Effect of Soft Tissue Mobilization on Cervical Pain in Nursing Women

Introduction: cervical pain in nursing women is aserious health problem because it certainly limits function and capacity in both work and personal life. Purpose: This study was performed to determine the effectiveness of soft tissue mobilization on the treatment of cervical pain in nursing women. Subjects: sixty breastfeeding women were selected from Fakous Hospital at El Sharqia, diagnosed with neck pain and active myofascial trigger points (MTrPs) in the upper fibres of trapezius muscle. Patients were divided randomly into two groups equal in number: group (A) received convential physical therapy (stretching exercise), group (B) received instrument assisted soft tissue mobilization (IASTM) and convential physical therapy. Methods: The Visual Analogue Scale (VAS) and Neck disability index scale (NDI) were assessed before the study and after four weeks. Results: The mean difference in VAS between groups post treatment was 1.6. There was a significant decrease in VAS of group B compared with that of group A post treatment. The mean difference in NDI between groups post treatment was 5.4%. There was a significant decrease in the NDI of group B compared with that of group A post treatment. Conclusion: soft tissue mobilization can be used on the treatment of cervical pain in nursing women. It has significant effect on Visual Analogue Scale and Neck disability index scale rather than convential physical therapy only

Interspecies Interaction between Pseudomonas aeruginosa, Staphylococcus aureus and E. coli in vitro

Microbial interactions are frequently categorized according to how they affect each population in a binary system. We aimed to determine the interaction between P . aeruginosa, S . aureus, and E . coli in-vitro. In this experimental hospitalized patients’ sputum, urine, and blood samples were used to collect a total of 90 clinical isolates for the study in Damanhour Medical National Institute, Behira, Egypt, followed by accurate identification and testing for antibiotic sensitivity. To examine the effect of the supernatant of P. aeruginosa on S. aureus and E. coli determined MIC using broth microdilution method. We also measured the activity of lasA protease by assessing the S. aureus cell lysis potential of P. aeruginosa culture supernatants. Extraction of pyocyanin was made to determine the change in the cell nature of S. aureus upon exposure to pyocyanin by using a scanning electron microscope and the shape of colonies on the culture media was determined. Finally, we detect lasA, operon phz, phzM, phzS and rhlAB genes for P. aeruginosa. P. aeruginosa showed a great impact on S. aureus isolates resistant to different antibiotics as it facilitates their killing and may drive the normal colonies of S. aureus into SCVs. The ability to form biofilm by S. aureus and E. coli decreased in the presence of Pseudomonas supernatant