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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
 370   371   372   373   374 
Relationship between Neutrophil-Lymphocyte Ratio and Disease Severity in COVID-19 Patients in Isolation Ward of Dr. Soetomo General Teaching Hospital Heri Krisnata Ginting; M. Vitanata Arfijanto; Tri Pudy Asmarawati; S. Ugroseno Yudho Bintoro
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.v16i1.17558

Abstract

This study was conducted to prove the relationship between the neutrophil-lymphocyte ratio and theseverity of COVID-19. A retrospective cohort study using medical record data of inpatients from Juneto July 2020. Analysis of the NLR relationship and the degree of severity using the Mann Whitney testif the data had an abnormal distribution. Significant if p<0.05 and 95% confidence interval. If there weresignificant results, we try to measure the cut-off of NLR value to predict severe and non-severe clinicalsymptoms. Total study subjects were 110 patients, with a male as many as 65 (59.1%), the median agewas 53.5 years (range 20-88). Most of the comorbidities were diabetes mellitus (35.5%), followed byhypertension (30%). The severity of clinical symptoms was 50% in the non-severe and severe groups,respectively. The NLR value was higher in the severe group. Mann-Whitney test showed significantdifferences in the value of NLR between the severe group and the not severe group with the p-value<0.001. Receiver operating characteristic (ROC) curve analysis area under the curve (AUC) of NLRon day-1 was 0.716 (CI 95%: 0.605 - 0.826), and the cut-off point of the prediction severity diseaseat day-7 was ≥ 6.14 with a sensitivity of 71% and a specificity of 69.1%. The neutrophil-lymphocyteratio value with severe symptoms was higher than the neutrophil ratio value for lymphocytes with nonseveresymptoms in patients with COVID-19.
Effect of Work Stress on the Productivity of Shift Workers in Production Department at Pt.x Makassar City Herlin Manga Lambo; Rafael Djajakusli; Masyitha Muis; Atjo Wahyu; Apik Indarty Moedjiono; Darmawansyah
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.v16i1.17559

Abstract

Productivity can be defined as worker’s performance in terms of quantity, quality and timeliness. Thereare several factors that can affect productivity. This study aims to determine the effect of monotonyand work stress on production department’s shift workers at PT. X wirh age, sex, years of service andquality of sleep as a control variables.This study was an analytic observational study with cross sectional design. The number of respondentswas 49 people which were determined using purposive sampling technique. Data were obtained usingonline questionnaires. Chi square was used for bivariate data analysis and multiple logistic regressionfor multivariate data analysis.From the results of bivariate data analysis, it was found that work stress had an effect on productivitywith a value of p = 0.001 (<0.05). For the analysis of work stress based on age, it affected older workerswith a value of p = 0.004, while based on gender, it affected the female workers with a value of p =0.001, based on years service, it had effect on long service years with a value of p = 0.018 and basedon sleep quality, it affected on poor sleep quality with a value of p = 0.003. The results of multivariateanalysis showed that work stress affected the productivity with a value of p = 0.001 (p <0.05) withgender and sleep quality as variable controls. It was suggested for workers to maximize the rest timeafter serviced a night shift in order to restore their physical condition and for company leaders toestablish good communication towards workers in order to find out critics or suggestion related to thejob.
Cardiac Tamponade in a Patient With Hypothyroidism: A Case Report Hermifa Dwi Aninnaimah; Sony Wibisono
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.v16i1.17560

Abstract

Cardiac tamponade as a manifestation in newly diagnosed hypothyroidism is a rare condition becausefluid accumulate slowly. We present a 38-year-old woman with massive pericardial effusion withcardiac tamponade findings in echocardiography without hemodynamic disturbance. Pericardiocentesiswas done, but pericardial effusion was not improved. Other secondary causes of pericardial effusionincluding inflammation, infection, autoimmune disease, and malignancy were ruled out. The patienthad a history of thyroidectomy 4 years prior and thyroid function test confirm the diagnosis ofhypothyroidism. The patient was given levothyroxine with initial dose of 400 mcg and continued with100 mcg daily. The pericardial effusion significantly improved in a week.
Deep Vein Thrombosis and Diabetes Mellitus Type 2 as Complications of Psoriatic Arthritis: A Case Report Hersih Srinowati; Lita Diah Rahmawati
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.v16i1.17561

Abstract

A woman, 45 years old, complained of low back pain that improves with activity or analgesic andreoccurs when resting. The patient also complained of swollen joints, fever, shortness of breath, flakyskin and fragile nails. Physical examination found multiple inflamed joints, thickened and fragilenails, fever, limited range of movement of knee and ankle and positive Homan sign. Workup foundnegative anti-rheumatoid factor, increased blood sugar level, increased erythrocyte sedimentation rate,increased C-reactive protein, bacteria in urine, increased D-dimer, and imaging of lumbar spondylosisand sacroiliitis, and deep vein thrombosis in the left inferior limb using Doppler ultrasonography. Thepatient was diagnosed as psoriatic arthritis, deep vein thrombosis, type 2 diabetes mellitus, and urinarytract infection. The patient was given sulfasalazin, fondaparinux, warfarin, insulin, and antibiotic. Onthe 15th day of treatment, the patient experienced sudden shortness of breath and chest pain. The patientdied due to suspected cardiovascular event.
The Effects of MISUKE For Underweight Children Hikmawati Mas’ud; Asmarudin Pakhri; Siti Nur Rochimiwati; Adriyani Adam
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.v16i1.17562

Abstract

Background : Malnutrition problems such as underweight was unhealthy (pathological) conditionsthat arise from not enough eating or consuming less energy and protein for a certain period of time.The results of monitoring the nutritional status of toddlers (0-59 months) in 2018 from Basic HealthResearch with WAZ Index, 17,6% children in underweight status. MISUKE (vegetable oil, milk &soybean) is a nutrient-dense supplement made from vegetable oil, skim milk and soybeans which are ahigh source of energy and protein but in small volume and in powder form.Objective : The aims of this study was to determine the effect of MISUKE formula on the nutritionalstatus of underweight children.Methods : This research design was quasi-experimental research with pretest and posttest approaches.Samples taken by 30 underweight children under five. This research was carried out in working area ofSudiang Raya Health Center in Makassar city.Results : The results showed that there was an increase in body weight before and after consumeMISUKE around 0.25 grams with a p value of 0,000, besides that there was a significant increase inenergy and carbohydrate intake after giving misuke with p values respectively (0,000 and 0.001), andfor There was also an increase in fat protein intake, but not significantly with p values (0.56) and (0.51),respectively. Thus, MISUKE can be used as an alternative food for malnourished children.Conclusion : MISUKE formulation used consists of 12 grams of vegetable oil, 6 grams of skimmedmilk, 12 grams of soy bean flour, 4 grams of granulated sugar. The nutritional value of MISUKE is190.8 kcal energy, 6.5 grams of protein, 14.5 grams of fat, and 10.7 grams of carbohydrates, while thechange in nutritional status for weight before ranging from 10.48 grams and the increase of 0.25 gramsafter MISUKE treatment with an average body weight range of 10.73.
Evaluation of the Effect of the Activity of Gum Arabic Aqueous Solution and Ozonated Water on the Chemical and Organoleptic Properties of Locally Produced Soft Cheese in Baghdad City Hind Suhail; Zina Saab Khudhir
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.v16i1.17563

Abstract

Evaluated the effects of Gum Arabic (GA) combined with ozonated water (OW) at refrigeration (4oC)storage temperature on the chemical and organoleptic properties of bovine locally produced Cowsand buffalos’, Fifty Soft cheese (25 for each kinds ) were collected from homemade local producersin the different regions of Abu-Ghraib villages/Baghdad city. Soft cheese samples were analyzed forMoisture percentage %, Total solids, pH levels, Protein, Fat as dry matters and ash contents before andafter immersion in mixture decontamination solution of (GA) at concentration of (3% and 5%) withozonated water (0.5) ppm during (30) minutes of exposure time at refrigeration (4oC) temperature. Theresults showed that the moisture, fat as dry matter and ash content increased, while total solids (TS) andprotein decrease after subjecting to natural decontamination solution. pH value was non significantlyaffected by the washing treatment. In conclusion evaluation of sensory properties showed that localcows soft cheese demonstrates higher values for sensory parameter compared to local buffalo’s softcheese.
Diagnosis of Fungi Associated with Wounds from Lying Patients at Al-Hussein Teaching Hospital in Dhi Qar Governorate Iman Hadi Alfayyadh; Kadhim Mohan Manhil
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.v16i1.17564

Abstract

About 30 samples were collected from burn areas from patients attending Al-Hussein TeachingHospital in Dhi Qar governorate for the period between 2-4 for the year 2020. 7 types of fungi andyeasts, represented by the following fungi, have been isolated candida kruzei, candida tropicalis, andRhizopus, candida albican, candida glabrata, Aspirgillus spp, rhodotorella. The results showed thatAspergillus spp. Was dominant over the rest of the fungi, with a rate of 36.36% over the rest of the fungispecies, while candida albican yeast appeared with a frequency of 28.18% compared to the rest of theother fungi, and the rate of appearance of other fungi was about 12-3% compared to the rest of the otherfungi. The fungi were distinguished by the fact that they are all of the opportunistic type, which beginsto infect the body when there is a weakening of immunity or infection with the associated burns andulcers.
Investigation for Endemic Bacteria in the Intestine of Common Carp (Cyprinus Carpio L.) Feeding on Various Formulated Powders Fortified Diets Intisar Abduljabbar Shamkhi; Nuha Hameed Sadiq; Marwa Muzahim Mahdi Al-Doori; Afrah Mustafa Mohammed
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.v16i1.17565

Abstract

The study was conducted in Fish Laboratory / College of Agriculture / University of Tikrit with theaim of investigating the effect of adding powders prepared from chicken meat and fish waste (mixedand carp) and added to diets on the performance of common carp Cyprinus carpio L. and the endemicbacteria in its intestine. 70 cuffs were used with an initial weight of 240 ± 1.60 g / fish and distributedrandomly into 7 treatments (diets) at the rate of two repetitions for each treatment (5 fish per repeater)in 14 glass basins with dimensions of 30 x 40 x 30 cm. 7 experimental diets were prepared close toeach other in protein and energy content. The parameters T1 included the commercial powder, T2 thepowder prepared from raw chicken waste, T3 raw mixed fish waste powder, T4 common carp fishwaste powder, T5 the chicken meat powder fortified with 1% lactic acid. , T6 fish powder mixed withlactic acid by 1%, T7 fish powder of common carp with lactic acid by 1%, the results of the statisticalanalysis showed a significant superiority (P≤0.05) for the parameters T5 and T7 in the percentage ofprotein and no significant differences in the percentage of fat were recorded for the treatments. T3, T4,T6 and T7, the treatment T4 recorded the highest percentage of humidity. The treatments T2, T3 and T5recorded the highest rates of protein percentage in fish bodies after the end of the experiment, and therewere no significant differences for the percentage of fat in fish bodies for the treatments T1, T2 and T4and it reached (4.20, 4.20 and 4.12%), respectively. Several bacterial strains colonized in fish gut wereisolated: 10 S.aureus isolates, 12 Aeromonas hydrophilia, 5 Aeromonas S isolates, 8 E.oli bacteria, 3Pseudomonas bacteria, 5 Bacillus isolates, 7 isolates. Flavobacterium isolates.
The Role of Vitamin D in Metabolic Syndrome in Polycystic Ovary Syndrome Intisar Younis Mohammed Ibrahim
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.v16i1.17566

Abstract

Objective: The aim of this study was to assess the women complaining from polycystic ovary syndromeand the relation of serum vitamin D levels according to the different phenotypes of the disease by aretrospective study.Methods: Records for 242 infertile women diagnosed with PCOS have been examined. In thisretrospective study, 100 of them have been randomly recorded for 4 PCOS phenotypes. 40 normalovulation women with a male factor history were selected as the control group.In four phenotype types including: age, BMIs, the infertility duration, the hormonal profile and theserum vitamin D, the P value of 0.05 was found to be statistically significant.Results: In comparison with PCOS patients (P<0.001), the data showed a serum vitamin D level ofstatistically importance in the control group. Also, four PCOS phenotypes had no significant variation inthe serum vitamin D levels.Conclusions: There were no significant differences between the serum vitamin D levels of the differentPCOS phenotypes. The additional studies of large samples are recommended for determining the roleof the serum vitamin D level in PCOS patients.
Malaria Infection Effect to Haemoglobin and Haematocrit in Pregnant Mus Musculus Istiana; Widya Nursantari; Edi Hartoyo; Meitria Syahadatina Noor
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.v16i1.17568

Abstract

Malaria is a disease that is caused by Plasmodium Sp. And infected by Anopheles mosquitos. Kalimantanis one of endemic places for malaria. Prevalence of malaria is 2-76% depent to the places.Effect ofmalaria to pregnant women can be anemia, renal failure, cerebral oedema and death. Prevamence ofanemia because of malaria in pregnant women is about 3-15%. This research was done by using animalmodel to show malaria in pregnant. Goal of this research was to analyze malaria infection effect tohaemoglobin and haematocrit in pregnant Mus musculus. Research design was experimental usingposttest only with control group design. It consisted of K0 for control (20 samples) and K1 for infectedgroup (19 samples).Pregnant Mus musculus was injected P. berghei to infect plasmodium using 0,2 mlinfected serum intraperioteal in the first day of pregnant. Mus musculus was terminated in 19th day ofpregnant and took cardial blood to examine Hb and Ht of pregnant Mus musculus.The result was Hblevel mean for K0= 12,69 gr/dl and K1=12,832 dr/dl. Mean of Ht for K0=38,070% and K1=38,495%.Statistical anayzes used U-Mann Whitney test, with p value for Hb level was 0,574 and Ht was 0,574.The conclusion was malaria infection could not effect yet to Hb dan Ht level in pregnant Mus musculus.

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