Existence of advanced glycation / lipoxidation end-products in parenteral nutrition solutions and effects of infusion conditions on their levels

Abstract Infusion solutions must be stable from the production stage until the infusion stage. Some infusion fluids contain degradation products, known as advanced glycation end products (AGEs); however, it is unknown whether AGEs exist in parenteral nutrition solutions. We aimed to investigate this question and test the effect of infusion conditions on AGE formation in parenteral nutrition solution. Nine parenteral nutrition solutions were supplied by the pharmacy with which we collaborated. To simulate the infusion conditions, the solutions were held in a patient room with standard lighting and temperature for 24 hours. Samples were taken at the beginning (group A) and the end (24th hour, group B) of the infusion period. The degradation products were 3-deoxyglucosone, pentosidine, N-carboxymethyl lysine, and 4-hydroxynonenal, which we investigated by high-performance liquid chromatography-mass spectrometry (LC-MS) and Q-TOF LC/MS methods. Two of four degradation products, 4-hydroxynonenal and N-carboxymethyl lysine, were detected in all samples, and Group B had higher levels of both compounds compared to Group A, who showed that the quantities of these compounds increased in room conditions over time. The increase was significant for 4-hydroxynonenal (p=0.03), but not for N-carboxymethyl lysine (p=0.23). Moreover, we detected in the parenteral nutrition solutions a compound that could have been 4-hydroxy-2-butynal or furanone

Phlebotomines (Diptera: Psychodidae) and Mosquitoes (Diptera: Culicidae) Surrounding an Environmental Protection Zone in the Metropolitan Region of Natal: Use of Light-Emitting Diode (LED) Bulbs in Entomological Surveillance.

Entomological surveillance is very important for parasite and arbovirus vector control programs. Light traps with incandescent bulbs are used to attract insects and analyze the factors that contribute to the occurrence of species surrounding an environmental protection zone. Phlebotomine and mosquito abundance and their diversity were analyzed. Captures occurred monthly using six CDC light traps with two incandescent bulbs, two blue and two red LED lights. A total of 2211 phlebotomines of seven species and 4486 mosquitoes belonging to 20 taxa were captured. Different phlebotomine and mosquito species were found in the forest and peridomestic environments, with a predominance of the sand fly Evandromyia walkeri (Newstead) and the mosquito Coquillettidia venezuelensis (Theobald). There was a significant difference in the abundance of sand flies captured with the three bulbs tested, the blue bulb being the most efficient. The Shannon-Wiener diversity index showed that the trap equipped with a red LED light obtained a higher value than that of the blue LED and incandescent bulb. Analyses showed that the potential vectors and non-vectors of the two groups circulate between the forest and the peridomestic environment, suggesting an adaptation process of species to the altered environment. An incandescent light bulb can be substituted by an LED bulb, without compromising the sensitivity of the method. A blue LED is indicated for the abundant capture of mosquitoes and sand flies, while a red LED obtains a better result in terms of species diversity per capture.

Rapid assessment of lamp spectrum to quantify ecological effects of light at night.

For many decades, the spectral composition of lighting was determined by the type of lamp, which also influenced potential effects of outdoor lights on species and ecosystems. Light-emitting diode (LED) lamps have dramatically increased the range of spectral profiles of light that is economically viable for outdoor lighting. Because of the array of choices, it is necessary to develop methods to predict the effects of different spectral profiles without conducting field studies, especially because older lighting systems are being replaced rapidly. We describe an approach to predict responses of exemplar organisms and groups to lamps of different spectral output by calculating an index based on action spectra from behavioral or visual characteristics of organisms and lamp spectral irradiance. We calculate relative response indices for a range of lamp types and light sources and develop an index that identifies lamps that minimize predicted effects as measured by ecological, physiological, and astronomical indices. Using these assessment metrics, filtered yellow-green and amber LEDs are predicted to have lower effects on wildlife than high pressure sodium lamps, while blue-rich lighting (e.g., K ≥ 2200) would have greater effects. The approach can be updated with new information about behavioral or visual responses of organisms and used to test new lighting products based on spectrum. Together with control of intensity, direction, and duration, the approach can be used to predict and then minimize the adverse effects of lighting and can be tailored to individual species or taxonomic groups.

Illumination and Reflectance Estimation with its Application in Foreground Detection.

In this paper, we introduce a novel approach to estimate the illumination and reflectance of an image. The approach is based on illumination-reflectance model and wavelet theory. We use a homomorphic wavelet filter (HWF) and define a wavelet quotient image (WQI) model based on dyadic wavelet transform. The illumination and reflectance components are estimated by using HWF and WQI, respectively. Based on the illumination and reflectance estimation we develop an algorithm to segment sows in grayscale video recordings which are captured in complex farrowing pens. Experimental results demonstrate that the algorithm can be applied to detect the domestic animals in complex environments such as light changes, motionless foreground objects and dynamic background.

Optical influence of the type of illuminant, substrates and thickness of ceramic materials.

OBJECTIVES: The present study is an instrumental evaluation of the optical influence of the type of illuminant, substrate and different thickness on the color of dental ceramics. METHODS: Thirty ceramic disks were prepared from IPS-Empress and IPS-Empress2 in three different thicknesses (1.5, 2.0 and 2.5mm). Disks made of composite resin; silver-palladium alloy and gold were used as substrates. The disks with a 1.5mm thickness were placed on a neutral gray photographic paper and measured with a spectrophotometer under three illuminants: daylight (D65), incandescent light (A) and fluorescent light (F6). All ceramic disks were combined with the substrate disks and a spectrophotometer was used to measure the coordinates of lightness (L*) and chromaticity (a* and b*). Two-way ANOVA (p<0.05) was used to analyze the combinations of ceramics, substrates and illuminants tested considering the coordinates of lightness (L*) and chromaticity (a* and b*), and also differences of color (DeltaE), lightness (DeltaL*), chromaticity values (Deltaa* and Deltab*). RESULTS: For the illuminants tested, the results present significant differences for coordinates of chromaticity a* and b*, suggesting a metamerism effect. In combination with the substrates, the results present statistical differences in all the tested conditions, especially where there is no ceramic substructure. SIGNIFICANCE: The presence of discolored tooth remnants or metallic posts and cores can interfere with the desired aesthetic result, based on the selection of color aided by a single luminous source. Thus, the substrate color effect, thickness of the ceramic materials and type of illuminant are important factors to be considered during the clinical application of the ceramic systems.

Puesta el día en iluminación / Update in lighting

A la hora de planificar la iluminación en una clínica dental, es muy importante lograr la funcionalidad de un buen sistema sin olvidar la estética, ni los posibles riesgos derivados de la misma. La iluminación en la clínica depende de varios factores los cuales interaccionan al unísono, es por tanto esencial prestarles una completa atención y cuidado minucioso, para conseguir así la optimización al completo de nuestro trabajo (AU)

When planning the lighting in a dental clinic, it is very important to achieve the functionality of a good system without forgetting aesthetics, or the possible risks that may be derived from it. Lighting in the clinic depends on various factors which interact simultaneously; therefore, it is essential to give it full attention and meticulous care, in order to attain the complete optimization of our work (AU)

High-intensity environmental light in dementia: effect on sleep and activity.

OBJECTIVES: To determine whether high-intensity ambient light in public areas of long-term care facilities will improve sleeping patterns and circadian rhythms of persons with dementia. DESIGN: A cluster-unit crossover intervention trial involving four conditions: morning bright light, evening bright light, all-day bright light, and minimum standard light. SETTING: The common areas of two geriatric units in a psychiatric hospital and a dementia-specific residential care facility. PARTICIPANTS: Sixty-six older adults with dementia. INTERVENTION: Ambient bright light of approximately 2,500 lux, delivered through a low-glare lighting system installed in the dining and activity areas. Participant exposure averaged 2.5 to 3.0 hours for the morning and evening interventions and 8.4 hours for the all-day intervention. MEASUREMENTS: Nighttime sleep using wrist actigraphy and daytime activity using nonobtrusive daytime observations. RESULTS: Night-time sleep increased significantly in participants exposed to morning and all-day light, with the increase most prominent in participants with severe or very severe dementia (mean increase 16 minutes (P=.008) for morning, and 14 minutes (P=.01) for all-day). Morning light produced a mean phase advance of 29 minutes (P=.02) and evening light a mean phase delay of 15 minutes (P=.06). Effects on daytime sleepiness were inconsistent, and the number of sleep bouts, mesor, amplitude, intradaily variability, and interdaily stability were not significantly different, indicating that the overall strength of day and night activity rhythms did not change significantly under any treatment condition. CONCLUSION: Bright light appears to have a modest but measurable effect on sleep in this population, and ambient light may be preferable to stationary devices such as light boxes.

Evaluation of an audiovisual-FM system: investigating the interaction between illumination level and a talker's skin color on speech-reading performance.

A program designed to evaluate the benefits of an audiovisual-frequency modulated (FM) system led to some questions concerning the effects of illumination level and a talker's skin color on speech-reading performance. To address those issues, the speech of a Caucasian female was videotaped under 2 conditions: a light skin color condition and a dark skin color condition. For the latter condition, makeup was applied to the talker's face. For both skin color conditions, the talker was recorded while speaking sentences under 7 different levels of illumination: 2, 3, 4, 16, 60, 256, and 600 footcandles (fc). Fifteen participants completed the speech perception task in a visual-only modality. The results revealed a significant interaction of illumination level and skin color. For the light skin color condition, speech-reading performance improved systematically as the illumination level increased from 3 to 16 fc. For the dark skin color condition, no differences in speech-reading performance were observed between the 2-fc and the 3-fc conditions. However, a large improvement in speech-reading performance was observed as the illumination level increased from 4 fc to 16 fc. It is speculated that in addition to an overall effect of illumination level, the contrast in luminance at the level of the talker's face has an effect on speech-reading performance.

Occurrence of refractive errors among students who before the age of two grew up under the influence of light emitted by incandescent or fluorescent lamps.

PURPOSE: The aim of the study was to determine whether the development of refractive errors could be associated with exposure to light emitted by incandescent or fluorescent lamps. MATERIAL AND METHODS: 3636 students were examined (1638 boys and 1998 girls, aged 6-18 years, mean age 12.1, SD 3.4). The examination included skiascopy with cycloplegia. Myopia was defined as refractive error < or = -0.5 D, hyperopia as refractive error > or = +1.5 D, astigmatism as refractive error > 0.5 DC. Anisometropia was diagnosed when the difference in the refraction of both eyes was > 1.0 D. The parents of all the students examined completed a questionnaire on the child's light exposure before the age oftwo. Data were analyzed statistically with the chi2 test. P values of less than 0.05 were considered statistically significant. RESULTS: It was observed that sleeping until the age of two in a room with a light turned on is associated with an increase in the occurrence of anisometropia (p < 0.02) as well as with a reduction in the prevalence of emmetropia (p < 0.05). It was also found that light emitted by fluorescent lamps leads to more frequent occurrence of astigmatism (p < 0.01).

Refractive errors among students occupying rooms lighted with incandescent or fluorescent lamps.

The purpose of the study was to determine whether the development of refractive errors could be associated with exposure to light emitted by incandescent or fluorescent lamps. 3636 students were examined (1638 boys and 1998 girls, aged 6-18 years, mean age 12.1, SD 3.4). The examination included retinoscopy with cycloplegia. Myopia was defined as refractive error < or = -0.5 D, hyperopia as refractive error > or = +1.5 D, astigmatism as refractive error > 0.5 DC. Anisometropia was diagnosed when the difference in the refraction of both eyes was > 1.0 D. The children and their parents completed a questionnaire on exposure to light at home. Data were analyzed statistically with the chi2 test. P values of less than 0.05 were considered statistically significant. It was found that the use of fluorescent lamps was associated with an increase in the occurrence of hyperopia (P < 0.01). There was no association between sleeping with the light turned on and prevalence of refractive errors.

Porcelain veneer bonding to enamel with plasma-arc light resin curing.

The resin bond strength of plasma-arc curing in restorative dentistry was investigated in comparison to halogen-light curing with respect to two kinds of thickness, shade and opacity of porcelain laminate veneers. The bond strength of the light-cured resin was evaluated by shear tests and SEM observations of the fracture surfaces, and the results were interpreted in terms of the degree of resin polymerization. It was found that plasma-arc curing for 6 s was sufficient to obtain bond strengths similar to those of specimens polymerized with halogen light for 40 s, whereas the plasma-arc curing time needed to be doubled to 12 s in order to achieve similar failure patterns for a darker-shade porcelain of 2 mm thickness. The bond strength achieved by plasma-arc curing was found to be relatively unaffected by the shade or opacity of porcelain.

Mecanismos de detección del contraste cromático y de luminancia en el sistema visual humano / Luminance and chromatic detection mechanisms of the human visual system

El objetivo de este artículo es dar una visión general del conocimiento actual acerca del procesamiento del contenido cromático y de luminancia por el Sistema Visual Humano (SVH). Aunque los primeros hallazgos hacían concebir un procesamiento modular en el que cada uno de estos tipos de información sería procesado de forma independiente para contribuir al procesamiento global de la imagen, la evidencia experimental más reciente muestra un panorama más complejo. Tanto a nivel fisiológico como psicofísico, se perfila una interacción entre ambos contrastes así como una asimetría en la forma en la que ambos participan en el procesamiento. (AU)

A review of devices used for photocuring resin-based composites.

Composite resin shrinks up to 5% by volume upon curing. This shrinkage and the associated contraction stress remain the two most significant clinical problems with curing resin composite restorations. Many patients continue to experience sensitivity following placement of direct composites and seating of indirect restorations utilizing resin cements. Unfortunately, some claims made by manufacturers or certain clinicians that promise to alleviate these problems are made from a marketing standpoint, with no refereed literature to support those claims. Even within the literature, contradictory results have been reported, perpetuating the confusion. It is of utmost importance that all practicing dentists be aware of the various types of curing systems available and the advantages and disadvantages of each system. It is the opinion of the author that no existing system will alleviate every problem. Until new composite systems are perfected, such as the cyclopolymerizable resins and expanding polymers, we will continue to have shrinkage and stress. Be aware of false claims, read and interpret the literature, and, most importantly, do what is best for your patients.

Halogen lamp phototoxicity.

BACKGROUND: The radiation from quartz halogen light bulbs has been reported to cause erythema in humans and skin tumors in experimental animals. OBJECTIVE: The objective of this study was to determine the relative risk of injury to humans due to the radiation from these lamps. METHODS: We studied a 12-volt 50-watt quartz halogen lamp. We measured its ultraviolet output spectrum and the biological toxicity of its radiation by means of its pyrimidine dimer-inducing capability. RESULTS: At a 1-cm distance, the 254-nm light output of the lamp is 3 x 10(-7) W/cm2/nm. Solar radiation at this wavelength is undetectable on the earth's surface, i.e., less than 10(-12) W/cm2/nm. At 290 nm, the lamp output is approximately 3 x 10(-6) W/cm2/nm, 5,000 times greater than the summertime sun at 1 p.m. at sea level in Kuwait. The UVB and UVA output of the lamp is roughly similar to the solar output under these conditions. We also measured the pyrimidine dimer-forming potential of the lamps relative to the sun for the purpose of estimating the DNA toxicity of the lamps. At a 7-cm distance the lamp induces approximately 3.9 pyrimidine dimers/100,000 bp/min. This is approximately 4 times more rapid than that of the noontime summer sun in Michigan. CONCLUSIONS: We conclude that direct radiation from these lamps can cause damage to human skin, due to their UVC and UVB output. We estimate that the relative risk to keratinocyte DNA in human skin, in vivo, from exposure to the 50-watt halogen lamp at a distance of 7 cm is between 27 and 400% of the noontime summer sun in Michigan.