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The 19-year-old has already earned an early promotion to High-A this season, and all told, he's hitting .324/.370/.612 with 18 doubles, 16 home runs, 53 RBI, 51 runs scored and 11 stolen bases.

He could be a top-10 prospect leaguewide by season's end, and a franchise cornerstone and perennial All-Star once he reaches the majors if he continues on his current development path.

2B Jahmai Jones (No. 3 LAA prospect, No. 78 MLB prospect)

2B Jahmai Jones

Jones moved from center field to second base during the offseason, and he's continued to show some of the most exciting tools in an Angels system on the rise.

MLB.com gave him a 50 grade or better on all five tools, and he's impressed with his baseball acumen after splitting his time between the baseball diamond and football field in high school.

The 20-year-old is hitting a modest .241/.343/.394 at High-A, but his walk rate has spiked from 7.8 to 12.5 percent and he's shown more power with 22 extra-base hits, providing plenty of reason for long-term optimism.

RHP Griffin Canning (No. 5 LAA prospect, No. 91 MLB prospect)

RHP Griffin Canning

A second-round pick in the 2017 draft after a standout career at UCLA, Canning is already looking like a steal after some medical concerns caused him to slip out of the first round.

The 22-year-old started the season at High-A and made a quick jump to Double-A, where he posted a 1.97 ERA, 1.01 WHIP and 49 strikeouts in 45.2 innings to earn another promotion to Triple-A.

He's more floor than ceiling with plus command of an average three-pitch mix and advanced pitchability, but the early results this season have been enough to send him climbing up leaguewide prospect lists.

LHP Jose Suarez (No. 10 LAA prospect)

LHP Jose Suarez

An undersized 5'10" frame and an average fastball have kept Suarez out of the top prospect conversation to this point in his pro career, but it's getting harder to ignore his on-field results.

The 20-year-old split last season between rookie ball and Single-A, going 6-1 with a 3.28 ERA, 1.18 WHIP and 90 strikeouts in 68.2 innings.

At the start of the season, MLB.com wrote: " There is a big up arrow next to Suarez's name currently, as he pitches at age 20 in 2018. With the increased velocity and improvement in his breaking ball, he could make a big jump in the Angels system and use his pitchability to start moving more quickly."

He's done just that by earning two promotions already this year to reach Triple-A and posting a combined 3.88 ERA with 94 strikeouts in 69.2 innings.

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2B Keston Hiura ( No. 1 MIL prospect, No. 30 MLB prospect)

2B Keston Hiura

The best pure hitter in the 2017 draft, Hiura has slashed .340/.396/.555 over 515 plate appearances since signing last summer.

The CDC currently recommends that contact precautions be continued for the duration of the illness [ 222 ]. The UK guidelines recommend continuing contact precautions for at least 48 hours after diarrhea resolves [ 223 ]. Clostridium difficile was suppressed to undetectable levels in stool samples from most patients by the time diarrhea resolved (mean, 4.2 days) in a prospective study of 52 patients [ 95 ]. However, at the time of resolution of diarrhea, skin and environmental contamination was high at 60% and 37%, respectively. In addition, stool detection of C. difficile was 56% at 1–4 weeks posttreatment. Continue contact precautions for at least 48 hours after diarrhea has ceased. There are no studies that demonstrate further extending contact precautions results in reductions in CDI incidence. Prolonging contact precautions until discharge remains a special control measure if CDI rates remain high despite implementation of standard infection control measures against CDI [ 222 ].

Transmission of C. difficile strains commonly occurs via the hands of healthcare personnel. After caring for patients with CDI, the proportion of healthcare personnel with hand contamination when gloves are not worn ranges from 14% to 59% [ 74 , 87 , 216 , 224 ]. Hand hygiene is considered to be one of the cornerstones of prevention of transmission of C. difficile , as it is for most other healthcare-associated infections. Many studies have documented low rates of handwashing by healthcare personnel, particularly when sinks are not readily accessible [ 225–228 ]. The introduction of alcohol-based hand antiseptics has been considered transformative for increasing hand hygiene compliance. Hand hygiene guidelines recommend the use of alcohol-based products, unless the hands have come into contact with body fluids or are visibly soiled, in which case handwashing with soap and water is recommended. These alcohol-based antiseptics are popular because of their ease of use at the point of care and their effectiveness in rapid killing of most vegetative bacteria and many viruses that contaminate hands. However, C. difficile spores are highly resistant to killing by alcohol. Indeed, the addition of ethanol to stool samples in the laboratory facilitates the culture of C. difficile from these specimens [ 229 ]. Therefore, healthcare personnel who do not wear gloves or whose hands become contaminated when doffing gloves may be merely redistributing spores over the hand surface when using alcohol-based products. This could potentially increase the risk of transferring C. difficile to patients under their care, but numerous studies have not shown an association between the use of alcohol-based hand hygiene products and an increased incidence of CDI. The impact of using an alcohol-based hand hygiene product on rates of infection with MRSA, VRE, and CDI 3 years before and after its implementation was studied [ 230 ]. After implementation, the rates of MRSA and VRE infections decreased by 21% and 41%, respectively, whereas the incidence of CDI was unchanged. This finding is consistent and has been reproduced in other studies [ 231–234 ]. A large prospective, ecological interrupted time series study was conducted from July 2004 to June 2008 in England and Wales to evaluate the impact of the “cleanyourhands” campaign on the rates of hospital procurement of alcohol hand rub and soap and to investigate the association between the rates of MRSA bacteremia and CDI [ 235 ]. Procurement of these products was used as a proxy for hand hygiene compliance. This study demonstrated that increased soap procurement was significantly associated with a decline in CDI rates whereas increased alcohol hand rub procurement was significantly associated with a reduction in MRSA bacteremia rates.

Here are five things to do to beat Mother Nature at her own game.

Prepare Your Home

If you were to shake your entire house, what would fall down? Pictures on walls, bookshelves, and televisions are the first things that come to mind. Essentially, tall, heavy, and expensive objects should be secured , be it through putty (i.e. for vases or stand-up decorations) or wall mounts (i.e. for bookshelves or televisions).

Move potential hazards away from your bed. This means if you sleep underneath a shelf, don’t load it with heavy objects that could fall on you should an earthquake happen during the night. You can also secure your cupboards with safety latches (just like the ones you use to keep your toddlers out of the cutlery drawer), thus keeping the plates, cups, and other things housed up there from falling and injuring anyone underneath.

Drop, Cover, and Hold On!

Don’t try and run. Chances are you’ll just be knocked off your feet by the shaking anyway. Instead, Cofra 22120000W41 Size 41 UK S3 CI SRC Camp Safety Shoes Black clearance 2015 outlet sast cheap wide range of 2014 unisex cheap price discount with mastercard 3bPHh
, take cover under something sturdy (like a desk or a table), and hold on until the shaking stops. If there is no convenient sturdy object to hide under, taking cover in an inside corner of a building is the next safest place to be. Drop down and cover your neck and head with your hands and arms.

If you’re inside, stay there! Don’t run out. In a story in the LA Times , two women fleeing a building during the 2003 Paso Robles earthquake were killed when bricks fell down on them. Had they stayed inside, they would have been just fine.

If you’re in your bed, do not get out. Stay there, hold on, and cover your head with your pillow. Getting out of bed could put you at risk of both falling objects as well as broken glass and other debris on the floor.

Have Emergency Kits

Following a disaster, what might life be like without an emergency kit? Without one, you could be out of food, water, or supplies to help keep you warm at night with no power. First aid supplies are very useful, especially to patch up cuts, wounds, and other injuries sustained during the disaster. Once the earthquake stops, medical personnel will be focusing their time on the most critically injured, so if you’re not on that list, you’ll be fending for yourself for possibly days.

Make sure you have an emergency kit that fits your needs. You can get a pre-assembled emergency kit, or make your own from items you get yourself. The pre-assembled kits should have water pouches (or other form of portable water), as well as food and gear to at least cover the basics.

While the odds of surviving an earthquake is high, you can increase your chances even more by being prepared well in advance. Take time today to evaluate your emergency preparedness plan and supplies and make any changes and acquisitions you need to be ready for anything.

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