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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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Deleted Tay Hatem Kadhom
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): 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.v15i4.16725

Abstract

A
The Effect of Acute Bronchitis on Blood Pressure Haider Noori Dawood
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): 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.v15i4.16729

Abstract

Background: Acute bronchitis is one of the top 10 conditions for which patients seek medical care. Acute bronchitis is a clinical term implying a self-limited inflammation of the large airways of the lung. A possible link between inflammation and elevated blood pressure has been suggested by several cross-sectional and longitudinal studies.Objective: To assess the effect of acute bronchitis on the blood pressure.Patients and Methods: The cross sectional study was carried out in in Baghdad. 100 patients with acute bronchitis, their age group of 17-76 years were included in the study. Blood pressures (systolic and diastolic) for the patients were taken in sitting position on the right arm during the attack and after improvement (five to seven days later).Results: 100 patients with acute bronchitis were enrolled in the study. Mean age was 45.51±15.46. Female were 54 (54%), and 46 (46%) were male. There was 42 (42%) have history of hypertension. Only 15 patients (15%) have history of smoking. Mean arterial pressure (MAP) during attack was normal in 58 (58%), and high in 42 (42%). MAP after improvement was normal in 84 (84%), and 16 (16%) remain high. About clinical features, 100% have cough, 71% sputum, 36% dyspnea, and 6% hemoptysis. Systolic, diastolic blood pressure, and mean arterial pressure during the attack were higher than after improvement with highly statistically significance (P value < 0.001). There was no statistically significant effect for the history of hypertension and smoking on blood pressure during the attack and after improvement (p value 0.441, 0.309 respectively).Conclusion: Systolic, diastolic blood pressure, and mean arterial pressure during the attack of acute bronchitis were higher than after improvement.
Common complications of Behcet’s Disease in Baghdad Teaching Hospital Barq Wameedh Azeez; Atta AH Al-Sarray; Ali H. Al-Hafidh
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): 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.v15i4.16730

Abstract

Background: Behcet’s disease is multi-systemic vasculitis, which usually is frequent oral & genital ulcerations as well as eye and skin lesions.Objectives: To determine the proportion of complications of BD & associated epidemiological variables.Patients and Methods : A cross-sectional study was conducted and performed in the Baghdad teaching hospital’s Rheumatology unit and Dermatology and Venereology Center, involving (116) patients over the course of six months, beginning November 2nd and ending April 2nd, 2020. Results: The patients ranged in age from 13 to 64 years old at the time of the study. The mean age and SD was 35.08±10.46 and 70.7% from male while 29.3% from female. Recurrent oral ulceration, Recurrent genital ulceration, Eye lesion, Skin lesion, and Joint symptoms were the most common clinical manifestations of Behcet’s disease, with 96.6 percent, 37.9%, 67.2 percent, 62.1 percent, and 75.9%, respectively. The most common Behcet’s disease complication was ocular complication (34.5 percent), and the first major symptom of BD (94 percent) was oral ulcer. The age at onset of disease at (20-29) years with higher frequency (38.8%). Conclusion : Higher percentages of study sample had ocular complications (83%) while the lower percentage (2%) had gastrointestinal complication. Recommendations: More research is required to determine the etiology, enhance diagnosis precision, and develop new therapeutic strategies. To prevent visceral and ocular involvements, early diagnosis and treatment with the help of a dermatologist with extensive experience is essential.
Clinical Manifestations with Different Treatment Protocols for Iraqi Patients with Wilson’s Disease Fadwa Ghassan Hameed; Inam Sameh; Mohamed Mahmood; Hala Sameh
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): 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.v15i4.16731

Abstract

Wilson disease (WD) is an autosomal-recessive disorder of copper metabolism caused by mutations in the ATP7B gene. ATP7B is also essential for biliary excretion of copper when cytoplasmic levels are high. Dysfunction of ATP7B therefore leads to accumulation of copper in the liver giving rise to cellular damage and disease, and the release of non-ceruloplasmin bound copper into the systemic circulation. Clinical presentation of Wilson disease can vary widely; therefore diagnosis is not always straight forward. Wilson disease is not just a disease of children and young adults, but may present at any age. The key features of Wilson disease are liver disease and cirrhosis, neuropsychiatric disturbances, Kayser–Fleischer rings, and acute episodes of hemolysis, often in association with acute liver failure. Diagnosis is particularly difficult in children and in adults presenting with active liver disease. None of the available laboratory tests is perfect and may not be specific for Wilson disease. To overcome the diagnostic challenge, several clinical signs (Kayser–Fleischer rings(KF.), neurologic symptoms) and laboratory features (copper in serum, urine, liver; serum ceruloplasmin ; genetic testing) are scored 0 (absent) to 2 (present) and the Leipzig score is calculated. If the score is >4, the diagnosis of Wilson disease is very likely. For asymptomatic siblings of index patients, mutation analysis is the most reliable approach.
Prevalence of Drug-Drug Interaction in Hospitalized Patient in Basrah City; Southern of Iraq Zainab Najim Abdul-nabi; Noor Kadhim Mohammed-Jawad; Jubran K. Hassan
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): 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.v15i4.16732

Abstract

Objectives: Although multiple drugs administrationmostly increase therapeutic effect, some combinations lead to adverse drug-drug interactions and increased morbidity. This study was designed to identify the types,frequency, severity, and significance of drug–drug interactions (DDIs)Methods: This retrospective cross-sectional study was conducted from September 2018 to February 2019 in Al-Fayha’a teaching hospital in Basrah, Iraq.The data of 186 patients were collected from hospital patients case sheets. The type and significance of DDIs were analyzed using “Medscape drug Interaction Checker.Results: At least one to two DDI are noticed in about three quarters of the patients, about 30% cases have three to nine DDIs and 15% of them have ten or more DDIs. According to their severity, there are 85 (11.5%) of serious or potent DDIs. The largest percentage of reported interactions 544 (73.5%) were moderate were close monitoring required. Out of 740documented DDIs,65.1% were pharmacodynamics and 19.5% were Pharmacokinetic interactions, in addition, there were 15.4%of DDIs due to Unknown mechanisms. Most of the major potential DDIs occur with the antibiotic ceftriaxone and blood thinning medications (heparin and warfarin).Conclusion: The findings of this study revealed a high prevalence of drug-drug interactions in hospitalized patients particularly in patients withcardiovascular disease. Potential DDIs in this study sufficiently high to alert health care providers to pay more attentions in order to prevent or decrease their adverse effects on patients.
Evaluation of Implant Stability Following Sinus Augmentation Utilizing Bovine Bone Mixed with Platelet-Rich Fibrin Ali H. Abbas Alhussaini; Thair A. Lateef Hassan; Heba Basim Mohammed
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): 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.v15i4.16734

Abstract

Background: Lateral sinus augmentation and simultaneous insertion of dental implants is a highlypredictable procedure and associated with high rate of implants success.Aims: To evaluate implant stability changes following maxillary sinus augmentation utilizing deproteinizedbovine bone alone or mixed with platelet-rich fibrin.Materials and Methods: A total of 34 lateral sinus augmentation procedures were performed and 50 dentalimplants simultaneously installed. The lateral sinus augmentation cases were allocated randomly into 3groups: Group A comprised 13 procedures and 21 dental implants utilizing solely deproteinized bovine bone.Group B involved 10 cases and 16 dental implants using deproteinized bovine bone mixed with leukocyteand platelet-rich fibrin. Group C included 11 operations and 13 dental implants employing deproteinizedbovine bone mixed with advanced platelet-rich fibrin. Resonance frequency analysis test was performedimmediately after implant installation and 24 weeks postoperatively for the measurement of the implantstability.Results: Implant stability quotient values increased significantly for all study groups 24 weeks after dentalimplants installation (P= 0.001). The implant stability quotient at T1 (day of implant installation) was 56.93±12.01 for group A, 58.34 ±12.82 for group B, and 61.35 ±8.47 for group C. The implant stability quotientat T2 (24 weeks after implant insertion) was 69.17 ±5.10, 69.43 ±5.32, and 68.50 ±7.44, respectively.Conclusion: The addition of leukocyte and platelet-rich fibrin or advanced platelet-rich fibrin to the bovinebone for sinus floor augmentation did not increased the implant stability quotient value in comparison to thebovine bone alone.
Evaluating the Effect of Air Abrasive Polishing on Friction and Surface Micromorphology of Ceramic Brackets Using Different Wires Ahmed R. Mohammed Hassan; Shahbaa A. Mohammed
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): 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.v15i4.16735

Abstract

Objectives: The aim of this in vitro study was to evaluate the Resistance to Sliding (RS) provided by ceramic(Perfect clear) sapphire ceramic brackets using round 2 types of orthodontic wires (Fiber-Reinforced PolymerComposite (FRPC) and Epoxy fully coated Stainless-Steel), before and after the use of sodium bicarbonateairborne particle abrasion, in an experimental model with 3 non levelled brackets and to evaluate the surfacemicromorphology of these brackets by means of scanning electron microscopy.Materials and Methods: 0ne commercial brands of ceramic brackets were evaluated. The fourty specimenswere divided into two groups (n = 20) according to the two type of arch wires and each group was dividedinto four subgroup of five specimens according to the application or not of sodium bicarbonate airborneparticle abrasion for (5, 10 and 20) seconds. A device adapted to a universal testing machine was used tosimulate the movement of retraction in sliding mechanics, measuring the traction force needed to slide 10mm of the wire over the test specimen brackets. The test speed was 5 mm/min. The data were analyzed bytwo-way analysis of variance (ANOVA) and Tukey test.Conclusions: It may be concluded that it is not recommended to apply airborne particle abrasion on the slotsof ceramic.
Angulation and Height of Canine in Different Type of Malocclusion Iman I. Al-Sheakli; Muthanna I. Ali
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): 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.v15i4.16736

Abstract

Molecular detection of vicR, vicK and 16S rRNA genes of Streptococcus mutans Isolated from Dental Caries of Iraqi’s Patient Zainab Sadeq Ali; Raya Ezat Maroof; Lateef Essa Alwan Aljorani; Abbas Sabah Mohammad; Sarmad Sameer Hameed; Ali Sadeq Ali
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): 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.v15i4.16737

Abstract

Background : This study was carried out to detect the distribution of Streptococcus mutans with dentalcaries in Iraqi’s patient samples. Out of 100 patient’s samples only (22) with age (3-17) years old werefound to be effected with Streptococcus mutans. DNA was extracted amplified by Gradient PCR and thensequenced. vicR was showed highly conserved with no mutation while vicK showed that these were silentmutation and four isolates have missense mutation from eight isolate.Material & Method : In this study, 22 from clinical S. mutans strains were isolated from caries- childrento sequence the vicR, vicK and 16s rRNA genes. Genomic DNA was extracted from S. mutans strains andamplified using Gradient PCR. The PCR products were purified and then sequenced.Result : The molecular study include vicR, vicK and 16S rRNA, genes by Gradient PCR. The result ofsequencing appear that no mutation in vicR genes, although in 16S rRNA present transion and tranvesionmutation . Finally the sequencing of vicK gene appear silent mutation and four isolates have missensemutation from eightConclusion the result of molecular study of vicR gene were appear no mutation in all isolates while 16SrRNA although have transition and transvertion mutation, the Sequence of vicK gene that note more ofmutation was silent mutation but some of them was missense mutation.
Periotest Evaluation of Stability after Insertion of Temporary Anchorage Device Hussain Jabar Kadhem; Akram Fasial Alhuwaizi
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): 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.v15i4.16738

Abstract

Introduction: Skeletal anchorage devices was developed for absolute anchorage during orthodontictreatment. Because of immediate loading on orthodontic miniscrews, early stability became a essentialrequirement for loading forces on miniscrews.Objective: The aim of this study was to evaluate the early stability of the miniscrews after two weeks ofinsertion and the effect of the length and the side of insertion of the miniscrews on its stability using Periotestdevice.Material and Method: Thirty- three orthodontic patients in a collage clinic were recruited who requiredbilateral miniscrews for orthodontic anchorage. Under local anesthesia, each patient received two miniscrewsin the maxillary buccal area (one side 1.6x8mm and the other side 1.6x10mm). after two week early stabilitymeasured using Periotest device.Results: There was no significant different in stability of miniscrew between right and lift sides and betweenshort and long miniscrews.Conclusion: length of miniscrew and side of insertion do not affect the early stability of miniscrew.

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