The phylogeography and spatiotemporal spread of south-central skunk rabies virus.

The south-central skunk rabies virus (SCSK) is the most broadly distributed terrestrial viral lineage in North America. Skunk rabies has not been efficiently targeted by oral vaccination campaigns and represents a natural system of pathogen invasion, yielding insights to rabies emergence. In the present study we reconstructed spatiotemporal spread of SCSK in the whole territory of its circulation using a combination of Bayesian methods.

Rabies surveillance in the United States during 2012.

SUMMARY-During 2012, 49 states and Puerto Rico reported 6,162 rabid animals and 1 human rabies case to the CDC, representing a 2.1% increase from the 6,031 rabid animals and 6 human cases reported in 2011. Approximately 92% of reported rabid animals were wildlife.

Comparison of staples vs suturing for securing central venous catheters.

Objective: To determine whether skin staples can be used to secure central venous catheters as effectively as does suturing.

Methods: A prospective, randomized trial of techniques to secure a central venous catheter was performed in a medical school human anatomy laboratory using human cadavers. Central lines were secured to the upper left thorax using either standard suture material (000 silk) or skin staples (5.

Decay in quality of closed-chest compressions over time.

Study Objective: To characterize fatigue-induced deterioration in the adequacy of closed-chest compressions performed over a period of 5 minutes and to determine whether CPR providers can recognize the effects of fatigue on compression adequacy.

Design: Prospective evaluation of study subjects performing closed-chest compressions on an electronic mannequin that assesses compression placement and depth.

Setting: Major resuscitation room in rural university hospital emergency department.