Category Archives: vdrfhneioizc

Stewardship / Resistance Scan for Jul 24, 2017

first_imgStudy estimates $800,000 cost of an NDM-1 hospital outbreakA new study in Emerging Infectious Diseases describes the physical and financial burden of a nosocomial outbreak caused by New Delhi metallo (NDM) beta-lactamase–containing Klebsiella pneumoniae.The 2015 outbreak, which occurred at a tertiary teaching hospital in the Netherlands from Oct 1 to Dec 30, began when NDM-1–producing extended-spectrum beta lactamase (ESBL)-positive K pneumoniae bacteria were cultured and isolated from a patient in the surgical ward. Following that discovery, screening cultures of long-term admitted surgical patients revealed 2 more patients with NDM-producing K pneumoniae, and contact tracing and weekly screening rounds of all hospital patients revealed additional NDM carriers. A total of 29 patients were affected.An assessment of outbreak-related expenses estimated the total costs of the 3-month outbreak at $804,263, corresponding to a cost of $27,770 per patient. The loss of revenue was mainly attributed to closure of beds during the outbreak. Other cost drivers were diagnostic tests and personnel time spent by laboratory employees and infection prevention experts.”As shown in this study, the expansion of multidrug-resistant, gram-negative bacteria is of great concern; these bacteria both threaten patient safety and increase healthcare costs,” the study authors write. “The intensive outbreak control measures of the hospital were costly and inconvenient for patients and staff.”The authors say that in countries where NDM-positive K pneumoniae is not endemic, early detection of colonized patients and adequate infection control strategies will be important factors in minimizing the spread of the multidrug-resistant bacteria.Jul 21 Emerg Infect Dis dispatch ASP associated with reduced mortality in patients treated with vancomycinMortality in older patients treated with vancomycin decreased by 7.1% after an antimicrobial stewardship program (ASP) was implemented, researchers at a Veteran Affairs hospital report in the American Journal of Infection Control.In the retrospective quasi-experimental study, researchers at the Veterans Affairs Western New York Healthcare System in Buffalo, New York, aimed to evaluate the impact of an ASP on 30-day mortality rates in patients treated with intravenous (IV) vancomycin, which is the drug of choice for infections caused by methicillin-resistant Staphylococcus aureus but has been associated with nephrotoxicity. ASP interventions consisted of prospective audit and feedback, including appropriate antibiotic selection and dosing, microbiology, and duration of treatment. A secondary outcome was to determine risk factors for mortality associated with vancomycin.Overall, 453 patients were treated with a minimum of 48 hours of IV vancomycin therapy during the study period—226 in the pre-ASP period (Oct 1, 2006 through Jul 31, 2008) and 227 during the ASP period (Aug 1, 2011 through Jul 31, 2014). Clinicians using the ASP made on average about four vancomycin recommendations per patient. Deaths occurred in 56 patients (12.4%), with 36 (64.3%) occurring during the pre-ASP period and 20 during the ASP period (P =.02). Patients in the ASP group also had less nephrotoxicity than those in the pre-ASP group (17 vs 31 patients).Increased mortality was associated with pre-ASP years (odds ratio [OR]. 2.17), older age (OR, 1.08), nephroxicity (OR, 3.24), and hypotension (OR, 3.28). Treatment in the intensive care unit was also associated with higher mortality.”Our prospective audit and feedback system was associated with improved mortality in an older population with a mean age of 68 years,” the study authors write. “The process of comprehensive patient review, including culture data and imaging and close monitoring of any changes in renal function, may be necessary for the elderly patient beyond computerized support software to achieve improved rates of morality.”Jul 21 Am J Infect Control study US data show increases in Campylobacter cases, outbreaks, resistanceThe number of US Campylobacter outbreaks has doubled in recent years, and isolates have proved increasingly antibiotic resistant, according to a study last week in Clinical Infectious Diseases.The researchers analyzed data on more than 300,000 Campylobacter infections from 2004 through 2012. The average annual incidence rate (IR) was 11.4 cases per 100,000 people, with the rate varying from 3.1 to 47.6 by state. IRs among preschool children were double the overall rate. Overall IRs increased 21%—from 10.5/100,000 in 2004-06 to 12.7/100,000 in 2010-12.Over the study period, 347 Campylobacter outbreaks were reported. The annual median number of outbreaks doubled, from 28 in 2004-06 to 56 in 2010-12.Antimicrobial susceptibility testing of isolates from 4,793 domestic and 1,070 travel-associated cases revealed that ciprofloxacin resistance increased among domestic infections from 12.8% in 2004-09 to 16.1% in 2010-12, a 26% increase.The authors conclude, “These data provide baseline rates for monitoring change now that campylobacteriosis is a nationally notifiable disease,” which occurred in 2015.Jul 20 Clin Infect Dis studylast_img read more

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Linde Nippon Sanso to supply European solar energy company

first_imgGet instant access to must-read content today!To access hundreds of features, subscribe today! At a time when the world is forced to go digital more than ever before just to stay connected, discover the in-depth content our subscribers receive every month by subscribing to gasworld.Don’t just stay connected, stay at the forefront – join gasworld and become a subscriber to access all of our must-read content online from just $270. Subscribelast_img

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3i invests USD161 million in Indian privatised port

first_img3i India Infrastructure Fund, part of the global private equity firm 3i Group, has invested around USD161 million for a minority stake in Krishnapatnam Port Company Ltd (KPCL). KPCL has been awarded a 30-year concession, extendable to 50 years, to develop, operate and maintain Krishnapatnam port, a natural deep water all-weather port with 12 km of quays in the state of Andhra Pradesh. The facility is the first of the Indian state-owned minor ports to be privatised. While predominately a dry bulk operation, managers are anticipating a two million tonne throughput of general and project cargo for the port. Anil Ahuja, head of Asia at 3i, said: “Krishnapatnam Port provides us with an opportunity to invest in a high quality port being developed on the east coast of India. The port is strategically located and is being developed by a highly experienced management team.” The port is connected to the National Highway 5 through a dedicated 25 km road and a single railway line connecting the Chennai-Howrah broad gauge line near Venkatachalam.last_img read more

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‘Rapid review’ urges Welsh government to ‘sell’ separate jurisdiction to lawyers

first_imgThe Welsh government needs to ‘spell out’ what taking control of justice in Cardiff will mean for lawyers in Wales worried about the future of their practices. A separate jurisdiction must be ‘sold’ to practitioners through an ’engagement programme’ setting out how the government intends to ensure lawyers – and legal work – continue to flow freely across the border with England.These are among the recommendations of a ‘rapid review’ of the legal sector in Wales, commissioned by the Welsh government and produced by legal management consultancy Jomati. The Welsh legal profession’s view on a separate jurisdiction is ’highly nuanced’, the review notes, ’but also underpinned by a common concern – essentially: is this going to help, or hinder, my business?’.Law firm leaders, meanwhile, are indifferent and in some cases ’ideologically hostile’ to direct financial help from government, especially where this is perceived to distort the market. Nine Wales firms – including Geldards, Lewis Silkin and NewLaw –  have so far shared a total of £1.8m in grants to create or preserve jobs.’Our research suggests that legal practice leaders either don’t know, or don’t care, about direct financial support offered by the Welsh Government,’ the report adds. ’Given this mindset, we doubt that, in future, it is worth pursuing a strategy of overt financial support to the Welsh legal profession.’#*#*Show Fullscreen*#*# Welsh seneddSource: Philip Silverman/REX/ShutterstockOverall, the report describes a ’mixed picture’. Some segments of the Welsh legal market appear exposed, for reasons including legal aid cuts, the closure of magistrates’ courts, and the sector’s high dependence on the cyclical conveyancing market.The report adds: ’The relatively small size of many Welsh law firms, the aging demographics of the solicitor population, the lack of training contract opportunities and the absence of a notable LegalTech sector all add to the risks facing the Welsh legal market.’On the other hand,’ it adds, ’a range of unconventional legal practices in Wales – such as Admiral Law, CJCH Solicitors and NewLaw – appear to tell a more positive story.’Online legal services could help irrigate the country’s ‘legal advice deserts’, the report adds, but in Wales such services appear ’practically non-existent’. It suggests that the Welsh government could encourage England-based providers to deliver such services with a Welsh-law-only element.The ‘rapid review’ was commissioned in part to inform the work of the Commission on Justice in Wales, which will publish its own report later this month. Commenting, the head of the Law Society’s Wales office, Jonathan Davies said: ’Legal services are an important contributor to the Welsh economy and the government’s research provides some interesting insights into the Welsh legal sector. We look forward to working with the Commission on Justice to continue to strengthen Wales’ vibrant legal sector and drive better and more focused collaboration between the different parts of the legal community.’last_img read more

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Caribbean again urged to be prepared for “big one”

first_imgPORT OF SPAIN, Trinidad, CMC – The head of the seismic Research Center (SRC) at the St. Augustine campus of the University of the West Indies (UWI), Dr. Joan Lutchman, is reiterating calls for the region to be prepared for a major earthquake as several parts of the Caribbean are jolted by earth tremors.Over the weekend, the SRC said that a burst of 54 earthquakes occurred north of St. Kitts during a 21-hour period. The biggest had a magnitude of 4.1.It said that the 54 earthquakes were in the magnitude range of 1.2 to 4.1, the SRC said, adding “there have been no felt reports thus far”.The SRC reported that a quake measuring 3.8 was recorded Sunday night and was felt 104 kilometers (km) east of Fort-de-France, in Martinique, 117 km north east of Castries in St. Lucia and 155 km south east of Roseau, Dominica.It said it was located Latitude: 14.67N, Longitude: 60.14W and at a depth of 10 kmSpeaking on a radio program here Monday, Lutchman, who has for months now been warning that the Caribbean is long overdue a “big one”, said that several tremors have since been recorded following the weekend activities.“At this time, we have had magnitude 4.1 associated with our magnitude events. So, it could simply be a main shock with some aftershocks.“These events are shallow, we had an additional 12 earthquakes over the weekend. Overnight through Saturday and into Sunday morning, I imagine there were even fewer which is what you expect when you have a subsiding sequence,” she told radio listeners.The seismologist said that for shallow events ‘we tend to have more associated aftershocks than you have for deeper events”.She said the 6.9 magnitude earthquake that hit Trinidad and Tobago on August 21 this year, ”which was semi-deep and the aftershocks were not that many.”But she warned that the region should take the signs “very seriously” and predicts a “big one is coming, and it is better to be prepared”.The last major earthquake to hit the Caribbean occurred in Haiti in 2010 when the magnitude 7.0 quake destroyed several buildings and killed an estimated 200,000 people.last_img read more

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Caribbean-American Heritage Month Celebrations happening in Miramar

first_imgMIRAMAR – The City of Miramar celebrates Caribbean-American Heritage month with events and festivities throughout the month of June, hosted by Vice Mayor Alexandra P. Davis.There is something for the entire family to enjoy; from indoor events with an exciting movie screening to outdoor concerts and cultural entertainment under the South Florida sun.“Our City is so vibrant and full of life with residents, families and friends from all over the Caribbean nations living, working and playing here,” said Vice Mayor Alexandra P. Davis. “Never before has June been such an exciting month to celebrate. I am glad to be able to support and provide these wonderful events that celebrate not only our community, but the places from which many of our residents migrated.”Celebrate with the City of Miramar and Vice Mayor Alexandra P. Davis at one (or all) of our Caribbean-American Heritage month events below:Caribbean-American Heritage Month CelebrationsSaturday, June 86pm – 10pmShirley Branca Park | 6900 Miramar ParkwayCelebrate with performances by Paola Fernandez, Roger George, Ti Lunet and his band, Kado, and Tafari. Local Caribbean bands, kids zone, food from the islands and more!Welcome Reception (By invitation only)In advance of Caribbean Village FestivalFriday, June 21 | 7pm – 9pmMiramar Cultural Center | Banquet Hall – 2400 Civic Center PlaceSponsors and VIP guests will enjoy music, food, fun and entertainment.Caribbean Village FestivalSunday, June 23 | 1pm – 10pmThe Amphitheater at Miramar Regional Park | 16801 Miramar ParkwayCome for the food, stay for the fun! This family event promises to be an experience you’ll never forget. Enjoy culture, food, cooking demonstrations, a kid’s village, music festival and more!Sprinter: The movie – A Red Carpet Affair!Friday, June 28 | 6pm – 10pmMiramar Cultural Center | Banquet Hall – 2400 Civic Center PlaceEnjoy a Meet & Greet reception with Sprinter film director Storm Saulter starting at 6pm in the Banquet Hall, followed by a screening of the highly praised film, executive produced by Will Smith and Jada Pinkett Smith. *Tickets are first come, first served. Space is limited.last_img read more

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Kenyan lobbyists push for a ban on pesticides

first_imgKenyan Khat Ban Losses Run into Thousands of Dollars As cases of cancer rise in Kenya, agricultural lobby groups have stepped up calls for a ban on pesticides widely used in the East African nation.The lobbyists on Tuesday pushed for an immediate withdrawal of dozens of imported pesticides that contain active ingredients like permethrin, carbendazim and acephate. The chemicals have all been linked to cancer are said to be toxic to human health and the environment.At least 32 percent of pesticide active ingredients that are currently registered and being sold in Kenya, according to Route to Food Initiative (RTFI), Biodiversity and Biosafety Association of Kenya, Kenya Organic Agriculture Network (KOAN) and Resources Oriented Development Initiatives, have been withdrawn from the European market, due to their serious potential impact on human and environmental health.“Our findings show that there are 24 products in the Kenyan market, which are certainly classified as carcinogenic, meaning they have the potential to cause cancer while the same number are mutagenic, meaning these substances have the capacity to cause damaging genetic changes,” Layla Liebetrau, the Project Lead of RTFI, said on Tuesday.She added that other active ingredients in the chemicals have been proven to negatively affect hormones and show clear effects on reproduction.In the last four years, the volumes of pesticides imported into Kenya has risen from 6,400 tonnes in 2015 to 15,600 tonnes in 2018.“Farmers, as well as consumers, are directly exposed to highly toxic pesticides. Withdrawing these products from the market will reduce their availability to farmers and would be an urgent and significant step in trying to reduce the adverse effects pesticides pose to our health and food safety,” said Eustace Kiarii, CEO of the KOAN.According to the Pest Control Products Board, there are 247 active ingredients registered in 699 products for horticultural use in Kenya. However, many of those products have been withdrawn from European, Chinese and Indian markets.The active ingredient glyphosate, found to be carcinogenic, for example, is registered in 39 products by 22 companies.In 2018, Kenya imported 17,803 tonnes of pesticides valued at 12.8 billion shillings (125million U.S. dollars). These pesticides are an assortment of insecticides, fungicides, herbicides, fumigants, rodenticides, growth regulators, defoliators, proteins, surfactants and wetting agents.Cancer is the third leading cause of deaths and second among non-communicable diseases in Kenya, according to the Ministry of Health. Annual new cases stand at 40,000 with mortality estimated at over 32,987.Related Kenyan court rules against injunction to delay plastic bancenter_img Talk Africa: Tanzania’s Plastic bags banlast_img read more

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New L-Band RF Power Amplifier Module for Avionic Systems

first_imgIntegra has released a new RF power amplifier module/pallet – IGNP1011L2400 – designed to solve various size, weight, power, and cost challenges (SWaP-C) in high-performance L-band avionic systems.The IGNP1011L2400 is a high power GaN-on-SiC RF power amplifier module/pallet that has been designed specifically for IFF/SSR systems operating under either Mode S ELM (48x {32µs on, 18µs off}, 6.4% Long Term Duty Cycle) or standard Mode S (128µs, 2% Duty Cycle) pulse conditions.It supplies a minimum of 2200W of peak output power, with typically gain over 16 dB with 57% efficiency while operating from a 50V supply voltage. This RF power amplifier module/pallet is matched to 50-ohms at both input and output and is suitable for both 1030 and 1090 MHz.Click here to learn more about this product, its dimension, evaluation board and complete test specifications.last_img read more

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Lorain Titans fight hard but fall short in state semifinals vs. Moeller; 5 takeaways

first_imgby Corey Perez1. Tough path wins outIf the Lorain Titans wanted to play for a state title they were going to have to beat St. Edwards, Toledo St. Johns and Cincinatti Archbishop Moeller to do so. Unfortunately for the Lorain faithful that traveled to Columbus, the Titans were only able to defeat two of the Division I giants as the Titans fell to the Crusaders of Moeller by a final of 51-44.2. Hopeful futureThe Titans are coached by John Rositano, who in his five seasons at the helm has won a very impressive 102 games. This season marked Lorain’s first trip to the state semifinals since 1923 and if things break right they could return next season. The Titans’ best two players Devon Grant (17 points) and Taevon Pierre-Louis (10 points and 13 rebounds) are both juniors and will return next season. Lorain only graduates two players in senior guards David Weatherington and Jaiden Sledge.3.Ugly throughoutWhile both teams played extremely hard and made plays on both ends of the court, this game was not particularly pleasing to the eyes. Lorain shot 34.8 percent from the field for the entire game, including just 33 percent in the fourth quarter. Meanwhile, Moeller didn’t shoot much better (41.7 percent) but was able to withstand every run the Titans made. The poise of the Crusaders offense ultimately won out.4. Hard foughtDespite trailing most of the game, the Titans never gave up. Lorain was able to make multiple runs against Moeller, but just weren’t able to get the extra stop or the extra basket to tie the game. Twice Lorain was able to get the lead under 3 points late in the game, but the depth of the Crusaders wore down the Titans.5. Whats next? Moeller will try and avenge last season’s state final loss when they lost on a controversial play at the end of the game to the Massillon Jackson Polar Bears. While Jackson is at home on Saturday night, the boys from Moeller will await the winner of the Solon-Pickerington Central. Moeller is led by two Division 1 recruits Jeremiah Davenport (10 points, nine rebounds and three blocks) and Jaxson Hayes (16 points and 13 rebounds.) Related TopicsLorainLorain boys baskeballLorain Titans NEO HS Stafflast_img read more

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Daughter of Former Lt. Gov Killed in Hiking Accident

first_imgThe 24 year old was a personal trainer in Anchorage but spent the past year working on farms and hiking across New Zealand. FacebookTwitterEmailPrintFriendly分享Loren Leman, the daughter of former Lt. Governor Loren Leman, was killed in a hiking accident in New Zealand. Loren and Carolyn Leman received the phone call from authorities on Tuesday evening, notifying them their youngest daughter had succumbed to injuries sustained during a fall while hiking near near Lake Wanaka on the South Island.last_img read more

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