ABSTRACT
@#Introduction: The purpose of this study is to determine the validity, reliability, and responsiveness of the Malay Shoulder Pain and Disability Index (M-SPADI) in Malay speakers suffering from shoulder pain. Materials and methods: The M-SPADI, the Numerical Rating Scale (NRS), and measurements of shoulder active range of motion (AROM) were completed by 140 patients with shoulder pain (68 with rotator cuff pathology and 72 with other shoulder pathology). Thirty-four patients were retested for test-retest reliability with M-SPADI after an average of 9.2 days. M-SPADI was performed on twenty-one individuals three months after completing treatment for rotator cuff disorders to assess response. Results: The results of exploratory factor analysis revealed a bidimensional structure for M-SPADI. M-SPADI disability score was significantly greater in patients with rotator cuff pathologies (median = 31.87, IQR 82.50) than in patients with other shoulder pathologies (median = 20.00, IQR 23.84). In multi-group factor analysis, measurement invariance revealed no significant difference between the two groups (p>0.05). There was a significant positive correlation between M-SPADI and NRS (Pain = 0.86, Disability = 0.75, Total = 0.82, p=0.005), and a significant negative correlation between M-SPADI and shoulder AROM (Pain = -0.34 to -0.67, Disability =-0.44 to -0.73, Total =- 0.43 to -0.72, p=0.005). M-SPADI had a high degree of internal consistency (Cronbach's 0.92 for pain and 0.95 for disability). Test-retest reliability was moderate to excellent (ICC Pain = 0.84, ICC Disability = 0.78, ICC Total = 0.81, p=0.001), and the smallest detectable change ranges (Pain = 8.74, Disability = 3.21, Total = 3.83) were less than the minimal detectable change ranges (Pain = 21.57, Disability = 6.82, Total = 8.79). The area under the receiver operating characteristic curve (AUC) for M-SPADI was greater than 0.90 (Pain = 0.99, Disability = 0.94, Total = 0.96). Conclusion: The M-SPADI has established construct validity, internal consistency, test-retest reliability, and responsiveness. The M-SPADI is a reliable and valid instrument for evaluating shoulder pain among Malayspeaking individuals. In addition, the M-SPADI disability subscale may be useful for monitoring functional score changes in patients with rotator cuff pathology.
ABSTRACT
@#Introduction: This study was designed to produce a validated and reliable Malay version of the Identification of Functional Ankle Instability (IdFAI-M) questionnaire. Materials and method: The cross-cultural adaptation was conducted based on standard guidelines to produce the Malay version of the Identification of Functional Ankle Instability (IdFAI-M) questionnaire. The reliability and validity testing were then performed among one hundred and twenty-three physically active University of Malaya students. Among them, twenty-two students also participated in the second return of the questionnaire over a two-week interval, which was then evaluated for test-retest reliability testing. Results: The content validity for item-level (I-CVI) and Kappa values for all items were more than 0.7, respectively and the all scales-level (S-CVI) values were 0.983 (consistency), 0.967 (representativeness), 1.00 (relevance) and 0.983 (clarity). The questionnaire also demonstrated excellent reliability with an intraclass correlation coefficient (ICC2.1) above 0.850 for all items. It was observed that outer loading of most items were more than the minimum acceptable value (0.7). Fornell-Larcker criterion demonstrate all values for each reflective construct was larger than the correlations with other constructs, indicating discriminant. The cross-loading values of each item has shown a weak correlation with all other constructs, except for the one to which it was theoretically associated. Conclusions: The Malay version of the IdFAI (IdFAI-M) is a reliable and valid instrument that can be readily utilised to subjectively assess ankle instability.
ABSTRACT
@#Introduction: Football and futsal were the main sports in the Malaysian Games. However, they were associated with a risk of injury. The purpose of the study was to analyse the incidence, circumstances, and characteristics of football and futsal injuries during the Malaysian Games of 2018. Materials and method: During the tournament, 14 teams participated in men's football, 12 teams in men's futsal and 11 teams in women's futsal. The biannual event involved athletes aged under 21 years. A medical report form used by FIFA Medical Assessment and Research Centre (F-Marc), was provided to the physiotherapists and team doctors of all the teams to report all injuries after each match. Results: The response rate was 84.62% in football and 59.76% in futsal. A total of 48 injuries were reported from 26 football matches, equivalent to 64.64 injuries per 1000 match hours (95%CI 46.35 to 82.93). In futsal, a total of 48 injuries from 41 matches were reported, equivalent to 292.42 injuries per 1000 match hours (95% CI 209.7 to 375.14). The rate of injury in women futsal players was higher compared to men: 358.21 versus 247.04 injuries per 1000 match hours (p=0.224). Futsal recorded higher injuries per 1000 match hours than football (p<0.001). Conclusion: The rate of severe injury in futsal and football recorded in the study as compared to previous studies gave rise to serious concerns. Hence, there was an urgent need to pay more attention to injury prevention strategies.
ABSTRACT
In March 2020, two cases of attempted murder were opened against people who had tested positive for COVID-19 and had not remained in quarantine. Criminal law has previously been used to criminalise intentional transmission of HIV in both South Africa (SA) and other countries. However, it has been found that criminalisation laws undermine public health and measures to control outbreaks by stigmatising those infected and deterring testing. This article explores whether SA's existing HIV criminalisation laws can be applied to the transmission of SARS-CoV-2, and the potential effect such measures could have on efforts to control the COVID-19 epidemic
Subject(s)
COVID-19 , Jurisprudence , Public Health , Severe acute respiratory syndrome-related coronavirus , South AfricaABSTRACT
Background: Tamra Bhasma is derived from metallic copper that is recommended for different ailmentsof liver and spleen, dropsy, abdominal pain, heart disease, colitis, tumors, anemia, loss of appetite,tuberculosis, as well as eye problems.Objectives: The knowledge of crystallite size and active ingredients in Bhasma materials is limitedrestricting its use as nanomedicine in the modern era. Also, the 2015 Nobel prize in medicine hasmotivated many researchers towards traditional medicines. Therefore, the different chemical andphysical properties of prepared Tamra Bhasma has been studied by modern experimental tools (XRD,VSM, SEM, FTIR and PL spectrometer) and the preliminary testing of Tamra Bhasma nanoparticles wasexamined on bacteria.Materials and methods: Bhasma is prepared by metals and minerals using three step procedures e.g.Shodhana, Bhavana and Marana. In the present work, for the preparation of Tamra Bhasma, pulverizedcopper wire was used and prepared by the principle of Puta (incineration) in an Electrical Muffle Furnace(EMF).Results: X-ray diffraction analysis and scanning electron microscopy results revealed that the crystallitesize of Bhasma powder was less than 100 nm and nanocrystallites of aglomerated size in micrometer.Magnetometer measurement supports its medicinal value. Photoluminescence (PL) properties of nanocrystalline Bhasma powder was investigated in UV-NIR region and shows luminescence in visible region.The antimicrobial study of Tamra Bhasma shows effectiveness on bacteria and, may be useful to controlthe bacterial infection disease.Conclusion: Scientific data obtained using modern scientific tools and evidence would support in utilizing the ancient Indian wisdom of Ayurveda for the development of newer drugs as a modern nanomedicine and in other possible technological applications.© 2017 Transdisciplinary University, Bangalore and World Ayurveda Foundation. Publishing Services byElsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
ABSTRACT
Neste estudo foram isoladas seis espécies de trichoderma isoladas de solos rizosféricos de arrozais, bananeiras, dendezeiros, seringueiras, hortaliças e pastagens. As espécies são t. harzianum, t. viride, t. koningii, t. asperellum, and t. parareesei. O estudo morfológico como pigmentação, crescimento de colônias e estudos anatômicos como aparências de conidiação, tamanho de conídios, padrão de ramificação dos conidióforos, formas de phialides, ausência ou presença de clamidósporos foram realizados para identificar as espécies de trichoderma. As espécies de trichoderma harzianum foram abundantes no solo enquanto as de t. viren foram a segunda mais frequente no solo. Todas as espécies apresentaram atividade antagônica contra o fusarium oxysporum. Enquanto t. parareesei apresentou a maior atividade antagônica de 91,10% contra f.oxysporum, relatado como melhor agente antagonista para fitopatógeno.
In this study, six species of trichoderma isolated from rhizospheric soils of rice fields, banana trees, oil palm trees, rubber trees, vegetables and pastures were isolated. The species are t. harzianum, t. viride, t. koningii, t. asperellum, and t. I will stop. Morphological studies such as pigmentation, colony growth and anatomical studies such as appearance of conidia, size of conidia, branching pattern of conidiophores, forms of phialides, absence or presence of chlamydospores were performed to identify the species of trichoderma. The species of trichoderma harzianum were abundant in the soil while those of t. viren were the second most frequent in the soil. All species showed antagonistic activity against fusarium oxysporum. While t. parareesei presented the greatest antagonistic activity of 91.10% against f.oxysporum, reported as the best antagonistic agent for phytopathogen.
Subject(s)
Soil , Trichoderma , Fungi , FusariumABSTRACT
@#Background: Studies on the anthropometric, physical and physiological characteristics among Malaysian Paralympic powerlifters are limited. This study examined the sociodemographic, clinical information and anthropometric physical parameters of Paralympic powerlifters in Malaysia.Methods: A cross-sectional study was conducted during a Powerlifting Workshop and National Championship in 2016. A structured questionnaire was used to collect data on powerlifters’ sociodemographic, sports participation history and medical information. All participants underwent a structured physical medical examination and anthropometric assessments. Results: Fifty-two powerlifters participated in this study. Mean age of participants was 24.50±SD8.25 year. The majority of the participants were men (82.7%) and most had spinal cord injury (34.6%) or amputation of the lower limb (26.9%). Most of the powerlifters competed at district and state level championships and 42.3% had represented Malaysia at international competitions. Women powerlifters had a significantly higher amount of body fat compared to men (35.61% vs 19.80%; p=0.003). Male power-lifters had significantly longer arm and forearm length (30.10±IQR3.00 cm vs 23.00±IQR2.13 cm; p=0.020). A significantly positive relationship was found between age, experience, weight, BMI, LBM, arm circumferences (relaxed and tensed) and the powerlifter’s best lift. Age, experience, body weight, BMI, lean body mass, body fat, hip circumference and arm circumferences (relaxed and tensed) met the criteria for inclusion in a multivariate model. Years of experience and non-dominant arm circumference (tensed) were significant predictors of best lifts among powerlifters. Conclusion: In conclusion, assessment of anthropometric measures could be useful in monitoring athletes’ progress with training and have a role in the talent identification program for Paralympic powerlifters
ABSTRACT
Background: Preeclampsia (PE) is still one of the important causes of maternal and fetal mortality in Bangladesh. Many researches have been done to identify a unique screening test that would predict the risk of developing PE before the classic symptoms appear. One of the most accessible and easiest screening tests is serum uric acid measurement. Numerous studies have demonstrated a relation between elevated maternal serum uric acid levels and adverse maternal and fetal outcome. Among several pathophysiologic factors the most commonly accepted explanation for hyperuricemia in PE is increased reabsorption and decreased excretion of uric acid. Objective: The aim of the present study was to assess the association of serum uric acid with preeclampsia. Materials and method: A case control study was conducted in the department of Biochemistry, Dhaka Medical College, Dhaka from July 2010 to June 2011. A total number of 100 pregnant women in third trimester of pregnancy attending in Obstetrics and Gynaecology department of Dhaka Medical College Hospital were selected purposively as study subjects. Among them 50 pregnant women with preeclampsia were selected as cases and 50 normal healthy pregnant women as controls. Results: Most of the study subjects were within 21 – 30 years of age group and mean age in case and control was 24.06±3.71 and 24.66±3.22 years respectively, which was not statistically different. Mean gestational age in case and control was 33.50±2.55 weeks and 33.60±2.95 weeks respectively, which was also not statistically different. Among the study subjects majority was primi in both groups (case 76%, contol 58%) showing no statistical significance. Majority of the subjects in both groups were irregular in their antenatal checkup (case 52%, contol 40%). Uric acid concentration was measured in all the study subjects. The mean serum uric acid concentration in cases and controls were 7.01±1.90 mg/dl and 4.55±1.63 mg/dl respectively. This difference was highly significant in statistical point of view. Conclusion: Hyperuricemia is associated with preeclampsia.
ABSTRACT
The present study highlights six cases of pneumococcusuria during the time period of May 2008 to May 2010. All the patients had a co-existing predisposing factor with the isolation of Streptococcus pneumoniae in urine. Five of the six patients having signs and symptoms of urinary tract infections (UTI) were treated and cured of the same. It becomes essential to consider pneumococcal UTI in the presence of clinical signs and symptoms associated with urinary tract abnormalities like hydronephrosis and renal stones. S. pneumoniae may be regarded as an emerging pathogen in UTI. Precise microbiological diagnosis must correlate with the clinical signs and symptoms for the administration of appropriate antibiotic therapy.
Subject(s)
Adult , Aged , Communicable Diseases, Emerging/microbiology , Female , Humans , Infant , Male , Middle Aged , Pneumococcal Infections/diagnosis , Pneumococcal Infections/microbiology , Streptococcus pneumoniae/isolation & purification , Urinary Tract Infections/microbiology , Urine/microbiologyABSTRACT
Preeclampsia is one of the most leading causes of maternal mortality in developing countries. Many studies have demonstrated the relation between alteration of iron status and preeclampsia. The aim of the study was to assess the status of iron in preeclampsia. This case control study was conducted in the Department of Biochemistry, Dhaka Medical College, Dhaka from July 2010 to June 2011. A total number of 100 pregnant women in the third trimester of pregnancy attending the Obstetrics & Gynaecology Department of Dhaka Medical College Hospital were selected purposively as study subjects. Among them 50 diagnosed cases of preeclampsia were selected as cases and 50 normal healthy pregnant women as controls. Serum ferritin and serum iron concentration were measured in all study subjects. The mean serum ferritin concentration in cases and controls were 95.06±50.07 μg/l and 45.56±27.44 μg/l respectively. Mean serum iron concentration in cases was 121.78±41.93 μg/dl and that in controls was 61.04±24.18 μg/dl. The present study showed significant differences of mean serum ferritin and serum iron between cases and controls. The study revealed presence of significantly higher level of serum ferritin and serum iron in preeclamptic group.
ABSTRACT
An investigation was made to see the salt tolerance of 10 weed species of rice. Properly dried and treated seeds of weed species were placed on 9 cm diameter petridishes lined with Whatman No. 1 filter paper under 6 salinity regimes, viz. 0 (control), 4, 8, 16, 24 and 32 dS m-1. The petri dishes were then kept in germinator at 25±1.0oC and 12 hr light. The number of germinated seeds were recorded daily. The final germination percentage, germination index (GI), seedling vigour index, mean germination time and time for 50% germination were estimated. Root and shoot lengths of the weed seedlings were measured at 20 days after salt application and relative growth values were calculated. Results revealed that salinity decreased final germination percentage, seed of germination as measured by GI, and shoot and root length in all the species. Germination of most of the weed seeds was completely arrested (0) at 32 dS m-1 salinity except in E. colona (12%) and C. iria (13.9%). The species C. iria, E. colona, J. linifolia and E. crusgalli showed better germination (above 30%) upto 24 dS m-1 salinity level and were regarded as salt-tolerant weed species. J. linifolia, F. miliacea, L. chinensis and O. sativa L. (weedy rice) were graded as moderately tolerant and S. zeylanica, S. grosus and C. difformis were regarded as least tolerant weed species.
ABSTRACT
To determine the effect of adding dexmedetomidine to bupivacaine for neuraxial anesthesia. Sixty-six patients were studied between April and May 2008 in the University of Jordan, Amman Jordan. They were randomly assigned into 3 groups, each receiving spinal bupivacaine 12.5mg combined with normal saline [group N] Dexmedetomidine 5ug [group D5], or dexmedetomidine 10ug [group D10]. The onset times to reach T10 sensory and Bromage 3 motor block, and the regression times to reach S1 sensory level and Bromage 0 motor scale, were recorded. The mean time of sensory block to reach the T10 dermatome was 4.7 +/- 2.0 minutes in D10 group, 6.3 +/- 2.7 minutes in D5, and 9.5 +/- 3.0 minutes in group N. The mean time to reach Bromage 3 scale was 10.4 +/- 3.4 minutes in group D10, 13.0 +/- 3.4 minutes in D5, and 18.0 +/- 3.3 minutes in group N. The regression time to reach S1 dermatome was 338.9 +/- 44.8 minutes in group D10, 277.1 +/- 23.2 minutes in D5, and 165.5 +/- 32.9 minutes in group N. The regression to Bromage 0 was 302.9 +/- 36.7 minutes in D10, 246.4 +/- 25.7 minutes in D5, and 140.1 +/- 32.3 minutes in group N. Onset and regression of sensory and motor block were highly significant [N vesus D5, N versus D10, and D5 versus D10, p<0.001]. Dexmedetomidine has a dose dependant effect on the onset and regression of sensory and motor block when used as an adjuvant to bupivacaine in spinal anesthesia
Subject(s)
Humans , Male , Female , Dexmedetomidine , Bupivacaine , Nerve Block , Urologic Surgical ProceduresABSTRACT
Meningioma has an accelerated growth during pregnancy; this may become symptomatic, which may necessitate surgical treatment. We describe a 33 year old female pregnant patient who presented with deterioration in vision of the left eye during her 28[th] week of gestation, treated surgically with uneventful recovery. Vision should be saved anytime during pregnancy, especially in the second trimester when the surgery is relatively safe for both the mother and the fetus
Subject(s)
Humans , Female , Meningeal Neoplasms , Pregnancy Complications, Neoplastic , Pregnancy , Vision Disorders , Magnetic Resonance Imaging , Disease ManagementABSTRACT
Forty-four patients with chronic simple glaucoma and 20 normal controls were included in this study. All subjects were above 60 years of age; they were without a history of airways diseases or radiological pulmonary diseases. Also, all were nonsmokers and had no systemic diseases that may affect the pulmonary functions as diabetes mellitus, heart failure or renal failure. All cases were subjected to pulmonary function tests, FEV1, FVC, FEV1/FVC, FEF25-75 and PEFR. Then, patients with glaucoma were classified into two groups. Moreover, 20 subjects were included as a control group. At the end of the 6th month, pulmonary function tests were done to determine FEV1, FVC, FEV1/FVC, FEF25-75 and PEFR. The study concluded that no selective B-blocker eye drops in old patients may impair respiratory function, even if they have no history of reversible airway disease; so, using relatively selective B-blocker eye drops reduces the risk of respiratory impairment and heart failure. So, the study recommended to perform simple pulmonary function tests in elderly patients with chronic simple glaucoma to get knowledge about their baseline pulmonary function before giving B-blocker eye drops
Subject(s)
Humans , Male , Female , Glaucoma, Open-Angle/drug therapy , Ophthalmic Solutions/pharmacology , Respiratory Function Tests , Follow-Up Studies , Chronic DiseaseABSTRACT
Currently the medical field is experiencing a sizable increase in laser hair removal technology. Ruby and alexandrite have proved to be important tools in that field. The aim of this paper is to objectively evaluate the results of hair removal by both lasers in darker skin types [III and IV]. This study included sixteen patients treated in the period from August 2000 to March 2001 Hair count was recorded by a graduated grid; while thickness was evaluated by comparing the hair shaft with standard suture materials. Numerical data concerning both the number and the thickness were obtained before and after each session. Excluding the side effects, both lasers were found efficacious in reducing hair count and thickness in skin types III and IV. And numerical data about the anticipated results could be offered to future patients during the initial consultation
Subject(s)
Humans , Female , Laser Therapy/methods , Lasers, Solid-State , Female , Testosterone/blood , Estradiol/blood , Follicle Stimulating Hormone/blood , Dehydroepiandrosterone/blood , Treatment OutcomeABSTRACT
Venous malformations represent a great cosmetic and functional problem to the patients; especially those lesions occurring in the face. Although a variety of treatments of this condition exist in the field of plastic surgery, yet the selection of the appropriate modality is not clear in the literature. In the current paper, 15 patients -suffering from venous malformation of the cheek area- were selected from a large pool of patients presented to the plastic surgery department of Ain-Shams University. They were classified into two groups [localized and diffuse] according to the clinical examination and the CT. scan findings. The first group was treated by surgical excision; while the second group was subjected to Nd.:YAG laser photocoagulation. The results, of the classification and the different treatments were presented and discussed
Subject(s)
Humans , Male , Female , Veins/abnormalities , Cheek/abnormalities , Tomography, X-Ray Computed/methods , Lasers, Solid-State , Laser Coagulation/methodsABSTRACT
Twenty adult New Zealand white rabbits were divided into four equal groups. The first three groups were orally administered with 100, 200 and 400 mg/kg B.W./day of aspirin respectively for 14 days to study the effect of aspirin on the immune reponse in the rabbits. The results showed that the aspirin induced a significant increase of the WBCs in a the dose 100 and 200 mg/kg B.W. and this effect was pronounced in group which received 400 mg/kg B.W. However, the percentage of lymphocytes was also significantly elevated while the monocytes and basophils showed decline