Improving Turnaround Times for Routine Antimicrobial Sensitivity Testing Following European Committee on Antimicrobial Susceptibility Testing Methodology in Patients with Bacteraemia.

: Bacteraemia can be fatal without antibiotic intervention. Antibiotic Susceptibility Testing (AST) provides the necessary information for targeted antibiotic therapy; however, the traditional method using disc diffusion can take over two days from a positive blood culture. Inappropriate empiric therapy is associated with increased mortality and increased antibiotic resistance, highlighting the need for more rapid turnaround times for AST.

Bacterial isolates from positive paired venous catheter and peripheral blood cultures taken during parenteral nutrition were the same species but different strains: A case report.

Objective: The same microbial species isolated from blood simultaneously drawn from a central venous catheter hub and a peripheral vein (paired blood cultures) during parenteral nutrition may be assumed to represent the same strain. This case report provides an example of this assumption being incorrect along with a comparator example of it being correct. This has implications for interpretation of differential time to positivity and differential quantitative blood cultures during investigation of suspected intraluminal intravascular catheter or cannula bloodstream infection.

Development and Assessment of a Diagnostic DNA Oligonucleotide Microarray for Detection and Typing of Meningitis-Associated Bacterial Species.

Meningitis is commonly caused by infection with a variety of bacterial or viral pathogens. Acute bacterial meningitis (ABM) can cause severe disease, which can progress rapidly to a critical life-threatening condition. Rapid diagnosis of ABM is critical, as this is most commonly associated with severe sequelae with associated high mortality and morbidity rates compared to viral meningitis, which is less severe and self-limiting.

Sap flow variation in selected riparian woodland species in the Okavango Delta, Botswana.

In the tropical Okavango Delta, transpiration by trees is an important process partly responsible for maintaining the basin as a freshwater environment. Quantification of evapotranspiration from terrestrial landforms of the delta, fringed by riparian woodlands, is one of the main contributors to uncertainty in current hydrological modelling. We investigated sap flow of common trees in the distal, mid- and upper delta in July-August 2012, November-December 2012 and February-April 2013 using the compensation heat pulse velocity method.

Evaluating the Functionality and Usability of Two Novel Wheelchair Anti-Rollback Devices for Ramp Ascent in Manual Wheelchair Users With Spinal Cord Injury.

Background: Difficulty ascending ramps and inclines with a manual wheelchair adversely affects the everyday mobility and overall quality of life of manual wheelchair users. Currently, various anti-rollback devices are available to assist manual wheelchair users to ascend ramps and inclines. However, these devices have 2 main shortcomings: restriction to backward motion limiting recovery from an overturning wheelchair, which is a safety concern; and difficulty in engaging/disengaging the device while on the ramp.

A questionnaire based assessment of numbers, motivation and medical care of UK patients undergoing liver transplant abroad.

Background: Medical tourism, where patients travel abroad intentionally to access medical treatment, is a growing trend. Some of these patients travel to undergo organ transplantation. This study aims to quantify the number of UK patients who undergo liver transplantation abroad, assessing their motivations and management.

Effect of Biochar on Nutrient Leaching in a Young Apple Orchard.

Nutrient leaching from agricultural soils is a worldwide problem that has been implicated in deleterious impacts on the environment. Application of biochar to soil has been proposed as a means to reduce nutrient leaching and improve fertilizer use efficiency. The potential for biochar to reduce nutrient leaching and increase fertilizer use efficiency was tested by applying 47 Mg ha hardwood biochar before replanting a commercial apple () orchard, in the Huon Valley, Tasmania.

Clostridium difficile in children: a review of existing and recently uncovered evidence.

The clinical significance of the presence of Clostridium difficile in children's faeces remains uncertain using current diagnostic procedures. Clostridium difficile is a relatively common finding in infants with no symptoms of gastrointestinal disease, suggesting it may be an incidental finding and form part of the normal gut micro-flora in this age group. On the other hand, particularly in older children or those with significant co-morbidity, there are examples where C.

Total soil water content accounts for augmented ABA leaf concentration and stomatal regulation of split-rooted apple trees during heterogeneous soil drying.

A split-rooted containerized system was developed by approach grafting two, 1-year-old apple (Malus×domestica Borkh. cv 'Gala') trees to investigate the effect of soil moisture heterogeneity and total soil moisture content (θ(v)) on tree water relations, gas exchange, and leaf abscisic acid (ABA) concentration [ABA(leaf)]. Four irrigation treatments comprising a 2×2 factorial experiment of irrigation volume and placement were imposed over a 30-day period: control (C) [>100% of crop evapotranspiration (ET(c))] applied to both containers; PRD100 (>100% ET(c)) applied to one container only; and two treatments receiving 50% ET(c) applied to either one (PRD50) or both containers (DI50).

Development and evaluation of an ovine antibody-based platform for treatment of Clostridium difficile infection.

Treatment of Clostridium difficile is a major problem as a hospital-associated infection which can cause severe, recurrent diarrhea. The currently available antibiotics are not effective in all cases and alternative treatments are required. In the present study, an ovine antibody-based platform for passive immunotherapy of C.

Quantum dot transport in soil, plants, and insects.

Environmental risk assessment of nanomaterials requires information not only on their toxicity to non-target organisms, but also on their potential exposure pathways. Here we report on the transport and fate of quantum dots (QDs) in the total environment: from soils, through their uptake into plants, to their passage through insects following ingestion. Our QDs are nanoparticles with an average particle size of 6.

Quality of malaria information provided on Internet travel operator websites.

Background: Over the past 20 years, there has been a steady growth in the number of reported cases of malaria in the UK. With increasing Internet flight sales over recent years, online travel operator websites may be the only place many travellers could conceivably receive pre-travel malaria prevention advice.

Methods: 29 Travel operator websites which allow for online flight purchases to malarious areas from the UK, identified using a Google(®) web search and the website of the International Air Transport Association, were assessed for the existence, accuracy and accessibility of malaria prevention advice available through internal and external website links.

A new method to quantify the impact of soil carbon management on biophysical soil properties: the example of two apple orchard systems in New Zealand.

A new method to diagnose the environmental sustainability of specific orchard management practices was derived and tested. As a significant factor for soil quality, the soil carbon (C) management in the topsoil of the tree-row of an integrated and organic apple orchard was selected and compared. Soil C management was defined as land management practices that maintain or increase soil C.

Mobility of copper, chromium and arsenic from treated timber into grapevines.

The use of chromated copper arsenate (CCA) treated timber posts as support structures in New Zealand vineyards has raised concerns regarding the release of heavy metal(loid)s from the treated timber into the environment. A laboratory experiment was set up to evaluate if post sealing by painting reduces the release rate of CCA metal(loid)s from timber posts. Three posts were painted (Gripset 38, Multi Purpose Bitumen Rubber) on the bottom part, submerged in freshwater, and the concentrations of copper (Cu), chromium (Cr) and arsenic (As) in the water were monitored over a period of 8 months.

Clinical decision rules for secondary trauma triage: predictors of emergency operative management.

Study Objective: Most injured patients taken by ambulance to hospital emergency departments do not require emergency surgery, yet most US trauma centers require a surgeon to be present on their arrival. If a clinical decision rule could be developed to accurately identify which injured patients require emergency operative intervention, then such "secondary triage" criteria could permit a trauma center to more efficiently use their surgeons' time.

Methods: We analyzed 7.

Leaching of copper, chromium and arsenic from treated vineyard posts in Marlborough, New Zealand.

There have been conflicting reports as to the extent that copper-chromium-arsenic (CCA) treatments leach from timber. In New Zealand, vineyards utilise CCA-treated posts at a rate of 579 posts per hectare. This represents a potential CCA burden on the soil of 12, 21, and 17 kg/ha, respectively, for the three elements.