The use of automated systems in the modern microbiology laboratory is becoming commonplace as the pressure of cost containment impacts on staff resources. With increased international travel and threats of bioterrorism, recognition and accurate identification of organisms such as Burkholderia pseudomallei is important. In areas where this organism is endemic, ...

The ontogeny of suction feeding performance, as measured by peak suction generating capacity, was studied in the common snook, Centropomus undecimalis. Suction pressure inside the buccal cavity is a function of the total expansive force exerted on the buccal cavity distributed across the projected area of the buccal cavity. Thus, ...

Recently, an interesting question has emerged in the evolutionary interpretation of sequence substitution data as evidence of amino acid selection pressure. Specifically, the Ka/Ks metric was designed to measure selection pressure on amino acid substitutions, assuming that the synonymous substitution rate Ks reflects the neutral nucleotide substitution rate. However, there ...

Published data on accidents in human crowds that occurred over the past decade show that one of the fatal consequences of crowding was asphyxia, that is by crushing. Here a study was made of our ability to predict human crowd pressures at barriers and thereby be able to take preventive ...

Pressure ulcers are areas of soft tissue breakdown that result from sustained mechanical loading of the skin and underlying tissues. Today, little is known with respect to the aetiology of these ulcers. This study introduces an in vitro model system to study the effects of clinically relevant loading regimes on ...

Islands are often considered easier to invade than mainland locations because of lower biotic resistance, but this hypothesis is difficult to test. We compared invasion success (the probability of establishing a wild reproducing population) for bullfrogs (Rana catesbeiana) introduced to enclosures on 26 farms on islands in the Zhoushan archipelago ...

OBJECTIVES: To identify independent predictors for development of pressure ulcers in hospitalized patients and to develop a simple prediction rule for pressure ulcer development. DESIGN: The Prevention and Pressure Ulcer Risk Score Evaluation (prePURSE) study is a prospective cohort study in which patients are followed up once a week until ...

Hospitals in the US are increasingly concerned with the rising number of hospital-acquired pressure ulcers. To reduce its 2002-2003 average hospital-acquired pressure ulcer prevalence rate of 9.2%, a regional medical center in southeastern US initiated a process improvement and education program. Quarterly pressure ulcer prevalence studies were conducted and the ...

AIMS AND OBJECTIVES: In this experimental study, a 4-cm thermoactive viscoelastic foam overlay and a heating source on the operating room table was compared with the standard operating room table with a heating source for the effect on the postoperative pressure ulcer incidence in cardiac surgery patients. BACKGROUND: Pressure ulcer ...

Pressure ulcers complicate the hospital course of critically injured or ill patients. Guidelines have been promulgated to prevent pressure ulcers in hospitalized patients. The purpose of this study was to determine whether these guidelines have, in fact, reduced the incidence of pressure sores. The authors examined census data from the ...

Background Patients that develop a pressure ulcer whilst in hospital can expect to stay at least four extra
days. Once discharged to the community for continuation of wound management for pressure ulcers, the
epidemiology of these patients, together with patients who develop pressure ulcers at home, is unknown.
Aims a) To estimate the ...

The occurrence of pressure ulcers in patients is very high in certain high-risk groups. These special high-risk groups include elderly patients, patients with spinal cord injuries, or any individual with an impaired ability to reposition. Prevention of pressure ulcers is by far the best treatment of this condition, warranting certain ...

Multiple pressure sores represent recurrent problem in immobilized, mostly paretic patients. A lot of them undergo repeated surgeries and thus the positions of scars, directions of rotation or transposition of flaps limit other operations in the region. Then usually the length of hospital stay grows proportionally with the number of ...

OBJECTIVE: To compare the pressure-reducing and pressure-redistributing characteristics of four operating room (OR) table mattresses using interface pressure measurements, in two positions adopted for surgical procedures. METHOD: Support surfaces were randomly assigned to 80 patients. These were: an overlay pad filled with fibres (the standard OR mattress), a custom-made viscoelastic ...

Pressure ulcers are defined as areas "of localized damage to the skin and underlying tissue caused by pressure, shear, friction and/or the combination of these". In the UK, pressure ulcers occur in 5 to 32% of District General Hospitals people and in 4 to 7% of people in community settings. ...

Pressure ulcers are a serious health problem for people with mobility disorders, like elders in acute care, long-term care, and home care settings. It also concerns paraplegics, tetraplegics or persons with burned injuries. Pressure ulcers result in significant morbidity and mortality. Consequences are a high human suffering, with high cost ...

It has been observed in previous studies that the detection of stage I pressure ulcers becomes more difficult by unaided visual inspection and/or by using currently available techniques with darker skin subjects, due to increased melanin content. This difficulty is indicated by the elevated proportion of black and hispanic patients ...

1. We investigate the effects of different levels of predation pressure and rodent dispersal on the population dynamics of the African pest rodent Mastomys natalensis in maize fields in Tanzania. 2. Three levels of predation risk were used in an experimental set-up: natural level (control), excluding predators by nets and ...

This article overviews research in the interdisciplinary area of textile/skin interaction and related cutaneous intolerance. Microclimate in the skin/clothing system and especially the skin responses relates to the moisture and heat transfer within this system and plays a critical role in skin irritation from textiles. A discussion is then given ...

As the American Psychoanalytic Association faces mounting external pressures that threaten its very survival, its leadership and members appear increasingly preoccupied with issues of internal governance and training standards. This inward gazing, though in keeping with analysts' personality and occupational traits, serves to obscure and defend against the anxieties associated ...

Pressure ulcers are widely considered to be a critical problem in rehabilitation since they result in severe discomfort and high healthcare cost. The prevention of pressure ulcers is a constant preoccupation for every nursing team. This paper introduces a novel handheld instrument that can detect subtle changes in the skin ...

Pressure ulcers are recognized as a major health issue in individuals with spinal cord injuries and new approaches to prevent this pathology are necessary. An innovative health strategy is being developed through the use of computer and sensory substitution via the tongue in order to compensate for the sensory loss ...

The challenges of managing pressure ulcers are often not limited to clinical decisions; they may impact other areas that encompass patient care, including financial, emotional, psychosocial, regulatory, and medical-legal aspects. The difficulty in managing these complex factors is magnified by recent gains in understanding of the pathophysiology of wounds related ...

Pressure ulcers are complex chronic wounds for which no gold standard for prevention or treatment has yet been established. Several attempts at developing guidelines has been undertaken by different organizations. Pressure ulcers are devastating comorbidities for patients and difficult to prevent or manage. Whether or not pressure ulcers are preventable ...

An information system is analyzed on defining quality indicators for pressure ulcer which is recommended by the American Nursing Association. OBJECTIVE: Analyzing statistically a large sized hospital electronic database of São Paulo City. METHODS: Descriptive retrospective study, sample frame of convenience of 51,414 hospital discharges. RESULTS: Predominance of female sex ...

Pressure ulcers constitute an important health problem. They affect lots of people with mobility disorder and they are difficult to detect and prevent because the damage begins on the muscle. This paper proposes a new approach to study pressure ulcers. We aim at developing a methodology to analyse the probability ...

We made an algorithm by extracting the caring elements for the patients to develop a program for pressure ulcer prevention. The algorithm consisted of observation of the patient skin as a beginning point, extraction of the risk factors for pressure ulcer development, intervention to each risk factor, and evaluation. The ...

Global climate change is altering the ecology of infectious agents and driving the emergence of disease in people, domestic animals, and wildlife. We present a novel, empirically based, predictive model for the impact of climate warming on development rates and availability of an important parasitic nematode of muskoxen in the ...

BACKGROUND: Many US hospitals lack the capacity to house safely a surge of potentially infectious patients, increasing the risk of secondary transmission. Respiratory protection and negative-pressure rooms are needed to prevent transmission of airborne-spread diseases, but US hospitals lack available and/or properly functioning negative-pressure rooms. Creating new rooms or retrofitting ...

There are multiple subtypes of HIV-1 circulating worldwide, but recently, subtype C has become highly prevalent, particularly in certain geographic regions. It is unclear whether the dominance of subtype C or other subtypes is due to increased fitness of certain subtypes for transmission, or a founder effect in new, rapidly ...

Behavioral changes have long been hypothesized to be an important driver of evolutionary diversification in animals, as they expose individuals to new environmental pressures and thus favor evolutionary divergence. There have been few empirical tests of this hypothesis, however, and the mechanisms linking behavioral changes and diversification processes remain controversial. ...

OBJECTIVES: To determine whether an education and campaign program would reduce the incidence of pressure sores. MATERIAL AND METHOD: The study was performed in a 1,400-bed teaching hospital in Thailand with a total number of 697patients from 47 wards for a point prevalence study; 1,201 and 1,268 patients from 12 ...

BACKGROUND & AIMS: Nutrients putatively implicated in pressure ulcer healing were evaluated in a clinical setting. METHODS: Sixteen inpatients with a stage 2, 3 or 4 pressure ulcer randomised to receive daily a standard hospital diet; a standard diet plus two high-protein/energy supplements; or a standard diet plus two high-protein/energy ...

OBJECTIVE: To determine the effects of a new policy on the efficiency of pressure ulcer care. DESIGN: Series of 1-day pressure ulcer surveys before and after the implementation. SETTING: A 900-bed University Medical Centre in The Netherlands. PARTICIPANTS: On the days of the surveys, 657 patients were included before the ...

An investigation of postural and chair design impacts upon seat pan interface pressure has been performed in an effort to identify whether differences in posture or chair design result in greater pressure differences. Investigation of postural variables focused on trunk-thigh angle and use of armrests. Twelve ergonomic office chairs were ...

BACKGROUND: Pressure ulcer incidence in patients undergoing cardiac surgery is reported to be up to 29.5%. Common known risk factors for pressure ulcer development include compressive and shearing forces. However, knowledge about the specific risk factors in a defined population is helpful in the development of an effective prevention management. ...

OBJECTIVE: To determine the perceived usefulness of the Pressure Ulcer Scale for Healing (PUSH). PARTICIPANTS: A convenience sample identified through the National Pressure Ulcer Advisory Panel Web site as users or registered users of the PUSH tool. MAIN OUTCOME MEASURE: A survey instrument was developed to capture experience, ease of ...

The East Usambara Mountains, recognized as one of the 25 most important biodiversity hot spots in the world, have a high degree of species diversity and endemism that is threatened by increasing human pressure on resources. Traditional slash and burn cultivation in the area is no longer sustainable. However, it ...

BACKGROUND: Pressurized endothelial cell (EC)-smooth muscle cell (SMCs) coculture significantly increases the apoptosis of SMCs. Our current hypothesis was that in EC-SMC coculture, pressure upregulates SMC apoptosis SMCs through EC-derived paracrine factors and that SMC apoptosis is induced through Fas-Fas ligand (FasL) activation. METHODS: Conditioned media (CM) from ECs and ...

OBJECTIVE: This study aimed to explore aspects of the effectiveness of three pressure-redistributing support surfaces in routine clinical practice. METHOD: A non-randomised prospective cohort study was used, with skin outcomes reported for 219 subjects at risk of pressure ulcer development. RESULTS: Few instances of new pressure damage were observed; these ...

The prevalence of pressure sores (PS) ranges from 1 to 18% of in-patients and from 3 to 28% of those admitted to long-term settings. The aim of our study was to verify, a posteriori, how nutritional status influenced the evolution of PS in a population of elderly subjects hospitalised in ...

The fungus Magnaporthe grisea, commonly referred to as the rice blast fungus, is responsible for destroying from 10% to 30% of the world's rice crop each year. The fungus attaches to the rice leaf and forms a dome-shaped structure, the appressorium, in which enormous pressures are generated that are used ...

OBJECTIVE AND DESIGN: Prognostic value of markers of systemic inflammation were evaluated in patients admitted to hospital. MATERIAL: The study comprises 327 patients with community- acquired infection verified on admission (n=290) or within 3-day follow-up (n=37). METHODS: On-admission levels of phagocyte CD11b/CD18 and CD14 expression were measured using whole blood ...

A laryngocele is a cystic dilatation of the laryngeal saccule. The etiology of laryngoceles is unclear, but congenital and acquired factors are considered to play a role in their development. An acquired laryngocele may develop when the laryngeal ventricle becomes functionally obstructed as a result of an increase in intraglottic ...

OBJECTIVE: To evaluate the effect on pressure ulcer prevalence, incidence, and healing time of incorporating use of a specific body wash and a skin protectant into skin care protocols that are based on guidelines from the Agency for Health Care Policy and Research. DESIGN: Quasi-experimental intervention study. SETTING: 2 rural ...

Beetle horns are enlarged outgrowths of the head or thorax that are used as weapons in contests over access to mates. Horn development is typically confined to males (sexual dimorphism) and often only to the largest males (male dimorphism). Both types of dimorphism result from endocrine threshold mechanisms that coordinate ...

New formulations of the codling moth, Cydia pomonella (L.), granulovirus (CpGV) [family Baculoviridae, genus Granulovirus] are commercially available in North America. In field tests on apple (Malus sp. 'Delicious'), we compared different application strategies for CpGV (Cyd-X, Certis USA, Clovis, CA) used in full-season programs against high pest populations. In ...

This study provided an objective, biomechanical comparison of four "top of the line" mattresses from four different manufacturers using two different measurements. One, which has been used in other studies, was pressure distribution patterns-evaluating maximum pressures generated by an individual lying supine on the mattresses. The other was a novel ...

Lixelle is a direct hemoperfusion-type adsorption column that was developed to selectively eliminate beta2-microglobulin (beta2-m) from the circulating blood of patients with dialysis-related amyloidosis (DRA). The adsorbent in Lixelle comprises porous cellulose beads to which hydrophobic hexadecyl alkyl chain is covalently bound. One milliliter of wet Lixelle beads eliminates more ...

Pressure sores are a current problem in hospitals and care of the elderly, leading to protracted hospital stays and a high care burden. The trauma for the patients is severe, and the cost of pressure sore prevention and treatment, is considerable. Antidecubitus mattresses are used for prevention and in treatment, ...