Insufficient neutralization in testing a chlorhexidine-containing ethanol-based hand rub can result in a false positive efficacy assessment

BACKGROUND: Effective neutralization in testing hand hygiene preparations is considered to be a crucial element to ensure validity of the test results, especially with the difficulty to neutralize chlorhexidine gluconate. Aim of the study was to measure the effect of chemical neutralization under practical test conditions according to EN 1500. METHODS: We have investigated two ethanol-based hand rubs (product A, based on 61% ethanol and 1% chlorhexidine gluconate; product B, based on 85% ethanol). The efficacy of products (application of 3 ml for 30 s) was compared to 2-propanol 60% (v/v) (two 3 ml rubs of 30 s each) on hands artificially contaminated with Escherichia coli using a cross-over design with 15 volunteers. Pre-values were obtained by rubbing fingertips for 1 minute in liquid broth. Post-values were determined by sampling immediately after disinfection in liquid broth with and without neutralizers (0.5% lecithin, 4% polysorbate 20). RESULTS: The neutralizers were found to be effective and non-toxic. Without neutralization in the sampling fluid, the reference disinfection reduced the test bacteria by 3.7 log(10), product B by 3.3 log(10 )and product A by 4.8 log(10 )(P = 0.001; ANOVA). With neutralization the reference disinfection reduced the test bacteria by 3.5 log(10), product B by 3.3 log(10 )and product A by 2.7 log(10 )(P = 0.011; ANOVA). In comparison to the reference treatment Product B lead to a lower mean reduction than the reference disinfection but the difference was not significant (P > 0.1; Wilcoxon-Wilcox test). Without neutralizing agents in the sampling fluid, product A yielded a significantly higher reduction of test bacteria (4.8; P = 0.02) as compared to the situation with neutralizing agents (2.7; P = 0.033). CONCLUSION: The crucial step of neutralization lies in the sampling fluid itself in order to stop any residual bacteriostatic or bactericidal activity immediately after the application of the preparation, especially with chlorhexidine gluconate-containing preparations. This is particularly important at short application times such as the 30 s

Lattice Dimerization in the Spin-Peierls Compound CuGeO3_3

The uniaxial pressure dependences of the exchange coupling and the structural distortion in the dimerized phase of CuGeO$_3$ are analyzed. A minimum magnetic dimerization of 3 % is obtained, incompatible with an adiabatic approach to the spin-Peierls transition. Exploring the properties of an Heisenberg spin chain with dynamical spin-phonon coupling, the dimerization dependence of the spin excitation gap is found to be in qualitative agreement with experiment.Comment: 2 pages, 1 figure include

Supersolids in the Bose-Hubbard Hamiltonian

We use a combination of numeric and analytic techniques to determine the groun d state phase diagram of the Bose--Hubbard Hamiltonian with longer range repulsi ve interactions. At half filling one finds superfluidity and an insulating solid phase. Depending on the relative sizes of near--neighbor and next near--neighbor interactions, this solid either follows a checkerboard or a striped pattern. In neither case is there a coexistence with superfluidity. However upon doping ``supersolid'' phases appear with simultaneous diagonal and off--diagonal long range order.Comment: 11 pages, Revtex 3.0, 6 figures (upon request

Nature of the Peierls- to Mott-insulator transition in 1D

In order to clarify the physics of the crossover from a Peierls band insulator to a correlated Mott-Hubbard insulator, we analyze ground-state and spectral properties of the one-dimensional half-filled Holstein-Hubbard model using quasi-exact numerical techniques. In the adiabatic limit the transition is connected to the band to Mott insulator transition of the ionic Hubbard model. Depending on the strengths of the electron-phonon coupling and the Hubbard interaction the transition is either first order or evolves continuously across an intermediate phase with finite spin, charge, and optical excitation gaps.Comment: 6 pages, 7 figures to appear in EPJ

Suitability of vaccinia virus and bovine viral diarrhea virus (BVDV) for determining activities of three commonly-used alcohol-based hand rubs against enveloped viruses

BACKGROUND: A procedure for including activity against enveloped viruses in the post-contamination treatment of hands has been recommended, but so far no European standard is available to implement it. In 2004, the German Robert Koch-Institute (RKI) and the German Association for the Control of Virus Disease (DVV) suggested that vaccinia virus and bovine viral diarrhea virus (BVDV) should be used as test viruses in a quantitative suspension test to determine the activity of a disinfectant against all enveloped viruses. METHODS: We have studied the activities of three commonly-used alcohol-based hand rubs (hand rub A, based on 45% propan-2-ol, 30% propan-1-ol and 0.2% mecetronium etilsulfate; hand rub B, based on 80% ethanol; hand rub C, based on 95% ethanol) against vaccinia virus and BVDV, and in addition against four other clinically relevant enveloped viruses: herpes simplex virus (HSV) types 1 and 2, and human and avian influenza A virus. The hand rubs were challenged with different organic loads at exposure time of 15, 30 and 60 s. According to the guidelines of both BGA/RKI and DVV, and EN 14476:2005, the reduction of infectivity of each test virus was measured on appropriate cell lines using a quantitative suspension test. RESULTS: All three alcohol-based hand rubs reduced the infectivity of vaccinia virus and BVDV by ≥ 4 log(10)-steps within 15 s, irrespective of the type of organic load. Similar reductions of infectivity were seen against the other four enveloped viruses within 15 s in the presence of different types of organic load. CONCLUSION: Commonly used alcohol-based hand rubs with a total alcohol concentration ≥ 75% can be assumed to be active against clinically relevant enveloped viruses if they effectively reduce the infectivities of vaccinia virus and BVDV in a quantitative suspension test

Chiral expansions of the pi0 lifetime

The corrections induced by light quark masses to the current algebra result for the $\pi^0$ lifetime are reexamined. We consider NNLO corrections and we compute all the one-loop and the two-loop diagrams which contribute to the decay amplitude at NNLO in the two-flavour chiral expansion. We show that the result is renormalizable, as Weinberg consistency conditions are satisfied. We find that chiral logarithms are present at this order unlike the case at NLO. The result could be used in conjunction with lattice QCD simulations, the feasibility of which was recently demonstrated. We discuss the matching between the two-flavour and the three-flavour chiral expansions in the anomalous sector at order one-loop and derive the relations between the coupling constants. A modified chiral counting is proposed, in which $m_s$ counts as $O(p)$. We have updated the various inputs needed and used this to make a phenomenological prediction.Comment: 20 pages, 1 figure; v2: comments and references added, accepted for publication in PR

Focussing quantum states

Does the size of atoms present a lower limit to the size of electronic structures that can be fabricated in solids? This limit can be overcome by using devices that exploit quantum mechanical scattering of electron waves at atoms arranged in focussing geometries on selected surfaces. Calculations reveal that features smaller than a hydrogen atom can be obtained. These structures are potentially useful for device applications and offer a route to the fabrication of ultrafine and well defined tips for scanning tunneling microscopy.Comment: 4 pages, 4 figure