Increasing Literature And Sharia Financial Management Through The One BMT Housing Area Program In Banguntapan District Bantul In Yogyakarta

The target of this PKM program is economically productive communities, namely people in housing in Banguntapan sub-district who have just established BMT covering aspects of marketing/socialization and management and accounting information systems (small businesses). The aim of the program is to develop an economically independent community with high literacy on syar'i transactions. Business partners in this program are BMTs that have just been established with a residential mosque base, namely BMT Sakinah, BMT Al-Anbiya and BMT Al-Huda. The problems faced by the three partners are: 1) Lack of competence and management in managing BMT, 2) Lack of legality, 3) Lack of Islamic financial literacy, so that BMT members still do not understand the function of BMT. As for the method of devotionare general lectures, short courses, tutorials and simulations. Materials that are focused on include the management and members of BMT: 1) Socialization of Transaction Contract applications legalized by the National Sharia Board, 2) Consolidating the understanding and application of Management Information Systems and Accounting Information Systems for BMT, for approximately eight months. The result of this dedicationis special assistance and provides BMT financial system software so that the BMT, BMT Sakinah (Puri Sakinah 2 Housing), BMT Al-Anbiya (Pesona Banguntapan Kotagede Housing) and BMT Al-Huda (Graha Banguntapan Housing) can manage accountably, professional and transparent. This program is expected to be able to facilitate the development of partner businesses so that they are able to provide a multiplier effect for housing-based BMTs and other newly established mosques.

Atypical Kawasaki disease in an early infant, a diagnostic challenge: Case report

A 4.5-month-old girl presented to us with continuous fever for 10 days and loose stools for 2 days. She received short courses of multiple oral antibiotics during this period however, was not relieved. Initial investigations were suggestive of urinary tract infection for which broad spectrum antibiotics were started. However, fever persisted even after 72 h of antibiotics. Blood counts showed persistently high total leukocyte count and increasing platelet count, along with high C-reactive protein. Consequently, a diagnosis of Kawasaki disease (KD) was suspected, which was supported by echocardiographic findings. After she received intravenous immunoglobulins, her fever subsided and lab parameters showed significant improvement. This case highlights an unusual presentation of KD in an uncommonly young age group without much clinical pointers except for persistent fever.

Exploring industry-university partnerships in the creation of short courses and micro-credentials

This paper explores industry-university partnerships in the creation of short courses and microcredentials. It is a position paper that precedes a pilot study. We scan the higher education environment for current practices and begin to explore the notion of a more consistent and strategic approach. Partnerships refer to both industry as partners in course development, and industry as partners in developing meaningful learning experiences in the context of professional and career development. The pilot study that this paper is connected to aligns with national and international frameworks and explores university-industry partnerships, to ensure such partnerships can be leveraged to offer better value to learners with regards to workplace and lifelong learning.

1425. Revisiting β-Lactams for Treatment of Uncomplicated Urinary Tract Infections: Evaluation of Twice-daily Cephalexin for Empiric Treatment of UTIs

Background Current IDSA guidelines for the treatment of UTIs discourage oral β-lactams based on lack of adequately powered studies to assess efficacy compared to fluoroquinolones or TMP-SMX. However, increasing E. coli and Klebsiella spp. resistance to first-line antibiotics has necessitated the need for alternative agents. Methods This was a single-center retrospective chart review of adult patients discharged from the University of New Mexico ED with twice-daily cephalexin for the treatment of uncomplicated UTIs from January 1, 2019 to December 31, 2019. Patients were excluded if < 18 years of age, received ≥ 10 days of cephalexin, received antibiotics for other indications, received antibiotics within 60 days prior to ED visit, or had structural abnormalities. The primary outcome of this study was the proportion of patients with clinical success 30 days after discharge from the ED. Patients not meeting criteria for clinical failure were classified as clinical success. Clinical failure was defined as return of patient within 30 days due to non-resolving or worsening UTI symptoms or change in antibiotic therapy after discharge based on urine culture and susceptibilities. Results A total of 264 patients were included for evaluation. The average age was 56.0 ± 20.2 years and 82.6% were female. Patients received an average 5.6 ± 0.9 days of antibiotic therapy including IV therapy. Of the 264 patients included for evaluation, 81.1% met criteria for clinical success. Of the patients with clinical failure, 29 (13.6%) required a change in antibiotics based on cultures and sensitivities, 17 (6.4%) returned for non-resolving or worsening symptoms, and 4 (1.5%) required both a change in antibiotics and returned for non-resolving or worsening symptoms. Conclusion Short courses of twice-daily cephalexin appear to be safe and effective for empiric treatment of uncomplicated UTIs. Adding β -lactams back to the antibiotic armamentarium for UTI treatment may delay the development of resistance to non- β -lactam antibiotics, ensuring their future utility. Disclosures All Authors: No reported disclosures

Informing the Public and Educating Students on Plastic Recycling

Approximately 300 million tons of plastic waste is generated per year. The major portion of this plastic waste is landfilled, while part of it leaks into the environment. When plastic waste enters the terrestrial or aqueous environment, it can have negative impacts on ecosystems, human health, and wildlife. Increasing the amount of plastic waste that is recycled will correspondingly reduce the amount of plastic waste that enters the environment. By educating the public and industry on plastic recycling, current recycling programs can be used more efficiently, and new programs can be created. Education material on plastic recycling is available through professional and industry associations, foundations with an environmental focus, university courses, and short courses offered with private companies. This review assembles and analyzes the current education material on plastic recycling that is available from these providers. The material compiled here can be used to gain insight into specific plastic recycling-related topics, to identify areas of recycling education that can be improved, and as a resource to help build university level courses. There is currently a dearth of plastic recycling courses offered at the university level. Educating more students on plastic recycling will equip them with the knowledge and skills to make informed decisions as consumers, and to implement plastic recycling systems at the professional level.

Trauma care training in Vietnam: A narrative scoping review (Preprint)

BACKGROUND - OBJECTIVE To establish if medical training in Vietnam has adapted to a new disease pattern emerging in a developing country economy, that of road trauma. METHODS A review of Vietnamese medical schools, Ministry of Health, and Ministry of Education and Training literature on trauma education. RESULTS The trauma training component in medical education in Vietnam has been improving but is patchy and inconsistent across the health sector. As the medical education system was appropriately initially oriented to a generalist community base, trauma training at an undergraduate level was minimal and less than 5% of total credit. At the post-graduate level, only two major specialties (surgery and anaesthesia) figures have a significant and increasing trauma training component ranging from 8% to 22% in academic and clinical training pathways. A new national examination is on the way to improve curricula and standards at an undergraduate level, post-graduate short courses like Basic Trauma Life Support-BLS, Primary Trauma Care-PTC are seen as a reasonable solution to address current Vietnamese medical education system deficiencies in trauma training. CONCLUSIONS Although efforts have been made to reform the medical training program in Vietnam, it would take quite a long time to reach the complete transformation. In the interim, the implementation of short courses such as BLS, PTC should be considered as the appropriate method to compensate for the insufficient competency-related trauma care among healthcare workers outside of trauma specialist training.

Rapid changes in nasopharyngeal antibiotic resistance gene profiles after short courses of antibiotics in a pilot study of ambulatory young children

We quantified antibiotic resistance genes before and after short antibiotic courses in nasopharyngeal specimens from ambulatory children. Carriage of certain bacteria and resistance genes was common before antibiotics. After antibiotics, we observed substantial reductions in pneumococcal and Staphylococcus aureus carriage and rapid expansion in the abundance of certain resistance genes.

Dynamics of gut mucosal colonisation with extended spectrum beta-lactamase producing Enterobacterales in Malawi

Shortening courses of antimicrobials has been proposed to reduce risk of antimicrobial resistant (AMR) infections, but acquisition and selection dynamics under antimicrobial pressure at the individual level are poorly understood. We combine multi-state modelling and whole-genome sequencing to understand colonisation dynamics of extended-spectrum beta-lactamase producing Enterobacterales (ESBL-E) in Malawian adults. We demonstrate prolonged post-exposure antibiotic effect, meaning short courses exert similar colonisation pressure to longer ones. Genome data does not identify widespread hospital-associated ESBL-E transmission, hence apparent acquisitions may be selected from the patient microbiota by antimicrobial exposure. Understanding ESBL-E dynamics under antimicrobial pressure is crucial for evidence-based stewardship protocols.