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https://www.readbyqxmd.com/read/28214161/human-factors-related-to-time-dependent-infection-control-measures-scrub-the-hub-for-venous-catheters-and-feeding-tubes
#1
Lindsay Caspari, Elizabeth Epstein, Amy Blackman, Li Jin, David A Kaufman
BACKGROUND: The use of catheter hub decontamination protocols is a common practice to reduce central line-associated bloodstream infections. However, few data exist on the most effective disinfection procedure prior to hub access accounting for human factors and time-dependent practices in real time in the clinical setting. METHODS: An observational design with a multimodal intervention was used in this study in a neonatal intensive care unit. Direct observations on nurse compliance of scrub times with decontamination when accessing of venous catheter and feeding tube hubs were conducted during 3 phases: (1) baseline period prior to any interventions; (2) during an educational intervention phase; and (3) during a timer intervention period when using a timing device, either an actual timer or music button...
February 15, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28207655/internally-randomized-control-trial-of-radiation-exposure-using-ultra-low-radiation-imaging-versus-traditional-c-arm-fluoroscopy-for-patients-undergoing-single-level-minimally-invasive-transforaminal-lumbar-interbody-fusion
#2
Timothy Y Wang, S Harrison Farber, Scott S Perkins, Adam G Back, Sarah A Byrd, Debbie Chi, David Vincent, Isaac O Karikari
STUDY DESIGN: Randomized controlled trial. OBJECTIVE: To compare radiation exposure between ultra-low radiation imaging (ULRI) with image enhancement and standard-dose fluoroscopy for patients undergoing minimally invasive transforaminal lumbar interbody fusion (MIS TLIF). SUMMARY OF BACKGROUND DATA: Although the benefits of MIS are lauded by many, there is a significant amount of radiation exposure to surgeon and operating room personnel...
February 15, 2017: Spine
https://www.readbyqxmd.com/read/28202789/use-of-multiplex-real-time-pcr-to-diagnose-scrub-typhus
#3
Wiwit Tantibhedhyangkul, Ekkarat Wongsawat, Saowaluk Silpasakorn, Duangdao Waywa, Nuttawut Saenyasiri, Jintapa Suesuay, Wilawan Thipmontree, Yupin Suputtamongkol
Scrub typhus, caused by Orientia tsutsugamushi, is a common cause of acute undifferentiated febrile illness in the Asia--Pacific region. However, its non-specific clinical manifestation often prevents early diagnosis. We propose the use of PCR and serologic tests as diagnostic tools. Here, we developed a multiplex real-time PCR assay using hydrolysis (Taqman) probes targeting O. tsutsugamushi47-kDa, groEL, and human IFNB genes to improve early diagnosis of scrub typhus. The amplification efficiency was higher than 94%, and the lower detection limit was 10 copies per reaction...
February 15, 2017: Journal of Clinical Microbiology
https://www.readbyqxmd.com/read/28202191/effect-of-music-on-surgical-hand-disinfection-a-video-based-intervention-study
#4
N Gautschi, J Marschall, D Candinas, V M Banz
Surgical hand disinfection (SHD) is likely to be influenced by various factors. The aim of this study was to evaluate the effect of listening to music on the duration of SHD. In total, 236 SHD procedures were recorded on video. The duration of SHD exceeded 2min in both the intervention group and the control group, with background music unable to achieve an increase in the time spent scrubbing. However, listening to music reduced the proportion of very short scrub times (<90s) from 17% to 9% (P=0.07). The following four factors increased mean scrub time significantly: female sex; lower staff seniority; scrubbing hands in groups; and use of a stopwatch...
January 19, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28195095/molecular-detection-of-orientia-tsutsugamushi-from-suspected-scrub-typhus-cases
#5
Seethalakshmi Srinivasan, Thangam Menon
CONTEXT: Scrub typhus is an acute febrile illness caused by Orientia tsutsugamushi. The disease is under-diagnosed in India, because of low index of suspicion and also due to its nonspecific presentation, and lack of confirmatory diagnostic tests. AIMS: This study was undertaken to diagnose scrub typhus in patients with undifferentiated fevers by serology and molecular methods. MATERIALS AND METHODS: A total of 68 blood samples were collected from patients clinically suspected to have scrub typhus...
January 2017: Indian Journal of Pathology & Microbiology
https://www.readbyqxmd.com/read/28193163/prevalence-and-clinical-presentation-of-rickettsia-coxiella-leptospira-bartonella-and-chikungunya-virus-infections-among-hospital-based-febrile-patients-from-december-2008-to-november-2009-in-bangladesh
#6
Labib Imran Faruque, Rashid Uz Zaman, Emily S Gurley, Robert F Massung, A S M Alamgir, Renee L Galloway, Ann M Powers, Ying Bai, Michael Kosoy, William L Nicholson, Mahmudur Rahman, Stephen P Luby
BACKGROUND: We conducted a study to identify Rickettsia, Coxiella, Leptospira, Bartonella, and Chikungunya virus infections among febrile patients presenting at hospitals in Bangladesh. METHODS: We collected blood samples from patients at six tertiary hospitals from December 2008 to November 2009 and performed laboratory tests at the United States Centers for Disease Control and Prevention (CDC). RESULTS: Out of 720 enrolled patients, 263 (37%) were infected with Rickettsia; 132 patients had immunofluorescence antibody titer >64 against spotted fever, 63 patients against scrub typhus fever and 10 patients against typhus fever...
February 13, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28187677/-i-lluciapomaresius-i-i-nisae-i-a-new-species-of-ephippigerini-orthoptera-%C3%A2-tettigoniidae-bradyporinae-from-the-northeast-of-the-iberian-peninsula
#7
Josep Maria Olmo-Vidal
A new species of the genus Lluciapomaresius Barat, 2012 is described from Serra de Llaberia in Catalonia (in the northeast of Iberian Peninsula). Lluciapomaresius nisae n. sp. was collected in a Mediterranean pine forest dominated by European black pine (Pinus nigra) and secondarily by Calcicolous rosemary scrub. L. nisae is compared to L. panteli (Navàs, 1899) from which it can be separated mainly by the shape of the male cerci, the titillators and the male calling song. Also in the females by the protuberances at the base of the ventral valves of the ovipositor...
January 16, 2017: Zootaxa
https://www.readbyqxmd.com/read/28185210/a-multi-criteria-approach-to-identify-favorable-areas-for-goat-production-systems-in-veracruz-m%C3%A3-xico
#8
Emmanuel de Jesús Ramírez-Rivera, Jose Lopez-Collado, Pablo Díaz-Rivera, Eusebio Ortega-Jiménez, Glafiro Torres-Hernández, Jazmín Jacinto-Padilla, Erasmo Herman-Lara
This research identifies favorable areas for goat production systems in the state of Veracruz, Mexico. Through the use of the analytic hierarchy process, layers of biophysical and soil information were combined to generate a model of favorability. Model validation was performed by calculating the area under the curve, the true skill statistic, and a qualitative comparison with census records. The results showed the existence of regions with high (4494.3 km(2)) and moderate (2985.8 km(2)) favorability, and these areas correspond to 6...
February 9, 2017: Tropical Animal Health and Production
https://www.readbyqxmd.com/read/28183072/alternative-therapies-for-excoriation-skin-picking-disorder-a-brief-update
#9
Julio Torales, Iván Barrios, Jorge Villalba
Context • Excoriation (skin picking) disorder is characterized by the need or urge to pick, scratch, pinch, touch, rub, scrub, squeeze, bite, or dig the skin, and it can be a perplexing condition for the inexperienced physician. Treatments include pharmacotherapy, psychotherapy, and alternative therapies. Alternative therapies for excoriation disorder and other body-focused repetitive behaviors include yoga, aerobic exercise, acupuncture, biofeedback, hypnosis, and inositol and N-acetylcysteine, among others...
January 2017: Advances in Mind-body Medicine
https://www.readbyqxmd.com/read/28182065/comparative-evaluation-of-canal-cleaning-ability-of-various-rotary-endodontic-filesin-apical-third-a-scanning-electron-microscopic-study
#10
Ganesh Ranganath Jadhav, Priya Mittal, Anish Kulkarni, Shibli Syed, Ravikiran Bagul, Saina Elahi, Dheeraj Kalra
BACKGROUND: The purpose of this study was to evaluate the canal cleaning ability of three novel endodontic rotary instruments and compare with ProTaper files as a control in apical third of root canals under scanning electron microscopy (SEM). MATERIALS AND METHODS: Eighty freshly extracted mandibular premolars were selected according to inclusion criteria. Buccal cusp tips were ground to ensure having a flat coronal reference point with a total tooth length of 16 mm for all samples...
November 2016: Dental Research Journal
https://www.readbyqxmd.com/read/28179621/implementation-of-concurrent-electrolytic-generation-of-two-homogeneous-mediators-under-widened-potential-conditions-to-facilitate-removal-of-air-pollutants
#11
Muthuraman Govindan, Alan M Bond, Il-Shik Moon
Electro-scrubbing is being developed as a futuristic technology for the removal of air-pollutants. To date, only one homogeneous mediator for the removal of air pollutants has been generated in each experiment using a divided electrolytic flow cell in an acidic medium. This paper reports the concurrent generation of two homogenous mediators, one at the anodic half-cell containing an acidic solution and the other at the cathodic half-cell containing a basic solution. The concept was inspired by the change in pH that occurs during water electrolysis in a divided cell...
December 2017: Scientific Reports
https://www.readbyqxmd.com/read/28173608/prevalence-and-risk-factors-for-scrub-typhus-in-south-india
#12
Paul Trowbridge, P Divya, Prasanna S Premkumar, George M Varghese
OBJECTIVE: To determine the prevalence and risk factors of scub typhus in Tamil Nadu, South India. METHODS: We performed a clustered seroprevalence study of the areas around Vellore. All participants completed a risk factor survey, with seropositive and seronegative participants acting as cases and controls, respectively, in a risk factor analysis. After univariate analysis, variables found to be significant underwent multivariate analysis. RESULTS: Of 721 people participating in this study, 31...
February 7, 2017: Tropical Medicine & International Health: TM & IH
https://www.readbyqxmd.com/read/28163786/changes-in-safety-climate-and-teamwork-in-the-operating-room-after-implementation-of-a-revised-who-checklist-a-prospective-interventional-study
#13
Sofia Erestam, Eva Haglind, David Bock, Annette Erichsen Andersson, Eva Angenete
BACKGROUND: Inter-professional teamwork in the operating room is important for patient safety. The World Health Organization (WHO) checklist was introduced to improve intraoperative teamwork. The aim of this study was to evaluate the safety climate in a Swedish operating room setting before and after an intervention, using a revised version of the WHO checklist to improve teamwork. METHODS: This study is a single center prospective interventional study. Participants were personnel working in operating room teams including surgeons, anesthesiologists, scrub nurses, nurse anaesthetists and nurse assistants...
2017: Patient Safety in Surgery
https://www.readbyqxmd.com/read/28149037/acute-respiratory-failure-in-scrub-typhus-patients
#14
Pradeep Marur Venkategowda, S Manimala Rao
No abstract text is available yet for this article.
December 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28144059/epidemiological-profile-of-acute-respiratory-distress-syndrome-patients-a-tertiary-care-experience
#15
Rahul Magazine, Shobitha Rao, Bharti Chogtu, Ramkumar Venkateswaran, Hameed Aboobackar Shahul, Umesh Goneppanavar
BACKGROUND: Acute respiratory distress syndrome (ARDS) is seen in critically ill patients. Its etiological spectrum in India is expected to be different from that seen in western countries due to the high prevalence of tropical infections. AIM: To study the epidemiological profile of ARDS patients. SETTING: A tertiary care hospital in Karnataka, India. MATERIALS AND METHODS: Retrospective analysis of 150 out of the 169 ARDS patients diagnosed during 2010-2012...
January 2017: Lung India: Official Organ of Indian Chest Society
https://www.readbyqxmd.com/read/28143804/pediatric-residents-perceptions-of-potential-professionalism-violations-on-social-media-a-us-national-survey
#16
Rachel Dawkins, William D King, Beatrice Boateng, Michele Nichols, Bonnie C Desselle
BACKGROUND: The ubiquitous use of social media by physicians poses professionalism challenges. Regulatory bodies have disseminated guidelines related to physicians' use of social media. OBJECTIVE: This study had 2 objectives: (1) to understand what pediatric residents view as appropriate social media postings, and (2) to recognize the degree to which these residents are exposed to postings that violate social media professionalism guidelines. METHODS: We distributed an electronic survey to pediatric residents across the United States...
January 31, 2017: JMIR Medical Education
https://www.readbyqxmd.com/read/28122687/retrospective-survey-of-severe-fever-with-thrombocytopenia-syndrome-in-patients-with-suspected-rickettsiosis-in-japan
#17
Masaaki Satoh, Shintaro Akashi, Motohiko Ogawa, Takatoshi Wakeyama, Hiroshi Ogawa, Aiko Fukuma, Satoshi Taniguchi, Hideki Tani, Takeshi Kurosu, Shuetsu Fukushi, Masayuki Shimojima, Shuji Ando, Masayuki Saijo
Severe fever with thrombocytopenia syndrome (SFTS) is an emerging tick-borne infectious disease caused by the SFTS virus (SFTSV). The aim of this study was to clarify whether SFTS is potentially mis-diagnosed as rickettsioses, including spotted fever, typhus fever, and scrub typhus, which are also tick-borne disease. A total of 464 serum samples collected from 222 patients with clinically suspected rickettsiosis between 1999 and 2012 were tested for antibodies against the SFTSV. Of the 464 serum samples, one was positive for antibodies against the virus in an enzyme-linked immunosorbent assay and indirect immunofluorescence assay...
January 2017: Journal of Infection and Chemotherapy: Official Journal of the Japan Society of Chemotherapy
https://www.readbyqxmd.com/read/28121034/alternatives-to-antibiotics-for-prevention-of-surgical-infection
#18
REVIEW
I B M Ploegmakers, S W M Olde Damink, S O Breukink
BACKGROUND: Surgical-site infection (SSI) is still the second most common healthcare-associated infection, after respiratory tract infection. SSIs are associated with higher morbidity and mortality rates, and result in enormous healthcare costs. In the past decade, several guidelines have been developed that aim to reduce the incidence of SSI. Unfortunately, there is no consensus amongst the guidelines, and some are already outdated. This review discusses the recent literature regarding alternatives to antibiotics for prevention of SSI...
January 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/28115665/successfully-managed-acute-transverse-myelitis-related-to-scrub-typhus-and-serial-image-findings
#19
Jae Sung Yun, Ji Soo Song, Eun Jung Choi, Jeong-Hwan Hwang, Chang-Seop Lee, Eun Hae Park
Central nervous system involvement manifesting as meningitis or meningoencephalitis is a known complication of scrub typhus, but very few spinal cord lesions such as acute transverse myelitis (ATM) have been reported in association with this disease. Scrub typhus patients with a spinal lesion present with neurologic symptoms including dysuria, motor, and sensory weakness. Herein, we describe a rare case of ATM associated with scrub typhus. Clinical characteristics, cerebrospinal fluid cytology, Orientia tsutsugamushi serum antibody titer, and serial magnetic resonance imaging scans resulted in a diagnosis of ATM associated with scrub typhus...
January 23, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28106651/evaluating-the-impact-of-intraoperative-surgical-team-handoffs-on-patient-outcomes
#20
Lauren E Giugale, Sarah Sears, Erin S Lavelle, Charelle M Carter-Brooks, Michael Bonidie, Jonathan P Shepherd
OBJECTIVE: The aim of the study was to assess the impact of intraoperative personnel handoffs on clinical outcomes in patients undergoing minimally invasive sacrocolpopexy (SCP). METHODS: We retrospectively reviewed SCPs performed at an academic center between 2009 and 2014. We analyzed the number of staff handoffs, defined as any instance a scrub technician (tech) or circulating nurse handed off responsibility for a break or shift change. Outcomes included operative (OR) time and composite variables for major complications (conversion to an open procedure, bladder injury, bowel injury, blood transfusion, infection, ileus, bowel obstruction, readmission, or mesh complication) and prolapse recurrence (prolapse at or beyond the hymen or retreatment)...
January 18, 2017: Female Pelvic Medicine & Reconstructive Surgery
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