Background:The statistical profile reflects a global estimate of 5.1 million deaths in 2000, which was due to injuries that accounted for 10% of deaths due to all causes. Out of this, a quarter of injury-related deaths occurred in the South-East Asian region. Road Traffic Accident (RTA) is one among the top 5 causes of morbidity and mortality in South-East Asian countries. Most common cause of blunt abdominal trauma in India is road traffic accident followed by pedestrian accidents, abdominal blows, and fall from heights. Aims: To analyze the epidemiology and pattern of fatal thoraco-abdominal injuries in road traffic accidents.Materials and Methods:An autopsy-based cross-sectional study conducted. A purposive sampling technique was applied to select the study sample of 100 post-mortems of road traffic accident between November 2008 and May 2010 subjected to medico-legal autopsy at the department of Forensic Medicine, KIMS Hospital Bangalore.Results:The majority of the victims were aged 21 to 40 years, 50 (50.0%), most of the victims were male 92 (92.0%); and male/female ratio was 11.5:1. Commonest offending agents in heavy motor vehicles were 54 (54.0%). Bony cage sustained injuries were observed in 71; out of this, fractures of ribs were observed in 45 (63.3%) victims, clavicle in 14 (19.7%), sternum was 6 (8.4%), and vertebrae 6 (8.4%) of fatal road traffic accidents. Internal thoracic injuries were observed in 26 cases. Among internal thoracic injuries, lungs were the most commonly involved organ 24 (92.3%) followed by the heart 2 (7.6%). Lung sustained more lacerations 19 (79.1%) than contusions 5 (20.8%). Internal abdominal injuries were observed in 49 cases. In road traffic accidents, the most commonly injured abdominal organs were solid organs such as liver 16 (32.6%) followed by spleen 9 (18.3%).Conclusions:Majority of the times in road traffic accidents, young and productive males were injured or lost their life. This study may help the planners to take safety measures, to implement strict traffic rules, to risk stratification in the susceptible population to educate the people, and the study of nature of offending agent in RTA can help the authorities to plan better availability of health care on roads.

Background: The use of health applications (apps) in smartphones increased exponentially during COVID-19. This study was conducted the with the aim to understand the factors that determine the consumer’s perception of health apps in smartphones towards telemedicine during COVID-19 and to test any relation between these factors and consumers towards Telemedicine in India. Methods: This questionnaire-based cross-sectional study was conducted from July 2021 to December 2021 in India. Out of 600 selected participants, 594 responded and in that 535 valid questionnaires were measured. The questionnaire consists of close-ended responses, with the first part consisting of demographic information, the second part consisting of questions associated with consumers’ perceptions and the third part kept for suggestions and complaints. The questionnaire was distributed using digital platforms via WhatsApp or email. A 5-point Likert scale, ranging from strongly agree’ (5) to strongly disagree (1) was used to record responses. Results: Results revealed a high response rate of 90%. The highest score was obtained for the question assessing the satisfaction of the users towards health apps [1175 = 500 (agree-4) + 675 (Strongly agree-5)]. The interface of the app scored very low, showing disagreement (514) with app functionality, and was the most common disadvantage as perceived by patients. The mean scores of reliabilities and vicinity of health services; efficacy and comprehensive health information; development and improvement of health apps and telemedicine (3.24, 3.18, 3.62, 3.49), respectively, show the difference in attraction existing between groups. There is a strong positive correlation between the variables except for efficacy and comprehensive information about health and Telemedicine (−0.249), development and improvement of health apps, and reliability and vicinity of health services (−0.344) which have a negative correlation. Conclusions: The findings of this survey reveal a positive outlook of health apps toward telemedicine. This research also found a strong forecaster of the consumer’s perception of health apps in smartphones towards telemedicine. In the broad spectrum, the future of health app affiliates for telemedicine is better affected by the consumer’s perception of health app efficacy. This study suggests that health app marketers develop more innovative apps to increase usage and help consumers.

Background: World population ageing is enduring, the proportion of older persons has been rising steadily, from 7 per cent in 1950 to 11 per cent in 2007, with an expected rise to reach 22 percent in 2050. Globally the population of older persons is growing at a rate of 2.6 per cent per year, considerably faster than the population as a whole which is increasing at 1.1 percent annually. The issue of health care-seeking (or medical-care) behaviour is crucial to all society. Objective: To know the Socio-demographic distribution of elderly population in rural area, observe the Health seeking behaviour of the rural elderly and to know the available health care services in rural area of Uttar Pradesh. Materials and Methods:A community based Cross sectional study was conducted from October 2010 to June 2011. Persons aged 60 years and above were selected by multistage random sampling. The minimum Sample size of 400 was calculated using formula 4pq/d2 and finally a total of 411 individuals were studied. The data was analyzed by means, proportions and Chi-square test, p value less than 0.05(p<0.05) at 95% confidence interval, was consider for significant, SPSS Version 12 Statistical Software was used to analyze the data. Results: Out of the 411 elderly persons, 214 (52.1%) were males and 197(47.9%) were females. Mean age for the entire study population was 69.2 years with a standard deviation of 7.8 years. Majority of the elderly population were illiterate (70.1%). Higher proportion of females was illiterate (92.4%) as compared to males (49.5%). Among the 411 elderly persons, 188 (45.7%) sought treatment from private practitioner and private hospital, 133 (32.3%) from non registered practitioner (Quack), only 77 (18.9%) sought treatment from Government hospital and remaining 13 (3.1%) used home remedies or sought help from traditional healers. Conclusion: Majority of the geriatric subjects were in the age group of 60 to 69 years. Awareness must be generated among the elderly regarding the problems related to the ageing, strict implementation of legislation on parents' care by their children and Promotion of income.

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