In a prospective cohort study, we compared a 2-swabs-per-nostril 5% iodophor regimen with a 1-swab-per-nostril 10% iodophor regimen on methicillin-resistant Staphylococcus aureus carriage in nursing-home residents. Compared with baseline, both single-swab and double-swab regimens resulted in an identical 40% reduction in nasal carriage and 60% reduction in any carriage, skin or nasal.

Nursing home residents are at risk for acquiring and transmitting MDROs. A serial point-prevalence study of 605 residents in 3 facilities using random sampling found MDRO colonization in 45% of residents: methicillin-resistant Staphylococcus aureus (MRSA, 26%); extended-spectrum β-lactamase–producing Enterobacteriaceae (ESBL, 17%); vancomycin-resistant Enterococcus spp. (VRE, 16%); carbapenem-resistant Enterobacteriaceae (CRE, 1%). MDRO colonization was associated with history of MDRO, care needs, incontinence, and catheters.

Infect Control Hosp Epidemiol 2016;1485–1488

Background: Suicide rates are higher in the over 65s than in younger adults and there is a strong link between deliberate self harm (DSH) and suicide in older people. The association between personality disorder (PD) and DSH in older adults remains uncertain. Our objective was to describe this association.

Methods: A case control study was conducted in which participants were: (i) those who had undertaken an act of DSH and (ii) a hospital-based control group drawn from a geographical contiguous population. PD was assessed using the Standardised Assessment of Personality (SAP)

Results: Seventy-seven cases of DSH were identified; 61 (79.2%) of these participants were interviewed. There were 171 potential controls identified of whom 140 (81.9%) were included. An SAP was completed in 45/61 (73.8%) of cases and 100/140 (71.4%) of controls. The mean age was 79.8 years (SD = 9, range 65–103). The crude odds ratio for the association between PD and DSH was 5.91 [(95% CI 2.3, 14.9) p<0.0001]. There was a strong interaction with age stratified at 80 years. There was no association between PD and DSH after age 80. The adjusted odds ratio for PD in the group <80 years was 20.5 [(95% CI 3, 141) p = 0.002]. Borderline and impulsive PD traits tended to be associated with an episode of DSH more than other personality types.

Conclusions: PD appears to be a strong and independent risk for an act of DSH in people aged between 65 and 80 years and should be looked for as part of any risk assessment in this population. Access to specialist services may be required to optimally manage this problem and reduce the subsequent risk of suicide.

Four weeks of fieldwork in the forests of Mindoro, Philippines, in 1991 has elucidated the status of the six bird species endemic to the island. Of these, Ducula mindorensis and Otus mindorensis are high-altitude species with restricted ranges and in need of active conservation in the medium term. Three of the four lowland species, Gallicolumba platenae, Centropus steerü and Penelopides mindorensis are under immediate threat of extinction through forest clearance and fragmentation, while the fourth, Dicaeum retrocinctum, s i not under immediate threat but is certainly at risk of extinction in the long term. Whilst deforestation is an enormous problem across the entire Philippines, Mindoro is the smallest centre of endemism with the least forest cover after the Sulu Islands. Extinctions are believed inevitable within the next 10 years unless concerted action is urgently taken. The Halcon range must receive attention in order to conserve the montane species, but more urgent by far is the preservation of lowland forest remnants, concentrating on central-west Mindoro.

Ornithological surveys were carried out in the remnant forests of the island of Negros, in the central Philippines, over five weeks in the summer of 1991. From this work it is concluded that, without the implementation of immediate conservation measures, the global extinction of four bird species is likely to occur in the near future. These are Negros Fruit-dove Ptilinopus arcanus, Negros Bleeding-heart Gallicolumba keayi, Writhed-billed Hornbill Aceros waldeni and White-throated Jungle-flycatcher Khinomyias albi-gularis. Another four species restricted to the lowlands of Negros and the adjacent island of Panay, Visayan Tarictic Hornbill Penelopides panini, White-winged Cuckoo-shrike Cora-cina ostenta, Flame-templed Babbler Stachyris speciosa and Visayan Flowerpecker Dicaeum (australe) haematostictum, must be considered under extreme threat, and the endemic Negros Striped-babbler Stachyris nigrorum is under considerable pressure. A further twelve species listed as globally threatened are also in serious danger of extinction on Negros. This paper details the results of fieldwork and presents our conclusions and suggestions for conservation, which must include the direct preservation of the last fragments of lowland forest on the island.

The Bengal Florican is a ‘Critically Endangered’ bustard (Otididae) restricted to India, Nepal and southern Indochina. Fewer than 500 birds are estimated to remain in the Indian subcontinent, whilst the Indochinese breeding population is primarily restricted to grasslands surrounding the Tonle Sap lake, Cambodia. We conducted the first comprehensive breeding season survey of Bengal Florican within the Tonle Sap region (19,500 km2). During 2005/06 and 2006/07 we systematically sampled 1-km squares for territorial males. Bengal Florican were detected within 90 1-km squares at a mean density of 0.34 males km−2 which, accounting for unequal survey effort across grassland blocks, provides a mean estimate of 0.2 males km−2. Based on 2005 habitat extent, the estimated Tonle Sap population is 416 adult males (333–502 ± 95% CI), more than half of them in Kompong Thom province. Tonle Sap grasslands are rapidly being lost due to intensification of rice cultivation and, based on satellite images, we document declines of 28% grassland cover within 10 grassland blocks between January 2005 and March 2007. Based on mean 2005 population densities the remaining grassland may support as few as 294 adult male florican, a decline of 30% since 2005. In response to these habitat declines almost 350 km2 of grassland have been designated as protected areas, set aside for biodiversity and local livelihoods. Conservation activities in these areas include participatory land-use zoning, patrols reporting new developments to government officials, awareness-raising and incentive-led nest protection schemes.

The results of a U.K. study of 145 cases of type 2 neurofibromatosis has shown generally very poor operative results in terms of hearing and facial nerve preservation. Only 9 out of 118 vestibular schwannoma (acoustic neuroma) operations resulted in any clinically detectable hearing preservation and only 32 left the patient with good or normal (House grade I or II) ipsilateral facial nerve function. Although operation is still the definitive treatment of vestibular schwannoma (acoustic neuroma) and may be a lifesaving procedure, it appears that the evidence in favour of early operation is only valid when carried out in highly specialized centres. The special problems of NF2 cases who may go on to develop multiple spinal and cranial tumours making them wheelchair bound and blind as well as deaf warrants a careful experienced approach. Timing of operations may be critical for the enhancement of useful years of quality life. We therefore propose the setting up of a national NF2 register, with the management of cases at a few supraregional centres.