Considerations for the vertical evacuation of hospitalized patients under emergency conditions.

Hospitals and other healthcare institutions in the twenty-first century face myriad challenges to their survival against a number of threats from many sources. A number of those threats, eg, internal, external, accidental, or intentional, may require the prompt evacuation of both patients and staff Although rare, this possibility is becoming more frequent in the United States. Unfortunately, despite accrediting agencies' mandates, there is a profound paucity of strategic and tactical guidelines in the medical literature.

community-acquired infection with healthcare-associated methicillin-resistant Staphylococcus aureus: the role of home nursing care.

Objective: To better understand the role of indirect transmission in community-acquired infection with methicillin-resistant Staphylococcus aureus (MRSA).

Design: Prospective case-control study.

Setting: A French teaching hospital.

Risk factors associated with BMSCC greater than 200 000 cells/ml in dairy herds in southern Chile.

A cross-sectional survey of 523 dairy farms in the south of Chile was carried out to quantify risk factors associated with bulk-milk somatic-cell count (BMSCC) >200 x 10(3)cells/ml. Questionnaires followed by one reminder were sent to 3710 dairy farms via the 11 milk-processing plants that they supplied in October 1998. The response proportion was 14.