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All Journal Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Jurnal Forensik dan Medikolegal Indonesia
Putra, Afid Brilliana
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Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Public Health

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Membedakan Antara Suasana Berkabung dengan Depresi pada Skizofrenia Paranoid Kemunduran Stabil Mardiyah, Afiyatul; Sofia, Annada; Putra, Afid Brilliana; Lukman, Petrin Redayani
Majalah Kedokteran Indonesia Vol 74 No 2 (2024): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.74.2-2024-1107

Abstract

Introduction: Schizophrenic patients with a bereaved history of close family members can develop depressive affect which is often misinterpreted as depressive episodes or even schizoaffective.Case: A 45-year-old woman was diagnosed as a paranoid schizophrenic (F20.02). During the last month, the patient also often felt tired and unenthusiastic. He thought it was only a matter of time before he could catch up with his parents who had died. The patient had no suicidal intentions and had never attempted suicide. There were two differential diagnoses in this patient, such as schizoaffective depressive type (F25.1) and major depressive episode with psychotic symptoms (F32.3).Discussion: The topic of conversation in this patient’s affective disorder was always related to the mood of mourning: the death of both parents. The response to a significant loss, such as bereavement, might very well resemble a depressive episode.Conclusion: Bereavement can be distinguished from depressive episodes by looking at some of the characteristic symptoms. The correct diagnosis aims to provide appropriate management so that it can help patients reach their best state.
Memperkirakan saat Kematian (Postmortem Interval) Menggunakan Temuan Mikrobiom pada Setiap Tahap-Tahap Penguraian (Decomposition) Putra, Afid Brilliana; Amin, Ihya Fakhrurizal; Fitriyasa, Rizky Dini; Najma, Najma; Safitry, Oktavinda
Jurnal Forensik dan Medikolegal Indonesia Vol 2 No 1 (2020): Jurnal Forensik dan Medikolegal Indonesia
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

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Abstract

Microorganisms play an important role in the process of corpse decomposition. The corpse's decomposition can indicate time since death or postmortem interval (PMI). Bacterial decomposition plays an important role in determining the time since death and has a significant impact on forensic investigations. Therefore, it is necessary to know the type of microbiome that appears at each stage of decomposition. Literature searching was conducted online and was carried out through 4 journal databases, including PubMed, EBSCOhost, ProQuest, and Cochrane. The literature is selected based on inclusion & exclusion criteria, then critically appraised using criteria from the University of Oxford's Center for Evidence-Based Medicine. Based on the results, obtained a systematic review, two prospective cohorts, and a cross-sectional study with good validity, importance and applicability. The study showed a relationship between time since death/PMI and colonization of certain bacteria, which may be related to alteration of oxygen levels. Facultative anaerobic bacteria appear in early stage of decomposition and shift into obligate anaerobic bacteria in the final stage of decomposition. The presence of certain types of microbiome can determine duration of decomposition and PMI objectively and quantitatively.
Co-Authors Amin, Ihya Fakhrurizal Fitriyasa, Rizky Dini Lukman, Petrin Redayani Mardiyah, Afiyatul Najma, Najma Oktavinda Safitry Sofia, Annada