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MEDICO-LEGAL STUDY OF FATAL FLAME BURN VICTIMS IN SULAIMANI PROVINCE

Author: Saad K Kareem سعد كاظم كريم
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2011 Volume: 9 Issue: 2 Pages: 143-146
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background:Fatal flame burn injuries remain one of the most common causes of fatalities referred to Al-Sulaimania Medico-Legal Institute in spite of many recent advances in care and management. They occupied number one of all cases which were managed medico-legally.Objective:To study, evaluate and determine the causes of death in victims of flame burn injuries.Method:The study was conducted on 221 cadavers of flame burn injuries referred to the medico-legal institute in Sulaimania province during the period between 8th of May 2008 and 7th of May 2009. Complete classical autopsy was performed on each case as well as proper laboratory investigation (CO and renal function tests).Results:Fatal flame burn injuries constituted (28%) of the total number of medico-legal mortalities during the period of the study. The highest percentage of flame burn deaths occurred during the 1st and 2nd day of burn which was related to the state of shock and primary toxemia in (46.08%) of the cases. Late deaths were due to septicemia, cumulative effects of the early cause and miscellaneous causes.Conclusion:Flame burn injuries were the most common police cases managed medico legally. The vast majority of victims died within the first ten days. Staphylococcus aureus was the most common organism isolated from wounds and blood of victims.Key words:Autopsy, flame burn, Al-Sulaimania.

Keywords

Autopsy --- flame burn --- Al-Sulaimania


Article
ENZYMATIC LIVER CHANGES AMONG WORKERS EXPOSED TO VINYLCHLORIDE

Authors: Saad K Kareem سعد كاظم كريم --- Muataz AM Al-Qazzaz معتز عبد المجيد القزاز --- Ali AA Sahib علي عبد علي صاحب
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2012 Volume: 10 Issue: 1 Pages: 75-82
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

BackgroundPolyvinyl chloride (PVC) is used in production and manufacturing of many essential tools for example plastic pipes, fabric, cables, decorative products etc.). Its production is impossible without the use of vinyl chloride monomer (VCM), which can cause liver damage in long-term.ObjectiveTo assess the effects of mild to moderate long term exposure to VCM on liver and to assess the importance of liver enzyme measurements as screening tools.MethodsIn this study, measurement of serum levels of liver enzymes of 64 exposed workers and 61 control workers was carried out starting from the first of October 2010 till the end of January 2011. All of the studied cases were worked in a poly vinyl chloride (PVC) production unit in three polyvinyl chloride factories and considered as target population for detection of any possible industrial vinyl chloride associated liver enzymes changes. The controls were randomly selected from office personnel of the same factories. Biochemical paramedics and a questionnaire method were used for analysis and in both groups.ResultsBoth groups have a similar age structure. Statistical difference was noted between the alanine aminotransferase (ALT) and gamma-glutamyl transferase (GGT) mean values for both the exposed and non-exposed groups. The mean values for alpha-2-globulin and gamma-globulin in both exposed and non exposed groups of serum electrophoresis were statistically significant. The relative risk for the exposed workers was higher than that one for all other variables. It was the highest and most significant for gamma-globulin abnormal values associated among the exposed group followed by the relative risk of alpha-2- globulin.ConclusionLiver function tests with serum protein electrophoresis are useful to detect hepatic damage among workers exposed to polyvinylchloride.Key wordsLiver Enzymes, Workers, Protein Electrophoresis, Vinyl Chloride

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