Boko Haram Is The Elusive Master Mind Behind The Islamic...

The group, Boko Haram, was created 14 years ago by Mohammed Yusuf (1970-2009) to create and pure Islamic state in Nigeria. With the development in technology over the last ten years the internet has become a freeway of information. This has created the perfect opportunity for terrorist groups to blossom and spread their messages to lands far away from their previous reach. Mohammed Yusuf Ideals were focused on making Nigeria a â€Å"pure Islamic State†. In 2009 police found and killed him which with media access in the 21st century was filmed and posted online causing an uproar within the group causing escalated attacks and bombing in Nigeria causing the start of what is known as the rensurgence that started in 2011. The main targets for these†¦show more content†¦The fact the Nigeria’s poverty has always been an issue has not helped with stopping the terrorist organization. The National Bureau of Statistics has said that â€Å"60.9% of Nigerians in 2010 were living in absolute poverty- this figure had risen from 54.7% in 2004.† The worst of the poverty is in Northern Nigeria where the Boko Haram has taking large amounts of land over. In 2003, shortly after the first formation of the Boko Haram, Nigeria’s second-term president, Olusegun Obasanjo was declared winner of the election amid claims of fraud and intimidati on during the election which further divided the country. Since then there has been multiple presidents one of which goes by the name, Muhammadu Buhari, who in 2015 accused his security advisor of stealing nearly 2 billion that was suppose to go to the militaries effort to fight the Boko Haram. This weakness within the government over the past fourteen hasn’t helped decrease the Boko Harams death tolls or violence in Nigeria. In 2009, attacks escalated and the Boko Haram became its most powerful self, the group launched itself forward into terrorism with attack such as: â€Å"dozens of massacres of civilians and the abduction of more than 500 women and girls in its five-year insurgency in Nigeria. When a suicide bomber dressed as a student infiltrated a high school in northern Nigeria on Monday and detonated explosives in a backpack,

Parkinson s Disease ( Pd ) - 822 Words

Parkinson’s disease (PD) is a neurodegenerative disorder characterized by aberrant ÃŽ ±-synuclein aggregates within neurons causing damage or neuronal death in different regions of the brain with most disease development occurring in the substantia nigra (NIH.PARK). ÃŽ ±-synuclein positive Lewy bodies are another hallmark of PD development (NIH.PARK). Damage or death of neurons leads to a decrease in dopamine production which is required for smooth control of muscle movement (NIH.PARK2, NIH.PARK). Clinically presenting symptoms manifest over time and are characterized by muscle rigidity, tremors and delayed movement however, cognitive changes have also been observed (NIH.PARK2, NIH.PARK). Almost all cases of PD develop sporadically with a small†¦show more content†¦Brain tissue analysis from human subjects displayed that all brains contained phosphorylated ÃŽ ±-synuclein (monomers and oligomers) with obvious glial cytoplasmic inclusions in MSA subjects and neuron base d inclusions for iLBD subjects like PD or Lewy body dementia (Bernis et al, 2015). Further examination of the phosphorylated ÃŽ ±-synuclein species from the affected patients displayed detergent insolubility compared to normal controls (Bernis et al, 2015). No outward phenotypic expression of either MSA or iLBD were visible in the mice for the nine-month period post injection (Bernis et al, 2015). In the transgenic overexpression of human ÃŽ ±-synuclein mouse group phosphorylated ÃŽ ±-synuclein inclusion bodies were first observed within neurons at the six-month period following injection of cortical homogenates from both MSA and iLBD groups (Bernis et al, 2015). Inclusion bodies were observed primarily on the brain hemisphere associated with the injection site with a small amount of aggregation occurring on the opposite hemisphere (Bernis et al, 2015). Affected regions of the brain expanded to include the rostral and caudal regions of the brain and equal distribution in both brain hemispheres at the nine-month period (Bernis et al, 2015). Aggregates of phosphorylated ÃŽ ±-synuclein were primarily housed within the soma of neurons however, a few aggregates were found in glial cells (astrocytes and microglia) (Bernis et al, 2015). Additional staining ofShow MoreRelatedParkinson s Disease ( Pd )1361 Words   |  6 PagesParkinson’s disease (PD) is a neurodegenerative disease which is progressive, incurable and debilitating. The disease is caused by a loss of dopamine producing neurons in the brainstem which leads primarily to motor deficits. In Australia, 1 in 350 people live with PD and the prevalence is quickly growing (Parkinson s Queensland, 2014). While most of the people diagnosed with PD are over 65 years old, people as young as 30 can develop the condition (Parkinson s Queensland, 2014). Currently, thereRead MoreThe Parkinson s Disease ( Pd )1058 Words   |  5 PagesIntroduction The Parkinson s disease (PD) is the second most common neurodegenerative disorder after Alzheimer s disease (Lang and Lozano, 1998). It affects about 1% of the population with different ethnic backgrounds throughout the world over the age of 65 (Tanner and Goldman, 1996). The aetiology of Parkinson s disease is not well understood; however, genetic and environmental factors are thought to play a role (Checkoway and Nelson, 1999). Pathologically, PD is characterised by mitochondrialRead MoreAnalysis Of Parkinson s Disease ( Pd )725 Words   |  3 Pages Introduction Parkinson s disease (PD) is the second world s major neurological disease (Laut Breteler, 2006) affecting 6 million people globally (Schapira, 1999). PD is a progressive and long term disorder of the central nervous system (CNS) activity with the following traits including bradykinesia, rigorousness, involuntary muscular contraction and unstable postural alignment (O Sullivan Schmitz, 2007). Basal ganglia are located in the CNS have large nerve fibers and neurotransmittersRead MoreParkinson s Disease ( Pd )1326 Words   |  6 Pages Parkinson’s disease (PD) is one of the most frequent neurodegenerative diseases, falling second to Alzheimer’s disease. It is stated that there are roughly 5 million individuals worldwide and 1 million individuals in the U.S. that suffer from PD. PD arises from the lack of dopamine in the brain along with the degradation of dopaminergic neurons, particularly in the substantia nigra pars compacta.1 The degradation of the dopamine n eurons increases the number of free radicals in the substantia nigraRead MoreParkinson s Disease ( Pd )951 Words   |  4 PagesParkinson’s disease (PD) is a neurodegenerative debilitating movement disease which gets worse over time (Medscape, 2015). After much research and study no known cause has yet been determined and experts have hypothesized that it is a mix of inherited and environmental factors (Medscape, 2015). However, regardless of the unspecific cause, it is characterized by a significant loss in dopamine transportation to the basal ganglia which manifests itself in the three following physiologic signs: restingRead MoreAnalysis Of Parkinson s Disease ( Pd )1890 Words   |  8 Pagesthe salient characteristics associated with Parkinson’s disease (PD) are most commonly linked to motor deficits, including tremor and rigidity, a majority of individuals with PD also experience a variety of sensorimotor speech deficits. While listeners often describe the spee ch of individuals with PD as unnatural or unintelligible, reflecting many of the phonatory, articulatory, and prosodic deficits linked to the disorder, individuals with PD tend to minimize or even deny their speech differencesRead MoreEarly Parkinson s Disease ( Pd ) Through The Characteristics Of Finger Movement During Typing Essay5181 Words   |  21 Pagesresearch into detecting early Parkinson’s Disease (PD) through the characteristics of finger movement during typing. It begins with a discussion of PD and its symptoms, and then provides an overview of the current and emerging diagnostic strategies for early detection of the disease, with particular emphasis on those involving human-computer interaction (HCI) and the relationship with keystroke biometrics. The scope of the review is to focus on the motor symptoms of PD, rather than the causes, pathogenesisRead MoreParkinsonS Disease, Also Known As Pd, Shaking Palsy, And1530 Words   |  7 Pages Parkinson s disease, als o known as PD, shaking palsy, and paralysis agitans is an idiopathic neurodegenerative disorder; it rises from an unknown cause and increases in severity over time (Ronken). The disease was named after English physician James Parkinson, who first described it in 1817 (Weiner). PD can be defined as the degeneration of neurons in the substantia nigra, which is the area of the brain that contains dopamine cells and regulates movement. As the degeneration of neurons occurs,Read MoreIs Parkinson Disease A Disease?1290 Words   |  6 Pages Parkinson Disease Danielle West University Of Arkansas Fort Smith Medical Terminology Fall of 2015 Introduction Parkinson is a disease that is a glitch in the neurons in the brain, which frequently affects the substantia nigra. Part of the dying neurons produces a chemical called dopamine. As this progresses, the dopamine in the brain decreases. Dopamine is a chemical in the brain which helps the body regulate coordination and movement in the body. Once Parkinson Disease (PD)Read MoreActive Music Therapy For Parkinson s Disease : An Integrative Method For Motor And Emotional Rehabilitation971 Words   |  4 PagesIn the article â€Å"Active Music Therapy in Parkinson’s Disease: An Integrative Method for Motor and Emotional Rehabilitation† by Claudio Pacchetti, MD, Francesca Manni, MD, Roberto Aglieri, Cira Fundaro, MD, Emilia Martignoni, MD, and Giuseppe Nappi, MD published in Psychosomatic Medicine (2000) states that active music therapy is an effective method of rehabilitation for Parkinson’s Disease. As of now Parkinson’s disease (PD) has no effective cure, so all that can be done for those that are affected

Infection Control and Prevention Measures for Risk Assessment

Question: Discuss about theInfection Control and Prevention Measures for Risk Assessment. Answer: Risk Assessment Template Hazard Who is at risk Existing control measures Risk Rating Proposed control measures Blood and body Spillage Medics and patients Removal of spills of blood or body fluid and then cleaning with disinfection. Moderate Use of appropriate disinfectant during cleaning. Using Sharp hand tools Medics and patients Application of PPE High Educate medics on the proper use of sharp hand tools. Hospital design All staff, medics and visitors Use of single accommodation for patients with airborne disease. High Ventilation that is clean and well designed. Bulahdelah Hospital The risk assessment is at Bulahdelah Hospital. The purpose of the hospital like any other is to provide health services for the sick and occasionally act as an educational center for health science students during clinical placement. It is comprised of medical practitioners, that is, doctors, nurses, dentist and pharmacist among others. Also, there premise houses patients under admission programme and outpatients who come during the day. There are also other professional staffs that are not necessarily medics but work in corroboration with healthcare professionals to facilitate delivery of services. The hospital contains various facilities which include but are not limited to a laboratory, ward that houses patients, an examination room which is involved analyzing patients and the reception where people report their concerns. Some of the equipment that is housed in the hospital includes syringes, drugs, and other medical equipment. The purpose of the clinical placement is to not only learn, specifically, acquiring practical skills, but also monitor how the hospital manages disease infection. By so doing, it will be easier for one to make suggestions, on the best control and prevention measures appropriate for the hospital to avoid infection. The design, activities and tools are essential to monitor as far this assessment is concerned. The Hazard There are many ways that the above hazard can be effectively managed in the hospital. The best control and prevention measures that the hospital need to put in place are; Educating medics on the best procedures and practices on handling sharp hand tools to avoid mistakes or errors that could lead to injuries.In addition to that, there ought to be training in relation to how to manage these objects and use of personal protective equipment (Dancer, 2014). Lastly, the education must involve risks of transmission of the pathogens associated with using sharp objects. On the other hand, there is the hospital design that has the potential to cause transmission of airborne diseases, such as tuberculosis. This ought to be well maintained in the sense that change rate is well achieved and sustained. The reason is that poorly maintained ventilation has the potential to act as a source of airborne infection. Lastly, blood and body spillage are other hazards in hospital. The best method of cleaning is to choose an appropriate disinfectant for cleaning. The impacts of the hazard are numerous. These include but are not limited to; Blood and body spillage have the potential to cause injuries or spread diseases of a patient. On the other hand, hospital design may lead to the spread of airborne diseases such as tuberculosis from one patient to another, or from patients to staff. Lastly, sharp tools may damage the eye or cause cuts which act as an entry point of pathogens and viruses. In Bulahdelah Hospital, there are various ways that the three hazards are controlled. Specifically, The hospital has set out a single isolation room to cater for patients with airborne diseases. Another control and prevention measure is that the hospital has laid out a clear procedure to be followed by nurses in cleaning and applying disinfectants on spots where blood and spillage have occurred. Lastly, there is the PPE that medics follow in handling sharp hand tools and objects. In implementing control and prevention measures in the hospital, there is a committee of safety that lay out procedures for medics to follow during the implementation of the control and prevention measures. Analysis of Research Clean and well-designed Ventilation Proper ventilation is an important way of preventing the spread of airborne diseases in the hospital. Research indicates that single room accommodation that the hospital use cannot contain is not effective in the prevention of airborne diseases for some reasons. Firstly, this measure is often compromised by lack of proper of hygiene (Damuth et al., 2015). In addition to that, the staff tends to fix the room where the isolated patient is located with the door wide open so that she or he can be in a position to monitor the patient at all times. In addition to that, statistics show that not all hospital can provide patients suffering from those diseases with single room accommodation (Chartier, 2014). However, in hospital, the major reason for ventilation is to offer healthy air for breathing by diluting the contaminated air that is originating from the room, thus, supplying a clean and fresh air from outside the room. Therefore, to monitor airborne diseases, research conducted in 2014, suggest that there is need to consider the quality and amount of air that comes from outside, that is, the ventilation rate (Mehta et al., 2014). In addition to that, there is need to determine the airflow direction and the ideal being that, that which flow from clean zones to the dirty zones. Lastly, the study recommends that distribution of air is important in that, it must be to each part and corner of the room or ward that houses the patients (Klompas et al., 2014). This, according to the study, will make it possible to remove contaminated air but at the same time bring in clean air. This study thus, speaks of the two common ways of containing the spread of the pathogens, which are, dilution of the pathogens and the second one is controlling the distribution or movement of them from one point to another. In demonstrating the effect of ventilation in containing or preventing the pathogens causing airborne diseases, scientists have come up with Wells-Riley equation that expresses the influence that ventilation plays in control and prevention measures (Ugurlu et al., 2014). However, the equation has generated so much debate principally because it needs quanta data for its input. On the other hand, studies reveal that ventilation is not only important in patients wards or rooms, but also in communal areas, that is, is in lifts, corridors or waiting areas among others. However, even though ventilation is effective is allowing clean air circulation, there are measures that must be put in place to avoid the same ventilation from infecting the people concerned. Firstly, according to studies by Phukan (2014), it indicates that well-functioning ventilation is capable of providing such protection must be one that is well maintained so that air change rate must be well maintained to achieve the required air change. It is possible by ensuring that, there are no clogged filters or contaminated filters that have the potential to lead to a buildup of pathogens that the ventilation aims to remove or prevent from spreading (Loveday, 2014). Thus, although studies reveal that ventilation is important for this task, poorly maintained ventilation could act as a source of transmission but not as a defense. On the other hand, research indicates that personal ventilation pillow is an effective method that can be used in a hospital to prevent transmission of airborne diseases from patient to patient. It is so especially in a mixed ventilated room where there are many patients in the same room (Knape, 2015). According to the study, its effectiveness is at 98 percent and prevents infection at mouth level either when patients are lying on their back or sideways. However, the study documents that this is only possible in a single ventilated room but cannot be applicable in a mixed ventilated room. The best method in such cases, according to the study, is to provide personal ventilated pillow to only the person with the infectious disease. The same study documents that the method is also effective, though at 91 percent to reduce the possibility of airborne disease transmission at the receiver patient during continuous movements of patients in hospital (Hobday, Dancer, 2013). Therefore, these are enough reasons that the hospital needs to apply this method for control and prevention of airborne diseases. Educating Medics There are many reasons that one can advocate for educating medics on hand tools. In hospitals, there are many incidences of disease transmission from sharp hand tools that medics use. Ina research conducted in 2011, there were indications that most professionals either ignore or do not follow the guidelines completely laid out in the procedural manure on the effective use and handling of sharp hand objects (Beggs et al., 2015). Firstly, studies indicate that of all workers that experienced injuries, about sixteen percent represent those who did not put on gloves when the incident was taking place (Cao et al., 2014). On the other hand, fifty-five of the cases involved malpractices when using the equipment. Another study stipulates that about twenty-four percent represents injuries as a result of needle recapping while sixteen percent was a result of the careless disposal of sharp objects ( Zingg et al., 2015). Thus, the study reveals that even though there is a general assumption that medics are well knowledgeable in matters of handling hand tools in healthcare, studies reveal otherwise, in that, practitioners have shallow knowledge which is contributing to hand held tools injuries in health care settings. Whatever control measures that one settle on, it is important that staffs are knowledgeable on how to use it. Frameworks of work might be required for cleaning and support of hardware when this outcome in contact with sharp material. There is a stamped underreporting of needle stick episodes procured by therapeutic services for specialists in Saudi Arabia like numerous different nations. The study demonstrates that the greater part of dentists encountering sharp hand tolls injuries did not report to the proper office. Further, the study demonstrates that under-detailing rate after needle stick damage was 67.4% and that the significant purposes behind underreporting after needle injury were the supposition that no blood-borne pathogens existed in the source tolerant (62.8%), inconvenience (17.9%), and no learning about the announcing methodology (6.0%). In a past report from China, it is accounted for that a noteworthy reduction in needle injuries happened after the arrangement of ins tructive intercession (P 0.005) (Elseviers et al., 2014).The training was given the through two days workshop on a needle and other sharp objects injuries among medics and undergraduate nursing students and the information gathered through a poll. These discoveries are in congruity with the discoveries of this examination. Essentially, research conducted in the Netherlands utilized a three-equipped grouped randomized controlled trial to diminish needle-stick wounds; two intercession clinics and a control health care center (Hajiyev, 2014). The two intercessions were a conventional workshop, and utilizing needle security gadget with a customary workshop, these reduced the notion of sharp objects altogether among attendants, in spite of the fact that consolidating the two mediations gave better outcomes (P = 0.046). Another investigation was directed in Switzerland in which a training program was sorted out through four customary workshops to actualize the mediation (Graban, 2016). The sharp objects injuries diminished from 13% to 11.2%, which is additionally reliable. Another investigation was led in China to affirm the impact of training medics on how to use sharp objects in the hospital and other healthcare settings and the injuries associated with the same. A study on occupational health found out that nurses experience stress on working with sharp objects and it is through education and awareness that can alleviate this problem from affecting their daily activities (Anderson et al., 2013). The study reveals that occupational safety awareness and safety behaviors significantly reduced incidences of injuries both among patients and nurses. Thus, the study recommends that both novice and experienced nurses must undergo continuance training to enhance not only their competence but also to be able to deal with stress while working with sharp objects (Hoffmann, Buchholz, Schnitzler, 2013). The study, as it documents, suggest that nurses who undergo training have recorded a reduced level of injuries and stress when working with hand tools in hospitals. It is a control measure that the hospital must embrace. Use of Appropriate Disinfectant The utilization of sodium hypochlorite is not important for routinely overseeing spills, yet it might be utilized as a part of a disinfectant in such particular conditions. There is a confirm supporting the utilization of sodium hypochlorite to inactivate different bloodborne and gastrointestinal infections (Rutala, Weber, 2014).The thought to utilize sodium hypochlorite ought to be founded medics appraisal and the effectiveness of the chemical on nature, the spill, danger of transmission of a malady, and the surface region and potential risks with utilizing the item. A study conducted by researchers in Saudia Arabia demonstrates that a disinfectant is required, especially amid the usage of transmission-based insurances, a TGA-enrolled clinic review disinfectant must be utilized. The disinfectant picked ought to have mark claims against the living being of concern (Memish et al., 2013). It goes on to suggest that, perfect disinfectant and the best trade-off ought to be picked as per the circumstance. Thus, a disinfectant arrangement is viewed as fitting at the point when the tradeoff between the antimicrobial movement and the lethality of the item is acceptable for the given application. Another thought may well be the cost. The more dynamic disinfectants are naturally, the more lethal ones; possibly harmful items can be connected to lifeless things or surfaces, while for the cleansing of human tissues just the less poisonous disinfectants can be considered ( Zingg et al., 2015). For antisepsis, distinctive disinfectants are utilized for application to the in-place skin and mucous layers or wounds. The cost is a less vital thought for a germ-free than for a disinfectant. The key prerequisites for a decent germicide are nonattendance of poisonous quality. Addi tionally, fast and satisfactory movement on both common greenery and, particularly, pathogenic microbes that are different from microorganisms after a short presentation time appears to be effective. Basic prerequisites for a disinfectant are fairly unique. Lastly, there must be satisfactory action against microscopic organisms, parasites, and infections that might be available in substantial numbers and secured by soil or natural matter (Beggs et al., 2015). Moreover, since disinfectants are connected in vast amounts, they ought to be of low ecotoxicity. By and large, utilization of the picked disinfectant, at the fitting fixation, in addition to that, for the suitable time, the chemical used should kill pathogenic microorganisms, rendering a protest alright for use in a patient, or human tissue free of pathogens to prevent and control transmission of pathogens. Summary In conclusion, I have learned that the hospital design, blood and body spillage and using sharp hand tools can be a potential source of transmitting diseases in hospitals. In addition to that, I have come the risk assessment has helped me get to know some of the control and prevention measures to solve the hazard and effectively handle them in a way that they cannot transmit diseases. In the control measures that I have proposed, studies or scientific literature demonstrate that they can be effective in controlling and containing the hazard from medics, students, other staffs and all those that are involved in the activities of the hospital. In particular, the risk assessment reveals that ventilation needs to be well implemented to avoid airborne disease transmission. On the other hand, not all disinfectants work well in removing blood and body spillage and medics needs to find effective disinfectants during cleaning and removal of body and blood spillage. Lastly, medics tend to face difficulties in handling sharp objects, research show of a high number of them causing injuries while others appear to have stress in using sharp objects. The risk assessment puts it clear that continuance education among medics can help solve this problem. References Anderson, J. E., Kodate, N., Walters, R., Dodds, A. (2013). Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporting.International journal for quality in health care,25(2), 141-150. Beggs, C., Knibbs, L. D., Johnson, G. R., Morawska, L. (2015). Environmental contamination and hospital?acquired infection: factors that are easily overlooked.Indoor air,25(5), 462-474. Cao, G., Awbi, H., Yao, R., Fan, Y., Sirn, K., Kosonen, R., Zhang, J. J. (2014). A review of the performance of different ventilation and airflow distribution systems in buildings.Building and Environment,73, 171-186. Chartier, Y. (Ed.). (2014).Safe management of wastes from health-care activities. World Health Organization. Damuth, E., Mitchell, J. A., Bartock, J. L., Roberts, B. W., Trzeciak, S. (2015). Long-term survival of critically ill patients treated with prolonged mechanical ventilation: a systematic review and meta-analysis.The Lancet Respiratory Medicine,3(7), 544-553. Dancer, S. J. (2014). Controlling hospital-acquired infection: focus on the role of the environment and new technologies for decontamination.Clinical microbiology reviews,27(4), 665-690. Elseviers, M. M., Arias?Guilln, M., Gorke, A., Arens, H. J. (2014). Sharps injuries amongst healthcare workers: review of incidence, transmissions and costs.Journal of renal care,40(3), 150-156. Graban, M. (2016).Lean hospitals: improving quality, patient safety, and employee engagement. CRC press. Hajiyev, E. (2014).Assessing the Relationship between Risk Management and Safety Climate in Healthcare Organizations(Master's thesis, Eastern Mediterranean University (EMU)-Do?u Akdeniz niversitesi (DA)). Hobday, R. A., Dancer, S. J. (2013). 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(2014). epic3: national evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England.Journal of Hospital Infection,86, S1-S70. Mehta, Y., Gupta, A., Todi, S., Myatra, S. N., Samaddar, D. P., Patil, V., ... Ramasubban, S. (2014). Guidelines for prevention of hospital acquired infections.Indian journal of critical care medicine: peer-reviewed, official publication of Indian Society of Critical Care Medicine,18(3), 149. Memish, Z. A., Assiri, A. M., Eldalatony, M. M., Hathout, H. M., Alzoman, H., Undaya, M. (2013). Risk analysis of needle stick and sharp object injuries among health care workers in a tertiary care hospital (Saudi Arabia).Journal of epidemiology and global health,3(3), 123-129. Phukan, P. U. R. A. B. I. (2014). Compliance to occupational safety measures among the paramedical workers in a tertiary hospital in Karnataka, South India.The international journal of occupational and environmental medicine,5(1 January), 339-40. Rutala, W. A., Weber, D. J. (2014). Selection of the ideal disinfectant.Infection Control Hospital Epidemiology,35(7), 855-865. Ugurlu, A. O., Sidhom, S. S., Khodabandeh, A., Ieong, M., Mohr, C., Lin, D. Y., ... Hill, N. S. (2014). Use and outcomes of noninvasive positive pressure ventilation in acute care hospitals in Massachusetts.CHEST Journal,145(5), 964-971. Zingg, W., Holmes, A., Dettenkofer, M., Goetting, T., Secci, F., Clack, L., ... Pittet, D. (2015). Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus.The Lancet Infectious Diseases,15(2), 212-224.