Naomi P. O'Grady, M.D., Mary Alexander, R.N. Lillian A. Burns, M.T., M.P.H., C.I.C. E. Patchen Dellinger, M.D. Jeffery Garland, M.D., S.M. Stephen O. Heard, M.D. Pamela A. Lipsett, M.D. Henry Masur, M.D. Leonard A. Mermel, D.O., Sc.M. Michele L. Pearson, M.D. Issam I. Raad, M.D. Adrienne Randolph, M.D., M.Sc. Mark E. Rupp, M.D. Sanjay Saint, M.D., M.P.H. and the Healthcare Infection Control Practices Advisory Committee (HICPAC).

/pdf/guidelines-for-the-prevention-of-intravascular-catheter-4xarsoczlz.pdf

Guidelines for the prevention of intravascular catheter-related infections, 2011

Background:Although many catheter-related blood-stream infections (CRBSIs) are preventable, measures to reduce these infections are not uniformly implementedObjective:To update an existing evidenced-based guideline that promotes strategies to prevent CRBSIsData Sources:The MEDLINE database, conference proceedings, and bibliographies of review articles and book chapters were searched for relevant articlesStudies Included:Laboratory-based studies, controlled clinical trials, prospective interventional trials, and epidemiologic investigationsOutcome Measures:Reduction in CRBSI, catheter colonization, or catheter-related infectionSynthesis:The recommended preventive strategies with the strongest supportive evidence are education and training of healthcare providers who insert and maintain catheters; maximal sterile barrier precautions during central venous catheter insertion; use of a 2% chlorhexidine preparation for skin antisepsis; no routine replacement of central venous catheters for prevention of infection; and use of antiseptic/antibiotic-impregnated short-term central venous catheters if the rate of infection is high despite adherence to other strategies (ie, education and training, maximal sterile barrier precautions, and 2% chlorhexidine for skin antisepsis)Conclusion:Successful implementation of these evidence-based interventions can reduce the risk for serious catheter-related infection

Guidelines for the prevention of intravascular catheter-related infections.

Pushing the limits of the scanning mechanism for initiation of translation

Autonomous vehicles may change the transportation landscape and policymakers must find the best course to maximize social benefits while minimizing drawbacks. This report weighs the potential advantages, including safety, mobility and fuel consumption, and disadvantages, including travel demand. Current legislation in Nevada, Florida, California, and Washington, DC, and in other states, and the standards and regulations that apply to such vehicles, are outlined. The report provides a brief history of autonomous vehicles and a summary of the role of telematics and communications, and discusses liability for drivers, insurers and manufacturers. It contains guidance for policymakers and risks to be considered as policies are formulated.

/pdf/autonomous-vehicle-technology-a-guide-for-policymakers-2gg3pjk9x8.pdf

Autonomous Vehicle Technology: A Guide for Policymakers

This article brings together empirical academic research on public sector innovation. Via a systematic literature review, we investigate 181 articles and books on public sector innovation, published between 1990 and 2014. These studies are analysed based on the following themes: (1) the definitions of innovation, (2) innovation types, (3) goals of innovation, (4) antecedents of innovation and (5) outcomes of innovation. Based upon this analysis, we develop an empirically based framework of potentially important antecedents and effects of public sector innovation. We put forward three future research suggestions: (1) more variety in methods: moving from a qualitative dominance to using other methods, such as surveys, experiments and multi-method approaches; (2) emphasize theory development and testing as studies are often theory-poor; and (3) conduct more cross-national and cross-sectoral studies, linking for instance different governance and state traditions to the development and effects of public sector innovation.

/pdf/innovation-in-the-public-sector-a-systematic-review-and-16s7x3fd06.pdf

Edgardo Cruz

Papers

Lost in the translation.

Measurement of Pleural Fluid Cholesterol and Lactate Dehydrogenase : A Simple and Accurate Set of Indicators for Separating Exudates From Transudates

Rendimiento de los criterios de Light en la diferenciación de transudados y exudados pleurales

Measurement of Pleural Fluid Cholesterol Levels