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Creation and impact of containment units with high-risk zones during the coronavirus disease 2019 (COVID-19) pandemic
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- Natalie A. Schnell, Brooke Brewer, Kimberly Young, Turkeisha S. Brown, Shannon S. Carson, Loc Culp, Cynthia Culbreth, Lauren M. DiBiase, William A. Fischer, Katherine M. Schultz, Emily E. Sickbert-Bennett, Lisa Stancill, David J. Weber, Erica Wolak, Lisa J. Teal
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- Journal:
- Infection Control & Hospital Epidemiology / Volume 44 / Issue 6 / June 2023
- Published online by Cambridge University Press:
- 17 June 2022, pp. 908-914
- Print publication:
- June 2023
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Background:
The rapid spread of coronavirus disease 2019 (COVID-19) required swift preparation to protect healthcare personnel (HCP) and patients, especially considering shortages of personal protective equipment (PPE). Due to the lack of a pre-existing biocontainment unit, we needed to develop a novel approach to placing patients in isolation cohorts while working with the pre-existing physical space.
Objectives:To prevent disease transmission to non–COVID-19 patients and HCP caring for COVID-19 patients, to optimize PPE usage, and to provide a comfortable and safe working environment.
Methods:An interdisciplinary workgroup developed a combination of approaches to convert existing spaces into COVID-19 containment units with high-risk zones (HRZs). We developed standard workflow and visual management in conjunction with updated staff training and workflows. The infection prevention team created PPE standard practices for ease of use, conservation, and staff safety.
Results:The interventions resulted in 1 possible case of patient-to-HCP transmission and zero cases of patient-to-patient transmission. PPE usage decreased with the HRZ model while maintaining a safe environment of care. Staff on the COVID-19 units were extremely satisfied with PPE availability (76.7%) and efforts to protect them from COVID-19 (72.7%). Moreover, 54.8% of HCP working in the COVID-19 unit agreed that PPE monitors played an essential role in staff safety.
Conclusions:The HRZ model of containment unit is an effective method to prevent the spread of COVID-19 with several benefits. It is easily implemented and scaled to accommodate census changes. Our experience suggests that other institutions do not need to modify existing physical structures to create similarly protective spaces.
Impact of mandatory vaccination of healthcare personnel on rates of influenza and other viral respiratory pathogens
- Michael S. Simberkoff, Susan M. Rattigan, Charlotte A. Gaydos, Cynthia L. Gibert, Geoffrey J. Gorse, Ann-Christine Nyquist, Connie S. Price, Nicholas Reich, Maria C. Rodriguez-Barradas, Mary Bessesen, Alexandria Brown, Derek A.T. Cummings, Lewis J. Radonovich, Jr., Trish M. Perl, for the ResPECT Study Team
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- Journal:
- Infection Control & Hospital Epidemiology / Volume 43 / Issue 9 / September 2022
- Published online by Cambridge University Press:
- 05 August 2021, pp. 1216-1220
- Print publication:
- September 2022
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Objective:
The implementation of mandatory influenza vaccination policies among healthcare personnel (HCP) is controversial. Thus, we examined the affect of mandatory influenza vaccination policies among HCP working in outpatient settings.
Setting:Four Veterans’ Affairs (VA) health systems and three non-VA medical centers.
Methods:We analyzed rates of influenza and other viral causes of respiratory infections among HCP working in outpatient sites at 4 VA health systems without mandatory influenza vaccination policies and 3 non-VA health systems with mandatory influenza vaccination policies.
Results:Influenza vaccination was associated with a decreased risk of influenza (odds ratio, 0.17; 95% confidence interval [CI], 0.13–0.22) but an increased risk of other respiratory viral infections (incidence rate ratio, 1.26; 95% CI, 1.02–1.57).
Conclusions:Our fitted regression models suggest that if influenza vaccination rates in clinics where vaccination was not mandated had equalled those where vaccine was mandated, HCP influenza infections would have been reduced by 52.1% (95% CI, 51.3%–53.0%). These observations, their possible causes, and additional strategies to reduce influenza and other viral respiratory illnesses among HCP working in ambulatory clinics warrant further investigation.
Protecting Healthcare Personnel in Outpatient Settings: The Influence of Mandatory Versus Nonmandatory Influenza Vaccination Policies on Workplace Absenteeism During Multiple Respiratory Virus Seasons
- John Frederick, Alexandria C. Brown, Derek A. Cummings, Charlotte A. Gaydos, Cynthia L. Gibert, Geoffrey J. Gorse, Jenna G. Los, Ann-Christine Nyquist, Trish M. Perl, Connie S. Price, Lewis J. Radonovich, Nicholas G. Reich, Maria C. Rodriguez-Barradas, Mary T. Bessesen, Michael S. Simberkoff
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- Journal:
- Infection Control & Hospital Epidemiology / Volume 39 / Issue 4 / April 2018
- Published online by Cambridge University Press:
- 08 March 2018, pp. 452-461
- Print publication:
- April 2018
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OBJECTIVE
To determine the effect of mandatory and nonmandatory influenza vaccination policies on vaccination rates and symptomatic absenteeism among healthcare personnel (HCP).
DESIGNRetrospective observational cohort study.
SETTINGThis study took place at 3 university medical centers with mandatory influenza vaccination policies and 4 Veterans Affairs (VA) healthcare systems with nonmandatory influenza vaccination policies.
PARTICIPANTSThe study included 2,304 outpatient HCP at mandatory vaccination sites and 1,759 outpatient HCP at nonmandatory vaccination sites.
METHODSTo determine the incidence and duration of absenteeism in outpatient settings, HCP participating in the Respiratory Protection Effectiveness Clinical Trial at both mandatory and nonmandatory vaccination sites over 3 viral respiratory illness (VRI) seasons (2012–2015) reported their influenza vaccination status and symptomatic days absent from work weekly throughout a 12-week period during the peak VRI season each year. The adjusted effects of vaccination and other modulating factors on absenteeism rates were estimated using multivariable regression models.
RESULTSThe proportion of participants who received influenza vaccination was lower each year at nonmandatory than at mandatory vaccination sites (odds ratio [OR], 0.09; 95% confidence interval [CI], 0.07–0.11). Among HCP who reported at least 1 sick day, vaccinated HCP had lower symptomatic days absent compared to unvaccinated HCP (OR for 2012–2013 and 2013–2014, 0.82; 95% CI, 0.72–0.93; OR for 2014–2015, 0.81; 95% CI, 0.69–0.95).
CONCLUSIONSThese data suggest that mandatory HCP influenza vaccination policies increase influenza vaccination rates and that HCP symptomatic absenteeism diminishes as rates of influenza vaccination increase. These findings should be considered in formulating HCP influenza vaccination policies.
Infect Control Hosp Epidemiol 2018;39:452–461
Restoration Ecology and Invasive Plants in the Semiarid West
- Cynthia S. Brown, Val J. Anderson, Victor P. Claassen, Mark E. Stannard, Linda M. Wilson, Sheryl Y. Atkinson, James E. Bromberg, Thomas A. Grant III, Marques D. Munis
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- Journal:
- Invasive Plant Science and Management / Volume 1 / Issue 4 / October 2008
- Published online by Cambridge University Press:
- 20 January 2017, pp. 399-413
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Invasive plants are a common problem in the management and restoration of degraded lands in the semiarid western United States, but are often not the primary focus of restoration ecologists. Likewise, restoring native vegetation has not been a major concern of weed scientists. But trends in the literature demonstrate increasing overlap of these fields, and greater collaboration between them can lead to improved efficacy of restoration efforts. Succession and ecosystem development are the products of complex interactions of abiotic and biotic factors. Our greatest restoration and invasive plant management successes should result when we take advantage of these natural processes. Recent shifts in management objectives have generated approaches to directing plant community development that utilize species that are strong competitors with invasive species as a bridge to the establishment of native perennial vegetation. Soil water and nutrient characteristics and their interactions can affect desired and undesired plant species differentially and may be manipulated to favor establishment and persistence of desired perennial plant communities. Selection of appropriate plant materials is also essential. Species assemblages that suppress or exclude invaders and competitive plant materials that are well adapted to restoration site conditions are important keys to success. We provide guidelines for restoration based on the fundamental ecological principles underlying succession. Knowledge of the complex interactions among the biotic and abiotic factors that affect successional processes and ecosystem development, and increased collaboration between weed scientists and restoration ecologists hold promise for improving restoration success and invasive species management.
High Phenotypic and Molecular Variation in Downy Brome (Bromus tectorum)
- Rebecca H. Kao, Cynthia S. Brown, Ruth A. Hufbauer
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- Journal:
- Invasive Plant Science and Management / Volume 1 / Issue 2 / April 2008
- Published online by Cambridge University Press:
- 20 January 2017, pp. 216-225
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The invasive grass Bromus tectorum (cheatgrass, downy brome) has extensive ecological breadth in its introduced range, and is increasing in abundance at high elevations. As a predominantly selfing species with high potential population growth rates, it is a likely candidate for having general-purpose genotypes that facilitate its invasion into high elevations. We evaluated evidence for general-purpose genotypes by examining phenotypic and molecular variation in B. tectorum from low- and high-elevation sites in the Rocky Mountains. Common garden experiments revealed that plants from high elevations germinated faster, but no other phenological, morphological, or physiological differences were found between elevations. Leaf length was longer for low-elevation sites in a common garden using field-collected seeds, but this was not found in a common garden using greenhouse-grown seeds, suggesting maternal effects. For most traits, there was significant phenotypic variation among sites and individuals. Using microsatellites, we genotyped individuals from low- and high-elevation sites. We found no indication of genetic differentiation at these loci between high and low elevations, but there was significant variation within and among sites. No single genotype was common across sites. The success of B. tectorum is not due to a few general-purpose genotypes, but rather many genotypes associated with many different phenotypes. Understanding the mechanisms behind the success of invaders enhances our knowledge of basic evolutionary and ecological processes and is crucial to our ability to manage ongoing, and prevent future, invasions, especially into new habitats.
Distributional Changes and Range Predictions of Downy Brome (Bromus tectorum) in Rocky Mountain National Park
- James E. Bromberg, Sunil Kumar, Cynthia S. Brown, Thomas J. Stohlgren
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- Journal:
- Invasive Plant Science and Management / Volume 4 / Issue 2 / April 2011
- Published online by Cambridge University Press:
- 20 January 2017, pp. 173-182
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Downy brome (Bromus tectorum L.), an invasive winter annual grass, may be increasing in extent and abundance at high elevations in the western United States. This would pose a great threat to high-elevation plant communities and resources. However, data to track this species in high-elevation environments are limited. To address changes in the distribution and abundance of downy brome and the factors most associated with its occurrence, we used field sampling and statistical methods, and niche modeling. In 2007, we resampled plots from two vegetation surveys in Rocky Mountain National Park for presence and cover of downy brome. One survey was established in 1993 and had been resampled in 1999. The other survey was established in 1996 and had not been resampled until our study. Although not all comparisons between years demonstrated significant changes in downy brome abundance, its mean cover increased nearly fivefold from 1993 (0.7%) to 2007 (3.6%) in one of the two vegetation surveys (P = 0.06). Although the average cover of downy brome within the second survey appeared to be increasing from 1996 to 2007, this slight change from 0.5% to 1.2% was not statistically significant (P = 0.24). Downy brome was present in 50% more plots in 1999 than in 1993 (P = 0.02) in the first survey. In the second survey, downy brome was present in 30% more plots in 2007 than in 1996 (P = 0.08). Maxent, a species–environmental matching model, was generally able to predict occurrences of downy brome, as new locations were in the ranges predicted by earlier generated models. The model found that distance to roads, elevation, and vegetation community influenced the predictions most. The strong response of downy brome to interannual environmental variability makes detecting change challenging, especially with small sample sizes. However, our results suggest that the area in which downy brome occurs is likely increasing in Rocky Mountain National Park through increased frequency and cover. Field surveys along with predictive modeling will be vital in directing efforts to manage this highly invasive species.
Managing Downy Brome (Bromus tectorum) in the Central Rockies: Land Manager Perspectives
- Windy K. Kelley, Maria E. Fernandez-Gimenez, Cynthia S. Brown
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- Journal:
- Invasive Plant Science and Management / Volume 6 / Issue 4 / December 2013
- Published online by Cambridge University Press:
- 20 January 2017, pp. 521-535
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Successful management of downy brome (also known as cheatgrass) requires understanding land managers' perceptions and decisions about whether to invest in its control. We investigated ranchers' and natural resource professionals' (NRPs) perceptions and knowledge about downy brome ecology and its impacts, their current downy brome management practices and satisfaction with those practices, and their information and technical needs using focus groups and a mail survey of ranchers and NRPs in Colorado and Wyoming. Both groups thought downy brome was a problem, and perception of the severity of downy brome corresponded to the level of infestation in the respondent's region. NRPs identified downy brome as a bigger problem than did ranchers from the same area in all but one region. Ranchers were most likely to use early spring grazing to control downy brome, and NRPs were most likely to use seeding, imazapic herbicide, or a combination of methods. Both groups reported that the primary constraint to controlling downy brome was that other weeds were a higher priority. Ranchers and NRPs wanted more information about the control methods they were already likely to use as well as other downy brome control methods. Our findings suggest that (1) listing a species as a noxious weed may provide an important incentive to control it, but trade-offs among control efforts for different species must be carefully considered; (2) managers need to know more about low-cost, low-labor strategies for managing downy brome; and (3) some managers need to be informed about how to identify downy brome, its potential negative effects, and how to prevent its spread. Better quantification of the economic and ecological impacts of downy brome in the Central Rocky Mountains, continued development of effective and economically viable management methods, and improvement in the dissemination of that information to land managers are necessary for successful control of downy brome.
Developing Regional Invasive Species Watch Lists: Colorado as a Case Study
- Hilary R. Drucker, Cynthia S. Brown, Thomas J. Stohlgren
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- Invasive Plant Science and Management / Volume 1 / Issue 4 / October 2008
- Published online by Cambridge University Press:
- 20 January 2017, pp. 390-398
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It is essential that we improve our ability to predict which nonnative species will become invasive in order to prevent their introduction and spread. Past attempts to foresee invasions have met with limited success, but increased computing power, increased availability of information about exotic species, and comprehensive evaluations of invasion potential are improving our ability to predict which species are likely to invade most successfully. We used data from Colorado and other states to develop an effective means of predicting the spread of invasive plant species among states. Qualitative criteria were used to develop a numerical threat index, which rates potential invaders based on distribution and abundance with respect to climate, biological characteristics, and preferred habitats of the species. Out of a compiled list of 388 species, we identified six invasive nonnative plants that are highly likely to invade Colorado, 10 with medium invasive potential and five with low potential. Species found to be likely to invade Colorado included garlic mustard, smooth distaff thistle, and Syrian beancaper.
Tumbling: Use of Diffuse Knapweed (Centaurea diffusa) to Examine an Understudied Dispersal Mechanism
- Dirk V. Baker, John R. Withrow, Cynthia S. Brown, K. George Beck
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- Journal:
- Invasive Plant Science and Management / Volume 3 / Issue 3 / November 2010
- Published online by Cambridge University Press:
- 20 January 2017, pp. 301-309
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Dispersal is a critically important process in the spread of invasive plants. Although knowledge of dispersal will be crucial to preventing the spread of invasive plants, little research has been performed within this context. Many important invasive or agricultural weeds disperse their seeds via tumbling, yet only one previously published paper investigated this dispersal mechanism. Field and wind tunnel experiments were conducted to quantify and model tumbling dispersal. We developed competing models for diffuse knapweed seed dispersal from wind tunnel experiments and compared predictions to data collected from a field site in Colorado. Seeds were retained in plants that had traveled hundreds to as much as 1,039 m (3,408 ft). Although neither model accurately predicted dispersal when compared with independent field data, surprisingly, seed retention with distance was somewhat better described as a linear process than as exponential decay. Wind tunnel trials showed no evidence that the number of seeds deposited per meter depended on plant size. Thus, fecundity might be a key factor determining seed dispersal distances; plants with higher fecundity might disperse seeds over longer distances than those with fewer seeds.
Contributors
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- By Rose Teteki Abbey, K. C. Abraham, David Tuesday Adamo, LeRoy H. Aden, Efrain Agosto, Victor Aguilan, Gillian T. W. Ahlgren, Charanjit Kaur AjitSingh, Dorothy B E A Akoto, Giuseppe Alberigo, Daniel E. Albrecht, Ruth Albrecht, Daniel O. Aleshire, Urs Altermatt, Anand Amaladass, Michael Amaladoss, James N. Amanze, Lesley G. Anderson, Thomas C. Anderson, Victor Anderson, Hope S. Antone, María Pilar Aquino, Paula Arai, Victorio Araya Guillén, S. Wesley Ariarajah, Ellen T. Armour, Brett Gregory Armstrong, Atsuhiro Asano, Naim Stifan Ateek, Mahmoud Ayoub, John Alembillah Azumah, Mercedes L. García Bachmann, Irena Backus, J. Wayne Baker, Mieke Bal, Lewis V. Baldwin, William Barbieri, António Barbosa da Silva, David Basinger, Bolaji Olukemi Bateye, Oswald Bayer, Daniel H. Bays, Rosalie Beck, Nancy Elizabeth Bedford, Guy-Thomas Bedouelle, Chorbishop Seely Beggiani, Wolfgang Behringer, Christopher M. Bellitto, Byard Bennett, Harold V. Bennett, Teresa Berger, Miguel A. Bernad, Henley Bernard, Alan E. Bernstein, Jon L. Berquist, Johannes Beutler, Ana María Bidegain, Matthew P. Binkewicz, Jennifer Bird, Joseph Blenkinsopp, Dmytro Bondarenko, Paulo Bonfatti, Riet en Pim Bons-Storm, Jessica A. Boon, Marcus J. Borg, Mark Bosco, Peter C. Bouteneff, François Bovon, William D. Bowman, Paul S. Boyer, David Brakke, Richard E. Brantley, Marcus Braybrooke, Ian Breward, Ênio José da Costa Brito, Jewel Spears Brooker, Johannes Brosseder, Nicholas Canfield Read Brown, Robert F. Brown, Pamela K. Brubaker, Walter Brueggemann, Bishop Colin O. Buchanan, Stanley M. Burgess, Amy Nelson Burnett, J. Patout Burns, David B. Burrell, David Buttrick, James P. Byrd, Lavinia Byrne, Gerado Caetano, Marcos Caldas, Alkiviadis Calivas, William J. Callahan, Salvatore Calomino, Euan K. Cameron, William S. Campbell, Marcelo Ayres Camurça, Daniel F. Caner, Paul E. Capetz, Carlos F. Cardoza-Orlandi, Patrick W. Carey, Barbara Carvill, Hal Cauthron, Subhadra Mitra Channa, Mark D. Chapman, James H. Charlesworth, Kenneth R. Chase, Chen Zemin, Luciano Chianeque, Philip Chia Phin Yin, Francisca H. Chimhanda, Daniel Chiquete, John T. Chirban, Soobin Choi, Robert Choquette, Mita Choudhury, Gerald Christianson, John Chryssavgis, Sejong Chun, Esther Chung-Kim, Charles M. A. Clark, Elizabeth A. Clark, Sathianathan Clarke, Fred Cloud, John B. Cobb, W. Owen Cole, John A Coleman, John J. Collins, Sylvia Collins-Mayo, Paul K. Conkin, Beth A. Conklin, Sean Connolly, Demetrios J. Constantelos, Michael A. Conway, Paula M. Cooey, Austin Cooper, Michael L. Cooper-White, Pamela Cooper-White, L. William Countryman, Sérgio Coutinho, Pamela Couture, Shannon Craigo-Snell, James L. Crenshaw, David Crowner, Humberto Horacio Cucchetti, Lawrence S. Cunningham, Elizabeth Mason Currier, Emmanuel Cutrone, Mary L. Daniel, David D. Daniels, Robert Darden, Rolf Darge, Isaiah Dau, Jeffry C. Davis, Jane Dawson, Valentin Dedji, John W. de Gruchy, Paul DeHart, Wendy J. Deichmann Edwards, Miguel A. De La Torre, George E. Demacopoulos, Thomas de Mayo, Leah DeVun, Beatriz de Vasconcellos Dias, Dennis C. Dickerson, John M. Dillon, Luis Miguel Donatello, Igor Dorfmann-Lazarev, Susanna Drake, Jonathan A. Draper, N. Dreher Martin, Otto Dreydoppel, Angelyn Dries, A. J. Droge, Francis X. D'Sa, Marilyn Dunn, Nicole Wilkinson Duran, Rifaat Ebied, Mark J. Edwards, William H. Edwards, Leonard H. Ehrlich, Nancy L. Eiesland, Martin Elbel, J. Harold Ellens, Stephen Ellingson, Marvin M. Ellison, Robert Ellsberg, Jean Bethke Elshtain, Eldon Jay Epp, Peter C. Erb, Tassilo Erhardt, Maria Erling, Noel Leo Erskine, Gillian R. Evans, Virginia Fabella, Michael A. Fahey, Edward Farley, Margaret A. Farley, Wendy Farley, Robert Fastiggi, Seena Fazel, Duncan S. Ferguson, Helwar Figueroa, Paul Corby Finney, Kyriaki Karidoyanes FitzGerald, Thomas E. FitzGerald, John R. Fitzmier, Marie Therese Flanagan, Sabina Flanagan, Claude Flipo, Ronald B. Flowers, Carole Fontaine, David Ford, Mary Ford, Stephanie A. Ford, Jim Forest, William Franke, Robert M. Franklin, Ruth Franzén, Edward H. Friedman, Samuel Frouisou, Lorelei F. Fuchs, Jojo M. Fung, Inger Furseth, Richard R. Gaillardetz, Brandon Gallaher, China Galland, Mark Galli, Ismael García, Tharscisse Gatwa, Jean-Marie Gaudeul, Luis María Gavilanes del Castillo, Pavel L. Gavrilyuk, Volney P. Gay, Metropolitan Athanasios Geevargis, Kondothra M. George, Mary Gerhart, Simon Gikandi, Maurice Gilbert, Michael J. Gillgannon, Verónica Giménez Beliveau, Terryl Givens, Beth Glazier-McDonald, Philip Gleason, Menghun Goh, Brian Golding, Bishop Hilario M. Gomez, Michelle A. Gonzalez, Donald K. Gorrell, Roy Gottfried, Tamara Grdzelidze, Joel B. Green, Niels Henrik Gregersen, Cristina Grenholm, Herbert Griffiths, Eric W. Gritsch, Erich S. Gruen, Christoffer H. Grundmann, Paul H. Gundani, Jon P. Gunnemann, Petre Guran, Vidar L. Haanes, Jeremiah M. Hackett, Getatchew Haile, Douglas John Hall, Nicholas Hammond, Daphne Hampson, Jehu J. Hanciles, Barry Hankins, Jennifer Haraguchi, Stanley S. Harakas, Anthony John Harding, Conrad L. Harkins, J. William Harmless, Marjory Harper, Amir Harrak, Joel F. Harrington, Mark W. Harris, Susan Ashbrook Harvey, Van A. Harvey, R. Chris Hassel, Jione Havea, Daniel Hawk, Diana L. Hayes, Leslie Hayes, Priscilla Hayner, S. Mark Heim, Simo Heininen, Richard P. Heitzenrater, Eila Helander, David Hempton, Scott H. Hendrix, Jan-Olav Henriksen, Gina Hens-Piazza, Carter Heyward, Nicholas J. Higham, David Hilliard, Norman A. Hjelm, Peter C. Hodgson, Arthur Holder, M. Jan Holton, Dwight N. Hopkins, Ronnie Po-chia Hsia, Po-Ho Huang, James Hudnut-Beumler, Jennifer S. Hughes, Leonard M. Hummel, Mary E. Hunt, Laennec Hurbon, Mark Hutchinson, Susan E. Hylen, Mary Beth Ingham, H. Larry Ingle, Dale T. Irvin, Jon Isaak, Paul John Isaak, Ada María Isasi-Díaz, Hans Raun Iversen, Margaret C. Jacob, Arthur James, Maria Jansdotter-Samuelsson, David Jasper, Werner G. Jeanrond, Renée Jeffery, David Lyle Jeffrey, Theodore W. Jennings, David H. Jensen, Robin Margaret Jensen, David Jobling, Dale A. Johnson, Elizabeth A. Johnson, Maxwell E. Johnson, Sarah Johnson, Mark D. Johnston, F. Stanley Jones, James William Jones, John R. Jones, Alissa Jones Nelson, Inge Jonsson, Jan Joosten, Elizabeth Judd, Mulambya Peggy Kabonde, Robert Kaggwa, Sylvester Kahakwa, Isaac Kalimi, Ogbu U. Kalu, Eunice Kamaara, Wayne C. Kannaday, Musimbi Kanyoro, Veli-Matti Kärkkäinen, Frank Kaufmann, Léon Nguapitshi Kayongo, Richard Kearney, Alice A. Keefe, Ralph Keen, Catherine Keller, Anthony J. Kelly, Karen Kennelly, Kathi Lynn Kern, Fergus Kerr, Edward Kessler, George Kilcourse, Heup Young Kim, Kim Sung-Hae, Kim Yong-Bock, Kim Yung Suk, Richard King, Thomas M. King, Robert M. Kingdon, Ross Kinsler, Hans G. Kippenberg, Cheryl A. Kirk-Duggan, Clifton Kirkpatrick, Leonid Kishkovsky, Nadieszda Kizenko, Jeffrey Klaiber, Hans-Josef Klauck, Sidney Knight, Samuel Kobia, Robert Kolb, Karla Ann Koll, Heikki Kotila, Donald Kraybill, Philip D. W. Krey, Yves Krumenacker, Jeffrey Kah-Jin Kuan, Simanga R. Kumalo, Peter Kuzmic, Simon Shui-Man Kwan, Kwok Pui-lan, André LaCocque, Stephen E. Lahey, John Tsz Pang Lai, Emiel Lamberts, Armando Lampe, Craig Lampe, Beverly J. Lanzetta, Eve LaPlante, Lizette Larson-Miller, Ariel Bybee Laughton, Leonard Lawlor, Bentley Layton, Robin A. Leaver, Karen Lebacqz, Archie Chi Chung Lee, Marilyn J. Legge, Hervé LeGrand, D. L. LeMahieu, Raymond Lemieux, Bill J. Leonard, Ellen M. Leonard, Outi Leppä, Jean Lesaulnier, Nantawan Boonprasat Lewis, Henrietta Leyser, Alexei Lidov, Bernard Lightman, Paul Chang-Ha Lim, Carter Lindberg, Mark R. Lindsay, James R. Linville, James C. Livingston, Ann Loades, David Loades, Jean-Claude Loba-Mkole, Lo Lung Kwong, Wati Longchar, Eleazar López, David W. Lotz, Andrew Louth, Robin W. Lovin, William Luis, Frank D. Macchia, Diarmaid N. J. MacCulloch, Kirk R. MacGregor, Marjory A. MacLean, Donald MacLeod, Tomas S. Maddela, Inge Mager, Laurenti Magesa, David G. Maillu, Fortunato Mallimaci, Philip Mamalakis, Kä Mana, Ukachukwu Chris Manus, Herbert Robinson Marbury, Reuel Norman Marigza, Jacqueline Mariña, Antti Marjanen, Luiz C. L. Marques, Madipoane Masenya (ngwan'a Mphahlele), Caleb J. D. Maskell, Steve Mason, Thomas Massaro, Fernando Matamoros Ponce, András Máté-Tóth, Odair Pedroso Mateus, Dinis Matsolo, Fumitaka Matsuoka, John D'Arcy May, Yelena Mazour-Matusevich, Theodore Mbazumutima, John S. McClure, Christian McConnell, Lee Martin McDonald, Gary B. McGee, Thomas McGowan, Alister E. McGrath, Richard J. McGregor, John A. McGuckin, Maud Burnett McInerney, Elsie Anne McKee, Mary B. McKinley, James F. McMillan, Ernan McMullin, Kathleen E. McVey, M. Douglas Meeks, Monica Jyotsna Melanchthon, Ilie Melniciuc-Puica, Everett Mendoza, Raymond A. Mentzer, William W. Menzies, Ina Merdjanova, Franziska Metzger, Constant J. Mews, Marvin Meyer, Carol Meyers, Vasile Mihoc, Gunner Bjerg Mikkelsen, Maria Inêz de Castro Millen, Clyde Lee Miller, Bonnie J. Miller-McLemore, Alexander Mirkovic, Paul Misner, Nozomu Miyahira, R. W. L. Moberly, Gerald Moede, Aloo Osotsi Mojola, Sunanda Mongia, Rebeca Montemayor, James Moore, Roger E. Moore, Craig E. Morrison O.Carm, Jeffry H. Morrison, Keith Morrison, Wilson J. Moses, Tefetso Henry Mothibe, Mokgethi Motlhabi, Fulata Moyo, Henry Mugabe, Jesse Ndwiga Kanyua Mugambi, Peggy Mulambya-Kabonde, Robert Bruce Mullin, Pamela Mullins Reaves, Saskia Murk Jansen, Heleen L. Murre-Van den Berg, Augustine Musopole, Isaac M. T. Mwase, Philomena Mwaura, Cecilia Nahnfeldt, Anne Nasimiyu Wasike, Carmiña Navia Velasco, Thulani Ndlazi, Alexander Negrov, James B. Nelson, David G. Newcombe, Carol Newsom, Helen J. Nicholson, George W. E. Nickelsburg, Tatyana Nikolskaya, Damayanthi M. A. Niles, Bertil Nilsson, Nyambura Njoroge, Fidelis Nkomazana, Mary Beth Norton, Christian Nottmeier, Sonene Nyawo, Anthère Nzabatsinda, Edward T. Oakes, Gerald O'Collins, Daniel O'Connell, David W. Odell-Scott, Mercy Amba Oduyoye, Kathleen O'Grady, Oyeronke Olajubu, Thomas O'Loughlin, Dennis T. Olson, J. Steven O'Malley, Cephas N. Omenyo, Muriel Orevillo-Montenegro, César Augusto Ornellas Ramos, Agbonkhianmeghe E. Orobator, Kenan B. Osborne, Carolyn Osiek, Javier Otaola Montagne, Douglas F. Ottati, Anna May Say Pa, Irina Paert, Jerry G. Pankhurst, Aristotle Papanikolaou, Samuele F. Pardini, Stefano Parenti, Peter Paris, Sung Bae Park, Cristián G. Parker, Raquel Pastor, Joseph Pathrapankal, Daniel Patte, W. Brown Patterson, Clive Pearson, Keith F. Pecklers, Nancy Cardoso Pereira, David Horace Perkins, Pheme Perkins, Edward N. Peters, Rebecca Todd Peters, Bishop Yeznik Petrossian, Raymond Pfister, Peter C. Phan, Isabel Apawo Phiri, William S. F. Pickering, Derrick G. Pitard, William Elvis Plata, Zlatko Plese, John Plummer, James Newton Poling, Ronald Popivchak, Andrew Porter, Ute Possekel, James M. Powell, Enos Das Pradhan, Devadasan Premnath, Jaime Adrían Prieto Valladares, Anne Primavesi, Randall Prior, María Alicia Puente Lutteroth, Eduardo Guzmão Quadros, Albert Rabil, Laurent William Ramambason, Apolonio M. Ranche, Vololona Randriamanantena Andriamitandrina, Lawrence R. Rast, Paul L. Redditt, Adele Reinhartz, Rolf Rendtorff, Pål Repstad, James N. Rhodes, John K. Riches, Joerg Rieger, Sharon H. Ringe, Sandra Rios, Tyler Roberts, David M. Robinson, James M. Robinson, Joanne Maguire Robinson, Richard A. H. Robinson, Roy R. Robson, Jack B. Rogers, Maria Roginska, Sidney Rooy, Rev. Garnett Roper, Maria José Fontelas Rosado-Nunes, Andrew C. Ross, Stefan Rossbach, François Rossier, John D. Roth, John K. Roth, Phillip Rothwell, Richard E. 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Yee, Viktor Yelensky, Yeo Khiok-Khng, Gustav K. K. Yeung, Angela Yiu, Amos Yong, Yong Ting Jin, You Bin, Youhanna Nessim Youssef, Eliana Yunes, Robert Michael Zaller, Valarie H. Ziegler, Barbara Brown Zikmund, Joyce Ann Zimmerman, Aurora Zlotnik, Zhuo Xinping
- Edited by Daniel Patte, Vanderbilt University, Tennessee
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- The Cambridge Dictionary of Christianity
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- 05 August 2012
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- 20 September 2010, pp xi-xliv
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Discontinuation of Respiratory Isolation for Possible Tuberculosis: Do Two Negative Sputum Smear Results Suffice?
- Charles S. Bryan, Deborah J. Rapp, Cynthia A. Brown
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- Infection Control & Hospital Epidemiology / Volume 27 / Issue 5 / May 2006
- Published online by Cambridge University Press:
- 21 June 2016, pp. 515-516
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Analysis of acid-fast bacillus smear results at a hospital with a mod-erate incidence of tuberculosis confirms recent recommendations that 2 negative smear results suffice for discontinuation of respiratory isolation. Use of polymerase chain reaction analysis further increases the confidence with which the diagnosis of active tuberculosis likely to be transmitted to others can be excluded.
Discussion
- Edwin Smith, Dean N. Menegas, John Perkins, Cynthia Price Cohen, Michael Cardozo, Bartram S. Brown, Douglas Scott
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- Proceedings of the ASIL Annual Meeting / Volume 81 / 1987
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- 28 February 2017, pp. 391-394
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- 1987
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