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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
 368   369   370   371   372 
A Study of Chronic Disease Management in Indonesian Primary Health Care Febri Endra Budi Setyawan; Retno Lestari
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 1 (2022): 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.v16i1.17497

Abstract

Chronic disease management program in Indonesia(Prolanis) is a preventive and promotive programdeveloped by Indonesian national health insurance. The initial survey showed thatonly 37.04% ofprimary health careperformchronic disease management programsoptimally. Prolanis can succeed andbe sustained if health care services included health care teams effectively address patient needs as wellas increasing the quality of health services.For this reason, physicians as key roles in primary health careshould enhance their competencies to deliver high-quality care. This study aimed to identify the impactof physician competencies on patient satisfaction in Indonesian primary health care. This study useda cross-sectional designwith multistage random sampling which included 90 chronic disease patientsin primary health care. The results revealed that the average physician competencies in providinghealth services to patients were 73.57%. In addition to this, as many as 73.64% of patients expressedsatisfaction with physician skills. Lambda correlation test obtained a value of r = 0.76, so it was statedthat the physician competencies had a strong influence on chronic disease patient satisfaction. It canbe concluded that the more physicians master their competencies,the more confident patients seektreatment at primaryhealth care.
Diabetic Ketoacidosis in Pregnancy: A Case Report Febrian Daru Setiawan; Hermina Novida
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 1 (2022): 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.v16i1.17498

Abstract

A 31-year-old pregnant woman complained of vomiting, shortness of breath, fever, general weakness,painful and frequent urination with sign of hypertension, tachycardia, Kussmaul breathing. Laboratorystudies showed neutrophilia, leukocytosis, hyperglycemia, hypokalemia, ketonuria, metabolic acidosis,low C-peptide, low Thyroid Stimulating Hormone, high FT4 and Staphylococcus in blood culturewas diagnosed with Diabetic Ketoacidosis, pregestational Type 1 Diabetes Mellitus, hyperemesisgravidarum, 14 weeks of pregnancy, suspect Urinary Tract Infection, hypokalemia, hypertension, andsubclinical hyperthyroidism. Besides, the patient blamed the fetus on causing the disease and financialproblem so that the patient also was diagnosed with episode of moderate depression. The patient receivedKVT1 diet therapy, fluid replacement therapy, insulin therapy, correction of hypokalemia, correctionof acidosis metabolic antibiotic and anti-hypertension. The therapies aimed to prevent maternal andfetal morbidity. Supportive psychotherapy therapy, relaxation therapy, and family psychoeducationwere also needed to improve patient’s compliant. The patient was also suggested to consult for familyplanning and glucose control before conception.
In Vitro Antibacterial Activity of Waste Palm Cooking Oil Against Staphylococcus Aureus Fiqih Faizara Ustadi; Agung Dwi Wahyu Widodo; Yuani Setiawati
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 1 (2022): 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.v16i1.17499

Abstract

Background: Staphylococcus aureus is a Gram-positive coccus which acts as a pathogen causing awide range of infectious diseases. In recent years, several strains of S. aureus have been found to showresistance to several antibiotics. Waste cooking oil may be considered as an alternative antibacterialproduct, as it contains long-chain fatty acids whose antibacterial effectiveness against S. aureus hasbeen known for years. In addition, oxidative biocides produced during the frying process have manytargets for antibacterial activity in the cell and affect almost every biomolecule. Nonetheless, there isno literature that is able to prove the antimicrobial effects of the waste palm cooking oil. Objective: Toexamine the in vitro antibacterial effect of waste palm cooking oil against S. aureus. Method: a twofoldserial dilution method to set the minimum level of both inhibitory and bactericidal concentrations.Conclusion: This study showed that waste palm cooking oil did not show antibacterial effects againstS. aureus, indicating that waste palm cooking oil is not possibly to be applied as an antibacterial agentagainst S. aureus.
The Implementation of Fraud Prevention on the National Health Insurance at Salewangan Maros Hospital, Indonesia: A Qualitative Study Fitri Indayani; Reza Aril Ahri; A. Rizki Amelia; Fatmah Afriyanti Gobel; Fairus Prihatin Idris
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 1 (2022): 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.v16i1.17500

Abstract

Background: Various fraud control methods are designed to overcome potential fraud that occurs byevery element that involved in the National Social Health Insurance System in Indonesia. This studyaims to analyze how the implementation of fraud prevention efforts that have been carried out by theNational Health Insurance (JKN) Fraud Prevention Team which was formed at the SalewanganMarosRegional Hospital. Method: This study used a descriptive qualitative approach with data collectiontechniques through in-depth interviews and observation. The informants were the Head of the ServiceDivision, the Chair of the Hospital Medical Committee, the Head of the Nursing Sub-Division, the Headof the Finance Sub-Division, and the Casemix team.Results:Efforts to increase the fraud prevention isstill weak, efforts to detect and resolve fraud are already underway, but efforts to detect fraud have notbeen continuous, detection through observation at service locations is not routinely carried out, whiledetection efforts through data analysis still rely on service data feedback obtained from BPJS, as wellas monitoring and evaluation by the Fraud Prevention Team at SalewanganMaros Regional Hospitalhas been implemented but is still very poor.Conclusion: Fraud prevention efforts must be carried outcomprehensively and involve all individuals. There must be an automated integrated system at eachservice point so that fraud prevention can be optimized.
Comparative Determination of Chlorpromazine in Pharmaceutical Injectable Veterinary and Human Formulations by Spectrophotometric and High Performance Liquid Chromatographic Methods Fouad K. Mohammad; Lubna A. Kafi; Nabaa K. Al-Hayani; Fereal M. Mahdi; Ahmed J. Essa
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 1 (2022): 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.v16i1.17502

Abstract

Background: Chlorpromazine (CPZ) is a phenothiazine tranquilizer used in humans and animals. Rapid determinationof the drug in pharmaceutical preparations is often needed. The aim of the study was to further examine and ascertainasimple spectrophotometric method in comparison with a high performance liquid chromatographic (HPLC) methodfor the determination of CPZ concentrations in injectable pharmaceutical formulations used in man and animals.Methods: Concentrations of CPZ in injectable pharmaceutical formulations for human and veterinary uses weredetermined by a modified spectrophotometric method and by an HPLC method with appropriate standard calibrationcurves. The spectrophotometric method of CPZ determinationwas conducted by diluting 0.1 ml of the veterinary(5%) or 0.3 ml of human (0.5%) formulations to 200 ml of 0.1N sulfuric acid. Four ml of the diluted CPZ samples orthe standard solutions were mixed with 2 ml of 50% sulfuric acid. Then an aliquot of 0.2 ml of 2% ferric nitrate wasadded to the mixture. After 15 minutes, the absorbance was measured at 530 nm against water and vehicle blanksusing a spectrophotometer. The HPLC method applied in the present study consisted of reversed phase gradientchromatography with a C18 column and the eluent was (A) 50 mmol NaH2PO4, pH 2.5 and (B) acetonitrile - 50mmol NaH2PO4, pH 2.5 (60:40 v/v), flow rate at 1 ml/min, with a gradient of 15-55% B in 10 min, to 100% B in20 min, and 280-nm UV detection. From the calibration curves of CPZ standards, the following were calculated:Limit of detection limit (LOD) = 3.3 x SD/slope; Limit of quantitation (LOQ) = 10 x SD/slope, where SD is thestandard deviation of response of CPZ concentrations of the calibration curves.Linear regression analysis and relatedcoefficients of correlations were applied on the calibration curves. Results: The calibration curves of CPZ againstwater or vehicle blanks as determined by the spectrophotometric method or by the HPLC method were linear withstrong correlations (r = and / or >0.99). Based on the calibration curves, limit of detection and limit of quantitation thespectrophotometric method were comparable to those of the HPLC one. The contents CPZ in human and veterinaryinjectable formulations as determined by the spectrophotometricmethod were in accordance (100.6% and 102%,respectively)to the concentrations claimed on the labels of the formulations.Conclusion: The present results introduce a simple spectrophotometric method that could be used for routinemeasurement of CPZ concentrations in pharmaceutical formulations, with the added benefits of linearity, precisionand cost effectiveness.
Protective Effect of Peppermint on the Toxicity Induced by Blue Green Algae in Poultry Gehan B. A.Youssef; Elzoghby R.R; Reda EL Kammar; Walaa S ElDin; Rania M Waheed
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 1 (2022): 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.v16i1.17504

Abstract

This study was done on 5 groups of poultry chicks from one day up to 45 days of age. We usedblue green algae as source of feed additives added to the water and ration in addition to peppermintto evaluate the protective effect of peppermint against the toxicity induced by the blue green algae.The administration of blue green algae in chicken food and water caused hepato- and cardio toxicityindicated by significant increase in liver (ALT and AST) and heart enzymes (CK and LDH) and decreasein MDA and CAT. The algae showed histopathological alterations in the liver in form of congestion inthe central vein, degeneration in the hepatic cords and circumscribed areas of lymphocytic infiltrationsbetween the hepatic cords. While it was mild in heart tissues as it showed also lymphocytic infiltrationand congestion of myocardial blood vessels. The biochemical parameters were corrected except the CKand LDH. The histopathological alterations were corrected by the addition of peppermint.
The Flipped Teaching of Middle School Students from the Viewpoint of PE Teachers Hussein Farhan Sheikh Ali
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.v15i4.17538

Abstract

The research aims to the extent of the possibility of using inverted (flipped) teaching in the physical educationlesson in the manner of video or via e-mail. Learning platforms after the process of reducing the officialtime for middle school students from the point of view of physical education teachers. Scientific researchwas limited to physical education teachers in the Directorate of Public Education in Misan Governorate forthe academic year 20-20-20 21, the research sample consisted of a college (100) A teacher in secondaryeducation, the researcher adopted an initial exploratory questionnaire to determine the extent of inversionof the teaching of T. And the evaluation, according to its stability by the method of re-testing, as it reacheda degree of stability (0.83) on the basic sample consisting of (60) teachers and schools, and after processingthe data statistically, the results of the research indicated that there are a number of reasons leading tothe possibility of using (reverse education) in education Sports. The lesson and in light of the results, theresearcher presented a set of conclusions and recommendations.
Building and Standardizing the Location of Perceived Control of Young Footballers Mohammed Fadhil Anber; Mustafa Abdulzahra Abbood; Ali Mutair Humedi
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.v15i4.17539

Abstract

The research aims to build and legalize the site of perceived control of young football players. The areas ofresearch included the human field that represents football players’ clubs in Misan Youth Governorate, anddefining the time zone for a period of (1/12/2020) until (10/5/2021), while the spatial domain was in the hallsof the studied clubs.The researchers used God C in a descriptive survey method, and the community research is (239) playersfrom Misan Governorate youth football clubs, and the (SPSS) system was used to obtain the results of theresearch, the researchers concluded the following:1- A tool was developed for measuring the position of perceived control in its three dimensions for youngsoccer players.2- The perceptual control site scale that the researcher built and codified through the applied scientificprocedures demonstrated the ability of this scale to recognize the individual differences between the playersin the perceptual control site scale and its three dimensions.3- Young players in Misan governorate have an average level in the perceptual control position variable.The researchers recommended the following:ü Adopting the scale as a tool to measure the psychological variable (location of perceived control in itsthree dimensions) for young footballers.ü The perceptual control position measure can be used by coaches and the need to use it on playersperiodically during the sports season, which allows identifying this important psychological variable incompetition as well as identifying the positive things that support it and the negatives to overcome anddevelop them with the players.ü Conducting other similar studies according to the variables (gender, age, different sporting events).
The Effect of Sudden Weight Loss During Competitions For Young Weightlifters in (RMR) and the Concentration of (Sodium-Potassium) Salts in the Blood Natiq Abdulrahman Werytha Allami; Waritha Al-Lami
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.v15i4.17540

Abstract

The study aimed to identify the level of the weight difference between young weightlifters when a suddendrop occurred during the competition period, to identify the level of (RMRF) difference in the concentrationof salts (sodium - potassium) in their blood during this period, and to identify the effect, relationshipand contribution of sudden weight loss during this period. The period of competition in (RMR) and theconcentration of (sodium potassium-) salts in their blood, and they adopted the descriptive method ofrelational relations on weightlifting youth (18) - 20 years under the weight category 69 kg were chosenrandomly and (20) weight lifter, as That the number of those who lost weight unapproved is (12) weightliftersmake up the percentage (22.917%) from the origin of their community. Fitmate pro) at rest time after weightloss, at rest time after weight loss, and withdrawing (5 cc) of blood every before and after intentional weightloss to measure sodium and potassium cytokine by laboratory examination, and the researcher verified thatthe data were processed by the cyst system Statistical Abstract (SPSS) for conclusions and extrapolationsBikat that the process of sudden weight loss is associated with a negative relationship in the level of (RMR)and the concentration of salts (sodium - potassium) in the blood, and affects and contributes to reducing thelevels of young Al Rafi’i for weightlifting during the competition period, and it is necessary to nurture thecoaches to support the culture of the ideal weight and the true athlete of the youth of Al Rafei to lift Weights,as can be the coaches who influence them a lot. To prevent sudden weight loss disorder, they should reducethis phenomenon, which can easily cause eating disorders, as can those in charge of men’s tournaments.Agement at the local weightlifting association and its training, providing advice to the youth eye class on theunhealthy DONC weight loss, if there are no other professionals who can intervene (physiologists, doctors ...and others), it is necessary for the basic trainers to have the information. Correct information about the risksof eating disorders in sport and to be fully aware of the symptoms and consequences, to be able to act andbuild a level of preventive discoveries for the relevant predictions and to take the necessary steps when theseproblems arise, and whoever learns adequately about nutrition supervises the diet and gives Lempid tips toreduce Weight healthily for the prevention and treatment of eating disorders and counseling (for example,when an athlete needs to lose a kilo or more of body weight).
The Effect of Human Resource Management Practice on Sharing Tacit Knowledge of Managers an Applied Study on Misan Center for Cardiac Diseases and Surgery Soulaf Abdalqadir Hameed Alsady
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.v15i4.17541

Abstract

The aim of the research is to identify the impact of human resource management practices used on theexchange of tacit knowledge, which were represented in each of (the practice of recruitment, selection andappointment, training practice, and the practice of motivation). The management of human resources isan effectiveness on which the future strategy of the organization depends, since previous decades, strongcompanies were those companies that possessed machines, technology and materials where the humanelement was insignificant and was treated as machines without taking into account its potential, feelings,development and capabilities, witnessing the economic market An accelerated daily development, and throughthis, the important role played by the human resources department in raising the performance of employeesis evident, as it provides the specialized and efficient human element that affects the organization and itsperformance. The main objective of this research is to indicate the effect of human resource managementpractices on the sharing of implicit knowledge of managers, as well as to explain the importance of implicitknowledge in employee formation in reaching executive positions in a business organization. The topic ofknowledge management has received great attention all over the world by academics, including writers,researchers, and executives from managers and officials, due to the economic and competitive advantagesthis practice achieves, bearing in mind that the most important goal of this research revolves around thebusiness organization. It is one of the most important keys to the success of the organization, and thus itis a source of competitive advantage and its importance is widely accepted at the present time. Therefore,many individuals in executive positions acknowledge that knowledge creation has an important role in theircompanies. The trend towards knowledge management began in the 1990s, when companies are now beingurged to consider knowledge creation as a source of success, because the tremendous benefit that knowledgemanagement promises is innovation.

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