A comparison of organizational climate and nurses� intention to leave among excellence awarded hospitals and other hospitals in 2013

Background: Human resource is the most important factor of performance, success and better revelation of excellence goals of each organization. By performing excellence plan, healthcare organizations improve their organizational climate and play a valuable role in retaining nurses and improving the quality of their services to patients. Objectives: The aim of this study was to compare hospital organizational climate and intention to leave among working nurses in hospitals performing the excellence plan and other hospitals of Tehran University of Medical Sciences. Patients and Methods: This was a cross-sectional descriptive comparison study. Its population included 248 nurses of the hospitals performing the excellence plan and other hospitals of Tehran University of Medical Sciences in Iran selected by random sampling. The used instrument had three parts: the first part was related to personal characteristics, the second part was the Munn�s organizational climate questionnaire and the third part was Hinshaw�s questionnaire of �anticipated turnover scale�. Data was analyzed using SPSS software, version 17 and indices of descriptive statistics and inferential statistics. Results: The results of the mean and standard deviation for organizational climate and intention to leave in both performing and non-performing hospitals of the organizational excellence plan were respectively (65.28 ± 19.31 and 56.42 ± 21.36) and (33.64 ± 5.58 and 35.59 ± 4.94). Independent T test revealed a significant difference between the mean scores for organizational climate in both performing and non-performing hospitals, and also a significant difference between the mean scores for intention to leave in both performing and non-performing hospitals (P = 0.004). Moreover, Pearson Correlation test showed a reverse significant correlation between organizational climate and intention to leave in performing hospitals of the organizational excellence plan (r = -0.337) and non-performing hospitals (r = -0.282) (P = 0.001). Conclusions: Performing quality improvement pattern such as organization�s excellence plan improves organizational climate of healthcare sectors, it can reduce nurses� intentions to leave and retain human resources. © 2015, Iranian Red Crescent Medical Journal

Cardiorespiratory Fitness Diminishes the Effects of Age on White Matter Hyperintensity Volume

White matter hyperintensities (WMHs) are among the most commonly observed marker of cerebrovascular disease. Age is a key risk factor for WMH development. Cardiorespiratory fitness (CRF) is associated with increased vessel compliance, but it remains unknown if high CRF affects WMH volume. This study explored the effects of CRF on WMH volume in community-dwelling older adults. We further tested the possibility of an interaction between CRF and age on WMH volume. Participants were 76 adults between the ages of 59 and 77 (mean age = 65.36 years, SD = 3.92) who underwent a maximal graded exercise test and structural brain imaging. Results indicated that age was a predictor of WMH volume (beta = .32, p = .015). However, an age-by-CRF interaction was observed such that higher CRF was associated with lower WMH volume in older participants (beta = -.25, p = .040). Our findings suggest that higher levels of aerobic fitness may protect cerebrovascular health in older adults

Strategies for the replacement of chromic acid anodising for the structural bonding of aluminium alloys

The 40/50V Bengough-Stuart chromic acid anodise process is widely used in demanding applications as a prebond treatment. This process has a number of disadvantages and its replacement is the subject of much interest in the aerospace, automotive and defence sectors, amongst others. This paper details a number of modifications to the standard boric-sulphuric acid anodising (BSAA) process specifically to achieve satisfactory structural bond performance. These included: variations in the deoxidiser and anodising parameters, and; the use of a post anodising dip. It has been demonstrated in these studies that there are three possible methods of providing excellent durability using a variation of the standard BSAA process: the use of an electrolytic phosphoric acid deoxidiser (EPAD); a high temperature anodise at 35°C, and; the use of a post anodise phosphoric acid dip (PAD)

Comparison of antibacterial activity of essential oils of Foeniculum vulgare Mill, Mentha arvensis and Mentha piperita against Streptococcus mutans

Background and aims: Tooth decay is one of the most common chronic diseases around the world and this problem is the result of variety of different bacteria. Streptococcus mutants is one of the most important bacteria which is related to this disease. Finding new effective antibacterial agents is an important area in bioscience for fighting and controlling bacterial infections. Essential oils are most important natural sources of antibacterial agents, particularly against drug-resistant bacteria. Methods: The aim of this study was to evaluate and compare the antibacterial activity of three essential oils Mentha arvensis, Mentha piperita and Foeniculum vulgare Mill against Streptococcus mutants. Disk diffusion method was carried out and the minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) were measured. Results: The results showed that all three essential oils have antibacterial activity against S. mutants. With a constant concentration of 100 µg/µl, the efficiency of Mentha piperita and then Foeniculum vulgare Mill was higher than the efficiency of Mentha arvensis at all 3 given time points (24, 48 and 72 hours). The most effective MIC and MBC were related to Streptococcus mutants using Foeniculum vulgare essential oil which were equal to 8.4 and 14.9 µg/ml, respectively. MIC and MBC for Mentha piperita essential oil were measured 10.5 and 16.3 µg/ml, respectively. Conclusion: The Essential oils used in present study with different components showed antibacterial activity and therefore they can be used as new antibacterial substances

Yield and yield components of common bean as influenced by wheat residue and nitrogen rates under water deficit conditions

Incorporation of crop residues into agricultural system has become a worldwide efficient practice for enhancing crop production. The main objectives of this experiment was to investigate the major role of incorporating wheat (Triticum aestivum L.) residues and nitrogen (N) fertilizers rates under different water requirements (WR) on growth, seed yield and yield components of common bean (Phaseolus vulgaris L.). The results showed that seed yield under 80% WR in retained crop residue plots was & SIM;11% higher than WR treatment with no residue incorporation. Seed yield was not significantly different between residue retention and removal treatments in 2016, whereas it was higher (12% and 17%) under residue retained plots compared to removed ones in subsequent years. Seed yields responded to N up to 170 and 225 kg ha(-1) in removed and retained residue treatments, respectively in 2017 and 2018. Annual increment of seed yield in residue retained plots (36%) was 2.11 times higher than the residue removed ones (17%). There was higher soil N content in 50% residue retention with 225 kg N ha(-1) under both water deficit treatments in all years. The highest soil organic carbon (SOC) was achieved with normal irrigation in retained residue plots with 225 kg N ha(-1) in all years. Overall, wheat residue incorporation into the soil and N-supply substantially contributed to counteracting yield declines of common bean under water deficit conditions.& nbsp;(c) 2022 The Author(s). Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).Peer reviewe

Distinct White Matter Changes Associated with Cerebrospinal Fluid Amyloid-β\u3csub\u3e1-42\u3c/sub\u3e and Hypertension

BACKGROUND: Alzheimer\u27s disease (AD) pathology and hypertension (HTN) are risk factors for development of white matter (WM) alterations and might be independently associated with these alterations in older adults. OBJECTIVE: To evaluate the independent and synergistic effects of HTN and AD pathology on WM alterations. METHODS: Clinical measures of cerebrovascular disease risk were collected from 62 participants in University of Kentucky Alzheimer\u27s Disease Center studies who also had cerebrospinal fluid (CSF) sampling and MRI brain scans. CSF Aβ1-42 levels were measured as a marker of AD, and fluid-attenuated inversion recovery imaging and diffusion tensor imaging were obtained to assess WM macro- and microstructural properties. Linear regression analyses were used to assess the relationships among WM alterations, cerebrovascular disease risk, and AD pathology. Voxelwise analyses were performed to examine spatial patterns of WM alteration associated with each pathology. RESULTS: HTN and CSF Aβ1-42 levels were each associated with white matter hyperintensities (WMH). Also, CSF Aβ1-42 levels were associated with alterations in normal appearing white matter fractional anisotropy (NAWM-FA), whereas HTN was marginally associated with alterations in NAWM-FA. Linear regression analyses demonstrated significant main effects of HTN and CSF Aβ1-42 on WMH volume, but no significant HTN×CSF Aβ1-42 interaction. Furthermore, voxelwise analyses showed unique patterns of WM alteration associated with hypertension and CSF Aβ1-42. CONCLUSION: Associations of HTN and lower CSF Aβ1-42 with WM alteration were statistically and spatially distinct, suggesting independent rather than synergistic effects. Considering such spatial distributions may improve diagnostic accuracy to address each underlying pathology

Detection of Plant DNA in the Bronchoalveolar Lavage of Patients with Ventilator-Associated Pneumonia

BACKGROUND: Hospital-acquired infections such as nosocomial pneumonia are a serious cause of mortality for hospitalized patients, especially for those admitted to intensive care units (ICUs). Despite the number of the studies reported to date, the causative agents of pneumonia are not completely known. Herein, we found by molecular technique that vegetable and tobacco DNA may be detected in the bronchoalveolar lavage from patients with ventilator-associated pneumonia (VAP). METHODOLOGY/PRINCIPAL FINDINGS: In the present study, we studied bronchoalveolar lavage (BAL) from patients admitted to ICUs with ventilator-associated pneumonia. BAL fluids were assessed with molecular tests, culture and blood culture. We successfully identified plant DNA in six patients out of 106 (6%) with ventilator-associated pneumonia. Inhalation was confirmed in four cases and suspected in the other two cases. Inhalation was significantly frequent in patients with plant DNA (four out of six patients) than those without plant DNA (three out of 100 patients) (P<0.001). Nicotiana tabacum chloroplast DNA was identified in three patients who were smokers (cases 2, 3 and 6). Cucurbita pepo, Morus bombycis and Triticum aestivum DNA were identified in cases 1, 4 and 5 respectively. Twenty-three different bacterial species, two viruses and five fungal species were identified from among these six patients by using molecular and culture techniques. Several of the pathogenic microorganisms identified are reported to be food-borne or tobacco plant-associated pathogens. CONCLUSIONS/SIGNIFICANCE: Our study shows that plants DNA may be identified in the BAL fluid of pneumonia patients, especially when exploring aspiration pneumonia, but the significance of the presence of plant DNA and its role in the pathogenesis of pneumonia is unknown and remains to be investigated. However, the identification of these plants may be a potential marker of aspiration in patients with pneumonia

Utilisation of an operative difficulty grading scale for laparoscopic cholecystectomy

Background A reliable system for grading operative difficulty of laparoscopic cholecystectomy would standardise description of findings and reporting of outcomes. The aim of this study was to validate a difficulty grading system (Nassar scale), testing its applicability and consistency in two large prospective datasets. Methods Patient and disease-related variables and 30-day outcomes were identified in two prospective cholecystectomy databases: the multi-centre prospective cohort of 8820 patients from the recent CholeS Study and the single-surgeon series containing 4089 patients. Operative data and patient outcomes were correlated with Nassar operative difficultly scale, using Kendall’s tau for dichotomous variables, or Jonckheere–Terpstra tests for continuous variables. A ROC curve analysis was performed, to quantify the predictive accuracy of the scale for each outcome, with continuous outcomes dichotomised, prior to analysis. Results A higher operative difficulty grade was consistently associated with worse outcomes for the patients in both the reference and CholeS cohorts. The median length of stay increased from 0 to 4 days, and the 30-day complication rate from 7.6 to 24.4% as the difficulty grade increased from 1 to 4/5 (both p < 0.001). In the CholeS cohort, a higher difficulty grade was found to be most strongly associated with conversion to open and 30-day mortality (AUROC = 0.903, 0.822, respectively). On multivariable analysis, the Nassar operative difficultly scale was found to be a significant independent predictor of operative duration, conversion to open surgery, 30-day complications and 30-day reintervention (all p < 0.001). Conclusion We have shown that an operative difficulty scale can standardise the description of operative findings by multiple grades of surgeons to facilitate audit, training assessment and research. It provides a tool for reporting operative findings, disease severity and technical difficulty and can be utilised in future research to reliably compare outcomes according to case mix and intra-operative difficulty

Molecular Detection of Multiple Emerging Pathogens in Sputa from Cystic Fibrosis Patients

Background: There is strong evidence that culture-based methods detect only a small proportion of bacteria present in the respiratory tracts of cystic fibrosis (CF) patients. Methodology/Principal Findings: Standard microbiological culture and phenotypic identification of bacteria in sputa from CF patients have been compared to molecular methods by the use of 16S rDNA amplification, cloning and sequencing. Twenty-five sputa from CF patients were cultured that yield 33 isolates (13 species) known to be pathogens during CF. For molecular cloning, 760 clones were sequenced (7.263.9 species/sputum), and 53 different bacterial species were identified including 16 species of anaerobes (30%). Discrepancies between culture and molecular data were numerous and demonstrate that accurate identification remains challenging. New or emerging bacteria not or rarely reported in CF patients were detected including Dolosigranulum pigrum, Dialister pneumosintes, and Inquilinus limosus. Conclusions/Significance: Our results demonstrate the complex microbial community in sputa from CF patients, especially anaerobic bacteria that are probably an underestimated cause of CF lung pathology. Metagenomic analysis is urgentl