Articles Related to Gram

Coronavirus Disease 2019 (COVID-19) is an infectious disease that affects patients’ lung function and thus exercise tolerance. Elderly patients have shown to have more severe and long-term symptoms after contracting COVID-19. Limited evidence has been published on the effectiveness of cardiopulmonary rehabilitation programme for elderly patients recovered from COVID-19. Therefore, the aim of this study was to launch and evaluate the effectiveness of a communitybased cardiopulmonary rehabilitation programme.

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Urinary tract infection is defined as the presence of microorganism in the urine that cannot be accounted by contamination. First line treatments for UTI are antibiotics. Antibiotic stewardship is the coordinated intervention designed to improve and measure the appropriate use of antibiotic agents, by promoting the selection of optimal antibiotic drug regimen including dosing, duration of therapy and route of administration.

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This article addresses the concepts of economies of scope and multiprogram production, subadditivity and transray convexity as it applies to program optimization.

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Calf morbidity and mortality are important causes of economic losses on dairy farms worldwide. A cross-sectional study and clinical observation was conducted from November 2016 to April 2017 with the objective of determining calf morbidity and mortality and to investigate the potential risk factors for mortality and morbidity in Sululta and its environs. A total of 312 respondents engaged in market oriented small holder dairying were interviewed using a structured questionnaire survey about their farm and calf management practices and major calf health problems encountered and diseases that causes mortality. The overall magnitude of morbidity and mortality of calves were 31.0% and 58.37%, respectively. The major calf diseases found were diarrhea (69.34%), pneumonia (16.54%), liver fluke (2.4%), bloat (2.0%), joint ill (2.4%) and other cases (8.04%). Risk factors such as weaning age, breed and awareness of colostrums, feeding of calf and overall farm management were included. In this study 80.3% of calf mortality occurs under age 3 month and 19.42% is above 3 month. Based on laboratory examination, Salmonella and E.coli were detected from diarrheic calves. Salmonella found at rate of 2/29 (3.6%) and E.coli found at only genus level. In conclusion, the magnitude of calf morbidity and mortality found in this study were much higher than economically tolerable level and could greatly affect the productivity of the dairy farms through mainly decreasing the availability of replacement stock and production of milk. It is therefore, suggested that implementation of improved calf and farm management practices and proper environmental protection in the study areas would significantly reduce calf mortality and morbidity.

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To identify pathogens that are frequently isolated from wound infections in the Turks and Caicos Islands and formulate antibiogram based on their patterns of antimicrobial susceptibility. Bacteriology and antimicrobial susceptibility data from 1343 wound swabs cultured at the Cheshire Hall Medical Laboratory between January 2013 and November 2015 were retrospectively analyzed. The Kirby-Bauer disc diffusion technique was used to perform antimicrobial susceptibility testing. 79.1% of the 1343 swabs cultured were positive yielding a total of 1687 bacterial isolates. Frequently isolated bacteria included Staphylococcus aureus which accounted for 27.6% of isolates, approximately a third of which were methicillin resistant, Pseudomonas spp. (12.1%), Proteus spp. (8.2%), Enterococcus spp. (7.8%), E. coli (7.2%), Streptococcus agalactiae (6.1%), Klebsiella spp. (5.5%), Acinetobacter spp. (4.3%), coagulase negative Staphyloccus (4.0%) and Enterobacter spp. (3.7%). The overall highest resistance rates were seen among tetracycline (46.3%), erythromycin (37.6%) and ceftriaxone (34.2%). Imipenem, penicillin, meropenem and vancomycin had sensitivity rates ranging from 92.3% to 99.5%. Individual resistance rates varied among isolates, some differing significantly from overall rates. When tested against antibiotics routinely used to treat Pseudomonas spp., resistance rates ranged from 1.4-55.5%.

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microRNAs play critical roles in cancer metabolisms. miRNA-181a-5p is significantly down-regulated in non-small lung cancer tissue and mesenchymal like lung cancer cells. Epithelial-mesenchymal transition mechanisms and cancer metabolism are controlled by the same signaling pathway.

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We have analyzed the effect of the learning curve on the implementation of the Cochlear Implant Program in terms of intra and postoperative results. Here we present the results and complications found in our series, as well as what we believe is the most interesting aspect, the learning curves for two variables: complications and mean hospital stay.

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The electrocardiogram (ECG) is a widely used tool to track and to detect heart diseases which are one of the leading causes of death in the world. Some countries have been using the resources of telemedicine to enable health care in situations where distance is a critical factor, including cardiovascular diseases. In Brazil, the State of Minas Gerais has a telecardiology system, the Teleminas Saúde Project, which covers approximadely 70% of the state population.

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Spiritual health care requires teamwork and collaboration between the doctor, nurse, psychologist, clergyman, and social worker who have completed required inter-professional spiritual health training, during and after their academic education. This study was conducted to “design inter professional spiritual health care education program for Students of Health Sciences.

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Aim: The aim of this study is to evaluate the effect of Transtheoretical Model (Stage of Change Model) based smoking cessation program on among high school students.

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Comprehensive HIV prevention information, access and utilization of Sexual and Reproductive Health(SRH) services, is low among the migrants mobile and displaced populations of our catchment area namely Katete, Chadiza and Chipata in district in the eastern province of Zambia. This is one of the provinces with a highest number of, migrants; sex workers truck drivers and cross border traders due to the economical Nacala corridors that bring the three countries namely Zambia, Malawi and Mozambique, also the traditional ceremonies that bring the three countries together each year has seen high numbers of people migrate between the three countries this has led to high numbers of STIs, HIV and unsafe abortions. Alcohol and substance abuse, peer pressure among this population.

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Background and Objective: In response to low consumption levels of fruits and vegetables (F&V) by Supplemental Nutrition Assistance Program (SNAP) participants, the Community Food Bank of Southern Arizona created the Double Up SNAP (DUSP) farmers’ market (FM) incentive program to examine its impact on awareness of and access to FM, and F&V purchase and consumption in Pima County, AZ.

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A human being is having physical and biological body structure, even though each and every individual is having his own blood group, hair color, retina color, skin complexes, height, breadth etc. that result in his own bodily structure that differentiates with the other individual. After the certain age of subject nearly about twenty years, height or length of his organs or limbs are not increases and fixed bodily structure is built up.

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Ageing is associated with increasing prevalence of chronic and degenerative disease and changes in cardiovascular structure, which may be associated with electrocardiographic abnormalities. Our aim is to assess the prevalence of electrocardiographic abnormalities in elderly primary care patients.

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Routine intraoperative cholangiogram (IOC) during laparoscopic cholecystectomy (LC) helps to confirm biliary anatomy and reduce bile leaks. It also allows identification of common bile duct stones intraoperatively which in selected patients can be cleared transcystically in the same procedure which is much less morbid than through post-operative endoscopic retrograde cholangiopancreatography (ERCP). Despite this, some surgeons only selectively perform IOC or forgot it all together.

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The collection of human odor volatiles is of interest to forensic applications as a path to investigate canine scent discriminations in legal investigations. A study using a selected array of previously identified human odor compounds has been conducted to determine the retention and release capabilities of five (5) natural and synthetic fabric types, cotton (mercerized fabric and gauze matrix), polyester, rayon and wool.

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