11 research outputs found
Building the evidence base for REDD+: Study design and methods for evaluating the impacts of conservation interventions on local well-being
Synthesis of New 3-Arylaminophthalides and 3-Indolyl-phthalides using Ammonium Chloride, Evaluation of their Anti-Mycobacterial Potential and Docking Study
Adding rewards to regulation: The impacts of watershed conservation on land cover and household wellbeing in Moyobamba, Peru
The Interaction of Successive Coronal Mass Ejections: A Review
We present a review of the different aspects associated with the interaction of successive coronal mass ejections (CMEs) in the corona and inner heliosphere, focusing on the initiation of series of CMEs, their interaction in the heliosphere, the particle acceleration associated with successive CMEs, and the effect of compound events on Earth’s magnetosphere. The two main mechanisms resulting in the eruption of series of CMEs are sympathetic eruptions, when one eruption triggers another, and homologous eruptions, when a series of similar eruptions originates from one active region. CME – CME interaction may also be associated with two unrelated eruptions. The interaction of successive CMEs has been observed remotely in coronagraphs (with the Large Angle and Spectrometric Coronagraph Experiment – LASCO – since the early 2000s) and heliospheric imagers (since the late 2000s), and inferred from in situ measurements, starting with early measurements in the 1970s. The interaction of two or more CMEs is associated with complex phenomena, including magnetic reconnection, momentum exchange, the propagation of a fast magnetosonic shock through a magnetic ejecta, and changes in the CME expansion. The presence of a preceding CME a few hours before a fast eruption has been found to be connected with higher fluxes of solar energetic particles (SEPs), while CME – CME interaction occurring in the corona is often associated with unusual radio bursts, indicating electron acceleration. Higher suprathermal population, enhanced turbulence and wave activity, stronger shocks, and shock – shock or shock – CME interaction have been proposed as potential physical mechanisms to explain the observed associated SEP events. When measured in situ, CME – CME interaction may be associated with relatively well organized multiple-magnetic cloud events, instances of shocks propagating through a previous magnetic ejecta or more complex ejecta, when the characteristics of the individual eruptions cannot be easily distinguished. CME – CME interaction is associated with some of the most intense recorded geomagnetic storms. The compression of a CME by another and the propagation of a shock inside a magnetic ejecta can lead to extreme values of the southward magnetic field component, sometimes associated with high values of the dynamic pressure. This can result in intense geomagnetic storms, but can also trigger substorms and large earthward motions of the magnetopause, potentially associated with changes in the outer radiation belts. Future in situ measurements in the inner heliosphere by Solar Probe+ and Solar Orbiter may shed light on the evolution of CMEs as they interact, by providing opportunities for conjunction and evolutionary studies
International Nosocomial Infection Control Consortium report, data summary of 50 countries for 2010-2015: Device-associated module
•We report INICC device-associated module data of 50 countries from 2010-2015.•We collected prospective data from 861,284 patients in 703 ICUs for 3,506,562 days.•DA-HAI rates and bacterial resistance were higher in the INICC ICUs than in CDC-NHSN's.•Device utilization ratio in the INICC ICUs was similar to CDC-NHSN's.
Background: We report the results of International Nosocomial Infection Control Consortium (INICC) surveillance study from January 2010-December 2015 in 703 intensive care units (ICUs) in Latin America, Europe, Eastern Mediterranean, Southeast Asia, and Western Pacific.
Methods: During the 6-year study period, using Centers for Disease Control and Prevention National Healthcare Safety Network (CDC-NHSN) definitions for device-associated health care-associated infection (DA-HAI), we collected prospective data from 861,284 patients hospitalized in INICC hospital ICUs for an aggregate of 3,506,562 days.
Results: Although device use in INICC ICUs was similar to that reported from CDC-NHSN ICUs, DA-HAI rates were higher in the INICC ICUs: in the INICC medical-surgical ICUs, the pooled rate of central line-associated bloodstream infection, 4.1 per 1,000 central line-days, was nearly 5-fold higher than the 0.8 per 1,000 central line-days reported from comparable US ICUs, the overall rate of ventilator-associated pneumonia was also higher, 13.1 versus 0.9 per 1,000 ventilator-days, as was the rate of catheter-associated urinary tract infection, 5.07 versus 1.7 per 1,000 catheter-days. From blood cultures samples, frequencies of resistance of Pseudomonas isolates to amikacin (29.87% vs 10%) and to imipenem (44.3% vs 26.1%), and of Klebsiella pneumoniae isolates to ceftazidime (73.2% vs 28.8%) and to imipenem (43.27% vs 12.8%) were also higher in the INICC ICUs compared with CDC-NHSN ICUs.
Conclusions: Although DA-HAIs in INICC ICU patients continue to be higher than the rates reported in CDC-NSHN ICUs representing the developed world, we have observed a significant trend toward the reduction of DA-HAI rates in INICC ICUs as shown in each international report. It is INICC's main goal to continue facilitating education, training, and basic and cost-effective tools and resources, such as standardized forms and an online platform, to tackle this problem effectively and systematically