Attention has been shown to modulate the visual evoked potential (VEP) recorded to reversing achromatic patterns. However, the chromatic onset VEP appears to be robust to attentional shifts. Functional magnetic resonance imaging (fMRI) responses to both chromatic and achromatic reversing patterns are also affected by attention. Resolution and comparison of these results is problematic due to differences in presentation mode, stimulus parameters, and the source of the response. Here, we report the results of experiments using comparable perceptual contrasts, pattern reversals, and a co-extensive and highly demanding multiple object tracking (MOT) task while exploring the effects of attentional modulation across both the chromatic (L − M) and (S − (L + M)) and the achromatic visual pathways. Our findings indicate that although achromatic VEPs are modulated by attention, chromatic VEPs are more robust to attentional modulation, even when using comparable stimulus presentation modes and in the presence of a highly demanding distractor task. In addition, we found that the majority of the modulation appears to be from a relative decrease in response due to the distractor task rather than a relative increase in response during heightened attention to the stimulus.

Declining labor force participation of older men throughout the 20th century and recent increases in participation have generated substantial interest in understanding the effect of public pensions on retirement. The National Bureau of Economic Research's International Social Security (ISS) Project, a long-term collaboration among researchers in a dozen developed countries, has explored this and related questions. The project employs a harmonized approach to conduct within-country analyses that are combined for meaningful cross-country comparisons. The key lesson is that the choices of policy makers affect the incentive to work at older ages and these incentives have important effects on retirement behavior.

A new occurrence of berthierine has been found in the Pulsifer granitic pegmatite, near Auburn, Maine. Berthierine was found in miarolitic cavities (‘pockets’) as aggregates of radial platy crystals with albite, as fracture-fillings in microcline and as fine-grained anhedral flakes with muscovite. Berthierine samples from all associations are depleted in Mg, but show variable enrichment in Mn. The textural relationships of the berthierine assemblage indicate that its formation is probably related to the dissolution of microcline in the presence of a low-temperature, neutral to alkaline, Fe-rich hydrothermal solution. This mode of occurrence is in direct contrast to the typical formation of berthierine in granitic pegmatites that is generally related to the alteration of cordierite-group minerals.

Beusite-(Ca), ideally Ca${\rm Mn}_{\rm 2}^{2 +} $(PO4)2, is a new graftonite-group mineral from the Yellowknife pegmatite field, Northwest Territories, Canada. It occurs in a beryl–columbite–phosphate rare-element pegmatite where it is commonly intergrown with triphylite–lithiophilite or sarcopside, and may form by exsolution from a high-temperature (Li,Ca)-rich graftonite-like parent phase. It occurs as pale-brown lamellae 0.1–1.5 mm wide in triphylite, and is pale brown with a vitreous lustre and a very pale-brown streak. It is brittle, has a Mohs hardness of 5, and the calculated density is 3.610 g/cm3. Beusite-(Ca) is colourless in plane-polarized light, and is biaxial (+) with α = 1.685(2), β = 1.688(2), γ = 1.700(5), and the optic axial angle is 46.0(5)°. It is non-pleochroic with X || b; Y ˄ a = 40.3° in β obtuse; Z ˄ a = 49.7° in β acute. Beusite-(Ca) is monoclinic, has space group P21/c, a = 8.799(2), b = 11.724(2), c = 6.170(1) Å, β = 99.23(3)°, V = 628.3(1) Å3 and Z = 4. Chemical analysis by electron microprobe gave P2O5 41.63, FeO 19.43, MnO 23.63, CaO 15.45, sum 100.14 wt.%. The empirical formula was normalized on the basis of 8 anions pfu: (Ca0.94Fe0.92Mn1.13)Σ2.99(PO4)2.00. The crystal structure was refined to an R1 index of 1.55%. Beusite-(Ca) is a member of the graftonite group with Ca completely ordered at the [8]-coordinated M(1) site.

IAU Commission 5, Documentation and Astronomical Data, continued its mission of promoting and supporting sound practices of data management, data dissemination, and data preservation over the past three years. The Commission also prepared its proposal for continuation, with some changes in emphasis, after the IAU's commission restructuring program. Below we report on the activities of the various Working Groups and the one Task Force in Commission 5.

Since the publication of “A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals” in 2008, prevention of healthcare-associated infections (HAIs) has become a national priority. Despite improvements, preventable HAIs continue to occur. The 2014 updates to the Compendium were created to provide acute care hospitals with up-to-date, practical, expert guidance to assist in prioritizing and implementing their HAI prevention efforts. It is the product of a highly collaborative effort led by the Society for Healthcare Epidemiology of America (SHEA), the Infectious Diseases Society of America (IDSA), the American Hospital Association (AHA), the Association for Professionals in Infection Control and Epidemiology (APIC), and The Joint Commission, with major contributions from representatives of a number of organizations and societies with content expertise, including the Centers for Disease Control and Prevention (CDC), the Institute for Healthcare Improvement (IHI), the Pediatric Infectious Diseases Society (PIDS), the Society for Critical Care Medicine (SCCM), the Society for Hospital Medicine (SHM), and the Surgical Infection Society (SIS).

Since the publication of “A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals” in 2008, prevention of healthcare-associated infections (HAIs) has become a national priority. Despite improvements, preventable HAIs continue to occur. The 2014 updates to the Compendium were created to provide acute care hospitals with up-to-date, practical, expert guidance to assist in prioritizing and implementing their HAI prevention efforts. They are the product of a highly collaborative effort led by the Society for Healthcare Epidemiology of America (SHEA), the Infectious Diseases Society of America (IDSA), the American Hospital Association (AHA), the Association for Professionals in Infection Control and Epidemiology (APIC), and The Joint Commission, with major contributions from representatives of a number of organizations and societies with content expertise, including the Centers for Disease Control and Prevention(CDC), the Institute for Healthcare Improvement (IHI), the Pediatric Infectious Diseases Society (PIDS), the Society for Critical Care Medicine (SCCM), the Society for Hospital Medicine (SHM), and the Surgical Infection Society (SIS).

Cygnus A, the nearest truly powerful radio galaxy, resides at the centre of a massive galaxy cluster. Chandra X-ray observations reveal its cocoon shocks, radio lobe cavities and an X-ray jet, which are discussed here. It is argued that X-ray emission from the outer regions of the cocoon shocks is nonthermal. The X-ray jets are best interpreted as synchrotron emission, suggesting that they, rather than the radio jets, are the path of energy flow from the nucleus to the hotspots. In that case, a model shows that the jet flow is non-relativistic and carries in excess of one solar mass per year.

Since the publication of “A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals” in 2008, prevention of healthcare-associated infections (HAIs) has become a national priority. Despite improvements, preventable HAIs continue to occur. The 2014 updates to the Compendium were created to provide acute care hospitals with up-to-date, practical, expert guidance to assist in prioritizing and implementing their HAI prevention efforts. They are the product of a highly collaborative effort led by the Society for Healthcare Epidemiology of America (SHEA), the Infectious Diseases Society of America (IDSA), the American Hospital Association (AHA), the Association for Professionals in Infection Control and Epidemiology (APIC), and The Joint Commission, with major contributions from representatives of a number of organizations and societies with content expertise, including the Centers for Disease Control and Prevention (CDC), the Institute for Healthcare Improvement (IHI), the Pediatric Infectious Diseases Society (PIDS), the Society for Critical Care Medicine (SCCM), the Society for Hospital Medicine (SHM), and the Surgical Infection Society (SIS).

Infect Control Hosp Epidemiol 2014;35(8):967–977

Since the publication of “A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals” in 2008, prevention of healthcare-associated infections (HAIs) has become a national priority. Despite improvements, preventable HAIs continue to occur. The 2014 updates to the Compendium were created to provide acute care hospitals with up-to-date, practical, expert guidance to assist in prioritizing and implementing their HAI prevention efforts. It is the product of a highly collaborative effort led by the Society for Healthcare Epidemiology of America (SHEA), the Infectious Diseases Society of America (IDSA), the American Hospital Association (AHA), the Association for Professionals in Infection Control and Epidemiology (APIC), and The Joint Commission, with major contributions from representatives of a number of organizations and societies with content expertise, including the Centers for Disease Control and Prevention (CDC), the Institute for Healthcare Improvement (IHI), the Pediatric Infectious Diseases Society (PIDS), the Society for Critical Care Medicine (SCCM), the Society for Hospital Medicine (SHM), and the Surgical Infection Society (SIS).

We summarize some recent new results probing inter- and intra-chain coupling in aggregated P3HT in isolated nanoparticles and nanofibers. Time-resolved photoluminescence studies show interesting correlations between amplitude and decay constant for different decay components that are tied to both polymer regio-regularity and nanoparticle processing conditions. In the frequency domain, we observe distinct signatures of both H- and J-aggregate type exciton coupling, manifested as different vibronic progressions with different electronic origins, linewidths, and Huang-Rhys factors. We show how the extent of this H/J composite coupling can be tuned to a certain extent by changes in molecular parameters (polymer molecular weight and regioregularity) and by solvent processing conditions. Finally we discuss recent results of near-field optical absorption probes of nanoparticles and nanofibers where optical contrast is afforded by the different absorption cross-section (at 532 nm) for aggregated vs. unaggregated P3HT.

In May 2009, we investigated a hospital outbreak of pandemic H1N1 (pH1N1) infection among healthcare personnel (HCP). Thirteen (65%) of 20 HCP with pH1N1 infection had healthcare-associated cases, which were primarily attributed to transmission among HCP. Eleven (55%) of HCP with pH1N1 infection worked for 1 day or more after the onset of illness. Personnel working with mild illness may have contributed to transmission among HCP.

Previously published guidelines are available that provide comprehensive recommendations for detecting and preventing healthcare-associated infections. The intent of this document is to highlight practical recommendations in a concise format designed to assist acute care hospitals in implementing and prioritizing their Clostridium difficile infection (CDI) prevention efforts. Refer to the Society for Healthcare Epidemiology of America/Infectious Diseases Society of America “Compendium of Strategies to Prevent Healthcare-Associated Infections” Executive Summary and Introduction and accompanying editorial for additional discussion.

1. Increasing rates of CDI

C. difficile now rivals methicillin-resistant Staphylococcus aureus (MRSA) as the most common organism to cause healthcare-associated infections in the United States.

a. In the United States, the proportion of hospital discharges in which the patient received the International Classification of Diseases, Ninth Revision discharge diagnosis code for CDI more than doubled between 2000 and 2003, and CDI rates continued to increase in 2004 and 2005 (L. C. McDonald, MD, personal communication, July 2007). These increases have been seen in pediatric and adult populations, but elderly individuals have been disproportionately affected. CDI incidence has also increased in Canada and Europe.

b. There have been numerous reports of an increase in CDI severity.

c. Most reports of increases in the incidence and severity of CDI have been associated with the BI/NAP1/027 strain of C. difficile. This strain produces more toxins A and B in vitro than do many other strains of C. difficile, produces a third toxin (binary toxin), and is highly resistant to fluoroquinolones.

Previously published guidelines are available that provide comprehensive recommendations for detecting and preventing healthcare-associated infections (HAIs). Our intent in this document is to highlight practical recommendations in a concise format to assist acute care hospitals in their efforts to prevent transmission of methicillin-resistant Staphylococcus aureus (MRSA). Refer to the Society for Healthcare Epidemiology of America/Infectious Diseases Society of America “Compendium of Strategies to Prevent Healthcare-Associated Infections” Executive Summary, Introduction, and accompanying editorial for additional discussion.

1. Burden of HAIs caused by MRSA in acute care facilities

a. In the United States, the proportion of hospital-associated S. aureus infections that are caused by strains resistant to methicillin has steadily increased. In 2004, MRSA accounted for 63% of S. aureus infections in hospitals.

b. Although the proportion of S. aureus–associated HAIs among intensive care unit (ICU) patients that are due to methicillin-resistant strains has increased (a relative measure of the MRSA problem), recent data suggest that the incidence of central line–associated bloodstream infection caused by MRSA (an absolute measure of the problem) has decreased in several types of ICUs since 2001. Although these findings suggest that there has been some success in preventing nosocomial MRSA transmission and infection, many patient groups continue to be at risk for such transmission.

c. MRSA has also been documented in other areas of the hospital and in other types of healthcare facilities, including those that provide long-term care.

Previously published guidelines are available that provide comprehensive recommendations for detecting and preventing healthcare-associated infections. The intent of this document is to highlight practical recommendations in a concise format designed to assist acute care hospitals in implementing and prioritizing their ventilator-associated pneumonia (VAP) prevention efforts. Refer to the Society for Healthcare Epidemiology of America/Infectious Diseases Society of America “Compendium of Strategies to Prevent Healthcare-Associated Infections” Executive Summary and Introduction and accompanying editorial for additional discussion.

1. Occurrence of VAP in acute care facilities.

a. VAP is one of the most common infections acquired by adults and children in intensive care units (ICUs).

i. In early studies, it was reported that 10%-20% of patients undergoing ventilation developed VAP. More-recent publications report rates of VAP that range from 1 to 4 cases per 1,000 ventilator-days, but rates may exceed 10 cases per 1,000 ventilator-days in some neonatal and surgical patient populations. The results of recent quality improvement initiatives, however, suggest that many cases of VAP might be prevented by careful attention to the process of care.

2. Outcomes associated with VAP

a. VAP is a cause of significant patient morbidity and mortality, increased utilization of healthcare resources, and excess cost.

i. The mortality attributable to VAP may exceed 10%.

ii. Patients with VAP require prolonged periods of mechanical ventilation, extended hospitalizations, excess use of antimicrobial medications, and increased direct medical costs.