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INDONESIA
Indian Journal of Forensic Medicine & Toxicology
Published by Official Organ of Indian Association of Medico-Legal Expert
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Public Health
Arjuna Subject : Kedokteran - Epidemilogi
Articles 5,497 Documents
 100   101   102   103   104 
Investigation of mec A and (tst-1) Genes Among Staphylococcus aureusIsolated from Skin Infection in Al- Diwaniyah Iraq Rasool kadam-alheyawey1 , Ibtisam Habeeb Al-Azawi2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 3 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i3.10657

Abstract

In this study one handered and five samples were collected from skin infection in hospital Diwaniyah Dermatology Consultancy in Al-Diwaniyah governorate. from December 2018 to April 2019. All samples were cultured and Identified by using phenotyping tests. The results revealed that 41 isolates were Staph. spp. and 30 Isolates out of them Diagnosed Staphylococcus aureus by using (API staph). Virulence factors were explicated by using polymerase chain reaction (PCR) methicillin-resistant staphylococcus aureus ( MRSA ), were identified by detecting (mecA gene), which revealed that all skin infections were MRSA ( 100 % ). Also, toxic shock syndrome toxin ( TSST ) were identified by using PCR to detect ( tst-1 gene 326 bp.), which revealed that 23 isolate were positive out of 30 isolate ( 76.33 % ).
Deleted Nidaa S. Mohammed1, Mohammed Jaber Al-Mamoori 2 , AbudAlK. Albermani3 , Wahab. R. AbudAlameer4 , Far
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 3 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i3.10658

Abstract

a
Pulmonary Thromboembolism in Organophosphorus Poisoning – A Rare Complication Haneil Larson Dsouza1 , Anita S 2 , Pavanchand Shetty1 , Ranjit Immanuel James3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 3 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i3.10659

Abstract

Organophosphate based insecticides constitute the cause of a large number of mortality and morbidity cases in the developing world. The reasons include easy availability, being inexpensive, and lack of regulations regarding their sale and storage. Another factor that has made organophosphate insecticides a major source of suicidal ingestion is the perceived fatality associated with them. Though the muscarinic, nicotinic and central nervous system complications of organophosphate poisoning are well known, the organophosphate toxidrome can sometimes present with unusual presentations and unexpected complications. In the scenario that exists wherein there are substantial number of cases, there arises the possibility that these presentations and complications will only increase in number. In this context it becomes important to know the possible mechanisms that cause unusual presentations and take adequate safeguards. In the case examined herein, a geriatric patient consumed organophosphorus insecticide. Treatment included an initial stomach wash, standard atropine therapy and supportive management. The patient experienced multiple diverse presentations related to the poisoning before eventually succumbing after 1 month. On autopsy the immediate cause of death was found to be pulmonary thromboembolism. The increased susceptibility of thromboembolism could have multiple reasons such as increased immobilization, myopathy resulting in inefficient venous return and deep vein thrombosis, or vessel damage due to inflammatory mediators. This case illustrates the need to consider pulmonary thromboembolism as a potential lethal complication of organophosphorus poisoning.
An Analysis of Autopsied Maternal Deaths in Dakshina Karnataka District Over A 10-Year Period Nimisha Ratra 1 , Haneil Larson Dsouza2 , Pavanchand Shetty2 , B Suresh Kumar Shetty 3 , Jagadish Ra
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 3 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i3.10660

Abstract

Introduction: Though all deaths are accompanied by profound sorrow and anguish, maternal deaths are perhaps more so. Unfortunately, when these deaths are reported as medico-legal cases, the agony is then prolonged. Anguish from the family members is understandable, but opportunities to conduct autopsies on these deaths present an opportunity to examine in detail the pathophysiology of these deaths. This study is an attempt to find the cause of death in autopsied maternal death cases that have been filed as medico-legal cases and to compare the trends of autopsied maternal deaths with other regions. Objectives: To find the cause of death in autopsied maternal death cases that have been filed as medico-legal cases and to compare the trends of autopsied maternal deaths with other regions. Methods: A record-based study was conducted consisting of maternal deaths in the past 10 years based on the medico-legal autopsied reports from Government Wenlock Hospital mortuary. Results: Among the causes of death attributed, the most common cause of death was embolism related with 4 deaths. This included deaths due to amniotic fluid embolism, trophoblast embolism and their complications such as DIC. Haemorrhage was the cause of death in 2 cases. In 2 cases, the cause of death was acute liver failure. However, one of these cases also had features of gestational acute respiratory distress syndrome. In one case, the cause of death was attributed to coronary artery disease complicated by pregnancy. One case was of ruptured ectopic pregnancy. In another case, the cause of death was a surgical complication of a dilatation and curettage procedure. In the remaining 3 cases, the cause of death could not be ascertained even after histopathological examination, chemical analysis, and a complete autopsy.
Morphometric Measurements of Cervical Spine using Computed Tomography Husseina Hassanali 1 , Prateeksha S1 , Fayas P1 , Saikiran Pendem2 , Priya P S3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 3 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i3.10661

Abstract

The cervical spine antomy exhibits wide variations. For cervical spine pathologies which require surgical treatment, the prior knowledge of these anatomic variations would reduce the surgical complications. The aim of the study is to perform CT based measurements of cervical transverse foramen and spinal canal in indian population which would be useful in providing road map and guidance for surgical interventions of cervical spine. This is a retrospective study. A total of 73 patients (49 males, 24 females, age range: 18-75 years) indicated for CT cervical spine from June 2018 to June 2019 were included. The sagittal spinal canal Diameter (dSSC), sagittal (TFs) and transversr diameters (TFt) of transverse foramen, distance between transverse foramen and spinal canal (dTF-SC) were measured at C1-C7 levels. We found that significant difference in sagittal spinal canal diameters at all the levels of cervical spine (C1-C7) between males and females (p<0.01). Our study also found significant difference in sagittal (TFs) and transverse (TFs) diameters of transverse foramen at all cervical levels in males and females between right and left side (p<0.01). Significant difference were noted for distance between transverse foramen and spinal canal (dTF SC) at all the levels of cervical spine in males and females between right and left side (p<0.01). From our study we conclude that a thorough comprehension of cervical anatomy with CT- based measurements help in preoperative planning and reduce the complications in surgical interventions. Our study noticed significant reduction in distance between transverse foramen and spinal canal (dTF-SC) in both males and females on left side. Hence, care must be taken while performing surgical procedures of cervical spine on the left side in males and females at all cervical levels.
Determination Reference of Concentration (RfC) Xylen Exposure Based on Xylen NOAEL in White Rats and Workers’ Body Weight and Height in Surabaya Car Painting Area, Indonesia Abdul Rohim Tualeka1 , Juliana Jalaludin2 , Prihartini Widiyanti 3, Syamsiar S Russeng4 , Pudji Rahm
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 3 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i3.10662

Abstract

This study aims to calculate the value of RfC from xylen exposure around the car painting area of Surabaya, Indonesia. This is an observational cross-sectional study with quantitative data analysis methods conducted manually. The population in this study was groups of car painting workers and groups of car repairer on Jalan Pengenal Kota Surabaya. The sampling technique was proportionate stratified random sampling to take 51 people. The measurement of xylen concentration around the car painting area was 635.98 mg/m3 (146.47 ppm). This value is above the threshold value according to Minister of Manpower and Transmigration Regulation Number 13 of 2011 and Minister of Manpower Regulation Number. 5 of 2018 is 434 mg/m3 (100 ppm). RfC of car painting workers with NOAEL 50 mg/kg was 7.76 mg/kg.
Therapeutic Health Benefits of Religion Among Elderly- A Population based Representative Survey from Iran Adeleh Sadeghloo1 , Somayyeh Meshkani 2 Hamid Hojjati 3, Devender Bhalla4
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 3 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i3.10663

Abstract

Background: We determined whether practice of religious beliefs influence health-related lifestyle among general elderly population. Methods: We recruited elderly (60+years) subjects from among the general population who were invited to answer practice of religious belief and healthy lifestyle in Iranian elderly questionnaires. Results: A total of 218 elderly subjects participated (51.3% males, mean age: 68.3 years, SD 9.2, range 60-92). The mean religious belief was 73.0 (SD 11.5) without male-to-female difference (p=0.9). The mean lifestyle was 100.9 (SD 14.7, range 61-138) with a 9.3% male-to-female difference, p=0.0001. The odds of better lifestyle with religion was 5.5 (p=0.001, effect-size=0.18, variance=29.5%). The most benefit was in prevention (effect-size 0.18), nutrition (effect-size 0.15), and social relationship (effect-size 0.12). Conclusions: Based on a representative un-selected validated sample, and by using a systematic questionnaire, and after controlling for various possible confounders, and within current evaluation limits, we may conclude that religion may mitigate health-related lifestyle.
The Effect of Storage and Time of Blood Specimen Examination of Plasma Prothrombin Time and Activated Partial Thromboplastin Time Stabilities Aditea Etnawati Putri1 , Yulia Nadar Indrasari2 , Yetti Hernaningsih2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 3 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i3.10664

Abstract

his was an analytical study with cross sectional design. Collection of blood specimens was carried out by consecutive sampling during March-June 2019. Blood specimens in this study were healthy adults aged ?21 years who underwent general medical check-up or blood donors who met the inclusion criteria and signed informed consent. A total of 71 samples were stored at room temperature and temperature 4-8 °C, then PT (prothrombin time) and aPTT (activated partial thromboplastin time) checks were carried out at 0, 4, 12, and 24 hours. Data were analyzed by using Kolmogorov-Smirnov Test, paired t test and Wilcoxon Signed Rank Test. There were differences in the results of PT in the room temperature specimens and 4-8 °C at 4 hours, 12 hours, and 24 hours with p value <0.001. This was also found in the aPTT parameter, but for specimens at 4-8 °C at the 24th hour examination the results of changes in aPTT were not statistically significant with p values 0.062. Different PT and aPTT tests at the two storage areas and at different examination times obtained different and statistically significant results with p value <0.001. Examination of hemostasis physiology requires special attention, where pre-analytic plays an important role which can influence the overall test results. The aspects of time and storage on the stability of PT and aPTT specimens are illustrated in this study where significant differences were obtained with p values <0.001. Examination and storage of coagulation study specimens in accordance with CLSI recommendations will provide accurate results and accurately describe the state of the specimen according to the patient’s clinical condition.
Deleted Adriyani Amin1 , IGAA Putri Sri Rejeki1 , Ninik Soemyarso Asmaningsih1
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 3 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i3.10665

Abstract

a
Ecological Analysis of Stunted Toddler in Indonesia Agung Dwi Laksono1 , Ina Kusrini2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 3 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i3.10666

Abstract

The results of the Indonesia Basic Health Survey (Riskesdas) in 2007, 2013 and 2018 showed the stunted rate for toddlers was still above 30%. While proven poverty often comes with stunted on toddlers. The study aimed to answer whether poverty factors and the availability of health services are related to the prevalence of stunted toddlers in provinces in Indonesia. This study was a secondary data analysis “Data and Information: Indonesian Health Profile in 2017”. The results showed that the high percentage of the poor population (>14.43%) was dominated by the high prevalence of stunted toddlers (22.51%-30.0%). In the category of health center ratio per 100 thousand high population (?4) seen dominated by the prevalence of stunted toddlers in the high category (22.51%-0.0%). In the category of nutritionist ratio per 100 thousand high population (>12), it appears to be dominated by the prevalence of stunted toddler in the high category (22.51% -30.0%). In the category of midwife ratio per 100 thousand high population (>97) was dominated by the prevalence of stunted toddler (22.51%-30.0%). It was concluded that the percentage of the poor population was positively related to the prevalence of stunted toddler. While health service input factors (health center, nutritionists, and midwives) were not related to the prevalence of stunted toddlers.

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