European Journal of Molecular & Clinical Medicine

Background: The purpose of this study is to determine whether immediate, intermediate, or delayed removal of an indwelling urinary catheter after an uncomplicated abdominal hysterectomy has an effect on the rate of recatheterization due to urinary retention, the rate of urinary tract infection, the amount of time patients spend walking around in the hospital, and the total length of their hospital stay. Martial and Methods: A Randomized controlled study was carried out at Narayana Medical College, Nellore, A. P, and India. A total abdominal hysterectomy was performed on two hundred twenty one women who were diagnosed with benign gynecological disorders. The patients were then divided into three groups at random. Urinary catheters were removed from the urinary systems of the women in group and as soon as possible after surgery. In group B, the catheter was withdrawn six hours after the surgery, while in group C, it was removed twenty-four hours after the surgery. The frequency of urine retention, the number of urinary tract infections, the amount of time spent ambulating, and the total length of hospital stay were the primary end measures. Results: The rapid removal group saw a statistically significant increase in the number of urinary retention episodes requiring catheterization when compared to the groups that underwent intermediate or delayed removal. The delayed urinary catheter removal was associated with a greater prevalence of urinary tract infections, a longer delay in ambulation time, and an extended hospital stay as compared to the early and intermediate removal groups. Conclusion: Removal of the urinary catheter 6 h postoperatively appears to be more advantageous than early or late removal in cases of uncomplicated total abdominal hysterectomy

Background: Solitary thyroid nodule is one of the most frequent presentations of thyroid disorder. This study aimed to evaluate the Socio-clinical Characteristics of Solitary Nodule of Thyroid at Krishna Rajendra Hospital, Mysore.
Methods: This prospective study included 55 patients, who were clinically diagnosed as solitary nodule of thyroid in the Department of Surgery at K R Hospital attached to MMC & RI, Mysore during the period of 18 months from January 2011 to July 2012. All patients were subjected to thyroid profile, USG & FNAC examination.
Results: The peak age at presentation of solitary nodule thyroid was 3^rd to 5^th decade, constituting about 43(78%) of the cases .It was more common in females with the ratio M:F(49/6) = 1:8.16 and  in euthyroid state(95%).  Its commonest presentation was swelling in front of neck and maximum had duration of symptoms between 1-2 years. 28 (50.9%) presented with nodule in right lobe of the thyroid gland and 27(49.1%) in the left lobe. Most of the patients 31(56.4%), were presented with the size of about 3 to 5 cm. Its Common causes were MNG (33%), follicular adenoma(25%) and adenomatous goitre(25%). FNAC was an important investigation in the evaluation.
Conclusion: Solitary nodule of thyroid were more common in females , in  the age group of 20-50years, present with swelling in front of neck, had duration of symptoms between 1-2 years, presented with nodule in right lobe of the thyroid gland , size of about 3 to 5 cm, mostly in euthyroid state and the commonest cause was multi-nodular goiter

Background: This discussion on technology as a possible solution to difficulties such as a lack of competent personnel and an increasing demand for long-term care necessitates an examination of digital technology in nursing care. We opted to conduct this research since there aren't many good empirical overviews of current technology in the literature. With this project, researchers wanted to map the field of digital technologies used in informal and formal healthcare settings that had already been studied for acceptability, effectiveness, and efficiency (AEE). They also wanted to show how widely these techniques have been applied and which populations and settings they have been used on. Methods: A complete literature search was conducted using Medline, Scopus, CINAHL, Cochrane Library, ACM Digital Library, IEEE Xplore, the Collection of Computer Science Bibliographies, GeroLit, and CareLit. In addition, relevant articles on project websites were personally examined

Background: The Integrated Child Development Services (ICDS) program has been operation for more than three decades in India. The success of ICDS program in tackling maternal and childhood problems still remain a matter of concern. The present study was conducted to assess issues related to Anganwadi Worker (AWW) and Anganwadi centre (AWC) including infrastructure facilities.
Material and methods: A cross sectional study was conducted in 56 Anganwadi centres (AWCs) of Chitradurga district using a predesigned questionnaire containing 42 questions by interns. The details regarding the infrastructure, process indicators and outcome indicators were collected and analyzed.
Results: All the AWCS visited provided 100% PSE and 100% SN coverage among children. A majority of pregnant and lactating mothers (73.3%) & adolescent girls (57.3%) were availing ICDS services. One third of AWCs reported an interruption in the availability of commodities by the government.
Conclusion: The study has reported gaps in terms of infrastructure facilities and safe and continuous drinking water supply. A number of issues pertaining to the ICDS scheme must be identified for the optimized functioning of AWC and it needs to be promptly addressed.
 

Hospital is one of the strategic elements to improve the public health status.
Therefore, a hospital needs a design or strategy to carry out a sustainable service
process. One such care model is case management. This study aims atevaluating the
implementation ofcase management programs at Central Public HospitalHaji Adam
Malik Medan. This type of research is mixed-method research with a sequential
explanatory design approach. The instruments used at the quantitative stage were
demographic data, perception questionnaires of room nurses about the implementation
of case management programs, and observation sheets for the implementation of case
management programs. Meanwhile, at the qualitative stage, the focus group discussion
(FGD) interview guides were used. This research had been conducted within two
months.The samples were 46 nurses consisting of heads of rooms and team leaders.
For the qualitative stage, there were 9 participants. The results based on the perception
questionnaires showedthat respondents’major characteristics were educated with
Nurse Profession Certificate (95.7%), female (100%), positioned as team
leaders(69.6%), and had worked for 17—22 years (60.9%). Characteristics based on
the observation sheets were educational background with NurseProfession Certificate
(66.7%),gender of female (100%), and work experienceof 17—22 years (66.7%). The
results of the questionnairesalso revealed that nurses’perceptions about the
implementation of case management programswere good (87%). The results of the
observations showed that the implementation of case management had been carried
out well (100%). However, the activities were carried out orally, were not structured,
and were not documented according to standards. The results of FGD obtained 4
themes, namely: 1) case management programs that have been carried out in hospitals,
2) obstacles in implementing the case management programs, 3) supporting factors for
the implementation of case management programs, 4) future expectations for case
managers.

the demand for nursing homes has grown as a result of the ageing of the population. "Multi-shift, high time-varying demand, hierarchical and collaborative" characterizes nursing practice. The number of nurses needed in a 24-hour period will vary greatly depending on the time of day; hierarchical means that different levels of nurses' abilities exist; collaborative means that different levels of employees collaborate to serve the elderly. Because of the high time-varying demand, the number of nurses needed in a 24-hour period will vary greatly. SDP and hierarchical staffing issues are the focus of our research, which includes the design of each shift's time frame to accommodate demand times and how to deploy hierarchical employees to the shifts. The two-stage technique will be used to tackle the issue. In the first step, we construct the shift schedule and calculate the number of employees required for each shift based on the characteristics of high timevarying demand. According to the restrictions of hierarchical coordination and collaboration, we calculate the number of employees required for each shift at each level in the second step. Different demand variations are studied and useful conclusions are made from the sensitivity analysis. Our findings may help nursing facilities cope with increased demands and personnel shortages by providing efficient decision-making tools and methodologies

Background: Acne vulgaris is a chronic inflammatory disease of the pilosebaceous unit. Ductal hyperkeratinization, increased secretion of sebum, and colonization of Propionibacterium Acnes (P. acnes) around the pilosebaceous gland are among the factors responsible for the etiopathogenesis of acne vulgaris. Interleukin- (IL-) 19 is a cytokine expressed by epithelial cells with proinflammatory stimulation. A distinctive feature of IL- 19 is their ability of giving positive feedback loop to amplify themselves; once they are activated in inflammatory process, they will continuously produce the cytokine. The study aimed to identify the relation between blood levels of IL-19 and acne vulgaris. Methods: 36 acne patients and 12 healthy subjects were included in our study. All of patients and controls were subjected to full history, full general and dermatological examination. Serum IL-19 level was measured from each subject using quantitative sandwich enzyme-linked immunosorbent assay (ELISA) serum kits. Results: There was no statistical significance difference between the cases and controls in age and sex.Serum Interleukin 19 level is highly significant increased in patients with acne compared to controls. Serum IL-19 level was statistically significant with age of patients, disease duration and site of lesion. Conclusion: Interleukin 19 is higher in acne compared to controls. level of IL-19 positively correlated with age of patients and disease duration, that was statistically significant

Hospital Information System (HIS) has an important role in clinical and administrative services to achieve quality services. However, monitoring and evaluation are necessary to find out how the benefits of HIS in the hospital work unit.This study aimed to evaluate the Hospital Information System using the HOT-Fit method in a hospital in Central Sulawesi Province.This type of research was descriptive quantitative. The sample in this study were all officers who used HIS in Undata Hospital, Central Sulawesi Province, amounting to 171 people. Sampling using a total sampling method. The data was collected using a questionnaire with a Guttman scale. The evaluation data obtained were analyzed statistically by showing the frequency distribution of each variable.The perceptions of HIS officers were as follows: respondents who had good perceptions based on human factors were 64.9%, respondents who had good perceptions based on organizational factors were 88.3%, and respondents who had good perceptions based on technological factors were 86.0%. The human, organizational, and technological factors in the SIRS of Undata Hospital, Central Sulawesi Province, were already good but there were still shortcomings for old users, and the SIRS application suddenly got errors.

Measles is one of the five diseases which becomesa leading cause of child mortality in the world. Measles in East Java from 2014 to 2017 has increased from 762, 2367, 3913, to 4936 cases. The problem is that measles remains endemic in Indonesia and Indonesiahas poor quality of a Case-Based Measles Surveillance(CBMS) system implementation which leads to the lack of epidemiological information.Aim: This study purposes toevaluateCase-Based Measles Surveillance system in East Java Province in 2018 based on the attributes of simplicity, flexibility, data quality, acceptability, timeliness, representativeness, and stability.Method:This studywas a descriptive study which utilized a qualitative approach in analyzing the data.Result:The evaluation results of CBMS system implementedin East Java based on the following attributes were: simplicity (officer hadnever received any training and there wasonly one officer, thus the quality of the officerwas belowstandard),flexibility (no change), data quality (completeness only reached 16%), acceptability (regarding the implementation of CBMS by the district government, only 29% met the targets, 79% did not meet the targets, 5% did not implement CBMS, and no data from the hospitals or the private sectors), timeliness (on-time 5.7% ), representativeness (lack of accurate information), and stability (less reliable).Conclusion:The CMBS system implementedis complicated, less acceptable, less representative, less timeliness, and not stable.

Hospital Information System (HIS) has an important role in clinical and administrative services to achieve quality services. However, monitoring and evaluation are necessary to find out how the benefits of HIS in the hospital work unit.This study aimed to evaluate the Hospital Information System using the HOT-Fit method in a hospital in Central Sulawesi Province.This type of research was descriptive quantitative. The sample in this study were all officers who used HIS in Undata Hospital, Central Sulawesi Province, amounting to 171 people. Sampling using a total sampling method. The data was collected using a questionnaire with a Guttman scale. The evaluation data obtained were analyzed statistically by showing the frequency distribution of each variable.The perceptions of HIS officers were as follows: respondents who had good perceptions based on human factors were 64.9%, respondents who had good perceptions based on organizational factors were 88.3%, and respondents who had good perceptions based on technological factors were 86.0%. The human, organizational, and technological factors in the SIRS of Undata Hospital, Central Sulawesi Province, were already good but there were still shortcomings for old users, and the SIRS application suddenly got errors

Introduction: Pneumothorax occur most during neonatal age than other age of life in
human being, this more related to high morbidity and death rate. It started form damage
to alveoli that more distended. The air seepages lengthways of the perivascular sheath of
connective tissue inside to the pleural space, The aim of our study is to assessment of
prevalence, recognize the danger factors and to define the clinical features, treatment and
consequence of neonates that have pneumothorax and determine the fate of neonates
after treatments.
Method: Prospectively collected data from newborn infants with pneumothorax observed
and treated at the Neonatal Intensive Care Unit (NICU) in al immamian alkadhomain
medical city, Sociodemographic data of neonates, clinical features of pneumothorax and
treatment of pneumothorax. Finally, assessment the fate of neonate assessed.
Results: A cross section descriptive study on 41 neonates mean age (34.6 ± 3) weeks
most age group 31 – 40 weeks 85% and weight (2 ± 0.7) kg most neonates (49%) with
2.1 – 3 kg, 34% females and 66% males, 61% of neonates are single parity, 71% of
neonates not need to antenatal steroid, while 56% of neonates delivered by CS, 71% of
neonates with Apgar score less than 7 in first 1 min., Significant association between
sociodemographic variables and clinical features as show in table 4; 52% of right
pneumothorax occur in male, 88% of left pneumothorax occur in male and 100% of
bilateral pneumothorax occur in male. 57% of RDS occur females while 43% of RDS in
male. 100% of TTN occur in single parity. 67% of pneumonia occur at age group 21- 30
week. Significant association between sociodemographic variables and treatment and fate
as show in table 5; 56% of neonate’s need C-pap were females and 44% were males.
56% of neonates need O2 therapy with weight 2.1-3kg, 26% of them that need O2 therapy
with weight 1-2 kg. 55% of alive neonates are males and 45% are females, 72% of single
parity neonates still alive.
Conclusion: Pneumothorax is moderately common in the NICU. The fate of neonates are
71% still alive and 29% dead. Pneumothorax itself was not a factor of death, probably due
to the sufficient and rapid therapy used in the NICU.

The steering while sitting in the driver's seat is one of the most basic and important driving performances. The purpose of this study was to investigate the characteristics of sitting symmetry and steering accuracy of stroke drivers compared to healthy drivers, and to examine the correlation between them.Fifteen stroke drivers and fifteen healthy drivers participated in this study. Both group performed the large and small s-curve driving during five minute. Accuracy index (AI) was measured by comparing the performance line that drove along large s-curve and small s-curve (target line). Symmetry index (SI) was calculated by difference of right and left seat pressure.The steering AI of stroke drivers was significantly lower than that of healthy adult drivers (p <0.05), and the AI of small S-curves was significantly lower than that of large S-curves (p <0.05). The sitting SI of stroke drivers was significantly greater than that of healthy driver (p <0.05). Also, AI of stroke driver showed significant correlation with SI in both S-curve. However, healthy drivers had no significant correlation between SI and AI (p> 0.05). SI and AI are valid variables for evaluating the stroke driver's driving ability in off-road environment.