Nosocomial Infection Prevention Through Universal Precaution in YOGYAKARTA Muhammadiyah Hospital

Prevention of nosocomial infections in hospitals can be done through the implementation of universal precaution program or action asepsis and antisepsis tapping. These actions undertaken by health workers, both nurses and physicians, universal precaution measures include: hand washing, use of gloves, use aseptic liquid, processing of used equipment and waste disposal. The purpose of this study to determine the prevention of nosocomial infections in hospitals through universal precautions in hospitals Muhammadiyah Yogyakarta area. Design of this research is descriptive qualitative case study approach. Collecting data used techniques focus group discussions. Data analyzed using content analysis. The application of universal precautions in hospitals throughout Yogyakarta PKU show that health workers have attempted to implement universal precautions including hand washing action on the water flow, perform hand hygiene, and always tries to wear personal protective equipment. Nurses knowledge about nosocomial infections has been well and for prevention need to implement universal precautions. The attitude of nurses in implementing universal precautions have been good, to the extent responsible. Most hospitals have had the availability of facilities and support the implementation of universal precaution well, and partly still exist limitations in the availability of facilities and support the implementation of universal precaution

Native american women in sherman Alexie's short stories: stereotypical representations

Dissertação apresentada para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Línguas, Literaturas e CulturasEsta dissertação tem como objectivo central o estudo da representação das mulheres nativas norte-americanas em três colectâneas de short stories do autor Sherman Alexie, especificamente em The Lone Ranger and Tonto Firstfight in Heaven (1993), The Toughest Indian in the World (2000) e Ten Little Indians (2003). São abordadas as formas como os nativos norte-americanos são representados, em geral, e as mulheres em particular, sobretudo a nível literário. A partir das representações estereotipadas e da noção de interiorização serão analisadas as representações presentes nas obras de Sherman Alexie, acima referidas. Nestas, o uso de humor permite que Sherman Alexie desconstrua a forma como as mulheres nativo americanas são geralmente representadas, acabando por subverter a dominação e o racismo interiorizados, os quais contribuem para a deformação da identidade nativo-americana

Determination of unifloral honey volatiles from Centaurea iberica and Zizyphus spina-christi by Solid-Phase Microextraction and Gas Chromatography-Mass Spectrometry

The volatiles of two different unifloral Palestinian honeys from botanical species Centaurea iberica and Zizyphus spina-christi have been investigated for the first time. They were isolated, identified, and quantitatively analyzed using Headspace Solid-Phase Microextraction and Gas Chromatography Mass Spectrometry (HS-SPME-GCMS) methodology. The resulted total ion current (TIC) chromatographic profiles reflected the uniqueness of each type of honey and therefore the proposed procedure can be used to characterize each kind of honey by revealing the absence or presence of certain volatile constituents. A total of 18 compounds were seen in Centaurea iberica honey with phenylacetaldehyde, phenylethylalcohol, 2-ethyl hexanoic acid, 2,4,6-trimethylphenol and nonanoic acid as the principal components, whereas 25 compounds were seen in Zizyphus spinachristi honey with benzaldehyde, phenylacetaldehyde, phenylethylalcohol, benzeneacetonitrile, 2-ethyl hexanoic acid, octanoic acid, 2-methoxy-4-(1-propanol)-6-acetate phenol, nonanoic acid, decanoic acid, 1-hydroxy 2,4,6-trimethylbenzene, and 5-hydroxymethyl- 2-furaldehyde as the principal constituents. Ziziphus spina-christi honey was found to have two unequivocal potential markers: phenylacetonitrile and 5-hydroxymethyl-2-furancarboxaldehyde, while Centaurea Italica honey has only one representative floral origin marker compound: the 2,4,6-trimethylphenol

Effects of a saponin fraction extracted from Trigonella foenum-graecum L. and two commercially available saponins on sex ratio and gonad histology of Nile tilapa fry, Oreochromis niloticus (L.)

Over three million tonnes (t) of tilapia, mostly Nile tilapia (Oreochromis niloticus, L.), are produced annually making it the second most abundantly produced freshwater fish (FAO, 2010). Tilapia are mouthbreeders that often produce stunted populations under pond conditions; one means of prevention is to produce all-male fish with the additional advantage that males usually grow faster than females. All-male populations can be achieved by supplementing feed with androgens such as 17-α-Methyltestosterone (MT) during days 10–25 post-hatch (Pandian and Sheela, 1995). However, MT is considered to be carcinogenic (Velazquez and Alter, 2004), and Hulak et al. (2008) also showed that effluents of systems in which carp were fed diets containing MT caused masculinization of female fish. Furthermore, in aquaculture the application of hormones to fish destined for human consumption is prohibited in the European Union under directive 96/22/EC, article 5, which also prohibits import of animal products produced with hormones. Kwon et al. (2000) showed that Fadrozole, a non-steroidal compound, caused masculinization in tilapia by inhibiting aromatase, which is the enzyme responsible for the conversion of endogenous androgens to estrogens. Steinbronn et al. (2004) were able to show that a dose of 2000 ppm Quillaja saponins (Sigma S-2149) inhibited reproduction of tilapia after dietary application for 32 days to first-feeding fry, suggesting saponins as a possible alternative to MT. These secondary plant compounds consist of either a steroid or triterpenoid basic structure (aglycone or sapogenin) plus one or more sugar side chains (Francis et al., 2002a). In a previous experiment a saponin fraction from the soapbark tree (Quillaja saponaria M.) inhibited aromatase in vitro (Golan et al., 2008). The fenugreek plant (Trigonella foenum-graecum L), widely cultivated in the Middle East and Asia, also has a high saponin content. The experiment was therefore conducted to test whether saponin fractions from Q. saponaria and from T. foenum-graecum were able to influence the sex ratio and gonad histology of Nile tilapia

Ovine and Caprine Brucellosis (Brucella melitensis) in Aborted Animals in Jordanian Sheep and Goat Flocks

Two hundred and fifty five biological samples were collected from 188 animals (81 sheep and 107 goats) during the lambing season from September 2009 to April 2010 from the Mafraq region of Jordan. Sampled animals belonged to 93 sheep and goat flocks that had abortion cases in the region. One hundred and seven (41.9%) biological samples were positive for the omp2 primers that were able to identify all Brucella species in the collected samples which were obtained from 86 aborted animals (86/188 = 45.7%). Using the B. melitensis insertion sequence 711 (IS711) primers on the 107 omp2 positive samples, only 61 confirmed to be positive for B. melitensis. These positive samples were obtained from 28 sheep and 33 goats. The prevalence rate of B. melitensis was 27.1% (51/188) among aborted animals. For differentiation between vaccine strain and field strain infection, polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) method using PstI endonuclease enzyme was used. Vaccination with Rev-1 in the last year (OR = 2.92, CI: 1.1–7.7) and grazing at common pasture (OR = 2.78, CI: 1.05–7.36) were statistically significant (P ≤ .05) risk factors positively associated with the occurrence of brucellosis in sheep and goat flocks

Potential Antimalarial Activity from Alcoholic Extracts of Wild Salvia palaestina Leaves

Malaria threatens the lives of more than one third of the world’s population; it is a major cause of human deaths. As a result of the emergence of resistant strains of Plasmodium falciparum to common antimalarial drugs, the search for new antimalarial drugs is urgently needed. Hemozoin synthesis is an indispensable process for the parasite survival and is the target of action for several known antimalarial drugs. Sage, Salvia palaestina, is an aromatic Mediterranean plant. Its leaves have been used over centuries in Palestinian traditional medicine and are now being investigated for potential antimalarial activity. This study reveals the antimalarial activity of crude and HPLC separated fractions tested using two methods; the inhibition of ferriprotoporphyrin IX (FP) biomineralization: semi-quantitative micro-assay used by Deharo and a previously self-developed quantitative in vitro method. Reversed phase preparative liquid chromatography coupled to Photo Diode Array (PDA) detector was used to isolate and enrich eight fractions. Three fractions showed promising antimalarial activity. The crude alcoholic extract of sage leaves seems to have the potential of an antimalarial drug; it prevents β-hematin formation with an efficiency of about 72% when compared to the standard Chloroquine which gave 93% at comparable concentrations of chloroquine and extract.The authors are grateful to the European Commission FP7 Programme for their financial support through DEBPAL2 project. We are grateful to Prof. Pierre Lutgen for his helpful discussions and insightful comments

Effect of Achilles Tendon Rupture on Player Performance and Longevity in Women\u27s National Basketball Association Players

Background: Women\u27s National Basketball Association (WNBA) players have a greater incidence of lower extremity injury compared with male players, yet no data exist on functional outcomes after Achilles tendon rupture (ATR). Purpose: To evaluate the effect of Achilles tendon repair on game utilization, player performance, and career longevity in WNBA athletes. Study Design: Cohort study; Level of evidence, 3. Methods: WNBA players from 1997 to 2019 with a history of ATR (n = 12) were matched 1:2 to a healthy control group. Player characteristics, game utilization, and in-game performance data were collected for each athlete, from which the player efficiency rating (PER) was calculated. Statistical analysis was performed comparing postinjury data to preinjury baseline as well as cumulative career data. Changes at each time point relative to the preinjury baseline were also compared between groups. Results: Of the 12 players with ATR, 10 (83.3%) returned to play at the WNBA level at a mean (+/- SD) of 12.5 +/- 3.3 months. Four players participated in only 1 WNBA season after injury. There were no differences in characteristics between the 10 players who returned to play after injury and the control group. After return to play, the WNBA players demonstrated a significant decrease in game utilization compared with preinjury, playing in 6.0 +/- 6.9 fewer games, starting in 12.7 +/- 15.4 fewer games, and playing 10.2 +/- 9.1 fewer minutes per game (P \u3c .05 for all). After the index date of injury, the players with Achilles repair played 2.1 +/- 1.2 more years in the WNBA, while control players played 5.35 +/- 3.2 years (P \u3c .01) Additionally, the players with Achilles repair had a significant decrease in PER in the year after injury compared with preinjury (7.1 +/- 5.3 vs 11.0 +/- 4.4; P = .02). The reduction in game utilization and decrease in PER in these players was maintained when compared with the matched controls (P \u3c .05 for both). Conclusion: The majority of WNBA players who sustained ATR were able to return to sport after their injury; however, their career longevity was shorter than that of healthy controls. There was a significant decrease in game utilization and performance in the year after return to play compared with healthy controls

From medicinal plant extracts to defined chemical compounds targeting the histamine H4 receptor: Curcuma longa in the treatment of inflammation

Objectives The aim was to evaluate the activity of seven medicinal, anti-inflammatory plants at the hH4R with focus on defined chemical compounds from Curcuma longa. Materials Activities were analyzed with membrane preparations from Sf9 cells, transiently expressing the hH4R, Gai2 and Gb1c2 subunits. Methods From the methanolic extract of C. longa curcumin (1), demethoxycurcumin (2) and bis(4-hydroxycinnamoyl) methane (3) were isolated, purified with HPLC (elution-time 10.20, 9.66, 9.20 min, respectively) and together with six additional extracts, were characterized via radioligand binding studies at the hH4R. Results Compounds from C. longa were the most potent ligands at the hH4R. They exhibited estimated Ki values of 4.26–6.26 lM (1.57–2.31 lg/mL) (1); 6.66––8.97 lM (2.26–3.04 lg/mL) (2) and 10.24–14.57 lM (3.16–4.49 lg/ mL) (3) (95% CI). The estimated Ki value of the crude extract of curcumawas 0.50–0.81 lg/mL. Fractionated curcumin and the crude extract surpassed the effect of pure curcumin with a Ki value of 5.54 lMor2.04 lg/mL[95%CI (4.47–6.86 lM), (1.65–2.53 lg/mL)]. Conclusion Within this study, defined compounds of C. longa were recognized as potential ligands and reasonable lead structures at the hH4R. The mode of anti-inflammatory action of curcumin was further elucidated and the role of extracts in traditional phytomedicine was strengthened

A cohort study of the associations between udder conformation, milk somatic cell count, and lamb weight in suckler ewes

A cohort study of 67 suckler ewes from 1 farm was carried out from January to May 2010 to investigate associations between udder conformation, udder half milk somatic cell count (SCC), and lamb weight. Ewes and lambs were observed at lambing. Ewe health and teat condition and lamb health and weight were recorded on 4 to 5 further occasions at 14-d intervals. At each observation, a milk sample was collected from each udder half for somatic cell counting. Two weeks after lambing, ewe udder conformation and teat placement were scored. Low lamb weight was associated with ewe SCC >400,000 cells/mL (−0.73kg), a new teat lesion 14 d previously (−0.91kg), suboptimal teat position (−1.38kg), rearing in a multiple litter (−1.45kg), presence of diarrhea at the examination (−1.19kg), and rearing by a 9-yr-old ewe compared with a 6-yr-old ewe (−2.36kg). High lamb weight was associated with increasing lamb age (0.21kg/d), increasing birth weight (1.65kg/kg at birth), and increasing number of days the ewe was given supplementary feed before lambing (0.06kg/d). High udder half SCC was associated with pendulous udders (9.6% increase in SCC/cm of drop) and greater total cross-sectional area of the teats (7.2% increase of SCC/cm2). Low SCC were associated with a heavier mean litter weight (6.7% decrease in SCC/kg). Linear, quadratic, and cubic terms for days in lactation were also significant. We conclude that poor udder and teat conformation are associated with high levels of intramammary infection, as indicated by increased SCC and that both physical attributes of the udder and SCC are linked to lamb growth, suggesting that selection of suckler ewes with better udder and teat conformation would reduce intramammary infection and increase lamb growth rate