An Evaluation of a Battery of Functional and Structural Tests as Predictors of Likely Risk of Progression of Age-Related Macular Degeneration.

Purpose: To evaluate the ability of visual function and structural tests to identify the likely risk of progression from early/intermediate to advanced AMD, using the Age-Related Eye Disease Study (AREDS) simplified scale as a surrogate for risk of progression. The secondary aim was to determine the relationship between disease severity grade and the observed functional and structural deficits. Methods: A total of 100 participants whose AMD status varied from early to advanced were recruited. Visual function was assessed using cone dark adaptation, 14 Hz flicker and chromatic threshold tests and retinal structure was assessed by measuring drusen volume and macular thickness. The predictive value of the tests was estimated using ordinal regression analysis. Group comparisons were assessed using analysis of covariance. Results: Change in cone dark adaptation (cone τ) and yellow-blue (YB) chromatic sensitivity were independent predictors for AMD progression risk (cone τ, pseudo R2 = 0.35, P < 0.001; YB chromatic threshold, pseudo R2 = 0.16, P < 0.001). The only structural predictor was foveal thickness (R2 = 0.05, P = 0.047). Chromatic sensitivity and cone dark adaptation were also the best functional tests at distinguishing between severity groups. Drusen characteristics clearly differentiated between participants with early and advanced disease, but were not able to differentiate between those with early AMD and controls. Mean differences in retinal thickness existed between severity groups at the foveal (P = 0.040) and inner (P = 0.001) subfields. Conclusions: This study indicates that cone τ, YB chromatic threshold and foveal thickness are independent predictors of likely risk of AMD progression

Do preserved foods increase prostate cancer risk?

Preserved foods have been found in some studies to be associated with increased cancer risks. The possible relationship between preserved foods and prostate cancer was investigated in a case–control study in southeast China during 2001–2002 covering 130 histologically confirmed cases and 274 inpatient controls without malignant disease. The total amount of preserved food consumed was positively associated with cancer risk, the adjusted odds ratio being 7.05 (95% CI: 3.12–15.90) for the highest relative to the lowest quartile of intake. In particular, the consumption of pickled vegetables, fermented soy products, salted fish and preserved meats was associated with a significant increase in prostate cancer risk, all with a significant dose–response relationship

Energy spectra of elements with 18 or = Z or = 28 between 10 and 300 GeV/amu

The HEAO-3 Heavy Nuclei Experiment is composed of ionization chambers above and below a plastic Cerenkov counter. The energy dependence of the abundances of elements with atomic number, Z, between 18 and 28 at very high energies where they are rare and thus need the large area x time are measured. The measurements of the Danish-French HEAO-3 experiment (Englemann,, et al., 1983) are extended to higher energies, using the relativistic rise of ionization signal as a measure of energy. Source abundances for Ar and Ca were determined

Interactions of heavy nuclei, Kr, Xe and Ho, in light targets

Over the past few years, the HEAO-3 measurements of the abundances of ultra-heavy cosmic ray nuclei (Z 26) at earth have been analyzed. In order to interpret these abundances in terms of a source composition, allowance must be made for the propagation of the nuclei in the interstellar medium. Vital to any calculation of the propagation is a knowlege of the total and partial interaction cross sections for these heavy nuclei on hydrogen. Until recently, data on such reactions have been scarce. However, now that relativistic heavy ion beams are available at the LBL Bevalac, some of the cross sections of interest can be measured at energies close to those of the cosmic ray nuclei being observed. During a recent calibration at the Bevalac of an array similar to the HEAO-C3 UH-nuclei detector, targets of raphite (C), polyethylene (CH2), and aluminum were exposed to five heavy ion beams ranging in charge (Z) from 36 to 92. Total and partial charge changing cross sections for the various beam nuclei on hydrogen can be determined from the measured cross sections on C and CH2, and will be applied to the propagation problem. The cross sections on Al can be used to correct the abundances of UH cosmic rays observed in the HEAO C-3 detector for interactions in the detector itself

Functional Imaging of the Outer Retinal Complex using High Fidelity Imaging Retinal Densitometry

We describe a new technique, high fidelity Imaging Retinal Densitometry (IRD), which probes the functional integrity of the outer retinal complex. We demonstrate the ability of the technique to map visual pigment optical density and synthesis rates in eyes with and without macular disease. A multispectral retinal imaging device obtained precise measurements of retinal reflectance over space and time. Data obtained from healthy controls and 5 patients with intermediate AMD, before and after photopigment bleaching, were used to quantify visual pigment metrics. Heat maps were plotted to summarise the topography of rod and cone pigment kinetics and descriptive statistics conducted to highlight differences between those with and without AMD. Rod and cone visual pigment synthesis rates in those with AMD (v = 0.043 SD 0.019 min-1 and v = 0.119 SD 0.046 min-1, respectively) were approximately half those observed in healthy controls (v = 0.079 SD 0.024 min-1 for rods and v = 0.206 SD 0.069 min-1 for cones). By mapping visual pigment kinetics across the central retina, high fidelity IRD provides a unique insight into outer retinal complex function. This new technique will improve the phenotypic characterisation, diagnosis and treatment monitoring of various ocular pathologies, including AMD

How effective is eccentric viewing training? A systematic literature review

Purpose: The global prevalence of age-related macular degeneration (AMD) and associated central vision loss (CVL) is rising. CVL hinders the performance of many activities of daily living (ADLs). Adaptive strategies such as eccentric viewing (EV) and steady eye strategy (SES) may be used to compensate for CVL. In order to establish the potential of these rehabilitation strategies, this systematic review evaluates current literature regarding the effectiveness of EV and SES training in people with CVL. Recent Findings: The search strategies identified 2605 publications, 36 of which met the inclusion criteria for the review, but only three of which were randomised controlled trials. This literature shows that EV and SES training can improve near visual acuity, reading speed, and performance of ADLs in people with CVL. However, there was insufficient literature to establish a relationship between training and distance visual acuity or quality-of-life. There is no conclusive evidence to show that a particular model of EV training is superior to another, little clear evidence of a relationship between participant characteristics and training outcomes and no data regarding the cost effectiveness of training. Summary: This report highlights the need for further robust research to establish the true potential and cost effectiveness of EV and SES training as a rehabilitation strategy for individuals with CVL

Cosmic-Ray Spectra in Interstellar Space

At energies below ~300 MeV/nuc our knowledge of cosmic-ray spectra outside the heliosphere is obscured by the energy loss that cosmic rays experience during transport through the heliosphere into the inner solar system. This paper compares measurements of secondary electron-capture isotope abundances and cosmic-ray spectra from ACE with a simple model of interstellar propagation and solar modulation in order to place limits on the range of interstellar spectra that are compatible with both sets of data

Low-Level Nighttime Light Therapy for Age-Related Macular Degeneration: A Randomized Clinical Trial

Purpose: To investigate the safety, acceptability, and effectiveness of light therapy on the progression of AMD over 12 months. Methods: This was a phase I/IIa, prospective, proof-of-concept, single-center, unmasked randomized controlled trial. Sixty participants (55 to 88 years) with early AMD in the study eye and neovascular AMD (nAMD) in the fellow eye were recruited from a hospital nAMD clinic. Eligible participants were randomized (ratio 1:1) to receive light therapy or to an untreated control group. Light therapy was delivered via a light-emitting mask (peak 505 nm, 23 scotopic Td), which was worn each night for 12 months. Co-primary outcome measures were disease progression (onset of nAMD or increased drusen volume beyond test-retest limits) and change in time constant of cone dark adaptation. Other main outcomes included adverse events, compliance, and subjective sleep quality data. Results: Disease progression over 12 months was seen in 38.1% (18.1%-61.6% confidence interval [CI]) of intervention participants and 48.3% (29.4%-67.5% CI) of controls (Mantel-Haenszel test, common odds ratio = 0.763, P = 0.495). A significantly larger delay in cone adaptation was observed in the intervention group (1.66 ± 0.61 minutes) than in the control group (0.66 ± 0.49 minutes) over the follow-up period. No reported adverse events were deemed to be associated with the intervention. Conclusions: Although acceptable to the patients, light therapy did not have a substantial effect on the progression of early AMD over 12 months. Further investigation is necessary to discover the permanency and cause of the adverse effect of light therapy on dark adaptation

The Abundances of the Heavier Elements in the Cosmic Radiation

We review current work on the abundances of the ultraheavy elements in the cosmic radiation, those with Z≳30. Those abundances are compared with predictions based on propagation and fractionation of elemental abundances from various assumed sources of the cosmic rays. We find striking similarities between the solar system and the cosmic ray source abundances for those elements with 32≤Z≤60. For elements with Z≳60, there appears to be a substantial enhancement in the abundances of elements synthesized in the r‐process

Implications of Source Abundances of Ultraheavy Cosmic Rays

The ratio of cosmic ray source abundance to solar-system abundance was examined for individual elements. Correlations of these ratios with first-ionization potential (FIP) and the expected mass-to-charge ratio (A/Q) of the elements in a million-degree plasma are analyzed. The FIP correlation was examined and it is shown that the correlation is affected by the choice of C2 or C1 chondritic meteorites as the solar-system standard for comparison. An A/Q correlation is suggested as a consequence of the shock acceleration model in the hot interstellar medium. The correlations are presented