Curbing methicillin-resistant Staphylococcus aureus in 38 French hospitals through a 15-year institutional control program

BACKGROUND: The Assistance Publique-Hôpitaux de Paris (AP-HP) institution administers 38 teaching hospitals (23 acute care and 15 rehabilitation and long-term care hospitals; total, 23 000 beds) scattered across Paris and surrounding suburbs in France. In the late 1980s, the proportion of methicillin resistance among clinical strains of Staphylococcus aureus (MRSA) reached approximately 40% at AP-HP.METHODS: A program aimed at curbing the MRSA burden was launched in 1993, based on passive and active surveillance, barrier precautions, training, and feedback. This program, supported by the strong commitment of the institution, was reinforced in 2001 by a campaign promoting the use of alcohol-based hand-rub solutions. An observational study on MRSA rate was prospectively carried out from 1993 onwards. RESULTS: There was a significant progressive decrease in MRSA burden (-35%) from 1993 to 2007, whether recorded as the proportion (expressed as percentage) of MRSA among S aureus strains (41.0% down to 26.6% overall; 45.3% to 24.2% in blood cultures) or incidence of MRSA cases (0.86 down to 0.56 per 1000 hospital days). The MRSA burden decreased more markedly in intensive care units (-59%) than in surgical (-44%) and medical (-32%) wards. The use of ABHR solutions (in liters per 1000 hospital days) increased steadily from 2 L to 21 L (to 26 L in acute care hospitals and to 10 L in rehabilitation and long-term care hospitals) following the campaign. CONCLUSION: A sustained reduction of MRSA burden can be obtained at the scale of a large hospital institution with high endemic MRSA rates, providing that an intensive program is maintained for a long period

Scientific rationale for Uranus and Neptune <i>in situ</i> explorations

The ice giants Uranus and Neptune are the least understood class of planets in our solar system but the most frequently observed type of exoplanets. Presumed to have a small rocky core, a deep interior comprising ∼70% heavy elements surrounded by a more dilute outer envelope of H2 and He, Uranus and Neptune are fundamentally different from the better-explored gas giants Jupiter and Saturn. Because of the lack of dedicated exploration missions, our knowledge of the composition and atmospheric processes of these distant worlds is primarily derived from remote sensing from Earth-based observatories and space telescopes. As a result, Uranus's and Neptune's physical and atmospheric properties remain poorly constrained and their roles in the evolution of the Solar System not well understood. Exploration of an ice giant system is therefore a high-priority science objective as these systems (including the magnetosphere, satellites, rings, atmosphere, and interior) challenge our understanding of planetary formation and evolution. Here we describe the main scientific goals to be addressed by a future in situ exploration of an ice giant. An atmospheric entry probe targeting the 10-bar level, about 5 scale heights beneath the tropopause, would yield insight into two broad themes: i) the formation history of the ice giants and, in a broader extent, that of the Solar System, and ii) the processes at play in planetary atmospheres. The probe would descend under parachute to measure composition, structure, and dynamics, with data returned to Earth using a Carrier Relay Spacecraft as a relay station. In addition, possible mission concepts and partnerships are presented, and a strawman ice-giant probe payload is described. An ice-giant atmospheric probe could represent a significant ESA contribution to a future NASA ice-giant flagship mission

Large expert-curated database for benchmarking document similarity detection in biomedical literature search

Document recommendation systems for locating relevant literature have mostly relied on methods developed a decade ago. This is largely due to the lack of a large offline gold-standard benchmark of relevant documents that cover a variety of research fields such that newly developed literature search techniques can be compared, improved and translated into practice. To overcome this bottleneck, we have established the RElevant LIterature SearcH consortium consisting of more than 1500 scientists from 84 countries, who have collectively annotated the relevance of over 180 000 PubMed-listed articles with regard to their respective seed (input) article/s. The majority of annotations were contributed by highly experienced, original authors of the seed articles. The collected data cover 76% of all unique PubMed Medical Subject Headings descriptors. No systematic biases were observed across different experience levels, research fields or time spent on annotations. More importantly, annotations of the same document pairs contributed by different scientists were highly concordant. We further show that the three representative baseline methods used to generate recommended articles for evaluation (Okapi Best Matching 25, Term Frequency-Inverse Document Frequency and PubMed Related Articles) had similar overall performances. Additionally, we found that these methods each tend to produce distinct collections of recommended articles, suggesting that a hybrid method may be required to completely capture all relevant articles. The established database server located at https://relishdb.ict.griffith.edu.au is freely available for the downloading of annotation data and the blind testing of new methods. We expect that this benchmark will be useful for stimulating the development of new powerful techniques for title and title/abstract-based search engines for relevant articles in biomedical research.Peer reviewe

MBE growth of Fe(211)/Au(110) multilayers on MgO(110) substrates

International audienceA 0.9 nm-Fe(211)/3.1 nm-Au(110) superlattice has been grown and measured by SQUID magnetometry. The magnetization has been found in the plane and the easy direction is [011¯] due to tension strain along the [111¯] axis. A weak antiferromagnetic coupling across the Au layers (0.01 erg/cm2) has been deduced

Numerical and Experimental Investigations of Flow Control in Axial Compressors

International audienceThe increase of the thrust-to-weight ratio of modern gas-turbine engines results in higher loads and a reduced number of blades and stages for the compressor. The designer must ensure the acceptable performance of each compressor stage (efficiency and stable operating range) and control the rising risk of blade boundary layer separation. This can be obtained using passive or active control devices which act on the behavior of the tip leakage flows or the endwall corner stall when the operating point gets closer to the stall or surge limit (compressor). This study focuses on casing treatments, with axisymmetrical and non-axisymmetrical slots, on injection or recirculating grooves, which are efficient approaches to extend the stable operating range, especially by increasing the stall margin of a compressor system while the efficiency penalty must remain as small as possible. The hub corner stall is controlled by aspirated compressor and vortex generators

Diel variations of the DMSP-to-chlorophyll a ratio in Northwestern Mediterranean surface waters

International audienc

From Suns to Life: A Chronological Approach to the History of Life on Earth 3. Solar System Formation and Early Evolution: the First 100 Million Years

Earth Moon and Planets, 98, pp. 39-95, http://dx.doi.org./10.1007/s11038-006-9087-5International audienc

First ever in situ observations of Venus' polar upper atmosphere density using the tracking data of the Venus Express Atmospheric Drag Experiment (VExADE)

On its highly elliptical 24. h orbit around Venus, the Venus Express (VEX) spacecraft briefly reaches a periapsis altitude of nominally 250. km. Recently, however, dedicated and intense radio tracking campaigns have taken place in August 2008, October 2009, February and April 2010, for which the periapsis altitude was lowered to the 186-176. km altitude range in order to be able to probe the upper atmosphere of Venus above the North Pole for the first time ever in situ. As the spacecraft experiences atmospheric drag, its trajectory is measurably perturbed during the periapsis pass, allowing us to infer total atmospheric mass density at the periapsis altitude. A Precise Orbit Determination (POD) of the VEX motion is performed through an iterative least-squares fitting process to the Doppler tracking data, acquired by the VEX radioscience experiment (VeRa). The drag acceleration is modelled using an initial atmospheric density model (VTS3 model, Hedin, A.E., Niemann, H.B., Kasprzak, W.T., Seiff, A. [1983]. J. Geophys. Res. 88, 73-83). A scale factor of the drag acceleration is estimated for each periapsis pass, which scales Hedin's density model in order to best fit the radio tracking data. Reliable density scale factors have been obtained for 10 passes mainly from the second (October 2009) and third (April 2010) VExADE campaigns, which indicate a lower density by a factor of about 1.8 than Hedin's model predicts. These first ever in situ polar density measurements at solar minimum have allowed us to construct a diffusive equilibrium density model for Venus' thermosphere, constrained in the lower thermosphere primarily by SPICAV-SOIR measurements and above 175. km by the VExADE drag measurements (Müller-Wodarg et al., in preparation). The preliminary results of the VExADE campaigns show that it is possible to obtain with the POD technique reliable estimates of Venus' upper atmosphere densities at an altitude of around 175. km. Future VExADE campaigns will benefit from the planned further lowering of VEX pericenter altitude to below 170. km. © 2011 Elsevier Inc