scholarly journals Overview of the Cause of Death of the Forensic Section of DR M.Djamil Hospital, Padang in 2019

2021 ◽  
Vol 6 (1) ◽  
pp. 35
Author(s):  
Mega Miftahul Rizka ◽  
Rika Susanti ◽  
M Fadil

Backgrounds: Death eventually occurs in all living things. Statistical data of deaths are needed to determine policies, priorities, and development of health programs in order to improve health service provisions.Objectives: This research implemented a retrospective descriptive design. Samples were selected using total sampling technique. Samples were taken from data recorded in the death registration form in RSUP M. Djamil Padang from January to December 2019. Data analysis was carried out univariately.Results: Characteristic of corps in the Forensic Unit of RSUP DR M.Djamil Padang in 2019 was found that more deaths occurred in men (53.9%) and elderly age (> 45 years) groups. The most common causes of death based on the ICD-10 classification were symptoms, signs, and other abnormalities (31.9%), disease of the respiratory system (14%) and the circulatory system (16%). On 125 of 212 corpes with unnatural death (59%), external examinations were performed.Conclusion: The number of death is higher in male and elderly age with the most common cause of death group is symptoms, signs, and other abnormalities.

2017 ◽  
Vol 25 (2) ◽  
pp. 129-135 ◽  
Author(s):  
Aliasghar A Kiadaliri ◽  
Björn E Rosengren ◽  
Martin Englund

ObjectivesTo investigate temporal trend in fall mortality among adults (aged ≥20 years) in southern Sweden using multiple cause of death data.MethodsWe examined all death certificates (DCs, n=2 01 488) in adults recorded in the Skåne region during 1998–2014. We identified all fall deaths using International Statistical Classification of Diseases (ICD)-10 codes (W00-W19) and calculated the mortality rates by age and sex. Temporal trends were evaluated using joinpoint regression and associated causes were identified by age-adjusted and sex-adjusted observed/expected ratios.ResultsFalls were mentioned on 1.0% and selected as underlying cause in 0.7% of all DCs, with the highest frequency among those aged ≥70 years. The majority (75.6%) of fall deaths were coded as unspecified fall (ICD-10 code: W19) followed by falling on or from stairs/steps (7.7%, ICD-10 code: W10) and other falls on the same level (6.3%, ICD-10 code: W18). The mean age at fall deaths increased from 77.5 years in 1998–2002 to 82.9 years in 2010–2014 while for other deaths it increased from 78.5 to 79.8 years over the same period. The overall mean age-standardised rate of fall mortality was 8.3 and 4.0 per 1 00 000 person-years in men and women, respectively, and increased by 1.7% per year in men and 0.8% per year in women during 1998–2014. Head injury and diseases of the circulatory system were recorded as contributing cause on 48.7% of fall deaths.ConclusionsThere is an increasing trend of deaths due to falls in southern Sweden. Further investigations are required to explain this observation particularly among elderly men.


2021 ◽  
Author(s):  
Joonatan Borchers ◽  
Outi Mäkitie ◽  
Saila Laakso

Objective: Autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy (APECED) has variable clinical course. Overall mortality is increased but reasons for this remain largely unknown. Our objective was to assess the causes of death and factors contributing to increased mortality. Design: A follow-up study of the Finnish APECED cohort in 1970-2019. Methods: In 34 deceased patients with APECED, causes of death and clinical course preceding the death were analyzed using national registry data, death certificates, autopsy reports, and patient records. Results: Most common causes leading to death were infections (24%), oral and esophageal malignancies (15%; median age at death 36.7 years; median survival 1.5 years), and diseases of circulatory system (18%). Adrenal crisis was an independent cause of death in two patients. In addition, in four patients, adrenal crisis was a complicating factor during a fatal infection. Other APECED manifestations leading to death were hypoparathyroidism, diabetes, and hepatitis. Other causes of death included accidents (12%), alcohol related causes, and amyotrophic lateral sclerosis. Challenges in the overall, and especially in the endocrine, care contributed to deaths related to carcinomas and adrenal crisis. Age at death and year of death correlated (r = 0.345, P = 0.045), suggesting improved longevity. Conclusions: Infections, malignancies and diseases of circulatory system are the most common primary causes of death in patients with APECED. Adrenal crisis is an independent cause of death but more often a contributing factor in fatal infections. Despite the high overall mortality and the demanding care, our results suggest improved patient survival in recent years.


Author(s):  
Anne Bukten ◽  
Marianne Riksheim Stavseth

Abstract Background People in prison have an extremely high risk of suicide. The aim of this paper is to describe all suicides in the Norwegian prison population from 2000 to 2016, during and following imprisonment; to investigate the timing of suicides; and to investigate the associations between risk of suicide and types of crime. Methods We used data from the Norwegian Prison Release study (nPRIS) including complete national register data from the Norwegian Prison Register and the Norwegian Cause of Death Register in the period 1.1.2000 to 31.12.2016, consisting of 96,856 individuals. All suicides were classified according to ICD-10 codes X60-X84. We calculated crude mortality rates (CMRs) per 100,000 person-years and used a Cox Proportional-Hazards regression model to investigate factors associated with suicide during imprisonment and after release reported as hazard ratios (HRs). Results Suicide accounted for about 10% of all deaths in the Norwegian prison population and was the leading cause of death in prison (53% of in deaths in prison). The CMR per 100,000 person years for in-prison suicides was 133.8 (CI 100.5–167.1) and was ten times higher (CMR = 1535.0, CI 397.9–2672.2) on day one of incarceration. Suicides after release (overall CMR = 82.8, CI 100.5–167.1) also peaked on day one after release (CMR = 665.7, CI 0–1419.1). Suicide in prison was strongly associated with convictions of homicide (HR 18.2, CI 6.5–50.8) and high-security prison level (HR 15.4, CI 3.6–65.0). Suicide after release was associated with convictions of homicide (HR 3.1, CI 1.7–5.5). Conclusion There is a high risk of suicide during the immediate first period of incarceration and after release. Convictions for severe violent crime, especially homicide, are associated with increased suicide risk, both in prison and after release.


Author(s):  
Mariman Tjendera ◽  
Isramilda Isramilda

Noise in the workplace is often a separate problem for the workforce so that it can cause mental-emotional disturbance as well as the heart and circulatory system. According to the 2013 Basic Health Research, the prevalence of high blood pressure in Indonesia at the age of ≥18 years is 25.8%. So the researchers wanted to find a relationship between noise intensity and blood pressure. This research method was observational analytic with a cross-sectional approach conducted at PT. Bintang Intipersada Shipyard, Batam City. The sampling technique was a total sampling with a population of 100 workers in 2018 and obtained results of 61 workers determined by inclusion and exclusion criteria. The results of the study were analyzed with a frequency distribution tabulated and tested with the Pearson Product Moment Test. The results of this study worker who were exposed to noise intensity ≤85 dBA had a normal blood pressure of 8 (36.5%) people, in workers who were exposed to noise intensity ≤85 dBA had blood pressure with Pre-hypertension as many as 12 (54.5% ) people, for workers exposed to noise intensity ≤85 dBA have 1 (4.5%) blood pressure with Stage 1 Hypertension, workers who are exposed to noise intensity ≤85 dBA have blood pressure with Stage 2 Hypertension as much as 1 (4.5 %) person. While workers who are exposed to noise intensity> 85 dBA have normal blood pressure of 0 (0%) people, workers who are exposed to noise intensity> 85 dBA have blood pressure with Pre-hypertension as much as 2 (5.1%) people, workers are exposed to noise intensity> 85 dBA had blood pressure with Stage 1 Hypertension as many as 14 (35.9%) people, then workers exposed to noise intensity> 85 dBA had blood pressure with Stage 2 Hypertension as many as 23 (59%) workers. The results of the Pearson Product Moment analysis value of p = 0,000 <α 0.05, there is a relationship between noise intensity and blood pressure with the magnitude of the correlation coefficient (r) which is 0.795 meaning, there is a strong relationship. Based on this study it can be concluded that there is a significant relationship between noise intensity and blood pressure.


Author(s):  
Alyt Oppewal ◽  
Josje D. Schoufour ◽  
Hanne J.K. van der Maarl ◽  
Heleen M. Evenhuis ◽  
Thessa I.M. Hilgenkamp ◽  
...  

Abstract We aim to provide insight into the cause-specific mortality of older adults with intellectual disability (ID), with and without Down syndrome (DS), and compare this to the general population. Immediate and primary cause of death were collected through medical files of 1,050 older adults with ID, 5 years after the start of the Healthy Ageing and Intellectual Disabilities (HA-ID) study. During the follow-up period, 207 (19.7%) participants died, of whom 54 (26.1%) had DS. Respiratory failure was the most common immediate cause of death (43.4%), followed by dehydration/malnutrition (20.8%), and cardiovascular diseases (9.4%). In adults with DS, the most common cause was respiratory disease (73.3%), infectious and bacterial diseases (4.4%), and diseases of the digestive system (4.4%). Diseases of the respiratory system also formed the largest group of primary causes of death (32.1%; 80.4% was due to pneumonia), followed by neoplasms (17.6%), and diseases of the circulatory system (8.2%). In adults with DS, the main primary cause was also respiratory diseases (51.1%), followed by dementia (22.2%).


Author(s):  
Bal Kishan Gulati ◽  
Damodar Sahu ◽  
Anil Kumar ◽  
M. V. Vardhana Rao

Background: Life expectancy is a statistical measure to depict average life span a person is expected to live at a given age under given age-specific mortality rates. Cause-elimination life table measures potential gain in life expectancy after elimination of a specific disease. The present study aims to estimate potential gain in life expectancy by gender in urban India after complete and partial elimination of ten leading causes of deaths using secondary data of medical certification of cause of death (MCCD) for the year 2015.Methods: Life table method was used for estimating potential gain after eliminating diseases to the tune of 25%, 50%, 75% and 100%.Results: Maximum gain in life expectancy at birth estimated from complete elimination of diseases of the circulatory system (11.1 years in males versus 13.1 years in females); followed by certain infectious and parasitic diseases (2.2  versus 2.1 years); diseases of the respiratory system (2.2 versus 2.1); injury, poisoning and certain other consequences of external causes (1.1 versus 0.7); neoplasms (0.9 versus 1.0); endocrine, nutritional and metabolic diseases (0.8 versus 0.9); diseases of the digestive system (0.8 versus 0.4); diseases of the genitourinary system (0.6 versus 0.6); diseases of the nervous system (0.4 versus 0.4); and diseases of blood & blood forming organs and certain disorders involving the immune mechanism (0.2 versus 0.3 years).Conclusions: Elimination of the circulatory diseases resulted into maximum gain in life expectancy. These findings may have implications in setting up health goals, allocating resources and launching tailor-made health programmes.


2018 ◽  
Vol 7 (2) ◽  
Author(s):  
Latifatul Muna ◽  
Umdatus Soleha

Tuberculosis is the number three cause of death in Indonesia (results SKRT, 1995), one of the cause of death was a failure of TB treatment programs that are affected by treatment non compliance. Implementation of the treatment program should involve the patient's family and raise awareness to understand the importance of treatment. This study aimed to analyze the relationship between motivation,  family social support with treatment compliance in patients with pulmonary tuberculosis in Pulmonary BP4 Poly (Hall Eradication and Prevention of Pulmonary Disease) Pamekasan. This study was an observational analytic study with cross sectional approach. Amount of samples of 16 outpatients selected by simple random sampling technique from the patient population undergoing treatment at Poly BP4 Pamekasan. Independent variables examined included family motivation and social support, while the dependent variable was treatment compliance. Data was collected through questionnaires spread sheets, data were analyzed using multiple logistic regression analysis. The results showed there was a negative relationship motivation with treatment compliance (OR = 0.67, p = 0.667) and there is  a relationship of family social support with treatment compliance (OR = 20.0, p = 0.027). Multivariate test results were there is a relationship with sufficient strength among motivation (OR = 0.48, p = 0.589), family social support (OR = 21.99, p = 0.028) with treatment compliance.Conclusion of this study is a family of high social support  will lead to higher compliance too. For tuberculosis treatment program required an awareness of the patient and family support


2020 ◽  
Vol 3 (1) ◽  
pp. 13-17
Author(s):  
Ivana Putri Risyanti ◽  
Syafira Atikah Yudianti

According to the WHO in 2004 the coding implementation must be complete and accurate according to the direction of ICD 10. The accuracy of the code is influenced by the determination or determination of the patient's diagnosis. If the diagnosis is not accurate, it will affect the number of cases in making reports of morbidity, mortality and the calculation of various statistics of the hospital. There is an outpatient coding officer at RS X and also duty to make report morbiditas while making report morbiditas made manually because SIMRS not able to present data needed. In addition, the implementation of codification is performed on the main diagnosis only and outpatient morbidity reports have not been well documented. The objective of this research is to know the effect of the outpatient code on the  validation of outpatient morbidity report in RS X. This type of research uses analytic observation with Cross sectional approach. The population of this study is the number of outpatient cases in daily census outpatient dn report morbidity as many as 573 cases with total sampling technique. Statistical test using chi square on SPSS. The result of the research shows that there is an influence between the accuracy of disease codification on the validation of outpatient morbidity report in RS X with p = 0,000.AbstrakMenurut WHO tahun 2004 pelaksanaan pengkodean harus lengkap dan akurat sesuai arahan ICD 10. Keakuratan kode dipengaruhi oleh penetapan atau penentuan diagnosis pasien. Apabila dalam mengode diagnosis tidak akurat maka akan berpengaruh pada jumlah kasus dalam pembuatan laporan morbiditas, mortalitas serta penghitungan berbagai angka statistik rumah sakit. Petugas koding rawat jalan di RS X berjumlah satu dan bertugas pula membuat laporan morbiditas sedangkan pembuatan laporan morbiditas dibuat secara manual karena SIMRS belum bisa menyajikan data yang dibutuhkan. Selain itu, pelaksanaan kodefikasi dilakukan pada diagnosis utama saja dan laporan morbiditas rawat jalan belum terdokumentasikan dengan baik. Tujuan penelitian adalah mengetahui pengaruh ketepatan kodefikasi penyakit rawat jalan terhadap validasi laporan morbiditas rawat jalan di RS X. Jenis penelitian menggunakan observasi analitik dengan pendekatan Cross sectional. Populasi penelitian ini adalah jumlah kasus rawat jalan pada sensus harian rawat jalan dn laporan morbiditas sebanyak 573 kasus dengan teknik pengambilan total sampling. Uji statistik menggunakan chi square pada SPSS. Hasil penelitian menunjukan ada pengaruh antara ketepatan kodefikasi penyakit terhadap validasi laporan morbiditas rawat jalan di RS X dengan nilai p = 0,000. 


2017 ◽  
Vol 44 (5) ◽  
pp. 594-598 ◽  
Author(s):  
Clément Prati ◽  
Marc Puyraveau ◽  
Xavier Guillot ◽  
Franck Verhoeven ◽  
Daniel Wendling

Objective.To describe deaths for which ankylosing spondylitis (AS) was on death certificates in France.Methods.Death certificates in which AS was indicated were evaluated. Standard mortality ratio (SMR) was assessed.Results.AS appeared in 2940 death certificates. The mortality rate of AS seemed stable. The most frequent initial causes were diseases of the circulatory system [28.3% in the International Classification of Diseases, 10th ed (ICD-10)]. SMR adjusted for age and sex were 2.1 (95% CI 1.45–2.91) for infections and 0.43 (0.36–0.5) for cancers (ICD-10 period).Conclusion.This study found an increase in mortality from infectious and external causes of death; conversely, patients with AS appear to die less frequently from cancer.


Author(s):  
Parveen. A ◽  
Devika. R

Cardiovascular diseases, like coronary heart disease or artery disorders (arteriosclerosis, including artery solidification), heart failure (myocardial infarction), arrhythmias, congestive heart condition, stroke, elevated vital signs (hypertension), rheumatic heart disorder, and other circulatory system dysfunctions are the most common causes of death worldwide. Cardiovascular disorders are treated with stenting, coronary bypass surgery grafting, anticoagulants, antiplatelet agents, and other pharmacological and surgical procedures; however, these have limitations due to their adverse effects. Fibrinolytic agents degrade fibrin through enzymatic and biochemical processes. There are various enzymes that are currently used as a treatment for CVDs, like Streptokinase, Nattokinase, Staphylokinase, Urokinase, etc. These enzymes are derived from various sources like bacteria, fungi, algae, marine organisms, plants, snakes, and other organisms. This review deals with the fibrinolytic enzymes, their mechanisms, sources, and their therapeutic potential.


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