{"title":"The Importance of Forensic Psychiatry and Psychiatric Examination in Criminal Proceedings","authors":"Kreshnik Myftari, Gëzim Myftari, Sevada Guço","doi":"10.37506/mlu.v21i4.3167","DOIUrl":"https://doi.org/10.37506/mlu.v21i4.3167","url":null,"abstract":"Forensic examination, as part of the criminal process, is a complex activity in which the diagnostic momentis abnormally integrated, as the diagnosis is not intended for treatment or cure.It is understandable that the influence exerted by psychiatric examination on court decisions (it is mostlyabout psychiatry in general), cannot be separated from the historical relationship between psychiatry andlaw.In countries where the assessment of irresponsibility is based on a psychopathological-normative method,it is necessary not only to recognize the mental disorder, but also to assess how this disorder interactspsychologically in compromising the ability to understand actions and desire the advent of consequences.Reflecting on the above arguments, this paper focuses on the importance of forensic psychiatry andpsychiatric examination in criminal proceedings as a legal and medical study, as well as identifying criticalaspects of the inseparable relationship between psychiatry and law, until the moment when the judge willdecide whether the mental disorder under the Criminal Code prevented the perpetrator from understandingthe act committed, as well as whether or not he wished the consequences that came from this act.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84377997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Apris A. Adu, I. N. Budiana, S. M. Toy, R. P. C. Wijaya, Mas’amah, I. Kiling, M. Junias
{"title":"Determination of Total Flavonoid Content and Initial Test of Anticancer Activity of Faloak Leaves and Fruit Extracts (Sterculia urceolata Smith)","authors":"Apris A. Adu, I. N. Budiana, S. M. Toy, R. P. C. Wijaya, Mas’amah, I. Kiling, M. Junias","doi":"10.37506/mlu.v21i4.3169","DOIUrl":"https://doi.org/10.37506/mlu.v21i4.3169","url":null,"abstract":"This study aimed to determine the total flavonoid content and anticancer activity of Faloak (Sterculiaurceolata Smith) leaves and fruit extracts. Brine Shrimp Lethality Test (BSLT) method determinedthe anticancer activity. Testing the total flavonoid content of n-hexane extract of the Faloak leavesand fruit were 1558.5 and 498.5 ppm, respectively. The total flavonoid content of the ethyl acetateextract of Faloak leaves and fruit were 876.5 and 621.8 ppm, respectively. The ethanol extract of Faloakleaves and fruit’s total flavonoid content was 338.5 and 1688.5 ppm. The anticancer activity test ofthe n-hexane extract of Faloak leaves and fruit showed that each extract’s LC50 value was 31.417and 50.736 ppm, respectively, and the LC50 value ethyl acetate extract of Faloak leaves and fruit were119.68 and 77.59 ppm. The LC50 value of ethanol extract of Faloak leaves and fruit were 43.82 and20.779 ppm, respectively. Both the leaves and fruit extract of Faloak had strong anticancer activity(<1000 ppm). However, the extracts with the strongest anticancer activity were the ethanol extract ofFaloak fruit and the n-hexane extract of Faloak leaves. Meanwhile, the extract with the highest amountof flavonoid content was the ethanol extract of Faloak fruit (1688.5 ppm), and the lowest amount wasethanol extract of the Faloak bark (4.5 ppm).","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"15 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83571019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"COVID-19 Pandemic – Do our Indian Nursing Students Have Knowledge about it and Do they Follow Preventive Practices Against It?","authors":"Varte Clara, Yadav Nirmala, R. Neelima","doi":"10.37506/MLU.V21I4.3161","DOIUrl":"https://doi.org/10.37506/MLU.V21I4.3161","url":null,"abstract":"Introduction: COVID-19 stands for Coronavirus Disease 2019 which is a disease declared as global pandemicon 11th of March, 2020 by the World Health Organization, caused by the newly identified Coronavirus(SARS CoV-2 virus). There is a report of more than 213.6 million confirmed cases of COVID-19 andmore than 4.4 million associated deaths globally, according to Johns Hopkins University.(25.08.2021).Thepresent study has the objectives to assess the prevailing knowledge and known information amongst studentnurses about the COVID-19 pandemic, the known preventive practices against acquiring and spread of thedisease and to learn the preventive practices being used amongst student nurses amidst the pandemic.Thesetting selected for the study was AIIMS, New Delhi, Nurses Hostel through online mode. A convenientnon-probability sampling was adopted for data collection using a structured questionnaire for 2nd year BSc.(Hons) Nursing Students (n=75).The data were obtained and analysis was done in terms of descriptive andinferential statistics. Results showed that 64%, 33.3% ,2.7% nursing students had high, moderate and lowlevel of knowledge (with a score of 18 or more,12-17 and ,lower than 11)respectively. The mean knowledgescore was 17.82 for a total score of 24 (74.25%). 57.3%, 40% and 2.7% had high, moderate and low level ofperformance of preventive practice respectively with a score of 52 or more, 35-51 and lower than 35, and amean of 51.90 for a total score of 70(74.1%). CONCLUSION: A majority of the study population of nursingstudents had adequate knowledge who followed adequate preventive practices against the COVID-19pandemic, however quite a large percentage still had below average knowledge about the disease and aneven lower percentage implemented practices for the prevention of acquiring the disease in their daily lives.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"21 1","pages":"375-382"},"PeriodicalIF":0.0,"publicationDate":"2021-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82051880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Profile of Snake Bite Deaths in South India: An Autopsy based Stud","authors":"K. Shanmugam, S. GerardPradeepDevnath","doi":"10.37506/mlu.v21i4.3154","DOIUrl":"https://doi.org/10.37506/mlu.v21i4.3154","url":null,"abstract":"Background: The burden due to the morbidity and mortality of snake bite in India is significantly higher. Itis estimated around 1.2 million snakebite deaths (average 58,000/year) has occurred in India from the year2000 to 2019. However the real burden of snake bite is unknown due to under reporting. This study aims tobring out region specific data on fatal snake bitesResults: The study was conducted at the dep of forensic medicine from 2016 to 2020. A total of 75 cases offatal snake bite cases were autopsied. The number of female cases 39 (52.3) and males were 36 (48.0). Themaximum no 52 (69.4%) cases were reported between the months of April to September. The common timefor snake bite was in the night 40 (53.3%) followed by the daytime 33 (44.0%). The place of incidence wheremost of the bites happened was in and around the homes of the victims 46 (61.3) followed by the workplaces29 (38.7%). The commonest site were the bite mark was noted in the lower limbs 33 (44%) cases. Around 22(23.9%) cases were seen in age groups of 45 to 59 years and 19 (25.3%) cases in 35 to 44 years. The speciesof snake in majority of the cases i.e., 65 (86.7%) was unknown. Around 40 (53.3%) cases of kidney samplesshowed acute tubular followed by congestion.Conclusion: The number of fatal bites were comparatively higher than that of the statistics available. Most ofthe findings of our study was consistent with the similar studies. The species of snake was largely unknownin this study because new snake species like hump nose pit viper can inflict fatal bites and are difficult toidentify. Region specific data on snake bite will reflect the exact volume of snake bites in the country andwould largely help in drafting policies to reduce mortality","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88672754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Nursing Students Perception of E-learning during COVID-19 Pandemic; A Literature Review","authors":"Mohammad R Alosta, I. Khalaf","doi":"10.37506/mlu.v21i4.3141","DOIUrl":"https://doi.org/10.37506/mlu.v21i4.3141","url":null,"abstract":"Background: E-learning has expanded recently in response to the social distance measures duringCOVID-19 pandemic. A part of the learning process is evaluating its effectiveness and impact on learners.Aim: to examine nursing students’ perceptions of e-learning during COVID-19 pandemic.Methods: A literature search to identify publications on perceptions of e-learning was conducted via threedatabases.Conclusion: Sixty five articles were included and reviewed. The articles addressed the following: (1)benefits of e-learning, (2) drawbacks and challenges (3) Students’ interaction, (4) e-learning environment(5) students’ engagement and satisfaction, (6) e-learning during COVID-19 pandemic, and (7) Clinicaltraining during COVID-19 pandemic. Shifting to E-learning during the COVID-19 pandemic has manybenefits that positively impact student health status and learning outcome, although it has several drawbacksand barriers that can affect the learning process quality. Finally, implementing e-learning is not an easytask; higher education institutions should consider several factors to provide the students with an efficientlearning process","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87061191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of the Effectiveness of 5% Sodium Fluoride (NAF) with Diode Laser 976nm for Treatment of Dentine Hypersensitivity","authors":"IbtehalAtiaHabeeb, M. Mahmood","doi":"10.37506/mlu.v21i4.3151","DOIUrl":"https://doi.org/10.37506/mlu.v21i4.3151","url":null,"abstract":"Background: dentin hypersensitivity (DH) is a painful condition that is highly prevalent in the world’s adultpopulation.Aim: The aim of this study was to compare the efficacy of fluoride varnish (5% sodium fluoride)irradiationwith diode laser in the treatment of dentin hypersensitivity in non caries cervical lesion(NCCL) patients.Materials and Methods: Twenty patients with 90 teeth were divided into two groups: Group 1, teeth treatedwith diode laser with5 J/cm2 energy density;Group 2, teeth treated with NaF irradiated with diode laser withsame previous diameter.Results: The two treatments were applied to the buccalcervical region with three follow up intervals 30minutes,2 weeks and one month. The response of the patient to thermal-evaporative stimuli was rated on aSchiff cold air sensitivity scale. The results showed a reduction of hypersensitivity in response to thermalevaporativestimulation at the end of treatment in both groups.Conclusion: dentine hypersensitivity treatment withNaF+diode laser was found to be more effective thanlow-level laser radiationimmediately","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73368655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comprehensive Analysis of Blood Transfusion in Paediatrics Patients admitted at Dhiraj Hospital","authors":"Ashu Dogra","doi":"10.37506/mlu.v21i4.3093","DOIUrl":"https://doi.org/10.37506/mlu.v21i4.3093","url":null,"abstract":"Back Ground:- Audit of transfusion practices in pediatric patients was performed to study indications ,clinical profile and whether transfusions were in accordance to guidelines.Objective:- to perform audit of transfusion practices , in order to study appropriate and inappropriate usageof different blood components in pediatric population.Results:- In present study it was observed that out of 62 packed red cells transfusions 35(56.45%) transfusionswere found to be inappropriate. Among FFP transfusions out of 55 transfusions 11(20%) transfusions wereobserved as inappropriate . Most of inappropriate transfusions had bleeds but normal coagulogram.Among Platelet transfusions , three (16.6%) platelet transfusions, out of 18 transfusions were inappropriateand transfused mainly to raise the platelet count.Conclusion:-Most frequently transfused blood components are red cells in pediatrics . Inappropriatetransfusion of blood components hinders the utility of this valuable resource , Thus it becomes necessary toconduct regular audit of blood component transfusion for optimum utilization.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72761944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Characteristic of Patient with Benign Paroxysmal Positional Vertigo among the Elderly and the Younger Patients in 2013-2019","authors":"Sally Mahdiani, Wijana, Genggam Jagad Agami","doi":"10.37506/MLU.V21I4.3148","DOIUrl":"https://doi.org/10.37506/MLU.V21I4.3148","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"7 1","pages":"307-313"},"PeriodicalIF":0.0,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78170190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association between Fatigue Level with Disease Severity in Myasthenia Gravis Patients","authors":"D. Pambudi, Fadil, M. Hamdan","doi":"10.37506/mlu.v21i4.3115","DOIUrl":"https://doi.org/10.37506/mlu.v21i4.3115","url":null,"abstract":"Background: Fatigue is a common symptom and has a greater effect on daily living of myasthenia gravis(MG) patients than has muscle weakness. Latest evidence suggested that fatigue in MG negatively impactdisease severity. The relationship between fatigue level with disease severity has never been explored in MGpatients. Aims. The study aimed to determine the association between fatigue level and disease severity inmyasthenia gravis patients at Dr. Soetomo Public Hospital Surabaya. Method. A cross-sectional was usedin this research. Participants of the research were patients with myasthenia gravis in Neurology Clinic, Dr.Soetomo Public Hospital Surabaya. The period of data collection was from April to June 2021. Fatigue levelmeasured with Fatigue Severity Scale (FSS) questionaire and disease severity measured with MyastheniaGravis Composite (MGC) score. Data analysed using SPSS version 22.0 with significances of p <0.05.Results. There were 37 participants consisted of 14 males and 23 females. Mean age of participants 45,03± 11,69. Mean age of onset was 40,38 ± 12,60. The mean FSS was 4,02 ± 1,93 and mean MGC was 5,24 ±5,64. From all participants, we found that about 24 patients (64,9%) showed severe fatigue and 22 patients(58,5%) have severe disease status. The Chi-Square correlation test analysis indicates a significant associationbetween FSS mean score and MGC mean score (p = 0.009, OR at 6,750) 95% CI (1,51-30,16). Conclusion.There was an association between fatigue level and disease severity in myasthenia gravis patients.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82266948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Death Analysis of 10 Major Diseases Before and During COVID-19 Pandemic in Papua Province, Indonesia, 2020","authors":"Hasmi, D. Bouway, Yacob Ruru","doi":"10.37506/mlu.v21i4.3128","DOIUrl":"https://doi.org/10.37506/mlu.v21i4.3128","url":null,"abstract":"Some of the co-morbidities that may cause death in COVID-19 patients include: hypertension, diabetes, lung disease, heart disease and malaria. People with the disease have a high death rate when they become infected with COVID-19. The aim of this study is to analyze the deaths of the top 10 diseases in the Papua Province prior to and during the COVID-19 pandemic. The research method used in this study is a mix method. The research was conducted in Papua Province and Yowari Regional Hospital, Jayapura Regency, from September to November 2020. The informants were the Head of the Provincial Health Office and three heads of the COVID-19 epicenter of the Health Office. Quantitative samples were taken from patients who died between January 2020 and June 2020, namely 87 cases of death. A sample of 87 people was obtained using a total sampling technique. Data gathering techniques are secondary data and in-depth interviews. The results showed an increase in the number of deaths in the top 10 diseases before and during COVID-19, with an increase of 71 percent. The cause of the increase in death rates before and during the COVID-19 pandemic was due to a misconception of health and illness, as well as to the behavior of people who were late to go to health services. Death from heart failure was the main cause of death. At Yowari Regional Hospital, Jayapura Regency, people who died from the top 10 diseases before COVID-19 were aged 26-45 years, i.e. 11 people (34.4 percent). Meanwhile, the majority were 46-65 years old during the COVID-19 pandemic, i.e. 18 people (32.7 percent). Promotional and preventive efforts are the strategy of the local government (Health Department) to reduce deaths from the top 10 diseases during the COVID-19 pandemic.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83633000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}