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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
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Subcronic Toxicity and Hepatoprotector Potential of Miana Leaf Extract on White Rat Which Indicated by Anti Tuberculosis Drugs Sesilia Rante Pakadang1 , Santi Sinala1 , Sisilia Teresia Rosmala Dewi1 , Heri Soemantoro2 , Maria H
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.v14i3.10753

Abstract

Damage to liver function is the most common cause of patients or doctors stopping treatment. Anti tuberculosis (OAT) drug-induced hepatotoxicity is mainly caused by oxidative stress caused by drugs and metabolites. Subchronic toxicity is one of the conditions for testing long-term used drugs such as OAT. The research aims to determine the potential of miana leaf extract (EDM) as a hepatoprotector and prevent toxicity due to OAT administration. The study used 5 groups of Wistar rat test animals namely K1 (normal mice given placebo); K2 (OAT-induced mice given placebo); K3 (OAT-induced mice given Makassar EDM); K4 (OAT-induced mice given EDM Kupang); K5 (OAT-induced mice given Silymarin). Tests on mice were carried out after 30 days of treatment with parameters SGOT, SGPT, total bilirubin, creatinine and liver histopathology. The results showed that EDM has the potential as a hepatoprotector by preventing an increase in SGOT, SGPT and total bilirubin so as to avoid liver damage due to OAT induction. EDM has the potential to prevent toxicity due to the administration of OAT with creatinine parameters.
The Performance of Elastographic Diagnostic of Breast Tumor in Dr. Soetomo Teaching Hospital Surabaya Shinta Rosalina1 , Nifa Koesmarsono Wahid1 , Anggraini Dwi Sensusiati2
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.v14i3.10754

Abstract

Background: Elastography in breast cancer cases has not become a routine examination that is conducted in the radiodiagnostic unit in Dr. Soetomo Teaching Hospital Surabaya. These last few years, elastography has been an addition examination modality which is promising to assess breast lesions that are detected byan ultrasound. Objective: The aim of the present study is to observe the performance of elastography in breast tumor cases. Method: This cross-sectional study was conducted in Dr. Soetomo Teaching Hospital Surabaya. The elastography is applied in 65 females (the average age is 49,1 years old) and it was found 66 lesions with a definitive diagnosis (34 benign tumors, 32 malignant tumors) which was proved through a fine-needle aspiration biopsy. The grayscale result is classified into benign and malignant categorizations with examining five descriptors including shape, margin, orientation, echo pattern, and posterior features. Results: The elastography score showed that the sensitivity is 87,5 %, the specificity is 94,1 %, and the accuracy is 90,9 % The stain ratio showed 93,8 %, 94,1 %, 90,9 % in sequence. On the other hand, the grayscale result showed 96,9 %, 91,2 %, and 95,5 %. The combination of elastography and grayscale showed a better performancewith the 97,1% of sensitivity, 94,1 % of specificity, and 93,8 % of accuracy. There was a significant correlation between the lesion size and the quality of elastography result (P = .034) while there was no correlation with the lesion depth (P = .624). Conslusion: The combination of elastography and grayscale have a better diagnostic performance in distinguishing benign breast tumor with malignant breast tumor.
Relationship between Social Capital and Mental Health among the Older Adults in Aceh, Indonesia Sufyan Anwar1,2, Stefanus Supriyanto3 , Wasis Budiarto3 , Rachmat Hargono3
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.v14i3.10755

Abstract

Background: It is recognized that social capital plays an important role in health, including mental health. However, there are only a few studies that explain the role of social capital in the mental health of older adults in Aceh, Indonesia. This study aims to assess the relationship between social capital and the mental health of older adults. Method: This study used cross-sectional design by involving 483 respondents aged 60 or above, which are retrieved by using multistage random sampling in Aceh Barat District. Data collection was conducted for four months in 2019. SPSS Version 21 was used to analyze the data through a logistic regression test. Result: The result shows that the average age of respondents is 69.76 years and female respondents are 68.9%. The result of logistic regression analysis to conclude the relationship between social capital and mental health resulted in confidence level (p=0.044), social cohesion (p=0.021), social network (p=0.001), and social participation (p=0.119). Conclusion: The result indicates that social capital includes a social network, social cohesion, and trust are significantly relevant to the mental health of older adults.
Analysis the Role of Management for Achieving of Public Health Coverage Programs at Public Health Care in Bengkulu Syaiful Anwar Ab1 , Henni Febriawati1,2, Lizar Alfansi1 , Efffed Darta Hadi1
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.v14i3.10756

Abstract

Background: Public Health Care is a primary public health service center. It is also as a promotive and preventive service provider with a target group and community to maintain and improve health and prevent disease. In the implementation of the health program the management function in the public health center is called planning (P), Mobilizing implementation (MI), Supervision Control Assessment (SCA). The purpose of conducting a public health care management analysis is Planning (P), Mobilizing Implementation (M.I), and Supervision Control Assessment (SCA) on the achievement of public health care performance indicators in Bengkulu City. Study Design: The research design used is exploratory or non-experinmental research for qualitative methods and analytic research designs are cross sectional observational approaches for quantitative methods with hypothesis testing. Informants in this qualitative study were carried out by means of purposive sampling, namely by conducting interviews with all the Head of Public Health Center. The sample in this study amounted to 80 samples consisting of the head of the Public Health Center, the person in charge of the program and the implementer of the Public health care program/activity Results: There is a relationship between Management functions (planning, mobilizing implementation, controlling assessment control) to the achievement of the performance of the Environmental Health, Nutrition, Prevention and Disease Control program at Bengkulu City Health Center; Conclusion: The implementation of management functions (Planning, Mobilizing Implementation, Supervision Control Assessment) influences the Environmental Health, Nutrition, Disease Prevention and Control program in Bengkulu City Health center.
Eruption Pattern of Permanent Molars among School Children in Chennai Daniel Rajendran T
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.v14i3.10757

Abstract

Background: Estimation of the age of an individual is essential investigation in medicolegal cases, especially involving children and adolescents. Among the various factors used for age estimation, eruption of permanent teeth is one of them. Several factors influence the eruption of teeth, including genetic, nutritional and hormonal. This study was carried out to analyze the pattern of eruption of permanent teeth among school going children in urban Chennai. Method: This cross sectional study was carried out among 983 school children between the age group of 4-14 years. Two schools, one belonging to the lower socioeconomic status and the other belonging to the higher socioeconomic status were taken up for this study. Eruption of permanent teeth were examined clinically. Results: Majority of the first molars erupted by7-7.5 years of age (95%) while majority of the central incisors erupted between 8-9 years. Lateral incisors were completely erupted between 9.5-10 years and first premolar were completely erupted between 12.5-12.9 years. Both second premolar and canine erupted by 13.5-13.9 years. Conclusion: The visual observation of eruption of permanent teeth is a non invasive procedure and does not require any special machines like that of radiography. This method of assessing the age of the individual is considerably easier, economical and safe. Hazards of exposing the individual to radiation can be prevented.
Effectiveness of Tailored Reaction Time Training Drills in Addition to Warm-Up Sessions on Performance Parameters in Recreational Cricket Players Tanishk Choksi1 , S Anandh2
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.v14i3.10758

Abstract

Background: In the game of cricket, the players need very good reflexes to react to the situation. The players who plays very rarely (recreational players) end up with more injuries compared to elite players due to improper training session and warm-ups. The recreational players in over enthusiasm often end up with injury during the match. So to improve the performance of the recreational cricket players their reaction time should be improved. Thus recreational players need appropriate training and awareness of such therapeutic reaction time training drills like Ball Drop Drill, Reactive Gear Drill, Shuffle Reaction Ball Drill, Ball Catch Drill, Run Shuffle Drill, T-Drill, Multiple Slinger Drill and Mountain climber to Sprint along with regular warm up sessions are necessary for preventing injuries as well as improving the performance parameters of the cricket players. Objective: The objective of this study was to compare the effect of conventional and tailor made Reaction Time Training Drills sessions for recreational cricket players. Method: In this study, 26 individuals who played cricket for recreation (all male) were taken. They were equally divided into two groups i.e. Group A and Group B. Individuals in the age group of 19-30 years were included in this study, out of which 13(50%) players were in group A and 13(50%) were in group This consisted of those who played recreational cricket and did not have any training or experience in professional Cricket. Pre intervention and post intervention reaction time testing were taken. Group A received conventional training while Group B received Reaction Time Training Drill. Result: There was a significant effect of reaction time training on individuals of group B compared to conventional training in group A (p <0.0001). Conclusion: The tailored Reaction Time Training Drills are effective in improving performance and preventing injuries in recreational cricket players.
Action Algorithm for the Diagnosis of Prostate Hyperplasia in Dogs Tatyana S. Mychko1 , Ivan I. Silkin2
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.v14i3.10759

Abstract

In veterinary practice, at present, specialists often have to deal with pathology of the prostate gland in dogs. The reason for this is that the pathological process in the tissues of the prostate gland can occur asymptomatic and for a long period of time, subsequently leading to organ hypertrophy. An increase in the volume of the prostate gland most often has a benign character, which is generally accepted to be diagnosed as prostatic hyperplasia. The disease is often detected at a late stage, which complicates the treatment and worsens the prognosis. Hyperplasia, as a medical condition, is an indicative term used to describe the abnormal increase in the number of cells in any organ, in this case the prostate gland. This article describes the main symptoms, diagnostic methods and differential diagnosis proceeding from practical veterinary experience.
Caffeine, Alcohol and Tobacco Pattern Use and Risk Factors in Use Risk During Pregnancy in the Middle Zone of Northeastern Thailand Thongthai Thisophin1 , Boonjaraspinyo Sirintip2
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.v14i3.10760

Abstract

Background: Prenatal substance use is a public health problem deserving the highest priority of attention because it poses devastating risks of maternal and fetal consequences. Situational analysis of current substance use in pregnancy and its risk factors is essential for effective preventive strategies for maternal and child health. This study explored the prevalence of risky substance use (caffeine, alcohol, and tobacco) along with associated factors patterning among pregnant women in the middle zone of Northeastern Thailand. Method: This cross--sectional study was conducted in 58 district hospitals located in the middle zone of northeastern Thailand. The participants were 944 pregnant women attending antenatal clinics chosen based on consecutive sampling. Data collection used a questionnaire, and data analysis used multiple logistic regression. Result: More than two-thirds of the pregnant women (70.1%) reported current substance use, including caffeine (61.6%), alcohol (20.7%), and tobacco (3.3%). Risk factors such as family caffeine use (AOR=2.83, 95%CI: 2.02-3.97) and couple relationship (AOR=1.58, 95%CI: 1.07-2.33) were found to be associated with caffeine in use risk, while marital status (AOR=2.53, 95%CI: 1.11-5.77), couple relationship (AOR=2.27, 95%CI: 1.05-4.91), and family alcohol use (AOR=3.54, 95%CI: 1.49-8.42) were those associated with alcohol in use risk. It was notable that while family tobacco use (AOR=3.85, 95%CI: 1.05-14.06) was associated with tobacco in use risk, age was found to be its protective factor (AOR=0.31, 95%CI: 0.10-0.95) among those in the tobacco use risk group. Conclusion: Currently there is strong evidence about the risky substance use during pregnancy. Modification solutions for suitable consumption behavior should targeted pregnant women with family substance use, poor couple relationships, single status and more than 20 years, old.
Criminal Legal Protection Against Doctor Malpractice in Indonesia Tongat
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.v14i3.10761

Abstract

One of the Human Rights elements that must be achieved in accordance with the ideals of the Indonesian people is the Health aspect, the profession as a doctor devotes his/her knowledge to the public interests, has freedom and independence which is oriented to human values in accordance with the code of ethics. In implementing the code of medical ethics, it as much as possible avoids the occurrence of medical error. The error can occur in the diagnostic stage such as error or delay in diagnosis, not implementing the appropriate examination, using an examination method that is no longer used or does not act on the examination or observation result, etc. The risk that occur if it is not carried out thoroughly and carefully, is that it will result in a fatal error. The method used in this research is the normative juridism method, namely the addition method by holding on to the applied norms or legal rules. The result in this research is the liability’s manifestation of the doctor who performs medical malpractice as a form of criminal legal protection in Indonesia, it is basically based on intentional or unintentional mistakes or negligence. If it results in the victim’s death, it is equal to murder, and if the victim does not die it is called an act of persecution with the sanction of persecution.
Relationship of Family Support with Vegetable and Fruit Consumption Behavior Untung Halajur
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.v14i3.10762

Abstract

The family approach is the development of a home visit by the public health center effort. one of the activities is community management support system in supporting a culture of healthy living in the family. Family support is needed to behave in the consumption of vegetables and fruit every day. Clean and healthy living behavior in the household or family structure is one of the goals in clean and healthy behavior. There are 10 indicators of clean and healthy behavior in family settings, one of them is the consumption of vegetables and fruit every day. This study aims to analyze the relationship between family support and the consumption of vegetables and fruits in children. The research design used in this study is research cross sectional. The research sample is Golden Christian School elementary school students. The time of the study was in May and June 2018. The results showed that there was no significant relationship between emotional and assessment support for vegetable and fruit consumption behavior in children. There is a significant relationship between instrumental support and information support with vegetable and fruit consumption behaviors in children, respectively p-value 0.015 and 0.041. It is recommended that the school provide knowledge to parents whose children are vulnerable not to consume vegetables and fruits in order to support the healthy indonesia program with a family approach.

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