Virucidal efficacy of household dishwashers

Not only since SARS-CoV-2, have transmission routes of viruses been of interest. Noroviruses e.g., can be transmitted via smear infection, are relatively stable in the environment and very resistant to chemical disinfection. Some studies determined the virucidal efficacy of laundering processes, but few studies focused on the virucidal efficacy of dishwashing processes. Here, especially consumer related conditions are of interest. Households for example are a hotspot of norovirus infection and thus a sufficient reduction of these and other viruses from dishes must be insured to avoid an infection via this route. The likelihood of such an event should not be underestimated, since it was shown that the washing machine can be a reservoir for the transmission of extended spectrum beta-lactamase producing bacteria in newborns. Although viruses do not replicate in these devices a transmission via contaminated cutlery e.g., cannot be excluded. Using a consumer related approach to determine the virucidal efficacy of dishwashers, we found a combination of a bleach containing dishwasher detergent, a cleaning temperature of 45 C for 45 min and a rinsing temperature of 50 C, to be sufficient to reduces viral titer of bovine corona virus, murine norovirus and modified vaccinia virus by 4.8, 4.2 and 3.8 logarithmic stages respectively.Copyright © 2021 by the authors. Licensee MDPI, Basel, Switzerland.

Safe Use of Sodium Dodecyl Sulfate (SDS) to Deactivate SARS-CoV-2: An Evidence-Based Systematic Review

Background: Coronavirus disease (COVID-19) has now morphed into the most serious healthcare challenge that the world has faced in a century. The coronavirus disease (COVID-19) was declared as a public health emergency of international concern (PHEIC) on January 30, 2020, and a pandemic on March 11 by the World Health Organization (WHO). The number of cases and the death toll are rapidly increasing frequently because of its fast transmission from human to human through droplets, contaminated hands or body, and inanimate surfaces. Objective(s): SDS has been found to exhibit broad-spectrum and effective microbicidal and viral inactivation agents through the denaturation of both envelope and non-envelop proteins Methods: Viable SARS-COV-2 particles may also be found on contaminated sites such as steel surfaces, plastic surfaces, stainless steel, cardboard, and glass surfaces that can serve as a source of virus transmission. We reviewed the available literature about the SARS-CoV-2 persistence on inanimate surfaces as well as the decontamination strategies of corona and other viruses by using Sodium dodecyl sulfate (SDS) as well as other cleaning chemicals and disinfectants. Result(s): The efficacy of SDS has been amply demonstrated in several studies involving human immunodeficiency virus (HIV), human papillomavirus (HPV) and herpes simplex virus (HSV). SDS has also been found as deactivator of SARS-CoV-2. In toxic profile, up to 1% concentration of SDS is safe for humans and showed no toxic effect if ingested. Conclusion(s): Since no specific treatment is available as yet so containment and prevention continue to be important strategies against COVID-19. In this context, SDS can be an effective chemical disinfectant to slow and stop the further transmissions and spread of COVID-19.Copyright © 2021 Bentham Science Publishers.

Influence of blend proportion and baking conditions on the quality attributes of wheat, orange-fleshed sweet potato and pumpkin composite flour dough and bread: optimization of processing factors

Orange-fleshed sweet potato (OFSP) and pumpkin fruit are underutilized crops with great potential for the production of high-quality bread with health-enhancing properties. However, the incorporation of nonconventional flour in bread formula may influence the dough and bread quality properties. This study investigated the effect of partial substitution of wheat flour with OFSP (10–50%) and pumpkin flour (10–40%), baking temperature (150–200 °C) and baking time (15–25 min) on the quality properties of the composite dough and bread using response surface methodology (RSM). Dough rheological, bread physical and textural properties were analyzed, modelled and optimized using RSM. Satisfactory regression models were developed for the dough and bread quality attributes (R2 > 0.98). The dough development time, crust redness, hardness, and chewiness values increased while optimum water absorption of dough, specific volume, lightness, springiness, and resilience of bread decreased significantly (p < 0.05) with increasing incorporation of OFSP and pumpkin flour in the bread formula. Additionally, the specific volume, crust redness, crumb hardness, and chewiness of the composite bread increased significantly (p < 0.05) with increasing baking temperature from 150 to 180 °C but reduced at higher baking temperatures (≥ 190 °C). The staling rate declined with increased OFSP and pumpkin flour whereas increasing the baking temperature and time increased the bread staling rate. The optimized formula for the composite bread was 78.5% wheat flour, 11.5% OFSP flour, 10.0% pumpkin flour, and baking conditions of 160 °C for 20 min. The result of the study has potential applications in the bakery industry for the development of functional bread.

Food safety concerns in "COVID-19 era"

In March 2020, the World Health Organization (WHO) declared that the COVID-19 outbreak can be characterized as a pandemic. Human-to-human transmission of the SARS-CoV-2 virus may initially be blamed as the first cause of spread, but can an infection be contracted by ingestion of contaminated food or touching contaminated food surfaces? Recently cold-chain food contamination has been indicated as a possible source of many human cases in China. However, the risk of a food-related COVID-19 infection is still debated since the virus may reach people through a fresh product or packaging, which have been touched/sneezed on by infected people. This review summarizes the most recent evidence on the zoonotic origin of the pandemic, reports the main results regarding the transmission of SARS-CoV-2 through food or a food chain, as well as the persistence of the virus at different environmental conditions and surfaces. Emphasis is also posed on how to manage the risk of food-related COVID-19 spread and potential approaches that can reduce the risk of SARS-CoV-2 contamination.Copyright © 2021 by the authors. Licensee MDPI, Basel, Switzerland.

Method validation for the recovery of the porcine respiratory and reproductive syndrome virus, a potential SARS-CoV-2 surrogate, from stainless steel.

Virus survival on fomites may represent a vehicle for transmission to humans. This study was conducted to optimize and validate a recovery method for the porcine respiratory and reproductive syndrome virus (PRRSV), a potential SARS-CoV-2 surrogate, from stainless steel. Coupons (1.5 × 1.5 cm) inoculated with ca. 7 logs TCID50 of PRRSV were dried for 15 min at room temperature, followed by incubation at 4°C and 35% relative humidity. After 1 h and 24 h, the coupons were processed by four different methods: vortex in DMEM media, vortex in DMEM media with beads, vortex in elution buffer, and shake in elution buffer. The rinsates were processed for titration using the TCID50 method in the MARC-145 cell line. All four methods were equally effective to recover the virus from the soiled SS surfaces (> 79% recovery). The amount of infectious virus recovered after 24 h was similar (P > 0.05) to that recovered after 1 h, indicating that the virus was stable at 4°C for up to 24 h. Using an elution buffer followed by shaking was the least labor-intensive and most economical method. Therefore, this method will be used for future experiments on PRRSV survival and transfer from food-contact surfaces.

Anti-pathogen stainless steel combating COVID-19.

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) exhibits strong stability on conventional stainless steel (SS) surface, with infectious virus detected even after two days, posing a high risk of virus transmission via surface touching in public areas. In order to mitigate the surface toughing transmission, the present study develops the first SS with excellent anti-pathogen properties against SARS-COV-2. The stabilities of SARS-CoV-2, H1N1 influenza A virus (H1N1), and Escherichia coli (E.coli) on the surfaces of Cu-contained SS, pure Cu, Ag-contained SS, and pure Ag were investigated. It is discovered that pure Ag and Ag-contained SS surfaces do not display apparent inhibitory effects on SARS-CoV-2 and H1N1. In comparison, both pure Cu and Cu-contained SS with a high Cu content exhibit significant antiviral properties. Significantly, the developed anti-pathogen SS with 20 wt% Cu can distinctly reduce 99.75% and 99.99% of viable SARS-CoV-2 on its surface within 3 and 6 h, respectively. In addition, the present anti-pathogen SS also exhibits an excellent inactivation ability for H1N1 influenza A virus (H1N1), and Escherichia coli (E.coli). Interestingly, the Cu ion concentration released from the anti-pathogen SS with 10 wt% and 20 wt% Cu was notably higher than the Ag ion concentration released from Ag and the Ag-contained SS. Lift buttons made of the present anti-pathogen SS are produced using mature powder metallurgy technique, demonstrating its potential applications in public areas and fighting the transmission of SARS-CoV-2 and other pathogens via surface touching.

[Educating to properly close the toilet knob taps or to replace them]. / Educare a chiudere in modo corretto i rubinetti a manopola del bagno o a sostituirli.

Systematic reviews have shown a prevalence close to 20% of gastrointestinal symptoms in COVID-19 positive patients, with nearly 40% of patients shedding viral RNA in their faeces, even if it may not be infectious, possibly because of inactivation by colonic fluid.According to current evidence, this virus is primarily transmitted by respiratory droplets and contact routes, including contaminated surfaces. The virus is quite stable on stainless steel, being detected up to 48-72 hours after application. Therefore, some individuals can be infected touching common contaminated surfaces, such as bathroom taps. Taps can be underestimated critical points in the transmission chain of the infection. Indeed, just by turning the knob, people leave germs on it, especially after coughing over their hands, sneezing, and/or blowing their nose. After handwashing with soap, user take back their germs when turning the knob. Paradoxically, the following user collects the germs back on his/her fingers by implementing a preventive measure, maybe before putting food into the mouth or wearing contact lenses.The Italian National Institute of Health recommends to clean and disinfect high-touched surfaces, but it is unrealistic and inefficient to do so after each tap use. As an alternative, new toilets should install long elbow-levers - or at least short levers - provided that people are educated to close them with the forearm or the side of the hand. This is already a standard measure in hospitals, but it is particularly important also in high-risk communities, such as retirement homes and prisons. It would be important also in schools, in workplaces, and even in families, contributing to the prevention both of orofaecal and respiratory infections.In the meantime, people should be educated to close existing knobs with disposable paper towel wipes or with toilet paper sheets.

Surface Inactivation of a SARS-CoV-2 Surrogate with Hypochlorous Acid is Impacted by Surface Type, Contact Time, Inoculum Matrix, and Concentration.

Indirect contact with contaminated surfaces is a potential transmission route for COVID-19. Therefore, it is necessary to investigate convenient and inexpensive surface sanitization methods, such as HOCl, against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The SARS-CoV-2 surrogate, Phi6 (~ 7 log PFU/mL), was prepared in artificial saliva and tripartite matrices, spot inoculated on coupons of either stainless steel or vinyl, and allowed to dry. The coupons were sprayed with either 500 ppm or 1000 ppm HOCl, and remained on the surface for 0 s (control), 5 s, 30 s, or 60 s. Samples were enumerated via the double agar overlay assay. Statistical analysis was completed in R using a generalized linear model with Quasipoisson error approximations. Time, concentration, surface type, and inoculum matrix were all significant contributors to log reduction at P = 0.05. Significant three-way interactions were observed for 1000 ppm, vinyl, and 60 s (P = 0.03) and 1000 ppm, tripartite, and 60 s (P = 0.0121). A significant two-way interaction between vinyl and 60 s was also observed (P = 0.0168). Overall, increased HOCl concentration and exposure time led to increased Phi6 reduction. Notably, the highest estimated mean log reduction was 3.31 (95% CI 3.14, 3.49) for stainless steel at 60 s and 1000 ppm HOCl in artificial saliva, indicating that this method of sanitization may not adequately reduce enveloped viruses to below infective thresholds.

Recent development of antiviral nano-coatings for COVID-19 management-a review

Global pandemic COVID-19 has affected almost the entire world population in every aspect of life in terms of health, environment, and economy. According to WHO, the main source of transmission of this deadly virus (SARS-CoV-2) is proven to be through the aerosol coming from the infected person's cough, sneeze, or exhalation. These aerosols are likely to settle down on the exposed surfaces and such infected surfaces are known to be potential source of contamination. The spread of the viral infections can be controlled in a great extent with the development of anti-viral nano-coating materials for various surfaces. Thus, development of such anti-viral nano-coating materials becomes increasingly popular amongst the researchers due to their extensive applications on surfaces, such as, glass, cotton, plastic and many more. In this short review, we will describe a summary of the popular metals and metal oxide nanomaterials commonly explored as antiviral coatings to control the spread of various viral disease along with the corresponding working principle and effectivity of such coatings.

Hygienic Design of HVAC Systems for Hospitals

Hygienic design of the Air Handling Unit (AHU), the custom-designed industrial HVAC system used in hospitals, laboratories, and similar sterile areas to supply clean, filtered, and conditioned air, has become more prevalent during the covid-19 pandemic. Improper maintenance of the air handling system can carry germs or viruses at any stage. This study concentrates explicitly on Air Handling Units used in hospitals, which should maintain higher quality standards than conventional air handling systems to reduce all kinds of dirt, debris, mold, and bacteria from the system. Throughout the paper, the critical parameters and control points of the air handling units for hospitals are analyzed from a hygienic viewpoint, and the existing hygienic design standards are explained through an implemented case study.

Clinical validation of automated QTc measurements from single lead ECG using a novel smartwatch

Introduction: A possible side-effect of various medical drugs is prolongation of the electric repolarization of the heart, measured as the corrected QT-interval (QTc). Patients treated with these drugs should be monitored frequently via an ECG to screen for early changes indicating possible life-threating arrythmias. Especially during the Covid-19 pandemic, remote patient monitoring gained importance. The Withings Scanwatch offers automated analysis of the QTc remotely, thereby obviating the need for in-person visits. We aimed to compare automated QTc-measurements using a single lead ECG (SL-ECG) of a novel smartwatch (Withings Scanwatch, SW-ECG) with manual-measured QTc from a nearly simultaneously recorded standard 12-lead ECG. Methods: We enrolled consecutive patients referred to a tertiary hospital for cardiac workup in a prospective, observational study. To obtain a SW-ECG, patients were instructed to keep their index finger on the stainless steel ring on the top case of the smartwatch continuously for 30 seconds The QT-interval was manually interpreted by two blinded, independent cardiologists through the tangent-method, using lead II or V5/ V6. Bazett's formula was used to calculate QTc. Results: We prospectively enrolled 317 patients (48% female, mean age 63.3 ± 17.2 years). The smartwatch was able to automatically measure QTc-intervals in 177 patients (56%). The diagnostic accuracy of SW-ECG for detection of a QTc-interval ≥ 460ms as quantified by the area under the curve (AUC) was 0.91 (95%CI 86.4-95.9). The Bland-Altman analysis resulted in a bias of 6.6ms (95% limit of agreement (LoA) - 58.6ms to 71.9ms) comparing automated QTc measurements via SW-ECG with manual QTc-measurement via 12-lead ECG (Figure 1). In 12 patients (6.9%) the difference between the two measurements was greater than the LoA. Premature ventricular complexes, noise or differences in heart rate were responsible in 8.3%, 83.0% and 8.3%, respectively, for observed outliers. Conclusion: In this clinical validation of a direct-to-consumer smartwatch we found fair to good agreement between automated-SW-ECG QTc-measurements and manual 12-lead-QTc measurements. The SW-ECG, however, was only able to automatically calculate QTc-intervals in one half of all assessed patients. Our work shows, that the automated algorithm of the SW-ECG needs to be improved to be useful in a clinical setting. (Figure Presented).

Role of environmental parameters on the survival of coronaviruses on surfaces

Several reviews and models have suggested that indirect contact transmission involving contaminated surfaces could be the predominant transmission route for certain respiratory viruses. Indeed, contaminated environmental surfaces are considered to represent a significant vector for hospital-acquired viral infections. For any environmental contamination to be relevant, a virus should not only remain infectious on the recipient surface but also persist at a sufficient concentration to enable it to reach the respiratory tract via finger contamination. In general terms, the potential of a fomite to spread a given infectious agent is directly related to the capacity of the agent to survive on that surface. The surface stability of viruses is generally influenced by the type of surface, environmental factors such as relative humidity and temperature, and the presence of body fluid secretions (respiratory excretions, feces, blood.). We investigated the influence of such parameters on the stability of several alpha and betacoronaviruses, including 3 variants of SARS-CoV-2 (SARS-CoV-2 variant 2020, SARS-CoV-2 variant UK and SARS-CoV2 variant delta), on stainless steel discs and porous surface corresponding to borosilicate discs. Assays were done at 7 °C and 25 °C with a relative humidity of 65%. Artificial mucus/saliva or BSA/yeast extract mixtures were used as fluid mimetics for respiratory and enteric viruses, respectively. Our results showed significant variable stability of the viruses depending on both the porous/non-porous nature of the surfaces and the temperature. Beneficial or negative impacts of the body fluids were also observed. This study characterizes for the first time the behaviour of human and animal coronaviruses, including highly pathogenic betacoronaviruses, on several surfaces with fixed environmental parameters.

Developing Novel Biointerfaces: Using Chlorhexidine Surface Attachment as a Method for Creating Anti‐Fungal Surfaces

There is an increasing focus in healthcare environments on combatting antimicrobial resistant infections. While bacterial infections are well reported, infections caused by fungi receive less attention, yet have a broad impact on society and can be deadly. Fungi are eukaryotes with considerable shared biology with humans, therefore limited technologies exist to combat fungal infections and hospital infrastructure is rarely designed for reducing microbial load. In this study, a novel antimicrobial surface (AMS) that is modified with the broad‐spectrum biocide chlorhexidine is reported. The surfaces are shown to kill the opportunistic fungal pathogens Candida albicans and Cryptococcus neoformans very rapidly (<15 min) and are significantly more effective than current technologies available on the commercial market, such as silver and copper.

Simultaneous Quantification of 17 Cannabinoids in Cannabis Inflorescence by Liquid Chromatography-Mass Spectrometry

With an increasing appreciation for the unique pharmacological properties associated with distinct, individual cannabinoids of Cannabis sativa, there is demand for accurate and reliable quantification for a growing number of them. Although recent methods are based on highly selective chromatography-mass spectrometry technology, most are limited to a few cannabinoids, while relying on unnecessarily sophisticated and expensive ultra-high performance liquid chromatography and tandem mass spectrometry. Here we report an optimised, simple extraction method followed by a reliable and simple high performance liquid chromatography method for separation. The detection is performed using a time-of-flight mass spectrometer that is available in most natural products research laboratories. Due to the simplicity of instrumentation, and the robustness resulting from a high resolution in the chromatography of isobaric cannabinoids, the method is well suited for routine phytocannabinoid analysis for a range of applications. The method was validated in terms of detection and quantification limits, repeatability, and recoveries for a total of 17 cannabinoids: detection limits were in the range 11–520 pg when using a 1 µL sample injection volume, and the recovery percentages ranged from 85% to 108%. The validated method was subsequently applied to determine cannabinoid composition in the inflorescences of several medicinal Cannabis sativa varieties.

Assessment of ceramic based photocatalytic as indoor air purifier during covid-19 pandemic

In reducing number people who exposed covid-19, Government of Indonesia (GOI) have been issued micro-scale people activities limitation policy. Based on the policy, most people activities should be carried out in indoor area, called Work from Home (WFH). Indoor activities are at risk of expose to air pollution if there is a pollution source and unhealthy air circulation. Air purifier need develop to degrade pollution and inhibit microorganism. One of the promising technologies in air purification is Photocatalytic. Photocatalytic is an eco-friendly technique that emerged as a promising alternative for the degradation both organic and non-organic pollutants. Ceramic material (compared to aluminum and stainless steel) composited with Titanium dioxide (TiO2) has been investigated to have potential as an optimal photocatalytic medium. Aim of this study was to explore ability of ceramic based photocatalytic in degrade non-organic air pollutant. Earthenware ceramic was coated with photocatalyst material and examined their photocatalytic activation. A simple photo-reactor was established, to investigated performance of ceramic based photocatalyst air quality improvement which was contaminated with cigarette smoke. Result of the study was earthenware ceramic based photocatalyst able to improve air quality by reducing concentration of pollutants both physical and chemical parameters significantly.

Phenotyping prerenal and intrarenal acute kidney injury by urine mass spectrometry

Purpose of Study Postrenal causes of acute kidney injury (AKI) can generally be determined by imaging but differentiation of prerenal (PR) from intrinsic renal (IR) can be more difficult. A point of care test to quickly differentiate these two entities would be useful. Mass spectrometry (MS) can visualize small molecules in urine. We utilized a portable, single quadrupole mass spectrometer with a simple atmospheric pressure ionization interface to measure small molecules in urine. The interface allows for direct analysis of samples without the need for chromatography or other time-consuming sample preparation. The goal was to distinguish PR and IR AKI by urine analyte profiles. Methods Used Inpatients that developed AKI were eligible for enrolment. Patients with COVID-19 were excluded. Informed consent was obtained under a protocol approved by the UAMS IRB. Patients were categorized as either PR (n=9) or IR (n=7) AKI etiology using the diagnosis by the on-service nephrology attending. Etiologies for IR AKI included tumor lysis syndrome, contrast-induced nephropathy, myeloma light chain disease, pyelonephritis, and cisplatin-induced kidney injury. Two microliters of urine was dispensed onto a stainless steel probe without prior processing and analyzed by MS with an Advion Expression CMS Mass Spectrometer. Peaks within the 20 to 500 m/z range were recorded. MS spectra were processed and binned in 1 m/z increments for peak clustering using MATLAB. The frequency of binned peaks in the PR AKI group were compared to the IR group and marked as peaks of interest if the difference in number of peaks across the two categories was four or more. Missing peak values were replaced with the minimum value for that peak across all samples. Summary of Results Eleven peaks met our initial criteria for difference in frequency between intrinsic and prerenal cases. From the eleven, the mean intensity was different between the groups for only the sample at m/z 242 (p=0.03). In the PR group, mean and SD of the peak intensities were 1.7E+07 ±1.2E+07 compared to 7.0E+06 ±7.7E+06 Using a cut-off value of 1.55E+07, overall accuracy was 75%. The predictor correctly classified 6/9 in the PR group (67%) and 6/7 in the IR group (86%). Conclusions Point of care MS has the potential to rapidly differentiate PR from IR and potentially to further phenotype causes of AKI. Based on previous studies, the peaks we identified are likely small molecule metabolites. Larger sample size will be needed to better phenotype patients and will enable the use of machine learning algorithms to classify the kidney disease that is present. Further correlation of the different analytes in prerenal and intrarenal AKIs is needed, however this study shows the potential utility of mass spectrometry to rapidly phenotype AKI in the clinical setting.

INTELLIGENT LOW-COST PRELIMINARY IDENTIFICATION OF COVID-19 USING IOT

: The World Health Organization(WHO)has proclaimed a worldwide health emergency of international concern due to the coronavirus (COVID-19)disease outbreak. This viral outbreak has caused more than 2,863,225 deaths in the world. It has spread over into all areas of the globe. Excessive national and international action is being taken to stop the outbreak. The WHO suggested taking the necessary steps and measures to reduce the risk of the disease or importation.WHO's suggested measures are not to contact the infected person and do not touch the frequently used areas. People are observing these suggestions, but it is still spreading. The process of vaccination around the world has started. Coronavirus disease can be avoided or stopped, with the instant widespread of internet technologies. Current Internet of Things (IoT) developments on coronary virus protection is discussed in this paper from a fever control point of view on airports, religious sites, borders, events, etc. The design of the technique developed in this paper is a very low-cost remote temperature monitoring system model IoT Naïve Bayesian (INB) which measures body temperature by the sensor with infrared rays, processes and learns intelligently with Naïve Bayesian System and sends the data to a cloud system without any human intervention. It is extremely useful in preventing the epidemic on airports, religious sites, border crossings, and activities, among other places.

Employing cribbed wire to increase compliance of face mask wear during COVID-19 pandemic

To begin with, face masks were not designed to be worn round the clock, but in the aftermath of Coronavirus Disease-2019 (COVID-19) pandemic, duration of masks use has increased. However, conventional way of wearing of masks for such long period is giving rise to myriad of issues ranging from constant irritation to erythematous and painful changes at back of ear, thereby decreasing compliance and increasing risk of acquiring and spreading viruses. To enhance compliance with the Standard Operating Protocol (SOP), a simple technique of securing mask at back of the head with steel wire is being proposed to make it trouble-free, snug fit with less leakage of air. Enhanced comfort ensured by present technique discourages one from touching face, mask or ears inadvertently;thus offering better health protection.

A comparison of persistence of SARS-CoV-2 variants on stainless steel.

The survival of newer variants of SARS-CoV-2 on a representative surface has been compared to the established UK circulating isolate to determine whether enhanced environmental stability could play a part in their increased transmissibility. Stainless steel coupons were inoculated with liquid cultures of the three variants, with coupons recovered over seven days and processed for recoverable viable virus using plaque assay. After drying, there was no significant difference in inactivation rates between variants, indicating that there is no increased environmental persistence from the new variants.