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The researchers analyzed 139 bacterial samples from two Melbourne hospitals collected over 19 years ending in 2015. They studied how well each sample survived when exposed to diluted isopropyl alcohol.The isolates gathered after 2009 were, on average, more tolerant to the alcohol compared with bacteria taken from before 2004, the researchers discovered. Conducting mice experiments and further analysis, they also saw that alcohol-tolerant bacterial samples harbored several genetic mutations involved in metabolism, which made them better equipped to live in the gut.Although the results suggest that microbes can adapt to alcohols and other ingredients found in disinfectants, this conclusion cannot be drawn until more research is done, the researchers warn."There are two things we are working on," said Tim Stinear, a co-author of the study and professor at the University of Melbourne. "One is understanding exactly how the bacteria are becoming more tolerant. ... The second is what's going on in other parts of the world, and we are working with colleagues around the world to address that."One-third of all enterococcal infections in Australian hospitals are caused by E. faecium, according to Stinear and his co-authors. Of these, 90% were ampicillin-resistant strains, and half of those were resistant to vancomycin, another common antibiotic. Even when doctors try a higher-grade antibiotic to treat such illnesses, the outcome may be further drug resistance -- and a longer-lasting infection for the patient.Study co-author Paul Johnson, an infectious diseases professor and director of research at Austin Health in Melbourne, said that when it comes to preventing certain outbreaks, including vancomycin-resistant enterococci, hospitals might need to use more than standard precautions such as hand hygiene."We might need to specifically add additional control measures," he said. Such measures could include using an additional bacteria-killing agent, such as chlorhexidine, to sanitize hands in some medical care settings.True perhaps in hospitals, but the same might not apply to the world at large. 2118
The storm's center and where it makes landfall with its destructive winds represent just one of several concerns. Among them:? Life-threatening storm surges could slam the Florida Gulf Coast, with the deadliest of possibly 9 to 13 feet expected between Mexico Beach and Keaton Beach. "That means the water will come miles in shore and could easily be over the roofs of houses," Scott said.? Heavy rain and flooding are expected not just for Florida but also for other parts of the Southeast. Up to 12 inches of rain could fall in Florida's Panhandle and Big Bend, southeastern Alabama and southern Georgia, while parts of the Carolinas --?recently deluged by Hurricane Florence -- and southern Virginia eventually could see up to 6 inches, the hurricane center said.? Tornadoes could spawn in the Southeast Wednesday into Thursday, forecasters said.? Damaging winds are expected to rake not just Florida but also southeastern Alabama and southern Georgia. 960

The suspect is also dead, but Battiste said it was not immediately clear whether he was fatally shot by officers or had taken his own life. 139
The senators also asked for the total number of medical directors at Aetna over the past five years and the total number of claims they reviewed, "noting how many were approved and how many were denied, for each of the past five years." 236
The Trump administration announced last week it would give Congress six months to pass legislation preserving those provisions before the program was terminated. 161
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