Infection prevention and control standards and associated factors: Case study of the level of knowledge and practices among nurses in a Saudi Arabian hospital

Introduction: Healthcare-associated infection (HAI) is a significant public health issue. HAI is a problem in both developed and developing countries. Treating HAIs is a significant burden on healthcare budgets. This study was performed to assess the knowledge about infection prevention and control (IPC) and IPC practices of nurses working in a Saudi hospital, and to examine the association between the nurses’ demographic characteristics and work/training experience with their level of knowledge about and practices towards maintaining IPC standards. Methods: A quantitative method was used, with a response rate of 81.1%. A self-administered questionnaire survey was conducted of randomly selected male and female nurses of all nationalities who came in direct contact with patients while providing healthcare services at King Abdulaziz Medical City-Riyadh (KAMC-R) (n=308). Principle component analysis (PCA) was used to generate knowledge and practices scores, and the scores were classified into two categories (high, low) at the median. Results: The majority of the participants were females (89.3%). The result of logistic regression analysis revealed significant associations between a high education level and high scores for IPC knowledge [AOR=2.72, 95% CI=1.45-5.10] and practices [ AOR=3.66, 95% CI=1.90-7.05], after controlling for other confounding variables. Conclusion: High scores for IPC knowledge and IPC practices were independently associated with a high level of education of the nurses. Further studies to develop effective programs for IPC regardless of the nurses’ educational attainment are recommended

Characterization of sensitivity and responses of a 2-element prototype wavefront sensor for millimeter-wave adaptive optics attached to the Nobeyama 45 m telescope

We report the results of the performance characterization of a prototype wavefront sensor for millimetric adaptive optics (MAO) installed on the Nobeyama 45 m radio telescope. MAO is a key component to realize a future large-aperture submillimeter telescope, such as Large Submillimeter Telescope (LST) or Atacama Large Aperture Submillimeter Telescope (AtLAST). The difficulty of MAO is, however, real-time sensing of wavefront deformation with ~10 um accuracy across the aperture. Our wavefront sensor operating at 20 GHz measures the radio path length between a certain position of the primary mirror surface to the focal point where a 20 GHz coherent receiver is placed. With the 2-element prototype, we sampled two positions on the primary mirror surface (at radii of 5 m and 16 m) at a sampling rate of 10 Hz. Then an excess path length (EPL) between the two positions was obtained by differentiating the two optical paths. A power spectral density of the EPL shows three components: a low-frequency drift (1/f^n), oscillations, and a white noise. A comparison of EPL measurements under a variety of wind conditions suggests that the former two are likely induced by the wind load on the telescope structure. The power of the white noise corresponds to a 1sigma statistical error of 8 um in EPL measurements. The 8 um r.m.s. is significant with respect to the mirror surface accuracy required by the LST and AtLAST (~20-40 um r.m.s.), which demonstrates that our technique is also useful for the future large-aperture submillimeter telescopes.Comment: 10 pages, 9 figures. Published in SPIE Pro

Comparison of dynamic occlusal contacts during chewing between working and balancing sides

Objectives: Mastication is a crucial function for the elderly, and promotes oral health status, cognitive function and the physical constitution. Most reports about occlusion patterns and occlusal glide of adults have reported the jaw movement at the lower incisal point due to easiness of evaluating masticatory performance. The purpose of this study was to test the hypothesis that dynamic occlusal contact area (OCA) during chewing differ for each tooth on the working vs. the balancing chewing side. Design: In thirteen healthy Japanese females, OCA was estimated with a measurement system combining 3-D tracking of mandibular movements with 3-D digitization of tooth shape. Results: The starting of occlusal contact between teeth at working side and balancing side did not differ significantly. In contrast, ending of occlusal contact of teeth at balancing side were markedly longer than that of teeth at working side at lateral incisor, canine, and first premolar. The dynamic sum of OCAs for all teeth was symmetrical around maximum closed position (MCP) when chewing on the working side. In contrast, the dynamic sum of OCA peaked after MCP when chewing on the balancing side. In working and balancing side, sums of maximum OCA at all posterior teeth accounted for 93%, 86% of sum OCA for all teeth at working and balancing sides, respectively. Conclusion: Our result suggested that the hypothesis that dynamic OCA during chewing differ for each tooth on the working vs. the balancing chewing side was not accepted at molars

Simple, Frequent Indicator for Personal Identification-Postmortem and Antemortem Abdominal Computed Tomography Findings of a Charred Body.

Postmortem personal identification in forensic science is performed using various methods. However, severely burnt bodies are hard to identify using odontological or skeletal features because of carbonization, and sometimes DNA profiling is impracticable because of the unavailability of the relatives. We present a case of a burn victim found after a house fire. Personal identification was attempted, but the body was heavily charred to the bones and the use of physical appearance was impracticable. There were no known relatives or personal belongings of the deceased for comparison of DNA typing. We obtained a series of abdominal computed tomography (CT) scans taken antemortem and found bilateral multiple renal cysts, left renal artery calcification, and a big right inguinal hernia, which matched the deceased\u27s postmortem CT findings and autopsy findings. To date, studies of identification by CT have acted for a rise in precision, but they require complicated calculation or high graphical methods. Calcification of the arteries or renal cysts seen in our case are very common lesions present in many adults with abundant variation; thus, they may be helpful as simple indicators for identification

Development of the Curriculum for the Connection Period of an Elementary School and a Junior High School : Through Teachers in Kindergarten Joining Classes at Elementary School

本研究は，幼稚園教員・小学校教員がそれぞれの校種の保育・授業に参観・参加し，それぞれの専門性を活かして交流することを通し，幼小接続期におけるカリキュラムの開発に向けた基礎的情報を得ることを目的とする。特に，本研究では幼稚園教員による１年生の授業参加を通して認識した共通点・差異点に着目する。研究の方法としては，幼稚園教員が小学校１年生の生活科・音楽科の授業にＴ２として参加し，他の幼稚園教員は参観する。その後，幼稚園教員に対して質問紙調査を実施した。また，生活科・音楽科の授業後に，幼稚園教員と小学校教員で授業参加に関する研究協議を実施した。結果としては，次の３点である。１点目は，ねらいによって，受容・共感の言葉がけやねらいに向けて展開していく言葉がけが必要である。２点目は，幼稚園教師は子どもの成長を見ており，小学校教師は子どもを教科の枠で見ていることに違いがあり，この点に関しては接続期において配慮することが必要である。３点目は，ねらいが幼小で同じようでも活動の展開の仕方に違いがあり，子どもの発達に応じて活動の展開を工夫することが必要である。The purpose of this study was to develop a connective curriculum between kindergarten and elementary school. To achieve this, the differences between kindergarten and elementary school teachers were investigated. Kindergarten teachers participated in a music or a human life and science class in a team teaching staff or as observers. After this experiences, participants were asked some open-ended questions. The main results are as follows: (1) it is important to express sympathy to and adoption of the aims and goals of the class a; (2) kindergarten teachers tend to focus on the growth of children, compared with elementary school teachers, who focus on the goal of the class; (3) there are differences in the ways of conducting teaching activities even when the aims of classes are same

Hydrostatic Compression Effects on Fifth-Group Element Superconductors V, Nb, and Ta Subjected to High-Pressure Torsion

In fifth-group element superconductors V, Nb, and Ta, the increase in superconducting transition temperature (Tc) was attempted by using both high-pressure torsion (HPT) and additional hydrostatic pressure (HP) compression. The former brings about the grain refinement and strain accumulation in the unit-cell level. The additional compression for severely strained superconductors triggers strengthening intergrain-contact and/or structural deformation in the unit-cell level. The manner of the appearance of the above two effects depends on the kind of elements: First, in V, there is no prominent effect of HPT, comparing to the hydrostatic compression effects on its non-strained material. Next, in Ta, the effect of strengthening intergrain-contact appears at small hydrostatic compression, resulting in temporal increase in Tc. Finally, Nb exhibits prominent increase in Tc by both effects and, in particular, the structural deformation in the unit-cell level promotes the increase in Tc. Thus, the accumulation of residual strain in the level of starting material can be a promising work to manipulate Tc under HP compression

Effects of HLA-DRB1 alleles on susceptibility and clinical manifestations in Japanese patients with adult onset Still’s disease

BackgroundHLA-DRB1 alleles are major determinants of genetic predisposition to rheumatic diseases. We assessed whether DRB1 alleles are associated with susceptibility to particular clinical features of adult onset Still’s disease (AOSD) in a Japanese population by determining the DRB1 allele distributions.MethodsDRB1 genotyping of 96 patients with AOSD and 1,026 healthy controls was performed. Genomic DNA samples from the AOSD patients were also genotyped for MEFV exons 1, 2, 3, and 10 by direct sequencing.ResultsIn Japanese patients with AOSD, we observed a predisposing association of DRB1*15:01 (p = 8.60 × 10−6, corrected p (Pc) = 0.0002, odds ratio (OR) = 3.04, 95% confidence interval (95% CI) = 1.91–4.84) and DR5 serological group (p = 0.0006, OR = 2.39, 95% CI = 1.49–3.83) and a protective association of DRB1*09:01 (p = 0.0004, Pc = 0.0110, OR = 0.34, 95% CI = 0.18–0.66) with AOSD, and amino acid residues 86 and 98 of the DRβ chain were protectively associated with AOSD. MEFV variants were identified in 49 patients with AOSD (56.3%). The predisposing effect of DR5 was confirmed only in patients with AOSD who had MEFV variants and not in those without MEFV variants. Additionally, DR5 in patients with AOSD are associated with macrophage activation syndrome (MAS) and steroid pulse therapy.ConclusionThe DRB1*15:01 and DR5 are both associated with AOSD susceptibility in Japanese subjects. A protective association between the DRB1*09:01 allele and AOSD was also observed in these patients. Our data also highlight the effects of DRB1 alleles in susceptibility to AOSD