Sub-lethal concentrations of neonicotinoid insecticides at the field level affect negatively honey yield: Evidence from a 6-year survey of Greek apiaries.

The threats posed by neonicotinoid insecticides to bee populations have been the focus of considerable research. Previous work has shed new light on the effects of neonicotinoids on bees by uncovering pathways through which neonicotinoids affect bee population dynamics and the potential interactions they have with exogenous stressors. Yet, little is known about whether these effects translate in a field-relevant setting to substantial losses in honey yields for commercial beekeepers. Here, we used data from a 6-year survey of 60 apiaries in Greece and economic modelling to assess at the field level the effects of neonicotinoid insecticides on honey production. Based on production function estimates, we found that sub-lethal concentrations of two widely used neonicotinoid insecticides (imidacloprid and thiamethoxam) detected in the nectar of flowers resulted in substantial losses in honey production for commercial beekeepers in our sample. By simulating a scenario with ideal pathogenic and environmental conditions, we found that the magnitude of the neonicotinoid effects decreases significantly under ideal conditions providing evidence for possible synergies at the field between neonicotinoids and environmental and pathogenic factors. Moreover, in a replicated study with grouped apiaries, we found evidence that the marginal effects of neonicotinoids on honey production vary across apiaries facing different conditions.

Global Health Journal Club: Is Honey Effective as a Treatment for Chemotherapy-induced Mucositis in Paediatric Oncology Patients?

Oral mucositis (OM) is an inflammatory response of mucosal epithelium to the cytotoxic effects of chemotherapy and radiotherapy causing severe oral pain and ulceration, which may complicate the management of cancer. The Mucositis Prevention Guideline Development Group has developed an international guideline for the prevention of mucositis in children receiving treatment for cancer or undergoing haematopoietic stem cell transplantation. Evidence-based preventative strategies include cryotherapy, low-level light therapy and keratinocyte growth factor. However, these strategies are often not available in resource-poor settings. There is some evidence that honey may be a suitable treatment for OM in adult patients. We performed a literature search of 11 databases to find papers exploring the use of honey to treat chemotherapy-associated mucositis in paediatric oncology patients. We found four papers, which provide Grade C evidence that honey is effective as a preventative and therapeutic measure for OM in paediatric oncology patients.

Towards a better understanding of the therapeutic applications and corresponding mechanisms of action of honey.

Honey is a bee-derived supersaturated solution composed of complex contents mainly glucose, fructose, amino acids, vitamins, and minerals. Composition of honey may vary due to the difference in nectar, season, geography, and storage condition. Honey has been used since times immemorial in folk medicine and has recently been rediscovered as an excellent therapeutic agent. In the past, honey was used for a variety of ailments without knowing the scientific background and active ingredients of honey. Today, honey has been scientifically proven for its antioxidant, regulation of glycemic response, antitumor, antimicrobial, anti-inflammatory, and cardiovascular potentiating agent. It can be used as a wound dressing and healing substance. Honey is different in color, flavor, sensory perception, and medical response. Apart from highlighting the nutritional facts of honey, we collected the finding of the published literature to know the mechanism of action of honey in different diseases. This review covers the composition, physiochemical characteristics, and some medical uses.

Medical-Grade Honey Dressing Use in Developing Countries.

Compared with other medical honeys, SurgihoneyRO (H&R Healthcare Ltd, Southmoor, Abingdon, United Kingdom), a bioengineered medical-grade honey, delivers low concentrations of reactive oxygen to wounds over a sustained period. This article describes how one provider, Dr Jill Brooks, has successfully used this new antimicrobial dressing in Africa and examines the potential positive impact this dressing could have on wound care in developing countries.

Fighting Off Wound Pathogens in Horses with Honeybee Lactic Acid Bacteria.

In the global perspective of antibiotic resistance, it is urgent to find potent topical antibiotics for the use in human and animal infection. Healing of equine wounds, particularly in the limbs, is difficult due to hydrostatic factors and exposure to environmental contaminants, which can lead to heavy bio-burden/biofilm formation and sometimes to infection. Therefore, antibiotics are often prescribed. Recent studies have shown that honeybee-specific lactic acid bacteria (LAB), involved in honey production, and inhibit human wound pathogens. The aim of this pilot study was to investigate the effects on the healing of hard-to-heal equine wounds after treatment with these LAB symbionts viable in a heather honey formulation. For this, we included ten horses with wound duration of >1 year, investigated the wound microbiota, and treated wounds with the novel honeybee LAB formulation. We identified the microbiota using MALDI-TOF mass spectrometry and DNA sequencing. In addition, the antimicrobial properties of the honeybee LAB formulation were tested against all wound isolates in vitro. Our results indicate a diverse wound microbiota including fifty-three bacterial species that showed 90 % colonization by at least one species of Staphylococcus. Treatment with the formulation promoted wound healing in all cases already after the first application and the wounds were either completely healed (n = 3) in less than 20 days or healing was in progress. Furthermore, the honeybee LAB formulation inhibited all pathogens when tested in vitro. Consequently, this new treatment option presents as a powerful candidate for the topical treatment of hard-to-heal wounds in horses.

Evaluation of the Honey-Card Technique for Detection of Transmission of Arboviruses in Florida and Comparison With Sentinel Chicken Seroconversion.

Zoonotic mosquito-borne viruses, such as the West Nile virus (WNV) and eastern equine encephalitis virus (EEEV), are major public health threats in the United States. Early detection of virus transmission and targeted vector management are critical to protect humans against these pathogens. Sentinel chickens and pool screening of mosquitoes, the most widely used methods of arbovirus early detection, have technical time-lags that compromise their early-detection value. The exploitation of sugar-feeding by trapped mosquitoes for arbovirus surveillance may represent a viable alternative to other methods. Here we compared effectiveness of sugar-impregnated nucleic-acid preserving substrates (SIPS) and sentinel chicken program for detecting WNV, EEEV, and St. Louis encephalitis virus in gravid traps, CO2-baited light traps, and resting traps at 10 locations in two Florida counties. In St. Johns County, comparable numbers of EEEV detections were made by SIPS traps (18) and sentinel chickens (22), but fewer WNV detections were made using SIPS (1) than sentinel chickens (13). In Volusia County, seven arbovirus detections were made via the sentinel chicken program (one EEEV and six WNV), whereas only one arbovirus detection (WNV) was made using SIPS. CO2-baited light traps captured >90% of total mosquitoes, yet yielded <30% of arbovirus detections. Resting traps and gravid traps captured a fraction of total mosquitoes, yet yielded roughly equivalent numbers of arbovirus detections, as did light traps. Challenges to successful deployment of SIPS include optimization of traps for collecting all vector species, increasing sugar-feeding rates of trapped vectors, and developing tractable methods for arbovirus detection.

The use of desiccation to treat Staphylococcus aureus biofilm-infected wounds.

Chronic wounds colonized with biofilm present a major burden to our healthcare system. While the current paradigm for wound healing is to maintain a moist environment, we sought to evaluate the effects of desiccation, and the ability of honey to desiccate wounds, on wound healing characteristics in Staphylococcus aureus biofilm wounds. In vivo biofilm wound healing after exposure to open-air desiccation, honey, molasses, and saline was analyzed using a rabbit ear model of S. aureus biofilm wounds previously developed by our group. Wound morphology was examined using scanning electron microscopy and granulation tissue deposition was measured using light microscopy with hematoxylin and eosin staining. Viable bacterial counts in rabbit ear biofilm wounds and scabs were measured using a drop dilution method. In vitro S. aureus growth curves were established using tryptic soy broth containing honey and glycerol. Gene expression analysis of rabbit ear wounds was performed using reverse transcription quantitative PCR. Rabbit ear S. aureus biofilm wounds exposed to open-air desiccation, honey, and molasses developed a dry scab, which displaced the majority of biofilm bacteria off of the wound bed. Wounds treated with open-air desiccation, honey, and molasses expressed lower levels of the inflammatory markers tumor necrosis factor-α and interleukin-1ß at postoperative day 12 compared with wounds treated with saline, and had increased levels of granulation tissue formation. In vitro growth of S. aureus in tryptic soy broth was inhibited by the presence of honey to a greater extent than by the presence of osmolality-matched glycerol. Desiccation of chronic wounds colonized with biofilm via exposure to open air or honey leads to improved wound healing by decreasing bacterial burden and inflammation, and increasing granulation tissue formation. The ability of honey to help heal chronic wounds is at least in part due to its ability to desiccate bacterial biofilm, but other factors clearly contribute.

Methylglyoxal-augmented manuka honey as a topical anti-Staphylococcus aureus biofilm agent: safety and efficacy in an in vivo model.

BACKGROUND: Bacterial biofilms are thought to contribute to recalcitrance in chronic rhinosinusitis (CRS) patients. Manuka honey (MH) and its active component methylglyoxal (MGO) have demonstrated antibiofilm activity in vitro. This study evaluated the safety and efficacy of these agents in an in vivo model. METHODS: To assess safety, ovine frontal sinuses were flushed twice daily for 14 days. In each sheep, 1 sinus was flushed with a panel of MGO concentrations ranging from 0.5 to 7.2 mg/mL alone and flushed with a panel of with 16.5% wt/vol MH enriched with MGO at the same range of concentrations (0.5-7.2 mg/mL; designated MH/MGO). Contralateral sinuses were flushed with saline control. Tissue morphology was assessed histologically and with scanning electron microscopy. Efficacy was tested by developing Staphylococcus aureus biofilms in sheep sinuses. Twice-daily irrigation for 5 days was commenced with either saline, MGO (0.5-3.6 mg/mL) alone, or MH/MGO (with 0.5-3.6 mg/mL MGO). Biofilm biomass was compared between the groups (n = 4) using LIVE/DEAD BacLight staining and confocal scanning laser microscopy. RESULTS: The results of the safety assessment, for normal sinuses treated with MGO alone or with MH/MGO (≤1.8 mg/mL) showed normal pseudostratified epithelium and cilia structure; however, higher concentrations caused cilia denudation and squamous metaplasia. As for efficacy, when compared to saline flush, treatment with MH/MGO at 0.9 mg/mL (0.608 ± 0.110 vs 0.316 ± 0.197 µm(3) /µm(2) , respectively; p = 0.015) and 1.8 mg/mL (0.676 ± 0.079 vs 0.114 ± 0.033 µm(3) /µm(2) , respectively; p = 0.001) significantly reduced biofilm biomass. CONCLUSION: Sinus irrigation with MH/MGO at MGO concentrations between 0.9 and 1.8 mg/mL is both safe to mucosa and efficacious against S. aureus biofilm. MH/MGO irrigation could represent a viable treatment option for recalcitrant CRS.

Inhibitory effects of Tualang Honey on experimental breast cancer in rats: a preliminary study.

The study was conducted to determine the effect of Malaysian jungle Tualang Honey (TH) on development of breast cancer induced by the carcinogen 7,12-dimethylbenz(α)anthracene (DMBA) in rats. Forty nulliparous female Sprague-Dawley rats were given 80 mg/kg DMBA then randomly divided into four groups: Group 1 served as a Control while Groups 2, 3 and 4 received 0.2, 1.0 or 2.0 g/kg bodyweight/day of TH, respectively, for 150 days. Results showed that breast cancers in the TH-treated groups had slower size increment and smaller mean tumor size (≤ 2 cm3) compared to Controls (≤ 8 cm3). The number of cancers developing in TH-treated groups was also significantly fewer (P<0.05). Histological grading showed majority of TH-treated group cancers to be of grade 1 and 2 compared to grade 3 in controls. There was an increasing trend of apoptotic index (AI) seen in TH-treated groups with increasing dosage of Tualang Honey, however, the mean AI values of all TH-treated groups were not significantly different from the Control value (p>0.05). In conclusion, Tualang Honey exerted positive modulation effects on DMBA-induced breast cancers in rats in this preliminary study.

Honey pacifier use among an indigent pediatric population.

BACKGROUND: Use of honey pacifiers by infants presenting to a pediatric clinic at a county hospital in Houston, Texas, was observed by several of our staff members. Although we could not find any published studies linking the use of honey pacifiers to infant botulism, we also could not find any studies assessing the prevalence of honey pacifier use in general. METHODS: We conducted a cross-sectional, descriptive study using a novel survey that had 19 items. The survey was administered to the parents of children up to age 12 months presenting to a county hospital pediatric clinic for well-child care in Houston, Texas, from February 2010 to April 2011. RESULTS: There were 397 respondents. Approximately 11% of the respondents reported using honey pacifiers with their infant children. Reasons for use included tradition, infant preference, and perceived health benefits (eg, helps with constipation or colic). Approximately 20% of the honey pacifier users and 23% of the entire group reported knowledge of honey potentially causing an illness in children <12 months of age. Nearly 40% of all respondents also reported using herbal or folk remedies. CONCLUSIONS: Honey pacifier use was relatively common among this population, seen in ∼1 out of 10 respondents. A majority of the mothers surveyed (∼80%) were unaware of the potential dangers of giving honey to infants under age 12 months. Herbal medicine use was also common.

[The potential use of honey in ophthalmology]. / Moznosti vyuzitia vcelieho medu v oftalmológii.

Honey is considered to be a natural product with antibacterial and anti-inflammatory properties. Its successful application in the treatment of chronic wounds and burns has promoted its further clinical use in other clinical departments, including ophthalmology. One of the major advantages of honey is its multi-factorial antibacterial action and the fact that there is no risk of developing bacterial resistance to it. In this work we discuss the current knowledge and new perspectives for honey therapy in treatment of eye diseases such as dry eye disease, age-related macular degeneration, cataracts and bullous keratopathy. Key words: honey, eye diseases, natural product, treatment.

Association of erosion with dietary factors among 5-year-old children in India.

PURPOSE: The purpose of this study was to determine the association of dental erosion with dietary factors and oral hygiene practices among 5-year-old schoolchildren in Belgaum, Karnataka, India. METHODS: A random sample of 1,002 5-year-old children was drawn from Belgaum schools. Erosion was assessed using the modified Smith and Knight index. A self-designed questionnaire was used to probe into the details of the children's dietary practices. RESULTS: Frequency of consumption of beverages, canned juices, tamarind, and honey, a mixed diet, and frequency of teeth cleaning were significant predictors of dental erosion. Oral hygiene practices like timing of cleaning teeth and materials used did not show significant association with dental erosion. CONCLUSION: Certain dietary factors like canned juice, raw mango, gooseberry, tamarind, honey, buttermilk, and beverages showed significant correlation with dental erosion. Dietary counseling must take this into consideration.

Comparación de mieles producidas por la abeja yateí (Tetragonisca fiebrigi) en Argentina y Paraguay / Comparison of honeys produced by the bee yateí (Tetragonisca fiebrigi) in Argentina and Paraguay

Tetragonisca fiebrigi Schwarz 1938 es una abeja sin aguijón conocida como yateí en Argentina y Paraguay. Al igual que otras especies de Meliponini, esta abeja nativa produce miel en botijas, con acidez y humedad más elevadas que los requisitos en mieles de Apis mellifera L. Se compararon 16 muestras de miel de T. fiebrigi producidas en la provincia de Misiones, Argentina y en el departamento de Itapuá, Paraguay según su contenido de humedad por refractometría, el color instrumental, la capacidad antioxidante en equivalentes de Trolox (TEAC) con el método del catión radical ABTS.+, el contenido de flavonoides con el cloruro de aluminio y el de polifenoles totales con el reactivo Folin Ciocalteu, y la actividad antibacteriana. Las propiedades de las mieles de Argentina y Paraguay variaron como se indica a continuación en color (107,18±19,40 y 100,40±15,47 mm Pfund), contenido de humedad (23,89±1,74 y 23,68±0,78 g agua/100 g miel), flavonoides (14,37±11,11 y 12,66±4,82 mg EQ/100 g miel), polifenoles (240,74±94,05 y 148,29±17,75 mg EAG/100 g miel) y TEAC (160,15±60,50 y 120,91±38,67 mymoles equivalentes Trolox/100 g miel). El color, la humedad, los contenidos de flavonoides y de polifenoles no variaron significativamente según el origen geográfico de las mieles, pero la TEAC fue mayor en las mieles argentinas que en las paraguayas. La concentración inhibitoria mínima de miel fue mayor contra Escherichia coli (50 g/100 mL) que contra Staphylococcus aureus (6,25 a 50 g/100 mL). Esta caracterización de mieles de yateí es una contribución para sugerir sus estándares de calidad.

Tetragonisca fiebrigi Schwarz 1938 is a stingless bee named yateí in Argentina and Paraguay. As well as other Meliponini species, this native bee stores honey in pots with acidity and moisture higher than the Apis mellifera L. honey standards. Sixteen T. fiebrigi honey samples produced in the county of Misiones, Argentina, and Itapuá department, Paraguay were compared according to their Trolox equivalent antioxidant capacity (TEAC) by the method of the radical cation ABTS.+, flavonoid with aluminium chloride and total polyphenols contents with the Folin-Ciocalteu reagent. The properties between honeys from Argentina and Paraguay varied as follows in color (107.18±19.40 and 100.40±15.47 mm Pfund), moisture (23.89±1.74 and 23.68±0.78 g water/100 g honey), flavonoids (14.37±11.11 and 12.66±4.82 mg QE/100 g honey), poliphenols (240.74±94.05 and 148.29±17.75 mg GAE/100 g honey), and TEAC (160.15±60.50 and 120.91±38.67 mumoles Trolox equivalents/100 g honey). The color, moisture, flavonoid and polyphenol contents did not vary significantly according to the geographical origin, but the TEAC was higher in the honeys from Argentina than in those from Paraguay. This characterization of yateí honey is a contribution to suggest its quality standards.

Honey-based dressings and wound care: an option for care in the United States.

Honey-based wound dressings have been used worldwide since ancient times. A honey product received US Federal Drug Administration approval in 2007, making this dressing an option for wound care. Honey has been found to exert anti-inflammatory and antibacterial effects without antibiotic resistance, promote moist wound healing, and facilitate debridement. However, it may cause a stinging pain. As is true of any wound dressing, its use must be carefully selected and monitored. Continued research is needed to add to its evidence base. This article provides a summary of the current evidence base for the use of honey and a review of its therapeutic effects and discusses implications for WOC nursing practice.

Leg ulcer management with topical medical honey.

Three case studies of patients with leg ulceration are used to illustrate the effectiveness of Medihoney antibacterial wound gel (Medical honey) in wound healing via wound bed preparation. The aim was to improve the patient's quality of life, during the healing process, through provision of comfort, reduction in pain and protection from infection. Three patients with chronic leg ulceration were assessed as potentially benefiting from the action of medical honey to achieve wound healing. Patient selection was based on structured leg ulcer assessment. The aetiology of ulceration in patient 1 was mixed arterial and venous, and in patient 2 and 3, venous. All had several years' history of reoccurrence. Promotion of healing occurred in all instances with a reduction in the incidence of infection, reduction in pain and the provision of comfort. Antibacterial medical honey should therefore be considered as a dressing option when assessing and managing chronic wounds.

Mieles checas categorizadas según su actividad antioxidante / Czech honey categorized according to their antioxidant activity

La bioactividad de la miel de abejas ha sido aplicada en apiterapia tradicional y moderna. El origen botánico ocasiona variaciones en los principios activos y en el color de este producto, desde incoloro y blanquecino hasta marrón oscuro en la escala ámbar. Se evaluó la actividad antioxidante total (AAT) de 50 mieles enviadas al servicio de Análisis Químico del Instituto de Investigaciones Apícolas en Dol, República Checa, con el método del catión radical ABTS·+. Se encontraron las siguientes variaciones de AAT (µmoles equivalentes Trolox) para 22 mieles florales (60,12-287,55), 15 mieles de mielada (53,71-280,04) y 13 mieles mixtas (43,55-290,35). La AAT no varió significativamente según el origen botánico de las mieles, pero fue directamente proporcional al color y al contenido de flavonoides y de polifenoles. Se sugiere una clasificación de mieles según su contenido bajo, medio o alto de AAT.

The bioactivity of honey has been used in traditional and modern apitherapy. The botanical origin of honey causes variations in this product's active principles and color, from almost colorless whitish to dark brown in the amber scale. The total antioxidant activity (TAA) of 50 honeys sent to the service of Chemical Analysis of the Institute of Apicultural Investigations in Dol, Czech Republic, was evaluated by the method of the radical cation ABTS·+. The following variations of AAT (µmols Trolox equivalent) were found for 22 floral honeys (60.12-287.55), 15 honeydew honeys (53.71-280.04) and 13 mixed honeys (43.55-290.35). The TAA did not vary significantly according to the botanical origin but was directly proportional to color and content of flavonoids and polyphenols. A classification of honey according to its low, medium and high TAA is suggested.

A five-year review of burn injuries in Irrua.

BACKGROUND: The management of burns remains a challenge in developing countries. Few data exist to document the extent of the problem. This study provides data from a suburban setting by documenting the epidemiology of burn injury and ascertaining outcome of management. This will help in planning strategies for prevention of burns and reducing severity of complications. METHODS: A total of 72 patients admitted for burns between January 1st, 2002 and December 31st, 2006 at the Irrua specialist teaching hospital were studied retrospectively. Sources of information were the case notes and operation registers. Data extracted included demographics as well as treatment methods and outcome RESULTS: The results revealed male to female ratio of 2.1:1. Over 50% of the injuries occurred at home. There was a seasonal variation with over 40% of injuries occurring between November and January. The commonest etiologic agent was flame burn from kerosene explosion. There were 7 deaths in the series. CONCLUSION: Burns are preventable. We recommend adequate supply of unadulterated petroleum products and establishment of burn centers.