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Objective. To evaluate the efficacy of bundle intervention on healthcare-associated (HA) methicillin-resistant Staphylococcus Aureus (MRSA) infection in the neonatal intensive care unit (NICU). Methods. In this study, 11,277 infants having undergone treatment at the NICU in Xiamen, China, from January 2014 to February 2017 were recruited. We retrospectively reviewed patients' demographic and clinical information. Patients from 2014 to 2015 were treated as the control group and those from 2016 to 2017 were classified as the experimental group. Bundle intervention measures were performed, including screening for MRSA, isolation precautions, training of hand hygiene, cleaning protocols, and decontamination of isolation ward. The HA-MRSA data and compliance of infection control measures between both groups were analyzed. Results. Through bundle interventions, the compliance with the isolation of MRSA raised from 55.88% to 92.86% and hand hygiene compliance increased from 90.07% to 93.23% (P < 0.05). The HA infection decreased from 1.87% to 1.71% (P > 0.05) and HA detection rate of MRSA declined from 2.63‰ to 1.00‰, respectively (P < 0.05). Conclusion. Multifaceted interventions can effectively prevent MRSA infection and transmission; this includes active surveillance, isolation precautions, increased hand hygiene compliance, environmental cleaning, and decontamination. [ABSTRACT FROM AUTHOR]

Aridity index, as the ration of potential evapotranspiration and precipitation, is an important indicator of regional climate. GIS technology, Morlet wavelet, Mann-Kendall test, and principal component analysis are utilized to investigate the spatial-temporal variation of aridity index and its impacting factors in China on basis of climate data from 599 stations during 1960–2013. Results show the following. (1) Boundaries between humid and semihumid region, and semihumid and semiarid region coincide with 400 mm and 800 mm precipitation contour lines. (2) Average annual aridity index is between 3.4 and 7.5 and shows decrease trend with a tendency of –0.236 per decade at 99% confidence level. (3) The driest and wettest month appear in December and July, respectively, in one year. (4) Periods of longitudinal and latitudinal shift of aridity index 1, 1.5, and 4 contours coordinate are 10 and 25 years, 6 and 26 years, and 5 and 25 years, respectively. (5) Four principal components which affect aridity index are thermodynamic factors, water and radiation factors, geographical and air dynamic factors, and evaluation factor, respectively. [ABSTRACT FROM AUTHOR]

Downward trend of potential evaporation accompanied with upward of air temperature which is denoted as evaporation paradox has been reported in many regions over the past several decades in the world. In this paper, evaporation paradox and key factors attributed to ET0 changes are systematically analyzed based on data from 599 meteorological stations during 1960–2013. Results show that (1) Evaporation paradox exists in all regions in1960–2013 and 1960–1999 except SWRB in 1960–2013 but no evaporation paradox in 2000–2013. (2) Evaporation paradox exists in large areas in spring and summer, the extent and range fall in autumn, and there is no evaporation paradox in winter. (3) The evaporation paradox area accounts for 73.7% of China in 1960–2013 and 91.2% in 1969–1999. (4) Sunshine hours, humidity, wind speed, and maximum temperature appear to be the most important variables which contributed to ET0 change in China. [ABSTRACT FROM AUTHOR]