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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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The Criminal Liability of the Forensic Doctor as a Judicial Expert According to Jordanian Law Ahmad Mohammad El-refaie; Ahmad Hussein Alsharqawi
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (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.v15i4.16714

Abstract

The judicial expert forensic doctor in Jordan, with his knowledge and experience he has possess, to provideassistance and to the judge on a specific point, which helps him in resolving the dispute before him,especially since the latter is difficult to get acquainted with the various types of medical sciences, and it isnot permissible for him to makes a judgment and judge his personal work On the other hand.The forensic doctor expert is not immune or far from criminal prosecution if he receives a bribe, commitsfraud, betrayed trust, or took a false oath, discloses a secret or submits a false report, and this criminalresponsibility finds a legal basis for it in Jordanian law
Efficacy of Clinical Palpation to Detect Cervical Lymph Node Metastasis of Oropharyngeal Cancer Ahmad Naeem Mahdi; Sabah Abdulaziz Issa; Saif Saadedeen Abdulrazaq
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (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.v15i4.16715

Abstract

Background and Objectives: Before excision of the primary tumor in oropharyngealcancer, a decisionmust be made to treat the cervical lymph nodes (LN) or not. The study aimed to assess the role of clinicalpalpation (CP) for preoperative detection of LN metastasis.Methods: Twenty patients withoropharyngeal squamous cell carcinoma (OSCC), managed by excision of theprimary tumor andneck dissection. The histopathological examination results compared to the preoperativeassessment of the nodes by CP.Results: There were 20 patients involved, 11 males and nine females. The mean age was 54.5 years. Twentyneck dissections were performed; there was 14 LN metastasis as proved by histopathological examination.On CP, true positive was 12, false negative was two, true negative was two and false positive was four.Conclusion: Clinical palpation performed preoperatively is highly advised as it has high diagnosticcapabilities to reach a decision to do neck dissection or not.
Developing an Infection Prevention and Control Educational Program for Critical Care Nurses:Intervention Mapping Protocol and Social Cognitive Theory AhmadSabbah; Rehanah Zain; Rohani Ismail; Siti Suraiya Noor; Mahaneem Mohamed; Norazliah Samsudin
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (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.v15i4.16716

Abstract

Aim: This study aims to apply the Intervention Mapping protocol and Social Cognitive Theory in thedevelopment of an infection prevention and control education program aimed at critical care nurses.Background:Education programs have been widely used to improve awareness toward infection preventionand control, but the development of an integrated theory- and evidence-based education program tailored tocritical care nurses has not yet been discussed.Subject and Methods: Data are from the Hospital Universiti Sains Malaysia infection control records. The6-step Intervention Mapping protocol and the Social Cognitive Theory were used to develop an infectionprevention and control education material tailored to critical care nurses. The educational material was alsoinfluenced by Previous literature, hospital infection control committee, and in-charge nurses of intensivecare unit.Results: The educational material was tailored to target knowledge, self-efficacy, and risk perception thatidentified as the individual determinants of critical care nurses health behavior during assessment phase. Inaddition to physical environment and organizational support that determined as external determinants. Amatrix of change objectives was mapped out for each health behavior determinant, teaching methods, andtheir practical applications.Conclusion: Applying the Intervention Mapping protocol and the Social Cognitive Theory is effective indeveloping educational material tailored to critical care nurses to improve their self-confidence and promoteknowledge-based practice in infection prevention and control.
The Correlation Study between Some Biochemical Parameters of 256 Covid-19 Cases Considering Diabetes Ahmed Ab. Jabbar
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (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.v15i4.16718

Abstract

Background: Diabetic Mellitus is an independent risk factor in patients with coronavirus disease 2019(COVID-19), but data on the association of diabetes, acute kidney injury, and COVID-19 severityare limitedto Middle East populations.Materials and Methods: This cohort study aimed to investigate these associations in 256 patientssequentially admitted between June 2020 and November 2020, at Emirati Hospital/Erbil. The investigationincluded some main biochemical parameters including liver and kidney function tests. Data analysis wasprocessed by SPSS and the Pearson correlation pathway using log-converted data.Results: Diabetic patients showed the highest correlations between measured parameters, of which glucoselevel showed a positive correlation coefficient (0.13**) with C-reactive protein and other biochemicalparameters. Based on the glycemic status, COVID-19 patients were found in 3 groups, euglycemia groupwith an abundance of 148 (57.81%),hyperglycemiapatients were 67 (26.17%), and 41 of them were diabetics(16.01 %).The Diabetic group showed a significantly (0.0002) increased level of C-reactive Protein and Glucose incomparison with hyperglycemia [CRP 15.38 mg/dl vs 10.09mg/dl, glucose 429.75 mg/dl vs 160.62mg/dl] with a Significantly (0.00374) higher mortality rate (29.26%) than that (10.44%), and (6.75%) ofhyperglycemia, and euglycemia, respectively.Conclusion: Male COVID-19 cases showed higher correlations between the estimated parameters thanfemale cases. Diabetes was significantly associated with elevation of almost all kidney and liver functionparameters. Finally, diabetes followed by COVID-19 disease was related to severe complications and highermortality rates than nondiabetic COVID-19 cases.
Psychological Distress among Caregivers of Children with Down Syndrome at Al Najaf Province Ahmed Burhan Abdulameer; Arafat Hussein Al-Dujaili
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (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.v15i4.16719

Abstract

Psychological Distress has recently been shown to have a negative impact on caregivers, but there has beenlittle longitudinal research on this subject. A sample (61) caregivers of children with Down Syndrome havebeen selected Al-Najaf Province centers. The researcher adapts and modifies the questionnaire to fulfillthe study’s objectives .The results of the study revealed that caregivers of children with DS have severelevel of psychological distress(38.7%). There is a significant relationship (P < 0.05) between PsychologicalDistress and some of the socio-demographic characteristics (child age , family member and trainings aboutdown syndrome). The present study recommends providing families with Educational programs to increaseparents knowledge about etiology, signs and symptom and treatment of stress and Providing scientificbooklet, publication and journal about stress. In addition to increasing schools and institutes specialized ineducating children with Down syndrome, as they are few in the province of Najaf, and some of them are farfrom their places of residence
Evaluation of the Antioxidant and Antibiofilm Activities of Rosmarinus Officinalis Essential Oil Extract Ahmed H. AL-Azawi; Kais Kassim Ghaima; Noor Saad Latteef; Alaa Aziz Abdulhassan
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (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.v15i4.16720

Abstract

Biological activities of essential oils from various plants, including Rosemary, have been attributed to thepresence of specific chemical compounds with antimicrobial, anti-inflammatory and antioxidant activities.The aim of this study is to estimate the antioxidant and antifungal activity of Rosmarinus officinalis essentialoil extract. The study included the extraction of essential oil using a Clevenger apparatus. The chemicalcompositions were evaluated by GC-MS and High Performance Liquid Chromatography (HPLC).Therosemary essential oil extract was tested with regard to antioxidant utilizing 2, 2- diphenyl-1-picrylhydrazyl(DPPH) assay. Microtiter plate Assay used to determine the antifungal and antibiofilm activity. The resultshowed that the GC-MS analysis revealed that the major components determined in R. officinalis essentialoil were linalool (17.09 %), L- Borneol (11.92 %), Verbenone (8.52 %), camphor (5.30 %), Eucalyptol(4.79 %), while the chemical compositions identified by HPLC shows four phenolic acids were identifiedin the essential oil, Rosmarinic acid, Caffeic acid, p-Coumaric acid, 4-hydroxybenzoic acid, and lignans(medioresinol), while Isorhamnetin was the only flavonol detected. The free radicals scavenging activityincreased gradually with the increase in the concentration of essential oil which was 81.59 % whencompared with BHT and V.C (92.34 and 97.42) respectively. The results of the antifungal activity revealedthat Minimum Inhibitory Concentration of C. albicans and C. krusei was 3.125%, while the MIC of C.glabrata was 12.5% in contrast with the highest MIC which recorded for C. tropicalis at 25% of rosemaryessential oil. The current results revealed that the reduction of bofilm formation among C. albicans andC. krusei was obvious at the lower concentration (1.56%), where the percentage of biofilm formation inC. albicans was (91.25%) and C. krusei was (84.25%), while C. tropicalis exhibit (86.32%) for biofilmreduction at the concentration (12.5%) of rosemary essential oil, also it was found that the effect of essentialoil on C. glabrata biofilm formation was at the concentrations 3.125% and 6.25%. The findings of this studyindicated to the significant effect of rosemary essential oil against the growth and biofilm formation of theimportant pathogenic yeast C. albicans at low concentrations.
The Technical Value of Magnetic Resonance Imaging and Ultrasonography in Identifying Characterization of Ovarian Cysts Ali Hani Karim; Mahmood Radhi Jobayr; Lamyaa F.A. Al-Barram
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (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.v15i4.16721

Abstract

An accurate diagnosis of ovarian cysts is of utmost importance to determine the timely treatment to preservefertility.We sought to determine the effectiveness of ultrasonography and MRI modalities for diagnosing themost common ovarian lesions and differentiate between benign and malignant lesions in order to guidepatients to appropriate treatment. This study was conducted on 94 women, the age group between 14-70years, in the period of January 2020 to October 2021. Were all women suffering from abdominal pain,swelling, nausea or vomiting and bleeding and irregular menstrual cycle. Was suspected clinically in thepresence of lesions in the ovary was confirmed by tests of ultrasound and magnetic resonance. The entirecases were subjected to transvaginal and transabdominal ultrasound and magnetic resonance imagingto assess ovarian lesions in terms of content (somatic, cystic solid), nodules, septal characteristics, wallthickness, vascular lesion and ascites.In USG, there were 16% cases of malignant ovarian lesion and 84%cases had benign lesions. MRI reports showed that 10.6% cases had malignant ovarian lesions and 89.4%cases had benign lesions. Findings of USG with HPE have 100.0% sensitivity, 89.1% specificity and 91.07%diagnostic accuracy. In MRI findings with HPE have 100.0% sensitivity, 100% specificity, and 100.0%diagnostic accuracy. MRI had high specificity and more accuracy value in terms of diagnostic performancethan USG. The ultrasonography diagnostic value in case of characterization of adnexal mass lesion wassignificantly lower than in the MRI.
Evaluation of Gingival Inflammation, Plasma IL-6, and TMJ Clicking after Masseters Muscle Botulinum Toxin Injection and Intra-Articular PRP Injection In Bruxism Patients Ali Sahib Hussein; Muhassad H. Al-Mudhafar; Karar Abdulzahra Mahdi; Ali A. Al-Fahham
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (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.v15i4.16722

Abstract

In this study, thirty patients complaining of bruxism at night and hyperactivity masseters muscle causing TMJdisk changes, TMJ clicking sound and all selected patient complaining of gingival inflammation as includedcriteria, and 50-unit botulinum toxin type A were injected in both side of masseter muscle. Regarding toT.M.J clicking sound there were three intervals of PRP injection for 3 months. The levels of IL-6 in theblood samples measured by ELISA technique, this study proposed to investigate the plasma IL-6 level inpatient with early changes of T.M.J disorder and role of repetitive intraarticular PRP injection on the T.M.Jclicking sound and the effect of decreasing stress force microtruma of masseter muscle on gingival score inpreviously diagnosed bruxism patient with gingival inflammation whether of causative factor of gingivitis.The mean difference of plasma IL-6 in between patient and control (25.6 ± 4.2 and 23.8 ± 1.8) respectively.There were highly significant differences in gingival index score of all sided of oral cavity after botoxintramuscular injection. Force stress muscle microtruma of bruxism patient considered a contributory factorthat increased gingival inflammation these fact suggested by botulinum toxin injection to decrease this force,and highly statically difference on gingival score after injection and also, the intraarticular injection of PRPin T.M.J disorder patient statically not affected on the clicking sound of joint as well as suggesting in ourresearch for further studies to appear the role of IL-6 in early joint changes locally as an experimental study
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Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (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.v15i4.16723

Abstract

I
Comparison between 3 Different Types of Mouthwash on the Healing Process of Periodontal Diseases Ammar Alwan Ali; Zainab Kasim Mohammad; Abeer Isam Abdulhameed
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (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.v15i4.16724

Abstract

Dental plaque is the principal etiological agent for the development and progression of gingival andperiodontal diseases. Three different mouthwash types were compared in this study for the periodontalhealing process based on the results. For all bacterial strains, the culture type collection is used. The serialdilution process is used for preparing every mouthwash and adding it to the tubes with a specific dilution. Incertain microorganisms of the respective mouthwash, the last tube dilution that does not show any turbiditywill be considered MIC. The three types of mouthwashes were compared in terms of the ability to inhibitmicrobial growth. Twenty-four hours after the agar was solidified and the colony forms (CFU) units counted,the plates were incubated. This study showed that bacterial growth inhibition might occur in the three typesof mouthwash. Boht, Behsa and Kin-gingival mouthwashes had a significant difference in their antimicrobialeffect. This study showed that they were unable to perform s after 24 hours of in vitro incubation while thebacterial count was lowered after two weeks of in vivo use in the boht washings. Continuous exposure tobacteria may be necessary to wash the mouth, especially for Behsa and Boht. It is difficult to remove allbacteria from the mechanical plaque controls; antibacterial mouthwash can cause additive. In the currentstudy, three types of mouthwash have compared antimicrobial effects. The results showed only that bacterialcounts are affected by mouthwash. Based on this study’s results, Boht mouthwash is more effective thanKin Gingival and Behsa mouthwash for oral microorganisms, but further clinical studies are necessary toconfirm our findings.

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