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Consumer confidence survey says . . .
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Consumer confidence survey says . . .
SCOTT JAGOW: Retailers pay close attention to how shoppers feel this time of year. They want us to be all happy and spending on presents. The University of Michigan boils this down to a number: the consumer sentiment gauge. The latest one comes out this morning. John Dimsdale has a preview.
JOHN DIMSDALE: When the cost of filling up at the gas pump first dropped last spring, relieved consumers went on a shopping spree. But they've become more cautious with the slumping housing market, higher interest rates and gasoline prices on the rise again.
Today's Michigan consumer sentiment survey is the last before the make-or-break holiday shopping season. But economist Jack Albertine with Albertine Enterprises takes the gauge with a grain of salt.
JACK ALBERTINE: The retailers watch this figure very, very closely. I'm not so sure that's well-advised because people are notorious in saying one thing and doing another. They may be a little down in the dumps when the survey is taken, but they still want to buy grandma a gift for Christmas or Hanukah.
Albertine says a strong labor market and low unemployment should give shoppers confidence to spend a bit more on holiday cheer.
In Washington, I'm John Dimsdale for Marketplace.
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Blinkist Trial Art Of Manliness: There are numerous factors to sign up for the Blinkist solution. Whether you're searching for a Book summaries or podcasts, you'll find what you're seeking below. Whether you wish to develop an area or just learn more regarding a specific subject, there are many means to get the most up to date information. The Blinkist toolbar lets you navigate your account from many different point of views. For example, you can choose to invite good friends to join your team, purchase present cards for buddies, or sign up for a Blinkist app.
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As an incentive, Blinkist supplies affordable book summaries. This enables individuals to find out more publications without investing a ton of money. However, this service is not the only one that offers this feature. There are various other similar services such as getAbstract and Instaread.

subset: commoncrawl


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AWS/SNS, SQS and SES
SNS Simple Notification System
It's HA, durable, secure, fully managed pub/sub messaging system.
The same message can be consumed by multiple subscribers.
Using message filters we can based on a field(s) in a message send specific message to the specific subscriber.
Durability, after a number of retries messages will get discarded.
SQS Simple Queuing System
Managed message queuing system
Queues available:
- Standard
- Order is not guaranteed, messages can be delivered more than once, almost unlimited processing per second
- FIFO (First-IN-Firs-OUT)
- Order is preserved, deduplication process avoids duplicated message deliveries, processing 300ps or 3k using batch
- DLQ Dead Letter Queue
- can convert synchronous patterns to asynchronous
- Unlike SNS, one message cannot have multiple consumers. Once message is processed by consumer it gets deleted from the queue.
SES Simple Email System
Handling Bounces and Complaints
When you uses SES Simple Email System from AWS you need to manage:
- bounce backs
- complaints
this is required by Amazon to protect your reputation, so Amazon IP /or your domain won't get blacklisted.
Amazon SES assigns a unique message ID to each email that you successfully submit to send. When Amazon SES receives a bounce or complaint message from an ISP, we forward the feedback message to you. The format of bounce and complaint messages varies between ISPs, but Amazon SES interprets these messages and, if you choose to set up Amazon SNS topics for them, categorizes them into JSON objects. Read more link you find in #References section.


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Ed Sheeran announced earlier this year that he would have some "exciting" features and unlikely collabs with artists from different genres. He's worked with some of the biggest artists from all over the world, from Beyoncé to Elton John, and his latest song includes a feature from a U.S. rap star.
The British singing star has teamed up with Lil Baby on the remix for "2step," dropping a song with accompanying visuals for the pop-rap pairing. Check it out below.
Ed Sheeran explained the video was shot in Kyiv, Ukraine, before the war with Russia began. He pledged to donate proceeds from the YouTube streams to the DEC's Ukraine Humanitarian Appeal.
"I filmed the video for 2step in the city of Kyiv, Ukraine before the devastating acts of violence started to take place," a message from Ed reads at the start of the video.
"It was my first time visiting the country and I felt so welcomed during my stay there – everyone from the production crew to the many people I met across my days off. Ukraine is a proud and resilient country and I'm grateful to have had the chance to film my video there."
Ed Sheeran X Kodak Black
Earlier this year, Ed Sheeran discussed his upcoming collabs, including one with Kodak Black. "This year is actually going to end up being busier than last year, which I'm really excited about. There's a lot coming out," he explained. "I've wanted to span genres. I had a load of people hit me up in different genres, ranging from metal to drill music, and I just said yes to everything. It's been a really interesting collaborative process."
While it can be a lonely experience Ed Sheeran enjoys the variety that comes with working with a range of musicians.
"It's quite lonely being a solo artist sometimes and it's quite exciting," he admitted. "I did a session this morning at 7am with a guy called Kodak Black who's from America and after that I did a session with a guy called Kwengface who's from Peckham."


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HSBC Metal World Elite Mastercard
Earn 2% in travel rewards on all eligible gas, grocery, and drugstore purchases3 (4 points per $1)
Earn 1% in travel rewards on all other eligible purchases4 (2 points per $1)
Pay no additional foreign transaction fees5 – only the exchange rate will apply
Receive a complimentary membership to Travel Pass provided by DragonPass and enjoy unlimited access for the cardholder and one guest at no extra cost
Receive a $200 annual travel enhancement credit6
Extensive travel and medical insurance coverage7
About this card
Additional travel benefits
Security and convenience
*HSBC Private Client Services is available exclusively to HSBC Premier customers. To qualify, customers need to hold in CAD with HSBC Bank Canada (i) a minimum of $1 million in personal deposits and investments or (ii) both a minimum of $500,000 in personal deposits and investments and personal residential mortgage balances of at least $1,500,000. Full terms and conditions are available at hsbc.ca/pcsterms.
1Earn 6 points on every $1 of eligible travel purchases, up to a maximum of $50,000 in eligible travel purchases charged to your HSBC Metal World Elite Mastercard in a calendar year. After reaching $50,000 in eligible travel purchases, you will earn 2 points on every $1 of eligible travel purchases. Refer to the HSBC Metal World Elite Rewards Program Terms and Conditions for complete details. Points earned on eligible travel purchases can be redeemed for rewards valued at up to 3% of the amount spent to earn them. For example, $5,000 in eligible travel purchases earns you 30,000 points, which can be redeemed for travel rewards valued at $150. Other rewards that require 30,000 points for redemption may be valued at less than $150. Redemption offers may change from time to time.
2Eligible travel purchases mean purchases made from merchants that are classified in the Mastercard network as airlines, car rental agencies, hotels, cruise lines, passenger railways, tour operators, timeshares and travel agencies. Some merchants may sell travel services but are classified in another manner, therefore, purchases from such merchants are not considered to be eligible travel purchases.
3Gas, Grocery and Drugstore Purchase means a purchase at merchants that are classified in the Mastercard Network as grocery stores, supermarkets, service stations or drugstores and pharmacies. While some merchants may sell gas, grocery or drugstore products/services, or are located on gas, grocery or drugstore premises, if these merchants are classified in another manner, they are not treated as "Gas, Grocery and Drugstore Purchases".
4Eligible purchases means purchases of goods and services that are charged to your Account, except for quasi-cash transactions (which include purchases of wire transfers, travelers cheques, foreign currency, money orders, payments of existing debts, bets, lottery tickets, and gaming chips), less any credits for returns, rebates or adjustments. Cash advances (including balance transfers and cheques), optional services, interest charges or fees, do not qualify as eligible purchases. See the HSBC Metal World Elite Mastercard Cardholder Manual for further details.
5The term "foreign transaction fees" is a substitute for Foreign Currency Conversion charges.
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7Insurance coverage is underwritten by American Bankers Life Assurance Company of Florida (ABLAC) and/or American Bankers Insurance Company of Florida (ABIC). ABLAC, ABIC, their subsidiaries and affiliates, carry on business in Canada under the name Assurant®. ®Assurant is a registered trademark of Assurant, Inc. Details of coverage, including definitions, benefits, limitations, and exclusions, are in the Certificate of Insurance provided in your Cardholder Manual.
8If you're an HSBC Private client, you can receive a $499 rebate on the HSBC Metal World Elite Mastercard annual fee. You'll receive the annual fee rebate on the date the credit card annual fee is charged, if you're i) an HSBC Private client, and ii) the primary cardholder of the HSBC Metal World Elite Mastercard. This rebate does not apply to other charges applicable to the credit card account. For full details, see HSBC Credit Card Annual Fee Rebate.
9All rewards offered are subject to the current HSBC Metal World Elite Rewards Program Terms and Conditions. There are a minimum number of points required for redemption, which vary by reward. Some restrictions apply. For information on redeeming points, visit rewards.hsbc.ca. Redemption offers may change from time to time.
10Travel Assistance Services may not be available in countries of political unrest and such countries may from time to time be determined to be unsafe and/or inaccessible.
11Apple, the Apple logo, Apple Pay, Apple Watch, Face ID, iPad, iPhone, iTunes, Mac, Safari, and Touch ID are trademarks of Apple Inc., registered in the U.S. and other countries. iPad Pro is a trademark of Apple Inc.
12Zero Liability applies to purchases made in the store, over the telephone, online or via a mobile device and ATM transactions. We will not hold you responsible for unauthorized use if: 1. You have used reasonable care in safeguarding your card and any related information, including Personal Identification Number (PIN) or password, and have not contributed to any unauthorized use of your card, PIN, account number or cheques; and 2. You report to us any actual or suspected loss, theft or unauthorized use of your card, PIN, account number or cheques immediately after becoming aware of it.
®/™World Elite and Mastercard are registered trademarks, and the circles design and tap & go are trademarks of Mastercard International Incorporated. Used pursuant to license.


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Ukulele Soul
Red Road
Medicine Show
A PrayerFormance Experience:
A Weaving of Native Wisdom, Prayers,Songs, Stories and Live Music
It is a blessing to share my perspective of native experience and earth love, To honor the returning of the sacred bundles from all races to the fire of unity and To pray together for the benefit of all life. Aho!
The NATIVE SONG CIRCLE is a journey into the past, present and future of Native American realities. Native American Stories and teachings are woven with original prayer songs that invite the listener to sing and pray along. The entire experience is layered over a soundscape often compared to Bufffy St. Marie, R. Carlos Nakai and Robbie Robertson.
"Jaraneh weaves a magical tapestry of ancient innuendo and modern spirituality. I left feeling inspired, strangely connected and integrated."
"A sweet and magical experience"
"Beautiful, soulful, songs by a truly gifted vocalist"
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Dominica Citizenship by Investment is one of the most long-standing programs. Since 1993, many investors got second citizenship and enjoy countless perks of being a Dominican Citizen. Dominica is a Nature isle and the ultimate getaway for nature lovers. There are so many luxury villas and international resorts where investors can invest and get citizenship as a reward. Dominica has the strongest passport among all the Caribbean countries. Other than the Caribbean region, Dominican Passport has worth globally as well.
Basically, the idea of citizenship by investment refers to making investments in the real estate of the country. In return, you will get a passport for your whole family. Citizenship by Investment Program of Dominica is the most flexible one and caters to all aspects. The projects where investors invest their money are mostly government approved. The value of real estate property is surprisingly very high and will benefit you a lot in the future. No matter if you are getting citizenship for relocation purposes or just to make a secure investment, Dominica is the best choice.
Reason why you need Dominican Citizenship by Investment
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The world CBI index consists of multiple aspects that make a country's passport the best or worst. It involves security and economic stability. Moreover, it includes the country's relationships with the international community. It also focuses on the tourism situation of the country. Keeping all the factors in consideration, the CBI Index ranks countries. Dominica has been ranked no.1 not once but five times in a row. Investors can clearly understand the worth of a Dominican passport by going through the index details.
Cost effective and guaranteed ROIs
Citizenship by Investment Programs has a very clear audience, individuals with a high net worth in any part of the world. You can Dominican passport by investing $220,000 in real estate and can get citizenship in just 90 days. Also, the property you are going to make an investment in luxury villas or resorts. After 3 to 5 years, you can get a refund of your investment. Similarly, you have the option to sell or rent out your property to get the best benefits. There is another option to get citizenship, you can donate $100,000 to government-fund. The donation amount is non-refundable.
Inclusion of the whole family as dependents
What makes Dominica Citizenship by Investment "The Best" option is how it caters to your whole family. Your spouse and children are your definite dependents in any CBI Program. But the age limit for children in the case of Dominica is up to 30. Moreover, the parents and grandparents of the applicant and of the spouse can also be dependent. After the amendments a year ago, even siblings of the applicant and of the spouse can also be considered to be dependents. No other citizenship program has this much flexibility for dependents.
Visa-free access to 150+ countries with Citizenship by Investment
The real value of a passport lies in the list of visa-free countries it offers. Now being a Pakistani, you can feel the restrictions of having a passport that only has 30 visa-free countries on its list. If you are a businessman and you have to travel frequently for work purposes, a Dominican passport will make your life easier. You don't need to wait for visa approvals and there's no fear of visa rejection at the last moment. You can travel to 150+ countries with a Dominican Passport and nothing can be better than someone who loves to travel without any hassle.
Dominica is a Tax Efficient Land
Apparently, Dominica is one of the rare island countries with zero taxation rates. There is no income, inheritance, or wealth tax in Dominica. The economic stability of a country is visible by the tax benefits it gives to the citizens.


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Multistage treatment for drug addiction
drug Treatment in many clinics ends with detoxification. But after only a few days after discharge, the patient again takes the substances and their level in the body is restored, leads to the breaking and the renewal of traction. But in the centre of the "Hand-aid" http://www.xn----7sbzfmlbff4a7e.com.ua/lechenie-narkomanii-kharkov.html things are very different. Detoxification is only one phase of the whole program, and treatment is complex.
the Right approach
it is Important not just to cure the medication applied, but also to find out the factors that influenced its gradual degradation. It can be family problems, bereavement and other reasons. Upon admission to the Kharkiv centre for the communication with the specialist, it turns out the support is participation. The patient can trust and understand that it will work in a team.
Now, it turns out not only the psychological state of applicants, but also physiological. Check the health of organs, systems, tests. If you need treatment, the removal of pain, then it is at the maximum level. Removed breaking, pain, symptomatic manifestations, etc. Already at this stage http://www.xn----7sbzfmlbff4a7e.com.ua/lechenie-narkomanii-kharkov.html comes significant relief, but there are also detoxification. Substances and their residues excreted through medications, IVS.
the clinic has a team of experts and experienced psychologists. They work together with the patient from beginning to end, knowing its history, psychological problems, the causes that led to the disease. The patient himself begins to not only want to fight, but to participate in the treatment program. The course "12 steps" from http://www.xn----7sbzfmlbff4a7e.com.ua/lechenie-narkomanii-kharkov.html includes training sessions with groups of patients. So they can share their stories and help to feel the support.
After passing the main stages the following stage of treatment — resocialization. A return of the patient in society, providing opportunities not just to live, but to do anything. Former patient again begins to work, to learn and to be a member of the society. Curation of the patient is carried out continuously, even when he is not in the center. Therefore, he feels support, professional support from the medical center. Therefore, a comprehensive treatment and patronage becomes more effective.
Translated by "Yandex.Translate": translate.yandex.ru.


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Journal of Biosciences and Medicines
Vol.03 No.10(2015), Article ID:60186,6 pages
Comparative Antibiotic Sensitivity Pattern of Hospital and Community Acquired Staphylococcus aureus Isolates of Jessore, Bangladesh
Pravas Chandra Roy, Md. Shaheduzzaman, Nigarin Sultana, Iqbal Kabir Jahid*
Department of Microbiology, Jessore University of Science and Technology, Jessore, Bangladesh
Email: *firstname.lastname@example.com
Copyright © 2015 by authors and Scientific Research Publishing Inc.
This work is licensed under the Creative Commons Attribution International License (CC BY).
Received 8 August 2015; accepted 6 October 2015; published 9 October 2015
Staphylococcus aureus has emerged over the past several decades as a leading cause of hospital acquired infections, which are more commonly termed as nosocomial infections. In recent years, strains of this bacterium which are resistant against several types of antibiotics have evolved and their prevalence is becoming a potential epidemiological threat. As there are limited data available on antibiotic resistance patterns of S. aureus that are isolated from hospital, the study was undertaken. The study was conducted by collecting swab samples from the hospital environment & volunteers and then identified them by standard methods. In case of hospital isolates, highest percentage of resistance was shown against Erythromycin (88.89%) and Ampicillin (83.33%). Significant resistance was also observed in cases of Ciprofloxacin (33.33%) and Tetracycline (33.33%). Lowest percentage of resistance was shown against Streptomycin (11.11%) and Vancomycin shows only intermediate resistant pattern (11.11%). On the other hand, community isolates were 100% sensitive against four antibiotics except Ampicillin (60% resistant) and Vancomycin (20% resistant). From the result it is easily discernable that, there are significant differences in the resistance pattern among hospital environment isolates and community acquired isolates. Samples were collected from different locations of hospital surgery room e.g. floor, wall, operating bed, trolley, sitting tool, cabinet etc. As anticipated, highest number of isolates showing resistance against these antibiotics were from the tool used for sitting.
Staphylococcus aureus, Nosocomial Infection, Antibiotic Resistant
1. Introduction
Staphylococcus aureus is a ubiquitous commensal bacterium on human skins and anterior nares, but frequently causes severe infections in humans [1] . It is the most commonly isolated human bacterial pathogen and is an important cause of skin and soft-tissue infections, endovascular infections, pneumonia, septic arthritis, endocarditis, osteomyelitis, foreign-body infections and sepsis [2] . S. aureus is the prime pathogen of healthcare-asso- ciated infections which is called nosocomial infection. Perhaps, it is the pathogen of greatest concern that causes nosocomial infection because of its intrinsic virulence, ability to cause a diverse array of infections, capacity to adapt different environmental conditions and its nasal carriage which accounts for possible re-infection and also spread. Present years have seen an emergence of nosocomial infection with the introduction of new and sophisticated medical instruments. The incidence of nosocomial infections and the spectrum of pathogens specifically depend on the features of certain clinical wards and the existing/emerging predisposing factors. Nosocomial infections are caused even more frequently by multidrug-resistant bacteria that used to be isolated much more seldom previously but are significant regarding hospital hygiene.
The evolution of antimicrobial resistant bacterial species stems from factors like widespread and sometimes inappropriate use of antimicrobials, the extensive use of these agents as growth enhancers in animal feeds and the increase in regional and international travel with which antimicrobial-resistant bacteria cross geographical barriers [3] - [5] . S. aureus isolates from hospital across the world are increasingly resistant to a greater number of antimicrobial agents. As rapidly as new antibiotics are introduced, Staphylococci have developed efficient mechanisms to neutralize them. The difficult therapeutic problem of multidrug resistant S. aureus is just one example of the diminishing efficacy of antimicrobial agents for the treatment of bacterial infections. This trend is particularly alarming for S. aureus because of the severity and diversity of disease caused by this uniquely versatile pathogen. Methicillin-resistant Staphylococcus aureus (MRSA) infections are well-known worldwide as causing hospitalizations and deaths [6] . MRSA infections originated in hospitals [7] and then emerged into the community [8] [9] .
As there are limited or no data available on antibiotic resistance pattern of S. aureus hospital isolates in Bangladesh, this study was undertaken. The strength and purpose of this study was to identify the health associated risks being faced in the present conditions of hospital. This study also focus on comparative antimicrobial resistance of community acquired and hospital acquired S. aureus isolates, which may help to create a baseline antibiotic resistance data and in formulating an effective infection control policy.
2. Methodology
2.1. Sample Collection
A total of 24 samples were collected from the Surgery Unit of Jessore-250 Bed General Hospital at Jessore district of Khulna, Bangladesh. It contains 2 (two) surgery rooms, each of which has 2 beds, several trolleys, 2 shelves and other instruments. Areas that were included in the study were as follows: Operating Bed surface, wall, floor, table for metal bowls, trolley for syringes and ampoules, sitting tool, metal table for keeping surgery instruments and wooden cabinet of documents. The first surgery unit room was selected as the other room was out of service at the time of the study. For community isolates, we collected Hand swab sample (n = 12) from the students of different departments except Department of Microbiology of Jessore University of Science and Technology. The volunteer students who take any medication and went to hospital within 15 days were excluded from the study. Tests and other microbiological procedures were performed at the Laboratory of the Department of Microbiology, Jessore University of Science & Technology. Samples were collected by rubbing saline soaked sterile cotton buds followed by two dry cotton bud rubbing on the designated surfaces. The swab collection was performed in an area of 25 sq. cm (5 × 5 cm) and from every site we collected triplicate sample. After collection, the swabs were streaked on 3 types of media: nutrient agar (NA), MacConkey agar and Mannitol Salt Agar and incubated for 24 hours at 37˚C. Distinct colonies from the selective media was subcultured into nonselective media and incubate as previously state condition. After overnight growth, colonies were stocked in glycerol broth for further analysis.
2.2. Biochemical Identification
Stocked isolates were revived in NA plates and used for biochemical tests.
Catalase test: Two drops of 3% Hydrogen Peroxide were placed on a sterile glass slide. Then a single colony from each of the revived culture of the samples was mixed in a drop with a sterile nichrome wire loop. Another drop was left intact for control. Formation of bubble in the hydrogen peroxide drop indicates the positive result. Results for catalase test were noted down for each of the isolate.
Coagulase test: The tests were carried out by using human plasma. The suspected isolates were picked and inoculated into a sterile test tube with 5 ml of Phosphate-Buffered Saline. The optical density (O.D.) of the bacterial suspension was measured by using spectrophotometer at 600 nm. After that, 150 µl of bacterial suspension and 350 µl of human blood plasma were pipetted into sterile test tube and mixed well. The test tubes were incubated at 37˚C for 4 hours and the clot formation was observed for every 30 minutes. For the negative samples, the test tubes were further incubated for 24 hours and observed for clot formation. For the positive results, the test tubes were re-incubated for overnight to observe the clot lyses.
2.3. Antibiogram
Antimicrobial susceptibility was determined by the disk diffusion method. Multiple colony from the pure culture of the isolate were picked by using sterile inoculating loop and inoculated into a sterile test tube with 5 ml of Phosphate-Buffered Saline. The O.D. of the suspension was measured by spectrophotometer and should not exceed 0.5 McFarland at 600 nm wavelength. Then, sterile cotton swabs were used to spread the growth evenly on the surface of Mueller-Hilton (MH) agar. Six different types of antibiotic disks were placed on the surface of the inoculated MH agar plates. The MH agar plates were incubated for 18 to 24 hours at 37˚C. The diameter of inhibition zone was measured and antibiogram was determined according to the Clinical and Laboratory Standard Institute (CLSI) guideline (Table 1).
3. Result
The areas in the surgery room that are most prone to come under human contact were targeted as these areas are most probable to find S. aureus. After isolation and biochemical tests, 125 isolates from the hospital and 45 isolates from the hand swab were identified as S. aureus. Antibiogram was performed by Kirby-Bauer's Disc Diffusion Method using 6 antibiotics: Vancomycin, Ampicillin, Ciprofloxacin, Erythromycin, Streptomycin and Tetracycline. Among the hospital isolates highest percentage of resistance showed against erythromycin (88.89%) and lowest against streptomycin (11.11%) (Figure 1). Vancomycin shows 11.11% intermediate resistant pattern where 88.89% isolates was sensitive against it. The other four antibiotic shows different sensitivity pattern, after erythromycin ampicillin is the second highest (83.33%) followed by ciprofloxacin and tetracycline which account 33.33% each (Figure 1). In case of hand swab isolates, all 45 isolates showed different types of antibiogram pattern. Among the six antibiotics these isolates shows resistance against two antibiotics. Highest percentage of resistance (60%) was showed against ampicillin followed by vancomycin which show 20% resistance (Figure 2). Four antibiotics (ciprofloxacin, erythromycin, streptomycin and tetracycline) showed 100% sensitivity in case of community acquired (hand swab) isolates.
In our study, we also observed that ampicillin was the only antibiotic which show resistance in both types of isolates. It should be noted that, vancomycin and streptomycin are more effective and erythromycin shows less
Table 1. CLSI standards of antibiotics inhibition zone diameter measurement.
Figure 1. Antibiotic sensitivity pattern of hospital surgery unit isolates.
Figure 2. Antibiotic sensitivity pattern of community acquired (hand swab samples from volunteers) isolates.
effectiveness against hospital acquired isolates. Unlike hospital isolates, community isolates were more sensitive against four antibiotic and were less sensitive against ampicillin and vancomycin (Figure 3). The two types of isolates show completely opposite antibiotic sensitivity pattern where hospital isolates were more resistant and community isolates were more sensitive, which can be a significant finding in our experiments. In our study we also try to determine the distribution pattern of resistant bacteria in the hospital environment. Samples collected from every site showed multi-drug resistant strains of S. aureus. Almost all the isolates were resistant against more than one type of antibiotics (Table 2). Highest number of isolates showing resistance against these antibiotics was from the tool used for sitting. Same types of resistant bacteria obtained from cabinet for keeping documents and table for metal bowls, being resistant against 4 types of antibiotics and showing intermediate resistance against one.
4. Discussion
S. aureus is associated with a wide spectrum of infections ranging from mild skin and soft tissue infections to life threatening sepsis. The present study was conducted to know the common antibiotic resistance patterns in
Figure 3. Comparative antibiotic resistance pattern of hospital acquired and community acquired isolates of S. aureus.
Table 2. Distribution pattern of antibiotic resistant bacteria in the hospital. Here, A = Operating bed, B = Wall, C = Floor, D = Table for metal bowls, E = Trolley for syringes and ampoules, F = Sitting tool, G = Metal table for keeping surgery instruments, H= Wooden cabinet for documents storage and I = Intermediate resistant. In case of antibiotic, V = Vancomycin, A = Ampicillin, C = Ciprofloxacin, E = Erythromycin, S = Streptomycin and T = Tetracycline. Yes denotes presence and No denotes absence of resistant bacteria.
clinical isolates of S. aureus at the surgery unit of 250 Bed General Hospital, Jessore, Khulna, Bangladesh. This study was performed with a view to identifying the microorganisms that might carry the risk of infecting the patients being operated in the surgery units. Opportunistic pathogens generally do not pose any health risks, but during these operations the immune system of the patient's body remains in a suppressed state by the condition of the body and the application of various immune-suppressive drugs. For this reason, during this time the opportunistic pathogens residing in the patient's body, as well as microorganisms from the environment finds the chance to enter the patient's body and cause disease.
S. aureus remains the most prominent aetiology of pyogenic infections [10] . The antibiotics used in this study were vancomycin, ampicillin, ciprofloxacin, erythromycin, streptomycin and tetracycline. Except vancomycin, higher rate of resistance for all other antibiotics was shown in the surgery unit isolates. For vancomycin, the hospital isolates were intermediately resistant with a rate of 11.11%. Highest rate of resistance was in case of erythromycin, which is 88.89%. Whereas in the case of isolates from the skin of volunteers, the highest rate of resistance was shown against ampicillin, which is 60%. Resistance against ampicillin in hospital isolates was also pretty high, 83.33%. It is clearly noticeable here that, the hospital surgery unit isolates were more resistant than the volunteers skin isolates.
Many factors may have contributed to such level of resistance, including inappropriate use of antibiotics by health professionals, unskilled practitioners and over the counter availability of antibiotics etc. In Bangladesh, it is a common practice that antibiotics can be purchased without prescription, which leads to misuse of antibiotics by the public, thus contributing to the emergence and spread of antimicrobial resistance in community also. Other causal factors could be poor hospital hygienic conditions, accounting for the spread of resistant bacteria and inadequate surveillance, i.e. lack of information from routine antimicrobial susceptibility testing of bacterial isolates and surveillance testing of bacterial isolates and surveillance of antibiotic resistance, all of which are crucial for good clinical practice and for rational policies against antibiotic resistance. In this study, vancomycin shows intermediate resistance (11.11%) in case of the hospital isolates, conversely skin sample isolates show 20% resistance. Vancomycin retains an almost similar pattern of sensitivity for both hospital samples and skin samples in this study. Among six antibiotics vancomycin can be an ideal choice for the treatment of hospital acquired S. aureus infection as it shows more sensitivity pattern. Erythromycin was the least successful antibiotic against the hospital isolates in this study. A similar result was found for erythromycin in case of surgical site infection isolates by other researcher [11] .
Samples for the hospital isolates were collected from various places of the hospital surgery room. The places included operating bed, wall, floor, wooden table in which metal boxes and bowls are kept, smaller trolley in which ampoules and other materials are kept, tools which are used for sitting, metal cabinet for keeping various operating apparatus and a wooden table in which various documents were kept. The places were selected with a view to identifying the places in which human interactions happen routinely, so that they have a higher probability of hosting microorganisms. The distribution pattern clearly demonstrate that everywhere of the operating room is occupied by multiple drug resistant isolates of S. aureus.
The prevalence of multidrug resistant S. aureus in the surgery unit of 250 Bed General Hospital, Jessore seemed to be high in this study. These results suggest that the resistance capacity of microorganisms against antibiotics is increasing day by day. Their emergence, antibiotic sensitivity pattern and other characteristics demand future endeavors in this field. The study covered resistance pattern only against six types of antibiotics, moreover, our prime concern was S. aureus. It can be clearly anticipated that other species of hospital acquired pathogenic/opportunistic microorganisms with the same or more severe resistance pattern like S. aureus have already emerged. They pose a large risk to the health care sector and relevant areas of Bangladesh. In our study we don't determine the Methicillin-resistant pattern of both isolates which is well-known worldwide as causing hospitalizations and deaths. It is suggested that future studies should include a broader range of antibiotics and a larger number of microbial spp. all over the country, so that we can get a clear idea about the distribution pattern of antibiotic resistant bacteria.
The author's are grateful to the director of Jessore-250 Bed General Hospital of Jessore, Khulna, Bangladesh for his cooperation during sample collection. We are also thankful to the students from whom we collected our community samples.
Cite this paper
Pravas ChandraRoy,Md.Shaheduzzaman,NigarinSultana,Iqbal KabirJahid, (2015) Comparative Antibiotic Sensitivity Pattern of Hospital and Community Acquired Staphylococcus aureus Isolates of Jessore, Bangladesh. Journal of Biosciences and Medicines,03,17-23. doi: 10.4236/jbm.2015.310003
- 1. Kluytmans, J., Van Belkum, A. and Verbrugh, H. (1997) Nasal Carriage of Staphylococcus aureus: Epidemiology, Underlying Mechanisms, and Associated Risks. Clinical Microbiology Reviews, 10, 505-520.
- 2. Lowy, F.D. (1998) Staphylococcus aureus Infections. New England Journal of Medicine, 339, 520-532. http://dx.doi.org/10.1056/NEJM199808203390806
- 3. Cohen, M.L. (1992) Epidemiology of Drug Resistance: Implications for a Post-Antimicrobial Era. Science, 257, 1050- 1055. http://dx.doi.org/10.1126/science.257.5073.1050
- 4. Tomasz, A. (1994) Multiple-Antibiotic-Resistant Pathogenic Bacteria—A Report on the Rockefeller University Workshop. New England Journal of Medicine, 330, 1247-1251.
http://dx.doi.org/10.1056/NEJM199404283301725 - 5. Swartz, M.N. (1997) Use of Antimicrobial Agents and Drug Resistance. The New England Journal of Medicine, 337, 491-492. http://dx.doi.org/10.1056/NEJM199708143370709
- 6. De Lencastre, H., Oliveira, D. and Tomasz, A. (2007) Antibiotic Resistant Staphylococcus aureus: A Paradigm of Adaptive Power. Current Opinion in Microbiology, 10, 428-435.
http://dx.doi.org/10.1016/j.mib.2007.08.003 - 7. Livermore, D.M. (2000) Antibiotic Resistance in Staphylococci. International Journal of Antimicrobial Agents, 16, 3- 10. http://dx.doi.org/10.1016/S0924-8579(00)00299-5
- 8. Naimi, T.S., LeDell, K.H., Como-Sabetti, K., Borchardt, S.M., Boxrud, D.J., et al. (2003) Comparison of Community- and Health Care-Associated Methicillin-Resistant Staphylococcus aureus Infection. JAMA, 290, 2976-2984. http://dx.doi.org/10.1001/jama.290.22.2976
- 9. Kluytmans-VandenBergh, M. and Kluytmans, J. (2006) Community-Acquired Methicillin-Resistant Staphylococcus aureus: Current Perspectives. Clinical Microbiology and Infection, 12, 9-15.
http://dx.doi.org/10.1111/j.1469-0691.2006.01341.x - 10. Adegoke, A.A. and Komolafe, A.O. (2009) Multi-Drug Resistant Staphylococcus aureus in Clinical Cases in Ile-Ife, Southwest Nigeria. International Journal of Medicine and Medical Sciences, 1, 068-072.
- 11. Zoumalan, R.A. and Rosenberg, D.B. (2008) Methicillin-Resistant Staphylococcus aureus-Positive Surgical Site Infections in Face-Lift Surgery. Archives of Facial Plastic Surgery, 10, 116-123.
*Corresponding author.


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- This event has passed.
Youth Summer Camp
Event Navigation
Departure: Sunday, July 23, at 10:30 a.m. at RBC.
Return: Saturday, July 29, around 5:30 p.m. at RBC
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Construction is one of the most important sectors in our country. If we didn't have the finance capital of the world, it would probably be the biggest. Which is why the government needs to make sure that construction industry is well supported.
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See also: Firewalls
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Marrakech Retreat
Awaken Your Inner Power
March 17th - 22nd 2024
Take time to re-connect with yourself, to what lights you up, and learn to work with your body, mind, and spirit to create a life you love. Over the course of 5-days we will help you take the time to connect to your inner strengths and what is holding you back from enjoying and creating the life you most want to live.
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Accommodation (March 17th-22nd)
Transfer from Marrakech airport to villa (return)
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Celebratory dinner
45 min massage
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What's not included:
Other trips (to the Medina, Marrakech centre...)
Other treatments (additional massage, scrub...)
£1,397 shared occupancy - £1,097 if booked before June 30th
£1,997 single occupancy - £1,397 if booked before June 30th
£397 - bring a friend
Meet the Team
Patricia Leggatt
Patricia has run successful retreats all over the world. She is a highly qualified Yoga teacher, Yoga therapist, and Yoga Nidra Instructor. Her classes include mindful vinyasa flow, Iyengar inspired asanas, Yin Yoga and Yoga Nidra.
Lucia Paredes
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Fleur Prime
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"There are only two days in the year that nothing can be done.
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Hear from our guests
Having never been on a retreat before, I really didn't know what to expect but whatever my assumptions or hopes for what I would get out of it were, it surpassed them all. Every workout, workshop and activity was perfectly planned by Lucia, Fleur and Trish to take you on your wellness journey and give you the tools you need to continue that journey once you leave.
The villa was idyllic, the food incredible and the people were extraordinarily welcoming. I'd do this all again in a heartbeat. (Ailsa Scott)
Being my first retreat, I can't draw comparisons but I couldn't think of a better way to deliver it. 10/10!
Loved everything. thank you for an amazing week.
(Beatriz Ward)


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from ... Brandon Tipene
from ... Brandon Tipene
Tuesday 01 February. Brandon's dad Troy writes on his behalf. Photos courtesy of Guy Maxwell.
This is probably the biggest motorcross event in New Zealand and Brandon was amped to debut on the RM and KX for this event.
Weather was not looking good for the weekend so chances were it was going to be a mud fest. Brandon is competing in his age group which is 12-14yr 125cc so was the favourite as most of the time he competes in the older classes at club races.
Race 1
: Got a decent jump off the gate and went around in 3rd.
Followed for the first lap and looked comfortable. His biggest threat for this class is Cameron Vaughan and both went at it for at least 4-5 laps. With a couple of laps to run Brandon made an aggressive pass over the step-up and then managed to pull a gap from there. Race 1 under the belt.
Race 2:
Holeshot and controlled race from the front. Cameron got a bad start so by the time he got around the other riders Brandon could control the race.
Race 3:
Another Holeshot. Pulled a few seconds from Cameron in the first couple of laps but Cameron started to catch and put pressure on Brandon. Brandon knew all he had to do was settle for 2nd to get the overall so let Cameron through and just held 2nd comfortably.
Great RM125 holeshot for Brandon. Photo courtesy of Guy Maxwell.
Champions Race
: This race is a one off with the top 40 riders
picked. Unfortunately the gate wasn't full but still some good riders in it. Brandon decided to ride the Kawi for this race which probably wasnt the best idea and also I changed the suspension settings which was an even worse idea. Jumped off the gate but went all sideways. Later finding the Kawi power took him by surprise. Went around in about 7th. First lap was a horror as the bike just wasnt setup right. By the time got use to the handling started making some passes on Callum Moore and Logan Blackburn. Managed to pull up to 2nd by the 5th lap. By then Dion had disappeared so was happy enough just to settle for 2nd which is still an excellent result. Would have been nice to get some more ride time on the KX but next time.
Overall an excellent weekend for team Tipene and was great to debut with a win.
Brandon on the KX250F. Photo courtesy of Guy Maxwell.
Cheers to: MR Motorcycles, ELF Lubricants, Pirelli, Thor, Sidi, Scott Goggles, Demon Energy, Tsubaki Chains, Supersprox, Jet Pilot, Fliway, Hygiene Systems and Apex Group.
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Listen: School teacher Clare Dorey spoke with Ben McEachen about keeping a gratitude journal
By Ben McEachenMonday 18 Oct 2021Hope AfternoonsLifestyleReading Time: 1 minute
The past few years have been hard on everybody. Everywhere.
Living through a pandemic can derail the positivity of even the most optimistic optimist.
As restrictions ease, you still might be finding it hard to see the brighter sides of life, but Sydney school teacher Clare Dorey has a simple suggestion.
Clare started to do something this year that has changed her outlook.
Lockdown did not crush this daily practice. Instead, it helped her get through.
Clare spoke with Hope Afternoons about the power and significance of keeping a gratitude journal.
Listen to the full conversation with Sydney school teacher Clare Dorey in the player above.


text:
Ylang-Ylang is known to have a wonderfully balancing and stimulating effect on the skin. It is said to assist with correcting sebum production by controlling the secretion of sebum on the skin. Therefore, it's ideal for both oily and dry skin.
Cananga Odorata Flower Extract is a tonic that balances all skin types, most often recommended to correct dry skin. It moistens skin dried by the elements. It is softening and nourishing. Ylang Ylang helps revitalize the appearance of healthy skin.
Active ingredients (or INCI)
Cananga Odorata Flower Extract
See also
Ingredient products
Biologique Recherche
Biologique Recherche


text:
This notice was published more than one year ago. Some information may no longer be current.
For up-to-date information, please visit Lloydminster.ca/COVID-19.
Updated March 20, 2020 at 4:15 p.m.
Lloydminster, AB/SK – The City of Lloydminster has suspended public access to its recreation and culture facilities, and all municipal buildings to further the movement of social distancing as directed by provincial health officials. The temporary suspension of facilities is effective Monday, March 23, 2020, until further notice.
"Out of an abundance of caution, we're following our provincial, municipal colleagues and following further direction from provincial and federal health professionals," said Mayor Gerald Aalbers. "Given the unprecedented nature of recent events, we ask for your patience as we work together and persevere through these trying times."
The temporary closure includes the following buildings:
- Archie Miller Arena
- Bioclean Aquatic Centre
- City Hall
- Centennial Civic Centre
- Lloydminster Cultural & Science Centre
- Lloydminster Golf & Curling Centre
- Lloydminster Operations Centre
- Lloydminster Public Library
- PSM Park Centre
- Russ Robertson Arena
- Servus Sports Centre
The following facilities will remain open to the public:
- Alta-Sask Wellness, located in Servus Sports Centre (5202 12 Street)
How to make payments
Online | |
Through the City's online payment tool: lloydminster.ca/vch | |
Through your financial institution's online banking system | |
24-hour mailbox drop-off | |
Located at the west entrance of City Hall (4420 50 Avenue) | |
Telephone | |
Payment can be made by Visa or MasterCard at 780-875-6184 | |
Address payments to: |
Pre-authorized debit agreement | |
Complete a pre-authorized debit agreement form, include a void cheque and mail it to City Hall |
How to access the Lloydminster RCMP Detachment services
- Call 780-808-8400 to speak directly with an RCMP employee. If your request requires personal contact with an officer, an employee will meet with you.
- You may be asked to wear a mask while in the detachment.
- If you need officer assistance, and believe you may be ill, please let the officer know.
- Fingerprinting for criminal record checks will only be done in exceptional circumstances. Non-urgent fingerprinting and criminal record checks are unavailable at this time.
- The Operational Communications Centres are open and fully functioning for emergency calls.
- Please only dial 911 in an emergency.
The City will provide regular updates at lloydminster.ca/covid-19. Residents are encouraged to visit the resources below should they require additional information.
Alberta Health Services (AHS) COVID-19 information
Saskatchewan Health Authority (SHA) COVID-19 information
Centers for Disease Control and Prevention
Word Health Organization (WHO)
City of Lloydminster


text: Skinless potatoes fry in just 25 seconds whereas those with skin need 50 seconds – these are the new potato slices that do not absorb oil! The Distretto tecnologico agroalimentare della Regione Puglia (DARe) of the Puglia region combined the needs of private companies with the findings of researchers to create this new product. Potatoes will be processed by Farris, part of the Giardinetto cooperative. President Giorgio Mercuri told FreshPlaza that "we are among the co-founders of DARe Puglia, so we can use its innovations to meet customer demands. The development of these healthy chips lasted two years and ended two weeks ago with the industry tests." Thanks to a patented process, potatoes (healthy and with no bacterial load) are dehydrated and sliced. No salt is added and they can be fried is just a few seconds. "This means they are indeed fried but they remain dry, as they do not absorb oil. Customers can add salt as they please, we do not add anything." They can be stored in a closed bag up to 24 months and will be available in spring 2016. (Source: Freshplaza)