Preoperative bathing or showering with skin antiseptics to prevent surgical site infection

Background Surgical site infections (SSIs) are wound infections that occur after invasive (surgical) procedures. Preoperative bathing or showering with an antiseptic skin wash product is a well-accepted procedure for reducing skin bacteria (microflora). It is less clear whether reducing skin microflora leads to a lower incidence of surgical site infection. Objectives To review the evidence for preoperative bathing or showering with antiseptics for preventing hospital-acquired (nosocomial) surgical site infections. Search methods For this fifth update we searched the Cochrane Wounds Group Specialised Register (searched 18 December 2014); the Cochrane Central Register of Controlled Trials (The Cochrane Library 2014 Issue 11); Ovid MEDLINE (2012 to December Week 4 2014), Ovid MEDLINE (In-Process & Other Non-Indexed Citations December 18, 2014); Ovid EMBASE (2012 to 2014 Week 51), EBSCO CINAHL (2012 to December 18 2014) and reference lists of articles. Selection criteria Randomised controlled trials comparing any antiseptic preparation used for preoperative full-body bathing or showering with non-antiseptic preparations in people undergoing surgery. Data collection and analysis Two review authors independently assessed studies for selection, risk of bias and extracted data. Study authors were contacted for additional information. Main results We did not identify any new trials for inclusion in this fifth update. Seven trials involving a total of 10,157 participants were included. Four of the included trials had three comparison groups. The antiseptic used in all trials was 4% chlorhexidine gluconate (Hibiscrub/Riohex). Three trials involving 7791 participants compared chlorhexidine with a placebo. Bathing with chlorhexidine compared with placebo did not result in a statistically significant reduction in SSIs; the relative risk of SSI (RR) was 0.91 (95% confidence interval (CI) 0.80 to 1.04). When only trials of high quality were included in this comparison, the RR of SSI was 0.95 (95%CI 0.82 to 1.10). Three trials of 1443 participants compared bar soap with chlorhexidine; when combined there was no difference in the risk of SSIs (RR 1.02, 95% CI 0.57 to 1.84). Three trials of 1192 patients compared bathing with chlorhexidine with no washing, one large study found a statistically significant difference in favour of bathing with chlorhexidine (RR 0.36, 95%CI 0.17 to 0.79). The smaller studies found no difference between patients who washed with chlorhexidine and those who did not wash preoperatively. Authors' conclusions This review provides no clear evidence of benefit for preoperative showering or bathing with chlorhexidine over other wash products, to reduce surgical site infection. Efforts to reduce the incidence of nosocomial surgical site infection should focus on interventions where effect has been demonstrated.

Social dimensions of sea turtle protection in Orissa, India: Case study of Gahirmatha (marine) Wildlife Sanctuary and the nesting beaches of Rushikulya and Debi

pdf has 37p.

Some problems of edge waves and standing waves on beaches

Some problems of edge waves and standing waves on beaches are examined.

The nonlinear interaction of a wave normally incident on a sloping beach with a subharmonic edge wave is studied. A two-timing expansion is used in the full nonlinear theory to obtain the modulation equations which describe the evolution of the waves. It is shown how large amplitude edge waves are produced; and the results of the theory are compared with some recent laboratory experiments.

Traveling edge waves are considered in two situations. First, the full linear theory is examined to find the finite depth effect on the edge waves produced by a moving pressure disturbance. In the second situation, a Stokes' expansion is used to discuss the nonlinear effects in shallow water edge waves traveling over a bottom of arbitrary shape. The results are compared with the ones of the full theory for a uniformly sloping bottom.

The finite amplitude effects for waves incident on a sloping beach, with perfect reflection, are considered. A Stokes' expansion is used in the full nonlinear theory to find the corrections to the dispersion relation for the cases of normal and oblique incidence.

Finally, an abstract formulation of the linear water waves problem is given in terms of a self adjoint but nonlocal operator. The appropriate spectral representations are developed for two particular cases.

Shoal manipulation as an effective solution to site specific beach management, examples from three South Carolina beaches

Soft engineering solutions are the current standard for addressing coastal erosion in the US. In South Carolina, beach nourishment from offshore sand deposits and navigation channels has mostly replaced construction of seawalls and groins, which were common occurrences in earlier decades. Soft engineering solutions typically provide a more natural product than hard solutions, and also eliminate negative impacts to adjacent areas which are often associated with hard solutions. A soft engineering solution which may be underutilized in certain areas is shoal manipulation. (PDF contains 4 pages)

An introduction to the 4-beaches survey and the Stakeholder Workshops

1) The 4-beaches survey was the first of its kind on Lake Victoria. Drawing on Participatory Rural Appraisal (PRA) techniques, four landing sites around the lake were selected for long-term monitoring from March 2000 through to October 2001. 2)Held in all the 3 riparian countries of Lake Victoria the stakeholders' workshops aimed to assess the necessity of fisheries management for Lake Victoria and to identify who the stakeholders in fisheries management would be.

Methodologies of the 4-beaches Survey and Stakeholder Workshops

As it is clearly indicated in the title of this book section, it overviews the methodologies used in the 4-beaches Survey and in the various Stakeholders' Workshops held in all the three riparian countries of the Lake Victoria.

The 4-beaches survey in Uganda: Nkombe Beach

This paper analyses the location, potentialities and set-backs of Nkombe Beach, the landing site chosen in Uganda for the 4-beaches survey.

O planejamento turístico a partir da avaliação do potencial do município de São João da Barra (RJ)

O município de São João da Barra, localizado na mesorregião do norte-fluminense do Estado do Rio de Janeiro, por possuir uma vasta riqueza natural, sobretudo de praias, é um local muito procurado pelo turismo, principalmente no verão, período mais propício à balneabilidade, também atrai uma grande demanda de turistas através de diversos eventos organizados pela prefeitura, como carnaval, acarretando como consequência o desenvolvimento do turismo de massa. Além disso, o município foi escolhido para hospedar o Complexo Logístico e Industrial Portuário do Açu (CLIPA), maior empreendimento porto-indústria da América Latina, e um dos três maiores complexos portuários do mundo, que está em fase de implantação. Diante deste cenário, considerando a necessidade de buscar uma alternativa ao turismo de massa, bem como, proteger este destino turístico dos impactos provocados pelo mesmo, e pelo complexo portuário, a pesquisa teve por objetivo identificar o potencial turístico do município de São João da Barra, com enfoque ao desenvolvimento do turismo alternativo a fim de oferecer subsídios para o planejamento turístico sustentável do local. O trabalho se baseou na metodologia proposta por Braga (2007) referente às etapas do processo de planejamento turístico, que se constituíram em quatro etapas: definição do objeto de estudo e missão do planejamento; inventário da situação atual, diagnóstico, e diretrizes de ação. As análises revelaram, através da pesquisa bibliográfica e empírica área de estudo, os principais impactos socioambientais que ocorrem em São João da Barra, provocados não só pelo turismo, como também pela implantação do complexo portuário e por outras fontes; também foi possível obter a percepção da comunidade acerca de como a atividade turística se desenvolve no local, permitindo a elaboração de diretrizes no contexto da gestão participativa. Além disso, o estudo revelou o grande potencial turístico de modalidades alternativas ao turismo de massa, como o turismo científico, educacional, histórico-cultural e esportivo, através da elaboração do inventário da oferta local e do mapa de localização dos atrativos.

History of the Fisheries of Raritan Bay, New York and New Jersey

Raritan Bay is the body of water bounded by New York and New Jersey and lying immediately south of New York City (Fig. 1). It has close proximity to the most concentrated urban and industrial area in the United States. Its history has been one of extensive multiple use by the surrounding human population. Dating from the precolonial and colonial periods, people have employed many types of gear to catch and gather its once abundant fishes and shellfishes. Its beaches were once popular for sun bathing and swimming, but after the 1940's they were essentially abandoned because the water became too polluted. Another large use has been for pleasure boating and the transit and dockage of merchant, passenger, and military vessels. Channels and basins were dug in the bay, bulkheads and jetties were constructed along its shores, and it was a donor source of sand and gravel for construction projects. It has also been a receptor for large quantities of domestic and industrial wastes and, mainly for this reason, it is one ofthe most deteriorated estuaries in the United States.

Ecology and production in two sandy beaches of Goa. Part (A) Distribution of bacteria in Colva and Siridaon in relation to certain environmental parameters

Qualitative and quantitative studies on the bacterial flora of two beaches viz., Colva and Siridaon at high tide, mid-tide and low tide levels during the pre-monsoon period were made. Estimations of important nutrients, like inorganic phosphates and nitrates and organic carbon have been made and correlation with the bacterial counts is being attempted. Definite correlation between bacterial population and organic carbon is seen however, no correlation is observed between bacterial counts and other physicochemical parameters.

Studies on Thiobacilli spp. isolated from sandy beaches of Kerala

Occurrence, isolation and oxidative activity of Thiobacilli spp. from some sandy beaches of Kerala are reported. These organisms were encountered in polluted beaches and were dominant during monsoon in all the beaches.

Studies on diversity of Hara's Laft-Khamir and Sout Beaches of the Gheshm polychaete

One of the most important marine ecologic phenomenon , is the study of animal community among the bed or benthic fauna. Macrobenthoses are the graet part of the benthic faune , that are more biomasses than meiofauna and microfauna. To study polychaetes diversity of Mangroves, located in Khoore-Khooran , sampling was conducted on a bimonthly and carried out from December 2001 to October 2002. Bottom samples were collected by Van Veen grab (0.025 m2)at 6 station from 2 transect Insitu measurement of temperature , pH , Do and salinity were done . Atotal of polychaetes werw identified within study 32 Family and 43 Genus . Cirriphormia and Nephtys were the most dominant genus in the studies . The range fomumerical abundance of polychaets was between 3006 per m2 in the station A3 to 559individual per mein the station A1 and the variation was done to different bottom , texture the variable environment conditions govrtneng the different parts of each creeks as well as within creeks . Application of diversity indices (Shannon H') on the dominant polychates assambladges has higher H' in the Azar and lower 1-1/ in the Mehr . and the stations B3 has the highest H' and the station A2 has the lowest H' Application of diversity and Richness, Evennes were studied and showed that the station A3 has the lowest evenness and the most individual , and station A1 has the middle pollution.

Impact of Brunswick river mouth training walls on adjacent beaches, Brunswick heads, New South Wales, Australia

River training walls have been built at scores of locations along the NSW coast and their impacts on shoreline change are still not fully understood. In this study, the Brunswick River entrance and adjacent beaches are selected for examination of the impact of the construction of major training walls. Thirteen sets of aerial photographs taken between 1947 and 1994 are used in a CIS approach to accurately determine tire shoreline Position, beach contours and sand volumes, and their changes in both time and space, and then to assess the contribution of both tire structures and natural hydrodynamic conditions to large scale (years-decades and kilometres) beach changes. The impact of the training walls can be divided into four stages: natural conditions prior to their construction (pre 1959), major downdrift erosion and updrift accretion during and. following the construction of the walls in 1959 similar to 1962 and 1966. diminishing impact of the walls between 1966 and 1987, and finally no apparent impact between 1987 similar to 1994. The impact extends horizontally about 8 km updrift and 17 km downdrift, and temporally up to 25 years..

A new species of Scolelepis (Polychaeta: Spionidae) from sandy beaches in China, with a review of Chinese Scolelepis species

A new species of Spionidae, Scolelepis (Scolelepis) daphoinos sp. nov., is described and illustrated from northern China seas. The species was frequently encountered and highly abundant on sand beaches, but rarely found in subtidal areas. It was formerly misidentified as S. (S.) squamata (Muller, 1806) in China but differed from the latter species in several details in morphology, including the presence of obvious reddish pigmentation patches and the absence of unidentate hooded hooks. Another two Scolelepis species, S. (S.) lingulata Imajima, 1992 and S. (S.) variegata Imajima, 1992, are reported for the first time from Chinese waters. Two species of Scolelepis, S. (S.) globosa Wu & Chen, 1964 and S. (S.) lefebvrei (Gravier, 1905), were reported previously; therefore, five species in this genus are known from China in total. A key to all Scolelepis species from Chinese waters is provided.