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Identification of venomous bites and stings 识别有毒的咬伤和蜇伤
Pub Date : 2020-05-28 DOI: 10.18099/IJETV.V5I02.1
R. K. Gorea
Bites and stings on human beings are causing a lot of morbidity and mortality in human beings. Sometimes this is due to venom or allergic effects and at other times it is simply due to the fear that this may be venomous. The aim of this study is to identify the stings or bites on human beings. Bites by different animals and insects produce different kinds of wounds and identification of stings from the wound may be possible. Some of these also produce systemic effects too. These symptoms may help too in the identification of the biter or stinger and it can be found that the same is venomous or non-venomous. Examination of the agent causing these bites or stings too can help in its identification. Literature is reviewed to find out local findings, systemic findings due to toxicity or allergic reactions and examination of the venomous agents if available for examination. Identification of the causative agent will help to allay the fears if it can be identified that bite or sting is non-venomous. If it is venomous proper treatment can be initiated at the earliest. This will help to reduce mortality and morbidity.
人类被咬伤和蜇伤造成了许多发病率和死亡率。有时这是由于毒液或过敏的影响,在其他时候,它只是由于担心这可能是有毒的。这项研究的目的是识别人类被叮或咬伤的情况。被不同的动物和昆虫叮咬会产生不同种类的伤口,从伤口中识别刺痛是可能的。其中一些还会产生系统性影响。这些症状也可能有助于识别咬伤或刺痛,可以发现相同的是有毒的或无毒的。检查引起这些咬伤或蜇伤的病原体也可以帮助识别。回顾文献,找出局部发现,由于毒性或过敏反应的全身发现和检查有毒物质,如果可以检查。如果能确定咬伤或刺痛是无毒的,那么确定病原体将有助于减轻恐惧。如果是有毒的,可以尽早进行适当的治疗。这将有助于降低死亡率和发病率。
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引用次数: 0
Effectiveness of cardio pulmonary resuscitation in identifying end of life based on the data of RS Juwita Bekasi from 2013-2017 and the overview according to Islamic view 基于2013-2017年RS Juwita Bekasi数据及伊斯兰观点综述的心肺复苏识别生命终结的有效性
Pub Date : 2020-05-28 DOI: 10.18099/IJETV.V5I02.2
Muthohharoh Viera Dzakiyyah, Ferryal Basbeth, Arsyad
Background: Cardio Pulmonary Resuscitation is used in basic life support procedure consisting of compression, ventilation and defibrillation. Cardio Pulmonary Resuscitation is recommended as an emergency intervention for respiratory or cardiac arrests. Method: This study will use non-probability sampling technique. Nonprobability sampling technique will be determined purposively, the sample is taken according to the established criteria. Result: The result of the study conducted for 26 days taken from the medical record of patients at RS Juwita Bekasi, showed that 94 patients were unsuccessful after Cardio Pulmonary Resuscitation and 4 patients were successful after Cardio Pulmonary Resuscitation. Regarding the diagnosis of traumatic brain injury and severe head injury was found that the most were not successful at Cardio Pulmonary Resuscitation. Conclusion: The use of Cardio Pulmonary Resuscitation in the medical record of RS Juwita Bekasi from 2013-2017 on the indication of respiratory and cardiac arrestsis found to be ineffective because the success rate is 1%.
背景:心肺复苏是由压迫、通气和除颤组成的基本生命支持程序。心肺复苏建议作为呼吸或心脏骤停的紧急干预措施。方法:本研究将采用非概率抽样技术。非概率抽样技术是有目的地确定的,抽样是按照既定的标准进行的。结果:对Juwita Bekasi医院患者病历进行了为期26天的研究,结果显示心肺复苏失败94例,心肺复苏成功4例。对于外伤性脑损伤和重型颅脑损伤的诊断发现,心肺复苏成功率最高。结论:2013-2017年朱维塔·别卡西病案中使用心肺复苏治疗呼吸和心脏骤停指征无效,成功率为1%。
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引用次数: 0
The use of cartoons as a teaching tool to enhance student learning in Medical Jurisprudence 利用卡通作为教学工具来加强学生在医学法学的学习
Pub Date : 2017-12-25 DOI: 10.18099/IJETV.V3I02.10625
S. Asawa, Swapnil Paliwal, S. Sarangdhar
Background - Cartoons have been used effectively as a teaching tool in other settings and were considered as a potentially useful teaching aid. Medical Jurisprudence is one area which needs paramount attention in the present era of Consumer Protection Act and growing litigations against Medical Practitioners. This study examines the impact of cartoons in improving healthcare professional’s knowledge with regards to Medical Jurisprudence as desired by Medical Council of India, thereby addressing the equally important affection domain, in addition to cognitive and psychomotor domains.A very high percentage of students agreed that medical cartoons help in clarity of concept (99%), memory processing (98%), retention and learning (99%), in reproduction (86%), in generation of interest (100%), in focus (98%), in interaction (95%) and as an effective teaching tool (100%).Conclusion – Study suggested that students are interested in power point lectures with academic cartoons since they are effective teaching tool which helps in understanding the topic in abetter way and facilitates the clarity of the concept, generates interest, helps in retention and learning.
背景-漫画在其他环境中被有效地用作教学工具,并被认为是一种潜在的有用的教学辅助工具。医学法学是一个领域,需要在当今时代的消费者保护法和日益增长的诉讼对医生的高度重视。本研究考察了漫画在提高医疗保健专业人员关于印度医学委员会所期望的医学法学知识方面的影响,从而解决了除了认知和精神运动领域之外同样重要的情感领域。很高比例的学生认为医学漫画有助于概念清晰(99%)、记忆处理(98%)、保留和学习(99%)、复制(86%)、产生兴趣(100%)、集中注意力(98%)、互动(95%)和作为有效的教学工具(100%)。结论-研究表明,学生对学术漫画的幻灯片讲座感兴趣,因为它们是有效的教学工具,有助于更好地理解主题,促进概念的清晰度,产生兴趣,有助于记忆和学习。
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引用次数: 0
Triple cases of acute stroke, acute coronary syndrome and gunshot injury in an emergency 急诊急性中风、急性冠状动脉综合征和枪伤三例
Pub Date : 2017-12-25 DOI: 10.18099/IJETV.V3I02.10628
Devendra Richhariya, R. Verma, Vivekanshu Verma, Jidhin Janardhan
Acute stroke is one of the most dreaded neurological emergencies, similarly, acute coronary syndrome is one of the most dreaded cardiac emergencies and last but not the least, Gunshot is one of the most dreaded traumatic emergencies in healthcare setup all over the world (1).
急性中风是最可怕的神经紧急情况之一,同样,急性冠状动脉综合征是最可怕的心脏紧急情况之一,最后但并非最不重要的是,枪击是世界各地医疗机构中最可怕的创伤性紧急情况之一(1)。
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引用次数: 0
Description of clinical forensic profile‘visum et repertum’ quality in Yogyakarta 2011-2016 2011-2016年日惹的临床法医档案“visum et repertum”质量描述
Pub Date : 2017-12-25 DOI: 10.18099/ijetv.v3i02.10622
Ida BagusGede Surya Putra Pidada, Martiana Suciningtyas Tri Artanti, I. A. Wiraagni, Dewanto Yusuf Priyambodo
Background. Clinical forensic medicine is the practice of assessing the living condition of someone, either as victims of an assault or the alleged perpetrator of the offense. This publication shows the profile of clinical forensic medicine quality were reported on Visum et Repertum in Yogyakarta.Objective. The purpose of our study was to provide descriptive data on clinical forensic profile and Visum et Repertum quality in Yogyakarta 2011-2016. Method. Retrospective data were collected on all clinical forensic victims of five Regional Public Hospital in Yogyakarta, for asix-year period. Visum et Repertum quality was assessed by Herkutanto’s scoring method.Result. There were 2902 cases with male victims 50.7% and female 49.3%. Most cases were from Yogyakarta Regional Public Hospitals (72.6%). The most victims from18 to 30 years old (38.4%). The data from road traffic accidents (RTA), persecution, sexual violence, domestic violence, and poisoning cases were, 66.1%, 13.3%, 8.9%, 6.7%, and 5% respectively. The were no photo documentation in all hospitals. Blunt trauma was the highest number of trauma. While Almost hospitals have moderate quality in writing Visum et Repertum.Conclusion. Women victims in four Regional Public Hospitals (Sleman, Wonosari, Bantul, and Wates) were higher than men. The largest age group of the victims was a group of 18 to 30 years old. The most cases happened was road traffic accidents (RTA). For the type of trauma, blunt trauma was the highest proportion of trauma. All clinical forensic cases obtained were no photo documentation. Overall, Visum et Repertum scores for clinical forensic cases throughout Regional Public Hospitals in Yogyakarta province were in moderate category (range 50% - 75%).
背景。临床法医学是评估某人生活状况的实践,无论是作为攻击的受害者还是被指控的犯罪者。本文报道了日本日惹地区《Visum et Repertum》上的临床法医学质量概况。本研究的目的是提供2011-2016年日惹的临床法医资料和Visum et Repertum质量的描述性数据。方法。回顾性数据收集了日惹五所区域公立医院的所有临床法医受害者,为期六年。采用Herkutanto计分法对剧目质量进行评价。2902例,其中男性50.7%,女性49.3%。大多数病例来自日惹地区公立医院(72.6%)。18 ~ 30岁是受害者最多的年龄段(38.4%)。道路交通事故(RTA)、迫害、性暴力、家庭暴力和中毒案件分别占66.1%、13.3%、8.9%、6.7%和5%。所有医院都没有照片记录。钝性创伤是数量最多的创伤。而绝大多数医院的病历记录写作水平一般。4个地区公立医院(Sleman、Wonosari、Bantul和Wates)的女性受害者高于男性。受害者中年龄最大的群体是18至30岁的群体。发生最多的是道路交通事故(RTA)。从创伤类型来看,钝性创伤所占比例最高。获得的所有临床法医病例均无照片文件。总体而言,日惹省所有区域公立医院的临床法医案件的Visum et Repertum得分处于中等水平(范围为50% - 75%)。
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引用次数: 0
EditorailThe facts and the rights of the victims of intimate partner violence 亲密伴侣暴力受害者的事实和权利
Pub Date : 2017-12-25 DOI: 10.18099/ijetv.v3i02.10621
R. K. Gorea
Every human being born on this earth has rights known as human rights. Similarly, victims of any type of violence have been provided rights. Intimate partners usually have a bond of love and they treat each other very caringly and passionately but circumstances do arise when even intimate partners have to face violence at the hands of their partners whom they love and adore.In this paper, literature is reviewed to find the global facts and the rights of victims of intimate partner violence [IPV].
出生在这个地球上的每个人都有人权。同样,任何类型暴力的受害者都享有权利。亲密的伴侣通常有爱的纽带,他们非常关心和热情地对待对方,但即使是亲密的伴侣也会面临他们所爱和崇拜的伴侣的暴力。本文通过文献综述,了解亲密伴侣暴力受害者的全球现状和权利。
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引用次数: 0
Epidemiological profile and pattern of injuries in road traffic accidents in Moradabad: A prospective study 莫拉达巴德道路交通事故中伤害的流行病学概况和模式:一项前瞻性研究
Pub Date : 2017-12-25 DOI: 10.18099/IJETV.V3I02.10623
M. Bhat, S. S. Sandhu, Pardeep Singh
Background: In many countries, motor vehicle accidents rank first among all fatal accidents. RTAs have got multi-factorial causation. It is a part of the price we pay for our technological progress. Regional differences exist in the pattern of injury sustained by different types of road users that can have significant implications in the development of prevention policies.The objective of the Study: To understand the profile and pattern of injuries sustained and circumstances leading to RTAs in and around Moradabad, U.P.Materials and Methods: After ethical clearance for the study, all RTA victims presenting to the Casualty of TMU Moradabad, U.P. were taken for this study. All relevant details of RTIs were recorded and data collected, entered on a predesigned proforma and then tabulated, analyzed and interpreted statistically.Results: Out of 730 patients included in this study, most common victims were pedestrians (33.01%), most common site of injury was head (86.71%), most common external injury was lacerated wound (46.75%), and intoxication was seen in 24.11%, protective/safety measures used by 10.23%. Conclusion: RTAs continue to be a speedily rising problem, causing heavy loss of manpower and resources. Road users should be properly trained by authorized centers; driving licenses should be issued after strict testing of driving skills. Trauma centers with integrated facility of surgical, orthopedic, neurosurgical, anesthetic experts with modern investigative procedures like USG, CT-Scan and facility of blood-bank is the best solution for RTA victims who are severely injured.
背景:在许多国家,机动车事故在所有致命事故中排名第一。rta有多因素的原因。这是我们为技术进步付出的代价之一。不同类型的道路使用者所遭受的伤害模式存在区域差异,这可能对制定预防政策产生重大影响。本研究的目的:了解在北方邦莫拉达巴德及其周边地区持续受伤的概况和模式以及导致RTA的情况。材料和方法:在研究的伦理许可后,所有在北方邦莫拉达巴德TMU伤亡事故中出现的RTA受害者被纳入本研究。记录rti的所有相关细节并收集数据,输入预先设计的形式,然后制表,分析和统计解释。结果:730例患者中,最常见的受害者为行人(33.01%),最常见的损伤部位为头部(86.71%),最常见的外伤为撕裂伤(46.75%),中毒占24.11%,采取保护/安全措施占10.23%。结论:rta仍是一个快速上升的问题,造成了严重的人力和资源损失。道路使用者应接受授权中心的适当培训;驾驶执照应经过严格的驾驶技术测试后颁发。创伤中心拥有外科、骨科、神经外科、麻醉专家的综合设施,拥有USG、ct扫描等现代调查程序和血库设施,是严重受伤的RTA受害者的最佳解决方案。
{"title":"Epidemiological profile and pattern of injuries in road traffic accidents in Moradabad: A prospective study","authors":"M. Bhat, S. S. Sandhu, Pardeep Singh","doi":"10.18099/IJETV.V3I02.10623","DOIUrl":"https://doi.org/10.18099/IJETV.V3I02.10623","url":null,"abstract":"Background: In many countries, motor vehicle accidents rank first among all fatal accidents. RTAs have got multi-factorial causation. It is a part of the price we pay for our technological progress. Regional differences exist in the pattern of injury sustained by different types of road users that can have significant implications in the development of prevention policies.\u0000The objective of the Study: To understand the profile and pattern of injuries sustained and circumstances leading to RTAs in and around Moradabad, U.P.\u0000Materials and Methods: After ethical clearance for the study, all RTA victims presenting to the Casualty of TMU Moradabad, U.P. were taken for this study. All relevant details of RTIs were recorded and data collected, entered on a predesigned proforma and then tabulated, analyzed and interpreted statistically.\u0000Results: Out of 730 patients included in this study, most common victims were pedestrians (33.01%), most common site of injury was head (86.71%), most common external injury was lacerated wound (46.75%), and intoxication was seen in 24.11%, protective/safety measures used by 10.23%. \u0000Conclusion: RTAs continue to be a speedily rising problem, causing heavy loss of manpower and resources. Road users should be properly trained by authorized centers; driving licenses should be issued after strict testing of driving skills. Trauma centers with integrated facility of surgical, orthopedic, neurosurgical, anesthetic experts with modern investigative procedures like USG, CT-Scan and facility of blood-bank is the best solution for RTA victims who are severely injured.","PeriodicalId":346392,"journal":{"name":"The International Journal of Ethics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122349095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Retrospective study of accused and survivors of sexual offences in Karnal, Haryana 哈里亚纳邦卡纳尔性犯罪的被告和幸存者回顾性研究
Pub Date : 2017-12-25 DOI: 10.18099/IJETV.V3I02.10624
A. Pawar, B. Kaur, H. Singh, Rajesh Kumar
Sexuality is a crucial part of people’s health, general well-being and quality of life and enjoying a healthy sexuality is well thought-out as a human right. But it is counted as sexual assault or rape if it is without her consent or against her will or when it is obtained by unlawful manners such as fraud, putting her in fear of death or hurt, drugging or impersonation. Sexual offences are traumatic at the time of occurrence and may also leave a very bad and negative impact on her physical and mental health. A retrospective study was performed after collecting Medico-legal reports done on survivors and accused in Government Hospital Karnal from January 2012 to April 2016. In the present study, Total 69 cases of alleged history of sexual assault were taken, out of which 38 cases of male accused and 31 cases of female survivors’ medico-legal reports were studied. The highest percentage of female survivors was among age group between 11-20 years (64.5 %). The highest percentage of male accused was among age group between 21-30 years (55.3 %). During examination it was found that 2 female survivors (6.5%) out of 31 cases had alleged h/o sexual assault at the same time. There were 3 cases (7.9%) of gang rape. Out of these three cases of gang rape, in two cases (66.7%), two each accused persons were involved and in one case (33.3%) four accused were involved. In rest of the cases single male accused was involved. It is seen that younger aged females are at maximum risk for sexual assault threat and young adult males are active in these sexual assault activities. So it is important to give sex education to our young generation and make them aware.
性行为是人的健康、总体福祉和生活质量的重要组成部分,享有健康的性行为是一项经过深思熟虑的人权。但是,如果未经她的同意或违背她的意愿,或者通过欺诈、使她害怕死亡或伤害、吸毒或冒充等非法方式获得性侵犯或强奸,则被视为性侵犯或强奸。性犯罪在发生时具有创伤性,也可能对她的身心健康造成非常恶劣和消极的影响。在收集了2012年1月至2016年4月在卡纳尔政府医院对幸存者和被告所做的法医报告后,进行了一项回顾性研究。在本研究中,总共研究了69起据称有性侵犯史的案件,其中研究了38起男性被告案件和31起女性幸存者的法医报告。女性幸存者比例最高的是11-20岁年龄组(64.5%)。男性被告比例最高的是21-30岁年龄组(55.3%)。在审查过程中发现,在31起案件中,有2名女性幸存者(6.5%)同时指控性侵犯。轮奸案3起(7.9%)。在这三起轮奸案中,有两起案件(66.7%)涉及两名被告,有一起案件(33.3%)涉及四名被告。在其他案件中,涉及的是单身男性被告。可以看出,年轻女性受到性侵犯威胁的风险最大,年轻成年男性在这些性侵犯活动中表现活跃。因此,对年轻一代进行性教育,让他们意识到这一点是很重要的。
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引用次数: 0
Traumas caused by orthodontic treatment: A retrospective review 正畸治疗引起的创伤:回顾性回顾
Pub Date : 2017-12-25 DOI: 10.18099/IJETV.V3I02.10626
G. Sam
Even though orthodontic treatment is indispensable for nearly 16-20% of the whole world population with functional efficiency, structural balance and aesthetic harmony as its main advantages and rationale, the treatment particularly with a range of removable, fixed, functional and extraoralorthopaedic appliances can cause various deleterious hard tissue and soft tissue injuries in particular, intraorally. These intraoral and extra oral hard and soft tissue injuries can be iatrogenic, self-induced, caused by bad patient compliance or just by accidents intervened by the patient while wearing the appliance. These traumas/injuries are not uncommon since an orthodontic treatment are mainly done with stainless steel [metal] and the treatment usually continues for a long period of time ranging from 6- 36 months in themajority of the cases. The high pervasiveness of individuals with dental trauma preceding to orthodontic treatment justify the safety measures that should be followed before and during treatment while bearing in mind all the possible effects of orthodontic movement on traumatized teeth. Among the major traumatic dental injuries, avulsion with subsequent tooth reimplantation entails a higher than average risk of complications, such as pulp necrosis, root resorption,and ankyloses. Therefore, it gives orthodontists numerous reasons for apprehension during orthodontic treatment.
尽管正畸治疗对全世界近16-20%的人口是必不可少的,其功能效率、结构平衡和审美和谐是其主要优势和基本原理,但特别是使用一系列可移动、固定、功能性和口外矫形器具的治疗会导致各种有害的硬组织和软组织损伤,特别是口腔内损伤。这些口腔内和口腔外的软硬组织损伤可能是医源性的,自我诱导的,由患者依从性差引起的,或者仅仅是由于患者在佩戴矫治器时发生的意外。这些创伤/损伤并不罕见,因为正畸治疗主要是用不锈钢[金属]完成的,治疗通常持续很长一段时间,在大多数情况下从6到36个月不等。牙齿外伤患者在接受正畸治疗前的高普遍性证明了在治疗前和治疗期间应遵循的安全措施,同时考虑到正畸运动对创伤牙齿的所有可能影响。在主要的外伤性牙齿损伤中,脱脱牙再植的并发症风险高于平均水平,如牙髓坏死、牙根吸收和强直。因此,它给正畸医生在正畸治疗期间许多担忧的理由。
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引用次数: 0
Suicide note in the ligature material- a case report 绑绳材料里的遗书,一份案件报告
Pub Date : 2017-12-25 DOI: 10.18099/IJETV.V3I02.10627
M. Ghosh, Bhim Singh
Suicide is a leading cause of death among young adults. About a million suicides occur annually throughout the world. A suicide note is often found at the scene. It has been reported that a note was left in 5%-43% of the suicides (1). The content of a suicide note includesapology, shame, guilt, love for those left behind and instruction regarding practical affairs (2). It is an important tool for medico-legal investigation on the manner and circumstances surrounding the death. The victim generally writes them on a paper, notebook, wall, or mirror by means of pen or marker (3). We present a case where asuicide note was recovered from the ligature itself. This method of keeping a suicide note in the ligature is unique and rarely found in the literature.
自杀是年轻人死亡的主要原因。全世界每年大约有100万人自杀。遗书经常在犯罪现场被发现。据报道,5%-43%的自杀者留下了遗书(1)。遗书的内容包括道歉、羞耻、内疚、对遗属的爱和对实际事务的指导(2)。遗书是对死亡方式和情况进行法医学调查的重要工具。受害者通常用笔或记号笔在纸上、笔记本上、墙上或镜子上写下自杀遗言(3)。我们提出了一个从勒绳中发现自杀遗言的案例。这种用绳结保存遗书的方法是独特的,在文献中很少发现。
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引用次数: 0
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The International Journal of Ethics
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