S145 S290
symptoms. Results suggest that the CTMD may have effects that
continue post-treatment. Bilateral CTS patients may respond differ-
ently to treatment than unilateral CTS patients. An extended, ran-
domized, placebo-controlled study is proposed to further investigate
this technology.
Level of Evidence:
Level IV
Poster 9:
The Synergistic Effect of Antibacterial Photodynamic
Therapy and Carbapenem to Extended Spectrum Beta
Lactamase (ESBL)
Escherichia Coli
Yose Waluyo (Hasanuddin University, Makassar, Indonesia),
Firdaus Hamid
Disclosures:
Yose Waluyo: I Have No Relevant Financial Relationships
To Disclose
Objective:
To see the synergistic effect of LLLT and antibiotics to
ESBL
E coli
.
Design:
Bacterial strains including ESBL
Escherichia coli
were sus-
pended in saline solution, after that the suspension were spread on the
surface of petri plates, planting ertapenem antibiotic disc at the petri
plate and incubated at 37
o
C for quantification of colony forming unit.
One plate we give laser irradiation to the plate with antibiotics and
another only using antibiotics plate without laser. The clear zone
diameter was measured. Bacterial strains from this petri disc sus-
pended in the new saline solution and repeated 3 time in 3 days.
Setting:
Microbiology department, Faculty of medicine, Hasanuddin
University.
Participants:
ESBL
E coli
.
Interventions:
Bacterial strains including ESBL
E coli
were suspended
in saline solution, the density of the suspension is compared to the 0.5
McFarland turbidity standard, after that the suspension was spread on
the surface of petri plates, exposed to laser irradiation with (Four
670nm LED + Five 850nm Laser) diode specification at fluences of 0 J/
cm
2
(control), 2 J/cm
2
, planting ertapenem and meropenem antibiotic
disc at the petri plate and incubated at 37
o
C for quantification of
colony forming unit. After 24 hours the clear zone diameter measured.
Bacterial strains from this petri disc suspended in the new saline so-
lution and do the same thing above until 3 days and repeated 3 times.
Main Outcome Measures:
We measured the clear zone.
Results:
Laser irradiation increasing the sensitivity of ertapenem from
32 mm (control) to 33 mm at day 1, 34 mm at day 2, and 35 mm at day
3 where the clear zone of control still the same as day 1.
Conclusions:
The increasing of clear zone diameters of Ertapenem at
the irradiation petri plate showed that the sensitivity of antibiotic
increase. That indicating synergistic of LLLT and Carbapenem anti-
biotic, especially at the ertapenem.
Level of Evidence:
Level III
Poster 10:
Quality of Life Following Cardiac Rehabilitation on
Coronary Artery Disease Patients: Prospective
Longitudinal Cohort Study
Byung Joo Lee (Asan Medical Center, University of Ulsan College of
Medicine, Seoul, South Korea), Tae-Du Jung, MD PhD
Disclosures:
Byung Joo Lee: I Have No Relevant Financial Relation-
ships To Disclose
Objective:
To evaluate the effect of cardiac rehabilitation program
on quality of life (QOL) in patients after percutaneous coronary artery
intervention (PCI).
Design:
Propective Longuitudinal Cohort Study.
Setting:
The cardiac rehabilitation group had supervised exercise
three times a week for 8 weeks.
Participants:
Thirty patients who were 2-weeks post PCI, able to
attend supervised exercise, and had normal cognitive function,
participated in this study. Thirty men who didn’t have coronary artery
disease were recruited as a control group.
Interventions:
The cardiac rehabilitation program was based on the
symptom limited exercise tolerance test. It consisted of a 10-minute
warm up exercise, 45 minute main exercise, and a 5 minute cool down
exercise. It was performed three times a week for 8 weeks.
Main Outcome Measures:
The primary outcome, QOL, was assessed by
36-item short-form health survey (SF-36). It was performed at the
beginning and end of cardiac rehabilitation. SF-36 of control group was
also surveyed. Secondary outcomes were body mass index (BMI), waist-
hip ratio (WHR), maximal oxygen consumption (VO
2
max), maximal heart
rate(HRmax), resting heart rate(RHR), Borg ratings of perceived exertion
(RPE), rate pressure product (RPP), and maximal exercise time (ETmax).
Results:
After 8 weeks, the cardiac rehabilitation group showed statis-
tically significant improvements in physical function (PF), role physical
(RP), bodily pain (BP), vitality (VT), social functioning (SF), role emotional
(RE), mental health (MH), and mental component summary (MCS).
Compared to control group, patient group showed significantly low scores
on all summary scores and subdomains, except general health (GH), at the
initial assessment. However at 8 weeks, PF, BP, VT, MH, MCS, and Physical
Component Summary (PCS) showed no significant difference between the
two groups. In secondary outcomes, BMI, WHR, RHR, VO
2
max, MET,
ETmax, stage 3 RPE, MaxRPE, and stage 3 RPP showed improvements.
Conclusions:
Patients with coronary artery disease benefit greatly in
QOL and physical function from cardiac rehabilitation. Despite notice-
able improvement in patients’ physical function, mental component of
QOL showed more improvement than physical component.
Level of Evidence:
Level III
Poster 13:
Can Rehabilitation After Acute Myocardial Infarction
Delay the Onset of Depressive and Anxiety Disorder?
A Retrospective Cohort Study Based on a Nationwide
Population-Based Database
Sheng-Chun Kung, MD (Chi Mei Medical Center, Tainan, Taiwan,
Province of China), Wen-Chin Lin, MD, Kuo-Shu Yuan, PhD, Willy Chou,
MD
Disclosures:
Sheng-Chun Kung: I Have No Relevant Financial Re-
lationships To Disclose
Objective:
To investigate whether cardiac rehabilitation for patients
with acute myocardial infarction (AMI) delay the onset of anxiety or
depressive disorder.
Design:
Retrospective cohort study.
Setting:
We retrieved data from 1997 to 2011 using National Health In-
surance Research Database. The database included the data of onemillion
individuals and the coverage rate is as high as 99% of Taiwan’s population.
Participants:
Patients who were newly diagnosed with AMI from 1997
to 2011 were recruited. Then patients who received cardiac rehabili-
tation in 30 days after AMI were selected (n
¼
272). Patients without
rehabilitation were matched with the patients with rehabilitation
according to sex and age at a ratio of 1 to 5 (n
¼
1360).
Interventions:
Not applicable.
Main Outcome Measures:
The incidence and onset time of anxiety or
depressive disorder for 3 years after the AMI.
Results:
The Charlson Comorbidity Index score revealed no significant
difference between these two groups (p
¼
.29). So the disease severity
of these 2 groups were the same. There was no difference in the
incidence of anxiety or depressive disorders (Rehabilitation group:
5.15% vs without rehabilitation group: 5.66%, p
¼
.74). However,
regarding the time from an AMI attack to new onset of anxiety or
depressive disorder, the time of the rehabilitation group was signifi-
cantly longer (1.13 1.06 vs 0.52 0.63 years, p
¼
.0062).
Conclusions:
Cardiac rehabilitation can not reduce the incidence of
anxiety or depressive disorders after AMI, but it can significantly delay
the onset time of anxiety or depressive disorder after AMI attack.
Level of Evidence:
Level III
S145
Abstracts / PM R 9 (2017) S131-S290