A study of deaths due to railway fatalities at a tertiary care hospital mortury 2015-16

Background: Railway accidents according to the NCRB, 25,006 people died and 3,882 were injured in a total of 28,360 railway accidents across the country in last year. Railway crossing accidents like India has an extensive rail network with high levels of injury and violence.Methods: This study was conducted at Forensic medicine department, PIMS (pondicherry institute of medical sciences). The study group consisted of all the victims reporting to PIMS hospital Mortuary, during the period of study (January 2015-January 2016) were subjected to thorough post mortem examination and the pattern of injuries were noted.Results: A total of 300 postmortems, performed at the mortuary of the Dept. of Forensic Medicine, DMC during the period of January to December 2016, were studied. Of them 164 (54.89%) cases were of accidents, 72 (23.19%) cases were suicide, 54 (17.12%) cases homicide, 8 (2.46%) cases undetermined and 2 (0.80%) cases were of natural deaths. In this study accidental deaths were commonest, seen in (72.12%) cases followed by suicidal (20.63%) and least was homicidal seen in (7.16%) cases.Conclusions: Deaths have occurred in association with railway since the inception of railway in the present study males are commonest victims of railway deaths which concurs with studies conducted by other authors. Helpline numbers should be printed inside the coaches to inform the authorities in case of emergency. Railway should strictly implement the laws of railway acts and the people should be penalized for breaking the rules for the safety of passengers

An Analysis Of Business Process Outsourcing Strategies Of Public And Private Sector Banks In India

This paper is a study of the recent trends of Business Process Outsourcing (BPO) strategies and practices among banking institutions in India.  The study attempts to analyze BPOs used by private and public banks using four dimensional descriptive conceptual dimensions of outsourcing:  1) shoring model (vendor location/service creation), 2) sourcing model (vendor type), 3) engagement model (number of vendors engaged), and 4) duration of the engagement (contract period).  The comparison of results reveals similar trends of outsourcing for public and private banks. However, public banks are more regulated, and thus are restricted from outsourcing of certain processes to avoid excessive risks of privacy of data and information related to customers.  From a financial strategic point of view, in the long run, the underlying profit margins of a public bank might have adverse effects. &nbsp

A study on concept of P- drug selection among rural general practitioners

Background: The objective of the study was to assess the awareness of P- drug selection among rural general practitioners’s (GP) for common medical conditions.Methods: Fifty general practitioners in Tumakuru district were provided with proformas for selection of P- drugs for mild to moderate hypertension, diabetes, upper respiratory tract infections and acid peptic disease based on safety, affordability, need, and efficacy (SANE criteria).Results: Forty one GP’s responded by completing the proformas. Seventeen of them were aware of the concept of P- drug selection. In hypertension, beta blockers followed by Angiotensin Converting Enzyme (ACE) inhibitors were most commonly preferred. In diabetes, biguanides followed by sulfonylureas were preferred as oral hypoglycemic agents. Ampicillin, Ciprofloxacin and Cotrimoxazole were the commonly used antibiotics for upper respiratory tract infections. Ranitidine and antacids were preferred for acid peptic disease. Affordability followed by efficacy was the deciding criteria for P- drug selection.Conclusions: There is lack of awareness of P- drug selection among many rural GP’s. Therefore, there is necessity to create awareness about P- drug selection through continued medical education for rational use of drugs