Stewardship / Resistance Scan for May 03, 2018

first_imgSurvey notes possibilities, barriers in nurses’ stewardship roleAn online survey of 180 nurses found that nursing professionals are well positioned to be integrated into antibiotic stewardship programs, but clinical practice and hospital culture influence perceptions of their role—and barriers include nurses not included in rounds, interdisciplinary power differentials, and nursing input not actively sought—according to a study yesterday in the American Journal of Infection Control.The survey assessed 10 practices that fall within the responsibility of inpatient nurses and contribute to stewardship efforts.Nurses were highly confident assessing for an adverse drug reaction history, obtaining cultures before antibiotic prescribing, and participating in patient education. They were less confident in reviewing microbiology results to determine antibiotic appropriateness. Clinical practice and hospital culture influenced perceptions of their stewardship role. Reported barriers to stewarding included exclusion from rounds, power differentials, and lack of coworkers not seeking their input.The authors conclude, “Barriers to nurse engagement were identified and could be addressed by improving education in microbiology and principles of antibiotic use along with more consistent inclusion of nurses in bedside rounds while also cultivating an environment where nurse contribution is actively sought.”May 2 Am J Infect Control study Study analyzes snapshot of K pneumoniae isolates in GermanyWhole-genome sequencing (WGS) of Klebsiella pneumoniae isolates from German hospital patients suggests the prevalence of classical K pneumoniae strains with widely distributed carbapenemase genes, researchers reported yesterday in Antimicrobial Resistance and Infection Control.For the study, researchers with the Robert Koch Institute in Berlin compiled a representative subset of 107 carbapenemase-producing K pneumoniae isolates collected from 2008 through 2014 at hospitals throughout the country. The isolates possessed the four most prevalent carbapenemase types in Germany—KPC-2, KPC-3, OXA-48, and NDM-1.WGS data showed that the isolates belonged to 21 different sequence types (STs) of K pneumoniae, with 27 of 34 (80%) KPC-2-producing isolates belonging to ST258—a prominent lineage in healthcare settings—and 21 of 26 (81%) KPC-3-producing isolates belonging to ST512 (a variant of ST258). The most prevalent carbapenemase type, OXA-48 (42 isolates), revealed 15 different STs, and the 5 NDM-1 producers were assigned to 4 STs.One OXA-48 isolate in the collection contained an almost complete set of virulence genes and belonged to ST23, a hypervirulent strain which is frequently found in Asia. That strain appeared to be representative of an entire cluster of infections in a single German healthcare center in 2012.”The finding of a supposed hypervirulent and OXA-48-producing ST23 K. pneumoniae isolate outside Asia is highly worrisome and requires intensive molecular surveillance,” the authors write.May 2 Antimicrob Resist Infect Control study FDA panel OKs plazomicin for complicated urinary tract infectionsA US Food and Drug Administration (FDA) advisory committee has voted unanimously in favor of Achaogen’s plazomicin, an intravenous antibiotic, for the treatment of adults who have complicated urinary tract infections but not for the treatment of bloodstream infections.San Francisco–based Achaogen said the FDA Antimicrobial Drugs Advisory Committee voted 15-0 that the company had “provided substantial evidence of the safety and effectiveness of plazomicin for the treatment of complicated urinary tract infections,” but 11-4 against the same criterion for bloodstream infections in patients with limited or no treatment options.”We are encouraged by the Committee’s unanimous vote in favor of plazomicin for complicated urinary tract infections (cUTI). The discussion underscored the real-world challenges that healthcare providers face every day given limited or inadequate treatment options for certain pathogens,” said CEO Blake Wise in the company release.The FDA is not bound by the committee’s votes but takes its input into consideration when reviewing marketing applications. Plazomicin has a Prescription Drug User Fee Act date of Jun 25. If the FDA approves the drug by this date, Achaogen expects to launch plazomicin in the United States soon thereafter, the company said.Achaogen announced on Jan 2 that the FDA had accepted its New Drug Application for priority review for plazomicin.May 2 Achaogen news release Jan 2 Achaogen press releaselast_img read more

Cerro Grande Fire Of 2000 And COVID-19 Pandemic In 2020 … Commonalities And Differences In Disaster

first_imgCerro Grande Fire taken in the morning of May 10, 2000. All of Los Alamos was evacuated the afternoon of May 10, 2000. Photo by Gary Warren/ Cerro Grande Fire viewed from Los Alamos County Golf Course May 7, 2000. Photo by Gary Warren/ Craig Martin this year standing near one of the tree seedlings planted in 2000. Courtesy/Craig Martin  Topper Senior Katie Herrmann with her puppy Simon, 1, in front of their home on Kristi Lane with her Class of 2020 yard sign, given to every senior at Los Alamos High School as part of a month long schedule of activities to honor them. The governor ordered all the schools in New Mexico closed for the remainder of the academic year due to the COVID-19 pandemic so LAPS and the community are finding ways to honor the graduates. Courtesy photo Children plant a tree seedling 20 years ago following the Cerro Grande Fire. Courtesy/Craig Martin. All wearing masks due to the COVID-19 pandemic, Nurse Kim Temple welcomes New Beginnings Fellowship members Lanessa Auburgey and Moises Pinto as they deliver a meal recently to Los Alamos Medical Care Clinic staff. Courtesy/LAMCC Today we are in the midst of a pandemic of a novel corona virus (COVID-19: CO for corona Vi is for virus, D is for disease, 19 for the year it was discovered). This is a new infectious disease causing an acute respiratory syndrome for which there is no vaccine or immunity. Federal, state, and local responses have included cancellation and prohibitions of large-scale gatherings, closures of schools, and other educational institutions, and social distancing by staying home or working from home. All businesses except those deemed essential have been ordered to close. People have lost jobs and the stock market has fallen faster than ever before in history. Each day the number of infected people increases.The Cerro Grande Fire and COVID 19 were and are calamitous events that disrupted the functioning of our community and society. They caused human, material, economic or environmental losses that exceed our community’s or society’s ability to cope. Regardless of whether the disaster is local or worldwide there are similarities and differences. The Cerro Grande Fire was a local event. The new event, COVID-19 is a worldwide problem-a pandemic. Unlike the Cerro Grande Fire there was no evacuation, but there is sudden life disruption! Life as we knew it came to a screeching halt and everything changed. Again, we must learn to adapt and become resilient in the face of adversity.There is no “them-and-us” in the COVID-19 event. There is no opening of homes as a way of reaching out. We are confined to our homes. We are all dealing with all the same fear and anxiety as people hundreds and thousands of miles from us. I am struck by the saying “We are in this together”. No one who lives on planet earth is immune to this event. We ARE all one humanity. One of the major lessons expressed over and over at the time of the Cerro Grande Fire disaster and now the COVID-19 event is the value of family and friends. Over and over in the Cerro Grande fire interviews, people expressed this lesson. Tasks and times were less important than family and friends. The five P’s were most important in evacuation: people, pets, papers, photos, prescriptions. In the COVID-19 event we are reminded over and over of the value of the lives of those close to us, family, friends, teachers, colleagues, and acquaintances.  After the Cerro Grande Fire many people expressed gratitude to the firefighters and first responders. Today the power of gratitude is apparent in the ways we thank firefighters, EMTs, doctors, nurses, and the life of every loved one. We are grateful for all those we sometimes forget about: truck drivers, grocery store clerks, those who shelve food and items, and so many more. Disaster makes us aware of all we have and often forget to thank in our busyness.Thankfulness for the landscape that surrounds us, and its resilience is important. In nature we find beauty and hopefulness in times of despair. Taking walks, gardening, hiking, and bird watching all uplift weary spirits in a time of social distancing and being shut inside our homes. Sunshine helps the shattered spirit and enhances the immune system.Every day we must make a choice to stay home to stop the spread or gather for fun and companionship. We choose resilience and hope by rejecting that instinct to be with others. I am amazed at the creative ways we have found to connect with one another. At the time of the Cerro Grande Fire cell phones were the exception. But with cell phones and computers, connecting has become easier. At the time of the Cerro Grande, everyone scattered. My response was, “Will I ever see them again?” Today I can call or connect by computer and know that my friends and family are safe.A friend, Rosella Jardine, found one similarity between the event of the fire and COVID-19 was isolation. When we evacuated, we did not know where our friends and family went or if we would ever see them again. Now we have all sorts of ways to communicate, but we are still isolated in our homes. It is a twist! Either way we were and are isolated from each other. Interestingly, we often crave solitude and quiet, but once isolated we crave togetherness.After the Cerro Grande fire, FEMA experiences were sometimes lengthy and painful. With the pandemic, comes a stimulus package to help the unemployed, essential personnel, and others. There is already an indication that this too will be a painful process.At the time of the Cerro Grande fire, we saw Northern New Mexico and our community coming together. The Volunteer Task Force mobilized the community to help in restoration. Others helped people through the FEMA process or providing shelter for the displaced. People helped people and the environment. In our resilience, we are reaching out today in unique and different ways, using ingenuity in the COVID-19 crisis. Examples include a less vulnerable person asking a neighbor if they can go to the store for them or calling someone to find out how they are doing. Organizations where congregating is the norm are finding new ways of communicating and entertaining through computer programs such as Zoom, Facetime, Skype, and YouTubeAt the time of the Cerro Grande Fire there was great need. Scouts, churches, restaurants, and many others fed first responders. Homes were opened. People made quilts to give people comfort. Currently, I believe anyone who sews is probably making masks for family, friends, medical personnel, and neighbors. Making a mask seems insignificant but it may save someone’s life. Donations are given to those who are hungry and jobless. Today, though we may feel knocked down, hurting, and struggling, people are lifting each other up in their own way.Like the Cerro Grande Fire, we were not prepared for this pandemic. It took us by surprise. We are in the midst of this event and we do not know how it will end. The experience of the Cerro Grande Fire reminds us that out of the ashes of that fire we became more resilient and renewed. Out of the COVID-19 event, we will find resilience and be renewed in our relationships to one another. There is hope.This is part of the Afterword in the book Resilience and Renewal, Stories of the Cerro Grande Fire Twenty Years After. Also look for the new exhibit at the History Museum called Resilience and Recovery which is currently online ( and will be available in person when the museum is open again. See the Los Alamos Historical Society website for more information about the Cerro Grande Fire and the availability of the book. Cerro Grande Fire viewed from downtown Los Alamos Sunday, May 7, 2000. Photo by Gary Warren/ladailypost.comBy TERALENE FOXXLos AlamosThe week of May 4th is an anniversary week. Twenty years ago, the Cerro Grande Fire changed the physical and emotional landscape of the community. I had just breathed a sigh of relief that the interviews and writing of a book about the resilience after the Cerro Grande Fire was completed when a new event occurred. I had previously written stories about the Cerro Grande Fire in 2000 and 2010. My first thought was, “Not Again!” That is my usual response to a new event that has the shadows of an old event.last_img read more

HS2 sets Birmingham office market on the fast track

first_imgTo access this article REGISTER NOWWould you like print copies, app and digital replica access too? SUBSCRIBE for as little as £5 per week. Would you like to read more?Register for free to finish this article.Sign up now for the following benefits:Four FREE articles of your choice per monthBreaking news, comment and analysis from industry experts as it happensChoose from our portfolio of email newsletterslast_img

Bardonaro takes on new global sales role at Terex

first_imgBardonaro (pictured below) will assume full commercial responsibility for the company’s complete range of mobile cranes, working in partnership with local distributors and Terex sales organisations worldwide. He will be relocating to Europe in the near future where the position will be based.Dan Slater, who has served as a general manager of Terex Cranes North America operations, will assume the new role of general manager of Terex Mobile Cranes North America.Since joining the company in 2010, Bardonaro has significantly contributed to a very positive growth story for Terex Cranes in the North American market, notes the company. He is currently on the board of directors of SC&RA (Specialized Carriers & Rigging Association), an international trade association of more than 1,300 members from 43 nations.last_img read more

Wilmington introduces IPOS

first_imgAccording to GT USA, the system upgrade has enhanced the port’s operating efficiency by improving job order systems and the vehicle routing processes for container pickup/delivery. The IPOS can also be integrated with customer systems for complete visibility throughout the supply chain, added GT USA.Eric Casey, ceo of GT USA Wilmington, said: “The roll out of the IPOS is the first step in our technology transformation strategy and having this new system at the heart of terminal operations will play a crucial role in boosting our overall performance; we are enhancing efficiency and productivity while adding substantial value for our customers. Most importantly, vessels arriving at our port will benefit from the considerable reduction in wait times that comes with synchronised operations.” read more

Katowice airport rail link and GSM-R funded

first_imgPOLAND: The allocation of €676m from the Cohesion Fund for rail and road projects in Poland was announced by the European Commission on September 13.The package includes €487m for the replacement of outdated communications with GSM-R on almost 14 000 km of railway by July 2023, supporting a transition to ERTMS. The Commission said this would remove the need to switch locomotives or onboard equipment at borders.The Commission will also provide €117m to support the reopening of the 46 km Tarnowskie Góry – Zawiercie line to serve Katowice airport. This project includes electrification, bridge works and station construction and refurbishment including accessibility improvements.Completion of the work by May 2022 is expected to boost local economic development by improving the efficiency of freight transport and providing reliable passenger services.The remaining €72m is for road infrastructure projects.last_img read more

United States official claims Boko Haram still controls north eastern Nigeria

first_imgNigerien soldiers hold up a Boko Haram flag that they had seized in the recently retaken town of Damasak, Nigeria (Image courtesy)President Muhammad Buhari was recently quoted as saying Bokoharam no longer holds territory in the north east. The president told UN secretary general Ban Ki Moon the insurgents had been dislodged from all strong holds they previously held. But just recent a statement by the US Africom commander is now contradicting that position. General Rodriguez told the US Senate Armed Service Committee that Boko Haram still holds significant territory in the North Eastern region. His statement contradicts the presidents statement and earlier statements by the military about the status of the campaign to defeat the insurgents in the north east. But security experts here see no reason to contradict authorities in Nigeria.I have no reason whatsoever to doubt what my President had to say because he has access to information that even General Rodriguez does not have and like I said, What exactly is the currency of General Rodriguez’s Intel report? He might be talking about what is happening in a couple of months back or even last year” Said Chidi Omeje, Security expertThe Nigerian military has been killing dozens of Boko Haram insurgents and rescuing thousand of hostages too – An indication that the group is still around. While some think announcing defeat of the insurgents may be premature, Chidi thinks the insurgents have been significantly degraded although it could take completely end the insurgency.“if you understand how terrorists work, they are quite fluid – they move from place to place, they are not static. If they are static, they will be cleaned up” Said Chidi Omeje, Security expertSince assuming office in May 2015, President Muhammadu Buhari made defeating Boko Haram top on his agenda. In September last year, he gave his military Chiefs a 3 month deadline to defeat the terrorists. So much has been achieved since then. But it’s still not clear if the group still holds territories and how much is in their control.Boko Haram in 2009 launched its campaign for an Islamic caliphate. Since then the group has killed more than 20,000 people. 2 million others have been displaced from their homes.last_img read more

Lesotho’s prime minister concedes election defeat: government statement

first_imgLesotho’s prime minister concedes election defeatLesotho’s prime minister Pakalitha Mosisili has conceded defeat in a parliamentary election to his opponent Thomas Thabane, the government said, easing concerns of political instability in the mountain kingdom.“His Majesty King Letsie III has accepted the resignation of The Right Honourable the Prime Minister, Dr. Pakalitha Mosisili,” a government statement received on Friday said.Mosisili will remain in his position until Thabane is sworn in, the statement said.Thabane’s All Basotho Convention won 48 parliamentary seats, compared with 30 won by Mosisili’s Democratic Congress, results released on Tuesday showed.last_img

SST Announces Availability of Smartbit Technology on its RF CMOS Platform

first_imgMicrochip Technology through its Silicon Storage Technology (SST) subsidiary, has announced that System-on-a-Chip (SoC) designers now have access to SST’s unique Smartbit based antifuse One-Time-Programmable (OTP) Non-Volatile Memory (NVM) technology on the Altis Semiconductor 130 nm and 180 nm RF CMOS platforms. Altis Semiconductor’s cost-effective and proven RF CMOS platform is qualified to automotive standards. SST’s Smartbit OTP technology together with Altis RF CMOS process is ideal for wide temperature ranges and data retention in medical and implantable devices, automotive market applications, mobile and wireless applications and the general Internet of Things (IoT) market.SST’s SmartBit OTP solution significantly reduces production costs by implementing a high density antifuse technology in standard logic CMOS without additional process steps. The Smartbit bit cell design and unique dynamic-programming technology maximize both device reliability and pro­gramming yield while offering faster programming and access time than other OTP technologies.last_img read more

Jadi Viral, Menu Kelas Bisnis Ditulis Tangan, Garuda Indonesia Minta Maaf Pada Vloger

first_img“Hari ini gue bakal ngeriview penerbangan gue dari Sydney ke Denpasar. Gue mau meluruskan apa yang lagi ramai di media sosial tentang menu yang gue post kemarin di Instagram gue,” kata rius dalam video yang diunggah dirinya ke Youtube.Dalam video itu juga dirinya menjelaskan pramugari Garuda Indonesia yang membagikan menu tersebut sempat mengakui padanya terkait hal ini. “Maaf untuk menu cardnya kita lagi dalam proses percetakan. Jadi saya ada menuliskan, jelek tulisannya pak. Bisa pilih salah satu,” kata pramugari dalam video Rius tersebut.Dia juga meluruskan bila ada yang mengatakan catatan pramugari diambil secara paksa dan difoto, hal itu tidak benar dan memang diberikan.“Ada yang bilang itu catatan pramugarinya yang gue ambil secara paksa terus gue foto. Nggak itu emang dikasih, penumpang lain jiga dikasih menu itu,” jelasnya.Rius mengaku saat diberikan kartu menu tulisan tangan itu pun pramugari bersikap sopan meski dirinya dan sang tunangan merasa hal tersebut ganjil. Menangapi hal ini, garuda Indonesia melalui akun Twitternya membalas kicauan seorang warganet @arieparikesit di twitter yang menggunggah daftar menu itu.“Dapat kami sampaikan bahwa itu bukan kartu menu untuk penumpang, melainkan catatan pribadi awak kabin yang tidak untuk disebarluaskan. Terimakasih,” ujar akun itu.Karena hal ini, pihak Garuda Indonesia meminta maaf atas kesalahpahaman yang terjadi dan memastikan bahwa pihaknya telah menyediakan kartu menu sesuai standar kelas bisnis. Selain itu, Rius Vernandes juga mengunggah foto yang menunjukkan ruang customer service milik Garuda Indonesia. Ia menyebutkan, pihak Garuda Indonesia telah meminta maaf.Baca juga: Solusi Ramah Lingkungan, Mulai 1 Agutus Kargo Garuda Indonesia Gunakan Kemasaan dari Bahan Daur Ulang“Intinya Garuda Indonesia minta maaf soal ini. Aduh asli gue juga enggak marah atau gimana. Gue cuma sedang menjalankan job gue sebagai reviewer pesawat. Share apapun yang terjadi di pesawat, gitu doang,” tulis Rius.Hingga tulisan ini diturunkan, yang mengonfirmasi pihak Garuda Indonesia belum mendapatkan jawaban apapun.Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Like this:Like Loading… Related Menu yang dibagikan ke penumpang dengan selembar kertas dan di tulis tangan oleh pramugari garuda Indonesia Belum lama ini beredar sebuah capture Instastory seorang Youtuber dan pengusaha terkait menu makanan di kelas bisnis Garuda Indonesia yang menggunakan tulisan tangan. Menu ini didapat Rius Vernandes dan Elwi tungangannya saat dalam perjalanan dari Sydney – Denpasar – Jakarta.Baca juga: Tukang Gorengan ini Gunakan ‘Kantung Muntah’ Garuda Indonesia Sebagai BungkusnyaKarena hal ini Rius menjadi bahan perbincangan baru para warganet yang merasa Youtuber satu ini menjelek-jelekkan maskapai milik Indonesia tersebut. Bahkan dikatakan menu tulisan tangan itu adalah catatan pramugari yang dimintanya secara paksa.Dirangkum dari berbagai laman sumber, Rius kemudian menggunggah video dengan judul ‘Yang Sebenarnya Terjadi Di Balik Menu Tulisan Tangan Garuda Business Class’. Video berdurasi 21 menit tersebut menjelaskan apa yang dirasakan Rius ketika mendapat menu dengan kerta yang bertuliskan tangan.last_img read more