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result(s) for
"Sexton, Lewis"
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Isomeric Lifetime Measurement in the Neutron-rich 189 Ta
2023
Isomeric states of the neutron-rich isotope 189 73 Ta 116 were populated via fragmentation of a primary beam of 208 Pb ions at 1 GeV/u impinging on a 9 Be target at GSI, Darmstadt, Germany. The isotopes of interest were separated, identified and delivered to the DESPEC setup. Two isomers were deduced in 189 Ta 116 and their lifetimes were measured based on the γ-ray time distributions.
Journal Article
LETTERS FROM THE PEOPLE
1924
Much has been said and written relative to the bonus for ex-service men. The fact remains that very few people appreciate what has been done and is being done for the ex-service men. Let as review the situation briefly. Also let as look at the possibility of giving those who...
Newspaper Article
Exporter claimed millions as tax deductions
2006
DISGRACED wheat exporter AWB bypassed UN sanctions to funnel millions from Iraq to a BHP-related company -- and then claimed tax deductions on the deal, the Cole inquiry heard yesterday. In the latest evidence to emerge from the Cole commission, AWB was found to have claimed $US7.5million as an \"expense\", though it had only acted as a conduit to get the money out of Iraq. The money was passed on in mid-December 2004 to Tigris Petroleum, which had inherited a debt from BHP for a 1996 shipment of wheat. Inquiry head Terence Cole has previously described BHP's \"gift\" of wheat as a \"soft bribe\". BHP is refusing to comment on matters arising from the Cole inquiry.
Newspaper Article
Samuel's chances of ACCC job slip away, state by state
2003
Mr [Samuel]'s appointment was discussed at a key meeting, held in Sydney a week before Christmas. Convened by Michael Egan, NSW's feisty Treasurer, the meeting was also attended by South Australian Treasurer Kevin Foley, the ACT's Ted Quinlan and Queensland's Terry Mackenroth. Several other figures, including Northern Territory Treasurer Sid Sterling were patched in via speakerphone. The meeting discussed the push to appoint Mr Samuel to the job, which brings with it considerable clout across the political and business sphere.
Newspaper Article
Samuel's chances of ACCC job slip away, state by state
2003
Mr [Samuel]'s appointment was discussed at a key meeting held in Sydney a week before Christmas. Convened by Michael Egan, NSW's feisty Treasurer, the meeting was attended by South Australian Treasurer Kevin Foley, the ACT's Ted Quinlan and Queensland's Terry Mackenroth. Several other figures, including Northern Territory Treasurer Sid Sterling were included via speakerphone. Mr Samuel is perceived by many Labor treasurers to be captive to the big end of town. They claim Mr Samuel is not the most appropriate person to take over from Professor [Allan Fels], who has earnt a strong reputation for taking on big business over the past decade.
Newspaper Article
Enhanced terminal room disinfection and acquisition and infection caused by multidrug-resistant organisms and Clostridium difficile (the Benefits of Enhanced Terminal Room Disinfection study): a cluster-randomised, multicentre, crossover study
by
Triplett, Patricia F
,
Kanamori, Hajime
,
Sexton, Daniel J
in
Acinetobacter
,
Ammonium
,
Antibiotic resistance
2017
Patients admitted to hospital can acquire multidrug-resistant organisms and Clostridium difficile from inadequately disinfected environmental surfaces. We determined the effect of three enhanced strategies for terminal room disinfection (disinfection of a room between occupying patients) on acquisition and infection due to meticillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci, C difficile, and multidrug-resistant Acinetobacter.
We did a pragmatic, cluster-randomised, crossover trial at nine hospitals in the southeastern USA. Rooms from which a patient with infection or colonisation with a target organism was discharged were terminally disinfected with one of four strategies: reference (quaternary ammonium disinfectant except for C difficile, for which bleach was used); UV (quaternary ammonium disinfectant and disinfecting ultraviolet [UV-C] light except for C difficile, for which bleach and UV-C were used); bleach; and bleach and UV-C. The next patient admitted to the targeted room was considered exposed. Every strategy was used at each hospital in four consecutive 7-month periods. We randomly assigned the sequence of strategies for each hospital (1:1:1:1). The primary outcomes were the incidence of infection or colonisation with all target organisms among exposed patients and the incidence of C difficile infection among exposed patients in the intention-to-treat population. This trial is registered with ClinicalTrials.gov, NCT01579370.
31 226 patients were exposed; 21 395 (69%) met all inclusion criteria, including 4916 in the reference group, 5178 in the UV group, 5438 in the bleach group, and 5863 in the bleach and UV group. 115 patients had the primary outcome during 22 426 exposure days in the reference group (51·3 per 10 000 exposure days). The incidence of target organisms among exposed patients was significantly lower after adding UV to standard cleaning strategies (n=76; 33·9 cases per 10 000 exposure days; relative risk [RR] 0·70, 95% CI 0·50–0·98; p=0·036). The primary outcome was not statistically lower with bleach (n=101; 41·6 cases per 10 000 exposure days; RR 0·85, 95% CI 0·69–1·04; p=0·116), or bleach and UV (n=131; 45·6 cases per 10 000 exposure days; RR 0·91, 95% CI 0·76–1·09; p=0·303) among exposed patients. Similarly, the incidence of C difficile infection among exposed patients was not changed after adding UV to cleaning with bleach (n=38 vs 36; 30·4 cases vs 31·6 cases per 10 000 exposure days; RR 1·0, 95% CI 0·57–1·75; p=0·997).
A contaminated health-care environment is an important source for acquisition of pathogens; enhanced terminal room disinfection decreases this risk.
US Centers for Disease Control and Prevention.
Journal Article
SARS-CoV-2 infection, neuropathogenesis and transmission among deer mice: Implications for spillback to New World rodents
by
Lewis, Juliette
,
Aboellail, Tawfik
,
Rovnak, Joel
in
ACE2
,
Angiotensin-converting enzyme 2
,
Animal behavior
2021
Coronavirus disease-19 (COVID-19) emerged in late 2019 in China and rapidly became pandemic. As with other coronaviruses, a preponderance of evidence suggests the virus originated in horseshoe bats ( Rhinolophus spp.) and may have infected an intermediate host prior to spillover into humans. A significant concern is that SARS-CoV-2 could become established in secondary reservoir hosts outside of Asia. To assess this potential, we challenged deer mice ( Peromyscus maniculatus ) with SARS-CoV-2 and found robust virus replication in the upper respiratory tract, lungs and intestines, with detectable viral RNA for up to 21 days in oral swabs and 6 days in lungs. Virus entry into the brain also occurred, likely via gustatory-olfactory-trigeminal pathway with eventual compromise to the blood-brain barrier. Despite this, no conspicuous signs of disease were observed, and no deer mice succumbed to infection. Expression of several innate immune response genes were elevated in the lungs, including IFNα, IFNβ, Cxcl10, Oas2, Tbk1 and Pycard. Elevated CD4 and CD8β expression in the lungs was concomitant with Tbx21, IFNγ and IL-21 expression, suggesting a type I inflammatory immune response. Contact transmission occurred from infected to naive deer mice through two passages, showing sustained natural transmission and localization into the olfactory bulb, recapitulating human neuropathology. In the second deer mouse passage, an insertion of 4 amino acids occurred to fixation in the N-terminal domain of the spike protein that is predicted to form a solvent-accessible loop. Subsequent examination of the source virus from BEI Resources determined the mutation was present at very low levels, demonstrating potent purifying selection for the insert during in vivo passage. Collectively, this work has determined that deer mice are a suitable animal model for the study of SARS-CoV-2 respiratory disease and neuropathogenesis, and that they have the potential to serve as secondary reservoir hosts in North America.
Journal Article
Duration of antiviral immunity after smallpox vaccination
2003
Although naturally occurring smallpox was eliminated through the efforts of the World Health Organization Global Eradication Program, it remains possible that smallpox could be intentionally released. Here we examine the magnitude and duration of antiviral immunity induced by one or more smallpox vaccinations. We found that more than 90% of volunteers vaccinated 25–75 years ago still maintain substantial humoral or cellular immunity (or both) against vaccinia, the virus used to vaccinate against smallpox. Antiviral antibody responses remained stable between 1–75 years after vaccination, whereas antiviral T-cell responses declined slowly, with a half-life of 8–15 years. If these levels of immunity are considered to be at least partially protective, then the morbidity and mortality associated with an intentional smallpox outbreak would be substantially reduced because of pre-existing immunity in a large number of previously vaccinated individuals.
Journal Article
Effectiveness of targeted enhanced terminal room disinfection on hospital-wide acquisition and infection with multidrug-resistant organisms and Clostridium difficile: a secondary analysis of a multicentre cluster randomised controlled trial with crossover design (BETR Disinfection)
by
Triplett, Patricia F
,
Sexton, Daniel J
,
Moehring, Rebekah W
in
Ammonium
,
Analysis
,
Antibiotic resistance
2018
The hospital environment is a source of pathogen transmission. The effect of enhanced disinfection strategies on the hospital-wide incidence of infection has not been investigated in a multicentre, randomised controlled trial. We aimed to assess the effectiveness of four disinfection strategies on hospital-wide incidence of multidrug-resistant organisms and Clostridium difficile in the Benefits of Enhanced Terminal Room (BETR) Disinfection study.
We did a prespecified secondary analysis of the results from the BETR Disinfection study, a pragmatic, multicentre, crossover cluster-randomised trial that assessed four different strategies for terminal room disinfection in nine hospitals in the southeastern USA. Rooms from which a patient with a specific infection or colonisation (due to the target organisms C difficile, meticillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci (VRE), or multidrug-resistant Acinetobacter spp) was discharged were terminally disinfected with one of four strategies: standard disinfection (quaternary ammonium disinfectant, except for C difficile, for which 10% hypochlorite [bleach] was used; reference); standard disinfection and disinfecting ultraviolet light (UV-C), except for C difficile, for which bleach and UV-C was used (UV strategy); 10% hypochlorite (bleach strategy); and bleach and UV-C (bleach and UV strategy). We randomly assigned the sequence of strategies for each hospital (1:1:1:1), and each strategy was used for 7 months, including a 1-month wash-in period and 6 months of data collection. The prespecified secondary outcomes were hospital-wide, hospital-acquired incidence of all target organisms (calculated as number of patients with hospital-acquired infection with a target organism per 10 000 patient days), and hospital-wide, hospital-acquired incidence of each target organism separately. BETR Disinfection is registered with ClinicalTrials.gov, number NCT01579370.
Between April, 2012, and July, 2014, there were 271 740 unique patients with 375 918 admissions. 314 610 admissions met all inclusion criteria (n=73 071 in the reference study period, n=81 621 in the UV study period, n=78 760 in the bleach study period, and n=81 158 in the bleach and UV study period). 2681 incidenct cases of hospital-acquired infection or colonisation occurred during the study. There was no significant difference in the hospital-wide risk of target organism acquisition between standard disinfection and the three enhanced terminal disinfection strategies for all target multidrug-resistant organisms (UV study period relative risk [RR] 0·89, 95% CI 0·79–1·00; p=0·052; bleach study period 0·92, 0·79–1·08; p=0·32; bleach and UV study period 0·99, 0·89–1·11; p=0·89). The decrease in risk in the UV study period was driven by decreases in risk of acquisition of C difficile (RR 0·89, 95% CI 0·80–0·99; p=0·031) and VRE (0·56, 0·31–0·996; p=0·048).
Enhanced terminal room disinfection with UV in a targeted subset of high-risk rooms led to a decrease in hospital-wide incidence of C difficile and VRE. Enhanced disinfection overcomes limitations of standard disinfection strategies and is a potential strategy to reduce the risk of acquisition of multidrug-resistant organisms and C difficile.
US Centers for Disease Control and Prevention.
Journal Article
Universal masking is an effective strategy to flatten the severe acute respiratory coronavirus virus 2 (SARS-CoV-2) healthcare worker epidemiologic curve
by
Schwartz, Antony
,
Yancey, William
,
Smith, Becky A.
in
Asymptomatic
,
Asymptomatic Infections - epidemiology
,
Business etiquette
2020
Journal Article