7,163 research outputs found

    Universal screening for meticillin-resistant Staphylococcus aureus : interim results from the NHS Scotland pathfinder project

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    Following recommendations from a Health Technology Assessment (HTA), a prospective cohort study of meticillin-resistant Staphylococcus aureus (MRSA) screening of all admissions (N = 29 690) to six acute hospitals in three regions in Scotland indicated that 7.5% of patientswere colonised on admission to hospital. Factors associated with colonisation included re-admission, specialty of admission (highest in nephrology, care of the elderly, dermatology and vascular surgery), increasing age, and the source of admission (care home or other hospital). Three percent of all those who were identified as colonised developed hospital-associated MRSA infection, compared with only 0.1% of those not colonised. Specialtieswith a high rate of colonisation on admission also had higher rates of MRSA infection. Very few patients refused screening (11 patients, 0.03%) or had treatment deferred (14 patients, 0.05%). Several organisational issues were identified, including difficulties in achieving complete uptake of screening (88%) or decolonisation (41%); the latter was largely due to short duration of stay and turnaround time for test results. Patient movement resulted in a decision to decontaminate all positive patients rather than just those in high risk specialties as proposed by the HTA. Issues also included a lack of isolation facilities to manage patients with MRSA. The study raises significant concerns about the contribution of decolonisation to reducing risks in hospital due to short duration of stay, and reinforces the central role of infection control precautions. Further study is required before the HTA model can be re-run and conclusions redrawn on the cost and clinical effectiveness of universal MRSA screening

    Method for the design of broad energy range focusing reflectrons

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    A novel method for the design of reflections capable of focusing large kinetic energy ranges is presented. The design method itself is a numerical approach that provides a geometrically flexible alternative to traditional analytical design solutions. This design method has been used to produce a reflectron that provides unit mass resolution for product spectra in a tandem reflectron time-of-flight (TOF) mass spectrometer despite a kinetic energy range of 1950–2700 eV. In this application, the systematic progression of reflectron design results in a practical, nonlinear field reflectron with the use of only two grids. Design improvements are proposed for more flexible systems, although geometric constraints in the current instrument limit their experimental evaluation

    Does lower cognitive ability predict greater prejudice?

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    Historically, leading scholars proposed a theoretical negative association between cognitive abilities and prejudice. Until recently, however, the field has been relatively silent on this topic, citing concerns with potential confounds (e.g., education levels). Instead, researchers focused on other individual-difference predictors of prejudice, including cognitive style, personality, negativity bias, and threat. Yet there exists a solid empirical paper trail demonstrating that lower cognitive abilities (e.g., abstract-reasoning skills and verbal, nonverbal, and general intelligence) predict greater prejudice. We discuss how the effects of lower cognitive ability on prejudice are explained (i.e., mediated) by greater endorsement of right-wing socially conservative attitudes. We conclude that the field will benefit from a recognition of, and open discussion about, differences in cognitive abilities between those lower versus higher in prejudice. To advance the scientific discussion, we propose the Cognitive Ability and Style to Evaluation model, which outlines the cognitive psychological underpinnings of ideological belief systems and prejudice

    Microvascular resistance predicts myocardial salvage and infarct characteristics in ST-elevation myocardial infarction

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    <b>Background:</b> The pathophysiology of myocardial injury and repair in patients with ST‐elevation myocardial infarction is incompletely understood. We investigated the relationships among culprit artery microvascular resistance, myocardial salvage, and ventricular function.<p></p> <b>Methods and Results:</b> The index of microvascular resistance (IMR) was measured by means of a pressure‐ and temperature‐sensitive coronary guidewire in 108 patients with ST‐elevation myocardial infarction (83% male) at the end of primary percutaneous coronary intervention. Paired cardiac MRI (cardiac magnetic resonance) scans were performed early (2 days; n=108) and late (3 months; n=96) after myocardial infarction. T2‐weighted‐ and late gadolinium–enhanced cardiac magnetic resonance delineated the ischemic area at risk and infarct size, respectively. Myocardial salvage was calculated by subtracting infarct size from area at risk. Univariable and multivariable models were constructed to determine the impact of IMR on cardiac magnetic resonance–derived surrogate outcomes. The median (interquartile range) IMR was 28 (17–42) mm Hg/s. The median (interquartile range) area at risk was 32% (24%–41%) of left ventricular mass, and the myocardial salvage index was 21% (11%–43%). IMR was a significant multivariable predictor of early myocardial salvage, with a multiplicative effect of 0.87 (95% confidence interval 0.82 to 0.92) per 20% increase in IMR; P<0.001. In patients with anterior myocardial infarction, IMR was a multivariable predictor of early and late myocardial salvage, with multiplicative effects of 0.82 (95% confidence interval 0.75 to 0.90; P<0.001) and 0.92 (95% confidence interval 0.88 to 0.96; P<0.001), respectively. IMR also predicted the presence and extent of microvascular obstruction and myocardial hemorrhage.<p></p> <b>Conclusion:</b> Microvascular resistance measured during primary percutaneous coronary intervention significantly predicts myocardial salvage, infarct characteristics, and left ventricular ejection fraction in patients with ST‐elevation myocardial infarction.<p></p&gt

    EDUKASI KESEHATAN: BAHAYA MENGKONSUMSI MINUMAN KERAS DAN NARKOTIKA PSIKOTROPIKA

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    Abstrak: Perilaku mengkonsumsi minuman keras (Miras), narkotika psikotropika dan zat adiktif lain (Napza) berdasarkan pada beberapa penelitian menunjukkan bahwa perilaku ini mengalami peningkatan dari tahun ketahun serta perilaku ini dimulai sejak usia remaja (12-24 tahun). Perilaku mengkonsumsi miras dan napza jika dilihat dari beberapa sudut pandang berdampak dan sangat merugikan bagi diri sendiri dan juga orang lain disekitarnya, selain itu sangat berbahaya terhadap kesehatan. Tujuan PkM: Untuk meningkatkan pengetahuan remaja terhadap bahaya menkonsumsi miras dan napza di Desa Suluun, Kabupaten Minahasa Selatan. Metode: Kegiatan PkM mengunakan metode penyuluhan dan diskusi. Penyuluhan dipaparkan oleh tim-ahli dari BNN provinsi Sulawesi utara dan anggota tim PkM. Kegiatan ini diikuti oleh remaja Desa Suluun yang berjumlah 103 orang, dan dievaluasi mengunakan pre-post-test. Hasil: Kegiatan PkM terlaksana dengan baik dan sesuai dengan jadwal yang direncanakan dengan hasil pre-posttest menunjukkan adanya peningkatan pengetahuan remaja setelah diberikan edukasi dengan nilai rata-rata pre-test 64.36 dan post-test 75.14. Kegiatan yang dilakukan dirasakan berdampak bagi remaja dan diharapkan dilakukan secara berkelanjutan.Abstract: The behavior of consuming alcohol, psychotropic narcotics, and other addictive substances based on several studies shows that this behavior has increased from year to year and this behavior starts from adolescence (12-24 years). The behavior of consuming alcohol and drugs when viewed from several points of view has an impact and is very detrimental to oneself and also others around them, besides that it is very dangerous to health. PkM Objective: To improve adolescents' knowledge of the effects of consuming alcohol and drugs in Suluun Village, South Minahasa Regency. Methods: The PkM activity used counseling and discussion methods. The counseling was presented by a team of experts from the BNN of North Sulawesi province and members of the PkM team. This activity was attended by 103 adolescents of Suluun Village, and evaluated using pre-post-test. Results: PkM activities were carried out well and in accordance with the planned schedule with pre-posttest results showing an increase in adolescent knowledge after being given education with an average pre-test score of 64.36 and post-test 75.14. The activities carried out are felt to have an impact on adolescents and are expected to be carried out on an ongoing basis

    Dielectron Cross Section Measurements in Nucleus-Nucleus Reactions at 1.0 A GeV

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    We present measured dielectron production cross sections for Ca+Ca, C+C, He+Ca, and d+Ca reactions at 1.0 A GeV. Statistical uncertainties and systematic effects are smaller than in previous DLS nucleus-nucleus data. For pair mass < 0.35 GeV/c2 : 1) the Ca+Ca cross section is larger than the previous DLS measurement and current model results, 2) the mass spectra suggest large contributions from pi0 and eta Dalitz decays, and 3) dsigma/dM is proportional to ApAt. For M > 0.5 GeV/c2 the Ca+Ca to C+C cross section ratio is significantly larger than the ratio of ApAt values.Comment: Submitted to Physical Review Letters. Further analysis information will be posted on our web pages -- http://macdls.lbl.gov Figure 1 has been redrawn to make more legible. Text modified to support redrawn figur
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