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The 1.42 million-year-old metacarpal from an ancient hominin displays a styloid process, a distinctively human morphological feature associated with enhanced hand function.
[26] [28] Clinical trials confirm that such measures may reduce influenza within households, [31] [32] and results from a clinical trial among university students demonstrated a 35% to 51% reduction in the rate of ILI among students who used face masks and enhanced hand hygiene.
The hand hygiene campaign resulted in enhanced hand hygiene in all the units in the post-intervention period.
Hospitals were assigned to enhanced hand hygiene (using the WHO multimodal hand hygiene promotion programme), screening for colonization with contact precautions and decolonization (if needed), or both.
Before the introduction of enhanced hand hygiene and universal antiseptic use, patient-to-patient transmission of S. aureus may have been more common.
Derde, et al. [ 9] also showed a reduction in MRSA acquisition with improved patient hygiene (enhanced hand hygiene plus daily chlorhexidine body washing).
This position is supported by Lee, et al. [ 13], which found implementation of enhanced hand hygiene alone was "not effective" in reducing MRSA.
A study in elementary schools demonstrated that enhanced hand hygiene and thorough disinfection of surfaces can reduce surface contamination with Norovirus [ 20].
The two strategies compared were (1) enhanced hand hygiene promotion and (2) universal MRSA screening with contact precautions and decolonisation (intranasal mupirocin and chlorhexidine bathing) of MRSA carriers.
We conducted formative research in four primary schools in London to establish the need for enhanced hand hygiene interventions, to identify barriers to their implementation and to test their acceptability and feasibility.
Implementation of infection control measures, including enhanced hand hygiene, contact precautions, and mupirocin treatment, resulted in a rapid decline in the occurrence of neonatal infections and the disappearance of the strain among neonatal carriers.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com