ABSTRACT
Abstract: Among patients with symptoms suggestive of a Urinary tract infection (UTI) which includes dysuria and frequency, the diagnosis can be confirmed by sending a clean-catch specimen for culture and for urinalysis. One suggested exception recommended by most experts is a symptomatic young woman with pyuria detected by urinalysis dipstick who has apparently uncomplicated cystitis. It has been proposed that the findings are sufficiently diagnostic that an empiric course and usually three days of antimicrobial therapy can be initiated without performing a urine culture. Children who are toilet trained can provide clean voided urine samples. Clean voided bag urine samples are acceptable for urinalysis in infants and children between two months and two years of age who have unexplained fever and do not appear ill enough to require immediate antimicrobial therapy. If the sample suggests infection, then a catheterized urine specimen should be obtained for confirmatory testing and urine culture. Suprapubic aspiration and transurethral bladder catheterization are invasive but are the only valid ways to collect urine for culture in febrile young infants under two months of age and older infants and children with unexplained fever who are younger than two years of age and ill enough to merit immediate antimicrobial therapy. The use of portable ultrasound to visualize the bladder increases the success rate for both suprapubic aspiration and transurethral bladder catheterization. In this review article, we will cover urine sampling, procedure, culture, and dipstick as a tool of UTI analysis in both adults and children.

ABSTRACT
Abstract: The aim of this cross-sectional study to assess on management of surgical site infection at the Islami Bank Medical College Hospital. A total of 1256 respondents were selected for the study. At last January 2016 to march 2021 their socio-economic condition, demographic characteristics, opinion and level about surgical site infection were mainly investigated. The invasion and multiplication of microorganisms such as bacteria, viruses, and parasites that is not normally present within the body. Infection may cause no symptoms and be subclinical, or it may cause symptoms and be clinically apparent.

ABSTRACT
Abstract: Background: Detrimental effects of homocysteine on endothelial function are well documented. Plasma Homocysteine (Hcy) levels are elevated in type 2 diabetic patients as well as in pre-diabetic individuals with insulin resistance. In such individuals, plasma Hcy concentration is influenced by the insulin concentration and anti-diabetic therapy such as metformin, glitazones or insulin that can alter the plasma plasma homocysteine. Objective: To find out the Clinical & Demographic Profile with Serum Homocysteine Level among Type II Diabetic Patients and IGT Patients with Normal People. Methods: This was a cross-sectional observational study. Total 120 subjects were selected and allocated into three groups, equal number (n=40) in each group. This study was conducted in Mymensingh Medical College Hospital, Mymensingh, Bangladesh from June, 2019 to May, 2020. Results: The study showed that the mean age of the patients and their BMI were almost similar among the three groups, male female ratio was about 2.5:1. The ccorrelation analysis of different clinical & demographic profile with serum Homocysteine. The correlation between glycemic status and Serum Homocysteine levels of participants, which differ considerably, so that, Pearson correlation & Spearman correlation showed statistically significant difference. Hcy was positively associated with FBG (r=0.296, p<0.001), 2hPG (r=0.078, p=0.004). Similarly positive significant correlation was found with TC (r=7.655, p<0.001), TG (r=13.52, p=<0.05) and HDL-C (r=1.165, p<0.05). Present study showed that levels of Hcy were significantly higher in the type 2 DM group than those in normoglycemic group (19.86 μmol/L vs. 8.72 μmol/L, p<0.001). Similarly levels of Hcy were significantly higher in the IGT group than those in normoglycemic group (17.28 μmol/L vs. 8.72 μmol/l, p<0.001). The mean values of the serum Homocysteine level of Group -1 and Group – 2 showed statistical significant differences ..................

ABSTRACT
Brain abscess has been considered a rare infection; it is characterized by a collection of pus in the brain parenchyma. Different studies talk about the management and medical treatment with antibiotic regimens (at the beginning of therapy, the antibiotic is chosen empirically), among the most used are vancomycin, third-generation cephalosporins, clindamycin, trimethoprim-sulfamethoxazole, aztreonam, metronidazole, fluoroquinolone, and fluconazole when it is a fungal-type infection, and linezolid has shown promising results. Surgical management depends on the size, location, and characteristics of the brain abscess; it is suggested in the literature for small brain abscess do the aspiration and eradicates the purulent material, and in a big abscess (> 2.5cm) performs craniotomy and resection. A decrease in the degree of mortality related to brain abscess has been reported. That is why this study is presented, carried out over three years (2018 -2021) showing the results obtained, as well as the frequency of patients with brain abscess treated in the service of neurosurgery, of the Regional Hospital “Lic. Adolfo López Mateos”, in Mexico City. A series of cases is presented showing the evaluation and diagnosis protocol used in Neurosurgery and the clinical-epidemiological characteristics that the patients gave.