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The Relationship Between Qor-40 Questionary Value And Pupillary Pain Index As Assessment Of Recovery Quality On Post-Operating Patients Treated By Multimodal Analgesia (Parasetamol + NSAID + PCA OPIOID)
Wayan Dhea Agastya1 , Arie Utariani2 , Dedi Susila2
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
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DOI: 10.37506/ijfmt.v14i3.10763
This study analyzes the correlation between QoR-40 questionnaire value and the Pupillary Pain Index as an assessment for the quality of recovery of postoperative patients receiving multimodal analgesia (Paracetamol + NSAID + PCA Opioid) in Dr. Soetomo Hospital. An observational analytic study with cross-sectional design was conducted on patients aged 18-60 years who underwent elective surgery with general anesthesia at Dr. Soetomo Hospital Surabaya and receiving multimodal analgesia therapy, which includes intravenous paracetamol 4 x 500 mg, intravenous ketorolac 3 x 10 mg, and intravenous fentanyl via PCA. Recovery quality checks were performed at 12 and 24 hours postoperatively. Retrieval of data in the form of a QoR-40 questionnaire and pupillary pain index examination using algiscan® pupillometry. Both parameters will be analyzed by correlation test. The total need for fentanyl and PCA demand dose was also evaluated for use within 24 hours postoperatively. From 46 samples, obtained characteristics of studyare widely distributed in terms of age, sex, anthropometry, and preoperative physical status. The average total fentanyl PCA requirement is relatively small at 0.28 mcg / kg / hour. The correlation formed between QoR- 40 and pupillary pain index is significant. It can be concluded that Pupillary Pain Index can replace the QoR-40 questionnaire as an alternative assessment of the quality of recovery of patients after surgery
Coal Dust Exposure and Gingivial Lead Line in Coal Miners
Widodo1 , Sahdhina Rismawati1 , Eko Suhartono2 , R. Darmawan Setijanto3
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
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DOI: 10.37506/ijfmt.v14i3.10764
Coal dust contains less than 1% lead (Pb). This dust can enter the body through breathing, mouth and skin. Lead contained in coal dust can react with Sulfur and form gingivial leadline. The study was an observational study with cross-sectional design. The research subjects were coal miners in Sambung Makmur Sub-District, Banjar District, amounting to 100 people. The number of samples was calculated by the Slovin formula and obtained 80 people as samples and determined by simple random sampling technique. The sample obtained then determined the value of the gingivial lead line score as done by Sudibyo. The degree of gingivial lead line is assessed based on the score as follows: 0 = no gingivial lead line; 1 = gingivial lead line found in 1-2 marginal gingival anterior teeth labial surface; 2 = gingivial lead line found at 3-4 marginal gingival anterior teeth labial surface; 3 = gingivial lead line at>4 marginal gingival anterior teeth labial surface. In addition, age, working period (tenure), and smoking habits are the variables measured in this study. The data obtained were analyzed using the chi-square test with a = 5%. The conclusion is the incidence of gingivial leadline of coal miners was related to age, tenure, and smoking habits.
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Wigit Kristianto1 , Irwanto1 , Kharisma Nindya Hapsara1
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
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DOI: 10.37506/ijfmt.v14i3.10766
Associaton between Blood Total Testosterone Levels and Consolidated Memory on Eldery Men at Veterans Institution
Muhammad Hamdan1 , Raini Wisnujono1 , Yudha Haryono1 , Abdulloh Machin2 , Euginia Putri Permata P.2
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
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DOI: 10.37506/ijfmt.v14i3.10767
Background: Decreased total testosterone levels in the blood will disrupt memory consolidation. In this phase, one could still function normally even though it is difficult to recall the information that has been learned. Methods: The subjects were taken consecutively and conducted by interview, generalist, and neurological physical examination, Word List Memory Task examination twice as well as measurement of total testosterone in the blood. The subjects were grouped into total blood testosterone levels of less than 298 ng/ dl and more than equal to 298 ng/dl. Results: Fifty-four subjects studied obtained that total blood testosterone levels <298 ng/dl in the Word List Memory Task (WLMT) group <21 (62.5%) were higher than the WLMT group ?21 (37.5%). Furthermore, Total Testosterone in the blood more ?298 ng/dl in the WLMT group <21 (15.2%) was less than in the WLMT group ?21 (84.8%). Conclusion: There was a correlation between total testosterone levels in the blood and memory consolidation in elderly men at the Veterans’ Institute of Republic Indonesia in Surabaya.
The Analysis of Workload and Safety Communication Against Burnout Syndrome in Inpatient Nurses
Yulia Purnawati1 , Tri Martiana2 , Rachmat Hargono3 , Firman Suryadi Rahman4
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
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DOI: 10.37506/ijfmt.v14i3.10768
Introduction: Burnout is a psychological problem that attacks nurses and is one of the risks causes nurses to do unsafe actions. Nurses suffering from burnout and have a less safe environment will implement inefficient care systems. Generally, high workload is directly proportional to the incident of burnout. This research study aimed to find the effect of workload and safety communication on the level of burnout in inpatient nurse services. Method: This research was a cross-sectional study implemented at Rumah Sakit Umum Haji and Rumah sakit Islam Jemursari Surabaya, Indonesia. This implementation of research study was started in April to June 2019. The samples were collected using two populations of sampling method and got 138 nurses as samples. To analyze the effect of workload and safety communication on burnout syndrome, the researcher used multinomial logistics. Results: The results of Multinomial logistic test showed that workload affected the incidence of burnout with a value of p = 0.037 and safety communication did not affect the incidence of burnout syndrome with a value of p = 0.274. Conclusion: Workload affected the burnout syndrome incidence, while safety communication had no notable effect on burnout syndrome. The researcher suggests the hospitals to provide mental and physical health services, as well as stress coping training for nurses.
Effectiveness of Garra Rufa Care Toward Pruritus Elderly Who Live in Indonesian Village
Zagad Budhi Dharma1 , Joni Haryanto2 , Elida Ulfiana2
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
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DOI: 10.37506/ijfmt.v14i3.10770
Pruritus is a neuordegeneratif disease that attacks the peripheral skin. It is not infrequently the elderly experience these health problems with itching complaint, so that it cause a feeling of wanting to scratch. High itching complaint can also cause the anxiety level increased. The purpose of this study was to determine the effectiveness of Garra Rufa Care pruritus elderly who live in the village area, Indonesia This study was designed as a quasy experiment using non-probability techniques with a simple random sampling method. The respondents of this study consisted of 40 elderly people who had pruritus caused by dermatology and were divided into an experimental group and a control group. The independent variable was Garra Rufa Care, and the dependent variable was elderly with pruritus. This instrument of the study used the Numeric Rating Scale (NRS), Geriatric Anxiety Inventory (GAI) and used the Wilcoxon and Mann Whitney test with ? <0.05 as data analysis. The results showed the effect of Garra Rufa Care on itching complaint (p = 0,000) and there was a significant low (? = 0.014). The results showed the effect of Garra Rufa Care on anxiety level (p = 0,000) and there was a significant significance (? = 0,000). Psychological effect have given “micro massage” and decreased the anxiety level which have physically reduced itching scores. Garra Rufa was effectively used as an intervention in the elderly with pruritus by decreasing itching complaint and anxiety level. Further study was expected to replicate similar studies with more samples and carried out observation after making intervention.
Effectiveness of Audio-Visual Media in Health Education about Fruits and Vegetables Consumption in Early Adolescents at Palangka Raya Elementary School
Untung Halajur1
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
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DOI: 10.37506/ijfmt.v14i3.10771
Consumption of fruits and vegetables in Indonesia is still lacking (5%), even though fruits and vegetables play a role in maintaining the condition of blood pressure, blood sugar and cholesterol levels to prevent non infectious diseases. One way to increase public awareness to consume fruits and vegetables is through health education. Health education through audiovisual media is considered important because it displays elements of moving images and sounds that stimulate more senses. This study aims to determine the effectiveness of audiovisual health education media to increase knowledge, attitudes, and behavior of adolescents in the consumption of vegetables and fruit every day. This research uses quasi experiment method. The sample of this research is grade 6 students of Menteng State 5, Elementary School in Palangka Raya. The results showed an increase in the proportion of knowledge and good attitude after the intervention period (p-value: 0.008 and 0.002). There is no significant relationship between sex with students’ knowledge and attitudes towards vegetable and fruit consumption (p-value: 1.0 and 0.71).
The Effect of Research Project Course on Nursing Students’ Attitudes toward Research Process
Selman Hussain Faris1 , Fatma Makee Mahmood 2, Ali Kareem Khudhair 3
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
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DOI: 10.37506/ijfmt.v14i3.10773
Objective: Investigate the effect of research project course on nursing students’ attitude toward research at a college of nursing in Kerbala University and identify the relationship between nursing student’ attitude and demographic variables. A pre-experimental design (One-group Pretest-Posttest design) was utilized to determine the effect of research project course on nursing students’ attitude toward research at a college of nursing in Kerbala University. All participants were exposed to assess of attitudes regarding research before and after the implementation of the research project course in order to detect the effect of the course. The current study results revealed that; the majority (74.2%) of nursing students were within age groups (20- 22) years old the mean age of the all students was (22.27) years. 82.3% of total students were female. the majority (82.3%) of subjects were single, most of sample (80.6%) were urban resident, the mean of score of the positive attitude of respondents in posttest of the research project course was significantly higher than the pretest of the research project course in all aspects of attitude regarding research project course, and no significant difference between the nursing students’ demographic variables and attitude responses in the posttest of research project course.
The Effectiveness of Mobile Application as an Alternative of Health Education Media for Adolescents in the Middle School
Noordiati1 , Erina Eka Hatini1 , Greiny Arisani1
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
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DOI: 10.37506/ijfmt.v14i3.10775
Adolescent health problems are still becoming major issues in health issues such as smoking behavior, drugs, and free sex. Improving health school age and adolescent is prioritized in promotive and preventive efforts. One of them is done through the school health effort. The purpose of this study was to determine the effectiveness of mobile applications as a health education media for adolescents in secondary schools towards adolescent knowledge and attitudes about health, compared to printed media. This type of research is quasi experimental research with a two group comparison pretest-posttest design. There were significant mean differences in knowledge, attitudes and skills before and after getting an intervention using the mobile application media (p = 0.000). There were significant mean differences in knowledge, attitudes and skills before and after getting an intervention using the My Health Report Card (p = 0.000). There was a significant mean difference in knowledge, where the mean score of knowledge was higher in the group using the mobile application media compared to using the My Health Report Card (p = 0.000). There are no differences in the attitudes and attitudes of groups who use the mobile application media and who use the My Health Report Card.
Detect of Phylogenetic Relationships by RAPD_PCR among Staphylococcus aureus Isolated from Different Sources in Hilla City
Amal Raqib Shamran1 , Zainab A.Tolaifeh1
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
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DOI: 10.37506/ijfmt.v14i3.10776
Staphylococcus aureus (brilliant staphylococcus) is a Gram-positive, cocci – shape, it is an individual from the typical verdure of the body, oftentimes found in the nose, respiratory tract, and on the skin. Usually positive for catalase and nitrate decrease. We can portrayed S. aureus strains that are across the board in houspitals in Hilla city,60 clinical and condition tests were gathered from numerous parts of patients like injuries, skin , nails and urinary tract disease taken from general doctor’s facilities of Hilla city. Strategies for segregation and distinguishing S. aureus dependent on culture strategies with biochemical tests, A sum of 17 enhanced DNA sections from 250 to 1K base match) were watched utilizing the 2 ground works, and every one of preliminary that fruitful giving intensification groups uncovered distinctive hereditary example . End: RAPD-Polymerase Chain Reaction investigation it used to discover an incentive in structuring an assortment of sub-atomic DNA unique finger impression dependent on epidemiological examinations that centers around the recognizable proof and portrayal of S. aureus.