Antimicrobial efficacy of sequentially applied eugenol against food spoilage micro-organisms

AIMS

Compare the survival behaviour of food spoilage micro-organisms treated with sequential doses or all at once treatments of eugenol.

METHODS AND RESULTS

Staphylococcus carnosus, Listeria innocua, Escherichia coli and Pseudomonas fluorescens were exposed to a minimal lethal concentration (MLC) initially, or to half doses over time, with first half dose applied immediately and a second half dose applied after 3, 4, 6 and 8 h, of eugenol. Direct plate counts were determined at regular time intervals. Population dynamics were analysed using a combined growth and mortality model. Effect of sequential dosing varied significantly between tested organisms. High antimicrobial efficacy on E. coli K12 was observed regardless of timing of the two doses. Reduced effectiveness was observed against Staph. carnosus and L. innocua the later the second half dose was applied. Complete cell reduction occurred after immediate exposure to full MLC dose, while sequential half doses were bacteriostatic regardless of application times.

CONCLUSION

Time in between antimicrobial dose application had substantial impact on effectiveness, attributed to organisms becoming more tolerant.

SIGNIFICANCE AND IMPACT OF THE STUDY

This study contributes to the evaluation of encapsulated antimicrobial systems, where antimicrobials are released over time and antimicrobial concentrations may only reach MLC levels after some time.

Fundamentalism, Multiculturalism and Problems of Conducting Research with Populations in Developing Nations

A growing number of nurse researchers travel globally to conduct research in poor and underserved populations in developing nations. These researchers, while well versed in research ethics, often find it difficult to apply traditional ethical standards to populations in developing countries. The problem of applying ethical standards across cultures is explained by a long-standing debate about the nature of ethical principles. Fundamentalism is the philosophical stance that ethical principles are universal, while the anthropologically-based ‘multicultural’ model claims the philosophical position that principles are culturally bound. The authors explicate the two philosophical stances and advocate a morally sensitive but moderate position of ‘ethical multiculturalism’ rather than favouring either of the above philosophical positions. The final section suggests ways to promote ethical multiculturalism while planning and conducting nursing research.

Pertinent parameters in photo-generation of electrons: Comparative study of anatase-based nano-TiO2 suspensions

In the field of solar fuel cells, the development of efficient photo-converting semiconductors remains a major challenge. A rational analysis of experimental photocatalytic results obtained with material in colloïdal suspensions is needed to access fundamental knowledge required to improve the design and properties of new materials. In this study, a simple system electron donor/nano-TiO2 is considered and examined via spin scavenging electron paramagnetic resonance as well as a panel of analytical techniques (composition, optical spectroscopy and dynamic light scattering) for selected type of nano-TiO2. Independent variables (pH, electron donor concentration and TiO2 amount) have been varied and interdependent variables (aggregate size, aggregate surface vs. volume and acid/base groups distribution) are discussed. This work shows that reliable understanding involves thoughtful combination of interdependent parameters, whereas the specific surface area seems not a pertinent parameter. The conclusion emphasizes the difficulty to identify the key features of the mechanisms governing photocatalytic properties in nano-TiO2.

VALIDATION OF THE LYMPHEDEMA LIFE IMPACT SCALE (LLIS): A CONDITION-SPECIFIC MEASUREMENT TOOL FOR PERSONS WITH LYMPHEDEMA

Evidence-based practice supports the use of validated outcome measures to assess the impact of lymphedema; however, condition-specific lymphedema assessment measures are needed. The Lymphedema Life Impact Scale (LLIS) was developed as a comprehensive, lymphedema-specific instrument to assess the effects of lymphedema in any extremity. The LLIS is an 18-item measure of physical, psychosocial, and functional impairments caused by lymphedema. The purpose of this multicenter, cross sectional study was to investigate the reliability and validity of the LLIS. Test-retest reliability was assessed in a subgroup of 17 participants. Internal consistency and validity was assessed in 71 participants with upper (nUE = 37) or lower limb (nLE = 34) lymphedema, and a control group of 31 participants without lymphedema. Intraclass correlation coefficients for test-retest reliability ranged from .965 to .990. Cronbach's alpha coefficients for internal consistency ranged between .841 and .926. Construct validity of the LLIS was upheld with symptoms, but not with edema severity. The LLIS correlated highly with other comparison measures used in this study. Minimal clinically important difference of the LLIS was 7.31; MDC95 = 11.53. Our results showed the LLIS to be a valid and reliable tool for the assessment of severity of impairment among patients with lymphedema.

Elevated cognitive control over reward processing in recovered female patients with anorexia nervosa

BACKGROUND

Individuals with anorexia nervosa are thought to exert excessive self-control to inhibit primary drives.

METHODS

This study used functional MRI (fMRI) to interrogate interactions between the neural correlates of cognitive control and motivational processes in the brain reward system during the anticipation of monetary reward and reward-related feedback. In order to avoid confounding effects of undernutrition, we studied female participants recovered from anorexia nervosa and closely matched healthy female controls. The fMRI analysis (including node-to-node functional connectivity) followed a region of interest approach based on models of the brain reward system and cognitive control regions implicated in anorexia nervosa: the ventral striatum, medial orbitofrontal cortex (mOFC) and dorsolateral prefrontal cortex (DLPFC).

RESULTS

We included 30 recovered patients and 30 controls in our study. There were no behavioural differences and no differences in hemodynamic responses of the ventral striatum and the mOFC in the 2 phases of the task. However, relative to controls, recovered patients showed elevated DLPFC activity during the anticipation phase, failed to deactivate this region during the feedback phase and displayed greater functional coupling between the DLPFC and mOFC. Recovered patients also had stronger associations than controls between anticipation-related DLPFC responses and instrumental responding.

LIMITATIONS

The results we obtained using monetary stimuli might not generalize to other forms of reward.

CONCLUSION

Unaltered neural responses in ventral limbic reward networks but increased recruitment of and connectivity with lateral-frontal brain circuitry in recovered patients suggests an elevated degree of selfregulatory processes in response to rewarding stimuli. An imbalance between brain systems subserving bottom-up and top-down processes may be a trait marker of the disorder.

[First data concerning the medical supply of patients with non-alcoholic fatty liver disease in Germany - a survey in university hospital centers of hepatology]

BACKGROUND

Non-alcoholic fatty liver disease (NAFLD) currently is one oft the most common reasons for chronic liver injury in the western world. In the European and American population the prevalence is up to 30 %. The medical supply of German patients with NAFLD is variable and has not been analyzed to date.

METHODS

We sent questionnaires to all university liver centers in Germany (11 questions) concerning the medical supply of patients with NAFLD. Questions included the rate of patients with fatty liver disease in the outpatient clinics, metabolic comorbidities and the kind of assignment. Besides that, individual clinical standards were documented. We compared longitudinal changes between 2008 and 2013.

RESULTS

The return rate of questionnaires was 65 % (n = 20). Analysis showed that the portion of NAFLD patients in the university outpatient clinics had increased between 2008 and 2013 with the predominant part of patients being assigned from external practitioners and not from internal departments of the hospital. Only few patients were assigned by diabetologists or endocrinologists, but on the other hand most liver outpatient clinics investigated their NAFLD patients for metabolic disorders. Cooperation between liver outpatient clinics and other medical services was moderate and was rated average, joint conferences were held rarely. Follow-up visits of patients with NAFLD take place regularly in all centers, however based on different criterions. A consistent algorithm concerning risk assessment and invasive workup does not exist.

CONCLUSION

The awareness concerning patients with NAFLD seems to have grown in recent years. Nevertheless, the medical supply of these patients is quite heterogenous and consistent standards do not exist. Therefore, a common guidline is urgently required.