RFP Journal of Hospital Administration

 Septic arthritis is a severe infection of the joints either by bacteria or fungi causing joint in ammation. It is a debilitating septic condition that can result in permanent disability and even loss of life and can be averted by timely diagnosis and prompt and aggressive intervention. This condition usually presents with a hot swollen painful joint, the diagnosis for which may be missed by a doctor who is not familiar with musculoskeletal diseases. Usually a rare condition in developed countries, it is a major health concern in developing countries. We report a case of a child who after a normal fracture sustained septic arthritis following a fracture in the wrist joint which proved fatal for him. The authors aim to increase the awareness about this unforeseen complication which might prove fatal if not treated adequately.

Keywords: Septic Arthritis; In ammation; Wrist Fracture; Bicycle Trauma.

 Medical termination of pregnancy (MTP) act was  rst enacted in 197 [1] for making the legal rules for the termination of certain pregnancies by Medical Practitioners1 and further amended 2003 [2]. Many times the Medical Professionals are faced with the requests of terminating the pregnancy outside the ambit of provisions of MTP act which may be referred to Honorable Courts. The author illustrates two such cases in which Honorable courts were approached as the termination of the pregnancy was not legally allowed. The authors intend to highlight the aspects which should be considered while taking a decision in such matters. A multidisciplinary Medical Board consisting of Radiologist, Obstetrician and Pediatrician should be constituted. The Board so should also include a Psychiatrist and a Forensic Medicine expert. The Medical Board should not only consider the parameters envisaged in the Medical Termination of Pregnancy Act while undertaking the evaluation but should also weigh the bene ts of the mother vs the unborn child.

Keywords: Termination of pregnancy, Criminal Abortion, MTP Act, Trimester, Medical Board

 The postmortems (PM) are generally conducted in the Mortuary of a hospital and hold a very key position in this chain and most of the times the cradle for evidence collection, which is the life line of entire investigation process but in most of the Hospitals it is very poorly equipped due to chronic neglect by authorities. Even the Honorable court has also expressed anguish over the state of Mortuaries. Keeping in view the above fact, a series of articles has been planned which will cover different aspects of functioning of Mortuaries including basic infrastructure, standardization, staf ng pattern, protocols, welfare measures and futuristic vision. The present article aims to act as an introductory guide to basic layout, infrastructure and equipment in Mortuaries. Effective work output will not be achieved till the doctors and staff will have basic facilities. The policy makers should feel the need of the hour to upgrade all existing mortuaries and build new mortuaries in required places to match with the advancement of Medical and Criminology  elds.

Keywords: Mortuary Management, Postmortem, Autopsy, Forensic Medicine.

 Consumer protection Bill 2018 had been introduced in January 2018 in Parliament of India and it has been passed by Lok Sabha in December 2018. This bill seeks to amend Consumer Protection Act 1986. Medical services have been included in the ambit of CPA 1986 by means of judgement of Hon’ble Supreme Court. Any change in this act will also affect the Medical service providers. This act makes the healthcare services providers including hospitals, manufacturers, and doctors more accountable to consumers i.e. the patients. It broadens the scope of the act, includes the latest requirements based on changing times also allows stricter punishment to the defaulters. This article compares the Consumer Protection Act of 1986 with the present amended bill and highlights the implications of these changes on Medical Profession.

Keywords: Consumer Protection Bill 2018; Consumer Protection Act 1986; Medical Practice, Doctor-patient relationship.

 Background and Objective: Musculoskeletal Disorders (MSDs) are common in nursing professionals as it is a physically demanding job. Some common risk factors causing workrelated musculoskeletal disorders (WMSDs) are activities such as prolonged standing in one place, lifting or transferring heavy patients, and maintaining long periods of body awkward positions. The purpose of this study was to assess the association of physical job demands and neck and shoulder WMSDs in nurses. Methodology: In this cross-sectional study, 100 nurses from various hospitals were selected based on the inclusion and exclusion criteria of the study. The research procedure was explained to the subjects and written consent was collected. The subjects reported their choices on a self-analytical physical demands’ analysis form depicting their workrelated activities and frequency level and also mark the intensity of pain on numeric pain rating scale, if present, for neck and each shoulder joint respectively. Goniometric assessment of neck and shoulder joints were done to analyse the effect of pain on Range of Motion. Odds Ratio (95% Con dence Interval) was used for data analysis. Results: The results showed that there is signi cant association between high physical demands with neck and shoulder musculoskeletal disorders as compared to low physical demands depicted by higher odds ratio ranging between 1.03–1.93. The physical activity “Maintaining long periods of body awkward position” resulted in higher OR for neck pain (OR- 1.58) and right shoulder pain (OR- 1.93). Highest OR for left shoulder pain (OR- 1.61) was highlighted in the physical activity “lifting/moving heavy loads”. Conclusion: The study concluded that there is association between physical job demands and WMSDs of neck and shoulder joints respectively and there is also requirement to adopt corrective measures to prevent them in nurses for a quality patient care.

Keywords: Musculoskeletal Disorders; WMSDs–Work-Related Musculoskeletal Disorders; OR – Odds Ratio