Vancomycin-intermediate Staphylococcus aureus in a home health-care patient.

In June 2000, vancomycin-intermediate Staphylococcus aureus (VISA) was isolated from a 27-year-old home health-care patient following a complicated cholecystectomy. Two VISA strains were identified with identical MICs to all antimicrobials tested except oxacillin and with closely related pulsed-field gel electrophoresis types. The patient was treated successfully with antimicrobial therapy, biliary drainage, and reconstruction. Standard precautions in the home health setting appear successful in preventing transmission

An Unbiased ALMA Spectral Survey of the LkCa 15 and MWC 480 Protoplanetary Disks

The volatile contents of protoplanetary disks both set the potential for planetary chemistry and provide valuable probes of defining disk system characteristics such as stellar mass, gas mass, ionization, and temperature structure. Current disk molecular inventories are fragmented, however, giving an incomplete picture: unbiased spectral line surveys are needed to assess the volatile content. We present here an overview of such a survey of the protoplanetary disks around the Herbig Ae star MWC 480 and the T Tauri star LkCa 15 in ALMA Band 7, spanning ~36 GHz from 275 to 317 GHz and representing an order of magnitude increase in sensitivity over previous single-dish surveys. We detect 14 molecular species (including isotopologues), with five species (C34S, 13CS, H2CS, DNC, and C2D) detected for the first time in protoplanetary disks. Significant differences are observed in the molecular inventories of MWC 480 and LkCa 15, and we discuss how these results may be interpreted in light of the different physical conditions of these two disk systems

Infection rates associated with epidural indwelling catheters for seven days or longer: systematic review and meta-analysis

BACKGROUND: To determine infection rate with use of epidural catheters in place for seven days or more. METHODS: Systematic review and pooled analysis of observational studies. RESULTS: Twelve studies with 4,628 patients (median 197 patients) provided information, of which nine (4,334 patients) were published after 1990. Eight studies (3,893 patients) were retrospective, and four studies (735 patients) prospective. Electronic searches identified three studies and searching reference lists nine. There were 257 catheter-related infections in total, of which 211 were superficial and 57 deep, giving rates of 6.1%, 4.6% and 1.2% respectively. Ten of the 12 studies had deep infection rates of 2% or less. The incidence of deep infection was 1 per 2391 days of treatment, or 0.4 per 1000 catheter treatment days. In nine studies (1503 patients), predominantly in cancer, and with average catheter duration of 74 days, the deep infection rate was 2.8%. The proportion of patients with infection of any type was higher in cancer patients with longer catheter duration. Limited numbers of events meant that no reliable estimate of the impact of prospective and retrospective design could be made. There appeared to be a relationship between catheter duration and infection rate from this and other recent estimates. Four of 57 (7%) patients with deep infection died. CONCLUSION: The best estimate is that one person in 35 with an epidural catheter in place for 74 days for relief of cancer pain can be expected to have a deep epidural infection, and that about 1 in 500 may die of infection-related causes. This is a most uncertain estimate given the limited nature of the evidence

Sphingomonas paucimobilis Bloodstream Infections Associated with Contaminated Intravenous Fentanyl1

Compounding pharmacies should be required to follow good manufacturing practices, including end-product sterility testing

Universal Alcohol/Drug Screening in Prenatal Care: A Strategy for Reducing Racial Disparities? Questioning the Assumptions

Agencies and organizations promoting universal screening for alcohol and drug use in prenatal care argue that universal screening will reduce White versus Black racial disparities in reporting to Child Protective Services (CPS) at delivery. Yet, no published research has assessed the impact of universal screening on reporting disparities or explored plausible mechanisms. This review defines two potential mechanisms: Equitable Surveillance and Effective Treatment and identifies assumptions underlying each mechanism. It reviews published literature relating to each assumption. Research relating to assumptions underlying each mechanism is primarily inconclusive or contradictory. Thus, available research does not support the claim that universal screening for alcohol and drug use in prenatal care reduces racial disparities in CPS reporting at delivery. Reducing these reporting disparities requires more than universal screening

An atacama large millimeter/submillimeter array survey of chemistry in disks around M4–M5 stars

M-stars are the most common hosts of planetary systems in the Galaxy. Protoplanetary disks around M-stars thus offer a prime opportunity to study the chemistry of planet-forming environments. We present an Atacama Large Millimeter/submillimeter Array survey of molecular line emission toward a sample of five protoplanetary disks around M4–M5 stars (FP Tau, J0432+1827, J1100-7619, J1545-3417, and Sz 69). These observations can resolve chemical structures down to tens of astronomical units. Molecular lines of 12CO, 13CO, C18O, C2H, and HCN are detected toward all five disks. Lines of H2CO and DCN are detected toward 2/5 and 1/5 disks, respectively. For disks with resolved C18O, C2H, HCN, and H2CO emission, we observe substructures similar to those previously found in disks around solar-type stars (e.g., rings, holes, and plateaus). C2H and HCN excitation conditions estimated interior to the pebble disk edge for the bright disk J1100-7619 are consistent with previous measurements around solar-type stars. The correlation previously found between C2H and HCN fluxes for solar-type disks extends to our M4–M5 disk sample, but the typical C2H/HCN ratio is higher for the M4–M5 disk sample. This latter finding is reminiscent of the hydrocarbon enhancements found by previous observational infrared surveys in the innermost (<10 au) regions of M-star disks, which is intriguing since our disk-averaged fluxes are heavily influenced by flux levels in the outermost disk, exterior to the pebble disk edge. Overall, most of the observable chemistry at 10–100 au appears similar for solar-type and M4–M5 disks, but hydrocarbons may be more abundant around the cooler stars. © 2021. The American Astronomical Society. All rights reserved.Immediate accessThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]