Impact de l’usage des gants médicaux sur l’observance de l’hygiène des mains au cours des soins au Centre Hospitalier et Universitaire du Point G de Bamako

Objectif : Évaluer l'impact de l'usage des gants médicaux sur l'observance de l'hygiène des mains et promouvoir leur usage approprié. Matériel et Méthodes: Il s’agissait d’une étude interventionnelle avec une évaluation avant et après intervention. Sa mise en œuvre a été réalisée entre avril 2010 et octobre 2011 au Centre Hospitalier et Universitaire du Point G. Le recueil du consentement éclairé et les observations ont été effectués auprès du personnel soignant ayant un contact direct avec les patients avant et après intervention. Ces observations ont été discrètes mais ouvertes, menées auprès des soignants préalablement informés du but et du programme des activités. Résultats : Au total, 143 fiches de consentement éclairé ont été retournées sur une prévision de 274 fiches, soit 52,19%. Les observations ont donné un taux d’observance globale de 52,05% avant intervention contre 42,97% après intervention (p = 0,0017). Le taux global de port de gants était de 23,30% et 27,20% respectivement avant et après intervention (p = 0,12). Conclusion : Les résultats des deux évaluations avant et après intervention ont montré une amélioration du taux global de port des gants qui n’était pas significative mais sans impact sur l’observance de l’hygiène des mains

Transport properties and microstructure of mono- and seven-core wires of FeSe1-xTex superconductor by Fe-diffusion powder-in-tube method

We report the successful fabrication of mono- and seven-core superconducting wires of FeSe1-xTex using an in-situ Fe-diffusion process based on the powder-in-tube (Fe-diffusion PIT) method. The reacted layer in these wires were found to have composite structure with composition nearly FeSe and FeTe for the inner and outer layers, although a single layer of composition FeSe0.5Te0.5 was supposed to be formed. The self-field transport Jc values at 4.2 K were found to be 226.2 A/cm2 and 100.3 A/cm2 respectively for mono- and seven-core wires. The Jc's of mono- and seven-core wires dropped rapidly at low fields and then showed a gradual decrease with increasing magnetic fields. In addition, the seven-core wire showed higher Jc than the mono-core wire under higher magnetic fields, indicating that the seven-core wire of FeSe1-xTex superconductor using Fe-diffusion PIT method is advantageous for the superconducting-wire application under high magnetic fields.Comment: 19 pages, 6 figure

From reverse innovation to global innovation in animal health: a review

Reverse innovation refers to learning from or diffusion of innovations developed in low income settings and further translated to industrialized countries. There is lack of consensus regarding terminology, but the idea that innovations in low-income countries are promising for adoption in high-income contexts is not new. However, in healthcare literature globally, the vast majority of publications referring to 'disruptive innovation' were published in the last ten years. To assess the potential of innovative developments and technologies for improving animal health, we initiated a literature review in 2020. We used a combined approach, incorporating targeted searching in PubMed using a key word algorithm with a snowball technique, to identify 120 relevant publications and extract data for qualitative coding. Heterogeneity of articles precluded meta-analysis, quality scoring and risk of bias analysis. We can distinguish technical innovations like new digital devices, diagnostic tests and procedures, and social innovations of intersectoral cooperation. We profile two case studies to describe potential global innovations: an integrated surveillance and response system in Somali Regional State, Ethiopia and a blockchain secured One Health intervention to optimally provide post-exposure prophylaxis for rabies exposed people in West Africa. Innovation follows no borders and can also occur in low-income settings, under constraints of cost, lack of services and infrastructure. Lower administrative and legal barriers may contribute to produce innovations that would not be possible under conditions of high density of regulation. We recommend using the term global innovation, which highlights those emanating from international partnership to solve problems of global implications

One-step synthesis of KxFe2-ySe2 single crystals for high critical current density

We have established a simple process that allows for the one-step synthesis of KxFe2-ySe2 single crystals, which exhibit high critical current density Jc. The post annealing and quenching technique has improved the homogeneity of as-grown crystals, resulting in full shielding of the external magnetic field. The quenched crystals show a superconducting transition at Tconset = 32.9 K and Tczero = 32.1 K. The upper critical fields \mu_{0}Hc2(0) for H//ab and H//c are estimated to be ~206 and ~50 T, respectively. The critical current densities Jc for H//ab and H//c reach as high as 1.0\times10^{5} and 3.4\times10^{4} A/cm2 at 5 K. Furthermore, Jc exhibits a high field performance and a significantly weak temperature dependence up to 5 T, suggesting strong pinning. These results demonstrate that KxFe2-ySe2 would be a promising candidate material for practical applications.Comment: 10 pages, 5 figure

The advanced LIGO input optics

The advanced LIGO gravitational wave detectors are nearing their design sensitivity and should begin taking meaningful astrophysical data in the fall of 2015. These resonant optical interferometers will have unprecedented sensitivity to the strains caused by passing gravitational waves. The input optics play a significant part in allowing these devices to reach such sensitivities. Residing between the pre-stabilized laser and the main interferometer, the input optics subsystem is tasked with preparing the laser beam for interferometry at the sub-attometer level while operating at continuous wave input power levels ranging from 100 mW to 150 W. These extreme operating conditions required every major component to be custom designed. These designs draw heavily on the experience and understanding gained during the operation of Initial LIGO and Enhanced LIGO. In this article, we report on how the components of the input optics were designed to meet their stringent requirements and present measurements showing how well they have lived up to their design

The Advanced LIGO Input Optics

The advanced LIGO gravitational wave detectors are nearing their design sensitivity and should begin taking meaningful astrophysical data in the fall of 2015. These resonant optical interferometers will have unprecedented sensitivity to the strains caused by passing gravitational waves. The input optics play a significant part in allowing these devices to reach such sensitivities. Residing between the pre-stabilized laser and the main interferometer, the input optics subsystem is tasked with preparing the laser beam for interferometry at the sub-attometer level while operating at continuous wave input power levels ranging from 100 mW to 150 W. These extreme operating conditions required every major component to be custom designed. These designs draw heavily on the experience and understanding gained during the operation of Initial LIGO and Enhanced LIGO. In this article, we report on how the components of the input optics were designed to meet their stringent requirements and present measurements showing how well they have lived up to their design

Quantum state preparation and macroscopic entanglement in gravitational-wave detectors

Long-baseline laser-interferometer gravitational-wave detectors are operating at a factor of 10 (in amplitude) above the standard quantum limit (SQL) within a broad frequency band. Such a low classical noise budget has already allowed the creation of a controlled 2.7 kg macroscopic oscillator with an effective eigenfrequency of 150 Hz and an occupation number of 200. This result, along with the prospect for further improvements, heralds the new possibility of experimentally probing macroscopic quantum mechanics (MQM) - quantum mechanical behavior of objects in the realm of everyday experience - using gravitational-wave detectors. In this paper, we provide the mathematical foundation for the first step of a MQM experiment: the preparation of a macroscopic test mass into a nearly minimum-Heisenberg-limited Gaussian quantum state, which is possible if the interferometer's classical noise beats the SQL in a broad frequency band. Our formalism, based on Wiener filtering, allows a straightforward conversion from the classical noise budget of a laser interferometer, in terms of noise spectra, into the strategy for quantum state preparation, and the quality of the prepared state. Using this formalism, we consider how Gaussian entanglement can be built among two macroscopic test masses, and the performance of the planned Advanced LIGO interferometers in quantum-state preparation

Searching for a Stochastic Background of Gravitational Waves with LIGO

The Laser Interferometer Gravitational-wave Observatory (LIGO) has performed the fourth science run, S4, with significantly improved interferometer sensitivities with respect to previous runs. Using data acquired during this science run, we place a limit on the amplitude of a stochastic background of gravitational waves. For a frequency independent spectrum, the new limit is $\Omega_{\rm GW} < 6.5 \times 10^{-5}$. This is currently the most sensitive result in the frequency range 51-150 Hz, with a factor of 13 improvement over the previous LIGO result. We discuss complementarity of the new result with other constraints on a stochastic background of gravitational waves, and we investigate implications of the new result for different models of this background.Comment: 37 pages, 16 figure

Upper limits on the strength of periodic gravitational waves from PSR J1939+2134

The first science run of the LIGO and GEO gravitational wave detectors presented the opportunity to test methods of searching for gravitational waves from known pulsars. Here we present new direct upper limits on the strength of waves from the pulsar PSR J1939+2134 using two independent analysis methods, one in the frequency domain using frequentist statistics and one in the time domain using Bayesian inference. Both methods show that the strain amplitude at Earth from this pulsar is less than a few times $10^{-22}$.Comment: 7 pages, 1 figure, to appear in the Proceedings of the 5th Edoardo Amaldi Conference on Gravitational Waves, Tirrenia, Pisa, Italy, 6-11 July 200

Improving the sensitivity to gravitational-wave sources by modifying the input-output optics of advanced interferometers

We study frequency dependent (FD) input-output schemes for signal-recycling interferometers, the baseline design of Advanced LIGO and the current configuration of GEO 600. Complementary to a recent proposal by Harms et al. to use FD input squeezing and ordinary homodyne detection, we explore a scheme which uses ordinary squeezed vacuum, but FD readout. Both schemes, which are sub-optimal among all possible input-output schemes, provide a global noise suppression by the power squeeze factor, while being realizable by using detuned Fabry-Perot cavities as input/output filters. At high frequencies, the two schemes are shown to be equivalent, while at low frequencies our scheme gives better performance than that of Harms et al., and is nearly fully optimal. We then study the sensitivity improvement achievable by these schemes in Advanced LIGO era (with 30-m filter cavities and current estimates of filter-mirror losses and thermal noise), for neutron star binary inspirals, and for narrowband GW sources such as low-mass X-ray binaries and known radio pulsars. Optical losses are shown to be a major obstacle for the actual implementation of these techniques in Advanced LIGO. On time scales of third-generation interferometers, like EURO/LIGO-III (~2012), with kilometer-scale filter cavities, a signal-recycling interferometer with the FD readout scheme explored in this paper can have performances comparable to existing proposals. [abridged]Comment: Figs. 9 and 12 corrected; Appendix added for narrowband data analysi