Sterilization

Background-Infection of pancreatic necrosis has a major impact on clinical course, management, and outcome in acute pancreatitis. Currently, guided fine needle aspiration is the only means for an early and accurate diagnosis of infected necrosis. Procalcitonin (PCT), a 116 amino acid propeptide of calcitonin, and interleukin 8 (IL-8), a strong neutrophil activating cytokine, are markers of severe inflammation and sepsis. Aims-To analyse the clinical value of PCT and IL-8 as biochemical parameters for predicting infected necrosis in acute pancreatitis. Patients and methods-Fifty patients with acute pancreatitis entered this prospective study and were stratified into three groups according to morphological and bacteriological findings: 18 patients with oedematous pancreatitis (group I), 14 patients with sterile necrosis (group II), and 18 patients who developed infected necrosis a median of 13.5 days after the onset of symptoms (group III). After admission serum samples were drawn daily for two weeks. Concentrations of PCT and IL-8 were measured by chemoluminescent immunoassays (upper reference range 0.5 ng/ml for PCT and 70 pg/ml for IL-8).

Which heat process value F should a particular food receive to make it safe and shelf stable?
* Section 1 lists reported sterilization values F0 = F zero (reference temperature 121.1 oC; z = 10 oC) for commercial food preservation processes of all types of food products, for several package sizes and types.
* Section2 contains reported pasteurization values F, or P, of a great variety of foods. The required storage conditions of the pasteurized foods, either at ambient temperature, or refrigerated (4 - 7 °C), are indicated.
* Section 3 shows a decision scheme: should a particular food be pasteurized or sterilized? This depends on the intended storage temperature (refrigerated or ambient) after heating, the required shelf life (7 days to 4 years), the food pH (high acid, acid, or low acid), the food water activity aW, and on the presence of preservatives such as nitrite (E250) mixed with salt NaCl, or nisin.
* In Section 4, two worked examples are presented on how to use an F value when calculating the actual sterilization time Pt:
- C.R. Stumbo’s (1973) calculation method has been manually applied, verified by computer program STUMBO.exe, to find the sterilization time and the thiamine retention of bottled liquid milk in a rotating steam retort;
- O.T. Pham’s (1987; 1990) formula method,  incorporated in Excel program “Heat Process calculations according to Pham.xls”, has been used  to find the sterilization time and the nutrient retention of canned carrot purée in a still steam retort.
* The worked example in Section 5 illustrates the use of the pasteurization value F of apple juice, in calculating the required (average) residence time in the holding tube of a heat exchanger. The Excel program Build-Heat-Exchanger.xls next calculates the juice’s spoilage rate by a mold, a yeast and an enzyme, and the nutrient retention of vitamins C and folic acid in the pasteurized juice.
* Section 6 explains how F values can be calculated when a microbial analysis of the food is available. The actual pasteurization or sterilization time calculations should be based on all micro-organisms of concern present, and rather NOT on the highest F value only!
An example calculation shows that the required F value for a food, to be sold in a moderate climate country, usually differs considerably from the F, required  for the same food, to be sold in tropical areas.

Background: Several synthetic and natural matrices have been described for tissue engineering of bladder but there is little information on the effects of processing on their subsequent mechanical performance or interaction with human cells. Aim: Our aim was to assess the effects of delamination, decellularization and sterilization on the mechanical properties of porcine urinary bladder matrix (UBM) and to then assess the ability of the UBM to act as a scaffold for reconstruction with human bladder cells. Methods: A total of 20 porcine bladders were assessed before and after mechanical delamination and four porcine bladders were followed at every stage through a comparison of several decellularization and terminal sterilization methodologies examining histological and mechanical characteristics. The sterile UBM was seeded with normal human urothelial and bladder stromal cells either as a simultaneous coculture, or with stromal cells followed by urothelial cells. Results: Mechanical delamination, physical rinsing of the resulting bladder stroma in hypotonic buffer, 0.1% sodium dodecyl sulfate solution and 0.1% peracetic acid resulted in an UBM with acceptable mechanical properties capable of supporting urothelial and bladder stromal cells. Terminal sterilization with ethylene oxide resulted in considerable stiffening of the matrix simultaneous coculture and layered seeding of scaffolds with stromal cells followed by epithelial cells gave similar results with good initial urothelial attachment (followed by loss of cells later) and slow stromal cell penetration. Conclusion: We describe a decellularized sterilized porcine UBM with acceptable mechanical properties that shows promise as a scaffold for producing an in vitro tissue-engineered bladder patch material for lower urinary tract reconstruction. Future work now needs to focus on the conditions for achieving secure epithelial attachment.

Objectif.-Comparer l'hypnosé dation à l'anesthé sie gé né rale chez des patientes devant bé né ficier, en ambulatoire, de la pose de dispositifs de sté rilisation intratubaire (Essure TM). Type d'e´tude.-É tude prospective comparative de type cas-té moin. Patients et me´thodes.-Deux groupes de 12 patientes sont apparié s et comparé s à partir du choix de la technique anesthé sique : hypnosé dation (HYP) avec complé ment de sé dation possible par propofol et ré mifentanil ou anesthé sie gé né rale (AG) associant propofol, sé voflurane et ré mifentanil. L'é valuation de l'anxié té et de la douleur repose sur une é chelle EVA. L'analyse statistique fait appel à des tests non paramé triques pour donné es apparié es (test de Wilcoxon). Re´sultats.-Toutes les patientes ont é té opé ré es. Les deux groupes sont statistiquement comparables. L'anxié té en pré opé ratoire avant toute pré mé dication est moindre dans le groupe HYP (p 0,05). En salle de surveillance post-interventionnelle (SSPI), l'anxié té et la douleur restent moindres pour ce même groupe HYP (p 0,05). Toutefois, l'anxié té s'atté nue dè s la SSPI (p 0,003) au sein du groupe AG. Puis, il n'y a plus de diffé rence significative à la sortie, en termes de douleur et d'anxié té (p = 0,56). Aucune conversion en AG n'est né cessaire dans le groupe HYP, mais cinq patientes ont recours à une sé dation dont les posologies sont trè s faibles comparativement à celle de l'anesthé sie gé né rale. La consommation en antalgiques est é quivalente dans les deux groupes. Conclusion.-Le recours à l'outil hypnotique est une alternative inté ressante pour la prise en charge des patients lors de certaines interventions mé dicales invasives ou chirurgicales.

I have three concerns about the description of central venous catheterization in the video by Graham et al.(May 24 issue). 1 First, it is misleading to describe the risk of hemothorax as “not applicable” when the internal jugular approach is used, since hemothorax is a known ...

Arabidopsis thaliana BRAHMA (BRM, also called AtBRM) is a SNF2 family protein homolog of Brahma, the ATPase of the Drosophila SWI/SNF complex involved in chromatin remodeling during transcription. Here we show that, in contrast to its Drosophila counterpart, BRM is not an essential gene. Thus, homozygous BRM loss of function mutants are viable but exhibit numerous defects including dwarfism, altered leaf and root development and several reproduction defects. The analysis of the progeny of self-fertilized heterozygous brm plants and reciprocal crosses between heterozygous and wild type plants indicated that disruption of BRM reduced both male and female gametophyte transmission. This was consistent with the presence of aborted ovules in the selffertilized heterozygous flowers that contained arrested embryos predominantly at the two terminal cells stage. Furthermore, brm homozygous mutants were completely sterile. Flowers of brm loss-of-function mutants have several developmental abnormalities, including homeotic transformations in the second and third floral whorls. In accordance with these results, brm mutants present reduced levels of APETALA2, APETALA3, PISTILLATA and NAC-LIKE, ACTIVATED BY AP3/PI. We have previously shown that BRM strongly interacts with AtSWI3C. Now we extend our interaction studies demonstrating that BRM interacts weakly with AtSWI3B but not with AtSWI3A or AtSWI3D. In agreement with these results, the phenotype described in this study for brm plants is very similar to that previously described for the AtSWI3C mutant plants, suggesting that both proteins participate in the same genetic pathway or form a molecular complex.

In this paper, we present preliminary results showing the response of glucose-sensitive hydrogels, confined in micro-pressure sensors, to the changes in environmental glucose concentration. The glucose concentrations were incrementally varied between 20 and 0mM in 0.15M PBS solution at 7.4 pH and bovine serum at 7.4 pH at room temperature and response of the sensor was recorded. The micro sensors demonstrate a response time of 10 minutes in both PBS and serum. Tissue response after 55 days of subcutaneous implantation of a EtO sterilized sensor in mice is presented. The preliminary analysis of the surrounding tissue shows inflammation which is believed not to interfere with the sensor performance.

Soil fumigation has recently been shown to affect the greenhouse gas balance by increasing emissions of nitrous oxide (N 2 O) following chloropicrin (CP) application. However, the exact mechanisms of this increase were not investigated. The purpose of this study was to elucidate potential mechanisms of CP-induced N 2 O production through laboratory incubations using chemical inhibitors (acetylene, antibacterial, antifungal, and oxygen), isotopically labeled 15 N-CP, and pH modifications of a forest nursery soil. Results showed that N 2 O production increased by 12.6 times following CP fumigation. Microbial activity contributed 82% to the CP-induced N 2 O production, with the remaining 18% from abiotic processes as determined by incubation with sterilized soil. Inhibitor studies suggested that 20% of the N 2 O production was from bacteria and 70% from fungi. There were no significant differences in N 2 O production following CP fumigation under various levels of acetylene (0, 10, and 10 kPa), suggesting that traditional nitrification and denitification reactions did not significantly contribute to N 2 O production following CP fumigation. 15 N labeled studies indicated that 12% of fumigant source N was incorporated into the produced N 2 O. No enrichment in N 2 was observed, indicating that N 2 O was one of the terminal biotic mineralization products of CP. Production of N 2 O is aerobic and production rates increased with increasing oxygen concentrations. Our data strongly suggested that fungal mediated denitrification reactions under aerobic conditions were the primary mechanism for CP-induced N 2 O production.

Introduction: Ecthyma gangrenosum is known as a characteristic lesion of Pseudomonas aeruginosa sepsis and is usually seen in immunocompromised patients. Case presentation: A previously healthy 63-year-old man was admitted with sloughy necrotic ulcerations of the skin over his sternum. He was afebrile and in good condition. A skin biopsy revealed ecthyma gangrenosum. Blood cultures remained sterile, but a culture of biopsy material grew Pseudomonas aeruginosa. Conclusion: Ecthyma gangrenosum may develop even in the absence of bacteremia and even in immunocompetent patients. It should be considered as a possible diagnosis even when a previously healthy patient has negative blood cultures. The patient had no history of immunosuppressive disease or treatment. On admission he was afebrile (temperature of 37,2°C), and hemodynamically stable. Physical examination revealed two sloughy necrotic ulcerations of the skin over

The GLH proteins belong to a family of four germline RNA helicases in Caenorhabditis elegans. These putative ATP-dependent enzymes localize to the P granules, which are nonmembranous complexes of protein and RNA exclusively found in the cytoplasm of all C. elegans germ cells and germ cell precursors. To determine what proteins the GLHs bind, C. elegans cDNA libraries were screened by the yeast two-hybrid method, using GLHs as bait. Three interacting proteins, CSN-5, KGB-1, and ZYX-1, were identified and further characterized. GST pull-down assays independently established that these proteins bind GLHs. CSN-5 is closely related to the subunit 5 protein of COP9 signalosomes, conserved multiprotein complexes of plants and animals. RNA interference (RNAi) with csn-5 results in sterile worms with small gonads and no oocytes, a defect essentially identical to that produced by RNAi with a combination of glh-1 and glh-4. KGB-1 is a putative JNK MAP kinase that GLHs bind. A kgb-1 deletion strain has a temperature-sensitive, sterile phenotype characterized by the absence of mature oocytes and the presence of trapped, immature oocytes that have undergone endoreplication. ZYX-1 is a LIM domain protein most like vertebrate Zyxin, a cytoskeletal adaptor protein. In C. elegans, while zyx-1 appears to be a single copy gene, neither RNAi depletion nor a zyx-1 deletion strain results in an obvious phenotype. These three conserved proteins are the first members in each of their families reported to associate with germline helicases. Similar to the loss of GLH-1 and GLH-4, loss of either CSN-5 or KGB-1 causes oogenesis to cease, but does not affect the initial assembly of P granules. © 2002 Elsevier Science (USA)

The aim of this study was to evaluate the antimicrobial potential of ozone applied to 3 different solutions in an ultrasonic cleaning system against Staphylococcus aureus. A total of 120 mL of S. aureus were mixed in 6 L of the experimental solutions (sterilie distilled water, vinegar and sterile distilled water + Endozime AWpluz) used in a ultrasonic cleaning system (UCS). Ozone was produced by an electric discharge through a current of oxygen and bubbling with flow rate at 7g/h ozone (1.2%) into the microbial suspensions. Ten mL of each experimental suspension were collected and 5 fold dilutions were made in 9 mL of BHI and incubated at 37°C for 48 h. Bacterial growth was evaluated by turbidity of the culture medium. At the same time, 1 mL of bacterial samples was collected and inoculated in BHIA plates. After incubation at 37°C for 48 h, the number of colony forming units (cfu) per mL on BHIA surface was counted. In dilution test in BHI tubes and in BHIA plates (cfu/mL), bacterial growth was not observed in any of the experimental solutions when ozone was added. Under the tested conditions, it may be concluded that the addition of ozone to a ultrasonic cleaning system containing different experimental solutions resulted in antibacterial activity against S. aureus.

There is a vast demand for in vivo methods for the detection of skin cancer, one of the most dangerous skin lesions. Use of near infrared Fourier transform (NIR-FT)-Raman spectroscopy virtually eliminates the fluorescence of the normal cell constituents and provides a signal to noise ratio, r SN , large enough to successfully evaluate the spectra using chemometric methods. A novel fiber optic probe for NIR-FT-Raman spectroscopy was used, which allows sterilization and the prevention of hazards due to laser radiation and makes in vivo measurements possible. The Raman spectra of normal skin are dominated by the connective tissue, mainly collagen type I. The Raman spectra of skin with inflammatory diseases show an increased lipid and water content. Kaposi sarcomas show typical features of tumors mainly in the amide III and the protein backbone range. A clear separation of Raman spectra of normal skin from those of benign and malignant neoplasms can be achieved by cluster analysis. However, the unequivocal diagnosis of skin cancer needs investigation of a larger number of more defined skin samples, taking into consideration the concurrent appearance of different skin symptoms like coloring and inflammation. cal fibers are used in Raman endoscopes [14] for measurement.

Gamma irradiation is widely used for sterilization; however, its effect on elimination of amplifiable DNA, an issue of relevance to molecular diagnostic approaches, has not been well studied. The effect of gamma irradiation on the viability of Staphylococcus epidermidis and Escherichia coli (using quantitative cultures) and on their DNA (using quantitative 16S rRNA gene PCR) was evaluated. Viability was abrogated at 2.8 and 3.6 kGy for S. epidermidis and E. coli, respectively. The radiation dose required to reduce viable bacteria by one log10 (D10 value) was 0.31 and 0.35 kGy for S. epidermidis and E. coli, respectively. D10 values for amplifiable DNA extracted from bacteria were 2.58 and 3.09 kGy for S. epidermidis and E. coli, respectively, whereas D10 values for amplifiable DNA were significantly higher for DNA extracted from irradiated viable bacterial cells (22.9 and 52.6 kGy for S. epidermidis and E. coli, respectively; P<0.001). This study showed that gamma irradiation of ...

Heat and cold treatments using gel pack are commonly used to manage the soft tissue injury. To determine the best beans/grains that have cold and high temperatureholding capacity using the best fabric that can withstand the extreme changing temperatures. To determine the best characteristic between barley, rice and mung beans that can replace the ice and heat packs method. Rice, barley and mung beans were used in this study, the grains and beans were washed and dried under the sun light. Sterilization was done by roasting the grains and beans were roasted on a hot plate, to prevent them from seeding. All grains and beans were treated under UV light for an hour. The grains and beans were packed into a bag using a rib fabric, and these bags were 'cooked' using an autoclave (a machine that acts like a pressure cooker) with 121°C for 15 minutes. A small hole was made on each bag (that could fit a thermometer) to measured the holding capacity of the grains and beans. Rice grain differed 19°C in temperatures right after the bag was heated (RA) and after the bag was left for 20 minutes (+20) at room temperature in which the highest temperature for rice is 99°C. Barley grain differed 23°C between RA and +20 and its highest temperature is 99°C, while mung beans differed 26°C with its highest temperature 155°C. This shows that rice grains lost the least heat compared to other grains and beans. When freezing, Rice differed 5°C between RA and +20 and its lowest temperature is -6, while mung beans differed 7°C with its lowest temperature of -3°C and barley differed 1°C from its lowest temperature of -3°C. This shows that barley regained the least heat compared to the other grains. Rice has shown a superior characteristic compared to barley and mung beans. In terms of fabric, the rib fabric alone without the wool fabric is enough to detain and retain heat (5min + 155°C). The study has proven that rice which is covered with a rib fabric has similar characteristics with ice and hot pack and thus enhances the management of soft tissue injury.

An autoclavable sensing film was developed for monitoring dissolved CO 2. The sensing film, based on fluorescence resonance energy transfer (FRET), consisted of a fluorescent donor, an acceptor, and a quaternary ammonium hydroxide, which were doped in a two-component silicone film. As no aqueous solution was used in the sensing film matrix, the sensing film was unaffected by osmotic pressure. Fluorescence lifetime was selected as the sensing parameter, and measured in frequency domain using phase fluorometry. Upon exposure to 20% CO 2-saturated water, a 43°increase in phase angle was observed at 100 MHz. The process was fully reversible when the sensing film was exposed to nitrogen-saturated water. The estimated response and recovery times for 90% signal change were 1 min (for a step change from 0 to 6.7% CO 2-saturated water) and 1.5 min (for a step change from 6.7 to 3.3% CO 2-saturated water). When used for on-line monitoring of dissolved CO 2 produced by a culture of Escherichia coli, the sensing film showed a similar trend to that obtained from off-line measurements using a wet chemistry analyzer.

The objective of this study was to compare aspiration pneumonia (AP)-associated microflora, calculus, and oral hygiene/care seeking behaviors in special health care needs children (SC) with gastrostomy (GT) and without. Methods: Twenty-seven GT SC, ages 3 to 12 years old and matched for age and gender with 27 non-GT SC, were examined by 2 trained investigators who recorded calculus and gingival inflammation and reconciled differences. Plaque was obtained using preweighed dry paper points and saliva sampled using sterile pipettes and cultured using standard bioassay procedures in a hospital laboratory. Parent/caretakers completed a medical and oral health questionnaire. Results: No significant differences were noted for age, gender, weight, primary diagnosis, vomiting, constipation, or swallowing disorder, but GT children received 4 medications vs 1 for non-GT and were significantly more likely to have had AP, need special feeding, and drool (P≤.05). Oral health measures were not significantly different for brushing frequency, dentifrice use, brushing problems, frequency of dental care, or gingival inflammation, but GT patients had significantly more plaque and calculus. GT patients had significantly more Haemophilus influenzae, with trends toward more gram negative enteric rods, pseudomonas, and Streptococcus pneumoniae and higher concentrations in several GT-patients and little or none in non-GT patients. GT SC had significantly less β-streptococci than non-GT patients (P≤.05). Conclusions: GT SC had significantly more of 1 AP-associated organism than non-GT SC and significantly more calculus and plaque, in spite of similar care seeking and hygiene behaviors. (Pediatr Dent. 2004;26:283-288)

Purpose: The treatment of cystic lymphatic malformations of the neck and mediastinum is controversial. Surgical management may be limited by the invasiveness of the procedure, the complex anatomy of this region, and the high recurrence rate. An alternative therapeutic method is sclerotherapy. We report our experience in the treatment of cystic lymphatic malformations of the neck by computed tomography (CT)-guided instillation of 98% sterile ethanol in children. Methods: Eight children with clinical suspicion of cervical cystic lymphatic malformation were assessed by ultrasonography (US) and magnetic resonance imaging (MRI) to define the location, size, and number of cystic cavities. The CT-guided instillation of 98% sterile ethanol was performed. Cystic fluid was analyzed by fine-needle aspiration cytology. Clinical and US or MRI follow-up was performed after 1 and 3 months and at 1 and 2 years. Results: The results were excellent with complete disappearance of the lesion in 7 (87.5%) of 8 patients. One patient (12.5%) with satisfactory results required a second alcohol injection with an excellent outcome. No allergic reactions or complications were observed. Conclusions: The CT-guided 98% sterile ethanol sclerotherapy is a good alternative to surgical therapy. This procedure seems accurate, minimally invasive, safe, low cost, and reliable without untoward complications. Moreover, it does not exclude later surgical treatment.

In the palm oil mill, fresh fruit bunch (FFB) undergoes various thermal and mechanical treatments to produce the crude palm oil (CPO). FFB consists of many fruits attached to the spikelets that are spirally arranged on the main bunch stalk. Each fruit is made up of a nut enveloped by the fleshy mesocarp, which is reinforced by strands of fibers running from the base towards the fruit tip. A ripe fruit mesocarp contains oil-rich cellulosic cells. These cells are bound together by hemicellulose. Whilst cellulose is very stable, the hemicellulose is easily hydrolyzed. This hydrolysis occurs during sterilization of the FFB when it is exposed to temperatures of 140-145°C and pressure of 40-45 pound per square inch (psi) or 275.8-310.3 kPa for 1-1½ hours. This condition aims at and ensures the detachment of fruits from the bunch. The in-depth chemical changes that occur in the FFB during sterilization are not fully understood and continuously being investigated. Xyloses form one of the products of hydrolysis, and furfural is another product that results from the dehydration of pentose formed also upon the hydrolysis of hemicellulose. Presence of furfural was tested in six extracted samples, namely CPO, mill-pressed crude, condensate oil, sludge oil, sterilized FFB oil and unsterilized FFB oil, using aniline acetate colorimetric method, thin-layer chromatography (TLC) and UV-visible spectrophotometry. The color formation was compared to that of standard furfural. Furfural was detected in CPO, crude, condensate oil, sludge oil and sterilized FFB oil, while it was undetected in the unsterilized FFB. The amount of furfural was quantified in CPO, condensate oil and sludge oil using high-performance liquid chromatography (HPLC).

The purpose of this study was to investigate the ability of cattle manure compost (CMC) to degrade 1,1,1trichloro-2,2-bis (4-chlorophenyl) ethane (DDT). DDT was degraded during composting and 1,1-dichloro-2,2-bis (4-chlorophenyl) ethane (DDD) was detected as a metabolic product. Degradation of DDT at 60°C was the most effective of all the stages of composting. Fourteen strains of fungi were isolated and identified from CMC, and most of them were closely related to Mucor circinelloides and Galactomyces geotrichum. These fungi demonstrated a high ability to degrade DDT both at 30 and 60°C in potato dextrose broth (PDB) medium. DDD and 4,4-dichlorobenzophenone (DBP) were detected as metabolic products. Degradation of DDT-contaminated soil was also investigated. Composting materials in the mesophilic stage exhibited the highest ability to degrade DDT in un-sterilized (USL) contaminated soil during a 28 d incubation period. The isolated fungi possessed the ability to degrade DDT in sterilized (SL) and un-sterilized (USL) soils. These results indicated that CMC contains fungi that can be potentially used for bioremediation in DDT-contaminated environments.

Slow-growing bacteria and biofilms are notoriously tolerant to antibiotics. Oritavancin is a lipoglycopeptide with multiple mechanisms of action that contribute to its bactericidal action against exponentially growing gram-positive pathogens, including the inhibition of cell wall synthesis and perturbation of membrane barrier function. We sought to determine whether oritavancin could eradicate cells known to be tolerant to many antimicrobial agents, that is, stationary-phase and biofilm cultures of Staphylococcus aureus in vitro. Oritavancin exhibited concentration-dependent bactericidal activity against stationaryphase inocula of methicillin-susceptible S. aureus (MSSA) ATCC 29213, methicillin-resistant S. aureus (MRSA) ATCC 33591, and vancomycin-resistant S. aureus (VRSA) VRS5 inoculated into nutrient-depleted cation-adjusted Mueller-Hinton broth. As has been described for exponential-phase cells, oritavancin induced membrane depolarization, increased membrane permeability, and caused ultrastructural defects including a loss of nascent septal cross walls in stationary-phase MSSA. Furthermore, oritavancin sterilized biofilms of MSSA, MRSA, and VRSA at minimal biofilm eradication concentrations (MBECs) of between 0.5 and 8 g/ml. Importantly, MBECs for oritavancin were within 1 doubling dilution of their respective planktonic broth MICs, highlighting the potency of oritavancin against biofilms. These results demonstrate a significant activity of oritavancin against S. aureus in phases of growth that exhibit tolerance to other antimicrobial agents.

Ready-for-use' instruments from surgical instrument trays were examined after routine cleaning and sterilization in a blinded study. These reprocessed instruments originated from five National Health Service hospital trust sterile service departments in England and Wales. Determination of residual protein and peptide contamination was carried out by acid stripping of the instrument surfaces, hydrolysis of the constituent amino acids and quantitative total amino acid analysis. One hundred and twenty instruments were analysed, and the median levels of residual protein contamination per instrument for the individual trays were 267, 260, 163, 456 and 756 mg. Scanning electron microscopy and energy dispersive X-ray spectroscopic analyses of the instruments showed that tissue deposits were localized on surfaces, but there was no significant correlation between overall protein soiling and instrument complexity. The highest levels of residual contamination were found on instruments used for tonsillectomy and adenoid surgery.

An apparatus was developed that featured programmable application of liquid medium to plant cultures for micropropagation. Computer control capabilities included liquid medium introduction and medium depth within four culture vessels, medium application and removal on an assigned schedule, schedule adjustment during a culture period and medium replacement. The medium level was controlled using an accurate custom level-sensing technique consisting of thermistors and float switches. Seven-liter polycarbonate containers were modified and used as the culture vessels. Maintaining sterility was a key constraint in the development of the plant tissue culture apparatus.

Understanding the interaction mechanisms between plant growth-promoting rhizobacteria (PGPR), leguminous crops, and rhizobia is necessary to effectively use PGPR in increasing the biological nitrogen fixation of legumes. We determined the coinoculation effects of Bradyrhizobium japonicum A1017 and a gusA-marked strain of Pseudomonas fluorescens 2137, P. fluorescens WCS365, Azomonas agilis 125, and Azospirillum lipoferum 137 on soybean [Glycine max (L.) Merr] cv. Enrei grown under axenic conditions. The gusA-marked rhizobacteria effectively colonized the root tips and surfaces near the roots tips with a colonization rate ranging from 7.50 to 8.62 log colony forming units (cfu) gfw -1 . P. fluorescens 2137 had the highest colonization activity on soybean roots whether inoculated alone or coinoculated with B. japonicum A1017. Coinoculation of P. fluorescens 2137 and B. japonicum A1017 increased the colonization of B. japonicum A1017 on soybean roots, nodule number, and acetylene reduction activity (ARA) at 10 and 20 days after inoculation. Moreover, the addition of sterile spent medium of P. fluorescens 2137 increased the growth of B. japonicum A1017 in yeast mannitol broth (YMB), indicating that P. fluorescens 2137 may have released substances that increased the rhizobial population. The results of this study suggest that the enhanced nodulation and ARA of soybean due to the high colonization of P. fluorescens on soybean roots could depend on the production of growth-promoting substances that stimulate the growth of B. japonicum. However, coinoculation with P. fluorescens WCS365 decreased the nodule number and ARA, despite its slight stimulation of the growth of B. japonicum on the roots, indicating that coinoculation effects are strain dependent.

Saccharolytic, nonpigmented, anaerobic gram-negative rods isolated from infected dog and cat bite wounds in humans have been poorly characterized, and most are not included in the databases of kits used for anaerobic identification; thus, they are problematic for clinical laboratories to identify. Fifty strains isolated from such wounds were characterized with commercial kits for preformed-enzyme detection, carbohydrate fermentation, and other biochemical tests. PCR fingerprinting was performed on these strains to further characterize subgroups within these species. Bacteroides tectum is a frequent isolate in bite wounds and resembles Prevotella bivia in colony morphology and saccharolytic activity, except that it grows in 20% bile and hydrolyzes esculin. Profile numbers generated by various kits associate B. tectum with P. bivia, Prevotella oralis group, or Prevotella melaninogenica. PCR fingerprinting identified at least four subgroups and confirmed the heterogeneous nature of thi...

The present study aimed to produce verapamil hydrochloride-loaded solid lipid microparticles (SLM) by the w/o/w emulsion solvent evaporation technique, using diethyl ether as solvent phase, glyceryl monostearate as biodegradable polymer and Span 60 as surfactant. SLM of spherical shape were prepared by simple dilution of the emulsion with water. To increase the lipid load the process was conducted at 50 degrees C, and in order to reach sub-micron size, a high-shear homogenizer was used. The encapsulation efficiency of prepared SLM reached 74.29 +/- 0.76%. Particle size (98.55 +/- 1.42 microm), surface morphology (spherical) and drug loading efficiency (18.57 +/- 1.25% w/w) were investigated. And optimization of drug polymer ratio (3:1), nature and concentration of emulsion stabilizer in the external aqueous (0.1%), phase viscosity of external aqueous phase (0.5%), volume of external aqueous phase and stirring rate (1000 rpm) were detected. Analysis of microsphere content after proce...

Powdered infant formulae are not sterile and may contain pathogenic bacteria. In addition, milk products are excellent media for bacterial proliferation. Multiplication of Enterobacter sakazakii in prepared formula feeds can cause devastating sepsis, particularly in the first 2 months of life. In approximately 50 published case reports of severe infection, there are high rates of meningitis, brain abscesses and necrotizing enterocolitis, with an overall mortality from 33% to 80%. Breast feeding provides effective protection against infection, one of the many reasons why it deserves continued promotion and support. To minimize the risk of infection in infants not fully breastfed, recommendations are made for preparation and handling of powdered formulae for children younger than 2 months of age. In the home setting, powdered infant formulae should

Hair sheep ewes (St. Croix White and Barbados Blackbelly) were used to evaluate 3 methods of estrus synchronization for use with transcervical artificial insemination (TAI). To synchronize estrus, ewes (n = 18) were treated with PGF2¢ (15 mg, im) 10 d apart, with controlled internal drug release (CIDR) devices containing 300 mg progesterone for 12 d (n = 18), or with intravaginal sponges containing 500 mg progesterone for 12 d (n = 18). On the day of the second PGF2a injection or at CIDR or sponge removal, sterile rams were placed with the ewes. jugular blood samples were collected from the ewes at 6-h intervals until the time of ovulation, and daily for 16 d after estrus (Day 0). Plasma was harvested and stored at-20°C until LH, and progesterone concentrations were determined by RIA. There was no difference (P > 0.10) in time to estrus among the CIDR-, PGF2c¢-or sponge-treated ewes. All of the ewes in the CIDR group and 94.4% of the sponge treated ewes exhibited estrus by 36 h after ram introduction, while only 72.2% of PGF2a-treated ewes showed signs of estrus by this time (P < 0.06). The time from ram introduction to ovulation was not different (P > 0.10) among the CIDR-, PGF2c¢-or sponge-treated ewes. The time to the preovulatory LH surge was similar (P > 0.10) among CIDR, PGF2c¢ and sponge treated ewes. Progesterone levels through Day 16 after the synchronized estrus were not different (P > 0.10) among treatment groups. Hair sheep ewes (n = 23) were synchronized using PGF2c¢ and bred by TAI using frozenthawed semen 48 h after the second injection. The conception rate to TAI was 2/23 (8.7%) and produced 3 ram lambs. In a subsequent trial, 17 ewes were synchronized with CIDR devices and bred by TAI using frozen-thawed semen 48 h after CIDR removal, resulting in a conception rate of 52.9 % (9/17). It is possible to synchronize estrus in hair sheep using either CIDRs, sponges or PGF2c¢. Even though there were no significant differences in the timing of ovulation Or the LH surge among the treatment groups, a higher conception rate was achieved in ewes synchronized with CIDR devices during the second trial. This may reflect an increase in the skill level of the TAI technidan.

Because, globally, HIV is transmitted mainly by sexual practices and intravenous drug use and because of a long asymptomatic period, healthcare-associated HIV transmission receives little attention even though an estimated 5.4% of global HIV infections result from contaminated injections alone. It is an important personal issue for healthcare workers, especially those who work with unsafe equipment or have insufficient training. They may acquire HIV occupationally or find themselves before courts, facing severe penalties for causing HIV infections. Prevention of blood-borne nosocomial infections such as HIV differs from traditional infection control measures such as hand washing and isolation and requires a multidisciplinary approach. Since there has not been a review of healthcare-associated HIV contrasting circumstances in poor and rich regions of the world, the aim of this article is to review and compare the epidemiology of HIV in healthcare facilities in such settings, followed...

This paper reviews domestic and international activism seeking justice for Romani and other women harmed by coercive, forced, and involuntary sterilization in the former Czechoslovakia and Czech Republic. Framed by Michel Foucault’s theory of biopower, it summarizes the history of these abuses and describes human rights campaigns involving domestic and international litigation, advocacy, and grassroots activism, as well as the responses of the Czech governments. The paper describes how legal and policy work during the past decade has led to recognition of coercive, forced, and involuntary sterilization as a present-day human rights issue worldwide, to the adoption of new guidelines on female sterilization, and to a joint statement on the issue by seven UN agencies. Relying on academic literature, reports by domestic and international human rights groups, state investigations, judgments from Czech courts and the European Court of Human Rights (ECHR), media reports, and the experience...

Gene containment technologies that prevent transgene dispersal through pollen, fruit and seed are in immediate demand to address concerns of gene flow from transgenic crops into wild species or close relatives. In this study, we isolated the enhancer element of Arabidopsis AGAMOUS that drives gene expression specifically in stamens and carpels. By fusing this AG enhancer to a minimal 35S promoter fragment, two tissue-specific promoters, fAGIP and rAGIP in forward and reverse orientations, respectively, were created and fused to the GUS reporter. Transgenic Arabidopsis plants harboring either fAGIP::GUS or rAGIP::GUS displayed similar GUS expression specifically in carpel and stamen tissues and their primordial cells. To test their utility for engineering sterility, the promoters were fused to the Diphtheria toxin A (DT-A) gene coding for a ribosome inactivating protein as well as the Barnase gene coding for an extracellular ribonuclease, and tested for tissue-specific ablation. Over 89% of AGIP::DT-A and 68% of AGIP::Barnase transgenic plants displayed specific and precise ablation of stamens and carpels and are completely sterile. These transgenic plants showed normal vegetative development with prolonged vegetative growth. To evaluate the stability of the sterile phenotype, 16 AGIP::DT-A lines underwent two consecutive cutback generations and showed no reversion of the floral phenotype. This study demonstrates a simple, precise and efficient approach to achieve absolute sterility through irreversible ablation of both male and female floral organs. This approach should have a practical application for transgene containment in ornamental, landscaping, and woody species, whose seeds and fruits are of no economic value.

The Holder method is the recommended pasteurization method for human milk banks, as it ensures the microbiological safety of human milk (HM). The loss of some biologically active milk components, due to the heat treatment, is a main limit to the diffusion of donor HM. High-temperature short-time (HTST) pasteurization may be an alternative to maintain the nutritional and immunological quality of HM. The aim of the present study was to compare the impact of Holder and HTST pasteurization on the HM protein profile. The protein patterns of HTST-treated milk and raw milk were similar. The Holder method modified bile salt-stimulated lipase, lactoferrin and components of the immune system. The HTST method preserved the integrity of bile salt-stimulated lipase, lactoferrin and, to some extent, of IgAs. Holder pasteurization decreased the amount of bile salt-stimulated lipase and inactivated the remaining molecules, while the HTST method did not alter its activity. Pasteurization increased t...

Object-oriented heat-exchanger models were developed to simulate the dynamic thermal effects of dynamic changes in fluid composition and thus of fluid properties in a type of liquid typical for food products. The models were written in the object-oriented language Modelica as objects in a library structure being developed to simulate complex liquid food process lines and their control systems. The models were based on moderate discretization of the heat exchanger into control volumes, and the fluid dispersion was modelled either as ideal mixing or as transport delay in each control volume. The transport delay model exhibited the best computational performance as well as affording flexibility in fluid dispersion modelling.

In this study, we investigated the role of hormones in the pathogenesis of calcifications in ovary and in endometrium and their neoplasms of the gynecologic tract and assessed the anatomic location and incidence of these calcifications. The study consists of three parts designed to investigate the pathogenesis, the location, and the incidence of calcifications in ovary and endometrium and their neoplasms. In the first part, 79 female guinea pigs were divided into 10 groups, and different hormones, given weekly for 12 months, were administered to the guinea pigs by group. A control group of 7 guinea pigs received sterile water. Calcifications developed in 5 of 7 guinea pigs treated with prolactin, 10 of 20 treated with human chorionic gonadotropin, 5 of 11 treated with estradiol, 3 of 7 treated with estrone, 1 of 6 treated with growth hormone, and 1 of 10 treated with testosterone; in 20 of the guinea pigs, the calcifications developed in the stroma of the endometrium, and in 5 guinea pigs, they developed in the ovary. The second part of the study consisted of an evaluation of the specific location of calcifications in 43 consecutive human surgical ovaries and endometria. Calcifications were seen only in the stroma in 100% of the ovarian serous adenofibroma specimens; in ovarian serous borderline neoplasms, the stroma contained 70 to 100% of the calcifications, and the epithelium had 0 to 30% of the calcifications. In ovarian serous carcinoma specimens, the calcifications were seen in the stroma in 50 to 60% of the cases, in the epithelium in 40% of the cases, and in areas of necrosis in 10% of the cases.

Long-duration space missions require a high-quality, shelf-stable food supply but must also contend with packaging waste after use. We have developed a package, adapted from a military pouch, that enables heating of foods to serving temperature. After the food is consumed, the package may be reused for containment and sterilization of waste, and, potentially, for packaging and sterilizing foods grown on a Mars base. Packages are equipped with electrodes to permit ohmic heating of internal constituents. Heat transfer within the package was modeled using the energy transport equation, coupled with the Laplace equation for electric field strength distribution. The model was verified by temperature measurements during a sample experimental run, and it was used to optimize the package design. Waste sterilization within the package was also studied and confirmed. Mass transfer (electrode component migration) was studied by inductively coupled plasma mass spectrometry; the findings have shown concentrations within products to be well below current daily dietary exposure levels. Microbiological studies for sterilization indicated the need for package redesign to ensure parallel electrode configuration, as well as the use of supplemental external heaters along the nonelectrode walls of the package. Temperature profiles during heating of these packages have been determined.

Background The present study reports functional and morphological changes noted over long-term follow-up in patients with severe acute pancreatitis. Methods Thirty patients who had completed at least 6 months after recovery were included. Fecal fat, urinary D-xylose, blood sugar, C-peptide, pancreatic changes, and recurrences were studied. Results Etiology was gallstones (12), alcohol (10), both gallstone and alcohol (3), and idiopathic (5). Five patients were managed conservatively while 25 underwent surgery. Mean follow-up was 31.3 months. Exocrine and endocrine insufficiencies were noted in 12 (40%) and were more common in no-necrosis group compared to necrosis group (p=0.04 and 0.28, respectively) and infected compared to sterile pancreatitis (45% vs. 25%, p=0.55 and 50% vs. 12%, p=0.15, respectively). Higher frequency was noted in nonvisualized, partly visualized, and dilated segment of duct. Significant proportion (8/12) had both exocrine and endocrine abnormalities and their incidence decreased as duration of follow-up increased. Urinary D-xylose excretion was abnormal in 16% and noted >1 year postrecovery. Thirty percent required >1 readmission and pain was the commonest cause. Conclusions Forty percent had functional abnormality; 16% had mucosal absorption abnormality while 30% required >1 readmission. Exocrine and endocrine insufficiencies were more prevalent in first year, and a significant proportion had both. A trend for higher functional insufficiency was observed in infected necrosis, complete or incomplete visualization of main pancreatic duct (MPD), dilated segment of MPD, and pseudocyst.

In arsenic-endemic and other areas, food is an important path of exposure to this contaminant. Food is generally consumed in processed form, after a preservation treatment or cooking, which may alter the concentrations and chemical forms of arsenic. This article summarizes and discusses the work so far published on the effect that thermal treatment used in the cooking or processing of food, including sterilization and preservation stages, has on total arsenic and arsenic species contents. It also reviews possible transformations in arsenic species. The studies included use model systems or food products of marine or vegetable origin. Processing may cause a considerable increase or decrease in the real arsenic intake from food. For example, traditional washing and soaking of Hizikia fusiforme seaweed, which has very high inorganic arsenic contents, may reduce the contents by up to 60%. On the other hand, all the arsenic present in cooking water may be retained during boiling of rice, increasing the contents of this metalloid to significant levels from a toxicological viewpoint. This calls for modifications in arsenic risk assessment, hitherto based on analysis of the raw product. It is necessary to consider the effect of processing on total arsenic and arsenical species in order to obtain a realistic view of the risk associated with intake in arsenic-endemic and other areas.

Sterile apple juice inoculated with S. cerevisiae ATCC 9763 (103 CFU/mL) was processed in a bubble column with gaseous ozone of flow rate of 0.12 L/min and concentration of 33–40 μg/mL for 8 min. The growth kinetics of S. cerevisiae as an indicator of juice spoilage was monitored at 4, 8, 12 and 16 °C for up to 30 days. The kinetics was quantitatively described by the primary model of Baranyi and Roberts, and the maximum specific growth rate was further modeled as a function of temperature by the Ratkowsky type model. The developed model was successfully validated for the microbial growth of control and ozonated samples during dynamic storage temperature of periodic changes from 4 to 16 °C. Two more characteristic parameters were also evaluated, the time of spoilage of the product under static temperature conditions and the temperature quotient, Q 10. At lower static storage temperature (4 °C), no spoilage occurred either for unprocessed or ozone-processed apple juice. In the case of ozone-processed apple juice, the shelf life was increased when compared with the controls, and the Q 10 was found to be 7.17, which appear much higher than that of the controls, indicating the effectiveness of ozonation for the extension of shelf life of apple juice.

Root-associated bacteria can have beneficial effects on their host plants. Microbial products can promote and stimulate plant growth or lead to bioprotection against pathogens. This study aimed to isolate putatively beneficial bacteria from traditional cereals grown by subsistence farmers in the Kavango of Namibia. Bacteria were isolated from surface-sterilized roots of Pennisetum glaucum, Sorghum bicolor, and Zea mays, and subjected to phenotypic and phylogenetic analyses. A total of 44 root-associated bacterial strains were isolated. From 33 distinct isolates, 22 belonged to Firmicutes and Actinobacteria, while 11 were Proteobacteria. Eleven novel phylotypes were among the isolates. Features known to contribute to plant growth-promotion and biocontrol were tested in vitro and revealed promising candidates with multiple beneficial characteristics. This is the first report on the characterization of native isolates associated with important agriculture crops in the Kavango region of Namibia. Such isolates have the potential for application as inoculants adapted to poor soils and local crops. Desiccation-tolerant or sporulating Gram-positive bacteria are of particular interest for this region, which is characterized by a long dry season.

Lake Orta (N. Italy) was severely polluted from 1927 by an effluent from a rayon factory, which discharged great amounts of ammonium nitrogen and copper into the lake. In the mid nineteen fifties, some plating factories also started dumping chromium and aluminum. As a result of ammonium oxidation, the lake became very acid and the concentration of metals in the waters reached very high values. Phytoplankton, zooplankton and fish disappeared suddenly from the lake which was by 1930 classified as “sterile”. Later on, about the fifties, a small population of Cyclops abyssorum re-colonised the lake together with some rotifers, in particular Hexarthra fennica. In mid eighties following the introduction of anti-pollution legislation, ammonium loads were greatly reduced and Daphnia obtusa was recorded. The lake waters however were still very acid, prompting the proposal of the Istituto Italiano di Idro-biologia to lime the lake with calcium carbonate to neutralise the excess acidity and re...

This paper presents an innovative method for the treatment of refractory wounds, starting with a blood unit, that is based on a biological approach. Local wound repair is one of the major unresolved clinical problems. Age, infection, clinical conditions such as diabetes mellitus, cardiac, renal, lung and liver failure, malnutrition and immunological deficiencies are among the reasons for wound repair delay or failure. Many chronic ulcers resist conventional treatment and do not heal for months and years, thus causing substantial morbidity and even mortality. The method for macrophage suspension treatment consists of introducing into the wound live cells that play a major role in the process of wound healing. The suspension is prepared from a blood unit of a healthy donor in a cost-effective, closed, sterile system. In the process of preparation, the macrophages are activated by hypo-osmotic shock to enhance their various functions in wound repair. The cells are applied to the wound either by local injection or by direct deposition into the wound. In most cases (90%), only one treatment is sufficient. Since 1995, macrophage suspensions have been used successfully in more than 1000 patients in several hospitals in Israel, without any side effects. Our results show that the use of a macrophage suspension is a safe and effective therapeutic strategy that shortens the healing period, reduces risk of complications and morbidity and improves the quality of life for long-suffering patients. This treatment requires no hospitalization and can be given on an ambulatory basis.