Boysenwolf2878

 The aim of this study is to evaluate the color alteration and shore A hardness of a medical silicone with extrinsic pigmentation, before and after accelerated aging.

 Twenty samples (Silastic Q7-4735) were made with an intrinsic pigmentation. This intrinsic pigmentation was composed of a pink pigment (H-109-P, Factor II) and an opacifier (ZnO). All samples had standardized dimensions (45-mm diameter and 2-mm thickness). Half of the 20 samples manufactured subsequently received an extrinsic pigment (Tan FE-215, Factor II). Therefore, two groups were created (

= 10) Group 1, group with intrinsic pigmentation and without extrinsic pigmentation (control) and Group 2, group with intrinsic and extrinsic pigmentation. Samples were submitted to color and Shore A hardness tests, before and after 1,008 hours of aging.

 Color alteration data were submitted to Student's

-test (

= 0.05). MST312 Shore A hardness data were submitted to two-way analysis of variance and Tukey test (

= 0.05).

 The incorporation of the extrinsic pigment on the silicone did not affect its color (ΔE) when the two groups were compared (

= 0.232). Regarding the hardness test, the interaction between group and period did not interfere with the hardness results(

=0.599). However, the period factor showed that there was a reduction in the hardness of the silicone after aging (

< 0.05).

 In this study, all the hardness and color results of the silicone used were clinically acceptable, regardless of the presence of extrinsic pigmentation.

 In this study, all the hardness and color results of the silicone used were clinically acceptable, regardless of the presence of extrinsic pigmentation.

Bacterial exposure to stress, such as reduced water activity (aw), can increase thermal resistance. Pathogen thermal resistance studies on low-aw foods use a variety of methods to inoculate food, as well as strategies to reduce aw, which can influence observations. This study investigated effects of culture preparation method and osmolyte-induced aw on thermal resistance of two Shiga toxin-producing Escherichia coli (STEC) strains (O121H19 and O157H7) challenged with isothermal conditions, determining D- and z-values for each isolate (56, 59, and 62°C). Tryptic soy broth (TSB) and agar (lawn cultures) were compared. D-values of broth cultures were significantly and consistently larger than those of lawn cultures, and O121 was significantly more resistant than O157, but only at 56°C (P < 0.05). To compare potential effects of aw on STEC thermal resistance, cells were suspended in osmolyte solutions with varying aw high (TSB, aw 0.99), intermediate (61% glycerol or 26% NaCl, aw 0.75), and low (82% glycerol, aw 0.5). In most instances, STEC strains in high-aw broth exhibited greater heat resistance compared to reduced-aw solutions, with the exception of the glycerol intermediate-aw solution (aw 0.75). Magnitudes varied with strain and temperature. The z-values of lawn cultures were significantly lower than those of broth cultures (P < 0.05), but there were few differences between high-aw and reduced-aw samples. There were no significant differences of z-values based on strain type. These results highlight that thermal resistance can be affected by culture preparation and that osmolyte-induced changes to aw influence thermal inactivation of STEC by varying magnitudes. These results emphasize the challenges of extrapolating results from laboratory inactivation kinetic experiments to determine the inactivation of low-aw foods, especially those considered dry in nature.

A comprehensive understanding of foodborne pathogen diversity in preharvest environments is necessary to effectively track pathogens on farms and identify sources of produce contamination. As such, this study aimed to characterize Listeria diversity in wildlife feces and agricultural water collected from a New York state produce farm over a growing season. Water samples were collected from a pond (n = 80) and a stream (n = 52). Fecal samples (n = 77) were opportunistically collected from areas <5 m from the water sources; all samples were collected from a <0.5-km2 area. Overall, 86 (41%) and 50 (24%) of 209 samples were positive for Listeria monocytogenes and Listeria spp. (excluding L. monocytogenes), respectively. For each positive sample, one L. monocytogenes or Listeria spp. isolate was speciated by sequencing the sigB gene, thereby allowing for additional characterization based on the sigB allelic type. The 86 L. monocytogenes and 50 Listeria spp. isolates represented 8 and 23 different allelic t.

The innovation pathway by which a newly discovered biomarker is developed into a medical test and used in routine clinical practice comprises a number of different processes split between 2 phases. The first follows on from biomarker discovery and involves the development of a robust analytical method, the accumulation of evidence to show its clinical and cost-effectiveness, and then adoption into clinical pathways. The second phase is one of implementation and sustainability, with active performance management to ensure that the test continues to deliver the benefits promised at the time of its adoption.

To date there has been much more emphasis on the first phase of discovery and accumulation of evidence to demonstrate effectiveness. Insufficient attention has been paid to the second phase of translating that evidence into routine practice, with little real-world evidence to demonstrate the benefits to all of the stakeholders involved in delivering and receiving care. Changes in healthcare that include a move away from activity-based costing to a more value-based approach require more attention be paid to what happens after a test is adopted, including an understanding of the clinical pathway, the stakeholders within that pathway, and the benefits and "disbenefits" that accrue to these stakeholders.

The value proposition provides a guide for successful implementation of a test. Although it can address both adoption and implementation, it highlights that the requirements for test implementation are quite different to those of adoption, with an emphasis on real-world evidence and outcomes.

The value proposition provides a guide for successful implementation of a test. Although it can address both adoption and implementation, it highlights that the requirements for test implementation are quite different to those of adoption, with an emphasis on real-world evidence and outcomes.