RFP Journal of Hospital Administration

Autopsy includes a thorough examination of a cadaver related to cause and manner of death. Digital autopsy refers to the use of modern medical imaging and computer technologies to obtain the images of internal body structures and organs of human body in a non-invasive or minimally invasive manner, detect the injuries, diseases and other morphological changes in human body, and provide the evidence to determine the cause and manner of death. Compared to traditional technologies, post-mortem forensic imaging methods are non-invasive, repeatable and are more conducive to resolving the key issues in several cases. It is being applied in few developed countries such as Switzerland, England, USA, Japan, etc. and is rapidly gaining importance. It can be used judiciously in estimating time since death, establishing identity of an individual, for age and sex determination, sudden death cases, road traffic accident cases, asphyxial deaths, death due to thermal injury, in Gunshot injuries, in decomposed bodies, in disaster scenarios, etc. However, it has still not been applied to the field of Forensic Medicine in India. This article emphasizes the utility of this method and focuses on its urgent need in India.

Keywords: Digital Autopsy; Image processing; Radiology; Cause of death.

The health of each one of us, directly and indirectly, affects others as well. International Health as we know today is because of the fact that communication and transport have become fast, instantaneous and convenient. It is very crucial to take a versatile approach to public health problems, which are often complex in nature since Health is a very vast concept and not merely a biological event. International health, in Koplan's view, has mainly focused on health issues, especially infectious diseases, and maternal and child health in low-income countries. Public health is generally is viewed as having a focus on the health of the population of a specific country or community, a perspective shared by Koplan et al. The burden of preventable disease is more concentrated in the middle- and low-income countries; most of the global health centres are located in high-income countries which adversely affects the international health. However, we are yet to explain to ourselves what exactly the term International Health means. To add to our woes, we have similar or near similar terms used in adjunction or synonymously. We suggest that academic institutions have an opportunity – as well as a responsibility – to assure that leadership for global health is as inclusive and worldwide as the tasks ahead are broad and daunting.

Keywords: International Health; Public Health; Global Health; Tropical medicine.

The doctors and staff are an important pillar of Mortuary Management. Their work and attitude directly affects not only the legal system but also the humanitarian aspects of the society. If we expect the highest quality of Medicolegal work and a sympathetic attitude towards the relatives of deceased, then we have to provide the recommended manpower not only in numbers but also in quality. Human resource and manpower management is equally important in a Mortuary Setup in a Hospital setup as important as the infrastructure. Though the Mortuary holds a very vital position but in most of the Hospitals as a bridge between the Medical system and legal system but still the demand for the requisite manpower is often overlooked. The authors in this article aim to detail the staffing pattern and their job responsibilities in the Mortuary. The recommended welfare measures of the staff are also included in the article.

Keywords: Mortuary Management; Employee welfare; Postmortem; Autopsy Surgeon; Forensic Medicine.

Coronary artery disease (CAD) is the main cause of Sudden Cardiac deaths (SCD). SCD in young individuals particularly who are asymptomatic cause huge emotional shockto the family members who are left bewildered by this sudden mis-happening. We report a case of a sudden cardiac death in a healthy youth with no previous complaints who died in his normal routine while going to office. The authors aim to highlight the presence of undiagnosed heart disease in young individuals so that preventive steps may be taken for early diagnosis and treatment. The authors also intend to add to the Medical literature about the incidence of CAD in young individuals.

Keywords: Sudden Cardiac Death; Coronary Artery disease; Atherosclosis; Ventricular Arrythmia; Myocardial Iscaemia.

Background: Aerobic and breathing exercise in healthy individuals produce various types of physiological responses. Aim of the study: Comparative study between breathing exercise and aerobic training on physical fitness in healthy individuals. Materials and Methods: The selected subjects were allocated conveniently to two groups: group A is aerobic and group B is breathing each with 15 subjects. Breathing exercises such as deep breathing, pursed lip breathing and diaphragmatic breathing exercise were performed in supine, sitting, lying crooked and standing with inspiration: expiration ratio 1:1,1:2,1:2:2 for 6 weeks. Aerobic exercise was conducted by rope skipping with moderate intensity exercise. Total exercise duration for 6 weeks was 5 days a week. Results: Results of the study showed significant in pulse rate, blood pressure a VO2max in aerobic group from pre-to post-intervention. It also found that the quality of life was significantly improved from pre-to post-intervention in both the breathing and aerobic group. With respect to the above variables, however, there was statistically significant difference between the two groups, which was significantly increased in aerobic group. Conclusion: The study was demonstrated that aerobic and breathing exercises are effective in improving physical fitness in healthy individuals. A good physical fitness or cardiorespiratory fitness will help the students to perform all the exercises. Breathing exercise and aerobic training improved cardiorespiratory parameter and quality of life. However, aerobic training has better effect on improving physical fitness with 6 weeks intervention in healthy individuals.

Keywords: Aerobic exercise; Breathing exercise; Systolic and Diastolic Blood Pressure; Pulse Rate and VO 2 max.

Revolution of Medical Sciences over last century has not only raised the standard of health and living, but also hope for certain diseases/disabilities which were earlier considered to be untreatable. Infertility was one of such condition, but advancement of Assisted Reproductive Technology has given hope of parenthood to infertile couples. Surrogacy has come up as an alternative option for the infertile couples with incurable etiology. Surrogacy is of two typesAltruistic and Commercial; recently commercial surrogacy has gained popularity not only among intended couples but also among singles and professionals who intend to have children without bearing complications of conception and gestation. Developing countries have emerged as an alternative for commercial surrogacy due to low financial inputs as well as either no guidelines or liberal regulatory guidelines for surrogacy. We discuss a case of commercial surrogacy which turned unsuccessful due to non compliance of regulatory laws.

Keywords: Surrogacy; Artificial reproductive Techniques; Surrogacy regulation law; Altruistic; Commercial.

The modern approach to management ensures employee involvement and empowerment. Employees and management admit that many obstacles to achieve organizational goals can be overcome by employees themselves if they are provided the necessary tools and authority to do so. There is a direct relationship between the concept of employee involvement and employee empowerment and organizational growth and development. 360 degree feedback is one of the most powerful mechanisms in the field of performance appraisal process. It involves legitimacy, reliability and responsibility in overall process.

Keywords: 360 degree Appraisal; Quality care; Performance Appraisal; Health Care