Outbreaks of acute gastroenteritis associated with Norwalk-like viruses in campus settings

Norwalk-like viruses (NLVs) are transmitted by fecally contaminated food, water, fomites, and person-to-person contact. They are a leading cause of acute gastroenteritis epidemics in industrialized countries. NLV outbreaks are characterized by a 12- to 48-hour incubation period; nausea, vomiting, and diarrhea for 24 to 72 hours; and high secondary attack rates. NLV infections spread rapidly on college and university campuses because of close living quarters, shared bathrooms and common rooms, many food handlers, popular self-service salad bars in dining halls, and person-to-person contact through sports and recreational activities. The illness is generally mild and self-limited but an outbreak can strain the resources of campus health services and cause high absenteeism among both students and staff. Treatment is primarily through antiemetic medication and oral rehydration. Prevention and control of NLV outbreaks rests on promoting hand washing; enforcement of strict hygiene in all food preparation areas; and prompt, rigorous cleaning of potentially contaminated areas where someone has been ill.     

Relating supply performance to aircraft availability

This paper describes how the effectiveness of the supply of vital repairable items for an aircraft or weapon system can be measured in terms of the expected number of aircraft grounded because of supply shortages. The properties of this measure are compared with the three alternative methods of assessing supply performance, none of which are directly aircraft or weapon system related. The present applicability of this measure to various situations at RAF Squadron and station level are discussed, together with possible future areas of application.     

盐酸多奈哌齐治疗血管性痴呆的临床疗效观察

目的观察盐酸多奈哌齐治疗血管性痴呆的疗效。方法102例血管性痴呆患者随机分为2组，治疗组51例，在常规治疗的基础上给予盐酸多奈哌齐5mg，每日1次；对照组54例，给予常规治疗，两组患者疗程均为12周，观察治疗前后认知功能（MMSE、HDS）及日常生活自理能力（ADL）的改善程度。结果治疗12周时，治疗组MMSE、HDS及ADL评分明显改善，较对照组有显著性差异（P〈0．05），自身对照结果显示，盐酸多奈哌齐治疗12周，治疗后MMSE、HDS及ADL评分较治疗前改善（P〈0．01），在治疗4周时，MMSE、HDS及ADL评分已有提高。结论盐酸多奈哌齐治疗血管性痴呆疗效确切，对患者认知功能及日常生活能力均为改善，无明显副作用，值得临床推广。     

Rubella Susceptibility and Immunization in a University Population: Experience,Strategy, and Policy

Abstract

Despite the availability of a safe and effective vaccine, rubella continues to occur in the United States. In recent years 70% of all cases have occurred in college aged individuals. Since 1978 the University of Rochester has required all entering students to have either rubella immunization or rubella serology. Compliance with this requirement has been excellent and has resulted in an increase in the rubella immunization rate from 52% to 71 %. Of those obtaining serology, the overall susceptibility rate (HI titer < 1:16) was 18%. Less than half of susceptible women accepted immunization, and few susceptible men sought immunization. College entry is a logical time to define an individual's rubella status.     

Central bank independence, economic freedom, and inflation rates

Measures of central bank independence combine many attributes that may or may not affect inflation. Central bank attributes are chosen as a result of political calculations over the distribution of resources between competing interest groups. Simultaneity bias results from regressions of central bank independence or of economic and political freedom on inflation or growth. Our estimates demonstrate the connections between economic and political freedom and central bank attributes that lead to inflation. Countries showing high degrees of economic freedom adopt structures that lead to lower inflation; those that show high degrees of political freedom do not adopt inflation-reducing institutional structures.     

Birthing the pill at the University of Vermont (1970-1976)

The introduction of the birth control pill in 1960 precipitated 2 decades of intense social change in the United States, particularly in the area of sexuality. Colleges and universities were not immune to these changes. The author examines the struggles at 1 land-grant university to find common ground on this issue among students, faculty, administrators, and trustees between 1970 and 1976.