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Indian Journal of Forensic Medicine & Toxicology
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Articles 5,497 Documents
Vaccine Financing for the Treatment of Covid-19 of Banking Agencies’ in Empowering Small and Medium Health Institution at Aceh Yusri Yusri; Tan Kamello; Husni Husni; Iman Jauhari
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (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.v15i2.15021

Abstract

The purpose of this article is to explain the vaccine financing for the treatment of covid-19 of BankingAgencies in an effort to empower Small and Medium Institution in Aceh. This study applies qualitativelegal methods with a descriptive-analytical approach. The results of the study indicate that the vaccinefinancing for the treatment of covid-19 and the existence of the Banking Agencies is instrumental in effortsto empowerment SMHi and covid-19 treatment, but the quantity of SMHi that can be financed very limited.Only a small proportion of SMHi can obtain loan facilities from bank agencies. In conclusion, bank agenciesstill not yet play the important role in empowerment the micro, small and medium Health Institution in Aceh.
Maternal and Perinatal Outcomes in Uncorrected Tetralogy of Fallot Khanisyah Erza Gumilar; Christina Meilani Susanto; Erry Gumilar Dachlan
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (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.v15i2.15023

Abstract

Background: Tetralogy of Fallot (TOF) is the most common congenital heart disease in the population.Correction of TOF during infancy or childhood may increase the quality of patient’s life. Uncorrected TOFmay cause further complications later on. Pregnancy with uncorrected TOF may cause complications onboth maternal and fetal sides.Objective: to analyze maternal and perinatal outcomes in patients with uncorrected TOF during pregnancy.Methods: This is a retrospective study. A total of 8 pregnant women diagnosed with TOF registered inthe Obstetric-Cardiac unit in 3 years (2016-2018). Medical records were reviewed for clinical assessment,echocardiography results, and therapy during hospitalization. Patients were contacted by telephone to providean obstetric history, including details of pregnancy and delivery. Five of 7 patients able to be contacted, andhome visits were done to evaluate their conditions.Results: There were 8 pregnant women with uncorrected TOF. Most cases (87,5%) were first diagnosedduring pregnancy and delivery. Intra-Uterine Growth Restriction (IUGR) and abortion (62.5% and 25%,respectively) were the most obstetric complications. Cardiac complications were cardiogenic shock (12.5%),thromboembolic (12.5%), and various degree of heart failure (62.5%). The number of Small for GestationalAge (SGA) was 66.7%. Incidence of congenital heart disease (CHD) in the fetus was 20%. One death caseand 2 abortions from a total of 8 cases were found.Conclusion: TOF may cause many maternal and fetal complications. The most common maternalcomplications are heart failure, cardiogenic shock and thromboembolic, while perinatal complicationsinclude IUGR, SGA and abortion.
Hypertension Response after Stenting adult with Coarctaion of Aorta One Year Follow Up Ali Yahya Abdullah Alsallami; Ahmed Abdulzahra Jeyad; Basim Abd Ali Saeed; Hassan Ali Essa Al Mamuri
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (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.v15i2.15025

Abstract

Coarctaion of aorta occur in 6 % of patient with congenital heart disease, balloon dilation ,stenting andsurgery have been proved as modality of treatment coarctaion of aorta.Usually untreated coarctation of aortamay lead to renal, vascular and cardiac complication that start to appear at binging of fourth decade of life.Toknew hypertension response after stenting adult with coarctation of aorta. 75 patients with coarctaion of aorta30 male (40%) and 45 female (60 %) was involve in this prospective longitudinal study, there age range from16 to 41 year, for all echocardiography, CT chest done to confirm diagnosis then all undergo catheterizationof aorta with 2 sheath one femoral and other radial to measure pressure gradient across stenosis and stentlocalization follow by stenting with pre and post dilation if needed then measure pressure gradient acrossstent. All patients stent by uncover stent including for 2 case with interrupted coarctaion, immediately afterstent pressure gradient fall almost all our patient then follow up 6 month, 1 year by angiography assessmentwith CT chest show no stent fracture or aneurysm in aorta at stent site. The study conclude uncovered stentappear to be safe in treating coarctaion of aorta with less morbidity and mortality. stent adult with coarctaionof aorta have advantage of lowering blood pressure in those suffer from hypertension.
Survey Study for Causative Agents of Meningitis Patient in Babylon Province Zaytoon A. Al-Khafaji; Safaa A.AL-Isawi; Zainab H. Al-zubaidy; Ameer Kadhim Al-Humairi
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (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.v15i2.15026

Abstract

One of the most dangerous infections that cause elevated morbidity and mortality rates is meningitis.Meningitis in children is one of the life threatening condition in pediatric age group, which needs properand early diagnosis in the emergency department. According to findings and clinical diagnosis (35.3%cases)considered bacterial while (64.7% cases) considered non bacterial meningitis. Most rate of infection ofmeningitis occurred in 2017 ( 38.3%),Male sex, Age< 1 year with a higher prevalence of meningitis. Weconcluded that Bacterial meningitis are still occupying large percentage of cases admitted to hospital, and ifun-diagnosed promptly will have a high mortality.
The Effect of Enhanced External Counter Pulsation on Improving Quality of Life in Patient with 3 Vessels Disease Treated Medically Versus Percutaneous Coronary Intervention, 1 Year Follow Up Ali Yahya Abdullah; Basim Abd Ali Saeed; Hassan Ali Essa Al mamuri; Ahmed Abdulzahra Jeyad Almurshidy
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (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.v15i2.15027

Abstract

Background : Refractory angina usually refers to as (equal or more than 3 months in duration) stableischemic heart disease which cannot be regulated by a therapeutic treatment, surgical cardiac intervention,and where reversible cardiac ischemia has been stated to be the reason for the manifestation clinically.Aim:The efficacy of use enhanced external counter pulsation in treating refractory angina pectoris in those do PCIvs. medical alone and short-term outcome. PMethodology: 91 patients with refractory angina pectoris unrespond to treatment and/or intervention or unfit for intervention or surgery have been enrolled in this study,for all ECG, echocardiography study done to assess LV and valvular function, Doppler study for lower limbartery to assess if there is peripheral vascular disease, abdominal ultrasound done to exclude the presenceof aortic abdominal aneurysm, then if patient eligible for EECP inclusion criteria refer for EECP unit .Afterend of all session all patients assess improvement according to change in Canadian cardiovascular societygrading CCS pre and post EECP and on follow up 6 month and 1 year. Result: Over 12 month’s period of thestudy, 91 persons were assessed including 32(35%) women and 59 (65%) men. The age range was 45 yearsto 80 years with the mean age range 61 years (SD ± 8.2). Most patients treated with 30 session with 1 hourper session on average of 26 (SD ± 7) session with response rate at end of sessions 88.7% where responsemean improvement of symptom and according to (CCS) change per and post EECP.Conclusion: No befit from doing single vessel intervention in patient with 3 vessels disease in improvingresponse to EECP or improving echocardiographic parameter. EECP appear as safe effective therapy inselective patient with refractory angina not respond to medical and unfit for intervention or surgery. Responseto EECP in well selected patient persist for 1 year.
Reducing of Hydrogen Peroxide Effects by Pomegranate Peel Extract in Vivo, in Female Wistar Rats Dhuha Salah Noori; Agharid. A.Al-Rasheed; Muna Salah Rasheed; Bashiru Garba
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (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.v15i2.15028

Abstract

In this study, the effect of pomegranate peel aqueous extract (PPEA) in reducing toxicities associated withhydrogen peroxide consumption was investigated using rats. This was achieved by assessing the serumbiochemical parameters as well as histopathological analysis of the liver and stomach sections. Forty,6-week-old female Wistar albino rats weighing 11.6± 4.4 g were divided equally into six groups. The ratswere administered the pomegranate extract and challenged with H2O2 via the oral route for 28 days. Toachieve this, positive control rats ingested H2O2 at 5 mg/ 100g body weight (b.w), while the negative controlgroups were given saline solution. Rats in the other three experimental groups were given H2O2 and treatedwith PPEA at 20, 40 mg and Vitamin at 25mg per 100g body weight respectively.H2O2 at 5 mg/100 g b.winduced injury to the liver and stomach tissues, while increasing levels of malondialdehyde (MDA), theAspartate Transaminase (AST) besides Alanine Transaminase (ALT) and, reduced of Glutathione GSH)were observed in comparison with the control groups. Treatment with PPEA demonstrated protective effectsby reducing the MDA, ALT and AST values and increase of GSH level as well as, improving the liver andstomach tissues to recover. Our results indicate that the administration of treatments against H2O2 usingPPEA decrease the harmful effect orally administered H2O2 at 5 mg/100g b.w.
Which one affect the other, Recurrent Pregnancy Loss or Serum Level of E?cadherin and c-MycBP Zena Abdul-Ameer Mahdi; Nadia M. Al-Hilli; Maha F. Smaism
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (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.v15i2.15030

Abstract

Recurrent pregnancy loss (RPL) is a foremost life event and a common pregnancy complication, whichdefined as losses of two or more pregnancies before 20 weeks of gestation. It affects approximately 1% -2% of couples trying to have children. To evaluate the potential role of cellular myelocytomatosis bindingprotein (c-MycBP) and epithelial cadherin (E-cad) serum level as biomarkers in maternal blood and focuson the similarity between tumour invasion and embryogenesis as phenomena by c-MycBP and E?cadherin.This case control study included 50 women with RPL (25 primary RPL and 25 secondary RPL) from threeinfertility clinics in Iraq. In addition to 50 control women with no history of RPL and at least one childbirth. Both groups are matched in age and BMI. Blood sampling was done for all and protein level ofc-Myc BP and E-cadherin were measured by ELISA Kit and analysis done according to the manufacturerrecommendations. The result presented in this study showed a significant difference in c?MycBP level(p<0.001) and E?cadherin (p<0.001) between patients and control. A significant positive correlation hasbeen found between these two biochemical markers (p <0.001, r=?0.39). The present study showed thatdecreasing both c-MycBP and E-cad serum level signpost possible hypothesis that these proteins participatein one way or another in RPL pathogenesis which affect cell proliferation and invasion. However, thisbinding protein transcription factor is a part of a coordinated network of various set of partners whichneed further studies in future. Taken together, additional studies are required to understand and clarify theimportance of these biomarkers on this multifactorial condition.
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Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (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.v15i2.15031

Abstract

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Toxicity of Cadmium Chloride on White Rats Liver and the Protective Role of Brassica Nigra Seed Extract Nahla Kamal Asaad; Qasim Azeez Razooqi; Mohammed Ahmed Mustafa
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (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.v15i2.15032

Abstract

The study designed for the toxic role of cadmium chloride on the liver of mice from both a physiologicaland histological aspects. The animals were treated with a dose of 5 mg/kg of body weight for 30 days. Andthe protective role of Brassica nigra seed extract against cadmium chloride toxicity. This pilot study wasconducted on 20 adult white rats divided into 4 equivalent groups including the control group: Animals inthis group received a dosed of distilled water for 30 days. The placebo group was treated with cadmiumchloride at a dose of 5 mg/kg of body weight for 30 days and returned as an infected control group. Whilein the third group, animals treated with cadmium chloride were dosed with Brassica nigra seed extractat a dose of 200 mg/kg of body weight for 30 days. The fourth group was dosed with Brassica nigraseed extract at a dose of 200 mg/kg of body weight for 30 days. After 30 days, liver enzymes includingaminotransferase (AST), alanine aminotransferase (ALT) and alkaline phosphatase (ALP) were measuredby spectrophotometric method. In addition to making tissue sections of the liver. The treatment of ratsled to a significant increase (P?0.05) in liver enzymes compared with the control group. It also led tohistopathology in the liver tissue, while the Brassica nigra seed extract acted as a protective role against thetoxicity of cadmium chloride.
Molecular Investigation of Quinolone Resistant Genes among Clinical Psedomonas aeruginosa Isolates Zena T. wtwt; Eman M. Jarallah
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (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.v15i2.15033

Abstract

The current research was performed in Al-imam AL- Sadiq Hospital, Hilla Teaching Hospital, Babyloncity, Iraq to investigate the resistance gene of fluoroquinolones (FQs) in P. aeruginosa clinical isolatesof taken from different origins. Mutations arising at the bacterial gyrA, gyrB, parC, par E gene belong toDNA gyrase and topoisomerase IV are the fluoroquinolone tolerance essential mechanism in P. aeruginosa..and over expression of efflux pumps . (80) clinical isolates collected by Transport swabs from varioussource [(burn 45(56.25 %), wound 15 (18.75 %), ear 3 (3.75 %), blood 2 (2.5 %), urine 4(5 %),sputum11(13.75)] that initially identified by culturing on MacConkey agar, blood agar and cetrimide agar selectivemedia for Pseudomonas aeruginosa, P. aeruginosa chromogenic agar then diagnosed by performing somemorphological and biochemical tests. The second diagnosis to (10) isolates was done by VITEK 2 Compactsystem using VITEK 2GN,and by using PCR technique for genotyping detection by the 16s rRNA gene.A susceptibility test was applied to all (80) isolates using 9 antibiotics through resorting to Kirby-Pourmethod. The results of this test showed that isolates which represented the highest resistance to ciprofloxacin(71%),levofloxacin(75%) , aztreonam(87.5%), but isolates showed low resistance to impenem 18.75% and0%resistant to meropenem. (gyrA, gyrB) subunit of DNA gyrase is target of flouroquinolon antibiotic hasbeen screened by PCR reaction. The results showed that these genes present in P. aeruginosa at (100 percent,100 percent,), respectively..