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harassment against female, some facts from Egypt 对女性的骚扰,一些来自埃及的事实
Pub Date : 2022-03-01 DOI: 10.21608/ejfsat.2021.48350.1175
A. Abdel Fattah, S. Hamed, F. Soliman, N. Ramadan
Background: Sexual harassment is the most prevalent form of violence against women and the most abrasive. Women are harassed in their jobs, schools, universities, and even at homes. Methodology: A convenience sampling method was used to recruit 900 Egyptian females (between 15 and 60 years old), after giving expressed oral consent, using a prepared questionnaire that included ten questions about knowledge, type, and response to harassment. Participants were divided into two groups: group A of 500 female patients of non-medical background seeking medical advice in Kasr-Alainy hospital and Group B of 400 medical student females. The participants’ epidemiological data were collected including age, marital status, residency, education, and status of work. Results: the study showed that the verbal type of harassment was the commonest (70%), school or street were the most common places of exposure (84%), the perpetrator was not known to the victim (97%). 75.1% of physical violence claims were in the form of simple wounds. Police service against harassment was known only to (62 %), and only (11%) of victims tried to contact police. Conclusion: The safety of women requires a multi-disciplinary preventive strategy, awareness about different types of violence against women is a crucial initial step, improving women’s access to resources, and increasing the role of anti-harassment units in police as well as many universities in Egypt.
背景:性骚扰是针对妇女的最普遍的暴力形式,也是最粗暴的。女性在工作、学校、大学甚至家中都受到骚扰。方法:采用方便抽样方法,在口头表示同意后,使用一份准备好的调查问卷招募900名埃及女性(15至60岁),其中包括10个关于骚扰的知识、类型和反应的问题。参与者被分为两组:A组500名在Kasr-Alainy医院寻求医疗咨询的非医学背景的女性患者,B组400名女医科学生。收集调查对象的流行病学资料,包括年龄、婚姻状况、居住地、教育程度、工作状况等。结果:研究表明,言语骚扰是最常见的(70%),学校或街道是最常见的暴露场所(84%),受害者不认识犯罪者(97%)。75.1%的身体暴力索赔是简单的伤口。只有(62%)的人知道警察会打击骚扰,只有(11%)的受害者试图联系警察。结论:妇女的安全需要一个多学科的预防战略,对不同类型的针对妇女的暴力行为的认识是关键的第一步,改善妇女获得资源的机会,并增加埃及警察和许多大学中反骚扰单位的作用。
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引用次数: 1
THE POTENTIAL THERAPEUTIC EFFECT OF APRIMELAST (OTEZLA) ON L-ARGININE INDUCED ACUTE PANCREATITIS IN RATS 阿普利莫司特(otezla)对l -精氨酸诱导大鼠急性胰腺炎的潜在治疗作用
Pub Date : 2022-03-01 DOI: 10.21608/ejfsat.2022.99947.1226
Rabab EL-shafy, Salwa A. Elgendy
Background: Acute pancreatic inflammation is an emergency worldwide. Aprimelast (Otezla) is an orally active drug inhibiting phosphodiesterase-4 (PDE4) &modulate the inflammatory mediators. NO research was done to detect its role in treatment of acute pancreatitis (AP). Aim: this research was designed to determine the role of Aprimelast on AP produced by L-arginine. Materials & methods: A rat model of AP was developed by two injections of L-arginine 250 mg/kg body weight, intraperitoneal (IP), separated by a one-hour period. The treatment group received Aprimelast at a single daily oral dosage of 20mg/kg body weight for five consecutive days after IP injections of L-arginine at the same dose as before.AT the last of treating period, blood samples were taken for the assessment of the parameters of oxidative stress glutathione [GSH], malondialdehyde [MDA], then rats were sacrificed. The pancreas of all treated animals was excised, prepared for estimation of tumor necrotic factor (TNFalpha) & interleukin-10 (IL-10) in tissues and histopathological examination. Results: Rats with AP had histological alterations consistent with pancreatic tissue impairment, and elevated blood glucose, serum amylase, and lipase enzyme activities. Additionally, AP rats had increased levels of the pancreatic inflammatory biomarker TNFalpha and decreased levels of the anti-inflammatory biomarker IL-10. Additionally, the oxidative stress biomarker MDA was elevated in AP, whereas the antioxidant GSH level was reduced as contrasted to control group. Co-administration of Aprimelast led to substantial improvements in both pre-existing parameters and histology. Conclusion: These results suggested that Aprimelast may have beneficial therapeutic effect on Larginine induced AP in adult albino rats owing to its anti-inflammatory and anti-oxidative stress effects.
背景:急性胰腺炎症是世界范围内的急症。Aprimelast (Otezla)是一种抑制磷酸二酯酶-4 (PDE4)和调节炎症介质的口服活性药物。没有研究检测其在治疗急性胰腺炎(AP)中的作用。目的:研究Aprimelast对l -精氨酸产生AP的影响。材料与方法:采用l -精氨酸250 mg/kg体重腹腔注射2次,间隔1小时建立AP大鼠模型。治疗组在与对照组相同剂量的l -精氨酸IP注射后,给予Aprimelast单次口服剂量20mg/kg体重,连续5天。治疗末期取血测定大鼠氧化应激参数谷胱甘肽(GSH)、丙二醛(MDA),然后处死大鼠。所有治疗动物切除胰腺,准备组织中肿瘤坏死因子(TNFalpha)和白细胞介素-10 (IL-10)的测定和组织病理学检查。结果:AP大鼠的组织学改变与胰腺组织损伤一致,血糖、血清淀粉酶和脂肪酶活性升高。此外,AP大鼠胰腺炎症生物标志物TNFalpha水平升高,抗炎生物标志物IL-10水平降低。此外,与对照组相比,AP组氧化应激生物标志物MDA升高,而抗氧化剂GSH水平降低。同时给药Aprimelast导致预先存在的参数和组织学的实质性改善。结论:Aprimelast对精氨酸诱导的成年白化大鼠AP具有抗炎和抗氧化作用。
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引用次数: 0
EVALUATION OF ACID-BASE AND ELECTROLYTES AS PREDICTORS OF OUTCOME IN CRITICALLY ILL POISONED CASES IN MENOUFIA UNIVERSITY HOSPITAL 梅诺菲亚大学附属医院危重中毒患者酸碱、电解质预测预后的评价
Pub Date : 2022-03-01 DOI: 10.21608/ejfsat.2021.53866.1181
Reham El-Farouny, Ghada Shebl
BACKGROUND: Acid-base and electrolytes disturbance is an important cause of deaths in intensive care unit patients, so it is necessary to have a broader analysis of their effects in the prediction of the outcome among critically ill poisoned patients. AIM: To evaluate the role of acid-base and electrolytes as predictors of the outcome in critically ill poisoned cases. METHODS: This was a prospective study conducted on 181 cases of critically poisoned patients admitted to ICU in Menoufia Poison Control Center (MPCC) from the beginning of January 2020 till the end of June 2020. A clinical toxicological sheet was fulfilled for every case including patient's sociodemographic data, clinical data of patient's assessment, poison severity scoring (PSS), investigations done for the cases as biochemical laboratory investigations; including arterial blood gases, serum electrolytes, renal and liver functions, and specific toxicological screening tests for detection of poisons. Cases were divided according to their outcome into survivors and non-survivors. All data were collected and statistically analyzed. RESULTS: 181 cases of critically ill poisoned patients were included in the study. Males represented (51.4%), while females were (48.6%). Cases from rural areas outnumbered those from urban, ingestion was the commonest mode of poisoning (97.2%). Pesticides constituted the highest percent among cases, where aluminum phosphide was the most prevalent agent of poisoning. According to PSS (53%) of cases were moderate versus 45.3% were severe. Survivors were (57.5%), while non-survivors were (42.5%). Significantly lower PH, Hco3, PaO2, oxygen saturation, serum potassium levels, and much lower values of BD (more minus results) in the non-survivors, while serum creatinine was significantly higher in the non-survivors. From the ROC curves, patients were considered of a bad prognosis when Ph ≤ 7.24, Hco3 ≤14.55, BD ≤ -5.6, Pao2 ≤ 31.6, and K ≤3.62 (p-value <0.001). CONCLUSION: It is a cornerstone to assess the acid-base and electrolytes disturbances, especially base deficit and Hco3 level for helpful prediction of the outcome, and categorization of the cases who need ICU admission from the start even if they are asymptomatic.
背景:酸碱和电解质紊乱是重症监护病房患者死亡的重要原因,因此有必要对其在危重中毒患者预后预测中的作用进行更广泛的分析。目的:评价酸碱和电解质对危重中毒患者预后的预测作用。方法:对2020年1月初至2020年6月底在Menoufia中毒控制中心(MPCC) ICU收治的181例重症中毒患者进行前瞻性研究。每个病例均填写临床毒理学表,包括患者的社会人口学资料、患者评估的临床资料、中毒严重程度评分(PSS)、对病例进行的生化实验室调查等;包括动脉血气、血清电解质、肾功能和肝功能,以及用于检测毒物的特定毒理学筛选试验。病例根据结果分为幸存者和非幸存者。收集所有数据并进行统计分析。结果:181例危重中毒患者纳入研究。男性占51.4%,女性占48.6%。农村地区的中毒病例多于城市地区,摄入是最常见的中毒方式(97.2%)。农药中毒的比例最高,其中磷化铝是最常见的中毒剂。根据PSS, 53%的病例为中度,45.3%的病例为重度。幸存者为57.5%,非幸存者为42.5%。非幸存者的PH值、Hco3、PaO2、血氧饱和度、血钾水平显著降低,BD值也显著降低(负结果更多),而非幸存者的血清肌酐显著升高。从ROC曲线上看,Ph≤7.24、Hco3≤14.55、BD≤-5.6、Pao2≤31.6、K≤3.62为预后不良(p值<0.001)。结论:评估患者的酸碱和电解质紊乱,特别是碱缺和Hco3水平,有助于预测预后,并对无症状的患者进行分类。
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引用次数: 0
USE OF HAND AND ITS CORRESPONDING PRINT DIMENSIONS IN STATURE ESTIMATION. 在身高估计中使用手及其相应的打印尺寸。
Pub Date : 2022-03-01 DOI: 10.21608/ejfsat.2022.124853.1251
S. Ali, R. Hashish, Rehab I Abdel-Karim, Said K. M. Dessouki, Safaa Eldabe
Background: Personal identification is one of the most important challenges that may face forensic scientists, especially in cases of incomplete, mutilated or even fragmented remains. Stature is one of the primary identification parameters. Previous studies were performed to estimate stature from hand and its corresponding print dimensions using different regression models. These studies highlight the importance of the presence of population-specific standards. The current study aims to develop predictive regression equations that could be used for stature estimation using anthropometric hands and their corresponding print dimensions. One hundred and fifty adult participants were enrolled in the study (75 male & 75 female). Statures were measured, and seven dimensions of each hand and its corresponding print were also measured for each participant . Results: All measurements of the male group were significantly higher. Bilateral significant differences were found in some hands and their corresponding print dimensions in both sexes. According to Karl Pearson's correlation coefficient, all measurements were significantly correlated to stature; "right-hand length" showed the strongest correlation with stature in both sexes, while "right handprint length" in females and "left handprint length" in males showed the strongest correlation with stature. Simple linear regression analysis showed that both hand and handprint lengths in both sides for both sexes had the lowest standard error of estimate, ensuring their lowest prediction error in stature estimation. Conclusion: hand and its corresponding print dimensions can be used in adult stature estimation. Further studies of people of other geographical regions in Egypt are recommended to get a biological-specific Egyptian standard.
背景:个人身份鉴定是法医科学家可能面临的最重要的挑战之一,特别是在不完整、残缺甚至支离破碎的遗骸的情况下。身高是主要的识别参数之一。以往的研究使用不同的回归模型来估计手的身高及其相应的打印尺寸。这些研究强调了针对特定人群制定标准的重要性。目前的研究旨在开发预测回归方程,该方程可用于使用人体测量手及其相应的打印尺寸进行身高估计。150名成年参与者参加了这项研究(75名男性和75名女性)。测量了每位参与者的身高,并测量了每只手的七个尺寸及其相应的指纹。结果:男性组各项指标均显著增高。两性在某些手部及其相应的打印尺寸上发现了双边显著差异。根据卡尔·皮尔森的相关系数,所有的测量结果都与身高显著相关;男性和女性的“右手长度”与身高的相关性最强,而女性的“右手手印长度”和男性的“左手手印长度”与身高的相关性最强。简单的线性回归分析表明,男性和女性的手部和两侧手印长度的估计标准误差最小,从而保证了其在身高估计中的预测误差最小。结论:手及其相应的手印尺寸可用于成人身高估算。建议对埃及其他地理区域的人进行进一步研究,以获得生物特异性的埃及标准。
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引用次数: 0
Individual and mixture effect of Deltamethrin and Dimethoate on liver : A biochemical, histopathological, immunohistochemical, and genotoxic study 溴氰菊酯和乐果对肝脏的单独和混合作用:生化、组织病理学、免疫组织化学和基因毒性研究
Pub Date : 2022-03-01 DOI: 10.21608/ejfsat.2021.48422.1176
/Eman Alaa El-Din, Aisha Abdallah Abouhashem, Dalia Abdallah El-Shafei, Nehal S Abouhashem, H. Mostafa
Many pesticides are used together or in a method, eventually resulting in multiple exposures. These mixtures can lead to unpredicted adverse health consequences in the exposed population. Numerous studies on individual risk assessments are available, but combined usage's toxicity is still to estimate. So, the current study investigated hepatotoxicity induced by exposure to deltamethrin (DLT) and dimethoate (DM) and their mixture in adult male albino rats. Methods: Forty adult male albino rats were randomized into five equal groups (n=8); Group I: control, Group II: the vehicle group received 1ml corn oil. Group III: received DLT (5 mg/kg b.w.), Group IV: received DM (20 mg/kg b.w.), Group V: received DLT (5 mg/kg b.w) and DM (20 mg/kg b.w). Treatments were orally gavaged once-daily dose for twelve weeks. Results: Separate DLT and DM exposure significantly induced an increase in serum liver enzymes, including aspartate aminotransferase, alanine aminotransferase, alkaline transferase, and lactate dehydrogenase, bilirubin, and liver malondialdehyde levels accompanied by a decrease in serum total protein, plasma cholinesterase enzyme, liver superoxide dismutase, catalase, and reduced glutathione levels. These biochemical alterations were supported by the lesions observed in histological sections, decreasing the expression of Bcl-2 and DNA damage and genotoxicity detected by the comet assay. Conclusion: Co-administration of DLT and DM aggravated hepatic dysfunction, exhausting the endogenous antioxidant status and down-regulating the expression of Bcl-2. Thus, these mixtures can increase the harmful effects of each compound on the liver.
许多农药一起使用或以一种方法使用,最终导致多次接触。这些混合物可在接触人群中导致无法预测的不良健康后果。目前已有大量关于个体风险评估的研究,但综合使用的毒性仍有待估计。因此,本研究探讨了溴氰菊酯(DLT)和乐果(DM)及其混合物对成年雄性白化大鼠的肝毒性作用。方法:40只成年雄性白化病大鼠随机分为5组(n=8);第一组:对照组,第二组:载药组给予玉米油1ml。III组:给予DLT (5 mg/kg b.w), IV组:给予DM (20 mg/kg b.w), V组:给予DLT (5 mg/kg b.w)和DM (20 mg/kg b.w)。治疗方法为口服灌胃,每日一次,连续12周。结果:分别暴露DLT和DM显著诱导血清肝酶升高,包括天冬氨酸转氨酶、丙氨酸转氨酶、碱性转氨酶、乳酸脱氢酶、胆红素和肝脏丙二醛水平升高,同时血清总蛋白、血浆胆碱酯酶、肝脏超氧化物歧化酶、过氧化氢酶和还原性谷胱甘肽水平降低。组织学切片上观察到的病变支持了这些生化改变,降低了Bcl-2的表达,降低了彗星试验检测到的DNA损伤和遗传毒性。结论:DLT与DM联用可加重肝功能障碍,使内源性抗氧化状态衰竭,下调Bcl-2的表达。因此,这些混合物会增加每种化合物对肝脏的有害影响。
{"title":"Individual and mixture effect of Deltamethrin and Dimethoate on liver : A biochemical, histopathological, immunohistochemical, and genotoxic study","authors":"/Eman Alaa El-Din, Aisha Abdallah Abouhashem, Dalia Abdallah El-Shafei, Nehal S Abouhashem, H. Mostafa","doi":"10.21608/ejfsat.2021.48422.1176","DOIUrl":"https://doi.org/10.21608/ejfsat.2021.48422.1176","url":null,"abstract":"Many pesticides are used together or in a method, eventually resulting in multiple exposures. These mixtures can lead to unpredicted adverse health consequences in the exposed population. Numerous studies on individual risk assessments are available, but combined usage's toxicity is still to estimate. So, the current study investigated hepatotoxicity induced by exposure to deltamethrin (DLT) and dimethoate (DM) and their mixture in adult male albino rats. Methods: Forty adult male albino rats were randomized into five equal groups (n=8); Group I: control, Group II: the vehicle group received 1ml corn oil. Group III: received DLT (5 mg/kg b.w.), Group IV: received DM (20 mg/kg b.w.), Group V: received DLT (5 mg/kg b.w) and DM (20 mg/kg b.w). Treatments were orally gavaged once-daily dose for twelve weeks. Results: Separate DLT and DM exposure significantly induced an increase in serum liver enzymes, including aspartate aminotransferase, alanine aminotransferase, alkaline transferase, and lactate dehydrogenase, bilirubin, and liver malondialdehyde levels accompanied by a decrease in serum total protein, plasma cholinesterase enzyme, liver superoxide dismutase, catalase, and reduced glutathione levels. These biochemical alterations were supported by the lesions observed in histological sections, decreasing the expression of Bcl-2 and DNA damage and genotoxicity detected by the comet assay. Conclusion: Co-administration of DLT and DM aggravated hepatic dysfunction, exhausting the endogenous antioxidant status and down-regulating the expression of Bcl-2. Thus, these mixtures can increase the harmful effects of each compound on the liver.","PeriodicalId":22435,"journal":{"name":"The Egyptian Journal of Forensic Sciences and Applied Toxicology","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78947337","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}
引用次数: 0
EVALUATION OF EXTERNAL INJURIES AS INDICATORS OF INTERNAL INJURIES IN VICTIMS OF BLUNT TRAUMA 钝性创伤中外伤性内伤指标的评价
Pub Date : 2021-12-01 DOI: 10.21608/ejfsat.2021.91366.1214
A. Hafez, Amira A. Wahdan
Background: Blunt trauma presents a challenge when external injuries are used to determine or predict the type and severity of internal injuries. Objective: to assess the relationship between internal injuries and external injuries in blunt trauma adult victims. Methodology: This retrospective study was conducted on adult victims of blunt trauma admitted to the Emergency hospital, Tanta University Hospitals from 1st January 2019 to 31st December 2019. Collected variables included sociodemographic data, circumstances of trauma, and sustained injuries. The Abbreviated Injury Scale (AIS) was calculated for external and internal injuries. Results: The study included 311 victims of blunt trauma. A significant association between external and internal injuries was detected in all body regions (p<0.05), but the positive predictive value (PPV) of external injury was low (below 60%) except for the neck and extremities (75% and 62.4%, respectively). The negative predictive value was ≥90% for all body regions except the head (80.6%). The correlations between AIS of external and internal injuries were positive, moderate, and significant in the neck (rs=0.668, p<0.001), extremities (rs=0.535, p<0.001), and head (rs=0.334, p<0.001), but weak in the chest (rs=0.147, p=0.009) and abdomen (rs=0.123, p=0.030). Conclusion: external injuries are considered as poor indicators of the presence of internal injuries in most body regions. Physicians should not be tempted to rule in or out the presence of internal injury based on external examination. Forensic experts should determine the extent of internal injuries based either on complete autopsy or implement the techniques of the virtual autopsy to avoid misdiagnosing significant internal injuries.
背景:当使用外伤来确定或预测内伤的类型和严重程度时,钝性创伤提出了一个挑战。目的:探讨成人钝性外伤中内伤与外伤的关系。方法:本回顾性研究对2019年1月1日至2019年12月31日在坦塔大学附属医院急诊医院收治的成年钝性创伤患者进行了研究。收集的变量包括社会人口统计数据、创伤情况和持续伤害。计算外伤和内伤简易损伤量表(AIS)。结果:该研究包括311名钝性创伤受害者。除颈部和四肢外伤阳性预测值(分别为75%和62.4%)外,其余部位外伤阳性预测值(PPV)均低于60% (p<0.05)。除头部(80.6%)外,所有身体部位的阴性预测值均≥90%。外、内伤AIS与颈部(rs=0.668, p<0.001)、四肢(rs=0.535, p<0.001)、头部(rs=0.334, p<0.001)呈中度正相关,而胸部(rs=0.147, p=0.009)、腹部(rs=0.123, p=0.030)相关性较弱。结论:在大多数身体区域,外部损伤被认为是内伤存在的较差指标。医生不应该根据外部检查来判断是否存在内伤。法医专家应根据完整的尸检或采用虚拟尸检技术来确定内伤的程度,以避免误诊严重的内伤。
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引用次数: 0
Assessment of fingerprints pattern and density in relation to blood groups and subgroups 血型和亚组的指纹模式和密度评估
Pub Date : 2021-12-01 DOI: 10.21608/ejfsat.2021.87312.1210
Fatma Nada Khalifa, Mervat Abdelnaby, Mona Ebraheim Elyamany, Riham F Hussein
{"title":"Assessment of fingerprints pattern and density in relation to blood groups and subgroups","authors":"Fatma Nada Khalifa, Mervat Abdelnaby, Mona Ebraheim Elyamany, Riham F Hussein","doi":"10.21608/ejfsat.2021.87312.1210","DOIUrl":"https://doi.org/10.21608/ejfsat.2021.87312.1210","url":null,"abstract":"","PeriodicalId":22435,"journal":{"name":"The Egyptian Journal of Forensic Sciences and Applied Toxicology","volume":"241 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76951021","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}
引用次数: 0
How prevalent is the defensive medicine practice among the Egyptian 防御医学在埃及人中有多普遍
Pub Date : 2021-12-01 DOI: 10.21608/ejfsat.2021.74212.1194
Heba Abdo, H. Aboubakr, H. Basyoni
Background: Recently, there has been a remarkable increase in manhandling to physicians and vandalism in hospitals by patients and their relatives; moreover. There is a continuous increase in medical malpractice allegations. This high sense of insecurity among physicians caused them to practice defensive medicine, which could be positive or negative. Defensive medicine practicing has harmful effects on both the patients and the resources. Aim: This work was done to assess the prevalence of defensive medicine practicing among Kasr Alainy hospital residents. Methods: A questionnaire that includes ten "yes or no" questions was circulated manually among the residents, where the number of “yes” answers in the questionnaire is considered directly proportional to the sense of insecurity among the responders and more than 4 'yes' answers were considered sense of insecurity. Results: 88.9% of responders had more than four yes answers in the questionnaire, and the median number of yes answers was 7. There was a significant difference regarding the specialty where surgical specialties had a higher score than non-surgical specialties. Conclusion: Behaviors indicating defensive medicine practice and sense of insecurity showed high prevalence among the studied sample of Egyptian residents.
背景:最近,病人及其亲属对医生的粗暴对待和医院内的破坏行为显著增加;此外。医疗事故指控不断增加。医生的这种高度不安全感导致他们实行防御性医疗,这可能是积极的,也可能是消极的。防御性医疗实践对患者和资源都有不利影响。目的:本研究旨在评估Kasr Alainy医院住院医师中防御性医学实践的流行程度。方法:在居民中手工发放一份包含10个“是”或“否”问题的问卷,其中回答“是”的数量与应答者的不安全感成正比,回答“是”的数量大于4个即为不安全感。结果:88.9%的应答者在问卷中有4个以上的“是”答案,“是”答案的中位数为7个。在专科方面,外科专科的得分高于非外科专科。结论:防御性医疗行为和不安全感在埃及居民中普遍存在。
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引用次数: 1
IMPACT OF LOCKDOWN DUE TO COVID-19 PANDEMIC ON THE CAREGIVERS’ VIOLENT BEHAVIORS TOWARD THEIR CHILDREN 新冠肺炎疫情封城对看护人对子女暴力行为的影响
Pub Date : 2021-12-01 DOI: 10.21608/ejfsat.2020.39684.1164
A. Sharif
Background: The surge of domestic violence during the COVID-19 pandemic is reported as a global phenomenon. Until the present time, no published literature described the situation in the middle east. Aims: The current study aims to examine how the frequency of verbal maltreatment and physical maltreatment may have changed from during the lockdown to postlockdown in a sample of Egyptians living in Saudi Arabia. Methodology: The present study was carried out on 511 Egyptian families residing in Riyadh, the capital city of Saudi Arabia. The study was conducted over 2 phases with more than one month in between the 2 phases. The first phase during the period 10 April9 May, while the second phase was carried out during the period 21 June – 20 July when the respondents were requested for a second followup survey. The selection of those dates was based on the lockdown status in Saudi Arabia. During the first phase, the lockdown was almost complete or for more than 16 hours in the day. During the second phase, the lockdown was resolved entirely. Results: The current study revealed that the verbal and physical maltreatment forms were significantly more frequent during the lockdown periods (p<0.001). The child and the parents' age showed a significant negative correlation with the total physical maltreatment score (r=-0.008, -0.035), respectively. On the other hand, verbal maltreatment was correlated with older children (r= 0.085) and older parents (r=0.117). Conclusion: To conclude, verbal and physical maltreatment are aggravated by the lockdown and quarantine measures associated with the COVID-19 pandemic. The forms of verbal and physical maltreatment didn't differ from those previously reported in the literature. The younger boys of younger parents are more vulnerable to physical maltreatment. It is recommended to pay more attention to preventing child maltreatment, protecting the maltreated child by establishing supporting centers to track and follow such cases.
背景:据报道,2019冠状病毒病大流行期间家庭暴力激增是一种全球现象。直到现在,还没有出版的文献描述中东的局势。目的:目前的研究旨在调查居住在沙特阿拉伯的埃及人样本中,从封锁期间到封锁后,言语虐待和身体虐待的频率可能发生了什么变化。方法:本研究对居住在沙特阿拉伯首都利雅得的511个埃及家庭进行了调查。研究分两个阶段进行,两个阶段之间有一个多月的时间间隔。第一阶段在4月10日至5月9日期间进行,第二阶段在6月21日至7月20日期间进行,当时要求答复者进行第二次后续调查。这些日期的选择是基于沙特阿拉伯的封锁状态。在第一阶段,封锁几乎完成,或者一天超过16个小时。在第二阶段,封锁完全解决了。结果:目前的研究表明,语言和身体虐待形式在禁闭期间明显更频繁(p<0.001)。儿童和父母年龄与身体虐待总分呈显著负相关(r=-0.008, -0.035)。言语虐待与子女年龄较大(r= 0.085)、父母年龄较大(r=0.117)相关。结论:总之,与COVID-19大流行相关的封锁和隔离措施加剧了言语和身体虐待。语言和身体虐待的形式与先前文献报道的没有区别。年轻父母的小男孩更容易受到身体虐待。建议更多地关注预防虐待儿童,通过建立支持中心来跟踪和跟踪这些案件,保护受虐待的儿童。
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引用次数: 0
Evaluations of toxic heavy metals lead and mercury in regular hemodialysis smoker and nonsmoker patients by comparison with other normal population in Egyptian population 埃及定期血液透析吸烟者和非吸烟者与其他正常人群的毒性重金属铅和汞的比较
Pub Date : 2021-12-01 DOI: 10.21608/ejfsat.2020.26538.1137
E. Shalaby, Hisham Abdelmawgoud
Around the population, worldwide, 10% are affected by chronic kidney disease (CKD); hemodialysis is the common choice of renal replacement therapy. Cigarette smokers have a high Lead level than the non-smoker population, as Tobacco leaf grew on polluted soil, and it is proven that Mercury poisoning depends on the dose and duration of exposure. The study aimed to determine two crucial toxic heavy metals elements Lead and Mercury concentrations in pre hemodialysis. Methodology: blood samples were collected from CKD patients on maintenance hemodialysis for more than six months divided into non-smoker and smoker to be compared with samples from a control group non-CKD, non-smoker persons. Our study was conducted in September 2019 in Al Mokattam insurance hospital – Cairo and involved 60 persons of both sexes. They were divided into three groups: CKD stage 5 patients on hemodialysis 40 patients and sub-divided into two groups; (smoker) 20 patients and (nonsmoker) 20 patients and the history of eating fish and seafood was taken. The third group was a control group, including 20 healthy non-smoker participants. Lead and Mercury were analyzed by electrothermal atomic absorption spectrophotometer in Al Borg central Laboratory. The complete blood count (CBC), kidney function tests, and Iron parameters were also detected. Results: prolonged duration on hemodialysis did not raise Lead or Mercury level in the blood, while smoking raises the Lead level in the blood, and eating fish and seafood more than once per week increased Mercury level in the blood. There was a relation between raised Lead level and anemia in hemodialysis patients. Conclusion: Lead and Mercury measurement is essential in hemodialysis patients with possible symptoms of heavy metal toxicity. Lead level monitoring is recommended in resistant anemia in hemodialysis patients.
在全球人口中,10%的人患有慢性肾脏疾病(CKD);血液透析是肾脏替代治疗的常见选择。吸烟人群的铅含量比不吸烟人群高,因为烟叶生长在受污染的土壤上,而且汞中毒已被证明取决于接触的剂量和时间。该研究旨在确定血液透析前两种关键的有毒重金属元素铅和汞的浓度。方法:收集维持血液透析6个月以上的CKD患者的血液样本,分为非吸烟者和吸烟者,与对照组非CKD,非吸烟者的样本进行比较。我们的研究于2019年9月在开罗的Al Mokattam保险医院进行,涉及60名男女。将患者分为三组:CKD 5期血液透析患者40例,再细分为两组;(吸烟者)20例,(非吸烟者)20例,并记录吃鱼和海鲜的历史。第三组是对照组,包括20名健康的非吸烟者。采用Al Borg中心实验室电热原子吸收分光光度计对铅和汞进行了分析。全血细胞计数(CBC)、肾功能测试和铁参数也被检测。结果:延长血液透析时间对血液中铅和汞的含量没有影响,而吸烟使血液中的铅含量升高,每周吃鱼和海鲜超过一次使血液中的汞含量升高。血液透析患者血铅水平升高与贫血有相关性。结论:对可能出现重金属中毒症状的血液透析患者进行铅汞检测是必要的。建议对血液透析患者的顽固性贫血进行铅含量监测。
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The Egyptian Journal of Forensic Sciences and Applied Toxicology
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