Study protocol for a randomised controlled trial evaluating the effect of prenatal omega-3 LCPUFA supplementation to reduce the incidence of preterm birth: The ORIP trial

Introduction: Preterm birth accounts for more than 85% of all perinatal complications and deaths. Seventy-five per cent of early preterm births (EPTBs) occur spontaneously and without identifiable risk factors. The need for a broadly applicable, effective strategy for primary prevention is paramount. Secondary outcomes from the docosahexaenoic acid (DHA) to Optimise Mother Infant Outcome trial showed that maternal supplementation until delivery with omega-3 (ω-3) long chain polyunsaturated fatty acid (LCPUFA), predominantly as DHA, resulted in a 50% reduction in the incidence of EPTB and an increase in the incidence of post-term induction or post-term prelabour caesarean section due to extended gestation. We aim to determine the effectiveness of supplementing the maternal diet with ω-3 LCPUFA until 34 weeks’ gestation on the incidence of EPTB. Methods and analysis: This is a multicentre, parallel group, randomised, blinded and controlled trial. Women less than 20 weeks’ gestation with a singleton or multiple pregnancy and able to give informed consent are eligible to participate. Women will be randomised to receive high DHA fish oil capsules or control capsules without DHA. Capsules will be taken from enrolment until 34 weeks’ gestation. The primary outcome is the incidence of EPTB, defined as delivery before 34 completed weeks’ gestation. Key secondary outcomes include length of gestation, incidence of post-term induction or prelabour caesarean section and spontaneous EPTB. The target sample size is 5540 women (2770 per group), which will provide 85% power to detect an absolute reduction in the incidence of preterm birth of 1.16% (from 2.45% to 1.29%) between the DHA and control group (two sided α=0.05). The primary analysis will be based on the intention-to-treat principle. Trial registration number: Australia and New Zealand Clinical Trial Registry Number: 2613001142729; Pre-results

A protocol for a systematic review of clinical guidelines and published systematic reviews on the early detection of oral cancer

Background: The predicted increase in incidence of oral cavity cancer (OCC) coupled with high mortality and poor prognosis – particularly when diagnosed at a late/advanced stage – highlights the need for prevention and early detection/screening to reverse these trends. Dental healthcare professionals in primary care settings have a pivotal role in this effort. Aim: The aim of this protocol is to detail the process for assessing the evidence for the best practice and methods of early detection/screening for OCC in primary care dental settings by undertaking a systematic review of global clinical guidelines and published systematic reviews. Method: Searches for clinical guidelines and systematic reviews will be conducted in the following databases: Cochrane library, Medical Literature Analysis and Retrieval System Online (Ovid), Excerpta Medical dataBASE, PubMed, Turning Research into Practice, SCOPUS and Web of Science Core Collection. Our search will extend to include Google Scholar and international professional organizations/associations websites. In addition, we will handsearch the bibliographies and undertake citation searches of the selected papers. Quality appraisal will be undertaken using the Appraisal of Guidelines for Research and Evaluation version II instrument for the clinical guidelines and both A MeaSurement Tool to Assess Systematic Reviews and Risk of Bias in Systematic Reviews tools for the systematic reviews. A narrative synthesis approach will be used to assess the evidence of extracted data, primarily taking account of quality appraisal and recency of publication. Discussion: The synthesis of evidence will determine best practice for OCC early detection/screening by primary care dental healthcare professionals and will evaluate the relationship between clinical guidelines and the evidence base available from systematic reviews in this area

Characterizing the microbial degradation of kraft lignin and lignin-derived compounds

Analytical methods for characterizing the microbial degradation of Kraft lignin and lignin-derived compounds were utilized with the goal of biologically generating demethylated lignin for subsequent industrial applications. Selected ion flow tube mass spectrometry (SIFT-MS) technology was used for the first time with both bacterial and fungal cultures growing on lignin as a sole carbon source. Methanol and other volatile compounds were evaluated using this method and lignin-derived compounds were identified. Methanol oxidation products were found in the headspace of seven microbial cultures, as well as several unknown products not present in the SIFT-MS compound library. An assay was then developed to both confirm the results obtained by the SIFTMS and help to understand the nature of the microbial demethylation reactions. The Ti(III)-NTA assay was found to be an economical method for rapidly determining the relative degree of lignin demethylation by cultures of microorganisms and their enzymes. Using the Ti(III)-NTA assay, some fungal cultures were found to degrade lignin monomers completely and others to metabolize methanol. Four cultures were then selected for growth optimization; to both maximize vicinal diol generation and methanol formation. By altering variables such as induction day, incubation length, culture agitation, hydrogen peroxide concentration and micronutrient concentrations (known to promote enzyme production), the effect on four fungal species was investigated. Induction with vanillin after 1 week of growth on glucose resulted in the highest demethylation activity. In the final study, culture media from the fungus Absidia cylindrospora and the bacterium Sphingobium sp. SYK-6 were used to partially purify demethylating activity. The fungal enzyme had higher specific activity than the bacterial enzyme, but was much less abundant. Further research is needed to purify these enzymes responsible for demethylation

Adsorption and charge transfer interactions of bi-isonicotinic acid on Ag(111)

The adsorption and charge transfer dynamics of the organic molecule bi-isonicotinic acid (4,4′-dicarboxy-2,2′-bipyridine) on single crystal Ag(111) has been studied using synchrotron radiation-based photoemission, x-ray absorption and resonant core spectroscopies. Measurements for multilayer and monolayer coverage are used to determine the nature of the molecule-surface interactions and the molecular orientation. An experimental density of states for the monolayer with respect to the underlying metal surface is obtained by combining x-ray absorption spectroscopy at the N 1s edge and valence photoemission to measure the unoccupied and occupied valence states, respectively. This shows that the lowest unoccupied molecular orbital in the core-excited state lies energetically below the Fermi level of the surface allowing charge transfer from the metal into this orbital. Resonant photoelectron spectroscopy was used to probe this charge transfer in the context of super-spectator and super-Auger electron transitions. The results presented provide a novel interpretation of resonant core-level spectroscopy to explore ultra-fast charge transfer between an adsorbed organic molecule and a metal surface through the observation of electrons from the metal surface playing a direct role in the core-hole decay of the core-excited molecule

Numerical study of the influence of surface reaction probabilities on reactive species in an rf atmospheric pressure plasma containing humidity

International audienceThe quantification and control of reactive species (RS) in atmospheric pressure plasmas (APPs) is of great interest for their technological applications, in particular in biomedicine. Of key importance in simulating the densities of these species are fundamental data on their production and destruction. In particular, data concerning particle-surface reaction probabilities in APPs are scarce, with most of these probabilities measured in low-pressure systems. In this work, the role of surface reaction probabilities, gamma, of reactive neutral species (H, O and OH) on neutral particle densities in a He-H2O radio-frequency micro APP jet (COST-mu APPJ) are investigated using a global model. It is found that the choice of gamma, particularly for low-mass species having large diffusivities, such as H, can change computed species densities significantly. The importance of gamma even at elevated pressures offers potential for tailoring the RS composition of atmospheric pressure microplasmas by choosing different wall materials or plasma geometries

Emplacement of penetrators into planetary surfaces

We present experimental data and a model for the low-velocity (subsonic, 0–1000 m/s) penetration of brittle materials by both solid and hollow (i.e., coring) penetrators. The experiments show that penetration is proportional to momentum/frontal area of the penetrator. Because of the buildup of a cap in front of blunt penetrators, the presence or absence of a streamlined or sharp front end usually has a negligible effect for impact into targets with strength. The model accurately predicts the dependence of penetration depth on the various parameters of the target-penetrator system, as well as the qualitative condition of the target material ingested by a corer. In particular, penetration depth is approximately inversely proportional to the static bearing strength of the target. The bulk density of the target material has only a small effect on penetration, whereas friction can be significant, especially at higher impact velocities, for consolidated materials. This trend is reversed for impacts into unconsolidated materials. The present results suggest that the depth of penetration is a good measure of the strength, but not the density, of a consolidated target. Both experiments and model results show that, if passage through the mouth of a coring penetrator requires initially porous target material to be compressed to <26% porosity, the sample collected by the corer will be highly fragmented. If the final porosity remains above 26%, then most materials, except cohesionless materials, such as dry sand, will be collected as a compressed slug of material