Laboratory Review of Foodborne Disease Investigations in Washington State 2007-2017.

The Washington State Department of Health Public Health Laboratories (WAPHL) has tested 11,501 samples between 2007 and 2017 for a foodborne disease using a combination of identification, serotyping, and subtyping tools. During this period there were 8037 total clinical and environmental samples tested by pulsed-field gel electrophoresis (PFGE), including 512 foodborne disease clusters and 2176 PFGE patterns of Salmonella enterica subsp. enterica. There were 2446 Shiga toxin-producing Escherichia coli samples tested by PFGE, which included 158 foodborne disease clusters and 1174 PFGE patterns. There were 332 samples of Listeria monocytogenes tested by PFGE, including 35 foodborne disease clusters and 104 PFGE patterns. Sources linked to outbreaks included raw chicken, unpasteurized dairy products, various produce types, and undercooked beef among others. As next-generation sequencing (NGS) replaces PFGE, the impact of this transition is expected to be significant given the enhanced cluster detection power NGS brings. The measures presented here will be a reference baseline in future years.

A long-term fatty fish intervention improved executive function in inpatients with antisocial traits and a history of alcohol and drug abuse.

The aim of the present study was to investigate the effects of fatty fish consumption on cognitive functioning in a group of inpatients characterized by antisocial behavior. Eighty-three male forensic inpatients participated in this study. Participants were randomly assigned into a Fish or a Control group (e.g., meat, chicken, pork). One decision-making task, the Iowa Gambling Task (IGT), and one planning task, the Tower of Hanoi (ToH), were administered before (pre-test) and at the end of the intervention period (post-test). For the IGT the Fish group showed improved performance from pre- to post- test. Moreover, the Fish group showed significantly better performance than the Control group on the IGT at post-test. The Fish group also demonstrated improved performance from pre- to post-test on the ToH; however, this was limited to participants with a history of substance abuse. Further, the improvement was only significant for tasks with high working memory load (5-7 move problems), and not for tasks with low working memory load (1-4 move problems). The Control group showed no improvement on any of the tasks regardless of alcohol or drug abuse history. The present study suggests that regular fatty fish consumption may improve executive functions in forensic inpatients with antisocial traits and a history of substance abuse. Thus, the current results may have important implications with regard to health care interventions.

Redundancy and overactuation in cephalopod-inspired soft robot arms.

Current soft robotic arms commonly follow traditional-i.e. hard-robot design conventions. Omnidirectional soft arms most commonly consist of segments that contain three parallel longitudinal actuators, or actuator groups, of which one or two are activated to induce bending. This design uses the minimum number of actuators required for omnidirectional bending, which is consistent with traditional robot design but unnecessarily constrains the soft arm design space. The cephalopods that frequently inspire soft robot arms have tens of bundles of longitudinal muscle fibers, and these bundles are distributed around the limb circumference rather than grouped. This article analyzes fluid-driven soft arm architectures with up to 12 actuators, which mimics the redundant and distributed nature of cephalopod arms and tentacles, in order to investigate the performance implications of an arm morphology closer to nature. Overactuation (i.e. activating more than two actuators) was considered, which is possible because soft robots-unlike traditional robots-can tolerate misaligned or partially opposed actuation without jamming. A previously-developed generalizable model was used to simulate design performance, and a subset of the examined architectures were constructed and tested. Many-actuator soft arms achieve high strokes under equivalent load and equivalent actuation pressures, without sacrificing no-load reach. These arms are also able to achieve quasi-omnidirectionality, as well as to execute near constant-curvature turns using a simple actuation pattern and a single pressure signal. The introduced framework also enables non-circular cross sections that are not possible with minimalist arm designs, allowing the load capacity and reach to be tuned in multiple directions. Several elliptical cross section arms were analyzed to explore the potential of non-circular cross sections. Overactuated, many-actuator arms significantly expand the design space of soft arms, improving performance in some cases and introducing options to tailor behavior that are infeasible in structurally minimal arms.

Redundancy and overactuation in cephalopod-inspired soft robot arms.

Current soft robotic arms commonly follow traditional - i.e., hard - robot design conventions. Omnidirectional soft arms most commonly consist of segments that contain three parallel longitudinal actuators, or actuator groups, of which one or two are activated to induce bending. This design uses the minimum number of actuators required for omnidirectional bending, which is consistent with traditional robot design but unnecessarily constrains the soft arm design space. The cephalopods that frequently inspire soft robot arms have tens of bundles of longitudinal muscle fibers, and these bundles are distributed around the limb circumference rather than grouped. This article analyzes fluid-driven soft arm architectures with up to 12 actuators, which mimic the redundant and distributed nature of cephalopod arms and tentacles. Over-constraints (activating more than two actuators) were considered, which are possible because soft robots - unlike traditional robots - can tolerate conflicting constraints without jamming. A previously-developed generalizable model was used to simulate design performance, and a subset of the examined architectures were constructed and tested. Many-actuator soft arms achieved high strokes under equivalent load without sacrificing no-load reach and were able to execute near constant-curvature turns with a simple actuation pattern. The framework introduced here also enables cross section variations that are not possible with minimalist designs.

Evaluation of 3D Printed Soft Robots in Radiation Environments and Comparison With Molded Counterparts.

Robots have an important role during inspection, clean-up, and sample collection in unstructured radiation environments inaccessible to humans. The advantages of soft robots, such as body morphing, high compliance, and energy absorption during impact, make them suitable for operating under extreme conditions. Despite their promise, the usefulness of soft robots under a radiation environment has yet to be assessed. In this work, we evaluate the effectiveness of soft robots fabricated from polydimethylsiloxane (PDMS), a common fabrication material, under radiation for the first time. We investigated gamma-induced mechanical damage in the PDMS materials' mechanical properties, including elongation, tensile strength, and stiffness. We selected three radiation environments from the nuclear industry to represent a wide range of radiation and then submerged a 3D printed hexapus robot into a radiation environment to estimate its operation time. Finally, to test the reliability of the 3D printed soft robots, we compared their performances with molded counterparts. To analyze performance results in detail, we also investigated dimensional errors and the effects of fabrication methods, nozzle size, and print direction on the stiffness of PDMS material. Results of this study show that with increasing exposure to gamma irradiation, the mechanical properties of PDMS decrease in functionality but are minimally impacted up to 20 kGy gamma radiation. Considering the fractional changes to the PDMS mechanical properties, it is safe to assume that soft robots could operate for 12 h in two of the three proposed radiation environments. We also verified that the 3D printed soft robots can perform better than or equal to their molded counterparts while being more reliable.

Associations of Environmental Conditions and Vibrio parahaemolyticus Genetic Markers in Washington State Pacific Oysters.

Vibrio parahaemolyticus is a naturally occurring bacterium in estuarine waters and is a major cause of seafood-borne illness. The bacterium has been consistently identified in Pacific Northwest waters and elevated illness rates of vibriosis in Washington State have raised concerns among growers, risk managers, and consumers of Pacific oysters (Crassostrea gigas). In order to better understand pre-harvest variation of V. parahaemolyticus in the region, abundance of total and potentially pathogenic strains of the bacterium in a large number of Washington State Pacific oyster samples were compared with environmental conditions at the time of sampling. The Washington Department of Health regularly sampled oysters between June and September at over 21 locations from 2014 to 2018, resulting in over 946 samples. V. parahaemolyticus strains carrying three genetic markers, tlh, trh, and tdh, were enumerated in oyster tissue using a most probable number-PCR analysis. Tobit regressions and seemingly unrelated estimations were used to formally assess relationships between environmental measures and genetic markers. All genetic markers were found to be positively associated with temperature, independent of the abundance of other genetic markers. Surface water temperature displayed a non-linear relationship, with no association observed between any genetic marker in the warmest waters. There were also stark differences between surface and shore water temperature models. Salinity was not found to be substantially associated with any of the genetic variables. The relative abundance of tdh+ strains given total V. parahaemolyticus abundance (pathogenic ratio tdh:tlh) was negatively associated with water temperature in colder waters and decreased exponentially as total V. parahaemolyticus abundance increased. Strains carrying the trh gene had a pronounced positive association with strains carrying the tdh gene but was also negatively associated with the tdh:tlh pathogenic ratio. These results suggest that there are ecological relationships of competition, growth, and survival for V. parahaemolyticus strains in the oyster tissue matrix. This work also improves the overall understanding of environmental associations with V. parahaemolyticus in Washington State Pacific oysters, laying the groundwork for future risk mitigation efforts in the region.

Multidrug-Resistant Salmonella I 4,[5],12:i:- and Salmonella Infantis Infections Linked to Whole Roasted Pigs from a Single Slaughter and Processing Facility.

We describe two outbreaks of multidrug-resistant (MDR) Salmonella I 4,[5],12:i:- infection, occurring in 2015 to 2016, linked to pork products, including whole roaster pigs sold raw from a single Washington slaughter and processing facility (establishment A). Food histories from 80 ill persons were compared with food histories reported in the FoodNet 2006 to 2007 survey of healthy persons from all 10 U.S. FoodNet sites who reported these exposures in the week before interview. Antimicrobial susceptibility testing and whole genome sequencing were conducted on selected clinical, food, and environmental isolates. During 2015, a total of 192 ill persons were identified from five states; among ill persons with available information, 30 (17%) of 180 were hospitalized, and none died. More ill persons than healthy survey respondents consumed pork (74 versus 43%, P < 0.001). Seventeen (23%) of 73 ill persons for which a response was available reported attending an event where whole roaster pig was served in the 7 days before illness onset. All 25 clinical isolates tested from the 2015 outbreak and a subsequent 2016 smaller outbreak (n = 15) linked to establishment A demonstrated MDR. Whole genome sequencing of clinical, environmental, and food isolates (n = 69) collected in both investigations revealed one clade of highly related isolates, supporting epidemiologic and traceback data that establishment A as the source of both outbreaks. These investigations highlight that whole roaster pigs, an uncommon food vehicle for MDR Salmonella I 4,[5],12:i:- outbreaks, will need further attention from food safety researchers and educators for developing science-based consumer guidelines, specifically with a focus on the preparation process.

Exploratory multivariate analysis of the effect of fatty fish consumption and medicinal use on heart rate and heart rate variability data.

The overall aim of the present study was to explore the relationship between medicinal use and fatty fish consumption on heart rate variability (HRV) and heart rate (HR) in a group of forensic inpatients on a variety of medications. A total of 49 forensic inpatients, randomly assigned to a fish group (n = 27) or a control group (n = 22) were included in the present study. Before and by the end of the food intervention period HR and HRV were measured during an experimental test procedure. An additional aim of this paper is to show how multivariate data analysis can highlight differences and similarities between the groups, thus being a valuable addition to traditional statistical hypothesis testing. The results indicate that fish consumption may have a positive effect on both HR and HRV regardless of medication, but that the influence of medication is strong enough to mask the true effect of fish consumption. Without correcting for medication, the fish group and control group become indistinguishable (p = 0.0794, Cohen's d = 0.60). The effect of medication is demonstrated by establishing a multivariate regression model that estimates HR and HRV in a recovery phase based on HR and HRV data recorded during psychological tests. The model performance is excellent for HR data, but yields poor results for HRV when employed on participants undergoing the more severe medical treatments. This indicates that the HRV behavior of this group is very different from that of the participants on no or lower level of medication. When focusing on the participants on a constant medication regime, a substantial improvement in HRV and HR for the fish group compared to the control group is indicated by a principal component analysis and t-tests (p = 0.00029, Cohen's d = 2.72). In a group of psychiatric inpatients characterized by severe mental health problems consuming different kinds of medication, the fish diet improved HR and HRV, indices of both emotional regulation and physical health.

Reduced anxiety in forensic inpatients after a long-term intervention with Atlantic salmon.

The aim of the present study was to investigate the effects of Atlantic salmon consumption on underlying biological mechanisms associated with anxiety such as heart rate variability (HRV) and heart rate (HR) as well as a measure of self-reported anxiety. Moreover, these biological and self-reported outcome measures were investigated in relation to specific nutrients; vitamin D status, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). Ninety-five male forensic inpatients were randomly assigned into a Fish (Atlantic salmon three times per week from September to February) or a Control group (alternative meal, e.g., chicken, pork, or beef three times per week during the same period). HRV measured as the root mean square of successive differences (rMSSD), HR, state- and trait-anxiety (STAI), were assessed before (pre-test) and at the end of the 23 weeks dietary intervention period (post-test). The Fish group showed significant improvements in both rMSSD and HR. The Fish group also showed significant decreases in state-anxiety. Finally, there was a positive relationship between rMSSD and vitamin D status. The findings suggest that Atlantic salmon consumption may have an impact on mental health related variables such as underlying mechanisms playing a key role in emotion-regulation and state-anxiety.

Fish consumption, sleep, daily functioning, and heart rate variability.

STUDY OBJECTIVES: This study investigated the effects of fatty fish on sleep, daily functioning and biomarkers such as heart rate variability (HRV), vitamin D status (serum 25-hydroxyvitamin D (25OHD), and eicosapentaenoic acid (EPA, 20:5n-3) + docosahexaenoic acid (DHA, 22:6n-3) in red blood cells. Moreover the relationship among sleep, daily functioning, HRV, vitamin D status, and levels of EPA+DHA was investigated. METHODS: Ninety-five male forensic patients from a secure forensic inpatient facility in the USA were randomly assigned into a Fish or a Control group. The Fish group received Atlantic salmon three times per week from September to February, and the Control group was provided an alternative meal (e.g., chicken, pork, beef), but with the same nutritional value as their habitual diet, three times per week during the same period. Sleep (sleep latency, sleep efficiency, actual sleep time, and actual wake time), self-perceived sleep quality and daily functioning, as well as vitamin D status, EPA+DHA, and HRV, were assessed pre- and post-intervention period. RESULTS: There was a significant increase in sleep latency from pre- to post-test in the Control group. The Fish group reported better daily functioning than the Control group during post-test. Fish consumption throughout the wintertime had also an effect on resting HRV and EPA+DHA, but not on vitamin D status. However, at post-test, the vitamin D status in the Fish group was still closer to the level regarded as optimal compared to the Control group. Vitamin D status correlated negatively with actual wake time and positively with sleep efficiency during pre-test, as well as positively with daily functioning and sleep quality during post-test. Finally, HRV correlated negatively with sleep latency and positively with daily functioning. CONCLUSIONS: Fish consumption seemed to have a positive impact on sleep in general and also on daily functioning, which may be related to vitamin D status and HRV.