71 research outputs found

    Antimicrobial use in European acute care hospitals: results from the second point prevalence survey (PPS) of healthcare-associated infections and antimicrobial use, 2016 to 2017

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    Antimicrobial agents used to treat infections are life-saving. Overuse may result in more frequent adverse effects and emergence of multidrug-resistant microorganisms. In 2016-17, we performed the second point-prevalence survey (PPS) of healthcare-associated infections (HAIs) and antimicrobial use in European acute care hospitals. We included 1,209 hospitals and 310,755 patients in 28 of 31 European Union/European Economic Area (EU/EEA) countries. The weighted prevalence of antimicrobial use in the EU/EEA was 30.5% (95% CI: 29.2-31.9%). The most common indication for prescribing antimicrobials was treatment of a community-acquired infection, followed by treatment of HAI and surgical prophylaxis. Over half (54.2%) of antimicrobials for surgical prophylaxis were prescribed for more than 1 day. The most common infections treated by antimicrobials were respiratory tract infections and the most commonly prescribed antimicrobial agents were penicillins with beta-lactamase inhibitors. There was wide variation of patients on antimicrobials, in the selection of antimicrobial agents and in antimicrobial stewardship resources and activities across the participating countries. The results of the PPS provide detailed information on antimicrobial use in European acute care hospitals, enable comparisons between countries and hospitals, and highlight key areas for national and European action that will support efforts towards prudent use of antimicrobials

    Fabrication and characterization of metal nanostructures on metal substrates

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    18th International School on Quantum Electronics (ISQE) - Laser Physics and Applications, Sozopol, BULGARIA, SEP 29-OCT 03, 2014International audienceIn this paper we show an experimental procedure for fabrication of metal nanoparticle arrays on metal substrates. The nanostructures are fabricated by laser processing of thin metal films. The films are deposited on the metal substrates by classical PLD technology. The as deposited films are then annealed by nanosecond pulses delivered from a THG Nd:YAG laser system (lambda = 355 nm). At certain conditions, the laser treatment leads to a formation of discrete nanoparticle structure on the substrate surface. The optical properties of samples fabricated at different conditions and having different characteristics of the nanostructures are examined by optical spectroscopy measurement. Such analysis shows that the optical spectra of the obtained nanostructures are characterized by plasmon excitation. Finite difference time domain (FDTD) model is used for theoretical description of the near field optical properties of the fabricated nanoparticle arrays. The simulation demonstrates high efficiency of the fabricated structures in enhancement of the near field intensity. The great enhancement observed in the Raman spectra of Rhodamine 6G deposited on the fabricated samples makes such structures very appropriate for applications in Surface Enhanced Raman Spectroscopy (SERS). The produced systems can be also applied in plasmonic solar cells (PSC)

    Ultrafast laser ablation of gold thin film targets

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    Ultrafast laser ablation of a gold thin film is studied and compared with that of a bulk target, with particular emphasis given to the process of nanoparticles generation. The process is carried out in a condition where a single laser shot removes all the irradiated film spot. The experimental results evidence interesting differences and, in particular, a reduction of the nanoparticles size, and a narrowing of a factor two of their size distribution in the case of ablation of a thin film target, a feature which we relate to a more uniform heating of the target material. We thus show that ultrashort laser ablation of thin films provides a promising way of controlling plume features and nanoparticles size

    Ultrashort-pulse laser ablation of gold thin film targets: Theory and experiment

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    Laser ablation of a gold thin film irradiated by ultrashort pulses is studied using molecular-dynamics simulations, and compared with that of a bulk target. A film thickness comparable to the ballistic electron depth in gold (≈ 100 nm) is considered, evidencing a significant change of the temperature spatial profile inside the target material, which eventually influences the material decomposition. Particular emphasis is given to the process of nanoparticle generation. The simulations indicate a more uniform heating of the sample in the case of the thin film, which is accompanied by a more homogeneous size distribution of the nanoparticles produced in the ablation process. An experimental characterization of the ultrashort-pulse ablation process is also carried out. The produced nanoparticles are collected on suitable substrates, and atomic force microscopy analysis of less than one layer deposits is performed. An ≈ 2 × narrowing of the nanoparticles equivalent to spherical diameter size distribution is observed in the case of ablation of the gold thin film, in fairly good agreement with the theoretical predictions. Moreover, interesting changes of the nanoparticle shape are evidenced, which are correlated to the changes in the nanoparticle ablation plume dynamics, as studied by time-gated imaging of its self-emission. Our findings suggest ultrashort-pulse laser ablation of thin films as a viable route to achieve a more uniform nanoparticle size distribution
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