The impact of uncertainty in society on the use of traditional, complementary and alternative medicine: a comparative study on visits to alternative/traditional/folk health care practitioners

Background: While traditional, complementary and alternative medicine (TCAM) is gaining increased interest worldwide, the structural factors associated with the usage of TCAM at the social level have not been sufficiently explored. We aim to understand the social structure of uncertainty in society that affects the TCAM usage for men and women. Methods: We studied 32 countries using data from the International Social Survey Programme and the World Bank. In this study, we defined TCAM usage as visits to an alternative/traditional/folk health care practitioner during the past 12 months. We performed a correlation analysis and used a generalized linear model . Results: The prevalence of TCAM usage in terms of visits to practitioners was 26.1% globally, while usage varied across the 32 countries. Generalized linear models showed that unemployment rate was associated with the prevalence of TCAM usage in terms of visits to practitioners. Conclusions: At the social-structural level TCAM usage involving visits to practitioners was related to job insecurity. Job insecurity led to a decrease in TCAM usage regarding visits to practitioners. These findings suggest that it is necessary to consider the social-structural factors of uncertainty in society when designing health policies related to TCAM

Bacterial community shift as potential bioindicator to indicate the river water contamination due to palm oil mill effluent final discharge

A thorough outlook on the effect of palm oil mill effluent (POME) final discharge towards the composition and functional status of bacterial community in the receiving river is provided in this study by using high-throughput MiSeq and flow cytometry, respectively. The shift of bacterial community dynamics could be used to determine the potential bacterial indicators to indicate contamination caused by POME. This study showed that the POME final discharge did not only alter the natural physicochemical properties of the river water but also caused the reduction of bacterial diversity in the receiving river. The Chromatiaceae and Alcaligenaceae which were not detected in the upstream but were detected in the downstream part of the river are proposed as the indicator bacteria to indicate the river water contamination caused by POME final discharge. The emergence of the potential indicator bacteria in the downstream part of the river was shown to be carried over by the effluent. Moreover, the functional status of the bacterial community at single-cell level is determined with regards to their abundance, viability and nucleic acid content to monitor the effect of POME final discharge in the affected river. The shift of low nucleic acid (LNA) to high nucleic acid (HNA) bacterial cells in the affected river suggests the transformation of dormant to active cells due to POME final discharge which may serves as potential bioindicator in the screening of anthropogenic effect due to POME final discharge in the river water with originally high LNA proportions. Monitoring the effluent discharge at low trophic level using MiSeq and flow cytometry is considered as an accurate pollution monitoring approach which can be used to complement the conventional POME pollution assessment method

Bacterial community shift as potential bioindicator for monitoring the performance of palm oil mill effluent treatment system

The growing demand for palm oil has caused a substantial increase in the generation of palm oil mill effluent (POME). POME has been known to give the adverse environmental impacts including land and aquatic ecosystem contamination and the biodiversity loss if it is not properly treated. In Malaysia, the biological ponding system is commonly being used to treat POME because of the low cost and less maintenance is required. However, the current wastewater treatment system for POME regularly fails to treat the effluent efficiently. To meet the standard discharge limit proposed by the Malaysian Department of the Environment, the POME must be treated effectively before being released into the receiving water bodies, hence monitoring a correct operation of POME treatment system is crucial. However, to date, only few studies have been conducted on the microbial aspects of POME and little is known about microbial diversity involved in the POME treatment system, either in terms of their community structure and function or their response to the environment. Therefore, the study on the microbial community composition of POME treatment system has been carried out which later can be used as potential bioindicator to monitor the performance of the treatment system. Sampling from POME treatment system was done by collecting samples from raw POME, anaerobic tanks, as well as from facultative and algae ponds. The shift of microbial community composition at each stage of POME treatment system has been shown by using PCR-Denaturing Gradient Gel Electrophoresis (DGGE) and Illumina Miseq. As a conclusion, a sensitive and accurate monitoring approach of POME treatment system using bacterial community shift is proposed to ensure a correct operation for POME treatment, hence can be used to complement the current physicochemical assessment method

Microbial community changes in different stages of palm oil mill effluent treatment

The growing demand for palm oil has caused a substantial increase in the generation of palm oil mill effluent (POME). POME has been known to give the adverse environmental impacts including land and aquatic ecosystem contamination and the biodiversity loss if it is not properly treated. Currently, the wastewater treatment system for POME regularly fails to treat the effluent efficiently. To meet the standard discharge limit proposed by the Malaysian Department of the Environment, the POME must be treated effectively before being released into the receiving water bodies. In Malaysia, the ponding system is commonly being used to treat POME because of the low cost and less maintenance is required. To date, only few studies have been conducted on the microbial aspects of POME and little is known about microbial diversity involved in POME treatment, either in terms of their community structure and function or their response to the environment. Therefore, the study on the microbial community structure during POME treatment is proposed. Several samples from POME treatment system were collected, including POME samples from anaerobic tanks, as well as from facultative, and algae ponds. The changes of microbial community structure at each stage of POME treatment has been shown by using PCR-Denaturing Gradient Gel Electrophoresis (DGGE) approach. As a conclusion, the microbial community changes during POME treatment is expected to be explored and identified, hence will bring to the microbial community rebound after implementation of zero discharge system in the future

Augmented survival of out-of-hospital cardiac arrest victims with the use of mobile phones for emergency communication under the DA-CPR protocol getting information from callers beside the victim

Purpose To investigate the impacts of emergency calls made using mobile phones on the quality of dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) and survival from out-of-hospital cardiac arrests (OHCAs) that were not witnessed by emergency medical service (EMS). Methods In this prospective study, we collected data for 2530 DA-CPR-attempted medical emergency cases (517 using mobile phones and 2013 using landline phones) and 2980 non-EMS-witnessed OHCAs (600 using mobile phones and 2380 using landline phones). Time factors and quality of DA-CPR, backgrounds of callers and outcomes of OHCAs were compared between mobile and landline phone groups. Results Emergency calls are much more frequently placed beside the arrest victim in mobile phone group (52.7% vs. 17.2%). The positive predictive value and acceptance rate of DA-CPR in mobile phone group (84.7% and 80.6%, respectively) were significantly higher than those in landline group (79.2% and 70.9%). The proportion of good-quality bystander CPR in mobile phone group was significantly higher than that in landline group (53.5% vs. 45.0%). When analysed for all non-EMS-witnessed OHCAs, rates of 1-month survival and 1-year neurologically favourable survival in mobile phone group (7.8% and 3.5%, respectively) were higher than those in landline phone group (4.6% and 1.9%; p < 0.05). Multiple logistic regression analysis, including other backgrounds, revealed that mobile phone calls were associated with increased 1-month survival in the subgroup of OHCAs receiving bystander CPR (adjusted odds ratio, 1.84; 95% CI, 1.15–2.92). Conclusion Emergency calls made using mobile phones are likely to augment the survival from OHCAs by improving DA-CPR. © 2016 Elsevier Ireland LtdEmbargo Period 12 month

The prevalence of foodborne pathogenic bacteria on cutting boards and their ecological correlation with background biota

This study implemented the pyrosequencing technique and real-time quantitative PCR to determine the prevalence of foodborne pathogenic bacteria (FPB) and as well as the ecological correlations of background biota and FPB present on restaurant cutting boards (CBs) collected in Seri Kembangan, Malaysia. The prevalence of FPB in high background biota (HBB) was lower (0.24%) compared to that of low background biota (LBB) (0.54%). In addition, a multiple linear regression analysis indicated that only HBB had a significant ecological correlation with FPB. Furthermore, statistical analysis revealed that the combinations of Clostridiales, Flavobacteriales, and Lactobacillales orders in HBB had significant negative associations with FPB, suggesting that these bacteria may interact to ensure survivability and impair the growth of pathogenic bacteria

Novel and Simple Approach to Estimating the Actual Incidence of Blood and Body Fluid Exposure

This article has been published in Clinical Laboratory

Durability of immunity by hepatitis B vaccine in Japanese health care workers depends on primary response titers and durations

Photograph taken by Salt Lake Tribune staf