Addition of a dairy fraction rich in milk fat globule membrane to a high-saturated fat meal reduces the postprandial insulinaemic and inflammatory response in overweight and obese adults.

Meals high in SFA, particularly palmitate, are associated with postprandial inflammation and insulin resistance. Milk fat globule membrane (MFGM) has anti-inflammatory properties that may attenuate the negative effects of SFA-rich meals. Our objective was to examine the postprandial metabolic and inflammatory response to a high-fat meal composed of palm oil (PO) compared with PO with an added dairy fraction rich in MFGM (PO+MFGM) in overweight and obese men and women (n 36) in a randomised, double-blinded, cross-over trial. Participants consumed two isoenergetic high-fat meals composed of a smoothie enriched with PO with v. without a cream-derived complex milk lipid fraction ( dairy fraction rich in MFGM) separated by a washout of 1-2 weeks. Serum cytokines, adhesion molecules, cortisol and markers of inflammation were measured at fasting, and at 1, 3 and 6 h postprandially. Glucose, insulin and lipid profiles were analysed in plasma. Consumption of the PO + MFGM v. PO meal resulted in lower total cholesterol (P = 0·021), LDL-cholesterol (P = 0·046), soluble intracellular adhesion molecule (P = 0·005) and insulin (P = 0·005) incremental AUC, and increased IL-10 (P = 0·013). Individuals with high baseline C-reactive protein (CRP) concentrations (≥3 mg/l, n 17) had higher (P = 0·030) insulin at 1 h after the PO meal than individuals with CRP concentrations <3 mg/l (n 19). The addition of MFGM attenuated this difference between CRP groups. The addition of a dairy fraction rich in MFGM attenuated the negative effects of a high-SFA meal by reducing postprandial cholesterol, inflammatory markers and insulin response in overweight and obese individuals, particularly in those with elevated CRP

Consumption of a high-fat meal containing cheese compared with a vegan alternative lowers postprandial C-reactive protein in overweight and obese individuals with metabolic abnormalities: a randomised controlled cross-over study.

Dietary recommendations suggest decreased consumption of SFA to minimise CVD risk; however, not all foods rich in SFA are equivalent. To evaluate the effects of SFA in a dairy food matrix, as Cheddar cheese, v. SFA from a vegan-alternative test meal on postprandial inflammatory markers, a randomised controlled cross-over trial was conducted in twenty overweight or obese adults with metabolic abnormalities. Individuals consumed two isoenergetic high-fat mixed meals separated by a 1- to 2-week washout period. Serum was collected at baseline, and at 1, 3 and 6 h postprandially and analysed for inflammatory markers (IL-6, IL-8, IL-10, IL-17, IL-18, TNFα, monocyte chemotactic protein-1 (MCP-1)), acute-phase proteins C-reactive protein (CRP) and serum amyloid-A (SAA), cellular adhesion molecules and blood lipids, glucose and insulin. Following both high-fat test meals, postprandial TAG concentrations rose steadily (P < 0·05) without a decrease by 6 h. The incremental AUC (iAUC) for CRP was significantly lower (P < 0·05) in response to the cheese compared with the vegan-alternative test meal. A treatment effect was not observed for any other inflammatory markers; however, for both test meals, multiple markers significantly changed from baseline over the 6 h postprandial period (IL-6, IL-8, IL-18, TNFα, MCP-1, SAA). Saturated fat in the form of a cheese matrix reduced the iAUC for CRP compared with a vegan-alternative test meal during the postprandial 6 h period. The study is registered at clinicaltrials.gov under NCT01803633

Effects of muscle strength and endurance on blood pressure and related cardiometabolic risk factors from childhood to adolescence

Objective: This study aimed to examine the evolution of relationships between measures of muscle strength and endurance with individual cardiometabolic risk factors from childhood to late adolescence in a prospective population-based cohort. Methods: Participants from the Western Australian Pregnancy Cohort (Raine) Study at ages 10, 14 and 17 were analysed, using longitudinal linear mixed model analyses. Results: Handgrip strength after adjusting for the confounding effects of BMI was positively associated with SBP, but not DBP. The association between handgrip strength and SBP was stronger in men than women at all time points [coefficient (women): 0.18, P < 0.001; sex × handgrip strength coefficient: 0.09, P = 0.002]. The association was strongest at 10 years and significantly attenuated over time (year × handgrip coefficient from 10 to 14 years: −0.11, P = 0.003; year × handgrip coefficient from 10 to 17 years: −0.19, P ≤ 0.001). After the inclusion of BMI as a confounder, handgrip strength was significantly negatively associated with homeostatic model assessment of insulin resistance and high-sensitivity C-reactive protein over time in both sexes. Back muscle endurance was positively associated with SBP, but not DBP, after adjustment for the confounding effects of BMI (coefficient: 0.01, P = 0.002). There were small, albeit significant, inverse associations between back muscle endurance and log homeostatic model assessment of insulin resistance and log high-sensitivity C-reactive protein. Conclusion: The positive association between handgrip strength and back muscle endurance with SBP throughout childhood and adolescence contrasts with beneficial effects on other related traditional cardiometabolic risk factors. Mechanisms underlying these paradoxical effects on SBP warrant further investigation

How to read a next-generation sequencing report-what oncologists need to know.

Next-generation sequencing (NGS) of tumor cell-derived DNA/RNA to screen for targetable genomic alterations is now widely available and has become part of routine practice in oncology. NGS testing strategies depend on cancer type, disease stage and the impact of results on treatment selection. The European Society for Medical Oncology (ESMO) has recently published recommendations for the use of NGS in patients with advanced cancer. We complement the ESMO recommendations with a practical review of how oncologists should read and interpret NGS reports. A concise and straightforward NGS report contains details of the tumor sample, the technology used and highlights not only the most important and potentially actionable results, but also other pathogenic alterations detected. Variants of unknown significance should also be listed. Interpretation of NGS reports should be a joint effort between molecular pathologists, tumor biologists and clinicians. Rather than relying and acting on the information provided by the NGS report, oncologists need to obtain a basic level of understanding to read and interpret NGS results. Comprehensive annotated databases are available for clinicians to review the information detailed in the NGS report. Molecular tumor boards do not only stimulate debate and exchange, but may also help to interpret challenging reports and to ensure continuing medical education

Риски в сфере оказания логистических услуг при транснациональных транспортировках

Риски в сфере оказания логистических услуг при транснациональных транспортировках необходимо идентифицировать и минимизировать на стадии подготовки товарной партии к транспортировке; освещены этапы организации транснациональных транспортировок и возникающие на каждом этапе риски, а также способы их минимизации; проанализирована судебная практика для определения наиболее распространённых видов риска при оказании логистических услуг.Risks in the field of providing logistic services for transnational transportation should be identified and minimized at the stage of preparation of the goods lot for transportation; the stages of organization of transnational transportation and the risks arising at each stage, as well as ways to minimize them, are covered; the court practice is analyzed to determine the most common types of risk in the provision of logistics services

Тенденции в изменении энергетического баланса в электроэнергетических системах будующего

Recent advances in compression molding of glass optical elements for mass production offer the potential of extending this technology to elements with micro and nano scale features. In this research, glass diffractive optical elements (DOEs) with lateral features in the order of 10 mu m and vertical height of 330 nm were fabricated using a fused silica glass mold and a special low T-g (glass transition temperature) glass material K-PG325. Molded DOEs were studied using an atomic force microscope (AFM) and scanning electron microscope (SEM) to evaluate the glass molding process capability. Optical testing of the molded DOEs was a further demonstration of the effectiveness of the molding process for high volume micro and diffractive optical component fabrication. The combination of two high-precision, high-volume processes, i.e., semiconductor batch process for optical mold making and glass molding for DOE replication, is an effective alternative manufacturing method for high-quality, low-cost optical components. The reported experiment is a detailed illustration of the glass molding process capability. With further process optimization a robust manufacturing process can be developed for mass production of diffractive and micro glass optical elements

Improved performance of the LHCb Outer Tracker in LHC Run 2

The LHCb Outer Tracker is a gaseous detector covering an area of $5\times 6 m^2$ with 12 double layers of straw tubes. The performance of the detector is presented based on data of the LHC Run 2 running period from 2015 and 2016. Occupancies and operational experience for data collected in $p p$, pPb and PbPb collisions are described. An updated study of the ageing effects is presented showing no signs of gain deterioration or other radiation damage effects. In addition several improvements with respect to LHC Run 1 data taking are introduced. A novel real-time calibration of the time-alignment of the detector and the alignment of the single monolayers composing detector modules are presented, improving the drift-time and position resolution of the detector by 20\%. Finally, a potential use of the improved resolution for the timing of charged tracks is described, showing the possibility to identify low-momentum hadrons with their time-of-flight.Comment: 29 pages, 20 figures, minor changes to match the published versio