Which soft contact lens power is better for piggyback fitting in keratoconus?

PurposeTo evaluate the impact of differente soft contact lens power in the anterior corneal curvature and regularity in subjects with keratoconus.MethodsNineteen subjects (30 eyes) with keratoconus were included in the study. Six corneal topographies were taken with Pentacam Eye System over the naked eye and successively with soft lens (Senofilcon A) powers of −3.00, −1.50, 0.00, +1.50 and +3.00 D. Corneal measurements of mean central keratometry (MCK), maximum tangential curvature (TK), maximum front elevation (MFE) and eccentricity (Ecc) at 6 and 8 mm diameters as well as anterior corneal surface high order aberrations (i.e. total RMS, spherical- and coma-like and secondary astigmatism) were evaluated.ResultsNegative- and plano-powered soft lenses flattened (p < 0.05 in all cases), whereas positive-powered lenses did not induce any significant changes (p > 0.05 in all cases) in MCK in comparison to the naked eye. The TK power decreased with negative lenses (p < 0.05 in both cases) and increased with +3.00 D lenses (p = 0.03) in comparison to the naked eye. No statistically significant differences were found in MFE with any soft lens power in comparison to the naked eye (p > 0.05 in all cases). Corneal eccentricity increased at 8 mm diameter for all lens powers (p < 0.05 in all cases). No statistically differences were found in HOA RMS and spherical-like aberration (both p > 0.05). Statistically differences were found in coma-like and secondary astigmatism (both p < 0.05).ConclusionNegative-powered soft contact lenses provide a flatter anterior surface in comparison to positive-powered lenses in subjects with keratoconus and thus they might be more suitable for piggyback contact lens fitting.     

Dietary flavonoid aglycones and their glycosides: Which show better biological significance?

The dietary flavonoids, especially their glycosides, are the most vital phytochemicals in diets and are of great general interest due to their diverse bioactivity. The natural flavonoids almost all exist as their O-glycoside or C-glycoside forms in plants. In this review, we summarized the existing knowledge on the different biological benefits and pharmacokinetic behaviors between flavonoid aglycones and their glycosides. Due to various conclusions from different flavonoid types and health/disease conditions, it is very difficult to draw general or universally applicable comments regarding the impact of glycosylation on the biological benefits of flavonoids. It seems as though O-glycosylation generally reduces the bioactivity of these compounds - this has been observed for diverse properties including antioxidant activity, antidiabetes activity, anti-inflammation activity, antibacterial, antifungal activity, antitumor activity, anticoagulant activity, antiplatelet activity, antidegranulating activity, antitrypanosomal activity, influenza virus neuraminidase inhibition, aldehyde oxidase inhibition, immunomodulatory, and antitubercular activity. However, O-glycosylation can enhance certain types of biological benefits including anti-HIV activity, tyrosinase inhibition, antirotavirus activity, antistress activity, antiobesity activity, anticholinesterase potential, antiadipogenic activity, and antiallergic activity. However, there is a lack of data for most flavonoids, and their structures vary widely. There is also a profound lack of data on the impact of C-glycosylation on flavonoid biological benefits, although it has been demonstrated that in at least some cases C-glycosylation has positive effects on properties that may be useful in human healthcare such as antioxidant and antidiabetes activity. Furthermore, there is a lack of in vivo data that would make it possible to make broad generalizations concerning the influence of glycosylation on the benefits of flavonoids for human health. It is possible that the effects of glycosylation on flavonoid bioactivity in vitro may differ from that seen in vivo. With in vivo (oral) treatment, flavonoid glycosides showed similar or even higher antidiabetes, anti-inflammatory, antidegranulating, antistress, and antiallergic activity than their flavonoid aglycones. Flavonoid glycosides keep higher plasma levels and have a longer mean residence time than those of aglycones. We should pay more attention to in vivo benefits of flavonoid glycosides, especially C-glycosides.     

Dietary supplements and human health: For better or for worse?

Encouraged by the potential health benefits of higher dietary intake of substances with beneficial properties, the use of supplements containing these compounds has increased steadily over recent years. The effects of several of these, many of which are antioxidants, have been supported by data obtained in vitro, in animal models, and often by human studies as well. However, as carefully controlled human supplementation trials have been conducted, questions about the efficacy and safety of these supplements have emerged. In this Educational Paper, three different supplements were selected for consideration of the benefits and risks currently associated with their intake. The selected supplements include β-carotene, selenium, and genistein. The use of each is discussed in the context of preclinical and clinical data that provide evidence for both their use in reducing disease incidence and the possible liabilities that accompany their enhanced consumption. Variables that may influence their impact, such as lifestyle habits, baseline nutritional levels, and genetic makeup are considered and the application of these issues to broader classes of supplements is discussed.     

Voluntary heat stress abatement system for dairy cows: Does it mitigate the effects of heat stress on physiology and behavior?

Many cooling strategies are used to keep cows in thermal homeostasis; however, most of them are applied to the group level, commonly at the feed bunk or milking parlor. The variance of heat stress effects on animals are well known, but with more individualized management in dairy farms, group cooling opportunities are becoming restricted. It is known that dairy cattle are variable in their responses to an increase in heat load. Thus, the first objective of this study was to investigate the effect of 2 mandatory soakings at the exit of the milking parlor and free access to a voluntary soaking system compared with cows with access to a voluntary soaking system only, with no mandatory soakings. The second objective of this study was to assess the heat abatement capability of voluntary soaking of cows by assessing cow physiology, behavior, and milk production. Last, this study aimed to determine the individual use of the voluntary heat abatement system and its relationship with temperature-humidity index (THI). Fifteen mid-lactation Holstein cows were enrolled in this study and had free access to a motion-activated soaker (Cool Sense, Edstrom) located adjacent to the research pen for an 8-wk data collection period. Cows were paired according to parity, milk production, and body weight, and assigned a treatment with or without mandatory soakings twice per day. In the mandatory soaking treatment (MS), cows were soaked using a motion-activated soaker at the exit of the milking parlor and had free access to the voluntary soaker in the pen. Cows in the treatment without mandatory soakings (NMS) were not soaked at the exit of the milking parlor and had free access to the voluntary soaker in the pen. The effects of soaker treatment were analyzed using mixed linear models. The model included treatment, soaker uses per day, pair, mean daily THI, days in milk, daily milk yield, and interaction of treatment with mean daily THI. Study day was specified as a repeated measure, and cow as the subject, using an autoregressive structure. Also, we assessed the relationship of mean soaker use and THI against all variables. There was great individual variation in voluntary soaker use, ranging from 0 to 227 soakings/d (mean ± standard deviation, 13 ± 30 voluntary soakings/d). Treatment did not affect voluntary soaker use (MS, 12.4 ± 1.4 soakings/d; NMS, 14.8 ± 1.4 soakings/d), respiration rate (MS, 57.3 ± 0.4 breaths/min; NMS, 56.4 ± 0.4 breaths/min), or milk yield (MS, 36.5 ± 0.6 kg/d; NMS, 36.2 ± 0.6 kg/d). However, MS cows spent more time ruminating (MS, 558.6 ± 5.2 min/d; NMS, 543.4 ± 5.4 min/d). Temperature-humidity index had a positive relationship with voluntary soaker use and mean respiration rate. In conclusion, voluntary soaker use related positively to the THI, but no major productive, physiological, or behavioral differences were observed between soaking treatments. Furthermore, we found that voluntary soaker use is highly variable among cows and it was related positively to milk yield, where higher producing cows used the soaker more frequently.     

Long-chain n-3 PUFA against breast and prostate cancer: Which are the appropriate doses for intervention studies in animals and humans?

The potential antineoplastic effect of the long-chain n-3 polyunsaturated fatty acids (LC n-3 PUFA) eicosapentaenoic (EPA) and docosahexaenoic acid (DHA) remains a highly controversial issue. Numerous animal studies have supported the anticancer role of these dietary fatty acids, whereas conflicting results have been obtained in population studies, and only a few intervention human trials have been so far performed. In view of the possibility that the anticancer effects may be maximally observed within a defined range of EPA and DHA doses, herein we critically review the results and doses used in both animal studies and human clinical trials focusing on the possible n-3 PUFA protective effects against breast and prostate cancer. Our main aim is to identify the EPA and/or DHA ranges of doses needed to obtain clear anticancer effects. This may be of great help in designing future animal studies, and also in understanding the most appropriate dose for further human intervention studies. Moreover, since the healthy effects of these fatty acids have been strictly related to their increased incorporation in plasma and tissue lipids, we also examine and discuss the incorporation changes following the administration of the effective anticancer EPA and/or DHA doses in animals and humans.     

Acetonitrile: the better extractant for the determination of T-2 and HT-2 toxin in cereals using an immunoaffinity-based cleanup?

The complete extraction of the analytes is the most important item during the analysis of matrix samples. Within the discussion, which of both extractants—aqueous methanol or aqueous acetonitrile—is the best for the extraction of the mycotoxins T-2 and HT-2, a recently published work pointed out, that the latter one resulted in incorrect high toxin concentrations. Due to water absorption of dry samples and salting out effects, a phase separation of the extractant occurs and the toxins accumulate in the organic layer. Based on these results, investigations were performed by comparing and evaluating the extraction efficiency of methanol/water and acetonitrile/water—the most frequently used extractants for T-2 and HT-2 toxin. Therefore, a reliable and routine capable method combining the extraction with acetonitrile/water and a cleanup with immunoaffinity columns was necessary. Due to the sensitivity of the antibodies against acetonitrile, the cleanup of extracts containing acetonitrile was critical. A modified workup based on the investigated antibodies’ tolerance of 5% of acetonitrile was established. The method was validated according to common guidelines (linearity, limit of detection/limit of quantitation, accuracy, method precision, recovery). Especially for more complex matrices a better extraction efficiency with acetonitrile/water was obtainable, simple or unprocessed matrices resulted in identical toxin concentrations independent from extraction solvent.     

What is next for the Dietary Reference Intakes for bone metabolism related nutrients beyond calcium: phosphorus, magnesium, vitamin D, and fluoride?

The science supporting the Dietary Reference Intakes (DRI) for phosphorus, magnesium, vitamin D, and fluoride was examined in this review. Along with the previous article on calcium in this series both of these reviews represent all the DRI for nutrients considered essential for bone metabolism and health, as reported in the Dietary Reference Intakes for Calcium, Phosphorus, Magnesium, Vitamin D, and Fluoride (Institute of Medicine, Food and Nutrition Board (FNB), 1997). The Recomended Dietary Allowances (RDA) or adequate intake (AI), and the tolerable upper intake level (UL) were recommended for each of these essential nutrients. For adults and in the case of fluoride, for infants as well, UL were calculated since all of these nutrients have the potential for mild to detrimental side effects. Dietary intake data and controversies regarding the role these nutrients may play in other chronic diseases have also been discussed. Advances and controversies reported since the publication of the DRI for these nutrients were also addressed in this review. A recent Dietary Reference Intake Research Synthesis Workshop report identified an extensive range of suggested future research directions needed to improve our understanding of these bone-related nutrients and their contributions to human health.     

Zero-tillage is a proven technology for sustainable wheat intensification in the Eastern Indo-Gangetic Plains: what determines farmer awareness and adoption?

In India, there is increasing recognition among policy-makers of the largely untapped potential of the Eastern Indo-Gangetic Plains (IGP) for meeting state- and national-level food needs. Zero-tillage (ZT) is a proven technology for enhancing wheat productivity and, hence, food security in the IGP, while reducing production costs – a ‘win-win’ scenario that should support rapid technology scaling even though adoption remains modest to date. In order to inform policies and derive recommendations for a more effective extension strategy, this study investigated determinants of ZT adoption in the Eastern IGP using a random sample of 1000 wheat-growing households from Bihar, stratified by ZT adoption status. We corrected for potential non-exposure bias by using a two-stage estimation procedure that differentiates between factors affecting farmers’ awareness of ZT and those affecting adoption conditional on awareness. Owing to the relatively nascent stage of ZT diffusion in the area, we emphasized the role of information in the adoption process, including social networks, whereby we allowed for endogenous and exogenous network effects. Only 44% of sample households knew about ZT technology, and there was substantial scale bias in favor of larger scale farmers both with respect to awareness and adoption. Both the adoption behavior and characteristics of the respondents’ network members influenced their own awareness and adoption of ZT, particularly among farmers in the smallest landholding tercile. Farmers valued the time-saving potential of ZT, especially under conditions of increasingly unreliable monsoon rains resulting in a delayed rice crop and, consequently, late establishment of wheat which reduces yield. The fact that most farmers accessed ZT via custom-hire services was accounted for in the model, and the importance of proximate service providers confirmed. We conclude that there is need for further awareness-raising campaigns for ZT technology, whereby, apart from mass media, agricultural extension should use contact farmers belonging to different social strata for effective within-village diffusion of messages, especially to the poorer farmers. The social inclusiveness of ZT use can be enhanced by supporting the emergence of more ZT service providers and by developing business models that lower the transaction costs of servicing smaller farms.