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To measure the impact of an automated hand hygiene monitoring system (AHHMS) and an intervention program of complementary strategies on hand hygiene (HH) performance in both acute-care and long-term care (LTC) units.
Single Veterans Affairs Medical Center (VAMC), with 2 acute-care units and 6 LTC units.
Methods:
An AHHMS that provides group HH performance rates was implemented on 8 units at a VAMC from March 2021 through April 2022. After a 4-week baseline period and 2.5-week washout period, the 52-week intervention period included multiple evidence-based components designed to improve HH compliance. Unit HH performance rates were expressed as the number of dispenses (events) divided by the number of patient room entries and exits (opportunities) × 100. Statistical analysis was performed with a Poisson general additive mixed model.
Results:
During the 4-week baseline period, the median HH performance rate was 18.6 (95% CI, 16.5–21.0) for all 8 units. During the intervention period, the median HH rate increased to 21.6 (95% CI, 19.1–24.4; P < .0001), and during the last 4 weeks of the intervention period (exactly 1 year after baseline), the 8 units exhibited a median HH rate of 25.1 (95% CI, 22.2–28.4; P < .0001). The median HH rate increased from 17.5 to 20.0 (P < .0001) in LTC units and from 22.9 to 27.2 (P < .0001) in acute-care units.
Conclusions:
The intervention was associated with increased HH performance rates for all units. The performance of acute-care units was consistently higher than LTC units, which have more visitors and more mobile veterans.
Chondrodermatitis nodularis helicis is a benign, but painful inflammatory condition of the ear, characterised by a tender nodule located on the helix or antihelix. This study aimed to investigate the occurrence of chondrodermatitis nodularis helicis associated with the use of coronavirus disease 2019 masks during the pandemic.
Method
A retrospective single-centre study was performed from February 2020 to February 2022 in the Maxillo-Facial Unit at the University Hospital of Siena, Italy.
Results
During the indexed period, 11 patients were affected by chondrodermatitis nodularis helicis. All patients wore a mask for more than 8 hours a day, every day for several months.
Conclusion
Although there is no certain proof of the correlation between masks and chondrodermatitis nodularis helicis, an increase in the incidence of this condition was highlighted in our single-centre experience in the pandemic period. The prolonged use of coronavirus disease 2019 masks may explain this correlation.
Previous research has primarily focused on the impact of basic psychological needs frustration on parenting styles and its effect on children. However, there is a lack of research on the impact of basic psychological needs frustration in mothers, particularly those who work full time. To fill the gap, this study explores how frustration of needs experienced by full-time working mothers in the family context relates to their experience of maternal stress and family-to-work conflict and the moderating role of financial motivation to work. In a three-wave study of 168 full-time working mothers, we discovered a positive correlation between basic psychological needs frustration and maternal stress, which in turn led to family-to-work conflict. These relationships were more pronounced among mothers with lower financial motivation to work, as opposed to those with higher. We conclude by discussing the implications of our research and suggesting areas for future study.
The effects of named weather storms on the rates of penetrating trauma is poorly understood with only case reports of single events currently guiding public health policy. This study examines whether tropical storms and hurricanes contribute to trauma services and volume.
Methods:
This was a cross-sectional review of tropical storms/hurricanes affecting New Orleans, Louisiana, during hurricane seasons (June 1–November 30) from 2010–2021, and their association with the rate of penetrating trauma. Authors sought to determine how penetrating trauma rates changed during hurricane seasons and associate them with demographic variables.
Results:
There were 5531 penetrating injuries, with 412 (7.4%) occurring during landfall and 554 (10.0%) in the aftermath. Black/African Americans were the most affected. There was an increase in the rate of penetrating events during landfall (3.4 events/day) and aftermath (3.5 events/day) compared to the baseline (2.8 events/day) (P = < 0.001). Using multivariate analysis, wind speed was positively related to firearm injury, whereas the rainfall total was inversely related to firearm violence rates during landfall and aftermath periods. Self-harm was positively related to distance from the trauma center.
Conclusions:
Cities at risk for named weather storms may face increasing gun violence in the landfall and aftermath periods. Black/African Americans are most affected, worsening existing disparities. Self-harm may also increase following these weather events.
Hydraulic mills were introduced in the early colonial period in the Americas to grind wheat into flour. During the nineteenth and twentieth centuries, the rise of the agro-export model in Latin America shaped the development of a flour industry in which water-powered mills played a central role. Over time, these technologies were used not only to increase production for the export market but also to meet the needs of domestic consumption, both local and regional. In this context, in 2017 we began to investigate the characteristics of a hydraulic mill, currently in disuse, in the town of Payogasta in the province of Salta (Argentina), to determine its chronology and functionality. In addition to surveying the structure, we conducted excavations in the nearby rooms that were part of the site. We found that this mill was in operation between the end of the nineteenth and the end of the twentieth centuries, grinding wheat, corn, carob, and red bell pepper, and that the adjoining rooms were used to house the people who were waiting their turn to grind their raw materials.
Surface differential heating on a stably stratified fluid body drives an overturning circulation confined to the upper fluid region – here coined stratified horizontal convection (SHC). In this manuscript, we investigate the dynamics of SHC via laboratory experiments, exploring local and global flow properties. By considering the available potential energy of the system, we derive a unique length scale of SHC and introduce the Péclet number $Pe$ that captures both the stabilising effect of stratification and the destabilising effect of the baroclinic adjustment. We found that $Pe$ characterises local and global flow properties, including the fluid transport of the overturning circulation, the available mechanical energy and the flow dimensionality. Our study provides insights into the fluid dynamics of stratified environments that experience horizontal convection, such as lakes, oceans and atmospheres.
We offer new evidence on the spatial economic impact of Italian unification. Adopting municipal population as a proxy for local economic activity, we construct a new geocoded dataset spanning the pre- and post-unification periods and discover robust evidence of an acceleration in growth near the former borders. A disproportionate improvement in market access boosted growth in these locations when barriers to trade were dismantled. Indirectly, unification’s decisive contribution to intraregional market integration, local specialization and exchange, and economic development is revealed.
This article introduces the State Executive Approval Database, a dataset of gubernatorial approval ratings that updates and adds to data previously collected by Beyle et al. In addition to the survey marginals, the dataset presents continuous quarterly and annual measures of the latent level of governor approval that are amenable for time series analysis. After evaluating how survey data availability varies across states and over time, I use the data to evaluate whether governors receive a honeymoon. While new governors do not have higher than expected levels of approval, the public expresses comparatively low levels of disapproval for new governors. This honeymoon is largely restricted to their first quarter in office and only occurs when they are elected to their first term. Governors who take office after their predecessor resigned get a slightly longer and more sustained reprieve from disapproval. Governor approval is also significantly shaped by unemployment levels in their state. These data will provide scholars with new opportunities to study accountability and representation at the state level.
In the Early Flavian Period over 30 military units were created or transferred for service in Britannia. Paul Holder maintained that these units arrived with Petillius Cerialis for Vespasian's expansionist plans and connected several new levies to the Batavian Revolt. Considering recent scholarship on Roman responses to revolts and Flavian geopolitics, however, this viewpoint requires revision. The author maintains that these units were transferred throughout the 70s c.e. as opportunities developed organically in Britannia. These newly levied units were not created in response to the Batavian Revolt, but due to the extraordinary and complex circumstances within Rome's northern frontiers after the post-Neronian civil wars. This article concludes with updated histories for the auxiliary units involved.
The interaction between social media use and mental health is complicated. The mental health information shared on these platforms is frequently of poor quality but has the potential to exert powerful influence on users. Social media trend peaks in some mental disorders have led to increases in illness behaviour through social contagion. There has been a marked upsurge in online interest in attention deficit hyperactivity disorder (ADHD) over the last number of years, which has been particularly noticeable since the onset of the COVID-19 pandemic. The exponential increase in online ADHD interest has the potential to contribute to overloading mental health services with referrals. Mental health professionals and organisations need to consider strategies to ensure that quality health information is disseminated to younger audiences.