We report the results of the International Nosocomial Infection Control Consortium prospective surveillance study from January 2004 to December 2009 in 33 pediatric intensive care units of 16 ...countries and the impact of being in a private vs. public hospital and the income country level on device-associated health care-associated infection rates. Additionally, we aim to compare these findings with the results of the Centers for Disease Control and Prevention National Healthcare Safety Network annual report to show the differences between developed and developing countries regarding device-associated health care-associated infection rates.
A prospective cohort, active device-associated health care-associated infection surveillance study was conducted on 23,700 patients in International Nosocomial Infection Control Consortium pediatric intensive care units.
The protocol and methodology implemented were developed by International Nosocomial Infection Control Consortium. Data collection was performed in the participating intensive care units. Data uploading and analyses were conducted at International Nosocomial Infection Control Consortium headquarters on proprietary software. Device-associated health care-associated infection rates were recorded by applying Centers for Disease Control and Prevention National Healthcare Safety Network device-associated infection definitions, and the impact of being in a private vs. public hospital and the income country level on device-associated infection risk was evaluated.
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Central line-associated bloodstream infection rates were similar in private, public, or academic hospitals (7.3 vs. 8.4 central line-associated bloodstream infection per 1,000 catheter-days p < .35 vs. 8.2; p < .42). Central line-associated bloodstream infection rates in lower middle-income countries were higher than low-income countries or upper middle-income countries (12.2 vs. 5.5 central line-associated bloodstream infections per 1,000 catheter-days p < .02 vs. 7.0; p < .001). Catheter-associated urinary tract infection rates were similar in academic, public and private hospitals: (4.2 vs. 5.2 catheter-associated urinary tract infection per 1,000 catheter-days p = .41 vs. 3.0; p = .195). Catheter-associated urinary tract infection rates were higher in lower middle-income countries than low-income countries or upper middle-income countries (5.9 vs. 0.6 catheter-associated urinary tract infection per 1,000 catheter-days p < .004 vs. 3.7; p < .01). Ventilator-associated pneumonia rates in academic hospitals were higher than private or public hospitals: (8.3 vs. 3.5 ventilator-associated pneumonias per 1,000 ventilator-days p < .001 vs. 4.7; p < .001). Lower middle-income countries had higher ventilator-associated pneumonia rates than low-income countries or upper middle-income countries: (9.0 vs. 0.5 per 1,000 ventilator-days p < .001 vs. 5.4; p < .001). Hand hygiene compliance rates were higher in public than academic or private hospitals (65.2% vs. 54.8% p < .001 vs. 13.3%; p < .01).
Country socioeconomic level influence device-associated infection rates in developing countries and need to be considered when comparing device-associated infections from one country to another.
This study investigated the effect of four different electrical devices as source of electromagnetic field on fecundity, learning and memory function, speed of movement, in addition to the whole body ...proteins of the fruit fly Drosophila melanogaster. The results showed that exposure to EMF has no significant effect on adult fecundity (ANOVA and Duncan's test) but alters learning and memory function in Drosophila larvae, especially those exposed to mobile phone. Highly significant differences occurred in the larval speed of movement after exposure to EMF, with maximal effect occurred for larvae exposed to mobile phone (their speed of movement increased 2.5 times of wild type). Some protein bands serve as characters for exposure to certain electrical devices which suggest that exposure to EMF may affect the whole body proteins.
This study aimed to investigate the prevalence, antibiogram of Pseudomonas aeruginosa (P. aeruginosa), and the distribution of virulence genes (oprL, exoS, phzM, and toxA) and the ...antibiotic-resistance genes (bla
, tetA, and bla
). A total of 285 fish (165 Oreochromis niloticus and 120 Clarias gariepinus) were collected randomly from private fish farms in Ismailia Governorate, Egypt. The collected specimens were examined bacteriologically. P. aeruginosa was isolated from 90 examined fish (31.57%), and the liver was the most prominent infected organ. The antibiogram of the isolated strains was determined using a disc diffusion method, where the tested strains exhibited multi-drug resistance (MDR) to amoxicillin, cefotaxime, tetracycline, and gentamicin. The PCR results revealed that all the examined strains harbored (oprL and toxA) virulence genes, while only 22.2% were positive for the phzM gene. On the contrary, none of the tested strains were positive for the exoS gene. Concerning the distribution of the antibiotic resistance genes, the examined strains harbored bla
, bla
, and tetA genes with a total prevalence of 83.3%, 77.7%, and 75.6%, respectively. Experimentally infected fish with P. aeruginosa displayed high mortalities in direct proportion to the encoded virulence genes and showed similar signs of septicemia found in the naturally infected one. In conclusion, P. aeruginosa is a major pathogen of O. niloticus and C. gariepinus. oprL and toxA genes are the most predominant virulence genes associated with P. aeruginosa infection. The bla
, bla
, and tetA genes are the main antibiotic-resistance genes that induce resistance patterns to cefotaxime, amoxicillin, and tetracycline, highlighting MDR P. aeruginosa strains of potential public health concern.
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IZUM, KILJ, NUK, PILJ, PNG, SAZU, UL, UM, UPUK
This article presents the effect of adding poly(methyl methacrylate) (PMMA) with different molecular weights on the mechanical properties of asphalt in terms of durability, strength, and resistance ...to rutting. By controlling the time of reaction we obtained PMMA of two different molecular weights: PMMA1 and PMMA2. The ageing properties of polymer modified asphalts were studied using the thin film over (oven) a test. A hot storage stability test was carried out for polymer modified binder. The physical properties of asphalt modified with PMMA including penetration value and softening point were examined at two different temperatures. Resilient modulus test was evaluated by a Universal Testing Machine. Results showed that an incorporation of PMMA into asphalt binder has significantly improved its properties under studies. Indirect tensile strength test and durability performance of the modified asphalts was evaluated as well. The resulted modification was found to be dependent on the polymer molecular weight. The PMMA1 exhibited effective and cheerful results.
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EMUNI, FIS, FZAB, GEOZS, GIS, IJS, IMTLJ, KILJ, KISLJ, MFDPS, NLZOH, NUK, OBVAL, OILJ, PNG, SAZU, SBCE, SBJE, SBMB, SBNM, UKNU, UL, UM, UPUK, VKSCE, ZAGLJ
The durability of asphalt pavement is greatly influenced by the environmental changes during the year. In this paper, we prepared asphalt modified by mixing asphalt 60/70 with epoxidized natural ...rubber (ENR) in different percentages (5, 10 and 15%), which was achieved using preformed peracetic acid (aqueous solution 59%) at 60–80°C, then molten cross-linker maleic anhydride (MA) was added to modified asphalt until homogenous blends are achieved. Marshall test was used to evaluate the asphalt pavement performance depending on the curing time and hardener concentration. To measure marshall test, the pervious mixture was stirred with aggregate jop formula mix (JMF) and 40% MA at 150–170°C for 20h and 1600rpm. From the obtained data, it was found that asphalt mixed with 15% of ENR+40% MA achieves a high stability (16,632Newton), air voids of 2.5%, flow of 2.9mm and mineral voids of 14.6%. While, the stability of the unmodified asphalt was (11,500Newton), the flow 3.2mm, the suitable air void value was 3.7% at 5.5% with the same conditions.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP
The aim of this study was to investigate the use of corn distillers dried grains with solubles (DDGS) (27.11% CP) and Foots (20.84% CP) as corn processing by-products in monosex Nile tilapia, ...Oreochromis niloticus diets to replace yellow corn as an energy source and its effect on growth performance, nutrients utilization, whole body proximate composition, nutrients digestibility and economic efficiency. Three hundreds and seventy five fingerlings of Nile tilapia (10± 0.05 g) were randomly distributed into 15 circular plastic tanks (1000 L), representing 5 treatments. Isonitrogenous (25 to 25.84%) and isocaloric (4174.79 to 4364.65 Kcal GE/kg) experimental diets were prepared with substitution levels of DDGS 0% (T1), 20% (T2) and 40% (T3) and Foots 20% (T4) and 40% (T5). The experimental period lasted for 18 week. Results showed that both of DDGS and Foots have higher in all measured amino acids content than those in yellow corn except cysteine. Moreover, DDGS and Foots have higher content of linoleic, oleic, stearic and palmitic acids than those in yellow corn. Also DDGS and Foots covered the nutrient requirements of the essential fatty acid linoleic (18:2 ω 6) for Nile tilapia. Feed intake was significantly decreased as corn partially replaced by Foots more than the DDGS. Apparent digestibility coefficient of CP, EE, NFE and energy recorded the highest values for the T4 (75.76, 89.86%, 57.48 and 68.71%), respectively, followed by T3 with significant differences. The increasing in substitution levels of yellow corn by DDGS did not significantly (P˃0.05) had an effect on Nile tilapia performances. However weight gain and specific growth rate SGR were gradually decreased with increasing the substitution levels of Foots. The CP content of Nile tilapia carcass was significantly increased with increasing the substitution levels of DDGS (T3) and Foots (T5). Feed conversion ratio (FCR) of the fish fed diets T4 (20% Foots) was the best followed by T5 (40% Foots). The cheaper feed cost gain was obtained from T5(40% Foots) followed by T4(20% Foots).
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DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, UILJ, UKNU, UL, UM, UPUK
Background: Liver diseases are a common cause of mortality and morbidity over the world. It is caused mainly by toxic chemicals and chemotherapeutic agents. Costus speciosus (Koen ex. Retz.) ...(Zingiberaceae) is widely employed in various traditional medicines for the prevention and treatment of different aliments. The purpose of this study is to assess the protective effect of C. speciosus rhizomes MeOH extract against the injury of the liver induced by paracetamol (PA) in mice.
Material and Methods: The mice were pretreated for seven days with distilled H2O, silymarin 12 mg/kg or 100 and 200 mg/kg MeOH extract. Then, PA (750 mg/kg) was also intra-peritoneal administrated once a day. Animals were euthanatized 24 h after the damage inducement. The levels of the serum enzymes aspartate aminotransferase (AST), alkaline phosphatase (ALP), alanine aminotransferase (ALT), and aspartate aminotransferase, in addition to the tumor necrosis factor-alpha (TNF-α), were determined. Moreover, the histopathological examination was carried out.
Results: Administration of the MeOH extract (200 mg/kg) showed improvement in the toxic effects of PA through significant fall on the serum markers enzymes of liver damage: AST, ALT, and ALP, as well as TNF-α, compared to silymarin. In parallel, the histopathological profile in the mice` liver also proved that extract markedly minimized the PA toxicity and maintained the liver tissues` histoarchitecture to near the normal ones more than that achieved by silymarin.
Conclusion: The findings suggested that C. speciosus extract acts as a potential hepatoprotective agent against PA-induced liver toxicity. This hepato-protection effect may be due to the existence of steroids, saponins, different glycosides, and phenolic compounds in C. speciosus.
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