The cumulative distribution function is given by equation(3) F(X)

The cumulative distribution function is given by equation(3) F(X)=1−exp[−(Xλ)k].With a double logarithmic transformation, eq. (3) can be written as equation(4) ln−ln[1−F(X)]=klnX−klnλ.ln−ln[1−F(X)]=klnX−klnλ.Knowing

F  (XX) and XX from the wind speed data, the value of k and λ can be determined by least squares fitting using eq. (4). The Weibull parameters for each month (Table 2) are obtained by applying eq. (4) to the 50-year wind series. Pearson’s Chi-square test is used to evaluate the performance of the Weibull fitting, which is given by equation(5) X2=∑i=1N(Oi−Ei)2/Ei,where Oi is the measured frequency for bin i (the wind speed data is divided into 60 bins at intervals of 0.5 m s−1), and Ei is the expected frequency for bin i, which is calculated by equation(6) Ei=k(F(i/2)−F(i/2−0.5)),Ei=k(F(i/2)−F(i/2−0.5)),where k is the size of the wind speed series, and F is the cumulative VX-809 molecular weight distribution function given by eq. (3). Results of Pearson’s Chi-square test show satisfactory fitting of the Weibull distribution to the wind data (Table 2). Weibull parameters for the months in Class 1 indicate their similar distributions of wind strength. The months in Class 3 also have similar Weibull selleckchem parameters. The Weibull parameters of the three months in Class 2 indicate a decreasing trend of wind strength. The average term of

the wind strength of this class is reflected in the April distribution. Based on the similarities of the monthly Weibull parameters within the same class, the Weibull distribution for each class is obtained by applying eq. (4) to the wind series of the months within the same class. of The results are shown in Figure 3b (parameters of Class 4 are not shown as they are already listed in Table 2). The concept of ‘representative’ monthly wind series is introduced in this study. A representative monthly wind series is composed of 720 (hours in a month)

synthetic wind elements. This is able to reflect statistically the features (spectrum) of a wind class, and thus represents the months of one class. The use of representative monthly wind series is related to the strategy of morphological update (Zhang et al. 2010). The model calculates one representative wind series instead of all the months it represents; thus, it is able to save CPU time. Based on the Weibull parameters for each class, the representative monthly wind series are derived through the following procedures: (1) Four wind classes are used to generate their corresponding representative monthly wind series. Wind speeds of each representative series are given by the Weibull distributed random numbers, which are calculated from the shape parameter k and the scale parameter λ for each class.

In addition, surveillance for IBD dysplasia

must be perfo

In addition, surveillance for IBD dysplasia

must be performed in patients with inactive disease, with bowel preparation of adequate Everolimus cell line quality and the appropriate imaging and tools. A surveillance colonoscopy with random biopsies was performed with the aid of NBI in this 41-year-old patient with long-standing Crohn’s colitis and primary sclerosing cholangitis (A, B). Importantly the images show severe disease inactivity and inadequate bowel preparation. NBI, which has not been shown to provide any benefit for detection of dysplasia when compared with white light or chromoendoscopy, was used (C, D). Random biopsies were performed, which showed severe chronic active colitis with focal LGD in the right colon, and moderate chronic active colitis in the transverse and left colon. No biopsies were taken of the rectum. One year later, a repeat colonoscopy

was performed in the setting of less active disease using chromoendoscopy with targeted biopsy. Targeted biopsy showed (E) an invasive low-grade adenocarcinoma in the rectum and (F) a nonpolypoid dysplastic lesion in the hepatic flexure. Figure options Download full-size image Download high-quality image (181 K) Download as PowerPoint slide Fig. 21. High-definition white-light imaging is superior to standard-definition white-light imaging for surveillance of dysplasia C59 wnt in the detection of dysplasia and/or CRC in patients with colitic IBD. Surveillance using high-definition colonoscopy detected significantly more patients with dysplasia (prevalence ratio 2.3, 95% confidence interval [CI] 1.03–5.11) and detected significantly more endoscopically visible dysplasia (risk ratio 3.4, 95% CI 1.3–8.9).10 Chromoendoscopy with targeted biopsy leads to increased efficacy compared to white light colonoscopy Leads to 7% (95% CI: 3.3 to 10.3%) increase in the detection of dysplasia/patient Box. 1. Chromoendoscopy with targeted biopsy leads to increased efficacy of surveillance. In a meta-analysis of 6 clinical trials comparing chromoendoscopy with white-light

Pembrolizumab order endoscopy, chromoendoscopy detected additional dysplasia in 7% of patients in comparison with white-light endoscopy. The number needed to treat (NNT) to find another patient with at least 1 dysplasia was 14. Chromoendoscopy with targeted biopsy increased the likelihood of detecting any dysplasia by 9 times when compared with white light, and the likelihood of detecting nonpolypoid dysplasia was 5 times higher. (Data from Soetikno R, Subramanian V, Kaltenbach T, et al. The detection of nonpolypoid (flat and depressed) colorectal neoplasms in patients with inflammatory bowel disease. Gastroenterology 2013;144(7):1349–52.) Figure options Download full-size image Download high-quality image (169 K) Download as PowerPoint slide Fig. 22. Standard definition chromoendoscopy is superior to standard definition white light imaging in the detection of dysplasia and/or CRC in patients with colitic IBD.

Furthermore, high loads of allocthonous material into the pelagic

Furthermore, high loads of allocthonous material into the pelagic environment are expected from different sources: terrestrial, littoral and river discharges (Fahl and Nöthig, 2007 and Montemayor et al., 2011). In the temperate and eutrophic Bahía Blanca Estuary, the phytoplankton seasonality and composition has been studied for decades and the

winter-early spring bloom has been characterized as the most important biomass event over the annual cycle (Guinder et al., 2010 and references therein). The inner zone of the estuary is the most productive area along the main channel, selleck screening library as a result of high abundance and diversity of both planktonic and benthic communities (Elías, 1992, Hoffmeyer et al., 2008 and Popovich and Marcovecchio, 2008). In this shallow inner zone, a tight benthic–pelagic Pirfenidone coupling is expected. For instance, resting stages of diatoms (Guinder et al., 2012) and zooplankton resting eggs (Berasategui et al., 2013) have been found lying in the sediments and germinating in the pelagic habitat after resuspension. Conversely, a marked difference in the species composition has been found between plankton

and benthos: the phytoplankton is dominated by centric diatoms while the dense microbial mats are densely formed by pennates diatoms and cyanobacterias (Pan et al., 2013 and Parodi and Barría de Cao, 2003). This suggests low exportation of phytoplankton cells to the bottom

either by intense grazing in the water column or high degradation processes of the organic matter. However, little is known so far on vertical transport of phytoplankton and organic matter; only short-term observations have been done during a tidal cycle (Guinder et al., 2009a). Tracking the production and fate of the organic matter produced in the surface of the water column during the blooming season will elucidate the potential benthic–pelagic interactions and the remineralization capacity of the system in the highly productive inner zone of the Bahía Blanca Estuary. In this work our goals were (1) to evaluate the evolution of the winter-early spring phytoplankton bloom in surface waters assessing the species succession, size structure, duration and magnitude of the bloom in relation to environmental factors, Silibinin and (2) to characterize the settled material inside sediment collectors in terms of accumulated particulate suspended matter (PSM) and organic matter (POM), chlorophyll and phaeopigments concentrations, and carbon-to-nitrogen ratios (C:N). Overall, we aim to obtain an approach to the modulating factors of the winter phytoplankton bloom and its potential influence in the underlying sediments. The Bahía Blanca Estuary (38°42′–39°25′ S, 61°50′–62°22′ W) is located in a temperate climate region on the southwestern Atlantic, Argentina. The estuary is mesotidal (mean tidal amplitude of 3.

01) in muscle mass compared to wild-type mice which was followed

01) in muscle mass compared to wild-type mice which was followed at later stage (21 DPI) by marked muscle mass loss ( Fig. 2D). F4/80 marker was used to characterize macrophages in the inflammatory infiltrate. TLR4-deficient mice showed at 3 DPI less macrophage per injury area in comparison with C3H/HeN mice, but the difference was not significant (Fig. 3A, B, E). However, significant differences were observed when we analyzed the total area of tissue (Fig. 3A, B, F). Conversely at 10 DPI TLR4-deficient mice showed 10-fold more macrophages per total area of tissue (Fig. 3C, D, F). Syrius red staining was

used as a parameter to correlate a putative influence of TLR background with skeletal muscle remodeling. DAPT supplier At 3 DPI and 10 DPI both groups showed discrete collagen deposition (data not shown) but at 21 DPI pronounced collagen deposition was consistently observed in C3H/HeJ TLR4-deficient mice especially within areas of myonecrosis (Fig. 4). selleck Activities of MMP9 and MMP2 in gastrocnemius muscle were analyzed as indicators of local inflammation and tissue remodeling, respectively (Bani et al., 2008). At 3 DPI, TLR4-deficient C3H/HeJ mice showed slight reduction of MMP9 activity but significant (p < 0.05) reduction of MMP2 activity compared to C3H/HeN mice. At 10 DPI, the C3H/HeJ TLR4-deficient mice showed high levels of MMP9 (p = 0.018) and MMP2 (p = 0.06) activities ( Fig. 5A, B) but C3H/HeN mice

did not show MMP9 activity commonly associated with inflammatory process. The present results indicate that TLR4-deficient mice but not TLR wild-type present strong inflammatory response with pronounced collagen deposition in response to intramuscular injection of B. jararacussu venom. Such results indicate that TLR4 may exert a protective

role reducing inflammation and activating repair mechanisms following muscle injury induced by B. jararacussu venom. TLR4 plays a central role in mediating an early inflammatory response in several models of sterile tissue injury (Kaczorowski et al., 2009). In the present study, both groups showed widespread lesion with high percentage of myonecrosis and intense inflammatory infiltrate at early stages (3 DPI) after venom injection. Rebamipide At 10 DPI, TLR4-deficient mice showed a significant increase in lesion area in relation to TLR4 wild-type, suggesting a delay in the process of tissue repair. Extensive myotoxic activity caused by B. jararacussu is attributed to high levels of myotoxins present in the venom ( Barbosa et al., 2008, 2009; Doin-Silva et al., 2009). This activity can be monitored by plasma levels of creatine kinase (CK) and histological analysis. An increased level of CK in the acute phase of myonecrosis is a consequence of sarcolemma damage by myotoxins and may interfere in the final process of muscle repair ( Calil-Elias et al., 2002). Similar to previous studies with B. jararacussu venom ( Barbosa et al., 2009; Calil-Elias et al.

Kept at a safe distance, however, excitement about the discovery

Kept at a safe distance, however, excitement about the discovery was infectious but shouts of unbridled joy accompanied the huge “whoomphs” when the devices were exploded in situ. It is now almost 70 years since World War II ended but a television programme on the impending homecoming from Afghanistan of the Royal Marines, who were filmed packing up

their ordinance for repatriation, made me think again about the disposal of such weaponry in the past – a subject that seems to have dropped out of common, and scientific, concern. A simple Navitoclax nmr search quickly provided a few interesting and, apparently, mostly forgotten facts. After World War II, the United States and other European countries dumped 300,000 tonnes of conventional and chemical munitions into the ocean. This figure, however, incredible as it is, pales when one learns that in Europe alone, in excess of one million tonnes of munitions were dumped in Beaufort’s Dyke, in the Irish Sea, some 168,000 tonnes in the Skagerrak (Denmark) and some 300,000 tonnes in the North Sea. There are actually 148 individual buy GSK1120212 dump sites spreading south

from Iceland to Gibralter, most along the coast of France, and they contain conventional explosives such as bombs, grenades, torpedoes and mines, but also chemical munitions containing phosgene and mustard gases as well as the nerve gases, lewisite, sarin and tabun. The example of Great Britain’s biggest dump site provides an example of the scale of the problem. Beaufort’s Dyke is a deep (∼200 m) trench located between Scotland and Northern Ireland in the Irish Sea. It is 50 km long and 3.5 km wide. In 1995, following the discovery of incendiary devices along the coastline of the Firth of Clyde, some of which self-ignited as they dried, the Fisheries Research Services of the Scottish Mannose-binding protein-associated serine protease Executive conducted an acoustic survey of the dyke to determine the distribution and density of the munitions. The survey also obtained seabed, shellfish and fish samples for analyses of contaminants. The survey showed that the munitions were spread

far and wide across the seabed, but that there was no identifiable chemical contamination of either the seabed or the fishery resources. In 2004, however, a local councillor from Northern Ireland, reported in a BBC programme on the subject that incendiary bombs drift onto the shores (of Northern Ireland) each winter with ‘hundreds upon hundreds of these things getting washed up in a matter of days’. He added that. ‘a couple of young boys here locally got burns off them, and another [boy] in Scotland was burnt’. A former Royal Navy diver specialising in bomb and mine clearance offered the opinion that the oldest munitions in the Dyke were losing their ability to withstand corrosion and that there are (possibly) two or three sporadic spontaneous undersea explosions each month.

In a study with obese children, after lifestyle intervention, adi

In a study with obese children, after lifestyle intervention, adiponectin levels, together with several other metabolic parameters, were significantly improved, potentially due to weight AZD6738 solubility dmso loss, improvement of metabolic status, or both [5]. Leptin and adiponectin are involved in the regulation of metabolic homeostasis and inflammatory process in a constellation of chronic diseases. Several studies have reported the association of adipokines, especially A/L ratio, with the presence of metabolic syndrome [14], [17] and [46]. In agreement, Jung et al. [14] showed in adults that the A/L ratio was decreased in the presence of metabolic syndrome (MS) and that changes are related to the number of MS components. Our study

corroborated these findings, revealing a negative correlation between the A/L ratio and total cholesterol and LDL cholesterol in the hyperleptinemic group. Thus, one important

finding from the present study is that the A/L ratio was significantly lower throughout the intervention in those with hyperleptinemia compared with non-hyperleptinemic patients. However, weight loss therapy was effective in improving this ratio in both analyzed groups. Our study presented some limitations, such as a reduced number of subjects, and we measured total ghrelin rather than acyl ghrelin, although the acylation of this peptide is necessary to cross the blood brain barrier to release GH and exert others endocrine functions.

However, we demonstrate in obese adolescents that the A/L ratio was negatively correlated with total cholesterol and LDL cholesterol and Smad inhibitor higher values of NPY/AgRP in hyperleptinemic Adenosine triphosphate patients. All together, these data reinforce the role of hyperleptinemia in the deregulation of energy balance in obese adolescents, suggesting that this pivotal interplay of leptin in energy balance and inflammation needs to be considered in a clinical intervention. In conclusion, our study reveals that long-term interdisciplinary therapy promotes significant improvement in the disruption of homeostatic cross-talk between the afferent hormonal signals from the periphery and the hypothalamic network of NPY, observed mainly in hyperleptinemic obese patients. Finally, these data can elucidate the interplay between hyperleptinemic status and increased NPY/AgRP ratio with a concomitant decrease in alpha-MSH, factors implicated in impaired weight loss control. AFIP, FAPESP 2008/53069-0 and 2006/00684-3, FAPESP (CEPID/Sleep #9814303-3 S.T) CNPq, CAPES, CENESP, FADA, and UNIFESP-EPM, supported the CEPE-GEO Interdisciplinary Obesity Intervention Program. There is no conflict interest. “
“Ion channels are important targets for treatment of many diseases or clinical abnormalities. Among them, K+-channels have received much attention as they are widely spread in almost any tissue and also due to the high diversity of K+-channels expressed in mammalian cells.

While certain barriers to advances in healthcare provision exist

While certain barriers to advances in healthcare provision exist in Europe (differences in language, local policies, medical approaches and funding), progress is being made, with a number of networks being set up to report on health status across the region. These networks (e.g. the European Oncology Thoracic Platform [ETOP], European

Organisation for the Research and Treatment of Cancer [EORTC] and the International Association for the Study of Lung Cancer [IASLC]) will play a key role in improving healthcare provision in oncology in the future, enabling collaboration between healthcare professionals and industry in order to improve outcomes [79] and [80]. Such collaborations are important, since the incidence of lung cancer and mortality rates differ widely across Europe [1] and [81]. The advent of novel targeted therapy

CYC202 for patients with NSCLC has resulted in clear progress in the treatment of this common malignancy in recent years, though challenges still remain (Table 3). In particular, optimum use of novel agents requires the identification of predictive markers to determine the patients who will derive the most benefit. New models for clinical trials in NSCLC are also required, as the results of many Phase III trials with targeted agents undertaken over the last decade have been negative, primarily due to the inclusion of unselected patients and limited understanding of tumour biology [71], [82], [83] and [84]. The poor efficacy observed in early trials with targeted agents may also be due to cross-stimulation learn more of the targets of these agents, such that interference with a single

pathway may not be sufficient [85]. Consequently, to improve cure rates, consideration should be given to the combination of targeted agents, with multiple biopsies being collected to study tumour evolution over time. In order to improve efficiency and reduce the cost of development, future trials for Etofibrate new targeted agents in NSCLC should aim to recruit patients on the basis of tumour biology rather than clinical characteristics. Indeed the benefit of this approach has already been established, with crizotinib receiving accelerated approval within 4 years following demonstration of considerable efficacy in a targeted (ALK+) population [86]. Nevertheless, involvement of networks such as ETOP may be needed so that trials can be undertaken in selected populations due to the number of patients required for screening. New surrogate endpoints (e.g. quality of life or PFS) are also needed for future trials due to the difficulty in demonstrating survival benefit. Adjuvant platinum-based chemotherapy improves survival in completely resected early-stage NSCLC and is now standard treatment in this setting based on the results of phase III trials [87], [88], [89] and [90]. Nevertheless, the impact is limited and predictive markers are needed in order to better select the patients most likely to benefit from adjuvant treatment.

A zMsi1 antisense probe detected endogenous mRNA in some parts of

A zMsi1 antisense probe detected endogenous mRNA in some parts of the brain, spinal cord and eyes ( Figs. 5A, C). The 48-hpf sample with antisense probe Sirolimus showed restricted expression of zMsi1 in the forebrain in embryos and

no signal was detected in the spinal cord ( Fig. 5C). These results indicate that zMsi1 is expressed mainly in the CNS in zebrafish embryos and we hypothesized that zMsi1 may play important roles in the development of the CNS in vivo. To evaluate Msi1 protein levels at each developmental stage, we performed immunoblotting with a rat monoclonal anti-mouse Msi1 antibody (14H1) that was described previously (Kaneko et al., 2000). Protein lysates were prepared from whole embryos or isolated heads of wild-type zebrafish, homogenized at 2, 3, 4 days and 5 months post-fertilization. The same amount of mouse brain lysate from embryonic day 14.5 was loaded as a positive control (Fig. 6A). The amounts of protein loaded in each lane were referenced with that of

internal control antibodies against α-Tubulin and β-Actin (Fig. 6B). The recognition sequence for the 14H1 monoclonal antibody is highly PD98059 solubility dmso conserved (nine out of ten amino acids are identical between mouse and zebrafish) (Fig. 1A, blue bar). A single band at approximately the size of mouse Msi1 (362 amino acids) was detected at each stage. Mouse Msi1 is only 13 amino acids longer than zMsi1L (349 amino acids). Several faint non-specifically stained bands were present in the zebrafish samples. The zMsi1 protein was detected at day 2 (48 hpf), and ADP ribosylation factor the expression levels gradually increased in an age-dependent manner in the 2–7-day-old zebrafish (Fig. 6A). In adult zebrafish with an age of 5 months, zMsi1 expression was much higher than in embryonic stages. By contrast, in the mouse, the level of Msi1 is highest in the early embryonic period, and its levels are much lower in the adult brain. Taken together, these results show that the expression profile of Msi1 in zebrafish was different from that in mouse. Protein localization of zMsi1 was evaluated via immunohistochemistry

in day 2 (48 hpf) zebrafish embryos (Figs. 6C–G). Many cells in the CNS and the eyes expressed zMsi1, which exhibited an expression pattern similar to that of the proliferative cell marker, PCNA (Fig. 6C). Cells positive for cytoplasmic Msi1 were co-labeled with anti-PCNA in the forebrain, midbrain, hindbrain and eyes (Figs. 6D–G). To evaluate the functions of Msi1 in zebrafish development, we constructed and injected MOs into one-cell stage wild-type zebrafish embryos to knock down expression of zMsi1. To evaluate the survival rate and observe specific phenotypes in the MO-injected group, the following controls were prepared: non-injected (injection minus) wild type ( Fig. 7A) and randomized sequence MO-injected wild type ( Fig. 7B).

Randomized controlled trials are needed to assess the clinical ut

Randomized controlled trials are needed to assess the clinical utility of these drugs, as well as their potential to treat patients that have developed resistance to platinum- and taxane-induced cytotoxicity. Lastly, anti-EGFR antibody disrupting DNA repair machinery using Poly(ADP-ribose) polymerase (PARP) inhibitors is a promising strategy for treating OvCa patients harbouring BRCA1 or BRCA2 mutations

[60]. As BRCA1/2 proteins are essential to the homologous recombination repair pathway, preventing single-stranded DNA break repair with PARP inhibitors will lead to an accumulation of double-stranded breaks, which will induce apoptosis in BRCA-deficient tumour cells [65]. Whether these inhibitors will have more effectiveness as a single agent or in combination with therapies still requires further investigation, as this may depend on the histological and molecular tumour

subtype of the patient. Overall, it is evident that the future of OvCa treatment and management will involve a combinatorial approach, as conventional therapies will be used in combination with newly developed agents. Further investigation on the appropriate administration of the above therapies will be a focus of upcoming efforts, as ongoing clinical trials will assess the clinical utility of these drugs as well as determine which patients will benefit the most from each therapeutic agent. Despite the major emphasis DAPT placed on the search for early detection biomarkers through proteomic profiling and other alternative biomarker discovery efforts, these studies do not allow for the

identification of markers that could guide treatment nor predict its response in patients. As such, attempts have been made towards uncovering proteomic changes that occur as a result of chemoresistance. These include profiling chemosensitive and resistant cancer cell lines and tissues, as a starting HA-1077 in vitro point in understanding the molecular basis of resistance to chemotherapeutic agents, which will ultimately lead to the identification of markers for treatment response as well as the discovery of novel therapeutic targets. In the following sections, we will describe a few of the emerging cell line-based proteomic strategies, including quantitative proteomics, glycoproteomics, and organellar proteomics to study chemoresistance. In addition, the use of tissue proteomics to complement the above strategies will be discussed. EOC cell lines provide a valuable biological source for conducting high-throughput proteomics because of their easy manipulation and the ability to mine the proteome in depth. Using the human OvCa cell line, A2780, which was derived from an untreated patient, numerous studies have generated its platinum- and taxane-resistant derivatives in order to compare proteomic changes between the two conditions, or to an inherently resistant cancer cell line, OVCAR3 [66], [67], [68], [69] and [70].

For several pathogens, antibodies have been found to represent a

For several pathogens, antibodies have been found to represent a reliable correlate of protection

and therefore the efficacy of a proposed vaccine can be measured in the absence of clinical endpoints using seroprotection rates (eg number of subjects with antibody response above a pre-specified cut-off). Two examples of vaccines with accepted serological correlates of protection are HBV and hepatitis A virus (HAV) vaccines. An antibody response against the HBV surface protein (anti-HBs) ≥10 mIU/mL was observed to correlate with protection from hepatitis in efficacy studies in healthy subjects. For HAV, the correlates of protection are defined by a level of anti-HAV antibodies against the HAV structural proteins

above the assay cut-off level demonstrated to correlate with protection from hepatitis. The search for immune correlates of protection is difficult for diseases Small molecule library with complex host–pathogen interactions or pathogenesis. The presence of antibodies is not a correlate of protection for some diseases Protease Inhibitor Library purchase such as pertussis or human immunodeficiency virus (HIV), where exposed individuals may develop antibodies without being protected against subsequent infection or disease. Generally, it is harder to establish cell-mediated correlates of protection than it is to detect protective antibody responses. This is linked to both the assay methods available to detect such effects and to difficulty in linking an observed response with a known protective benefit, ie prevention of infection and/or disease. Without knowing the immunological correlates of protection, O-methylated flavonoid the best method of assessing vaccine efficacy is through large, randomised controlled clinical trials that include well-defined clinical endpoints.

Increasingly, vaccine studies focus on these types of endpoints, since many of the remaining targets for vaccination are complex or do not have established correlates of protection. However, when conducting such randomised controlled trials, consideration must be given to the variability of the disease incidence in the test population. Some vaccine trials have failed not necessarily because of a lack of protection by the vaccine but because the seasonal incidence of the target disease changed and there were not enough incidences of infection in the placebo group to draw meaningful conclusions. Designing clinical trials to avoid such an eventuality adds to both the size and cost of the trial. Case study 4.  Developing a vaccine using immune correlates of protection Hepatitis A is an acute, usually self-limiting disease of the liver caused by HAV. This is transmitted from person to person, primarily by the faecal–oral route or via contaminated water or food.