فهرست مطالب
International Journal of Medical Toxicology and Forensic Medicine
Volume:5 Issue: 1, Winter 2015
- تاریخ انتشار: 1393/12/23
- تعداد عناوین: 7
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Pages 1-7BackgroundIncidence of allergic asthma has increased in the worldwide. Zinc has significant effects on the pathogenesis of bronchial asthma. However, Zinc deficiency caused the enhanced allergy state. Investigations on the recent issue have been less often considered, and only a few studies were found in the literature review. Zinc status particularly has not been known in adult''s allergic asthma. The aim of the study was to assess the sera level of zinc in chronic allergic asthma patient with atopic phenotype.MethodsA total 48 chronic allergic asthma phenotype enrolled among asthmatic population based on the protocol. Skin prick test was applied with six standard extract allergens. Total Immunoglobulin E antibodies and zinc level were measured in sera with the recommendation manufacturer.ResultsThe mean age was 32.75±9.86 SD years. Gender distribution was 52% females and 48% males. Mean of total IgE and zinc levels in sera was higher in males than females. 27% of participants had hypozincemia. Hypozincemia subset had a higher mean of total IgE level than a normal zinc level subset. Atopic phenotype was detected in 21% target population. Atopic asthmatic phenotype disclosed hypozincemia status with frequency 23%. Marked differences were observed between zinc and total IgE levels (p=0.04).ConclusionThe outcome disclosed there was a hypozincemia in the target population and atopic phenotype subset. Hypozincemic allergic asthmatic patients had a higher mean of total IgE level than normal Zinc level subjects. Allergic marker and hypozincemia were marked in the male and female focus population, respectively.Keywords: Asthma, Allergy, Atopic phenotype, Zinc deficiency, Adults
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Pages 8-11BackgroundSudden unexpected natural death (SUND) has not been studied in Iran. Herein we investigated its main causes in our country.MethodsRecords of 80 cases registered to a single referral center were investigated to determine the distribution of sex, age, and etiology of death.ResultsFifty eight (72.5%), 6 (7.5%), 6 (7.5%) and 4 (5%) of our cases have died due to various types of heart diseases, cerebral events, pulmonary emboli and gastrointestinal bleeding (GIB), respectively. Moreover, men are victims of SUND more that women (83.7% vs.16.3%, respectively).ConclusionPolicies should be planned by the governments to prevent youth mortality in societies. These attempts should especially target ischemic heart disease.Keywords: Sudden Death, Young Adults, Life Style
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Pages 12-16BackgroundHigh level of crime, particularly by the people below 18 years, has been a matter of concern for many years. Assessing and preventing the antisocial behaviour in juveniles has become a policy priority.MethodsA cross sectional study was conducted on 52 males less than 18 years in an observation home in Bangalore, India. The data was collected in an interview by filling a semi structured questionnaire. Revised Wisconsin Delinquency Risk Assessment Scale (RWDRAS) was filled up simultaneously and then results were analysed.ResultsMajority of the offenders were in the age group 16-18 years. In the majority the cause for antisocial behaviour was unknown followed by the family problems and poverty. The RWDRAS identified 47% of the juveniles with antisocial behaviour as low risk group.ConclusionThe Education, counselling and prevention of poverty are some of the preventive measures of antisocial behaviour. There is a need to develop a better criteria and scale for the diagnosis of antisocial behaviour as the presently used RWDRAS failed in 47% of the juveniles.Keywords: Juvenile, Antisocial Behaviour, Revised Wisconsin Delinquency Risk Assessment Scale (RWDRAS)
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Pages 17-21BackgroundElectrical injuries are rarely happened but it makes more harmful lesions comparing to other thermal injuries. The aim of this study was to report electrical burned patients according to electrical voltage in Shahid Motahari Burn Center.MethodsThis Routine data base study was performed on patients with electrical burns which were admitted to Shahid Motahari Burn Center from April 2010 to March 2012. Demographic and clinical data had gathered from medical records. Association between voltage and morbidity or mortality was evaluated used SPSS v. 16.ResultsMean total body surface area of 287 patients (283 (98.60%) male and 4 (1.4%) female) with mean age of 30±0.7 years was 13.56±0.76% (range 1-100). There were 203 patients (70.7%) with low and 84 patients (29.31%) with high voltage injury. There was significant association between voltage and place of injury (p=0.001).ConclusionHigh voltage injuries constitute large number of electrical injuries which more of these injuries occurred outdoor and in workplace and need more hospitalization. High voltage injuries are related with more amputation, so people and authorities should pay more attention to such injuries.Keywords: Electrical Burn, Mortality, Morbidity, Electrical Voltage
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Pages 22-31As many people and athletes exercise indoor, in their homes or other sports arenas because of outdoor air pollution or other reasons, it is important for health professionals to know briefly about indoor air pollutants and its possible health effects on athletes who exercise in these environments. In this review the most common indoor air pollutants and their possible health effects on athletes are discussed.Keywords: Indoor Air Quality, Gymnasium, Fitness Facility
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Pages 32-35BackgroundSpontaneous rupture of papillary muscle from sepsis is extremely rare. Most cases of papillary muscle ruptures are due to myocardial infarction or trauma. We describe a case of spontaneous acute papillary muscle rupture in absence of history of ischemic cardiomyopathy or blunt chest trauma.Case Report: A 42 year-old man was transferred to intensive care unit with signs and symptoms of cardiogenic shock. Past history revealed that he had met with a road traffic accident 19 months ago with fracture mid shaft of left femur. He was treated for the same and failed to have regular follow up visits. Physical examination revealed osteomyelitis at the fractured site with sinus formation and pyrexia. His general condition declined thereafter and expired due to cardiac failure few hours later. At autopsy there was rupture of antero-lateral papillary muscle of mitral valve. Microscopic section of the ruptured papillary muscle revealed formation of focal abscess with neutrophil infiltration.ConclusionPapillary muscle ruptures are associated with significantly increased morbidity and mortality. Therefore early diagnosis is very important in providing appropriate treatment. This case emphasized the fact that delay in diagnosis and institution of appropriate antimicrobial therapy for sepsis may result in life threatening complications. Although this occurrence is uncommon, papillary muscle necrosis and subsequent rupture must be considered as cause of delayed deaths in cases of road traffic accidents with septicemia.Keywords: Myocardial Abscess, Necrosis, Multiple System Organ Failure
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Pages 36-36BackgroundDecapitation of bodies is a rare event in industrial accidents and accounts for about 0.1% of forensic autopsies. Decapitation has been reported in cases of suicidal, homicidal, and accidental deaths, and there are several examples of autopsy findings that are indicative of each mode of death.Case Report: We report a case of an accidental decapitation of a worker in an automated wood laminating industry. Based on the circumstances at the site, the police presupposed foul play. The scene investigation revealed that the worker had attempted to adjust the alignment of hot pressed wood manually which suddenly started to move and the worker was struck between the laminating machine and the moving board at the level of his neck which caused decapitation of his neck.ConclusionExamination revealed that the neck was severed at the level of the second and third cervical vertebrae. This case was unusual as the mechanism for the decapitation was a blunt force.Keywords: Decapitation, Accident, Death