Chlorhexidine Gluconate Bathing in Hospitalized Patients: Reducing Barriers and Increasing Compliance Rate

The organization-wide implementation of Chlorhexidine Gluconate (CHG) bathing protocol is one of many measures used to help reduce hospital-acquired infections (HAI) at the 30-bed, Medical-Surgical Specialties and Palliative Care Unit. CHG bathing compliance rate for the unit for the week of August 14-20 was 82.9%, with a 40.4% refusal rate. This is below the 90% desired performance rate. The purpose of this project is to identify the barriers to CHG compliance and to implement interventions that will aid in reducing these barriers and increase CHG compliance rate. Patient declining was identified as one of the main barriers to CHG bathing. The specific aim of the project is to reduce the number of patients who decline CHG bathing in the unit by 30% by the end of November 2016. A cause and effect analysis was done to explore the reasons for noncompliance to CHG bathing. Direct observations, nurse surveys, and EMR documentation reviews were performed to gather data. Results revealed the need to provide teaching and visual reminders to staff nurses and provide education to patients in the efficacy of CHG bathing in infection prevention. Staff nurses received education on CHG bathing protocol. Visual reminders were placed in common areas. Informational handouts were placed in each admission folder to help patients understand the benefits of CHG bathing as well as the potential risk of their refusal. CHG bathing compliance rate for the week of November 6-12 was 90.9%, with a refusal rate of 31.5%. This showed an 8% increase in compliance and a 22% reduction in the number of patients refusing CHG bathing

Concentration polarization quantification and minimization in cork process wastewater ultrafiltration by an ozone pretreatment

Concentration polarization and membrane fouling have been identified as the main problems during the ultrafiltration treatment of cork processing wastewaters. These problems drastically reduce the permeate fluxes and, therefore, their potential applications. In this work, a soft ozonation pretreatment was applied to minimize these undesirable effects. A new systematic study was carried out for membranes with different molecular weight cut-offs and at different operating conditions to monitor and quantify the concentration polarization caused by the wastewater's remaining ozonated compounds. Film theory was used to correlate the mass transfer coefficient, k, and the intrinsic rejection coefficient, f ', with the resistance introduced by concentration polarization. The ultrafiltration treatment was carried out under varying hydrodynamic operating conditions (circulating flow rates of 100-200 L/h) and transmembrane pressures (1-3 bar) for a set of four cellulose acetate membranes covering a wide range of molecular weight cut-offs (5000-100,000 Da) and hydraulic permeabilities (25-110 kg/h/m(2)/bar). The ozone pretreatment (at wastewater pH) reduced the phenolic content selectively (direct oxidation) by more than 50%, reducing membrane fouling and concentration polarization and increasing permeate fluxes (by 22-45%) and mass transfer coefficients (up to six times).info:eu-repo/semantics/publishedVersio

Advances in methods for determining fecundity: application of the new methods to some marine fishes

Estimation of individual egg production (realized fecundity) is a key step either to understand the stock and recruit relationship or to carry out fisheries-independent assessment of spawning stock biomass using egg production methods. Many fish are highly fecund and their ovaries may weigh over a kilogram; therefore the work time can be consuming and require large quantities of toxic fixative. Recently it has been shown for Atlantic cod (Gadus morhua) that image analysis can automate fecundity determination using a power equation that links follicles per gram ovary to the mean vitellogenic follicular diameter (the autodiametric method). In this article we demonstrate the precision of the autodiametric method applied to a range of species with different spawning strategies during maturation and spawning. A new method using a solid displacement pipette to remove quantitative fecundity samples (25, 50, 100, and 200 milligram [mg]) is evaluated, as are the underlying assumptions to effectively fix and subsample the ovary. Finally, we demonstrate the interpretation of dispersed formaldehyde-fixed ovarian samples (whole mounts) to assess the presence of atretic and postovulatory follicles to replace labor intensive histology. These results can be used to estimate down regulation (production of atretic follicles) of fecundity during maturation

The RNA-binding protein ATX-2 regulates cytokinesis through PAR-5 and ZEN-4

The spindle midzone harbors both microtubules and proteins necessary for furrow formation and the completion of cytokinesis. However, the mechanisms that mediate the temporal and spatial recruitment of cell division factors to the spindle midzone and midbody remain unclear. Here we describe a mechanism governed by the conserved RNA-binding protein ATX-2/Ataxin-2, which targets and maintains ZEN-4 at the spindle midzone. ATX-2 does this by regulating the amount of PAR-5 at mitotic structures, particularly the spindle, centrosomes, and midbody. Preventing ATX-2 function leads to elevated levels of PAR-5, enhanced chromatin and centrosome localization of PAR-5-GFP, and ultimately a reduction of ZEN-4-GFP at the spindle midzone. Codepletion of ATX-2 and PAR-5 rescued the localization of ZEN-4 at the spindle midzone, indicating that ATX-2 mediates the localization of ZEN-4 upstream of PAR-5. We provide the first direct evidence that ATX-2 is necessary for cytokinesis and suggest a model in which ATX-2 facilitates the targeting of ZEN-4 to the spindle midzone by mediating the posttranscriptional regulation of PAR-5

Walls talk: Microbial biogeography of homes spanning urbanization.

Westernization has propelled changes in urbanization and architecture, altering our exposure to the outdoor environment from that experienced during most of human evolution. These changes might affect the developmental exposure of infants to bacteria, immune development, and human microbiome diversity. Contemporary urban humans spend most of their time indoors, and little is known about the microbes associated with different designs of the built environment and their interaction with the human immune system. This study addresses the associations between architectural design and the microbial biogeography of households across a gradient of urbanization in South America. Urbanization was associated with households' increased isolation from outdoor environments, with additional indoor space isolation by walls. Microbes from house walls and floors segregate by location, and urban indoor walls contain human bacterial markers of space use. Urbanized spaces uniquely increase the content of human-associated microbes-which could increase transmission of potential pathogens-and decrease exposure to the environmental microbes with which humans have coevolved

Environmental drivers of salp Thalia democratica population dynamics from in situ observations

Author Posting. © The Author(s), 2016. This is the author's version of the work. It is posted here by permission of Inter-Research for personal use, not for redistribution. The definitive version was published in Marine Ecology Progress Series 561 (2016): 189-201, doi:10.3354/meps11915.Thalia democratica blooms are a recurrent phenomenon in many coastal areas of the Mediterranean Sea and have significant ecological effects. To better understand the environmental drivers of salp blooms, we conducted 8 surveys to sample T. democratica in contrasting seasonal, temperature and chlorophyll conditions. In each survey, short-term variations in the abundances of different salp stages were assessed by sampling the same population at 30 min intervals. Using these data, we estimated the parameters in a set of stage-classified matrix population models representing different assumptions about the influence of temperature and chlorophyll on each stage. In the model that best explains our observations, only females are affected by changes in water temperature. Whether this is a direct influence of temperature or an indirect effect reflecting low food availability, female reproduction cessation seems to slow population growth under unfavourable conditions. When conditions become favourable again, females liberate the embryo and change sex to male, allowing for mating under extremely low salp densities and triggering the bloom. In contrast to previous findings, our results suggest that females, rather than oozooids, are responsible for the sustainability of salp populations during latency periods.This work was founded by the Ministerio de Ciencia e Innovación under the Fishjelly project, the European commission ENPI CBC MED project under the Jellyrisk project and the European LIFE Commission under the Cubomed project. M. G. Neubert acknowledges the support of the US National Science Foundation (DEB-1145017 and DEB-1257545)

Experimental evidence for drought induced alternative stable states of soil moisture

Ecosystems may exhibit alternative stable states (ASS) in response to environmental change. Modelling and observational data broadly support the theory of ASS, however evidence from manipulation experiments supporting this theory is limited. Here, we provide long-term manipulation and observation data supporting the existence of drought induced alternative stable soil moisture states (irreversible soil wetting) in upland Atlantic heath, dominated by Calluna vulgaris (L.) Hull. Manipulated repeated moderate summer drought, and intense natural summer drought both lowered resilience resulting in shifts in soil moisture dynamics. The repeated moderate summer drought decreased winter soil moisture retention by ~10%. However, intense summer drought, superimposed on the experiment, that began in 2003 and peaked in 2005 caused an unexpected erosion of resilience and a shift to an ASS; both for the experimental drought manipulation and control plots, impairing the soil from rewetting in winter. Measurements outside plots, with vegetation removal, showed no evidence of moisture shifts. Further independent evidence supports our findings from historical soil moisture monitoring at a long-term upland hydrological observatory. The results herald the need for a new paradigm regarding our understanding of soil structure, hydraulics and climate interaction

Adsorption equilibrium of fructose, glucose and sucrose for cationic resins in the sodium and potassium form

Separation of glucose from mixtures of fructose and sucrose in molasses is a major challenge in industrial sugar chromatographic separations. The efficiency of a chromatographic process is largely dependent on the adsorbent used. Sulfonated poly(styrene-co-divinylbenzene) (PS-DVB) ion exchange resins are the most frequently used for sugars separation, generally in a cationic form. The cation will complex with the hydroxyl group of the sugar leading to a selective adsorption according to the orientation of the hydroxyl group. Thus, the conformation of the sugar determines its relative affinity for the resin and its distribution coefficient. Consequently, fructose forms the more stable sugar-cation complex being preferentially adsorbed in the resin followed by glucose. Sucrose interacts very weakly with the cation and is partially or totally excluded from the resin matrix owing to its larger molecular size. The separation process is usually carried out at high temperatures. However, this implies high energy costs and an elevated level of hydrolysis. Adsorption isotherms of the sugars present in a mixture are a very important parameter for the selection of the adsorbent to be used in the chromatographic separation. Therefore, in this study, the adsorption isotherms of glucose, fructose and sucrose were determined for two resins of PS-DVB in the sodium and potassium forms. Potassium and sodium are the most recommended cations for the separation of sucrose, fructose and glucose. The sodium and potassium resins matrix used in this work consist in meshes of 500-600 μm and 290-350 μm, respectively. Solutions with single and multi-component mixtures of the three sugars were used at 25ºC and 40ºC. A static method was used to determine the equilibrium adsorptions: 3.5 mL of solutions with different sugar concentrations were added to a known amount of adsorvent. The mixture was held for 8h under agitation and a fixed temperature and a final concentration in equilibrium with resin was determined by HPLC. As expected, the results achieved showed that for all the conditions, fructose is the most adsorved sugar followed by glucose and sucrose. For both resins, the increase of temperature conducted to a decrease on the adsorption constant for all the sugars in the mono-component mixtures. Nevertheless, the adsorption in multi-component mixtures was not significantly affected by the temperature in the sodium resin, and regarding the potassium resin only a small increase in the adsorption was observed. Multi-component mixtures at 25 ºC showed a decrease in the adsorption as compared with mono-component mixtures. However, at 40ºC the adsorption observed for the multi-component mixtures was higher than the observed for the mono-component ones. The sugars that demonstrated lower selectivity values were fructose/glucose since these sugars have the same molecular weight. Sucrose/fructose selectivity showed a higher value when compared with sucrose/glucose because of the complex formed between fructose and the resin. This profile was found for both resins used, regardless of temperature. Selectivity of both resins decreased with the increase of the temperature values. Nevertheless, the selectivity obtained for the potassium resin was higher as compared to the selectivity obtained for the sodium resin. In sum, potassium resin appears to be the most suitable adsorvent and an operational temperature of 25 ºC showed the best results