Zobrazení zdroje stránky Mcguirecohen6018

Deep breathing exercise techniques were found to be useful in healthy smokers for improving lung functions and delaying the development of chronic obstructive lung complications.<br /><br /> To assess the knowledge and attitudes of intensive care unit nurses regarding oral care delivery to mechanically ventilated patients.<br /><br /> The cross-sectional study was conducted from January to July 2018 across four hospitals in the twin cities of Rawalpindi and Islamabad, Pakistan. Data was obtained from randomly selected nurses with the help of a 14-item self-reporting questionnaire. Data was analysed using SPSS 23.<br /><br /> Out of 81 nurses, 76(93.8%) were female, and 47(58%) had experience up to 10 years. When the participants were asked if disease can be transmitted from other patients, 23(28.4%) said it was likely, 22(27.2%) said it was most likely and 16(19.8%) said they did not know. When asked if the disease can be transmitted from the aspiration of contaminated secretions from the oropharynx, 32(39.5%) nurses said it was likely, 31(38.3%) said it was not likely and 9(11.1%) did not know. Knowledge level was significantly associated with level of education (p&lt;0.05). In terms of attitude, 54(66.7%) nurses disagreed that there were more important tasks to do for unstable patients than oral care, indicating a good attitude.<br /><br /> Knowledge and attitude among the subjects were found to be good regarding oral care delivery to mechanically ventilated patients.<br /><br />Knowledge and attitude among the subjects were found to be good regarding oral care delivery to mechanically ventilated patients.<br /><br /> To assess and compare the frequency of antibiotic-resistant staphylococcus aureus strains.<br /><br /> A retrospective study was conducted at the privately-owned Welfare Medical Laboratory, Peshawar, Pakistan, and comprised record related to the period between 07th February 2017 and 23rd March 2018 of patients referred for pus-testing from Khyber Teaching Hospital, Lady Reading Hospital and the Hayatabad Medical Complex. Pus samples were obtained from various parts of body with cotton swabs. The samples were cultured and the isolated staphylococcus aureus strains were analysed against selected antibiotics. The frequency of the isolated strains was tested and compared using Prism 7 software.<br /><br /> Of the 6780 samples, staphylococcus aureus was found in 4315(63.64%). Wild-type staphylococcus aureus strains were 2133(31.46%), followed by 825(12.16%) methicillin resistant, 792(11.68%) vancomycin intermediate, and 565(8.33%) vancomycin-resistant staphylococcus aureus strains. The isolated strains were significant (p&lt;0.0001) for operated wounds, and non-significant (p=0.8915) for diabetic foot cases.<br /><br /> The frequency of antibiotic-resistant staphylococcu saureus strains was high.<br /><br />The frequency of antibiotic-resistant staphylococcu saureus strains was high.<br /><br /> To assess the preparedness for hospital practice among graduate and school entry medical students at King Saud bin Abdul-Aziz University for Health Sciences (KSAU-HS).<br /><br /> This cross-sectional study was conducted at KSAU-HS College of Medicine, during the academic year 2016-2017. A validated self-administered questionnaire was used for data collection. Data were analyzed using SPSS version 22, and non-parametric testing was performed.<br /><br /> The sample consisted of 312 medical students with 103 (33%) graduate entrants. The comparison of overall preparedness showed that students were best prepared for holistic care with median (Q1-Q3) score of 3 (2.6-3.5). The final year clinical students were significantly better among all of the batches in terms of management (p =0.008). [https://www.selleckchem.com/products/apx2009.html DNA inhibitor] Graduate entry students were significantly more prepared compared to school entry students in all areas except science and holistic care (p = 0.508 and p = 0.582, respectively). Female students were better prepared compared to male students.<br /><br /> This study demonstrated that graduate entrants are more prepared for future careers compared to school entrants. In addition, females showed better preparedness in general compared to males. Although the preclinical students perceived that they were well prepared, the graduating senior most students thought they were not ready to deal with real patients.<br /><br />This study demonstrated that graduate entrants are more prepared for future careers compared to school entrants. In addition, females showed better preparedness in general compared to males. Although the preclinical students perceived that they were well prepared, the graduating senior most students thought they were not ready to deal with real patients.<br /><br /> To investigate extended spectrum β-lactamase production and Fosfomycin resistance rates of Escherichia coli and Klebsiella species isolates from patients' urine culture.<br /><br /> Chromogenic agar was used to identify Escherichia coli and Klebsiella species strains. All antibiogram processing was carried out on a fully automated VITEK 2 identification and antibiogram system. The results obtained between January 2015 and December 2018 were retrospectively screened.<br /><br /> Escherichia coli and Klebsiella species were isolated from total 2868 urine cultures. Thus, 844 (34.9%) of 2418 Escherichia coli and 305 (67.8%) of 450 Klebsiella species producted ESBL. Sensitivity rate of ESBL producing Escherichia coli to Fosfomycin was 96.5%, and 98.8% for ESBL negative Escherichia coli. Sensitivity rate of ESBL producing Klebsiella pneumoniae to Fosfomycin was 70.5%, and 53.1% for ESBL negative Klebsiella pneumoniae. None of the three ESBL producing Klebsiella oxytoca strains were found to be resistant to Fosfomycin, though five of 15 ESBL negative strains were found to be resistant to Fosfomycin.<br /><br /> Taking into consideration the advantages of low resistant rate, it is concluded that Fosfomycin may be a good alternative for first step empirical treatment in urinary tract infections, especially in Escherichia coli positive cases. However, the rate of resistance identified in Klebsiella strains informs the onset of resistance problems in Fosfomycin.<br /><br />Taking into consideration the advantages of low resistant rate, it is concluded that Fosfomycin may be a good alternative for first step empirical treatment in urinary tract infections, especially in Escherichia coli positive cases. However, the rate of resistance identified in Klebsiella strains informs the onset of resistance problems in Fosfomycin.