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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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Applications of Non-thermal Atmospheric Plasma in Restorative Dentistry: A Narrative Review Maitham Yahya Al-Tufaili; Sara Valizadeh
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (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.v15i3.15831

Abstract

Plasma-related technologies are essential in modern industries. Recently, plasma has attracted increasedattention in the biomedical field. Non-thermal plasma (NTP) is widely used for various therapeuticapplications in health care. Particularly in dentistry, this paper supplies an essential knowledge of plasmaand a narrative review of plasma uses in restorative dentistry. There have been efforts to use NTP technologyin restorative dentistry involving modifications of dental surfaces, adhesion, treatment of dental caries, andtooth bleaching. Although various investigations were in the recent stages, the prospective value of NTPfor dental uses has been occured. To extende the scope of plasma approaches and put suitable research topractical use, interdisciplinary research with the participation of dental professionals is recommended.
Hypokalemic Periodic Paralysis and Renal Tubular Acidosis in Patient withHypothyroidism Laurensia Goretti; Soebagijo Poegoeh Edijanto
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (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.v15i3.15832

Abstract

Hypokalemiaperiodic paralysis (HPP) is a rare disorder characterized by acute muscle paralysis. Basedon its etiology, HPP can be classified as primary and secondary types. One of the most common causes ofsecondary HPP is renal tubular acidosis (RTA) which may be also present in thyroid disease. We observed acase of a 48-year-old female, with complaints of weakness in both lower extremities for two days. Difficultiesin walking and weakness in both arms were also present. Patient also experienced nausea, vomiting, anddiarrhea 4 days before coming to the hospital. She had a history of thyroidectomy in 2009 and in 2019 wasadmitted for similar symptoms. Medication consumed by the patient were Euthyrox 100 mg one time dailyand KSR 600 mg three times daily. In the last week, Euthyrox was discontinued by the patient due to herdiarrhea. The patient’s general condition was weak and vital signs were BP 120/80 mmHg, pulse 84 bpm, RR18 times per minute and temperature was 36.6°C. Motoric strength was 4/4 in both arms and 3/3 in both legs.No pathological neurological reflexes were found during examination. Inverted T wave and prominent Uwave were seen on electrocardiogram (ECG) results.Laboratory results showed hypokalemia (2.0 mmol/L),Blood Gas Analysis: Metabolic Acidosis (pH 7.42, pCO2 32 mmHg, HCO3 20.8 mmol/L, BE -3.7 mmol/L)with anion gap of 14.2 meq/L. Urinalysis results were pH 8, urinary anion gap 18.29 mmol/h. Decreasedthyroid function was also shown in the endocrine laboratory panel FT4 0.57 ng/dl and TSH 32.097 IU/mL.HPP is a disorder characterized by muscle weakness and may be present in distal type RTA. Clinicalsymptoms of distal type RTA are hypokalemia, hyperchloremic metabolic acidosis, urinary pH <5.5. Distaltype RTA can be caused by endocrine disorder i.e., hypothyroidism. Observation of patient condition andlaboratory results lead to the conclusion that the patient is diagnosed with hypokalemic periodic paralysisand renal tubular acidosis based on hypokalemia, metabolic acidosis with normal anion gap, and alkalineurine with positive urinary anion gap.
Relationship of Complications During Pregnancy and Low Birth Weight in Indonesia: An Ecological Study Leonny Charisso; Hario Megatsari; AgungDwi Laksono; Mursyidul Ibad
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (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.v15i3.15833

Abstract

Low birth weight is classified as one of the children’s health problems in Indonesia. Theauthorsconducted astudy to analyze the environmental factors associated with Indonesia’s low birth weight. Thestudy conductedan ecological analysis using secondary data from the Ministry of Health of the Republic of Indonesia report in2018. The study takes all provinces in Indonesia as samples.Besidesthe proportion of low birth weight, therewere 3 other variables analyzed, the proportion of hypertension in pregnancy, the proportion of birth canalbleeding, and the proportion of amniotic fluid discharge. Data were analyzed using cross-tabulation.Theresults show that all three variables tend to affect the proportion of low birth weight and the previous studies.The study concluded that the three independent variables analyzed tend to correlate with the proportion oflow birth weight in Indonesia.
A Study on Female Victims of Burn Injury at Rims, Ranchi, Jharkhand Lishu Chaure; Nawal Kumar Singh; Kumar Shubhendu; Tulsi Mahto; Ajit Kumar Chaudhary
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (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.v15i3.15834

Abstract

Burn injury is one of the most common cause of unnatural deaths worldwide. While survival after occurrenceof burn injury has drastically increased in past decades especially in developed countries like India, burninjury continues to be a common cause of unnatural deaths. Though both males and females may be victimsof burn, females are more susceptible as they are more involved in household activities .Often the mannerof burn is closed in mystery and unreliable statements. The reason behind this action may be domestic,personal, occupational or social tragedy and more recently dowry deaths. Burns in married female wheredeath of female occurs below 30 years and within seven years of her marriage. Such death cases are tobe investigated by Magistrate under CrPC 176 and other female burn and male burn deaths are routinelyinvestigated by police as per section 174 CrPC.
Risk Factors Associated with Perinatal Mortality in West Java, Indonesia (Study in Karawang, Garut , Indramayu and Tasikmalaya City) Luh Nik Armini; Iin Prima Fitriah; Wahidah Sukriani; Sutriningsih; Farid Husin; Herman Susanto; Dany Hilmanto
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (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.v15i3.15835

Abstract

Perinatal mortality is the death of a baby born at 28 weeks of gestation until less than 7 days afterbirth. Perinatal mortality is used to attribute causes of infant death to obstetric events such as stillbirth andinfant mortality in the first week of life. The purpose of this study was to describe the causes, periods, andrisk factors that influence perinatal mortality . The design of this study is the Sequential Explanatory MixedMethods , Research Quantitative designed with analytical methods conducted cross-sectiona l. Sampling wasdone by total sampling. 396 research sample data. The subjects in this study were parents, health workerswho were involved and understood about the causes of perinatal death and the person in charge of recordingand reporting perinatal deaths in health care facilities . 60.6% of the fatalities that occurred were preventabledeaths. Perinatal deaths that often occur are still births and early neonatal. At 2-21% perinatal kamtian, it iscarried out by non-health workers. The risk factors that affect perinatal mortality are pregnancy distance (p= 0.04 ) and comorbidities (p = 0.019).
Body Mass Index (BMI) and Special History on the Event of Gestasional Preeclampsia Study in Jombang District Health Center Lusianah Meinawati
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (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.v15i3.15836

Abstract

Background: The most common cause of maternal death in Indonesia is direct obstetric causes, namely28% bleeding, 24% preeclampsia-eclampsia, 11% infection, while indirect causes are obstetric trauma 5%and others 11%. Preeclampsia is hypertension that arises after 20 weeks of pregnancy accompanied byproteinuria. Preeclampsia ranks second cause of maternal death after bleeding.Purpose: The study aims to analyze body mass index (BMI) and spesific history of the preeclampsiagestasional events.Method: The research was conducted with Cross Sectional research type. The study was conducted inthe working area of Jombang Regency in February dd July 2019. The population in this study were allpregnant women with preeclampsia who conducted examinations in independent practice midwives inFebruary, March 2019 totaling 168 pregnant women. Total sampling technique. The research instrumentused a questionnaire with the value of Cronbach’s Alpha 0.862.Results:The results of the analysis showed that the independent variables associated with the incidence ofpreeclampsia were Body Mass Index with p-value 0.003; Exp (B); 11,234, variable history of hypertensionin pregnancy with p-value 0,000; Exp (B); 11,387, and diabetes variable with p-value 0,003; Exp (B); 11,334.Body mass index in the obesity category, history of hypertension and diabetes are the biggest contributingfactors to the incidence of preeclampsia in pregnancy.Conclusion: The study concluded that history of hypertension and diabetes are the biggest contributingfactors to the incidence of preeclampsia in pregnancy.
Left Anterior Descendent Coronary Artery Fistula to Main Pulmonary Artery with Triple Vessel Disease:A Report of Two Cases Lyndon Darwin; Yan Efrata Sembiring; Oky Revianto Sediono Pribadi
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (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.v15i3.15837

Abstract

Coronary artery fistula is a rare anomaly of coronary artery. It represents connection between one or more ofcoronary arteries and cardiac chamber or great vessel. It can also cause significant hemodynamic changes. Toreport cases of left anterior descending coronary artery (LAD) fistula to main pulmonary artery (MPA) withconcomitant triple vessel disease.Case 1 was 59-year old male presented with intermittent chest discomfortfor a year. Echocardiogram showed severe MR with cleft at A1 and A2 and coronary angiogram resultshowed LAD fistulation to MPA. Case 2 was 57-year old male presented with chest discomfort and at the leftshoulder. Echocardiogram showed trivial MR and coronary angiogram showed triple vessel disease alongwith tortuous fistulation of LAD to MPA. Both patients underwent teflonpledget-reinforced direct suturingof fistula origin and 3-grafts coronary artery bypass graft. Patient no 1 also underwent mitral annuloplastyand valvuloplasty.Post-operative period was uneventful and both patients were discharged after 17 days and5 days respectively. Short term follow-up showed improvement of symptoms and no residual fistulation.Inshort term follow-up teflonpledget-reinforced direct suturing of coronary fistula origin result satisfactory.Larger study and further follow up is necessary.
The Characteristic of Toddlers Reproductive Health in Posyandu Matahari, Blimbing, Malang, East Java, Indonesia Kurnia Penta Seputra; Besut Daryanto; Zen A Prasetyo; Johanes Dwi Meiyanto; Hamdan Yuwafi Naim
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (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.v15i3.15838

Abstract

Background & Objective: The screening of reproductive health plays an essential role of early detectionof reproductive health disorder. There was a study which suggested that there was at least one congenitaldisorder every 100 live births. The Congenital reproductive disorder are mostly found in type of hypospadias,enlarged clitoris, micropenis, fusion of labia majora, and genital ambiguity. Data collected in Saiful AnwarGeneral Hospital revealed that period of 2012-2017 there were 109 hypospadias cases, 64 undescendedtesticle cases, and 80 cases of testicular torsion. However, for the Disorders of Sex Development cases, therewere found 12 cases from period of 2015-2017, with mean age was school age (8-14 years old). Unfortunately,there was no data of congenital reproductive disorder in toddlers, thus we conducted screening of toddlersreproductive health in PosyanduMatahari which located in Malang, East Java, Indonesia in order to find outthe number of incidence of toddlers congenital reproductive disorder and held the early detection.Materials & Methods: This is observational descriptive study. Screening was held in PosyanduMatahariwhich located in GedungSerbagunaRw. 14, Bunulrejo, Jodipan, Blimbing, Malang, in October 27, 2018. Itused method of physical examination (age, weight, height, external genital examination), and if it was foundsuspicious of disease or disorder of toddler congential reproductive health, thus it would be given referral toappropriate health careResults: This screening event involved 46 toddlers (1-5 years old). From 46 toddlers, there were 14 toddlers(30.43%), 10 toddlers suffered from Phimosis (21.74%), 1 toddler with Hydrocele (2.17%), dan 3 toddlerssuffered from UDT (6.52), who were referred to urology clinic in Saiful Anwar General Hospital to undergofurther examination and treatment.Conclusion:The incidence of toddlers reproductive disorder of this event was 30,43%, showed that thisage group (1-5 years old) had significant amount of congenital reproductive disorder and screening playedimportant role for early detection and improving parental knowledge to prevent the delay of treatment forreproductive disorder.
Risk Factor of Preeclampsia in a Secondary Indonesian Hospital: A Case-Control Study Lady Aqnes Kurniawati; Muhammad Ilham Aldika Akbar; Budi Utomo; Aditiawarman
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (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.v15i3.15839

Abstract

Background: Preeclampsia is a form of hypertension in pregnancy that leads to morbidity and mortality.Although the etiology remains unclear, there are some risk factors that are suspected to be associated withthe development ofpreeclampsia. Objective: To find out the risk factors associated with the incidence ofpreeclampsia inAirlangga University Hospital. Method: This studyconducted an analytical-observationalstudy with the hospitalized unmatchedbased case-control approach. 165 pregnant women were included.Data were analyzed in univariate, bivariate, and multivariate regression logistic and performed usingstatistical package for the social science (SPSS), p < 0.05 was considered statistically significant. Results:Pregnant women with preeclampsia were about 18 to 44 years old, with the average BMIis 31.19 kg/m2.There are significant relation between family history of hypertension (p = 0.000), maternal age (p = 0.004),BMI (p = 0.000), pregnancy interval (p = 0.009), and chronic hypertension (p = 0.007) with the incidenceof preeclampsia. In the multivariate analysis using logistic regression, family history of hypertension wasthe most dominant factor with OR: 3.374 and 95% CI: 1.454 – 7.830 compared to other factors such asmaternal age (OR: 2.885; 95% CI: 1.311 – 6.347; p: 0.008) , and BMI (OR: 2.590; 95% CI: 1.525 – 4.400;p: 0.000). Conclusion: Family history of hypertension, maternal age, BMI, pregnancy interval, and chronichypertension have a significant relationship with the incidence of preeclampsia. In multivariate analysis,family history of hypertension is the most dominant risk factor among others.
Contraceptives Supply Chain and Management in Dayak Societies: A Case Study in Indonesia Lamia Diang Mahalia; Lutfi Agus Salim; Tika Indiraswari; Iswari Hariastuti
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (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.v15i3.15840

Abstract

Contraceptive devices and medicine have a very strategic value in supporting family planning operations.This study therefore aims to determine the trend of contraceptive need and usein Dayak societies, andanalyze the supply chain as well as the management of contraceptives required to fullfill this need. Theresearch design used a case study, and qualitative data were obtained from in-depth interviews supported bysecondary data. Meanwhile, quantitative data were collected through questionnaire survey, and data analysiswas performed using the triangulation method. Subsequently, the results of qualitative data analysis werecombined with the results of quantitative data analysis to acquire final conclusions. In Dayak societies,injections are the contraceptive form most required and used by people in the local community (30.21%).Furthermore, there is a significant correlation between need and use of contraceptives (Sig. = 0.000). Thedemand for contraceptives is based on the remaining stock at the health center, as well as the community’srequest. During the acceptance process, the quality, quantity, and type of contraceptives are checked, andcounseling is provided, especially for new acceptors. Meanwhile, the suitability of the contraceptive storageconditions at the health center was discovered to be 61.46%, compared to the standard. Currently, supportingmanagement isnot run optimally, especially in terms of formulatingan operating standard procedure, aswell as monitoring, evaluating, and implementing training.Thus, the availability of contraceptives at thesupplier and local community’s need for contraceptives are taken into consideration and as a strategy formanaging contraceptives in the Primary Health Care of Dayak societies, in order to ensure the availabilityof contraceptives at Puskesmas and fullfill the contraceptive needs of Dayak societies.

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