Sapporo Medical Journal

Abstract : Background: The global population is shifting toward a more advanced age. It is expected that the global population aged more than 60 years will reach 1.4 billion by the year 2030. Therefore, in this study, the functional health among Saudi community-dwelling older adults in Makkah province was assessed. Methodology: This cross-sectional study was conducted from July 2019 to June 2020 in Makkah province, Kingdom of Saudi Arabia. A total of 328 participants completed our survey. Qualitative variables were described in frequencies and percentages, while quantitative data were expressed in means ± standard deviations. In addition, P-values were calculated using the Pearson chi-square test to define the significance of the results. Result: Activity of daily living (ADL) score was significantly associated with older age, being divorced/separated/widowed, and the presence of more than three comorbidities (P < 0.001). Participants with a low ADL score were more likely to have never left home in the last month, had a fall in the last year, and have an inadequate income (P < 0.001). In addition, participants who were satisfied and happy with their life had a better average ADL score (P < 0.001). Conclusion: In conclusion, age, marital status, number of comorbidities, lack of satisfaction in life, falls, and income had an important effect on the prevalence of functional disability. Most of these factors are modifiable; therefore, practitioners should be aware of these factors to

Abstract : Background : Bilateral cleft lip nose deformity is a multi-factorial and complex deformity. Bilateral cleft lip repair presented one of the greatest challenges for plastic surgeons. Although the nasal contour in bilateral cleft lip patients is relatively symmetric compared with that in unilateral cleft lip patients, the deformities themselves are more severe. Open rhinoplasty is performed secondarily using auricular cartilage grafts. This approach has a purpose to know the application of Sun Shield Cartilage Graft for Correction of Secondary Bilateral Cleft Lip Nasal Deformities. Methods : A 8-years-old child woman with chief complaint of deformities on her lip and nasal. With secondary Bilateral Cleft Lip Nasal Deformities the patient underwent columella lengthening and Sun Shield Cartilage grafting with open rhinoplasty. Result : The nasal profiles were improved to the patients. The columellar and nostril heights were increased. The columella and the nasal dorsum were lengthened. Conclusion: Based on clinical results indicate that “SUN SHIELD” Cartilage Graft with open rhinoplasty is effective for correction of secondary Bilateral Cleft Lip Nasal Deformities.

Abstract : Introduction: Bronchial asthma is the most common chronic disease and considered as major public health issue worldwide. Influenza infection can exacerbate asthma symptoms which increase the rate of hospitalization. Influenza infections precipitated about 80 % of asthma exacerbation. Different immunization programs recommended annual influenza vaccination as main prophylactic measure. Purpose: To determine the efficacy and safety of influenza vaccination in protecting against influenza-related asthma exacerbations among children with asthma in eastern region in Saudi Arabia. Methods: A prospective comparative cross-sectional study conducted among parents of children with asthma in eastern region in Saudi Arabia. Study include Children with asthma whether they received annual influenza vaccination or not. Data collected from the parents by using self-administrated questionnaire. Results: Study included 362 asthmatic children 132 (36.5%) had received the seasonal influenza vaccine. As for effect of receiving the vaccine, only 21.2% were hospitalized for asthmatic attack after vaccination, 17.4% hospitalized during last 2 weeks after vaccinations, asthma was controlled among 78% of vaccinated children, and 75% reported that frequency of asthmatic attacks reduced after vaccination. Conclusion: Immunization of influenza vaccine in child with asthma was effective and safe in decreasing respiratory illnesses and asthma-related events that exacerbation and hospitalization.

Abstract : This is the first research to identify the characterization of " Klebsiella pneumoniae", a multidrug-resistant plasmid circulating in Iraq. The goal of our work was to examine the distribution in clinical K. pneumoniae of the antibiotic resistance genes of ESBLs from UTI patients as well as identification and classification of K. pneumoniae plasmids associated with virulence and antimicrobial resistance by using Replicon Typing based on PCR (PBRT). Medical isolates of this bacteria in this analysis has been isolated from UTI patients. ESBLs-manufacturing K. Pneumoniae was preliminarily tested and validated by various phenotypic approaches using cephalosporin disks. There was also an antimicrobial susceptibility examination. For identification of genotypics, CTX-M, TEM, and SHV ESBL genes were determined by PCR. PBRT was performed by PBRT 2.0 KIT (Diatheva, Italy, 2020), and provided that ESBLs resistance transfer assay was performed by conjugation. The "ESBLs" were observed in (80.53%) of K. pneumoniae. Overall, bla "CTX-M" was the commonest genotype (95.6) by PCR. The replicons could be determined in ESBL-producing K. pneumoniae strains; 29 replicons were detected in CTX-M producing K. pneumoniae strains" HI 1; HI 2; I1α; I 2; X 1; X 2; X 3; X 4; L; I1y; N; FI A;FI B; FI C; FI I; F IIK; FIB- KN; FIB- KQ; W; Y; P1; I 1 A/C; T; K; U; R; B/O; HIB-M and FIB-M". The TEM replicons and SHV were detected 28 replicons. New replicons P1, N2 and X4 were detected in 'ESBLs producing K.

Abstract : There are various complaints or problems during menstruation that are usually experienced by a woman, but the most problem was discomfort or intense pain, this was commonly called dysmenorrhea or menstrual pain. Exercise was a non-pharmacological method to reduce dysmenorrhea pain. The purposed of this study was to examine the effectiveness of exercise modification "Kak Erfita" on reducing menstrual pain (dysmenorrhea) in adolescents. The design of this study was a quasi-experimental with the pretest-posttest control group design technique. The research subjects were adolescent at one of junior high school in South Jakarta in 2019. The results showed that there was a significant influence on the intervention group compared to the non-intervention group in cycle I with a value of p = 0.037 (p <0.05) and there was also a significant influence in cycle II with a value of p = 0.018 (p <0.05). "Kak Erfita" exercise modification to reduce menstrual pain. The more often the exercise "Kak Erfita" was carried out, the lower level of menstrual pain will be felt. Exercise "Kak Erfita" can be a routine sports activity at school to reduce menstrual pain in adolescents.