Debate on health services in the European Economic Community: Why did Norway say no?
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The Listeria monocytogenes contamination of 3,065 pâté products sampled at the point of retail sale in England and Wales was examined. Ninety-seven percent of samples were free of contamination with L. monocytogenes, 2.0% (60) had levels of less than 200 CFU/g, and 0.6% (18) had levels of 200 CFU/g or more. Fish and seafood pâté were significantly more commonly contaminated by L. monocytogenes than other pâté types (chi 2 test, P = 0.001). Pâté obtained from small retail shops was significantly more likely to be contaminated at levels of > or = 200 CFU/g (chi 2 tests, P < 0.0005) than that obtained from supermarkets. L. monocytogenes was isolated significantly more often (chi 2 tests, P < 0.00002) from packs of pâté that were open at the time of collection (3.8%) than those that were sold prepacked (1.2%). There were also significantly more samples (chi 2 test, P = 0.0009) where L. monocytogenes was recovered at higher levels (> or = 200 CFU/g) in opened, as compared to prepacked, samples. There was a significant difference in the rates and levels of contamination of opened samples between shops and supermarkets (chi 2 tests, P < 0.0025). Evidence from this study shows that most of the pâté sold in England and Wales is not contaminated with L. monocytogenes, and we suggest that the main areas of concern are cross-contamination and the length of display of pâté sold from opened packs.
This paper discusses the need to promote information security issues within modern healthcare establishments and the consequent need for appropriate training and awareness initiatives. Security is an area of extreme significance in healthcare information systems but, whilst the need is generally recognised, many personnel are not familiar with even basic concepts and procedures. As such, adequate promotion of security through training and awareness initiatives is viewed as a vital first step. The paper highlights a series of basic factors that healthcare establishments (HCEs) should consider in setting up a training and awareness framework. The discussion then examines a number of ways in which relevant information may be disseminated to staff, including security guidelines, training seminars and world-wide web based services. The paper is largely based upon work that is currently being conducted as part of the Health Telematics ISHTAR (Implementing Secure Healthcare Telematics Applications in euRope) project.
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Within 2001-2002 a total of 621 eel Anguilla anguilla (L., 1758) (488 from the Vistula Lagoon and 133 from the Puck Bay) were examined. Fifteen parasite taxa were recovered: Pseudodactylogyrus anguillae (Yin et Sproston, 1948), Brachyphallus crenatus (Rudolphi, 1802), Deropristis inflata (Molin, 1859), Diplostomum spp., Bothriocephalus claviceps (Goeze, 1782), Proteocephalus macrocephalus (Creplin, 1825), Anguillicola crassus (Kuwahara, Niimi et Itagaki, 1974), Camallanus lacustris (Zoega, 1776), Cystidicola farionis Fischer, 1798, Hysterothylacium aduncum (Rudolphi, 1802), Raphidascaris acus (Bloch, 1779), Acanthocephalus anguillae (Müller, 1780), A. lucii (Müller, 1776), Echinorhynchus gadi Müller, 1776, and Pomphorhynchus laevis (Müller, 1776), representing Monogenea, Digenea, Cestoda, Nematoda, and Acanthocephala, respectively. Ten of these taxa occurred in the Vistula Lagoon, while fourteen were noted in the Puck Bay. P. anguillae, Diplostomum spp., C. lacustris, C. farionis and P. laevis were not found in the lagoon eels, while B. crenatus did not occur in the bay. Anguillicola crassus was the most frequently found parasite (Vistula Lagoon: prevalence 75%, mean intensity 6.9 specimens; Puck Bay: 74.4%, and 8.3 specimens, respectively). Pseudodactylogyrus anguillae was recorded for the first time in the Puck Bay.
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