The Importance of Healthy Lifestyle Behaviors in the Prevention of Cardiovascular Disease

Cardiovascular disease (CVD) is the leading cause of death globally. Advancements in the treatment of CVD have reduced mortality rates, yet the global burden of CVD remains high. Considering that CVD is still largely a preventable disease, prioritizing preventative measures through healthy lifestyle (HL) behaviors is necessary to lessen the burden of CVD. HL behaviors, such as regular exercise, healthy eating habits, adequate sleep, and smoking cessation, can influence a number of traditional CVD risk factors as well as a less commonly measured risk factor, cardiorespiratory fitness (CRF). It is important to note that cardiac rehabilitation programs, which traditionally have focused on secondary prevention, also emphasize the importance of making comprehensive HL behavior changes. This review discusses preventative measures to reduce the burden of CVD through an increased uptake and assessment of HL behaviors. An overview of the importance of CRF as a risk factor is discussed along with how to improve CRF and other risk factors through HL behavior interventions. The role of the clinician for promoting HL behaviors to prevent CVD is also reviewed

Orbit Determination and Navigation of the Solar Terrestrial Relations Observatory (STEREO)

This paper provides an overview of the required upgrades necessary for navigation of NASA's twin heliocentric science missions, Solar TErestrial RElations Observatory (STEREO) Ahead and Behind. The orbit determination of the STEREO spacecraft was provided by the NASA Goddard Space Flight Center's (GSFC) Flight Dynamics Facility (FDF) in support of the mission operations activities performed by the Johns Hopkins University Applied Physics Laboratory (APL). The changes to FDF's orbit determination software included modeling upgrades as well as modifications required to process the Deep Space Network X-band tracking data used for STEREO. Orbit results as well as comparisons to independently computed solutions are also included. The successful orbit determination support aided in maneuvering the STEREO spacecraft, launched on October 26, 2006 (00:52 Z), to target the lunar gravity assists required to place the spacecraft into their final heliocentric drift-away orbits where they are providing stereo imaging of the Sun

Hydrothermal Activity and Seismicity at Teahitia Seamount: Reactivation of the Society Islands Hotspot?

Along mid-ocean ridges, submarine venting has been found at all spreading rates and in every ocean basin. By contrast, intraplate hydrothermal activity has only been reported from five locations, worldwide. Here we extend the time series at one of those sites, Teahitia Seamount, which was first shown to be hydrothermally active in 1983 but had not been revisited since 1999. Previously, submersible investigations had led to the discovery of low-temperature (≤30°C) venting associated with the summit of Teahitia Seamount at ≤1500 m. In December 2013 we returned to the same site at the culmination of the US GEOTRACES Eastern South Tropical Pacific (GP16) transect and found evidence for ongoing venting in the form of a non-buoyant hydrothermal plume at a depth of 1400 m. Multi-beam mapping revealed the same composite volcano morphology described previously for Teahitia including four prominent cones. The plume overlying the summit showed distinct in situ optical backscatter and redox anomalies, coupled with high concentrations of total dissolvable Fe (≤186 nmol/L) and Mn (≤33 nmol/L) that are all diagnostic of venting at the underlying seafloor. Continuous seismic records from 1986-present reveal a ∼15 year period of quiescence at Teahitia, following the seismic crisis that first stimulated its submersible-led investigation. Since 2007, however, the frequency of seismicity at Teahitia, coupled with the low magnitude of those events, are suggestive of magmatic reactivation. Separately, distinct seismicity at the adjacent Rocard seamount has also been attributed to submarine extrusive volcanism in 2011 and in 2013. Theoretical modeling of the hydrothermal plume signals detected suggest a minimum heat flux of 10 MW at the summit of Teahitia. Those model simulations can only be sourced from an area of low-temperature venting such as that originally reported from Teahitia if the temperature of the fluids exiting the seabed has increased significantly, from ≤30°C to ∼70°C. These model seafloor temperatures and our direct plume observations are both consistent with reports from Loihi Seamount, Hawaii, ∼10 year following an episode of seafloor volcanism. We hypothesize that the Society Islands hotspot may be undergoing a similar episode of both magmatic and hydrothermal reactivation

Hydrothermal venting at Vailulu'u Seamount : the smoking end of the Samoan chain

Author Posting. © American Geophysical Union, 2004. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Geochemistry Geophysics Geosystems 5 (2004): Q02003, doi:10.1029/2003GC000626.The summit crater of Vailulu'u Seamount, the youngest volcano in the Samoan chain, hosts an active hydrothermal system with profound impact on the ocean water column inside and around its crater (2 km wide and 407 m deep at a 593 m summit depth). The turbidity of the ocean water reaches 1.4 NTU, values that are higher than in any other submarine hydrothermal system. The water is enriched in hydrothermal Mn (3.8 ppb) and 3He (1 × 10−11 cc/g) and we measured water temperature anomalies near the crater floor up to 0.2°C. The hydrothermal system shows complex interactions with the ocean currents around Vailulu'u that include tidally-modulated vertical motions of about 40–50 m, and replenishment of waters into the crater through breaches in the upper half of the crater wall. Inside and outside potential density gradients suggest that hydrothermal venting exports substantial amounts of water from the crater (1.3 ± 0.2 × 108 m3/day), which is in good agreement with fluxes obtained from a tracer release experiment inside the crater of Vailulu'u (0.8 × 108 m3/day [Hart et al., 2003]). This mass flux, in combination with the differences in the inside and outside crater temperature, yields a power output of around 760 megawatts, the equivalent of 20–100 MOR black smokers. The Mn output of 300 kg/day is approximately ten times the output of a single black smoker

Hypertension in African Americans Aged 60 to 79 Years: Statement From the International Society of Hypertension in Blacks

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/111078/1/jch12511.pd

Lactation and neonatal nutrition: defining and refining the critical questions.

This paper resulted from a conference entitled "Lactation and Milk: Defining and refining the critical questions" held at the University of Colorado School of Medicine from January 18-20, 2012. The mission of the conference was to identify unresolved questions and set future goals for research into human milk composition, mammary development and lactation. We first outline the unanswered questions regarding the composition of human milk (Section I) and the mechanisms by which milk components affect neonatal development, growth and health and recommend models for future research. Emerging questions about how milk components affect cognitive development and behavioral phenotype of the offspring are presented in Section II. In Section III we outline the important unanswered questions about regulation of mammary gland development, the heritability of defects, the effects of maternal nutrition, disease, metabolic status, and therapeutic drugs upon the subsequent lactation. Questions surrounding breastfeeding practice are also highlighted. In Section IV we describe the specific nutritional challenges faced by three different populations, namely preterm infants, infants born to obese mothers who may or may not have gestational diabetes, and infants born to undernourished mothers. The recognition that multidisciplinary training is critical to advancing the field led us to formulate specific training recommendations in Section V. Our recommendations for research emphasis are summarized in Section VI. In sum, we present a roadmap for multidisciplinary research into all aspects of human lactation, milk and its role in infant nutrition for the next decade and beyond

High prevalence and two dominant host-specific genotypes of Coxiella burnetii in U.S. milk

BackgroundCoxiella burnetii causes Q fever in humans and Coxiellosis in animals; symptoms range from general malaise to fever, pneumonia, endocarditis and death. Livestock are a significant source of human infection as they shed C. burnetii cells in birth tissues, milk, urine and feces. Although prevalence of C. burnetii is high, few Q fever cases are reported in the U.S. and we have a limited understanding of their connectedness due to difficulties in genotyping. Here, we develop canonical SNP genotyping assays to evaluate spatial and temporal relationships among C. burnetii environmental samples and compare them across studies. Given the genotypic diversity of historical collections, we hypothesized that the current enzootic of Coxiellosis is caused by multiple circulating genotypes. We collected A) 23 milk samples from a single bovine herd, B) 134 commercial bovine and caprine milk samples from across the U.S., and C) 400 bovine and caprine samples from six milk processing plants over three years.ResultsWe detected C. burnetii DNA in 96% of samples with no variance over time. We genotyped 88.5% of positive samples; bovine milk contained only a single genotype (ST20) and caprine milk was dominated by a second type (mostly ST8).ConclusionsThe high prevalence and lack of genotypic diversity is consistent with a model of rapid spread and persistence. The segregation of genotypes between host species is indicative of species-specific adaptations or dissemination barriers and may offer insights into the relative lack of human cases and characterizing genotypes

Targeted Therapy Resistance Mediated by Dynamic Regulation of Extrachromosomal Mutant EGFR DNA

Intratumoral heterogeneity contributes to cancer drug resistance, but the underlying mechanisms are not understood. Single-cell analyses of patient-derived models and clinical samples from glioblastoma patients treated with epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) demonstrate that tumor cells reversibly up-regulate or suppress mutant EGFR expression, conferring distinct cellular phenotypes to reach an optimal equilibrium for growth. Resistance to EGFR TKIs is shown to occur by elimination of mutant EGFR from extrachromosomal DNA. After drug withdrawal, reemergence of clonal EGFR mutations on extrachromosomal DNA follows. These results indicate a highly specific, dynamic, and adaptive route by which cancers can evade therapies that target oncogenes maintained on extrachromosomal DNA

LSST Science Book, Version 2.0

A survey that can cover the sky in optical bands over wide fields to faint magnitudes with a fast cadence will enable many of the exciting science opportunities of the next decade. The Large Synoptic Survey Telescope (LSST) will have an effective aperture of 6.7 meters and an imaging camera with field of view of 9.6 deg^2, and will be devoted to a ten-year imaging survey over 20,000 deg^2 south of +15 deg. Each pointing will be imaged 2000 times with fifteen second exposures in six broad bands from 0.35 to 1.1 microns, to a total point-source depth of r~27.5. The LSST Science Book describes the basic parameters of the LSST hardware, software, and observing plans. The book discusses educational and outreach opportunities, then goes on to describe a broad range of science that LSST will revolutionize: mapping the inner and outer Solar System, stellar populations in the Milky Way and nearby galaxies, the structure of the Milky Way disk and halo and other objects in the Local Volume, transient and variable objects both at low and high redshift, and the properties of normal and active galaxies at low and high redshift. It then turns to far-field cosmological topics, exploring properties of supernovae to z~1, strong and weak lensing, the large-scale distribution of galaxies and baryon oscillations, and how these different probes may be combined to constrain cosmological models and the physics of dark energy.Comment: 596 pages. Also available at full resolution at http://www.lsst.org/lsst/sciboo