Generation of new clones of multidrug resistant infectious foci of environmental, zoonotic and reverse zoonotic Enterococcus faecalis & faecium strains from cases of mastitis in cows privileged in Baghdad ecosystem reveal unsafe tricks. Medically important plants Blackcurrant, London Plane and Pine Buds are widely used for resolving these public health threats and hazards as powerful antimicrobial preparations. Totally sixty pooled milk samples were collected from apparently healthy (30 units) and infected (30 units) Cows from different regions of Abu-Ghraib during March until July (2019). Integrated units were checked by California mastitis test and a designed scheme was dependent for recovery of pathogenic Enterococci. Gram staining and catalase was proceeds. VITEK 2 (bioMérieux) technology ribbon biochemical identification system was used to segregate faecalis strain from faecium one. Group D Enterococci were confirmed by Lancefield’s serological grouping. Biofilm-formation assay was followed as an important biomarker clue for antibiotics resistance barriers. Modified Kirby-Bauer disc diffusion assay using Muller-Hinton agar was dependent for checking susceptibility of recovered strains to selected antibiotics Penicillin, Methicillin, Vancomycin, Amikacin & Ciprofloxacin. Watery & alcoholic extracts of selected plants were prepared according to recommendations of Codex international standards of Association of Official Agricultural Chemists (AOAC) & modified disc inhibition assay with determination of minimum inhibitory concentration (MIC titer) & minimum bactericidal concentration (MBC titer) were proceeds. Chi-square analysis via SPSS software was dependent. Qualified data descriptions regarding recovery of seventeen (28.33%) strains out of sixty samples in which, ten (16.66%) strains were recovered from mastitic milk units & seven (11.66%) strains were recovered from apparently abnormal milk units. Ten (16.66%) strains were confirmed as E. faecalis: Seven (11.66%) clones from mastitic milk units versus three (5%) clones from apparently abnormal milk units. Seven (11.66%) strains were confirmed as E. faecium: Five (8.33%) clones from mastitic milk units versus two (3.33%) clone from apparently abnormal milk units. All recovered strains were Gram-positive purple beaded cocci, Catalase negative, Lancefield group D & biofilm-producing. All strains were very resistant to all selected antibiotics. Diverse efficacy index was present among selected plants extracts in which, active ingredients index revealed powerful inhibitory level & titer for London Plane followed by Pine Buds then Blackcurrant against these powerful multidrug resistant recovered clones. In conclusion, frequency & distribution of pathogenic multidrug resistant foodborne Enterococci in our ecosystem represent privileged hazard chain of contamination that can be reduced or overcome by natural antimicrobial replacements like these extracts.
Acute appendicitis is the most common surgical abdominal emergency. Its clinical diagnosis remains a challenge to surgeons, so different imaging options were introduced to improve diagnostic accuracy. Among these imaging modality choices, diagnostic medical sonography (DMS) is a simple, easily available, and cost effective clinical tool. The purpose of this study was to assess the accuracy of DMS, in the diagnosis of acute appendicitis compared to the histopathology report, as a gold standard. Between May 2015 and May 2016, 215 patients with suspected appendicitis were examined with DMS. The DMS findings were recorded as positive and negative for acute appendicitis and compared with the histopathological results, as a gold standard
... Show MoreIn the present study, an attempt has been made to experimentally investigate the flexural performance of ten simply supported reinforced concrete gable roof beams, including solid control specimen (i.e., without openings) and nine beams with web openings of different dimensions and configurations. The nine beams with openings have identical reinforcement details. All beams were monotonically loaded to failure under mid-span loading. The main variables were the number of the created openings, the total area of the created openings, and the inclination angle of the posts between openings. Of interest is the load-carrying capacity, cracking resistance and propagation, deformability, failure mode, and strain development that represent the behav
... Show Morethin films of se:2.5% as were deposited on a glass substates by thermal coevaporation techniqi=ue under high vacuum at different thikness
ABSTRACT:
Microencapsulation is used to modify and retard drug release as well as to overcome the unpleasant effect
(gastrointestinal disturbances) which are associated with repeated and overdose of ibuprofen per day.
So that, a newly developed method of microencapsulation was utilized (a modified organic method) through a
modification of aqueous colloidal polymer dispersion method using ethylcellulose and sodium alginate coating materials to
prepare a sustained release ibuprofen microcapsules.
The effect of core : wall ratio on the percent yield and encapsulation efficiency of prepared microcapsules was low, whereas
, the release of drug from prepared microcapsules was affected by core: wall ratio ,proportion of coa
The aim of study was to explore pharmacist insights toward the impact of prospective implementation of the national health insurance program on patients, providers and Iraqi health system.
This was a qualitative study including semi-structured face-to-face (mostly) interviews with experienced pharmacists. The interview guide included open-ended questions about the impact of the national health insurance program on patients and healthcare providers at three levels: quality of services, costs, and frequency of visits. Potential challenges were also discussed. Interviews were conducted in four provinces from March to May 2022. Thematic analysis was used to analyze the interview findings and generate themes and subthemes.
The
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