Background: Epistaxis is one of the most common otorhinolaryngologic emergencies in ear, nose, and throat clinics. Blood grouping is routinely done in patients with epistaxis. Objectives: To determine the association between ABO blood type and epistaxis. Methods: This retrospective study involved 260 patients with idiopathic epistaxis. Patients with risk factors for bleeding, including anticoagulant use, thrombocytopenia, hypertension, liver diseases, elevated bleeding time, low coagulation factor levels, or any benign/malignant tumor, were excluded from the study. Thus, only patients with idiopathic epistaxis were included in this study. Results: The distributions of blood groups in patients with idiopathic epistaxis were ( AB < B
背景:鼻出血是耳鼻喉科最常见的耳鼻喉科急症之一。对鼻出血患者常规进行血型检查。目的:探讨ABO血型与鼻出血的关系。方法:对260例特发性鼻出血患者进行回顾性研究。有出血危险因素的患者，包括抗凝剂使用、血小板减少、高血压、肝脏疾病、出血时间延长、凝血因子水平低或任何良性/恶性肿瘤，均被排除在研究之外。因此，本研究仅包括特发性鼻出血患者。结果:特发性鼻出血患者的血型分布为(AB < B
{"title":"Association between ABO Blood Group and Epistaxis among Syrian Population","authors":"E. M. Mobarek, Mohammed Baraa Okdeh","doi":"10.37506/mlu.v22i2.3230","DOIUrl":"https://doi.org/10.37506/mlu.v22i2.3230","url":null,"abstract":"Background: Epistaxis is one of the most common otorhinolaryngologic emergencies in ear, nose, and throat clinics. Blood grouping is routinely done in patients with epistaxis. Objectives: To determine the association between ABO blood type and epistaxis. Methods: This retrospective study involved 260 patients with idiopathic epistaxis. Patients with risk factors for bleeding, including anticoagulant use, thrombocytopenia, hypertension, liver diseases, elevated bleeding time, low coagulation factor levels, or any benign/malignant tumor, were excluded from the study. Thus, only patients with idiopathic epistaxis were included in this study. Results: The distributions of blood groups in patients with idiopathic epistaxis were ( AB < B<A<O), with highly trending with male gender. Also, more frequent in age category 6 – 12 y, 13 – 20 y, 1 – 5 y, 46 – 70 y, 21 – 45 y respectively, with no pervious history of nasal trauma (71.92%). Most of patients were no correlation with nasal disorders or deformity (73.84 %), also vast majority of them need no intervention for epistaxis i.e., conservative treatment (81.15 %). Conclusions: Our study indicates that in the Syrian population, the O blood type is over-represented in patients with idiopathic epistaxis versus the general population. We conclude that blood type O is a risk factor for idiopathic epistaxis in the Syrian population.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81349658","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}
{"title":"A Acute Appendicitis Induced by Traditional Iraqi Grilled Fish Bone (Masqouf)","authors":"","doi":"10.37506/mlu.v22i4.3329","DOIUrl":"https://doi.org/10.37506/mlu.v22i4.3329","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"63 8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83664933","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}
cite this article: S. Harish, K Sasikala, K.S. Meena. Association Between Ligature Material, Ligature Mark and Survival Period in Suicidal Hanging Victims: An Autopsy-Based Study. Medico-legal Update 2022;22(4). Abstract Hanging is a quick and very effective method used to commit suicide. The ligature material used for hanging is one of the important factors that determine the type of ligature mark or the pressure abrasion. Cases were divided into two groups. Group I included 25 cases of non-survived victims of hanging Group II consisted of 25 cases of hanging that survived for varying periods before death. Association between ligature material, ligature mark and survival period in suicidal hanging victims were studied in detail. Victims who used a hard but pliable ligature material had 13 times more risk of death compared to a victim who used a soft ligature material. A person with a well-defined ligature mark had 15 times more risk of death when compared to a victim with a faint ligature mark
引用本文:S. Harish, K. Sasikala, K.S. Meena。上吊自杀受害者的捆绑材料、捆绑痕迹与生存时间的关系:一项基于尸检的研究。医学法律更新2022;22(4)。上吊是一种快捷有效的自杀方式。吊挂用的绳纹材料是决定绳纹类型或压力磨损的重要因素之一。病例分为两组。第一组包括25例未幸存的绞刑受害者，第二组包括25例在死亡前不同时期幸存的绞刑受害者。详细研究了上吊自杀受害者的捆绑材料、捆绑痕迹与生存时间的关系。使用坚硬但柔韧的结扎材料的受害者死亡风险是使用柔软结扎材料的受害者的13倍。一个有明显勒痕的人的死亡风险是一个有微弱勒痕的人的15倍
{"title":"Association Between Ligature Material, Ligature Mark and Survival Period in Suicidal Hanging Victims: An Autopsy-Based Study","authors":"S. Harish, K. Sasikala, K. S. Meena, A. Sarath","doi":"10.37506/mlu.v22i4.3337","DOIUrl":"https://doi.org/10.37506/mlu.v22i4.3337","url":null,"abstract":"cite this article: S. Harish, K Sasikala, K.S. Meena. Association Between Ligature Material, Ligature Mark and Survival Period in Suicidal Hanging Victims: An Autopsy-Based Study. Medico-legal Update 2022;22(4). Abstract Hanging is a quick and very effective method used to commit suicide. The ligature material used for hanging is one of the important factors that determine the type of ligature mark or the pressure abrasion. Cases were divided into two groups. Group I included 25 cases of non-survived victims of hanging Group II consisted of 25 cases of hanging that survived for varying periods before death. Association between ligature material, ligature mark and survival period in suicidal hanging victims were studied in detail. Victims who used a hard but pliable ligature material had 13 times more risk of death compared to a victim who used a soft ligature material. A person with a well-defined ligature mark had 15 times more risk of death when compared to a victim with a faint ligature mark","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75667098","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}
Background : Antenatal care is the routine health program of pregnant women to reduce the risk of stillbirths and pregnancy complications and give women a positive pregnancy experience. Objectives : This study aims to assess the utilization ratio of antenatal care services and to identify current barriers to proper utilization of antenatal care services in Mosul city. Subjects and Methods: A descriptive study was carried out during the period from 26 September, 2019 to 1 st April 2020. The study has been conducted among three hospitals in Mosul city namely: Al- khansaa teaching hospital, Al- salam teaching hospital and Al-batool teaching hospital. The target population was pregnant women who attend maternity and child care unit. The study sample consists of 3000 pregnant women. Data collection tool was composed of (2) main parts. The first one was for socio demographic data about the pregnant woman. The second part was for gynecological, obstetric and antenatal care characteristics. It was constructed through use of (2) option- type (yes-no). Content validity was determined by presenting the items to a panel of scientific experts. Results : Women with greater obstacles (mean=4.5) were found to be less likely than those with less barriers (N=60, mean=5.6) to receive prenatal care. There was a significant difference in prenatal care attendance between pregnant women who had no prior children (nulliparous) and pregnant women who had at least one prior child (multiparous) If t = 1.2, then the significance level is 0.05. Recommendations: The study recommends establishing several antenatal care clinics in different areas of Mosul city to improve medical and nursing staff caring attitude in addition to increasing people’s awareness through health education about the importance of conducting antenatal care visits since the beginning of pregnancy.
背景:产前保健是孕妇的常规保健方案，以减少死产和妊娠并发症的风险，并给妇女一个积极的妊娠体验。目的:本研究旨在评估产前保健服务的利用率，并确定目前在摩苏尔市产前保健服务的适当利用障碍。对象和方法:于2019年9月26日至2020年4月1日进行描述性研究。这项研究是在摩苏尔市的三家医院进行的，即:Al- khansaa教学医院、Al- salam教学医院和Al-batool教学医院。目标人群是在妇幼保健单位就诊的孕妇。研究样本包括3000名孕妇。数据采集工具主要由(2)部分组成。第一个是关于孕妇的社会人口统计数据。第二部分是妇科、产科和产前保健特点。它是通过使用(2)option- type (yes-no)构造的。内容效度是通过向科学专家小组展示这些项目来确定的。结果:障碍较大的妇女(平均=4.5)比障碍较小的妇女(N=60，平均=5.6)接受产前护理的可能性更小。无胎孕妇与至少有一胎孕妇产前护理出勤率差异有统计学意义(t = 1.2，则显著性水平为0.05)。建议:研究报告建议在摩苏尔市不同地区设立几个产前保健诊所，改善医务和护理人员的护理态度，并通过健康教育提高人们对从怀孕开始就进行产前保健检查重要性的认识。
{"title":"Barriers to Antenatal Care Use among Pregnant Women","authors":"Omar T. Hussein, Waleed Ghanim Ahmed","doi":"10.37506/mlu.v22i1.3184","DOIUrl":"https://doi.org/10.37506/mlu.v22i1.3184","url":null,"abstract":"Background : Antenatal care is the routine health program of pregnant women to reduce the risk of stillbirths and pregnancy complications and give women a positive pregnancy experience. Objectives : This study aims to assess the utilization ratio of antenatal care services and to identify current barriers to proper utilization of antenatal care services in Mosul city. Subjects and Methods: A descriptive study was carried out during the period from 26 September, 2019 to 1 st April 2020. The study has been conducted among three hospitals in Mosul city namely: Al- khansaa teaching hospital, Al- salam teaching hospital and Al-batool teaching hospital. The target population was pregnant women who attend maternity and child care unit. The study sample consists of 3000 pregnant women. Data collection tool was composed of (2) main parts. The first one was for socio demographic data about the pregnant woman. The second part was for gynecological, obstetric and antenatal care characteristics. It was constructed through use of (2) option- type (yes-no). Content validity was determined by presenting the items to a panel of scientific experts. Results : Women with greater obstacles (mean=4.5) were found to be less likely than those with less barriers (N=60, mean=5.6) to receive prenatal care. There was a significant difference in prenatal care attendance between pregnant women who had no prior children (nulliparous) and pregnant women who had at least one prior child (multiparous) If t = 1.2, then the significance level is 0.05. Recommendations: The study recommends establishing several antenatal care clinics in different areas of Mosul city to improve medical and nursing staff caring attitude in addition to increasing people’s awareness through health education about the importance of conducting antenatal care visits since the beginning of pregnancy.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"9 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78592674","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}
{"title":"Rare Finding of a Triallelic Pattern at The DYF387S1 Locus in the Population of Rajasthan, India","authors":"","doi":"10.37506/mlu.v22i2.3226","DOIUrl":"https://doi.org/10.37506/mlu.v22i2.3226","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80449931","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}
{"title":"Fall from Tree: A 14 Year Study","authors":"","doi":"10.37506/mlu.v22i2.3227","DOIUrl":"https://doi.org/10.37506/mlu.v22i2.3227","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"108 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75821205","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}
{"title":"Suicide Among Adolescents: A Medico-legal Study at Tertiary Care Centre of Western Maharashtra, India","authors":"","doi":"10.37506/mlu.v22i3.3304","DOIUrl":"https://doi.org/10.37506/mlu.v22i3.3304","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"67 5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79686994","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}
A rapid and sudden death in a single incident like mass casualty poses challenge for health care facilities. Especially in such cases, identification of the deceased is the most important task for investigating police officers and doctors. The present study is a seriesof death of five young adult male workers,who died in a tragic fire which broke out in the confined space at under construction plant. All the bodies were rendered unidentifiable from facial recognition due to charring and blackening. Theprimary identification of the deceased was established based upon partially burnt clothes and personal belongings. The autopsy findings being superficial to deep burns, charring and blackening, soot particles inrespiratory tract were similar in all the five victims. The bloodpreserved for estimation ofcarboxy-haemoglobin level showed positive results in all the five cases. Soot in trachea and increased carboxy-haemoglobin level in blood suggested that the persons were alive at the time of incident. In all the five cases, death was caused due to suffocation by inhalation of carbon monoxide gas associated with thermal injuries. Role of forensic experts is to help in the identification of victims and to determine manner and cause of death.
{"title":"Establishment of Identity and Suffocation Following Inhalation of Carbon Monoxide in a Series of Five Cases","authors":"M. Malhotra, H. V. Vaidya, N. P. Zanjad","doi":"10.37506/mlu.v22i1.3183","DOIUrl":"https://doi.org/10.37506/mlu.v22i1.3183","url":null,"abstract":"A rapid and sudden death in a single incident like mass casualty poses challenge for health care facilities. Especially in such cases, identification of the deceased is the most important task for investigating police officers and doctors. The present study is a seriesof death of five young adult male workers,who died in a tragic fire which broke out in the confined space at under construction plant. All the bodies were rendered unidentifiable from facial recognition due to charring and blackening. Theprimary identification of the deceased was established based upon partially burnt clothes and personal belongings. The autopsy findings being superficial to deep burns, charring and blackening, soot particles inrespiratory tract were similar in all the five victims. The bloodpreserved for estimation ofcarboxy-haemoglobin level showed positive results in all the five cases. Soot in trachea and increased carboxy-haemoglobin level in blood suggested that the persons were alive at the time of incident. In all the five cases, death was caused due to suffocation by inhalation of carbon monoxide gas associated with thermal injuries. Role of forensic experts is to help in the identification of victims and to determine manner and cause of death.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88567178","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}
Tonsillitis is an infection of the tonsils caused by one of several types of bacteria or viruses. Staphylococcus aureus are one of most common bacteria isolated from recurrent tonsillitis, its identification by classical methods takes 3-5 days as well as the accuracy does not reach an absolute degree. So current study aimed to diagnose S. aureus by classical and molecular diagnosis to increase the accuracy of the diagnosis. Two hundred and fifteen tonsil swabs were collected from Iraqi patients susceptible suffered from recurrent tonsillitis who attended clinics in major hospitals in Najafe/ Iraq. Classical diagnoses of S. aureus were done by bacterial cultures, biochemical test and Vitek system. While molecular diagnosis achieved via PCR technique The results of classical methods showed that 50 isolates recovered from (195) suspected patients were S. aureus , while molecular diagnoses showed that 45 isolates out of 50 diagnostic S. aureus via classical methods were S. aureus with significant difference (P≤ 0.01) . In conclusion, Molecular method is more sensitive in diagnoses of S. aureus than conventional testes in case of recurrent tonsillitis.
{"title":"Molecular and Classical identification of Staphylococcus aureus, Isolated from Iraqi Patients with Recurrent Tonsillitis","authors":"Hawraa Fadhil, Hawraa Mohammed","doi":"10.37506/mlu.v22i1.3176","DOIUrl":"https://doi.org/10.37506/mlu.v22i1.3176","url":null,"abstract":"Tonsillitis is an infection of the tonsils caused by one of several types of bacteria or viruses. Staphylococcus aureus are one of most common bacteria isolated from recurrent tonsillitis, its identification by classical methods takes 3-5 days as well as the accuracy does not reach an absolute degree. So current study aimed to diagnose S. aureus by classical and molecular diagnosis to increase the accuracy of the diagnosis. Two hundred and fifteen tonsil swabs were collected from Iraqi patients susceptible suffered from recurrent tonsillitis who attended clinics in major hospitals in Najafe/ Iraq. Classical diagnoses of S. aureus were done by bacterial cultures, biochemical test and Vitek system. While molecular diagnosis achieved via PCR technique The results of classical methods showed that 50 isolates recovered from (195) suspected patients were S. aureus , while molecular diagnoses showed that 45 isolates out of 50 diagnostic S. aureus via classical methods were S. aureus with significant difference (P≤ 0.01) . In conclusion, Molecular method is more sensitive in diagnoses of S. aureus than conventional testes in case of recurrent tonsillitis.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91128753","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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