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<![CDATA[The Intrasubject Variability in the Acute Phase Protein (Orosomucoid) Levels and their Influenced by Breast Malignancy ]]>
<![CDATA[Shatha Abd Al-jabbar]]>;
<![CDATA[Rana M Hameed]]>;
<![CDATA[Wesen Adel Mehdi]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v15i3.15400
<![CDATA[Background: The major healthcare burden is breast cancer, screening services are expensive and difficult to organize, requiring major issues of administrative and quality control. however a potential biomarker that could help in the screening of the disease progress might improve the available routine mode of diagnosis. This study was aimed to examine the variability of Orosomucoid levels in breast cancer patients also to review the background documents on the state of the art of the scientific literature in this area of work.Materials and Methods: A cross sectional study was conduct on a breast cancer patients which were collected from oncology unit , Al-Hussein teaching Hospital in Kerbala / Iraq. Enzyme Linked Immunosorbent Assay system (ELISA) was performed using Sandwich method to measure the concentrations of serum Orosomucoid protein levels. Results: The primary stage of breast cancer was shown a wide spread range of the protein levels ( 95.4- 664.5 ng/ml) compared to the metastasis stage range (59.0- 376.3 ng/ml). The effect of disease duration and drug therapy also examine. Long term of duration of the disease with chemotherapy and/or hormonal therapy might decrease the level of protein, but, no significant differences were found.Conclusion: Since rosomucoid protein works as transporter, the protein may be used as an indication of the drug response due to decreased level in patients who were taking both chemotherapy and hormone therapy. Determination of serum rosomucoid protein could guide treating oncologist to have an idea to what extent the patients have response.]]>
<![CDATA[The Relation between CRP and Ferritin in People Infected with COVID-19 in Al- Amariah City ]]>
<![CDATA[Arkan Abdullah Abbas]]>;
<![CDATA[Ban Mohammed Abbas Al-Kanan]]>;
<![CDATA[Yasser Qassim Hussein]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v15i3.15401
<![CDATA[he study aimed at the Covid-19 infection causes an increase in both the effective protein level C and the level of the ferritin of blood in the early diagnosis of COVID-19 infection. In the present study that was carried out in Amariah city from 15th of July to 15th of October 2020, a total of 100 people (60 infected group with COVID-19 and 40 control group without Covid-19) who were admitted to AL-Amariah Hospital whose ages were between 15-75 years. Patients were investigated for the detection of COVID-19 by using Real-Time PCR. The current study showed that the infection with COVID-19 is affected by the age factor of the patient. The highest rate of a patient with COVID-19 was within the age group >50 years with a highly significant relation between COVID-19 and age. The study showed that the highest rate of CRP in the infected group compared with a control group with a highly significant difference. The highest rate of ferritin in an infected group than the control group.]]>
<![CDATA[The Efficacy of Phototherapy in the Treatment of Neonatal Jaundice ]]>
<![CDATA[Khalid Yas Khudhur]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v15i3.15402
<![CDATA[Phototherapy is safe and effective in the management of neonatal hyperbilirubinemia; its efficacy has been demonstrated in several studies.A prospective study done on 100 cases of newborns with jaundice admitted to the pediatric ward at Tikrit Teaching Hospital during January to July 2009 were selected randomly, aim to evaluate the efficacy of phototherapy used in the treatment of significant indirect hyperbilirubinemia. The total serum bilirubin determinations were performed on newborns with jaundice. The current study demonstrated a statistically significant positive relation between the rate of TSB decrement and supplementary feeding, B.Wt. and type of light ,and a statistically non-significant negative relation between the rate of TSB decrement and gestational age, type of jaundice and receiving IVF. Conclusion: the efficacy of phototherapy in neonates with mixed feeding more than the bottle feeding and breast feeding, also the response to phototherapy in VLBW newborns was significantly slower than that of NBW and LBW. neonates under blue light phototherapy showed faster response than those under white light.]]>
<![CDATA[Bacteriological Findings in Active Otitis Media with Perforated Tympanic Membrane ]]>
<![CDATA[Muwafaq Ahmed Salih]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v15i3.15403
<![CDATA[Background: Discharge from the ear is one of the commonest symptoms of infections of the ear. It can arise in both adults and children from a number of sources, (External canal, Middle Ear, and Mastoid cavity). And may have a variety of aetiologies, but the most common causes were acute, and chronic otitis media with perforation of the tympanic membrane. Aim of Study: To evaluate the most common types of bacteria that found in a discharging ear, and to appreciate the most appropriate antibacterial drugs acting on these bacteria. Patient and Methods The present prospective study includes 200 patients presented with ear discharge to the department of otolaryngology in Sulaimani Teaching Hospital from July 2008 to July 2009 including age group ranging from 6m->40years from both sexes.Identification of bacteria was done by colonial appearance, gram stain and biochemical tests. Results :Of 200 patients with ear discharge the maximum age involved is >40 years, male to female ratio 1.01:1, most of the cases were chronic otitis media 154 (77%), and the commonest type of discharge were mucopurulent (31%) in which the most common type of pathogen was staph.epidermidis(18%). followed by klebsiella sp. (15%), and Pseudomonas.aeroginosa (11%). Acute otitis media constitute about 27% of cases in which the most common type of discharge was serous, and the bacteria was staph.aureus as a most common pathogen (31%), most of gram +ve bacteria are strongly sensitive to amikacin and gentamycin, all types of the cultured microorganisms were sensitive to ciprofloxacin. Conclusion: chronic otitis media is the most common cause of ear discharge (mucopurulent) in which the most common type of microorganism is staph.epidrmidis. and (purulent) type of discharge is pseudomonas.aerogenosa. while in acute otitis media the most common type of discharge is (serous) in which staph aureus is the most common type.]]>
<![CDATA[Management of Congenital Duodenal Obstruction by Diamond-Shaped Duodenoduodenostomy ]]>
<![CDATA[Mahmood Mosa Mahmood]]>;
<![CDATA[Alaa Mohammed Ali Al Baazi]]>;
<![CDATA[Athir Ahmed Kadium]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v15i3.15404
<![CDATA[A prospective study of 20 patients with clinical diagnosis of duodenal obstruction done at pediatric surgery center in AL Khanssa maternity and children Teaching Hospital in Mosul from December 2006-January 2010, a detailed case-record of 20 consecutive newborn patients treated for duodenal obstruction. The aims of the study was to analyze our experience and to evaluate the clinical presentation, diagnosis, postoperative care, and outcome in infants with duodenal obstruction.The 20 patients were classified according to classification system modified from James A. O’Neill: duodenal web, atresia , annular pancreas and malrotation.The presumptive diagnosis and decision regarding the need for surgery was based on clinical findings and investigation of plain abdominal radiographs in all patients without the need of dye study. Abdominal ultrasound examination was done for all patient to evaluate the associated renal anomalies and echocardiogram was done for 15 patients because of suspicion of congenital heart disease.other laboratory investigation including complete blood count, serum electrolyte, blood urea and total serum bilirubin were done for all patients.the management strategy for all patients was outlined as follows: After initial evaluation, a nasogastric tube (NGT) was placed for gastric decompression. The operative procedures performed through supra umbilical transverse abdominal incision. The type of duodenal obstruction was assessed after mobilizing the ascending and transverse colon to the left and identifying any associated malrotation. Kocherization of duodenum then performed and a transpyloric tube was passed to determine if a windsock abnormality was present . In duodenal atresia intraoperatively injection of saline or air into the distal segment was done to rule out a second atresia. Using a single layer of interrupted suture with posterior knots tied inside and anterior knots tied outside by using 5-0 or 6-0 Vicryl (polyglactin) o Polydiaxonone suture(PDS) 5/0 to complete the anastamosis. The age of our patients were ranging from1day to 16 days and divided in to two groups from 1 up to 7 days. The Common clinical findings in our patients were bilious emesis, upper abdominal distension, failure to pass meconium . And accordingly the incidence of each symptoms and signs.The available investigations in our center at any time was the plain abdominal x ray, the finding in plain x-ray of abdomen was double bubble sign in 18(90%)of the patients and single gastric gas shadow in 2(10%) of patient. Abdominal ultrasound examination was done for all patients locking for any associated anomalies especially of the urinary tract. The finding was ectopic kidney in 1(5%) and hydronephrosis in 1(5%) of our patient. Echocardiography has been performed in 15 patients , abnormal in 2 male babies one of them had VSD and another one had ASD. Careful examination and follow up locking for associated anomalies were done and their types and percentile shows male patient have more associated anomalies than female.]]>
<![CDATA[Relationship between the Effect of Severity Vertigo and Demographic Characteristic for Iraqi Patients ]]>
<![CDATA[Zainab Sabah Rashid]]>;
<![CDATA[Ban Juma Abed]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v15i3.15406
<![CDATA[Background: Vertigo, an illusory sensation of self or environmental rotation is a common presentation to the emergency department, affecting approximately 20–30% of the general population. Despite its frequency, most clinicians find acute vertigo challenging. An easy way of approaching it is to have in mind the most common causes and to consider them all during history taking and examination. Patients and Methods:A cross-sectional study involved 150 adult participants, who complained of vertigo and attended the vertigo center in Baghdad Medical City, using a 25-item Vertigo Handicap Questionnaire. During period (February – June) 2020. Results of Current study showed no effect of vertigo in (17.9%) of patients in age group (20-29) years. The effect of vertigo is more severe in female (3.3%) than in male (1.8%), so vertigo is more severe in patients with primary education (6.5%) and Mild effect of vertigo is more in retired patients (71.0%), while moderate effect of vertigo as (50.0%) in students and (35.0%) in governmental employed patients. As well as vertigo is more severe in patients live in rural area, Patients who have duration of symptom less than one year have no effect of vertigo in (3.8%), and severe effect in (3.8%), Also patients who currently employed (9.0%) had slight or no effect of vertigo. Conclusion: There is no significant correlation found between the severity of the effect of vertigo and demographic characteristic of studied individuals. The vertigo handicap questionnaire may be a useful tool for screening patients, counseling, and charting treatment progress.]]>
<![CDATA[Bacteriological Study of Carbapenem and Aminoglycoside Resistance in Staphylococcus Aureus Recovered from Patient in Baghdad Province ]]>
<![CDATA[Hajir Adil Anwar]]>;
<![CDATA[Maliha Masaoud]]>;
<![CDATA[Ahmed Salim]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v15i3.15407
<![CDATA[Background: In population- and hospital-acquired infections, Staphylococcus aureus is one of the most powerful causative agents. Aminoglycosides are active bactericidal drugs and are frequently used to treat staphylococcal infections in conjunction with beta-lactams or glycopeptides. Staphylococcus aureus is immune to carbapenems and other beta-lactams A different mechanism that can lead to carbapenem resistance is the active expulsion of carbapenems from the periplasmic space after their entry, due to the high distribution of these bacteria that are now immune to other antibiotics, it has become more difficult to treat these drug-resistant strains. Materials and Methods: A total of 130 staph.aureus isolates were isolated from different clinical samples in some public & private hospitals in Baghdad city during the period from November to December 2019. Bacterial identification was done using conventional cultural & chemical methods & and VITEk 2 cards for identification (GP), while the minimum inhibitory concentration (MIC) testing was performed using disk diffusion & (AST-GP30) cards in VITEK 2 automated system. Results: By using disk duffusion test out of 130 of Staph.aureus isolate, 76(58.4%) were resistant to aminoglycosids antibiotics (gentamicin) while 29(22.3%) were resistant to carbapenem antibiotics (imipenem) The MIC of different antibiotics was performed on 26 isolates using (VITEK2AST-GP30) showed that 18(69.2%) were resistant to aminoglycosids antibiotics (gentamicin) while 26(100%) were resistant to carbapenem antibiotics (imipenem). Conclusion: The MIC of different antibiotics By using disk duffusion the Staph.aureus isolate resistant to gentamicin 76(58.4%) and 29(22.3%) were resistant to imipenem, while, by VITEK2AST-GP30 showed 18(69.2%) were resistant to gentamicin , while 26(100% were resistant to imipenem.]]>
<![CDATA[Assessment of the Adequacy of Pharmaceutical Services the Provision in Primary Health Care Centers ]]>
<![CDATA[Qasim Abbood Kareem]]>;
<![CDATA[Thulfiqar Mohammed Habeeb]]>;
<![CDATA[Ahmed Salim Hadi]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v15i3.15408
<![CDATA[Background: Changes in the national health care system, particularly the implementation of managed care and integrated health systems, promote the adoption of primary care as a means of meeting basic health care needs and managing access to specialty services. Materials and Methods: This is cross-sectional study conducted at 23 randomly selected (multistage random sampling) primary health care centers in Babylon governorate. Data were collected during the period starting (November 2020- January 2021). Result:This study demonstrates that 47.8% of the health centers had a fair score regarding the amount of medicines according to actual need, and the availability of medications according to the basic list. While there are three indicators that had a full score (100%) for the presence of an administrative order for the responsible pharmacist and his assistant, and writing the patient’s name and sex on the prescription. Conclusion: The current study shows there are clear deficiencies in some standards (such as pharmacist assistant), and furniture (such as computer).]]>
<![CDATA[Emergency Traumatic Patients, Study & Analysis in Nineveh Province in Iraq ]]>
<![CDATA[Mohammed Salih Abdullah Ali]]>;
<![CDATA[Zainab Saud Abdulaziz]]>;
<![CDATA[Sara Raad Lahoob]]>;
<![CDATA[Azzawi M Hadi]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v15i3.15409
<![CDATA[Background: Trauma is the medical problems associated with physical injury. Physical injuries includ thermal, chemical and ionizing radiation but mechanical injury is the most common type. The study was aimed to highlight the epidemiological parameters of these cases, determine most common causes and the management as well outcome for them. Patients and Methods: This was a cross section study involve 250 trauma cases admitted to Alsalam and Aljumhoory teaching hospitals of Nineveh province Iraq, from November 2018 to April 2019. Results: Males are more affected than females, and 56 % of patients belong to the age groups from 10 to 39 years, we found that Slips and falls (or same level falls) are the most common mechanism of injury specially among elderly people, while bullet and blast injuries form a small percentage of injuries with 4% & 1.6% respectively. Limb injury is the most common type of injury, followed by head injuries. Most of these injuries were treated conservatively but about quarter of them require surgery, while abdominal injuries which represent about 5.6% of all injuries, were treated by surgery with exception of 21.4% treated conservatively. Conclusion: Young males are more exposed to trauma. Limb injury is the most common type of injury while head injury is the commonest cause of death. Conservative treatment is the most used strategy. Bowel is the most intra-abdominal organ affected]]>
