International journal of health sciences
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The impact of biofilm on cefotaxime killing effect against Escherichia coli
Get PDFBiofilms cause chronic infections that are difficult to treat because of the resistance of microorganisms inside them. The goal is to assess the killing potential of cefotaxime against Escherichia coli in biofilms obtained from clinical isolates kept in the clinical microbiology laboratory of Dr. Soetomo Surabaya Hospital. The study was conducted by laboratory experimental design. Two steps challenged the bacterial isolates by applying cefotaxime to the planktonic bacterial state and the biofilm state. Minimum inhibitory concentration (MIC), minimum biofilm inhibitory concentration (MBIC), minimum bactericidal concentration (MBC) and minimum biofilm eradication concentration (MBEC) were used as an indicator for comparison. Nineteen isolates of E coli were used for this experiment, 7 isolates with MIC of 0.125-0.25 μg/ml (36,84%), 6 isolates with MBC value 0.25-0.5 μg/ml (31,57%). The MBIC > 128 μg/ml is 6 isolates (31,57%), MBEC > 128 μg/ml is 14 isolates (73,68%). Cefotaxime had lower killing efficacy against E. coli in biofilm than in the planktonic phase. MBIC of E. coli requires cefotaxime at minimal 5 times two-fold increase from MIC, with an average 7-8 times. MBEC of E. coli requires cefotaxime concentration minimal 5 times two-fold dilution increase from MBC, with an average 8 - 9 times.
 
Effect of the otago exercise program on the lower extremity muscle strength in older women
Get PDFAn increased risk of falls in the elderly is associated with decreased muscle mass and strength in the lower limbs. The Otago Exercise Regimen (OEP) is a moderately challenging walking, flexibility, strengthening, and balancing exercise regimen. The Otago Exercise Program has been demonstrated to reduce the incidence of falls in elderly individuals by improving balance and muscular strength. This research sought to ascertain how the Otago Exercise Program influenced the lower limb muscular strength of older women. The research was done from October 2020 to May 2021. 26 individuals, split into a treatment group and a control group (13 people each). The moderate intensity Otago Exercise Program was administered to the treatment group for eight weeks, lasting 30 minutes three times each week. In this study, the parameter that assessed the muscular strength in the lower extremities was examined using the 30 second sit-to-stand (30STS) test. Two measurements are made: once prior to and once following the eight-week OEP period. 
Impact of an education program on metabolic indicators for patients undergoing percutaneous coronary intervention in Erbil city
Get PDFBackground: Regular education program provides better medication and diet adherence, leading to better metabolic control. Therefore, the study was conducted to improvemetabolic indicators, including body mass index (BMI), blood pressure (BP), glycated hemoglobin (HbA1c), total cholesterol, triglycerides, low-density lipoprotein (LDL), and high-density lipoprotein (HDL).Methods: A quasi-experimental study was conductedamong (n=200) coronary artery disease patients undergoing percutaneous coronary intervention at Surgical Specialty Hospital-Erbil Cardiac Center from March 2021 to May 2022. The study participants were randomly assigned to the control and intervention groups. The cardiac health education program was performed for the intervention group; the metabolic indicators were measured for patients before attending the educational program and three months after ending the program. Results: There was a high statistically significant difference between control and intervention groups for adherence to diet (p<0.00) and medication (p<0.00). After given education program, all metabolic indicators were statistically significant improved (body mass index (p<0.00), systolic and diastolic BP (p<0.00), HbA1c (p<0.02), total cholesterol (p<0.00), triglycerides (p<0.03), and low HDL p<0.00).Conclusion: The study proved that the education program positively affected the metabolic indicators of patients undergoing percutaneous coronary intervention
Study on pregnancy outcome in normal and intrauterine growth restriction
Get PDFBackground: Failure in achievement of predetermined growth genetically due to placental, fetal, maternal and several external variables is known as intrauterine growth restriction (IUGR). It accounts more in developing countries. Materials and methods: All the data of the patients were noted in a pre-structured case proforma after taking informed consent. Study population was divided into 50 cases and 50 controls. Results: In IUGR lower segment caesarean section (LSCS) was observed in 64 % and normal vaginal delivery was 36 %. In IUGR neonate’s distribution was 42% males and 58% females. In IUGR, NICU admissions were 40%, 10% stillbirth and 50% were normal without any morbidities. Conclusion: The observation in our study reveals that in female neonates the incidence is more than males. The outcome of IUGR is adverse with a greater number of NICU admissions and stillbirth
Immunity study among burn patients infected with bacterial pseudomonas species
Get PDFThe Invade of the Burns infaction by potentially pathogenic bacteria constitutes threatens its transmission to different human tissues and organs, this study provides isolation and identification of 37 isolates bacteria pseudomonas species for the 120 specimen (20 pseudomonas.aeruginosa.10 Pseudomonas. fluorescens.7 Pseuomonas.putadia) recovered from burn infections. In this study, some of virulence factors were detected by traditional phenotypic methods. The results Bacterial gelatinase . The results of the study demonstrated that the high production of gelatinase was released from P.aeruginosa 20/20(100%, P.fluorescens10/10(100%).p putedia 5/7(71.42%) . the total pseudomonas spp 35/37(94.59%) isolates . The results haemolysin production In the blood agar plate method, 30/37 (80.08%) of 20/20(100%) P. aeruginosa.9/10(90%) p. fluorescens. and 1/7(14.28%) p.putedia of all isolates demonstrate beta-hemolytic activity. Total and Deferential Count of White Blood Cells the results of WBC and differential cells. The results of WBC and differential count of neutrophils and monocytes in survivors burn patients have shown the significant increase (P<0.05) compared to control group. But the lymphocytes,eosinophils and basophils showed non-significant (P>0.05). Cytokines Detections Interleukin-6 the concentration of IL-6 in burn patients were of significant elevation (P<0.01) in compared to control group, yet the concentration of IL-6 showed a highly elevation burn patients
Retrospective study on rupture uterus, its causes and maternal-fetal outcome
Get PDFRupture uterus is a gravid complication which is commonly seen post uterine surgery in perinatal women leading to maternal morbidity and fetal death. Common causes are previous caeserian section, obstructed labour , malpresentations, multipara women etc. Patient presents with pain, uterine bleeding, fetal distress, and even death of fetus. We did a retrospective study in our institute in which we collected data of previous 4 years. Incidence of rupture was 0.2%. Most common risk factor was previous caeserian section and other uterine surgery. Unscarred uterus ruptured most commonly due to obstructed labour, other causes were malpresentation, multipara women and induction of labour. Majority of fetuses can not be saved due to late arrival to hospital. 49 patient required obstetric hysterectomy and rest 53 uterus repaired with or without ligation. Other complications were extension of rupture, bladder injury and hemoperitonium. We concluded that scarred uterus need to monitor closely at term and promt transportation and diagnosis can improve fetomaternal outcome
Stunting incidents in children in the working area of Puskesmas Moncongloe, Maros Regency
Get PDFMonitoring of Nutritional Status reveals that the incidence of stunting (short) in children is a major nutritional problem faced by Indonesia. The prevalence of stunting children has increased from 27.5% in 2016 to 29.6% in 2017. The purpose of this study was to describe the incidence of stunting in children in the working area of the PUSKESMAS Moncongloe, Maros Regency. The type of this research was descriptive observational with a population of 147 stunting children. The sampling method used accidental sampling with the number of sample was 108 respondents. The results of this study showed that from 108 children (100.0%) there were 16 children (14.8%) who had low birth weight and 92 children (85.2%) had normal birth weight, there were 62 children (57.4%) who were not exclusively breastfed and 46 children (42.6%) are exclusively breastfed, there were 51 children (47.2%) with incomplete immunization status and 57 children (52.8 %) with complete immunization status, there were 44 children (40.7%) with stunting in the very short category and 63 children (59.3%) in the short category. The conclusion of this study is the incidence of stunting in children is related to low birth weight, exclusive breastfeeding and immunization status
Comparative evaluation of shear bond strength of universal bonding agent and total-etch bonding agent on superficial and deep dentin: An in vitro study
Get PDFBackground: To conserve the tooth structure, bonded restorations are popular nowadays. Bonding to enamel is predictable by acid-etch technique. However, bonding to dentin remains a challenge. Aim: To determine the better bonding agent between universal bonding agent and total-etch bonding agents based on shear bond strength using universal testing machine.
Methodology: Eighteen human permanent mandibular molars were sectioned longitudinally to obtain thirty-six samples. Samples were randomly divided into three groups according to the bonding agent, Group A (Unbonded), Group B (Universal bonding agent) which was again divided into Subgroup B1 (Superficial dentin), Subgroup B2 (Deep dentin) and Group C (total-etch bonding agent) which was again divided into Subgroup c1 (Superficial dentin) ,Subgroup c2 (Deep dentin). Composite block was built up and samples were mounted in acrylic resin. Thermocycling was done and then samples were subjected to Universal testing machine. Statistical Analysis: The data was analysed using One-way ANOVA and Post hoc tests. Result: Universal bonding agent showed higher mean shear bond strength than total-etch bonding agent at both superficial and deep dentin level. Conclusion: The shear bond strengths of Universal Bonding agent and total-etch bonding agents were affected by the dentin level i.e., superficial and deep dentin
Comparative evaluation of efficacy of different endodontic file systems for removal of gutta percha from root canals using CBCT: An in-vitro study
Get PDFAim- To evaluate the removal of gutta percha by hand file system, rotary file system and reciprocating file system from root canals by using CBCT. Materials and Method: Root canals of 42 extracted human mandibular premolars were prepared using the ProTaper Universal rotary system and then obturated. Root filling quality was confirmed on CBCT images. Specimens were divided into 3 groups (n = 14) according to the system used for filling removal, group 1: H File, group 2: MTwo rotary retreatment file, and group 3:WaveOne file. Each specimen was sent for CBCT Analysis. Statistical Analysis Used: Evaluation of data was done statistically using One-way Analysis of Variance and Tukey’s post hoc test. Results: There was statistical difference in all the groups (P>0.05). All systems demonstrated presence of remnants of filling material. Mean reduction in the volume of GP after retreatment of Group I was 0.006mm3, Group II was 0.002mm3 Group III was 0.003mm3. Conclusion: The system responsible for a better removal of root canal filling material was the MTwo Retreatment file system, followed by the WaveOne system and H File
Analysis of factors that affect health-seeking behavior in parents with stunted and obese children during the pandemic
Get PDFThis study aims to determine the factors that affect health-seeking behaviour in parents who have children aged 3-5 years who are stunting and obese indications during the pandemic. This research is quantitative analytics with a cross-sectional approach. The Independent variable is health-seeking behaviour and the dependent variable is education, knowledge, income, affordability of health facilities and health workers, family support, community support, and belief. The population of 147, sampling using totality sampling with inclusion criteria. The instrument to use questionnaires health-seeking behaviour list with Linkert scale closed questions through validity and reliability tests. The analytics process uses a double-liner regression with p= 0.05. Meanwhile, for models using SEM by looking at the value of the goodness of fit indicator. Overall, the independent variables together affect the health-seeking behaviour by 0.705 with an adjusted R of 0.720 which means that the independent variable affects the dependent variable together by 72% while 18% is influenced by other factors. The modelling results is finding that the model presented as a whole can be accepted as a model for the form of health-seeking behaviour during the pandemic with Chi-Square (x2)= 1.39, Probability= 0.278, CMIN/DF=1.189, RMSEA=0.041, GFI=0.921, AGFI=0.93