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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
 388   389   390   391   392 
Comparing Walking age, Receptive and Expressive Language Profiles between Speech Delay Children with and without Hearing Loss Aulia Sakinah; Nyilo Purnami, Thtkl K; Nuniek Nugraheni S; Sulistiawati
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 2 (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.v16i2.17940

Abstract

Objectives : The study aimed to investigate whether walking age, receptive, and expressive languageprofiles differ between speech delay children with hearing loss and speech delay children withouthearing loss; to identify walking age, receptive, and expressive profiles between speech delay childrenwith hearing loss and speech delay children without hearing loss.Methods : The study is an observational analytic with retrospective cross-sectional design usingmedical records data for two years. Data was collected using a total sampling technique.Results : The study involved 92 children with speech delay, consisting 72 children in the hearing lossgroup and 20 children in the normal hearing group. The average age at walk as gross motoric profileshows that speech delays children with hearing loss have an average age that is later than speech delayschildren without hearing loss. Also, walking age significantly differs between children with speechdelay in hearing loss group and normal hearing group. Both receptive and expressive language profilesshow no different between the groups.Conclusions : Findings have consequences for consideration motor developmental delay in children withspeech delay, especially in hearing loss group. So that, the findings can be a reference to considerationin further management basis for speech delay interventions with and without hearing loss in children.
Association of Plasma Interferon-a(IFN-a) with C-Reactive Protein (CRP) Level and Disease Activity in Systemic Lupus Erythematosus (SLE) Patients Awalia; Harianto Notopuro; Joewono Soeroso
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 2 (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.v16i2.17942

Abstract

Background: CRP is normal or only slightly increased in active SLE. It is presumed that IFN-α mayinhibit the transcription process during CRP synthesis. There is also increasing in IFN-αgene expressionin active SLE. This study examined the correlation of plasma IFN-α with CRP and SLE activity.Methods:Forty SLE patients were included. SLAM and SLEDAI were used to measure SLE diseaseactivity. Laboratory tests were examined at dr.Soetomo Hospital Surabaya. CRP was measured usingimmunoturbidimetry. C3 and C4 were measured by radial immunodiffusion technique. IFN-αwasmeasured using ELISA.Results and conclusion:Twenty-six patients from the outpatient clinic and 14 from wards wereincluded from August 2019 to February 2020. The median age was 31.5 years old. The median SLAMscore was 8.5. Mean CRP was 5.19±2.69 mg/L. Median plasma IFN-α was 46.02 (16.43-177.96).Spearman correlation test revealed a moderate negative correlation between plasma IFN-α and CRPlevel (p=0.003; r=-0.455). A moderate positive correlation was showed between plasma IFN-α leveland SLAM score (p=0.001; r=0.568). No correlation found between CRP and SLAM. There was astrong correlation between complement levels with SLEDAI. Linear regression revealed a significantassociation of IFN-α and C3 (not C4) level with SLEDAI.
Assessment of Factors Influencing Uptake of National Programme on Immunization among People in Chanchaga L.G.A., Niger State, Nigeria Baba A. Dare; Muhammad Ibrahim Nakadiri; Kperogi, I.I; Jidda K. A; Abdullahi; Muhammed Bukola
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 2 (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.v16i2.17944

Abstract

This study assessed the Factors influencing uptake of national immunization programme among peoplein Chanchaga L.G.A., Niger state. Immunization has brought sound health to many children in theworld, reduced the agony experienced by parents during child rearing and reduced the mortality rateamong children. The purpose of this study was to examine cultural belief, fear of parents, religion, levelof service and uptake of national immunization programme among people in Chanchaga L.G.A., Nigerstate.Descriptive research design of survey type was adopted for the study. The population comprised of allpeople in Chanchaga L.G.A., Niger state. A multistage sampling technique which consist of simplerandom sampling technique, purposive and convenience sampling technique was used to select 384respondents for this study. Questionnaire was validated by three experts in the Department of HealthPromotion and Environmental Health Education for data collection from the respondents. A reliabilitycoefficient (r) of 0.76 was obtained through split half method using Spearman Brown for analyzingdata generated. The inferential statistics of Chi-square was used to analyze the data collected for thepostulated null hypothesis at 0.05 alpha level.The findings revealed that:1. Cultural belief of people is a significant factor influencing the uptake of National ImmunizationProgramme among people of Chanchaga Local Government Area, Niger State because the calculatedvalue 271.20 is greater than the table value 21.32. Fear of parents about immunization is a significant factor influencing the uptake of NationalImmunization Programme among people of Chanchaga Local Government Area, Niger State becausethe calculated value 175.76 is greater than the table value 21.33. level of coverage of service of people will significantly be a factor influencing the uptake of NationalImmunization Programme among people of Chanchaga Local Government Area, Niger State becausethe calculated chi-square value 247.09 is greater than critical table value of 21.03 (Cal χ2 val ˃ Tab χ2val)The study concluded that cultural belief, fear of parents, religious belief and level of service arefactors influencing the uptake of National Immunization Programme among people of ChanchagaLocal Government Area, Niger State. It was therefore recommended among others that there should be sensitization programme by health workers to community leaders and indigenes in villages in order topublicize the benefits of immunization, parents should be well informed by health workers or throughmedia before the start of immunization programmes to reduce the fear about immunization amongothers.
Analysis of Staphylococcus aureus and Escherichia Coli and its Susceptibility to Antibiotic in Catheter-Associated Urinary Tract Infection Patients at Hospital in Province of West Nusa Tenggara BaiqIsti Hijriani; ManikRetno Wahyunitisari; Agung Dwi Wahyu Widodo
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 2 (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.v16i2.17945

Abstract

Objective – This study aimed to analyze the proportion of Staphylococcus aureus and Escherichia colifrom urine samples of catheter-associated urinary tract infections (CA-UTI) patients at the GeneralHospital at Province of West Nusa Tenggara. Also measured the pattern of sensitivity to severalantibiotics.Methods –This study is a descriptive observational with a cross-sectional approach. A total of 60 sampleswere used in this study. Bacterial identification was carried out according to standard bacteriologicalculture techniques. Furthermore, the antibiotic sensitivity test following the Kirby-Bauer disc diffusionmethod using several antibiotics, including amoxycillin (AMP), ciprofloxacin (CIP), ceftriaxone(CRO), and sulphamethoxazole trimethoprim (SXT).Results –The results showed that bacteria causing CA-UTI were Staphylococcus aureus (43.33%),Escherichia coli (21.67%), Staphylococcus epidermidis (10%), Proteus mirabilis (6.67%), Enterobacteraerogenes (6.67%), Serratica marcescens (5%), Klebsiella sp (3.33%), and Pseudomonas sp (3.33%).The antibiotic susceptibility test found that 4.58%, 11.25%, 9.16%, and 3% of bacteria were resistant toamoxycillin, ceftriaxone, ciprofloxacin, and sulphamethoxazole trimethoprim, respectively.Conclusion –Staphylococcus aureus and Escherichia coli were the most gram-positive and gramnegativebacteria causing CA-UTI, respectively. The most resistant antibiotic was ciprofloxacin, andthe most sensitive antibiotic is sulphamethoxazole trimethoprim.
The Outcome of Limberg Flap Procedure in the Management of Primary Chronic Sacrococcygeal Pilonidal Sinus Disease Bashar Akram Al-Bayati; Salah Salih Mohammed; Mohamad Theyab Hamad
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 2 (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.v16i2.17947

Abstract

Introduction: Sacrococcygeal pilonidal sinus (PNS) is a common chronic benign disease of young agegroup, associated with morbidity, often with a prolong loss of normal activity. Still there is ongoingdebate regarding the best treatment option as all the methods have complications, although; the currentevidence supports the use of off- midline techniques because of lower recurrence rates and avoidanceof all disadvantages of open treatment.This study was done to determine the postoperative outcomeof rhomboid excision and Limberg flap reconstruction as a main procedure in the treatment of PNSdisease in our institute.Patients and Method: A prospective study conducted at the Department of General Surgery- BaqubaTeaching Hospital- Diyala- Iraq, from January 2017 to June 2019, in which 98 patients (78 male and20 female) with chronic primary sacrococcygeal PNS were enrolled. The age of the patients rangedbetween 16 – 38 years. Patients with acute abscess were first treated by incision and drainage beforedefinite surgery. Patients were operated by rhomboid excision and Limberg flap reconstruction.Results: In this study, 98 patients were enrolled, 78 male (79.59 %) and 20 female (20.4%) with maleto female ratio of 3.9:1. The age of the patients ranged between 16 to 38 years with the mean age of25 years. During the follow up period; 6 patients (6.12%) developed seroma, 4 patients (4.08%) hadinfection and 4 patients (4.08%) had recurrent sinus after few months and one patient (1.02%) hadwound disruption.Conclusion: Rhomboid excision and Limberg flap reconstruction of PNS diseaseis safe and reliabletechnique with low complication and recurrence rates if performed according to appropriate surgicalprinciples.
Effectiveness of Educational Intervention Regarding Child Sexual Abuse on Knowledge and Attitude of Parents Bhavani Bangarkodi Balakrishna; Valsamma Joseph
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 2 (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.v16i2.17948

Abstract

Background: Child sexual abuse is a serious violation of children’s rights and abuse of power. CSA isa matter of global concern and occurs across all socio-economic, educational, racial, and ethnic groups.There is a lack of knowledge and awareness regarding child sexual abuse and its preventive aspects.Parent education regarding CSA is important for keeping children safe.The study aimed toevaluate theeffectiveness of information package as an educational intervention,on the knowledge and attitude ofparents regarding CSA.Methodology: An experimental, pre-test post-test control group design was adopted for the study.The setting of the study was selected schools of Bangalore. The sample included 300 parents (150 inexperimental and 150 in control group). The outcome variables were knowledge and attitude. The datawas collected using socio-demographicperforma, knowledge questionnaire and attitude scale.Results: The majority of the parents in both the experimental and control group had an average levelof knowledge and a moderately favorable attitude about prevention of CSA. There was a significantdifference in the post-test knowledge(22.10±3.15 and 12.19±3.20; F = 101.33; p <0.001) and attitudescores (102.23±10.67; 84.23±15.18; F = 54.88; p<0.001)of parents regarding CSA in the experimentalgroup when compared to the control group. Conclusion: The Educational interventionwas effectivein improving the knowledge and bringing a favorable change in the attitude of parents regarding CSAin the experimental group. The Information package is recommended for use as a primary preventioneffort for educating parents on CSA
Legal Certainty of Hospital Service Operations During Pandemic Corona Virus Disease 2019 Brilian TitaPutri; Cinderella A.N Rieuwpassa; Gede Angga Dharmadiputra; R. HardadiAirlangga; Mokhamad Khoirul Huda
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 2 (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.v16i2.17950

Abstract

Hospital is health service institution that provides complete individual health services that provideinpatient, outpatient, and emergency services. In operatingservices the hospital is required to havepermit. Permit is granted if it meets the requirements and standards to ensure the safety of patients,hospitals and health workers. The quality of hospital services is tested through the accreditationprocess,it could not be done during pandemic. Therefore, many policies have been issued, includingthe Circular of Health Minister No. HK.02.01/MENKES/455/2020 Year 2020. This circular facilitatesthe permitextension but does not givedetail abouthow to maintain the hospitalquality and services.During pandemic, the surge in Covid patients is not comparable to the hospitalscapabilities that aredifferent such as in the human resources and the facilities and infrastructure. Many hospitals are fullbecause they have to treat Corona Virus Disease 2019 patients, a lot of equipment, rooms and bedsmust be added, but the health workers that workare limited so that health workers have to work extra toserve patients that increase every day. This situation can cause physical and mental fatigue which overtime has impact on health services so that negligence can occur. So hospitals need to make protectionstandards for health workers in addition to legal responsibility for losses caused by health workersaccording to article 46 of the Hospital Law.
The Difference of EPDS Examination Results before and after Delivery in High-Risk Pregnant Woman at Unair Hospital Delvanny Alfikri Rekaputri Wicaksono; Agustina Konginan; Nalini Muhdi
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 2 (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.v16i2.17952

Abstract

Background: Pregnancy is an exceptional condition for a woman who will become a mother. Theprospective mother will experience a phase to continue the offspring, and depression is a complicationthat generally does not occur in childbirth. Objective: To determine the differencein the prevalence ofdepression through the results of the EPDS examination before and after delivery in high-risk pregnantwomen at Unair Hospital. Method: This research will use an observational analytic study design witha one-group pretest-posttest design strategy—data retrieval using primary and secondary data, namelyby questionnaires and medical records at Unair Hospital. The sample in this study consisted of 23multigravida pregnant women and one primigravida mother who sought treatment at the OutpatientInstallation of Unair Hospital in March 2021 - May 2021. Results: The prevalence of pregnant womenwith a tendency to postpartum depression on the EPDS scores before and after delivery are 8% and17%, respectively. There is a very weak positive correlation between pre-delivery EPDS scores andpost-delivery EPDS scores. Conclusion: There is no significant difference between the scores beforeand after delivery in a high-risk pregnant woman at Unair Hospital.
The Analysis of Personal Protective Equipment Covid-19 in The Hospital Sallewangan, Maros Regency 2020 Fetrawaty Mansyur
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 2 (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.v16i2.17954

Abstract

Purpose: to analyze of the use of Covid-19 Personal Protective Equipment on health workers atSalewangang Hospital, Maros Regency.Methods: The type of research used is the analytical survey method of research conducted withoutintervention to the research subject. Data collection regarding free and dependent variables was carriedout online using Google Form and the results of Google Form data collectionResults: Availability of personal protective equipment has a significant effect on the behavior ofusing personal protective equipment Covid-19, Knowledge of health workers has a significant effecton behavior of using personal protective equipment Covid-19, Attitudes of health workers have asignificant effect on behavior of using personal protective equipment Covid-19 in health workers at theSalewangang Hospital, Maros Regency with a sig. 0.000Conclusion: there is a relation between personal equipment on helath workers at the sallewanganhospital at maros regency
Sensorineural Hearing Loss and Cochlear Outer Hair Cell Function Nasopharyngeal Carcinoma Due to Influence of Cisplatin Fira Sofia; H.M.S Wiyadi; Achmad Chusnu Romdhoni
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 2 (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.v16i2.17955

Abstract

Background: Nasopharyngeal carcinoma is a type of tumor sensitive to chemotherapy and radiotherapy.One of the various chemotherapy drugs is cisplatin. However, the cisplatin effects on sensorineuralhearing loss and cochlear outer hair cell dysfunction in patients with nasopharyngeal carcinoma have notbeen evidently discovered. Objective: This research aims to prove the cisplatin effects on sensorineuralhearing loss and cochlear outer hair cell dysfunction in patients with nasopharyngeal carcinoma.Materials and Methods: This research adopted analytical observation by employing a prospectivecohort study approach. In addition, the sampling technique implemented consecutive sampling. Thisresearch was conducted at the ENT-HN Outpatient Unit (URJ) of the Neuro-otology Division ofDr.Soetomo Public Hospital during September-November 2020 period. The auditory test was executedby Pure-Tone Audiometry (ANM) and Distortion Product Otoacoustic Emission (DPOAE). Meanwhile,the statistical analysis was assessed by the Wilcoxon and McNemar test. Results: This research involved22 samples. The cumulative dose of cisplatin up to chemotherapy series III ranged from 260-270 mgwith an average of 265.45+5.10 mg. The results of the ANM test before and after chemotherapy seriesIII employing Wilcoxon test indicated significant differences in frequency of 500 Hz (p-value =0.014),6000 Hz (p-value = 0.011), 8000 Hz (p-value = 0.019),10000 Hz (p-value = 0.000), and 12500 Hz(p-value = 0.002). The frequency of 125 Hz with a p-value = 0.343, the frequency of 250 Hz with ap-value = 0.690, the frequency of 1000 Hz with a p-value = 0.179, the frequency of 2000 Hz with ap-value = 0.459, and the frequency of 4000 Hz with a p-value = 0.125 indicated no significant differencewitha p-value greater than 0.05. Meanwhile, the DPOAE test results before and after chemotherapyseries III utilizing the McNemar test demonstratedthe frequency of 1000 Hz (p-value = 1.000), 2,000Hz (p-value = 0.453), 4000 Hz Hz (p-value = 1.000), 6000 Hz (p-value = 0.388), 8000 Hz (p-value =0.754), and 1000 Hz (p-value = 1.000). The comparative analysis of the DPOAE test results before andafter chemotherapy Series 3 suggested no significant difference, with a p-value greater than 0.05 at allfrequencies. Conclusion: There were cisplatin effects on sensorineural hearing loss in patients withnasopharyngeal carcinoma after chemotherapy series 3 based on ANM test at the frequencies of 500Hz, 6000 Hz, 8000 Hz, 10000 Hz, and 12500 Hz. There were no cisplatin effects on cochlear outer haircell dysfunction in patients with nasopharyngeal carcinoma after chemotherapy series 3.

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