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Author Schmoll, C.; Khan, A.; Aspinall, P.; Goudie, C.; Koay, P.; Tendo, C.; Cameron, J.; Roe, J.; Deary, I.; Dhillon, B.
Title New light for old eyes: comparing melanopsin-mediated non-visual benefits of blue-light and UV-blocking intraocular lenses Type
Year 2014 Publication The British Journal of Ophthalmology Abbreviated Journal Br J Ophthalmol
Volume 98 Issue (up) 1 Pages 124-128
Keywords Aged; Cataract/*physiopathology; Circadian Rhythm/physiology; Cognition/*physiology; Female; Humans; Lens Implantation, Intraocular; *Lenses, Intraocular; Light; Male; Phacoemulsification; Prospective Studies; Questionnaires; Reaction Time/physiology; Regression Analysis; Rod Opsins/*physiology; Sleep/*physiology; Physiology; Retina; blue blocker; blue light
Abstract BACKGROUND/AIMS: Melanopsin-expressing photosensitive retinal ganglion cells form a blue-light-sensitive non-visual system mediating diverse physiological effects including circadian entrainment and cognitive alertness. Reduced blue wavelength retinal illumination through cataract formation is thought to blunt these responses while cataract surgery and intraocular lens (IOL) implantation have been shown to have beneficial effects on sleep and cognition. We aimed to use the reaction time (RT) task and the Epworth Sleepiness Score (ESS) as a validated objective platform to compare non-visual benefits of UV- and blue-blocking IOLs. METHODS: Patients were prospectively randomised to receive either a UV- or blue-blocking IOL, performing an RT test and ESS questionnaire before and after surgery. Optical blurring at the second test controlled for visual improvement. Non-operative age-matched controls were recruited for comparison. RESULTS: 80 participants completed the study. Those undergoing first-eye phacoemulsification demonstrated significant improvements in RT over control (p=0.001) and second-eye surgery patients (p=0.03). Moreover, reduced daytime sleepiness was measured by ESS for the first-eye surgery group (p=0.008) but not for the second-eye group (p=0.09). Choice of UV- or blue-blocking IOL made no significant difference to magnitude of cognitive improvement (p=0.272). CONCLUSIONS: Phacoemulsification, particularly first-eye surgery, has a strong positive effect on cognition and daytime alertness, regardless of IOL type.
Address Princess Alexandra Eye Hospital, , Edinburgh, UK
Corporate Author Thesis
Publisher Place of Publication Editor
Language English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 0007-1161 ISBN Medium
Area Expedition Conference
Notes PMID:24158845 Approved no
Call Number IDA @ john @ Serial 342
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Author Kloog, I.; Haim, A.; Stevens, R.G.; Barchana, M.; Portnov, B.A.
Title Light at night co-distributes with incident breast but not lung cancer in the female population of Israel Type Journal Article
Year 2008 Publication Chronobiology International Abbreviated Journal Chronobiol Int
Volume 25 Issue (up) 1 Pages 65-81
Keywords Human Health; Breast Neoplasms/*epidemiology/etiology; Female; Humans; Israel/epidemiology; *Light; Lung Neoplasms/epidemiology; Multivariate Analysis; Risk Factors
Abstract Recent studies of shift-working women have reported that excessive exposure to light at night (LAN) may be a risk factor for breast cancer. However, no studies have yet attempted to examine the co-distribution of LAN and breast cancer incidence on a population level with the goal to assess the coherence of these earlier findings with population trends. Coherence is one of Hill's “criteria” (actually, viewpoints) for an inference of causality. Nighttime satellite images were used to estimate LAN levels in 147 communities in Israel. Multiple regression analysis was performed to investigate the association between LAN and breast cancer incidence rates and, as a test of the specificity of our method, lung cancer incidence rates in women across localities under the prediction of a link with breast cancer but not lung cancer. After adjusting for several variables available on a population level, such as ethnic makeup, birth rate, population density, and local income level, a strong positive association between LAN intensity and breast cancer rate was revealed (p<0.05), and this association strengthened (p<0.01) when only statistically significant factors were filtered out by stepwise regression analysis. Concurrently, no association was found between LAN intensity and lung cancer rate. These results provide coherence of the previously reported case-control and cohort studies with the co-distribution of LAN and breast cancer on a population basis. The analysis yielded an estimated 73% higher breast cancer incidence in the highest LAN exposed communities compared to the lowest LAN exposed communities.
Address Department of Natural Resources & Environmental Management, University of Haifa, Haifa, Israel
Corporate Author Thesis
Publisher Place of Publication Editor
Language English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 0742-0528 ISBN Medium
Area Expedition Conference
Notes PMID:18293150 Approved no
Call Number LoNNe @ christopher.kyba @ Serial 528
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Author Czeisler, C.A.; Shanahan, T.L.; Klerman, E.B.; Martens, H.; Brotman, D.J.; Emens, J.S.; Klein, T.; Rizzo, J.F. 3rd
Title Suppression of melatonin secretion in some blind patients by exposure to bright light Type Journal Article
Year 1995 Publication The New England Journal of Medicine Abbreviated Journal N Engl J Med
Volume 332 Issue (up) 1 Pages 6-11
Keywords Human Health; Adolescent; Adult; Aged; Blindness/etiology/*physiopathology; Circadian Rhythm; Female; Humans; *Light; Male; Melatonin/blood/*secretion; Middle Aged; Photic Stimulation; Sleep Initiation and Maintenance Disorders/physiopathology; Visual Perception
Abstract BACKGROUND: Complete blindness generally results in the loss of synchronization of circadian rhythms to the 24-hour day and in recurrent insomnia. However, some blind patients maintain circadian entrainment. We undertook this study to determine whether some blind patients' eyes convey sufficient photic information to entrain the hypothalamic circadian pacemaker and suppress melatonin secretion, despite an apparently complete loss of visual function. METHODS: We evaluated the input of light to the circadian pacemaker by testing the ability of bright light to decrease plasma melatonin concentrations in 11 blind patients with no conscious perception of light and in 6 normal subjects. We also evaluated circadian entrainment over time in the blind patients. RESULTS: Plasma melatonin concentrations decreased during exposure to bright light in three sightless patients by an average (+/- SD) of 69 +/- 21 percent and in the normal subjects by an average of 66 +/- 15 percent. When two of these blind patients were tested with their eyes covered during exposure to light, plasma melatonin did not decrease. The three blind patients reported no difficulty sleeping and maintained apparent circadian entrainment to the 24-hour day. Plasma melatonin concentrations did not decrease during exposure to bright light in seven of the remaining blind patients; in the eighth, plasma melatonin was undetectable. These eight patients reported a history of insomnia, and in four the circadian temperature rhythm was not entrained to the 24-hour day. CONCLUSIONS: The visual subsystem that mediates light-induced suppression of melatonin secretion remains functionally intact in some sightless patients. The absence of photic input to the circadian system thus constitutes a distinct form of blindness, associated with periodic insomnia, that afflicts most but not all patients with no conscious perception of light.
Address Department of Medicine, Harvard Medical School, Boston, MA 02115
Corporate Author Thesis
Publisher Place of Publication Editor
Language English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 0028-4793 ISBN Medium
Area Expedition Conference
Notes PMID:7990870 Approved no
Call Number LoNNe @ kagoburian @ Serial 732
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Author Kloog, I.; Portnov, B.A.; Rennert, H.S.; Haim, A.
Title Does the modern urbanized sleeping habitat pose a breast cancer risk? Type Journal Article
Year 2011 Publication Chronobiology International Abbreviated Journal Chronobiol Int
Volume 28 Issue (up) 1 Pages 76-80
Keywords Human Health; ged; Alcohol Drinking/adverse effects; Breast Neoplasms/*etiology; Case-Control Studies; Circadian Rhythm/*radiation effects; Female; Humans; Light/*adverse effects; Middle Aged; Odds Ratio; Risk Factors; *Sleep; Urbanization
Abstract Due to its disruptive effects on circadian rhythms and sleep deprivation at night, shiftworking is currently recognized as a risk factor for breast cancer (BC). As revealed by the present analysis based on a comparative case-control study of 1679 women, exposure to light-at-night (LAN) in the “sleeping habitat” is significantly associated with BC risk (odds ratio [OR] = 1.220, 95% confidence interval [CI] = 1.118-1.311; p < .001), controlling for education, ethnicity, fertility, and alcohol consumption. The novelty of the present research is that, to the best of the authors' knowledge, it is the first study to have identified an unequivocal positive association between bedroom-light intensity and BC risk. Thus, according to the results of the present study, not only should artificial light exposure in the working environment be considered as a potential risk factor for BC, but also LAN in the “sleeping habitat.”
Address Department of Natural Resources and Environmental Management, Graduate School of Management, University of Haifa, Haifa, Israel
Corporate Author Thesis
Publisher Place of Publication Editor
Language English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 0742-0528 ISBN Medium
Area Expedition Conference
Notes PMID:21182407 Approved no
Call Number LoNNe @ kagoburian @ Serial 770
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Author Santhi, N.; Thorne, H.C.; van der Veen, D.R.; Johnsen, S.; Mills, S.L.; Hommes, V.; Schlangen, L.J.M.; Archer, S.N.; Dijk, D.-J.
Title The spectral composition of evening light and individual differences in the suppression of melatonin and delay of sleep in humans Type Journal Article
Year 2012 Publication Journal of Pineal Research Abbreviated Journal J Pineal Res
Volume 53 Issue (up) 1 Pages 47-59
Keywords Human Health; Adult; *Circadian Clocks; Cross-Sectional Studies; Electroencephalography; Female; Humans; Male; Melatonin/*metabolism; Photic Stimulation; *Photoperiod; Rod Opsins/*metabolism; *Sleep; *Sleep Disorders, Circadian Rhythm/etiology/metabolism/physiopathology; Time Factors
Abstract The effect of light on circadian rhythms and sleep is mediated by a multi-component photoreceptive system of rods, cones and melanopsin-expressing intrinsically photosensitive retinal ganglion cells. The intensity and spectral sensitivity characteristics of this system are to be fully determined. Whether the intensity and spectral composition of light exposure at home in the evening is such that it delays circadian rhythms and sleep also remains to be established. We monitored light exposure at home during 6-8wk and assessed light effects on sleep and circadian rhythms in the laboratory. Twenty-two women and men (23.1+/-4.7yr) participated in a six-way, cross-over design using polychromatic light conditions relevant to the light exposure at home, but with reduced, intermediate or enhanced efficacy with respect to the photopic and melanopsin systems. The evening rise of melatonin, sleepiness and EEG-assessed sleep onset varied significantly (P<0.01) across the light conditions, and these effects appeared to be largely mediated by the melanopsin, rather than the photopic system. Moreover, there were individual differences in the sensitivity to the disruptive effect of light on melatonin, which were robust against experimental manipulations (intra-class correlation=0.44). The data show that light at home in the evening affects circadian physiology and imply that the spectral composition of artificial light can be modified to minimize this disruptive effect on sleep and circadian rhythms. These findings have implications for our understanding of the contribution of artificial light exposure to sleep and circadian rhythm disorders such as delayed sleep phase disorder.
Address Surrey Sleep Research Centre, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK. n.santhi@surrey.ac.uk
Corporate Author Thesis
Publisher Place of Publication Editor
Language English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 0742-3098 ISBN Medium
Area Expedition Conference
Notes PMID:22017511 Approved no
Call Number LoNNe @ kagoburian @ Serial 802
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