Quality and safety of milk from farm to dairy product

End of Project ReportNeutrophils (PMN cells) constitute one of the main cell types in milk. Increased PMN level is an indication of mastitis. An ELISA method has been developed to determine PMN levels in milk. This may allow (in addition to somatic cell count [SCC]) selection of infected quarters at drying off, thereby allowing antibiotic therapy to be limited to those quarters. PMN counts may also be used to select milk for processing. Little information is available on the contribution of different somatic cells in milk to cheese-making efficiency. The overall objective of this study was to establish the influence of the quality of raw milk, as determined by somatic cell level and type, on milk biochemistry and cheese quality. The work firstly included modification to a method for an enzyme immunoassay, which could enumerate milk PMN. Subsequently, the impact of somatic cell and PMN content on biochemistry of individual udder quarter milks and simulated bulk cow milks, and quality of cheese manufactured from such milks was investigated. The somatic cell and PMN content of bulk herd milks was also investigated. The modification to the test of O’Sullivan et al (1992) allowed the accurate measurement of PMN levels in milk. The strong relationship or correlation between SCC and PMN of 92% in the individual quarter milks has confirmed previous preliminary data. This is important since PMN in conjunction with SCC may now provide a more reliable method of selecting milks for processing. The reduction in casein at elevated SCC and PMN levels may have resulted in the trend towards deteriorated milk coagulation properties. A very heterogeneous selection of proteolysis patterns was observed in the miniature cheeses. This substantial difference in proteolytic activity in milk from different quarters had not been observed previously. Enzymes associated with the cells in high SCC milk were retained in the cheese curd and thus, contributed to proteolysis during ripening. Addition of low volumes of high SCC milk had an obvious impact on proteolysis patterns and cheese ripening. However, such trends were generally less clear with increasing PMN milk than those observed for addition of high SCC milk. The poor correlation between SCC and PMN obtained in both cow and herd bulk milks, compared to the correlation in quarter milks was probably due to the mixing of high and low SCC milks from either quarters or cows. Thus, the true effect of PMN may not be observed in bulk herd milk but may still have an adverse effect on milk quality. Whether elevated bulk milk SCC and PMN level is due to milk from a smaller number of cows with extremely high SCC/PMN being included with milk from a predominantly healthy herd, or, to large numbers of cows with sub-clinical infections, probably contributes to variation in the effects of SCC/PMN on dairy products

UVA irradiation of human skin vasodilates arterial vasculature and lowers blood pressure independently of nitric oxide synthase

The incidence of hypertension and cardiovascular disease correlates with latitude and rises in winter. The molecular basis for this remains obscure. As nitric oxide (NO) metabolites are abundant in human skin we hypothesised that exposure to UVA may mobilise NO bioactivity into the circulation to exert beneficial cardiovascular effects independently of vitamin D. In 24 healthy volunteers irradiation of the skin with 2 Standard Erythemal Doses of UVA lowered BP, with concomitant decreases in circulating nitrate and rises in nitrite concentrations. Unexpectedly, acute dietary intervention aimed at modulating systemic nitrate availability had no effect on UV-induced hemodynamic changes, indicating that cardiovascular effects were not mediated via direct utilization of circulating nitrate. UVA irradiation of the forearm caused increased blood flow independently of NO-synthase activity, suggesting involvement of pre-formed cutaneous NO stores. Confocal fluorescence microscopy studies of human skin pre-labelled with the NO-imaging probe DAF2-DA revealed that UVA-induced NO release occurs in a NOS-independent, dose-dependent fashion, with the majority of the light-sensitive NO pool in the upper epidermis. Collectively, our data provide mechanistic insights into an important function of the skin in modulating systemic NO bioavailability which may account for the latitudinal and seasonal variations of BP and cardiovascular disease.Journal of Investigative Dermatology accepted article preview online, 20 January 2014

The Role of Targeted HIV Screening in the Emergency Department:A Scoping Review

BACKGROUND: Human immunodeficiency virus (HIV) infection continues to expand worldwide and a significant proportion of infection is still undiagnosed. Recent studies have addressed the impact and feasibility of 'opt-out' HIV screening in Emergency Departments (EDs) in urban settings at high HIV prevalence, whereas little is known about the yield of implementing 'targeted' HIV testing especially in low-prevalence areas.OBJECTIVE: The present study undertakes a scoping review of research carried out on the implementation of targeted HIV screening in adult EDs to determine the impact, feasibility and acceptability of HIV testing in different HIV prevalence settings.DESIGN: Online databases (EMBASE, MEDLINE) were used to identify papers published between 2000 to 2020. A threeconcept search was employed with HIV (HIV, Human immunodeficiency virus infection, HIV infections), targeted testing (Target, screening or testing) and emergency medicine (Emergency Service, emergency ward, A&E, accident and emergency or Emergency Department) (28th February 2020). Only full-text articles written in English, French, Spanish or Italian and using impact and/or feasibility and/or acceptability of the program as primary or secondary outcomes were analysed.RESULTS: The search returned 416 articles. Of these, 12 met inclusion criteria and were included in the final review. Most of the included studies were carried out in the United States (n=8; 67%) and in areas of high HIV prevalence (n=11; 92%). Three (20%) were randomized control studies. While the rate of newly diagnosed HIV cases varied widely (0.03-2.2%), likely due to methodological heterogeneity between studies, the linkage of new HIV diagnosis was often high (80-100%) and median CD4+ cell count was always greater than 200 cells per microliter. Targeted HIV screening was found to be cost-effective (out of 2 studies) and well accepted by participants (out 2 studies).CONCLUSIONS: Targeted HIV screening at the ED can be impactful, feasible and well accepted, but often requires extra funding and staff. Most previous work has focused on areas of high disease prevalence

State Aesthetics and State Meanings: Political Architecture In Ghana And Côte D’ivoire

There is a striking difference between state buildings in Ghana and Côte d’Ivoire, and in how citizens living in each country’s capital city think and talk about them. In this article we explore the degree to which these buildings illustrate very different ideas of statehood in West Africa. We draw on art theories from West Africa to argue that architectural aesthetics rest on juxtapositions of beauty and the sublime and we suggest ways these help establish state meaning. We then apply our aesthetic approach to citizens’ evaluations of their state buildings in Ghana and Côte d’Ivoire and illustrate how differently the approach plays out, in Ghana where the state emerges as acclimatized and relatively robust and in Côte d’Ivoire where the state emerges as idealized and fragile

Pennsylvania Folklife Vol. 43, No. 3

• The Old Order Amish • Amish Quilts: Creativity Supported by Rules and Traditions • Conflict: A Mainspring of Amish Society • Occupational Opportunities for Old Order Amish Women • The Amish Taboo on Photography: Its Historical and Social Significance • Our Changing Amish Church District • Images of the Amish on Stage and Film • Amish Gardens: A Symbol of Identity • The Myth of the Ideal Folk Society Versus the Reality of Amish Lifehttps://digitalcommons.ursinus.edu/pafolklifemag/1140/thumbnail.jp

Community research report

University College Cork introduced its first Community-based Participatory Research (CBPR) module in 2016. The module was funded and supported by Horizon2020 funding, specifically the EnRRICH project (Enhancing Responsible Research and Innovation through Curricula in Higher Education). The module is a 5-credit module for PhD students from all disciplines in the early stages of their PhD at University College Cork. Following two fruitful partnerships in the areas of social justice / equality, community family support services and older persons, there was a keen interested to explore partnerships in markedly different areas such as environmental sustainability. A dialogue ensued with CEF where the opportunity and feasibility to collaborate on the CBPR module was explored

iSupport : a WHO global online intervention for informal caregivers of people with dementia

In 2015, it was estimated that worldwide 47 million people had dementia, increasing to 75 million in 2030 and 132 million by 2050. Nearly 9.9 million people are expected to develop dementia each year, which translates to one new case every three seconds. While dementia occurs across all levels of socioeconomic status, nearly 60% of people with dementia currently live in low‐ and middle‐income countries (LMICs) and most new cases (71%) are expected to occur in those countries. The majority of people with dementia in those countries do not have access to care and support

The impact of the metabotropic glutamate receptor and other gene family interaction networks on autism.

International audienceAlthough multiple reports show that defective genetic networks underlie the aetiology of autism, few have translated into pharmacotherapeutic opportunities. Since drugs compete with endogenous small molecules for protein binding, many successful drugs target large gene families with multiple drug binding sites. Here we search for defective gene family interaction networks (GFINs) in 6,742 patients with the ASDs relative to 12,544 neurologically normal controls, to find potentially druggable genetic targets. We find significant enrichment of structural defects (P≤2.40E-09, 1.8-fold enrichment) in the metabotropic glutamate receptor (GRM) GFIN, previously observed to impact attention deficit hyperactivity disorder (ADHD) and schizophrenia. Also, the MXD-MYC-MAX network of genes, previously implicated in cancer, is significantly enriched (P≤3.83E-23, 2.5-fold enrichment), as is the calmodulin 1 (CALM1) gene interaction network (P≤4.16E-04, 14.4-fold enrichment), which regulates voltage-independent calcium-activated action potentials at the neuronal synapse. We find that multiple defective gene family interactions underlie autism, presenting new translational opportunities to explore for therapeutic interventions

Convergence of Genes and Cellular Pathways Dysregulated in Autism Spectrum Disorders.

International audienceRare copy-number variation (CNV) is an important source of risk for autism spectrum disorders (ASDs). We analyzed 2,446 ASD-affected families and confirmed an excess of genic deletions and duplications in affected versus control groups (1.41-fold, p = 1.0 × 10(-5)) and an increase in affected subjects carrying exonic pathogenic CNVs overlapping known loci associated with dominant or X-linked ASD and intellectual disability (odds ratio = 12.62, p = 2.7 × 10(-15), ∼3% of ASD subjects). Pathogenic CNVs, often showing variable expressivity, included rare de novo and inherited events at 36 loci, implicating ASD-associated genes (CHD2, HDAC4, and GDI1) previously linked to other neurodevelopmental disorders, as well as other genes such as SETD5, MIR137, and HDAC9. Consistent with hypothesized gender-specific modulators, females with ASD were more likely to have highly penetrant CNVs (p = 0.017) and were also overrepresented among subjects with fragile X syndrome protein targets (p = 0.02). Genes affected by de novo CNVs and/or loss-of-function single-nucleotide variants converged on networks related to neuronal signaling and development, synapse function, and chromatin regulation

A novel approach of homozygous haplotype sharing identifies candidate genes in autism spectrum disorder

Autism spectrum disorder (ASD) is a highly heritable disorder of complex and heterogeneous aetiology. It is primarily characterized by altered cognitive ability including impaired language and communication skills and fundamental deficits in social reciprocity. Despite some notable successes in neuropsychiatric genetics, overall, the high heritability of ASD (~90%) remains poorly explained by common genetic risk variants. However, recent studies suggest that rare genomic variation, in particular copy number variation, may account for a significant proportion of the genetic basis of ASD. We present a large scale analysis to identify candidate genes which may contain low-frequency recessive variation contributing to ASD while taking into account the potential contribution of population differences to the genetic heterogeneity of ASD. Our strategy, homozygous haplotype (HH) mapping, aims to detect homozygous segments of identical haplotype structure that are shared at a higher frequency amongst ASD patients compared to parental controls. The analysis was performed on 1,402 Autism Genome Project trios genotyped for 1 million single nucleotide polymorphisms (SNPs). We identified 25 known and 1,218 novel ASD candidate genes in the discovery analysis including CADM2, ABHD14A, CHRFAM7A, GRIK2, GRM3, EPHA3, FGF10, KCND2, PDZK1, IMMP2L and FOXP2. Furthermore, 10 of the previously reported ASD genes and 300 of the novel candidates identified in the discovery analysis were replicated in an independent sample of 1,182 trios. Our results demonstrate that regions of HH are significantly enriched for previously reported ASD candidate genes and the observed association is independent of gene size (odds ratio 2.10). Our findings highlight the applicability of HH mapping in complex disorders such as ASD and offer an alternative approach to the analysis of genome-wide association data