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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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Multidisciplinary Approaches in Surgical Treatment and Rehabilitation of Patients with Defects of Trachea Anterior Wall Rustem Hayaliev1, Shukhrat Khudaybergenov2, Otabek Eshonkhodjaev3, Abdurashit Kayumhodjaev4, Nazira
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (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.v14i4.12833

Abstract

Introduction: Elimination of persistent and extensive defects of the anterior wall of the trachea is one ofthe urgent problems and continues to be the subjects of researches and discussions of the thoracic surgeons,plastic surgeons and otolaryngologists. The authors presented the results of treatment of 118 patients withextensive defects of trachea in subglottic division of the larynx and soft tissues of the neck after laryngotracheostomyor tracheostomy.Materials and Method: The authors consider that the choice of the method of plastic surgery or reconstructionof the tracheal defect is determined individually in each case. If the size of the defect of the trachea is upto 2x4 cm, the sufficient depth of the trachea lumen corresponds to the lumen above and below the stoma,the common axis of the trachea and the distal part of the larynx are without displacement and deformationof the lumen, then a skin-muscle plasty of the defect with the substitution of local tissues is recommended.Results: Local three-layer or four-layer skin-muscle plastic operations were performed in patients withdefect sizes from 1.0 sm to 2.0 sm wide and from 2.0 sm to 4.0 sm long, with a defect depth of more than8 mm, i.e. anterior-posterior size of the tracheal lumen and a stable formed lumen of the respiratory tract inthe zone of plastic contraction without the presence of a protector (T-shaped stent or tracheostomy cannula).Eleven patients with extensive defects of the anterior-lateral walls of the trachea and distal larynx underwentcomplex reconstructive operations using microsurgical techniques.Conclusion: The use of displaced flaps allows: to form a mucous membrane in the defect area withouttension of the lateral walls of the trachea (the first layer); to close the defect (or to cover the cartilaginousimplant) with a well blood-supplied second flap. A complex-compound prefabricated flap (Delta-pectoralskin-fascial-cartilaginous flap) can be used in the presence of a persistent defect and formed tracheal lumenat this level, without signs of restenosis of the respiratory tract, in the absence of inflammation and infectionof tissues around the defect. The skin-muscle-bone revascularized complexes of auto-tissues correspond allthe requirements of tracheal surgery, allowing to reduce the risk of infectious and trophic complications.
Barrier Factors In Maintaining Breastmilk Volume Imelda Iskandar1, Suryani As’ad2, Nasrudin Andi Mappaware3, EmaAlasiry4, AzniahSyam5, Suradi Efendi6
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (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.v14i4.12834

Abstract

Objective: Breast milk (ASI) is a nutrient that is produced from cellular secretion and transportationactivities in the breast organs. The development cycle of the organ of ASI secretion begins to form fromthe neonate, puberty to pregnancy 1. Until now, several assumptions that state that the production ofbreastfeeding of a nursing mother are influenced by various external and internal factors. External factorsinvolve the environment, sociodemography, and even sociocultural2.Method: The volume of milk assessed on days 7th, 8th, 9th, postpartum. Milk volume measured throughpumping using a Medela Swing Double Pump electric breast pump for 15 minutes, the weighted milk isthen returned for drinking to the baby using new media (spoon or cup feeding). Sociodemographic variables,obstetric history, and lactation history were measured using an observation form, postpartum is then groupedinto two groups; breastfeeding mothers with optimal and sub-optimal milk production. The relationshipbetween variables was tested by the chi-square test and logistic regression test.Results: Occupational variables (p <0.049; OR = 2.61), initiation of early breastfeeding (p <0.022; OR =2.73), frequency of breastfeeding (p <0.003; OR = 4.62), duration of breastfeeding (p <0.018; OR = 2.76)demonstrates relationship with milk volume.Conclusion: This research succeeded in proving several external factors such frequent and timing thatsupported the mechanical mechanism of breast milk production.
Effectiveness of Septic Tanks Floating in Reducing COD, TSS, Temperature and pH of Waste Water Black Marhama1, Agus Bintara Birawida1, Syamsuddin Toaha2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (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.v14i4.12835

Abstract

Sanitation is the provision of facilities and services for disposal of human waste such as urine and feces.To reduce diseases arising from poor environmental sanitation, efficient technology that can be utilized bycommunities in coastal areas and small islands is one of the facilities what is needed for access to sanitationis a septic tank. This study aims to determine the sanitary conditions of communities in coastal areas andsmall islands and to determine the effectiveness of appropriate technology for floating septic tanks in coastalareas and small islands. The quality of wastewater that is important to know is Total Suspended Solid (TSS),Chemical Oxygen Demand (COD), Temperature and Hydrogen Power (pH).
Maternal and Perinatal Outcome on Pregnancy with Covid-19 Infection at Dr. Wahidin Sudirohusodo Hospital Makassar During the Period of April-July 2020 Fadlia Pratiwi Suyuthi1, Maisuri T. Chalid1, A. Nursanty Padjalangi1, Irawaty Djaharuddin2, Muh. Nas
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (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.v14i4.12836

Abstract

Objective: The aims of this research is to notice maternal and perinatal outcomeon pregnant women withcovid-19 infection at Dr. Wahidin Sudirohusodo Hospital During the Period of April-July 2020.Method: This research is using descriptive method which is by taking data from the pregnant women withcovid-19 infection at Dr. Wahidin Sudirohusodo Hospital during the period of April 1st – July 12th 2020.The data covers the age, gestational age, amount of parity, symptoms, pregnancy complication, supportiveexamination results such asneutrofil score, limfosit, CT-scan Thorax, method of delivery, baby’s APGARscore, covid baby status, maternal death, perinatal death.Results: There are 26 pregnant patients characteristic subjects with covid-19 infection, mostly 20-35 yearsold, aterm gestational (>37 weeks), multiparity, low educational background, unemployed, mostly with nosymptoms, increasing limfositneutrofil ratio rate >3,13. Good maternal outcome, there are no maternal deathin this research. Perinatal outcome from 24 babies, 5 babies are confirmed covid-19 positive and all are ingood condition.Conclusion: This research concludes good maternal and perinatal outcome
The Effect of Pravastatin Provision on Endotelin-1 Levels in Preeclapmsia’s High Risk Patients Rizky A Ramadhani1, Deviana SorayaRiu1, Irnawati Bahar1, Isharyah Sunarno1, Retno B. Farid1, Eddy Ha
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (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.v14i4.12837

Abstract

Objective: To determine the effect of pravastatin administration on endothelin-1 levels in patients at highrisk of preeclampsia.Method: There are 70 subjects in this research that consist of 34 subjects with the risk of high preeclampsiawho get aspirin and 36 subjects of research to get Aspirin and Pravastatin. Subjects are given therapy startedthe gestational age of 12-19 weeks in 6 days until 36 weeks of pregnancy. Endhotelin-1 levels prior toadministration of therapy compared with the levels of endothelin-1 after the administration of treatment.Results: The test results show the administration of aspirin or aspirin and Pravastatin is shown to provide thechanges were significant at levels of endothelin-1 after the administration of treatment. It is characterized bythe decrease in the levels of endothelin-1 which were significantly (p <0.005). But by assessing percentagedecrease in the provision of aspirin with pravastatin give change levels of endothelin-1 is large (45.74%)compared with administration of aspirin alone (28.8%).Conclusion: From this study it can be concluded that endothelin-1 levels before administration of aspirinand pravastatin were 86.18 ng/L and after administration of 46.76 ng/L. Giving aspirin and pravastatin 20mg in patients with high risk factors of preeclampsia provide reduced levels of endothelin-1 is greater thanthe prevention of preeclampsia that is used when it is only aspirin.
A Model of Cigarette Advertisement Policy in Preventing Children Smoking Habits in Palu City, Indonesia: A Systematic Review Muhammad Ryman Napirah1,2, Ridwan Amiruddin3, Sukri Palutturi4, Stang5, Vidyanto6, Rosmala Nur7, Muh
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (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.v14i4.12838

Abstract

Objective: The high prevalence of smokers in Indonesia has led the government to issue various policies.One of the policies issued by the government to reduce or limit the prevalence is the cigarette advertisementpolicy. The purpose of this systematic review is to develop a model of cigarette advertisement policy inpreventing children smoking habits in Palu City, Indonesia.Method: This research used a systematic literature review. Various references were collected from onlinedatabase including reports, journals, and books in the last 10 years. The journals were mostly from thescholarly journals. The articles were screened according to the research objectives. The keywords used arecigarette advertisement policy and children smoking habits.Results: This study showed that the use of a model of cigarette advertisement policy is very effectivein preventing children smoking habits. Cigarette advertisement regulation policy is the government’scommitment to protect children, as an effort to protect the younger generation from cigarette advertisementsthat are intense and have a very large influence on smoking behavior. Cigarette advertisements are proven toencourage children to try cigarettes, repeating the behavior so that it eventually becomes a habit.Conclusions: This paper concludes that amodel using cigarette advertisement policy iseffective for prevent children smoking habits.Further recommendation will be provided.
A Transtheoretical Model in Controlling Smoking Behavior in Junior High School Students in Palu City, Indonesia: A Systematic Review Muhammad Ryman Napirah1,2, Ridwan Amiruddin3, Sukri Palutturi4, Stang5, Aminuddin Syam6, Rosmala Nur
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (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.v14i4.12839

Abstract

Objective: The average child first tries and is accustomed to smoking when sitting in seventh and eighthgrade junior high school (SMP) or around the age of 12-13 years. In TTM Model (Transtheoretical Model),there are 5 stages of TTM. The purpose of this systematic review is to develop a model of transtheoretical incontrolling smoking behavior in junior high school students in Palu City, Indonesia.Method: This research used a systematic literature review. Various references were collected from onlinedatabase including reports, journals, and books in the last 10 years. The journals were mostly from thescholarly journals. The articles were screened according to the research objectives. The keywords used aretranstheoretical model and smoking behavior in junior high school students.Results: This study showed that the use of a transtheoretical model is very effective in controllingsmoking behavior in junior high school students. There are 5 stages of TTM, namely pre-contemplation(contemplation to stop smoking), contemplation (contemplation to stop smoking in the next 6 months),preparation (contemplation to stop smoking in the next 30 days), action (already stopped smoking in 6months), and maintenance.Conclusions: This paper concludes that a model using transtheoretical is effective for control smokingbehavior in junior high school students. Further recommendation will be provided.
Development and Standardization of Capsular Pharmaceutical Dosage form from Dry Extract of Ferula Tenuisecta Oygul Rakhimova1, Saodat Sharipova2, Mukhammad Sodik Okhunov3, Farrukhjon Baratov4, Farrukh Shokirov
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (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.v14i4.12840

Abstract

The tradition of herbal medication by plants and products of natural origin in the treatment of various diseasesexists thousands of years. Currently, despite the achievements of chemistry and biotechnology, the relevanceand popularity of the herbal medicine is quite high. The therapeutic effect peculiarity of the medicationsfrom herbal medicinal raw materials is that the therapeutic effect does not occur immediately and is notalways obvious, as in case of medications producted by chemical synthesis. However, medications whichcontain biologically active substances (BAS) of plant origin, unlike synthetic ones, do not cause allergies,are low-toxic, have a favorable effect on the body, and do not have side effects during the continuous use.
?omparative Analysis of Human Kidney Venous Vessels at Various Method of Radiation Research Abuselim Vezirkhanov1, Edgar Kafarov1, Oleg Zenin1
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (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.v14i4.12841

Abstract

The aim of the study was to conduct a comparative assessment of the spatial characteristics of the kidneyveins in a planar projection, in stereo projection, and according to the results of computed tomography after3D modeling. To compare and identify the truth of the morphometric parameters of the renal veins, as wellas the options for their formation during x-ray and computed tomography, 136 corrosive preparations of thekidney veins were made, which were taken as a control group. To identify the degree of similarity of the renalveins parameters on corrosion preparations, X-ray diffraction patterns (2D) and on computed tomograms(CT) with a helix pitch of 1.0 and 2.5 mm after 3D modeling, a comparative assessment of the obtainedparameters was performed (degree of the angle similarity - simPhi; the degree of length similarity is simLen;and the general degree of similarity is sim). It was revealed that the greatest degree of parameters similaritywas found between corrosive preparations and computed tomograms of kidney veins with a spiral pitch of1.0 mm, which was 98.0%. Studies have shown that the informational content of x-ray examination of thekidneys’ veins depends on the options for the formation and location of blood vessels in the gates of thekidney relative to the frontal, horizontal and sagittal planes. The informativeness of computed tomographystudies does not depend on the options for the formation of renal veins, it determines the step of the spiral
Specifics of Left Ventricular Remodeling and Daily Blood Pressure Profiles in Young and Middle-Aged Servicemembers Dealing with Arterial Hypertension Botyrkhon Salikhov1, Bakhromkhon Alyavee1
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (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.v14i4.12842

Abstract

Objective: Investigating structural and geometrical parameters, specifics of LV remodeling, as well as dailyBP profiles in young and middle-aged service members dealing with hypertension Stage 1 and Stage 2. Agroup of 86 male subjects has been researched, including 52 young (26-44 y/o) and 34 middle-aged (45-55 y/o) subjects with AH. The cardiac function has been evaluated through echo cardiography, and dailyBP monitoring has been carried out. The results of the study have shown that young and middle-agedservicemen with AH have a normal LV geometry (59.6% of young subjects (31), 55.9% of middle-agedsubjects (19)), and concentric LV remodeling has been observed in 40.4% of young subjects (21) and in22.1% of middle-aged (15) subjects with AH. According to data obtained during 24-hr BPM,as comparedto the normal LV geometry group, in the concentric LV remodeling groups the occurrence of the dipper AHprofile has decreased both in young (28.5% vs. 39%) and middle-aged (40% vs. 47.7%) subjects.

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