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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
 323   324   325   326   327 
Prevalence of Urinary Tract Infections (UTIs) in Children with Inguinal Hermia Repairs Arkan Kareem Abd; Ali Ghazi Abbood1; Saud Hussein Mousa Al-jumaily
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.v15i4.16761

Abstract

This case control study was carried out in Baghdad city from 1st of April 2018 to 1 March 2019 included40 studied cases (children with inguinal hernia) and 40 healthy children to evaluate the prevalence of UTIsin children with inguinal hernia repairs. it was known that the children are infected or not with urinarytract infection through clinical examination of the signs that indicate urinary tract infection, as well as alaboratory examination of the urine to detect the presence of bacteria that cause urinary tract infectionin the laboratory. All children under 15 years of age were included in the study who attended pediatricsurgery clinics. Ages over the age of 15 years old, children with complex inguinal hernia such as blocked,irreducible, strangulated hernia and children with recurrent hernia were excluded. All children included inour study included in the study were examined through routine and microscopic examination of urine, urineculture and sensitivity. children with urinary tract infections were treated according to sensitivity culturereports. This case control study included children with inguinal hernia (90% males and 10% females), theirage range was <1 year to 15 year (mean: 9.52±1.3 year), the study also included 40 healthy children (ascontrol group) with the same characteristics of patient. Thestudyrevealedthaturinary tract infection wasobserved in 25% of (10 of 40) of children with inguinal hernia compared with 5% of (2 of 40) of thecontrol group (P<0.001).This study showed that most of children with inguinal hernia were suffered fromabdominal pain, urge to urinate, polyurea , cloudy urine, fever and pyelonephritis. The study found that,50% of children with inguinal hernia who suffered from UTI were due E. coli, S. aureus with rate 40% andKlebsiella spp with rate 10%. The study showed that 80% of E. coli isolates were sensitive to ampicillin,60% to amikacin and 40% to Amoxiclave, while 100% of S. aureus were sensitive to Ceftriaxone and cand75% to Cefotaxime.It was concluded that, there significant positive correlation between UTIs and inguinalhernia repairs in children.
Risk factors of Prostate Enlargement among Patients with History of Lower Urinary Tract Symptoms Mazin AnwerYadgar Al-Obaidi; Abid Ahmad Salman Al-Mahmood; Suha Karam Jameel; Azzawi M Hadi
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.v15i4.16762

Abstract

Background: Prostate enlargement is defined as increase in size of prostate gland. The diseasemay bepresented clinically as lower urinary tract symptoms (LUTS). The disease is increasing with age. There aremany risk factors as age, genetic, geographical, obesity, physical activity, diabetes mellitus, hypertension.Subjects and Method: A descriptive study was conducted on patients with lower urinary tract symptomswho were attending Tikrit teaching hospital outpatient’s clinic during the period from 1st July -1stOctober2018. The demographic characterestics of patients were obtained according to a questionnaire andthe patients were examined clinically to determine if there was enlargement of prostate or not. The diagnoseswas confirmed by PR and ultrasound examination.Results: The frequency of among sample study was(83%). The cases were more prevalent among the followings:age group 60 years and more(94.3%), positivefamily history(89.7%),low physical activity (93.4%%) ,hypertensives (87.4%) and with those with erectiledysfunction (94.9%).
Prevalence of Neonatal Septicemia in Karbala Pediatric Teaching Hospital and Al-alwiyah Pediatric Teaching Hospital, Iraq Ahmed Salim Hadi Al-Khafaji; Mohammed Ahmed Jassim Alogaidi; Anfal Akram Hasan; Yasir Ayad Khallawi
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.v15i4.16763

Abstract

Background: Neonatal sepsis is a major cause of morbidity and mortality worldwide and especially indeveloping countries. The incidence of neonatal septicemia varies widely between the developed world anddeveloping countries. Methods: The data was collected from the records of the Department during period(February 2019- December 2020). incubated blood culture at 37°C for 7 days. Subcultures were done ontoblood agar and MacConkey agar plates. Results: Clinical feature of neonatal septicemia as Fever 31(67%);Feeding difficulty 22 (48 %); both Jaundice and Lethargy as 9(19.5%); also, Diarrhea 7(15%); Skin rash6(13%) and Meningitis 3(6.5%).so current results showed male with positive bacterial culture (69.5%) whencompare with Female (30.5%), Among a total of 46 bacterial isolates recovered, 34 (74%) were Gramnegativeisolates more than Gram-positive isolates 12 (26%) , so among a total of 46 bacterial isolatesrecovered, E.coli were recovered from the cases as (24%) followed by both Klebsiella pneumoniae andPseudomonas as (13.5%), So Citrobacter species and Proteus mirabilis as (8.5%) , and Strep pneumoniaand Staphylococcus aureus were recovered from a single case , Staphylococcus epidermedis (7 cases - 15%).Conclusions: Most clinical feature of neonatal septicemia as Fever; Feeding difficulty; and Jaundice andLethargy, so the male with positive bacterial culture more than Female as well as gram negative bacteria ismore common septicemia children with predominant of E.coli .
Seroprevalence of BKV-Antibodies among Cancer Patients and Healthy Individuals Vian Ibraheem Husain; Salah Mahdi Hassen; Amal Aziz Kareem
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.v15i4.16764

Abstract

BKPyV, a small DNA virus classified into the polyomaviridaefamily, is holoendemic with global distributionamong human population.The objective of this study is to determine the prevalence of anti-BK polyomavirusIgG antibodies among cancer patients and healthy controls. In the present study, A total of 85 serum sampleswere collected (65 cancer patients and 20 healthy controls) with age range between 15- 75 years, the femaleto-male ratio was 3:1. All obtained sera samples were tested using ELISA method for the detection ofanti-BK polyomavirus IgG antibodies. BKV-IgG seroprevalence show high rate of exposure to the virus48.23% (41 of 85 samples) revealed positive result (50.77% in cancer patient and 40% in healthy control).Seroprevalence was not different between female and male. The frequency of IgG antibodies decreased from66.67% in the age group <40 years to 46.94% among age group 40-60 years, and drop again to 38.1% in>60 years old.
Evaluation the Role of Malondialdehyde in Myocardial Infarction Patients Dina A. Ibrahim; Sami A. Zbbar; Muhib A. Salih
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.v15i4.16765

Abstract

Case control study was carried out in Kirkuk city in the intensive care unit in Kirkuk general hospital fromFeb 2020 to May 2020. The study included 90 individuals including sixty myocardial infraction patientsand thirty healthy individuals to evaluate the level of Malondialdehyde (MDA) in myocardial infractionpatients and healthy controls. All patients were aged between (40-80) years, with a negative family historyof heart attack. Blood samples were collected from each patients and controls to evaluate the levels ofmalondialdehyde by using immunofluorescence technique. The study showed no significant differencesbetween myocardial infraction patients and control groups regarding their age, although 33.33% of MIpatients belonged to the age group 60-69 year flowed by 28.33% in the age group 50-59 year. The studydisplayed that the highest mean of MDA was recorded in MI (104.7±13.0 ng/ml) as compared with thecontrol group (66.7± 22.7 ng/ml), The result was significant (P: < 0.05). The study concluded that, Thestudy displayed that the MDA levels were elevated significantly in patients group as compared with thecontrol group and MDA is may be an important cardiovascular parameter, which may be followed beforeand during the disease.
A comparative Study of Efficacy of Esmolol and Fentanyl For Blood Pressure and Heart Rate Attenuation During Laryngoscopy and Endotracheal Intubation Bashar Naser Hussein; Mohammad Kheiri Mahmod; Ammar Hamid Hanoosh
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.v15i4.16770

Abstract

Background: Blood pressure and heart rate elevation during laryngoscopy and tracheal intubation maycause serious medical problems ex.: patients with cardiovascular disease as well as patients with increasedintracranial pressure. Aim of study: Comparism between Fentanyl and Esmolol in attenuating blood pressureand heart rate during laryngoscope and tracheal intubation. Patients and Method:60 adult patients of bothsex, ages between (20-33) , labeled as ASA I and ASA II will undergo elective surgery, divided into twogroups, each group contain 30 patients: Esmolol Group (E) takes 0.5 mg/kg esmolol IV. And Fentanyl Group(F) takes 1 mic/kg fentanyl IV.Blood pressure and heart rate was recorded before drugs administration asbaseline reading and another reading was taken after drug administration as well as after tracheal intubation.Result: blood pressure and heart rate readings of both groups, when compared to baseline reading showsthat Regarding heart rate, there are significance differences between the two groups, in that, esmololreduce heart rate in all stages when compared to fentanyl. Regarding systolic blood pressure, both drugsreduce systolic blood pressure and there are significances in all stages, favored esmolol except in T3 due torise in sbp when using fentanyl. Regarding diastolic blood pressure, both drugs also reduce diastolic bloodpressure but there are no significances in these reading except in T3 due to esmolol reduce dpb much morethan fentanyl does. Conclusions: esmolol in a dose of 0.5mg/kg is more effective than fentanyl in a dose of1mic/kg in attenuation of hemodynamic response after endotracheal intubation.
Study of Possible Predisposing Factors that May Result in Congenital Abnormalities among Newborn Infants a Hospitalbased Study Munaf Authman Hreeth; Ahmed Nadher Kareem; Sabah Noori Rashid
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.v15i4.16772

Abstract

The term congenital abnormalities signifies that there has been disruption in the normal process oforganogenesis occurring before birth. The earlier the insult, the more gross the abnormality.This study aimed to study some predisposing factors that may result in congenital abnormalities amongnewborn infants in neonatal care unit (NCU) of Al-Kadhymia teaching hospital-Baghdad/Iraq. Thisprospective study was carried out during the period from 1st February to 1st August 2011. A total of 2700neonates were admitted to NCU, and (100) newborn infants were proven to have congenital abnormalitiesby physical examination alone in the nursery care unit.The results showed that of the total (100) affected neonates, 63 (63%) were full term as compared to only37 (37%) preterm baby (<37 weeks gestation) with a significant difference (P <0.05). Of the total 2700neonates, 1440 (53%) were females and the remining 1260 (47%) were males.Out of the (100) neonates who were proven to have congenital anomalies, 55 (55%) were males and 45(45%) females. The percentage of newborns with congenital abnormalities was 3.7% with respect to totalnumber of newborns (2700); 2.1% were males and 1.6% were females.Our results showed that (55%) had neurological abnormalities followed by (12%) cleft lip and palate then(11%) chromosomal abnormalities (most of them Down syndrome and only 3 cases had Edward syndromeand 1 case had Patau syndrome). In this study, it was shown that the highest incidence of congenitalabnormalities (55) occurred between (20-30) years.It can be concluded that most the affected newborns were full terms, with a slight male predominance.Incidence of neurological abnormalities was higher than other types of congenital abnormalities, the highestincidence of congenital abnormalities occurred between 20-30 years, and in multigravida mothers, and mostof parents were reported to be consanguineous or relatives.
Risk Factors of Rebound Hyperbilirubinemia in Post Phototherapy Hyperbilirubinemia Infants Alexander Leonard Caesar Josediputra; Martono Tri Utomo; Risa Etika
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.v15i4.16774

Abstract

Background: Post phototherapy rebound hyperbilirubinemia is a cause for readmission in some infants.However, this phenomenon data of rebound hyperbilirubinemia is lacking from Indonesia. Our study aimsto describe the risk factor of post phototherapy rebound hyperbilirubinemia in the infant.Method: Cross-sectional study of all infants with indirect hyperbilirubinemia who were treated phototherapyaccording to standard guidelines in neonate intermediate unit Dr. Soetomo hospital for 6 months from June2017 until December 2017. Bilirubin was measured 24 hours after phototherapy. Bilirubin rebound isconsidered as increasing total serum bilirubin that needs reinstitution of phototherapy.Result: A total of 53 (44.9%) infants developed rebound hyperbilirubinemia. We revealed the following riskfactor for rebound hyperbilirubinemia was the onset of jaundice on < 3 days, (10 babies, p <0.05). Otherresults are 30 (56.6%) female infants, 39 (73%) birth weight < 2500 g, 36 (67%) infants with a history ofcesarean section, and 38 (71%) preterm infants but there are not statistically significant.Conclusion: Post phototherapy rebound hyperbilirubinemia should be considered in the onset of jaundice< 3 days.
Abuse of Topical Glucocorticoids among Patients Visiting Community Pharmacy in Basrah-Iraq Alhassan Shaker Abed; 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.v15i4.16775

Abstract

Introduction: Topical glucocorticoids have been the mainstay for the treatment of many skin conditions sincetheir introduction due to their anti-inflammatory, anti-proliferative vasoconstrictive and immunosuppressiveproperties.Availability of topical glucocorticoids in different potencies as over the counter medication inIraq encourages their use for non-labeled indications , thus increasing the side effect of such drugs.Objectives: The aim of this study was toevaluate the use, knowledge of the patients and patient educationoftopical glucocorticoids.Methodology: A cross sectional community pharmacy based survey was conducted throughout Basrahcity.Inclusion criteria were costumers visiting the community pharmacies asking for topical corticosteroidswithout prescription, aging 15 years and older and willing to participate in the study.600 questionnaireformafor topical corticosteroids were distributed in the center and the districts of Basrah city. 254 forma outof 600 were returned out of which 212 were completed. Incomplete forma were excluded.Result: 106 (50%) participants out of 212misused topical glucocorticoids. As a single product, Betamethasonevalerate and Clobetasol propionate was majorly used by the participants which are potent and ultra-highpotent topical steroid respectively. The major source of topical steroid prescription was relatives.49.8%participants didn’t recognize any side effect of topical glucocorticoids while hypopigmentation was themost side effect identified by the participants (21.8%).Only 35% of the participants,whom topical steroidprescription source by physicians and pharmacists, was educated about the use of topical glucocorticoids.Conclusion: Topical glucocorticoids are commonly abused in Basrah city and probably other cities of Iraq.Looking fair and improving face appearance is a common cultural believe in Iraq that push people to seektopical glucocorticoids from community pharmacies for skin lightening in addition to other unapprovedindications without prescription.
Factors Affecting Professional Integrity in Nurses: A Qualitative Content Analysis Ali Asghar Jesmi; Khadijeh Yazdi; Zahra Sabzi; Hadi Ahmadi Chenari; Abdolmotalleb Hasani
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.v15i4.16776

Abstract

Background: Integrity is one of the professional values mentioned in the ethical codes of the ProfessionalNursing Association. It is defined as a commitment to the five fundamental values of integrity, trust, equality,respect, and accountability. This study aims to explore factors affecting professional integrity in nurses.Methods: A descriptive content analysis was carried out by 17 interviews with Iranian nurses who werechosen through purposive sampling. The data collection instruments were semi-structured interviewsand observation. The interviews were recorded and transcribed word by word; then, they were coded andanalyzed by Graneheim and Lundman qualitative content analysis method. For the trustworthiness of thestudy, Guba and Lincoln’s criteria were used.Result: After analysis, the latent meanings formulated into one theme,” keeping up confident beliefs,” whichconsists of “religious beliefs,” “inner call,” “philanthropic sense,” “empathetic care” and “divine rewards”categories.Conclusion: Many factors are heading to internalizing professional integrity in nurses in Iran. Authorities,managers, and faculty members should pay special attention to the internalization of professional integrityand ethical values, such as altruism, conscience, empathy, and the presence of God in life to decrease themistakes and promote quality of care.

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