Estimated Blood Loss in Craniotomy

Introduction: Estimated blood loss is an estimation of how much blood is loss during surgery. Surgical procedure requires a preparation of blood stock, but the demand for blood often larger than the actual blood used. This predicament happens because there is no blood requirement protocol being used. This study aims to determine the estimated blood loss during craniotomy procedure and it's conformity to blood units ordered for craniotomy procedure. Methods: This study is a retrospective study using data from Wahidin Sudirohusodo General Hospitals' medi- cal records in the period of January 2010-December 2012. We found 89 craniotomy patients that meet the inclusion criteria comprise of 66 men and 23 women. Results: This study showed that the average estimated blood loss in craniotomy was 3.20 units of whole blood (1120 ml) and the average of the demand of blood ordered was 4.0 units of whole blood (1400 ml). There was no mismatch between the amount of blood ordered for surgery and estimation of blood loss (p=0.73). Conclusion: Estimated blood loss in craniotomy procedure in Wahidin Sudirohusodo hospital, Makassar is 3.20 units of whole blood (1120 ml) was in accordance with amount of blood ordered for surgery

Specific IgE Response to Purified and Recombinant Allergens in Latex Allergy

Background In recent years, allergy to natural rubber latex has emerged as a major allergy among certain occupational groups and patients with underlying diseases. The sensitization and development of latex allergy has been attributed to exposure to products containing residual latex proteins. Although improved manufacturing procedures resulted in a considerable reduction of new cases, the potential risk for some patient groups is still great. In addition the prevalent cross-reactivity of latex proteins with other food allergens poses a major concern. A number of purified allergens and a few commercial kits are currently available, but no concerted effort was undertaken to evaluate them. Methods We studied 11 purified latex allergens, Hev b 1 to Hev b 10, and Hev b 13 along with several crude allergen extracts and two commercial ImmunoCAP assays to evaluate specific IgE antibody in the sera from latex allergic patients and controls. Health care workers and spina bifida patients with clinical symptoms of latex allergy, spina bifida patients without latex allergy, and non-atopic health care workers have been studied. Results The results suggest that Hev b 2, 5, 6, and 13 together identified over 80 percent health care workers with latex allergy, while Hev b 6 along with Hev b 1 or 3 detected specific IgE antibody in all sera studied from patients with spina bifida and latex allergy. The ImmunoCAP results using both Hev b 5 amplified and non-amplified closely agreed with the clinical diagnosis of latex allergy in health care workers and in spina bifida. Conclusion Although the purified allergens and crude extracts reacted diversely with IgE from different patient groups, the results indicated that use of certain combinations of purified recombinant antigens will be useful in commercial kits or in in-house assays for detecting specific IgE antibody in the sera. The results suggest that a combination of Hev b 2, 3, 5, 6, and 13 together detected specific IgE in 80% of the sera from latex allergic patients. Both ImmunoCAPs correctly identified over 95% of latex allergic patients, however, showed reactivity with a few normal control subject

ESTIMATED BLOOD LOSS IN CRANIOTOMY

ABSTRACT Introduction: Estimated blood loss is an estimation of how much blood is loss during surgery. Surgical procedure requires a preparation of blood stock, but the demand for blood often larger than the actual blood used. This predicament happens because there is no blood requirement protocol being used. This study aims to determine the estimated blood loss during craniotomy procedure and it’s conformity to blood units ordered for craniotomy procedure. Methods: This study is a retrospective study using data from Wahidin Sudirohusodo General Hospitals’ medi- cal records in the period of January 2010-December 2012. We found 89 craniotomy patients that meet the inclusion criteria comprise of 66 men and 23 women. Results: This study showed that the average estimated blood loss in craniotomy was 3.20 units of whole blood (1120 ml) and the average of the demand of blood ordered was 4.0 units of whole blood (1400 ml). There was no mismatch between the amount of blood ordered for surgery and estimation of blood loss (p=0.73). Conclusion: Estimated blood loss in craniotomy procedure in Wahidin Sudirohusodo hospital, Makassar is 3.20 units of whole blood (1120 ml) was in accordance with amount of blood ordered for surgery. Keywords: Estimated blood loss, craniotom

MANAGEMENT OF THE GERBANG PROGRAM (GERAKAN BAHASA ASING) IN LEARNING ARABIC AT AN-NUR II AL-MURTADHA ISLAMIC BOARDING SCHOOL

Tujuan dari penelitian ini adalah untuk mendeskripsikan manajemen program Gerbang yang ada di Pondok Pesantren An-Nur II Al-Murtadha mulai dari tahap perencanaan, pelaksanaan, dan evaluasi pada tingkat wustha. Untuk mencapai tujuan tersebut peneliti menggunakan pendekatan kualitatif deskriptif dengan teknik pengumpulan data berupa observasi, wawancara, dan dokumentasi. Setelah semua data terkumpul, peneliti melakukan analisis data dengan menggunakan model Miles dan Huberman yang terdiri dari tiga tahap yaitu: reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa pada tahap perencanaan musyrif bermusyawarah untuk menentukan tujuan program, bentuk kegiatan yang ada dalam program, target pembelajaran, dan sasaran kegiatan terbelih dahulu sebelum menjalankan program. dalam pelaksanaan program. Pada tahap pelaksanaan musyrif mengerjakan tanggung jawabnya masing-masing seperti yang sudah diputuskan pada tahap perencanaan yaitu menjalankan program masing-masing sesuai dengan bidang keahlian yang dimiliki. Pada tahap evaluasi terbagi menjadi bulanan dan mingguan yang dilakukan oleh pengurus dan musyrif dan hasil rapat evaluasi program dijadikan sebagai landasan dalam mengambil keputusan untuk langkah selanjutnya.The purpose of this research is to describe the management of the Gerbang program at An-Nur II Al-Murtadha Islamic Boarding School starting from the planning, implementation, and evaluation stages at the wustha level. To achieve this goal, researchers used a descriptive qualitative approach with data collection techniques in the form of observation, interviews, and documentation. After all the data was collected, the researcher conducted data analysis using the Miles and Huberman model which consisted of three stages: data reduction, data presentation, and conclusion. The results of the research show that the planning at the planning stage musyrif consulted to determine program objectives, the forms of activities in the program, learning targets, and activity targets that were bought before running the program. in program implementation. At the implementation stage, musyrif carry out their respective responsibilities as decided at the planning stage, namely carrying out each program according to their area of ​​expertise. The evaluation stage is divided into monthly and weekly which are carried out by the management and musyrif and the results of the program evaluation meeting are used as the basis for making decisions for the next steps

Ecological Vulnerability of Coral Reef Ecosystem in Wakatobi National Park During Indian Ocean Dipole Event

This research examines coral reefs vulnerability which threatening its existences and functions by climate change. The ecological vulnerability in Wakatobi (Wangi-wangi, Kaledupa, Tomia, and Binongko) was assessed during Indian Ocean Dipole (IOD) event in 2016. Climate exposure was determined using sea surface temperature, chlorophyll-a concentration, and wind speed magnitude; sensitivity was determined using coral susceptibility, fish susceptibility, and macroalgae primary productivity rate; then adaptive capacity was developed by hard coral cover, coral size distribution, coral richness, fish biomass, herbivore diversity, and herbivore grazing relative to algal production. The values of Exposure, Sensitivity, and Adaptive capacity in Wakatobi were 0.93±0.02, 0.42±0.18, and 0.44±0.10, respectively. Site specific vulnerability scores ranged from 0.52 to 1.60 (mean 0.92±0.26). Binongko was the least vulnerable than other islands. Tomia was observed as the least adaptive capacity and Wangi-wangi was the most bleaching incidents. These results could help coral reefs monitoring priority during the event and then when the event is gone by focusing on the marked islands and sites. Sites that were observed as more vulnerable is urgently need a management strategy to overcome the vulnerability status in the future, such as increasing site adaptability

Mouse nuclear myosin I knock-out shows interchangeability and redundancy of myosin isoforms in the cell nucleus.

Nuclear myosin I (NM1) is a nuclear isoform of the well-known "cytoplasmic" Myosin 1c protein (Myo1c). Located on the 11(th) chromosome in mice, NM1 results from an alternative start of transcription of the Myo1c gene adding an extra 16 amino acids at the N-terminus. Previous studies revealed its roles in RNA Polymerase I and RNA Polymerase II transcription, chromatin remodeling, and chromosomal movements. Its nuclear localization signal is localized in the middle of the molecule and therefore directs both Myosin 1c isoforms to the nucleus. In order to trace specific functions of the NM1 isoform, we generated mice lacking the NM1 start codon without affecting the cytoplasmic Myo1c protein. Mutant mice were analyzed in a comprehensive phenotypic screen in cooperation with the German Mouse Clinic. Strikingly, no obvious phenotype related to previously described functions has been observed. However, we found minor changes in bone mineral density and the number and size of red blood cells in knock-out mice, which are most probably not related to previously described functions of NM1 in the nucleus. In Myo1c/NM1 depleted U2OS cells, the level of Pol I transcription was restored by overexpression of shRNA-resistant mouse Myo1c. Moreover, we found Myo1c interacting with Pol II. The ratio between Myo1c and NM1 proteins were similar in the nucleus and deletion of NM1 did not cause any compensatory overexpression of Myo1c protein. We observed that Myo1c can replace NM1 in its nuclear functions. Amount of both proteins is nearly equal and NM1 knock-out does not cause any compensatory overexpression of Myo1c. We therefore suggest that both isoforms can substitute each other in nuclear processes

Patterns of alcohol drinking and its association with obesity: data from the third national health and nutrition examination survey, 1988–1994

BACKGROUND: Recent reports suggest that alcohol use may have a protective effect on obesity. This study explores association between obesity and alcohol consumption in the non-smoking U.S. adult population. METHODS: We analyzed data on a total of 8,236 respondents who participated in the Third National Health and Nutrition Examination Survey. Body mass index (weight-kg/height-m(2)) was derived from measured height and weight data and categorized into: normal weight, overweight, and obese. Alcohol consumption was measured using following measures: history of drinking, binge drinking, quantity of drinks/day, frequency of drinking, and average volume of drinks/week. RESULTS: Mean body mass index in this sample of non-smokers was 26.4 (95% CI: 26.1, 26.7). Approximately 46% of respondents were classified as current drinkers. Current drinkers had lower odds of obesity (Adjusted odds ratio = 0.73, 95% CI: 0.55, 0.97) as compared to non-drinkers. The odds of overweight and obesity were significantly greater among binge drinkers and those consuming four or more drinks/day. However, those who reported drinking one or two drinks per day had 0.46 (95% CI: 0.34, 0.62) and 0.59 (95% CI: 0.41, 0.86) times the odds of obesity, respectively. Similarly, the odds of obesity were significantly lower among those who reported drinking frequently and consuming less than five drinks per week. The association between overweight and other alcohol measures was less pronounced. CONCLUSION: The results suggest further exploring the possible role of moderate alcohol drinking in controlling body weight in adults

Increased prevalence of rotavirus among children associated gastroenteritis in Riyadh Saudi Arabia

The aim of this study is to assess the epidemiology along with the molecular structure of rotavirus causing pediatric diarrhea among Saudi patients. However, in this report we sited the epidemiological reflect coming from our project

Impact of Rapid Urbanization on the Rates of Infection by Vibrio cholerae O1 and Enterotoxigenic Escherichia coli in Dhaka, Bangladesh

Bangladesh is a country where acute dehydrating diarrhea or cholera is common and is seen at least two times every year and additionally in natural disasters. In addition cholera cases have increased in the country, especially in urban settings such as in the capital city, Dhaka, where the number of hospitalized patients with more severe disease has tremendously increased. In the present observation, we have concentrated on determining the occurrence of diarrhoea caused by the two most common bacterial agents V. cholerae O1 and enterotoxigenic Escherichia coli (ETEC) in a densely populated, disease prone area Mirpur in Dhaka for two years from March 2008 to February 2010. Stool or rectal specimens from diarrheal patients coming to the ICDDR,B hospital from Mirpur were tested for the two bacterial pathogens. We found that V. cholerae O1 was the major bacterial pathogen and a cause of severe cholera disease in 23% of patients (2,647 of a total of 11,395 patients) from Mirpur. We surmise that cholera vaccines, as well as other public health tools that can target such high risk groups in the country, will be able to reduce the disease morbidity and the transmission of pathogens to improve the quality of life in urban settings

Malonylation of GAPDH is an inflammatory signal in macrophages.

Macrophages undergo metabolic changes during activation that are coupled to functional responses. The gram negative bacterial product lipopolysaccharide (LPS) is especially potent at driving metabolic reprogramming, enhancing glycolysis and altering the Krebs cycle. Here we describe a role for the citrate-derived metabolite malonyl-CoA in the effect of LPS in macrophages. Malonylation of a wide variety of proteins occurs in response to LPS. We focused on one of these, glyceraldehyde-3-phosphate dehydrogenase (GAPDH). In resting macrophages, GAPDH binds to and suppresses translation of several inflammatory mRNAs, including that encoding TNFα. Upon LPS stimulation, GAPDH undergoes malonylation on lysine 213, leading to its dissociation from TNFα mRNA, promoting translation. We therefore identify for the first time malonylation as a signal, regulating GAPDH mRNA binding to promote inflammation