Aims and Scope

ReviewerCreditsAdvances in General Practice of Medicine (AGPM) (ISSN:2529-8127) is an open access, continuously published, international, refereed  journal to promote comprehensive, coordinated and continuing care for the community members. This journal encourages submissions of original research, review article, clinical case study, clinical trial, commentary, perspective, opinion in the field addressed.

Topics of interest include, but are not limited to, the following:
• Medical education and training
• Medical management and evaluation
• Clinical research
• Health policy and guideline development
• Whole person care
• Health economics
• International experiences and evolutions
• Family doctor service model
 • Diagnostic and therapeutic
• Basic medicine system
• Health information technologies

Vol 4 No 1 (2022)

Published: 2022-04-28

-- In Progress --

Abstract views: 247   PDF downloads: 55  
2022-05-18

Page 42-47

Gender-specific anterior cruciate ligament – gait forces

blankpage Bharadwaj Cheruvu, Amy Neidhard-Doll, Tarun Goswami

The purpose of this study was to investigate gender-based differences in gait biomechanics and to evaluate those effects on forces generated on the ACL during walking. Estimation of gender-specific ACL forces in the frontal plane can provide a better understanding of the biomechanical patterns underlying higher female injury risk. The present study used a sample from the Fels Longitudinal Study to test the hypothesis that there are significant gender-differences in frontal plane ACL loading during walking. A cross-sectional sample of 178 participants, including 79 males and 99 females was used to evaluate differences in gait kinetics. Females walked at higher cadence with narrower steps (P < 0.05). No difference was observed in the peak flexion force and knee rotation moment between males and females (P = 0.51 and 0.07), respectively. Peak abduction moment was significantly lower among females than in males (P = 0.05). A regression equation was developed which considers a person’s weight and height in addition to forces which could give better estimate of the forces acting on the ligament. The peak force acting on the ACL during walking reaches as high as 0.44 of BW, regardless of gender.

Abstract views: 218   PDF downloads: 73  
2022-04-28

Page 28-41

Antimicrobial resistance of Salmonella enterica Typhi in the Western and Southern Regions of the Democratic Republic of the Congo: Phenotypic profile and molecular characterization of isolates associated with epidemics of Typhoid Fever

blankpage Kumel Kasongo Kumelundu, Berthe Nkema Miwanda, Ronald Ng'etich, Samuel Njoroge, Denis Kakongo Kandolo, Michel Balaka Ekwalanga, Emmanuel Mposhi Malangu, Victor Ndibualonji, Claude Lubobo Kazadi, Philomène Anzwal Lungu, Clément Numbi Kashindi, Prosper Muenze Kalenga, Léon Kafita Cibuabua, John Kiiru, Samuel Kariuki, Jean-Jacques Tamfum Muyembe, Christophe Mukena Nyembo

Background: This study has its foundation following the emergence of the phenomenon of antimicrobial resistance of Salmonella enterica enterica Typhi associated with severe complications, such as intestinal perforations with a significant lethality.
Objectives: Of this antimicrobial resistance, to determine the phenotypic profile, to detect the chromosomal molecular markers (CMMs) such as the class 1 integrons (intl-1) and ESBLs (blaTEM-1, blaOXA-1 and blaCTX-M-1) and to measure the association between the phenotypic profile and CMMs of typhoid isolates in concerned areas.
Methods:  Salmonella Typhi strains of typhoid epidemic areas were confirmed by serotyping tests. The antimicrobial susceptibility testing was conducted by disc diffusion method using the following commercial antimicrobials: Chloramphenicol-C, Ampicillin-AMP, Sulfamethoxazole-RL and Trimethoprim-W (former first-line antimicrobials), Ciprofloxacin-CIP or Cefotaxime-CTX, Ceftriaxone-CRO, Ceftazidime-CAZ (first-line antimicrobials), Tetracycline-TE, Amoxicillin-Potassium clavulanate-AMC, Nalidixic acid-NA, Cefoxitine-FOX, Gentamicin-CN (varied antimicrobials) and FEP-Cefepime (4GC). The phenotypic antimicrobial resistance profile was determined by Kirby-Bauer diffusion method on Mueller-Hinton agar. To perform the molecular characterization, the Salmonella Typhi isolates DNA has been extracted by Sigma Aldrich kit and the CMMs detection was performed by DNA Engine for PCR test. The association between phenotypic profile and CMMs has been measured by Pearson’s chi-square test.
Results: Out of 320 Salmonella Typhi isolates, 50 were identified conform. The phenotypic profile of antimicrobial resistance was 59.5% in all the Western and Southern regions and 61% in the provinces of Kinshasa City and Bas-Congo to the former antimicrobials of first intention and the mean of CMMs rates were 22.5% and 27.4%, respectively. Those isolates showed a significant resistance profile to AMP, C and RL in those last two provinces.
Conclusion: The rate of phenotypic multidrug-resistance of Salmonella Typhi isolates was more than 50% with the predominance of CMMs in Kinshasa and Bas-Congo. This study suggests to give up the use of AMP, C and RL in those two provinces. This may also indicate that the antimicrobial resistance surveillance system would be one strategy to manage food borne pathogens.

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Pietro Vajro-photo  ISSN: 2529-8127
 Abbreviation: Adv Gen Pract Med
 Editor-in-Chief: Prof. Pietro Vajro (Italy)
 Publishing Frequency: Continuous publication
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 Publishing Model:
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