Journal of Hospital Administration

 Deaths due to hanging are routinely encountered by the Forensic Pathologists all over the world and are the leading method of suicide in India. In equivocal circumstances, the ligature deaths are distinguished into hanging and strangulation by a thin line and possibility of a certain foul play arises whenever any unusual circumstances or findings are encountered. We report a case where a person was found partially hanged in a rear of a covered tempo. The external and internal findings during postmortem examination were of a typical hanging case. The chemical analysis reported Ethyl Alcohol in concentration of 62.30 mg/dl of blood of the deceased. The findings were corroborated with the circumstantial evidences and the cause of death was concluded as antemortem hanging. The authors aim to add the findings of this case to the Medical literature for future reference, and recommend that the autopsy surgeon should interact with the relatives in such cases so as to address their doubts about the cause and manner of death.

Keywords: Suicide; Hanging; Partial Hanging; Ligature Mark.

 World health Organization projects that Cardio Vascular Diseases (CVD) is the first leading cause of death in the world. Mortality data from the Registrar General of India shows that cardiovascular diseases are a major cause of death in India now. CVD is caused by both modifiable and non modifiable risk factors. CVD can be treated by medicines or invasive procedures such as Percutaneous coronary Intervention, Atherectomy, Brachytherapy, Coronary Balloon Angioplasty or Coronary Artery Bypass Graft.

Keywords: Cardio Vascular Diseases; Risk  Factors; Atherectomy; Brachytherapy; Angioplasty.

 Health care consume was first introduced in 1930’s. The consumer movement in 1970’s led to increase demand for accountability and for the provision of all medical services. An assessment or determination of the most efficient and least expensive approaches to providing health care and preventive medicine services. Accident prevention programs, immunization drives, and safe-sex campaigns are designed to reduce the number of patients who will suffer preventable illnesses 

Keywords: Cost Effectiveness; Cost Containment; Health Care.

 The present literature review describes about the various types of stress and examined the stress management strategies of the employees in different sectors. It elaborates about the various difficulties faced by the employees in their work place and about organizational oriented Strategies for coping Stress. Here we present the collective views from various researchers in the area of stress management. Finally this review highlight the research gap in the above area and open the door for the present day researcher to pursue their research work.

Keywords: Occupational Stressors; Work Performance; Employees; Motivation; Mental Health; Stress.

 Organ donation is when a person allows his/ her organ to be removed, while the donor is alive or after death with the assent of the next of kin. The need for the organ is very high but the donation rates are very low. The nurses are having very important role in organ donation and transplantation. As the legal procedures keep on changing the nurse has to update themselves about organ donation procedures.

Keywords: Organ donation; Donor; Transplantation; Assent; Next of kin.

 Background: Ministry of Health And Family Welfare has launched a new initiative “KAYAKALP” on 15th ay 2015, to promote cleanliness and enhance the quality of care at public health facilities. The main aim of this initiative is to promote and recognise efforts of public health facilitiesin creating a healthy environment in the Society. Recognitions and Financial incentives are provided to public healthcare facilities for showing exemplary performance in adhering to standard protocols of cleanliness and infection control. For district hospital level facilities,Winner award money is Rs 50 Lakhs for the states with 10 or more districts. The program was embraced by public health facilities with zest, zeal and enthusiasm and created a positive and health amongst them. After two years of its successful implementation it has shown remarkable impact on public health facilities. Conclusion: Through this article we can conclude that Kayakalp award scheme has promoted cleanliness, hygiene and Infection Control practices in Public Health Facilities and inculcate a culture of healthy competition among them.

Keywords: Kayakalp; Hygiene; Swachhata; Award; Competition; MoHFW.

 Patient satisfaction has become a frequently researched outcome measure of the quality of health care delivery . The health care industry is undergoing a rapid transformation to meet the ever increasing needs and demands of its patient population. Today’s patient is an educated consumer having many service demands and better care choices available. A valid and reliable questionnaire is a relevant tool for assessing patient satisfaction. A descriptive cross sectional questionnaire based survey using Patient Survey Questionnaire (PSQ) III short form was used to assess the outpatient satisfaction at a tertiary care hospital in Sikkim. A total of 6000 outpatients were interviewed and the response was assessed individually for each item as well as for the subscales and was expressed as mean. There was overall satisfaction with the medical care received by the patient.

Keyword: Outpatient; Patient Satisfaction;
PSQ III; Sikkim.