{"title":"Effect of Nursing Students’ Caring Character and Gratitude Disposition on Nursing Professionalism","authors":"","doi":"10.37506/mlu.v22i2.3235","DOIUrl":"https://doi.org/10.37506/mlu.v22i2.3235","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87609740","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}
{"title":"Periodontal Disease And Type 2 Diabetics Versus Non diabetics In Adhamiyah Sector, Baghdad- Iraq, 2018","authors":"","doi":"10.37506/mlu.v22i3.3301","DOIUrl":"https://doi.org/10.37506/mlu.v22i3.3301","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78508024","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":"Homicidal Trends in Tribes of Bastar","authors":"","doi":"10.37506/mlu.v22i4.3325","DOIUrl":"https://doi.org/10.37506/mlu.v22i4.3325","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82901552","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}
Abdulsamad Talal Kamil, Faez A. Mahdi, Himanshu Sharma, K. Thangaraj, O. G. Singh, Raviprakash D. Meshram, B. Bastia, Babulal Chaudhary, K. Sasikala, K. Meena, A. Sarath, Reekee Patel, Dushyant kumar Barot, Talib A. Majeed, Bashar A. Abdulhassan, Kumar Gyanendra Kumar Piyush
Background: the control of postoperative pain is important in children, and poor pain control leads to organ dysfunction and behavioral problem. Aim of study: we compare the analgesic effect of bupivacaine by caudal block root and acetaminophen suppository on postoperative pain in pediatric inguinal hernial repair surgery. Patient and Methods: A prospective, randomized, controlled trail of 40 children, aged between (1-7 years), ASA grade I-II, scheduled for elective day case unilateral inguinal surgery. For all the patients included in this study, a standardized controlled anesthetic protocol was used. Preoperatively the patients were randomized into two groups according to the operation waiting lists. group 1 included (18) patients who received single shot caudal block with (1ml/kg) of 25% bupivacaine preoperatively after induction of anesthesia by the anesthetist, group 2 included (22) patients who received (15-20 mg/kg) acetaminophen suppository. Results: The number of patients (who had first three hours free of pain); was significantly higher in the Caudal group than those of the other group. Patients of the Caudal group; needed significantly a longer duration of time for the first analgesic drug. Patients of the Caudal group; had significantly a lower (Face, Legs, Activity, Cry, Consolability scale) in (1/2, 1, and 2 hours) time intervals of the study. Conclusion: Caudal anesthesia with bupivacaine has better painless period postoperatively. Keywards: Bupivacaine, Anesthesia, Caudal, Analgesia, Acetaminophen Suppository.
{"title":"A Comparison Between Caudal Epidural Analgesia and Paracetamol Suppository in Relieving Pain after Inguinal Hernia Repair in Pediatric Age Group","authors":"Abdulsamad Talal Kamil, Faez A. Mahdi, Himanshu Sharma, K. Thangaraj, O. G. Singh, Raviprakash D. Meshram, B. Bastia, Babulal Chaudhary, K. Sasikala, K. Meena, A. Sarath, Reekee Patel, Dushyant kumar Barot, Talib A. Majeed, Bashar A. Abdulhassan, Kumar Gyanendra Kumar Piyush","doi":"10.37506/mlu.v22i4.3324","DOIUrl":"https://doi.org/10.37506/mlu.v22i4.3324","url":null,"abstract":"Background: the control of postoperative pain is important in children, and poor pain control leads to organ dysfunction and behavioral problem. Aim of study: we compare the analgesic effect of bupivacaine by caudal block root and acetaminophen suppository on postoperative pain in pediatric inguinal hernial repair surgery. Patient and Methods: A prospective, randomized, controlled trail of 40 children, aged between (1-7 years), ASA grade I-II, scheduled for elective day case unilateral inguinal surgery. For all the patients included in this study, a standardized controlled anesthetic protocol was used. Preoperatively the patients were randomized into two groups according to the operation waiting lists. group 1 included (18) patients who received single shot caudal block with (1ml/kg) of 25% bupivacaine preoperatively after induction of anesthesia by the anesthetist, group 2 included (22) patients who received (15-20 mg/kg) acetaminophen suppository. Results: The number of patients (who had first three hours free of pain); was significantly higher in the Caudal group than those of the other group. Patients of the Caudal group; needed significantly a longer duration of time for the first analgesic drug. Patients of the Caudal group; had significantly a lower (Face, Legs, Activity, Cry, Consolability scale) in (1/2, 1, and 2 hours) time intervals of the study. Conclusion: Caudal anesthesia with bupivacaine has better painless period postoperatively. Keywards: Bupivacaine, Anesthesia, Caudal, Analgesia, Acetaminophen Suppository.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82566601","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":"Hypoxic Brain Changes in Victims Who Died Due to Hanging- An Autopsy Based Study","authors":"","doi":"10.37506/mlu.v22i3.3303","DOIUrl":"https://doi.org/10.37506/mlu.v22i3.3303","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74293728","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}
I. G. P. B. Pambudi, I. Suryana, I. Rai, I. Kusumawardani, N. W. Candrawati, I. Sajinadiyasa, N. L. E. Arisanti
Background: COVID-19 is caused by the SARS-CoV2 virus which is a new type of virus that causes global morbidity and mortality. Several studies are needed to determine biomarkers to identify the severity of COVID-19. Objective: to analyze the correlation between Neutrophil to lymphocyte rate (NLR), C-Reactive Protein (CRP), D-dimer, dan Procalcitonin (PCT) on the severity of COVID-19. Method: A retrospective case-control study was done in our institution using data from June 2020 to March 2021. Data collected were serum NLR, CRP, d-dimer and PCT. Data were analysed using SPSS. Participants were divided into 2 groups, severe COVID-19 as case and mild to moderate as control group. The data collection was carried out in June 2020 – March 2021, included NLR, CRP, D-dimer, and PCT in patient serum. Data analysis using Chi-Square test and logistic regression with p < 0.05. Result: The NLR value of participants in case group is 11.4 ± 9.7 and in control group is 8.2 ± 8.5 (95% CI 1.081 – 4.641;p = 0.023). The PCT value of participants in case group was 10.3 ± 75.4 and in control group was 6.9 ± 41.4 (95% CI 1.495 – 6.908;p < 0.001). CRP values in case group (123.7 ± 108.9) were higher than control group (61.3 ± 60.8;95% CI 1.181 – 5.063;p < 0.001). Meanwhile, the value of D-dimer participants in case group was 3.5 ± 3.7 and control group was 2.7 ± 4.6 (95% CI 0.604 – 2.958;p = 0.473). Conclusion: increased values of NLR, CRP, and D-dimer are risk factors for severe COVID-19.
背景:COVID-19是由SARS-CoV2病毒引起的，SARS-CoV2病毒是一种引起全球发病率和死亡率的新型病毒。需要进行几项研究来确定生物标志物，以确定COVID-19的严重程度。目的:分析中性粒细胞对淋巴细胞率(NLR)、c反应蛋白(CRP)、d -二聚体、降钙素原(PCT)与COVID-19严重程度的相关性。方法:采用2020年6月至2021年3月在我院进行回顾性病例对照研究。收集的数据为血清NLR、CRP、d-二聚体、PCT，数据采用SPSS统计软件进行分析。参与者分为2组，重症为病例，轻至中度为对照组。数据收集于2020年6月至2021年3月进行，包括患者血清中的NLR、CRP、d -二聚体和PCT。数据分析采用卡方检验和logistic回归，p < 0.05。结果:病例组NLR值为11.4±9.7，对照组为8.2±8.5 (95% CI 1.081 ~ 4.641;p = 0.023)。病例组PCT值为10.3±75.4，对照组PCT值为6.9±41.4 (95% CI 1.495 ~ 6.908;p < 0.001)。病例组CRP值(123.7±108.9)高于对照组(61.3±60.8)，95% CI 1.181 ~ 5.063, p < 0.001)。同时，病例组的d -二聚体评分为3.5±3.7，对照组为2.7±4.6 (95% CI 0.604 ~ 2.958;p = 0.473)。结论:NLR、CRP、d -二聚体升高是重症COVID-19的危险因素。
{"title":"High Neutrophil to Lymphocyte Ratio, C-Reactive Protein, Procalcitonin and D-dimer as Risk Factors for Severe COVID-19","authors":"I. G. P. B. Pambudi, I. Suryana, I. Rai, I. Kusumawardani, N. W. Candrawati, I. Sajinadiyasa, N. L. E. Arisanti","doi":"10.37506/mlu.v22i1.3178","DOIUrl":"https://doi.org/10.37506/mlu.v22i1.3178","url":null,"abstract":"Background: COVID-19 is caused by the SARS-CoV2 virus which is a new type of virus that causes global morbidity and mortality. Several studies are needed to determine biomarkers to identify the severity of COVID-19. Objective: to analyze the correlation between Neutrophil to lymphocyte rate (NLR), C-Reactive Protein (CRP), D-dimer, dan Procalcitonin (PCT) on the severity of COVID-19. Method: A retrospective case-control study was done in our institution using data from June 2020 to March 2021. Data collected were serum NLR, CRP, d-dimer and PCT. Data were analysed using SPSS. Participants were divided into 2 groups, severe COVID-19 as case and mild to moderate as control group. The data collection was carried out in June 2020 – March 2021, included NLR, CRP, D-dimer, and PCT in patient serum. Data analysis using Chi-Square test and logistic regression with p < 0.05. Result: The NLR value of participants in case group is 11.4 ± 9.7 and in control group is 8.2 ± 8.5 (95% CI 1.081 – 4.641;p = 0.023). The PCT value of participants in case group was 10.3 ± 75.4 and in control group was 6.9 ± 41.4 (95% CI 1.495 – 6.908;p < 0.001). CRP values in case group (123.7 ± 108.9) were higher than control group (61.3 ± 60.8;95% CI 1.181 – 5.063;p < 0.001). Meanwhile, the value of D-dimer participants in case group was 3.5 ± 3.7 and control group was 2.7 ± 4.6 (95% CI 0.604 – 2.958;p = 0.473). Conclusion: increased values of NLR, CRP, and D-dimer are risk factors for severe COVID-19.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"66 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82850319","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":"Medical Ethics: From the eyes of Undergraduate Medical students, a Study Conducted in Vadodara","authors":"","doi":"10.37506/mlu.v22i4.3332","DOIUrl":"https://doi.org/10.37506/mlu.v22i4.3332","url":null,"abstract":"","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83963207","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}
K. Srinivasulu, Nakkala Supraja Internee, Chittireddy Sainithya, Jupaka Om Shanti
The use of radiographic data for age determination is a widely accepted method and considered scientifically approved. The aim of the present study is to determine the age of epiphyseal union of lower end of ulna and radius among Telangana population. A cross-sectional study was conducted in the region of Telangana, with 100 participants include 50 males and 50 females, we observed that the ossification of lower end of radius completed at 17 to 18 years in females and 19 to 20 years in males, whereas ossification center of lower end of ulna ossified one year earlier than radius, it ossifies at 16 to 17 years in females and 18 to 19 years in males. Skeletal age is not uniform among all the participants. Ulna ossifies one year earlier than radius in both males and females. We also observed that the ossification completed early in females than in males. We found similar results in several studies conducted in India and abroad.
{"title":"Study on Age Determination by Epiphyseal Fusion of Distal End of Ulna and Radius in Telangana Region","authors":"K. Srinivasulu, Nakkala Supraja Internee, Chittireddy Sainithya, Jupaka Om Shanti","doi":"10.37506/mlu.v22i2.3234","DOIUrl":"https://doi.org/10.37506/mlu.v22i2.3234","url":null,"abstract":"The use of radiographic data for age determination is a widely accepted method and considered scientifically approved. The aim of the present study is to determine the age of epiphyseal union of lower end of ulna and radius among Telangana population. A cross-sectional study was conducted in the region of Telangana, with 100 participants include 50 males and 50 females, we observed that the ossification of lower end of radius completed at 17 to 18 years in females and 19 to 20 years in males, whereas ossification center of lower end of ulna ossified one year earlier than radius, it ossifies at 16 to 17 years in females and 18 to 19 years in males. Skeletal age is not uniform among all the participants. Ulna ossifies one year earlier than radius in both males and females. We also observed that the ossification completed early in females than in males. We found similar results in several studies conducted in India and abroad.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"124 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88472537","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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