O077 : the impact of a multi-faceted approach on the reduction of peripheral line-associated MRSA bloodstream infections in a high endemic setting

Introduction: The Mediterranean region is characterized by a high prevalence of methicillin-resistant Staphylococcus aureus (MRSA) bloodstream infections (BSI). Following root cause analysis (RCA) of MRSA BSI cases, Mater Dei Hospital, a tertiary care institution in Malta, identified that a 30% of healthcare associated (HA) MRSA BSI from April 2010 to December 2011 were associated with Peripheral Venous Catheters (PVC).peer-reviewe

TRIS I: Absolute Measurements of the Sky Brightness Temperature at 0.6, 0.82 and 2.5 GHz

At frequencies close to 1 GHz the sky diffuse radiation is a superposition of radiation of Galactic origin, the 3 K Relic or Cosmic Microwave Background Radiation, and the signal produced by unresolved extragalactic sources. Because of their different origin and space distribution the relative importance of the three components varies with frequency and depends on the direction of observation. With the aim of disentangling the components we built TRIS, a system of three radiometers, and studied the temperature of the sky at $\nu =0.6$, $\nu = 0.82$ and $\nu = 2.5$ GHz using geometrically scaled antennas with identical beams (HPBW = $18^{\circ} \times 23^{\circ}$). Observations included drift scans along a circle at constant declination $\delta=+42^{\circ}$ which provided the dependence of the sky signal on the Right Ascension, and absolute measurement of the sky temperature at selected points along the same scan circle. TRIS was installed at Campo Imperatore (lat. = $42^{\circ}~26'$ N, long.= $13^{\circ}~33'$, elevation = 2000 m a.s.l.) in Central Italy, close to the Gran Sasso Laboratory.Comment: Accepted for publication in The Astrophysical Journa

EBT2 Dosimetry of X-rays produced by the electron beam from PFMA-3, a Plasma Focus for medical applications

The electron beam emitted from the back of Plasma Focus devices is being studied as a radiation source for IORT (IntraOperative Radiation Therapy) applications. A Plasma Focus device is being developed to this aim, to be utilized as an X-ray source. The electron beam is driven to impinge on 50 {\mu}m brass foil, where conversion X-rays are generated. Measurements with gafchromic film are performed to analyse the attenuation of the X-rays beam and to predict the dose given to the culture cell in radiobiological experiments to follow.Comment: 10 pages, 14 figure

Search for distortions in the spectrum of the Cosmic Microwave Radiation

We present preliminary results of TRIS, an experiment dedicated to the search of deviations from a pure planckian distribution in the spectrum of the Cosmic Microwave Background at frequencies close to 1 GHzComment: 9 pages, in press on the Proc. of the 3rd Sakharov Conf. - Moscow 200

Benefits from using combined dynamical-statistical downscaling approaches - Lessons from a case study in the Mediterranean region

Abstract. Various downscaling techniques have been developed to bridge the scale gap between global climate models (GCMs) and finer scales required to assess hydrological impacts of climate change. Such techniques may be grouped into two downscaling approaches: the deterministic dynamical downscaling (DD) and the statistical downscaling (SD). Although SD has been traditionally seen as an alternative to DD, recent works on statistical downscaling have aimed to combine the benefits of these two approaches. The overall objective of this study is to assess whether a DD processing performed before the SD permits to obtain more suitable climate scenarios for basin scale hydrological applications starting from GCM simulations. The case study presented here focuses on the Apulia region (South East of Italy, surface area about 20 000 km2), characterised by a typical Mediterranean climate; the monthly cumulated precipitation and monthly mean of daily minimum and maximum temperature distribution were examined for the period 1953–2000. The fifth-generation ECHAM model from the Max-Planck-Institute for Meteorology was adopted as GCM. The DD was carried out with the Protheus system (ENEA), while the SD was performed through a monthly quantile-quantile correction. The SD resulted efficient in reducing the mean bias in the spatial distribution at both annual and seasonal scales, but it was not able to correct the miss-modelled non-stationary components of the GCM dynamics. The DD provided a partial correction by enhancing the spatial heterogeneity of trends and the long-term time evolution predicted by the GCM. The best results were obtained through the combination of both DD and SD approaches

Implementation of hand hygiene in health-care facilities: results from the WHO Hand Hygiene Self-Assessment Framework global survey 2019

Background Hand hygiene is at the core of effective infection prevention and control (IPC) programmes. 10 years after the development of the WHO Multimodal Hand Hygiene Improvement Strategy, we aimed to ascertain the level of hand hygiene implementation and its drivers in health-care facilities through a global WHO survey. Methods From Jan 16 to Dec 31, 2019, IPC professionals were invited through email and campaigns to complete the online Hand Hygiene Self-Assessment Framework (HHSAF). A geospatial clustering algorithm selected unique health-care facilities responses and post-stratification weighting was applied to improve representativeness. Weighted median HHSAF scores and IQR were reported. Drivers of the HHSAF score were determined through a generalised estimation equation. Findings 3206 unique responses from 90 countries (46% WHO Member States) were included. The HHSAF score indicated an intermediate hand hygiene implementation level (350 points, IQR 248–430), which was positively associated with country income level and health-care facility funding structure. System Change had the highest score (85 points, IQR 55–100), whereby alcohol-based hand rub at the point of care has become standard practice in many health-care facilities, especially in high-income countries. Institutional Safety Climate had the lowest score (55 points, IQR 35–75). From 2015 to 2019, the median HHSAF score in health-care facilities participating in both HHSAF surveys (n=190) stagnated. Interpretation Most health-care facilities had an intermediate level of hand hygiene implementation or higher, for which health-care facility funding and country income level were important drivers. Availability of resources, leadership, and organisational support are key elements to further improve quality of care and provide access to safe care for all.Peer Reviewe

Preliminary Estimation of Black Carbon Deposition from Nepal Climate Observatory-Pyramid Data and Its Possible Impact on Snow Albedo Changes Over Himalayan Glaciers During the Pre-Monsoon Season

The possible minimal range of reduction in snow surface albedo due to dry deposition of black carbon (BC) in the pre-monsoon period (March-May) was estimated as a lower bound together with the estimation of its accuracy, based on atmospheric observations at the Nepal Climate Observatory-Pyramid (NCO-P) sited at 5079 m a.s.l. in the Himalayan region. We estimated a total BC deposition rate of 2.89 g m-2 day-1 providing a total deposition of 266 micrograms/ square m for March-May at the site, based on a calculation with a minimal deposition velocity of 1.0 10(exp -4) m/s with atmospheric data of equivalent BC concentration. Main BC size at NCO-P site was determined as 103.1-669.8 nm by correlation analysis between equivalent BC concentration and particulate size distribution in the atmosphere. We also estimated BC deposition from the size distribution data and found that 8.7% of the estimated dry deposition corresponds to the estimated BC deposition from equivalent BC concentration data. If all the BC is deposited uniformly on the top 2-cm pure snow, the corresponding BC concentration is 26.0-68.2 microgram/kg assuming snow density variations of 195-512 kg/ cubic m of Yala Glacier close to NCO-P site. Such a concentration of BC in snow could result in 2.0-5.2% albedo reductions. From a simple numerical calculations and if assuming these albedo reductions continue throughout the year, this would lead to a runoff increases of 70-204 mm of water drainage equivalent of 11.6-33.9% of the annual discharge of a typical Tibetan glacier. Our estimates of BC concentration in snow surface for pre-monsoon season can be considered comparable to those at similar altitude in the Himalayan region, where glaciers and perpetual snow region starts in the vicinity of NCO-P. Our estimates from only BC are likely to represent a lower bound for snow albedo reductions, since a fixed slower deposition velocity was used and atmospheric wind and turbulence effects, snow aging, dust deposition, and snow albedo feedbacks were not considered. This study represents the first investigation about BC deposition on snow from atmospheric aerosol data in Himalayas and related albedo effect is especially the first track at the southern slope of Himalayas

TRIS III: the diffuse galactic radio emission at δ=+42∘\delta=+42^{\circ}

We present values of temperature and spectral index of the galactic diffuse radiation measured at 600 and 820 MHz along a 24 hours right ascension circle at declination $\delta = +42^{\circ}$. They have been obtained from a subset of absolute measurements of the sky temperature made with TRIS, an experiment devoted to the measurement of the Cosmic Microwave Background temperature at decimetric-wavelengths with an angular resolution of about $20^{\circ}$. Our analysis confirms the preexisting picture of the galactic diffuse emission at decimetric wavelength and improves the accuracy of the measurable quantities. In particular, the signal coming from the halo has a spectral index in the range $2.9-3.1$ above 600 MHz, depending on the sky position. In the disk, at TRIS angular resolution, the free-free emission accounts for the 11% of the overall signal at 600 MHz and 21% at 1420 MHz. The polarized component of the galactic emission, evaluated from the survey by Brouw and Spoelstra, affects the observations at TRIS angular resolution by less than 3% at 820 MHz and less than 2% at 600 MHz. Within the uncertainties, our determination of the galactic spectral index is practically unaffected by the correction for polarization. Since the overall error budget of the sky temperatures measured by TRIS at 600 MHz, that is 66 mK(systematic)$+$18 mK (statistical), is definitely smaller than those reported in previous measurements at the same frequency, our data have been used to discuss the zero levels of the sky maps at 150, 408, 820 and 1420 MHz in literature. Concerning the 408 MHz survey, limiting our attention to the patch of sky corresponding to the region observed by TRIS, we suggest a correction of the base-level of $(+3.9\pm 0.6)$K.Comment: Accepted for publication in the Astrophysical Journa

A circular polarimeter for the Cosmic Microwave Background

A primordial degree of circular polarization of the Cosmic Microwave Background is not observationally excluded. The hypothesis of primordial dichroism can be quantitatively falsified if the plasma is magnetized prior to photon decoupling since the initial V-mode polarization affects the evolution of the temperature fluctuations as well as the equations for the linear polarization. The observed values of the temperature and polarization angular power spectra are used to infer constraints on the amplitude and on the spectral slope of the primordial V-mode. Prior to photon decoupling magnetic fields play the role of polarimeters insofar as they unveil the circular dichroism by coupling the V-mode power spectrum to the remaining brightness perturbations. Conversely, for angular scales ranging between 4 deg and 10 deg the joined bounds on the magnitude of circular polarization and on the magnetic field intensity suggest that direct limits on the V-mode power spectrum in the range of 0.01 mK could directly rule out pre-decoupling magnetic fields in the range of 10-100 nG. The frequency dependence of the signal is located, for the present purposes, in the GHz range.Comment: 28 pages, 12 included figures