Adult Vaccination in the United Arab Emirates-A Physicians' Knowledge and Knowledge Sources Study.

Background: A lack of knowledge on adult vaccination has been documented among physicians. They play a critical role in promoting adult vaccines. This study aimed to review the status of adult vaccination in the United Arab Emirates (UAE) and evaluate physicians' knowledge and knowledge sources regarding adult vaccines. Methods: Local, regional, and global adult vaccination guidelines were reviewed. A 40-item questionnaire was used to collect data from physicians from June to October 2020, using convenience and snowball sampling. Knowledge score was calculated, and predictors identified using Mann-Whitney U and Kruskal-Wallis H-tests. Ordinary Least Squares regression was used for Multivariate Analysis. Results: A total of 500 responses were included. A quarter were internists, and another quarter were family physicians. Fifty-seven percent were medical interns and residents. Both perceived and actual knowledge of adult vaccination were low. Bivariate analysis showed knowledge depending on department, level of training, workplace, and perceived knowledge. All remained significant after multivariable regression except workplace. International and local guidelines were the most common knowledge sources. Forty-two percent were unable to access the local guidelines. Conclusions: Physicians' knowledge was poor and local guidelines were not clear or easily accessible. Participants were highly receptive to guidance and practice with adult vaccines.

Antibacterial functionalization of cotton and cotton/polyester fabrics applying hybrid coating of copper/chitosan nanocomposites loaded polymer blends via gamma irradiation.

In the present work, copper/chitosan nanocomposites (Cu/CS) were prepared in an aqueous solution in the presence of CS as stabilizer and CuSO4·5H2O precursor. The Cu/CS NPs formation was proved through transmission electron microscopy (TEM), Dynamic light scattering (DLS), Fourier Transform infrared (FT-IR) spectroscopy and XRD diffraction. Cotton and cotton/polyester fabrics were gamma-radiation grafted by padding to pickup of 100%, in nanocomposites based on Cu/CS NPs loaded in polymer blends of poly(vinyl alcohol) (PVA) and plasticized starch (PLST). The grafted fabrics were characterized in terms of tensile mechanical, crease recovery and water absorption properties. The results showed that cotton fabrics displayed higher water absorption (%) than cotton/polyester fabrics for all PVA/PLST compositions and water absorption was found to decrease with increasing the ratio of PVA in the PVA/PLST blends. Cotton/polyester fabrics displays crease recovery angle (CRA) value of 147.6 upon treated with PVA/PLST (80/20%) and gamma irradiated to 30 kGy compared to CRA value of 125.0 for cotton fabrics treated under the same conditions. For cotton fabrics, the tensile strength was largely depends on the irradiation dose, in which the tensile strength of the treated fabric with the different formulations is higher than the untreated fabric. The antimicrobial activity of the fabrics against gram-positive bacteria (Staphylococcus aurous) and gram-negative bacteria (Escherichia coli) was investigated. In case of gram-positive bacteria cotton fabric showed the highest impact, for both 50/50 and 20/80 PVA/PLST of 14 and 14.5 mm inhibition zone, whilst, cotton/polyester fabric recorded 6 and 5 mm inhibition zone against gram-negative bacteria for 50/50 and 20/80 PVA/PLST, respectively.

Microbiological evaluation of infant foods quality and molecular detection of Bacillus cereus toxins relating genes.

A 205 samples representing eight different infant foods with various based materials were collected and analyzed for their microbiological properties. The contamination rate by aerobic spore formers was achieved 100% in milk based infant food with fruit, vegetables, honey, rice and infant milk powder. While, it was detected in 95, 60 and 65% of the infant food with wheat milk based, ready to use (infant food with fruit) and ready to use (infant food with vegetables), respectively. Biochemical Identification and API 50 CHB used to identify the obtained isolates and revealed that B. subtilis was the most frequently occurring Bacillus spp. Followed by B. licheniformis and B. circulans. While B. cereus was detected in 10.20% of the total isolates. Moreover, B. cereus was confirmed in 21.2% of milk based fruit, vegetables (15.7%), honey (17.2%), rice (14.1%) and wheat (12%) and vanished in the infant milk powder samples. Although, B. cereus noted in lower percentage but this strain is considered as the more harmful one in lower numbers. For that, the following part is focused on B. cereus. Forty five isolates obtained from B. Cereus contaminating samples were screened for prevalence of 3 important virulent enterotoxigenic genes using PCR technique. The CYTK gene had the highest presence which detected in 43 isolates (95.5%), followed by NHEC gene detected in 32 isolates. However, the HBLA gene was detected in just 5 isolates. So, many processes should be applied for controlling of pathogens to preserve infant lives.

Characterization and antimicrobial properties of cotton fabric loaded with green synthesized silver nanoparticles.

In the present study, antimicrobial formulations, based on silver nanoparticles (AgNPs) and butyl acrylate binder, were prepared and applied to a cotton fabric, followed by gamma-radiation or thermal curing, to protect it against the undesirable microbial effects. AgNPs were prepared by a biological method, using the biomass filtrate of fungus Alternaria alternata. Nanoparticles were characterized by UV-vis spectroscopy, transmission electron microscopy, energy dispersive X-ray spectroscopy, and dynamic light scattering. Besides, the thermal stability, surface morphology, color strength, and mechanical properties of treated fabric were investigated. Treated cotton fabric showed good quantitative and qualitative antimicrobial activity; the bacterial reduction efficiency reached ∼100% for Escherichia coli and Staphylococcus aureus. They revealed excellent resistance to biodegradation caused by soil microflora. Moreover, they exhibited high durability of the attained antimicrobial activities, even after 20 washing cycles; where they achieved 99.1% and 98.7% reduction of E. coli and S. aureus bacterial counts, respectively.