527 research outputs found
Serratia marcescens bacteremia traced to an infused narcotic
BACKGROUND
From June 30, 1998, through March 21, 1999, several patients in the surgical intensive care unit of a hospital acquired Serratia marcescens bacteremia. We investigated this outbreak. METHODS
A case was defined as the occurrence of S. marcescens bacteremia in any patient in the surgical intensive care unit during the period of the epidemic. To identify risk factors, we compared patients with S. marcescens bacteremia with randomly selected controls. Isolates from patients and from medications were evaluated by pulsed-field gel electrophoresis. The hair of one employee was tested for fentanyl. RESULTS
Twenty-six patients with S. marcescens bacteremia were identified; eight (31 percent) had polymicrobial bacteremia, and seven of these had Enterobacter cloacae and S. marcescens in the same culture. According to univariate analysis, patients with S. marcescensbacteremia stayed in the surgical intensive care unit longer than controls (13.5 vs. 4.0 days, PS. marcescens and E. cloacae. The isolates from the case patients and from the fentanyl infusions had similar patterns on pulsed-field gel electrophoresis. After removal of the implicated respiratory therapist, no further cases occurred.
Full Text of Results... CONCLUSIONS
An outbreak of S. marcescens and E. cloacae bacteremia in a surgical intensive care unit was traced to extrinsic contamination of the parenteral narcotic fentanyl by a health care worker. Our findings underscore the risk of complications in patients that is associated with illicit narcotic use by health care workers
Looking into the matter of light-quark hadrons
In tackling QCD, a constructive feedback between theory and extant and
forthcoming experiments is necessary in order to place constraints on the
infrared behaviour of QCD's \beta-function, a key nonperturbative quantity in
hadron physics. The Dyson-Schwinger equations provide a tool with which to work
toward this goal. They connect confinement with dynamical chiral symmetry
breaking, both with the observable properties of hadrons, and hence provide a
means of elucidating the material content of real-world QCD. This contribution
illustrates these points via comments on: in-hadron condensates; dressed-quark
anomalous chromo- and electro-magnetic moments; the spectra of mesons and
baryons, and the critical role played by hadron-hadron interactions in
producing these spectra.Comment: 11 pages, 7 figures. Contribution to the Proceedings of "Applications
of light-cone coordinates to highly relativistic systems - LIGHTCONE 2011,"
23-27 May, 2011, Dallas. The Proceedings will be published in Few Body
System
Masses of ground and excited-state hadrons
We present the first Dyson-Schwinger equation calculation of the light hadron
spectrum that simultaneously correlates the masses of meson and baryon ground-
and excited-states within a single framework. At the core of our analysis is a
symmetry-preserving treatment of a vector-vector contact interaction. In
comparison with relevant quantities the
root-mean-square-relative-error/degree-of freedom is 13%. Notable amongst our
results is agreement between the computed baryon masses and the bare masses
employed in modern dynamical coupled-channels models of pion-nucleon reactions.
Our analysis provides insight into numerous aspects of baryon structure; e.g.,
relationships between the nucleon and Delta masses and those of the
dressed-quark and diquark correlations they contain.Comment: 25 pages, 7 figures, 4 table
Control of Vancomycin-Resistant Enterococcus in Health Care Facilities in a Region
Background
In late 1996, vancomycin-resistant enterococci were first detected in the Siouxland region of Iowa, Nebraska, and South Dakota. A task force was created, and in 1997 the assistance of the Centers for Disease Control and Prevention was sought in assessing the prevalence of vancomycin-resistant enterococci in the region’s facilities and implementing recommendations for screening, infection control, and education at all 32 health care facilities in the region.
Methods
The infection-control intervention was evaluated in October 1998 and October 1999. We performed point-prevalence surveys, conducted a case– control study of gastrointestinal colonization with vancomycin-resistant enterococci, and compared infection-control practices and screening policies for vancomycin-resistant enterococci at the acute care and long-term care facilities in the Siouxland region.
Results
Perianal-swab samples were obtained from 1954 of 2196 eligible patients (89 percent) in 1998 and 1820 of 2049 eligible patients (89 percent) in 1999. The overall prevalence of vancomycin-resistant enterococci at 30 facilities that participated in all three years of the study decreased from 2.2 percent in 1997 to 1.4 percent in 1998 and to 0.5 percent in 1999 (P
Conclusions
An active infection-control intervention, which includes the obtaining of surveillance cultures and the isolation of infected patients, can reduce or eliminate the transmission of vancomycinresistant enterococci in the health care facilities of a region. (N Engl J Med 2001;344:1427-33.
A-dependence of nuclear transparency in quasielastic A(e,e'p) at high Q^2
The A-dependence of the quasielastic A(e,e'p) reaction has been studied at
SLAC with H-2, C, Fe, and Au nuclei at momentum transfers Q^2 = 1, 3, 5, and
6.8 (GeV/c)^2. We extract the nuclear transparency T(A,Q^2), a measure of the
average probability that the struck proton escapes from the nucleus A without
interaction. Several calculations predict a significant increase in T with
momentum transfer, a phenomenon known as Color Transparency. No significant
rise within errors is seen for any of the nuclei studied.Comment: 5 pages incl. 2 figures, Caltech preprint OAP-73
Self‐Fertility in a Cultivated Diploid Potato Population Examined with the Infinium 8303 Potato Single‐Nucleotide Polymorphism Array
Stochastic Heating by ECR as a Novel Means of Background Reduction in the KATRIN Spectrometers
The primary objective of the KATRIN experiment is to probe the absolute
neutrino mass scale with a sensitivity of 200 meV (90% C.L.) by precision
spectroscopy of tritium beta-decay. To achieve this, a low background of the
order of 10^(-2) cps in the region of the tritium beta-decay endpoint is
required. Measurements with an electrostatic retarding spectrometer have
revealed that electrons, arising from nuclear decays in the volume of the
spectrometer, are stored over long time periods and thereby act as a major
source of background exceeding this limit. In this paper we present a novel
active background reduction method based on stochastic heating of stored
electrons by the well-known process of electron cyclotron resonance (ECR). A
successful proof-of-principle of the ECR technique was demonstrated in test
measurements at the KATRIN pre-spectrometer, yielding a large reduction of the
background rate. In addition, we have carried out extensive Monte Carlo
simulations to reveal the potential of the ECR technique to remove all trapped
electrons within negligible loss of measurement time in the main spectrometer.
This would allow the KATRIN experiment attaining its full physics potential
Cost calculation and prediction in adult intensive care: A ground-up utilization study
Publisher's copy made available with the permission of the publisherThe ability of various proxy cost measures, including therapeutic activity scores (TISS and Omega) and cumulative daily severity of illness scores, to predict individual ICU patient costs was assessed in a prospective “ground-up” utilization costing study over a six month period in 1991. Daily activity (TISS and Omega scores) and utilization in consecutive admissions to three adult university associated ICUs was recorded by dedicated data collectors. Cost prediction used linear regression with determination (80%) and validation (20%) data sets. The cohort, 1333 patients, had a mean (SD) age 57.5 (19.4) years, (41% female) and admission APACHE III score of 58 (27). ICU length of stay and mortality were 3.9 (6.1) days and 17.6% respectively. Mean total TISS and Omega scores were 117 (157) and 72 (113) respectively. Mean patient costs per ICU episode (1991 6801 (2534, range 95,602. Dominant cost fractions were nursing 43.3% and overheads 16.9%. Inflation adjusted year 2002 (mean) costs were AUS). Total costs in survivors were predicted by Omega score, summed APACHE III score and ICU length of stay; determination R2, 0.91; validation 0.88. Omega was the preferred activity score. Without the Omega score, predictors were age, summed APACHE III score and ICU length of stay; determination R2, 0.73; validation 0.73. In non-survivors, predictors were age and ICU length of stay (plus interaction), and Omega score (determination R2, 0.97; validation 0.91). Patient costs may be predicted by a combination of ICU activity indices and severity scores.J. L. Moran, A. R. Peisach, P. J. Solomon, J. Martinhttp://www.aaic.net.au/Article.asp?D=200403
An Integrated TCGA Pan-Cancer Clinical Data Resource to Drive High-Quality Survival Outcome Analytics
For a decade, The Cancer Genome Atlas (TCGA) program collected clinicopathologic annotation data along with multi-platform molecular profiles of more than 11,000 human tumors across 33 different cancer types. TCGA clinical data contain key features representing the democratized nature of the data collection process. To ensure proper use of this large clinical dataset associated with genomic features, we developed a standardized dataset named the TCGA Pan-Cancer Clinical Data Resource (TCGA-CDR), which includes four major clinical outcome endpoints. In addition to detailing major challenges and statistical limitations encountered during the effort of integrating the acquired clinical data, we present a summary that includes endpoint usage recommendations for each cancer type. These TCGA-CDR findings appear to be consistent with cancer genomics studies independent of the TCGA effort and provide opportunities for investigating cancer biology using clinical correlates at an unprecedented scale. Analysis of clinicopathologic annotations for over 11,000 cancer patients in the TCGA program leads to the generation of TCGA Clinical Data Resource, which provides recommendations of clinical outcome endpoint usage for 33 cancer types
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