scholarly journals Changing the Culture of Ordering Urine Cultures

2020 ◽  
Vol 41 (S1) ◽  
pp. s162-s162
Author(s):  
Jane Adams ◽  
Thomas File ◽  
Matthew England ◽  
Nancy Reynolds ◽  
Patricia Wells ◽  
...  
Keyword(s):  
Urine Culture ◽  
Peer Review Process ◽  
Action Plan ◽  
Staff Nurses ◽  
Personal Communications ◽  
Multifaceted Approach ◽  
Infectious Disease Service ◽  
Testing Algorithm ◽  
Successful Reduction

Background: Inappropriate ordering of urine cultures and the resulting unnecessary use of antibiotics can lead to complications of antimicrobial therapy including resistance, adverse effects (eg, disruption of microbiome and C. difficile infection), and increased healthcare costs, as well as the erroneous determination of CAUTI in patients with Foley catheters. A retrospective analysis of patients with CAUTI revealed frequent ordering of urine cultures for conditions and symptoms not supported by current IDSA guidelines. As a result, we created an action plan to reverse the trend of inappropriate urine culture ordering. Methods: Our urine culture reduction campaign was developed with input from the infectious disease service, antibiotic stewardship team (AST), infection prevention, pharmacy, and the microbiology service. The following educational efforts were included: (1) distribution of outpatient pocket cards with communication to providers about appropriate ordering of urine cultures; (2) creation of an evidence-based order set for urinalysis and urine cultures distributed electronically as emails and screensavers on computer stations and in person via didactic sessions with physicians and nursing staff; (3) a practice pointer for staff nurses that included recommended changes to urine culture ordering and encouraged open dialogue with physicians regarding the appropriateness of urine cultures; (4) didactic and personal communications to counter long-standing myths, such as “Urine cultures always for change in mental status”; (5) a peer-review process to evaluate and justify deviations from the testing algorithm.Results: The first and second months after the introduction of the campaign, the microbiology laboratory reported 23% and 37% reductions in urine cultures ordered, respectively. During the same period, a 48% reduction in CAUTIs was reported for the entire health system. Conclusions: Reducing the number of inappropriate urine cultures is achievable with intense communication utilizing a multifaceted approach. With continued educational activities, we expect to sustain and even improve our successful reduction of inappropriate urine culture orders, ultimately improving patient outcomes.Funding: NoneDisclosures: None

Pemberdayaan Industri dan Pengembangan Teknologi Penerbangan Nasional

WARTA ARDHIA ◽  
2014 ◽  
Vol 40 (2) ◽  
pp. 99-120
Author(s):  
Harry Muhammad
Keyword(s):  
Government Regulation ◽  
Technology Development ◽  
Action Plan ◽  
Economic Value ◽  
Aerospace Industry ◽  
The Government ◽  
National Local

Development of Indonesian aerospace industry into the determination of urgency Empowerment Government Regulation of Industry and Technology Development. In this research, an analysis of the potential economic value and mapping of potential national (local industry) in order to meet airport facilities and air navigation. Mapping the potential of the local indust0' is important to know the strentgh and weakness of local industry. From these information it is expected that the government can formulate a roadmap and action plan that can protect local industry. when the products have been used. In addition, how can stimulate the local industry to participate and meet the needs of facilities that still have to be imported from abroad. Pengembangan industri kedirgantaraan Indonesia menjadi urgensi penetapan Peraturan Pemerintah tentang Pemberdayaan Industri dan Pengembangan Teknologi Penerbangan. Untuk menjawab tantangan dalam pengembangan industri dirgantara nasional tersebut, diperlukan dukungan regulasi dan kebijakan pemerintah. Dalam penelitian ini dilakukan analisa mengenai potensi nilai ekonomi (skala ke-ekonomian) dan pemetaan potensi nasional (industri lokal) dalam rangka pemenuhan fasilitas bandar udara dan navigasi penerbangan. Pemetaan potensi industri lokal penting untuk diketahui agar pemerintah dapat mengetahui gambaran fasilitas apa saja yang bisa disuplai dari dalam negeri dan fasilitas apa saja yang masih bergantung pada pihak luar negeri. Dari gambaran ini diharapkan pemerintah dapat menyusun roadmap dan rencana aksi yang dapat melindungi pengusaha lokal bila produk yang dihasilkan telah dapat digunakan. Selain itu juga bagaimana caranya dapat merangsang pihak industri lokal dapat turut serta memenuhi kebutuhan fasilitas yang selama ini masih harus didatangkan dari luar negeri.

Determination of allelopathic potential of a weed Pluchea lanceolata through a multifaceted approach

1996 ◽  
Vol 74 (9) ◽  
pp. 1445-1450 ◽  
Author(s):  
Inderjit Inderjit ◽  
Surinder Kaur ◽  
K. M. M. Dakshini
Keyword(s):  
Soil Nutrients ◽  
Phenolic Content ◽  
Agricultural Practices ◽  
Allelopathic Potential ◽  
Multifaceted Approach ◽  
Pluchea Lanceolata ◽  
Allelopathic Effects ◽  
Growth Experiments ◽  
Biotic Characteristics

The allelopathic potential of soils from four sites infested with the weed Pluchea lanceolate (DC.) C.B. Clarke (Asteraceae) was investigated. All sites had similar precipitation, similar crops, and weeds in addition to P. lanceolata. The objectives of this study were threefold: first, variations in the allelopathic effects of P. lanceolata infested soils on growth of three crops; second, soil phenolic content as a result of P. lanceolata infestation; and third, if the chemical characteristics and mycoflora of soils and biotic characteristics of P. lanceolata are responsible for the differences in allelopathic potential. Allelopathic effects of P. lanceolata infested soils were assessed on seedling growth of onion, cucumber, and turnip. Qualitative variation in the soil phenolic content from the four P. lanceolata infested sites was observed. No significant differences in soil mycoflora, soil nutrients, and P. lanceolata biotic characteristics were observed. Growth experiments showed mat crops demonstrated variation in allelopathic response to the soils from the four P. lanceolata infested sites. The present study indicates mat in natural field conditions, allelopathic potential of P. lanceolata varies because of agricultural practices specific to each site. Keywords: allelopathy, Asteraceae, interference, phenolics, soil nutrients, weed.

scholarly journals Political and administrative support of the American Exhibition of 1959 in Moscow

2021 ◽  
pp. 10-26
Author(s):  
Nikita Alekseevich Krasnoshchekov ◽  
Konstantin Anatol'evich Solov'ev
Keyword(s):  
Decision Making ◽  
Foreign Policy ◽  
Administrative Support ◽  
Action Plan ◽  
Contemporary History ◽  
Documentary Analysis ◽  
Russian State ◽  
Third Stage ◽  
Soviet Foreign Policy

The topic of decision-making in the sphere of foreign policy propaganda and counter-propaganda in the USSR of the mid XX century is poorly studied within the Russian historiography. The object of this research is the administrative decision-making process by political and administrative authorities in the context of reversal of directions and development of the new techniques in the Soviet foreign policy. The subject of this research is the organization of work on counter-propaganda in the process of preparing and hosting the American Exhibition in Moscow in 1959. The goal consists in determination of specificity of administrative activity in the sphere of propaganda and counter-propaganda. The author set the following tasks: identification of the organizational-administrative forms of ideological activity on the organization of exhibition; determination of the algorithm for making administrative decisions in this sphere; description of the tasks solved by the administrative authorities at different stages of this process depending on the implemented techniques. Research methodology is based on the documentary analysis (informative and textological) using the materials from the Russian State Archive of Contemporary History. The main conclusion lies in revealing the specificity of decision-making at different stages conducting such activity. The first stage is the analysis of actions of the American side and the forecast of possible response of the Soviet citizens to the information acquired during exhibition. This resulted in the development of preliminary proposals on adopting the measures to reduce the propaganda effect of the exhibition. The second stage is the political decision-making on holding the counter-propaganda events, development and approval of the particular action plan at the session of the Municipal Committee of CPSU. This stages mars the establishment of the two blocks of measures were formed: distraction of the Soviet citizens from exhibition, and measures on reduction of the propaganda effect (counter-propaganda). The third stage indicates positive perception of the exhibition by the Soviet citizens, which did not fully resolved the set tasks, and thus, required additional measures that would give the appearance of the critical attitude of Soviet people towards the exhibition.

Determination of the geometric parameters of the matrix during the volumetric compression of tin bronze bushings

2021 ◽  
pp. 27-30
Author(s):  
Keyword(s):  
Plastic Deformation ◽  
Compression Ratio ◽  
Geometric Parameters ◽  
Degree Of Deformation ◽  
Deformation Parameters ◽  
Tin Bronze ◽  
The Matrix ◽  
Successful Reduction

The study of the influence of the geometric parameters of the matrix on the quality of the process of reduction of bushings made of tin bronze is carried out. It is established, that for successful reduction plastic deformation should not exceed 10÷15 %, and the angle of the intake part of the crimping matrix should be within 25÷45°, a further increase in this angle significantly reduces the quality of the process. It is shown, that the angle of the lead-in part of the crimping matrix has an insignificant influence on the limiting compression ratio of the bushings, and an increase in the friction coefficient does not significantly affect the deformation parameters. Keywords: bushing, crimping matrix, plastic deformation, compression ratio, wrinkling, degree of deformation [email protected]

scholarly journals Short Communication: Relationship between Urinary Neutrophil Gelatinase-Associated Lipocalin and Noninfectious Pyuria in Dogs

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
D. Proverbio ◽  
E. Spada ◽  
L. Baggiani ◽  
G. Bagnagatti De Giorgi ◽  
E. Ferro ◽  
...  
Keyword(s):  
Renal Damage ◽  
Short Communication ◽  
Urine Culture ◽  
Urinary Ngal ◽  
Neutrophil Gelatinase Associated Lipocalin ◽  
Potential Source ◽  
Study Population ◽  
Urinary Parameters ◽  
Neutrophil Gelatinase

Neutrophil gelatinase-associated lipocalin (NGAL) is a neutrophil-derived protein whose concentration increases in plasma and urine with ongoing renal damage. Urinary leucocytes can be a potential source of urinary NGAL. The aim of this study is to investigate the effects of urinary neutrophil count and other urinary parameters on urinary NGAL values in urine with negative culture. Urinalysis, urine culture, and determination of urinary NGAL were performed on 33 clinically healthy nonproteinuric dogs with negative urinoculture. The median uNGAL concentration in dogs in this study population was 9.74 ng/mL (IQR 1.93–25.43 ng/mL). In samples with WBCs > 5 hpf (mean 15.9, 6–50 leucocytes/hpf), median uNGAL value was significantly higher than that in samples with WBCs < 5 hpf (mean 0.9, 0–3 leucocytes/hpf), (4.96 pg/mL (0.29–11.34) and 23.65 pg/mL (20.04–29.80), resp.;P=0.0053). The severity of urinary pyuria and the UPC value were correlated with uNGAL concentration. The results of our study show that urinary NGAL concentration is correlated with WBCs number in urinary sediment of dogs with negative urinoculture. The present study suggests that noninfectious pyuria is significantly correlated with urinary NGAL values and might influence uNGAL values.

DEVELOPMENT OF 222RN IN AIR SECONDARY STANDARD IN THE SLOVAK REPUBLIC

2020 ◽  
Vol 191 (2) ◽  
pp. 160-165
Author(s):  
Pavol Blahušiak ◽  
Matej Krivošík ◽  
Jarmila Slučiak ◽  
Andrej Javorník ◽  
Michaela Zálešáková ◽  
...  
Keyword(s):  
European Union ◽  
Slovak Republic ◽  
Action Plan ◽  
Secondary Standard ◽  
The European Union ◽  
Technical Parameters ◽  
Council Directive ◽  
Set Up ◽  
Definition Of

Abstract Slovak Institute of Metrology received in 2016 funding for realisation of a set up of a radon chamber with AlphaGUARD as a secondary standard of 222Rn in air as one part of the project. This secondary standard will serve to provide the traceability for laboratories that deal with 222Rn measurements in environmental samples. This project is a response to the European Union legislation and provides metrological support for the development and implementation of the national radon action plan, which the member states of the European Union are committed to fulfil in accordance with Council Directive 2013/59/Euratom. During development of the radon chamber, the determination of its basic technical parameters, such as the exact determination of the container volume and the area of the inner walls of the radon chamber, many tightness tests of the chamber, the definition of homogeneous radon atmosphere parameters and bilateral comparisons, were realised.

scholarly journals NATIONAL TECHNOLOGY INITIATIVE: ON THE RISKS OF EDUCATION QUALITY

2019 ◽  
Vol 29 (3) ◽  
pp. 336-344
Author(s):  
A.A. Miroshnichenko ◽  
D.R. Merzlyakova
Keyword(s):  
Action Plan ◽  
Risk Identification ◽  
Learning Technologies ◽  
Highly Qualified ◽  
Technology Initiative ◽  
Third Stage ◽  
Definition Of ◽  
Additional Education ◽  
National Technology

The article discusses the pedagogical aspects of forecasting the future in the context of preparing schoolchildren in the framework of the National Technology Initiative (NTI). It is planned to train highly qualified specialists of the “new formation” using cross-cutting educational technologies. The risks arising from the training of schoolchildren in the technology of NTI are analyzed. The technology of risk identification is presented, which includes the following stages. The first stage is the construction of a universal model of an NTI specialist. The second stage is the differentiation of the model based on the specifics of the NTI markets. The third stage is the definition of an action plan to achieve the desired result in the process of training students in NTI technologies. The fourth stage is the definition of areas of responsibility in the end-to-end technology. The fifth stage is the identification of risks in the assimilation of learning technologies of NTI. The sixth stage is the identification of ways to minimize and eliminate risks. The seventh stage is the determination of the risks of integrating general, vocational and additional education. The eighth stage is the determination of ways to minimize and eliminate risks. The article identifies the main actions within each stage.

scholarly journals Configuration of the parameters for scanner-based track detector evaluation system

Nukleonika ◽  
2020 ◽  
Vol 65 (2) ◽  
pp. 133-137
Author(s):  
Anita Csordás ◽  
Edit Tóth-Bodrogi ◽  
Tibor Kovács
Keyword(s):  
Evaluation System ◽  
Indoor Radon ◽  
Action Plan ◽  
Track Detector ◽  
Calibration Factor ◽  
Safety Standards ◽  
Study Selection ◽  
Naoh Solution ◽  
Selection Of

AbstractAccording to the new European Union Basic Safety Standards (EU-BSS), preparation of the National Radon Action Plan is obligatory for the Member States. One of the plan’s aims is to carry out an indoor radon survey to identify radon-prone areas. In the radon surveys, track detector methods are used. At the University of Pannonia (Veszprém, Hungary), a new scanner-based detector evaluation system has been developed. For the application of the new system, the selection of appropriate parameters is necessary. In this study, selection of the applied track detectors and setting of the etching conditions have been carried out. Two different types of allyl diglycol carbonate (ADC or CR-39) track detectors were investigated, taking into account the detector’s background and response during the exposure (determination of calibration factor). The Baryotrak’s background track density (0–1.5 tracks mm−2) was lower than that of the 0.8–4 tracks mm−2. The response of the Tastrak was higher, but the deviation of the calibration factor was much higher (1.2–5.3 × 10−3 tracks mm−2/(Bq day m−3)) than in the case of the Baryotrak (1.4–2.8 × 10−3 tracks mm−2/(Bq day m−3)). After the systematic review of the etching system, a new method was developed. For the determination of the optimal track diameter, the argon fluoride (ArF) laser was applied to create tracks with diameters in the range of 10–100 μm. The optimum track size was in the range of 40–60 μm. On this basis, new etching conditions were determined: 6.25 M NaOH solution, a temperature of 90°C, and time period of 8 hours.

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