Mary C. Oddy to Mr. Meredith (8 October 1962)

https://egrove.olemiss.edu/mercorr_pro/2053/thumbnail.jp

Reduction in plantar heel pain and a return to sport after a barefoot running intervention in a female triathlete with plantar fasciitis.

Patient characteristics: In a 27 year-old female triathlete, magnetic resonance imaging revealed mild thickening and oedema at the calcaneal insertion of the plantar fascia in keeping with a degree of plantar fasciitis. Intervention: After 6 weeks of conservative treatment failed to elicit a return to sport, the patient engaged in 6 sessions of barefoot running (15 – 30 minutes) on a soft grass surface, without further conservative treatment. Comparative outcome: After two sessions of barefoot running the patient was pain free before, during and after running. This outcome was maintained at the 6 week follow up period. Interpretation: This is the first case report to use barefoot running as a treatment strategy for chronic heel pain. Barefoot running has the potential to reduce the load on the plantar fascia and warrants further investigation using a case series

Early infant feeding and adiposity risk: from infancy to adulthood

Introduction: Systematic reviews suggest that a longer duration of breast-feeding is associated with a reduction in the risk of later overweight and obesity. Most studies examining breast-feeding in relation to adiposity have not used longitudinal analysis. In our study, we aimed to examine early infant feeding and adiposity risk in a longitudinal cohort from birth to young adulthood using new as well as published data. Methods: Data from the Western Australian Pregnancy Cohort (Raine) Study in Perth, W.A., Australia, were used to examine associations between breast-feeding and measures of adiposity at 1, 2, 3, 6, 8, 10, 14, 17, and 20 years. Results: Breast-feeding was measured in a number of ways. Longer breast-feeding (in months) was associated with reductions in weight z-scores between birth and 1 year (β = -0.027; p \u3c 0.001) in the adjusted analysis. At 3 years, breast-feeding for \u3c4 months increased the odds of infants experiencing early rapid growth (OR 2.05; 95% CI 1.43-2.94; p \u3c 0.001). From 1 to 8 years, children breast-fed for ≤4 months compared to ≥12 months had a significantly greater probability of exceeding the 95th percentile of weight. The age at which breast-feeding was stopped and a milk other than breast milk was introduced (introduction of formula milk) played a significant role in the trajectory of the BMI from birth to 14 years; the 4-month cutoff point was consistently associated with a higher BMI trajectory. Introduction of a milk other than breast milk before 6 months compared to at 6 months or later was a risk factor for being overweight or obese at 20 years of age (OR 1.47; 95% CI 1.12-1.93; p = 0.005). Discussion: Breast-feeding until 6 months of age and beyond should be encouraged and is recommended for protection against increased adiposity in childhood, adolescence, and young adulthood. Adverse long-term effects of early growth acceleration are fundamental in later overweight and obesity. Formula feeding stimulates a higher postnatal growth velocity, whereas breast-feeding promotes slower growth and a reduced likelihood of overweight and obesity. Biological mechanisms underlying the protective effect of breast-feeding against obesity are based on the unique composition and metabolic and physiological responses to human milk

Sclerostin does not play a major role in the pathogenesis of skeletal complications in type 2 diabetes mellitus

In contrast to previously reported elevations in serum sclerostin levels in diabetic patients, the present study shows that the impaired bone microarchitecture and cellular turnover associated with type 2 diabetes mellitus (T2DM)-like conditions in ZDF rats are not correlated with changes in serum and bone sclerostin expression. INTRODUCTION: T2DM is associated with impaired skeletal structure and a higher prevalence of bone fractures. Sclerostin, a negative regulator of bone formation, is elevated in serum of diabetic patients. We aimed to relate changes in bone architecture and cellular activities to sclerostin production in the Zucker diabetic fatty (ZDF) rat. METHODS: Bone density and architecture were measured by micro-CT and bone remodelling by histomorphometry in tibiae and femurs of 14-week-old male ZDF rats and lean Zucker controls (n = 6/group). RESULTS: ZDF rats showed lower trabecular bone mineral density and bone mass compared to controls, due to decreases in bone volume and thickness, along with impaired bone connectivity and cortical bone geometry. Bone remodelling was impaired in diabetic rats, demonstrated by decreased bone formation rate and increased percentage of tartrate-resistant acid phosphatase-positive osteoclastic surfaces. Serum sclerostin levels (ELISA) were higher in ZDF compared to lean rats at 9 weeks (+40 %, p < 0.01), but this difference disappeared as their glucose control deteriorated and by week 14, ZDF rats had lower sclerostin levels than control rats (-44 %, p < 0.0001). Bone sclerostin mRNA (qPCR) and protein (immunohistochemistry) were similar in ZDF, and lean rats at 14 weeks and genotype did not affect the number of empty osteocytic lacunae in cortical and trabecular bone. CONCLUSION: T2DM results in impaired skeletal architecture through altered remodelling pathways, but despite altered serum levels, it does not appear that sclerostin contributes to the deleterious effect of T2DM in rat bone

Caring for a marginalised community: the costs of engaging with culture and complexity

The document attached has been archived with permission from the editor of the Medical Journal of Australia. An external link to the publisher’s copy is included.The Care and Prevention Programme (CPP) began in 1998. It is based on the philosophy of primary health care, and has improved health among homosexually active men, including about a third of HIV-positive South Australians. The CPP was assessed using financial analysis and qualitative methods. Participants wanted to access care where they could feel comfortable and safe to talk about issues of sexuality and lifestyle. The CPP model is "economically" sustainable, but not "financially" sustainable within the Medicare Benefits Schedule. It is vulnerable to changes in political environment. The financing model for the CPP has been adapted by including state funding. General practitioners have adapted by lowering their personal incomes (but not quality of care). These adaptations have achieved fragile financial viability. Facilitators of sustainability for the CPP included: It is part of the community that it serves; The creation of deeply integrated networks of diversity-competent service providers; and "Virtuous non-adaptability" of service providers in refusing to compromise care standards despite financial pressure to do so. Threats to sustainability included: Difficulty maintaining a diversity-competent workforce skilled in HIV medicine; Marginal financial viability; and Political vulnerability.Gary D Rogers, Christopher A Barton, Brita A Pekarsky, Ann C Lawless, Joy M Oddy, Rebecca Hepworth and Justin J Beilb

Modelling the effects of beverage substitution during adolescence on later obesity outcomes in early adulthood: results from the Raine study

High sugar-sweetened beverage (SSB) consumption has been linked with obesity. The present study examined the associations between adolescent SSB intake and body mass index (BMI), waist circumference (WC), and overweight status in early adulthood, and modelled the association of alternative beverage substitution with BMI and WC. Data of offspring from the Western Australian Pregnancy Cohort (Raine) Study at ages 14 and 22 years were used (n = 667). SSB intake at 14 years (100 g/day) was associated with higher BMI (β = 0.19 kg/m2, 95% CI 0.04, 0.33), WC (β = 0.41cm, 95% CI 0.04, 0.78), and being overweight at 22 years (OR 1.10, 95% CI 1.02, 1.18). Every 100g modelled substitution of SSB with milk at age 14 years was associated with lower BMI (-0.19 kg/m2) and WC (-0.52 cm) at age 22 years. Replacement of SSB with diet drink was associated with higher BMI and WC. No association was found for substitutions of SSB with water, tea/coffee, or 100% fruit juice with BMI or WC. SSB intake during adolescence was associated with higher BMI, WC, and being overweight in early adulthood. Milk as an alternative to SSB was associated with less adiposity. Caution is necessary in recommending diet drinks as a SSB alternative

Field assessment of genome edited, low asparagine wheat: Europe's first CRISPR wheat field trial.

We reported in this journal in 2021 the generation of wheat genotypes in which the asparagine synthetase gene, TaASN2, had been ‘knocked out’ using CRISPR-Cas9 (Raffan et al. 2021). The editing had been achieved by introducing genes encoding the Cas9 nuclease, four guide RNAs (gRNAs) and a Bar marker gene into wheat (Triticum aestivum) cv. Cadenza. Here we report the results of a field trial of Line 178.35, an A genome null for TaASN2, and total nulls, 23.60 and 23.75 (Raffan et al., 2021). Also included were four AB genome nulls, referred to as TILLING lines 1-4, derived from a selected line of a mutant population produced by ethyl methanesulphonate treatment of wheat cv. Cadenza seeds (Rakszegi et al., 2010). The mutated TaASN2-A2 gene from this line was backcrossed into the cv. Claire background to generate AB genome nulls (cv. Claire lacks a B genome TaASN2 gene due to a ‘natural’ deletion (Oddy et al., 2021))

Using Resonances to Control Chaotic Mixing within a Translating and Rotating Droplet

Enhancing and controlling chaotic advection or chaotic mixing within liquid droplets is crucial for a variety of applications including digital microfluidic devices which use microscopic ``discrete'' fluid volumes (droplets) as microreactors. In this work, we consider the Stokes flow of a translating spherical liquid droplet which we perturb by imposing a time-periodic rigid-body rotation. Using the tools of dynamical systems, we have shown in previous work that the rotation not only leads to one or more three-dimensional chaotic mixing regions, in which mixing occurs through the stretching and folding of material lines, but also offers the possibility of controlling both the size and the location of chaotic mixing within the drop. Such a control was achieved through appropriate tuning of the amplitude and frequency of the rotation in order to use resonances between the natural frequencies of the system and those of the external forcing. In this paper, we study the influence of the orientation of the rotation axis on the chaotic mixing zones as a third parameter, as well as propose an experimental set up to implement the techniques discussed.Comment: 15 pages, 6 figure