Overall burden of bloodstream infection and nosocomial bloodstream infection in North America and Europe

AbstractIn this systematic review, we estimated the total number of episodes of bloodstream infection (BSI) and deaths from BSI per year in North America and Europe, using data from population-based settings. Then, we estimated the number of episodes and deaths from nosocomial BSI from population-based studies and nosocomial infection surveillance systems. We estimated 575 000–677 000 episodes of BSI per year in North America (536 000–628 000 in the USA and 40 000–49 000 in Canada) and 79 000–94 000 deaths (72 000–85 000 in the USA and 7000–9000 in Canada), using estimates from three population-based studies. We estimated over 1 200 000 episodes of BSI and 157 000 deaths per year in Europe, using estimates from one population-based study in each of the following countries: Denmark (9100 episodes and 1900 deaths), Finland (8700 episodes and 1100 deaths) and England (96 000 episodes and 12 000–19 000 deaths). There were substantial differences in estimates of nosocomial BSI between population-based and nosocomial infection surveillance data. BSI has a major impact on the morbidity and mortality of the general population, as it ranks among the top seven causes of death in all included countries in North America and Europe. However, it is difficult to obtain precise estimates of nosocomial BSI, owing to the limited number of studies. This review highlights the need for a greater focus on BSI research in order to reduce the overall burden of disease by improving the outcome of patients with BSI. It also emphasizes the role of infection control and prevention methods in reducing the burden of nosocomial BSI

Seasonal variation in Escherichia coli bloodstream infection: a population-based study

AbstractSeasonal variation in the rates of infection with certain Gram-negative organisms has been previously examined in tertiary-care centres. We performed a population-based investigation to evaluate the seasonal variation in Escherichia coli bloodstream infection (BSI). We identified 461 unique patients in Olmsted County, Minnesota, from 1 January 1998 to 31 December 2007, with E. coli BSI. Incidence rates (IR) and IR ratios were calculated using Rochester Epidemiology Project tools. Multivariable Poisson regression was used to examine the association between the IR of E. coli BSI and average temperature. The age- and gender-adjusted IR of E. coli BSI per 100 000 person-years was 50.2 (95% CI 42.9–57.5) during the warmest 4 months (June through September) compared with 37.1 (95% CI 32.7–41.5) during the remainder of the year, resulting in a 35% (95% CI 12–66%) increase in IR during the warmest 4 months. The average temperature was predictive of increasing IR of E. coli BSI (p 0.004); there was a 7% (95% CI 2–12%) increase in the IR for each 10-degree Fahrenheit (c. 5.5°C) increase in average temperature. To our knowledge, this is the first study to demonstrate seasonal variation in E. coli BSI, with a higher IR during the warmest 4 months than during the remainder of the year

Effect of mulching and organic manure on growth and yield performance of wheat

An experiment was conducted at the Agronomy Field Laboratory, Bangladesh Agricultural University, Mymensingh in Rabi season (dry season) of 2014 to study the effect of mulching and organic manure on growth and yield performance of wheat. Five mulching practices viz. M1=1 irrigation at 17-21 days after sowing (DAS), M2=2 irrigations at 17-21 and 55-60 DAS, M3=3 irrigations at 17-21, 55-60 and 75-80 DAS, M4=control, M5=straw mulch (6 t ha-1) and five organic manure managements viz. O1=recommended chemical fertilizer (NPKS @ 100-23-20-16 kg ha-1), O2=poultry manure @ 6 t ha-1 (100% PM), O3=vermicompost @ 8 t ha-1 (100% VC), O4=50% chemical fertilizer+50% VC and O5=50% chemical fertilizer+50% PM were used as experimental variables. The experiment was conducted in split-plot design with three replications. The results showed that mulching had significant influence on all attributes. The highest values of all attributes were found in straw mulch treatment. It was observed that organic manure had significant influences on all characters. The highest values of yield and yield attributes were found in O5 (50% chemical fertilizer+50% PM) treatment. It was observed that effective tillers hill-1, grain yield and straw yield were significantly affected by combined effect of mulching and organic manure. The highest values obtained from mulching and O5 (50% chemical fertilizer+50% PM) treatment. Therefore, it can be inferred from the results of the study that highest production could be obtained from mulching and O5 (50% chemical fertilizer+50% PM) treatment

Shelf-life of rotary and solar tunnel dried SIS products under different packaging and storage conditions

A study was conducted on the shelf-life of rotary and solar tunnel dried SIS products under different packaging and storage conditions. Organoleptically dried products were found in good condition after a storage period of 60 days in ambient and chilled conditions. The moisture content, TVB-N value and bacterial load slightly increased during 60 days of storage in ambient and chilled conditions. The changes in moisture content and bacterial load were faster in ambient temperature than in chilled storage condition whereas changes in TVB-N value was higher in chilled condition than in ambient temperature. The initial moisture content was in the range of 13.71% to 22.84%. After 60 days of storage in ambient and chilled condition the moisture content of dried products was in the range of 15.09% to 25.11% and 14.49% to 25.01%, respectively. The initial TVB-N value was in the range of 10.64 to 17.52 mg/100g and after 60 days of storage in ambient and chilled condition, TVB-N value was in the range of 29.00 to 34.82 mg/100g and 31.41 to 39.11 mg/100g, respectively. The initial bacterial load was in the range of 1.91x10 super(8) to 2.84x10 super(8) and after 60 days of storage in ambient and chilled condition, the bacterial load was in the range of 6.2x10 super(8) to 1.8x10 super(9) and 5.75x10 super(7) to 5.05x10 super(8) CFU/g, respectively. The results of the present study indicated that it is necessary to store high quality dried products in sealed packed in chilled condition to ensure good quality up to a certain period of time

Quality assessment of traditional, rotary and solar tunnel dried small indigenous fish species products

Studies on the quality assessments of three traditional, rotary and solar tunnel dried SIS products were conducted. Organoleptic quality of traditional dried SIS products available in the markets was poor compared to those produced in rotary and solar tunnel dryer. Reconstitution of samples were in the range of 54.26% to 75.24%, 69.37% to 83.73% and 55.08% to 80.24% when soaked at 80°C for traditional, rotary and solar tunnel dried products, respectively. The percentage of reconstitution increased with the increase of soaking time and the uptake of water was maximum after 60 min of soaking. The moisture contents of traditional, rotary and solar tunnel dried products were in the range of 26.02% to 27.33%, 16.23% to 22.84% and 13.71% to 19.30%, respectively. The protein contents were in the range of 60.78% to 72.59%, 62.17% to 76.27% and 61.11% to 76.00%, respectively; lipid contents were in the range of 12.26% to 22.60%, 14.00% to 24.71% and 13.92% to 22.39%, respectively and ash contents in the range of 15.11% to 16.59%, 8.32% to 13.51% and 8.71% to 16.45%, respectively on dry matter basis. The TVB-N content of rotary and solar tunnel dried products was low compared to traditional one ranging from 10.64 to 17.52 mg/100g and 14.34 to 15.68 mg/100g, respectively whereas the TVB-N content of traditional samples was in the range of 15.46 to 20.36 mg/100g. The bacterial load of traditional, rotary and solar tunnel dried products were in the range of 1.43x10 super(8) CFU/g to 2.89 x10 super(80 CFU/g, 1.91x10 super(8) CFU/g to 2.84x10 super(8) CFU/g and 1.95x10 super(8) CFU/g to 2.59x10 super(8) CFU/g, respectively. The results of the study indicated that dried fish products from rotary dryer and solar tunnel dryer were found to be of better quality in nutritional and food quality aspects than those of traditional dried products

Sustainable-ERP System: A Preliminary Study on Sustainability Indicators

The purpose of this paper was to identify the indicators for sustainability performance that were integrated into the Enterprise Resource Planning (ERP) system. It is crucial for a manufacturing company to embed the sustainability elements into their performance indicators in order to be sustainable in the economic, social, and environment dimensions. In this study, a set of criteria has been used to explore the sustainability indicators through a thorough literature study of related sustainability issues discussed in Scopus Index journals from year 2007 until 2016. In this regard, the indicators were clustered based on their respective sustainability dimensions (i.e. economy, social, and environment). Pareto charts were developed for the analysis process. The most frequent sustainability indicators can be determined based on Pareto 80-20 rule. Results of the analysis showed that from an initial 63 sustainability indicators, 32 indicators were listed as highly influential sustainability indicators. The findings of this study provide an early insight for researchers and industrial practitioners in selecting the most significant sustainability indicators to be integrated into their ERP system

Consultation on kidney stones, Copenhagen 2019 : lithotripsy in percutaneous nephrolithotomy

Purpose: To evaluate the balance between existing evidence and expert opinions on the safety and efficacy of new technological improvements in lithotripsy techniques for percutaneous nephrolithotomy (PCNL). Methods: A scoping review approach was applied to search literature in Pubmed, Embase, and Web of Science. Consensus by key opinion leaders was reached at a 2-day meeting entitled \u201cConsultation on Kidney Stones: Aspects of Intracorporeal Lithotripsy\u201d held in Copenhagen, Denmark, in September 2019. Results: New-generation dual-mode single-probe lithotripsy devices have shown favourable results compared with use of ballistic or ultrasonic lithotripters only. However, ballistic and ultrasonic lithotripters are also highly effective and safe and have been the backbone of PCNL for many years. Compared with standard PCNL, it seems that mini PCNL is associated with fewer bleeding complications and shorter hospital admissions, but also with longer operating room (OR) time and higher intrarenal pressure. Use of laser lithotripsy combined with suction in mini PCNL is a promising alternative that may improve such PCNL by shortening OR times. Furthermore, supine PCNL is a good alternative, especially in cases with complex renal stones and large proximal ureteric stones; in addition, it facilitates endoscopic combined intrarenal surgery (ECIRS). Conclusion: Recent technological improvements in PCNL techniques are promising, but there is a lack of high-level evidence on safety and efficacy. Different techniques suit different types of stones and patients. The evolution of diverse methods has given urologists the possibility of a personalized stone approach, in other words, the right approach for the right patient

An amplitude analysis of the N‾N→π−π+\overline{N}N \to \pi^- \pi^+ reaction

A simple partial wave amplitude analysis of $\overline{p}p \rightarrow \pi^- \pi^+$ has been performed for data in the range p_{\sl lab} = 360 -- 1000 MeV/c. Remarkably few partial waves are required to fit the data, while the number of required $J$ values barely changes over this energy range. However, the resulting set of partial wave amplitudes is not unique. We discuss possible measurements with polarized beam and target which will severely restrict and help resolve the present analysis ambiguities. New data from the reaction $\overline{p}p \rightarrow \pi^0 \pi^0$ alone, are insufficient for that purpose.Comment: 16 pages (revtex), 8 figures available on request, submitted to Phys. Rev.

Annihilation range and final-state interaction in the antiproton-proton annihilation into pi-pi+

The large set of accurate data on differential cross section and analyzing power from the CERN LEAR experiment on $\bar pp \to \pi^+\pi^-$ in the range from 360 to 1550 MeV/c is well reproduced within a distorted wave approximation approach. The initial $\bar pp$ scattering wave functions originate from a recent $\bar N N$ model. The transition operator is obtained from a combination of the $^3P_0$ and $^3S_1$ quark-antiquark annihilation mechanisms. A good fit to the data, in particular the reproduction of the double dip structure observed in the analyzing powers, requires quark wave functions for proton, antiproton, and pions with radii slightly larger than the respective measured charge radii. This corresponds to an increase in range of the annihilation mechanisms and consequently the amplitudes for total angular momentum J=2 and higher are much larger than in previous approaches. The final state $\pi\pi$ wave functions, parameterized in terms of $\pi\pi$ phase shifts and inelasticities, are also a very important ingredient for the fine tuning of the fit to the observables.Comment: 11 pages, 11 figures (Revtex 4), revised version with one additional figure. Accepted for publication in PR

Measurement of the W+W-gamma Cross Section and Direct Limits on Anomalous Quartic Gauge Boson Couplings at LEP

The process e+e- -> W+W-gamma is analysed using the data collected with the L3 detector at LEP at a centre-of-mass energy of 188.6GeV, corresponding to an integrated luminosity of 176.8pb^-1. Based on a sample of 42 selected W+W- candidates containing an isolated hard photon, the W+W-gamma cross section, defined within phase-space cuts, is measured to be: sigma_WWgamma = 290 +/- 80 +/- 16 fb, consistent with the Standard Model expectation. Including the process e+e- -> nu nu gamma gamma, limits are derived on anomalous contributions to the Standard Model quartic vertices W+W- gamma gamma and W+W-Z gamma at 95% CL: -0.043 GeV^-2 < a_0/Lambda^2 < 0.043 GeV^-2 0.08 GeV^-2 < a_c/Lambda^2 < 0.13 GeV^-2 0.41 GeV^-2 < a_n/Lambda^2 < 0.37 GeV^-2