Evaluation of the efficacy of Alpron disinfectant for dental unit water lines

AIMS: To assess the efficacy of a disinfectant, Alpron, for controlling microbial contamination within dental unit water lines. METHODS: The microbiological quality of water emerging from the triple syringe, high speed handpiece, cup filler and surgery hand wash basin from six dental units was assessed for microbiological total viable counts at 22 degrees C and 37 degrees C before and after treatment with Alpron solutions. RESULTS: The study found that the use of Alpron disinfectant solutions could reduce microbial counts in dental unit water lines to similar levels for drinking water. This effect was maintained in all units for up to six weeks following one course of treatment. In four out of six units the low microbial counts were maintained for 13 weeks. CONCLUSIONS: Disinfectants may have a short term role to play in controlling microbial contamination of dental unit water lines to drinking water quality. However, in the longer term attention must be paid to redesigning dental units to discourage the build up of microbial biofilms

Obesity-dependent changes in interstitial ECM mechanics promote breast tumorigenesis.

Obesity and extracellular matrix (ECM) density are considered independent risk and prognostic factors for breast cancer. Whether they are functionally linked is uncertain. We investigated the hypothesis that obesity enhances local myofibroblast content in mammary adipose tissue and that these stromal changes increase malignant potential by enhancing interstitial ECM stiffness. Indeed, mammary fat of both diet- and genetically induced mouse models of obesity were enriched for myofibroblasts and stiffness-promoting ECM components. These differences were related to varied adipose stromal cell (ASC) characteristics because ASCs isolated from obese mice contained more myofibroblasts and deposited denser and stiffer ECMs relative to ASCs from lean control mice. Accordingly, decellularized matrices from obese ASCs stimulated mechanosignaling and thereby the malignant potential of breast cancer cells. Finally, the clinical relevance and translational potential of our findings were supported by analysis of patient specimens and the observation that caloric restriction in a mouse model reduces myofibroblast content in mammary fat. Collectively, these findings suggest that obesity-induced interstitial fibrosis promotes breast tumorigenesis by altering mammary ECM mechanics with important potential implications for anticancer therapies

Inkjet printing infiltration of Ni-Gd:CeO2 anodes for low temperature solid oxide fuel cells.

ABSTRACT: The effect of inkjet printing infiltration of Gd0.1Ce0.9O2-x in NiO-Gd0.1Ce0.9O2-x anodes on the performance of symmetrical and button cells was investigated. The anodes were fabricated by inkjet printing of suspension and sol inks. Symmetrical cells were produced from composite suspension inks on Gd0.1Ce0.9O2-x electrolyte. As-prepared scaffolds were infiltrated with Gd0.1Ce0.9O2 ink. Increasing the number of infiltration steps led to formation of "nano-decoration" on pre-sintered anodes. High resolution SEM analysis was employed for micro-structural characterization revealing formation of fine anode sub-structure with nanoparticle size varying in the range of 50-200 nm. EIS tests were conducted on symmetrical cells in 4% hydrogen/argon gas flow. The measurements showed substantial reduction of the activation polarization as a function of the number of infiltrations. The effect was assigned to the extension of the triple phase boundary. The i-V testing of a reference (NiO-8 mol% Y2O3 stabilized ZrO2/NiO-Gd0.1Ce0.9O2-x /Gd0.1Ce0.9O2-x /Gd0.1Ce0.9O2-x -La0.6Sr0.4Co0.2Fe0.8O3-δ ) cell and an identical cell with infiltrated anode revealed ~2.5 times improvement in the maximum output power at 600 °C which corresponded with the reduction of the polarization resistance of the symmetrical cells at the same temperature (2.8 times). This study demonstrated the potential of inkjet printing technology as an infiltration tool for cost effective commercial SOFC processing

Performance optimization of LSCF/Gd:CeO2_2 composite cathodes via single-step inkjet printing infltration

The effect of solid oxide fuel cell cathode microstructure modification on its electrochemical activity is investigated. Inkjet printing infiltration was used to develop a nano-decoration pattern on the composite cathode scaffolds. Two types of composite La$_{0.6}$Sr$_{0.4}$Co$_{0.2}$Fe$_{0.8}$O$_{3−δ}$:Ce$_{0.9}$Gd$_{0.1}$O$_{1.9}$ cathodes with different volume ratios (60:40 and 40:60 vol%) were fabricated using inkjet printing of suspension inks. The electrodes were altered by single-step inkjet printing infiltration of ethanol-based Ce$_{0.9}$Gd$_{0.1}$O$_{1.9}$ ink. After heat treatments in air at 550 °C the cathodes’ surfaces were shown to be nano-decorated with Ce$_{0.9}$Gd$_{0.1}$O$_{1.9}$ particles (~20–120 nm in size) dispersed uniformly onto the electrode scaffold. The nano-engineered microstructure enhanced the active triple phase boundary of the electrode and promoted the surface exchange reaction of oxygen. Electrochemical impedance tests conducted on symmetrical cells showed a reduction in the polarization resistance of between 1.3 and 2.9 times. The effect was found to be more pronounced in the 60:40 vol% composite cathodes. Ageing of infiltrated electrodes up to 60 h in air revealed enhanced stability of gadolinium doped ceria nanoparticles decorated electrodes ascribed to the suppression of SrO surface segregation. This work demonstrated that single-step inkjet printing infiltration can produce reproducible performance enhancements and thus offers a cost-effective route for commercial solid oxide fuel cell infiltration processing.The authors wish to acknowledge EPSRC Grant—“Tailoring of microstructural evolution in impregnated SOFC electrodes” —for the financial support

The simulation of action disorganisation in complex activities of daily living

Action selection in everyday goal-directed tasks of moderate complexity is known to be subject to breakdown following extensive frontal brain injury. A model of action selection in such tasks is presented and used to explore three hypotheses concerning the origins of action disorganisation: that it is a consequence of reduced top-down excitation within a hierarchical action schema network coupled with increased bottom-up triggering of schemas from environmental sources, that it is a more general disturbance of schema activation modelled by excessive noise in the schema network, and that it results from a general disturbance of the triggering of schemas by object representations. Results suggest that the action disorganisation syndrome is best accounted for by a general disturbance to schema activation, while altering the balance between top-down and bottom-up activation provides an account of a related disorder - utilisation behaviour. It is further suggested that ideational apraxia (which may result from lesions to left temporoparietal areas and which has similar behavioural consequences to action disorganisation syndrome on tasks of moderate complexity) is a consequence of a generalised disturbance of the triggering of schemas by object representations. Several predictions regarding differences between action disorganisation syndrome and ideational apraxia that follow from this interpretation are detailed

Archiving multi-epoch data and the discovery of variables in the near infrared

We present a description of the design and usage of a new synoptic pipeline and database model for time series photometry in the VISTA Data Flow System (VDFS). All UKIRT-WFCAM data and most of the VISTA main survey data will be processed and archived by the VDFS. Much of these data are multi-epoch, useful for finding moving and variable objects. Our new database design allows the users to easily find rare objects of these types amongst the huge volume of data being produced by modern survey telescopes. Its effectiveness is demonstrated through examples using Data Release 5 of the UKIDSS Deep Extragalactic Survey (DXS) and the WFCAM standard star data. The synoptic pipeline provides additional quality control and calibration to these data in the process of generating accurate light-curves. We find that 0.6+-0.1% of stars and 2.3+-0.6% of galaxies in the UKIDSS-DXS with K<15 mag are variable with amplitudes \Delta K>0.015 magComment: 30 pages, 31 figures, MNRAS, in press Minor changes from previous version due to refereeing and proof-readin

A new chemical formulation for control of dental unit water line contamination: An 'in vitro' and clinical 'study'

BACKGROUND: Water delivered by dental units during routine dental practice is highly contaminated. The aim of this study is to evaluate the efficacy of a new chemical solution flushed through Dental Unit Water Lines (DUWL) for the control of contamination inside dental units. MATERIALS AND METHODS: Six old dental units equipped with a device designed to automatically flush disinfecting solutions through the water system (Castellini Autosteril) were selected. Water samples from DUWL effluents were collected in each dental unit for 10 randomly selected days, before and after a 5 minute DUWL disinfecting cycle with TetraAcetylEthileneDiamine (TAED) and persalt (Ster4spray produced by Farmec spa, and distributed by Castellini spa). Water samples were plated in R2A Agar and cultured at room temperature for 7 days, and the total number of heterotrophic microorganisms counted and expressed in Log(10) CFU/mL A general linear model was fitted and multiple regression ANOVA for repeated measures was used for the statistical analysis. RESULTS: The mean contamination in DUWL effluent at baseline was 5.45 ± 0.35 CFU/mL (range 4.79 to 5.93 CFU/mL). When water samples were tested "in vitro" against the chemical, no growth of heterotrophic bacteria was detected after a 5 minute contact in any of the water samples tested. After undergoing a 5 minute disinfecting cycle with the chemical, DUWL mean contamination in water effluents was 2.01 ± 0.32 CFU/mL (range 1.30 to 2.74 CFU/mL) (significant difference with respect to baseline). CONCLUSIONS: An inbetween patient disinfecting procedure consisting of flushing DUWL with TAED and persalt equivalent to 0.26% peracetic acid could be useful in routine dental practice for cross-contamination control

Cancer-selective, single agent chemoradiosensitising gold nanoparticles

Two nanometre gold nanoparticles (AuNPs), bearing sugar moieties and/or thiol-polyethylene glycol-amine (PEG-amine), were synthesised and evaluated for their in vitro toxicity and ability to radiosensitise cells with 220 kV and 6 MV X-rays, using four cell lines representing normal and cancerous skin and breast tissues. Acute 3 h exposure of cells to AuNPs, bearing PEG-amine only or a 50:50 ratio of alpha-galactose derivative and PEG-amine resulted in selective uptake and toxicity towards cancer cells at unprecedentedly low nanomolar concentrations. Chemotoxicity was prevented by co-administration of N-acetyl cysteine antioxidant, or partially prevented by the caspase inhibitor Z-VAD-FMK. In addition to their intrinsic cancer-selective chemotoxicity, these AuNPs acted as radiosensitisers in combination with 220 kV or 6 MV X-rays. The ability of AuNPs bearing simple ligands to act as cancer-selective chemoradiosensitisers at low concentrations is a novel discovery that holds great promise in developing low-cost cancer nanotherapeutics

Professionalism and Evolving Concepts of Quality

For much of the twentieth century, quality of care was defined specifically in terms of physician characteristics and behaviors. High-quality physicians were well trained, knowledgeable, skillful, and compassionate. More recently, quality of care has been defined in terms of systems of care. High-quality organizations develop and adopt practices to reduce adverse events and optimize outcomes. This essay discusses this transformation from physician-based to organization-based concepts of quality and the consequences for patient care and medical professionalism