scholarly journals Incidence of surgical site infections in the departments of orthopedics and traumatology

2006 ◽  
Vol 63 (8) ◽  
pp. 725-729 ◽  
Author(s):  
Jadranka Maksimovic ◽  
Ljiljana Markovic-Denic ◽  
Marko Bumbasirevic ◽  
Jelena Marinkovic

Background/aim: Besides infections of urinary tract and pneumonias, as well as blood infections, surgical site infections (SSI) represent one of the most common localization of hospital infections. The aim of this study was to determine the incidence of SSI in the departments of orthopedics and traumatology as well as the SSI incidence in relation to the ASA score, surgical site contamination class and NNIS index. Methods. A prospective cohort study followed daily all the surgical patients hospitalized over 48 hours in the Institute for Orthopedic Surgery and Traumatology, Clinical Center of Serbia, as well as 30 days after the discharge, during the period between February 1 to July 31, 2002. The patients were examined and their diagnoses made according to the definition of hospital infections, i.e. upon clinical and/or laboratory analyses, using concurrently the ASA score, surgical site contamination class and NNIS index. Results. Out of 227 surgical patients, 60 were diagnosed with SSI during their hospitalization, while 3 of the patients developed SSI after the discharge. The incidence of SSI was 22.7% (95% CI = 17.8?27.6). In the patients with good health condition, i.e. ASA ? 2, the incidence of SSI was 18.3% (43/235) and in those with ASA > 2, it was 47.6% (20/42) (?2 = 17.4; p < 0.001). The incidence of SSI was 13.5% (25/185) in the clean wounds, 11.6% (5/43) in purely contaminated, while it was much higher in the contaminated 65.5%; (19/29) and soiled 70.0%; (14/20) wounds (?2 = 67.6; p < 0.001). The incidence of SSI in relation to NNIS was 8.1% (13/161) in the patients with score 0, then 36.4% (32/88) in the patients with score 1, and 64.3% (18/28) in the patients with the scores 2 and 3 (?2 = 57.3; p < 0.001). The patients with SSI stayed in the departments of orthopedics and traumatology approximately 1.8 times longer than the patients without SSI (t = 5.3; DF = 275; p < 0.0019. Conclusion. It is important to emphasize the need for constant epidemiological surveillance of SSI and the implementation of preventive measures in Serbia.

2011 ◽  
Vol 58 (1) ◽  
pp. 61-65 ◽  
Author(s):  
Ljiljana Markovic-Denic ◽  
Violeta Rakic ◽  
Milovan Maksimovic ◽  
Milan Djokic

Objectives: To determine the incidence of surgical site infections (SSI) in the urology wards as well as the SSI incidence in relation to the ASA score and surgical site contamination class. Materials and methods: One-year prospective cohort study was conducted in the Urologic department, General hospital, Sabac. The patients were daily examined and their diagnoses were made according to the definition of hospital infections using concurrently the ASA score and surgical site contamination class. Results: Out of 241 operated patients, 32 patients were diagnosed with 33 SSI. The overall incidence rate of patients with SSI was 5.9% while incidence rate of SSI was 6.1%. There were not the differences in the incidence rates according to the ASA score of patients (p>0.05). The incidence of SSI was 5.0% in the clan wounds, 11.2% in the clean-contaminated, and 20.7% in the contaminated wounds (?2=8.2 DF=2 p<0.016). The patients with SSIs were hospitalized approximately 2 times longer than the patients without SSI (t=-6,28; df=239; p<0,001). Conclusion: This study suggests that it is necessary to maintain continous surveillance of surgical site infections and to implement the preventive measures, especially for clean and clean-contaminated surgery.


2005 ◽  
Vol 62 (7-8) ◽  
pp. 507-511
Author(s):  
Jadranka Maksimovic ◽  
Ljiljana Markovic-Denic ◽  
Marko Bumbasirevic ◽  
Jelena Marinkovic

Aim. To determine the incidence and the localization of nosocomial infections (NI) in the departments of orthopedics and traumatology. Methods. A prospective cohort study carried out between February 1 and July 31, 2002 included all of the surgical patients who were hospitalized longer than 48 hours, as well as 30 days after the discharge. The patients were examined and their diagnoses made according to the definition of NI, that was based on the clinical and/or laboratory findings. Results. Out of 277 hospitalized patients, 78 had a total of 91 NIs. Sixty seven (85.8%) of the patients had 1 registered NI each, 9 (11.6%) of the patient had 2 NIs each, while only the 2 (2.6%) were with 3 NIs. The incidence of the patients with HAI was 28.2% (95% IP = 22.9-33.5), while the incidence of HAI was 32.8%. The patients who developed a NI were hospitalized almost twice as long as the patients who did not (t test = 6.0, DF = 275, p < 0.001). In regard to the duration of hospitalization, the incidence of NI was 12.3 per 1000 patient-hospital days. The patients operated on most frequently had the surgical-site infections (69.2%). Of 63 infections of the surgical site, 3 patients (4.8%) were diagnosed as having the NI at that localization following the discharge, and then the urinary tract infections, 25.3% (23/91), and sepsis, 5.5% (5/91). Conclusion. Epidemiological surveillance was the first step towards the prevention and the eradication of NI. The results of this study could be of use in planning of the adequate measures for the prevention of NI in the departments of orthopedic surgery.


Author(s):  
Bisma Laeeque

Retinol and Tocopherol are commonly known as fat soluble Vitamin A and D. This research was undertaken with the objective to study Vitamin A and D’s effect in combating smog caused illness among females. This case report highlights diseases caused among young woman of Lahore due to smog. Hypothesis formulated for this study was accepted after testing that intake of daily-recommended amount of Vitamin A and D by females helps them in fighting diseases caused by smog. An intervention based on Food and Nutrition Board’s Recommended Dietary Allowances (RDAs) was planned. After the analysis of data by SPSS and excel, it was indicated that women could fight smog caused diseases better by including Vitamin A and D in their daily diet. It was also found that a strong positive correlation existed between good health condition among females and intake of Vitamin A and D.


2018 ◽  
Vol 53 (2) ◽  
pp. 155-160
Author(s):  
MR Islam ◽  
MG Azom

For evaluation of Fulton’s condition factor (CFf), relative body weight (BWr) and form (a3.0) factor affecting growth, 5 fishes (Aspidoparia jaya, Gagata cenia, G. youssoufi, Salmophasia bacaila and S. phulo) were collected from the Atari River in Dinajpur district of Bangladesh. Significant differences (p < 0.05) were recorded among the values of CFf (0.47-1.56) but not for BWr (79.60- 128.39). Based on CFf values, analysis of similarities (ANOSIM, p < 0.01) revealed that maximum distances (R = 0.9946) were found between G. youssoufi and S. bacaila while lowest (R = 0.2175) between G. cenia and S. phulo. Using two-dimensional nMDS scaling of CFf and BWr, G. youssoufi showed good health condition (CFf = 1.22±0.01; BWr = 100.63±0.79) and were separated (stress = 0.0003) from other fishes. Lowest a3.0 value was noted for S. bacaila (0.004) and highest for G. youssoufi (0.012). Therefore, G. youssoufi showed healthier and former body with more adaptability in this river than those of others. These are the first records for proper management of above mentioned fish species and future research in the near future.Bangladesh J. Sci. Ind. Res.53(2), 155-160, 2018


2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Sindew Mekasha Feleke ◽  
Gemechu Tadesse ◽  
Kalkidan Mekete ◽  
Afework Hailemariam Tekle ◽  
Amha Kebede

Onchocerciasis is mainly found in western part of Ethiopia and there is no evidence of transmission in the east ward. However, some zones (Bale, Borena, and West Arsi) are suspected for transmission given the area has fast flowing rivers and is covered with vegetation. Therefore, this study was conducted to map onchocerciasis transmission in those zones. About 19 villages were selected based on proximity to the rivers, representation of districts, zones, and vegetation covers, whereas the study participants, all village residents of age > 5 years with good health condition, were skin sniped and examined using microscopy. In this study a total of 2560 study participants were surveyed of which 1332 were female (52%) and 122 were male (48%). The age group of 21–30 years was highest (34.4%) and that of age > 51 years was the lowest (3.1%) study participants. The survey result revealed that none of the study participants regardless of age, sex, and location demonstrated skin snipOnchocercamicrofilariae. The prevalence of microfilariae and community microfilarial load (CMFL) were 0% and 0 mf/s, respectively. The finding implied that there is no onchocerciasis in the area and, therefore, there is no need for interventions. Black fly distribution, cytotaxonomic study, and intraborder cross transmission monitoring are recommended.


Sarwahita ◽  
2015 ◽  
Vol 12 (1) ◽  
pp. 63-69
Author(s):  
Tarma Tarma ◽  
Nurlaila A M ◽  
Mulyati Mulyati

ABSTRAK  Pondok Pesantren Sabila yang berlokasi di Citeureup Kabupaten Bogor merupakan pondok pesantren untuk penghafal Al Qur’an. Menghafal merupakan salah satu aktivitas mental  yang  sangat  memerlukan  kondisi  kesehatan  yang  baik.  Menghafal  Al  Qur’an memiliki keutamaan dalam ajaran Islam. Untuk meningkatkan kemampuan hafalan, diperlukan  asupan  makanan  yang  dapat  meningkatkan  daya  ingat,  di  antaranya  ialah antanan. Atas dasar itu dilaksanakan kegiatan pengabdian masyarakat dengan judul “Pelatihan Pembuatan Permen dan Jelly Antanan Sebagai Suplemen untuk Meningkatkan Kemampuan  Daya Ingat Bagi Santri Penghafal Al Qur’an di Pesantren Sabila Citeureup Bogor”. Kegiatan dari mulai persiapan, pelaskanaan dan evaluasi dilaksanakan selama tiga bulan terhitung mulai Juli s.d September 2015. Kegiatan dilaksanakan pada hari Jum’at, tanggal 11 September 2015 bertempat di aula Pondok Pesantren Sabilia Citeurup  Bogor, diikuti  oleh 20  orang  santri.  Materi  pelatihan  mencakup  pengenalan  tanaman  antanan, teori dan praktik membuat permen jelly antanan serta proses pengemasan permen jelly antanan. Hasil pelatihan diketahui bahwa peserta pelatiha menguasai materi pelatihan yang telah disampaikan. ABSTRACTPondok Pesantren Sabila located in Citeureup Bogor Regency is a boarding school for memorizing Al Qur'an. Memorization is one of the mental activities that really need a good health condition. Memorizing the Qur'an has a virtue in the teachings of Islam. To improve the ability of memorization, it is necessary intake of foods that can improve memory, among which is antanan. On that basis community service activities are held entitled "The Training Of Making Candies and Jelly Antanan As Supplements to Increase Memory Capacity For Sanctuaries of Al Quran in Pesantren Sabila Citeureup Bogor". The activities of the preparation, holding and evaluation are conducted for three months starting from July to September 2015. The activity was held on Friday, September 11, 2015 in the hall of Pesantren Sabilia Citeurup Bogor, followed by 20 santris. Training materials include introduction of antanan plants, the theory and practice of making jelly antanan candies and packing process of jelly antanan candy. The result of training is known that the trainees mastered the training materials that have been submitted.


2020 ◽  
Vol 21 (3) ◽  
pp. 161-179
Author(s):  
Min-Kyung Ju

This study investigated the effects of health promotion behavior after self-stretching on scalp care attitude. For this, a questionnaire survey was performed against cosmetologists in Gwangju and Jeollanam-do, and a total of 191 copies were collected. The collected data were analyzed by frequency analysis, descriptive statistics and one-way ANOVA, and the results found the followings: First, according to analysis of self-stretching, self-stretching behavior, health promotion behavior and scalp management behavior, 46.6% revealed ‘good health condition’. Specifically, ‘self-stretching behavior’ and ‘health promotion behavior’ accounted for 2.60% and 2.88% respectively. In other words, most respondents have been well aware of their scalp conditions and problems and handled them properly. Second, in terms of age, as the respondents were younger, stretching was less important in self-stretching and self-stretching behavior. In health promotion behavior, on the contrary, as they were older, health promotion behavior improved. The above results confirmed that health promotion through daily self-stretching have a positive effect on the scalp. It is anticipated that the development of scalp care-related programs would enhance satisfaction because of healthy scalp care and a healthy lifestyle.


2017 ◽  
Vol 84 (1) ◽  
pp. 23-26 ◽  
Author(s):  
Geminguli Muhatai ◽  
Long Cheng ◽  
Innocent Rugoho ◽  
Guoliang Xiao ◽  
Genyuan Chen ◽  
...  

The study reported in this Research Communication was carried out to examine how parity and milking time affected donkey milk yield under a typical Chinese production system. Eighteen Jiangyue breed donkeys with good health condition, aged between 6 and 9 years, and with parities 3 and 4, were selected. Milk production was measured commencing from the fourth week post-foaling, with a total data collection of 170 d in milk (lactation length). Mean milk yield of the donkeys used in this study was 3·0 kg/donkey/d. Results showed milk yield decreased with days in milk from 3·3 kg/donkey/d at the start of the study, to 2·2 kg/donkey/d by the end of the 170 d. Parity 3 donkeys produced 22% more milk than parity 4 donkeys (3·3 kg/donkey/d vs 2·7 kg/donkey/d). The information provided by this study should aid producers in estimating the expected milk yields from individual donkey, and better predict milk yield over the course of a production cycle.


2010 ◽  
Vol 22 (1) ◽  
pp. 249
Author(s):  
A. L. A. Scanavez ◽  
F. P. V. Pupim ◽  
G. R. Destro ◽  
L. O. Nunes ◽  
B. G. Alves ◽  
...  

Large programs of in vitro embryo production have been developed in Brazil, but the results are very variable. The objective of this study was to evaluate managing factors that influence pregnancy rate of recipients in a large embryo transfer program. Results of 1104 embryo transfers performed from November 2008 to February 2009 by Transgen Desenvolvimento e Produção Agropecuária Ltda (Uberlˆndia, Minas Gerais, Brazil) were evaluated. Embryos produced in vitro were used: 1/2 Holstein/Gir embryos (n = 139) or 3/4 Holstein/Gir embryos (n = 961) produced from donors 1/2 Holstein/Gir and Gir with Holstein bull semen. Only excellent (grade 1) quality morulae (stage 4), early blastocysts (stage 5), mid- blastocysts (stage 6), or expanded blastocysts (stage 7) were assigned for fresh transfer using the International Embryo Transfer Society guideline for grading embryos. The heifer recipients were 1/2 crossbred Nelore/Simmental, in good health condition, 20 to 30 months of age, 330 to 400 kg of weight, and were maintained on pasture (Tifton) with mineral supplementation ad libitum. The recipients were synchronized as follows: Day 0-intravaginal device with 1.0 g of progesterone (PRIMER®, Tecnopec, São Paulo, SP, Brazil) +2 mg of estradiol benzoate (ESTROGIN®, Farmavet, São Paulo, SP, Brazil); Day 5-150 μg of D-Cloprostenol (PRELOBAN® Intervet, São Paulo, SP, Brazil) + 400IU of eCG (FOLLIGON®, Intervet); Day 8-progesterone device removed; Day 9-1 mg of estradiol benzoate. On Day 17, nonsurgical embryo transfers were performed by a trained technician and synchronization was confirmed by presence of a CL. The effects of the embryo breed, the number of transfers in each recipient (the heifers that failed to get pregnant were used in the next program), and the transfer sequence (i.e. 20 embryo transfers were performed per hour, and approximately 100 per day) on the pregnancy rate was analyzed by logistic regression with the LOGISTIC procedure of SAS (SAS Institute Inc., Cary, NC, USA). The breed of embryo (56.9% for 3/4 Holstein/Gir embryos v. 62.6% for 1/2 Holstein/Gir embryos), the number of transfers in each recipient (first: 56.5% v. second: 61.8% v. third: 55.5% v. ≥fourth: 55.0%), and the transfer sequence during the day of the program (first hour: 57.4% v. second hour: 60.0% v. third hour: 58.1% v. ≥fourth hour: 53.8%) did not influence the pregnancy rate. Within the confines of an extensive embryo transfer program with in vitro produced fresh embryos, a large number of embryo transfers can be executed per day without adversely affecting the pregnancy rate if high-quality embryos are used, the transfers are performed by a trained technician, and recipients are in good health condition and synchronized.


Author(s):  
Muhamad Fazil Ahmad

The purpose of this study is to explore the opportunities of integrating Islamic Philanthropy and Corporate Social Responsibility Management (CSRM) with Brand Personality concept for enhancing Mudarabah Family Takaful Model. The application of CSRM with the best practice in Islamic Philanthropy has been circulating in recent years. Since Takaful services are only provided to those, who have affordability with a good health condition. But supposedly those have inadequate and suffering from a variety of chronic illnesses, and health problems need more medical and health services. The current practice of this study is to review a practical approach in establishing Islamic Philanthropy and Social Responsibility Concept to Enhance Mudarabah Family Takaful Model in Malaysia. This study is called upon to examine how these marginalized groups can enjoy the same facilities as those who are qualified to get the services and benefits of the Takaful. The CSR Theories refer to the implementation of this model in Malaysian Takaful Industry. It is used to establish the conceptual framework of this study. Theoretically, the current study is perhaps one of the first to explore Islamic Philanthropy and Social Responsibility concept to improve the Mudarabah Family Takaful Model. Practically the study proposes to develop a new model and plan based on the dimensions of the Halal brand personality concept of Purity, Secure, Quality, Beneficial and Religious Compliance for beneficial to all people in Malaysia.


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