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Indian Journal of Forensic Medicine & Toxicology
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Articles 5,497 Documents
The Diagnostic Test in Lumbosacral Vertebrae Image towards Magnetic Resonance Imaging in Radicular Low Back Pain Dhimas Hantoko1, Isti Suharjanti1, Sri Andreani Utomo2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): 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.v14i2.3404

Abstract

Background: Lower back pain is one of the most common consulted cases in neurology and neurosurgery. The approximately 80% of these cases are musculoskeletal disorders. Magnetic resonance imaging (MRI) is still a rare examination in the suburban area and requires a relatively high cost. Moreover, there are contraindications in patients who have cardiac pacemakers and metal objects in the body. The examination of lumbosacral image is easy to conduct. The price is relatively inexpensive and there are no contraindications to perform the test. Objectivity: This study aimed to assess the sensitivity and specificity of the lumbosacral image towards MRI in patients with radicular lower back pain. Method: The study was a clinical, crosssectional study, analytical, and a diagnostic test design. It was performed on all patients with radicular lower back pain in Dr. Soetomo Teaching Hospital Surabaya from April to July 2012. There were 34 subjects who fulfilled the inclusion criteria. Results: The sensitivity of plain images to MRI in detecting radicular lower back pain was 87.5%. This figure indicated that the plain image had a high sensitivity. However, the specificity was only 50.0% which meant that plain image had a low specificity. Conclusion: The lumbosacral image had high sensitivity. However, the specificity was low for the examination of radicular lower back pain.
Study of Gastroesophageal Reflex Disease in adult Type II Diabetes Mellitus Patients with Upper Gastrointestinal Symptoms Maysam Riyadh Mohammed Hussein Alaasam1, Sadiq Jabar Almohana2, Hayder Nadhum Muhsen3, Jalal Jasim A
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): 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.v14i2.3405

Abstract

Gastrointestinal symptoms are relatively common in clinical practice in patients with type II diabetes mellitus. type II DM has been described as possible risk factor for the development of gastroesophageal reflux disease, in this study we aim to detect the prevalence of GRED in symptomatic patients with type II DM , also to see the accuracy of reflex disease questionnaire ( RDQ) in the diagnosis of GERD in patients with type II DM in relation to the esophagogastroduodenoscopy finding and to study the relation of autonomic neuropathy to the prevalence and stages of GERD in diabetic patients . Methods: A ninety patients with upper gastrointestinal symptoms was divided in to tow groups according to whether had type II DM or not and then each group involved in a two stage process (a ) – a RDQ , ( b ) – OGD . And patients in the DM group underwent another step to detect diabetic neuropathy by a bed side clinical test. Results: The prevalence of esophagitis in this study was higher in the DM group. RDQ had a statistical significance in detecting esophagitis in the DM group. There is no relation of autonomic neuropathy to the prevalence of GERD in diabetic patients . Conclusion : The prevalence of GERD was high in patients with type II DM, RDQ is a sensitive tool for the diagnosis of GERD in diabetic pateints , Autonomic neuropathy did not increase prevalence of esophagitis in diabetic patients .
The Effect of Health Information Technology on Time and Cost Saving in Remote areas of Iran Mahdie Shojaei Baghini1, Massume Mir Nejad2, Sedisghe Shojaei Baghini3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): 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.v14i2.3407

Abstract

The present study aims at investigating the effect of health information technology on time and cost saving in the perspective of users of teaching hospitals in in remote areas of Iran. This is an applied study with a descriptive-analytical and cross-sectional method conducted on users of hospitals in remote areas of Iran using stratified random sampling. Data collection instrument was a selfmade questionnaire, the face validity and reliability of which were confirmed by Cronbach’s alpha 0.94. Data were collected in person and analyzed by SPSS software V. 21 and descriptive and analytical statistics. Based on the Chi-square test results, there was a significant relationship between the effects of health information technology on time saving as well as cost saving. The results of Kruskal-Wallis test showed no significant relationship between education level, age and work experience and time and cost saving as well. User satisfaction is one of the most important aspects of the success of information systems, therefore, it is recommended that senior managers pay attention to the individual aspects of the employees working in the organization, provide them with necessary training before implementing the information systems, and involve them in the decisions in using such technologies.
Iron Overload Complication in Thalassemia Patients Khdsayer T. Rotha
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): 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.v14i2.3409

Abstract

Thalassemia is an inherited disorder. All the types of thalassemia that require continuous blood transfusion, lead to increase of absorption of iron, which will lead to iron overload eventually. The precipitation of iron will affect many organs in the human body, and can be measured by S- ferritin. In this study, patients with all kinds of thalassemia that require multiple blood transfusion, have been evaluated for the level of ferritin and iron overload as well as other complications such as liver diseases, heart diseases, bone disorders, and hormone disorders. One-hundred patients have been selected randomly with different ages to evaluate the serum ferritin, calcium level, liver enzymes, and Hb by use enzyme linked assay. This study confirms the use of chelation therapy to remove the iron overload.
Relationship between Diet Quality and Obesity in Tikrit Secondary Schools Students Athraa Essa Ahmed1; Shaimaa Essa Ahmed2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): 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.v14i2.3420

Abstract

This study to estimation the relation between diet quality and adiposity measures among secondary school students in Tikrit City. Patients and methods: cross-sectional descriptive epidemiological study was carried out to estimate the relation between diet quality and it’s association with anthropometric changes among 153 students (80 girls and 73 boys) in secondary school students in Tikrit city and also its association with demographic differences selected by means of a simple random sample. Results: In this study, a total of 153 secondary school students were surveyed. The majority were females (52,29%) and most of them (41.25%) were between 16-18 years old. Most of them (55.56%) had a BMI range from 18.5-25 and their waist-to-height ratio (< 0.5) were (67.32%). (32.03%) of students had a family history of obesity while (67.97%) had a negative family history. Conclusions: Most of the students have a normal BMI (55.56%) , so the frequency of overweight was more common in female gender (60%), while in male (50.68%). And (32.03%) of students had a positive family history of obesity while (67.97%) had negative family history, From students who have a positive family history, (32.66%) had an overweight BMI (25-30) and (44.9%) waist-to-height ratio which considered as indication of central obesity.
Relation of Epstein Barr virus with interleukin-10 Levelamongmen with Prostate Cancer in Ramadi City Arkan AbdullahAbbas1, Israa Hashim Saadoon1
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): 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.v14i2.3425

Abstract

The study aimed at evaluating the relation of Epstein Barr virus (EBV)with level of interlukin-10 (IL-10) in men withprostatecancer(PC). The study was carried out in Ramadi city from 12th of January to 12th of September 2018, and included a total of 95 women withbreast cancerwho admitted to oncology clinic ofRamadi Teaching Hospital whose ages were between 40-80 years. Patients were investigated for detection of EBV by using Real Time PCR and interleukin-10 (IL-10) by ELISA technique.The rate of prostate cancer men with EBV was (16.84%). The highest rate of prostate cancer menwas within the age group 50-59 years with no significant relation between prostate cancer and age. The study showed that the highest means of IL10 level (19.43 pg/ml) were found in prostate cancer men without EBV.There was significant difference (P value<0.05) between EBV infection with IL-10. The highest rate of men withprostate cancer was fromurban areas.
A Histological Study of the Renal Corpusclenephron Distribution in Iraqi Camels (Camelusdromedaries) Ali Fayadh Bargooth1, Ahmed Saad Al-A´araji 2, Masarat Swadi Medakel2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): 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.v14i2.3467

Abstract

Aims: The present histological study was carried out to map the renal corpuscle nephron distribution and their histological properties in Iraqi camels(Camelusdromedaries).Materials and methods: Both kidneys from each of 10 (5 males and 5 females) adult camels were collected as soon as possible after the camels were sacrificed for human consumption purposes in a slaughterhouse. Following the preparation of tissues(cortex and medulla), the sections were slide-stained using alum hematoxylin and eosin (H&E) stain and Periodic Acid Schiff (PAS) stain. The renal corpuscle diameters (numbers and percentages) in the subcapsular area, the cortical area, andthe juxtamedullary area were measured using an ocular micrometer.Results:The findings demonstrated that the renal capsule in camels is thick.The numbers of the renal corpuscles were low in numbers in the subscapular region which keep increasing towards the midcorticaland the Juxtamedullary regions. Moreover, the camel kidney has high numbers of long-loops of Henle nephrons and low numbers of short-loop nephrons. No significant (p?0.05) differences in the renal corpuscle diameters were noticed between midcorticaland juxtamedullaryareas. However, a significant (p?0.05) decrease in diameters of the renal corpuscles was seen in the subcapsular region. In addition, two layers consist the renal corpuscleswith a tuft of capillaries. The proximal convoluted tubules (PCTs)showed wide lumens with the presence of cuboidal epithelial cells (CuECs)and spherical nuclei. The distal convoluted tubules(DCTs) displayedthe presence of CuECs (smaller and lighter than those in the PCTs with apical spherical nuclei(ASN).Large lumens and simple columnar epithelial cells (CoECs). Furthermore, PAS staining showed high positive results in the basement membrane of the renal corpuscles.Conclusion: The current histological study provides insight about the renal corpuscle nephron distribution and their histological properties in Iraqi camels(Camelusdromedaries).
Visum Et Repertum in the Evidencing Process of Rape in Indonesia Arief Budiono1, Wilma Silalahi2, Ayesha Hendriana Ngestiningrum3, Wafda Vivid Izziyana1, Suparji4, S
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): 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.v14i2.3476

Abstract

Rape is part of sexual crime in which its evidencing process is rather complicated if the victims do not directly report the case, or if the law-enforcing apparatus are not quick in handling it. Visum et repertum is a medical-aspect report from the doctor after a written demand from the law-enforcing apparatus of authority for the sake of the case investigation and examination in court. Thus, from this definition, visum et repertum can only be proposed by the law enforcers or the authorities such as the police department, the lawyers, or the judges in court to the special doctors who are in charge of that field. The lawyers and the judges may ask for the visum through the police department. This research uses a normative doctrinal method. The research results show that the evidencing process of rape as a criminal act of sexual crime has some different difficulties compared to other general criminal acts. This is because there needs to be visum et repertum which will uncover the perpetrator and the time of occurrence, which will ease the process of searching for and finding the perpetrator. The obstacle of visum et repertum is that its evidencing process is the same as a letter of evidence in the aspect of power.
Correlated between Sera Levels of Interleukins( IL-6, IL-17 and IL-23 ) with Virulence Genes Detected in CarbapenemResistant E.coli Mehsen A.Mohammed Al-Warmeziary1, Suzan Saadi Hussain1, Nihad Khalawe Tektook2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): 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.v14i2.3479

Abstract

Current study demonstrated that 14.58% of isolated E. coli which positive for each of Omp -A, IMP- A, NDM- A and Fim- H genes were resistant to carbapenem and the study showed that 30.51% of E. coli isolates with KPC were resistant to carbapenem while other E. coli isolates with negative all genes were resistant to carbapenem , so the Percentage as 72.92% of isolated E. coli were positive for each of Omp – A, IMP – A, NDM- A and Fim – H genes were occurred in females compared with 27.02% occurred in males and 40% of isolated E. coli with positive for KPC gene were in females with UTI. as well as 10, 50% of isolated E. coli were positive for each of Omp- A, IMP - A, NDM- A and Fim - H genes were occurred in the age group 15-24 year and no isolate were form patients above 54 year. the highest mean levels IL-6 and IL-17 was recorded in UTI patients infected with E. coli positive for each of Omp- A , IMP- A , NDM- A and Fim- H comparing with patients infected with E. coli negative to these genes. Conclusion Carbapenem-resistant E. coli correlated with founded each of genes ( Omp -A, IMP- A, NDM- A and Fim- H ) , whilst highest correlated between Carbapenem-resistant E. coli with KPC.so sera levels of both interleukins (IL-6 and IL-17) were recorded in UTI patients infected with E. coli positive for each genes ( Omp- A , IMP- A , NDM- A and Fim- H ) comparing with patients infected with E. coli negative to these genes.
Evaluation of KV Reduction on image quality in OPG X-Ray Mohammed Abdul Sattar1, Sajid Hamza Aluaan2, Wael Abdul Alrazzaq1
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): 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.v14i2.3481

Abstract

Panoramic radiographs are widely used to obtain an overall survey of the maxillofacial complex. One of the advantages is the reduction in radiation dosage compared with complete intraoral radiography. Digital imaging was first introduced in dentistry for intra-oral radiography. but is now widely available for panora micradiography. Many studies have demonstrated that it is possible to achieve a degree of dose reduction in digital panoramic radiography.

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