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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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Work Safety Risk Assessment at Container Load Unloading Jobs at PT. Pelabuhan Indonesia II (Persero) Palembang Branch 2017 Tedi levinrarian1, Zikri Fathur Rahman1, Abdul Rohim Tualeka1
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 1 (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.v14i1.84

Abstract

Loading and unloading of container goods is carried out using cranes and truck containers as a means of transportation besides facilitating activities, which can also lead to the risk of workplace accidents. In 2014 there was a work accident in Kuningan Jakarta, workers were crushed by a container during the loading and unloading process. Container loading and unloading is a routine activity carried out at PT. Pelabuhan Indonesia II (Persero) Palembang Branch. This activity involves tools that can cause accidents such as being hit by a container and hit by a truck head, therefore a risk assessment is carried out on container loading and unloading work. The purpose of this study was to analyze occupational safety risk assessments on container loading and unloading work. This study uses a qualitative research design, using Job Safety Analysis (JSA) for the risk identification process, the US / NZ 4360: 1999 semi-quantitative risk assessment table for risk analysis and semi-quantitative risk level Cross (1988) for risk evaluation. The results of the study indicate that container loading and unloading work consists of the preparation stage, the operation phase of the QCC and the stage of moving containers. The risks identified based on the stage of work are overtaken by containers, falling from heights, collisions between head trucks, falling lifts, hit by a lock lock, getting hit by a truck head, falling into the river, collisions between QCCs and electric shock. The hazards included in the acceptable risk category include being crushed by repair equipment, hands pinched, tripping, slipping lubricants and head banging. The suggestion of this research is that all activities in the field should be carried out in accordance with the applicable regulations and supervision should be carried out more specifically in the use of PPE and conduct periodic health checks on workers.
Correlation of Smoking and National Institutes of Health Stroke Scale (NIHSS) in Acute Ischemic Stroke Patients Yunike Tourisiana1, Mohammad Saiful Islam1, Joseph Ekowahono Rahardjo1
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 1 (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.v14i1.85

Abstract

Background: Ischemic stroke is the most common type of stroke with 87.00% prevalence of atherosclerosis as one of the causes of cerebral vascular lumen occlusion. Smoking is known as a modifiable risk factor for stroke. The process of atherosclerosis leads to a neurological deficit resulting in impairment of the patient. One of the scales used to assess impairment is the National Institutes of Health Stroke Scale (NIHSS).Objectives: To know the correlation between smoking status and functional degree of acute ischemic stroke patients as measured by NIHSS.Method: The subjects were 48 patients. The study design was cross-sectional and clinical sampling consecutive admissions and an acute ischemic stroke image imaging. Smoking status data was obtained through anamnesis at the time the patient was hospitalized supported by the testimony of the immediate family. NIHSS values were obtained on the first day of hospitalization. Data analysis used chi-square test and logistic regression.Result: Sex (p = 0.001) and smoking (p = 0.013) were variables that had significant correlations with NIHSS. There was no association between smoking and the functional degree of acute ischemic stroke patients measured by NIHSS, (p = 0.57) with Adjusted Odds Ratio 1.5 (CI 95% 0.35 - 6.9).Conclusion: There was no significant association between smoking with functional degree of acute ischemic stroke patients as measured by NIHSS.
Risk Assessment, Risk Management, and Risk Communication in the Carpet Industry: PT. ‘X’ Pandaan. East Jawa Zikri Fathur Rahman1, Nur lailatul masruroh2, Abdul Rohim Tualeka1
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 1 (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.v14i1.86

Abstract

There are many work-related accidents and diseases caused by weak risk management efforts. Risk management can be done by starting with a risk assessment. Risk assessment is an important aspect of occupational health and safety. The garment textile manufacturing industry has a high risk of occupational health and safety. This study aims to identify the level of occupational health and safety risks and provide control recommendations. This research was descriptive using the Job Safety Analysis (JSA) method. The results of the identification show that out of the 4 work stages and 19 job descriptions, 10 descriptions or 52.6% are at high risk for Occupational Safety and Health. Identified hazards include chemical, physical, ergonomic and fire hazards. High risks include hazards from chemicals as raw materials for the process of making carpets. Several control measures have been taken, but to ensure the health and safety of workers, additional efforts must be made such as personal protective equipment, special masks for use in chemical hazards and work accident emergency response procedures. Risk communication in drug companies is running well.
Coal Dust and Acute Respiratory Infections in South Kalimantan PT ‘X’ Coal Mining Workers. Zikri Fathur Rahman1, Shinta Arta Mulia1, Ahmad Muslih Bambang Sugiharta1, Lili Susanti1, Abdul Rohi
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 1 (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.v14i1.87

Abstract

Occupational illness is a disease caused by a person’s work or work environment. This disease is caused by the actions of someone who is unsafe (unsafe act) and unsafe condition (unsafe condition) in carrying out his work activities. The unsafe act is an act of someone who deviates from the rules of security standards that have been set in doing work. While unsafe conditions are conditions that can endanger workers. Acute respiratory infection is an acute inflammation of the upper and lower respiratory tract caused by infection with microorganisms, bacteria, viruses, and rickets, without or accompanied by pulmonary parenchyma. Factors that affect a person affected by ARI are environmental factors, individual characteristics, and worker behavior. Environmental factors include air pollution (air pollution due to industrial output and smoke from burning fuel). Dust particles that can cause acute respiratory problems from industrial products that pollute the air such as coal dust, cement, cotton, asbestos, chemicals, toxic gases, dust in rice mills (organic dust).
Enhancement the Antimicrobial Activity of Disinfectants by the Purified Lipase from Coronobacter Dublinensis Alaa Naseer Mohammed Ali1, Sahira Nsayef Muslim2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 1 (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.v14i1.88

Abstract

There are many different commercial disinfectants purchased, choosing of effective product is a prime target to ensure its decontamination efficiency. Thus we screened Coronobacter dublinensis isolates to produce lipase enzyme with using of vegetable oil like olive oil as inducer of lipase production in the medium. The lipase was purified by using two-step purification procedure consisting of ethanol precipitation and ion exchange chromatography with a yield of 48.3%. The lipase has an important role in enhancement of disinfectant activity. Since the combination between this disinfectant and lipase led to increase the activity of disinfectant to higher levels and the width of inhibition area enlarged to 28 mm against Acinetobacter sp. followed by P. aeruginosa and S. aureus with 25mm, respectively. So that we can conclude that lipase has excellent activity for enhancement of the commercial disinfectants purchased in decontamination activities in the laboratory and hospital environments.
Estimation the Antibiotics Activity Against Vaginal Pathogenic Microorganisms in Pregnant Ladies with Early Rupture Membrane and their Fetal Outcome Ban Amer Mousa1, Ehsan F. Hussein2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 1 (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.v14i1.89

Abstract

Background: The Preterm Labor: is the mean reason of the (80%) from the neonatal intrapartem, postpartum morbidity and mortality. Recently, vaginal infections have been related to high risks of PPROM and PROM. However, preterm labor and subsequent neonatal bad outcome can be avoid through several protective actions. Methods: This study was prepared through the period from January to December 2018 at Babylon Province, were for estimate the effect of vaginal infections in patients pregnant women with premature rupture membrane, the samples were 100 pregnant women, 50 were vaginal infected (as patients) and 50 were no(as controls). Results. Shows significant increasing of the fetal weight, while significant decreasing of the Maternal age and duration time in the patients, also elevation in the percentages of C/S and PROM in patients when comparing all these with controls. The pathogenic microorganisms; were CONS (coagulase negative staphylococcus auerus) are major insulated organism followed by Candida, and Bacteriod spp., and to less extent were Staph., Proteus and Bacteriod. The Cifixum, Ampicillin, Clotrimazol and Metronid were appropriate antibiotics used for treatment of the vaginal infections.
Criminal Responsibility among Murderer Presented to Forensic Committee in Al-Rashad Training Hospital/ Forensic Department, 2016-2017.. Basheer F. Hummadi1 Firas A. Al-Kadhimi1, Ghazi A. Al-mashhadani1
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 1 (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.v14i1.90

Abstract

Background: The insanity defense, also known as the mental disorder defense, is a defense by excuse in a criminal case, arguing that the defendant is not responsible for his or her actions due to an episodic or persistent psychiatric disease at the time of the criminal act. This is contrasted with an excuse of provocation, in which defendant is responsible, but the responsibility is lessened due to a temporary mental state. The aim of current study was to find out the results of criminal responsibility assessment for the murderers and related mental illness as well as to study a sociodemographic and personal criterion for murderers. Methods: The study was conducted in AL-Rashad Hospital, forensic department in Baghdad. It was a descriptive retrospective study. Case files of (70) murderers, examined by the forensic committee during the period from 1st, January 2016 till 31st, December 2017, were studied. Comprehensive data were collected and analyzed by the SPSS version 23. Results: The study showed that murderers were mainly young adults within age group (20-40) years that were married, illiterate/low educational level and had no job or unstable type of jobs. About 30% of victims were 1st degree relative and 30% of them were family in law. The main weapon was used in the murder was gun (45.7%) and knife (40%). According to murderers who presented to the committee, about 38.6% had no mental illness, 17.1% had personality disorder, 32.9% had psychotic disorders and 8.6% had neurotic disorders. The majority of murderers (52.9%) presented to committee were considered responsible, 8.6% had partial responsibility and 28.6% considered irresponsible. Conclusions: This study showed that about more than half of murderers presented had full criminal responsibility and insanity defenses were succeeded only in one third of the cases. The studied murders appeared to be obvious among young adult age groups, with no job or unstable financial resources, and illiterate or had low educational level. The victims were more likely to be from 1st degree relatives or family in-law. The available weapon (gun and knife) was mostly used.
The Effect of Doubled Concentration of Nanoparticles with Gamma-Rays Energy as Simulation Radiotherapy in Lung Cancer Shihab Ahmed Jasim1, Nihad A. Saleh2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 1 (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.v14i1.91

Abstract

Background: Nanoparticles are considered main mediatorss to improve the efficacy of radiotherapy. By their nano size, they can penetrate the cellular environment and concentrate inside it. Nanoparticles own high cross-section and energy mass attenuation coefficient which means that they have high energy absorption. This study focused on decreasing the irradiation dose required to kill malignant cells by direct injection of NPs inside tumor cells in order to increase the amount of absorbed dose by adding a doubled increased concentration of (zinc and tellurium) NPs in tumor cells with minimum injury to the surrounding healthy tissue and increasing the number of destroyed cancer cells. Method: The theoretical basis for conducting current study was that to increase organ tolerance for radiation dose absorption, the injected particles inside the tumor should have high radiation dose absorption inside tumor. Results: There was increasing apoptosis of cancer cells and decreasing malignant cells survivor in low dose in comparison with high dose without NPs. The number of dead cancerous cells was increasing with doubling increase of NPs which depends on cross-section that is usually depending on high mass energy absorption coefficient and type and amount of energy. Conclusion: Zinc and tellurium nanoparticles can potentiate the effect of radiotherapy on lung tumor cells through increasing number of destroyed malignant cells which depended on atomic number and cross-section.
Evaluation the Levels of Thyroid Hormones among Iraqi Pregnant Women Zahraa Safaa Al-deen Musa
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 1 (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.v14i1.92

Abstract

The present study was carried out to evaluate the levels of thyroid hormones among pregnant Iraqi women according to the age.. The study group comprised of (140)of full term pregnant women scheduled follows up the alterations of thyroid hormones, the control group included (50)of healthy women volunteers. Serum concentrations levels of T3, T4 and (TSH) were estimated using (ELFA) technique. In the study groups, blood samples were obtained from various ages pregnant women . Range age of the study groups was (20-40) years. In the control group: serum T3 andT4 levels were decreased slightly with increasing age respectively, while TSH levels were increased slightly with increasing age without significant difference P>0.05 and the values were within the normal range. In the hyperthyroidism which included (45) patients women , there were continuously higher in concentration levels of T3, and T4 than that in the control group, but TSH concentration decreased with highly a significant difference P<0.01.While, in hypothyroidism which included (45) patient women ,the concentrations of T3 and T4 were lower than that in the control group, but TSH increased with a highly significant difference P<0.05.
Distribution of Abnormal Number of Teeth and Gender Differences: A Sample of Al-Muthanna University Students Aged 18-24 Years Old Hayder Saad Hanfoosh1, Osamah Mohammed Aldaghir1, Arkan Muslim Alazzawi2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 1 (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.v14i1.93

Abstract

Congenital or developmental missing teeth (Hypodontia) is one of important numerical anomalies of teeth. So that many subject field have been carry out in different element of the humans, to find the prevalence of hypdontia. Hyperdontic dentition are teeth that appear in plus to the regular number of teeth.This review was planned to assess the distribution of abnormal number of teeth decreased (hypodontia), increased (hyperdontia) and gender differences.This review was applied from 23 /10/ 2016 to 12 /4/ 2019 on 1971 (1065 males, 906 females) students in four colleges in Al-Muthanna University were College of medicine (294), College of dentistry (299), College of pharmacy (185) and college of economics (1193) were clinically examined, only (202) of them had abnormal number of teeth and subjected to orthopanto-mograms to detect the missing teeth and extra teeth. Their age was ranging from 18 to 24 years.The abnormal number of teeth in (10.2%) students. Hypodontia in (9.18%) students. The hypodontia of maxillary lateral incisor in (34.8%) students followed by hypodontia in mandibular second premolar (30.9%) students. The hyperdontia in maxillary and mandibular teeth (1.06%) students. Mesiodens in (0.7%).The study displays that about (10.2%) students had abnormal of teeth number. Hypodontia happens more often than hyperdonti. The foremost repeatedly absent tooth was maxillary lateral incisor and the second one was the mandibular second bicuspid. About hyperdontia, the most frequently hyperdontic tooth was Mesiodens. All of them, difference between gender was non-significant.

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