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Background: Infections due to hospital-acquired microbes is an evolving problem worldwide. Prevalence as high as 19%, of these infections in developing countries poses a challenge to health-care providers. A major source of horizontal transmission of the nosocomial infections are thought to be bacterial contamination of palm of hand of health care providers such as doctors and nurses. Hand hygiene is the single most cost effective preventive measure against hospital acquired infections and education is an important tool to ensure its implementation. Aim: The present study was undertaken, to demonstrate the presence of resident microbial flora on the hands of nursing staff after duty hours working at various critical areas in a tertiary care hospital with their antibiogram. Materials and Methods: This cross-sectional analytical study was carried out after ethical clearance from June to August 2020 on 100 nursing staff of either sex working in critical areas of tertiary care hospital after due informed consent from the nurses. A sterile swab moistened with sterile normal saline was used to collect the swabs from dominant (working) hands after working hours. The collected swabs were processed for isolation, identification, and antibiotic sensitivity of organisms. Results: Out of 100 swabs collected from the dominant hands of nurses working in critical areas, 83 showed the growth. All the samples cultured shows growth of more than two organisms. The major Gram-positive pathogenic organisms grown were Coagulase negative Staphylococcus spp. Forty (48.19%) followed by Staphylococcus aureus 30 (36.14%) whereas among Gram-negative Klebsiella spp. five (6.025%) and Pseudomonas aeruginosa four (4.81%) predominated. Conclusions: In the present study, the level of contamination of nursing staff was found to be high. Resident flora consisting of multi drug resistant pathogenic organisms can be greatly reduced by an increase in hand-hygiene awareness coupled with organizational interventions. We recommend to closely monitoring hand hygiene practices for effective intervention strategies.

Abdominal liposarcomas more commonly arise from the retroperitoneum. However, primary mesenteric liposarcoma is a rare neoplasm. Primary mesenteric liposarcoma is a rare diagnosis; hence, a differential diagnosis of an abdominal mesenteric tumor should also be considered. Here, in this case, report, we are reporting a well-differentiated primary mesenteric liposarcoma with Meckel’s diverticulum, which has not been reported till now. The clinical findings and imaging were more suggestive of the gastrointestinal stromal tumors, but on laparotomy, it turned out to be primary mesenteric liposarcoma (well-differentiated) with multiple mesenteric lipomas and Meckel’s diverticulum.

BACKGROUND Acinetobacter spp. has emerged as an important nosocomial pathogen especially in ICU settings. Acinetobacter baumannii is the most commonly isolated species among different Acinetobacters and is associated with variety of human infections. A. baumannii exhibits resistance not only to beta-lactams and cephalosporins, but also to other groups of antibiotics including carbapenems and this has resulted in the emergence of multidrug-resistance A. baumannii species, which is now widespread. To know the prevalence and antimicrobial susceptibility pattern of A. baumannii is crucial for the optimal antimicrobial therapy and to resist the spread of MDR Acinetobacter spp. The aim of the study is to study the antimicrobial susceptibility pattern of A. baumannii isolated from various clinical specimens and to explore the risk factors for multidrug-resistant A. baumannii infections. MATERIALS AND METHODS The present study was conducted from August 2015 to July 2016 at Indira Gandhi Institute of Medical Sciences, Patna. Antimicrobial susceptibility testing was done by Kirby-Bauer’s disc diffusion method. The zones of inhibition were interpreted for antibiotic sensitivity as per the CLSI guidelines 2014. Data regarding patients demographic and clinical status was obtained from medical records and possible risk factors for multidrug-resistant A. baumannii infections was evaluated for their statistical significance. Statistical analysis used- Microsoft excel sheet 2007 and Epi Info software (version 7.2.0.1) was used for different statistical analysis including Pearson’s x 2 test and simple logistic regression. RESULTS A. baumannii was isolated predominantly from respiratory samples (35.3%). Majority of the isolates were from different inpatient departments (59.1%), followed by different ICUs (40.9%). The A. baumannii isolates showed most sensitivity to colistin (100%) followed by polymyxin B (90.20%) and least sensitive to ampicillin (5.19%). Most of the isolates (60.66%) were multidrug resistant. CONCLUSION A. baumannii is emerging as a predominant healthcare associated multidrug-resistant pathogen, especially in the ICUs. This is a major challenge to the current era as untreatable infections by this organism may contribute to increased morbidity and mortality.

Automated Teller Machine(ATM) fraud have been trending now a days, so, we have come up with the solution of replacing the ATM cards with the Voice and Face Recognition so that the privacy of withdrawing or balance enquiry should be taken care of by our system. We have tried to replace the keypad with voice recorder device so that voice should be recorded. Our System would have Two-Step verification process. Our main intention to make this type of system is because to increase the security of the Atm System.

The adoption of Building Information Modelling (BIM) in the management of built heritage is an exciting prospect, but one that presents some unknowns and complexities additional to those of modern buildings. If challenges can be identified and overcome, the adoption of Historic Building Information Modelling (HBIM), could offer a number of advantages, including: more efficient and effective archiving, monitoring, inspection and surveying of sites; better evaluation of conditions and historical development; and more informed procurement, estimating and scheduling of interventions, particularly those that are outsourced. HBIM offers a new approach of visualising and managing historic building and estates by offering efficiency and effectiveness in the conservation, long-term management and presentation of historic built assets. The key factors are (1) the ‘parametric’ and ‘intelligent’ potential of BIM; (2) the capacity of BIM to embed non-geometric information (specifications, material properties, reports, etc. along with unique theoretical and heritage information associated with heritage buildings); and (3) the accessibility and flexibility to access and utilise the data, both graphical and non-graphical. However, despite this potential, and growth in interest, there has, to date, been little research into what Maxwell’s (2014) COTAC BIM4Conservation report highlights as ‘a specific HBIM approach that is coherent and relevant, whilst also taking fully into account the wide diversity of issues that affect the heritage’. It is from this challenge, that the research discussed in this paper aims to contribute. Using Durham Cathedral as a case study, this paper presents an overview of BIM-based workflow processes and technologies applied to improve the way this UNESCO world heritage site is managed. The paper sets out the challenges and complexities in managing the estate and provides an insight into the approach taken to capture and visualise a HBIM solution that provides functionalities that improves efficiencies compared with traditional pre-BIM workflows. In doing so, the research provides an underpinning narrative for understanding the potential advantages, disadvantages, challenges and drivers of HBIM adoption for facilities management across the heritage sector. The paper draws conclusions and areas of future research that identify the need for a stronger understanding of the culture within heritage building for managing historic assets, and identification of Heritage Information Requirements (HIR) and the unique theoretical and heritage information associated with heritage buildings, in order to deliver a coherent and relevant HBIM approach.

The uptake of Building Information Modelling (BIM) has been increasing, but some of its promoted potential benefits have been slow to materialise. In particular, claims that BIM will revolutionise facilities management (FM) creating efficiencies in the whole-life of building operations have yet to be achieved on a wide scale, certainly in comparison to tangible progress made for the prior design and construction phases. To attempt to unravel the factors at play in the adoption of BIM during the operational phase, and in particular, understand if adoption by facilities managers (FMs) is lagging behind other disciplines, this study aims to understand if current BIM processes can ease the challenges in this area faced by facilities management project stakeholders. To do this, success from a facilities management viewpoint is considered and barriers to facilities management success are explored, with focused BIM use proposed as a solution to these barriers. Qualitative research was undertaken, using semi structured interviews to collect data from a non-probability sample of 7 project- and facilities- management practitioners. Key results from this study show that the main barrier to BIM adoption by facilities managers is software interoperability, with reports that facilities management systems are unable to easily import BIM data produced during the design and construction stages. Additionally, facilities managers were not treated as salient stakeholders by Project Managers, further negatively affecting facilities management project success outcomes. A µresistance to change was identified as another barrier, as facilities managers were sceptical of the ability of current BIMenabled systems promoted as being FM compatible to be able to replicate their existing Computer Aided Facility Management (CAFM) legacy software and its user required capabilities. The results of this study highlight that more work is needed to ensure that BIM benefits the end user, as there was no reported use of BIM data for dedicated facilities management purposes. Further investigation into the challenges of interoperability could add significant value to this developing research area.The uptake of Building Information Modelling (BIM) has been increasing, but some of its promoted potential benefits have been slow to materialise. In particular, claims that BIM will revolutionise facilities management (FM) creating efficiencies in the whole-life of building operations have yet to be achieved on a wide scale, certainly in comparison to tangible progress made for the prior design and construction phases. To attempt to unravel the factors at play in the adoption of BIM during the operational phase, and in particular, understand if adoption by facilities managers (FMs) is lagging behind other disciplines, this study aims to understand if current BIM processes can ease the challenges in this area faced by facilities management project stakeholders. To do this, success from a facilities management viewpoint is considered and barriers to facilities management success are explored, with focused BIM use proposed as a solution to these barriers. Qualitative research was undertaken, using semi structured interviews to collect data from a non-probability sample of 7 project- and facilities- management practitioners. Key results from this study show that the main barrier to BIM adoption by facilities managers is software interoperability, with reports that facilities management systems are unable to easily import BIM data produced during the design and construction stages. Additionally, facilities managers were not treated as salient stakeholders by Project Managers, further negatively affecting facilities management project success outcomes. A µresistance to change was identified as another barrier, as facilities managers were sceptical of the ability of current BIMenabled systems promoted as being FM compatible to be able to replicate their existing Computer Aided Facility Management (CAFM) legacy software and its user required capabilities. The results of this study highlight that more work is needed to ensure that BIM benefits the end user, as there was no reported use of BIM data for dedicated facilities management purposes. Further investigation into the challenges of interoperability could add significant value to this developing research area.

The independent review into the UK Building Regulations and fire safety following the Grenfell Tower tragedy in 2017 highlighted significant failings in traceability of construction products used in the UK, noting that the construction industry is “significantly lagging behind many other sectors” in this respect. One of the key drivers behind the need for traceability is to support product recall, such as might be required in the event of the discovery of issues in product manufacturing, testing or as a result of inappropriate product specification or substitution. This study investigates the need and benefits for a robust product recall system for the construction industry, develops a set of requirements for such a system, and proposes a framework for its implementation. The current state of the art for construction product recall is examined and compared to industries such as automotive and food where effective recall systems have been in place for a number of years. The particular requirements for traceability of products in the construction sector are defined and discussed. The framework for a construction product recall system was developed through a series of collaborative workshops with experts from industry and academia. This paper describes the framework and discusses the challenges facing its implementation. In particular, the paper discusses and compares in detail two approaches for product recall alerting; push and pull mechanisms. The paper concludes with the identification of areas for further investigation.

The use of Building Information Management (BIM) has become mainstream in many countries. Exchanging data in open standards like the Industry Foundation Classes (IFC) is seen as the only workable solution for collaboration. To define information needs for collaboration, many organizations are now documenting what kind of data they need for their purposes. Currently practitioners define their requirements often a) in a format that cannot be read by a computer; b) by creating their own definitions that are not shared. This paper proposes a bottom up solution for the definition of new building concepts a property. The authors have created a prototype implementation and will elaborate on the capturing of information specifications in the future.