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With improved survival rates in solid organ transplantation there has been an increased focus on long-term outcomes following transplant, including physical function, health-related quality-of-life and cardiovascular mortality. Exercise training has the potential to affect these outcomes, however, research on the optimal timing, type, dose of exercise, mode of delivery and relevant outcomes is limited. This article provides a summary of a 2-day meeting held in April 2013 (Toronto, Canada) in which a multi-disciplinary group of clinicians, researchers, administrators and patient representatives engaged in knowledge exchange and discussion of key issues in exercise in solid organ transplant (SOT). The outcomes from the meeting were the development of top research priorities and a research agenda for exercise in SOT, which included the need for larger scale, multi-center intervention studies, development of standardized outcomes for physical function and surrogate measures for clinical trials, examining novel modes of exercise delivery and novel outcomes from exercise training studies such as immunity, infection, cognition and economic outcomes. The development and dissemination of "expert consensus guidelines," synthesizing both the best available evidence and expert opinion was prioritized as a key step toward improving program delivery.

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Rehabilitation is receiving increasingly more attention from the medical community in the management of individuals' pre- and post-organ transplantation. A cross-sectional descriptive survey was administered to all known transplant programs across Canada to explore the availability, characteristics, and barriers of rehabilitation programs pre- and post-heart, lung, kidney, and liver transplantation. Of the 58 programs surveyed, 35 agreed to participate (nine heart, six lung, 13 kidney, seven liver), and six refused for a response rate of 71%. Twelve transplant programs that offered rehabilitation were identified (six heart, five lung, one liver). All rehabilitation programs identified included aerobic exercises, strength training, and education and involved a multidisciplinary team. The Six Minute Walk Test and the Medical Outcomes Short Form-36 questionnaire were the most commonly used outcome measures. In kidney and liver transplant programs, over 50% of respondents from these programs cited lack of funding, shortage of health care personnel, and a low volume of patients in a centralized region as barriers to providing rehabilitation programs. Rehabilitation can play an integral role in pre- and post-transplantation management, and barriers to access and provision of rehabilitation for organ transplant populations should be examined further.

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The Joint Danube Survey (JDS)--a comprehensive monitoring survey to assess the environmental pollution status of the river Danube--was carried out in 2001. Samples were taken at 74 positions along the river from Neu-Ulm (River-km 2589) down to the Danube Delta at the Black Sea (River-km 0) and in 24 main tributaries and anabranches. Besides other biological and chemical parameters, concentrations of Al, As, Cd, Cr, Cu, Fe, Pb, Mn, Hg, Ni, and Zn were determined in sediments and suspended solids. Lowest heavy metal concentrations were measured around River-km 1800. After an increase down to River-km 1000 (the Irongate Reservoir), a constant level or a slight decrease could be found down to and in the Danube Delta. Very high element concentrations were determined at only a few stations of the river Danube and in some tributaries. An evaluation of the pollution status of the river was carried out by enrichment factors (EFs) calculated using adapted background concentrations of heavy metals. Except single sampling sites and some tributaries, the pollution of the river Danube by As, Cr, Cu, Pb, Hg, Ni, and Zn can be regarded as rather low. However, elevated concentrations of Cd were found in both investigated matrices, particularly in the lower stretch of the river Danube beginning at the Irongate.

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A meta-analysis was conducted to evaluate the effects of body condition score (BCS) at parturition and at first AI, and of body condition change during the early lactation period on the variables pregnancy rate at first AI and number of days open in dairy cattle. Inclusion criteria for the publications were: comparison of at least two groups of animals of different categories of BCS or change (independent variables) and consideration of pregnancy rate at first AI or number of days open (dependent variables). Fifteen papers were selected and 23 excluded. Data corresponding to 7733 cows from 11 studies described in 10 papers were included in the analysis of pregnancy rate at first AI, and those derived from 4529 cows from 11 studies described in 10 papers were used to analyze effects on the number of days open. Analyses were stratified according to study design and milk production characteristics. We defined low, intermediate and high categories of BCS for values lower than 2.5, from 2.5 to 3.5, or higher than 3.5, respectively. The categories of body condition change were increase (gain in score), slight loss (0-0.5 point loss), moderate loss (0.6-1 point loss), and severe loss (over 1 unit loss). Intermediate body condition at parturition and at first AI, and a slight loss during the early lactation period were used as reference categories. The effects of body condition on the variable pregnancy rate at first AI were highly heterogeneous, while all the studies considering the number of days open presented homogeneous results. A clear association between body condition category and pregnancy rate at first AI was detected only when the effect of a low score at parturition was analyzed: pregnancy rate at first AI significantly decreased by about 10% in cows delivering in poor condition. Animals with a high BCS at parturition showed a significant reduction in the number of days open of 5.8 or 11.7 when compared with animals with an intermediate or low body condition, respectively. In animals in the high body condition category at first AI, the variable days open showed a significant drop of 11.9 or 24.1, compared to animals in the intermediate or low categories, respectively. A severe loss in score during early lactation was related to a significant (10.6) increase in the number of days open, while a slight or moderate body condition change, either loss or gain in score, was not significantly related to the variable days open. We found that the number of days open was a good indicator of the effects of BCS or change in score on reproductive performance in dairy cattle. The variable pregnancy rate at first AI, however, yielded heterogeneous results among studies.

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The recent structure determination of FecA, with and without ligand, shows the existence of two gates. These are the extracellular loops closing over the binding site and the plug located inside the barrel. It indicates a process which is described as bipartite gating and allows for a rational distinction between the binding event and the transport process.

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In most exposure studies personal results are reported to the participating subjects. This paper describes how this was achieved in two different studies, the large scale German Environmental Survey and the smaller Helsinki part of the multi-national, multi-centre EXPOLIS study. In spite of the different approaches both independently reported personal results in a very similar fashion, involving automation and graphical display of measured values.

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Happiness has been defined either as a broad notion of how one feels about their life in general or as an emotional or affective state. Depending on the way researchers define the concept, there have been variable attempts at measurement. With decades of research, we have a better understanding of how to measure the happiness of others. A combination of quantitative and qualitative methods appears to be most productive. If we assume that individuals with disabilities are made happy in the same way as are people without disabilities, then we have a good idea of how to proceed with practical and policy matters.

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The role of the workplace and its culture in supporting social inclusion and workplace support for employees with disabilities is discussed and results of a qualitative study of the workplace experiences of 8 young adults with developmental disabilities presented. Data were collected using participant observation and semi-structured interviews. Four characteristics of supportive workplaces were identified: (a) multiple context relationships, (b) specific social opportunities, (c) a personal and team-building management style, and (d) interdependent job designs. The more supportive workplaces had all of these characteristics, suggesting that collectively they represent key features of a supportive workplace culture. Implications for job development and job creation are identified.

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As a follow-up of an earlier population study carried out in West Germany in 1985/1986 (GerES I), a nationwide Environmental Survey was conducted in Germany in 1990-1992 (GerES II). It was the aim of these studies to obtain representative data on the population's body burden and the quality of their indoor environment and immediate surroundings. The present paper reports on cadmium levels in blood, urine and hair of 4021 adults aged 25-69 and 736 children aged 6-14. The statistical analysis included both descriptive and inferential methods. The data were classified according to social factors, lifestyle characteristics, and environmental exposures. Moreover, regression analysis was used to determine the predictors of cadmium concentrations in the types of sample studied. Active cigarette smoking was found to be dominant in affecting blood and urine cadmium levels in adults, but less important for cadmium levels in hair. Age and creatinine level in urine were additional important factors influencing the cadmium concentration in urine, especially in women. Environmental and occupational exposures to cadmium played only a minor role in the exposure models for German adults. The cadmium concentration in blood and urine was generally lower in children than in adults, while no significant difference for cadmium in hair could be detected. The cadmium concentrations in all three samples were significantly higher in East German children than in West German children.

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The German Environmental Survey (GerES) is a large-scale, representative population study that has been carried out three times up to now with a time interval of about 7 years. GerES I was performed in 1985/1986, GerES IIa in 1990/1991 in West Germany, and GerES IIb in 1991/1992 in East Germany, the former German Democratic Republic (GDR). In GerES II, blood, urine, and scalp hair samples of 4021 adults aged 25-69 years and of 736 children aged 6-14 years were analysed as well as environmental samples (house dust, drinking water, indoor and personal air, diet). Characteristics of the frequency distributions of the substances analysed in the different media were calculated. The geometric mean (GM) for lead, cadmium, and mercury in the blood of adults amounted to 45.3, 0.36, and 0.51 microg/l, respectively. The corresponding values of arsenic, cadmium, and mercury in urine were 6.3, 0.29, and 0.54 microg/l, respectively. The concentrations of lead in blood, cadmium in blood and urine, and mercury in blood are lower in children than in adults. The GM ofpentachlorophenol (PCP) in urine of adults was 2.67 microg/l and in urine of children, 4.15 microg/l. These results of GerES II were compared with the so-called HBM values which represent health-based exposure guidelines and have been defined by the Human Biomonitoring Commission (HBC) of the Federal Environmental Agency, interalia for lead in blood, cadmium in urine, mercury in blood and urine, and PCP in urine. They also provided asound basis for the setting of reference values to describe the status of the German population. A total of 1.8% and 0.6% of the German females in child-bearing age had a level of lead in blood higher than HBM-I (100 microg/l) and HBM-II ( 150 microg/l), respectively. One percent of the children had a blood lead level above HBM-I. House dust and drinking water were analysed to characterise exposure in the domestic environment. Arsenic, cadmium, and lead deposition in homes amounted to 5.4 ng/(m2 day), 11.7 ng/(m2 day), and 0.29 microg/(m2 day), respectively. In the content of vacuum cleaner bags, concentrations were 2.1,0.9, and 5.9 microg/g. PCP, lindane and permethrin could be detected in the house dust of most German households. The pollutant load of the drinking water is significantly influenced by the corrosion of pipe materials and fittings. The new EC limit value of 10 microg/l for lead was exceeded in 7.7% of the first draw samples. The relatively high percentage (14%) of samples from East Germany that exceeded the current German guideline value for formaldehyde of 0.1 ppm in indoor air may be explained by the widespread use of contaminated particleboard in the former GDR.

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Two new substituted dibenzo-p-dioxins, aplidioxins A (1) and B (2), were isolated from the ascidian Aplidiopsis ocellata. The structures of these compounds were elucidated by a combination of 1D and 2D NMR spectroscopy and an X-ray analysis of aplidioxin A.

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Integral outer membrane receptors for iron chelates and vitamin B12 carry out specific ligand transport against a concentration gradient. Energy for active transport is obtained from the proton-motive force of the inner membrane through physical interaction with TonB-ExbB-ExbD, an inner membrane complex. Here we report the crystal structure of an active transport, outer membrane receptor at 2.4 A resolution. Two distinct functional domains are revealed: (i) a 22-stranded beta-barrel that spans the outer membrane and contains large extracellular loops which appear to function in ligand binding; and (ii) a globular N-terminal domain that folds into the barrel pore, inhibiting access to the periplasm and contributing two additional loops for potential ligand binding. These loops could provide a signaling pathway between the processes of ligand recognition and TonB-mediated transport. The blockage of the pore suggests that the N-terminal domain must undergo a conformational rearrangement to allow ligand transport into the periplasm.

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In close connection with the German National Health Interview and Examination Survey 1998, a third round of the German Environmental Survey (GerES III) was carried out using a random subsample of about 4,500 subjects, which are representative for the German population aged 18 to 69 years. The GerES was carried out by the Federal Environmental Agency on behalf of the Federal Ministry for Environment, Nature Conservation and Reactor Safety. The participants had to undergo an examination in human-biomonitoring. An environmental questionnaire was used to get exposure-related information. Preliminary results indicate a reduction of the body burden with metals in 1998 compared with 1990/92. However, some individuals showed elevated values. For those people health effects are possible or cannot be excluded with sufficient certainty. Using the results of GerES III it will be possible for the first time to establish reference values for organochlorine compounds on a representative data basis. The examination of the tap water used in the subjects households shows that the limit and guideline values of the German Drinking Water Ordinance have not always been met in 1998. This holds especially for lead, copper, and zinc which are being used as pipe-material for domestic plumbing.

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Highly susceptible C3HeB/FeJ mice survive an otherwise lethal infection with a Brazil strain of Trypanosoma cruzi when held at an elevated environmental temperature of 36 C. The body temperature of these mice has been shown to increase 3-4 C to levels typical of a febrile response. In the present study, the synthesis of parasite heat shock proteins (hsp60, hsp70, and hsp90) was shown to be enhanced at a temperature of 39 C and the results of immunoprecipitation analysis indicated that parasite HSPs are highly immunogenic in T. cruzi-infected mice maintained at 36 C or room temperature (RT). Differences in the histopathology of cardiac and skeletal muscle in C3HeB/FeJ mice maintained at RT or 36 C at different times postinfection also were investigated in this study. The lower numbers of circulating parasites observed in mice maintained at 36 C were correlated with lower levels of tissue parasitism, inflammation, and tissue destruction. Finally, the transfer of infected mice from RT to an environment of 36 C at various times during infection was shown to increase the survival rate of infected mice and also resulted in a dramatic reduction in parasitemia levels. In light of the growing evidence for a beneficial effect of elevated temperature during experimental Chagas' disease, further studies seem warranted to determine if hyperthermia or fever therapy might also be beneficial in the treatment of humans infected with T. cruzi.

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Diffraction-quality crystals have been obtained of the integral membrane protein ferric enterobactin receptor (FepA) from the outer membrane of Escherichia coli. Crystals were grown using the zwitterionic detergent lauryldimethylamine oxide (LDAO), the precipitants polyethylene glycol (PEG) 1000 and sodium chloride, and the additive heptane-1,2,3-triol; they have the symmetry of the orthorhomic space group C2221 with a = 112.2, b = 137.2 and c = 135. 4 A and diffract to 2.5 A resolution. The crystals were flash-cooled and a preliminary data set was collected at 103 K. The crystals are suitable for three-dimensional structure analysis.

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A qualitative study involving 10 mothers who received a prenatal diagnosis of Down syndrome and chose to continue their pregnancy was presented. The time frame considered was diagnosis to delivery. We looked at how the diagnosis was presented, the decision to continue the pregnancy, and the mothers' experience with professionals from diagnosis to delivery. Mothers' suggestions to others facing the same challenges and to their health care providers were discussed as were the types of support given these mothers and what was or would have been most helpful to them. The importance of professionals reviewing their procedures and protocols for working with families facing similar circumstances was stressed.

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A new sesterterpene, salvimirzacolide (1), was isolated from the aerial parts of Salvia mirzayanii and its structure established by X-ray diffraction analysis. Full assignments of 1H- and 13C-NMR spectral data of salvimirzacolide are presented.

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The molecular structure of 6-L-alanineferrirubin tetradecahydrate, [Fe(C41H64N9O16)].14H2O, has been determined in order to confirm its chemical structure. The structural results show that the presence of an alanine in place of a serine or a glycine at position 6 in the cyclic hexapeptide has very little effect on the conformation of the 18-membered ring or on the geometry of the octahedral iron coordination.

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When Pseudomonas putida ATCC 39167 and plant-deleterious Pseudomonas fluorescens A225 were grown in an iron-deficient culture medium, they each produced two different novel yellow-green fluorescent pseudobactins: P39167-I, II and PA225-I, II. Pseudobactin P39167-I has a molecular formula of C46H65O23N13 and is monoanionic at neutral pH. P39167-II has the molecular formula of C46H63O22N13 and no charge at neutral pH. Pseudobactin PA225-I has a molecular formula of C46H65O24N13 and is monoanionic at neutral pH whereas pseudobactin PA225-II has the molecular formula of C46H63O23N13 and no charge at neutral pH. All four of the pseudobactins contain a dihydroxyquinoline-based chromophore. The amino acid sequence for the octapeptide in case of pseudobactins from P. putida ATCC 39167 is Chr-Ser(1)-Ala(1)-AcOHOrn-Gly-Ala(2)-OHAsp-Ser(2)-Thr. In case of pseudobactins from P. fluorescens A225, the octapeptide has the sequence Chr-Ser(1)-Ala-AcOHOrn-Gly-Ser(2)-OHAsp-Ser(3)-Thr. For all four pseudobactins (P39167-I, II and PA225-I, II), the serine(1) residue of the octapeptide is attached to the carboxylic acid group on the C-11 of the fluorescent quinoline via an amide bond. Additionally, for pseudobactin P39167-II and PA225-II, the hydroxyl group of the serine(1) residue is also attached to the carboxyl group of threonine residue at the carboxy terminus of the peptide via an ester bond, resulting in a cyclic depsipeptide in contrast to the linear peptide chain of P39167-I and PA225-I. For all four pseudobactins, a malamide group is attached to the C-3 of the quinoline derived chromophore. The three bidentate iron(III) chelating groups in all four pseudobactins consist of a 1,2-dihydroxy aromatic group of the fluorescent chromophore, a hydroxy acid group of beta-hydroxy aspartic acid, and a hydroxamate group from the acylated Ndelta-hydroxyornithine. The amino acid constituents of the pseudobactins P39167 I, II are the same as those in pseudobactin A214, whereas those in A225 I, II are the same as in 7SR1, but in both cases the sequences are different. The uptake results indicate a single outer membrane receptor protein for ferric-pseudobactins in both organisms. The receptor proteins in the two species are similar but not identical.

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