796 research outputs found

    Microbial oil-degradation under mild hydrostatic pressure (10 MPa): which pathways are impacted in piezosensitive hydrocarbonoclastic bacteria?

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    Oil spills represent an overwhelming carbon input to the marine environment that immediately impacts the sea surface ecosystem. Microbial communities degrading the oil fraction that eventually sinks to the seafloor must also deal with hydrostatic pressure, which linearly increases with depth. Piezosensitive hydrocarbonoclastic bacteria are ideal candidates to elucidate impaired pathways following oil spills at low depth. In the present paper, we tested two strains of the ubiquitous Alcanivorax genus, namely A. jadensis KS_339 and A. dieselolei KS_293, which is known to rapidly grow after oil spills. Strains were subjected to atmospheric and mild pressure (0.1, 5 and 10?MPa, corresponding to a depth of 0, 500 and 1000?m, respectively) providing n-dodecane as sole carbon source. Pressures equal to 5 and 10?MPa significantly lowered growth yields of both strains. However, in strain KS_293 grown at 10?MPa CO2 production per cell was not affected, cell integrity was preserved and PO43- uptake increased. Analysis of its transcriptome revealed that 95% of its genes were downregulated. Increased transcription involved protein synthesis, energy generation and respiration pathways. Interplay between these factors may play a key role in shaping the structure of microbial communities developed after oil spills at low depth and limit their bioremediation potential

    Influential Factors Contributing to Exercise Compliance Following a Structured Lifestyle Change Program

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    Cardiovascular disease remains the number one cause of death in the United States, with five hundred thousand people diagnosed annually. Even though regular exercise has been shown to dramatically reduce the risk of cardiovascular disease, few hospitals offer programs that focus on the requisite lifestyle changes for participants to maintain long-term exercise programs. In an effort to determine what factors contribute to long-term exercise compliance, this study surveyed 279 participants of the Scripps Ornish/Healing Hearts program, a comprehensive lifestyle change program, to identify the factors that helped explain variation in exercise compliance among program completers. Results of the hierarchical multiple regression analysis suggests that demographic factors, lifestyle habits, and safety issues were all important compliance factors for the 178 survey respondents. Specifically, participants who completed the program most recently, had a postgraduate education, a history of exercise, and exercised with a partner were more likely to comply following the completion of the formal program than those not exhibiting these characteristics. On the other hand, exercise compliance dropped following program completion for those who needed to exercise with a group. Taken together, these findings clearly demonstrate the importance of a support system for successful exercise compliance, and Scripps is urged to expand their services to include some sort of post-program support system. In addition, recommendations for future research include expanding this design to include other populations and settings as well as investigating exercise compliance after the implementation of a post-program support structure. Hopefully the results of this study will lead to lower morbidity and better quality of life for all individuals, since exercise compliance is not just an issue for cardiac patients, but for all members of society

    Ecohealth trainer manual

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    This training manual, and the Field Building Leadership Initiative (FBLI) of which it is one component, is part of a global initiative to build capacity in ecosystem approaches to health. Although several books and journals provide materials for learners about Ecohealth, the FBLI Ecohealth Trainer Manual is intended primarily for lecturers, teachers, and trainers. The focus here is on how to teach Ecohealth, providing teachers and trainers with a starting point from which to explore, improvise, adapt, and develop diverse educational Ecohealth learning experiences for and with their participants

    Human H5N1 influenza infections in Cambodia 2005-2011: case series and cost-of-illness.

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    BACKGROUND: Southeast Asia has been identified as a potential epicentre of emerging diseases with pandemic capacity, including highly pathogenic influenza. Cambodia in particular has the potential for high rates of avoidable deaths from pandemic influenza due to large gaps in health system resources. This study seeks to better understand the course and cost-of-illness for cases of highly pathogenic avian influenza in Cambodia. METHODS: We studied the 18 laboratory-confirmed cases of avian influenza subtype H5N1 identified in Cambodia between January 2005 and August 2011. Medical records for all patients were reviewed to extract information on patient characteristics, travel to hospital, time to admission, diagnostic testing, treatment and disease outcomes. Further data related to costs was collected through interviews with key informants at district and provincial hospitals, the Ministry of Health and non-governmental organisations. An ingredient-based approach was used to estimate the total economic cost for each study patient. Costing was conducted from a societal perspective and included both financial and opportunity costs to the patient or carer. Sensitivity analysis was undertaken to evaluate potential change or variation in the cost-of-illness. RESULTS: Of the 18 patients studied, 11 (61%) were under the age of 18 years. The majority of patients (16, 89%) died, eight (44%) within 24 hours of hospital admission. There was an average delay of seven days between symptom onset and hospitalisation with patients travelling an average of 148 kilometres (8-476 km) to the admitting hospital. Five patients were treated with oseltamivir of whom two received the recommended dose. For the 16 patients who received all their treatment in Cambodia the average per patient cost of H5N1 influenza illness was US300ofwhich85.0300 of which 85.0% comprised direct medical provider costs, including diagnostic testing (41.2%), pharmaceuticals (28.4%), hospitalisation (10.4%), oxygen (4.4%) and outpatient consultations (0.6%). Patient or family costs were US45 per patient (15.0%) of total economic cost. CONCLUSION: Cases of avian influenza in Cambodia were characterised by delays in hospitalisation, deficiencies in some aspects of treatment and a high fatality rate. The costs associated with medical care, particularly diagnostic testing and pharmaceutical therapy, were major contributors to the relatively high cost-of-illness
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