The Brand New Senior Years: Some Older Smokers Use Vaping. That Won’t Be an awful idea.

Paula Span

The Brand New Senior Years

Jeannie Cox presently enjoys a flavor known as Coffee &amp Cream when she vapes. She’s also keen on White-colored Lotus, which tastes “kind of fruity.”

She buys individuals nicotine-that contains fluids, together with her other e-cigarette supplies, at Mountain Oak Vapors in Chattanooga, Tenn., where she lives. A upon the market secretary in her own 70s, she’s frequently the earliest customer within the shop.

Not too she cares. What matters is the fact that after ignoring decades of doctors’ warnings and smoking two packs each day, she hasn’t illuminated a standard cigarette in 4 years and 4 several weeks.

“Not one cigarette,” she stated. “Vaping required its place.”

Like Ms. Cox, some smokers have had the ability to quit smoking by switching to e-cigarettes, and lots of are attempting. Research conducted recently through the Cdc and Prevention discovered that more smokers now make an effort to quit by utilizing e-cigarettes like a partial or total replacement for cigarettes compared to using nicotine gum or lozenges, prescription drugs or other competent methods. Her success is exactly what researchers disdainfully call “anecdotal evidence,” however. There’s “no conclusive evidence” that e-cigarettes help people quit smoking lengthy-term, stated John King, deputy director from the C.D.C.’s Office of Smoking and Health.

Right now, therefore, neither the C.D.C., the Fda nor the U . s . States Preventive Services Task Pressure has approved or suggested e-cigarettes for quitting smoking. Actually, an upswing of e-cigarettes has produced contentious debate among public medical officials and advocates.

But as the proportion of american citizens who smoke is constantly on the decrease — lower to fifteen.1 % in 2015 — the decline has stalled among seniors.

Quickly age 65 will always be less inclined to smoke than adults generally, partly because premature dying means less smokers survive to older ages. In 1965, once the C.D.C. began tracking smoking rates, 18.3 % of seniors were smokers. It required 20-plus years for that proportion…

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Antibiotics Sales to be used in U.S. Farms Creatures Shedding for brand spanking new

CHICAGO (Reuters)—The purchase and distribution of antibiotics approved to be used in food-producing creatures within the U . s . States decreased by 10 % from 2015 to 2016, a U.S. Fda (Food and drug administration) report stated on Thursday.

It had been the very first loss of year-to-year sales because the Food and drug administration started collecting the information in ’09, based on food and consumer health groups.

For a long time scientists have cautioned the regular utilization of antibiotics to advertise growth and stop illness in healthy farm creatures fuels harmful, antibiotic-resistant “superbug” infections in people.Major U.S. food companies including McDonald’s and Tyson Foods have walked up efforts to curtail, and perhaps eliminate, antibiotics within their products.

“Actions speak louder than words, and also the most action you’ve seen on antibiotics originates from food companies,” stated Matthew Wellington, Antibiotics Program Director of public interest campaigning group U.S. PIRG. “We’re cheering this great news.Inches

Recently, the planet Health Organization advised maqui berry farmers to totally stop using antibiotics to boost growth and stop disease in healthy creatures.

An believed 70 % of the sorts of antibiotics which are also accustomed to fight human infections as well as in surgery are offered within the U . s . States to be used in meat production.

In 2016, sales and distribution of individuals medically important antibiotics for food production fell 14 %, the Food and drug administration stated.

Medically important antimicrobials taken into account 60 % from the domestic sales of antimicrobials approved to be used in farm creatures in 2016, the company stated.

The FDA’s data show chicken comprising 6 % of medically important antibiotic sales, with swine at 37 percent and cattle at 43 percent.

Avinash Kar, senior attorney at ecological activist group natural Sources Defense Council, stated the general decline provides a “glimmer of hope” the growing epidemic of drug-resistant infections could be beaten.

While Kar attributed the progress to significant changes carried out through the chicken industry, he stated the pork and beef sectors lag behind.

Tyson Foods, the nation’s leading meat producer, this season grew to become the world’s largest producer of no-antibiotic-ever chicken, the organization stated within an e-mail to Reuters on Thursday.

Tyson stated it had been dealing with independent maqui berry farmers to lessen human-use antibiotics from the beef and pork logistics.

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How Hospitals Can Dampen the Decibels

Hospitals could be very noisy places. &lt&ltCLIP: hospital noise&gt&gt

Actually, quietness is among the cheapest-rated groups on national surveys of hospital quality. And: “We all know everything is getting worse, instead of improving.Inch

Ilene Busch-Vishniac, an acoustician and president of BeoGrin Talking to. She spoken about hospital noise in a session throughout the Acoustical Society of the usa meeting now in New Orleans. [Ilene Busch-Vishniac, Hospital noise: how bad could it be?

Busch-Vishniac states she and her colleagues have tested speech intelligibility in hospital halls and nurse stations… and located poor or marginal scores overall.

“Actually it communication and noise problem is struggling that many hospitals within the U.S. have eliminated the opportunity to phone in pharmaceutical orders—you now must deliver them on paper, simply because they were getting a lot of errors.”

Just how to soothe the cacophony? She suggests more closed doorways, to provide patients tranquility. Instituting or ongoing so-known as “quiet occasions,” when nurses interact less with patients, turn lights lower, and voices low. And installing more acoustic absorbing tiles.

Finally: she recommends less audio alarms. “Since alarms frequently are collected centrally at nursing stations, it appears less essential to ask them to also ringing in the bedside of patients. And when we’re able to turn individuals off we’re able to remove probably the most distracting sounds in the atmosphere.”

The concept would not be to get rid of all bedside alarms. But to help keep just the most important ones in audio form. As well as in dampening the decibels, give patients the things they actually need: rest.

—Christopher Intagliata

[The above mentioned text is really a transcript of the podcast.]

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Oral Contraceptives Still Associated with Cancer Of The Breast, Study Finds

Ladies who depend on oral contraceptives or contraceptive devices that release hormones face a little but significant rise in the danger for cancer of the breast, based on a sizable study printed on Wednesday.

The research, which adopted 1.8 million Danish women for over a decade, upends broadly held assumptions about modern contraceptives for more youthful generations of ladies. A lot of women have thought that newer hormonal contraceptives tend to be safer than individuals taken by their moms or grandmothers, which in fact had greater doses of oestrogen.

The brand new paper believed that for each 100,000 women, hormone contraceptive use causes yet another 13 cancer of the breast cases annually. That’s, for each 100,000 women using hormonal contraception, you will find 68 installments of cancer of the breast yearly, in contrast to 55 cases annually among nonusers.

While a hyperlink have been established between oral contraceptives and cancer of the breast years back, this research is the first one to check out the risks connected with current formulations of oral contraceptives and devices inside a popular.

The research found couple of variations in risk between your formulations women cannot safeguard themselves by embracing implants or intrauterine devices that to produce hormone into the uterus.

The study also shows that the hormone progestin — broadly utilized in today’s birth control — might be raising cancer of the breast risk.

“This is a vital study because we was clueless that the way the present day pills when compared to old-fashioned pills when it comes to cancer of the breast risk, so we didn’t know anything about I.U.D.’s,” stated Dr. Marisa Weiss, an oncologist who founded the web site breastcancer.org and it was not active in the study. “Gynecologists just assumed that the lower dose of hormone meant a lesser chance of cancer. However the same elevated risk can there be.Inches

“It’s small but it’s measurable, and when you set up all of the countless women using the…

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Consistently Lower Cancer Survival Rates for Black Patients in U.S.

(Reuters Health) – Be it cancer of the colon, cancer of the breast, or ovarian cancer, survival rates within the U.S. are lower for black people compared to white-colored people, three new research has shown.

The 3 were printed within the journal Cancer. In a single, Dr. Arica White-colored in the Cdc and Prevention (CDC) in Atlanta, Georgia, and her team checked out cancer of the colon survival rates in 2001-2003 and 2004-2009.

Overall, the proportion of patients still alive 5 years after diagnosis improved slightly between individuals two periods, from 63.7 % to 64.6 %. But five-year survival was lower among blacks (54.7 % for 2001-2003 and 56.6 % for 2004-2009) than among whites (64.five percent and 65.4 %, correspondingly).

In addition, survival rates among blacks diagnosed in 2004-2009 were less than survival rates among whites diagnosed 15-20 years earlier when less treatments were available.

“While colon and rectal cancer survival has improved with time, black women and men keep having lower survival than white-colored women and men, and survival varied by condition,” White-colored told Reuters Health by email. “This shows that use of and/or utilization of screening and treatment services varies by race and placement. We want ongoing efforts to make sure that screening and-quality treatment services can be found and utilized globally.”

“Screening for colorectal cancer is among the best preventive services available,” she stated. “We strongly encourage all qualified adults to talk to their physician about which test suits them, and also to not wait if they’re aged 50-75. Screening can help to eliminate the amount of people diagnosed in a late stage, meaning treatment could be more effective and survival increases.Inches

Outcome was similar when Dr. Jacqueline W. Miller in the CDC and colleagues studied cancer of the breast survival among nearly 1.4 million women diagnosed between 2001 and 2009 in 37 states.

Throughout this era, cancer of the breast survival in black women was greater than 10 percentage points less than in white-colored women. Within the later period (2004-2009), for instance, five-year survival was 89.6 % for white-colored women versus 78.4 % for black women.

Black women were 60 % much more likely than white-colored women to become diagnosed after their cancer of the breast had already spread with other areas of themselves.

“While some racial disparities will exist because of variations in tumor types, improving early diagnosis and supplying specific treatment according to tumor characteristics in due time would lead to reducing cancer of the breast disparities,” Miller stated by email.

“The answer to improving survival is early recognition and appropriate treatment,” Miller added. “CDC’s National Breast and Cervical Cancer Early Recognition Program (NBCCEDP), provides low-earnings, uninsured, and underserved women use of timely breast and cervical cancer screening and diagnostic services. Presently, the NBCCEDP funds all 50 states, the District of Columbia, 6 U.S. territories, and 13 American Indian/Alaska Native tribes and tribal organizations to supply screening services for breast and cervical cancer.”

Within the third study, the CDC’s Dr. Sherri L. Stewart and her team examined racial disparities in ovarian cancer survival.

Between 2001-2009, ovarian cancer was a lot more common among white-colored women than among black women. Over fifty percent of cases were diagnosed following the cancer had spread.

Five-year survival what food was in least 10 % reduced black women compared to white-colored women throughout this era. (In 2004-2009, only 31 percent of black women survived for 5 years, in contrast to 42 percent of white-colored women).

“Recognizing early signs and symptoms of ovarian cancer and looking timely care might help result in recognition from the cancer in an earlier stage, where treatment will probably be more efficient,Inches Stewart told Reuters Health by email. “Symptoms, for example abdominal and back discomfort, feeling full rapidly after consuming, and frequent peeing, are frequently present among women with ovarian cancer. Women should talk to their doctors when they experience these signs and symptoms for 2 days or longer and also the signs and symptoms persist or worsen.”

Dr. Michele L. Cote from Wayne Condition College Med school and Karmanos Cancer Institute Population Sciences and Disparities Research Program, Detroit, Michigan, also offers examined ovarian cancer disparities. She told Reuters Health by email, “Getting women of racial and ethnic groups into numerous studies and other kinds of scientific studies are important to better understand and treat this ailment. A lot of the studies have been performed in white-colored women.”

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Global Health: ‘Opiophobia’ Leaves Africa in Agony

Global Health

By Jesse G. McNEIL Junior.

KAMPALA, Uganda — Discomfort is simply the latest woe in John Bizimungu’s existence.

Rwandan by birth, he’s resided because a refugee since his family was slaughtered within the 1994 genocide. A cobbler, Mr. Bizimungu accustomed to walk the roads asking people if he could fix their footwear.

Now, at 75 as well as on crutches, he sits in your own home wishing customers will visit. But a minimum of the searing discomfort in the cancer which has twisted his right feet is in check.

“Oh! Grateful? I’m so, so, so, so grateful for that morphine!” he stated, waving his hands and rocking in his chair. “Without it, I’d be dead.”

Mr. Bizimungu’s morphine is definitely an opioid, carefully associated with the painkillers now killing 60,000 Americans annually — a scenario President Trump lately declared a “health emergency.” The cobbler’s desperate need exemplifies an issue that deeply worries palliative care experts: how they may assist the 25 million individuals who die in agony every year in poor and middle-earnings countries without risking a united states-style overdose epidemic abroad or triggering opposition from Western legislators and philanthropists to whom “opioid” has turned into a dirty word. The American delegation towards the Worldwide Narcotics Control Board, a Un agency, “uses frightening war-on-drugs rhetoric,” stated Megabites O’Brien, the founding father of Treat the Discomfort, an advocacy group dedicated to getting palliative choose to poor countries.

“That includes a chilling impact on developing countries,” she stated. “But it’s absurd — the U.S. also offers an weight problems epidemic, but nobody is proposing that people withhold food the help of South Sudan.”

Uganda has implemented a cutting-edge solution. Here, liquid morphine is created with a private charitable organization supervised through the government. With doctors an issue, what the law states lets even nurses prescribe morphine after specialized training. About 11 percent of Ugandans requiring morphine have it. Insufficient as that’s, it can make Uganda a standout not…

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Philippines Orders Probe into Suspended Dengue Vaccine Administered to 730,000 Kids

MANILA (Reuters)—The Philippines purchased a probe on Monday in to the immunization in excess of 730,000 kids with a vaccine for dengue that’s been suspended following a comment by French drug company Sanofi (SASY.PA) that could worsen the condition in some instances.

Among mounting public concern, Sanofi described its “new findings” in a news conference in Manila, but it didn’t say why action wasn’t taken following a World Health Organization (WHO) report in mid-2016 that identified the danger it had been now flagging.

A non-governmental organization (NGO) stated it’d received information which three children who have been vaccinated with Dengvaxia passed away along with a senator stated he was conscious of two cases.

However, Department of Health Undersecretary Gerardo Bayugo told Reuters the three known through the NGO died because of causes not associated with the vaccine, and Sanofi stated no deaths have been reported because of this program.

“As far as you may know, so far as we’re made aware, there aren’t any reported deaths that are based on dengue vaccination,” stated Ruby Dizon, medical director at Sanofi Pasteur Philippines.

A week ago, the Philippines Department of Health stopped using Dengvaxia after Sanofi stated it should be strictly limited because of evidence it may worsen the condition in people not formerly uncovered towards the infection.

Inside a statement, Sanofi stated the lengthy-term safety look at the vaccines demonstrated considerably less hospitalizations because of dengue in vaccinated quickly nine years old in contrast to individuals who was not vaccinated.

Nearly 734,000 children aged 9 and also over within the Philippines have obtained one dose from the vaccine included in a course that cost 3.5 billion pesos ($69.54 million).

The Department of Justice on Monday purchased the nation’s Bureau of Analysis to consider “the alleged danger to public health … and when evidence so warrants, to file for appropriate charges thereon.”

There wasn’t any indication that Philippines medical officials understood associated with a risks once they administered the vaccination.

However, the WHO stated inside a This summer 2016 research paper that “vaccination might be ineffective or may theoretically even boost the future chance of hospitalized or severe dengue illness in individuals who’re seronegative during the time of first vaccination no matter age.”

Singapore’s Health Sciences Authority stated a week ago it flagged risks when Dengvaxia was approved there in October 2016, and it was dealing with Sanofi to bolster risk warnings around the drug’s packaging.

Based on Sanofi in Manila, 19 licenses were granted for Dengvaxia, also it premiered in 11 countries, a couple of which—the Philippines and Brazil—had public vaccination programs.

“A SHAMELESS SCAM”

A spokesman for Philippines President Rodrigo Duterte stated on Sunday the federal government would hold to account individuals accountable for this program.

“We leaves nothing unturned for making individuals accountable for this shameless public health scam, which puts thousands and thousands of youthful lives in danger, accountable,” spokesman Harry Roque stated inside a statement.

Former Health Secretary Janette Garin, who implemented this program underneath the administration of then-President Benigno Aquino, stated she welcomed the analysis.

“In the big event that you will see government bodies who’ll point culpability in my experience, I’m prepared to face the effects,” she told ANC TV. “We implemented it in compliance with WHO guidance and suggestions.Inches

Roque stated there was no reported situation of “severe dengue infection” because the vaccine was administered and advised the general public “not to spread information which could cause undue alarm”.

Volunteers Against Crime and Corruption, an NGO, stated it had been checking a study that three children around the northern island of Luzon passed away since being vaccinated in April 2016, however the Department of Health stated the deaths weren’t because of Dengvaxia.

“When we evaluated the clinical records, it wasn’t associated with the dengue vaccination,” Undersecretary Bayugo stated.

A leading senator, Richard Gordon, told Reuters he was conscious of two deaths—but gave no details—and stated approval and procurement for that program ended with “undue haste”.

Dengue is really a bug-borne tropical disease. Although not as serious as malaria, it’s distributing quickly in lots of parts around the globe, killing about 20,000 people annually and infecting vast sums.

While Sanofi’s Dengvaxia may be the first-ever approved vaccine for dengue, scientists already recognized it wasn’t perfect and didn’t safeguard equally from the four various kinds of herpes in studies.

A brand new analysis from six many years of clinical data demonstrated that Dengvaxia vaccine provides persistent protective benefit against dengue fever in individuals who’d prior infection.

However for individuals not formerly infected through the virus, more installments of severe disease could exist in the lengthy term following vaccination, Sanofi stated.

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CVS to purchase Aetna for $69 Billion inside a Deal That Could Reshape the Industry

CVS Health stated on Sunday it had decided to buy Aetna for around $69 billion inside a deal that will combine the pharmacy giant and among the greatest health insurers within the U . s . States and can reshape the nation’s healthcare industry.

The transaction, among the largest of the season, reflects the more and more blurred lines between your typically separate spheres of the quickly altering industry. It represents an attempt to create both companies more desirable to consumers as healthcare which was once delivered inside a doctor’s office more frequently reaches consumers over the telephone, in a retail clinic or with an application.

The merger comes at any given time of turbulent transformation in healthcare. Insurers, hospitals and pharmacy information mill bracing for any possible disruption in government programs like Medicare because of the Republicans’ intend to cut taxes. Congress remains in an impasse over the way forward for the Affordable Care Act, while employers and individuals are battling underneath the weight of rising medical costs, such as the soaring cost of prescription medications. And rapid alterations in technology have elevated the threat of new competitors — most particularly Amazon . com.

A combined CVS-Aetna could position itself like a formidable estimate this altering landscape. Together, the businesses touch the majority of the fundamental health services that individuals regularly use, supplying an chance to profit consumers. CVS operates a series of pharmacies and retail clinics that may be utilized by Aetna to supply care straight to patients, as the merged company might be able to better offer employers one-stop searching for medical health insurance for his or her workers. But critics worry that buyers may also find their choices dramatically limited. The offer risks departing patients with less selection of where you’ll get care or fill a prescription if individuals with Aetna insurance have to visit CVS for a lot of their care.

On Sunday, the 2 companies emphasized remarkable ability…

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Lady With Transplanted Uterus Gives Birth, the very first within the U.S.

The very first time within the U . s . States, a lady who’d a uterus transplant has provided birth.

Mom, who had been born with no uterus, received the transplant from the living donor this past year at Baylor College Clinic in Dallas, coupled with an infant boy there recently, a healthcare facility stated on Friday.

In the family’s request, their name, hometown and also the date from the birth are now being withheld to safeguard their privacy, based on Julie Cruz, a spokeswoman for that hospital, which belongs to Baylor Scott &amp White-colored Health.

Since 2014, eight other babies happen to be born to ladies who had uterus transplants, all in Norway, in the Sahlgrenska College Hospital in Gothenburg.

A brand new frontier, uterus transplants are seen as an supply of expect ladies who cannot give birth simply because they were born with no uterus or needed it removed due to cancer, other illness or complications from giving birth. Researchers estimate that within the U . s . States, 50,000 women may be candidates. The transplants should be temporary, left in position just lengthy enough for any lady to possess a couple of children, after which removed so she will quit taking the immune-suppressing drugs required to prevent organ rejection.

Dr. Liza Johannesson, a uterus transplant surgeon who left the Swedish team to participate Baylor’s group, stated the birth in Dallas was particularly significant since it demonstrated that success wasn’t restricted to a healthcare facility in Gothenburg. “To result in the field grow and expand and also have the procedure visit more women, it needs to be reproduced,” she stated, adding that within hrs of Baylor’s announcement, advocacy groups for ladies with uterine infertility from around the globe had contacted her to convey their excitement in the news.

“It would be a thrilling birth,” Dr. Johannesson stated. “I’ve seen a lot of births and delivered a lot of babies, however this would be a…

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“Living Ink” Laced with Microbes Makes Molecules when needed

“Living ink” seems like fantasy from the Harry Potter novel. But it’s really how scientists describe a brand new 3-D gel laced with bacteria that come out molecules useful in wound healing and water cleanup. The fabric could be customized for various uses with the addition of a number of bacteria, and sprayed from the nozzle of the 3-D printer into many helpful shapes.

Although bacteria may cause infections, they’re also versatile workhorses. Various microbes break lower pollutants, synthesize helpful compounds and bear out photosynthesis along with other metabolic processes. “We thought 3-D printing may well be a nice chance to structure these bacteria into functional materials,” states Patrick Rühs, a postdoctoral investigator studying complex materials in the Swiss Federal Institute of Technology (E.T.H.) Zurich as well as an author of the new paper describing the procedure. It had been printed today in Science Advances.

He and the colleagues started by designing a hydrogel, a network of polymers that absorbs considerable amounts water. Gelatin, for example, is really a hydrogel. The watery structure enables the gel to circulate with the nozzle of the 3-D printer but solidify afterward. The team’s hydrogel has two sugar-based polymer ingredients—hyaluronic acidity and also the seaweed extract carrageenan—to provide structure and also to nourish the bacteria. The gel also includes fumed silica, making the fabric more viscous and elastic. After bacteria are put into the gel, the fabric is sprayed out and forms a stretchy network that holds its printed shape.

One promising use of the brand new materials are customized management of wounds and burns. Given using the nutrients within the gel, together with oxygen, bacteria known as Acetobacter xylinum make cellulose, a molecule that speeds healing when placed at first glance of the wound. It can make a great scaffold for skin grafts or engineered tissue. Coating a transplanted organ with cellulose may also prevent its rejection. Its these uses, a detailed fit to some part of the body is much better. A hydrogel that contains the bacteria could be employed to fabricate cellulose dressings within the exact form of an appearance part or organ with different CT scan, Rühs states.

To check this concept, they designed a hydrogel with A. xylinum. Utilizing a 3-D printer than are designed for curvy surfaces, they deposited a skinny layer from the hydrogel more than a doll’s face. After four days inside a warm, damp atmosphere the bacteria transformed the hydrogel surface into one made from cellulose. Cellulose is just made on the top of hydrogel because that’s where the majority of the oxygen is—therefore, the technique produces thin coatings appropriate for wound treatment. “This outcome is the very first illustration of patterned materials created through 3-D printing of bacteria,” states Anne Meyer, a professor of bionanoscience at Delft College of Technology who had been not active in the study. Her team developed an early on microbial hydrogel created using the algae-created polymer alginate, but didn’t cast it into functional products.

Similar microbial materials may help clean the atmosphere. The E.T.H. team designed a hydrogel grid incorporating stress of Pseudomonas putida that breaks lower the pollutant phenol. The grid cleared up an answer of phenol within six days. This is an opportune setup for bioremediation, Meyer notes, since the bacteria within the grid might be reused or transferred to a different location.

The reusability might have problems, though. Once the researchers rinsed the grid and repeated the experiment inside a new phenol solution, the cleanup time dropped to some day, probably because a few of the bacteria steered clear of into solution while more ongoing to develop within the matrix. This might make cleanup more effective but it may be less desirable used since it could introduce bacteria in to the atmosphere, states Jason Shear, a chemist in the College of Texas at Austin who had been not area of the work.

They continues to be refining the fabric legitimate-world testing, Rühs states. Because “living ink” can be created with any sort or mixture of bacteria, they are planning on other applications too. They would like to tackle oil spills by designing a hydrogel having a lipophilic polymer that absorbs oil rather water, for instance. Once it’s drenched in the oil, bacteria within the gel could break the oil lower.

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