Association of Chorioamnionitis with Aberrant Neonatal Gut Colonization and Adverse Clinical Outcomes.

ObjectiveChorioamnionitis (inflammation of the placenta and fetal membranes) and abnormal gastrointestinal colonization have been associated with an increased risk of sepsis and death in preterm infants, but whether chorioamnionitis causes abnormal pioneering gastrointestinal colonization in infants is not known. We determined the relationship between chorioamnionitis, altered infant fecal microbiome indicating abnormal gastrointestinal colonization, and adverse outcomes.Study designPreterm infants ≤ 28 weeks at birth were enrolled from 3 level III NICUs in Cincinnati, Ohio and Birmingham, Alabama. Sequencing for 16S microbial gene was performed on stool samples in the first 3 weeks of life. Chorioamnionitis was diagnosed by placental histology. Late onset sepsis and death outcomes were analyzed in relation to fecal microbiota and chorioamnionitis with or without funisitis (inflammation of the umbilical cord).ResultsOf the 106 enrolled infants, 48 infants had no chorioamnionitis, 32 infants had chorioamnionitis but no funisitis (AC), and 26 infants had chorioamnionitis with funisitis (ACF). The fecal samples from ACF infants collected by day of life 7 had higher relative abundance of family Mycoplasmataceae (phylum Tenericutes), genus Prevotella (phylum Bacteroidetes) and genus Sneathia (phylum Fusobacteria). Further, AC and ACF infants had higher incidence of late-onset sepsis/death as a combined outcome. Presence of specific clades in fecal samples, specifically, order Fusobacteria, genus Sneathia or family Mycoplasmataceae, were significantly associated with higher risk of sepsis or death.ConclusionThe results support the hypothesis that specific alterations in the pioneering infant gastrointestinal microbiota induced by chorioamnionitis predispose to neonatal sepsis or death

Further studies of space-time clustering of Burkitt's lymphoma in Uganda.

All hospital-treated cases of Burkitt's lymphoma (BL), with onset of symptoms in the period 1963-68 and resident in the Lango and Acholi districts of Uganda, were identified. The average annual incidence of BL in the 6-year period was 1-87 X 10(-5), similar to that in the adjacent West Nile district. Contrary to findings in other areas of Uganda, there was no evidence of seasonal variation in the onset of cases, nor of space-time clustering, nor of a decline in the incidence of BL in the study period. An inverse relationship was noted between the median age at onset of BL and the incidence of the disease in different areas of Uganda, a finding consistent with intense malarial infection being a precipitating factor for BL. The variable observations with respect to space-time clustering of BL and seasonal variation in incidence in different areas remains unexplained, but it is suggested that a closer study of the patterns of malarial infection in these areas may help to account for the findings

Effects of sleep hygiene and artificial bright light interventions on recovery from simulated international air travel

© 2014, Springer-Verlag Berlin Heidelberg. Purpose: Despite the reported detrimental effects of international air travel on physical performance, a paucity of interventions have been scientifically tested and confirmed to benefit travelling athletes. Consequently, the aim of the present study was to examine the effects of sleep hygiene and artificial bright light interventions on physical performance following simulated international travel. Methods: In a randomized crossover design, 13 physically active males completed 24 h of simulated international travel with (INT) and without (CON) the interventions. The mild hypoxia and cramped conditions typically encountered during commercial air travel were simulated in a normobaric, hypoxic room. Physical performance, subjective jet-lag symptoms and mood states were assessed in the morning and evening on the day prior to and for two days post-travel. Sleep quantity and quality were monitored throughout each trial. Results: Sleep duration was significantly reduced during travel in both trials (P  0.05) performance, were significantly reduced the evening of day 1 and 2 post-travel, with no differences between trials (P > 0.05). Furthermore, vigour was significantly greater (P = 0.04) the morning of day 2 in INT [5.3 (3.9–6.7)] compared to CON [2.8 (1.4–4.2)], and subjective jet-lag symptoms and mood states were significantly worse on day 2 in CON only (P < 0.05). Conclusions: Whilst reducing travel-induced sleep disruption may attenuate travel fatigue, no improvements in the recovery of physical performance were apparent

Childhood tuberculosis infection and disease: A spatial and temporal transmission analysis in a South African township

Background. Tuberculosis (TB) remains a leading cause of mortality and morbidity in South Africa. While adult TB results from both recent and past infection, childhood TB results from recent infection and reflects ongoing transmission despite current TB control strategies.Setting. A South African community with high rates of TB and HIV disease.Outcomes. A Geographic Information System was used to spatially and temporally define the relationships between TB exposure, infection and disease in childre

Soil degradation and socioeconomic systems’ complexity: Uncovering the latent nexus

Understanding Soil Degradation Processes (SDPs) is a fundamental issue for humankind. Soil degradation involves complex processes that are influenced by a multifaceted ensemble of socioeconomic and ecological factors at vastly different spatial scales. Desertification risk (the ultimate outcome of soil degradation, seen as an irreversible process of natural resource destruction) and socioeconomic trends have been recently analyzed assuming “resilience thinking” as an appropriate interpretative paradigm. In a purely socioeconomic dimension, resilience is defined as the ability of a local system to react to external signals and to promote future development. This ability is intrinsically bonded with the socio-ecological dynamics characteristic of environmentally homogeneous districts. However, an evaluation of the relationship between SDPs and socioeconomic resilience in local systems is missing in mainstream literature. Our commentary formulates an exploratory framework for the assessment of soil degradation, intended as a dynamic process of natural resource depletion, and the level of socioeconomic resilience in local systems. Such a framework is intended to provide a suitable background to sustainability science and regional policies at the base of truly resilient local systems

Whole-genome sequencing and the clinician: a tale of two cities

Clinicians are faced with unprecedented opportunities to identify the genetic aetiologies of hitherto molecularly uncharacterised conditions via the use of high-throughput sequencing. Access to genomic technology and resultant data is no longer limited to clinicians, geneticists and bioinformaticians, however; ongoing commercialisation gives patients themselves ever greater access to sequencing services. We report an increasingly common medical scenario by describing two neuromuscular patients-a mother and adult son-whose consumer access to whole-genome sequencing affected their diagnostic journey

Continuity and change - The planning and management of long distance walking routes in Scotland

In recent years a number of changes have taken place in Scotland in respect of issues of land management, access and the natural environment. These include the creation of Scotland’s first National Parks in 2002 and the introduction of the Land Reform (Scotland) Act 2003, which has enshrined in legislation the principle of responsible access in the countryside. The aim of this study was to consider the implications of these changes for a specific type of recreational land use in Scotland, Long Distance (Walking) Routes (LDRs). Using semi-structured interviews with representatives of a number of agencies and with other individuals closely involved with LDRs, the research considered the extent to which these changes have or may alter the rationale for the provision of LDRs, their funding and their management. The research indicates a need and a willingness to build on existing stakeholder approaches to management with a view to engaging a broader range of communities of interest. The main challenge for those involved with LDRs is how to fund future development of these routes. One aim of a more participatory stakeholder management approach is to help route managers to use public funds to lever funds from other source

Adsorption and two-body recombination of atomic hydrogen on 3^3He-4^4He mixture films

We present the first systematic measurement of the binding energy $E_a$ of hydrogen atoms to the surface of saturated $^3$He-$^4$He mixture films. $E_a$ is found to decrease almost linearly from 1.14(1) K down to 0.39(1) K, when the population of the ground surface state of $^3$He grows from zero to $6\times10^{14}$ cm$^{-2}$, yielding the value $1.2(1)\times 10^{-15}$ K cm$^2$ for the mean-field parameter of H-$^3$He interaction in 2D. The experiments were carried out with overall $^3$He concentrations ranging from 0.1 ppm to 5 % as well as with commercial and isotopically purified $^4$He at temperatures 70...400 mK. Measuring by ESR the rate constants $K_{aa}$ and $K_{ab}$ for second-order recombination of hydrogen atoms in hyperfine states $a$ and $b$ we find the ratio $K_{ab}/K_{aa}$ to be independent of the $^3$He content and to grow with temperature.Comment: 4 pages, 4 figures, all zipped in a sigle file. Submitted to Phys. Rev. Let