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T S Moores, S A Khan, B D Chatterton, G Harvey, S C Lewthwaite
BACKGROUND: Infection occurs in 2-4% of arthroplasty cases, identifying potential sources of infection can help to reduce infection rates. The aim of this study was to identify the impact and potential for contamination of our hands and gowns whilst scrubbing using sterile surgical helmet systems (SSHS). METHOD: A colony-forming unit (CFU) is a pathogenic particle of 0.5 to 5 micrometres. A standard arthroplasty hood and a SSHS with and without the fan on for a 3-minute exposure to represent scrubbing time, were tested on 3 subjects and a mannequin with concurrent particle counts and culture plates...
June 13, 2018: Journal of Hospital Infection
Tamara Kruse, Trevor Zachariah, Rita McManamon
An adult, wild-caught, female Florida scrub jay ( Aphelocoma coerulescens) was evaluated because of an observable mass on the ventral neck. Initial physical examination and diagnostic tests were performed, which revealed a subcutaneous mass. Surgical removal of the mass was attempted, but the bird died during surgery. Results of necropsy and histopathologic evaluation identified the mass as thymic lymphoma with proventricular metastasis. Immunohistochemical staining revealed strong cytoplasmic immunoreactivity for CD3 in the thymic mass and within the predominant lymphoid population in the serosal proventricular masses, which confirmed metastasis of T-cell lymphoma...
June 2018: Journal of Avian Medicine and Surgery
M D Behera, A K Gupta, S K Barik, P Das, R M Panda
With the availability of satellite data from free data domain, remote sensing has increasingly become a fast-hand tool for monitoring of land and water resources development activities with minimal cost and time. Here, we verified construction of check dams and implementation of plantation activities in two districts of Tripura state using Landsat and Sentinel-2 images for the years 2008 and 2016-2017, respectively. We applied spectral reflectance curves and index-based proxies to quantify these activities for two time periods...
June 15, 2018: Environmental Monitoring and Assessment
Eleanor J Radford, Theo Fotis
Operating theatre scrub nurses (OTSNs) are not required to have undertaken a secondary or specialist post-registration theatre qualification to work in the operating theatre (OT) setting in the UK. From the systematic review there is only very limited literature or research in how technical scrub skills are acquired. This study explores the lived experiences of OTSNs learning technical scrub skills. The study employed the qualitative methodology of interpretative phenomenological analysis. Data was collected from six participating OTSNs using semi-structured interviews...
January 1, 2018: Journal of Perioperative Practice
Gillian Warner-Søderholm, Andy Bertsch, Annika Søderholm
This article contains data collected from self-report surveys of respondents to measure 1) social media usage, 2) age, 3) gender and 4) trust, measured within five major trust constructs of a) Integrity, b) Competence, c) Concern, d) Benevolence and e) Identification. The data includes all instruments used, SPSS syntax, the raw survey data and descriptive statistics from the analyses. Raw data was entered into SPSS software and scrubbed using appropriate techniques in order to prepare the data for analysis...
June 2018: Data in Brief
Noushka Reiter, Ann C Lawrie, Celeste C Linde
Background and Aims : An understanding of mycorrhizal variation, orchid seed germination temperature and the effect of co-occurring plant species could be critical for optimizing conservation translocations of endangered plants with specialized mycorrhizal associations. Methods: Focusing on the orchid Thelymitra epipactoides, we isolated mycorrhizal fungi from ten plants within each of three sites; Shallow Sands Woodland (SSW), Damp Heathland (DH) and Coastal Heathland Scrub (CHS)...
June 12, 2018: Annals of Botany
H Y Cai, X Y Chen, J Hong
Objective: To explore the clinical significance of ocular surface bacteria inhibition by cleaning eyelid margins before surgery in cataract patients. Methods: Case-control study. Thirty-five patients (45 eyes) with age-related cataracts who were proposed to receive treatment of Phacoemulsification combined with cataract extraction and intraocular lens implantation at Peking University 3(rd) hospital were included. The experimental group consisted of 9 males and 15 females with the average age of (69.8±11.5)...
June 11, 2018: [Zhonghua Yan Ke za Zhi] Chinese Journal of Ophthalmology
Karen Slater, Fiona Fullerton, Marie Cooke, Simone Snell, Claire M Rickard
Allowing needleless connectors (NCs) on vascular catheters adequate drying time after cleaning with antiseptic is essential. Drying time instructions on antiseptic pads/wipes relate to skin use, not inanimate objects. Needleless connector drying times after a 15-second scrub with isopropyl-alcohol, isopropyl-alcohol/chlorhexidine, or povidone-iodine varied from 5 seconds to >6 minutes.
June 5, 2018: American Journal of Infection Control
Jessica K Wong, Lara C Chambers, Elizabeth J Elsmo, Tiffany L Jenkins, Elizabeth W Howerth, Susan Sánchez, Kaori Sakamoto
Isolates of the Burkholderia cepacia complex (BCC) are known as plant and human pathogens. We describe herein BCC infections as the cause of subcutaneous abscesses and purulent cellulitis in 5 cats. All cats were presented with an open wound, and 4 received standard wound care and empiric antibiotic therapy. Despite treatment, clinical signs worsened in 4 cats. Isolates of the BCC were obtained from all 5 cases. Two cats were submitted for postmortem examination. Subcutaneous abscesses with draining fistulas were observed...
June 1, 2018: Journal of Veterinary Diagnostic Investigation
Elizabeth M Batty, Suwittra Chaemchuen, Stuart Blacksell, Allen Richards, Daniel Paris, Rory Bowden, Caroline Chan, Ramkumar Lachumanan, Nicholas Day, Peter Donnelly, Swaine Chen, Jeanne Salje
BACKGROUND: Orientia tsutsugamushi is a clinically important but neglected obligate intracellular bacterial pathogen of the Rickettsiaceae family that causes the potentially life-threatening human disease scrub typhus. In contrast to the genome reduction seen in many obligate intracellular bacteria, early genetic studies of Orientia have revealed one of the most repetitive bacterial genomes sequenced to date. The dramatic expansion of mobile elements has hampered efforts to generate complete genome sequences using short read sequencing methodologies, and consequently there have been few studies of the comparative genomics of this neglected species...
June 6, 2018: PLoS Neglected Tropical Diseases
Dong Ho Jo, Tae Yang Yu, Young Jun Kim, Jae Hoon Lee
We report a case of a patient with scrub typhus who presented with diabetic ketoacidosis (DKA). The patient initially manifested with DKA, and was diagnosed with acute scrub typhus after evaluation the precipitating factors of DKA. No other complications of scrub typhus were noted. This case report suggests that acute scrub typhus should be considered as a precipitating factor of DKA, especially during the endemic season.
2018: IDCases
Dong-Seob Kim, Dilaram Acharya, Kwan Lee, Seok-Ju Yoo, Ji-Hyuk Park, Hyun-Sul Lim
This study aimed to examine the awareness and the work-related factors associated with scrub typhus to provide data essential for evidence-based preventive strategies. A community-based case control study was carried out in the rural areas of Gyeongsangbuk-do, South Korea. Confirmed cases of scrub typhus ( n = 57) were based on laboratory tests performed by the Korean Centers for Disease Control and Prevention (KCDC), 114 matched neighborhood controls, age (±6 years), gender and area of residence in the Gyeongsangbuk-do of South Korea...
June 1, 2018: International Journal of Environmental Research and Public Health
Marko Tomov, Nathan Wanderman, Elie Berbari, Bradford Currier, Michael Yaszemski, Ahmad Nassr, Paul Huddleston, Mohamad Bydon, Brett Freedman
BACKGROUND CONTEXT: Surgical site infections (SSI) following spine surgery are debilitating complications to patients and costly to the healthcare system. PURPOSE: Review the impact and cost effectiveness of five SSI prevention interventions on SSI rates in an orthopaedic spine surgery practice at a major quaternary healthcare system over a 10-year period. STUDY DESIGN: Retrospective observational study. PATIENT SAMPLE: All of the surgical patients of five spine surgeons in our department over a 10-year period were included in this study...
June 1, 2018: Spine Journal: Official Journal of the North American Spine Society
Pia U Olafson, Donald B Thomas, Melinda A May, Beverly G Buckmeier, Roberta A Duhaime
Nilgai ( Boselaphus tragocamelus) are nonnative bovines that were originally introduced as game animals to one large, South Texas ranch but that are now present throughout southeastern Texas from Baffin Bay to Harlingen and in northern Mexico at least as far west as Durango. Between October 2014 and January 2017, nilgai ( n=517) were examined for the presence of tick ectoparasites, with particular interest in the cattle fever tick, Rhipicephalus ( Boophilus) microplus. These animals were either hunter killed or they were culled as part of federal cooperative harvesting from Cameron and Willacy counties in southeastern Texas...
June 4, 2018: Journal of Wildlife Diseases
Derek Ballas, Megan Cesta, G Dante Roulette, Margaret Rusnak, Rami Ahmed
The following is a training platform to allow robotic surgeons to develop the skills necessary to lead an interprofessional team in emergency undocking of a robotic system. In traditional robotic training for surgeons, a brief web based overview of performing an emergency undocking is provided during initial introductory training to the robotics system. During such a process, there is no training in delineation of interdisciplinary roles for operating room (OR) personnel. The training presented here uses formative simulation and debriefing followed by a lecture...
May 20, 2018: Journal of Visualized Experiments: JoVE
Petra De Block, Franck Rakotonasolo, Salvator Ntore, Sylvain G Razafimandimbison, Steven Janssens
The taxonomic positions and phylogenetic relationships of six Pavetteae species endemic to Madagascar were tested with a phylogenetic study of the Afro-Madagascan representatives of the tribe Pavetteae based on sequence data from six markers rps16 , trnT-F , petD , accD - psa1 , PI and ITS. The six species were resolved into four well-supported and morphologically distinct clades which we here formally recognise at generic level. The new genera are the monospecific Exallosperma and Pseudocoptosperma , each with a single species, and Helictosperma and Tulearia , each with two species...
2018: PhytoKeys
Tri Wangrangsimakul, Thomas Althaus, Mavuto Mukaka, Pacharee Kantipong, Vanaporn Wuthiekanun, Wirongrong Chierakul, Stuart D Blacksell, Nicholas P Day, Achara Laongnualpanich, Daniel H Paris
BACKGROUND: Tropical infectious diseases like dengue, scrub typhus, murine typhus, leptospirosis, and enteric fever continue to contribute substantially to the febrile disease burden throughout Southeast Asia while malaria is declining. Recently, there has been increasing focus on biomarkers (i.e. C-reactive protein (CRP) and procalcitonin) in delineating bacterial from viral infections. METHODOLOGY/PRINCIPAL FINDINGS: A prospective observational study was performed to investigate the causes of acute undifferentiated fever (AUF) in adults admitted to Chiangrai Prachanukroh hospital, northern Thailand, which included an evaluation of CRP and procalcitonin as diagnostic tools...
May 2018: PLoS Neglected Tropical Diseases
Min Seok Kang, Yeong Ryung Lee, Jin Ho Hwang, Eun Taek Jeong, In Seok Son, Suk Ha Lee, Tae Hoon Kim
Lumbar fusion surgery was known to pose a greater risk of surgical glove perforation. However, there has been no study on the glove perforation that can transmit the blood-borne disease to the patient and surgical staff members in the posterior lumbar interbody fusion surgery (PLIFs).We performed a cross-sectional study to investigate the glove perforation during the PLIFs. The study included 37 consecutive patients (10 males and 27 females). All used gloves of surgical staff members, which included the surgeon, assistant surgeons, bone trimmer (who performed local bone trimming and interbody cage preparation), and scrub nurse were collected and were performed to the pinhole water infusion test...
June 2018: Medicine (Baltimore)
Kris K Carter, Ingrid Lundgren, Sarah Correll, Tom Schmalz, Tammie McCarter, Joshua Stroud, Amanda Bruesch, Christine G Hahn
Background: Mycobacterium abscessus, an emerging pathogen in healthcare settings, has rarely been associated with community outbreaks. During February-May 2013, Idaho public health officials and pediatric infectious disease physicians investigated an outbreak of M abscessus skin infections in children whose only common exposure was an indoor wading pool. Methods: Healthcare providers and parents reported possible M abscessus cases. We used a standardized questionnaire to interview parents of affected children...
May 29, 2018: Journal of the Pediatric Infectious Diseases Society
Christopher M Petrilli, Sanjay Saint, Joseph J Jennings, Andrew Caruso, Latoya Kuhn, Ashley Snyder, Vineet Chopra
OBJECTIVE: Several large studies have shown that improving the patient experience is associated with higher reported patient satisfaction, increased adherence to treatment and clinical outcomes. Whether physician attire can affect the patient experience-and how this influences satisfaction-is unknown. Therefore, we performed a national, cross-sectional study to examine patient perceptions, expectations and preferences regarding physicians dress. SETTING: 10 academic hospitals in the USA...
May 29, 2018: BMJ Open
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