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1.
Assiut Medical Journal. 2011; 35 (2): 193-218
em Inglês | IMEMR | ID: emr-135785

RESUMO

All of the antiepileptic drugs [AEDs] are either known or suspected of being teratogenic. The possible mechanism of teratogenicity is likely to be multiple for the same drug. This is of major concern for all women with epilepsy using these drugs are delicately balanced between seizure control and the adverse effects the AEDs. The use of conventional AEDs eg. Carbamazepine control more than two thirds of the epileptic patients. In recent years, the number of commercially available AEDs has steadily increased eg. lamotrgine and levetiracetam.160 pregnant female albino rats were used in this study. Animals were classified randomly into eight groups; each group contained 20 pregnant female rats. Negative control group received nothing and positive control group received normal saline. Treated groups: each group received either the therapeutic dose or 1/4 LD50 of carbamazepine, lamotrigine or levetriacetam. The drugs were given by gastric tube from 6[th] day up to the 19[th] day of gestation. Teratological evaluation:the fetuses [both living and dead] in each group were weighted their crown rump length measured and morphological examination included: Head size and shape, orofacial development, vertebral column tail and abdomen, umbilicus and external genitalia Maternal findings showed high death rate in 1/4 LD50 of lamotrigine treated group; weight gain was dose dependant with highest effect in the lamotrigine treated groups. The fetal findings showed highest embrolethality and least litter siza in lamotrigine treated groups; while the fetal growth determined by weight gain and crown rumplength was retarded more in carbamazepine and lamotrigine treated groups than in levetiracetam treated groups. The morphological findings revealed that the highest percentage of congenital anomalies were in the dose of 1/4 LD50 of lamotrigine followed by carbamazepine and levetiracetam. The AEDs are potentially teratogenic and in utero exposure can increase the risk of adverse outcomes in off springs born epileptic mothers. The new AED lamotrigine caused gross fetal retardation even in therapeutic dose. Levetiracetam caused growth retardation in the therapeutic dose more than carbamazepine in the corresponding dose although it had the best effect on maternalparameters. As regard the congenital anomalies lamotrigine was the safest durg in the therapeutic dose


Assuntos
Feminino , Animais de Laboratório , Teratogênicos , Carbamazepina/efeitos adversos , Triazinas/efeitos adversos , Estudo Comparativo , Gravidez Abdominal , Ratos , Feminino
2.
Assiut Medical Journal. 2010; 34 (1): 123-132
em Inglês | IMEMR | ID: emr-145865

RESUMO

Beetles [Coleoptera] have been recognized as significant entomological evidence in the medico4e gal field in estimating the postmortem interval [PMI], particularly with reference to dry human skeletal remains in the later stages of decomposition. Beetles are found as adults, larvae, pupae and also as cast skins and all are of equal importance. Histeridae [histerid beetles] occur wherever there is decay and putrefaction. They feed primarily on the blowfly maggots and pupae. Dermestidae [dermestid beetles] are well known to feed on dried skin and bones. They are considered true carrion feeders, playing an important role in carcass degradation. There are few published works about the beetle fauna of forensic importance in Egypt; therefore their identification in given area should be established. The study herein aimed to describe adults Coleoptera species involved in carrion succession and document their fauna in relation to decomposition stages of exposed human tissues in Assiut [Upper Egypt], which is known for its arid weather. Human left over parts from orthopaedic theatre were used. Collected beetles were identified according to their taxonomic parts and characters: Two Families were recognized; Family Histeridae including Saprinus blanchei and Saprinus gilvicornis and family Dermestidae represented by Dermestes frischii. The presented findings should provide data for use in legal investigations and medical purposes in our region


Assuntos
Humanos , Morte , Humanos , Exposição Ambiental , Estações do Ano , Medicina Legal
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