Sterile Gauze Research Articles

Factors affecting the length of center release time in a baby in Pakong Village, Pakong Sub-District, Pamekasan District

<p><strong><em>Bacground:</em></strong><em> Maternal and perinatal health problems are national problems that need and receive top priority, because they greatly determine the quality of human resources for future generations. Various efforts have been made to prevent neonatal mortality, which prioritizes the maintenance of pregnancy as well as possible, delivery assistance according to service standards and adequate newborn care including hygienic umbilical cord care.</em></p><p><strong><em>Objectives:</em></strong><em> The goal of doing umbilical cord care is to prevent neonatal infection, because this is the most vulnerable period for babies. As for the indicators that affect the release of the remaining umbilical cord, apart from being influenced by the care of the umbilical cord by keeping the umbilical cord dry and clean. Also influenced by the mother's compliance to clean the umbilical cord every day. Maternal hygiene when caring for the umbilical cord and the frequency of changing diapers every time the diaper is dirty and wet, and influenced by how to care for the umbilical cord, namely with sterile gauze, 70% alcohol gauze or 10% povidone. The duration of the release of the remaining umbilical cord varies, namely within 3 days, 5 days, 7 days, some up to 2 weeks.</em></p><p><strong><em>Methods:</em></strong><em> Based on the research objectives, the research design used in this research is quantitative analytic, namely research that aims to determine the relationship between two or more variables with the data collection process which is only done once for each research variable. The approach used is cross sectional, namely research in which the independent variables and the dependent variable are measured simultaneously and carried out briefly or once. The independent variables in this study are how to care for the umbilical cord, humidity of the umbilical cord, environmental sanitation conditions. As for the dependent variable, namely the length of time to release the umbilical cord. The measuring instruments used in this study were questionnaires and checklists. </em></p><strong><em>Result:</em></strong><em> The results showed that there was a significant effect between umbilical cord care and length of time to disconnect the umbilical cord with a value of p = 0.000. <strong>Conclusions:</strong> there are several efforts that need to be considered. For the respondents, it is hoped that the mother will not only get information about umbilical cord care, but also learn about proper umbilical cord care.</em>

A comparison between the preventive effect of Nitroglycerin and Clobetasol on cannulation-induced phlebitis; A clinical trials study

Aim: The primary aim of this study is to determine the effect of clobetasol ointment with nitroglycerin ointment on the prevention of superficial phlebitis caused by Angio catheter. Secondary aim is to compare the effect of mentioned ointments on prevention of phlebitis. Design: prospective randomized trial Method: the study did not receive any funding. The target sample is 144patients admitted to surgical ward, randomized to 3 groups. The intervention involves application of clobetasol and nitroglycerin ointment in the distal part of the cannula; while the usual care group did not receive any tropical ointment in cannulation site. the data collection tools included demographic information, information about intravenous treatment and phlebitis measurement scale. In the intervention groups, after venipuncture, 1.5 cm (about 2 g) of ointment was applied, and the site was dressed with sterile gauze. In three time periods of 24, 48 and 72 hours from the time of venipuncture. Results: the age group of 18 to 30 years was the most common age group. The most common site of cannulation was the back of hand.in the first 24hours after the placement of cannula, there was no significant difference between the three groups. But at 48 and 72 hours after placement, the difference between intervention and control groups was significant (P <0.0001). Conclusion: it is recommended to use clobetasol ointment and nitroglycerin ointment to prevent the occurrence of phlebitis in patients who need long-term use of Angio catheter (more than 48 hours). Trial registration: NCT04685031 registered on https://www.clinicaltrials.gov/

ОТРИМАННЯ ПЕРЕВ’ЯЗОЧНИХ МАТЕРІАЛІВ З НАНОЧАСТИНКАМИ СРІБЛА ЗА ДОПОМОГОЮ МЕТОДІВ ФІЗИЧНОГО ОСАДЖЕННЯ У ВАКУУМІ

Purpose. Adapt electron beam equipment to obtain nanosized silver structures on the surface of dressings with the ability to control the size and concentration of the resulting nanoparticles (NPs). Determine the morphology, forum, size distribution and concentration of the obtained silver nanoparticles. Methodology. Modern methods of analysis are used in the work. Electron beam evaporation method with directional vapor deposition in vacuum was used to obtain nano-particles on a flat surface. To determine the structural characteristics nanoparticles: the size of the phase formations, the morphology we were used metods: dynamic light scattering (DLS); transmission electron microscopy (TEM); the con-centration of silver in dispersed systems was determined by the method of atomic emission spectrometry with induc-tively coupled plasma (NPP ISP). Results..The results of the study demonstrate the possibility of using electron-beam deposition technology of discrete nanosized silver coatings with an average particle size of 25 nm and a dispersion of 10–120 nm on the surface of sterile gauze bandages. The established patterns of structure formation can be the basis for technically controlled synthesis of metal nanoparticles on the surface of textile materials with a given concentra-tion.Existing research and industrial and industrial electron beam equipment can be easily adapted to the production of these materials. Originality. A new technological scheme of EB-PVD with directed steam flow, the efficiency of which is ≈50%, is proposed. This scheme allows the deposition of steam from the mountain to the bottom, including on flat surfaces of banding materials. Practical value. Areas of practical application of NPs and compositions based on them can be divided into the following areas: providing or enhancing antiviral and antimicrobial properties of new or existing medical devices (bandages, masks, wipes).

Novel design of bandages using cotton pads, doped with chitosan, glycogen and ZnO nanoparticles, having enhanced antimicrobial and wounds healing effects

In this present work, a new design for antimicrobial wound bandages is presented. The wound dressings were prepared using cotton fibers reinforced with elastic compression straps and secured with a polyester fabric of tight mesh size. The cotton pads were doped with a wound healing biocomposite, composed of chitosan, glycogen, and ZnO nanoparticles (CG@ZnONPs) previously formulated through a green process. The size of ZnONPs in the prepared CG@ZnONPs was 30–80 nm. The cotton pads impregnated with the CG@ZnONPs nanocomposite were characterized using FTIR, SEM, EDX, TGA, and DTGA methods. Moreover, the prepared dressings were tested on a number of intentionally injured rats. In this experiment, the % contraction of the treated wounds was monitored and compared to that of a control group of wounded rats, to which only sterile gauzes were applied. The results showed a much faster and an almost complete healing of rats treated with the synthesized dressings and the results were further confirmed by histopathological examination. The dressings were also found to exert a significant antimicrobial activity against a number of pathogenic microorganisms, generally encountered in common wounds, and could therefore be recommended to be a novel biomedical application for a fast, successful, and flawless wounds healing process.

Maggot debridement therapy to treat hard-to-heal diabetic foot ulcers: a single-centre study

Maggot debridement therapy (MDT) has seen a resurgence in recent years in the treatment of hard-to-heal wounds, as a result of rising antibiotic resistance. The sterilised larvae of Lucilia cuprina have been used in MDT in Malaysia since 2003, with encouraging results for the treatment of hard-to-heal diabetic wounds. We report a case series of 30 patients selected from our clinic by convenient sampling with diabetic lower limb ulcers treated with MDT. The average age of patients receiving MDT was >50 years. Of the 30 patients in the study, nine were female and 21 were male. All patients had underlying diabetes, two patients had leg ulcers and 28 patients had diabetic foot ulcers. Sterilised Lucilia cuprina larvae were applied via a standard method of 10 maggots per square centimetre and dressed with sterile gauze. The study endpoint was defined as ≤5% coverage with slough or necrotic tissue following three successive applications of MDT. In this study, maximum debridement of wounds was achieved in 96.6% (29 patients) of our patients, with ≤5% coverage with slough or necrotic tissue, in addition to a reduction in wound-related pain, as assessed by a visual analogue scale. No adverse events were reported. The findings of this study support the use of MDT as a safe, efficacious, and cost-effective method of managing diabetic wounds.

In vitro evaluation of chemical decontamination of titanium discs

Peri-implant diseases are caused by bacterial biofilm colonizing implant surfaces. Prevention and management of peri-implant mucositis and peri-implantitis rely on effective biofilm removal. This study aimed to evaluate biofilm removal and cytocompatibility following chemo-mechanical surface decontamination of biofilm-coated titanium discs. Biofilm-coated (Streptococcus gordonii) discs, with either non-modified (smooth) or modified (rough) surfaces, were instrumented using a sterile gauze soaked in one out of four solutions: saline (NaCl), alkaline electrized water (AEW), citric acid (CA) or N-acetyl-l-cysteine (NAC). Non-contaminated, untreated titanium discs served as controls (C). Residual deposits (bacteria and gauze fibers) and cytocompatibility for osteoblast-like cells were evaluated using SEM and immunofluorescence. Cytotoxicity was assessed using WST-8 assay and immunofluorescence. All protocols were equally effective in removing bacteria from smooth surfaces, while AEW and CA were found to be superior at rough surfaces. AEW and NAC were superior in promoting cytocompatibility over NaCl. NAC and CA had a strong cytotoxic effect on osteoblast-like and fibroblast cells. In conclusion, AEW may be beneficial in the decontamination of implant surfaces, effectively removing bacterial biofilm and restoring cytocompatibility.

Ability of dog owners to identify their dogs by smell

Several studies report that olfactory cues play an important role in human life; humans are essentially able to recognize other family members and friends by their odors. Moreover, recent studies report that humans are also able to identify odors of non-conspecifics. The aim of this study was to determine whether dog owners are able to identify their dogs by smell and distinguish the odor of their own dogs from those of other dogs. A total of 53 dog owners (40 females and 13 males of different ages) volunteered to take part in this study. A number of the participants (17) owned 2 dogs; these owners took part in the study twice (i.e., working with only one dog at a time). Sterile gauze pads were used to collect odor samples from the dogs. Each pad was placed in its own sterile glass jar (750 ml) with a twist off lid until the experiment commenced. Participants were asked to identify their own dog´s odor from a line-up of 6 glass containers. This experiment demonstrated that dog owners are capable of identifying their dogs by smell on a significant level. Results of this study additionally suggested that male owners outperformed their female counterparts in the identification process. Moreover, dog owners whose dogs were housed outside had a higher success rate in identification than did participants who kept their dogs indoors with them. The dog owners found it easier to identify dogs that had been neutered, fed dry dog food and bathed less frequently. In general, younger dog owners tended to have more success when attempting to identify their dogs than did their older counterparts.

The Role of Leukocyte-Platelet-Rich Fibrin in Promoting Wound Healing in Diabetic Foot Ulcers.

To explore the effect of leukocyte-platelet-rich fibrin (L-PRF) on promoting wound healing in diabetic foot ulcers. A total of 42 patients with diabetic foot ulcers at our hospital from January 2017 to July 2020 were retrospectively analyzed. A control group and a PRF group were established. The two groups of patients underwent debridement. In the platelet-rich fibrin (PRF) group, autologous L-PRF was used to cover ulcer wounds. One time each week, Vaseline gauze was used to cover the ulcer wounds. In contrast, the control group was treated with the external application of mupirocin ointment and recombinant human epidermal growth factor gel (yeast). Two times each week, the sterile Vaseline gauze was covered with a bandage. Both groups were treated for 5 weeks. The wound recovery of the two groups was observed. During the early stage of treatment (first and second weeks) for diabetic foot ulcers, the wound healing rate was significantly better with L-PRF treatment than traditional treatment. For later-stage treatment (third to fifth weeks), the overall cure rate was higher with L-PRF than the traditional treatment method. L-PRF can effectively promote wound healing in diabetic foot ulcers.

A Comparative Study of the Effects of Reflexology Massage and Rose Aromatherapy on Pain Severity in Patients Undergoing Gastric Bypass surgery in Amin Hospital of Isfahan University of Medical Sciences, 2021

Background and Objective: Obesity surgery is the most effective treatment for obese people. Patients are exposed to various painful therapeutic interventions during hospitalization; moreover, postoperative pain is a common complaint among these patients. The present study aimed to compare the effect of reflexology massage and aromatherapy of rose on the severity of pain in women undergoing gastric bypass surgery in Amin Hospital of Isfahan University of Medical Sciences in 1400. Materials and Methods: Thie current study was conducted based on a quasi-experimental design. The statistical population included women undergoing gastric bypass surgery in Amin Hospital affiliated with Isfahan University of Medical Sciences in 1400. The participants were selected by the available sampling method and the sample size was calculated at 31 cases in each group. The instrument used to determine pain intensity was the Visual Analog Scale (VAS). In the reflexology group, relaxation techniques were used for six minutes and the massage was then used to reduce pain. In aromatherapy, two drops of rose oil were poured on a sterile gauze and the patient was asked to inhale it from a distance of 7-10 cm for 20 min. In both groups, pain intensity was measured using the VAS immediately before and after the intervention. All obtained information was analyzed in SPSS software (version 26) using descriptive statistics(mean, standard deviation, and frequency) and analytical statistics ( Kolmogorov-Smirnov, paired t-test, and independent t-test). Results: The results of the analysis demonstrated that at a 95% confidence level in both reflexology and aromatherapy groups, the mean pain intensity before the intervention was higher than that after the intervention (P&lt;0.001). The comparison of the difference between the mean pain intensity before and after the intervention in the two groups under study pointed out that this difference was significantly higher in the group under reflexology massage (P&lt;0.001). Conclusion: As evidenced by the results of the present study, reflexology massage is more effective than aromatherapy in the reduction of pain in women undergoing gastric bypass surgery. The use of this treatment is recommended to all members of the treatment team.

The Effect of Topical Breast Milk on Umbilical Cord Detachment in Babies

Breast milk is an unmatched liquid created by Allah SWT to meet the nutritional needs of the baby and protect it in the fight against possible attacks of disease. The first time it came out was colostrum. Colostrum is high in protein, minerals, vitamin A (Prevents various infections and prevents eye disease), white blood cells (protection against infection) and antibodies (protects against infections and allergies). The main proteins in colostrum are immunoglobulins (Ig G, Ig A, and Ig M), which are used as antibody substances to prevent and neutralize bekteri, viruses, fungi and parasites. The purpose of this study was to find out the topical effect of breast milk on the release of baby umbilical cords in BPM Lismarini and RB Citra in Palembang City. This research method is an experimental research design that has a treatment with the posttest only control group design approach, namely, the baby umbilical cord group that is given topical breast milk after drying in a pack with sterile gauze and baby umbilical cord that is only given sterile gauze or does not give treatment. The study sample was newborns at BPM Lismarini and RB Citra in Palembang City. The sample size in the experimental group was 15 people and the control group was 15. Sample number in BPM Lismarini 30 respondents and RB Citra 30 respondents. It was found that in the topical breastfeeding group of 30 respondent’s as many as 26 people (86.7%) faster (< 5 days) the baby's umbilical cord came off while in the sterile cassation group was obtained only 12 people (40%) out of 30 respondents. Topical influence of breast milk on the release of the baby's umbilical cord in BPM Lismarini and RB Citra in Palembang City, showed that there was an average difference in the length of umbilical cord release in newborns between topical breastfeeding and sterile gauze (p value = 0.000), meaning topical breast milk has a faster effect on cord release in newborns compared to the use of sterile gauze.

Teknik Perawatan Tali Pusat terhadap Pelepasan Tali Pusat

The incidence of infection in newborns (BBL) in Indonesia is 24%-34%. Infection in BBL is the number 2 cause of neonatal death by 49%-60%. Neonatal mortality in developing countries is 50% due to umbilical cord infection, sepsis and neonatal tetanus. The purpose of this study was to analyze the effectiveness of umbilical cord care in newborns using dry open technique and sterile gauze against umbilical cord rupture. The type of research was pre-experimental post-test only design and the sample of this study was 30 newborns at the Puskesmas with purposive sampling technique. The study was conducted for 3 months. The results showed that the umbilical cord care technique with the dry open method made the umbilical cord detach faster than the sterile gauze method. The time for releasing the umbilical cord with the dry open method took 123.8 hours and the time for releasing the umbilical cord with sterile gauze took 170.8 hours. The results of the analysis showed the significance value of 0.004 and the Levin test result of 138%. Conclusion there is no more effective between sterile gauze and dry open umbilical cord treatment against umbilical cord detachment. Suggestions for midwives and health workers can socialize postpartum mothers in umbilical cord care for newborns using open techniques and sterile gauze.

Sterile Pericarditis in Aachener Minipigs As a Model for Atrial Myopathy and Atrial Fibrillation.

Atrial fibrillation (AF) is the most common arrhythmia caused by structural remodeling of the atria, also called atrial myopathy. Current therapies only target the electrical abnormalities and not the underlying atrial myopathy. For the development of novel therapies, a reproducible large animal model of atrial myopathy is necessary. This paper presents a model of sterile pericarditis-induced atrial myopathy in Aachener minipigs. Sterile pericarditis was induced by spraying sterile talcum and leaving a layer of sterile gauze over the atrial epicardial surface. This led to inflammation and fibrosis, two crucial components of the pathophysiology of atrial myopathy, making the atria susceptible to the induction of AF. Two pacemaker electrodes were positioned epicardially on each atrium and connected to two pacemakers from different manufacturers. This strategy allowed for repeated non-invasive atrial programmed stimulation to determine the inducibility of AF at specified time points after surgery. Different protocols to test AF inducibility were used. The advantages of this model are its clinical relevance, with AF inducibility and the rapid induction of inflammation and fibrosis-both present in atrial myopathy-and its reproducibility. The model will be useful in the development of novel therapies targeting atrial myopathy and AF.

The Value of Copper Sulphate in Umbilical Granuloma a Prospective Study

Background: Umbilical granuloma is one of the commonest presentations in the pediatric surgery outdoor. Persistent drainage or moisture involving the umbilicus is chief complaint. If umbilical granuloma remains untreated, it could ooze and present with persisting irritation for several months. The main concern has been over avoidance of surgery in infants with umbilical granuloma. Different protocols have been proposed from time to time. Objective: To evaluate the therapeutic effect of copper sulphate on umbilical granuloma in infants. Materials and Methods: This prospective study was conducted on 25 infants with umbilical granuloma. In all patients Copper sulphate applied once over the Umbilical granuloma for 5 minutes. A sterile gauze and adhesive bandage were applied after cleaning of copper sulphate application. Treatments were administered in outpatient settings, and the patients were followed up at 1 week, and 2 weeks interval to record the outcome. Result: All 25 cases responded well to this approach with complete resolution of lesions. No major complication or recurrence was noted in follow-up. Conclusion: The use of copper sulphate in treating umbilical granuloma is simple, cost-effective, curative, and safe.

MP35-10 NEXT-GENERATION SEQUENCING APPEARS TO RECHARACTERIZE BIOFILM FROM INFECTED PENILE IMPLANTS: HAVE WE BEEN WRONG?

You have accessJournal of UrologyInfections/Inflammation/Cystic Disease of the Genitourinary Tract: Prostate & Genitalia (MP35)1 Sep 2021MP35-10 NEXT-GENERATION SEQUENCING APPEARS TO RECHARACTERIZE BIOFILM FROM INFECTED PENILE IMPLANTS: HAVE WE BEEN WRONG? Paul H. Chung, Erica Mann, Joon Yau Leong, and Gerald Henry Paul H. ChungPaul H. Chung More articles by this author , Erica MannErica Mann More articles by this author , Joon Yau LeongJoon Yau Leong More articles by this author , and Gerald HenryGerald Henry More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002044.10AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Next-generation sequencing (NGS) may provide deeper insight into the biofilm of infected penile implants. Historically, gram-positive skin organisms were most commonly thought to contribute to implant infection. We hypothesize that biofilm detected on penile implants removed due to infection constitute different organisms than those on devices removed for mechanical failure. METHODS: An IRB-approved retrospective review was performed of patients who underwent penile implant removal at two institutions. At time of explant, devices were swabbed with sterile gauze which was sent for NGS testing. Molecular testing of 16s ribosomal RNA was performed by NGS using an Illumina MiSeq sequencing platform (San Diego, CA). Variable regions 1-2 of 16S rDNA gene were amplified and prepared into libraries for sequencing using primers 28F and 388R. Organisms present at <2.0% abundance were considered rare and not included in summary analyses. RESULTS: 95 total implants were evaluated and 52 met study criteria (14 for infection, 38 for mechanical failure). The most prevalent five organisms from each device were assessed. Escherichia coli was one of the top five most abundant organisms of infected and non-infected devices. The other most prevalent organisms on infected devices were Pseudomonas aeruginosa, Enterococcus faecalis, Aerococcus urinae, and Corynebacterium jeikeium. On devices removed for mechanical failure, they were Cutibacterium acnes, Finegoldia magna, Staphylococcus epidermidis, and Burkholderia cepacia. Of the top seven most prevalent genus on implants removed for infection, the ratio of gram positive:gram negative was 5:2 and for devices removed for mechanical indications was 4:3. Common implant antibiotic coatings and dip combinations were broadly reviewed and had similar challenges covering bacteria identified with gentamycin and vancomycin providing the best coverage. CONCLUSIONS: Penile implants removed for infection versus mechanical failure were more pathogenic with organisms different than historically understood. Additional studies will help to further characterize differences and establish whether common antibiotic combinations for prophylaxis, irrigation, and implant coatings should be altered. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e630-e631 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Paul H. Chung More articles by this author Erica Mann More articles by this author Joon Yau Leong More articles by this author Gerald Henry More articles by this author Expand All Advertisement Loading ...

Differences in the delivery of the corner in a baby who was bathed in warm water with a baby whipped in a wet tool at batara siang hospital of Pangkep District

WHO (2000), recommends umbilical cord care based on aseptic and dry principles and no longer recommended to use alcohol but with open care. The umbilical cord should also not be tightly closed with anything, because it will make it moist. In addition to slowing the release of the umbilical cord, it also poses a risk of infection. Even if you have to close. according to Taylor (2003, dalam Nopriyarti, 2013) cover or tie loosely at the top of the umbilical cord with sterile gauze. The research used quasi-experimental research. The design of this study used the Experimental Design- Equivalent Time Sample method, which is a quasi-experimental design by treating the experimental group (X1), namely taking a warm bath and the control group (X0), which was wiped with a wet towel, alternately with random determination (Suharsaputra, 2012). The mandatory output in this research is publishing international journals, while the additional output is publishing national journals it can be seen that the average length of umbilical cord detachment of infants who were bathed in warm water (experimental group) was 110.8 hours, while the average length of time to release the umbilical cord of infants who were wiped with a wet towel (control group) was 76.9 hours or 6.6 days. The average difference between the two groups is 24,72 hours. The results of the statistical test obtained a P-value (&lt;0.001), meaning that at alpha 5% there was a significant difference in the average length of umbilical cord detachment between babies who were wiped with a wet towel, which was 2.01 days and babies who were bathed in warm water, which was 4,01 day. So that the treatment of babies who are wiped with a wet towel is more effective and the umbilical cord is removed faster than the care of babies who are bathed in warm water. There was a significant difference between the In umbilical cord care, there was a significant difference in the average length of umbilical cord detachment between babies who were wiped with a wet towel and babies who were bathed in warm water.

The Application of Buccal Fat Pad to Cover Lateral Palatal Defect Causes Early Mucolization.

IntroductionCleft lip and cleft palate are among the most common birth defects. These deformities lead to profound psychosocial and functional effects on cleft palate patients. Several surgical techniques have been described for the repair of the cleft. The defects lateral to mucoperiosteal flaps closure are sometimes covered with sterile gauze soaked with soft paraffin or tincture of benzoin or are left open for mucolization by means of secondary intention. The buccal fat pad (BFP) is used as a pedicled graft to cover the exposed bone of the lateral palatal defect, and it is associated with proposed benefits of early healing and fewer effects on transverse growth of the maxilla.Materials and methodsThis was a prospective study involving 42 cleft palate patients who underwent cleft palate repair; 21 patients received BFP as an additional step to cover lateral palatal defect while the rest of the patients (n=21) underwent conventional surgical cleft palate repair and the defect was covered with Surgicel (Ethicon, Inc., Bridgewater, NJ). Postoperative follow-up was conducted at first, second, and third weeks postoperatively to assess the time required for mucolization.ResultsOur cohort of 42 patients included an equal number of complete and incomplete cleft palate patients. Follow-up at the first postoperative week showed an equal number (n=21, 100%) patients with incomplete mucolization on both groups, while at the second postoperative follow-up, only one (4.8%) of the patients who underwent conventional cleft palate repair had complete mucolization while 20 (95.2%) among the patients who underwent BFP had complete mucolization. At the third-week postoperative follow-up, three (14.3%) patients from the conventional group had complete mucolization, while 18 (85.7%) had incomplete mucolization. Only two patients (4.8%) developed recipient area complications, and they were managed conservatively.ConclusionBFP is a good source of vascularized tissue to cover the hard palate bones after primary cleft repair. It is easy to harvest as a local tissue with a low learning curve. The epithelialization rate is faster than conventional methods with minimal complication rates.

ANALISIS PENGENDALIAN KUALITAS DENGAN MENGGUNAKAN METODE LEAN SIX SIGMA DI PT. XYZ

XYZ is a company that produces Medical Devices. One of the products produced is 16x16 hydrophilic sterile gauze. One of the factors that affect the quality of a product is the presence of defects in the product and waste which results in a longer lead time for a product. The investigative stages used in this study are using tools: seven tools, Big Picture Mapping, Value Stream Analysis (VALSAT) and then analyzing the causes of defects using the Ishikawa diagram (fishbone chart) where the output of this study is a proposed improvement using the FMEA method ( Failure Mode Effect and Analysis) to eliminate defects and waste that occur. Based on the research results, it is known that the type of waste identified by the calculation of Value Stream Activity and obtained Value Added with a percentage of 84.4%, Non Value Added by 1.0% and Necessary Non Value Added by 14.5%. From the results of production output in December 2019 to November 2020 amounting to 2,650,200 boxes, the number of defects is 1,316 boxes with an average sigma level of 5.16, while in FMEA it is known that the largest defects are spots with an RPN value of 504 and a suggestion for improvement is to place Experienced operators who have gone through the recruitment and training stages on superior qualifications on one machine according to their skills who understand SOPs and operators are given good comfort in the production process.&#x0D; &#x0D; Keywords: Lean Six Sigma, Seven Waste, DMAIC, FMEA, kasa steril hidrofil 16x16.

Effect of Sustained Interventions from Infancy to Toddlerhood in Children with Cleft Lip and Palate for Preventing Early Childhood Caries

The study aimed to evaluate the effectiveness of sustained interventions in children with cleft lip and palate (CLP) for preventing early childhood caries (ECC). This prospective, nonrandomized interventional cohort study was conducted in infants aged 0–12 months with congenital CLP. Interventions were given to parents/primary caregivers in the form of combined oral health-care measures (sterile wet gauze piece, finger brush, toothbrush, and toothpaste) by a motivational interviewing approach. Education of primary caregivers on oral hygiene was provided by audiovisual aids and demonstration. Reinforcement of the prescribed regimen was done through daily short message services in caregivers’ preferred language and bimonthly telephone calls. Participants were followed up for 9–32 months from the time of recruitment, with a mean period of 18.3 ± 5.1 months. Rates of dental caries were represented as prevalence rates, incidence density, and transitional probability. The distribution of the International Caries Detection and Assessment System (ICDAS) scores on different tooth surfaces affected in the intervention group was compared descriptively with that of the age- and sex-matched historical control groups. On analysis of surface-wise distribution of the ICDAS scores in the intervention group (n = 1,919), 1.2% (n = 24) had noncavitated lesions (ICDAS codes 1 and 2), 0.88% (n = 17) had cavitated lesions (ICDAS codes 3–6), and 0.26% (n = 5) had both cavitated and noncavitated lesions (ICDAS codes 1–6). The incidence density of caries-affected children observed at the first and last follow-ups was 1.2 persons/100 person-months and 1.3 persons/100 person-months of observation, respectively. The incidence density of new caries-affected tooth surfaces at the first and last follow-ups was 0.163 surfaces/100 surface-months and 0.062 surfaces/100 surface-months, respectively. Maxillary first molars had the maximum transition from sound to the cavitated lesion (11.5%), followed by maxillary incisors from sound to noncavitated (7.5%) at the last follow-up. Based on the newly developed assessment criteria in our study, sustained interventions proved to be significantly effective in preventing ECC in children with CLP.

Dressing Techniques in Percutaneous Toe Surgery

Percutaneous techniques are becoming increasingly popular in forefoot surgery. In percutaneous toe corrections, usually, no hardware is used. The hardware-free technique avoids any hardware-related complications, but relies highly on the effect of the dressing to keep the foot in the desirable corrected position while healing occurs. The first postoperative dressing is applied by the surgeon. A combination of adhesive taping, sterile gauzes, and an elastic cohesive bandage is used for the first 10 to 14 days. The technique is tailored to the surgical procedure performed and aimed at correcting the preoperative deformity. For the next phase of healing, different bandage techniques can be used. Customized elastic taping is helpful to guide toe position. Alternatively, orthodigital splints can be used. Surgeons should master several bandage techniques. This allows them to choose the best technique depending on the situation. Often, the bandage techniques should be modified to the preoperative situation, the surgical technique, the deformity, and the correction achieved. Level of Evidence: Diagnostic Level V. See Instructions for Authors for a complete description of levels of evidence.

Problematic Issues on the Organization of Selecting Person’s Biological Samples for Molecular and Genetic Examination

The article is focused on the procedure of sampling as a criminal procedural action necessary for the commissioning and carrying out molecular genetic expert examination in the divisions of the Expert Service of the Ministry of Internal Affairs, namely the establishment and comparison of genetic traits of living and dead persons and unidentified corpses within criminal proceedings and civil cases for establishing or refutation of the fact of paternity. The purpose of the work is to provide information about human biological material that can be used as samples for molecular genetic research of living and dead people and unidentified corpses; analysis of errors during sampling of biological material of individuals for each type of samples and determining the methods of storage and transportation of research objects depending on their condition. The author has studied the legal aspects of the procedure of selecting the samples of biological origin according to the rules of identity examination and has indicated the list of documents required for sampling relatives of missing persons for the placement in the central database of human genetic traits. The author has specified the basic requirements for sampling, such as their indisputable belonging to a certain person and reliability of their selection in the minimum quantity necessary for the research. The information that should be indicated on the packaging of biological material has been described. The types of biological material that can be provided for the research as living specimens have been separately studied, namely: nails, blood, buccal epithelium, saliva, which can be provided on a piece of sterile gauze, FTA Cards, cotton, viscose or flock sticks or probe swabs. The author has also defined the persons who have the right to carry out selection from living persons, conditions of selection, drying of samples, possibilities of their long-term storage and conditions of transportation to divisions of the Expert Service of the Ministry of Internal Affairs of Ukraine. Errors in selecting the packaging of biological material (catheters with heparin filling, Ames medium, polymer containers) have been analyzed. Blood, bone remains, teeth, nails and histological specimens have been studied as types of biological material taken from dead persons and unidentified corpses depending on the condition of the remains, environmental conditions and prescription of death coming.