1.Assessment of Physical Activity Level among Individuals with Type 2 Diabetes Mellitus at Cheras Health Clinic, Kuala Lumpur
Nor Shazwani MN ; Suzana S ; Hanis Mastura Y ; Lim CJ ; Teh SC ; Mohd Fauzee MZ ; Lim HC ; Dahlia S ; Norliza M
Malaysian Journal of Nutrition 2010;16(1):101-112
A cross-sectional study was carried out to assess the physical activity levels among patients with type 2 diabetes mellitus (DM) at Cheras Health Clinic in
Kuala Lumpur. A total of 132 subjects (62 men and 70 women) aged 30 years and above participated in this study. Data was collected using an interview based
questionnaire to obtain socio-demographic and health profile information. Physical activity was assessed using a shortened version of the International
Physical Activity Questionnaire (IPAQ). Anthropometric measurements and body fat were also taken. Glycaemic status, that is, HbA1c, fasting blood sugar
(FBS) and 2 hours post-prandial (2-HPP) were obtained from medical records. Results showed that the mean age of the patients was 51.9 + 5.8 years. The
majority of patients had poor glycaemic control based on HbA1c (70.7%), FBS (71.9%) and 2HPP (85.4%). Patients who were unmarried and aged(60 years and
above had a lower physical activity level (p<0.05). In the older age group, low physical activity was associated with poor glycaemic control (p<0.05). Patients
in the moderate and high physical activity level were motivated to perform physical activity so as to be healthy (68.1%). Low physical activity level among
patients was due to lack of time (54.5%) and lack of energy (21.2%). In conclusion, physical activity levels of the patients were unsatisfactory and associated with
poor glycaemic control, especially in the elderly. There is a need to encourage diabetic patients to undertake regular physical activity in order to achieve optimal
glycaemic control.
2.The Antibiogram of Isolated Pathogens from Tracheal Aspirate among Intubated patients 2 months – 5 years old with very Severe Community Acquired Pneumonia Admitted in Pediatric Intensive Care Unit of a Tertiary Hospital in Cebu City from 2013-2016
Glaiza S. Dagani ; Dahlia L. Yu ; Shanida L. Camomot ; Elmer Kent A. Lopez
Pediatric Infectious Disease Society of the Philippines Journal 2019;20(2):16-25
Objective:
To determine the antibiogram of tracheal aspirate cultures (TACS) among intubated children aged 2 months to 5 years old with very severe community acquired pneumonia (CAP).
Methodology:
A retrospective chart review using total enumerative sampling.
Results:
66 out of the 343 patients had positive TACS. The top 5 most common isolates were Klebsiella pneumoniae(37.8%), Pseudomonas aeruginosa (25.7%), Acinetobacter baumanii (15.1%), Enterobacter cloacae (12.1%) and Methicillin Resistant Staphylococcus aureus (MRSA) (6%). The gram-negative isolates were highly sensitive to amikacin and carbapenems. Majority of these patients (92.42%) had history of Pentavalent immunization. Majority of patients who were TACS positive had history of antibiotic use prior to admission (92.42%), mostly second-generation cepahalosporin (cefuroxime, 32.42%). High rates of resistance to ampicillin and gentamicin were noted for patients with Klebsiella pneumoniae and Enterobacter cloacae isolates. Majority of patients with Klebsiella pneumoniae, Acinetobacter baumanii and MRSA expired.
Conclusion/Recommendation
Majority of those patients with positive isolates had MDR organisms thus for patients with very severe CAP who already received antibiotic as outpatient, broad spectrum antibiotics should be considered as empiric therapy and TACS be done on all patients with very severe CAP.
Pneumonia