We report for the first time mecC-positive methicillin-resistant Staphylococcus aureus (mecC-MRSA) in livestock in Spain. One isolate (sequence type 130) was found in milk samples among 601 S. aureus isolates obtained from 229 dairy sheep farms. This finding highlights the potential for zoonotic transmission of mecC-positive MRSA and the need for surveillance programs to monitor its presence an...

Fidelity may be defined as the extent to which delivery of an intervention adheres to the protocol or program model originally developed. Fidelity measurement has increasing significance for evaluation, treatment effectiveness research, and service administration. Yet few published studies using fidelity criteria provide details on the construction of a valid fidelity index. The purpose of this...

We study quantum Loschmidt echo, or fidelity, in the triangle map whose classical counterpart has linear instability and weak chaos. Numerically, three regimes of fidelity decay have been found with respect to the perturbation strength epsilon. In the regime of weak perturbation, the fidelity decays as exp(-c epsilon(2)t(gamma)) with gamma approximately 1.7. In the regime of strong perturbation...

BACKGROUND Although the importance of evaluating implementation fidelity is acknowledged, little is known about heterogeneity in fidelity over time. This study aims to generate insight into the heterogeneity in implementation fidelity trajectories of a health promotion program in multidisciplinary settings and the relationship with changes in patients' health behavior. METHODS This study used...

OBJECTIVES AND DESIGN Despite an increasing awareness of the importance of fidelity of delivery within complex behaviour change interventions, it is often poorly assessed. This mixed methods study aimed to establish the fidelity of delivery of a complex self-management intervention and explore the reasons for these findings using a convergent/triangulation design. SETTING Feasibility trial of...

In turbomachinery optimisation problems, run time is often a critical factor due to high dimensionality of the design search space. This work explores the use of the multi-fidelity method to speed up an aerodynamic optimisation algorithm applied to axial compressor blades. A rotor blade is optimised in a two-stage blade geometry for maximum isentropic efficiency. The single-fidelity reference o...

BACKGROUND High-fidelity patient simulators in team training are becoming popular, though research showing benefits of the training process compared to low-fidelity models is rare. We explored in situ training for paediatric teams in an emergency department using a low-fidelity model (plastic doll) and a high-fidelity paediatric simulator, keeping other contextual factors constant. The goal was...