Hand hygiene with alcohol hand rub and gloves reduces the incidence of late onset sepsis in preterm neonates.

AIM: To assess the impact of a hand hygiene protocol, using hand washing, alcohol hand rub and gloves when caring for preterm infants born after 31 weeks of gestation, on the incidence of neonatal late onset sepsis (LOS). METHODS: All babies delivered between 32 + 0 and 36 + 6 weeks gestation and admitted to the neonatal intensive care unit during a 14-month period were included. We followed a hand hygiene protocol with hand washing and alcohol hand rub (hand rub period) for the first 7 months and a protocol of hand washing, alcohol hand rub and gloves (gloves period) for the second 7 months. The hand rub and gloves groups consisted of 111 and 89 patients, respectively. RESULTS: Five patients were diagnosed with a total of six episodes of LOS in the hand rub group, and the incidence of LOS during the hand rub period was 2.99/1000 hospital days and 54.1/1000 admissions. There were no patients diagnosed with LOS during the gloves period (significant decrease, p = 0.028). CONCLUSION: Using a hand hygiene protocol with hand washing, hand rub and gloves significantly reduced the incidence of LOS in preterm newborns, and the results suggest that it may produce a sustained improvement in the infection rate.

The Effect of Active Additives and Coarse Aggregate Granulometric Composition on the Properties and Durability of Pervious Concrete.

Pervious concrete (PCO) has many advantages and applications, such as water pooling reduction, noise attenuation, replenishment of groundwater reserves, etc. However, the use of pervious concrete is limited due to its low compressive strength and durability, especially as a result of portlandite leaching from concrete exposed to flowing water. The effects of active additives (nano SiO2 (NS) spent catalyst generated at the fluid catalytic cracking unit (FCCCw) and paper sludge waste burned at 700 °C (PSw)) along with particle size distribution of the coarse aggregate on the properties and durability of pervious concrete were determined in the research. Active additives used in the binder were found to reduce portlandite leaching from concrete exposed to flowing water to significantly increase the resistance of concrete to freezing and thawing cycles and to increase sound absorption, compressive strength and infiltration rate. In addition, industrial waste (FCCCw and PSw) used as active additives significantly reduced the use of clinker in concrete applied in the construction of water pervious systems. The coarse aggregate size distribution had the greatest effect on the density, ultrasound pulse velocity (UPV), porosity, compressive strength and infiltration rate of pervious concrete.

Composite Binder Containing Industrial By-Products (FCCCw and PSw) and Nano SiO2.

This article analyzes the integrated effect of industrial by-products (spent fluidized bed catalytic cracking catalyst waste (FCCCw) and paper sludge waste (PSw) generated in paper manufacturing) combined with nano-SiO2 (NS) on the properties of cement binder, when a certain part of the binder is replaced with the said by-products in the cement mix. Standard testing methods were used to analyze the physical and mechanical properties of cement-based materials. For structure analysis, we used X-ray diffraction (XRD), derivative thermogravimetry (DTG), mercury intrusion porosimetry (MIP) and scanning electron microscopy (SEM). It was found that the replacement of cement by a combined additive of FCCCw, PSw and NS is important not only for ecological reasons (abatement of CO2 emissions and recovery of waste through secondary raw materials), but also in order to enhance the properties of cement-based binders. Presumably, higher amounts of calcium silicate hydrate (CSH) and calcium alumina silicate hydrate (CASH) in the compound binder are the result of the low content of portlandite and alite in the test specimens. The specimens modified with all three additives had the highest density (~2100 kg/m3), ultrasonic pulse velocity (UPV) (~4160 m/s) and compressive strength (~105 MPa), which was ~40% higher than in the control specimens. The average pore diameter of the complex binder decreased by 21%, whereas the median pore diameter decreased by 47%.

Early and late operation of cleft lip and intelligence quotient and psychosocial development in 3-7 years.

BACKGROUND: Early and late operations of the cleft lip represent exposure to general anesthesia during the first year of life. The early exposure to the anesthetics may influence long term neurological outcome. Timing of the operation may also influence the quality of life as babies with early repair might be accepted better by their families. AIMS: The aim of the study was to compare outcomes between two groups of patients operated on for the cleft lip in the first year of life. STUDY DESIGN: Observational cohort study. SUBJECTS: Early repair group included patients operated on in the first eight days of life and late repair group those operated on between 3 and 10 months. OUTCOME MEASURES: Intelligence quotient (IQ) and psychosocial development of children who were operated on for cleft lip were compared at the age of 3-7 years. RESULTS: No differences were found between early (n=15) and late (n=17) repair group in terms of IQ. In both IQ was within the normal range: 100.00 (SD 13.867), 98.76 (SD 10.109), respectively. Significantly better results in physical functioning (P=0.042) and self-esteem (P=0.014) concepts in early repair group were found. CONCLUSIONS: We compared outcomes of two groups of patients operated on for cleft lip in the first year of life. The earlier anesthesia did not show a negative impact on intelligence quotient in 3-7 years compared to later anesthesia. The earlier repair of the cleft lip showed a significant positive impact on psychosocial development in 2 out of 13 concepts tested.