Antibiotic stewardship for staff nurses: Five Key Ways you Influence Antibiotic Use

Over the past decade, antibiotic resistance has increased and spread dramatically throughout the world. According to the Centers for Disease Control and Prevention (CDC), antibiotic use is the single most important factor leading to antibiotic resistance. The CDC estimates that every year, 2 million Americans develop serious infections involving bacteria that resist one or more antibiotics, and these infections kill at least 23,000 each year. Antibiotic prescribing in U.S. acute-care hospitals is common— and often unwarranted. A 2014 study found that up to half of hospitalized patients received at least one antibiotic and in 30% to 50% of these cases, antibiotics were unnecessary or inappropriate. Such antibiotic misuse contributes to the emergence and spread of antibioticresistant organisms, such as methicillin- resistant Staphylococcus aureus and vancomycin-resistant enterococci. (See Unheeded warnings.) If you’re a staff nurse, you’ve probably witnessed firsthand the consequences of inappropriate antibiotic use, ranging from development of Clostridium difficile (a well-recognized cause of healthcare- associated infectious diarrhea) to fatal infections with multidrugresistant pathogens against which no effective antibiotic therapy exists. What’s more, antibiotic-resistant infections add considerably to medical costs, with estimates as high as $35 billion a year

Ecotourism resources of University of Uyo, Nigeria: The arboretum and ravine destinations in perspective

Ecotourism potentials of the University of Uyo Arboretum and Ravine were investigated to determine respondents’ awareness of the ecodestinations, willingness to visit the sites, perceptions of the sites as ecodestinations, and factors that can enhance visitation to the destinations. Data for the study were collected through a set of structured questionnaire and personal interviews. A total of 180 respondents were sampled. Data obtained were analyzed using descriptive statistics and Chi-square. Results showed that 81.6% and 85.5% of the respondents were aware of the Ravine and  Arboretum respectively. Many respondents viewed the ravine as a wildlife habitat (41.1%) and a place for illicit meetings (26.1%). Only few  respondents (7.7%) perceived the Ravine as a recreation centre. About 38.3% of the respondents regarded the Arboretum as a recreation centre while 51.5% viewed it as an educational facility. Though most respondents (67.2%) have visited the Ravine for different reasons greater percentage (75.0%) of both the males and females interviewed were neither willing to repeat visit nor encourage relations to visit the site. In the case of the Arboretum, 75.0% of respondents have visited for study (36.6%),  relaxation (13.3%) and site seeing (10.0%). More respondents (47.7%) are willing to visit the Arboretum than the Ravine. Chi square analyses to test for association between respondents perception of ecodestinations and gender were not significant (p>0.05) for both destinations. Tree canopies and topography of the Ravine (41.1%; 31.1%) and Arboretum (58.3%; 32.7%) were rated major attractions in the destinations. Among the species that formed the canopies for the Ravine are Bambusa vulgaris, Cassia seamia, Elaeis guineensis and Melicia excelsa while Gmelina arborea, Nauclea diderichii and Cassia seamea are the dominant species in the Arboretum. Both the Ravine and Arboretum have potentials for ecotourism but are not managed to attract tourists.Key Words: Biodiversity utilisation, Ecotourism destination, Arboretum, Ravine, University of Uyo, Recreatio

Emerging Infectious Diseases: Global to Local Implications

Infectious disease remains among the leading causes of death worldwide. With easy mobility and air travel, pathogens can move quickly and silently to any place around the globe in a matter of days. The recent Ebola crises in West Africa clearly demonstrated the increased risk of emerging infections in our highly connected world. Legal nurse consultants are well-positioned to provide guidance on deciphering public health laws relevant to responding to infectious disease threats

Comentarios bibliográficos

Reseña de los siguientes libros: - La Terra. Trevisan, L. y Tongiorgi, E., 730. p., 703 figs. y 9 láms. Union. Tipograf. Editric. Torinese. Turín. 1958. - Paleontologie stratigraphique. Termier, H. y Termier, G., 1er. fase. 117 p., 667 figs. y 12 tabl. Masson. París. 1950. - Electricidad. Kalashnikov S. G. Trad. del ruso por los ingenieros Zenil, Alfaro, Briones y Talavera. (Esc. Sup. de Ingniería de México.) Editorial Grijalbo S. A. México 1959 - 719 páginas. - Ringuelet, R. A., 1959. ‘‘Los Arácnidos argentinos del Orden Opiliones”, en Revista del Museo Argentino de Ciencias Naturales Bernardino Rivadavia, Ciencias Zoológicas, Tomo V, nº 2, págs. 127-439 con 62 figs. en el texto y 20 láms. - Lorenzo R. Parodi. Enciclopedia Argentina de Agricultura y Jardinería. Volumen I, Descripción de las plantas cultivadas, Editorial Acmé S. A. C. I. Buenos Aires, 1959. 931 pág. Un frontispicio en color. 252 figs. - Cosentino, Rodolfo. Atlas of Anatomy and surgical approaches in orthopaedic surgery. Upper extremity. Edit. Ch. C. Thomas. U.S.A. - 1960

Comentarios bibliográficos

Reseña de los siguientes libros: - Geosynclines, por Jean Aubouin, 335 p., 67 fig., 2 tabl. Elsevier, Amsterdam, New York. 1965. - Geología, por Bermudo Meléndez y José María Fuster, 687 p figs.,cuad. Paraninfo. Madrid, 1966. Con prólogo de Francisco Hernández Pacheco