Pub Date : 2021-05-17DOI: 10.37506/IJFMT.V15I3.15407
H. Anwar, Maliha Masaoud, A. Salim
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.
{"title":"Bacteriological Study of Carbapenem and Aminoglycoside Resistance in Staphylococcus Aureus Recovered from Patient in Baghdad Province","authors":"H. Anwar, Maliha Masaoud, A. Salim","doi":"10.37506/IJFMT.V15I3.15407","DOIUrl":"https://doi.org/10.37506/IJFMT.V15I3.15407","url":null,"abstract":"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.","PeriodicalId":15899,"journal":{"name":"Journal of Forensic Medicine","volume":"1 1","pages":"791-796"},"PeriodicalIF":0.0,"publicationDate":"2021-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79946939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-17DOI: 10.37506/IJFMT.V15I3.15802
Ismi Zuhria, Nurwasis, E. Wasito, Winarto, I. Sudiana, R. I’tishom, N. Purnami
{"title":"Mechanism of Corneal Epithelial Cells Death by Infection of pseudomonas Aeruginosathrough Analysis Expression of Caspase-1, TNF, RIPK1, RIPK3, Caspase-3 in Rats Model","authors":"Ismi Zuhria, Nurwasis, E. Wasito, Winarto, I. Sudiana, R. I’tishom, N. Purnami","doi":"10.37506/IJFMT.V15I3.15802","DOIUrl":"https://doi.org/10.37506/IJFMT.V15I3.15802","url":null,"abstract":"","PeriodicalId":15899,"journal":{"name":"Journal of Forensic Medicine","volume":"30 1","pages":"3236-3246"},"PeriodicalIF":0.0,"publicationDate":"2021-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80034660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-17DOI: 10.37506/IJFMT.V15I3.15290
A. Rajaput, H. Kumar, F. N. Gilani, E. Goudar
Background and Objectives: the study of profile of skull fractures is important as head being the most exposed and prominent part of body; it becomes most susceptible to injuries, as a result of criminal violence or accident. The present study was taken up to know the incidence of head injuries, age relationship,sex relationship, agent causing skull fractures, common skull bone fractures. Methodology: data in the current study was collected from the autopsy reports and from police inquest of all fatal skull fractures from the period of june 2012 to may 2014 irrespective of age and sex with history of death due to head injuries brought for postmortem examination to the department of forensic medicine & toxicology, al-ameen medical college mortuary and district hospital mortuary, bijapur between june 2012 to may 2014.Results: most common circumstance causing skull fractures are road traffic accidents in 77 cases (81.94 %). Male preponderance over females noted in this study with males constituting 80 cases (85.10 %) and females 14 cases (14.89 %). The most common age group affected was 21-30 years. Blunt force is the most common agent causing the skull fracture in 90 cases (95.74 %) and least is sharp in 4 cases (4.25 %). Among skull fracture comminuted fracture were seen in 46 cases (48.93%) , linear fracture in 38 cases (40.42%), depressed fracture in 8cases (8.5%) and sutural fracture in 1 case and gutter fracture in 1 case (1.06%) respectively. Temporal bone was the commonest bone fracture in 17 cases (18.08%). Conclusion: the study had concluded that incidence of skull fractures were common at the age group of 21-30 years, with male predominance, most common cases were those of RTA, cause of death that were given in majority of cases was that of Head injury as a consequence of injuries sustained.
{"title":"Profile of Fatal Head Injury Cases Autopsied at District Governament Hospital Mortuary","authors":"A. Rajaput, H. Kumar, F. N. Gilani, E. Goudar","doi":"10.37506/IJFMT.V15I3.15290","DOIUrl":"https://doi.org/10.37506/IJFMT.V15I3.15290","url":null,"abstract":"Background and Objectives: the study of profile of skull fractures is important as head being the most exposed and prominent part of body; it becomes most susceptible to injuries, as a result of criminal violence or accident. The present study was taken up to know the incidence of head injuries, age relationship,sex relationship, agent causing skull fractures, common skull bone fractures. Methodology: data in the current study was collected from the autopsy reports and from police inquest of all fatal skull fractures from the period of june 2012 to may 2014 irrespective of age and sex with history of death due to head injuries brought for postmortem examination to the department of forensic medicine & toxicology, al-ameen medical college mortuary and district hospital mortuary, bijapur between june 2012 to may 2014.Results: most common circumstance causing skull fractures are road traffic accidents in 77 cases (81.94 %). Male preponderance over females noted in this study with males constituting 80 cases (85.10 %) and females 14 cases (14.89 %). The most common age group affected was 21-30 years. Blunt force is the most common agent causing the skull fracture in 90 cases (95.74 %) and least is sharp in 4 cases (4.25 %). Among skull fracture comminuted fracture were seen in 46 cases (48.93%) , linear fracture in 38 cases (40.42%), depressed fracture in 8cases (8.5%) and sutural fracture in 1 case and gutter fracture in 1 case (1.06%) respectively. Temporal bone was the commonest bone fracture in 17 cases (18.08%). Conclusion: the study had concluded that incidence of skull fractures were common at the age group of 21-30 years, with male predominance, most common cases were those of RTA, cause of death that were given in majority of cases was that of Head injury as a consequence of injuries sustained.","PeriodicalId":15899,"journal":{"name":"Journal of Forensic Medicine","volume":"1 1","pages":"116-122"},"PeriodicalIF":0.0,"publicationDate":"2021-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80378608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-17DOI: 10.37506/IJFMT.V15I3.15806
I. Saputra, T. M. Rafsanjani, S. Usman
People with a level II leprosy disability have limited functions in society. In Nagan Raya District, there is a 41% leprosy endemic area with a 5% level II disability rate. The goal of this research was to prove the relationships of traditional medication, stigma, and leper’s family support to level II leprosy disability. This research used mixedmethodsand a case-control design with 84 respondents42 case respondents (level II leprosy disability) and 42 control respondents (level 0 leprosy disability)chosen by consecutive sampling under some inclusion and exclusion criteria. Data collection used the in-depth interview method. This study used bivariate data analysis with the chi-square test and multivariate data analysis with the logistic regression test and the Miles and Huberman’s model. The results of the chi-square analysis indicated that traditional medication had p value=0.014 (OR: 2.3; 95% CI: 0.2–7.7), stigma p=0.04 (OR:3.6;95% CI: 1.5–8.9), and family’s support p=0.192 (OR:2.0; 95% CI: 0.7–5.8). The results of the logistic regression analysis showed that stigma was a risk factor for leprosy level II disability with p value=0.006, (OR=4.9; 95% CI: 1.6–15.1) and probability of 99.96%. Based on the interview results, lepers were feeling uncomfortable with the society’s not acceptingthem in a good way. This was especially the case with khanduri(feast) when it came down to food in that the society assumed lepers would transmit the infectious, disgusting disease. The Nagan Raya District Health Office is expected to encourage the societyto accept lepers and provide information regarding the process of leprosy transmission so as to appease the community’s fearand to prevent further disability.
{"title":"Mixed Methods Analysis: Traditional Medication,Stigma, and Leper’s Family Support Roles in Level II Leprosy Disability","authors":"I. Saputra, T. M. Rafsanjani, S. Usman","doi":"10.37506/IJFMT.V15I3.15806","DOIUrl":"https://doi.org/10.37506/IJFMT.V15I3.15806","url":null,"abstract":"People with a level II leprosy disability have limited functions in society. In Nagan Raya District, there is a 41% leprosy endemic area with a 5% level II disability rate. The goal of this research was to prove the relationships of traditional medication, stigma, and leper’s family support to level II leprosy disability. This research used mixedmethodsand a case-control design with 84 respondents42 case respondents (level II leprosy disability) and 42 control respondents (level 0 leprosy disability)chosen by consecutive sampling under some inclusion and exclusion criteria. Data collection used the in-depth interview method. This study used bivariate data analysis with the chi-square test and multivariate data analysis with the logistic regression test and the Miles and Huberman’s model. The results of the chi-square analysis indicated that traditional medication had p value=0.014 (OR: 2.3; 95% CI: 0.2–7.7), stigma p=0.04 (OR:3.6;95% CI: 1.5–8.9), and family’s support p=0.192 (OR:2.0; 95% CI: 0.7–5.8). The results of the logistic regression analysis showed that stigma was a risk factor for leprosy level II disability with p value=0.006, (OR=4.9; 95% CI: 1.6–15.1) and probability of 99.96%. Based on the interview results, lepers were feeling uncomfortable with the society’s not acceptingthem in a good way. This was especially the case with khanduri(feast) when it came down to food in that the society assumed lepers would transmit the infectious, disgusting disease. The Nagan Raya District Health Office is expected to encourage the societyto accept lepers and provide information regarding the process of leprosy transmission so as to appease the community’s fearand to prevent further disability.","PeriodicalId":15899,"journal":{"name":"Journal of Forensic Medicine","volume":"89 1","pages":"3266-3272"},"PeriodicalIF":0.0,"publicationDate":"2021-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79477783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-17DOI: 10.37506/IJFMT.V15I3.15329
M. Rapotra, J. Kaur
Background: Stature is one of the various parameters of identification of the individuality of a person. Estimation of stature from various measurements of the body is of value in medicolegal investigations as well as in anthropology. The foot measurements are important in forensic field as they can be used as body height predictors for an individual.The current study deals with developing a regression equation for stature estimation from foot breadth and foot length and to find out the correlation between stature, foot breadth and foot length. Methods: The data was collected from 500 asymptomatic, healthy adults (250 males & 250 females) belonging to border areas of Punjab region of age group ranged between 18-50 years.Results: The correlation between foot length and stature (r= 0.337) was more than foot breadth and stature (r= 0.046) indicating foot length to be a better predictor of stature. Linear regression equations were derived for estimation of stature from foot breadth and foot length.Conclusion: Both foot breadth and foot length showed positive correlation with stature as indicated by the regression coefficient. The results indicate that one can successfully estimate staure from different foot dimensions. The calculated regression formulae show good reliability and applicability of estimate which would be useful for Anthropologists and Forensic Medicine experts.
{"title":"Stature Estimation from Anthropometry of Foot in Adults of Border Areas of Punjab","authors":"M. Rapotra, J. Kaur","doi":"10.37506/IJFMT.V15I3.15329","DOIUrl":"https://doi.org/10.37506/IJFMT.V15I3.15329","url":null,"abstract":"Background: Stature is one of the various parameters of identification of the individuality of a person. Estimation of stature from various measurements of the body is of value in medicolegal investigations as well as in anthropology. The foot measurements are important in forensic field as they can be used as body height predictors for an individual.The current study deals with developing a regression equation for stature estimation from foot breadth and foot length and to find out the correlation between stature, foot breadth and foot length. Methods: The data was collected from 500 asymptomatic, healthy adults (250 males & 250 females) belonging to border areas of Punjab region of age group ranged between 18-50 years.Results: The correlation between foot length and stature (r= 0.337) was more than foot breadth and stature (r= 0.046) indicating foot length to be a better predictor of stature. Linear regression equations were derived for estimation of stature from foot breadth and foot length.Conclusion: Both foot breadth and foot length showed positive correlation with stature as indicated by the regression coefficient. The results indicate that one can successfully estimate staure from different foot dimensions. The calculated regression formulae show good reliability and applicability of estimate which would be useful for Anthropologists and Forensic Medicine experts.","PeriodicalId":15899,"journal":{"name":"Journal of Forensic Medicine","volume":"225 1","pages":"335-340"},"PeriodicalIF":0.0,"publicationDate":"2021-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76728878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-17DOI: 10.37506/IJFMT.V15I3.15388
J. Aarthi, Kaviarasu
In primary teeth the foremost goal of endodontic treatment is to eliminate all bacterial infection by endodontic instrumentation. Lesion sterilization and tissue repair (LSTR) therapy is an unconventional endodontic technique which requires less instrumentation succeeded by placement of a triple antibiotic paste on the floor of the pulpal cavity. Antibacterial drugs have proven to be successful in eliminating microorganisms from root canal, thereby resulting in successful endodontic treatment.
{"title":"Triple Antibiotic Paste in Primary Teeth- A Review","authors":"J. Aarthi, Kaviarasu","doi":"10.37506/IJFMT.V15I3.15388","DOIUrl":"https://doi.org/10.37506/IJFMT.V15I3.15388","url":null,"abstract":"In primary teeth the foremost goal of endodontic treatment is to eliminate all bacterial infection by endodontic instrumentation. Lesion sterilization and tissue repair (LSTR) therapy is an unconventional endodontic technique which requires less instrumentation succeeded by placement of a triple antibiotic paste on the floor of the pulpal cavity. Antibacterial drugs have proven to be successful in eliminating microorganisms from root canal, thereby resulting in successful endodontic treatment.","PeriodicalId":15899,"journal":{"name":"Journal of Forensic Medicine","volume":"15 1","pages":"675-677"},"PeriodicalIF":0.0,"publicationDate":"2021-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82043685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-17DOI: 10.37506/IJFMT.V15I3.15332
J. Manju, Mutum Sangeeta Devi, B. Rahul
Aim: This study was conducted to evaluate the knowledge and level of awareness about Burning mouth syndrome among dental students. Method: The study was carried out among the dental students.A self-constructed questionnaire was made and given to a total of 100 students. The answers were recorded and converted into numbers and percentages.Results: The results of the study reveal that undergraduate dental students have a fair knowledge about burning mouth syndrome.Conclusion: There is an increased need for comprehensive educational programmes and clinical exposure for students to be aware about burning mouth syndrome.
{"title":"Knowledge and Awareness about Burning Mouth Syndrome among Dental Students","authors":"J. Manju, Mutum Sangeeta Devi, B. Rahul","doi":"10.37506/IJFMT.V15I3.15332","DOIUrl":"https://doi.org/10.37506/IJFMT.V15I3.15332","url":null,"abstract":"Aim: This study was conducted to evaluate the knowledge and level of awareness about Burning mouth syndrome among dental students. Method: The study was carried out among the dental students.A self-constructed questionnaire was made and given to a total of 100 students. The answers were recorded and converted into numbers and percentages.Results: The results of the study reveal that undergraduate dental students have a fair knowledge about burning mouth syndrome.Conclusion: There is an increased need for comprehensive educational programmes and clinical exposure for students to be aware about burning mouth syndrome.","PeriodicalId":15899,"journal":{"name":"Journal of Forensic Medicine","volume":"30 1","pages":"355-360"},"PeriodicalIF":0.0,"publicationDate":"2021-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76689140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-17DOI: 10.37506/IJFMT.V15I3.15316
K. Patil, Mahima Vg, Poornima Chandran, Bharathi Penumatsa, N. Doggalli, Sanjay Cj
Objectives: This study was conducted to assess the reliability of age estimation using the radiographic visibility of periodontal ligament surrounding the roots of completely erupted mandibular 3rd molar.Materials and methods:Visibility ofperiodontal ligament was assessed in completely erupted mandibular third molars, in a sample of 135 panoramic radiographs, of which 55 belonging to females and 80 to males, from a Mysore population aged 18to 32 years. A classification of four stages based on the visual phenomenon of disappearance of the periodontal ligament of fully mineralized third molars was used. For each stage, mean, standard deviation, minimal & maximal age were assessed.Results:The relationship between age and stage of periodontal ligament had a statistical significance for both sexes.In this population, stage 1 can be used for predictability of age above 19 years and stage 3 for predictability of age above 23 years. No significant correlation exists between periodontal ligament visibility and gender of the individual.Conclusion:Thistechnique is advocated for determining age above 19 years as it is a relatively simple and reliable method. Differences exist in different ethnicities demanding specific population standards.
{"title":"Age Estimation Using the Radiographic Visibility of the Periodontal Ligament in Mandibular Third Molars in Mysore Population- A Retrospective Study","authors":"K. Patil, Mahima Vg, Poornima Chandran, Bharathi Penumatsa, N. Doggalli, Sanjay Cj","doi":"10.37506/IJFMT.V15I3.15316","DOIUrl":"https://doi.org/10.37506/IJFMT.V15I3.15316","url":null,"abstract":"Objectives: This study was conducted to assess the reliability of age estimation using the radiographic visibility of periodontal ligament surrounding the roots of completely erupted mandibular 3rd molar.Materials and methods:Visibility ofperiodontal ligament was assessed in completely erupted mandibular third molars, in a sample of 135 panoramic radiographs, of which 55 belonging to females and 80 to males, from a Mysore population aged 18to 32 years. A classification of four stages based on the visual phenomenon of disappearance of the periodontal ligament of fully mineralized third molars was used. For each stage, mean, standard deviation, minimal & maximal age were assessed.Results:The relationship between age and stage of periodontal ligament had a statistical significance for both sexes.In this population, stage 1 can be used for predictability of age above 19 years and stage 3 for predictability of age above 23 years. No significant correlation exists between periodontal ligament visibility and gender of the individual.Conclusion:Thistechnique is advocated for determining age above 19 years as it is a relatively simple and reliable method. Differences exist in different ethnicities demanding specific population standards.","PeriodicalId":15899,"journal":{"name":"Journal of Forensic Medicine","volume":"93 1","pages":"269-275"},"PeriodicalIF":0.0,"publicationDate":"2021-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77191044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-17DOI: 10.37506/IJFMT.V15I3.15330
M. Mehta, S. Jha, P. Shah
Background: Neuraxial opioids are widely used with local anaesthetics as they allow lower dose of local anaesthetics while providing adequate anaesthesia and faster recovery from spinal anaesthesia because of their sympathetic and motor nerve sparing activities. In the last few years the number of surgeries performed on an ambulatory basis has increased worldwide because of many advantages like short hospital stay, less chance of wound infection and less chances of deep vein thrombosis.Methods: 64 patients of ASA- I or II of either gender who underwent perineal surgeries were divided into two groups of 32 each:- Group BF patients received 1ml of 0.5% hyperbaric bupivacaine with 20µg fentanyl(0.4ml) and Group BB patients received 1ml of 0.5% hyperbaric bupivacaine with 200µg butorphanol(0.2ml) and normal saline(0.2ml).Patients were observed for onset of sensory and motor blockade, duration of sensory and motor blockade, duration of analgesia and time to unassisted ambulation. There was no difference in onset of sensory and motor blockade between the two groups(P> 0.005).Patients receiving butorphanol had statistically significantly longer duration of sensory and motor blockade and duration of analgesia than fentanyl(p-0.001).Patients receiving fentanyl were observed to ambulate unassisted significantly early compared to butorphanol (p-0.001).Conclusion: Patients receiving intrathecal fentanyl 20µg can ambulate earlier compared to patients receiving butorphanol 200µg when used as an adjuvant with low dose hyperbaric bupivacaine 0.5% without any complication.
{"title":"An Observational Study between Intrathecal Fentanyl and Butorphanol with Low Dose Bupivacaine to Facilitate Early Ambulation in Perineal Surgeries","authors":"M. Mehta, S. Jha, P. Shah","doi":"10.37506/IJFMT.V15I3.15330","DOIUrl":"https://doi.org/10.37506/IJFMT.V15I3.15330","url":null,"abstract":"Background: Neuraxial opioids are widely used with local anaesthetics as they allow lower dose of local anaesthetics while providing adequate anaesthesia and faster recovery from spinal anaesthesia because of their sympathetic and motor nerve sparing activities. In the last few years the number of surgeries performed on an ambulatory basis has increased worldwide because of many advantages like short hospital stay, less chance of wound infection and less chances of deep vein thrombosis.Methods: 64 patients of ASA- I or II of either gender who underwent perineal surgeries were divided into two groups of 32 each:- Group BF patients received 1ml of 0.5% hyperbaric bupivacaine with 20µg fentanyl(0.4ml) and Group BB patients received 1ml of 0.5% hyperbaric bupivacaine with 200µg butorphanol(0.2ml) and normal saline(0.2ml).Patients were observed for onset of sensory and motor blockade, duration of sensory and motor blockade, duration of analgesia and time to unassisted ambulation. There was no difference in onset of sensory and motor blockade between the two groups(P> 0.005).Patients receiving butorphanol had statistically significantly longer duration of sensory and motor blockade and duration of analgesia than fentanyl(p-0.001).Patients receiving fentanyl were observed to ambulate unassisted significantly early compared to butorphanol (p-0.001).Conclusion: Patients receiving intrathecal fentanyl 20µg can ambulate earlier compared to patients receiving butorphanol 200µg when used as an adjuvant with low dose hyperbaric bupivacaine 0.5% without any complication.","PeriodicalId":15899,"journal":{"name":"Journal of Forensic Medicine","volume":"33 1","pages":"341-346"},"PeriodicalIF":0.0,"publicationDate":"2021-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88959622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-17DOI: 10.37506/IJFMT.V15I3.15842
K. Dewi, Djazuly Chalidyanto, A. Laksono
Background: The increase in COVID-19 cases demands hospitalpreparedness in handling COVID-19 toprovide quality services by prioritizing patient safety and health personnel factors. The purpose of this studyis to analyze hospital preparedness in providing COVID-19 services comprehensively.Method: The study is a cross-sectional design. The research objects are public, private, and police hospitals.The review usesthe checklist from the CDC.Observation and interviews with hospital leaders carried outdata collection. Data were analyzed descriptively.Result: From the results of filling out theinventory, the preparedness of public, private, and policehospitals in Banjarmasin was low on average. In detail, it showedaverage scores that publichospital(2.83),privatehospital(2.70), and Policehospital(2.63). Police hospital is better prepared than the private and publichospital. Public and private hospitals have the lowest scores on the written COVID-19 Development ofwritten COVID-19 Plan component. Meanwhile, the Police hospital had the lowest scores on consumableand durable medical equipment and supplies.Conclusion: It concludedthe private, public, and police hospitals have a low level of preparednessforCOVID-19 services.
{"title":"Hospital Preparedness for COVID-19 in Indonesia: A Case Study in Three Types Hospital","authors":"K. Dewi, Djazuly Chalidyanto, A. Laksono","doi":"10.37506/IJFMT.V15I3.15842","DOIUrl":"https://doi.org/10.37506/IJFMT.V15I3.15842","url":null,"abstract":"Background: The increase in COVID-19 cases demands hospitalpreparedness in handling COVID-19 toprovide quality services by prioritizing patient safety and health personnel factors. The purpose of this studyis to analyze hospital preparedness in providing COVID-19 services comprehensively.Method: The study is a cross-sectional design. The research objects are public, private, and police hospitals.The review usesthe checklist from the CDC.Observation and interviews with hospital leaders carried outdata collection. Data were analyzed descriptively.Result: From the results of filling out theinventory, the preparedness of public, private, and policehospitals in Banjarmasin was low on average. In detail, it showedaverage scores that publichospital(2.83),privatehospital(2.70), and Policehospital(2.63). Police hospital is better prepared than the private and publichospital. Public and private hospitals have the lowest scores on the written COVID-19 Development ofwritten COVID-19 Plan component. Meanwhile, the Police hospital had the lowest scores on consumableand durable medical equipment and supplies.Conclusion: It concludedthe private, public, and police hospitals have a low level of preparednessforCOVID-19 services.","PeriodicalId":15899,"journal":{"name":"Journal of Forensic Medicine","volume":"5 1","pages":"3493-3501"},"PeriodicalIF":0.0,"publicationDate":"2021-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89004995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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