scholarly journals A Studying the myoglobin changes and its effect on sepsis severity and outcome

2021 ◽  
Vol 9 (1) ◽  
pp. 9-9
Author(s):  
Vahid Hosseinpour ◽  
Hamidreza Mortezabagi ◽  
Rouzbeh Rajaei Ghafouri ◽  
Amir Ghaffarzad

Introduction: Sepsis refers to a set of systemic inflammatory responses to infection that cause harmful effects on the human body. Myoglobin can be used as a beneficial marker in determining the status of patients with sepsis. This study aims to investigate the changes in myoglobin and its effect on the severity and outcome of sepsis in the hospital. Methods: In this study, patients were divided into three groups: sepsis, severe sepsis, and septic shock. Data about their age, gender, myoglobin level in 4 different times (entrance time, 6, 12 and 24 hours later) and sofa index was obtained and compared. Blood culture was taken for all patients and results were evaluated for gram-positive or gram-negative. Results: The patients of the three groups were not significantly different in terms of age (P=0.59) and heart rate (P=0.18). While in terms of myoglobin, there was a significant difference in every 4 times (P=0.00), hospital days (P=0.01), fever (P=0.00), and SOFA (P=0.00) so that with increasing sepsis severity, this Variables rate increased. There is no significant difference in the gender distribution ratio between groups (P>0.05). The highest rate of involvement in each group of patients is related to the respiratory tract. The outcome of patients (survival/death) in different groups is significantly different (P=0.00). A higher percentage of the cultures was gram-negative and the frequency of cultures was not significantly different between different groups. (P-value=0.86). Conclusion: The level of myoglobin measured in patients had an increasing trend. Elevated myoglobin levels were also significantly associated with sepsis and mortality.

Author(s):  
Nindy Handayani ◽  
Soroy Lardo ◽  
Nunuk Nugrohowati

Introduction: Procalcitonin is known as a marker of infection and indicator for severity of infections. In sepsis, elevated procalcitonin levels in blood have a significant value that can be used as a sepsis biomarker. The aim of this study was to determine the mean difference of procalcitonin levels in Gram-positive and Gram-negative bacterial sepsis patients.Methods: This study used quantitative method with cross sectional approach. The sample of this study were bacterial sepsis patients of Indonesia Army Central Hospital Gatot Soebroto in 2016 which were divided into two groups: Gram-positive and Gram-negative bacterial sepsis patients with the number of each group was 30 samples. The data were analyzed by using independent t test.Results: This study showed that mean levels of procalcitonin in Gram-positive bacterial sepsis patients was 6.47 ng/ml and Gram-negative was 66.04 ng/ml. There was a significant difference between mean levels of procalcitonin in Gram-positive and Gram-negative bacterial sepsis patients of Indonesia Army Central Hospital Gatot Soebroto in 2016 with p value = 0.000 (p < 0.05).Conclusion: The mean difference of procalcitonin levels in Gram-negative bacterial sepsis patients were higher than Gram-positive bacterial sepsis patients, because Gram-negative bacteria have lipopolysaccharide which is a strong immunostimulator and increases TNF-α production higher than Gram-positive bacteria. 


Author(s):  
Hamsa B. T. ◽  
Srinivasa S. V. ◽  
Raveesha A.

Background: Sepsis is defined as life-threatening organ dysfunction caused by a dysregulated host response to infection. Sepsis remains a major cause of morbidity and mortality worldwide. Important biomarkers that can be used as prognostic markers in sepsis are C Reactive Protein (CRP) and serum Albumin levels. CRP levels markedly elevate in response to infection whereas albumin levels decrease in response to acute phase infection. We want to ascertain the value of CRP/albumin ratio as an independent predictor of 28-day mortality in sepsis patients.Methods: A prospective study was conducted including 150 patients satisfying the criteria for sepsis according to SOFA score of more than 2. Initial CRP/Albumin ratio was assessed to determine its significance in assessing the 28-day mortality, primary end point of our study. Secondary end points assessed were length of ICU stay, need for inotropic support, need for ventilator support and renal replacement therapy.Results: In the analysis of CRP/Albumin ratio as a predictor of 28-day mortality, patients were followed up from day of admission till 28 days to assess primary outcome. Among study subjects survivors were 92 in whom mean CRP/ALB ratio was 0.1197 and non survivors were 58 patients with mean CRP/ALB ratio was 0.0426. p-value <0.001, there was statistically significant difference found between survivor and Non-Survivor with respect to CRP/Albumin ratio. In assessing secondary outcome statistically significant association was found for need for ventilator and inotropic support, whereas it was insignificant in assessing need for dialysis and length of ICU stay.Conclusions: CRP/albumin ratio, which indicates the extent of residual inflammation, could be used as a prognostic marker in predicting mortality in patients with sepsis and septic shock.


2021 ◽  
Vol 3 (5) ◽  
pp. 46-54
Author(s):  
Mona Ahmed Babiker Ahmed ◽  
Atif Elamin Abdelgadir ◽  
Hayfa Mohammed Ismail

This study was conducted to evaluate the current implementation level of Hazard Analysis and Critical Control Point (HACCP) prerequisites adopted in poultry meat production and processing in Khartoum State, Sudan. To achieve the goal, a cross sectional study was conducted. Data and samples were collected from January to September 2018 from 12 close system broiler slaughterhouses according to Non-Probability Multistage Cluster Sampling Method in Khartoum, Khartoum North (Bahri), and Omdurman localities (4 farms from each). A standardized questionnaire was conducted for slaughterhouses (12 for each) to investigate the current status of implemented HACCP prerequisites. One hundred and eighty swab samples were taken from different sites in the slaughterhouses’ halls (surfaces, workers’ hands, boots, water, and chillers) followed by 240 swab samples collected from broiler carcasses after 4 process steps (defeathering, evisceration, washing and chilling). After bacterial culturing, isolation, and identification, all collected Data were subjected to descriptive and analytical statistic such as Chi square and ANOVA using SPSS. Low level of good practices in slaughterhouses was shown regarding programmed documented personal hygiene staff training and qualification for responsibilities 50.0% (n=6), preventative maintenance 41.7% (n=5), and appropriate use of personal facilities 58.3% (n=7). In addition to that, 66.7% (n=8) of examined premises showed difficulty in cleaning, inadequate ventilation and 33.3% (n=4) showed lack of sanitary facilities (dispensers, personnel changing rooms, toilets, washing basins). Unhealthy practices and habits were observed in majority of workers during work such as not washing hands before entering production areas, smoking, and eating and drinking in processing areas, beside low level of medical check in two thirds of them 66.7% (n=8). Bacterial growth was shown in 60.0% (n=108) and 58.80% (n=141) of slaughterhouses’ halls samples and meat samples respectively. There was significant difference between state of growth of slaughterhouses’ halls sample and farm location (χ2=7.22 and P-value = 0. 027) while a high significant difference in association between state of growth of meat samples and slaughterhouses’ location (χ2=43.02 and P-value=0. 000) was revealed. The Gram positive and Gram negative isolates were mostly detected in workers’ hands 19.60% (n=56) and 4.36% (n=12) respectively. The difference between growth state of bacteria in slaughterhouses’ halls samples and sample sites was highly significant (χ2=30.92 and P-value=0.000) and the highest growth was shown in workers’ hands. On the other hand, most of Gram positive and Gram negative bacteria in processing steps were detected after defeathering 14.40% (n=41) and evisceration 2.49% (n=7) steps. However, there was no significant difference resulting from association of state of bacterial growth of poultry meat samples and different process steps (χ2=5.14 and P-value=0.162). Slaughterhouses’ halls samples and meat samples were found contaminated with harmful pathogenic bacteria such as Salmonella spp. 1.41% (n=4), Escherichia coli 9.51% )n=27(, Staphylococcus aureus 7.75% (n=22), Citrobacter frundi 1.41% (n=4), and Micrococcus kristanae 8.75% (n=24). In conclusion, effective adoption of HACCP PRPs and biosecurity measures in Khartoum State has not been given serious attention beside lack of knowledge, resources, and absence of official authority’s role. Absence of proper “Farm to Table” hygiene policy in broiler production negatively affects poultry meat hygiene and consequently threatens public health. Therefore, formulation of suitable procedures and regulations by official authorities for implementing HACCP PRPs and biosecurity measures are needed to ensure poultry meat hygiene from primary stages of production till the end product.


2020 ◽  
Vol 12 (6) ◽  
pp. 128
Author(s):  
Uchechukwu A. Ezugwu ◽  
Elom N. Egba ◽  
Paulinus C. Igweagu ◽  
Lazarus E. Eneje ◽  
Scholastica Orji ◽  
...  

Musculoskeletal disorders &ndash;MSD, particularly on the muscles, tendons, ligaments, joints and cartilage decline the general physiological efficiency of the human body systems. The study aimed to ascertain the status of awareness of awkward posture and repetitive motion as ergonomic factors associated with MSD by health promotion professionals -HPP. The study adopted descriptive survey approach and was carried out in Enugu State of Nigeria, from August 2019 to February 2020. The participants were experts in health promotion through physical exercises. A well-structured questionnaire with reliability index of 0.86 was the only instrument used for data collection. The data analysis was completed using SPSS version 21. All the participants were Nigerians totaling 323 and responded to the questionnaire items completely and correctly. Majority of them were: females 196(60.7%) and rural dwellers 183(56.7%). The study revealed that the health promotion professionals were aware of awkward posture (M=3.22; SD=0.80) and repetitive motion (M=3.18; SD=0.79) as ergonomic factors associated with MSD. The status of awareness of the study phenomenon varied within variables of gender and location. A statistically significant difference was observed with regards to location (P-value &lt;0.05) while none existed on gender (P-value &gt;0.05). Although, the awareness status varied within variables, there is clear demonstration that the status of awareness regarding awkward posture and repetitive motion as ergonomic factors associated with MSD was encouraging. This translates the actual application of the rehabilitative and remedial measures in health promoting exercises involved in improving the quality of life and wellness. Indeed, there is need for routine workshops, seminars and conferences organized for these professionals on addressing ergonomic factors associated with MSD.


Author(s):  
Anju Saxena ◽  
Sujata Singh ◽  
Rahul Goyal ◽  
Sumit Saxena

Background: The increasing prevalence of infections caused by antibiotic-resistant bacteria makes empirical treatment of these infections difficult. Resistance to a wide variety of common antimicrobials has made the proliferation of extended spectrum β-lactamase (ESBL) producing strains a serious global health concern that has complicated treatment strategies and is very alarming. This study was undertaken to identify ESBL production in various gram negative bacilli isolated and to further study the antibiogram of ESBL producers and their contribution towards anti-microbial resistance.Methods: A total of 2008 samples were taken and studied for positive bacterial growth. Presence of ESBL positivity was detected using Kirby-Bauer sensitivity testing method and their antibiogram was studied. Data was analysed using IBM SPSS version 20. Chi-square test was applied wherever applicable to check the significant difference among the different groups. p value of ≤0.05 was considered to be significant.Results: A total of 2008 samples were studied. Out of which 655 gave positive bacterial growth and amongst these 312 were ESBL producers. Resistance to multiple classes of antibiotics was observed among ESBL producers and mostly imipenem, colistin and polymyxin B were the antibiotics which were sensitive to most of the strains.Conclusions: The frequency of ESBL producing strains among clinical isolates has been steadily increasing. Advance drug resistance surveillance and development of newer antibiotics is necessary to guide the appropriate and judicious antibiotic use.


Author(s):  
Zahra Rezazadeh ◽  
Mohsen Askarishahi ◽  
Mahmood Vakili

Introduction: According to the World Health Organization, Iran has a high level of deaths due to traffic accidents. Assessing the trend and examining the mortality situation can provide useful information for policy makers to take preventive measures and reduce the casualties caused by these accidents. n this study, the status and trend of mortality due to traffic accidents over a period of ten years has been investigated. Methods:This study is a descriptive study that investigated the trend of deaths from traffic accidents in Iran during 2009-2018. The study data was collected from the sites of the country's forensic medicine organization and the Statistics Center of Iran and all deaths due to accidents were included in the study. After  data  collection  using  spss  version 24 and Microsoft Office Excel 2013  softwares,  the  frequency,  percentage, annual rate and   two independent  samples Test,   were  used  to  analyze data. Results: On average, 24.1 per 100,000 people were killed in traffic accidents during the study period. There was a significant difference between the number of deaths due to road accidents in men compared to women (p-value <0.05). that More than 77 percent of the victims were men, and more than 67 percent of the deaths occurred on the out of urban  roads. Semnan, Markazi and Kerman provinces had the highest mortality rate and Tehran, Alborz and Ardabil provinces had the lowest mortality rate during this ten year period. Discussion: The death rate from traffic accidents has decreased during the study period. But compared to the global average, it still does not have the desired situation, Which requires proper policy and management to implement immediate and effective programs.


2020 ◽  
Vol 8 (11) ◽  
pp. 882-893
Author(s):  
Evelyn L. Balaoro , Ed. D. ◽  

This study attempted to determine the factors affecting the performance level of volunteers of the Ready Reserve Battalion in the province of Laguna. Specifically, this study sought to answer the following questions: (1) What is the professional profile of the Ready Reserve Battalion in Laguna as to: 1.1. Educational qualification 1.2 Field of specialization in the Reserve Force 1.3 Length of Service in the Reserve Force 1.4 Job assignment 1.5 Seminars and Training Attended 1.6 Status of work? (2) What are the status of work values of the Laguna Ready Reserve Battalion in the province of Laguna in the following areas of consideration: 2.1 Job satisfaction 2.2 Job involvement 2.3 Love of work? (3.) What is the performance level of the military and civilian activities in terms of: (3.1) Recognition 3.2 Promotion 3.3 Awards? (4) Is there a significant difference between the performance of the volunteers in their civilian and military activities based on the following variables: 4.1 Recognition 4.2 Promotion 4.3 Awards? (5) Do the professional profile of the status of work values of the Laguna Ready Reserve Battalion significantly affect their performance? This study utilized a descriptive method wherein the questionnaires were used as the main instrument analysed the factors affecting the services and performance level of the (20) Commissioned and Non-Commissioned Officers and one hundred twenty five (125) enlisted personnel of the Laguna Ready Reserve Battalion. To answer statistically the cited problems, percentage, weighted mean and the chi-square test were employed. The study revealed the foregoing findings: most members of the Ready Reserve Force were college graduates as reflected by the frequency of 62 equivalent to 44 percent. The frequency of 19 or 13.1 percent indicates that most of them were in the field of Company Headquarters most them have been in the service for 11 to 15 indicating that most of them are senior officers with a frequency of 55 equivalent to 37 percent. The average mean of 3.14 revealed that members of the reserve force would Seldom do their respective job assignments. Most of them have attended the seminars and trainings 12 to 15 times which showed that they have been well-trained in the community operation and extension works with a frequency of 76 or 53 as percentage. The findings clearly showed that most of the Laguna Ready Reserve battalion have permanent work with a frequency of 73 equivalent to 51 percent. The mean level of the job satisfaction of the Laguna Ready Reserve Battalion was 1.81. with a corresponding to moderately satisfied remarks due to the following: the place of work, earnings, job security, type of work, number of working hours, working conditions and distance of work. The average mean of 3.25 obtained for the involvement of the Laguna Reserve Force corresponded to the remarks of Agree. The average mean of 2.89 obtained for the love of work was equivalent to the remarks Seldom. The Laguna Ready Reserve included in this study received recognitions 12 to 15 times with the frequency of 57 or 40 percent seventy three (73) or 50 percent were promoted to higher positions forty nine or 33 percent have received awards in one (1) to tree (3) times. The computed t-value of 3.82 is greater than p-value of.000, likewise, the t-value of .82 is also greater than the p-value =.421 which indicated that recognition and awards received by the civilian and military activities had significant difference at .05 level of significance. The average t-values of 3.112, 10.678 and 6.474 are greater than the p-value of .774. and .0532 respectively which simply imply that the professional profile as to educational qualification, field of specialization, length of service, job assignment, seminars and trainings attended and working had significant effect on the performance level of the Laguna Ready Reserve Force as to recognition, promotion and awards. The average t-value of 1.2167 and .7.343 are all greater than the p-value of .0963 and .000 which imply the significant effect of the work values as to love of work, job satisfaction and job involvement on the performance level of the volunteers to recognition, promotion and awards respectively.


2014 ◽  
Vol 2014 ◽  
pp. 1-15 ◽  
Author(s):  
Subhadip Das ◽  
Nabanita Chatterjee ◽  
Dipayan Bose ◽  
Somenath Banerjee ◽  
Prajnamoy Pal ◽  
...  

Sepsis is the reflection of systemic immune response that manifests in the sequential inflammatory process in presence of infection. This may occur as a result of gram-negative bacterial sepsis includingEscherichia coliinfection that gives rise to excessive production of inflammatory mediators and causes severe tissue injuries. We have reported earlier that the lipid of attenuatedLeishmania donovanisuppresses the inflammatory responses in arthritis patients. Using heat killedE. colistimulated macrophages, we have now investigated the effect of leishmanial total lipid (LTL) isolated fromLeishmania donovani(MHO/IN/1978/UR6) for amelioration of the inflammatory mediators and transcriptional factor with suppression of TLR4-CD14 expression. To evaluate thein vivoeffect,E. coliinduced murine sepsis model was used focusing on the changes in different parameter(s) of lung injury caused by sepsis, namely, edema, vascular permeability, and pathophysiology, and the status of different cytokine-chemokine(s) and adhesion molecule(s). Due to the effect of LTL,E. coliinduced inflammatory cytokine-chemokine(s) levels were significantly reduced in serum and bronchoalveolar lavage fluid simultaneously. LTL also improved the lung injury and suppressed the cell adhesion molecules in lung tissue. These findings indicate that LTL may prove to be a potential anti-inflammatory agent and provide protection against gram-negative bacterial sepsis with pulmonary impairment.


2020 ◽  
Vol 27 (03) ◽  
pp. 563-569
Author(s):  
Hira Liaquat ◽  
Jai Parkash Panjwani ◽  
Saba Abrar ◽  
Ruqaya ◽  
Amar Lal Dodani

Objectives: When a person is exposed to the sun, vitamin D3 is a nutrient produced by the body. Unless we don’t get enough sunlight, we can't get enough vitamin D3. In the case of asthma, the respiratory tract expands due to mucus because they become inflamed. Inflammation is the body's reaction to injury, infection or irritation. Researchers are interested in vitamin D3 because it can decrease inflammation, theoretically it can make the airway recovered. The study aims to analyze the significance of Cholecalciferol (Vitamin D3) in asthmatic cases. Study Design: Comparative study. Setting: Baqai Medical University’s allied Hospitals. Period: From July 2014 to April 2015. Material & Methods: The study included diagnosed asthmatic individuals. IgE and Vitamin D3 levels were performed by ELISA kit method. Result: A comparative study was performed between the 50 healthy subjects and 50 Asthmatic patients. Mean ± SD was calculated for Vitamin D3 level and IgE of cases (asthmatic patients) and control (healthy subjects). It was found that vitamin D3 level was significantly low in asthmatic patients (11.53 ± 4.11) as compared to healthy subjects (25.32 ± 4.79),with statically significant difference as shown by the p-value <0.01. Correspondingly mean value of IgE value was higher in asthmatic cases (4.01 ± 0.65) in our study in comparison with healthy subjects (3.12 ± 0.43) with statically significant difference (p-value < 0.01). Conclusion: The present study signifies Vitamin D3functions in immune system and inflammatory reactions. Vitamin D enhances immune cells function thereby reduces inflammatory responses. Immunoglobulin E level in serum was higher in asthmatics as compared to normal subjects.


2014 ◽  
Vol 23 (1) ◽  
pp. 105-108 ◽  
Author(s):  
Pablo Henrique Gonçalves Moraes ◽  
Claudia Pinheiro Rufino ◽  
Thais Reis ◽  
Délia Cristina Figueira Aguiar ◽  
André Marcelo Conceição Meneses ◽  
...  

Babesiosis is a hemolytic disease caused by protozoans of the genus Babesia (Apicomplexa). This disease occurs worldwide and is transmitted by ticks to a variety of mammals, including humans. The objective of the present study was to optimize a molecular approach for the detection of a fragment of 18S rDNA of Babesia canis, Babesia vogeli, Babesia rossi or Babesia gibsoni based on a single semi-nested Polymerase Chain Reaction (PCR), and compare the efficiency of this approach with that of a simple PCR protocol. To this end, 100 blood samples collected from dogs with suspected hemoparasite infections were analyzed. A comparison of the results of simple PCR and semi-nested PCR indicated a highly significant difference (p value = 0.0000). While only five (5%) of the samples tested positive using the simple protocol, 22 (22%) were positive using the snPCR technique. The results of this study reinforce the findings of previous studies, which have demonstrated the greater sensitivity of tests based on nested or semi-nested PCR. Therefore, to avoid false-negative results due to low levels of parasitemia, we suggest the preferential use of this protocol in epidemiological studies of canine babesiosis, particularly those that require reliable estimates of the prevalence of infection.


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