scholarly journals Fresh Produce Safety and Quality: Chlorine Dioxide’s Role

2022 ◽  
Vol 12 ◽  
Author(s):  
Siva Kumar Malka ◽  
Me-Hea Park
Keyword(s):  
Microbial Growth ◽  
Fruits And Vegetables ◽  
Fresh Produce ◽  
Term Effect ◽  
Foodborne Illnesses ◽  
Produce Safety ◽  
Long Term Effect ◽  
Contaminated Food

Maintaining microbial safety and quality of fresh fruits and vegetables are a global concern. Harmful microbes can contaminate fresh produce at any stage from farm to fork. Microbial contamination can affect the quality and shelf-life of fresh produce, and the consumption of contaminated food can cause foodborne illnesses. Additionally, there has been an increased emphasis on the freshness and appearance of fresh produce by modern consumers. Hence, disinfection methods that not only reduce microbial load but also preserve the quality of fresh produce are required. Chlorine dioxide (ClO2) has emerged as a better alternative to chlorine-based disinfectants. In this review, we discuss the efficacy of gaseous and aqueous ClO2 in inhibiting microbial growth immediately after treatment (short-term effect) versus regulating microbial growth during storage of fresh produce (long-term effect). We further elaborate upon the effects of ClO2 application on retaining or enhancing the quality of fresh produce and discuss the current understanding of the mode of action of ClO2 against microbes affecting fresh produce.

Long Term Effect of Cognitive Behavioral Therapy in Patients with Health Anxiety

2017 ◽  
Vol 41 (S1) ◽  
pp. S111-S112
Author(s):  
K.E. Veddegjaerde
Keyword(s):  
Quality Of Life ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Health Anxiety ◽  
Term Effect ◽  
Cognitive Behavioral ◽  
Long Term Effect

IntroductionCognitive-behavioral therapy (CBT) has been found to be an effective treatment of excessive health anxiety (HA), but the long-term effect over 18months has not been examined.ObjectivesSeveral studies have shown effect of CBT for HA-patients. However, these effects have been short or immediate after therapy. To our knowledge no studies have examined long-term effect of CBT for HA over 18 months.AimsTo investigate the long-term effect of CBT on HA, focusing on level of HA, quality of life, subjective health complaints and general anxiety. Follow-up time was at least 10 years. Our hypothesis was that the effect was sustained.MethodsPatients with HA received 16 sessions of CBT over a period of 12–18 months, and were followed up over at least 10 years. All patients fulfilled criteria for F45.2, hypochondriacal disorder according to ICD-10.The patients answered several questionnaires, exploring areas such as HA, Quality of life, somatization, and mental health problems. Questionnaires were answered before CBT, after CBT and at follow up. Mixed model analysis was performed in SPSS 23.0 for all questionnaires.ResultsAll scores were found to be significant in the Pre-CBT–Post-CBT and Pre-CBT–FU (0.034– < 0.001), and none were found to be significant in the Post-CBT–FU.ConclusionsOur findings suggest that for the majority of patients with HA, CBT has a significant and lasting long-term effect. This effect lasts up to ten years post therapy.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

Mary in Luther and the Lutheran Reformation

2019 ◽  
pp. 441-453
Author(s):  
Beth Kreitzer
Keyword(s):  
Sixteenth Century ◽  
Martin Luther ◽  
Term Effect ◽  
Christian Life ◽  
Late Medieval ◽  
Marian Devotion ◽  
Long Term Effect

Mary, the queen of heaven and the most powerful intercessor among all the saints, was the focus of intense piety and devotion at the turn of the sixteenth century. She played a central role in the life of Christians, both in private devotions and in public ritual. But not everyone was pleased with the quantity or quality of Marian devotion. Following earlier critics, Martin Luther rejected much of the medieval cult surrounding Mary and transformed Marian devotion, inspiring a shift in her image from that of a powerful, merciful queen to a humble, obedient housewife. Although he maintained a warm, if transformed, devotion to Mary himself, Luther’s understanding of her role as the Mother of God and foremost of saints was dramatically different from the late medieval understanding. His influence on Protestant areas had the long-term effect of reducing Mary’s importance in Christian life and her visibility to Christians.

scholarly journals LONG-TERM EFFECT OF 177LU-DOTATATE ON SEVERE AND REFRACTORY HYPOGLYCEMIA ASSOCIATED WITH MALIGNANT INSULINOMA

2019 ◽  
Vol 5 (6) ◽  
pp. e330-e333 ◽  
Author(s):  
Pedro Iglesias ◽  
Alberto Martínez ◽  
Pablo Gajate ◽  
Teresa Alonso ◽  
Teresa Navarro ◽  
...  
Keyword(s):  
Severe Hypoglycemia ◽  
Somatostatin Analogues ◽  
Term Effect ◽  
Symptomatic Therapy ◽  
Malignant Insulinoma ◽  
Long Term Effect ◽  
Life Threatening ◽  
Symptomatic Control

Objective: Malignant insulinoma is an extremely uncommon tumor that is usually accompanied by severe hypoglycemia that is difficult to manage. At this time, the long-term effect of 177Lu-DOTATATE (lutetium [Lu-177]-DOTA-Tyr3-octreotate) on this tumor is not well known. Methods: We report a case of severe, life-threatening, and refractory hypoglycemia associated with malignant insulinoma treated with 177Lu-DOTATATE. Results: A 51-year-old woman was referred because of severe, life-threatening, and refractory hypoglycemia due to malignant insulinoma. The patient had been treated unsuccessfully with chemotherapy, targeted therapies, and symptomatic therapy with diazoxide, steroids, and somatostatin analogues without success. 177Lu-DOTATATE adequately controlled her hypoglycemia after the other conventional treatments failed. Conclusion: 177Lu-DOTATATE was effective in providing rapid and long-term symptomatic control of the hypoglycemia and significantly improved the quality of life of the patient.

Long-term effect of the self-management comprehensive coping strategy program on quality of life in patients with breast cancer treated with high-dose chemotherapy

2012 ◽  
Vol 22 (3) ◽  
pp. 530-539 ◽  
Author(s):  
Fannie Gaston-Johansson ◽  
Jane M. Fall-Dickson ◽  
Joy P. Nanda ◽  
Elisabeth Kenne Sarenmalm ◽  
Maria Browall ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
High Dose Chemotherapy ◽  
Term Effect ◽  
The Self ◽  
Self Management ◽  
High Dose ◽  
Long Term Effect

Long-term effect on symptoms and quality of life of maintenance therapy with esomeprazole 20 mg daily: a post hoc analysis of the LOTUS trial

2014 ◽  
Vol 31 (1) ◽  
pp. 65-73 ◽  
Author(s):  
Lars Lundell ◽  
Jan Hatlebakk ◽  
Jean-Paul Galmiche ◽  
Stephen E. Attwood ◽  
Christian Ell ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Maintenance Therapy ◽  
Term Effect ◽  
Post Hoc Analysis ◽  
Long Term Effect ◽  
Post Hoc
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