5. Mode of transmission--Direct contact with eye secretions of an infected person and, indirectly, through contaminated surfaces, instruments or solutions. In industrial plants, epidemics are centered in first-aid stations and dispensaries where treatment is frequently administered for minor trauma to the eye; transmission occurs through fingers, instruments and other contaminated items. Similar outbreaks have originated in eye clinics and medical offices. Dispensary and clinic personnel acquiring the disease may act as sources of infection. Family spread is common, with children typically introducing the infection. 6. Incubation period--Between 5 and 12 days, but in many instances this duration is exceeded. 7. Period of communicability--From late in the incubation period to 14 days after onset. Prolonged viral shedding has been reported. 8. Susceptibility--There is usually complete type-specific immunity after adenoviral infections. Trauma, even minor, and eye manipulation increase the risk of infection. 9. Methods of control-- A. Preventive measures: 1 ; Educate patients about personal cleanliness and the risk associated with use of common towels and toilet articles. Educate patients to minimize hand-to-eye contact. 2 ; Avoid shared use of eyedroppers, medicines, eye makeup, instruments or towels. 3 ; During ophthalmological procedures in dispensaries, clinics and offices, asepsis should include vigorous handwashing before examining each patient and systematic sterilization of instruments after use; high-level disinfection is recommended for instruments that will be in contact with the conjunctivae or eyelids. Gloves should be worn for examining eyes of patients with possible or confirmed epidemic keratoconjunctivitis. Any ophthalmic medicines or droppers that have come in contact with eyelids or conjunctivae must be discarded. Medical personnel with overt conjunctivitis should not have physical contact with patients. 4 ; With persistent outbreaks, patients with epidemic keratoconjunctivitis should be seen in physically separate facilities. 5 ; Use safety measures such as goggles in industrial plants. B. Control of patient, contacts and the immediate environment: 1 ; Report to local health authority: Obligatory report of epidemics in some countries; no individual case report, Class 4 see Reporting. Because the toxicity of digoxin lanoxin ; is increased when potassium levels are low, people who take digoxin and are interested in using licorice should discuss this with their health care professional and levothroid. D. Radovanovic , P. Erne , P. Urban , O. Bertel , H. Rickli , J.-M. Gaspoz 6 on behalf of the AMIS Plus Investigators. 1 University of Zurich, AMIS Plus Data Center, Institute of Social & Preventive Medicine, Zurich, Switzerland; 2 Kantonsspital Luzern, Division of Cardiology, Luzern, Switzerland; 3 Hpital La Tour, Division of Cardiology, Geneva, Switzerland; 4 Stadtspital Triemli, Division of Cardiology, Zurich, Switzerland; 5 Kantonsspital St. Gallen, Department of Internal Medicine, St. Gallen, Switzerland; 6 University Hospital Geneva, Department of Internal Medicine, Geneva, Switzerland Background: Treatment of ACS patients has become more invasive over the past years but the impact of this trend on female patients is uncertain. Aim: To assess in-hospital mortality of ACS female patients who underwent reperfusion therapy. Methods: Patients documented in the AMIS Plus registry from 1997 to 2004 were included. Odds ratios OR ; of in-hospital mortality were calculated using logistic regression models. The TIMI score adapted for AMIS Plus data area under the ROC curve 0.82 ; included age, diabetes and hypertension, systolic blood pressure, heart rate, Killip class, weight, ST-elevation and LBBB on the initial ECG, and time to reperfusion. Results: From 15, 933 ACS patients, 4465 28% ; were females mean age 70.612.0 years ; . Of these female patients, 40.2% underwent reperfusion therapy with a relative risk of 0.57 CI 95% 0.50-0.66; p 0.001 ; for in-hospital mortality compared to females without reperfusion therapy. This held true even after adjusting for the TIMI scores 0.72; 0.62-0.85; p 0.001 ; . Females with ST-elevation myocardial infarction STEMI ; n 2625 ; without reperfusion therapy had an unad1 2 3 4.

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