Fecal microbiota transplantation to eradicate vancomycin-resistant enterococci colonization in case of an outbreak

Objective

A rapid and worrying emergence of vancomycin-resistant enterococci (VRE) gut colonization is occurring worldwide and may be responsible for outbreaks, especially in healthcare facilities. While no efficient decolonization strategies are recommended, we assessed fecal microbiota transplantation (FMT) to eradicate VRE colonization.

À propos de la folie à l’opéra

The author evokes the importance of the themes of insanity in opera works, since the l6th century up to the present time. Among those problems: what about the “lyrical delight” provoked by such madness scenes? What is the importance of those operatic arias, in particular since the romantic era? Is there a peculiar, specific, function of the women’s voices in relation to such symptoms?     

Occurrence, productivity and spatial distribution of key-premises in two dengue-endemic areas of Rio de Janeiro and their role in adult Aedes aegypti spatial infestation pattern

Objectives To evaluate: (1) the occurrence, maintenance, productivity, spatial distribution and premise condition index score of Adese aegypti‐infested houses and key‐premises in a suburban district (Tubiacanga) and a slum (Favela do Amorim) of Rio de Janeiro and (2) the role of these factors in adult Ae. aegypti female spatial distribution. Methods and Results A total of 2456 premises were inspected for immature and 1100 for adult collection. Key‐premises corresponded to 16.08% and 17.86% of infested houses in Tubiacanga, and 13.5% and 11.1% in Favela do Amorim, during the dry and wet seasons, respectively. Key‐premises held significantly more immature Ae. aegypti, pupae and larvae than infested houses in Favela do Amorim and Tubiacanga during the dry and wet seasons. In Favela do Amorim, key‐premises had a significantly higher PCI score than infested but non‐key houses. Conclusion The spatial distribution of key‐premises and adult Ae. aegypti females was often congruent, indicating that key‐premises influence the infestation pattern observed in the study areas.     

The world’s first secular autonomous nursing school against the power of the churches

NADOT M. Nursing Inquiry 2010; 17 : 118–127
The world’s first secular autonomous nursing school against the power of the churches Secular healthcare practices were standardized well before the churches’ established their influence over the nursing profession. Indeed, such practices, resting on the tripartite axiom of domus, familia, hominem, were already established in hospitals during the middle ages. It was not until the last third of the eighteenth century that the Catholic Church imposed its culture on secular health institutions; the Protestant church followed suit in 1836. In reaction to the encroachment of religious orders on civil society and the amalgam of religious denominations favored , for example, by the devout Florence Nightingale (supported, in 1854, by Sir Sidney Herbert, the influential Puseyite), it is on 20 July 1859 that the great Swiss nineteenth century pedagogue and recipient of the Académie française Gold Medal, Valérie de Gasparin‐Boissier (1813–94), proposed a model of secular healthcare training for nurses that would become a counter‐model set in opposition to religious health institutions. Forerunner of later schools, the world’s first secular autonomous Nursing School was founded in Lausanne, Switzerland. Its mission was to bring decisive changes to the statutes of nurses’ training, which were then still based on six principles not far removed from those of religious communities at the time: commitment for life, the Rule of St Augustine, obedience, celibacy, the renouncement of salary, and the uniform.