Syfte: Syftet med studien var att utvärdera om det fanns någon variation av tårfilmens osmolariet, morgon och kväll hos personer utan symptom av torra ögon. Metod: Tårfilmens osmolaritet mättes på totalt 30 patienter, två gånger på en dag; morgon och kväll. Mätningarna utfördes med TearLabTM osmolarity system. Både höger och vänster öga mättes på varje patient. Samtliga deltagande ombads fylla i en symptomenkät vid namn TERTC-DEQ. Endast personer utan symptom på torra ögon tilläts delta i studien. Alltså personer med totalt  17 poäng på TERTC-DEQ. Resultat: Ingen statistisk signifikant skillnad kunde iakttas hos personernas osmolaritet mellan morgon och kväll (P > 0.05). Slutsats: I studien kunde ingen skillnad på osmolaritet i tårfilmen iakttas mellan morgon och kväll hos personer utan symptom på torra ögon. Därmed tros tårfunktionen hos dessa personer fungera korrekt. Tårfilmens osmolaritet upprätthåller rätt balans och förändras därför inte från morgon till kväll. / Aim: The aim of this study was to determine if there is an diurnal variation in tear osmolarity among healty non dry-eye subjects. Method: The osmolarity of the tearfilm was measured in a total of 30 subjects twice a day; morning and evening, using the TearLabTM osmolarity system. Measurements were performed on both right and left eye in all the subjects. All subjects were asked to fill in a symptom questionnaire named TERTC-DEQ and only those with a total score of  17 points were allowed to participate in the study. Subjects below this score had therefore no symptoms of dry eye. Results: There was no statistical significant difference between the subjects tear osmolarity comparing the morning and evening values (P>0,05). Conclusion: This study did not show any difference in the subjects tear osmolarity, comparing morning and evening measurements. None of the individuals had any symptoms of dry eye. Therefore it is believed that in subjects with no symptoms of dry eye, the tear osmolarity remains stable between morning and evening.

No description available.

Bisphenol A is an estrogenic compound that is found in polycarbonate plastics and epoxy resins; humans are continuously exposed to the compound and it is believed to possess the same carcinogenic effects as estrogen (Iso, 2006). In this study, I used Saccharomyces cerevisiae as a model organism to identify mechanisms by which BPA acts based on the genomic profiling of kinase genes from a Mat-α haploid deletion library. Kinases regulate many other proteins, so the identification of a single mutant could identify an entire affected pathway of genes. I conducted a systematic screen of these mutants using the phenotype of growth inhibition. Using solid growth assays, I identified 17 BPA sensitive mutants, six of which were related to the high osmolarity growth pathway, which is involved in osmotic stress response and could be a mechanism of defense of S. cerevisiae against BPA. I implemented liquid growth assays, protein analysis, as well as microscopy for a more in depth study of the effects of BPA on these mutants. Bisphenol-A initially inhibits the growth of S. cerevisiae, however, there were some strains that appeared to show adaptation in the presence of the compound. I found that BPA inhibits cell cycle progression, and may affect the phosphorylation regulation of Cdc28, but without affecting the production of the protein. This study provides clues for predicting the effects of BPA on homologous genes in mammals and identifying similar pathways of resistance. By having a better understanding of the effects on BPA on the cell, the compound can be better regulated by the EPA and complications resulting from continuous exposure to BPA can be treated effectively.

The canonical Wnt pathway is a vitally important signalling pathway that plays an important role in cell proliferation, differentiation and fate decisions in embryonic development and in the maintenance of adult tissues. The twelve Armadillo (ARM) repeat-containing protein beta-catenin acts as the signal transducer in this pathway and is continuously degraded in the cytosol by the beta-catenin destruction complex (BDC). Upon receiving the Wnt signal the BDC is inactivated, allowing beta-catenin to accumulate in the cytosol and be transported to the nucleus where it binds to the TCF/LEF family of transcription factors, inducing the expression of cell cycle promotor genes. In this Thesis I describe investigations into the roles of leucine-rich repeat kinase 2 (LRRK2) and the transcription factor TCF7L2 within this signalling pathway. LRRK2 is a large multi-domain protein with strong links to Parkinson’s disease and suggested to play a role in inactivating the BDC in response to the Wnt signal. A recent paper proposed that the previously uncharacterised regions of LRRK2 contain a series of tandem repeat sub-domains. I began an investigation into these sub-domains but I was unable to produce soluble protein constructs despite the use of a range of common techniques, and so I was forced to conclude this project early. The main body of this thesis focuses on the interaction between the intrinsically disordered TCF7L2 and the repeat protein beta-catenin, a very long interface of approximately 4800 Å2 that spans from the third to the eleventh ARM repeat of beta-catenin and residues 12 to 50 of TCF7L2, as determined by X-ray crystal structures. First, a fluorescence reporter system for the binding interaction was developed and used to determine the kinetic rate constants for the association and dissociation of the wild-type construct using stopped-flow fluorescence spectroscopy and time-dependent fluorescence spectroscopy. It was found that association of TCF7L2 and beta-catenin was rapid (7.3 ± 0.1 x107 M-1s-1) with only a single phase was observed, whereas dissociation was biphasic and slow (5.7 ± 0.4 x10-4 s-1, 15.2 ± 2.8 x10-4 s-1). Using either of these two dissociation rate constants the calculated Kd value obtained is much lower than the values previously reported in the literature (8 ± 1 / 20 ± 2 pM compared with 16 nM). This reporter system was then used to investigate the striking variability between three crystal structures previously obtained for the TCF7L2-beta-catenin complex, in which different regions of TCF7L2 show different elements of secondary structure. Mutational analysis revealed that the interface residues on TCF7L2 identified in these structures make little or no contribution to the overall binding affinity, pointing to a transient nature of these contact in solution and suggesting that the observed differences between the structures are due to differences in crystal packing. Further experiments into the effect of osmolarity on the binding equilibrium and kinetics supported this conclusion and suggest a change in the association/dissociation mechanism as a function of ionic strength. Lastly, further mutational analysis of TCF7L2 revealed two regions that contribute particularly strongly to the binding kinetics, suggesting that TCF7L2-beta-catenin assembly proceeds via a two-site avidity mechanism. Some of the most destabilising variants display two additional dissociation phases, indicating the presence of an alternative dissociation pathway that is inaccessible to the wild-type. In summary, the results presented here provide insights into the kinetics of molecular recognition of a long intrinsically disordered region with an extended repeat protein surface, a process shown to involve multiple routes with multiple steps in each.

xii, 41 p. : ill. / Cells convey information through signaling pathways. Distinct signaling pathways often rely on similar mechanisms and may even use the same molecules. With a variety of signals conveyed by pathways that share components, how does the cell maintain the integrity of each pathway? Budding yeast provides an example of multiple signaling pathways utilizing the same components to transduce different signals. The mating pathway, the high osmolarity glycerol (HOG) pathway and the filamentous growth (FG) pathway each respond to different environmental conditions and generate unique cellular responses. Despite the individuality of the pathways, they each contain a core group of the same signaling proteins. How does the cell generate a variety or responses utilizing the same group of proteins? Both the mating and HOG pathways utilize scaffolding factors that concentrate pathway components to the location of activation and in the case of the mating pathway alter the kinetics of the interaction. In addition, negative regulatory mechanisms operate in both the mating and HOG pathways. These negative regulatory mechanisms are understood in detail for the mating pathway but not for the HOG pathway. Mechanisms for providing specificity for the FG pathway are as yet unknown. The purpose of this work is to elucidate the mechanisms that provide specificity to the FG pathway. The search for specificity factors was done through both a random mutagenesis screen and a synthetic genetic array screen, looking for mutants in which activation of the FG pathway led to inappropriate activation of the HOG pathway. The random mutagenesis screen resulted in a large number of mutants that I organized into five complementation groups. The identity of the gene mutated in the largest complementation group was sought using a variety of methods including complementation with the yeast deletion collection and whole genome sequencing. A synthetic genetic array was screened as an alternative method to identify genes necessary for FG pathway specificity. These experiments have resulted in a list of candidate genes, but thus far have not yet led to any discernable mechanism for maintenance of FG pathway specificity. / Committee in charge: Karen Guillemin, Chairperson; George F. Sprague Jr., Advisor; Tom Stevens, Member; Tory Herman, Member; Diane Hawley, Outside Member

A nefropatia induzida por contraste (NIC) é uma nefropatia aguda, secundária à administração intravascular de meios de contraste iodado (MCI), cujas propriedades físico-químicas, especialmente a osmolaridade, relacionam-se ao seu desenvolvimento. Dentre os mecanismos fisiopatológicos desta enfermidade destacam-se a vasoconstrição intrarrenal prolongada, consequente redução da perfusão renal, hipóxia e isquemia medulares, associada ao dano tubular renal devido à citotoxicidade do contraste. Frente à existência de poucas informações relacionadas a estes mecanismos na literatura médico-veterinária e a grande demanda de exames de tomografia computadorizada que utilizam contrastes, objetivaram-se caracterizar e comparar os efeitos renais da administração intravenosa de MCI não iônicos de diferentes osmolaridades, em grupos de cães com fatores de risco para o desenvolvimento da NIC, por meio das avaliações ultrassonográficas modo B, Doppler colorido, de amplitude e pulsado, pareada aos exames laboratoriais, a fim de estimar indiretamente o potencial nefrotóxico de cada contraste. Este estudo também objetivou verificar a ocorrência da NIC. Constituíram-se dois grupos de acordo com o MCI utilizado: o grupo GIH (11 cães receberam iohexol [baixa osmolaridade]) e o grupo GID (sete cães receberam iodixanol [isosmolar]). Administrou-se a dose de 600 mgI/kg/IV em ambos. Avaliaram-se os seguintes aspectos renais antes da administração do MCI (momento basal) e após 1,5 horas, 24 horas e 48 horas: morfometria (comprimento e volume), morfologia, ecogenicidade cortical e perfusão renais e resistência vascular intrarrenal (índices hemodinâmicos de resistividade e pulsatilidade), realizou-se ainda exame de urina I e se mensuraram as razões gama-glutamil transferase:creatinina (GGT:C) e proteína:creatinina (RPC) urinárias e a concentração sérica de creatinina. Estipulou-se avaliar os aspectos sonográficos do rim esquerdo, desde que ambos os rins apresentassem características morfométricas, morfológicas, de ecogenicidade cortical e perfusão, semelhantes na abordagem inicial de cada paciente. Os grupos apresentaram comportamentos similares para comprimento, RPC, exame de urina I e creatinina sérica. Constataram-se aumentos significativos do índice de resistividade (IR) e da razão GGT:C urinária e evidências de aumento significativo do volume renal, 1,5 horas após a administração do contraste, somente no grupo que recebeu iohexol. Em relação ao índice de pulsatilidade, embora ambos os grupos tenham apresentado comportamentos não similares, não se detectaram diferenças significativas entre o momento basal e os demais. Concluiu-se que o IR foi capaz de monitorar a hemodinâmica intrarrenal e demonstrar, assim como a razão GGT:C urinária, maior potencial nefrotóxico do iohexol, quando comparado ao iodixanol. Dessa forma, considerou-se o iodixanol uma opção favorável para cães com fatores de risco para o desenvolvimento da NIC. Um cão de 14 anos de idade, portador de insuficiência cardíaca e disfunção renal preexistente, desenvolveu a forma subclínica da NIC, reconhecida pela elevação de 0,5 mg/dL na creatinina sérica basal, 24 horas após a administração intravenosa do iohexol. A redução da perfusão renal verificada 1,5 horas após a utilização do contraste pode ser preditiva de NIC. De modo semelhante ao observado no homem, idade avançada, insuficiência cardíaca e disfunção renal preexistente, principalmente quando associadas, constituem fatores de risco para o desenvolvimento da NIC em cães / Contrast-induced nephropathy (CIN) is a type of acute nephropathy, secondary to intravascular administration of iodinated contrast media (ICM). The physicochemical properties of ICM, particularly the osmolarity of the media, are related to the development of CIN. The most important mechanisms of this nephropathy are intrarenal prolonged vasoconstriction, medular hypoxia, and ischemia associated with renal tubular damage due to contrast cytotoxicity. Owing to the limited information available in veterinary literature regarding these mechanisms and increase in the number of contrast-enhanced computed tomography examinations performed, this study aims to characterize and compare the renal effects of intravenous administration of two nonionic ICM of different osmolarities in groups of dogs with risk factors for CIN development, by using a B-mode, color, power- and pulsed-wave Doppler ultrasonography, and other laboratory tests, in order to indirectly estimate the nephrotoxic potential of each contrast. This study also aims to investigate the occurrence of CIN. The following two groups were established according to the nonionic ICM used: the GIH group (11 dogs administered iohexol [low osmolarity]) and the GID group (seven dogs administered iodixanol [iso-osmolarity]). Both the groups were administered the same dose (600 mgI/kg/IV). The following renal aspects were evaluated before administration of ICM (baseline) and after 1.5 h, 24 h, and 48 h: renal morphometry (length and volume), renal morphology, cortical echogenicity, renal perfusion, and intrarenal vascular resistance (resistive and pulsatility indices); in addition, urinalysis was performed, and urinary gamma-glutamyl transferase:creatinine ratio (GGT:C), urinary protein:creatinine ratio (UPC), and serum creatinine were also measured. The sonographic aspects of the left kidney were evaluated, only if both kidneys presented similar morphometry, morphology, cortical echogenicity, and perfusion during the first assessment of each patient. Both groups showed similar characteristics with respect to the length, UPC ratio, urinalysis, and serum creatinine levels. Significant increases were observed in the resistive index (RI) and urinary GGT:C, and evidence of significant increase was observed in the renal volume only in the GIH group, 1.5 h after contrast administration. No similarity was observed with respect to the pulsatility index in both the groups; however, there were no significant differences between baseline and 1.5-, 24- and 48-h time points. In conclusion, RI can be used to monitor intrarenal hemodynamics, and along with the urinary GGT:C, revealed that iohexol had higher nephrotoxic potential than iodixanol. Thus, iodixanol was considered a favorable option for dogs with risk factors for CIN development. A 14-year-old dog with heart failure and pre-existing renal dysfunction developed subclinical CIN, due to an increase in the serum creatinine (0.5 mg/dL) 24 h after intravenous iohexol administration. The decrease in renal perfusion observed 1.5 h after ICM administration may be predictive of CIN. As observed in humans, advanced age, heart failure, and pre-existing renal dysfunction, especially various associated factors, should be considered as risk factors for the development of CIN in dogs

Adaptation to osmotic imbalance is crucial for cell survival and many organisms have developed complex mechanisms to counteract the changes induced by aniosmolarity. In mammals, the central nervous system is one of the most vulnerable organs after sudden changes in osmolarity. This is best exemplified by two common clinical disorders, brain edema resulting from acute hyponatremia and brain dehydration after hypernatremia. In clinical practice, hyponatremia is the most common electrolyte disorder and carries a significant mortality and morbidity. However, correction of hyponatremia should be undertaken with great caution as failure to adapt to rapid changes in chronic hyponatremia will cause rapid and fatal demyelination of the central nervous system. This syndrome is called osmotic demyelination syndrome (ODS) or central pontine myelinolysis. In this work, we investigated the pathophysiology and new diagnostic and treatments tools for osmotic demyelination syndrome. Using a rat model, we demonstrated the efficacy of the neuroprotective agent minocycline in osmotic demyelination syndrome. We also compared treatment with dexamethasone and re-lowering of serum sodium after rapid correction of hyponatremia and we showed that re-lowering of serum sodium is better than administration of dexamethasone. We explored the mechanisms underlying brain demyelination in ODS and demonstrated that the rupture of the blood brain barrier is not necessary for demyelination and that activated microglia does not play a key role in brain demyelination but can potentiate the lesions induced by rapid correction of hyponatremia. We also investigated the role of astrocytes during the development of osmotic demyelination and demonstrated that astrocytes are a major component of the physiopathology of osmotic demyelination. We showed that early and massive astrocyte apoptosis delineates the regions of future myelin damage and found that astrocyte death induces severe upregulation of myelinolytic cytokines and destruction of astrocyte oligodendrocyte junctions with subsequent disruption of panglial syncitium. <p>Finally, as there are currently no markers of demyelination, we investigated the astroglial protein S100B in ODS and found a significant release of S100B during development of ODS, which correlated with astrocyte damage. We also showed that the increase in S100B is prevented by protective treatment of hyponatremia with urea and demonstrated that serum levels of S100B could be used as a prognosis factor in ODS .<p>All together, our work has revealed a central role of astrocytes in the pathophysiology of ODS and clarified the importance of blood barrier dysfunction and microglial activation. This work also proposes new diagnostic and treatment tools for ODS. <p> / Doctorat en Sciences médicales / info:eu-repo/semantics/nonPublished

Objetivo: Avaliar os efeitos de níveis altos de poluição ambiental do ar na superfície ocular de controladores de tráfego e taxistas da cidade de São Paulo, incluindo avaliação de sinais e sintomas, da osmolaridade lacrimal e da quantidade de células caliciformes obtidas na citologia de impressão conjunctival. Verificar a correlação destes achados entre si e com os níveis de dióxido de nitrogênio (NO2), e de material particulado menor que 2,5 ?m (PM2,5) a que foram expostos. Métodos: Taxistas e controladores de tráfego de São Paulo, Brasil participaram do estudo. Foram mensuradas as médias individuais de 24 horas de exposição ao NO2 e ao PM2,5 em quatro diferentes ocasiões. Na primeira e terceira visitas, os indivíduos foram submetidos ao questionário Ocular Surface Disease Index (OSDI), avaliação na lâmpada de fenda, estimação do tempo de ruptura do filme lacrimal (TRFL), teste de Schirmer e tingimento com corantes vitais da córnea e conjuntiva. Na segunda e quartas visitas, amostras de lágrima foram coletadas do olho direito para análise da osmolaridade, enquanto amostras de citologias de impressão conjuntivais foram coletadas do olho esquerdo. Para estimar os efeitos dos poluentes (PM2,5 e NO2) nos desfechos ao longo do período do estudo adotamos equações de estimativas generalizadas considerando efeitos fixos para medidas repetidas. Correlações entre os níveis de NO2 ou PM2,5, os achados clínicos, o valor da osmolaridade lacrimal e a quantidade de células caliciformes foram investigadas. Resultados: Setenta e um taxistas e controladores de tráfego, entre 31 e 65 anos de idade, foram incluídos no estudo. Os níveis de exposição à poluição do ar permaneceram muito elevados, como notado pelos níveis médios de PM2,5 de 40 ?g/m3 e pelos níveis médios de NO2 constantemente acima de 100 ?g/m3 durante todo o estudo. Poucos sintomas foram relatados no questionário OSDI com pontuação (média ± desvio padrão) de 9,18 ± 6,81 e 8,27 ± 11,92 na primeira e terceira visita, respectivamente. O TRFL foi reduzido com valores médios de 5 segundos, enquanto o teste de Schirmer apresentou valores médios acima de 10 mm com ampla variabilidade. O tingimento com corante vital fluoresceína foi menor do que quatro em todos os olhos, exceto por um (0,7%) indivíduo com pontuação de 5. A pontuação do corante vital lissamina verde foi normal em 124 (87,3%) olhos na primeira visita e em 120 (84,5%) olhos na terceira visita. Os resultados do análise da osmolaridade lacrimal na segunda e quarta visitas foram dentro dos limites da normalidade com médias ± desvio padrão de 298,56 ± 23,19 e 303,73 ± 23,52 mOsmol/Kg, respectivamente. No que se refere a densidade de células caliciformes, os valores médios ± desvio padrão foram 464,42 ± 256,66 e 407,82 ± 269,18 xx células/mm2 na conjuntiva bulbar e 735,52 ± 295,87 e 707,92 ± 272,51 células/mm2 na conjuntiva tarsal, na segunda e quarta visita, respectivamente. Uma significativa e negativa correlação foi encontrada entre PM2,5 e osmolaridade lacrimal (p<0.05). Um aumento de 10 ?m/m3 nos níveis de PM2,5 foi associado a uma diminuição de 10,9 mOsmol/Kg na osmolaridade lacrimal. Também houve uma correlação negativa, embora não estatisticamente significativa, entre NO2 e osmolaridade lacrimal. Nenhuma correlação foi encontrada entre a contagem de células caliciformes conjuntivais e os níveis de NO2 ou PM2,5 assim como nenhuma correlação foi encontrada entre o questionário OSDI ou os achados clínicos e a exposição à poluição do ar. Conclusão: Exposição à altos níveis de poluição do ar diminui a osmolaridade do filme lacrimal e influencia a estabilidade do filme lacrimal embora não seja acompanhada de sintomais e outros sinais clínicos em indivíduos sem doenças oculares. Alterações no filme lacrimal associado com modificações na densidade de células caliciformes podem fazer parte de uma resposta adaptativa da superfície ocular a exposição à poluição do ar / Purpose: To evaluate the effect of high levels of environmental air pollution on ocular surface of taxi drivers and traffic controllers of São Paulo, including the assessment of signs and symptoms, tear osmolarity assays, and goblet cells count from conjunctival impression cytology. To verify whether there is correlation between such findings as well as with nitrogen dioxide (NO2) levels and particulate matter smaller than 2.5 ?m (PM2.5) levels to which they were exposed. Methods: Taxi drivers and traffic controllers from São Paulo, Brazil were enrolled into the study. Mean individual levels of 24-hours exposure to nitrogen dioxide (NO2) and particulate matter smaller than 2.5 ?m (PM2.5) were assessed on 4 different occasions. On the first and third visits, subjects were submitted to clinical evaluations including the administration of the Ocular Surface Disease Index (OSDI) questionnaire, slit-lamp examination, estimation of tear breakup time (BUT), the Schirmer test, and vital staining of the cornea and conjunctiva. On the second and fourth visits, tear samples were collected from right eye for osmolarity assays, while conjunctival impression cytology was collected from left eye. To estimate the effect of the air pollutants (NO2 and PM2.5) on the endpoints throughout the study generalized estimating equations were adopted. Correlations between NO2 or PM2.5 levels, clinical findings, tear osmolarity and goblet cells density were investigated. Results: Seventy-one taxi drivers and traffic controllers, aged from 31 to 65, were enrolled in the study. Air pollution exposure levels remained very high, as noted by the mean PM2.5 levels of 40 ?m/m3 and the mean NO2 levels constantly above of 100 ?m/m3 during the period of study. Few symptoms were reported in the OSDI questionnaire with score (mean ± standard deviation) of 9.18 ± 6.81 e 8.27 ± 11.92 at the first and third visit, respectively. BUT was low with mean values of 5 seconds, while Schirmer test showed mean values above 10 mm with wide variability. The corneal vital staining score with fluorescein was inferior to 4 in all but one eye (0.7%) with a score of 5. The conjunctival vital staining score with lissamine green was considered normal in 124 eyes (87.3%) in the first visit and in 120 eyes (84.5%) in the third visit. The results of the osmolarity assay at the second and fourth visits were within normal limits with mean ± standard deviation of 298.56 ± 23.19 and 303.72 ± 23.52 mOsmol/kg, respectively. Regarding goblet cells density, the mean ± standard deviation values were 464.42 ± 256.66 and 407.82 ± 269.18 cells/mm2 on bulbar conjunctiva and 735.52 ± 295.87 and 707.92 ± 272.51 cells/mm2 on the tarsal conjunctiva, at the second and fourth visit, respectively. A significant and negative correlation was found between PM2.5 and tear film osmolarity (p<0.05). xxiii An increase of 10 ?m/m3 in PM2.5 levels was associated with 10.9 mOsmol/Kg decrease in tear osmolarity. There also was a negative correlation, though not statistically significant, between NO2 and tear osmolarity No correlation was found between conjunctival goblet cells count and NO2 or PM2.5 levels as well as no correlation was found between OSDI questionnaire or clinical findings and air pollution exposure. Conclusion: Exposure to high levels of air pollution reduces tear film osmolarity and influences tear film stability, although it is not associated with symptoms and other clinical signs in individual without ocular disease. Alterations on tear film osmolarity combined to goblet cells density modification may be part of an adaptive ocular surface response to air pollution exposure

The overarching theme of the thesis was to investigate the association between smart device use and computer vision syndrome. The initial study designed and developed the Open Field Tear film Analyser (OFTA) enabling a continuous, real-time assessment of the tear film and blink characteristics during smart device use. The monocular OFTA prototype was validated and showed good intra- and inter-observer repeatability relative to the Oculus Keratograph 5M and Bausch and Lomb one position keratometer. Subsequently, tear osmolarity following engagement with reading and gaming tasks on smart device and paper platforms was investigated. Discrete measures of osmolarity pre- and post-engagement with the tasks were obtained with the TearLab osmometer; osmolarity values differed between platforms when participants were engaged in a gaming task but no such difference was observed with the reading task. In addition, the influence of repeated measurements on tear osmolarity was also explored. To simulate the habitual binocular viewing conditions normally associated with smart device use, the binocular OFTA was developed. The device was used to assess the tear film and blink characteristics whilst engaging with reading and gaming tasks on smart device and paper platforms. The results revealed differences in blink characteristics and non-invasive tear break up time between the different platforms and tasks assessed. In addition, the thesis also reports on an investigation examining the real-time accommodative response to various targets displayed on smart devices using an open-field autorefractor with a Badal lens system adaptation. The results showed that accommodative latency, accommodative lag, mean velocity of accommodation, speed of disaccommodation and mean velocity of disaccommodation varied across the different platforms. Through the use of validated subjective questionnaires and smartphone apps, the relationship between duration of smartphone use and symptoms of dry eye were examined. The findings of this study demonstrated that longer duration of smartphone and personal computer use were associated with higher risk of dry eyes as indicated by subjective questionnaire outcomes.

Honey has been used to heal wounds since ancient times. There are many references in ancient literature that cite honey for its medicinal uses. It is used as an alternative agent to cure infections of wounds, burns, ulcers etc. Researchers have shown some of the antimicrobial properties of honey when used as an ointment. When applied to an affected area, it helps to promote the growth of healthy tissue. One of the factors on which the quality of the honey depends, is its geographical origin. Based on the location, honey types can vary as much as 100-fold from each other in color, aroma, viscosity, and antimicrobial properties. The important components in honey that play an essential part in healing wounds and contributing to the antimicrobial properties are enzymes. Their presence allows honey to kill various types of pathogenic bacteria, viruses, fungi etc. A higher antimicrobial effect is seen in monofloral honey (when a single plant species is the source of nectar), which is often more potent than other types of honey in terms of antibacterial activity. Resistance of pathogens to these antimicrobial actions has never been shown, which makes honey a more promising source of antimicrobial research. Presently, infections of burns and wounds are very challenging to treat, especially when they are caused by antibiotic-resistant bacteria. The purpose of this study was to examine the antimicrobial properties of honey from Utah and other locales, and to identify promising antimicrobial activities that could be useful in treating infections caused by resistant bacteria.