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With a growing emphasis on sustainable and eco-friendly technologies, the food industry is actively seeking innovative solutions to improve safety, quality, and operational efficiency. Alkaline/basic electrolyzed water (ALEW/BEW), produced through the electrochemical dissociation of water and salts, presents a promising alternative that minimizes environmental impact while enhancing hygiene and safety standards. While prior studies have explored its individual applications, comprehensive reviews specifically examining ALEW/BEW within food systems are scarce. This review aims to fill the gap in current research by providing a comprehensive analysis of the latest developments in ALEW/BEW applications across food processing, preservation, and agriculture. It highlights the significant advancements in ALEW/BEW's role in decontamination, pesticide residue removal, bioactive compound extraction, and shelf-life extension, distinguishing it from other sanitation technologies. Distinct from previous work, this review delves into ALEW/BEW's overlooked health benefits, including enhancing gut health, circulation, oral hygiene, and reducing oxidative stress. It also explores its potential in sustainable agriculture, focusing on soil pH, crop resistance, and livestock health. While acknowledging challenges such as instability, corrosion, and regulatory barriers, this review offers a forward-looking perspective on overcoming these issues. By synthesizing the latest research, this review contributes a new, integrated understanding of ALEW/BEW's role in food safety, quality, sustainability, and human health, offering valuable insights for academia and industry., (© 2025 Institute of Food Technologists®.)

Background: Prions are protein-only infectious agents for which no prophylactic or curative treatment exists. Infectivity bioassays based on hamster-263K prions allowed to identify processes capable of inactivating prions on medical devices. However, a 2016 publication study revealed that detergent formulations effective against hamster strain had poor efficacy against human strains. Shortly after, three probable cases of accidental Creutzfeldt-Jakob disease underscored the risk for scientists, health workers, and patients exposed to contaminated materials. The governmental guidelines were modified and emphasizing the need for formulations effective against human prions and robust in vitro and in vivo evaluation protocols. Here, we aimed to compare infectivity bioassays with those of their PMCA counterparts to propose a robust method for evaluating prionicide treatments against human prions., Methods: Stainless steel wires were contaminated with two humanized prion strains. The wires were then treated with different protocols based on a new formulation termed TFD Premium and WHO references. Residual prion seeding activity and infectivity on the wire and in wastewater were quantified using mb-PMCA and ad hoc bioassays. For vCJD, PMCA compared humanized prions and a human-derived prion isolate., Findings: TFD Premium proved more efficient at decontaminating humanized prions than 1 N NaOH for 1 hour at room temperature. Tg650-sCJD-VV2 were more resistant to inactivation than vCJD prions. For vCJD, strain from both sources shown similar resistant profile against TFD Premium. Finally, there was perfect alignment between the highly sensitive PMCA cell-free assay and the bioassays., Competing Interests: Declaration of Competing Interest Roger Bonnet reports financial interest as codirector of FB.Product. Angélique Igel reports one patent in France, with financial interest as an FB. Product employees during the experimental period (2018-2023). All other authors declare that they have no competing interests., (Copyright © 2025 The Author(s). Published by Elsevier Ltd.. All rights reserved.)

Management of implant abutment screw loosening should go beyond simply retightening the abutment screw. This case report highlights the need to check all components for damage before disinfection and re-tightening if possible. Major concerns include the implant-abutment connection site, screw, and debridement of the internal implant surfaces. Scanning electron microscopy and optical microscopic exam of the debris removed after cleaning demonstrated the presence of titanium metal particles and biological material. Protocols should be developed to address these issues before reattaching the implant restoration., Competing Interests: This work has been presented in part at the Pacific Coast Society of prosthodontists 2024 Chandur Wadhwani has a conflict of interest in Implantwise as a director and consultant.

Objectives: Endodontic instruments require thorough decontamination and sterilization before use and reuse to ensure the safety and success of treatments. However, standardized protocols are lacking. This study aimed to quantitatively assess the effectiveness of different cleaning protocols in removing debris from NiTi rotary file surfaces. Methods: Forty-eight new Mtwo NiTi rotary instruments (sizes 10/.04, 15/.05, 20/.06, and 25/.06) were randomly assigned to four groups (n = 12). A set of new sterile instruments (Group I) served as the negative control. After usage for primary endodontic treatment, instruments underwent different cleaning protocols: steam sterilization without cleaning (Group II); ultrasonic cleaning + steam sterilization (Group III); and manual cleaning with a scouring sponge + ultrasonic cleaning + steam sterilization (Group IV). Back-scattered scanning electron microscopy (SEM) micrographs of the apical, middle, and coronal sections were processed using Fiji software (version 2.14.0) to quantify debris as a percentage of the total selected area. Results: No significant differences were found among the three sections within each group, although higher debris amounts were observed from coronal to apical in Groups I and II. Group I had the least debris, while Group II showed the most, with statistically significant differences compared to other groups ( p < 0.05). There was no significant difference between Groups III and IV, though Group IV showed notably less debris. Conclusions: The combination of mechanical, chemical, and ultrasonic cleaning proved most effective at removing debris from endodontic instruments. Current cleaning methods, however, remain insufficient for complete debris removal, highlighting the need for further research to standardize and improve cleaning and sterilization protocols or preferably use single-use/single-patient instruments.

Background: The cleaning of reusable medical devices involves inherent challenges that can impact on the effectiveness of the cleaning process; consequently, the subsequent safety of patients. Fluid dynamics play a critical role in determining the flow and distribution of cleaning agents where the design of the device can either facilitate or hinder this important process. Complex geometries, narrow channels, or irregular surfaces can impede effective flushing of contaminants leading to incomplete cleaning that creates a greater likelihood for patient contamination risks., Methods: Device features (N = 23) were exposed to the most challenging cleaning conditions to find the point of failure in both fluid dynamics and soil retention. Experimental results obtained from the aforementioned along with associated compound risks were used to assign a risk value. Using the 'hardest to clean' device feature approach as the base risk value, the total quantitative risk score was calculated for different reusable medical devices from numerical values obtained from addressing 14 questions focusing on variability in geometry, material use, types of cleaning, and intended patient use. Patient risk values for devices with different features were calculated from using Kremer's cleaning categories based on position within value ranges., Findings: Occurrences less than 18 correspond to minimal risk devices while a total risk score between the values of 18 and 39 are moderate and ≥40 scores corresponds to the maximal category., Conclusion: Application of this quantitative assessment approach will facilitate appropriate mitigation of risk for cleaning reusable medical devices by informing use of targeted effective interventions. Future use of this Kremer cleaning classification will complement and augment disinfection and sterilization modalities., (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)

Cleaning of surfaces without complex cleaning agents is an important subject, especially in food, pharmaceutical, and biomedical applications. The subject of microbubble and nanobubble cleaning is considered one of the most promising ways to intensify this process. In this work, we check whether and how the purity of water used for microbubble generation, as well as the gas used, affects the effectiveness of cleaning stainless-steel surfaces. Surfaces contaminated with Pluronic L-121 solution were cleaned by water of three purities: ultrapure water (<0.05 μS/cm), water after reversed osmosis (~6.0 μS/cm), and tap water (~0.8 mS/cm). Similarly, three different gases were supplied to the generation setup for microbubble generation: air, oxygen, and nitrogen. Stainless steel plates were immersed in water during microbubble generation and cleaned for a given time. FTIR (Fourier Transform Infrared Spectroscopy) and contact angle analysis were employed for the analysis of surfaces. The results of cleaning were repeatable between plates and showed different cleaning effects depending on both the purity of water (concentration of ions) and gas composition. We have proposed different mechanisms that are dominant with respect to specific combinations of ion concentration and oxygen content in gas, which are directly connected to the microbubble stability and reactivity of gas.

Recent outbreaks and recalls linked to flour-based products have highlighted the need for improved cleaning methods in low-moisture environments. The factors affecting adhesion forces of flour particles, and the vacuum cleaning methodologies to overcome these forces, need to be better understood. The objectives of this study were to: (1) Measure electrostatic charge build-up in flour under different environmental conditions (20, 40, 60% relative humidity at room temperature), (2) quantify how powder size (US standard No. 60-80 or 80-100 mesh), electrostatic charge (charged and uncharged), and relative humidity impact the force required to remove the powder from an electropolished 304 stainless steel coupon (8 × 8 × 0.2 cm), and (3) determine the most effective vacuum nozzle angle (0, 45, 90° relative to the surface) for cleaning. Chargeability (nC) of flour samples was assessed using Faraday cup electrometry, while the surface adhesion force of the flour particles was measured using a custom-built impact tester. The surface cleanliness after vacuum treatments was assessed using ATP (adenosine triphosphate) swabs and a luminometer. Charged flour samples at 20% relative humidity (RH) exhibited a significantly higher charge compared to those at 40 and 60% RH. Within the 60-80 mesh range, charged flour showed higher adhesion rates than uncharged samples at both 20 and 40% RH. However, in the 80-100 mesh range, charged flour did not show a significant difference in adhesion when compared to uncharged samples at any RH level. Additionally, at 60% RH, surface residues measured by ATP were significantly lower for a vacuum angle of 90° than for 0° across both 60-80 mesh and 80-100 mesh size ranges of wheat flour. The vacuum cleaning treatment proved capable of overcoming the increase in adhesion from triboelectric forces; however, trace flour residues were still detected on stainless steel surfaces postvacuuming, indicating that vacuuming alone may be insufficient., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.)

The quality of Chinese herbal medicines is the key to the quality of traditional Chinese medicine. The processing of Chinese herbal medicines is an important part of the production and quality formation of medicinal materials. Traditional processing methods have low productivity and cannot guarantee the quality of Chinese herbal medicines. Among various non-thermal processing methods, ultrasonic technology has been proved to be a very valuable green processing technology. This paper will discuss the application of ultrasonic technology in the production and processing of Chinese herbal medicines in recent years, including the extraction, cleaning, drying and sterilization of effective components of Chinese herbal medicines. This review summarizes its principle, characteristics and application progress in recent years, and discusses its existing problems. The effects of ultrasound on the chemical structure and biological activity of bioactive compounds extracted from Chinese herbal medicines are mainly introduced. In addition, this paper discusses the effects of different ultrasonic conditions such as frequency, power, time and temperature on the chemical properties and processing of Chinese herbal medicines. In general, the use of ultrasound in the production and processing of Chinese herbal medicines has great application potential., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)

Field studies of cleaning mutualisms use a variety of methods to quantify behavioral dynamics. Studies in marine systems typically utilize data recorded by human observers on scuba or snorkel or via remote underwater video. The effects of these different methods on cleaner-client behaviors have not been rigorously assessed. We quantified cleaner-client interactions at 13 bluestreak cleaner wrasse (Labroides dimidiatus) cleaning stations in Moorea, French Polynesia using hand-held and remote videos. We found that cleaning, cheating, and client posing rates, cleaning duration, and client species richness were all greater in the remote than in the hand-held videos, suggesting that human presence disrupts cleaning interactions by inducing antipredator responses among clients. Some metrics, such as the ratio of cleaner chasing to cleaning behavior and the cleaners' benthic feeding rate, were higher for the hand-held than the remote videos, possibly due to limited access of cleaners to clients in the presence of humans. Other metrics, such as cleaner and client chasing rates, the ratio of cleaning to cheating behaviors, and the duration of cleaner chases, did not differ between video types. Finally, piscivorous clients were far more abundant in the remote than the hand-held videos, suggesting that piscivores are particularly sensitive to human presence, likely because they are targeted by fishers. Overall, our study suggests that human presence can bias studies of cleaning behavior and cleaner-client interactions, and that remote cameras should be used to conduct behavioral studies. These potential biases should be considered when interpreting existing behavioral data., (© 2024 The Author(s). Journal of Fish Biology published by John Wiley & Sons Ltd on behalf of Fisheries Society of the British Isles.)

The removal of oil from solid surfaces, such as textiles and plates, remains a challenge due to the strong binding affinity of the oil. Conventional methods for surface cleaning often require surfactants and mechanical abrasion to enhance the cleaning process. However, in excess, these can pose adverse effects on the environment and to the material. This study investigated how bulk nanobubble water can clean oil microdroplets deposited on surfaces like glass coverslips and dishes. Microscopy imaging and further image analysis clearly revealed that these microdroplets detached from both hydrophobic and hydrophilic surfaces when washed with bulk nanobubble water within a fluidic microchannel. Oil contaminant cleaning was also conducted in water as mobile phase to mimic the circumstances that occur in a dishwasher and washing machine. Cleaning on a larger scale also proved very successful in the removal of oil from a porcelain bowl. These results indicate that nanobubble water can easily remove oil contaminants from glass and porcelain surfaces without the assistance of surfactants. This is in stark contrast to negligible results obtained with a control solution without nanobubbles. This study indicates that nanobubble technology is an innovative, low-cost, eco-friendly approach for oil removal, demonstrating its potential for broad practical applications., (© 2024 Wiley-VCH GmbH.)

In recent years, there has been increased attention on the importance of healthcare environmental cleaning, including the need to professionalize and support the workforce responsible for performing cleaning. Global agendas and strategies on infection prevention and control (IPC) and water, sanitation and hygiene highlight the need for improvements to this sector, particularly in resource-limited healthcare facilities in low- and middle-income countries. Correspondingly, several resources have been developed that aim to (1) improve professional training of cleaners and (2) improve implementation of best practices in resource-limited settings. This commentary seeks to provide insight into the barriers and facilitators to implementing these resources, drawing on the practical experience from two initiatives across four countries from 2018 through 2023. Several common barriers were identified across the diverse settings, including (1) low empowerment and status of the workforce, (2) low pay, inadequate staff time for the high workload needed to achieve best practices and high turnover of staff, and (3) a lack of connection and integration of environmental cleaning with IPC and patient safety efforts at the participating hospitals. Despite barriers, local teams identified effective mitigation measures. While considerable time and effort will be needed to truly overcome these barriers, there are opportunities to build upon attention and momentum on this topic and IPC initiatives in resource-limited settings in low- and middle-income countries. We propose several broader actions, all of which require local leadership and context-specific approaches., (© 2024. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.)

Decontamination of the clinical working environment and reprocessing of reusable dental instruments and devices are key components of modern infection control. This narrative review, which is part of a special issue devoted to contemporary infection control practices, highlights the latest evidence and the potential role of emerging technologies. The underpinning concepts of environmental decontamination and reprocessing have remained unchanged for many years, and key principles such as cleaning before disinfection or sterilisation remain true to the present day. What has changed in recent years are the range of options available, most notably for no-touch decontamination as an adjunct to regular environmental cleaning methods, including vapourised hydrogen peroxide, hydroxyl radicals, and ultraviolet C irradiation. In the realm of sterilisation, newer approaches include solar autoclaves and hydrogen peroxide gas plasma sterilisation. With all new and emerging technologies, greater attention is now being paid to safety as well as effectiveness, with stronger consideration of environmental impacts. This is especially relevant to the use of fully disposable surgical instruments vs reusable instruments. Because dental clinics have many configurations and sizes, each clinic needs to undertake local risk assessments to inform their decisions regarding suitable decontamination and reprocessing methods., Competing Interests: Conflict of interest None disclosed., (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)

Background. Transparent aligners are recently introduced orthodontic devices considered promising for the improvement of oral health conditions, in terms of faster treatment times and enhanced comfort, especially if compared with traditional fixed orthodontic therapy. This systematic review aimed to evaluate at-home protocols for proper oral hygiene and aligners cleaning during orthodontic treatment. Methods. A search was conducted using the following four databases: PubMed, Cochrane Library, Web of Science, and Scopus. The systematic review (registered as CRD 42024562215) followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines and included prospective studies, randomized controlled trials (RCTs), controlled clinical trials, and in vivo and ex vivo studies; they had to assess treatment with invisible orthodontics compared to treatment with fixed orthodontics, home oral hygiene, or aligner disinfection protocols. The evidence in the studies was evaluated for risk of bias using the RoB-2 (for RCTs and randomized crossover studies) and ROBINS-I tools (for observational studies). Results. Eleven studies were included in this systematic review: four RCTs, four crossover studies, and three cross-sectional observational studies. Seven studies considered patients undergoing orthodontic treatment, whereas four examined orthodontic aligners. The cleaning protocols of the aligners were evaluated based on the analysis of residual biofilm on the thermoplastic surfaces. Studies included were characterized by a low level of certainty, thus further evidence is needed. Conclusions. The most effective protocols entailed a combination of mechanical and chemical agents, suggesting that it is fundamental for patients undergoing aligner treatment to focus on individually tailored home oral hygiene protocols.

In order to reduce the interference of abnormal energy big data and improve the accuracy of anomaly cleaning and detection, this paper proposes a method for cleaning abnormal energy big database based on sparse self-coding. Firstly, the abnormal data detection method based on multi-criteria evaluation is used to analyze the spectral feature distribution of abnormal energy big data. By using chaotic time series reconstruction model, robust local weighted regression analysis and sparse self-coding method, the feature decomposition of time series of energy data is realized. Then, according to the periodicity of the original sequence, the original sequence is segmitated adaptively to represent the morphological characteristics of the abnormal energy data sub-sequences driven by dynamic carbon emissions, and the anomaly index of each sub-sequence is obtained by AFCM algorithm. Secondly, an energy anomaly evaluation model based on LOF value is established. Finally, the output decision function of data cleaning is constructed to realize the abnormal energy big data cleaning. The test results show that the error detection rate of this method is 0.24%, the missing detection rate is 0.27%, the cleaning rate can reach 99.49%, and the cleaning time is less than 2s., (© 2024. The Author(s).)

Background: Hand eczema (HE) is a prevalent disease among professional cleaners., Objectives: To investigate how often cleaners have their self-reported HE, induced or worsened by cleaners' occupational activities, reported as an occupational disease to the authorities in Denmark and to identify reasons for underreporting. In addition, consultation by physicians and treatment for HE among cleaners were also investigated., Methods: This cross-sectional questionnaire-based study included hospital cleaners at three different hospitals in Region Zealand, Denmark., Results: We included 224 out of 234 cleaners from three hospitals (response rate: 96%). The lifetime prevalence of self-reported HE with onset in adulthood was 18.3% (n = 41), with cleaners believing every case to be caused or exacerbated by their occupation. Only 9.7% (n = 4/41) of the cases were reported as an occupational disease to the authorities. The most common reasons for non-reporting were a lack of perceived seriousness of the disease (40.5%) and unawareness of the risk of self-reported HE being of occupational origin (32.4%). Remarkably, only 75.7% (n = 28/37) of workers with unreported cases had consulted a physician at some point. Additionally, among cleaners who self-reported HE attributed or aggravated by their occupation, but not officially reported as such, only 56.8% (n = 21/37) had ever used hand moisturisers, while less than 45% had ever used topical steroids or calcineurin inhibitors., Conclusion: Our findings reveal substantial underreporting of self-reported HE, perceived to be induced or worsened by the cleaner's occupational activities, as an occupational disease to the authorities., (© 2024 The Author(s). Contact Dermatitis published by John Wiley & Sons Ltd.)

Automated EEG pre-processing pipelines provide several key advantages over traditional manual data cleaning approaches; primarily, they are less time-intensive and remove potential experimenter error/bias. Automated pipelines also require fewer technical expertise as they remove the need for manual artefact identification. We recently developed the fully automated Reduction of Electroencephalographic Artefacts (RELAX) pipeline and demonstrated its performance in cleaning EEG data recorded from adult populations. Here, we introduce the RELAX-Jr pipeline, which was adapted from RELAX and designed specifically for pre-processing of data collected from children. RELAX-Jr implements multi-channel Wiener filtering (MWF) and/or wavelet-enhanced independent component analysis (wICA) combined with the adjusted-ADJUST automated independent component classification algorithm to identify and reduce all artefacts using algorithms adapted to optimally identify artefacts in EEG recordings taken from children. Using a dataset of resting-state EEG recordings (N = 136) from children spanning early-to-middle childhood (4-12 years), we assessed the cleaning performance of RELAX-Jr using a range of metrics including signal-to-error ratio, artefact-to-residue ratio, ability to reduce blink and muscle contamination, and differences in estimates of alpha power between eyes-open and eyes-closed recordings. We also compared the performance of RELAX-Jr against four publicly available automated cleaning pipelines. We demonstrate that RELAX-Jr provides strong cleaning performance across a range of metrics, supporting its use as an effective and fully automated cleaning pipeline for neurodevelopmental EEG data., (© 2024 The Author(s). Human Brain Mapping published by Wiley Periodicals LLC.)

Healthcare-associated infections (HAIs) caused by multidrug-resistant organisms (MDROs) represent a global threat to human health and well-being. Because transmission of MDROs to patients often occurs via transiently contaminated hands of healthcare personnel (HCP), hand hygiene is considered the most important measure for preventing HAIs. Environmental surfaces contaminated with MDROs from colonized or infected patients represent an important source of HCP hand contamination and contribute to transmission of pathogens. Accordingly, facilities are encouraged to adopt and implement recommendations included in the World Health Organization hand hygiene guidelines and those from the Society for Healthcare Epidemiology of America/Infectious Diseases Society of America/Association for Professionals in Infection Control and Epidemiology. Alcohol-based hand rubs are efficacious against MDROs with the exception of Clostridiodes difficile, for which soap and water handwashing is indicated. Monitoring hand hygiene adherence and providing HCP with feedback are of paramount importance. Environmental hygiene measures to curtail MDROs include disinfecting high-touch surfaces in rooms of patients with C. difficile infection daily with a sporicidal agent such as sodium hypochlorite. Some experts recommend also using a sporicidal agent in rooms of patients colonized with C. difficile, and for patients with multidrug-resistant Gram-negative bacteria. Sodium hypochlorite, hydrogen peroxide, or peracetic acid solutions are often used for daily and/or terminal disinfection of rooms housing patients with Candida auris or other MDROs. Products containing only a quaternary ammonium agent are not as effective as other agents against C. auris. Portable medical equipment should be cleaned and disinfected between use on different patients. Detergents are not recommended for cleaning high-touch surfaces in MDRO patient rooms, unless their use is followed by using a disinfectant. Facilities should consider using a disinfectant instead of detergents for terminal cleaning of floors in MDRO patient rooms. Education and training of environmental services employees is essential in assuring effective disinfection practices. Monitoring disinfection practices and providing personnel with performance feedback using fluorescent markers, adenosine triphosphate assays, or less commonly cultures of surfaces, can help reduce MDRO transmission. No-touch disinfection methods such as electrostatic spraying, hydrogen peroxide vapor, or ultraviolet light devices should be considered for terminal disinfection of MDRO patient rooms. Bundles with additional measures are usually necessary to reduce MDRO transmission., (© 2024. The Author(s).)

The use of cleaning and disinfecting products both at work and at home increased during the COVID-19 pandemic. Those products often include surfactants, acids/bases, carcinogens such as chloroform, and endocrine-disrupting chemicals, such as cyclosiloxanes, phthalates, and synthetic fragrances, which may cause harmful health effects among professional cleaners as well as among people exposed at home or in their workplaces. The aim of this study was to synthesize the effects of the commonly used chemical, surface cleaning and disinfecting products on indoor air quality, focusing on chemical and particulate matter pollutants, exposure, and human health in residential and public buildings. We also provide a summary of recommendations to avoid harmful exposure and suggest future research directions. PubMed, Google Scholar, Scopus, and Web of Science (WoS) were used to search the literature. Analysis of the literature revealed that the use of cleaning products and disinfectants increase occupants' exposure to a variety of harmful chemical air contaminants and to particulate matter. Occupational exposure to cleaning and disinfectant products has been linked to an increased risk of asthma and rhinitis. Residential exposure to cleaning products has been shown to have an adverse effect on respiratory health, particularly on asthma onset, and on the occurrence of asthma(-like) symptoms among children and adults. Efforts to reduce occupants' exposure to cleaning chemicals will require lowering the content of hazardous substances in cleaning products and improving ventilation during and after cleaning. Experimentally examined, best cleaning practices as well as careful selection of cleaning products can minimize the burden of harmful air pollutant exposure indoors. In addition, indirect ways to reduce exposure include increasing people's awareness of the harmfulness of cleaning chemicals and of safe cleaning practices, as well as clear labelling of cleaning and disinfecting products., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.)

Background/aims: The study aimed to assess the surface characteristics of sports mouthguards under mechanical stresses during cleaning, either by brushing or immersion in disinfectant solutions., Material and Methods: Ethylene-vinyl acetate samples, 4 mm thick, were randomly assigned to cleaning methods: control (C-no cleaning), brushing with water (B.W), brushing with neutral liquid soap (B.S), brushing with toothpaste (B.T), immersion in distilled water for 10 min (I.W), immersion in 2.25% sodium hypochlorite solution for 10 min (I.SH), and immersion in sodium bicarbonate solution for 5 min (I.SB). All cleaning methods were applied for 28 days. Surface roughness average (Ra) and wettability were measured at baseline for the control group (n = 9), and after cleaning for all the other groups., Results: One-way ANOVA with Tukey tests (5% significance) indicated significant differences among groups (p < .05). The I.SB group had higher surface roughness than B.S and B.T (p < .05). B.W showed the lowest wettability, significantly lower than B.T, I.W, and I.SB (p < .05). I.SB exhibited the highest wettability, significantly different from sodium hypochlorite, neutral liquid soap, brushing with water, and control groups (p < .05). The sodium bicarbonate immersion group (I.SB) demonstrated greater statistical variation, displaying higher susceptibility to aging compared to brushing with neutral liquid soap., Conclusion: Cleaning mouthguards with a toothbrush, water, and neutral liquid soap emerged as the most promising method, causing minimal surface changes in the material., (© 2024 The Authors. Dental Traumatology published by John Wiley & Sons Ltd.)

Graffiti on construction materials has significant social and economic impacts, especially on artistic and historical artefacts. Anti-graffiti protective coatings are used to generate low surface energies that limit graffiti adhesion to the surface, thereby reducing surface damage and facilitating removal. The anti-graffiti properties of three commercial TiO 2 -based coatings were tested under outdoor exposure conditions using four colours of graffiti paint (red, blue, black, and white). Chemical removers were used to clean the stained surfaces to understand the impact of the photocatalytic coatings during the conventional cleaning procedure. The effectiveness of cleaning was assessed by visual observations, colour measurements, and the percentage of residual stain. The anti-graffiti efficacy was strongly dependent on the colour of the graffiti and characteristics of the TiO 2 coating. The cleaning performance of TiO 2 -treated samples was likely related to the photocatalytic redox reactions that decompose the graffiti. Additionally, their hydrophilicity may also prevent the adhesion and/or penetration of graffiti paint on the surface and/or pore matrix., (© 2024. The Author(s).)

With increases in consumer demand for fried foods in Japan over the last several decades, the consumption of frying oil has also steadily increased. Fryers used in restaurants to cook large quantities of food are typically cleaned using neutral kitchen detergents at the end of the day after removing the oil from the tank. However, significant amounts of debris can remain in the fryer after cleaning, possibly accelerating oil deterioration and thus reducing the quality of the fried foods. In this study, debris obtained from fryer tanks used in actual restaurants was assessed using scanning electron microscopy-energy dispersive X-ray spectroscopy together with Fourier transform infrared spectroscopy, and were determined to comprise polymerized oil and carbonized organic matter. Experiments using artificially prepared debris confirmed that these materials increased the acid value (AV) of frying oil. Trials in two restaurants serving similar amounts of fried chicken, French fries and doughnuts examined the effects of cleaning the fryer with either an alkaline detergent or a neutral kitchen detergent on debris removal and oil life. The alkaline detergent was found to completely remove debris while the neutral detergent left significant amounts of debris. After cleaning, the fryers were operated with new oil as usual and the deterioration of this oil was monitored by assessing the color difference, AV, carbonyl value and peroxide value. These indices increased 1.3 to 2.0 times faster in the case that the neutral kitchen detergent was used, suggesting that cleaning fryer tanks with an alkaline detergent could contribute to extending the lifetime of frying oil, reducing food losses and thus achieving sustainable development goals.

Background: Most studies investigating the prevalence of hand eczema (HE) in professional cleaners use self-reported questionnaire-based data. However, no validation studies of self-reporting of HE among professional cleaners have previously been conducted., Objectives: To investigate (1) the point prevalence of self-reported HE, (2) the point prevalence of HE estimated by physical examination of the hands and (3) the sensitivity and specificity of self-reporting of HE compared with the diagnosis based on physical examination among professional cleaners., Methods: Professional cleaners at three different hospitals in Region Zealand were invited to fill out a questionnaire. The point prevalence of self-reported HE was estimated based on questions from the Nordic Occupational Skin Questionnaire. After completing the questionnaire, each cleaner underwent a physical examination of the hands by a dermatologist on the same day., Results: In total, 234 cleaners were invited to participate in the study, and 224 (response rate = 96.0%) agreed to take part. Based on the self-reported questionnaires, 5.3% (n = 12) of the cleaners had current HE. Based on an examination by a physician, 19.2% (n = 43) of the cleaners had current HE. The sensitivity of self-reported HE was found to be 28.0%, while the specificity was found to be 100.0%. The positive predictive value was found to be 100.0%, while the negative predictive value was 85.0%., Conclusion: The true point prevalence of HE among professional cleaners is underestimated when based on self-reporting., (© 2024 The Author(s). Contact Dermatitis published by John Wiley & Sons Ltd.)

Purpose: This in-vitro study aimed to investigate the cleaning efficacy of 18 different manual children's toothbrushes applying horizontal, vertical, and rotational movements, as well as to evaluate the rounding of their filament ends., Materials and Methods: Models equipped with artificial teeth (coated with titanium dioxide) were brushed using a brushing machine with clamped manual children's toothbrushes. The machine carried out horizontal, vertical, and rotational movements for 1 min with a constant contact pressure of 100 g. The percentage of the area of titanium dioxide removed from the buccal, mesial, distal and total surfaces of the artificial teeth corresponded to the cleaning efficacy. To assess the filament design, a scanning electron microscope was used to check the morphology of the filaments which was scored with Silverstone and Featherstone scale. SPSS 22 was used for data analysis., Results: The rotational and the vertical movements achieved the best cleaning efficacy with all tested toothbrushes. The vast majority of the tested toothbrushes had their poorest cleaning efficacy in the horizontal movement. Only a small part of the children's toothbrushes (3 out of 18) had a correct and acceptable proportion of rounded bristle ends., Conclusions: Based on the present results, it could be concluded that the cleaning efficacy of different manual children's toothbrushes varied considerably. The best cleaning efficacy was almost always observed for rotational and vertical movements.

The main purpose of this research was to develop an experimental film flow cleaning rig that can be combined with Process analytical technology (PAT) tools to reduce cleaning time and costs. Here, we show that the use of in-line UV-Vis was successful for real-time monitoring of the cleaning process of olanzapine as a challenging residue to clean. The cleaning process was found to be affected by the properties of the olanzapine soil, and the study showed the competing effects of mechanical lift-off and dissolution action with methanol as a solvent. However, The method is limited by the cleaning mechanisms, with the dissolution being the only mechanism that can be accurately quantified using an in-line UV-Vis PAT tool. This experimental approach can be used to optimize cleaning process conditions and solvent choices at the bench scale before deployment. The material of which the cleaning rig was printed limited the solvent that could be used for this study, and future modifications will include a more chemical-resistant material., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024 Published by Elsevier Ltd.)

Background: While most infection prevention and control (IPC) studies focus on healthcare professionals, IPC is everyone's responsibility in any healthcare facility. There is little known about the IPC knowledge among the cleaners who are responsible for housekeeping, environmental cleaning, and waste management within hospitals. This study sought to evaluate the knowledge and practice of IPC among cleaners at Mulago National Referral Hospital (MNRH) to establish a foundation for empowering a strategic workforce that will improve IPC practices within the hospital., Methods: A cross-sectional study was conducted among the cleaners in a national referral hospital in Uganda. The participants were purposively sampled, and data was collected using a web-based, interviewer-administered, questionnaire about IPC knowledge and practices., Results: Of the 120 cleaners recruited, 52.5% were female. Good IPC knowledge was demonstrated in 58.3%, and 30.8% reported good IPC practices. Participants with at least 5 years' work experience had higher knowledge levels (aOR: 10.3, P =0.006, 95% CI: 2-54). Those closely supervised had lower IPC knowledge compared with those with less supervision. Participants with fixed work schedules (aOR: 0.2, P =0.028, 95%CI: 0-0.8), were less likely to exhibit good IPC practices. In addition, 63.1% were knowledgeable about waste segregation, recognising bin colours and the correct disposal of sharps and needles. Despite good compliance with personal protective equipment, poor hand-washing practices were reported. A positive correlation between knowledge and practice scores was established., Conclusion: Hospital cleaners in a national referral hospital in Uganda IPC reported poor infection prevention practices despite good knowledge. For IPC knowledge and practice to correlate positively, ongoing practical training is vital to maintain knowledge and good practice to establish a successful IPC program., (© 2024 The Authors.)

Background: For reusable devices and device components, effective reprocessing is essential to prevent nosocomial infections., Aim: The objective of the study was to evaluate manual cleaning as the first step of reprocessing reusable glass probes of a device for generation of non-invasive physical plasma, in accordance with regulations., Methods: Two glass probes of the device were contaminated with human blood. For manual cleaning, both probes were cleaned with instrument cleaning agent and instrument brushes. Cleaning efficacy was evaluated by total protein measurement in the rinsing solution., Results: After manual cleaning of the two test glass probes, no protein from the test contamination with human blood could be detected. Neither the different design of the two probes nor the use of a hard or a soft instrument brush demonstrated any difference., Conclusion: Our data suggest that manual cleaning of glass probes achieves complete removal of organic contaminants. This should enable safe applications in clinical practice., Competing Interests: Stope MB is the founder and CEO of 5'-TOP-3' Physical Plasma Medicine. Röcker R, Eggers B and Kramer A declare that they have no competing interests., (Copyright © 2024 Röcker et al.)

In laparoscopic and thoracoscopic surgery, maintaining clear visualization is crucial for safe and efficient operation. We have developed a new scope warmer/cleaner (Lapahot®) based on "hot-pack" technology. We used our device in 20 consecutive laparoscopic and thoracoscopic cases and compared it with the conventional warm saline method. Lens fogging was not observed in any of the cases, and the cleaning function was comparable to the warm saline method. Moreover, continuous temperature monitoring showed that Lapahot® maintained its temperature much longer than warm saline. Our novel device has the potential to become the new standard for lens defogging and cleaning., (© 2024 International Society of Surgery/Société Internationale de Chirurgie (ISS/SIC).)

In the field of stone conservation, the removal of iron stains is one of the most challenging issues due to the stability and low solubility of the ferrous species. In the present paper, three different chitosan-based hydrogels added with acetic, oxalic or citric acids are applied on different lithotypes, i.e., granite, travertine and marble, widely diffused in monumental heritages, and artificially stained by deposition of a rust dispersion. The reducing power of carboxylic acids is combined with the good chelating properties of chitosan to effectively remove rust from stone surfaces. As evidenced by colorimetry on three samples of each lithotype and confirmed by 1 H-NMR relaxometry and SEM/EDS analyses, the chitosan-oxalic acid hydrogel shows the best performance and a single application of 24 h is enough to get a good restoration of the stone original features. Lastly, the chitosan-oxalic acid hydrogel performs well when a rusted iron grid is placed directly on the lithic surfaces to simulate a more realistic pollution. Current work in progress is devoted to finding better formulations for marble, which is the most challenging to clean or, with a different approach, to developing protective agents to prevent rust deposition.

Healthcare hygiene plays a crucial role in the prevention of healthcare-associated infections. Patients admitted to a room where the previous occupant had a multi-drug-resistant bacterial infection are at an increased risk of colonization and infection with the same organism. A 2006 systematic review by Kramer et al. found that certain pathogens can survive for months on dry surfaces. The aim of this review is to update Kramer et al.'s previous review and provide contemporary data on the survival of pathogens relevant to the healthcare environment. We systematically searched Ovid MEDLINE, CINAHL and Scopus databases for studies that described the survival time of common nosocomial pathogens in the environment. Pathogens included in the review were bacterial, viral, and fungal. Studies were independently screened against predetermined inclusion/exclusion criteria by two researchers. Conflicts were resolved by one of two senior researchers. A spreadsheet was developed for the data extraction. The search identified 1736 studies. Following removal of duplicates and application of the search criteria, the synthesis of results from 62 included studies were included. 117 organisms were reported. The longest surviving organism reported was Klebsiella pneumoniae which was found to have persisted for 600 days. Common pathogens of concern to infection prevention and control, can survive or persist on inanimate surfaces for months. This data supports the need for a risk-based approach to cleaning and disinfection practices, accompanied by appropriate training, audit and feedback which are proven to be effective when adopted in a 'bundle' approach., (Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.)

Electroplating wastewater contains heavy metal ions and organic matter. These contaminants not only endanger the environment but also pose risks to human health. Despite the development of various treatment processes such as chemical precipitation MBR, electrocoagulation (EC) ceramic membrane (CM), coagulation ultrafiltration (UF) reverse osmosis (RO), and CM RO. These methods are only effective for low concentrations of heavy metals and struggle with high concentrations. To address the challenge of treating electroplating wastewater with high heavy metal content, this study focuses on the wastewater from Dongfang Aviation Machinery Processing Plant. It introduces an EC and integrated membrane (IM) treatment process for electroplating wastewater. The IM comprises microfiltration (MF) membrane, nanofiltration (NF) membrane, and RO membrane. Results indicated that under specific conditions, such as a pH of 8, current density of 5 A/dm 2 , electrode plate spacing of 2 cm, 35 min of electrolysis time, and influent pH of 10 for the IM, removal rates of Zn 2+ , Cu 2+ , Ni 2+ , and TCr in the wastewater exceeded 99%. The removal rates of chemical oxygen demand (COD), suspended solids (SS), total phosphorus (TP), total nitrogen (TN), and petroleum in wastewater exceed 97%. Following a continuous cleaning process, the membrane flux can consistently recover to over 94.3%., Competing Interests: The authors declare there is no conflict., (© 2024 The Authors This is an Open Access article distributed under the terms of the Creative Commons Attribution Licence (CC BY 4.0), which permits copying, adaptation and redistribution, provided the original work is properly cited (http://creativecommons.org/licenses/by/4.0/).)

Purpose: To investigate the influence of contamination and different cleaning methods on resin bonding to cobalt-chro- mium (CoCr) alloy disks., Materials and Methods: A total of 160 CoCr disks were divided into 3 groups. The first group (N = 64) was air abraded with alumina particles and contaminated with a silicone disclosing agent and saliva; the second group (N = 64) was air abraded but not contaminated; the third group (N = 32) was neither air abraded nor contaminated. The first two groups were di- vided into 4 subgroups (N = 16) according to the cleaning method: ultrasonic bath in 99% isopropanol, use of a cleaning suspension of zirconium oxide particles, use of a cleaning suspension based on 10-MDP salt, and treatment with atmo- spheric plasma. The third group was divided into 2 subgroups (N = 16): treatment with atmospheric plasma and no treat- ment. All CoCr specimens were bonded to plexiglas tubes filled with a bonding resin that contained phosphate monomer. Tensile bond strength (TBS) was examined by tensile testing after 3 and 150 days of water storage plus 37,500 thermal cy- cles (N = 8)., Results: After contamination, TBS was significantly reduced after 150 days of water storage. Groups without air abrasion showed initially low TBS and debonded spontaneously after 150 days of water storage., Conclusion: None of the cleaning methods was able to remove saliva and silicone disclosing agent on CoCr-alloy sur- faces. Surface activation by plasma treatment has no long-term effect on the bond strength.

Background: Effective surface cleaning in hospitals is crucial to prevent the transmission of pathogens. However, hospitals in low- and middle-income countries face cleaning challenges due to limited resources and inadequate training., Methods: We assessed the effectiveness of a modified TEACH CLEAN programme for trainers in reducing surface microbiological contamination in the newborn unit of a tertiary referral hospital in The Gambia. We utilised a quasi-experimental design and compared data against those from the labour ward. Direct observations of cleaning practices and key informant interviews were also conducted to clarify the programme's impact., Results: Between July and September 2021 (pre-intervention) and October and December 2021 (post-intervention), weekly surface sampling was performed in the newborn unit and labour ward. The training package was delivered in October 2021, after which their surface microbiological contamination deteriorated in both clinical settings. While some cleaning standards improved, critical aspects such as using fresh cleaning cloths and the one-swipe method did not. Interviews with senior departmental and hospital management staff revealed ongoing challenges in the health system that hindered the ability to improve cleaning practices, including COVID-19, understaffing, disruptions to water supply and shortages of cleaning materials., Conclusions: Keeping a hospital clean is fundamental to good care, but training hospital cleaning staff in this low-income country neonatal unit failed to reduce surface contamination levels. Further qualitative investigation revealed multiple external factors that challenged any possible impact of the cleaning programme. Further work is needed to address barriers to hospital cleaning in low-income hospitals., (© 2024. The Author(s).)

Objective: To evaluate the penetration of a dye in root dentin after activation with different laser wavelengths., Materials: Palatal roots of 38 human molars were enlarged and disinfected. Irrigation activation was performed with an Er:YAG laser: @50 mJ, 15 Hz (Er:YAG); a 9.3 µm CO 2 laser: @40% power (CO 2 ); diode lasers 455 nm/970 nm: @0.8 W, 15 Hz (D455, D970) and 808/980 nm: @1 W (D808, D980) and compared to positive control: etching with 35% H 3 PO 4 (POS); negative control: water (NEG) and conventional needle irrigation: NaOCl and ethylenediaminetetraacetic acid (EDTA) (CONV). Methylene blue solution was introduced in the canal and laser-activated or left untouched for 100 s before the roots were dried and cut into horizontal slices. Dye penetration was automatically calculated by color recognition of two samples per root third ( n = 8 per group in each coronal, middle and apical root thirds). The presence and absence of a smear layer was checked in two additional samples of the negative and positive control under scanning electron microscopy (SEM)., Results: Full-depth infiltration was not achieved in any group. Dye penetration in CONV was significantly less than in Er:YAG, CO 2, POS, D455, D970, D808 and similar to NEG and D980 when results of different root thirds were pooled., Conclusion: Laser activation using certain parameters enhanced dye penetration compared to conventional needle irrigation with NaOCl and EDTA (CONV)., (© 2024 The Author(s).)

Background: Nonmanual room disinfection systems may reduce the transmission of infections. A variety of systems have emerged; however, a paucity of evidence exists to make an evidence-informed decision for the implementation of a specific system. Alberta Health Services assessed one of these systems., Methods: A quasi-experimental prepost design assessed an aerosolized hydrogen peroxide disinfection system on 6 units at 3 acute care facilities in Alberta. To assess clinical effectiveness an interrupted time-series analysis with Poisson distribution compared changes in hospital-acquired Clostridioides difficile infection (HA-CDI) and hospital-acquired Methicillin-resistant Staphylococcus aureus (HA-MRSA) between preintervention, intervention, and postintervention periods. To assess operational feasibility cleaning turnaround time, time to operate, and utilization were considered. A participatory research framework was used to understand the benefits and challenges of operationalization., Results: Incidence rate ratio (IRR) of HA-CDI decreased by 25.7% on FMC-A and 6.9% on RAH-B. Following withdrawal, the IRR of HA-CDI continued to decrease. IRR of HA-MRSA decreased by 25.0% on RAH-B. Following withdrawal, the IRR of HA-MRSA continued to decrease. None of the results were statistically significant. The average time to operate was 3.2 hours. Utilization was between 1.7% and 25.6%. Most staff reported benefits and challenges., Discussion: None of the changes observed in HA-CDI and HA-MRSA after the introduction of the aerosolized hydrogen peroxide system were statistically significant. While most respondents reported multiple benefits and challenges in using the system, the core challenge was delays in inpatient admissions due to the time operate the system., Conclusion: Successful implementation of a nonmanual room disinfection system as an addition to standard cleaning and disinfection requires significant investment and must consider a variety of factors., (Copyright © 2023 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.)

Over the past decade, infections linked to duodenoscopes have become a significant concern, primarily due to the intricate design of the elevator mechanism. Currently, there is limited evidence regarding the bacterial contamination level of the elevator mechanism after clinical use and throughout its various reprocessing stages. This study utilized the swab culture technique to examine the bacterial contamination on the duodenoscope elevator mechanism after clinical use and after 3 reprocessing stages at a Center of tertiary hospital. Our findings revealed severe bacterial contamination after clinical usage, emphasizing that the effectiveness of manual cleaning greatly influences the subsequent high-level disinfection quality., (Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.)

This article focuses on how the imaginary of a 'safe' environment was visualised and conveyed within the hospitality sector during the COVID-19 pandemic, drawing on diaries and interviews with 21 workers in the UK. Our findings show increased workloads for hospitality staff, compounded by anxieties of risk and individualised COVID-19 regulation work. This includes workers' negotiations of corporeal boundaries and distancing from customers, the visible cleaning of communal areas and recuperation and care work for their own bodies and others in shared living spaces. We draw on conceptualisations of embodied and emotional labour to understand these experiences, reflecting on the importance of the actions performed by workers in maintaining community spaces and creating customer confidence in safely enjoying a 'hospitable' environment. This article contributes to social science scholarship of embodied and emotional labour, hospitality and social reproduction., (© The Author(s) 2023.)

Cleaning and/or sanitizing methods were evaluated to reduce Listeria monocytogenes (Lm) on coupons of porous (PS; polyester-nylon with coating conveyor belt [PNCB], plywood [PW]) and non-porous (NPS; high density polyethylene, stainless steel) surfaces. Coupons (2.5 cm diameter) were inoculated with six-strain cocktail with cabbage juice, inverted and incubated on tryptic soy agar with yeast extract (TSAYE; 37 °C, 24 h). Coupons (n = 4; ∼9 log CFU/coupon) were rinsed only (RO), multi-step cleaned (MSC), sanitized only (SO; peroxyacetic acid [PAA], bleach, quaternary ammonium compounds [QAC]), or cleaned and sanitized (MSC + S), transferred to Dey/Engley broth (DEB) with glass beads (1 g), vortexed and enumerated on Harlequin-TSAYE. Half of the coupons were dried prior to transfer to DEB. MSC resulted in ave. 2 log CFU/coupon reductions on NPS, and 0.6-1.1 log on PS. MSC + S led to >5-log reduction on NPS (81%; n = 48). On PS, MSC + S-PAA resulted in 1.8 and 1.9 log reductions on PW and PNCB, respectively. RO and SO reduced Lm on all surfaces, although less effectively than MSC and MSC + S. On PS, MSC + S-PAA was most effective, followed by bleach and QAC (p < 0.05). Drying after sanitizing increased Lm reduction by ∼0.4 log (p < 0.05). Partial cleaning and/or sanitizing leads to minimal reduction of Lm, while multi-step cleaning with sanitizing is highly effective., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.)

Background: Laboratory experiments are crucial in understanding efficacy of disinfectant products, but without compliance and appropriate application, the effectiveness of products is compromised. This study aims to understand current perceptions and knowledge of healthcare professionals (HCPs) to common cleaning and disinfection routines and microbial contamination, including biofilms, in healthcare environments., Methods: An online survey, including open and closed questions, was developed. Non-probability convenience and purposive sampling were used: those currently or previously in a healthcare profession were eligible. Survey responses were taken over 24 months, including the COVID-19 pandemic., Discussion: 137 participants completed the survey; over 50% were nurses. Surface cleaning frequency increased post COVID-19 from 'twice a day' to 'three/more times a day'. Disinfection frequency reduced from 'between every patient' before COVID-19 to 'twice a day' afterwards. A multimethod approach to cleaning and disinfection (70.8%) was predominant when considering the best method to deliver infection control. Most areas of clinical settings were identified as high risk (13/19). Most (87.6%) participants had heard the term 'biofilm', mainly at conference/study days (60%). 39.1% said they were aware of dry surface biofilms (DSB) in the healthcare environment., Conclusions: There remain mixed views on surface cleaning and disinfection within healthcare. Education is important for understanding microbial contamination and tackling problems. More people than expected had heard the term DSB. Infection control practices seemed consistent across responses, however whether this is reality is unknown. This study provides an initial insight into current opinions/knowledge of HCPs and can form basis for further in-depth investigation., (© 2024 The Authors.)

Aims: This study evaluated the effectiveness of different mechanical protocols using rotary brush (RB), ultrasonic tip, and oscillatory system (OS) associated with 2.5% sodium hypochlorite (NaOCl) in the removal of residues and dentin permeability in the cervical and apical segments of the post space., Settings and Design: Experimental in vitro study., Methods: Forty roots from human first molars were prepared and divided into four groups according to the cleaning protocols: Control (CO), NaOCl 2.5% conventional irrigation with a syringe; RB associated with NaOCl 2.5%; ultrasonic tip (US) associated with NaOCl 2.5%; OS associated with NaOCl 2.5%., Statistical Analysis Used: The persistence of residues was evaluated by scanning electron microscopy and data submitted to Kruskal-Wallis and Dunn tests, and dentin permeability evaluated by confocal microscopy and date submitted to ANOVA one-way and Tukey's tests ( P = 0.05)., Results: There were no differences in residue cleaning among the CO, RB, US, and OS groups, regardless of the analyzed root segment ( P > 0.05). When comparing groups, dentin permeability in the CO group was significantly lower in the cervical segment ( P < 0.05)., Conclusions: The OS group promoted the highest permeability value in the apical segment. RB, US, and OS are similar in removing residues from the post space. However, OS results in higher dentin permeability in the apical segment., Competing Interests: There are no conflicts of interest., (Copyright: © 2024 Journal of Conservative Dentistry and Endodontics.)

A central tenet in infection prevention is application of the Spaulding classification system for the safe use of medical devices. Initially defined in the 1950s, this system defines devices and surfaces as being critical, semi-critical or non-critical depending on how they will be used on a patient. Different levels of antimicrobial treatment, defined as various levels of disinfection or sterilization, are deemed appropriate to reduce patient risk of infection. However, a focus on microbial inactivation is insufficient to address this concern, which has been particularly highlighted in routine healthcare facility practices, emphasizing the underappreciated importance of cleaning and achieving acceptable levels of cleanliness. A deeper understanding of microbiology has evolved since the 1950s, which has led to re-evaluation of the Spaulding classification along with a commensurate emphasis on achieving appropriate cleaning. Albeit underappreciated, cleaning has always been important as the presence of residual materials on surfaces can interfere with the efficacy of the antimicrobial process to inactivate micro-organisms, as well as other risks to patients including device damage, malfunction and biocompatibility concerns. Unfortunately, this continues to be relevant, as attested by reports in the literature on the occurrence of device-related infections and outbreaks due to failures in processing expectations. This reflects, in part, increasing sophistication in device features and reuse, along with commensurate manufacturer's instructions for use. Consequently, this constitutes the first description and recommendation of a new cleaning classification system to complement use of the traditional Spaulding definitions to help address these modern-day technical and patient risk challenges. This quantitative risk-based classification system highlights the challenge of efficient cleaning based on the complexity of device features present, as an isolated variable impacting cleaning. This cleaning classification can be used in combination with the Spaulding classification to improve communication of cleaning risk of a reusable medical device between manufacturers and healthcare facilities, and improve established cleaning practices. This new cleaning classification system will also inform future creation, design thinking and commensurate innovations for the sustainable safe reuse of important medical devices., (Copyright © 2024. Published by Elsevier Ltd.)

Ceramic membranes are applied to remove non-sugar impurities, including proteins, colloids and starch, from glucose-fructose syrup that is dissolved from raw sugar using acid. The performance of ceramic membranes with 0.05 μm pores in clarifying high-fructose syrup was investigated under various operating conditions. The flux decreased rapidly at the start of the experiment and then tended to stabilize at a temperature of 90 °C, a transmembrane pressure of 2.5 bar, and cross-flow velocity of 5 m/s under total reflux operation. Moreover, the steady-state flux was measured at 181.65 Lm -2 h -1 , and the turbidity of glucose-fructose syrup was reduced from 92.15 NTU to 0.70 NTU. Although membrane fouling is inevitable, it can be effectively controlled by developing a practical approach to regenerating membranes. Mathematical model predictions, scanning electron microscopy, energy dispersive X-ray spectroscopy, and Fourier-transform infrared spectroscopy revealed that foulants primarily responsible for fouling are composed of polysaccharides, proteins, sucrose, phenols, and some metal elements, such as calcium, aluminum, and potassium. Due to the removal of suspended colloidal solids, the membrane-filtered glucose-fructose syrup was decolorized using activated carbon; the filtration rate was effectively improved. A linear relationship between volume increase in syrup and time was observed. A decolorization rate of 90% can be obtained by adding 0.6 ( w / w ) % of activated carbon. The pretreatment of glucose-fructose syrup using a ceramic membrane coupled with activated carbon results in low turbidity and color value. This information is essential for advancing glucose-fructose syrup and crystalline fructose production technology.

This study delves into the assessment of cleaning and disinfection (C&D) measures within the context of European pig farming, employing the Biocheck.UGent™ tool as an effective instrument for evaluation. A comprehensive set of relevant parameters was examined to enable meaningful comparisons across farms from 10 European countries during four years (2019-2022). Findings indicate a notable increase in C&D measure implementation in select countries (Belgium, Finland, Italy, and Spain), reflecting heightened awareness and responsibility among farmers. Additionally, the overall score for the C&D subcategory highlights variation across countries, with Italy (75), Poland (74), and Belgium (72) displaying the highest scores, while Ireland (56), Slovenia (55), and Serbia (50) reported the lowest scores. However, the considerable variation in the number of participating farms necessitates cautious comparisons. The study identifies well-implemented C&D measures in the frame of external biosecurity but underscores gaps in the application of C&D measures for the material introduction practices across farms (22% of farms), which are attributed to awareness gaps and resource limitations. In the areas of internal biosecurity, strong points include C&D procedures after each production cycle (79%), implementing different stages in the C&D process (65%) and sufficient sanitary break (82%), while gaps are evident in the presence and using of hand hygiene stations (19% of farms) and boots disinfection equipment (40% of farms) between compartments/units. Notably, the study reveals a lack of evaluation of hygiene after C&D procedures (only 1% of farms), signaling critical knowledge gaps among farmers regarding proper assessment tools and methods. In conclusion, this comprehensive analysis sheds light on the implementation status of C&D measures in European pig farming, offering insights into both areas of progress and those requiring improvement. The findings emphasize the need for targeted awareness campaigns and training initiatives to bolster biosecurity practices within the industry.

Ice air jet technology is one non-destructive, residue-free and environmentally friendly machining process. It is an efficient method to form ice particles by atomizing water droplets in ultra-low temperature environment. The freezing characteristics of water droplets in cryogenic gas and liquid nitrogen environment are visually analyzed, and the effects of droplet volume, ambient temperature are also studied. The results show that when water droplets freeze in a cryogenic gas environment, four distinct stages are observed, namely pre-cooling stage, recalescence stage, solidification stage, and deep cooling stage. However, when water droplets freeze in liquid nitrogen, the recalescence stage cannot be observed. For a 5 µl water droplet, it takes 68 s for water droplets to freeze into ice particles at - 20.36 °C, while it takes only 1.7 s in liquid nitrogen. During the freezing process, the water droplets form an ice shell outside and freeze inwardly. Ice particles may break up due to differences in solubility and density. With the increase of volume the time spent on pre-cooling stage and freezing stage both increases. For the large latent heat of water phase transformation, the solidification stage time is greatly affected by the volume of water droplets. When the ambient temperature drops from - 10.67 °C to - 24.68 °C, the freezing time of 5 µl water droplets decreases by 45.5%, indicating that the ambient temperature has a great influence on the freezing time. The results of the study can significantly contribute to the development of ice air jet technology., (© 2024. The Author(s).)

Despite being preventable, healthcare-associated infections are known primary causes of patient mortality and morbidity, threatening global public health. Though it is believed that one competent and dedicated cleaning staff member given the right tools and enough time can prevent more health-care-associated infectious diseases than a room full of doctors and nurses can cure, it was discovered in Letaba Hospital of the Limpopo Province, South Africa, that knowledge and practices of infection control among cleaning staff were not optimal. The proposed study aims to evaluate the impact of training interventions on cleaners' knowledge levels and practices. In Phase 1, cleaners' pre-training knowledge level, practices, and perceptions regarding correct cleaning techniques will be assessed through qualitative, individual, in-depth interviews. The initial question will read, "Describe the steps you follow when cleaning at this health facility and why?" In Phase 2a, a cleaning training program will be developed based on the South African Qualification Authority ID 118730 Healthcare Cleaner: Occupational Certificate Curriculum and the Center for Diseases Control and ICAN's Best Practices for Environmental Cleaning in Healthcare Facilities in Resource-Limited Settings. In Phase 2b, a cleaning training intervention will be implemented. In Phase 3, cleaners' post-training knowledge level, practices, and perceptions will be reassessed and compared to pre-training findings. The Standard Protocol Items: Recommendations for an Interventional Trial, commonly known as SPIRIT, guided the development of this protocol. This protocol received ethical clearance number FHS/22/PH/04/3005 in August 2023 from the University of Venda Human and Clinical Trials Research Ethics Committee. The protocol approval was granted by the Limpopo Provincial Department of Health (LP&#95;2022-05-028) in October 2023. This protocol is registered with the South African National Clinical Trial Registry. The findings of this study may provide baseline data upon which healthcare facilities' cleaner training qualification curriculum may be developed. In addition, this protocol contributes to the application of qualitative methodology in an intervention trial.

The peculiar physicochemical features of deep eutectic solvents (DESs), in particular their tunability, make them ideal media for various applications. Despite their ability to solubilize metal oxides, their use as rust removers from valuable substrates has not yet been thoroughly investigated. In this study, we chose three known DESs, consisting of choline chloride and acetic, oxalic or citric acid for evaluating their ability to remove corrosion products from a cellulose-based material as linen fabric and two different lithotypes, as travertine and granite. The artificial staining was achieved by placing a rusty iron grid on their surfaces. The DESs were applied by means of cellulose poultice on the linen fabrics, while on the rusted stone surfaces with a cotton swab. Macro- and microscopic observations, colorimetry and SEM/EDS analysis were employed to ascertain the cleaning effectiveness and the absence of side effects on the samples after treatment. Oxalic acid-based DES was capable of removing rust stains from both stone and cellulose-based samples, while choline chloride/citric acid DES was effective only on stone specimens. The results suggest a new practical application of DESs for the elimination of rust from lithic and cellulosic substrates of precious and artistic value.

The current trend in biopharmaceutical drug manufacturing is towards increasing potency and complexity of products such as peptide scaffolds, oligonucleotides and many more. Therefore, a universal affinity purification step is important in order to meet the requirements for cost and time efficient drug production. By using a self-splicing intein affinity tag, a purification template is generated that allows for a universal chromatographic affinity capture step to generate a tagless target protein without the use of proteases for further tag removal. This study describes the successful implementation of gp41-1-based split inteins in a chromatographic purification process for, e.g., E. coli -derived targets. The tagless target is generated in a single-step purification run. The on-column cleavage is induced by triggering a simple pH change in the buffer conditions without the need for additives such as Zn 2+ or thiols. This system has proven to be reusable for at least ten purification cycles that use 150 mM H 3 PO 4 as the cleaning agent., Competing Interests: The authors declare that this study received funding from Merck – Life Science KGaA, Darmstadt, Germany. The funder had the following involvement in the study: financial support for the research, authorship, and/or publication of this article. Authors MK, VK, TB, and OR were employed by Merck—Life Science KGaA. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Knapp, Kohl, Best, Rammo and Ebert.)

Glutaraldehyde is a high-efficiency disinfectant that has been included in the protocols of some hospitals for controlling the spread of SARS-CoV-2, together with sodium hypochlorite and quaternary ammonium disinfectants. However, exposure has been poorly studied in workplace settings, despite the association between glutaraldehyde and respiratory diseases and skin conditions in exposed workers. This study evaluated the magnitude of exposure associated with the use of glutaraldehyde in healthcare workers across various work areas of a first level of Hospital-Based Care in Colombia. Workers were classified into similar exposure groups (SEGs) based on work areas and tasks performed, and airborne concentrations of glutaraldehyde were measured in different work areas of each SEG through direct monitoring. The 95th percentile of glutaraldehyde concentrations in all SEGs studied exceeded the TLV-C immediately after use. Cleaning workers and nurses had the highest exposures to glutaraldehyde. Results indicate that workers were overexposed and highlight the need to implement controls to reduce exposure. The high-exposure levels also raise the need to consider glutaraldehyde substitution and adequate use of personal protective equipment (PPE)., (© The Author(s) 2023. Published by Oxford University Press on behalf of the British Occupational Hygiene Society.)

Background: Disposable N95 respirator shortages during the COVID-19 and 2009 H1N1 influenza pandemics highlighted the need for reusable alternatives, such as elastomeric half-mask respirators (EHMRs). Two US medical organizations deployed reusable EHMRs during the COVID-19 response. In addition to wipe-based disinfection following patient care episodes expected per local policies at both organizations, postshift centralized cleaning and disinfection (C&D) was expected at one site (A), permitting shared-pool EHMR use, and optional at the other (Site B), where EHMRs were issued to individuals. Using a survey, we evaluated disinfection practices reported by EHMR users and predictors of disinfection behaviors and perceptions., Methods: Surveys assessed EHMR disinfection practices, occupational characteristics, EHMR use frequency, training, and individual-issue versus shared-pool EHMR use., Results: Of 1080 EHMR users completing the survey, 76% reported that they disinfect the EHMR after each patient encounter, which was the expected practice at both sites. Increasing EHMR use, recall of disinfection training, and work in intensive care or emergency settings significantly influenced higher reporting of this practice. 36% of respondents reported using centralized C&D, although reporting was higher at the site (A) where this was expected (53%). Confidence in cleanliness of the EHMR following centralized C&D was not influenced by individual versus shared-pool EHMR issue., Conclusions: Most EHMR users reported adherence with expected post-care individual-based disinfection of EHMRs but did not necessarily use standardized, centralized C&D. Future efforts to limit reliance on behavior related to respirator disinfection may improve EHMR implementation in healthcare to avert dependence on single-use, disposable N95 respirators., (© 2023 Wiley Periodicals LLC.)

Objective: To establish whether the use of a WaterPik ® alongside a manual toothbrush (WaterPik ® + MTB) is more effective for maintaining oral hygiene compared to the use of a manual toothbrush alone (MTB) in patients wearing fixed orthodontic appliances., Design: A single-centre, two-arm, parallel-group, single-blind, randomised controlled clinical trial with a 1:1 allocation ratio., Setting: Orthodontic department at York Hospital, York Teaching Hospitals NHS Foundation Trust, UK., Participants: A total of 40 fit and well participants, aged 10-20 years, being treated with upper and lower fixed orthodontic appliances., Methods: Participants were randomly allocated, using stratified block randomisation, to the control group (MTB) or intervention group '(Waterpik ® + MTB)'. Plaque, gingival and interdental bleeding indices were recorded at baseline, 8 weeks, 32 weeks and 56 weeks. A generalised linear mixed model was used to assess differences between groups., Results: An interim analysis of results was performed with 40 patients recruited and 85% of data collected. The overall mean differences between the groups were as follows: plaque index = 0.199 ( P = 0.88, 95% confidence interval [CI] -0.24 to 0.27); gingival index = -0.008 ( P = 0.94, 95% CI -0.22 to 0.20); and interdental bleeding index = 5.60 ( P = 0.563, 95% CI -13.22 to 24.42). No statistical difference between the two groups was found for any variable. The trial was stopped at this point., Conclusions: In terms of oral hygiene, our study did not find evidence to support the claim of benefit of using a Waterpik ® in addition to a manual toothbrush for patients wearing fixed orthodontic appliances., Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.