Our data indicate that the VLSA developed vancomycin resistance during exposure to vancomycin in vivo. The population analysis of tested VLSA and vancomycin intermediately resistant S. aureus (VISA) indicates that a penem at relatively low concentrations induced a significant increase in the number of vancomycin-resistant subpopulations. Furthermore, we confirmed that gradient gel analysis and Mu3 medium are simple and useful methods for the detection of VLSA judged as VSSA by its conventional MIC alone.
A flow analysis around a face shield was performed to examine the risk of virus infection
when a medical worker wearing a face shield is exposed to a patient’s sneeze from the
front. We ensured a space between the shield surface and the face of the human model to
imitate the most popularly used face shields. In the present simulation, a large eddy
simulation was conducted to simulate the vortex structure generated by the sneezing flow
near the face shield. It was confirmed that the airflow in the space between the face
shield and the face was observed to vary with human respiration. The high-velocity flow
created by sneezing or coughing generates vortex ring structures, which gradually become
unstable and deform in three dimensions. Vortex rings reach the top and bottom edges of
the shield and form a high-velocity entrainment flow. It is suggested that vortex rings
capture small-sized particles, i.e., sneezing droplets and aerosols, and transport them to
the top and bottom edges of the face shield because vortex rings have the ability to
transport microparticles. It was also confirmed that some particles (in this simulation,
4.4% of the released droplets) entered the inside of the face shield and reached the
vicinity of the nose. This indicates that a medical worker wearing a face shield may
inhale the transported droplets or aerosol if the time when the vortex rings reach the
face shield is synchronized with the inhalation period of breathing.
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