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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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The Hegemony of The Exxonmobil and Freeport Contract in Investing in Indonesia and Also The Abandonment of The Local People’s Health Rights Yuli Tri Cahyono1, Khudzaifah Dimyati2, Harun Harun2, Bambang Setiaji3
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.v14i2.3503

Abstract

The type of contract carried out nowadays, which is the Product Sharing Contract (PSC) and contract of work in the natural resource sector results to product sharing, which is on one hand thought to not yet fulfill the principle of justice for the state. On the other hand, the government still needs funds from foreign investors to carry out economic development. The balancing position between the foreign investment and the domestic investment in the capital market investment in the oil, gas, and the gold-copper mining sector of Freeport in Papua and Exxonmobil in Indonesia shows a foreign domination. It means that there is a natural resource sector investment hegemony by foreign investors. The implication of this condition is the lightening burden of the state budget, the increase of workforce absorbment and the transfer of technology. It also causes opportunity cost. There is the environmental destruction, including the aspect of healthcare for the local people in the mining location as a compensation. For that, the government needs to review the contract regulation for these two natural resources and revise what is necessary.
Stage III-B Cervical-cancer of Young Age in Medical, Bioethics and Clinical Ethics Perspectives Nasrudin Andi Mappaware1,4, Septian Sima2, Erlin Syahril3, Shulhana Mokhtar4, Ida Royani4, Muhammad
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.v14i2.3504

Abstract

Background: The incidence of cervical-cancer in Indonesia is mostly obtained at the age of 40-50 years. But now many are found at the age of 25-40 years. Method: Case-report. Findings: Female, 25 years old with a diagnosis of cervical-cancer stage 3B planned for chemotherapy. Patients complain of vaginal bleeding. Married 2 times, at the age of 16 years and 19 years with infertility. The central dilemma: a young woman with advanced stage cervical-cancer was planned for chemotherapy as a gold standard, in terms of patient-autonomy and family refusal. Informed concent was required in the delivery of bad-news and human approaches based on Kubler-Ross’s theory (denial, anger, bargaining, depression, acceptance) with the concept of SPIKES (Settings, Listening-Skills, Patient’s Perception, Invitation to share Information, Knowledge transmission “bad-news”, Explore Emotions and Empathize, Summarize and Strategize). Both medical indication and quality of life were appropriated but in terms of patient preference and contextual feature were refused by patient and families. Resolving this case was not enough with medical-aspects, it also required a bioethical and clinical ethics approach. Conclusion: Medical, bioethical and clinical ethics approaches are methods of resolving a case with an ethical dilemma.
Malaria Prevention and Eradication Program Towards Malaria-Elimination in West-Seram Sahrir Sillehu,1 Wiwi Rumaolat1, Sunik Cahyawati1, Tri Niswati Utami,2 Dewi Kartika3, Wa Rina4, Supa
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.v14i2.3505

Abstract

Malaria is a health problem in the world spread in 95 countries. The research objective describes the evaluation of malaria-prevention and eradication programs including inputs, processes, and outputs using qualitative approach. Data were collected by in-depth interview. Research informants were 1 key-informants and 4 supporting-informants. Malaria-elimination program in West-seram District based on the guidelines of the Ministry of Health of the Republic of Indonesia and operationally outlined in the form of a technical guide. Case surveillance has not been carried out. Malaria vector control was done by eradicating mosquito nests and using mosquito nets containing insecticides. Cross-program and cross-program cooperation had been going well, but cross-sectoral collaboration, still needs to be improved. The funding was largely supported by donor agencies namely the Global Fund for AIDs, TBC, and Malaria (GF-ATM) while Government of West-Seram allocates microscopic slide examination costs. It is necessary to increase health personnel, facilities and infrastructure, discovery, prevention, and case management.
Factors Related to Nurses’ Work Stress in the Toto Kabila Hospital Suwarly Mobiliu1, Ratnawati2, Lisdiyanti Usman2, Lusiane Adam2, Fatmawati Mohamad2, Fifi Ishak3, Dew
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.v14i2.3506

Abstract

Stress at work can not be avoided, nurses are at risk of experiencing work stress. The purpose of this study is to find factors related to the nurse’s work stress. This type of research was observational analytic using a cross-sectional study design. The sample was 96 nurses working in the Toto Kabila hospital. Data were analyzed using chi-square tests. The marital status (p-value=0.001), length of work (p-value=0.001), working conditions (p-value=0.004), social support (p-value=0.010) had significant relationship with work stress. The results of this study are expected to be used as input and consideration for nurses at Toto Kabila Hospital to maximize how to deal with stress.
microRNA as Potential Biomarker for Pediatric Tuberculosis? Ayling Sanjaya1, Dwi Yuni Nur Hidayati2, Susanthy Djajalaksana3, HMS Chandra Kusuma4
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.v14i2.3507

Abstract

The diagnosis of pediatric TB is based on history taking, clinical symptoms, physical examination and support. In recent years the role of microRNA (miRNA or miR) has become a concern for researchers as biomarkers of diagnosis and therapy in TB in adults and children. MicroRNA is a ribonucleic acid that does not encode proteins with 18-25 nucleotide transcripts that interact with gene targets and regulate mRNA expression. miRNA works with other regulatory elements such as transcription factors to control mRNA translation. More than 100 different miRNAs are expressed by immune system cells; they have the potential to broadly influence the molecular pathways that control the development and function of innate and adaptive immune response regulation. During TB infection, the innate immune response provides an initial defense mechanism against infection. It is well known that macrophages are the main stem cells for mycobacteria, survival in macrophages is determined by host-pathogen interactions. Several studies have shown that miRNA can be used as a biomarker and TB therapy agent because it is stable in plasma and other body fluids, difficult to degrade and excreted in the form of exosomes or micro vesicles. Other studies say miRNA is stable despite repeated exposure to heat, cold, acids, bases, and other extreme conditions. microRNA levels are reported to be increased in individuals with TB.
The Effect of Acceptance and Commitment Therapy on The Quality of Life of Post Stroke Patients in Aloei Saboe Hospital Fatmawati Mohamad1, Wenny Ino Ischak1, Heni Panai1, Hafni Van Gobel1, Yusrin Aswad1, Rini Fahriani Z
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.v14i2.3508

Abstract

Quality of life is a global concept that emphasizes dimensions of health status including finance, housing, and work. The quality of life of post-stroke sufferers can experience disturbances or obstacles due to physical disabilities, cognition, psychological and social disorders. The purpose of this study was to determine the effect of ACT interventions on changes in the quality of life of post-stroke patients at Aloe Saboe Hospital. The method used in this research is quasi-experimental research method pre-posttest with the control group. The sampling technique used was the purposive sampling technique. The number of samples studied was 60 respondents divided into the experimental group (ACT Therapy and health education) and the control group (health education). The variables used are independent variables namely ACT therapy and the dependent variable is the quality of life of patients after stroke. Based on the results of the analysis, there is an effect of ACT intervention on improving quality of life in post-stroke patients as evidenced by the results of t count = -9.015, then the Significant value is 0,000. This shows that the value of p <0.05 then Ho is rejected, so the research hypothesis is proven that there is an effect of ACT therapy on the quality of life of post-stroke patients at Aloei Saboe Hospital, Gorontalo City.
Determinant Factors on Active and Latent Tuberculosis among Children in Surabaya Ayling Sanjaya1, Dwi Yuni Nur Hidayati2, Susanthy Djajalaksana3, HMS Chandra Kusuma4
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.v14i2.3509

Abstract

Background: Pediatric tuberculosis (TB) is a major health problem in the world and Indonesia. The difficulty of diagnosis is a major factor in eradicating TB in children. Active and latent tuberculosis in children often shows no symptoms so it is difficult to diagnose and affect the treatment. Several determinant factors need to be assessed with the hope of optimal handling of TB in children. Objective: To analyze the determinant factors on active and latent tuberculosis among children in Surabaya. Methods: A case control study was done with 25 cases with TB divided into active TB, Latent TB. Pulmonary tuberculosis was diagnosed using the Indonesian Pediatric Tuberculosis Scoring System. Determinant factors for tuberculosis development were history of contact with a TB patient, age, BCG immunization, knowledge, socioeconomic status and overcrowding living condition. Analysis was done using Fisher’s Exact and Mann-Whitney test. Findings: The characteristics of the study subjects consisting of 16 active TB children and 9 latent TB children. In the group of active TB children the largest population is girls (11 children), whereas in the latent TB group are boys (8 children). There was a significant difference between groups of active TB children and latent TB children (p = 0.000 <0.05). The other factors are showing nothing different in the both of group TB. Conclusion: The most significant determinant factor in active TB and latent TB in children is the appearance infiltrate of chest X-ray where active TB shows filtration and normal appearance in latent TB.
Musculoskeletal Disorders Complaints by Part Body Fishermen Village Labuang Namrole South Buru District Masudin Sangaji1, Kuswandi Saalu2, Sahrir Sillehu2, M. Taufan Umasugi2, Johanis Hursepuny2, Tri Nisw
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.v14i2.3510

Abstract

Indonesian people living in coastal areas work as fishermen. Musculoskeletal disorders are felt by fishermen in the muscles and bones resulting in the decreased system of movement. The purpose of the study was to identify differences in musculoskeletal complaints based on body parts. The study design uses observational analytic, using a cross-sectional design. Fishermen’s research samples amounted to 35 people. The results of the majority of respondents aged 51-55 years and 61-65 years, tenure of> 10 years and unnatural work postures. Nordic Body Map (NBM) measurement, musculoskeletal complaints due to unnatural/forced work postures experienced by respondents. Low extremity musculoskeletal complaints with a mean value of 18.8 and the lowest score of 12 while the highest is a score of 20. Conclusions based on the Nordic Body Map (NBM) musculoskeletal complaints occur because of unnatural/forced work postures. The majority of complaints experienced are found in the lower extremities. It is recommended that fishermen dynamically adjust their work positions.
Factors Related to Hearing Disorder on Traditional Fishermen in Namrole Sub-District South Buru Regency asudin Sangaji1, Sahrir Sillehu2, M.Taufan Umasugi2, Ira Sandi Tunny2, Rapiah Sarfa Marasabessy3, Wa
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.v14i2.3511

Abstract

Namrole sub-district, South Buru regency, is one of the sub-districts in Maluku province where the majority of the people have a livelihood as fishermen. The process of fishing is done by diving using a compressor at depths exceeding 10 meters. This causes various complaints such as headaches, spasms and hearing disorder. The purpose of this study was to determine the factors associated with a hearing disorder in traditional fishermen. The research method used is quantitative descriptive. Statistical test results using the chi-square test showed that the depth of diving has a significant correlation with a hearing disorder with a value of ? = 0.01, while the period of work, duration of work, and frequency of diving do not correlate with the hearing disorder in traditional fishermen in Namrole district, South Buru Regency.
Open Court Principle in the Implementation of Courtroom Television in Indonesia and the Psychologycal Mind of Defendant Suprapti1, Hartiwiningsih2, Widodo Trisno Novianto3
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.v14i2.3512

Abstract

This research aims to analyze and carry out theoretical criticism related to the open court principle, in the implementation of courtroom television in Indonesia. There are differences in the implementation of courtroom television in several cases in Indonesia. As in the case of Jessica Kumalawongso, the entire trial process, including the verification process, was broadcasted live. The research method is the socialjuridical method. In such events, the presumption of innocence principle and the principle of witnesses being prohibited from communicating with each other were also damaged. The implementation of courtroom television affected the defendant’s psychological condition. Thus,s this research will conduct a theoretical study related to the open court principle in the implementation of courtroom television in Indonesia and its consequences.

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