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In The News

WILSON STEVENSON

BENEFIT

JANUARY 20 – 22, 2012
American Legion, Philadelphia, NY
58 Main Street

Friday: Pasta Dinner:  5:00 – 7:00  $8.00

  Dinner & Dance: $12.00

  Dance Only: $5.00  8:00 – 11:00

Saturday: Psychic Fair  10:00 – 4:00
Sunday: Craft Fair, Bake Sale  11:00 – 4:00

    Hamburgs, hot dogs, chili

    Raffles, Wilson’s book sale

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Research proposes common link between autism, diabetes

Study implicates hyperinsulinemia in increased incidence of autism

IMAGE: This is Rice University's Michael Stern.

Click here for more information.

HOUSTON -- (Oct. 19, 2011) -- A review of the genetic and biochemical abnormalities associated with autism reveals a possible link between the widely diagnosed neurological disorder and Type 2 diabetes, another medical disorder on the rise in recent decades.

"It appears that both Type 2 diabetes and autism have a common underlying mechanism -- impaired glucose tolerance and hyperinsulinemia," said Rice University biochemist Michael Stern, author of the opinion paper, which appears online in this month's issue of Frontiers in Cellular Endocrinology.

Hyperinsulinemia, often a precursor to insulin resistance, is a condition characterized by excess levels of insulin in the bloodstream. Insulin resistance is often associated with both obesity and Type 2 diabetes.

"It will be very easy for clinicians to test my hypothesis," said Stern, professor of biochemistry and cell biology at Rice. "They could do this by putting autistic children on low-carbohydrate diets that minimize insulin secretion and see if their symptoms improve."

Stern said the new finding also suggests that glucose tolerance in pregnant women may need to be addressed more seriously than it is now.

Stern said he first realized there could be a common link between Type 2 diabetes and autism a few years ago, but he assumed someone else had already thought of the idea.

Stern's lab, which is located at Rice's BioScience Research Collaborative, specializes in investigating the genetic interactions associated with genetic diseases like neurofibromatosis, a disorder in which patients are several times more likely to be afflicted with autism and autism spectrum disorders (ASD) like Asperger's syndrome.

Autism and ASD are neurological disorders that have a strong but poorly understood genetic basis. The U.S. Centers for Disease Control and Prevention estimates that about nine out of 1,000 U.S. children are diagnosed with ASD.

Stern said at least four genes associated with increased frequency in autism are known to produce proteins that play key roles in a biochemical pathway known as PI3K/Tor. Stern said he had been studying a form of abnormal function in the synapses of fruit flies that was remarkably similar to abnormalities observed in rats and mice with defects in a different pathway known as mGluR-mediated long-term depression.

"I had also spent a lot of time thinking about insulin signaling because another project in my lab is an endocrinology project in which we're studying how key proteins involved in insulin signaling affect the timing of metamorphosis in fruit flies," Stern said.

From his studies in both areas, Stern knew two things: PI3K/Tor was the major pathway for insulin signals within cells, and insulin could affect synapses in a remarkably similar way to the mGluR defects associated with autism.

"When I read that the incidence of autism was increasing, and combined that with the fact that the incidence of Type 2 diabetes is also increasing, it seemed reasonable that each increase could have the same ultimate cause -- the increase in hyperinsulinemia in the general population," Stern said. "I didn't do anything with this notion for a few years because it seemed so obvious that I figured everyone already knew this hypothesis, or had tested it and found it was not true."

Stern said he changed his mind a few months ago when a health care consulting firm asked him to provide input about autism.

"In preparing for this interview, I discovered that gestational diabetes was the most important identified maternal risk factor for autism, but that 'no known mechanism could account for this,'" Stern recalled. "When I read this, I was speechless. That's when I realized that this was not obvious to others in the field, so I decided to write this up with the hope that clinicians might become aware of this and treat their patients accordingly."

In writing the article, Stern said he learned that the role of insulin in cognitive function is becoming more widely accepted.

"I was checking to see if insulin was known to affect synaptic function, and I learned that the nasal application of insulin is already being tested to see if it is beneficial for both Alzheimer's and schizophrenia."

Stern said he also found preliminary studies that indicated that low-carb diets were therapeutic for some individuals with autism and ASD.

"Based on what's already in the literature, insulin needs to be taken seriously as a causative element in autism," Stern said. "I hope that clinicians will take the next step and put this to a rigorous test and determine how to best use this information to benefit patients."

###

VIDEO is available at: http://www.youtube.com/watch?v=GGizH7NaRxY

A high-resolution image is available for download at: http://www.media.rice.edu/images/media/NEWSRELS/Stern.jpg
CAPTION: Michael Stern
CREDIT: Jeff Fitlow/Rice University

The opinion article is available at: bit.ly/r4SALm

Located on a 300-acre forested campus in Houston, Rice University is consistently ranked among the nation's top 20 universities by U.S. News & World Report. Rice has highly respected schools of Architecture, Business, Continuing Studies, Engineering, Humanities, Music, Natural Sciences and Social Sciences and is known for its "unconventional wisdom." With 3,485 undergraduates and 2,275 graduate students, Rice's undergraduate student-to-faculty ratio is less than 6-to-1. Its residential college system builds close-knit communities and lifelong friendships, just one reason why Rice has been ranked No. 1 for best quality of life multiple times by the Princeton Review and No. 4 for "best value" among private universities by Kiplinger's Personal Finance. To read "What they're saying about Rice," go to http://futureowls.rice.edu/images/futureowls/Rice_Brag_Sheet.pdf.

CHEST: Airway Anomaly Linked to Autism

By Todd Neale, Senior Staff Writer, MedPage Today
Published: October 25, 2011
Reviewed by Dori F. Zaleznik, MD; Associate Clinical Professor of Medicine, Harvard Medical School, Boston and
Dorothy Caputo, MA, RN, BC-ADM, CDE, Nurse Planner
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HONOLULU -- A specific airway abnormality may be an objective marker for autism spectrum disorders in children, a small study showed.

A doubling of the take-off to the lower airways occurred in 49 children who underwent a bronchoscopy, all of whom had been diagnosed previously with an autism spectrum disorder, according to Barbara Stewart, MD, a pediatric pulmonologist at Nemours Children's Clinic in Pensacola, Fla.

A search of the literature revealed that such an abnormality has never been described before in any individual, regardless of autism status, she reported at the CHEST meeting here.
Action Points  
  • Note that this study was published as an abstract and presented at a conference. These data and conclusions should be considered to be preliminary until published in a peer-reviewed journal.


  • Explain that a pediatric pulmonologist found a double take-off to the lower airways in 49 children undergoing bronchoscopy for the workup of chronic cough, a finding she had not observed previously.


  • Point out that later, when looking for shared characteristics in these children, she noted that all of them had been diagnosed with autism spectrum disorder.

Thus, the presence of "doublets" could provide objective support for an autism diagnosis, which is provided subjectively through observing the behaviors of the child.

Stewart stressed, however, that bronchoscopy should not be performed for the purpose of making or confirming an autism spectrum disorder diagnosis because it is an invasive procedure that carries some risks.

If children with autism "have another reason to have a bronchoscopy, it would be okay to look for doublets," she said, "but I wouldn't do it on anybody just to see if they have a diagnosis of autism." Stewart added that she is not aware of a less invasive way to observe the doublets.

She said that it took about seven years for her to make the connection between this airway abnormality and autism spectrum disorders.

In children with the doublets, the trachea appears normal, but there are two take-offs into each of the lobes of the lung instead of the normal one.

All 49 of the patients on whom Stewart performed a bronchoscopy (mean age 3 years) presented with a cough that was unresponsive to therapy. The bronchoscopy was part of the diagnostic work-up.

When Stewart retrospectively reviewed the charts to try to find a factor connecting all of the children, she came up with only one -- the diagnosis of an autism spectrum disorder.

The doublets may result in higher airway resistance, which could explain why autistic children are not generally very athletic, Stewart said.

"They may tire quicker and they may get short of breath, and that may be secondary to their doubling in their airway," she said.

She said the next steps would be to confirm the findings and also examine the genetic cause of the airway abnormality.

Stewart reported that she had no conflicts of interest.



Primary source: CHEST 2011
Source reference:
Stewart B "Can bronchoscopic airway anatomy be an indicator of autism?" CHEST 2011; Abstract 388A.
 

Genetic variant and autoantibodies linked to having a child with autism

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Finding may lead to screening test to identify susceptibility to having an autistic child

(SACRAMENTO, Calif.) — A study by researchers at UC Davis has found that pregnant women with a particular gene variation are more likely to produce autoantibodies to the brains of their developing fetuses and that the children of these mothers are at greater risk of later being diagnosed with autism.

The finding is the first to demonstrate a genetic mechanism at play in the development of the neurodevelopmental disorder among some children -- offering the possibility of a genetic test for some women at risk for having a child with autism, said Judy Van de Water, an immunologist and the study's co-principal investigator.

Judy Van de Water (right) works with student researcher (left).

"Association of a MET genetic variant with autism-associated maternal autoantibodies to fetal brain proteins and cytokine expression," is published online today in the journal Translational Psychiatry, a Nature publication.

"Our study gives strong support for the idea that, in at least some cases, autism results from maternal immunity gone overboard," said Judy Van de Water, a professor of internal medicine and a researcher affiliated with the UC Davis MIND Institute. "This is the first time that a genetic factor known to be important in autism and its effects have been demonstrated."

Autism is a neurodevelopmental disorder that affects a child's ability to learn and communicate socially. It affects an estimated 1 in 110 children in the United States, according to the U.S. Centers for Disease Control and Prevention.

For the study, Van de Water and her colleagues examined the action of the MET gene, which has a known association with autism, among 200 mothers of children with autism and 150 mothers of typically developing children enrolled in the Northern California-based Childhood Autism Risks from Genetics and the Environment (CHARGE) Study.  All of the study participants were between 24 and 60 months of age at the time of study enrollment, lived with one biological parent, and spoke either English or Spanish.

The researchers found that the C-allele of the MET gene is more common in mothers with several immunologic abnormalities that might contribute to the development of autism.  Analysis of the MET C-allele is a method of determining susceptibility for immune dysregulation in the mothers.

One abnormality they attributed to the MET C allele is the presence of antibodies against fetal brain proteins in the blood of the mothers. These brain-attacking antibodies occur in some mothers with an autistic child, but are not found in mothers of typically developing children. It is believed that these antibodies somehow injure the developing brain of the fetus, and in some instances may cause autism.

Researchers do not yet know when or how the antibodies are formed, or precisely what happens to the brain tissue exposed to them, but based on a collaborative paper with Loren Martin at Azuza Pacific University, they appear to have pathologic significance, or a functional effect on brain development, changing the way the brain develops. Van de Water and her group are still working on the precise effect of these maternal antibodies on the developing brain.

The investigators also found that MET protein levels are reduced in cells from mothers with one C allele and one normal allele, and were even lower in those with two C alleles. Lower MET protein on the cell surface may increase susceptibility to a more intense and prolonged immune response when the cells are activated, like exposure to a bacteria or virus. This, in turn, could make these individuals more prone to forming antibodies against 'self' proteins, such as those found in the fetal brain.

In addition, the investigators evaluated the functional polymorphism in the study participants' immunological cytokines, molecules that tell other cells what to do. The cytokine IL-10, an important anti-inflammatory marker, was reduced in women with the MET C allele. IL-10 is a well-studied immunosuppressive molecule that is important for preventing autoimmunity. A reduction in IL-10 would increase the chances that an inflammatory response would continue unchecked.

"The convergence of these two distinct associations with autism risk -- that of maternal antibodies to fetal brain proteins and the MET C allele -- provides the first link between an autism susceptibility gene and its effects," Van de Water said.

Daniel B. Campbell, assistant professor of psychiatry and the behavioral sciences at the Zilkha Neurogenetic Institute of the University of Southern California, is co-principal investigator of the study.

"The presence of maternal antibodies to fetal blood proteins is one of the best markers known for autism, accounting for about 12 percent of cases. In contrast, genetic factors previously identified in children with autism account for only 2 or 3 percent of cases," Campbell said.

"Now we not only have a marker, but we are starting to understand the actual mechanisms of what causes autism," Campbell said. "These findings can greatly enhance our understanding of the origins of some cases of autism and may directly lead to screening tests and treatments to prevent it."

Why women with the C allele form antibodies against fetal brain proteins is another important area of interest, according to Van de Water, because it suggests a hyper-responsive immune system. Proteins associated with the MET gene function as key blockers of immune activity.

"Our study has found that a kind of safety switch that regulates the immune system and prevents it from targeting the brain of the developing fetus is defective in some mothers of children who later develop autism," Van de Water said.

Van de Water said the relationship between autism and aberrations in the immune system, once a radical notion in the scientific community, is now becoming a well-accepted and very fruitful focus of research.

"While it is not known how the antibody response against fetal brain proteins arise, it may be possible to one day treat susceptible women to reduce the likelihood of having an autistic child," Van de Water said. 

Other study authors include Paul Ashwood, Luke Heuer, and Daniel Braunschweig, all of UC Davis.

At the UC Davis MIND Institute, world-renowned scientists engage in research to find improved treatments as well as the causes and cures for autism, attention-deficit/hyperactivity disorder, fragile X syndrome, Tourette syndrome and other neurodevelopmental disorders. Advances in neuroscience, molecular biology, genetics, pharmacology and behavioral sciences are making inroads into a better understanding of brain function. The UC Davis MIND Institute draws from these and other disciplines to conduct collaborative, multidisciplinary research. For more information, visit mindinstitute.ucdavis.edu.

Study: Many Sunscreens May Be Accelerating Cancer

May 24, 2010 – 12:01 AM
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Andrew Schneider

Andrew Schneider Senior Public Health Correspondent

WASHINGTON (May 24) -- Almost half of the 500 most popular sunscreen products may actually increase the speed at which malignant cells develop and spread skin cancer because they contain vitamin A or its derivatives, according to an evaluation of those products released today.

AOL News also has learned through documents and interviews that the Food and Drug Administration has known of the potential danger for as long as a decade without alerting the public, which the FDA denies.

The study was released with Memorial Day weekend approaching. Store shelves throughout the country are already crammed with tubes, jars, bottles and spray cans of sunscreen.

The white goop, creams and ointments might prevent sunburn. But don't count on them to keep the ultraviolet light from destroying your skin cells and causing tumors and lesions, according to researchers at Environmental Working Group.

In their annual report to consumers on sunscreen, they say that only 39 of the 500 products they examined were considered safe and effective to use.

The report cites these problems with bogus sun protection factor (SPF) numbers:
  • The use of the hormone-disrupting chemical oxybenzone, which penetrates the skin and enters the bloodstream.
  • Overstated claims about performance.
  • The lack of needed regulations and oversight by the Food and Drug Administration.

But the most alarming disclosure in this year's report is the finding that vitamin A and its derivatives, retinol and retinyl palmitate, may speed up the cancer that sunscreen is used to prevent.
Chart showing relationship between Vitamin A and tumors.
Environmental Working Group

A dangerous additive

The industry includes vitamin A in its sunscreen formulations because it is an anti-oxidant that slows skin aging.

But the EWG researchers found the initial findings of an FDA study of vitamin A's photocarcinogenic properties, meaning the possibility that it results in cancerous tumors when used on skin exposed to sunlight.

"In that yearlong study, tumors and lesions developed up to 21 percent faster in lab animals coated in a vitamin A-laced cream than animals treated with a vitamin-free cream," the report said.

The conclusion came from EWG's analysis of initial findings released last fall by the FDA and the National Toxicology Program, the federal government's principle evaluator of substances that raise public health concerns.

EWG's conclusions were subsequently scrutinized by outside toxicologists.

Based on the strength of the findings by FDA's own scientists, many in the public health community say they can't believe nor understand why the agency hasn't already notified the public of the possible danger.

"There was enough evidence 10 years ago for FDA to caution consumers against the use of vitamin A in sunscreens," Jane Houlihan, EWG's senior vice president for research, told AOL News.

"FDA launched this one-year study, completed their research and now 10 years later, they say nothing about it, just silence."

On Friday, the FDA said the allegations are not true.

"We have thoroughly checked and are not aware of any studies," an FDA spokesperson told AOL News. She said she checked with bosses throughout the agency and found no one who knew of the vitamin A sunscreen research being done by or on behalf of the agency.

But documents from the FDA and the National Toxicology Program showed that the agency had done the research.

"Retinyl palmitate was selected by (FDA's) Center for Food Safety and Applied Nutrition for photo-toxicity and photocarcinogenicity testing based on the increasingly widespread use of this compound in cosmetic retail products for use on sun-exposed skin," said an October 2000 report by the National Toxicology Program.

FDA's own website said the animal studies were done at its National Center for Toxicological Research in Jefferson, Ark. And it was scientists from the FDA center and National Toxicology Program who posted the study data last fall.

In a perfect world

The ideal sunscreen would completely block the UV rays that cause sunburn, immune suppression and damaging free radicals. It would remain effective on the skin for several hours and not form harmful ingredients when degraded by UV light, the report said.
Graph of melanoma of the skin rates from 1975 to 2006.
National Cancer Institute
Graph of melanoma of the skin rates from 1975 to 2006. APC stands for annual percent change and AAPC stands for average annual percent change.

But in the U.S., there is currently no sunscreen that meets all of these criteria. European countries have more chemical combinations to offer, but in the U.S. the major choice is between the "chemical" sunscreens, which have inferior stability, penetrate the skin and may disrupt the body's hormone systems, and "mineral" sunscreens zinc and titanium dioxide.

Increasingly, as AOL News reported in March, the industry is using titanium dioxide that is made nanosized, which a growing number of researchers believe have serious health implications.

The sunscreen industry cringes when EWG releases its yearly report -- this is its fourth. The industry charges that the advocacy group wants to do away with all sunscreen products, a claim that is not accurate.

The report's researchers clearly say that an effective sunscreen prevents more damage than it causes, but it wants consumers to have accurate information on the limitations of what they buy and on the potentially harmful chemicals in some of those products.

EWG does warn consumers not to depend on any sunscreen for primary protection from the sun's harmful ultraviolet rays. Hats, clothing and shade are still the most reliable sun protection available, they say.

Don't count on the numbers

Some of us are old enough to remember when the idea of having a tan was good, a sign of health, when billboards and magazine ads featured the Coppertone girl showing off her tan when a puppy pulls down her bathing suit bottom.

Going for that tan, we coated our kids and ourselves with sun blockers with sun protection factors of 1 or 2. Some overly cautious parents might have smeared on a 4 during the hottest part of a day.

But we've learned of the dangers that come from exposure to the sun's rays, especially ultraviolet A and B. So today, drugstore shelves are crammed with sunscreens boasting SPFs of 30, 45, 80 or even higher.

However, the new report says those numbers are often meaningless and dangerous because products with high SPF ratings sell a false sense of security, encouraging people using them to stay out in the sun longer.

"People don't get the high SPF they pay for," the report says. "People apply about a quarter of the recommended amount. So in everyday practice, a product labeled SPF 100 really performs like SPF 3.2, an SPF 30 rating equates to a 2.3 and an SPF 15 translates to 2."

In 2007, the report says, the FDA published proposed regulations that would prohibit manufacturers from labeling sunscreens with an SPF higher than "SPF 50." The agency wrote that higher values would be "inherently misleading," given that "there is no assurance that the specific values themselves are in fact truthful."

This is being widely ignored by the sunscreen makers who are heavily advertising their 80, 90 and 100 SPF products.

"Flouting FDA's proposed regulation," companies substantially increased their high-SPF offerings in 2010 with one in six brands now listing SPF values higher than 50. "Neutrogena and Banana Boat stand out among the offenders, with six and four products labeled as 'SPF 100,' respectively," the new report says.

The full list of the best and worst sunscreens can be found on the EWG's searchable database. (Update: The database has been loading slowly today. You may want to try it again later.)

http://www.aolnews.com/2010/05/24/study-many-sunscreens-may-be-accelerating-cancer/

News To Help Keep You Informed
Recall...there is a recall of Romaine lettuce produced by Freshway Foods effective May 6, 2010 since E.coli 0145 has been linked to a recent foodborne outbreak in New York, Michigan and Ohio in which 12 people have been hospitalized, 3 with possible life-threatening complications called hemolytic uremic syndrome (HUS). 

What you should know about Compact Flourescent Lightbulbs (CLF)
Did you know that those curly, energy conservation bulbs found throughout many homes have been identified as having health risks we should all be aware of?  Buyer beware!  Here is a video that explains this:
Recalled Children's Liquid Cold, Allergy Medicine 4/30/2010
Due to substandard quality standards over 40 over-the-counter infant's and children's liquid medicines are being recalled.  Included in this recall are children's versions of Tylenol, Tylenol Plus, Motrin, Zyrtec and Benedryl.  Some of these products may have higher concentrations of active ingredients.  The company is advising that consumers stop using the products as a precautionary measure.  

NNY Autism Center...Saving children one child at a time



Grant For Study of Clinical and Intervention Research In Autism
The AIR-P is a collaborative research network, funded through a $12 million, three-year grant to the ATN from the Maternal and Child Health Bureau (MCHB) of the Health Resources and Services Administration (HRSA), an agency of the U.S. Department of Health and Human Services. Its focus is on clinical and intervention research in autism, and the development of clinical guidelines for screening and treating physical health concerns common to children with autism.

Studies Conducted In The Areas of Nutrition, Sleep and Metabolism
The AIR-P network launched with the funding of two studies, one evaluating the efficacy of non-medicinal (behavioral) sleep interventions, and a large study conducting a systematic examination of the nutritional status of children with ASD and its relation to medical conditions. In Fall 2009, the ATN announced the approval of four additional studies in the areas of nutrition, sleep, and metabolism. At the meeting, study leaders from the on-going nutrition and sleep studies reported on their progress to date, and all research teams met individually to discuss details for the implementation of the studies.


New Autism Spectrum Disorder (NASD) in DSM-5: Autism Minus Intellectual Disability

From the CDC's basic autism facts page:

"ASDs are “spectrum disorders.”  That means ASDs affect each person in different ways, and can range from very mild to severe.  People with ASDs share some similar symptoms, such as problems with social interaction.  But there are differences in when the symptoms start, how severe they are, and the exact nature of the symptoms.

Autistic Disorder (also called “classic” autism)
This is what most people think of when hearing the word “autism.”  People with autistic disorder usually have significant language delays, social and communication challenges, and unusual behaviors and interests. Many people with autistic disorder also have intellectual disability.

Asperger Syndrome
People with Asperger syndrome usually have some milder symptoms of autistic disorder.  They might have social challenges and unusual behaviors and interests.  However, they typically do not have problems with language or intellectual disability.

Pervasive Developmental Disorder – Not Otherwise Specified (PDD-NOS; also called "atypical autism")   People who meet some of the criteria for autistic disorder or Asperger syndrome, but not all, may be diagnosed with PDD-NOS. People with PDD-NOS usually have fewer and milder symptoms than those with autistic disorder.  The symptoms might cause only social and communication challenges.

More Facts About Autism

According to the U.S. Centers for Disease Control (CDC), autism now affects 1 percent or 1 in every 110 American children, including 1 in 70 boys.  Autism is the fastest-growing serious developmental disability in the U.S.

  • More children will be diagnosed with autism this year than with AIDS, diabetes and cancer combined.
  • Autism occurs in all racial, ethnic, and social groups and is four times more likely to strike boys than girls.
  • Despite the high prevalence and growing health-care costs associated with caring for a child with autism, autism research receives less than 5 percent of the funding compared to many other less prevalent childhood diseases.
  • There is no cure; research continues into the causes of autism, how it can be diagnosed and treated early.
  • The leading concern of parents whose child has autism is their future and how they will lead an independent life.

Childhood Obesity

Childhood obesity has more than tripled in the past 30 years.  There was an increase for 6 to 11 year olds from 6.5% in 1980 to 19.6% in 2008. Obesity in adolescents aged 12-19 increased from 5.0% to 18.1%.   The main cause is too few calories expended for the amount of calories consumed.

Obese youth are at higher risk for developing cardiovascular disease, such as high cholesterol or high blood pressure, greater risk of bone and joint problems, sleep apnea, and social and psychological problems and type 2 diabetes, stroke, several types of cancer and osteoarthritis.


Contact information: 

NNY Autism Center ♦ 103 South Main Street ♦ Black River ♦ NY ♦ 13612
Phone: 315.773.5405 ♦ Fax: 315.773.5378
 
Copyright 2008, NNY Autism Foundation, Inc.