International nosocomial infection control consortium (INICC) report, data summary of 36 countries, for 2004-2009

The results of a surveillance study conducted by the International Nosocomial Infection Control Consortium (INICC) from January 2004 through December 2009 in 422 intensive care units (ICUs) of 36 countries in Latin America, Asia, Africa, and Europe are reported. During the 6-year study period, using Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN; formerly the National Nosocomial Infection Surveillance system [NNIS]) definitions for device-associated health care-associated infections, we gathered prospective data from 313,008 patients hospitalized in the consortium's ICUs for an aggregate of 2,194,897 ICU bed-days. Despite the fact that the use of devices in the developing countries' ICUs was remarkably similar to that reported in US ICUs in the CDC's NHSN, rates of device-associated nosocomial infection were significantly higher in the ICUs of the INICC hospitals; the pooled rate of central line-associated bloodstream infection in the INICC ICUs of 6.8 per 1,000 central line-days was more than 3-fold higher than the 2.0 per 1,000 central line-days reported in comparable US ICUs. The overall rate of ventilator-associated pneumonia also was far higher (15.8 vs 3.3 per 1,000 ventilator-days), as was the rate of catheter-associated urinary tract infection (6.3 vs. 3.3 per 1,000 catheter-days). Notably, the frequencies of resistance of Pseudomonas aeruginosa isolates to imipenem (47.2% vs 23.0%), Klebsiella pneumoniae isolates to ceftazidime (76.3% vs 27.1%), Escherichia coli isolates to ceftazidime (66.7% vs 8.1%), Staphylococcus aureus isolates to methicillin (84.4% vs 56.8%), were also higher in the consortium's ICUs, and the crude unadjusted excess mortalities of device-related infections ranged from 7.3% (for catheter-associated urinary tract infection) to 15.2% (for ventilator-associated pneumonia). Copyright © 2012 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved

Rendimento corporal e composição química de jundiás alimentados com diferentes níveis de proteína e energia na dieta, criados em tanques-rede Catfish (jundia) body yield and chemical composition fed different protein and energy level in the diet, reared in net-tanks

Objetivou-se analisar o rendimento corporal e a composição química de jundiás, Rhamdia quelen, alimentados com rações contendo diferentes níveis de proteína e energia e criados em sistema de tanques-rede. Utilizou-se a densidade inicial de 70 peixes/m³, em 18 tanques-rede (5,0 m³), durante 324 dias. O delineamento experimental foi inteiramente casualizado com dois fatores - níveis de proteína bruta (PB), 25, 30 ou 35%; e níveis de energia digestível (ED): 3.250 e 3.500 kcal - e três repetições. A dieta foi fornecida à vontade, mas mensurada diariamente. No início, um lote de peixes foi sacrificado para determinação dos parâmetros corporais e químicos. A cada 28 dias, dois peixes de cada unidade experimental foram abatidos para determinação dos comprimentos total e padrão, do peso total e dos pesos de fígado, gônadas, cabeça, tronco limpo e gordura visceral, respectivamente. Posteriormente, foram realizados cálculos dos índices hepatossomático e gonadossomático, da porcentagem de cabeça e do rendimento de carcaça e do rendimento de tronco limpo. A partir do mês de junho de 2006, também foram registrados o rendimento de filé e o sexo dos indivíduos. Para determinação da composição da carne do jundiá, foram realizadas as análises químicas de umidade, proteína bruta, lipídios e matéria mineral. O fornecimento da ração com 30% de PB resultou em maior rendimento de tronco limpo. A composição do músculo não foi influenciada pelas dietas testadas. Os melhores resultados foram obtidos com a utilização de dietas contendo 30% de PB e 3.250 kcal de energia digestível/kg.<br>The objective of this study was to analyze the body yield and the chemical composition of catfish (jundia), Rhamdia quelen, reared in net-tanks and fed with diets containing different levels of protein and energy. An initial density of 70 fish/m³, in 18 net-tanks (5.0 m³) was used, for 324 days. A randomized complete design was used, with two factors: Crude Protein (CP) at three levels, 25, 30 and 35%; and Digestible energy (DE) at two levels, 3,250 and 3,500 kcal, and three replications. The diet was given freely, but it was measured daily. At the beginning of the experiment, one group of fish was killed to determine the body and chemical parameters. Every 28 days, two individuals of each experimental unit were killed and measured: total and standard length, total weight, liver, gonads, head, clean torso (CT) and visceral fat weight, respectively. Subsequently, the hepatosomatic index, gonadosomatic index, head percentage, carcass and clean torso yield were calculated. The fillet yield and the sex of the individuals were also registered from June/2006 on. Analyses of humidity, crude protein, lipids and mineral matter were conducted for the chemical composition of the jundia meat. Feed with 30% CP provided fish with better clean torso yield. The muscle composition was not influenced by the tested diets. The best result was obtained using diets containing 30% CP and 3,250 kcal digestible energy/kg

Consenso colombiano de atención, diagnóstico y manejo de la infección por SARS-COV-2/COVID-19 en establecimientos de atención de la salud Recomendaciones basadas en consenso de expertos e informadas en la evidencia

The “Asociación Colombiana de Infectología” (ACIN) and the “Instituto de Evaluación de Nuevas Tecnologías de la Salud” (IETS) created a task force to develop recommendations for Covid 19 health care diagnosis, management and treatment informed, and based, on evidence. Theses reccomendations are addressed to the health personnel on the Colombian context of health services. © 2020 Asociacion Colombiana de Infectologia. All rights reserved

Contribution à une sémantique interprétative des styles (étude de deux oeuvres de la modernité poétique : Jacques Dupin et Gérard Macé)

TOULOUSE2-BUC Mirail (315552102) / SudocSudocFranceF

First operation of the KATRIN experiment with tritium

International audienceThe determination of the neutrino mass is one of the major challenges in astroparticle physics today. Direct neutrino mass experiments, based solely on the kinematics of \upbeta -decay, provide a largely model-independent probe to the neutrino mass scale. The Karlsruhe Tritium Neutrino (KATRIN) experiment is designed to directly measure the effective electron antineutrino mass with a sensitivity of $0.2\hbox { eV}$ ($90\%$ CL). In this work we report on the first operation of KATRIN with tritium which took place in 2018. During this commissioning phase of the tritium circulation system, excellent agreement of the theoretical prediction with the recorded spectra was found and stable conditions over a time period of 13 days could be established. These results are an essential prerequisite for the subsequent neutrino mass measurements with KATRIN in 2019