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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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Correlation between Elevated Serum Progesterone in the Day of Hcg Injection, Metaphase II Oocytes and Their Impact on The Success of ICSI Ibrahim Badr, Hesham Sayed1 , Yahia Mohammed2 , Ahmed Mohamed2 , Mohammed Shehata3
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): 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.v15i1.13573

Abstract

Objective: In this study we tried to understand the effect of progesterone level at the time of ovulationtrigger on intracytoplasmic sperm injection (ICSI) outcome. We expected identifying cut off values forserum progesterone level the day of hCG injection (P-hCG) & P-hCG per mature oocyte ratio (P-hCG /MII), as predictive tests of ICSI success. Methods: 200 women 18-40 years old and attending IVF unitof Kasr el Aini hospital for management of infertility were included in the study. They were scheduled forICSI after controlled ovarian induction with GnRH- agonist protocol. Inclusion criteria were tubal factorof infertility, unexplained infertility, polycystic ovarian syndrome and BMI ? 30 kg/m2. Exclusion criteriawere severe male factor infertility, hyperprolactinemic patients, high basal FSH > 11 IU/L, frozen embryotransfer cycles, uterine anomalies or synechia. Primary outcome parameter included correlation of serumprogesterone on day HCG administration, number of MII oocytes and calculated progesterone/ MII oocyteratio with success of ICSI.Results: 193cases underwent embryo transfer, 7cases cancelled. Clinical pregnancy was reported in 52(27.9%) cases. Higher P-hCG was observed in cases who didn’t get pregnant compared to those who gotpregnant (p= 0.01) with cut off value of 1 ng/ml correlated well with the clinical pregnancy rate after ICSIwith 61% sensitivity and 59% specificity (p=0.004). A significantly lower P-hCG/MII ratio was found inthe pregnant women group compared to that found in the non-pregnant group (p=0.001) and cut off valueof 0.18 correlated best with clinical pregnancy after ICSI with sensitivity 70.5% and specificity 61.2%(p<0.001). Conclusion : We demonstrated negative correlation between P-hCG and P-hCG/MII andclinical pregnancy rate after ICSI.
Nutritional Status, Dust Exposure and Risk Factors for Acute Respiratory Infections for Workers in Industrial Estates Ichayuen Avianty1 , Fakhrurradhi Luthfi2 , Suharto3 , Nanda Novziransyah4 , Kipa Jundapri3 , Rubi Gi
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): 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.v15i1.13574

Abstract

Acute Respiratory Infections (ARI) are a health problem that has not been handled properly in Indonesia,every year the incidence of acute respiratory infections is still high, which can be fatal, namely death. Severalfactors cause acute respiratory infections such as nutritional status, dust exposure, length of exposure todust, and years of service for workers in industries who have a high risk of acute respiratory tract infectionproblems. This study aims to determine the risk factors for acute respiratory infections in the industry. Thisstudy uses a cross-sectional approach with a sample of 89 respondents, where the results will be analyzedusing the chi-square test. The result of this study is that there is a relationship between nutritional status,dusty workspace, length of exposure to dust, and length of work with the incidence of acute respiratoryinfections in industrial workers. Based on the results of this study, it is hoped that workers and the industrywill pay attention to the use of PPE to minimize dust exposure to workers in the industry.
Expression of FOXP1 and p53 in Reactive Lymphoid Lesion and B-cell Non-Hodgkin Lymphoma, Large Cell Type Ita Ellyana1,2,3, Nila Kurniasari4,5,6
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): 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.v15i1.13575

Abstract

Lymphoproliferative lesions that have morphology between benign and malignant are difficult to diagnoseeven with immunohistochemical and clonality testing. The correct diagnosis is necessary for the prompttreatment. These lesions can also serve as instructive models of lymphomagenesis. FOXP1 plays an importantrole in B-cell development, has a potential oncogene in B-cell Non-Hodgkin lymphoma, and p53 proteinhas a crucial role in the regulation of cell cycle, DNA repair, apoptosis, and senescence tumor suppressionactivity. In this study, we analyze the role of FOXP1 and p53 expression in reactive lymphoid hyperplasiaand B-cell Non-Hodgkin lymphoma, large cell type. 68 paraffin blocks samples from patients diagnosedas reactive lymphoid hyperplasia and B-cell Non-Hodgkin lymphoma, large cell type was sectioned andstained with immunohistochemistry for FOXP1 and p53, and the percentage of nuclear cells showingpositive staining were evaluated. Expression of FOXP1 and p53 in B-cell Non-Hodgkin lymphoma, largecell type is higher than in reactive lymphoid hyperplasia with p=0.001 and cutoff point 45%(CI=95%) forFOXP1 and p=0.001 and cutoff point 7.5%(CI=95%) for p53. There is a significant correlation between theexpression of FOXP1 and p53 in reactive lymphoid hyperplasia and B-cell Non-Hodgkin lymphoma, largecell type (p=0.001). Our findings suggest that high expression of FOXP1 and p53 in B-cell Non-Hodgkinlymphoma may demonstrate the role of FOXP1 and p53 in lymphomagenesis and these markers may helpto distinguish benign and malignant lymphoproliferative lesions.
The Correlation between Body Mass Index and Lifting Frequency with Low Back Pain Complaints on Rice Transport Workers in Warehouse of Perum BULOG Subdivre Pematangsiantar Ita Riyana Limbong1 , Noeroel Widajati2
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): 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.v15i1.13576

Abstract

Introduction: Rice transport workers are at risk for Low Back Pain (LBP) complaints because their workis lifting heavy loads repeatedly and affected by individual characteristics. This research aimed to analyzethe strength of the correlation between body mass index and lifting frequency with LBP complaints on ricetransport workers in Perum BULOG Pematangsiantar Subdivre.Methods: This type of research was an observational research with a cross sectional design. The samplingtechnique used total populated sampling with 30 respondents. The variables researched included body massindex, lifting frequency, and LBP complaints.Data were collected by observation, filling out research questionnaires, and Nordic Body Map (NBM). Thedata analysis used was the Spearman correlation.Results: The strength of the correlation between body mass index with low back pain complaints had a valueof r = 0.203, the strength of the correlation between the lifting frequency with low back pain complaints hada value of r = 0.415.Conclusion: Body mass index with LBP complaints had a weak and positive correlation. The liftingfrequency with LBP complaints had a moderate and positive corelation.
Analysis of Genetic Variations And Specific Locus of Banjar Hulu Tribe Through Short Tandem Repeat (STR) Locus Combine Dna Index System (Codis) in Nuclear DNA Iwan Aflanie1.2. Roselina Panghiyangan2 , Pandji Winata Nurikhwan3 , Ahmad Yudianto4 , Toetik Koesba
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): 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.v15i1.13577

Abstract

Based on the 2010 Indonesian Population Census, there are 1,300 ethnic categories with various sub-tribaldetails. Ethnic diversity is important in terms of identification, such as natural disasters, accidents, crime,and the discovery of unidentified corpses that may come from various tribes. Forensic Medicine viewsgenetic diversity and variation as one of the challenges in identification. Genetic variation and kinship inBanjar Hulu tribe have never been done.The aim of the study are identify and analyze the genetic variationof Banjar Hulu tribe through nucleus DNA examination of short tandem repeat (STR) Loci combined DNAindex system (CODIS). This study is a descriptive observational study that aims to explain the geneticvariation of Banjar Hulu tribe. The design of this study is cross-sectional. This study was conducted in twostages, the first stages is to obtain information on family tree from the study subjects conducted by interview.Then the second stage is to draw blood from the study subjects’ criteria. Blood is drawn from peripheralvein. Then, there will be DNA examination and analysis of genetic variation. Result of the study show THO1allele 9.3 locus, D3S1358 allele 12 locus, and D16S539 allele 12 locus, D8S1179 allele 12 locus are typicalmarker for Banjar Hulu tribe. Banjar Hulu tribe have specific loci and alleles.
The Changes in Some Hematological Parameters among University Students Due to Stressful Conditions During and after Examinations Period Jehad F. Alhmoud1 , Husni S. Farah2 , Talal Al-Qaisi1 , Wala, a Hamdan3 , Ghaleb A. Oriquat4 , Ali A
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): 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.v15i1.13578

Abstract

Background: Several studies demonstrated that stress can cause an obvious change in the hematologicalparameters in healthy individuals. In the current study, we determined whether the stress during the examscan produce some hematological changes and how long this effect may take after the end of the exam period.Methods: Seventy (n= 70) male and sixty (n=60) female student of similar height, weight and age wereselected from the department of medical laboratory sciences, Al-Ahliyya Amman university. All studentswere first had a preliminary medical checkup. Students excluded from the study include those who had achronic disease and any health issues or habits affecting the studied parameters, such as smoking; feverand high blood pressure. All study participants were between the age group of 20-22 years. Blood sampleswere taken three weeks before the exam, during and 72 hours after the end of the exam period. Estimationsof red blood cells (RBC), white blood cells (WBC), hematocrit, mean corpuscular volume (MCV), meancorpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), neutrophils,lymphocytes and platelets were accomplished.Results: Compared with pre-examination results the blood samples taken during exams showed a significantdecrease in the readings of lymphocytes (p <0.01) , MCV and MCH (p < 0.05). Significant increase inNeutrophil (p < 0.05) and platelets (p< 0.05). Readings taken after 72 hours of the end of exam periodshowed significant decrease in white blood cell count (p < 0.01) and further significant increase in theplatelet count (p <0.001). No significant changes were observed in the readings of Hemoglobin, Red BloodCell count (RBC), hematocrit and mean corpuscular hemoglobin concentration (p >0.2).Conclusion: This study concluded that the stress due to examinations is enough to alter certain hematologicalparameters. The effect of stress on platelets and WBC remained until the end of the exam period. As theincreased platelet count may cause health problems for a person, from bleeding problems to the formationof various clots. We do not know for sure how long the increase in platelet and decrease in white blood cellscontinue as this may cause health problems for people subject to permanent stress.
Nurse Educator-Led an Educational Intervention on Critical Care Nurses’ Knowledge Regarding Endotracheal Suctioning Jihad Jawad Kadhim1 , Fakhria Gaber Mhabes2
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): 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.v15i1.13579

Abstract

Background: Studies placed a great emphasis on implementing in-service educational intervention fornurses in order to improve their knowledge regarding critical nursing procedures. Therefore, critical-carenurses need to be more knowledgeable and competent in providing patient care. Hence, the researcher(nurse educator) developed structured educational program that mainly focused on endotracheal suctioningbased on evidence-based recommended practice guidelines. Endotracheal suctioning is vitally importantnursing procedure in terms of maintaining airway patency and preventing complications. Objectives:to evaluate the effectiveness of endotracheal suctioning educational program on critical-care nurses’knowledge. Methodology: a quantitative, quasi-experimental one group pre-test and post-test design wasused. Convenience sample of 87 critical-care nurses are recruited from three hospitals at AL-Najaf ALAshraf City. The study conducted over the period of time that started on December 10, 2019 and ended onJanuary 22, 2020. Results: most of the participants had inadequate to moderate knowledge at pre-test. Whileafter implementing the educational intervention, the participants gained more knowledge and statisticalfindings indicated that all nurses have adequate knowledge regarding endotracheal suctioning. Conclusion:Endotracheal suctioning is a widely performed technique for mechanically ventilated patients in critical careunits. Nurses must be competent and well educated to perform this procedure in order to prevent patientpotential complications and achieve best outcomes. Educational intervention that led by nurse educator hasa positive influence on nurses’ knowledge. Recommendations: the researchers are highly recommendedimplementing ongoing educational program by using recent clinically recommended evidence that focuseson areas where knowledge expansion can be achieved to staff nurse. In Iraq, creating postgraduate degreefocusing on nursing education is a cornerstone to engage in the health care team and articulate new scientificapproach by using researches in the clinical setting and apply research findings in clinical practice.
Relationship of Low Maternal Vitamin D3 Level and Adverse Early Neonatal Outcomes Kawakib Hussein Noamam1 , Thikra Najim Abdulla2
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): 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.v15i1.13580

Abstract

Background: Low serum vitamin D [25 (OH) D] levels have been shown to have multiple health-relatedimplications in females at childbearing age, during pregnancy, as well as in their children. Aim of thestudy: To assess the inverse relationship between vitamin D3 level and adverse neonatal outcomes usingparameters such as fetal birth weight, head circumference, Apgar scores, fetal respiratory distress syndrome,and rate of neonatal admission.Materials and methods: A prospective study was conducted on 100 early- and full-term pregnant women atAl-Elwiya Maternity Teaching Hospital in Baghdad from 1st of April 2017 to 31st of March 2018. Maternalvitamin D deficiency was confirmed based on levels <20 ng/mL.Results: The vitamin D3 levels in the studied pregnant women were categorized as follows: normal (45%),insufficiency (31%) and deficiency (24%). The significant adverse neonatal outcomes associated withvitamin D3 deficiency were low Apgar score (54.2%), low birth weight (91.7%), small head circumference(91.7%), respiratory distress syndrome (66.7%), and neonatal intensive care unit admission (66.7%).Conclusions: vitamin D3 deficiency among pregnant women is associated with prominent adverse neonataloutcomes.
Caries Risk Assessment in Children Aged 6-12 years based on Parental Knowledge and Its Relationship with BMI and DMFT in Ahvaz Leila Basir1 , Targol Amini2 , Shabnam Rasti3
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): 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.v15i1.13581

Abstract

Background: The prevalence of dental caries in childhood is one of the problems related to children’s oralhealth. The aim of this study was to determine the risk of caries in children aged 6-12 years based on parentalinformation and its relationship with BMI and DMFT in Ahvaz.Methods and materials: The necessary permits were obtained from the Ahvaz Education Department, andthen 300 samples of the city’s primary schools were selected. Students were examined with a disposabledental mirror and the number of decayed, missed, and restored permanent and deciduous teeth was recordedin the DMFT table. After that, the questionnaire was completed with the help of parents. The validity of thisquestionnaire was confirmed by 5 pediatric dentists and the reliability of this questionnaire was confirmedby conducting a pilot study on 10 children based on Cornbach coefficient of 0.85.Results: Maternal occupation was associated with moderate caries risk (p = 0.007). Economic situation wasassociated with low risk (p = 0.0001). The mean weight of the child in the high risk group was significantlyhigher than the low risk groups (p <0.001) and medium risk (p <0.001). The mean DMFT in the low riskgroup was significantly lower than the medium risk (p <0.001) and high risk groups (p <0.001). The meanBMI in the high risk group was significantly higher than the medium risk groups (p <0.001) and low risk (p<0.001).Conclusion: Economic status, mother’s job and child’s weight are associated with caries risk. Also, DMFTand BMI index have a direct and significant relationship with the risk of caries.
Perianal Care Proven to Reduce the Incidence of Diaper Dermatitis Lina Mahayaty1, Nani Nurhaeni2 , Dessie Wanda2 , Fitriah3
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): 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.v15i1.13582

Abstract

Maintaining a clean perianal area is an attempt to prevent and treat diaper dermatitis. The purpose of cleaningthe perianal area is to prevent irritation. The practice of cleaning the perianal area is done by consideringthe physiology of the skin such as, normal flora, bacteria, and skin pH. Cleaning the perianal area can usewater and a soft cloth without rubbing the skin hard. The purpose of applying evidence based in nursingpractice is to identify the effect of perianal care by using water against diaper dermatitis with skin integrityissues. Search evidence of nursing practice used the PICO analysis. Thirty-four toddlers were divided intotwo groups: the intervention group (n = 17) and the control group (n = 17). The analysis used was Wilcoxon,and Mann-Whitney test. There was no significant difference in diaper dermatitis score in the interventiongroup and control group (?> 0.05). Cleaning the perianal area using water and tissues can be used to preventand treat diaper dermatitis.

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