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"Banach, Jennifer"
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Effect of Disinfectants on Preventing the Cross-Contamination of Pathogens in Fresh Produce Washing Water
The potential cross-contamination of pathogens between clean and contaminated produce in the washing tank is highly dependent on the water quality. Process wash water disinfectants are applied to maintain the water quality during processing. The review examines the efficacy of process wash water disinfectants during produce processing with the aim to prevent cross-contamination of pathogens. Process wash water disinfection requires short contact times so microorganisms are rapidly inactivated. Free chlorine, chlorine dioxide, ozone, and peracetic acid were considered suitable disinfectants. A disinfectant’s reactivity with the organic matter will determine the disinfectant residual, which is of paramount importance for microbial inactivation and should be monitored in situ. Furthermore, the chemical and worker safety, and the legislative framework will determine the suitability of a disinfection technique. Current research often focuses on produce decontamination and to a lesser extent on preventing cross-contamination. Further research on a sanitizer’s efficacy in the washing water is recommended at the laboratory scale, in particular with experimental designs reflecting industrial conditions. Validation on the industrial scale is warranted to better understand the overall effects of a sanitizer.
Journal Article
Governing Risks of Multi-Use: Seaweed Aquaculture at Offshore Wind Farms
Spatial claims concerning the rapidly growing European offshore wind sector give rise to various ideas for the multi-use application of wind farms. Seaweed is considered a promising feedstock for food and feed that could be produced at offshore wind farms. Concerns about risks resulting in liability claims and insurance premiums are often seen as show-stoppers to multi-use at offshore wind farms. In this study, key environmental risks of seaweed cultivation at offshore wind farms, identified through literature review, are characterized based on stakeholder consultation. The current approach to risk governance is evaluated to assess how it can handle the uncertain, complex, and/or ambiguous risks of multi-use. It is concluded that current risk governance for multi-use is poorly equipped to deal with the systemic nature of risks. Risk governance should be a joint effort of governments and private regulators. It can improve if it is based on an adaptive framework for risk assessment that can deal with complex, systemic risks. Furthermore, it should be flexible and inclusive, i.e., open to new incoming information and , stakeholder input, and taking take into account and communicate about the different stakes and values of the various parties involved. The importance of communication and inclusion must be recognized, which promotes participation of concerned stakeholders.
Journal Article
Seaweed Value Chain Stakeholder Perspectives for Food and Environmental Safety Hazards
With a world population estimated at 10 billion people by 2050, the challenge to secure healthy and safe food is evident. Seaweed is a potential answer to this challenge. Expanding the use of seaweed in food systems requires an emphasis on safe practices to avoid adverse human health effects after consumption and irreversible damage to marine ecosystems. This study aims to evaluate relevant food safety and environmental safety hazards, monitoring measures, and mitigation strategies in the seaweed sector. For this study, a literature review, survey (n = 36), and interviews (n = 12) were conducted to identify hazards. The review and interviews aimed at pinpointing monitoring measures and mitigation strategies applied, while the survey revealed data gaps and further actions needed for the sector. Relevant food safety hazards include (inorganic) arsenic, iodine, and heavy metals, among others, such as pathogenic bacteria, while environmental hazards include environmental pathogens and parasites introduced into the ecosystem by domesticated seaweed, among others. Measures applied aim at preventing or mitigating hazards through good hygienic or manufacturing practices, food safety procedures or protocols, or pre-site farm selection. Although the future needs of the seaweed sector vary, for some, harmonized advice and protocols that align with a changing food system and hazard knowledge development as well as information on the benefits of seaweed and regulating climate and water quality may help.
Journal Article
Battling Microbes: Disinfecting Water During Fresh-Cut Lettuce Processing
Fresh leafy greens like lettuce are often consumed raw and can be contaminated by foodborne pathogens. Washing fresh-cut lettuce can help alleviate foodborne outbreaks and diffuse cases, but the washing process must be controlled to avoid pathogenic cross-contamination. The thesis aimed to evaluate the effectiveness of chemical disinfection of the water during fresh-cut lettuce washing to reduce pathogenic cross-contamination. First, the effectiveness of chlorine, chlorine dioxide (ClO2), ozone, and peracetic acid (PAA) during produce processing was studied along with legislation and disinfection by-product production. Next, the effectiveness of sodium hypochlorite, ClO2, and a silver-copper solution to reduce Salmonella enterica serovar Typhimurium and pathogenic Escherichia coli were assessed on the laboratory scale. Results showed that the water’s organic load, wash water temperature, and pathogenic characteristics influenced the effectiveness. Then, the effectiveness of ClO2 (5 mg/L and 3 mg/L) on reducing supplemented nonpathogenic E. coli during fresh-cut lettuce washing at the industrial scale was studied. Also, the effectiveness of a PAA solution (75 mg/L) on reducing supplemented nonpathogenic E. coli during fresh-cut lettuce washing at the laboratory and industrial scales was studied. The results showed that laboratory experiments disinfecting water with ClO2 and a PAA solution had similar findings, which were also confirmed at the industrial scale. Finally, a multi-criteria decision analysis was applied to a case study to determine the best control strategy during fresh-cut lettuce processing when disinfection was applied directly in the wash tank. Results showed that PAA was the overall preferred control strategy. This proposed disinfection strategy appears to be the right balance between safety and effective fresh-cut produce disinfection
Dissertation
Emerging enzymatic targets controlling angiogenesis in cancer: preclinical evidence and potential clinical applications
Angiogenesis has always been considered as a fundamental therapeutic target for inhibiting tumor growth and metastasis. To date, anti-angiogenic treatments that have been approved are principally based on either administration of monoclonal antibodies targeting the vascular endothelial growth factor/vascular endothelial growth factor receptor axis or multikinase inhibitors. However, a growing body of evidence is pointing out the role of different classes of enzymes involved in tumor-driven angiogenesis, whose inhibition in preclinical models has already shown encouraging results. This review provides an overview on the current knowledge of potential enzymatic targets involved in tumor-driven angiogenesis and the potential clinical applications deriving from their modulation. Metalloproteinase and nitric oxide synthase inhibitors have been found to be, respectively, inefficacious or unsuitable for clinical applications. Conversely, early clinical studies evaluating the inhibition of heparanase, nicotinamide adenine dinucleotide phosphate (NADPH) oxidase, lysyl oxidase (LOX) and angiotensin-converting enzyme (ACE) have shown promising results. Therefore, preliminary evidence indicates that heparanase, NADPH oxidase, LOX and ACE might represent potential targets for anticancer therapy.
Journal Article
Implications of ACC/AHA Versus ESC/EAS LDL-C Recommendations for Residual Risk Reduction in ASCVD: A Simulation Study From DA VINCI
PurposeLow-density lipoprotein cholesterol (LDL-C) recommendations differ between the 2018 American College of Cardiology/American Heart Association (ACC/AHA) and 2019 European Society of Cardiology/European Atherosclerosis Society (ESC/EAS) guidelines for patients with atherosclerotic cardiovascular disease (ASCVD) (< 70 vs. < 55 mg/dl, respectively). In the DA VINCI study, residual cardiovascular risk was predicted in ASCVD patients. The extent to which relative and absolute risk might be lowered by achieving ACC/AHA versus ESC/EAS LDL-C recommended approaches was simulated.MethodsDA VINCI was a cross-sectional observational study of patients prescribed lipid-lowering therapy (LLT) across 18 European countries. Ten-year cardiovascular risk (CVR) was predicted among ASCVD patients receiving stabilized LLT. For patients with LDL-C ≥ 70 mg/dl, the absolute LDL-C reduction required to achieve an LDL-C of < 70 or < 55 mg/dl (LDL-C of 69 or 54 mg/dl, respectively) was calculated. Relative and absolute risk reductions (RRRs and ARRs) were simulated.ResultsOf the 2039 patients, 61% did not achieve LDL-C < 70 mg/dl. For patients with LDL-C ≥ 70 mg/dl, median (interquartile range) baseline LDL-C and 10-year CVR were 93 (81–115) mg/dl and 32% (25–43%), respectively. Median LDL-C reductions of 24 (12–46) and 39 (27–91) mg/dl were needed to achieve an LDL-C of 69 and 54 mg/dl, respectively. Attaining ACC/AHA or ESC/EAS goals resulted in simulated RRRs of 14% (7–25%) and 22% (15–32%), respectively, and ARRs of 4% (2–7%) and 6% (4–9%), respectively.ConclusionIn ASCVD patients, achieving ESC/EAS LDL-C goals could result in a 2% additional ARR over 10 years versus the ACC/AHA approach.
Journal Article
Durata delle precauzioni da contatto negli ospedali per acuti
Traduzione a cura di Enrica Martini SHEA (© 2018 by The Society for Healthcare Epidemiology of America) expert guidance https://www.cambridge.org/core/services/aop-cambridge-core/content/view/ 94E38FDCE6E1823BD613ABE4E8CB5E56/S0899823X17002458a.pdf/ duration_of_contact_precautions_for_acutecare_settings.pdf Acronimi AMMI: Association for Professionials in Infection Control and Epidemiology, USA CDC: Society of Hospital Medicine, USA. Queste domande sono state utilizzate per definire lo scopo della guida e lo sviluppo dei termini di ricerca, che sono stati votati fino all’approvazione unanime. Essa è stata approvata anche dall’Association for Professionals in Infection Control and Epidemiology (APIC), dalla Society of Hospital Medicine (SHM) e dall’Association of Medical Microbiology and Infectious Disease Canada (AMMI Canada).
Journal Article