1) Copper-infused patient gowns and linens have been shown in multiple peer-reviewed studies to lower infection rates of harmful bacteria like MRSA and C. difficile.
2) A study across 6 hospitals found infection rates reduced by 40-60% when copper gowns and linens were used.
3) Similarly, a study of over 175,000 patient days across 12 hospitals saw infection rates drop significantly with the use of copper textiles.
Incidence rate of multidrug-resistant organisms in a tertiary care hospital, ...Apollo Hospitals
Antimicrobial resistance to microorganisms is a growing public health concern globally, especially in developing countries. This study was conducted to study the incidence rate of multidrug-resistant organisms with their antibiotic sensitivity pattern.
Prevalence and Characterisation of Beta Lactamases in Multi Drug Resistant Gr...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Incidence rate of multidrug-resistant organisms in a tertiary care hospital, ...Apollo Hospitals
Antimicrobial resistance to microorganisms is a growing public health concern globally, especially in developing countries. This study was conducted to study the incidence rate of multidrug-resistant organisms with their antibiotic sensitivity pattern.
Prevalence and Characterisation of Beta Lactamases in Multi Drug Resistant Gr...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Antibiotic resistance is increasing in Gram Negative organisms. It is important to know the antibiogram of the hospital to start empirical therapy. It can serve as a reference to clinician looking for information on antibiotic resistance. A retrospective analysis of the isolates obtained from January 2016 to December 2016 was performed. Samples were processed as per CLSI guideline. A total of 718 isolates were obtained. These were analysed for the prevalence
of MDR/XDR/PDR. It was found that XDR isolates are prevalent in our teaching hospital. The study showed an emergence in pan drug resistant isolates. The knowledge of local antibiogram
along with strong antibiotic stewardship program can help in guiding antibiotic therapy.This reduces antibiotic pressure among organisms and hence development of resistance.
EWMA 2013 - Ep451 An in vitro and clinical assessment of a nonadherent, antim...EWMAConference
Sharon Lindsay, Alexander Waite, Rachael McInnes, Breda Cullen, Systagenix, Gargrave, UK
Robert J. Snyder, DPM, MSc, CWS, Professor, Barry University SPM, Miami Shores, Florida, USA
Comparison of immunity against canine distemper, adenovirus and parvovirus af...Biogal
This study aimed at comparing the immunity of two multivalent vaccines in adult dogs in the city of Uberlândia, Minas Gerais state, Brazil.
VacciCheck was used in the study in order to determine the immunity levels of the dogs.
Introduction: Bloodstream infections (BSIs) are associated with a high mortality rate of 20%-50%. Blood culture is paramount to identify causative agents of BSIs to choose an appropriate antimicrobial therapy. Objectives: The present study was undertaken to analyze the various microorganisms causing BSIs and study their antimicrobial resistance patterns in a tertiary care hospital, Eastern India. Materials and Methods: A total of 239 blood specimens from clinically suspected cases of BSIs were studied for 6 months from July 2015 to December 2015. Blood specimens were incubated in BacT/ALERT ® 3D system (bioMerieux, Durham, NC, USA) a fully automated blood culture system for detection of aerobic growth. Identification and antimicrobial susceptibility testing were conducted on VITEK ® 2 (bioMerieux, Durham, NC, USA) as per Clinical Laboratory Standards Institute guidelines. Results: Out of 239 specimens, 41 (17.2%) yielded growth of different microorganisms. From these isolates, 20 (48.8%) were Gram-negative bacilli, 18 (43.9%) were Gram-positive cocci and rest 3 (7.3%) were yeasts. Among Gram-negative bacilli, Klebsiella pneumoniae sub spp. pneumoniae (70%) was most commonly isolated. Coagulase-negative staphylococci (88.9%) were the most common isolate among Gram-positive cocci. All three Candida spp. isolated were nonalbicans Candida (two Candida tropicalis and one Candida krusei). Gram-negative isolates were least resistant to tigecycline and colistin. All Gram-positive cocci were sensitive to linezolid. Conclusion: Monitoring of data regarding the prevalence of microorganisms and its resistance patterns would help in currently prescribing antimicrobial regimens and improving the infection control practices by formulating policies for empirical antimicrobial therapy.
THE IMPORTANCE OF SCIENCE AND THE ROLE OF GOVERNMENTS IN THE FIGHT AGAINST TH...Fernando Alcoforado
This article aims to emphasize the importance of using the scientific method in the search for a drug for the cure of people infected with the new Coronavirus and a vaccine to immunize the population, as well as coordinating action by governments to prevent the spread of viruses in order to safeguard the population's health and avoid its harmful effects on the economy.
In June this year Darren Parris and I visited Novus in St Charles, Missouri, to celebrate their 25-year anniversary. Among the revelries (including a personal highlight of a Cardinals baseball match) we were invited to some insightful talks at the Novus Media Jam. One of these talks specifically concerned the Antibiotic Free Movement or ABF, where the ‘sub-therapeutic’ use of antibiotics and the many alternatives Novus offer were discussed.
The Effect of Ultra Violet Radiation on Methicillin Resistant Staphylococcus ...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Variable transcriptional adaptation between the laboratory (H37Rv) and clinic...Santhi Devasundaram
The remarkable success of M. tuberculosis as a pathogen is largely due to its ability to
persist within the host for long periods. To develop the effective intervention strategies, understanding the biology
of persistence is highly required. Accumulating evidences showed oxygen deprivation (hypoxia) as a potential
stimulus for triggering the transition of M. tuberculosis to a non-replicating persistent state analogous to
latency in vivo. To date, in vitro hypoxia experimental models used the laboratory adapted isolate H37Rv and
very little is known about the behavior of clinical isolates that are involved during disease outbreaks. Hence,
we compared the transcription profiles of H37Rv and two south Indian clinical isolates (S7 and S10) under hypoxia
to find differences in gene expression pattern.
Healthcare Associated Infections (HAIs): Research NewsletterErin K. Peavey
In the US “One in 25 patients have a hospital-acquired
infection...Each day, over 205 deaths occur from HAIs...”
— Centers for Disease Control, 2011
An overview of this month’s article follows with bullet-points of the advantages and disadvantages of various environmental interventions in the prevention of Healthcare-Associated Infections (HAIs), often referred to as hospital-acquired infections. Paragraph summaries of Cleaning Strategies, Materials, Room Design and Hand-Hygiene are listed below. These provide broad themes and findings from the article. Reading the full article is always of benefit for a fuller understanding and is recommended. Click here to access the full article on the HERD Journal website.
Antibiotic resistance is increasing in Gram Negative organisms. It is important to know the antibiogram of the hospital to start empirical therapy. It can serve as a reference to clinician looking for information on antibiotic resistance. A retrospective analysis of the isolates obtained from January 2016 to December 2016 was performed. Samples were processed as per CLSI guideline. A total of 718 isolates were obtained. These were analysed for the prevalence
of MDR/XDR/PDR. It was found that XDR isolates are prevalent in our teaching hospital. The study showed an emergence in pan drug resistant isolates. The knowledge of local antibiogram
along with strong antibiotic stewardship program can help in guiding antibiotic therapy.This reduces antibiotic pressure among organisms and hence development of resistance.
EWMA 2013 - Ep451 An in vitro and clinical assessment of a nonadherent, antim...EWMAConference
Sharon Lindsay, Alexander Waite, Rachael McInnes, Breda Cullen, Systagenix, Gargrave, UK
Robert J. Snyder, DPM, MSc, CWS, Professor, Barry University SPM, Miami Shores, Florida, USA
Comparison of immunity against canine distemper, adenovirus and parvovirus af...Biogal
This study aimed at comparing the immunity of two multivalent vaccines in adult dogs in the city of Uberlândia, Minas Gerais state, Brazil.
VacciCheck was used in the study in order to determine the immunity levels of the dogs.
Introduction: Bloodstream infections (BSIs) are associated with a high mortality rate of 20%-50%. Blood culture is paramount to identify causative agents of BSIs to choose an appropriate antimicrobial therapy. Objectives: The present study was undertaken to analyze the various microorganisms causing BSIs and study their antimicrobial resistance patterns in a tertiary care hospital, Eastern India. Materials and Methods: A total of 239 blood specimens from clinically suspected cases of BSIs were studied for 6 months from July 2015 to December 2015. Blood specimens were incubated in BacT/ALERT ® 3D system (bioMerieux, Durham, NC, USA) a fully automated blood culture system for detection of aerobic growth. Identification and antimicrobial susceptibility testing were conducted on VITEK ® 2 (bioMerieux, Durham, NC, USA) as per Clinical Laboratory Standards Institute guidelines. Results: Out of 239 specimens, 41 (17.2%) yielded growth of different microorganisms. From these isolates, 20 (48.8%) were Gram-negative bacilli, 18 (43.9%) were Gram-positive cocci and rest 3 (7.3%) were yeasts. Among Gram-negative bacilli, Klebsiella pneumoniae sub spp. pneumoniae (70%) was most commonly isolated. Coagulase-negative staphylococci (88.9%) were the most common isolate among Gram-positive cocci. All three Candida spp. isolated were nonalbicans Candida (two Candida tropicalis and one Candida krusei). Gram-negative isolates were least resistant to tigecycline and colistin. All Gram-positive cocci were sensitive to linezolid. Conclusion: Monitoring of data regarding the prevalence of microorganisms and its resistance patterns would help in currently prescribing antimicrobial regimens and improving the infection control practices by formulating policies for empirical antimicrobial therapy.
THE IMPORTANCE OF SCIENCE AND THE ROLE OF GOVERNMENTS IN THE FIGHT AGAINST TH...Fernando Alcoforado
This article aims to emphasize the importance of using the scientific method in the search for a drug for the cure of people infected with the new Coronavirus and a vaccine to immunize the population, as well as coordinating action by governments to prevent the spread of viruses in order to safeguard the population's health and avoid its harmful effects on the economy.
In June this year Darren Parris and I visited Novus in St Charles, Missouri, to celebrate their 25-year anniversary. Among the revelries (including a personal highlight of a Cardinals baseball match) we were invited to some insightful talks at the Novus Media Jam. One of these talks specifically concerned the Antibiotic Free Movement or ABF, where the ‘sub-therapeutic’ use of antibiotics and the many alternatives Novus offer were discussed.
The Effect of Ultra Violet Radiation on Methicillin Resistant Staphylococcus ...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Variable transcriptional adaptation between the laboratory (H37Rv) and clinic...Santhi Devasundaram
The remarkable success of M. tuberculosis as a pathogen is largely due to its ability to
persist within the host for long periods. To develop the effective intervention strategies, understanding the biology
of persistence is highly required. Accumulating evidences showed oxygen deprivation (hypoxia) as a potential
stimulus for triggering the transition of M. tuberculosis to a non-replicating persistent state analogous to
latency in vivo. To date, in vitro hypoxia experimental models used the laboratory adapted isolate H37Rv and
very little is known about the behavior of clinical isolates that are involved during disease outbreaks. Hence,
we compared the transcription profiles of H37Rv and two south Indian clinical isolates (S7 and S10) under hypoxia
to find differences in gene expression pattern.
Healthcare Associated Infections (HAIs): Research NewsletterErin K. Peavey
In the US “One in 25 patients have a hospital-acquired
infection...Each day, over 205 deaths occur from HAIs...”
— Centers for Disease Control, 2011
An overview of this month’s article follows with bullet-points of the advantages and disadvantages of various environmental interventions in the prevention of Healthcare-Associated Infections (HAIs), often referred to as hospital-acquired infections. Paragraph summaries of Cleaning Strategies, Materials, Room Design and Hand-Hygiene are listed below. These provide broad themes and findings from the article. Reading the full article is always of benefit for a fuller understanding and is recommended. Click here to access the full article on the HERD Journal website.
Hospital pillows - Infection control risks and measures to reduce them.conorstapleton
Slide set examining medical literature, identifying risks and outlining measures to reduce risks. Includes observations of Infection Control staff at UK NHS Hospital facilities.
www.sleepangel-medical.com.
Stand 30, IPS 2014.
Webinar: Defeating Superbugs: Hospitals on the Front Lines Modern Healthcare
About the Webinar: Defeating Superbugs: Hospitals on the Front Lines
http://www.modernhealthcare.com/article/20140917/INFO/309179926
Hospitals across the country are facing a grim reality in which some of the most deadly healthcare-associated infections they encounter are untreatable with first- or even second-line antibiotics. These “superbugs” affect at least 2 million Americans each year and lead to 23,000 deaths. And their threat is growing, public health officials warn. This editorial webinar and “Defeating Superbugs” white paper will explore the steps providers must take to ramp up surveillance efforts, promote appropriate antibiotic use and control outbreaks. Our panel of experts will share their organizations' experiences as well as proven strategies for success.
Registration for this webinar includes Modern Healthcare's “Defeating Superbugs” white paper, with proven tips and strategies for promoting appropriate antibiotic use, improving infection surveillance, identifying drug-resistant infections and dealing with outbreaks.
KEY TAKEAWAYS
- Best practices for effective antimicrobial stewardship
- Real-world examples of effective interventions, including universal rapid testing for drug-resistant MRSA
- Tips for engaging senior leadership
- Aggressive strategies for controlling outbreaks
PANELISTS
Lance Peterson
Director of the Clinical Microbiology and Infectious Disease Research Division
NorthShore University HealthSystem, Evanston, Ill.
Anurag Malani
Medical Director for the Infection Prevention and Antimicrobial Stewardship Programs
St. Joseph Mercy Hospital, Ann Arbor, Mich.
Robert Weinstein
Chief Medical Officer for Population Health
Chairman of the Department of Medicine, Cook County Health and Hospitals System; Professor, Rush University Medical Center, Chicago
MODERATOR
Maureen McKinney
Editorial Programs Manager
Modern Healthcare
Literature Evaluation You did a great job on your PICOT and .docxmanningchassidy
Literature Evaluation
You did a great job on your PICOT and completing this assignment. I look forward to reading your papers regarding hospital acquired infections!! You just need to work on proper formatting of your references.
Thank you,
June
Summary of Clinical Issue
The clinical issue, in this case, is patient infections. Hospitals have always been a place of refuge for patients but there is a worrying fact about infections in hospitals. Some of the patients are taken to the hospital to get better but they leave with more infections than they came in with. The issue of infections in hospitals is motivated by two major factors. The first factor is associated with medical errors. Most of the infections which occur in hospitals affect people who have gone through surgeries are people who are receiving blood, water, and food through tubes. It, therefore, means that in most cases, doctors are responsible for infections. When the inner body organs are exposed to the environment, they get exposed to germs and germs increase the chances of infections. The second factor that supports infections is hygiene in the hospital. A hospital is a sensitive place and therefore, there is a dire need to make sure that it is hygienically fit for patients. Dirt has the ability to increase high exposure to infections. Contaminated foods and drinks increase the chances of infections. It is essential to note that the cleanliness of the water and other equipment that is used in hospitals is imperative.
PICOT Question:
In hospital infections, can improved hospital hygiene reduces the number of hospital infections among patients of all ages in the next twelve months
?
Criteria
Article 1
Article 2
Article 3
APA-Formatted Article Citation with Permalink
Saint, S. (2017). Can intersectional innovations reduce hospital infection?. Journal of Hospital Infection, 95(2), 129-134. https://doi.org/10.1016/j.jhin.2016.11.013
Starr, J. B., Tirschwell, D. L., & Becker, K. J. (2017). Labetalol use is associated with increased in-hospital infection compared with nicardipine use in intracerebral hemorrhage. Stroke, 48(10), 2693-2698.
https://doi.org/10.1161/STROKEAHA.117.017230
Van Kleef, E., Luangasanatip, N., Bonten, M. J., & Cooper, B. S. (2017). Why sensitive bacteria are resistant to hospital infection control. Wellcome open research, 2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5721567/
How Does the Article Relate to the PICOT Question?
The article focuses on the PICOT question.
The article focuses on the PICOT question.
The article focuses on the PICOT question.
Quantitative, Qualitative (How do you know?)
It is qualitative research because it has employed a qualitative design.
It is quantitative research because it has employed a quantitative design.
It is quantitative research because it has employed a quantitative design.
Purpose Statement
To know the role that innovations play in reducing infections in hospitals
The purpose of the article is to know the fac.
Environmental contamination with Clostridioides (Clostridium) difficile in Vi...Dr. KHUN Peng An
Abstract
Aims: To investigate the prevalence, molecular type, and antimicrobial susceptibility of Clostridioides difficile in the environment in Vietnam,
where little is known about C. difficile.
Methods and results: Samples of pig faeces, soils from pig farms, potatoes, and the hospital environment were cultured for C. difficile. Isolates
were identified and typed by polymerase chain reaction (PCR) ribotyping. The overall prevalence of C. difficile contamination was 24.5% (68/278).
Clostridioides difficile was detected mainly in soils from pig farms and hospital soils, with 70%–100% prevalence. Clostridioides difficile was
isolated from 3.4% of pig faecal samples and 5% of potato surfaces. The four most prevalent ribotypes (RTs) were RTs 001, 009, 038, and
QX574. All isolates were susceptible to metronidazole, fidaxomicin, vancomycin, and amoxicillin/clavulanate, while resistance to erythromycin,
tetracycline, andmoxifloxacin was common in toxigenic strains. Clostridioides difficile RTs 001A+B+CDT– and 038A–B–CDT– were predominantly
multidrug resistant.
Conclusions: Environmental sources of C. difficile are important to consider in the epidemiology of C. difficile infection in Vietnam, however,
contaminated soils are likely to be the most important source of C. difficile. This poses additional challenges to controlling infections in healthcare
settings.
Significance and impact of study
Clostridioides difficile was commonly detected in soils, and rates of multidrug resistance in C. difficile RTs 001 (toxigenic) and 038 (non-toxigenic)
were high; findings that suggest these sources of C. difficile in the community may be important in the epidemiology of C. difficile infection in
Vietnam.
Small Arms Lethality variables 1.6e DRAFTJA Larson
small arms lethality is a complex equation.
military operations are generally a team event.....more like football or soccer than tennis......
therefore teamwork and safety adds complexity
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
Cupron medical textiles 2019
1. Produced for APIC 2019
Medical Textiles
ANTIMICROBIAL COPPER-INFUSED PATIENT
GOWNS AND LINENS BACKED BY MULTIPLE
OUTCOMES-BASED, PEER-REVIEWED STUDIES
2. The use of copper gowns and bed linens lowers bioburden and
infection rates.8-9-10
1
Neely A. N. et al, (2000) J Clin Microbiol. 38(2): 724-26. • 2
Noble W.A., (1981) in Microbiology of human skin, 2nd edn. Loyd-Luke Ltd. London., p75-85.
3
Huslage K. et al, (2010) Infect Control & Hosp Epidemiol. Aug (8):850-3. • 4
Dancer S.J., (2008) Lacent Infect Dis Feb;8(2)101-13.
5
Boyce J.M., (2007) J Hosp Infect 65 (suppl 2):50–54. • 6
Weber D.J. et al, (2007) Infect Control Hosp Epidemiol; 18:306–309. 7
Weber D.J. et al, (2010) Am J Infect Control; 38:S25–
S33. 8
Lazaray A. et al, (2014) IJID 24: 23-29. • 9
Sifri C.D. et al, (2016) AJIC 44(12), 1565-71. • 10
Burke G.H. et al, (2018) IJIC 14:1.
THE PATIENT ENVIRONMENT IS A KNOWN
SOURCE OF PATHOGEN TRANSMISSION
BED RAILS
BED LINENSPATIENT GOWN
OVER BED TABLE SINK
FLOOR
FLAT SURFACES
FURNITURE
THE MOST TOUCHED AND MOST CONTAMINATED SURFACES IN A HOSPITAL ROOM
MOST MRSA - CONTAMINATED
MOST C DIFFICILE CONTAMINATED
MOST TOUCHED frequency of touch
degree of contamination
degree of contamination
3
2
1
Linens are most frequently touched3
and contaminated surfaces
in the room4
The patient environment is a known source of HAIs5-6-7
Cupron provides an extra layer of protection by targeting the
areas closest to the patient
Textiles are an excellent substrate for microbial proliferation
Due to large surface area, retention of oxygen, moisture and
temperature conditions present between the skin and textiles1
Healthcare laundries deliver hygenically clean linens to hospitals
Patients shed pathogens directly onto the textiles they use2
Bacterial shedding is greater in patients than in healthy individuals
3. This study of Cupron’s medical
textiles alone validates their
effectiveness in preventing
hospital acquired infections in a
real world clinical setting, along
with a robust infection
prevention protocol,
~Jacque Butler
Director of Infection Control and
Prevention at Sentara Healthcare
INNOVATION AND PATIENT SAFETY“
“
WHY ADD CUPRON MEDICAL TEXTILES
TO YOUR INFECTION PREVENTION PROTOCOLS?
Use a broad spectrum, EPA
registered antimicrobial
Are clinically validated to
reduce C. diff & MRSA rates in
5 peer reviewed studies
Require no changes
to hospital or laundry
operations
THE ONLY
MEDICAL TEXTILES THAT:
• In use for over 2 million patient days
with no adverse events
• Copper has been used as an
antimicrobial in cultures around the
world for centuries
• Organisms cannot become resistant
• Complementary to existing infection
prevention protocols
• 5 Peer reviewed and published studies
demonstrate 20-40% reductions in C.
diff & MDRO rates
• Copper works passively and requires no
additional effort by staff
• Implementation is easy
SAFE EFFECTIVE
CLINICALLY PROVEN CONTINUOUSLY ACTIVE
4. Sentara Obici Hospital
158 Beds
Sentara Albemarle Medical Center
142 Beds
Sentara Williamsburg Regional
Medical Center: 139 Beds
Sentara Rockingham Memorial Hospital
238 Beds
Sentara Martha Jefferson Hospital
150 Beds
Sentara Halifax Regional Hospital
192 Beds
CDI Rates
8.OO
6.OO
4.OO
2.OO
O.OO
18O Days9O Days 24O Days
6.7O
2.6O
3.29
5.77
3.55
6.O3
Pre Post
Results: During assessment periods 1 (90 days), 2 (180 days) and 3 (240 days), in comparison to
baseline periods 1, 2 and 3, there were 61.19% (p=0.0116), 41.09% (p=0.027), and 42.93% (p=0.0096)
reductions in the HAI per 10,000 patient hospitalization days caused by C. difficile, respectively; and
59.8% (p=0.0014), 39.91% (p=0.0145), and 37.19% (p=0.0108) in the reduction of HAI per 1,000 PD
caused by C. difficile and MDROs combined.
Discussion: The deployment of biocidal linens across six hospitals resulted in large and statistically significant
drops in both C. difficile infections and combined C. difficile and MDRO infections during all three time periods.
Study published in the Journal of Hospital Infection in 2018.
Methods: Rates of HAI caused by C. difficile and Multi Drug Resistant Organisms (MDROs) in 6 Sentara
Healthcare hospitals with similar patient demographics (total of 1,019 beds) were compared over three
parallel periods (90, 180 and 240 days) before and after replacing all the linens in inpatient rooms with
copper infused biocidal linens.
VIRGINIA AND NORTH CAROLINA
Beds: 1,019 • Patient Days in Study: 175,573 • Study Published: 2018
Sentara Healthcare Expanded Deployment:
Copper Patient Gowns and Linens
Butler,J.P.,(2018)AnalysisoftheroleofcopperinfusedcompositebedlinensandpatientgownsinreducingClostridiumdifficileandMultiDrugResistantOrganism
healthcare-associatedinfectionratesusingamultifacilityanalysiswithinahealthcaresystem.JournalofHospitalInfection2018Nov;100(3):130-134.
CDI + MDRO Infection Rates
O.34
O.8 O.76
O.O9
O.O8
O.O7
O.O6
O.O5
O.O4
O.O3
O.O2
O.O1
O
9O Days 18O Days 24O Days
O.48 O.48
O.84 6O% Drop
p=.OO14
4O% Drop
p=.O145
37% Drop
p=.O1O8
Pre Post
CDI + MDRO Rates
60% Drop
p=.0116
41% Drop
p=.027
43% Drop
p=.0096
5. Results: In the Assessment Period as compared to the Baseline Period, Sentara Leigh saw a 28%
reduction of C. difficile and MDRO infections. In contrast, in Facilities 2 and 3 there were 103% and
48% increases, respectively. When analyzing the C. difficile infections at Sentara Leigh there was a 25%
reduction. In contrast, at Facilities 2 and 3, there were 27% and 47% increases, respectively.
Discussion: This study addressed the potential confounders of the 2014 study. The copper facility
experienced reduced rates in the primary endpoints while the two control facilities saw rate increases.
As a result of these findings, Sentara approved the business case to expand the deployment of Cupron’s
patient gowns and bed linens, as well as Cupron Enhanced EOS copper-infused bed rail covers and
overbed tables, to all inpatient rooms across the Sentara Healthcare system (12 hospitals and 2,522
beds). This study was published in the International Journal of Infection Control in 2018.
Methods: In 2015, Sentara designed this study to address the potential confounders in the Sentara
Leigh 2014 study (patient characteristics, new building, and DNV MIR certification). Sentara expanded
the deployment of copper-infused patient gowns, linens and hard surfaces from half to all inpatient
rooms at Sentara Leigh Hospital, and added two control facilities Sentara Princess Anne Hospital (new
build, now referred to as Facility 2) and Sentara Virginia Beach Hospital (also DNV-MIR certified, now
referred to as Facility 3) to the analysis. The infection rate trends for each of the three facilities were
compared between the Baseline Period and the Assessment Period.
Patient Days in Study: 79,563 • Study Published: 2018
Sentara Leigh Hospital vs. Control Hospitals
Copper Patient Gowns, Linens, Hard & Soft Surfaces
Burke,G.H.,Butler,J.P.,(2018)Analysisoftheroleofcopperinfusedcompositehardsurfaces,bedlinensandpatientgownsinreducinghealth-
care-associatedinfectionrates.InternationalJournalofInfectionControlv14:i1
CDI
8.OO
7.OO
6.OO
5.OO
4.OO
3.OO
2.OO
1.OO
O.OO
Facility 2SLH Facility 3
3.516
2.643
7.261Í
4.945
3.713
2.931
Pre Post
25% Drop
27% Increase
47%
Increase
CDI + MDRO
28% Reduction
103% Increase
1O.OO
9.OO
8.OO
7.OO
6.OO
5.OO
4.OO
3.OO
2.OO
1.OO
O.OO
New Build DNV MIRCopper Facility
Facility 2Sentara Leigh Facility 3
No Copper
5.713
4.111
9.682
6.528
6.6
3.257
Pre Post
48%
Increase
Sentara Leigh Hospital
Norfolk, VA: 250 Beds
Sentara Princess Anne Hospital
Virginia Beach, VA: 160 Beds
Sentara VA Beach General Hospital
Virginia Beach, VA: 225 Beds
CDI Rates Rates
6. Sentara Leigh Hospital
Norfolk, VA
Beds: 250
Patient Days in Study: 80,137
Study Published: 2016
ProducedforAPIC2018
CDI + Gram Negative MDRO
1O.OO
9.OO
8.OO
7.OO
6.OO
5.OO
4.OO
3.OO
2.OO
1.OO
O.OO
CDI CDI + MDRO
83%
Reduction
78%
Reduction
6.25
4.1O
O.69
1.38
Pre Post
p=.048
p=.023
Results: The study was conducted over a
25.5-month time period that included a 3.5-month
washout period. HAI rates obtained from the
copper-containing new hospital wing (14,479
patient-days) and the unmodified hospital wing
(19,177 patient days) were compared with those
from the baseline period (46,391 patient days).
The new wing had 78% (P=.023) fewer HAIs due
to MDROs or C. difficile, 83% (P=.048) fewer cases
of C. difficile infection, and 68% (P=.252) fewer
infections due to MDROs relative to the baseline
period. No changes in rates of HAI were observed
in the unmodified hospital wing.
Methods: Study with a control group, assessing reduction of HAIs due to Multi Drug Resistant Organisms
(MDROs) and C. difficile in the acute care units of Sentara Leigh Hospital in Norfolk, Virginia. One tower
was outfitted with copper-infused patient gowns, linens and hard surfaces, and the other tower had
regular patient gowns, linens and hard surfaces.
Sentara Leigh Hospital:
Copper Patient Gowns, Linens, Hard & Soft Surfaces
Sifri, C.D., Burke G. H., Enfield K.B., (2016) Reduced health care-associated infections in an acute care community hospital
using a combination of self-disinfecting copper-infused composite hard surfaces and linens.
American Journal of Infection Control, 44 (12), 1565–71
Discussion: The reductions in the primary endpoints were large and statistically significant, however the study
had potential confounders including differences in patient characteristics, new construction, and the potential
impact of DNV-MIR certification. In 2015 the entire hospital was converted to copper patient gowns, bed linens
and hard surfaces and a second, expanded study was conducted to address the potential confounders in
this study. This study was published in the American Journal of Infection Control in 2016.
CDI + Gram Negative MDRO
7. Methods: The study was conducted in the Head
Injury Ward (35 beds) of Reuth Rehabilitation
Hospital in Tel Aviv, Israel, a multidisciplinary
rehabilitative care hospital. The data was
gathered during two 6-month parallel periods:
period A, December 2010 to June 2011, and period
B, December 2011 to June 2012.
Results: In vivo bioburden: 50% reduction in Gram
positive bacteria (p=0.005), and 46% reduction in
Gram-negative bacteria (p=0.047), on the sheets
after 6-7 hours of use.
Infection outcomes: There was a 24% reduction in
standardized HAI events in period B as compared
to period A (p = 0.046).
There was a decrease in the number of fever days
(47%; p = 0.0085). In accordance, there was a
23% reduction in the number of events in which
patients received antibiotics (p = 0.052). Moreover,
the total days of antibiotic administration during
period B was 32.8% lower than in period A (p <
0.0001).
Tel Aviv,
Israel
Beds: 35
Patient Days
in Study:
8,277
Published:
2014
Reuth Hospital:
Copper Patient Gowns and Linens
Discussion: This pilot trial was the first to show
that copper infused linens could reduce
bioburden levels and infection rates in a patient care
environment. This led Cupron to seek to replicate the
results in additional settings, and to conduct larger
trials in US hospitals using NHSN-based definitions.
Lazaray A. et al., Reduction of healthcare-associated infections in a
long-term care brain injury ward by replacing regular linens with bio-
cidal copper oxide infused linens. International Jounral of INfectious
Diseases 24 (2014) 23-29
Methods: A 7-month, crossover, double-blind
controlled trial including all patients in 2 separate
wards in Herzog Hospital, a geriatric-psychiatric
hospital in Jerusalem, Israel. For 3 months
(period 1), one ward received copper infused
textiles and the other received regular textiles.
After a 1-month washout period of using regular
textiles, for 3 months (period 2) the ward that
received the treated textiles received the control
textiles and vice versa. The trial personnel were
blinded to which were treated or control textiles.
There were no differences in infection control
measures during the study.
Results: A 29.3% relative reduction in physician
prescribed Antibiotic Treatment Initiation Events
(ATIEs) when using Cupron textiles (P=.002).
Furthermore, there was 55.5% decrease in
the number of fever days in the patients in the
wards that used the treated textiles (P < .0001).
Consequently, there were 23.0% and 27.5%
reductions in days of antibiotic treatment and daily
defined dose (DDD administered in the treated
versus control wards (P<.0001).
Jerusalem,
Israel
Beds: 60
Patient Days
in Study:
8,209 Trial
Published:
2017
Herzog Hospital:
Copper Patient Gowns and Linens
Discussion: This linens-only, double-blind, crossover-
controlled study was the second to demonstrate that
surrounding patients with copper-infused textiles
results in statistically significant reductions in HAI
indicators. This led Cupron to seek to replicate the
results in additional settings, and to conduct larger
trials in US hospitals using NHSN-based definitions.
Marcus, E.L. et al., (2017)Reduction of healthcare-associated infection
indicators by copper-oxide infused textiles: Crossover, double-blind
controlled study in chronic ventilator-dependent patients. American
Journal of Infection Control 45 (2017) 401-3
8. Because bed linens and patient gowns are the most touched and contaminated
surfaces in the patient room, and due to their role as reservoirs and vectors for
pathogens, your healthcare laundry provider can serve an important role in your
patient safety initiatives.
Cupron works with several laundry providers every day and we recommend bringing
them into the discussion early.
FREQUENTLY ASKED QUESTIONS
Why are Cupron textiles a different color?
The fibers in Cupron Medical Textiles are permanently embedded with copper during manufacturing.
The unique color is caused by the copper content in the fabric and provides a strong visual indicator
as to which linens are antimicrobial and which are not.
Do Cupron textiles need to be laundered differently? Is there a special wash formula?
Cupron Medical Textiles do not need to be processed differently, but to aid the laundry sorting
process at the plant we recommend using separate colored bags for soiled white and Cupron linens.
Cupron can be laundered in either batch or tunnel washers with normal industrial detergents and
bleaches including peracetic acid, hydrogen peroxide, and chlorine. Cupron provides recommended
wash instructions; the only change is that fabric softener should not be used.
How long do they last?
Cupron’s linens are more durable than regular white linens. As a result, our largest laundry partner
gets >80% more servings from Cupron than regular white linens.
Longer linen life is positive, but do the linens
retain their efficacy?
Unlike laundry additives or topically applied
antimicrobials, Cupron’s antimicrobial copper
does not wash off or wear off over time due to the
embedded nature of the technology. Antimicrobial
testing shows that Cupron Medical Textiles retain
99.9% efficacy during the life of the product.
Number of Servings
7O
6O
5O
4O
3O
2O
1O
O
Standard Cupron
Washcloth Bath Towel Patient Gown Fitted Sheet Flat Sheet Thermal Spread
7
15
19
36
56
19
47 48
27 27
6O
35
Cupron linens can stay in circulation >80% longer
than regular white linens, and maintain their
efficacy throughout the life of the product
9. FREQUENTLY ASKED QUESTIONS
What is your safety record?
Cupron Medical Textiles have been in use for over 2 million patient days without any reported
adverse events due to copper.
What about copper allergies?
Because copper is an element that is found in many foods and multivitamins, true copper
allergies are extremely rare. Many people who believe they have a copper allergy have had
reactions to copper alloys containing nickel, which Cupron linens do not. There are two rare
conditions related to copper metabolism, Wilson’s disease and Menkes syndrome, and these are
flagged on admission.
Do you make privacy curtains?
Not at this time. Although studies show curtains are contaminated, our focus is on the textiles
closest to the patient as these are the most touched and contaminated surfaces in the room.
Do you have someone who can speak with my laundry provider?
Cupron can provide references to answer any questions.
Cupron linens have little
impact on our daily production
process. Providing Cupron linens is
a way we support our customers,
it’s important to be their partner in
infection prevention.
~Charles Berge
President & General Manager,
Shared Hospital Services
INNOVATION AND PATIENT SAFETY“
“
10. Knit Fitted Sheet
SKU: 70004
Weight Dry in ounces: 24 oz.
Weight Dry in pounds: 1.5 lbs.
Width: 36”
Length: 84”
Drop: 14”
Fabric Blend:
55% cotton/45% Cupron Polyester
Pillowcase
SKU: 70002
Weight Dry in ounces: 3.5 oz.
Weight Dry in pounds: 0.22 lbs.
Width: 20”
Length: 30.5”
Fabric Blend:
55% cotton/45% Cupron Polyester
Flat Sheet
SKU: 70003
Weight Dry in ounces: 19 oz.
Weight Dry in pounds: 1.20 lbs.
Width: 66”
Length: 109”
Fabric Blend:
55% cotton/45% Cupron Polyester
Draw Sheet
SKU: 70022
Weight Dry in ounces.: 10.90 oz.
Weight Dry in pounds: .68 lbs.
Width: 54”
Length: 78”
Fabric Blend:
55% cotton/45% Cupron Polyester
Bright Red Stitching differentiates it
from flat sheet
Thermal Blanket
SKU: 70010
Weight Dry in ounces: 40 oz.
Weight Dry in pounds: 2.5 lbs.
Width: 66”
Length: 90”
Fabric Blend:
55% cotton/45% Cupron Polyester
Bath Blanket
SKU: 70009
Weight Dry in ounces: 28 oz.
Weight Dry in pounds: 1.75 lbs.
Width: 70”
Length: 90”
Fabric Blend:
55% cotton/45% Cupron Polyester
Patient Gown
SKU: 70007
Weight Dry in ounces: 14.24 oz.
Weight Dry in pounds: .89 lbs.
Width: 65.5” Sweep
Length: 48.75” Center Back
Fabric Blend:
55% cotton/45% Cupron Polyester
10X Patient Gown
SKU: 70008
Weight Dry in ounces: 22.4 oz.
Weight Dry in pounds: 1.40 lbs.
Width: 110 “ Sweep
Length: 51” Center Back
Fabric Blend:
55% cotton/45% Cupron Polyester
Different color ties denote size
Washcloth
SKU: 70005
Weight Dry in ounces: 1.3 oz.
Weight Dry in pounds: .08 lbs.
Width: 12”
Length: 12”
Fabric Blend:
55% cotton/45% Cupron Polyester
Bath Towel
SKU: 70006
Weight Dry in ounces: 10.9 oz.
Weight Dry in pounds: 0.68 lbs.
Width: 24”
Length: 48”
Fabric Blend:
55% cotton/45% Cupron Polyester
PRODUCTS
SKU: 70024
Weight in ounces: 33.2
Weight in pounds: 2.08
Width: 36”
Length: 96”
Drop: 16”
Fabric Blend: 70%Cotton/30% Cupron polyester
Full elastic neon contrast hem for easy
identification
ICU sheet for larger dimension beds such as the Hillrom Progressa
11. About Implementing
Cupron in Your Facility
Deploying Cupron doesn’t require any
process changes at the facility level,
and Cupron provides support before,
during, and after deployment.
• Implementation Playbook for each department: EVS, Radiology, Nursing
• Support for marketing to a create in-room signage and patient communications
• On-site staff education sessions by Cupron Clinical Team
TO FACILITATE BOTH PATIENT AND STAFF UNDERSTANDING OF THE CHANGE, WE PROVIDE:
Once deployed, the textiles work continuously in the background, complementing all your existing
Infection Prevention protocols.
ABOUT CUPRON
Cupron, Inc. is a copper-based antimicrobial
technology company that harnesses the unique
properties of copper for healthcare, consumer,
industrial, and military applications. Cupron embeds
various copper formulations in select polymers
that enable finished products to deliver the desired
impact. Our patented and proprietary embedded
copper technologies have earned multiple, unique
public health claims from the US Environmental
Protection Agency (EPA). Cupron’s technologies are
used by companies such as Under Armor, Kimberly
Clark, Carhartt, and many others globally.
Medical Textiles
...this is a safe and innovative
technology that could be introduced
into the environment of care that can
dramatically impact the outcomes for
patients. Patients really love this not only
because it’s soft, but they see the extra
efforts that we’re going through to make
sure that they’re going to have a good
experience during their hospitalization
with us.
~Dr. Richard Milani
Chief Clinical Transformation Officer,
Ochsner Health System
INNOVATION AND PATIENT SAFETY“
“
Contact: Sharon Oakley | Email: soakley@cupron.com | Phone: 804.322.5052
CupronMedicalTextiles.com