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The effect of ethylene oxide-sterilization on homoionic (Na+, K+, Ca2+, Cu2+, Al3+, and Fe3+) montmorillonite samples was examined. The results indicate that ethylene oxide polymerized to polyethylene glycol in the interlayer of Cu2+-, Al3+-, and Fe3+-saturated clays, as substantiated by the increase in the d(001) values, as well as by the decrease in the cation-exchange capacity after reaction. On the contrary, ethylene oxide failed to react in the presence of the Na+-, K+-, and Ca2+-clays, likely due to the lower acidity of the exchange cations.
This chapter again uses data from the Bank’s ledgers, cash books, and other records to examine its policy decisions over much of the eighteenth century (1711—1791). Examination of these data indicates that the Bank’s accounting was highly focused on accurate tabulation of the total stock of Bank money. It is argued that this money stock had two functional components, de facto splitting the bank into two institutions: a passive bank whose money originated from customers’ deposits of coins under receipt, and an active bank whose money originated from open market purchases of metallic assets and credit operations. The data show that from 1727 forward, the active portion of the Bank’s money was systematically adjusted to balance out (sterilize) fluctuations in the passive portion. The chapter also discusses two crisis episodes when this policy approach broke down: (1) a financial panic in the autumn of 1763 that required a liberalization of the receipt system, leading to unbalanced expansion of the passive bank; (2) excessive lending to the Dutch East India Company during the Fourth Anglo-Dutch War (1780—1784), leading to a contraction of the passive portion and overexpansion of the active. The effects of the latter crisis were sufficiently severe that the Bank never fully recovered.
Chapter 6 traces the One Child Policy’s lifespan from its introduction in 1979 until its replacement with the Two Child Policy in 2015. I show that the extent to which the One Child Policy was actually enforced and the ways in which it was received differed significantly in Shanghai, Tianjin, and Luoyang. For some couples, particularly those in more economically developed cities like Shanghai and Tianjin, the policy simply affirmed personal convictions that smaller families are more economical and allow children to have better educational opportunities. In smaller cities like Luoyang, however, policy violations were more common as family size – as well as the existence of a male heir – remained more important than the opportunities allocated to those children. This chapter also interrogates the renewed interest in eugenics among parents wishing to “optimize” the qualities of their one and only child, as well as the limited scale and scope of sex education, a trend that exacerbated the reliance on abortion as premarital birth control.
Conservatorship of Valerie N. is the next case in this volume. The original 1985 opinion from the California Supreme Court concerned an “adult developmentally disabled daughter,” whose parents wished to have her surgically sterilized because she was (according to the parents) sexually aggressive towards men. Although the original opinion held that the California law did not authorize the sterilization of Valerie the case is nonetheless ripe for a feminist rewrite. Professor Doriane Lambelet Coleman’s feminist judgment demonstrates how feminism requires attention not only to women’s issues in general but also to the woman herself, and not only to childbearing (or not) but also to sexuality separate from its procreative aspects. Professors Cynthia Soohoo and Sofia Yakren’s commentary situates the case in terms of how sexism and ableism shape attitudes towards sexuality, reproduction, and health care decision-making powers of women with disabilities. It also discusses the evolving understanding of capacity to make medical treatment decisions and alternatives to traditional surrogate decision-making.
Monetary policy aims at stabilizing an economy through central bank management of the money supply to influence aggregate demand. Constraints on the policy framework are imposed by the Trilemma which holds that policymakers cannot have all three of: open capital markets; an independent monetary policy; and a pegged exchange rate. Exercise of options varies within the Emerging East Asia region. Hong Kong with its globally integrated financial market pegs its exchange rate to the US dollar giving up discretion over monetary policy. China with its state-dominated economy imposes controls on foreign capital flows allowing separation of monetary and exchange rate policies. Mostly though, the region’s capital markets are open enough that the interest rate and the exchange rate intertwine as instruments of policy. Against external shock, central banks lean against currency volatility, with monetary policy following along. Sterilization of foreign exchange market intervention operates within limited space lest speculative capital flows bet against the central bank. Singapore makes for an interesting case study of exchange rate–based monetary policy.
This chapter explains the fundamental aspects of decontamination and sterilisation. A working knowledge of the principles of sterilisation, disinfection, and infection control are essential for effective and safe perioperative practice. Decontamination is defined as the combination of methods—including cleaning, disinfection, and sterilisation—used to make a reusable item safe for further use on patients and for handling by staff. The term refers to the whole cycle, including processes such as cleaning, disinfection, and sterilisation. Aseptic techniques are fundamental to supporting a safe environment and to ensure patient and staff safety with regards to infection and its associated risks. It is essential that perioperative practitioners adhere to national and local standards and understand how the decontamination cycle can mitigate the risk of infection.
Ms. Justice ROBERTS delivered the opinion of the Court.1
This is a writ of error to review a judgment of the Supreme Court of Appeals of the State of Virginia, affirming a judgment of the Circuit Court of Amherst County, by which the defendant in error, the superintendent of the State Colony for Epileptics and Feeble Minded, was ordered to perform the operation of salpingectomy upon Carrie Buck, the plaintiff in error, for the purpose of making her sterile. 143 Va. 310. The case comes here upon the contention that the statute authorizing the judgment is void under the Fourteenth Amendment as denying to the plaintiff in error due process of law and the equal protection of the laws.
Female and male sterilization is an important and widely used method of contraception. While a safe and effective procedure, given its permanent nature care has to be taken when counselling men and women for this procedure to reduce the incidence of regret and reversal. Detailed discussion with both sexes regarding the risks of sterilization procedures and of alternative methods of contraception, such as long-acting reversible contraceptives (LARCs), is vital to allow fully informed consent. Laparoscopic sterilization is a popular method of female sterilization and is associated with low complication rates. Minimally invasive vasectomy (MIV), performed under local anaesthetic in the outpatient setting, is becoming the gold standard technique for male sterilization and results in fewer operative complications and less postoperative pain than more traditional methods. Hopefully further research into hysteroscopic sterilization techniques will allow this to become a more accessible and safer method of permanent contraception for women.
International guidelines stipulate that autoclavation is necessary to sterilize surgical equipment. World Health Organization (WHO) guidelines for decontamination of medical devices require four levels of decontamination: cleaning, low- and high-level disinfection, as well as sterilization. Following disasters, there is a substantial need for wound care surgery. This requires prompt availability of a significant volume of instruments that are adequately decontaminated. Ideally, they should be sterilized using an autoclave, but due to the resource-limited field context, this may be impossible. The aim of this study was therefore to identify whether there are portable and less resource-demanding techniques to decontaminate surgical instruments for safe wound care surgery in disasters. A scoping review was chosen, and searches were performed in three scientific databases, grey literature, and included data from organizations and journals. Articles were scanned for decontamination techniques feasible for use in the resource-scarce disaster setting given that: they achieved at least high-level disinfected instruments, were portable, and did not require electricity. A total of 401 articles were reviewed, yielding 13 articles for inclusion. The study identified three techniques: pressure cooking, boiling, and liquid chemical immersion, all achieving either sterilized or high-level disinfected instruments. It was concluded that besides autoclaves, there are less resource-demanding decontamination techniques available for safe wound surgery in disasters. This study provides systematic information to guide optimal standard setting for sterilization of surgical material in resource-limited disaster settings.
Edited by
Uta Landy, University of California, San Francisco,Philip D Darney, University of California, San Francisco,Jody Steinauer, University of California, San Francisco
This chapter describes the several important roles for simulation in sexual and reproductive healthcare training. First and foremost, simulation training can serve as a tool for basic skill acquisition to learn abortion, contraception, and sterilization procedures.Simulation can also provide opportunities for improving counseling and communication, and emergency response team training. Finally, simulation training can foster an environment for discussion, advocacy, and sparking interest in the field of sexual and reproductive health.Many low- and high-fidelity simulation tools have been developed, implemented, and evaluated for training purposes.The chapter details the many available family planning simulation models and evidence supporting their utility.
Edited by
Uta Landy, University of California, San Francisco,Philip D Darney, University of California, San Francisco,Jody Steinauer, University of California, San Francisco
At least 10% of accredited obstetrics and gynecology residency programs primarily train their residents at religiously-affiliated hospitals and at least two-thirds of these programs are at Catholic-owned or affiliated hospitals.Based on institutional guidelines to care, Catholic programs face limitations to most family planning services, including contraception, sterilization, and abortion care.Other faith-based hospitals often face restrictions to abortion provision. Prior surveys of residents and program leaders have confirmed these restrictions to care and have demonstrated concerns for poor procedural training.In particular, many Catholic graduates have vocalized frustrations with delayed or inadequate competency for long-acting reversible contraceptives and sterilizations.Prior investigations have also confirmed inadequate abortion training at Catholic and other faith-based programs, and found that many residents remain unable to provide uterine evacuation procedures, despite intentions to do so.Although some programs rely on educational activities to enhance resident understanding and also utilize off-site training locations to improve training, many still report concerns for inadequate sterilization and/or abortion training.
The long-term refrigerated storage of melted snow and/or ice samples for analyses of insoluble microparticles (hereafter, microparticles) may be limited by increases in the biological particle concentration caused by microbial growth after ~1–2 weeks. In this study, we examined an ultraviolet (UV) disinfection method for the storage of melted snow and/or ice samples and determined the effects of this method on microparticles. Surface snow obtained from Glacier No. 31 in the Suntar-Khayata Range, eastern Siberia, Russia was divided into two portions for UV treatment and untreated controls. Microparticle concentrations and size distributions (in the range of 0.52–12.0 μm) in the samples were measured using a Coulter counter. Whereas the microparticle concentration in untreated samples increased, no obvious increase was observed over 53 d in the samples subjected to UV treatment. Microbial growth was detected in only untreated samples using a viable particle counter. In addition, the original microparticle concentrations and size distributions were unaffected by UV treatment. Our results demonstrated that the microparticle size distribution in untreated melted water samples reflects the growth, decomposition and succession of microorganisms over time and further indicate that UV irradiation is effective for long-term storage for microparticle analysis.
The National Aeronautics and Space Administration (NASA) and the European Space Agency (ESA) are studying how samples might be brought back to Earth from Mars safely. Backward planetary protection is key in this complex endeavour, as it is required to prevent potential adverse effects from returning materials to Earth's biosphere. As the question of whether or not life exists on Mars today or whether it ever did in the past is still unanswered, the effort to return samples from Mars is expected to be categorized as a ‘Restricted Earth Return’ mission, for which NASA policy requires the containment of any unsterilized material returned to Earth. NASA is investigating several solutions to contain Mars samples and sterilize any uncontained Martian particles. This effort has significant implications for both NASA's scientific mission, and the Earth's environment; and so special care and vigilance are needed in planning and execution in order to assure acceptance of safety to Earth's biosphere. To generate a technically acceptable sterilization process across a wide array of scientific and other stakeholders, on 30–31 January 2019, 10–11 June 2019 and 19–20 February 2020, NASA informally convened a Sterilization Working Group (SWG) composed of experts from industry, academia and government to assess methods for sterilization and inactivation, to identify future work needed to verify these methods against biological challenges, and to determine their feasibility for implementation on robotic spacecraft in deep space. The goals of the SWG were:
(1) Understand what it means to sterilize and/or inactivate Martian materials and how that understanding can be applied to the Mars Sample Return (MSR) mission.
(2) Assess methods for sterilization and inactivation, and identify future work needed to verify these methods.
(3) Provide an effective plan for communicating with other agencies and the public.
This paper provides a summary of the discussions and conclusions of the SWG over these three workshops. It reflects a consensus position based on qualitative discussion of how agencies might approach the problem of sterilization of Mars material. The SWG reached a consensus that sterilization options can be considered on the basis of biology as we know it, and that sterilization modalities that are effective on terrestrial materials and organisms should be part of the MSR planetary protection strategy. Conclusions pointed to several industry standards for sterilization to include heat, chemical, UV radiation and low-heat plasma. Technical trade-offs for each sterilization modality were discussed while simultaneously considering the engineering challenges and limitations for spaceflight. Future work includes more in-depth discussions on technical trade-offs of sterilization modalities, identifying and testing Earth analogue challenge organisms and proteinaceous molecules against chosen modalities, and executing collaborative agreements between NASA and external working group partners to help close data gaps, and to establish strong, scientifically grounded sterilization and inactivation standards for MSR.
Mendelian ideas were transformed from theoretical speculations into social realities after Hitler became Chancellor, informing the attitude the Nazis developed toward the mentally ill and shaping the Nazi sterilization policy. Mendelian reasoning led to the inclusion of certain disease categories (blindness, deafness, Huntington’s chorea) in the Nazi Sterilization Law of July 1933, an inclusion that later helped the Nazis to argue that their sterilization campaign was grounded in Mendelian teaching. In high schools, Mendelian theory was explained as corroborating the sterilization policy, while also posing pedagogic challenges to teachers trying to convey eugenic ideas to their students. When it came to the implementation of the sterilization law and the proceedings held in different hereditary courts, although the sterilization campaign was implemented independent of Mendelian theory, it was still informed by and imbued with Mendelian suppositions. These suppositions empowered state authorities while disempowering the victims of the sterilization campaign – the “feebleminded,” the “mentally weak” and the physically impaired. In rare cases, however, Mendelian logic was used by doctors to rebuke the sterilization of their patients.
While Social Mendelism certainly gained its most explicit manifestations in Germany under the Nazi rule, many of its underlying assumptions were shared by scholars and social reformers elsewhere. Moreover, the legacy of Social Mendelism did not suddenly disappear with the collapse of the Third Reich. The efforts made by German eugenicists to continue the sterilization campaign in the immediate postwar years attest to the persistence of Mendelism as a legitimizing framework after the war. Moreover, they show that a racial-antisemitic worldview continued to inform eugenic efforts, under the guise of nonideological Mendelian thinking. The story, then, does not sit comfortably within the boundaries of the 1900–1945 timeline. Neither is it a purely German story. There were great national differences in the way Mendel’s theory was received, adopted and applied, and in some nations its influence was marginal. But in others, like the US and Britain, it had great social and cultural impact. Thus, the present image of Mendelism as a no-ideological, possibly even anti-racist theory, is no more than a mirage, consciously construed after World War II in the context of the emerging Cold War politics.
Who was the scientific progenitor of eugenic thought? Amir Teicher challenges the preoccupation with Darwin's eugenic legacy by uncovering the extent to which Gregor Mendel's theory of heredity became crucial in the formation - and radicalization - of eugenic ideas. Through a compelling analysis of the entrenchment of genetic thinking in the social and political policies in Germany between 1900 and 1948, Teicher exposes how Mendelian heredity became saturated with cultural meaning, fed racial anxieties, reshaped the ideal of the purification of the German national body and ultimately defined eugenic programs. Drawing on scientific manuscripts and memoirs, bureaucratic correspondence, court records, school notebooks and Hitler's table talk as well as popular plays and films, Social Mendelism presents a new paradigm for understanding links between genetics and racism, and between biological and social thought.
The objective of the present work was to evaluate the behavior of osteogenesis of mesenchymal stem cells (MSCs) on a double-layer, protective, and bioactive hybrid coating sterilized by 3 different processes: steam autoclave, hydrogen peroxide plasma, and ethylene oxide. The hybrid coating was obtained from a sol consisting of the silane precursors tetraethoxysilane (TEOS) and methyltriethoxysilane (MTES), applied on a Ti6Al4V substrate. To promote bioactivity, hydroxyapatite (HA) particles were dispersed in a second coating (bioactive layer: TEOS/MTES + HA) applied on the first (TEOS/MTES). The sterilized coatings were evaluated by scanning electron microscopy, wettability, and micrometer roughness. The behavior of hydrolytic degradation was evaluated by the mass variation of the samples and the release of silicon by the technique of high-resolution atomic absorption spectrometry. All coatings presented morphological and superficial alterations after sterilization. Sterilization by ethylene oxide and hydrogen peroxide plasma intensified the hydrolytic degradation of the bioactive coating causing a greater release of silicon. The sterilized hybrid coatings did not show cytotoxicity to MSCs. Adhesion, viability, and osteogenic differentiation were favored on the sterilized coating of hydrogen peroxide plasma, which is opposite to what was observed for the ethylene oxide-sterilized coating.
Sterilization is one of the last stages prior to the implantation of a biomaterial. Therefore, the method should be chosen carefully as this is determinant not to compromise the properties of the material. In this context, three sterilization processes were evaluated as to their effect on the properties of a silane hybrid coating: steam autoclave, ethylene oxide, and hydrogen peroxide plasma. The coating was obtained from a sol consisting of alkoxysilane Tetraethoxysilane and organoalcoxysilane Methyltriethoxysilane (MTES), applied to the Ti6Al4V substrate, to increase its corrosion resistance and biocompatibility. After sterilization, the samples were characterized by scanning electron microscopy, atomic force microscopy, profilometry, wetabillity, and Fourier transform infrared spectroscopy. The electrochemical behavior was monitored by open circuit potential and potentiodynamic polarization curves. The cytocompatibility was evaluated by adhesion, viability, and morphological alterations in the MG-63 cells. The results showed that the protective behavior of the hybrid coating was compromised regardless of the sterilization method. However, the steam autoclave caused more morphological changes on the silane hybrid coating as well as on the Ti6Al4V substrate than the other two sterilization methods. Although the sterilized hybrid coating did not show cytotoxicity, the hybrid coating sterilized by hydrogen peroxide plasma showed a higher percentage of viable cells. The ethylene oxide presented the lowest percentage of viability and the highest cell death rate.
The application of the sterile insect technique to fruit flies involves the mass-production of the pest insects using an artificial diet, irradiation during a narrow time window at the late pupal or early imaginal stage to inhibit reproduction without affecting reproductive capacity, and then release into the target area where the sterile insects compete reproductively with their wild counterparts. The timing of irradiation is important to enable the release of males that are sterile but of good quality and exhibit an acceptable sexual performance. In this study, we examined the pupal development of 12 tephritid (Diptera: Tephritidae) species: Anastrepha fraterculus (Wiedemann), A. ludens (Loew), A. obliqua (Macquart), A. serpentina (Wiedemann), Bactrocera cucurbitae (Coquillett), B. dorsalis (Hendel), B. invadens (Drew, Tsuruta & White), B. oleae (Rossi), B. philippinensis (Drew & Hancock), B. tryoni (Froggatt), B. zonata (Saunders) and Ceratitis capitata (Wiedemann). The insects were reared at various temperatures, in the laboratory (15–28 °C) and under fluctuating natural conditions (20–35 °C). The gradual colour changes of the insect eyes during metamorphosis were observed and photographed, measuring the specific eye colour parameters of each species and matching them with the colour scale of the Munsell Soil Color Charts. The duration of pupal development and the time to emergence in Anastrepha species were longer than those in C. capitata and Bactrocera species at all the holding temperatures. The data obtained can be used by mass-rearing facilities to manage pupal holding conditions and as indicators for optimizing the timing of irradiation.
Bacterial endospores are resistant to many environmental factors from temperature extremes to ultraviolet irradiation and are generally more difficult to inactivate or kill than vegetative bacterial cells. It is often considered necessary to treat spores or samples containing spores with chemical fixative solutions for prolonged periods of time (e.g., 1–21 days) to achieve fixation/inactivation to enable electron microscopy (EM) examination outside of containment laboratories. Prolonged exposure to chemical fixatives, however, can alter the ultrastructure of spores for EM analyses. This study was undertaken to determine the minimum amount of time required to inactivate/sterilize and fix spore preparations from several bacterial species using a universal fixative solution for EM that maintains the ultrastructural integrity of the spores. We show that a solution of 4% paraformaldehyde with 1% glutaraldehyde inactivated spore preparations of Bacillus anthracis, Bacillus cereus, Bacillus megaterium, Bacillus thuringiensis, and Clostridium perfringens in 30 min, and Bacillus subtilis in 240 min. These results suggest that this fixative solution can be used to inactivate and fix spores from several major groups of bacterial spore formers after 240 min, enabling the fixed preparations to be removed from biocontainment and safely analyzed by EM outside of biocontainment.