In Vitro Activities of Ertapenem and Imipenem against Clinical Extended Spectrum Beta-Lactamase-Producing Enterobacteriaceae Collected in Military Teaching Hospital Mohammed V of Rabat

Objective. To study the sensitivity level of extended spectrum beta-lactamase-producing Enterobacteriaceae to Carbapenems (Imipenem, Ertapenem) marketed in Morocco and discusses the place of Ertapenem in the treatment of extended spectrum-beta-lactamase-producing. Materials and Methods. A retrospective study of 110 extended spectrum beta-lactamase-producing Enterobacteriaceae. Isolates obtained from blood cultures, superficial and deep pus, and catheters were conducted. The minimum inhibitory concentrations of Imipenem and Ertapenem were done by the E-test. The modified Hodge test was conducted for resistant or intermediate strains. Results. 99.1% of isolates were susceptible to Imipenem. For Ertapenem, 4 were resistant and 4 intermediate. The modified Hodge test was positive for all 08 isolates. A minimum inhibitory concentration comparison of K. pneumoniae, E. cloacae, and E. coli for Imipenem has noted a significant difference between E. cloacae on one hand and E. coli, K. pneumoniae on the other hand (<0.01). No significant difference was noted for minimum inhibitory concentration of Ertapenem. Conclusion. Our results confirm in vitro effectiveness of Ertapenem against extended spectrum beta-lactamase-producing Enterobacteriaceae as reported elsewhere. However, the emergence of resistance to Carbapenems revealed by production of carbapenemases in this study confirmed a necessary bacteriological documented infection before using Ertapenem

Fog paradigm for local energy management systems

Cloud Computing infrastructures have been extensively deployed to support energy computation within built environments. This has ranged from predicting potential energy demand for a building (or a group of buildings), undertaking heat profile/energy distribution simulations, to understanding the impact of climate and weather on building operation. Cloud computing usage in these scenarios have benefited from resource elasticity, where the number and types of resources can change based on the complexity of the simulation being considered. While there are numerous advantages of using a cloud based energy management system, there are also significant limitations. For instance, many such systems assume that the data has been pre-staged at a cloud platform prior to simulation, and do not take account of data transfer times from the building to the simulation platform. The need for supporting computation at edge resources, which can be hosted within the building itself or shared within a building complex, has become important over recent year. Additionally, network connectivity between the sensing infrastructure within a built environment and a data centre where analysis is to be carried out can be intermittent or may fail. There is therefore also a need to better understand how computation/analysis can be carried out closer to the data capture site to complement analysis that would be undertaken at the data centre. We describe how the Fog computing paradigm can be used to support some of these requirements, extending the capability of a data centre to support energy simulation within built environments

Power savings and performance analysis in wireless networks

This paper investigates the effects of power saving strategies on the performance of wireless local area networks (WLANs). More specifically, a power management model is formulated as an integer linear program that the network planner can use in order to achieve power savings while maintaining an acceptable quality of service (QoS), measured by the signal to interference ratio (SIR) for interference limited WLAN. Furthermore, through a network simulation implemented in NS-2, it is shown that the adaptive power saving scheme can guarantee the same average throughput as the non-adaptive counterpart, while significantly reducing the total transmitted power. Considering a realistic scenario, we show that, using the proposed power management model, one can save about 55% of the transmitted power while the SIR is increased by 6 dB thus improving the QoS. Also, using a simple experiment with two access points it is shown that, in the case of users within the overlap of the two coverage areas, the throughput remains constant when the transmit power is changed from a low value to a high value although a minor degradation of the average delay is noticed. As a conclusion, the commonly assumed fact that increasing the transmit power results in better network performance is not necessarily true and can result as shown in this paper in energy waste

Water access and attendance for diarrhea in primary health care centers,Gaza strip

International audienceWater access and sanitation has worsened in Gaza strip since the conflict between Israel and Palestine in January 2009. This study aimed to investigate the relationship between attendance for diarrhea to a Primary Health Care Center (PHCC) in Gaza strip and several potential risk factors including water access. A matched case control study with prospective data record was performed. Cases were patients attending a PHCC for diarrhea, and controls were patients attending for any other cause with no diarrhea within the previous three months or since birth. We matched 133 cases and 133 controls, for date of inclusion, age, gender. All patients attended PHCC and were included in January/February 2010. A stool analysis for bacteria and parasites was performed for cases. Of the 266 patients, 62% (166) have to buy water from a private provider. In multivariate analysis, four variables were independently predictive of diarrhea: public water access (OR: 0.046; 95% CI: 0.005-0.454; P=0.0083), poultry or rabbits at home, and presence of cooker at home. A bacterial cause was found in 5.5% (7) and Giardia duodenalis in 20% (26). Treatments did not comply with WHO recommendations. Efforts should be made to improve water access and to implement guidelines for a better management of diarrhea in Gaza strip. (C) 2011 Royal Society of Tropical Medicine and Hygien