3,289 research outputs found

    Pseudomonas Survive Thermal Processing and Grow during Vacuum Packaged Storage in an Emulsified Beef System

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    New research has suggested the ability of Pseudomonas, a common spoilage microorganism, to grow in cooked beef products stored under vacuum which challenges the traditional understanding of the role of Pseudomonas during cooked beef spoilage. Understanding the mechanisms of survival and growth of Pseudomonas in these products is crucial for improving shelf life. The objective of this experiment was to determine Pseudomonas survival in a thermally processed, emulsified cooked beef model system. After eight weeks of refrigerated storage, Pseudomonas was recovered from cooked emulsified beef, indicating the potential for Pseudomonas to survive thermal processing and cause spoilage in cooked vacuum packaged beef products

    Cost-effectiveness of health care service delivery interventions in low and middle income countries : a systematic review

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    Background Low and middle income countries (LMICs) face severe resource limitations but the highest burden of disease. There is a growing evidence base on effective and cost-effective interventions for these diseases. However, questions remain about the most cost-effective method of delivery for these interventions. We aimed to review the scope, quality, and findings of economic evaluations of service delivery interventions in LMICs. Methods We searched PUBMED, MEDLINE, EconLit, and NHS EED for studies published between 1st January 2000 and 30th October 2016 with no language restrictions. We included all economic evaluations that reported incremental costs and benefits or summary measures of the two such as an incremental cost effectiveness ratio. Studies were grouped by both disease area and outcome measure and permutation plots were completed for similar interventions. Quality was judged by the Drummond checklist. Results Overall, 3818 potentially relevant abstracts were identified of which 101 studies were selected for full text review. Thirty-seven studies were included in the final review. Twenty-three studies reported on interventions we classed as “changing by whom and where care was provided”, specifically interventions that entailed task-shifting from doctors to nurses or community health workers or from facilities into the community. Evidence suggests this type of intervention is likely to be cost-effective or cost-saving. Nine studies reported on quality improvement initiatives, which were generally found to be cost-effective. Quality and methods differed widely limiting comparability of the studies and findings. Conclusions There is significant heterogeneity in the literature, both methodologically and in quality. This renders further comparisons difficult and limits the utility of the available evidence to decision makers

    Spoilage \u3ci\u3ePseudomonas\u3c/i\u3e survive common thermal processing schedules and grow in emulsified meat during extended vacuum storage

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    Some Pseudomonas species are common meat spoilage bacteria that are often associated with the spoilage of fresh meat. The recently reported ability of these bacteria to also spoil cooked and vacuum packaged meat products has created the need to investigate all potential routes of spoilage they may be able to utilize. The objective of this experiment was to determine if spoilage Pseudomonas spp. survive thermal processing and grow during refrigerated storage under vacuum. Pseudomonas spp. isolates collected from spoiled turkey products were inoculated into a salted and seasoned meat emulsion that was vacuum sealed and thermally treated to final temperatures of 54.4 and 71.1◩C to mimic thermal processes commonly used in the meat industry. Samples were stored for a total of 294 days at 4 and 10◩C and plated using Pseudomonas spp. specific agar plates. Pseudomonas spp. concentrations were below the detection limit (0.18 log10 CFU/g) immediately after thermal processing andwere first recovered from thermally processed samples after 14 days of storage. The final concentrationwas greater than 2 log10 CFU/g (p \u3c 0.05 compared to post-thermal processing) in thermally processed treatment groups at the end of storage, indicating that these Pseudomonas spp. isolateswere able to survive thermal processing and growduring extended vacuum storage. This raises concerns about the ability of spoilage bacteria to survive the thermal processing schedules commonly used in the meat industry and confirms that some Pseudomonas spp. are capable of thriving in products other than aerobically stored fresh meat

    Revising ethical guidance for the evaluation of programmes and interventions not initiated by researchers

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    Public health and service delivery programmes, interventions and policies (collectively, ‘programmes’) are typically developed and implemented for the primary purpose of effecting change rather than generating knowledge. Nonetheless, evaluations of these programmes may produce valuable learning that helps determine effectiveness and costs as well as informing design and implementation of future programmes. Such studies might be termed ‘opportunistic evaluations’, since they are responsive to emergent opportunities rather than being studies of interventions that are initiated or designed by researchers. However, current ethical guidance and registration procedures make little allowance for scenarios where researchers have played no role in the development or implementation of a programme, but nevertheless plan to conduct a prospective evaluation. We explore the limitations of the guidance and procedures with respect to opportunistic evaluations, providing a number of examples. We propose that one key missing distinction in current guidance is moral responsibility: researchers can only be held accountable for those aspects of a study over which they have control. We argue that requiring researchers to justify an intervention, programme or policy that would occur regardless of their involvement prevents or hinders research in the public interest without providing any further protections to research participants. We recommend that trial consent and ethics procedures allow for a clear separation of responsibilities for the intervention and the evaluation

    Doesn\u27t Your Work Just Re-Center Whiteness? The Fallen Impossibilities of White Allyship

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    Our purpose is to engage performative dialogue incorporative of currere on a central question in critical White studies (CWS). After precautionary notes and positionalities, we frame our dialogue within second-wave CWS. As its main section, six CWS scholars respond to the central question: Doesn’t research on White identities re-center whiteness? Analyzing the scholars’ responses, the performative dialogue is followed by an analytical discussion of CWS’ epistemological, ontological, and axiological convolutions. Via these convolutions, we recognize the impossibilities of facile “White allyship” within antiracist scholarship, curriculum and pedagogy, and related social movements. Instead of White allyship, we propose situated, relational, and process-oriented notions of alliance-oriented antiracist work

    Fate of Escherichia coli O157:H7, Salmonella spp., and Listeria monocytogenes During Curing and Drying of Beef Bresaola

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    Manufacturing dry-cured meat products without a thermal lethality step is a growing trend for charcuterie companies in the United States. The United States Department of Agriculture Food Safety and Inspection Service requires that hazards for ready-to-eat meat products be addressed with a scientifically valid Hazard Analysis Critical Control Point system. Because little validation literature exists for these products, an experiment was designed to investigate the safety of beef bresaola. The objective of this study was to determine the reduction of Escherichia coli O157:H7, Salmonella spp., and Listeria monocytogenes during curing and drying of bresaola.Prior to curing, whole beef semitendinosus muscle was inoculated with a mixed culture containing 3 strains each of E. coli O157:H7, Salmonella spp., and L. monocytogenes, allowed to air dry (30 min at 23°C), sprayed with a 2.5% Beefxide antimicrobial treatment (Birko Corp., Henderson, CO), and allowed to sit overnight in a walk-in cooler (2°C–4°C). Cure (NaNO3and NaNO2) and salt were applied to the beef surface 24 h after the antimicrobial treatment, and the beef was cured for 28 d (2°C–4°C). Following curing, a proprietary spice mixture was surface coated, and each piece was stuffed into beef casings (115–130 mm). The stuffed bresaola pieces were hung and allowed to dry for 35 d to a target water activity < 0.92 (13.63°C ± 2°C; relative humidity 68% ± 7%). Pathogen populations and water activity were analyzed on days 0, 1, and 2 and then weekly until day 65 of the study. Final reductions of 5.97, 5.98, and 5.44 log10 colony-forming units (CFU)/cm2 were achieved on day 65 for E. coli, Salmonella spp., and L. monocytogenes, respectively. During the entire curing and drying process, populations of each species never increased by more than 0.5 log10 CFU/cm2. The critical parameters used to cure and dry this product are sufficient to achieve the minimum 5 log10 CFU/cm2 reduction of each pathogen as required by the United States Department of Agriculture Food Safety and Inspection Service to validate process safety

    Lack of Artemisinin Resistance in Plasmodium falciparum in Uganda Based on Parasitological and Molecular Assays

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    We evaluated markers of artemisinin resistance in Plasmodium falciparum isolated in Kampala in 2014. By standard in vitro assays, all isolates were highly sensitive to dihydroartemisinin (DHA). By the ring-stage survival assay, after a 6-h DHA pulse, parasitemia was undetectable in 40 of 43 cultures at 72 h. Two of 53 isolates had nonsynonymous K13-propeller gene polymorphisms but did not have the mutations associated with resistance in Asia. Thus, we did not see evidence for artemisinin resistance in Uganda

    Lack of resistance of Plasmodium falciparum to dihydroartemisinin in Uganda based on parasitogolgical and molecular assays

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    Artemisinin-­‐based combination therapy is now standard treatment for falciparum malaria. However, this regimen is threatened by resistance to artemisinins, manifest as delayed clearance of parasitemia after therapy, in southeast Asia. Artemisinin resistance in southeast Asia is associated with increased parasitemias in culture, compared to those in sensi0ve parasites, 72 hours a=er a 6 hour pulse with 700 nM dihydroartemisinin (DHA), and with propeller domain polymorphisms in the Plasmodium falciparum kelch (K13; PF3D7_1343700) gene Given that artemether/lumefantrine has been adopted as standard therapy for malaria within the last decade in Uganda, we characterized artemisinin sensiBvity in fresh P. falciparum isolates from Kampala using ex vivo ring-­‐stage survival and IC50 assays. We also assessed the K13 gene for polymorphisms

    Visual-to-auditory sensory substitution alters language asymmetry in both sighted novices and experienced visually impaired users

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    Visual-to-auditory sensory substitution devices (SSDs) provide improved access to the visual environment for the visually impaired by converting images into auditory information. Research is lacking on the mechanisms involved in processing data that is perceived through one sensory modality, but directly associated with a source in a different sensory modality. This is important because SSDs that use auditory displays could involve binaural presentation requiring both ear canals, or monaural presentation requiring only one – but which ear would be ideal? SSDs may be similar to reading, as an image (printed word) is converted into sound (when read aloud). Reading, and language more generally, are typically lateralised to the left cerebral hemisphere. Yet, unlike symbolic written language, SSDs convert images to sound based on visuospatial properties, with the right cerebral hemisphere potentially having a role in processing such visuospatial data. Here we investigated whether there is a hemispheric bias in the processing of visual-to-auditory sensory substitution information and whether that varies as a function of experience and visual ability. We assessed the lateralization of auditory processing with two tests: a standard dichotic listening test and a novel dichotic listening test created using the auditory information produced by an SSD, The vOICe. Participants were tested either in the lab or online with the same stimuli. We did not find a hemispheric bias in the processing of visual-to-auditory information in visually impaired, experienced vOICe users. Further, we did not find any difference between visually impaired, experienced vOICe users and sighted novices in the hemispheric lateralization of visual-to-auditory information processing. Although standard dichotic listening is lateralised to the left hemisphere, the auditory processing of images in SSDs is bilateral, possibly due to the increased influence of right hemisphere processing. Auditory SSDs might therefore be equally effective with presentation to either ear if a monaural, rather than binaural, presentation were necessary
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