A new study by researchers from the University of Michigan Medical Center has found that contamination of patient privacy curtains by multidrug-resistant organisms (MDROs) is common, and that the high-touch surfaces could be a source of MDRO transmission to patients.The study will be presented at the upcoming meeting of the European Congress of Clinical Microbiology and Infectious Diseases (ECCMID) in Amsterdam.The study’s lead author said the findings, which revealed that more than one in five cultures taken from patient privacy curtains at skilled nursing facilities (SNFs) was contaminated with MDROs, are a concern because of how often these surfaces are touched by patients and healthcare workers, how ubiquitous they are in healthcare facilities, and how infrequently they are cleaned.”Healthcare textiles and soft surfaces often fly under the radar,” Lona Mody, MD, MSc, a geriatrician at the University of Michigan Medical Center, told CIDRAP News. “Curtains are an issue because it is really required to touch them in order to move them…and healthcare workers are likely to touch the curtains after they do hand hygiene and before they see the patient.”VRE, MRSA, and resistant gram-negativesFor the prospective cohort study, conducted at six SNFs in southeastern Michigan, Mody and her colleagues obtained cultures from patient body sites and high-touch surfaces on the day patients were admitted and on days 14, 30, and then monthly for up to 6 months.The patient population mostly consisted of those on short-stay admissions (average length of 22 days) recovering from acute-care hospitalization. A total of 1,521 samples from privacy curtains in 625 rooms were obtained, with the researchers focusing on the edges of the curtains, where they are most frequently touched.Analysis of the privacy curtain samples found that 334 (22%) tested positive for MDROs, with contamination rates ranging from 11.9% to 28.5% across facilities. The most frequent MDRO detected was vancomycin-resistant enterococci (VRE), which was found in 210 cultures (13.8%). Drug-resistant gram-negative bacteria (including Acinetobacter baumannii, Klebsiella pneumoniae, and Enterobacter cloacae) were found in 94 cultures (6.2%), and methicillin-resistant Staphylococcus aureus (MRSA) was detected in 74 cultures (4.9%).The proportion of MDROs found on privacy curtains in private rooms (23.1%) and shared rooms (22%) was similar. MDROs were more commonly found on curtains on the day of admission (28.5%) than during the follow-up visits (18.2%). In the rooms where 6-month follow-up data were available, curtain contamination was intermittent.The study also found an association between patient colonization and curtain contamination. In 15.7% of sampling visits, patients and curtains were carrying the same MDRO at the same time. In the 210 sampling visits during which VRE was detected on privacy curtains, 57.6% of patients were also colonized with VRE. For the 74 visits in which MRSA was detected, 56.7% of patients were colonized with MRSA. On the flip side, in the rooms where MRSA and VRE weren’t detected on privacy curtains, 85% and 73.3% of the patients weren’t colonized with these pathogens.Mody said that while she and her colleagues “had some suspicion” of the amount of contamination they would find on the curtains, “this reinforced our suspicion.”The question, however, is which direction the MDROs are being transmitted: from the curtain to the patients, or the other way around? Mody said analysis of a subset of privacy curtains that were newly contaminated with VRE found that 60% of the patients in those rooms were colonized before the curtain was contaminated, while only 5% of curtains were contaminated before VRE was detected in the patients. This suggests patient-to-curtain transmission is more prevalent.Mody said it would be more troubling if the transmission was going in the other direction. “The concern would be more if we were to find that curtains were always contaminated before the patient was contaminated,” she said.But Mody stressed that the findings need to be replicated using genomic and molecular testing methods, which will provide a clearer idea of directionality and the relationship between the MDROs found on the curtains and the patients. She also noted that healthcare workers coming from other parts of the hospital are touching the curtains as well, so there may not always be a direct connection between the patient and the curtain.More frequent curtain cleaningAlthough more research needs to be done, Mody said the results suggests that regulatory agencies need to establish cleaning frequency and guidance for privacy curtains, and pay more attention to healthcare textiles in general.The study found that the frequency of changing curtains at the six facilities ranged widely. Some SNFs changed the curtains once a week, while others changed them during deep cleaning or “at least annually or when visibly soiled.”She also suggested there might be a way to redesign the curtains, which she noted can be cumbersome to take off and clean.”People touch curtains in a very specific place,” Mody said. “Maybe we could create a handle that could be removed easily and washed.”In addition, Mody stressed that hand hygiene plays a major role in reducing transmission of dangerous pathogens. “Hand hygiene is important for everyone: patients, visitors, and healthcare providers,” she said.See also:Apr 13 ECCMID abstractApr 13 ECCMID poster
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Steven Blowers, Bahri’s country manager in the USA, explained that the new office will house eight staff and cover the US Gulf, South American and Mexican markets. “We are focused on expanding in the Gulf, where a number of our large customers are located.””It is a fairly competitive market, but we are looking to invest in the downturn,” noted Blowers, adding that the company is looking to recruit new blood into the industry.Bahri was also recently enrolled into the United States Coast Guard’s (USCG) Qualship 21 programme, which enables the Saudi Arabian company’s vessels to benefit from faster clearance at US gateways and should give the carrier enhanced market credibility.In the general cargo business, Blowers explained that Bahri has achieved record profits in spite of the challenging environment. The carrier operates six con-ro vessels, with lifting capacities of 120 tonnes, as well as ramps with load capabilities of up to 250 tonnes.Blowers told HLPFI that its focus in the US market would lie in working with forwarders, engineering, procurement and construction contractors (EPCs) and other shippers to increase its high and heavy shipments to and from the Gulf.”The mining machinery market is not as buoyant as it has been,” said Blowers, adding that the truck and automotive market in Mexico is looking promising.”Construction projects in the Middle East continue to be at the core of our business, predominantly in Saudi Arabia.”In North America, Bahri is looking particularly at gaining cargoes related to upcoming LNG projects in the region, with its liner service that runs from the Gulf Coast to the Middle East and India via the US East Coast, Canada and the Mediterranean.”Our strategy is to focus on strengthening our transport and logistics capabilities in the general cargo business, with the backing of Bahri’s network behind us,” added Blowers. www.bahri.sa
UK: The Abellio Greater Anglia subsidiary of Dutch national operator NS is to continue operating passenger services between London Liverpool Street and eastern England under a new 27-month franchise agreement announced by the Department for Transport on April 16.The short-term direct award franchise runs from July 14 2014 to October 16 2016. DfT plans to hold a competition next year to award a longer-term Great Anglia franchise.The short-term agreement features a £20m package of improvements which includes:A ‘major refresh’ of MkIII coaches operated on the Norwich – London route, which are to receive new power sockets, carpets, seat covers and lighting;Fitting controlled-emission toilets to the MkIII fleet and Class 321 electric multiple-units;Accessibility improvements to 12 Class 321s ‘as a precursor to further rolling stock improvements which would be agreed as part of the next Greater Anglia franchise’. Abellio will also work with fleet owner Eversholt Leasing to evaluate options for starting refurbishment of a small number of Class 321s before the end of the short-term franchise;New off-peak weekday Cambridge – Stansted Airport services from July 2014, and enhanced Sunday services on the routes to Sheringham, Sudbury and Lowestoft from 2014-15;New on-line compensation arrangements for season ticket holders;Additional cycle parking spaces, with all stations to have cycle parking by October 2016;A 20% increase in funding for Community Rail Partnerships;Completion of station upgrades at Bishop’s Stortford, Cambridge and Chelmsford. ‘This deal delivers much-needed and very welcome service improvements for passengers who have already experienced the limiting effects of one short-term franchise’, said Abellio UK Managing Director Dominic Booth. ‘The extension also sets the course for future development’, he added. ‘We look forward, therefore, to starting a dialogue with stakeholders soon about the requirements for the long-term franchise, and the investments required to create a rail service that will unlock and support the long-term economic development of this important part of the country.’Abellio has dismissed media reports that it is to end its strategy of bidding for rail operating contracts outside the Netherlands. The company says that it will submit its bid for the ScotRail franchise on April 17, is awaiting the outcome of current bids for the Thameslink, Southern & Great Northern and Essex Thameside franchises, and will ‘continue to assess opportunities in the UK, Sweden and Germany.’
SWITZERLAND: Matterhorn Gotthard Bahn is keeping its Oberalp Pass route open this winter using a snow clearing vehicle which has been completely rebuilt by Schmidt.The metre-gauge vehicle which was previously used on the Rhätische Bahn’s Bernina route is more than 50 years old. After being acquired by MGB it was transported to Schmidt’s St Blasien site in Germany, where it was completely dismantled and rebuilt with only the frames, cab and parts of the power unit retained.The new telescopic clearing head has maximum clearing width of 4·6 m and a maximum clearing height of 3·0 m. A new 682 kW diesel engine was fitted and the control systems replaced, with the drive system for the clearing head converted from overhead electric to diesel-hydraulic power. The control console was completely overhauled and redesigned to offer significantly more control functions than before, with the clearing head now operated by joysticks. The vehicle was also retrofitted with Abt rack braking equipment.
credit Ben Andrew (rspb-images.com) AddThis Sharing ButtonsShare to FacebookFacebookFacebookShare to TwitterTwitterTwitterShare to LinkedInLinkedInLinkedInWith red kites now thriving across Dumfries and Galloway, RSPB Scotland is stepping back from the Galloway Kite Trail and handing over its on-going management to local businesses.Founded in October 2003, The Galloway Kite Trail was set up by RSPB Scotland in a partnership with Forestry Commission Scotland and Bellymack Hill Farm. It was created as a community-based wildlife viewing initiative to help raise public awareness of red kites and promote Dumfries and Galloway as a visitor destination.Red kites were locally extinct in Dumfries and Galloway until 2001 when they were brought back through a re-introduction programme that ran until 2005. There are now around 130 pairs breeding throughout all vice-counties in the region, and over 1000 chicks have fledged in the wild since the project began.Across the UK, where other successful re-introductions have also taken place, the red kite has gone from a red-listed bird, the highest level of conservation concern, to a green listed bird, the lowest level. Incidents of illegal persecution against kites are still recorded, but their population is stable and growing, and it is hoped that they will continue to spread.RSPB Scotland’s Calum Murray worked as a community liaison officer on the project for over 12 years. He said: “The Galloway Kite Trail has been a huge part of my life, and it’s been a privilege to be involved in something so worthwhile, with so many tangible and knock-on benefits for wildlife and for people. It’s also been a pleasure working with the businesses and landowners involved, who have all contributed to the trail’s success as a visitor attraction and will, I’m sure, continue to support it.“It’s definitely sad to be stepping back, but as a conservation charity, the RSPB has to prioritise its efforts based on the needs of species and habitats. We’ll continue to monitor the red kite population in Dumfries and Galloway, and we’ll help to support nature-based tourism through other projects, such as our work at Mersehead and the Mull of Galloway.”One of the aims of the Galloway Kite Trail was to use nature-based tourism to support local businesses and land owners following the devastating impacts of the 2001 foot and mouth outbreak.An economic survey carried out annually by the RSPB between 2004 and 2015 found that visitors to the trail spent an estimated £54.6m in Dumfries and Galloway, with £8.2m directly attributable to people visiting the area to see the kites. In the same period, the trail attracted over 100,000 visitors and supported, on average, the equivalent of 19 full-time jobs every year.The Galloway Kite Trail will continue to operate through a leaflet – which can be picked up at local venues – signs, and interpretation at sites around the trail.
LocalNews Royal Canadian Legion visits Dominica by: – February 6, 2014 39 Views no discussions Sharing is caring! Tweet Share World War II Veteran Cymbert Angol being pinned by First Vice President Tom Eagles.The Royal Canadian Legion on Thursday, February 6, 2014 paid homage and respect to Dominican World War II veterans during a wreath laying ceremony at the Cenotaph in Roseau.The members of the Royal Canadian Legion, who arrived here aboard the M.V. Celebrity Equinox on Thursday, recognized World War II veteran Cymbert Angol with a special pin at the ceremony.“Today we stopped in Dominica to pay respects and homage to all the war veterans who paid this supreme sacrifice during the wars,” dominion first vice president, Tom Eagles told members of the media.“Our main objective is to care for the welfare of our veterans, spouses and dependents and we have been doing that since 1926,” he added.He also noted that “it was very, very nice for a Second World War veteran to come out with us and share this with us”. According to Royal Canadian Legion’s program manager Sheldon Tarashk, twenty-six members of the Legion are on a tour stopping and supporting some of the veterans who live in the Caribbean.“The Royal Canadian Legion helps support the veterans in the Commonwealth; Dominica, Barbados, St Kitts and other Caribbean islands and for every cabin we sell on this cruise we do a fundraiser and a donation to help support some of those veterans,” Tarashk, noted. Prior to arriving here, the group stopped in Barbados where they met with Barbados Legion.“Yesterday, we were in Barbados, we had a great day, they have 390 members in their Legion there and they were fabulous to us”.He anticipates that they will also have “a fabulous time here and we’re very excited to be here in Dominica”. The Royal Canadian Legion is a non-profit Canadian ex-service organization (veteran’s organization) founded in 1926 following the unity of various World War I Veterans’ organizations.It was founded with the clear purpose of service to the nation through three distinct channels – care of veterans, their dependents and the needy; keeping constantly alive public memory of the sacrifices of Canadians in the cause of world peace and thus providing a deterrent to future conflicts; promotion of unity, of thought and of effort among all Canadians leading to the development of a greater nation, the Legion continues its work not just within the borders of Canada. It is the largest veteran Organization in Canada with over 330, 000 members.Dominica Vibes News Share Share
AnnouncementsBusinessEntertainmentLocalNewsRegional USD $100,000 Allocated for Cultural, Creative Industries for COVID19 Relief by: – April 22, 2020 Share Share 82 Views no discussions Share Sharing is caring! Tweet In light of the loss of revenue by Creative Industry (CI) practitioners due to the effects of COVID-19, the Caribbean Development Bank (CDB) has allocated has allocated USD 100,000 for Emergency Relief Grants through its Cultural and Creative Industries Innovation Fund (CIIF).Of these funds, the CDB has allocated USD 50,000 for the Music sub-sector and USD 50,000 for the Festivals and Carnivals sub-sector.This grant is targeted at CI entrepreneurs who can demonstrate loss of income for music, festival and carnival events that have been cancelled as a result of COVID-19.This grant is to be used for one of the following:Product development: to produce an online/virtual product or event on an existing platform external to CDB, that leads to revenue generation;Market distribution & channelling: to on board and promote new Caribbean content from emerging and established producers through existing regional and international electronic platforms; andDigital disruptive technologies for music & festivals and carnivals: to support the further development of an existing electronic solution that will facilitate revenue generation through online CI showcases, exchanges and performances.Projects should be community oriented where possible with a percentage of funds raised going towards associations of health care workers or sanitation workers or registered charities.To participate in this programme, practitioners are asked to read the call document and complete the online application form by May 20, 2020.Apply here!About the Cultural and Creative Industries Innovation Fund:The Cultural and Creative Industries Innovation Fund (CIIF) was established in 2017 with an initial USD2.6 million in capitalisation from the Caribbean Development Bank. It is intended to be a multi-donor fund, which will support the development of the Creative Industries (CI) sector in the Caribbean. CIIF’s goal is to enable the Region’s cultural and creative industries to be globally competitive.
admin Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Pinterest (Opens in new window) Farmington Voice is profiling the four candidates running on November 6 for two open Farmington Public Schools Board of Education seats: Pam Green, Jeff Grynaviski, Mark Przeslawski, and Zach Rich. Jeff Grynaviski (contributed)When Jeff Grynaviski and his wife, Nicole, moved their growing family to Michigan in 2011, they chose Farmington Hills largely because of Farmington Public Schools’ sterling reputation.Seven years later, he’s running for one of two seats on the district’s Board of Trustees because he’s worried about that reputation. The first glimmer of concern appeared when the district cut media specialists, a decision that affected his daughter, who has dyslexia.“There was no reading support after they cut the librarians,” Grynaviski said.As an associate professor at Wayne State University, with many other teachers in his family, Grynaviski was also disturbed by protracted contract negotiations, which he said are not good for staff morale.“As a teacher, and the son of a teacher, that didn’t sit well with me,” he said.Grynaviski would also like to look at boosting the number of guidance counselors in the district. He cited a ratio of 250:1 as “best practice,” and said the district’s is closer to 400:1. “After Parkland (the February 2018 school shooting in Florida), this is what we should be doing to take care of our kids.”But his biggest concern is what he calls the “achievement gap,” the academic performance of Farmington Public Schools compared with other districts. The district performs fairly well, but not to the level it did seven years ago, he said, and “performs really well for people who look like me.”Increasing the number of seats in state-funded preschool programs would help, he said, as would creating more awareness for those programs. Grynaviski would like to see “state of the school” reports for each building to ensure equitable staffing and resources.“I think that would go a long way toward assuring minority groups that they’re being treated fairly,” he said.With Superintendent George Heitsch close to retirement, Grynaviski said, he would look for a new leader who has experience with declining enrollments, with managing hurt feelings when there are layoffs or schools close, and most importantly, someone who has had experience with contract negotiations.The district’s financial picture “looks okay,” after making some tough decisions, Grynaviski said. He noted that a wave of retirements could boost the budget, but he’s also concerned that it’ll be difficult to replace those teachers. Part of the problem is a state-wide shortage. He noted that enrollments have dropped at Wayne State’s School of Education.But there’s also a Farmington-specific issue.“We can’t hire teachers at the bottom of the pay scale, because it’s too low, and right now, teacher morale is pretty low,” he said. “The salary has to be high enough to get teachers through the door.”Grynaviski said that with children at kindergarten, middle school, and high school ages, his family will spend at least another dozen years in the district. He has been an active volunteer as chair of the Proud Dads Club at Hillside Elementary, a PTA member, and in the classroom.“I think that families with a strong personal stake in the district’s success over the intermediate- and longer-term should be well-represented on the board,” he said.READ MORE ELECTION NEWS Reported by
Down by as much as 17 points, the Royals mounted a hugefight back to come to as close as 80-82 on a basket by Russel Escoto but abasket by Capitals’ Clark Derige sealed the win for them. Iloilo United Royals’ Jasper Parker is held by the defense. MPBL John Tayongtong led the way with 20 points, five rebounds,four assists, and three steals, while Tonino Gonzaga added 13 markers as theCapitals evened its win-loss slate at 2-2. Jomar Santos also made huge contributions for the Capitalswith 12 points and eight boards, while Ramon Mabayo got 12 points, sixrebounds, and two assists. MANILA – Iloilo United Royals fell short of its fight backto suffer a close 84-80 defeat to Quezon City Capitals in the 2019-2020Maharlika Pilipinas Basketball League Lakan Cup on Saturday at the AngelesUniversity Foundation Gym in Pampanga. Both teams exchanged leads early in the game with theCapitals slightly ahead at 27-25 after the first 10 minutes before they createddistance in the second period for a 45-39 halftime edge. The Capitals seemed headed to a lopsided win in the secondhalf after establishing an 80-63 edge in the fourth period but the Royalsmounted a huge run in the fourth to threaten their opponent. Escoto top-scored with 22 points, seven rebounds, fourassists, and three steals as Samboy de Leon had 17 points, nine boards, and fourdimes for the Royals which dropped to 2-1 slate./PN