Intrauterine Infections (Ciba Foundation Symposium 10, new series). Amsterdam/London/New York: Associated Scientific Publishers, 1973, 219 pp., $10.50

PEDIATRICS ◽  
1974 ◽  
Vol 53 (1) ◽  
pp. 132-134
Author(s):  
Alex J. Steigman

This interesting volume is the result of a proper symposium rather than a collection of submitted reports. The authoritative findings are sprinkled generously with a free flowing discussion which brings sharply into focus what remains to be learned and how to go about it. The 22 well-qualified participants include 17 from Great Britain, 4 from the European continent, and 1 from the United States. Wisely included are the observations of a veterinarian-scientist; lessons learned from studies made primarily to prevent economic losses in animals may become useful to clinicians.

Author(s):  
Diane Meyer ◽  
Elena K. Martin ◽  
Syra Madad ◽  
Priya Dhagat ◽  
Jennifer B. Nuzzo

Abstract Objective: Candida auris infections continue to occur across the United States and abroad, and healthcare facilities that care for vulnerable populations must improve their readiness to respond to this emerging organism. We aimed to identify and better understand challenges faced and lessons learned by those healthcare facilities who have experienced C. auris cases and outbreaks to better prepare those who have yet to experience or respond to this pathogen. Design: Semi-structured qualitative interviews. Setting: Health departments, long-term care facilities, acute-care hospitals, and healthcare organizations in New York, Illinois, and California. Participants: Infectious disease physicians and nurses, clinical and environmental services, hospital leadership, hospital epidemiology, infection preventionists, emergency management, and laboratory scientists who had experiences either preparing for or responding to C. auris cases or outbreaks. Methods: In total, 25 interviews were conducted with 84 participants. Interviews were coded using NVivo qualitative coding software by 2 separate researchers. Emergent themes were then iteratively discussed among the research team. Results: Key themes included surveillance and laboratory capacity, inter- and intrafacility communication, infection prevention and control, environmental cleaning and disinfection, clinical management of cases, and media concerns and stigma. Conclusions: Many of the operational challenges noted in this research are not unique to C. auris, and the ways in which we address future outbreaks should be informed by previous experiences and lessons learned, including the recent outbreaks of C. auris in the United States.


Diagnosis ◽  
2020 ◽  
Vol 7 (4) ◽  
pp. 381-383
Author(s):  
Steven Liu ◽  
Cara Sweeney ◽  
Nalinee Srisarajivakul-Klein ◽  
Amanda Klinger ◽  
Irina Dimitrova ◽  
...  

AbstractThe initial phase of the SARS-CoV-2 pandemic in the United States saw rapidly-rising patient volumes along with shortages in personnel, equipment, and intensive care unit (ICU) beds across many New York City hospitals. As our hospital wards quickly filled with unstable, hypoxemic patients, our hospitalist group was forced to fundamentally rethink the way we triaged and managed cases of hypoxemic respiratory failure. Here, we describe the oxygenation protocol we developed and implemented in response to changing norms for acuity on inpatient wards. By reflecting on lessons learned, we re-evaluate the applicability of these oxygenation strategies in the evolving pandemic. We hope to impart to other providers the insights we gained with the challenges of management reasoning in COVID-19.


Author(s):  
Andrew Glazzard

‘You will be amused to hear that I am at work upon a Sherlock Holmes story. So the old dog returns to his vomit.’1 Arthur Conan Doyle to Herbert Greenhough Smith Sherlock Holmes, who died in Switzerland in May 1891, returned to the world on 23 October 1899. The location for his rebirth was, somewhat surprisingly, the Star Theatre in Buffalo, New York. Early the following month, Holmes moved to New York where he could be found in Manhattan’s Garrick Theatre on 236 separate occasions, before making his way across the United States. In September 1901, Holmes went back to Great Britain, arriving (like so many travellers from the US) at Liverpool, before reaching London on 9 September 1901. He was so much in demand that on 1 February 1902 he received an audience with King Edward VII and Queen Alexandra. In 1902 he was again in New York, was seen travelling across northern England in 1903, and for the next thirty years popped up repeatedly in various American towns and cities....


PEDIATRICS ◽  
1972 ◽  
Vol 50 (5) ◽  
pp. 833-833
Author(s):  
John D. Nelson

Almost two years ago a group of eminent international authorities in the field of infectious diseases gathered near Cologne, Germany, for a week of reflection and discussion concerning the changing patterns of bacterial infections in recent decades and the possible reasons for the changes. The United States was represented by Drs. M. Finland and E. H. Kass of Boston, F. Daschner of Los Angeles, and A. von Graevenitz of New Haven. Other scientists were from Germany, France, Sweden, Great Britain, Switzerland, and Denmark.


Author(s):  
Sreekar Shashank Boddupalli ◽  
Andrea Sherman ◽  
Joe Zerkus ◽  
Alice Grossman

Infrastructure management is an important aspect of transportation engineering. Contrasting views have emerged on feasible best practice in asset management for various transportation modes. The differences in current practice can provide insight into best practices and lessons learned. This paper focuses on heavy rail maintenance state of practice in the United States and compares the maintenance practices, strategies, and procedures implemented by four transit agencies across the country. The objective of the paper is to provide guidance and examples for other transit agencies in the United States to meet the short-term challenges they face and provide recommendations to improve services nationwide. This paper examines rail maintenance practices at the Metropolitan Atlanta Rapid Transit Authority (MARTA), Bay Area Rapid Transit (BART), Washington Metropolitan Area Transit Authority (WMATA), and the New York Metropolitan Transit Authority (MTA). The paper found that out of the four agencies studied, MARTA has the highest maintenance to operations budget ratio, and most of the maintenance expenditure is on labor. WMATA found that automation of inspection improved maintenance efficiency, and BART is working toward adopting more automated processes. New York City’s MTA shows an example of the importance of clear governance in effective budgeting.


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