scholarly journals Adequacy of hand washing apples

Author(s):  
Dwaaragan Subamuralitharan ◽  
BCIT School of Health Sciences, Environmental Health ◽  
Helen Heacock ◽  
Frederick Shaw

Background: Foodborne illnesses linked to fresh produce has been on the rise in recent years. This increase in illnesses pose a massive burden to the healthcare system. One way to prevent this is through educating the public the importance of handwashing produce. There are many studies that have tested ways of washing and sanitizing fresh produce to reduce surface pathogens. However the average consumer mainly hand washes produce before consuming it. Thus this study intends to test the efficacy of hand washing by testing surface ATP on apples before and after they have been washed. Methods: Apples were purchased from the bulk section of a super market. ATP swabs were used to test the concentration of ATP on the surface of the apples. The values were recorded. All the apples were hand washed under running tap water for 15 seconds and the surface ATP concentration were obtained and recorded. The values were then compared to draw a conclusion. Results: The results show that there is statistically significant reduction in surface ATP values on apples after washing them (mean ATP value of 33.2) compared to before washing them (mean ATP value of 116.67). The p-value obtained was 0.00033 when α = 0.05. Conclusion: This study was able to conclude that there was a significant reduction in surface ATP values following handwashing of the apples. There was an observed 60% reduction in the mean values of ATP of before and after hand washing. In conclusion, hand washing apples do provide an adequate reduction of surface ATP values thus attaining surface cleanliness.  

2021 ◽  
Vol 6 (2) ◽  
pp. 69-73
Author(s):  
Arman Jalili ◽  
Ali Asghar Ravasi ◽  
Sirous Choobineh ◽  
Ali Alidadi ◽  
Rahman Suri ◽  
...  

Introduction: Regular physical activities may have effect on the course of chronic kidney disease (CKD). Here, we aimed to ascertain the changes of serum interleukin-17 (IL-17) following eight weeks of aerobic training in CKD patients. Methods: The CKD patients referred to Zahedan Edalat Clinic and Ali-Ibn Abi Talib hospital in Zahedan city (Iran) were enrolled. Sixty patients aged between 30 and 50 years old were chosen by a random method and assigned into the control and intervention groups (each group constituted 30 people). In this study, aerobic exercises were performed at 50%–80% of the maximal heart rate. Peripheral blood was obtained one day before the beginning of exercise and one day after the end of the intervention. Serum IL-17 level was quantified using a commercial specific ELISA kit. Results: The mean values of IL-17 in CKD patients before and after 8 weeks of aerobic exercise were 1.67 ± 0.403 pg/mL and 1.58 ± 0.170 pg/mL in the intervention group (P value= 0.039) whereas the mean values of IL-17 in the control group before and after the intervention were 1.31 ± 0.529 pg/mL and 1.35 ± 0.505 pg/mL (P value= 0.794).Conclusion: Eight weeks of aerobic training can significantly reduce serum IL-17, an inflammatory marker, in CKD patients.


2020 ◽  
Vol 7 (2) ◽  
pp. 447-451
Author(s):  
Erna Setiawati ◽  
Tanti Ajoe Kesoema ◽  
Rahmi Isma Asmara Putri ◽  
Hari Peni Julianti

Pendahuluan: Indonesia masih mengalami masalah gizi yaitu masih terdapatnya status gizi kurang bahkan gizi buruk. Nutrisi yang rendah atau buruk dapat mengurangi massa otot skeletal dan pernapasan, yang menyebabkan penurunan FVC dan FEV. FVC dan FEV merupakan parameter dari fungsi paru. Penelitian terdahulu menyebutkan bahwa olahraga dapat meningkatkan fungsi dari sistim pernapasan. Senam Sehat Anak Indonesia (SSAI) merupakan salah satu pilihan olahraga pada anak. Penelitian ini bertujuan menganalisis pengaruh SSAI terhadap FEV1 dan FVC pada anak underweight. Metoda: Penelitian ini menggunakan one group pre and posttest design. Populasi target adalah 24 anak underweight berusia 9-12 tahun di SDN Tembalang. Dilakukan pemeriksaan FEV1 dan FVC sebelum dan setelah pasien melakukan SSAI. Perbedaan sebelum dan sesudah perlakuan menggunakan uji t-berpasangan. Nilai p dianggap bermakna apabila nilai p<0,05. Hasil: Peningkatan FEV1 (0,66±0,25) liter, FVC (0,22±0,28) liter setelah SSAI berturut-turut p=0,23 dan p=0,71. Diskusi: Pada SSAI dilakukan gerakan-gerakan senam yang dapat meningkatkan elastisitas paru serta memperkuat otot-otot pernapasan sehingga meningkatkan volume udara yang dapat diambil saat bernapas. Peningkatan nilai FVC dapat disebabkan oleh peningkatan volume dan elastisitas paru-paru. FEV1, FEV bervariasi dan tergantung dari otot pernapasan. Pada penelitian ini walaupun tidak bermakna secara statistik namun dalam rerata nilai FEV1 dan FVC terdapat peningkatan setelah SSAI. Hal ini mungkin dikarenakan frekuensi senam yang digunakan adalah frekuensi yang paling minimal yaitu 2 kali per minggu. Simpulan: SSAI 2 kali per minggu selama 6 minggu sebagai salah satu pilihan olahraga pada anak underweight usia 9-12 tahun namun dalam penelitian ini tidak didapatkan peningkatan bermakna pada FEV1 dan FVC. Diperlukan penelitian lebih lanjut menggunakan frekuensi latihan yang lebih banyak dan durasi yang lebih panjang serta menggunakan kelompok kontrol. Kata kunci: Anak underweight; Forced Expired Volume in one second (FEV1); Forced Vital Capacity (FVC); Senam Sehat Anak Indonesia (SSAI)   Introduction: Indonesia is still facing nutritional problems, the presence of low nutritional status and even poor nutrition. Low or poor nutrition can reduce skeletal and respiratory muscle mass, which causes a decrease in FVC and FEV. FVC and FEV are parameters of lung function. Previous research suggests that exercise can improve the function of the respiratory system. Senam Sehat Anak Indonesia (SSAI) is one of the sports for children. This study aims to analyze the effect of SSAI on FEV1 and FVC in underweight children. Method: The design of this study was one group pre and post test design. The target population was underweight children at Tembalang Elementary School. FEV1 and FVC were examined before and after the patient underwent SSAI. Difference before and after treatment using paired t-test. The p value is considered significant if the p value <0.05. Results: There was no significant increase of FEV1 (0.66 ± 0.25) liters, FVC (0.22 ± 0.28) liters after SSAI  with  p= 0.23 and p = 0.71, respectively. Discussion: At SSAI, gymnastic movements are performed that can increase lung elasticity and strengthen breathing muscles, thereby increasing the volume of air that can be taken while breathing. Increased FVC is caused by an increase in lung volume and elasticity. FEV1, FEV varies and depends on the respiratory muscles. In weak expiratory muscles, a person's ability to expiration rapidly decrease and also the FEV1.FVC index. The mean of FEV1 and FVC values ??after SSAI increased but were not significant. In this study, although not statistically significant, the mean values ??of FEV1 and FVC were increased after SSAI. This may be due to the frequency of gymnastics used is the most minimal frequency of 2 times per week. Conclusion: SSAI twice per week for 6 weeks as one of the exercise choices in underweight children aged 9-12 years but in this study no significant increase in FEV1 and FVC was found. Further research is needed using more exercise frequency and longer duration and using a control group.Keywords: Underweight children; Forced Expired Volume in one second (FEV1); Forced Vital Capacity (FVC); Senam Sehat Anak Indonesia (SSAI)


2013 ◽  
Vol 24 (5) ◽  
pp. 482-486 ◽  
Author(s):  
Marili Doro Andrade Deonizio ◽  
Gilson Blitzkow Sydney ◽  
Antonio Batista ◽  
Roberto Pontarolo ◽  
Paulo Ricardo Bittencourt Guimarães ◽  
...  

This study evaluated the influence of apical patency, root filling removal technique and cleaning of the apical foramen, concerning the amount of debris extruded during root canal retreatment. Forty mandibular incisors were randomly assigned to 4 groups - GIM (n=10), GIIM (n=10), GIPT (n=10) and GIIPT (n=10), which were named according to leaving (I) or not (II) apical patency during canal preparation and filling removal technique (manual - M or ProTaper system - PT). After filling material removal, each specimen of each group had the apical foramen cleaned by sizes 15, 20 and 25 instruments, generating 12 subgroups: GIM15, GIM20, GIM25, GIIM15, GIIM20, GIIM25, GIPT15, GIPT20, GIPT25, GIIPT15, GIIPT20 and GIIPT25. Extruded filling debris was collected by a Milipore filtration system, an HV-durapore, 0.45 µm pore filter with a 25 mm diameter. The filters were weighed before and after the collection on an analytical scale (10–5 g), and the difference was calculated. The mean weight of extruded filling debris was analyzed statistically by Kruskal-Wallis and Friedman ANOVA tests (α=0.05). The mean values found in the groups (in mg) were: GIM (0.95±0.94), GIIM (0.47±0.62), GIPT (0.30±0.31) and GIIPT (0.32±0.44). There was no statistically significant difference among any of the groups or subgroups (p>0.05). ProTaper provided the smallest amount of extruded filling material, regardless of presence or absence of apical patency, followed by manual technique, without and with apical patency. Additional amounts of debris were collected during cleaning of the apical foramen, regardless of the instrument, presence/absence of patency or root filling removal technique.


Author(s):  
Priyanka Jain ◽  
Rakesh Jain

Background & Method: We conducted a double blinded study at Index Medical College Hospital & Research Centre, Indore. The sample size was determined to be minimum of 120 cases as based upon previous years admission due to acute bronchiolitis. Initially, 146 cases were included in the study out of which 23 cases dropped out of the study after giving consent by guardian for participation in the study as they left against medical advice from the hospital. Result: The mean difference of CSS between 0 minutes to 60 minutes of nebulisation between groups in all cases was 0.4 ± 0.6, between 60 minutes and 4 hours was 0.8 ± 0.6, between 4 to 8 hours was 0.7 ± 0.6, between 8-12 hours was 0.6 ± 0.4, between 12-24 hours was 1.6 ± 0.9 and between 24-48 hours was 1.9 ± 0.9.The mean values and resultant p-value of ANOVA of various nebulising agents used for improvement in CSS shows significant association between various nebulising agents used along with improvement in CSS at the end of assessment at 48 hours of treatment. Conclusion: This study was conducted to establish the efficacy of each nebulisation agent (i.e.  adrenaline, 3% hypertonic saline and normal saline) currently used and compare the outcomes as there is not enough evidence amongst Indian population on level of efficacy of each drug in causing improvement in symptoms and signs in various severities of bronchiolitis in early childhood. Comparison of significant improvement in mean difference in CSS at various intervals in all cases compared between groups by post hoc test revealed non-significant difference (p-value 0.700) between 3% hypertonic saline and normal saline. Keywords: nebulisation, adrenaline, bronchiolitis & clinical.


2003 ◽  
Vol 66 (12) ◽  
pp. 2296-2301 ◽  
Author(s):  
CHIA-MIN LIN ◽  
FONE-MAO WU ◽  
HOI-KYUNG KIM ◽  
MICHAEL P. DOYLE ◽  
BARRY S. MICHAELS ◽  
...  

Compared with other parts of the hand, the area beneath fingernails harbors the most microorganisms and is most difficult to clean. Artificial fingernails, which are usually long and polished, reportedly harbor higher microbial populations than natural nails. Hence, the efficacy of different hand washing methods for removing microbes from natural and artificial fingernails was evaluated. Strains of nonpathogenic Escherichia coli JM109 and feline calicivirus (FCV) strain F9 were used as bacterial and viral indicators, respectively. Volunteers with artificial or natural nails were artificially contaminated with ground beef containing E. coli JM109 or artificial feces containing FCV. Volunteers washed their hands with tap water, regular liquid soap, antibacterial liquid soap, alcohol-based hand sanitizer gel, regular liquid soap followed by alcohol gel, or regular liquid soap plus a nailbrush. The greatest reduction of inoculated microbial populations was obtained by washing with liquid soap plus a nailbrush, and the least reduction was obtained by rubbing hands with alcohol gel. Lower but not significantly different (P &gt; 0.05) reductions of E. coli and FCV counts were obtained from beneath artificial than from natural fingernails. However, significantly (P ≤ 0.05) higher E. coli and FCV counts were recovered from hands with artificial nails than from natural nails before and after hand washing. In addition, microbial cell numbers were correlated with fingernail length, with greater numbers beneath fingernails with longer nails. These results indicate that best practices for fingernail sanitation of food handlers are to maintain short fingernails and scrub fingernails with soap and a nailbrush when washing hands.


2020 ◽  
Vol 4 (1) ◽  
pp. 215-221
Author(s):  
Ni Luh Putu Martini ◽  
Irna Nursanti ◽  
Giri Widakdo

This study aimed to determine the effect of the risk checks web application on the knowledge of mothers to detect high risk early in pregnancy. The research design used in this study was a quasi-experimental design with one group design without control. The results showed that the mean difference before and after the intervention was 13.00, with a p-value of 0.000. In conclusion, the risk check web application can increase mothers' knowledge to detect high risk early in pregnancy.   Keywords: Web Application, High-Risk Pregnancy


2018 ◽  
Vol 1 (2) ◽  
pp. 120-127
Author(s):  
Yunita Liana

Young women often feel primary dysmenorrhoea because the hormonal cycles experienced are not stable, this can disrupt the concentration and activity of young women. The principle of back to nature is increasingly popular today, the side effects of chemical drugs can cause new problems, it is one of the driving force of the development of traditional medicine. Papaya leaves contain Vitamin E which can reduce dysmenorrhea. In addition, turmeric acids also contain curcumine and anthocyanins that inhibit cyclooxygenase, thereby reducing the occurrence of inflammation during uterine contractions. The aim of this research is to know the effectiveness of papaya leaf stew with acidic turmeric to primary dysmenorrhea. Type of Research is an experimental study with a Pretest-Posttest Control Group Design design. The sample is 30 people. The research was conducted on December 27, 2017 s.d February 24, 2018 at SMP Negeri 46 Palembang. Instrument to measure pain Numeric Rating Scale. The statistical test used by Wilcoxon and Mann Whitney U. Average score of pain before papaya leaves stem 5.40 ± 0.73 while the mean score of pain after given turmeric acid 5.33 ± 0.61 The mean score of pain after being given papaya leaves stew 3.60 ± 0.91 while the mean score of pain after given turmeric acid 4.06 ± 0.79. There was a difference of mean score of dysmenorrhea pain before and after given papaya leaf stem p value = 0.000. There is difference of mean score of dysmenorrhea pain before and after given turmeric acid p value = 0,002. There was no difference of mean score of dysmenorrhea pain before and after given papaya leaf sting and turmeric acid p value = 0,217. The decoction of papaya leaf and turmeric acid have the same effectiveness in reducing primary dysmenorrhea pain.


2019 ◽  
Vol 7 (1) ◽  
pp. 39-47
Author(s):  
Indah Nur Imamah ◽  
Alfi Ari Fakhrur Rizal ◽  
Milkhatun Kalimantan Milkhatun

Traffic accidents are one of the public health problems that affect all sectors of life. The phenomenon of traffic accidents so far has not received much public attention as a cause of death. The increase in mortality rates that occur on the highway is very high and quite a concern and vigilance for the community. This usually happens one of them because the Indonesian people do not know how to help victims who are good and right when finding victims. As a result most of actions is wrong, so  it can add to injury and  death. This study aims to determine the effect of basic life support (BLS) training on the motivation and demeanour of class XI students in rescuing  traffic accidents in SMA Negeri 2 Tenggarong. This study uses a quasy experimental method of pre and post design with a control group. Proportional stratified random sampling technique with a sample of 78 students and data collection using a questionnaire sheet. Data that was analyzed by paired t test in each group showed a p-value of 0,000 <0.05, meaning that there was a statistically change in motivation and attitude between before and after treatment in the form of BLS training for class XI students at SMAN 2 Tenggarong.  The result is not much different from the independent t test which showed p-value 0,000 <0.05, which means there is a statistically different demeanour between the difference before and after treatment in the form of BLS training in the control and intervention groups. The results showed that there was a statistically significant change in motivation and demeanour between before and after the BLS training was given to the motivation and demeanour of class XI students at SMAN 2 Tenggarong with a p-value of 0,000 <0.05.


2021 ◽  
Vol 7 (1) ◽  
pp. 43
Author(s):  
Desy Ardiyati ◽  
Linda Suwarni ◽  
Abduh Ridha

Diarrheal disease is a problem of public health that is still occurring in Indonesia, especially in children because of morbidity and mortality is still very high. Hand washing is one of the prevention factors of diarrhoea disease but the habit of hand washing habits is still low. Pontianak City is in the first position of 14 districts/cities for diarrhea cases that are handled according to gender in West Kalimantan province. Pontianak City Health Office report year 2015 diarrhea pain figure of 22.24 per 1000 inhabitants. The aim of this study is to determine the effectiveness of the use of handrub on the habit of washing housewives in the work area Alianyang Pontianak City. The result showed that there is a significant increase in housewives hand washing behaviors that support 44.4% increase to 55.6% in experimental groups with (p value = 0.000). Based on the results of research and discussion, it can be concluded that the use of handrub is effective against the behavior of housewives' hand washing because there is a meaningful difference between before and after using handrub.


1970 ◽  
Vol 2 (1) ◽  
pp. 35-38 ◽  
Author(s):  
E Shrestha

Introduction: Seasonal hyper-acute panuveitis (SHAPU) is a sight-threatening disease and its management is challenging. Objective: To study the profile and evaluate the visual outcome of the patients of clinicallydiagnosed cases of SHAPU after treatment. Subjects and methods: A retrospective interventional hospital-based study was carried out involving 21 subjects with clinically-diagnosed SHAPU. The data were retrieved from the record section of the hospital and analyzed. The variables studied were demographic pattern, clinical condition, duration of presentation and visual acuity before and after the treatment. Statistics: The data were analyzed using Epi Info version 2000. Percentage prevalence, mean values with standard deviation, relative risk, 95% CI and p value were calculated. P value of < 0.05 was considered to be significant. Results: Among the 21 cases, the numbers of male and female were 11 (52.4 %) and 10 (46.7 %) respectively. A comparative analysis of gender in children and adults did not show any significant difference (RR=0.47, 95% CI = 0.22 - 1.01, Fisher exact test: p = 0.14). The mean for all ages was 7 ± 12.68 years, while the mean age in pediatric cases was 4.5 ± 3.91 years. Thirteen (61.9%) cases occurred in children below fifteen years. Fifteen (71.4 %) cases reported during September and October. Presenting visual acuity of all cases was less than 3/60. All of them received medical treatment. By the end of the 4th week, seven (33.3 %) patients regained vision to 6/18. Conclusion: SHAPU is more prevalent in pediatric age group. It is equally prevalent among males and females. The visual acuity can improve with early medical treatment. Keywords: SHAPU; panuveitis; steroid; phthisis bulbi DOI: 10.3126/nepjoph.v2i1.3702 Nep J Oph 2010;2(1) 35-38


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