Proceedings of the topical conference on heavy ion collisions : Fall Creek Falls State Park, Pikeville, Tennessee, June 13-17, 1977 /

"CONF-770602."

Chapters on the law relating to the colonies, to which are appended topical indexes of cases decided in the Privy council on appeal from the colonies, Channel Islands and the Isle of Man; and of cases relating to the colonies decided in the English courts otherwise than on appeal from the colonies.

Mode of access: Internet.

Concrete-polymer materials : fourth topical report /

Mode of access: Internet.

Fluoride in Illinois : sources, environmental and health effects, and a proposed ambient standard /

Bibliograhy: p. 71-84.

Risk assessment of exposure to radium and fluoride in Illinois public water supplies /

Prepared for Illinois Dept. of Energy and Natural Resources, Energy and Environmental Affairs Division.

The Scofield reference Bible. The Holy Bible, containing the Old and New Testaments. Authorized version, with a new system of connected topical references to all the greater themes of Scripture, with annotations, revised marginal renderings, summaries, definitions, and index; to which are added helps at hard places, explanations of seeming discrepancies, and a new system of paragraphs.

Mode of access: Internet.

Analysis of civil government, including a topical and tabular arrangement of the Constitution of the United States.

Mode of access: Internet.

Complete index to The Expositor's Bible : topical and textual /

Mode of access: Internet.

The readable dictionary; or, Topical and synonymic lexicon ... classified by subjects, and arranged according to their affinities of meaning; with accompanying etymologies, definitions, and illustrations. To which are added, I. Lists of foreign terms and phrases ... II. A table of the common abbreviations. III. An alphabetical list of Latin and Greek roots, with derivatives ...

Mode of access: Internet.

Topical advanced arithmetic.

Mode of access: Internet.

Zur kenntnis der fluoride.

Thesis (doctoral)--

Cytotoxicity of topical antimicrobial agents used in burn wounds in Australasia

Background: Burn sepsis is a leading cause of mortality and morbidity in patients with major burns. The use of topical antimicrobial agents has helped improve the survival of these patients. Silvazine (Sigma Pharmaceuticals, Melbourne, Australia) (1% silver sulphadiazine and 0.2% chlorhexidine digluconate) is used exclusively in Australasia, and there is no published study on its cytotoxicity. This study compared the relative cytotoxicity of Silvazine with 1% silver sulphadiazine (Flamazine (Smith & Nephew Healthcare. Hull. UK)) and a silver-based dressing (Acticoat (Smith & Nephew Healthcare, Hull, UK)). Methods: Dressings were applied to the centre of culture plates that were then seeded with keratinocytes at an estimated 25% confluence. The plates were incubated for 72 h and culture medium and dressings then removed. Toluidine blue was added to stain the remaining keratinocytes. Following removal of the dye, the plates were photographed under standard conditions and these digital images were analysed using image analysis software. Data was analysed using Student's t-test. Results: In the present study, Silvazine is the most cytotoxic agent. Seventy-two hour exposure to Silvazine in the present study results in almost no keratinocyte survival at all and a highly statistically significant reduction in cell survival relative to control, Acticoat and Flamazine (P

Randomized, controlled trial of topical exit-site application of honey (Medihoney) versus Mupirocin for the prevention of catheter-associated infections in hemodialysis patients

The clinical usefulness of hemodialysis catheters is limited by increased infectious morbidity and mortality. Topical antiseptic agents, such as mupirocin, are effective at reducing this risk but have been reported to select for antibiotic-resistant strains. The aim of the present study was to determine the efficacy and the safety of exit-site application of a standardized antibacterial honey versus mupirocin in preventing catheter-associated infections. A randomized, controlled trial was performed comparing the effect of thrice-weekly exit-site application of Medihoney versus mupirocin on infection rates in patients who were receiving hemodialysis via tunneled, cuffed central venous catheters. A total of 101 patients were enrolled. The incidences of catheter-associated bacteremias in honey-treated (n = 51) and mupirocin-treated (n = 50) patients were comparable (0.97 versus 0.85 episodes per 1000 catheter-days, respectively; NS). On Cox proportional hazards model analysis, the use of honey was not significantly associated with bacteremia-free survival (unadjusted hazard ratio, 0.94; 95% confidence interval, 0.27 to 3.24; P = 0.92). No exit-site infections occurred. During the study period, 2% of staphylococcal isolates within the hospital were mupirocin resistant. Thrice-weekly application of standardized antibacterial honey to hemodialysis catheter exit sites was safe, cheap, and effective and resulted in a comparable rate of catheter-associated infection to that obtained with mupirocin (although the study was not adequately powered to assess therapeutic equivalence). The effectiveness of honey against antibiotic-resistant microorganisms and its low likelihood of selecting for further resistant strains suggest that this agent may represent a satisfactory alternative means of chemoprophylaxis in patients with central venous catheters.