RESUMO
Sustainable development has by now become an element deeply integrated in the everyday design. It has many shades and may be found under many names. We speak about resiliency in design and procurement of passive, ecologic, plus energy, or nZEB buildings. Nevertheless, if we look closely, we may distinguish certain characteristic ideas. First, sustainable development of societies and urbanization processes should be consistent on a deeper level than presently, and be included within design processes, organization, and planning, as well as modernization and redevelopment procedures of existing urban tissue. Secondly, urbanization should be perceived holistically, as an interaction and harmonious development of both natural and manmade environments, with solutions based on the best technical and technological standards available. Lastly, described ideas are achievable only, if we include continuous cooperation between urban planners, architects, specialist consultants, as well as energy-efficient interdisciplinary solutions to achieve high standard energy measures. One of the thresholds is economic feasibility; the other is health and well-being of the users which should always be discussed as a priority. This paper-outside a brief theoretical approach to initial procedures in design management-will dwell on transformation and modernization of an existing building belonging to the Warsaw University of Technology, one of the oldest universities in Poland, its founding dating back to the beginning of the twentieth century. In 2015, a Nordic Finance Mechanism grant dedicated to the nZEB technology transfer from Norway to Poland was awarded to a group of researchers from Warsaw University of Technology and NTNU Trondheim. The main aim of the project is implementation of nZEB knowledge in Poland, as well as preparation of two integrated concept designs for public (University) buildings as exemplary case studies which could act as the benchmarks for other public buildings.
Assuntos
Indústria da Construção/métodos , Arquitetura de Instituições de Saúde , Indústria da Construção/economia , Noruega , Polônia , Transferência de Tecnologia , Universidades , UrbanizaçãoRESUMO
CONTEXT: Plants of the genus Echinacea (Asteraceae) are among the most popular herbal supplements on the market today. Recent studies indicate there are potential new applications and emerging markets for this natural health product (NHP). OBJECTIVE: This review aims to synthesize recent developments in Echinacea biotechnology and to identify promising applications for these advances in the industry. METHODS: A comprehensive survey of peer-reviewed publications was carried out, focusing on Echinacea biotechnology and impacts on phytochemistry. This article primarily covers research findings since 2007 and builds on earlier reviews on the biotechnology of Echinacea. RESULTS: Bioreactors, genetic engineering and controlled biotic or abiotic elicitation have the potential to significantly improve the yield, consistency and overall quality of Echinacea products. Using these technologies, a variety of new applications for Echinacea can be realized, such as the use of seed oil and antimicrobial and immune boosting feed additives for livestock. CONCLUSIONS: New applications can take advantage of the well-established popularity of Echinacea as a NHP. Echinacea presents a myriad of potential health benefits, including anti-inflammatory, anxiolytic and antibiotic activities that have yet to be fully translated into new applications. The distinct chemistry and bioactivity of different Echinacea species and organs, moreover, can lead to interesting and diverse commercial opportunities.
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Biotecnologia/tendências , Echinacea , Extratos Vegetais/isolamento & purificação , Extratos Vegetais/uso terapêutico , Transferência de Tecnologia , Animais , Anti-Inflamatórios/isolamento & purificação , Anti-Inflamatórios/farmacologia , Anti-Inflamatórios/uso terapêutico , Biotecnologia/métodos , Previsões , Humanos , Inflamação/tratamento farmacológico , Compostos Fitoquímicos/isolamento & purificação , Compostos Fitoquímicos/farmacologia , Compostos Fitoquímicos/uso terapêutico , Extratos Vegetais/farmacologiaRESUMO
The adoption of a new technology into basic research, and industrial and clinical settings requires rigorous testing to build confidence in the reproducibility, reliability, robustness, and relevance of these models. Tissue chips are promising new technology, they have the potential to serve as a valuable tool in biomedical research, as well as pharmaceutical development with regards to testing for efficacy and safety. The principal goals of this study were to validate a previously established proximal tubule tissue chip model in an independent laboratory and to extend its utility to testing of nephrotoxic compounds. Here, we evaluated critical endpoints from the tissue chip developer laboratory, focusing on biological relevance (long-term viability, baseline protein and gene expression, ammoniagenesis, and vitamin D metabolism), and toxicity biomarkers. Tissue chip experiments were conducted in parallel with traditional 2D culture conditions using two different renal proximal tubule epithelial cell sources. The results of these studies were then compared to the findings reported by the tissue chip developers. While the overall transferability of this advanced tissue chip platform was a success, the reproducibility with the original report was greatly dependent on the cell source. This study demonstrates critical importance of developing microphysiological platforms using renewable cell sources.
Assuntos
Técnicas de Cultura de Células/instrumentação , Túbulos Renais Proximais/citologia , Túbulos Renais Proximais/efeitos dos fármacos , Dispositivos Lab-On-A-Chip , Antibacterianos/toxicidade , Linhagem Celular , Sobrevivência Celular/efeitos dos fármacos , Desenvolvimento de Medicamentos/instrumentação , Avaliação Pré-Clínica de Medicamentos/instrumentação , Humanos , Túbulos Renais Proximais/metabolismo , Polimixina B/toxicidade , Transferência de Tecnologia , Vitamina D/metabolismoRESUMO
En este artículo se reflexiona sobre la ciencia y tecnología (o tecnociencia) asociadas con el colonialismo. Se usa la metáfora de "capas de colonialismo" para aludir a ideas y prácticas asociadas con la tecnociencia que son continuamente innovadas, que pueden mantenerse o reaparecer en diferentes momentos, y que estructuran el hecho colonial. Se usa como caso la apropiación de plantas de quina (Cinchona spp.) en diferentes momentos entre los siglos XVI y XX. Algunas de las capas presentadas son: apropiación material del producto natural, deslocalización y relocalización del lugar de autoridad alrededor del mismo, soterramiento de los saberes y sabedores locales, inserción de ideas sobre lo que se debe hacer con esa naturaleza, quién y cómo debe apropiarla, no-transferencias de tecnología, fomento de proyectos sin mayores oportunidades, entre otras. En la historia de larga duración del colonialismo alrededor de la apropiación de las quinas, se enfatiza en capas que emergen o reemergen en momentos clave
This article reflects on the science and technology (or technoscience) associated with colonialism. The metaphor of "layers of colonialism" is used to refer to ideas and practices associated with technoscience that are continuously innovated, that can be maintained or reappear at different times, and that structure the colonial fact. The appropriation of quina plants (Cinchona spp.) is used as a case at different times between the 16th and 20th centuries. Some of the layers presented are: material appropriation of the natural product, dislocation and relocation of the place of authority around it, burial of local knowledge and it's owners, insertion of ideas about what to do with that nature, who and how to appropriate it, non-transfers of technology, promotion of projects without greater opportunities, among others. In the long history of colonialism around the appropriation of the quinas, emphasis is placed on layers that emerge or reemerge at key moments
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Humanos , Cinchona , Alcaloides de Cinchona/história , Extratos Vegetais/uso terapêutico , Colonialismo , Transferência de Tecnologia , Extratos Vegetais/históriaRESUMO
We focus here on how the interface in academia has adapted in their approach to assessing the PDs of biological agents to better understand mechanisms at an early stage. This understanding enables drugs to be modified early and to be reassessed before progressing to late stage trials. We discuss how these efforts are now being bolstered by a network of consortia involving industry, academia and regulatory bodies, to bring together resources, knowledge and a harmonization in bioanalytical techniques. We highlight how the regulatory guidance still lags behind the rapid advancement in biologicals and associated analytical techniques, especially in immunotherapies and immunological bioassays. Despite this, new collaborative groups are working together to deliver robust and accurate results essential for identifying the most promising drugs to progress from early phase academic research to late phase industry based trials. We show how the relationship between academia and not-for-profit organizations with large pharma and emerging biotech companies has shifted toward a more collaborative effort in bringing new therapies to the forefront.
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Academias e Institutos , Indústria Farmacêutica , Preparações Farmacêuticas/metabolismo , Pesquisa , Transferência de Tecnologia , Biomarcadores/análise , Comportamento Cooperativo , Avaliação Pré-Clínica de Medicamentos , Preparações Farmacêuticas/análiseRESUMO
Semiochemical-based pest management technology has been widely used to monitor and control insect pests in agricultural, forestry, and public health sectors in the western world. It became a popular tool in the early 1970s with tremendous efforts in developing environment-friendly control technologies for the integrated pest management. However, in China, similar research lagged 15 to 20 years and was not initiated until the late 1980s. In this review, we present the early history of pheromone research that has led to the current practical applications in China, particularly in the development of pheromone-based pest management products. We also provide information regarding the current status of pheromone-based product manufacturing, marketing, and regulatory issues related to local semiochemical industries, which may be useful to other international companies interested in pursuing business in China. In addition, we share some research topics that represent new directions of the present pheromone research to explore novel tools for advancing semiochemical-based pest management in China.
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Controle de Insetos/métodos , Feromônios/farmacologia , Animais , China , Feromônios/economia , Extratos Vegetais/química , Extratos Vegetais/farmacologia , Comportamento Sexual Animal/efeitos dos fármacos , Transferência de TecnologiaRESUMO
Workplace lunches are recurrent meal occasions that can contribute to the general well-being of employees. The objective of our research was to study which factors influence consumers' satisfaction with these meals by exploring the relative role of food-related, personal, situational factors. Using a longitudinal approach, we monitored a total of 71 participants compiled and experienced 519 meals from their workplace canteen buffet during a three-month period; in addition the composed lunches were photographed. Before and after the lunch choice period respondents filled in a questionnaire on several meal-related variables. A mixed modelling approach was used to analyse the data. Meal satisfaction was directly associated with a positive ambience and a positive evaluation of both the quality of the food eaten and the buffet assortment, whereas the meal's energy content did not contribute to meal satisfaction. Additionally, meal satisfaction was associated with a more positive mood, lower hunger level as well as feeling less busy and stressed after lunch. The buffet assortment, a more positive mood before lunch and mindful eating contributed to the perceived food quality, but not associated with the hunger level before lunch. Time available, mindful eating and eating with close colleagues were positively associated with perceived ambience. The results indicate that consumers' satisfaction with workplace meals can be increased by putting emphasis on the quality of food served, but equally important is the ambience in the lunch situation. Most of the ambience factors were related to available time and mental resources of the participants and the possibility to share the meal with close colleagues. These are factors that can be facilitated by the service provider, but not directly influenced.
Assuntos
Comportamento do Consumidor , Serviços de Alimentação , Almoço , Modelos Psicológicos , Resposta de Saciedade , Estresse Psicológico/prevenção & controle , Local de Trabalho , Adulto , Idoso , Agricultura , Dinamarca , Dieta Saudável/economia , Dieta Saudável/etnologia , Dieta Saudável/psicologia , Ingestão de Energia/etnologia , Feminino , Qualidade dos Alimentos , Humanos , Almoço/etnologia , Almoço/psicologia , Masculino , Pessoa de Meia-Idade , Atenção Plena , Cooperação do Paciente/etnologia , Cooperação do Paciente/psicologia , Estresse Psicológico/etnologia , Estresse Psicológico/psicologia , Transferência de Tecnologia , Recursos Humanos , Local de Trabalho/psicologia , Adulto JovemRESUMO
Millions of seasonal and pandemic influenza vaccine doses containing oil-in-water emulsion adjuvant have been administered in order to enhance and broaden immune responses and to facilitate antigen sparing. Despite the enactment of a Global Action Plan for Influenza Vaccines and a multi-fold increase in production capabilities over the past 10 years, worldwide capacity for pandemic influenza vaccine production is still limited. In developing countries, where routine influenza vaccination is not fully established, additional measures are needed to ensure adequate supply of pandemic influenza vaccines without dependence on the shipment of aid from other, potentially impacted first-world countries. Adaptation of influenza vaccine and adjuvant technologies by developing country influenza vaccine manufacturers may enable antigen sparing and corresponding increases in global influenza vaccine coverage capacity. Following on previously described work involving the technology transfer of oil-in-water emulsion adjuvant manufacturing to a Romanian vaccine manufacturing institute, we herein describe the preclinical evaluation of inactivated split virion H5N1 influenza vaccine with emulsion adjuvant, including immunogenicity, protection from virus challenge, antigen sparing capacity, and safety. In parallel with the evaluation of the bioactivity of the tech-transferred adjuvant, we also describe the impact of concurrent antigen manufacturing optimization activities. Depending on the vaccine antigen source and manufacturing process, inclusion of adjuvant was shown to enhance and broaden functional antibody titers in mouse and rabbit models, promote protection from homologous virus challenge in ferrets, and facilitate antigen sparing. Besides scientific findings, the operational lessons learned are delineated in order to facilitate adaptation of adjuvant technologies by other developing country institutes to enhance global pandemic influenza preparedness.
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Adjuvantes Imunológicos , Virus da Influenza A Subtipo H5N1/imunologia , Vacinas contra Influenza , Transferência de Tecnologia , Avaliação Pré-Clínica de Medicamentos , Emulsões/química , Humanos , Virus da Influenza A Subtipo H5N1/fisiologia , Vacinas contra Influenza/imunologia , Influenza Humana/imunologia , Influenza Humana/prevenção & controle , Óleos , Pandemias/prevenção & controle , Romênia , Vírion/fisiologia , Inativação de VírusRESUMO
Food intake is influenced by a complex regulatory system involving the integration of a wide variety of sensory inputs across multiple brain areas. Over the past decade, advances in neuroimaging using functional MRI (fMRI) have provided valuable insight into these pathways in the human brain. This review provides an outline of the methodology of fMRI, introducing the widely used blood oxygenation level-dependent contrast for fMRI and direct measures of cerebral blood flow using arterial spin labelling. A review of fMRI studies of the brain's response to taste, aroma and oral somatosensation, and how fat is sensed and mapped in the brain in relation to the pleasantness of food, and appetite control is given. The influence of phenotype on individual variability in cortical responses is addressed, and an overview of fMRI studies investigating hormonal influences (e.g. peptide YY, cholecystokinin and ghrelin) on appetite-related brain processes provided. Finally, recent developments in MR technology at ultra-high field (7 T) are introduced, highlighting the advances this can provide for fMRI studies to investigate the neural underpinnings in nutrition research. In conclusion, neuroimaging methods provide valuable insight into the mechanisms of flavour perception and appetite behaviour.
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Regulação do Apetite , Encéfalo/fisiologia , Circulação Cerebrovascular , Neurônios/fisiologia , Resposta de Saciedade , Percepção Gustatória , Transferência de Tecnologia , Pesquisa Biomédica/tendências , Encéfalo/irrigação sanguínea , Encéfalo/fisiopatologia , Congressos como Assunto , Neuroimagem Funcional , Humanos , Hipotálamo/irrigação sanguínea , Hipotálamo/fisiologia , Hipotálamo/fisiopatologia , Imageamento por Ressonância Magnética , Ciências da Nutrição/métodos , Ciências da Nutrição/tendências , Obesidade/fisiopatologiaRESUMO
Introduction of Haemophilus influenzae type b (Hib) vaccine in low- and middle-income countries has been limited by cost and availability of Hib conjugate vaccines for a long time. It was previously recognized by the Institute for Translational Vaccinology (Intravacc, originating from the former Vaccinology Unit of the National Institute of Public Health [RIVM] and the Netherlands Vaccine Institute [NVI]) that local production of a Hib conjugate vaccine would increase the affordability and sustainability of the vaccine and thereby help to speed up Hib introduction in these countries. A new affordable and a non-infringing production process for a Hib conjugate vaccine was developed, including relevant quality control tests, and the technology was transferred to a number of vaccine manufacturers in India, Indonesia, and China. As part of the Hib technology transfer project managed by Intravacc, a preclinical toxicity study was conducted in the Netherlands to test the safety and immunogenicity of this new Hib conjugate vaccine. The data generated by this study were used by the technology transfer partners to accelerate the clinical development of the new Hib conjugate vaccine. A repeated dose toxicity and local tolerance study in rats was performed to assess the reactogenicity and immunogenicity of a new Hib conjugate vaccine compared to a licensed vaccine. The results showed that the vaccine was well tolerated and immunogenic in rats, no major differences in both safety and immunogenicity in rats were found between the vaccine produced according to the production process developed by Intravacc and the licensed one. Rats may be useful to verify the immunogenicity of Hib conjugate vaccines and for preclinical evaluation. In general, nonclinical evaluation of the new Hib conjugate vaccine, including this proof of concept (safety and immunogenicity study in rats), made it possible for technology transfer partners, having implemented the original process with no changes in the manufacturing process and vaccine formulation, to start directly with phase 1 clinical trials.
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Avaliação Pré-Clínica de Medicamentos , Infecções por Haemophilus/prevenção & controle , Vacinas Anti-Haemophilus/efeitos adversos , Vacinas Anti-Haemophilus/imunologia , Haemophilus influenzae tipo b/imunologia , Transferência de Tecnologia , Animais , China , Infecções por Haemophilus/microbiologia , Vacinas Anti-Haemophilus/administração & dosagem , Índia , Indonésia , Países Baixos , Ratos Wistar , Vacinas Conjugadas/administração & dosagem , Vacinas Conjugadas/efeitos adversos , Vacinas Conjugadas/imunologiaRESUMO
With more and more attention and investment on acupuncture scientific researches, considerable outcomes and achievements has been acquired, but the shortcoming of low transformation rate of acupuncture research achievements is gradually exposed. Nowadays there is no related report on this problem, so based on achievement translational research in other areas and practical situation of acupuncture, the existing problems and solutions are analyzed. As a result, the existing problems include (1) the research content is mainly basic research and clinical research but less acupuncture device research, leading to limited transformation efficiency; (2) the evaluation system and transformation pattern are still needed to be perfect. The solutions are (1) to properly evaluate the research achievements of acupuncture, (2) to advocate the concept and method of translational medicine, (3) to reform the policy and system, and (4) to establish valid platforms covering research, outcomes and transformation.
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Acupuntura/economia , Biotecnologia/economia , Acupuntura/legislação & jurisprudência , Pesquisa Biomédica , Biotecnologia/legislação & jurisprudência , China , Humanos , Transferência de Tecnologia , Recursos HumanosRESUMO
BACKGROUND: Although several previous studies have found "system affiliation" to be a significant and positive predictor of health information technology (IT) adoption, little is known about the association between corporate governance practices and adoption of IT within U.S. integrated delivery systems (IDSs). PURPOSES: Rooted in agency theory and corporate governance research, this study examines the association between corporate governance practices (centralization of IT decision rights and strategic alignment between business and IT strategy) and IT adoption, standardization, and innovation within IDSs. METHODOLOGY/APPROACH: Cross-sectional, retrospective analyses using data from the 2011 Health Information and Management Systems Society Analytics Database on adoption within IDSs (N = 485) is used to analyze the correlation between two corporate governance constructs (centralization of IT decision rights and strategic alignment) and three IT constructs (adoption, standardization, and innovation) for clinical and supply chain IT. Multivariate fractional logit, probit, and negative binomial regressions are applied. FINDINGS: Multivariate regressions controlling for IDS and market characteristics find that measures of IT adoption, IT standardization, and innovative IT adoption are significantly associated with centralization of IT decision rights and strategic alignment. Specifically, centralization of IT decision rights is associated with 22% higher adoption of Bar Coding for Materials Management and 30%-35% fewer IT vendors for Clinical Data Repositories and Materials Management Information Systems. A combination of centralization and clinical IT strategic alignment is associated with 50% higher Computerized Physician Order Entry adoption, and centralization along with supply chain IT strategic alignment is significantly negatively correlated with Radio Frequency Identification adoption PRACTICE IMPLICATIONS: : Although IT adoption and standardization are likely to benefit from corporate governance practices within IDSs, innovation is likely to be delayed. In addition, corporate governance is not one-size-fits-all, and contingencies are important considerations.
Assuntos
Prestação Integrada de Cuidados de Saúde/organização & administração , Informática Médica/organização & administração , Estudos Transversais , Tomada de Decisões Gerenciais , Humanos , Informática Médica/estatística & dados numéricos , Estudos Retrospectivos , Transferência de Tecnologia , Estados UnidosRESUMO
With more and more attention and investment on acupuncture scientific researches, considerable outcomes and achievements has been acquired, but the shortcoming of low transformation rate of acupuncture research achievements is gradually exposed. Nowadays there is no related report on this problem, so based on achievement translational research in other areas and practical situation of acupuncture, the existing problems and solutions are analyzed. As a result, the existing problems include (1) the research content is mainly basic research and clinical research but less acupuncture device research, leading to limited transformation efficiency; (2) the evaluation system and transformation pattern are still needed to be perfect. The solutions are (1) to properly evaluate the research achievements of acupuncture, (2) to advocate the concept and method of translational medicine, (3) to reform the policy and system, and (4) to establish valid platforms covering research, outcomes and transformation.
Assuntos
Humanos , Acupuntura , Economia , Recursos Humanos , Pesquisa Biomédica , Biotecnologia , Economia , Recursos Humanos , China , Transferência de TecnologiaRESUMO
Adverse drug events resulting from errors in prescribing or administering medications are preventable. Within a hospital system, numerous technologies are employed to address the common sources of medication error, including the use of electronic medical records, physician order entry, smart infusion pumps, and barcode medication administration systems. Infusion safety is inherently risky because of the high-risk medications administered and the lack of integration among the stand-alone systems in most institutions. Intravenous clinical integration (IVCI) is a technology that connects electronic medical records, physician order entry, smart infusion pumps, and barcode medication administration systems. It combines the safety features of an automatically programmed infusion pump (drug, concentration, infusion rate, and patient weight, all auto-programmed into the device) with software that provides visibility to real-time clinical infusion data. Our article describes the characteristics of IVCI at WellSpan Health and its impact on patient safety. The integrated infusion system has the capability of reducing medication errors, improving patient care, reducing in-facility costs, and supporting asset management. It can enhance continuous quality improvement efforts and efficiency of clinical work flow. After implementing IVCI, the institution realized a safer patient environment and a more streamlined work flow for pharmacy and nursing.
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Quimioterapia Assistida por Computador/economia , Bombas de Infusão , Infusões Intravenosas/instrumentação , Erros de Medicação/prevenção & controle , Gestão da Segurança/economia , Gestão da Segurança/métodos , Prestação Integrada de Cuidados de Saúde/organização & administração , Hospitais Comunitários , Hospitais Filantrópicos , Humanos , Segurança do Paciente , Pennsylvania , Software , Transferência de TecnologiaAssuntos
Inteligência Artificial , Encéfalo/fisiologia , Biologia Computacional/tendências , União Europeia , Financiamento Governamental , Grafite , Invenções/tendências , Qi , Transferência de Tecnologia , Cognição/fisiologia , Terapias Complementares/tendências , Simulação por Computador , Sistemas Computacionais/tendências , Características Culturais , Europa (Continente) , Previsões , Humanos , Pesquisa/tendências , Robótica/tendências , Valores Sociais , EspiritualidadeRESUMO
The International Translational Regenerative Medicine Center, an organizing sponsor of the World Stem Cell Summit 2012, is a global initiative established in 2011 by founding partners Karolinska Institutet (Stockholm, Sweden) and Beckman Research Institute at City of Hope (CA, USA) with a mission to facilitate the acceleration of translational research and medicine on a global scale. Karolinska Institutet, home of the Nobel Prize in Medicine or Physiology, is one of the most prestigious medical research institutions in the world. The Beckman Research Institute/City of Hope is ranked among the leading NIH-designated comprehensive cancer research and treatment institutions in the USA, has the largest academic GMP facility and advanced drug discovery capability, and is a pioneer in diabetes research and treatment.
Assuntos
Cooperação Internacional , Medicina Regenerativa , Pesquisa Translacional Biomédica , California , Humanos , Medicina Regenerativa/economia , Medicina Regenerativa/legislação & jurisprudência , Apoio à Pesquisa como Assunto/economia , Pesquisa com Células-Tronco/economia , Pesquisa com Células-Tronco/legislação & jurisprudência , Suécia , Transferência de Tecnologia , Pesquisa Translacional Biomédica/economiaRESUMO
BACKGROUND: Continued advances in human microbiome research and technologies raise a number of ethical, legal, and social challenges. These challenges are associated not only with the conduct of the research, but also with broader implications, such as the production and distribution of commercial products promising maintenance or restoration of good physical health and disease prevention. In this article, we document several ethical, legal, and social challenges associated with the commercialization of human microbiome research, focusing particularly on how this research is mobilized within economic markets for new public health uses. METHODS: We conducted in-depth, semi-structured interviews (2009-2010) with 63 scientists, researchers, and National Institutes of Health project leaders ("investigators") involved with human microbiome research. Interviews explored a range of ethical, legal, and social dimensions of human microbiome research, including investigators' perspectives on commercialization. Using thematic content analysis, we identified and analyzed emergent themes and patterns. RESULTS: Investigators discussed the commercialization of human microbiome research in terms of (1) commercialization, probiotics, and issues of safety, (2) public awareness of the benefits and risks of dietary supplements, and (3) regulation. CONCLUSION: The prevailing theme of ethical, legal, social concern focused on the need to find a balance between the marketplace, scientific research, and the public's health. The themes we identified are intended to serve as points for discussions about the relationship between scientific research and the manufacture and distribution of over-the-counter dietary supplements in the United States.