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Prognostic value of blood lactate and C-reactive protein levels in acute Phosphides poisoned patients admitted to Menoufia University Poison control Center 梅努菲亚大学中毒控制中心收治的急性磷化物中毒患者血乳酸和c反应蛋白水平的预后价值
Pub Date : 2023-07-01 DOI: 10.21608/mjfmct.2023.200085.1060
F. Kandeel, R. Azab
Metal phosphides as a whole and aluminum phosphide (AlP) in particular, are potent pesticides. Although phosphides are highly toxic and had a high mortality, it cannot be discarded due to their wide-spectrum applications. The aim of the study was to evaluate the prognostic value of blood lactate and C-reactive protein (CRP) levels in acute phosphide poisoned patients admitted to Menoufia University Poison Control Center. This was an analytical cross-sectional study done on cases of acute phosphide poisoning admitted to Menoufia Poison Control Center (MPCC) from the 1st of August 2022 to 31 December 2022 which fulfilled the inclusion criteria. Patient's data were collected in clinical sheets after taking written consent from patients or their guardians. Only moderately and severely poisoned patients were included in the study according to Poison Severity Score. History, clinical examination, and Echocardiography were performed. Blood samples were taken for routine laboratory investigations and measuring blood lactate and CRP levels. A total of 57 patients (26 males and 31 females) were included in the present study. In all cases, the manner of poisoning was suicide. The age in non survivors (85.9%) ranged between 14-63 years while in survivors (14.1%) was 17-39 years. Increase tablet number, low pH, low PO ₂ , high respiratory rate, low temperature, low diastolic blood pressure, high pulse rate, low ejection fraction, low potassium level, high CRP and blood lactate levels were significant predictors for phosphide poisoning mortality. Aluminum phosphide is highly toxic with a high mortality rate. CRP and blood lactate levels can be used as predictors for mortality.
金属磷化物,特别是磷化铝(AlP)是一种强效农药。虽然磷化物有剧毒和高死亡率,但由于其广泛的应用范围,它不能被丢弃。本研究的目的是评估在Menoufia大学中毒控制中心入院的急性磷化物中毒患者血乳酸和c反应蛋白(CRP)水平的预后价值。本研究是对2022年8月1日至2022年12月31日在Menoufia中毒控制中心(MPCC)收治的符合纳入标准的急性磷化物中毒病例进行的分析性横断面研究。在获得患者或其监护人的书面同意后,将患者数据收集在临床表格中。根据中毒严重程度评分,仅将中度和重度中毒患者纳入研究。进行病史、临床检查和超声心动图检查。采集血样进行常规实验室检查并测定血乳酸和CRP水平。本研究共纳入57例患者,其中男性26例,女性31例。在所有案件中,投毒的方式都是自杀。非幸存者(85.9%)的年龄在14-63岁之间,幸存者(14.1%)的年龄在17-39岁之间。增加片剂、低pH、低po2、高呼吸频率、低温、低舒张压、高脉搏率、低射血分数、低钾水平、高CRP和血乳酸水平是磷化物中毒死亡的显著预测因素。磷化铝毒性大,死亡率高。CRP和血乳酸水平可作为死亡率的预测指标。
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引用次数: 0
A COMPUTED TOMOGRAPHIC ANALYSIS OF FORAMEN MAGNUM PARAMETERS FOR AGE DETERMINATION IN A SAMPLE OF EGYPTIANS 埃及人大孔年龄测定参数的计算机层析分析
Pub Date : 2023-05-02 DOI: 10.21608/mjfmct.2023.181876.1059
W. Kholeif, Mohamed Radwan
Age determination is an essential step in the identification of human bony remains. Foramen magnum is a valuable landmark in the base of the skull and is of significant interest to forensic medicine, anthropology and anatomy. The aim of the study was the evaluating of the accuracy and reliability of foramen magnum parameters in age determination (among different age groups) using three-dimensional computed tomography. The present study is performed on 120 Egyptians from different age groups (from 1 year up to 65 years). The length of the foramen magnum (LFM) and the width of the foramen magnum (WFM) were measured on the 3D CT models. Then, foramen magnum index (FMI) and foramen magnum area (FMA) were calculated. The different age groups (1 – 9, 10 – 19, 20 – 29, 30 -39, 40 – 49,50 – 59 and 60+ years) show the mean LFM was 26.90, 35.75, 34.66, 34.42, 33.88, 33.27 and 32.50 mm respectively. Mean WFM was 20.90, 25.67, 29.47, 28.75, 28.47, 27.53 and 28.0 mm respectively. Mean FMI was 1.29, 1.39, 1.18, 1.20, 1.20, 1.21 and 1.16 mm respectively. Mean FMA was 444.2, 721.7, 804.3, 783.0, 759.3, 720.8 and 718.1 mm respectively. These values reveal that there is a significant difference between the four studied parameters and different age groups. This study elucidated that LFM decrease and WFM increase with aging. Subsequently, FMI tends to decrease with age. There was a weak positive correlation between age and LFM, WFM and FMA and there was a negative correlation between age
年龄测定是鉴定人类骨骼遗骸的重要步骤。枕骨大孔是颅底的重要标志,对法医学、人类学和解剖学都有重要意义。本研究的目的是评估使用三维计算机断层扫描测定(不同年龄组)枕骨大孔参数的准确性和可靠性。目前的研究是对120名不同年龄组的埃及人(从1岁到65岁)进行的。在三维CT模型上测量枕骨大孔长度(LFM)和枕骨大孔宽度(WFM)。然后计算大孔指数(FMI)和大孔面积(FMA)。不同年龄组(1 ~ 9岁、10 ~ 19岁、20 ~ 29岁、30 ~ 39岁、40 ~ 49岁、50 ~ 59岁和60岁以上)的平均LFM分别为26.90、35.75、34.66、34.42、33.88、33.27和32.50 mm。平均WFM分别为20.90、25.67、29.47、28.75、28.47、27.53和28.0 mm。平均FMI分别为1.29、1.39、1.18、1.20、1.20、1.21和1.16 mm。平均FMA分别为444.2、721.7、804.3、783.0、759.3、720.8和718.1 mm。这些值表明四个研究参数在不同年龄组之间存在显著差异。研究表明,随着年龄的增长,LFM降低,WFM增加。随后,FMI随年龄增长呈下降趋势。年龄与LFM、WFM、FMA呈弱正相关,与年龄呈负相关
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引用次数: 0
Ameliorative effect of Silybum marianum extract "Milk thistle" against Lithium-induced cardiac toxicity in adult male albino rats. 水飞蓟提取物“水飞蓟”对锂致成年雄性白化大鼠心脏毒性的改善作用。
Pub Date : 2023-04-25 DOI: 10.21608/mjfmct.2023.201132.1061
Ereny Fekry, Mona M Awny, George Refaat, Horeya Arafat
ABSTRACT
摘要
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引用次数: 0
The exposome: A new paradigm in public health research 暴露:公共卫生研究的新范式
Pub Date : 2023-04-24 DOI: 10.21608/mjfmct.2023.206490.1062
M. Salama
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引用次数: 0
A Comprehensive Review on Bisphenol A (BPA) Toxicity Updates: Controversy Is Not Over Yet 关于双酚A (BPA)毒性的综合综述:争议尚未结束
Pub Date : 2023-01-13 DOI: 10.21608/mjfmct.2023.177759.1058
A. Elkady, Rasha Elhaddad Ali Mousa, Mai Abdelkader, Hend G. Aref, Azza Hassan
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引用次数: 0
Metric Analysis of Sella Turcica for Sex Identification Using Multidetector Computed Tomography in a Sample of Adult Egyptians. 在成年埃及人样本中使用多探测器计算机断层扫描对蝶鞍进行性别鉴定的度量分析。
Pub Date : 2023-01-01 DOI: 10.21608/mjfmct.2023.176705.1057
Heba Allah Abd El Rahman, M. Hussein, Doaa Khedr
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引用次数: 0
Protective effect of Pentoxifylline versus Nigella sativa against Cyclophosphamide induced splenic damage in adult male albino rats. 己酮茶碱对黑鬼对环磷酰胺诱导的成年雄性白化大鼠脾损伤的保护作用。
Pub Date : 2023-01-01 DOI: 10.21608/mjfmct.2022.176319.1056
Ereny Fekry, Mona M Awny, Samy Y Makary, Abeer E. El-Metwally
Spleen. Cyclophosphamide (CTX) is an effective anticancer therapy. It is known to cause oxidative stress and cytotoxic effects, especially on the immune system. Pentoxifylline and Nigella sativa seeds both possess antioxidant and anti-inflammatory properties. This study explores the ameliorative impact of both pentoxifylline and nigella sativa over the splenic damage induced by cyclophosphamide. Thirty-six adult male albino rats were separated into six groups from six each and received treatment for 10 days. Group I (control) received saline 0.9% solution orally via intragastric tube, group II received pentoxifylline (150 mg/kg) orally, group III received nigella sativa oil (20 mg/day) orally, group IV received a single intraperitoneal injection (IP) of CTX (200 mg/kg), group V received pentoxifylline (150 mg/day) orally for 10 days and at the 8th-day animals received single IP injection of CTX (200 mg/kg), group VI received nigella sativa oil (20 mg/day) orally for 10 days and similarly at the 8th-day animals received single IP injection of CTX (200 mg/kg). Light microscopic and ultrastructure changes in the spleen of the different experimental groups were examined. CTX induced splenic damage in the form of a disrupted and detached capsule of the spleen, lymphocyte loss with marked thickening and dilatation of the central artery in the white pulp, and cellular loss and congested blood sinusoids in the red pulp. The use of pentoxifylline and nigella sativa resulted in the restoration of splenic tissue. Pentoxifylline showed a more protective effect than nigella sativa on the splenic tissue against CTX-induced damage.
脾脏。环磷酰胺(CTX)是一种有效的抗癌药物。众所周知,它会引起氧化应激和细胞毒性作用,尤其是对免疫系统。己酮茶碱和黑草种子都具有抗氧化和抗炎的特性。本研究探讨了己酮茶碱和黑草对环磷酰胺引起的脾损伤的改善作用。将36只成年雄性白化大鼠分为6组,每组6只,连续治疗10天。ⅰ组(对照组)经胃管口服0.9%生理盐水溶液,ⅱ组口服己酮茶碱(150 mg/kg),ⅲ组口服黑草油(20 mg/kg),ⅳ组单次腹腔注射CTX (200 mg/kg),ⅴ组口服己酮茶碱(150 mg/kg),连续10天,第8天单次腹腔注射CTX (200 mg/kg)。VI组小鼠连续10天口服黑草油(20 mg/d),第8天同样给予CTX单次IP注射(200 mg/kg)。观察各组小鼠脾脏光镜及超微结构变化。CTX诱导脾脏损伤,表现为脾脏囊破裂和分离,淋巴细胞损失,白色髓内中心动脉明显增厚和扩张,红髓内细胞损失和血窦充血。己酮茶碱和黑草对脾组织的恢复有明显作用。己酮茶碱对ctx诱导的脾组织损伤的保护作用强于黑草。
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引用次数: 0
Pattern and Risk Factors of Suicide Mortality in Children among Cases arrived at Menoufia University Hospitals and analysis through the Suicide Assessment Five-Step Evaluation and Triage 梅努菲亚大学附属医院儿童自杀死亡模式、危险因素及自杀评估五步评估与分诊分析
Pub Date : 2023-01-01 DOI: 10.21608/mjfmct.2023.175884.1055
Situhom El Agamy, Ghadeer Elsheikh, Hend Omara, Nagwa Habib
ABSTRACT
摘要
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引用次数: 2
Human Sex determination from the dental pulp tissue using Polymerase Chain Reaction (PCR) 用聚合酶链反应(PCR)测定牙髓组织性别
Pub Date : 2023-01-01 DOI: 10.21608/mjfmct.2022.168742.1053
O. Sweilum, Samy Hammad, Naira Gerges, A. Zanaty, E. Badr, Rasha Mammdouh
ABSTRACT
摘要
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引用次数: 0
Bone Marrow Derived Mesenchymal Stem Cells Versus Astaxanthin in Treatment of Toxic Effect of 5-Fluorouracil on Gastric mucosa of Male Albino Rats 骨髓间充质干细胞与虾青素治疗5-氟尿嘧啶对雄性白化大鼠胃粘膜的毒性作用
Pub Date : 2023-01-01 DOI: 10.21608/mjfmct.2023.175169.1054
A. Elshazly, Neama M Taha, N. Sarg, A. Hussein, Yasmeen Mohammed Ismail El Sayed, H. Fakher, A. Ali
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Mansoura Journal of Forensic Medicine and Clinical Toxicology
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