of roles to improve the functioning of the mortuaries. Role of forensic nurses in the postmortem examination and upkeep of the mortuaries is essential and it is emphasized that forensic nurses can play a very pivotal role in the functioning of the mortuaries.
在世界发达国家,法医护理学是一门发展迅速的学科,法医护士在各个部门发挥着重要作用。在发展中国家,殡葬服务往往处于被忽视的状态,尤其是尸体检验。这主要是由于受过教育和训练的专业人员缺乏对法医的协助。法医护士可以扮演各种各样的角色来改善太平间的功能。法医护士在太平间的尸检和维护中的作用是必不可少的,并强调法医护士在太平间的运作中可以发挥非常关键的作用。
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引用次数: 1
Mastery learning of toxicology life support skills by nurses and doctors, utilizing simulation technology in Nepal 在尼泊尔,护士和医生利用模拟技术,掌握毒理学生命支持技能的学习
Pub Date : 2020-06-30 DOI: 10.18099/ijetv.v6i01.3
Vivekanshu Verma, A. Thapa, N. N. Jena, S. Senthilkumaran, Devendra Richhariya, P. Rastogi, V. Pillay
Modern Medicine has been at the forefront in the use of patient simulation for research, training and performance assessment. With simulation, no patients are at risk for exposure to novice caregivers or unproven technologies. It becomes very important in field of toxicological emergencies, due to its acute onset of presentation, rapid progression of symptoms, and early deterioration of vitals and adverse outcomes in morbidity and mortality of patients in extremes of ages. Our observational study suggests that Emergency, Forensic Medicine and Toxicology (FMT) residents and Nurses have limited exposure to critically ill patients of trauma and toxicology and the budding forensic professionals lack the skills to manage them. Simulation has the potential to fill this educational void in managing clinical forensic and toxicological emergencies. The following review will attempt to answer this call by quantifying the effect of simulation-based educational interventions on retention of knowledge and clinical performance, as applied to acute care toxicology.
现代医学在使用病人模拟进行研究、培训和绩效评估方面一直走在前列。通过模拟,没有患者有暴露于新手护理人员或未经证实的技术的风险。由于其发病急性、症状进展迅速、生命早期恶化以及极端年龄患者发病率和死亡率的不良后果,在毒理学紧急情况领域变得非常重要。我们的观察性研究表明,急诊、法医学和毒理学(FMT)住院医师和护士接触创伤和毒理学危重病人的机会有限,而新兴的法医专业人员缺乏管理这些病人的技能。模拟有可能填补这一教育空白,在管理临床法医和毒理学紧急情况。下面的综述将试图通过量化基于模拟的教育干预对知识保留和临床表现的影响来回答这一呼吁,并应用于急性护理毒理学。
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引用次数: 0
An overview of sexual assault cases in Bangladesh 孟加拉国性侵犯案件概述
Pub Date : 2020-06-30 DOI: 10.18099/ijetv.v6i01.2
Md. Syedur Rahaman Sumon, M. Rashid, F. A. Mollika, M. T. Asha, Bijoy Prokash Biswas, Md. Zamilur Rahman, Md. Belayet Hossain Khan
Sexual assault is defined as any sexual act performed by one (or more) person(s) on another without consent. It may include the use of threat or force. In some cases, the person cannot give consent to sex because he/she is unconscious or otherwise incapacitated. A person may be raped by a stranger, an acquaintance or date or a family member. The purpose of the present study was to find out the medicolegal findings of rape victims in order to point out the visible loopholes of the procedure. This was a cross sectional descriptive type of study which was done in the Dept. of Forensic Medicine, Sir Salimullah Medical College and Mitford Hospital, Dhaka , Bangladesh from January to December 2015 with maintaining ethical issues. Rape cases were sent for medicolegal examination and victims who ultimately agreed to do medicolegal examinations were examined and opinions were given regarding the issues. In this study, majority (70.0%) of the victims was within 11 to 20 years of age and 65.0% of the victims were unmarried. Almost 68.0% of the victims were examined within 7 days followed by 32.0% of the victims after 7 days to beyond one month after rape; however, 48.0% of the victims showed sign of recent hymeneal tear with bruise and abrasion followed by 52.0% showed sign of old hymeneal tear. Spermatozoa were not found in any of the specimen of high vaginal swab. Young adults remain the most vulnerable group, so education related to sex, morality, humanity and different life skills training should be provided to these groups from their school years itself. The benefits of early intervention and comprehensive care of survivors with the use of standardized protocols along with shorter and lesser traumatic period of court processing to the survivors of these cases should be encouraged.
性侵犯被定义为一个(或多个)人在未经同意的情况下对另一个人实施的任何性行为。它可能包括使用威胁或武力。在某些情况下,当事人不能同意性行为,因为他/她是无意识的或以其他方式丧失行为能力。一个人可能被陌生人、熟人或约会对象或家庭成员强奸。本研究的目的是找出强奸受害者的医学调查结果,以便指出程序中明显的漏洞。这是一项横断面描述性研究,于2015年1月至12月在孟加拉国达卡的萨里穆拉爵士医学院和米特福德医院法医学系进行,涉及维持道德问题。将强奸案件送交法医检查,对最终同意进行法医检查的受害者进行了检查,并就这些问题提出了意见。在本研究中,大多数(70.0%)的受害者年龄在11 - 20岁之间,65.0%的受害者未婚。几乎68.0%的受害者在强奸后7天内接受了检查,其次是32.0%的受害者在强奸后7天至一个月以上接受了检查;然而,48.0%的受害者表现为新近的处女膜撕裂迹象,并伴有瘀伤和擦伤,其次是52.0%的受害者表现为旧的处女膜撕裂迹象。高阴拭子标本均未发现精子。年轻人仍然是最脆弱的群体,所以应该从他们的学年开始就向这些群体提供有关性、道德、人性和不同生活技能培训的教育。应鼓励使用标准化协议对幸存者进行早期干预和全面护理的好处,以及对这些案件的幸存者进行更短和更少创伤的法庭审理。
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引用次数: 0
Nut case in ER: ISTOLS Toxidromal Approach by Indian Society of Toxicology in managingbotanical emergencies due to Areca Catechu - Betel Nuts 急诊室的坚果病例:印度毒理学学会处理槟榔-槟榔引起的植物紧急情况的ISTOLS毒理学方法
Pub Date : 2020-06-30 DOI: 10.18099/ijetv.v6i01.8
Vivekanshu Verma
Prevention of medicolegal case by proving Patient’s contributory Negligence beforehand, by keeping betel nuts in mouth while sleeping, as bad habit documented in social history of patient, is better option, than fighting these allegations in the consumer courts, to prove our innocence as health care provider, filed mostly under Consumer Protection Act. We are presenting an interesting case reported in our Emergency, brought in critical state, rescued by logical approach in diagnosing, and recovered after bronchoscopic removal judiciously.
通过事先证明患者的共同过失来预防医学法律案件,通过在睡觉时将槟榔含在嘴里,作为患者社会历史上记录的坏习惯,是更好的选择,而不是在消费者法庭上对抗这些指控,以证明我们作为医疗保健提供者的清白,主要是根据消费者保护法提起诉讼。我们在急诊报告了一个有趣的病例,在危急状态下,通过合理的诊断方法获救,并在支气管镜下明智地切除后恢复。
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引用次数: 0
Risks, hazards and safety in mortuaries 停尸房的风险、危险和安全
Pub Date : 2020-06-30 DOI: 10.18099/ijetv.v6i01.7
M. Khan, M. Hasan, R. K. Gorea
Persons working in the mortuaries face numerous hazards and if proper precautions are not observed such persons can fall sick by the infectious agents. A review has been carried out to find out the various agents responsible for causing infection in the mortuaries. Practices in the mortuaries that can cause harm to the workers have also been reviewed. The various methods that can reduce or eliminate the chances of such infections and precautions to reduce the hazards in postmortem examination have also been reviewed.
在太平间工作的人面临许多危险,如果不采取适当的预防措施,这些人可能会被传染性病原体感染。已经进行了一次审查,以查明导致太平间感染的各种因素。太平间可能对工人造成伤害的做法也得到了审查。本文还回顾了减少或消除此类感染机会的各种方法以及减少死后检查危害的预防措施。
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引用次数: 1
Knowledge and attitudes of students of faculty of medicine, Yarsi University regarding Hepatitis B Vaccine viewed from the medical perspective and the overview of Islamic side 从医学角度看雅尔西大学医学院学生对乙肝疫苗的知识和态度以及伊斯兰方面的概述
Pub Date : 2020-05-28 DOI: 10.18099/IJETV.V5I02.4
A. Z. Sahir, Ferryal Basbeth
Background: Indonesia is one of the countries that have a medium HBsAg prevalence, which is between 3.0% -18.5%. In Islam, the vaccination includes preventive treatment measures (wiqayah), therefore the vaccines are subject to legal treatment, with various opinions from halal (permissible) to forbidden. Method: The design of this study uses cross sectional research design. The population of this study is students who are registered as active students of Faculty of Medicine, YARSI University year 2015 by using questionnaire. Result: The students’ knowledge about rejecting the vaccine can be penalized is 27%. Knowledge of students regarding the provision of vaccine does not require informed consent is 69%. The study on student’s attitudes towards vaccine programs promoted by the government, 44 students answer doubtfully or 31.2%. The students’ attitude agrees with the provision of vaccines is 33.1%. The students’ attitude in giving informed consent before the vaccination is 70.8% or 109 students choose this attitude. Education before giving the vaccine is as many as 89 students choose doubtful attitude. While the students’ attitude that the tahnik method can be an alternative as a substitute for vaccines is 89 students (57.8%) state disagree. Conclusion: The lack of students’ knowledge towards Aluminum content, Thimerosal and formaldehyde in vaccines, but the students know that long-term side effects of Hepatitis B Vaccine contains Aluminum, Thimerosal and Formaldehyde can cause damage to the central nervous system. Regarding the students’ attitude towards Hepatitis B immunization, the students agree with the immunization program promoted by the government but they agree that if informed consent is taken and do not know the sanction if they block or reject the immunization program from the government.
背景:印度尼西亚是HBsAg患病率中等的国家之一,在3.0% -18.5%之间。在伊斯兰教中,疫苗接种包括预防治疗措施(wiqayah),因此疫苗受到法律处理,从清真(允许)到禁止的各种意见。方法:本研究采用横断面研究设计。本研究的研究对象为采用问卷调查法登记为雅尔西大学医学院2015年度活跃学生的学生。结果:学生拒接种知识可被处罚的比例为27%。69%的学生知道提供疫苗不需要知情同意。在学生对政府推广疫苗项目的态度调查中,有44名学生回答不确定,占31.2%。学生对提供疫苗持同意态度的占33.1%。学生在接种前表示知情同意的态度为70.8%,有109名学生选择这种态度。在接种疫苗前的教育中,有多达89名学生选择持怀疑态度。而学生们对于tahnik方法可以替代疫苗的态度是89名学生(57.8%)表示不同意。结论:学生对疫苗中铝、硫柳汞和甲醛的含量缺乏了解,但学生知道含有铝、硫柳汞和甲醛的乙肝疫苗的长期副作用会对中枢神经系统造成损害。关于学生对乙肝免疫接种的态度,学生对政府推行的乙肝免疫接种计划表示赞同,但表示同意采取知情同意,不知道政府阻止或拒绝乙肝免疫接种计划的处罚。
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引用次数: 0
Recent amendments in the acts related to medical practice 最近修订的与医疗实践有关的法案
Pub Date : 2020-05-28 DOI: 10.18099/IJETV.V5I02.6
M. Pathak, Rohini
Introduction- The Indian Penal Code, 1860 governs the substantive part and the Code of Criminal Procedure, 1973 along with the Indian Evidence Act, 1872 governs the procedural part of the criminal law of the country. Material and Methods- A thorough study was made from the available online resources and books. Result- It is worth mentioning that the amendments in laws from time to time make it flexible for implementation in present context. Conclusion- Indian Penal Code is derived from British Penal Code which is primitive in present context. So, many laws prevailing in India, codified as IEA, CrPC, and IPC needs amendment from time to time.
导言- 1860年的《印度刑法典》规定了实体法部分,1973年的《刑事诉讼法》以及1872年的《印度证据法》规定了该国刑法的程序部分。材料和方法-从可用的在线资源和书籍中进行了彻底的研究。结果- -值得一提的是,法律不时的修订使其在当前情况下的执行具有灵活性。结论:印度刑法典源自英国刑法典,而英国刑法典在当前语境下是原始的。因此,印度现行的许多法律,如IEA、CrPC和IPC,需要不时修改。
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引用次数: 0
Cannabis: The myth and medico-legal issues in current medical practice in Malaysia 大麻:马来西亚当前医疗实践中的神话和医疗法律问题
Pub Date : 2020-05-28 DOI: 10.18099/IJETV.V5I02.5
H. Y. Razali, H. Zainal, M. N. Islam
Cannabis, also known by various names such as marijuana, ganja, grass, ‘sayur,’ ‘tarekDaun,’ Indian hemp, ‘Barang weed,’ joints, sticks, hashish, dope, pot, and weed in Malaysia (Harun, 2016) is a flowering plant that could produce at least 113 different cannabinoids with the most notable cannabinoids are the tetrahydrocannabinol (THC) and cannabidiol (CBD). Cannabis use had been backdated to 2900 B.C where it is mostly utilised for medical purposes. However, there are some misused for recreational purposes. Due to the socio-economic issues related to cannabis use, cannabis was prohibited worldwide. Not until recently, there is increasing questionable evidence proving the medical benefits of cannabis but also increasing evidence stating its adverse effect and debunking the myth related to cannabis use. Similar to the changes that occurred internationally, cannabis use in Malaysia had dated way before 1957, however, due to unregulated usage and social impact of drug abusers, cannabis was illegalized under Dangerous Drug Act 1952. It was accepted well until few judicial decisions that envisioned the use of medical cannabis is possible in Malaysia. Currently, despite the urge from public toward government to legalize cannabis in Malaysia, the law remains static and most likely remain the same until there is significant evidence that Medical Cannabis possesses more benefits to compare to its adverse effect.
大麻,在马来西亚也被称为大麻、大麻、草、“sayur”、“tarekDaun”、“印度大麻”、“Barang weed”、“大麻、大麻棒、大麻、大麻和大麻(Harun, 2016),是一种开花植物,可以产生至少113种不同的大麻素,其中最著名的大麻素是四氢大麻酚(THC)和大麻二酚(CBD)。大麻的使用可以追溯到公元前2900年,当时它主要用于医疗目的。然而,也有一些被滥用于娱乐目的。由于与使用大麻有关的社会经济问题,全世界都禁止使用大麻。直到最近,有越来越多的可疑证据证明大麻的医疗效益,但也有越来越多的证据表明其不利影响,并揭穿了与使用大麻有关的神话。与国际上发生的变化类似,马来西亚的大麻使用早在1957年以前就开始了,但是,由于不受管制的使用和药物滥用者的社会影响,根据1952年《危险药物法》,大麻是非法的。它被很好地接受,直到很少有司法判决设想在马来西亚可能使用医用大麻。目前,尽管公众敦促马来西亚政府将大麻合法化,但法律仍然保持不变,很可能保持不变,直到有重要证据表明医用大麻具有更多的好处,而不是其不利影响。
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引用次数: 0
Spontaneous rupture of three different chambers of heart found during autopsy, a case series 在尸检中发现三个不同的心室自发破裂,一个系列病例
Pub Date : 2020-05-28 DOI: 10.18099/IJETV.V5I02.7
R. Tamuli
Haemopericardium and death following spontaneous rupture of heart are not very uncommon. Various literatures till now have described cases of ventricular and atrial ruptures following either myocardial infarction or blunt trauma chest. This paper describes three different autopsy cases of heart wall rupture with haemopercardium, one each of left ventricular, right ventricular and left atrial ruptures.
心包积血和自发性心脏破裂后死亡并不罕见。到目前为止,各种文献都描述了心肌梗死或钝性胸部创伤后心室和心房破裂的病例。本文介绍了三例不同的心壁破裂伴心包出血的尸检病例,分别为左室、右室和左房破裂。
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引用次数: 0
Analysis of sudden deaths: An autopsy study 猝死分析:一项尸检研究
Pub Date : 2020-05-28 DOI: 10.18099/IJETV.V5I02.3
L. Verma, P. Tiwari, S. Meena, Harshvardhan Tiwari
The incidences of sudden death are approximately 10 % of all death. In this study total 50 cases of sudden death were observed. Most of the sudden deaths were in 41 to 60 years of age with male predominance. Cardiovascular causes were the main causes among all sudden deaths contributing 58% of total sudden deaths. Coronary artery disease was the most common cause of not only cardiovascular deaths but also of all sudden deathscontributing 40% of total deaths and about 70% of cardiovascular sudden deaths.
猝死的发生率约占死亡总数的10%。本研究共观察50例猝死病例。突发性死亡多发生在41 ~ 60岁,男性居多。心血管原因是所有猝死的主要原因,占总猝死的58%。冠状动脉疾病不仅是心血管死亡的最常见原因,也是所有猝死的最常见原因,占总死亡人数的40%,约占心血管猝死人数的70%。
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引用次数: 0
期刊
The International Journal of Ethics
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