Implementation of sample pooling strategy in the food chemical surveillance could lead to a strengthening of the food safety by increasing the number of analyzable samples. The analysis of a pool of samples and no longer individual samples was applied to the issue of self-monitoring mycotoxins in cereal-based foods, thanks to a data set provided by the surveillance based on ELISA-kits of two mycotoxins - zearalenone (1121 samples) and ochratoxin A (1601 samples) - in four different types of cereal products. After fitting the distribution of mycotoxin concentrations determined in this product category by a Pareto distribution and considering the measurement error in the decision threshold, numerical simulations of pooling were implemented using the Dorfman-2-step strategy. Simulations showed promising results for three out of the four case-studies of zearalenone and ochratoxin A. While being as sensitive and specific as the current one-by-one system, the pooling approach led to a reduction of the number of analyzes performed by 75 - 87 % in three out of the four case studies. Nevertheless, in unfavorable analytical conditions, the pooling approach can lead to an increase of the total number of analyzes.
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http://dx.doi.org/10.1016/j.foodres.2025.115937 | DOI Listing |
J Dr Nurs Pract
March 2025
Department of Nursing, Aspen University, Denver, CO, USA
At an urban public acute care hospital, a gap existed in the safety and efficacy of early mobilization (EM) of intensive care unit (ICU) patients, with the need for an evidence-based intervention. A literature review revealed that a nurse-driven mobility protocol could safely achieve early mobility in ICU patients. This quality improvement project aims to utilize a nurse-driven mobility protocol to determine its effects on EM of ICU patients.
View Article and Find Full Text PDFJ Glob Antimicrob Resist
March 2025
Unit of Infectious Diseases, Hospital Carlos G Durand, Av. Díaz Vélez 5044, Buenos Aires, Argentina. Electronic address:
Objectives: ;Antimicrobial stewardship programs (ASP) aim to improve the quality of medical prescribing and contain antimicrobial resistance (AMR). There is little information on the implementation of ASP in hospitals in Mexico. This study aimed to characterize ASP in a sample of hospitals in Mexico and to identify the facilitators and barriers perceived in their implementation, including the COVID-19 pandemic.
View Article and Find Full Text PDFInt J Med Inform
March 2025
Professor of Social Research on Technology, Institute for the Study of Science, Technology and Innovation, The University of Edinburgh, Edinburgh, UK.
Background: Hospitals increasingly implement complex electronic health record (EHR) systems to improve quality, safety and efficiency. Whilst many aspects surrounding implementation and adoption processes have been researched, the benefits of such enterprise-wide systems may take decades to materialise. Existing work on optimisation processes has focused on technological, workflow and organisational aspects of optimisation within individual clinical settings, mostly in the United States of America.
View Article and Find Full Text PDFJMIR Med Educ
March 2025
Department of Nursing, Max Stern Yezreel Valley College, Emek Yezreel, 193000, Israel, 972 523216544.
Background: Telenursing has become prevalent in providing care to diverse populations experiencing different health conditions both in Israel and globally. The nurse-patient relationship aims to improve the condition of individuals requiring health services.
Objectives: This study aims to evaluate nursing graduates' skills and knowledge regarding remote nursing care prior to and following a simulation-based telenursing training program in an undergraduate nursing degree.
Pediatr Infect Dis J
March 2025
From the Department of Pediatrics.
Background: Critically ill children are at risk for subtherapeutic antibiotic concentrations. The frequency of target attainment and risk factors for subtherapeutic concentrations of cefepime in children have not been extensively studied.
Methods: We performed an observational study in critically ill children receiving a new prescription of standard dosing of cefepime for suspected sepsis (≥2 systemic inflammatory response syndrome criteria within 48 hours of cefepime start).
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