Effect on comfort of administering bubble-humidified or dry oxygen: the Oxyrea non-inferiority randomized study.

The clinical interest of using bubble humidification of oxygen remains controversial. This study was designed to further explore whether delivering dry oxygen instead of bubble-moistened oxygen had an impact on discomfort of ICU patients. This randomized multicenter non-inferiority open trial included patients admitted in intensive care unit and receiving oxygen. Any patient receiving non-humidified oxygen (between 0 and 15 L/min) for less than 2 h could participate in the study. Randomization was stratified based on the flow rate at inclusion (less or more than 4 L/min). Discomfort was assessed 6-8 and 24 h after inclusion using a dedicated 15-item scale (quoted from 0 to 150). Three hundred and fifty-four ICU patients receiving non-humidified oxygen were randomized either in the humidified (HO) (n = 172), using bubble humidifiers, or in the non-humidified (NHO) (n = 182) arms. In modified intention-to-treat analysis at H6-H8, the 15-item score was 26.6 ± 19.4 and 29.8 ± 23.4 in the HO and NHO groups, respectively. The absolute difference between scores in both groups was 3.2 [90% CI 0.0; + 6.5] for a non-inferiority margin of 5.3, meaning that the non-inferiority analysis was not conclusive. This was also true for the subgroups of patients receiving either less or more than 4 L/min of oxygen. At H24, using NHO was not inferior compared to HO in the general population and in the subgroup of patients receiving 4 L/min or less of oxygen. However, for patients receiving more than 4 L/min, a post hoc superiority analysis suggested that patients receiving dry oxygen were less comfortable. Oxygen therapy-related discomfort was low. Dry oxygen could not be demonstrated as non-inferior compared to bubble-moistened oxygen after 6-8 h of oxygen administration. At 24 h, dry oxygen was non-inferior compared to bubble-humidified oxygen for flows below 4 L/min

Editorial: Future topics of common interest for EU and SEA partners in food quality, safety and traceability

SEA-EU-NET project is based on the program Capacities under the 7th Framework Program (FP7) of the EU Commission with the strategic objective of Integrating and Strengthening the EU-ASEAN Science and Technology Dialogue through coordination and supporting activities. It is a 4 years program started in January 2008, and is currently supported by 22 institutions from Europe and South-East Asia. The objective is to increase the quality, quantity, profile and impact of bi-regional Science and Technology cooperation between the 10 ASEAN countries and the Members and Associated States of the European Union. Every Thematic Priority of FP7 has to implement dedicated international cooperation activities to achieve the program's goals and to address specific problems of ‘Third Countries/Regions’ (non-EU Members States or non-Associated States). This activity is performed through the organization of annual Thematic Workshops, with the objective to produce a document containing duly justified proposals for Specific International Cooperation Actions. This paper presents the results of the Thematic Workshop on ‘Food Quality, Safety and Traceability’. This expert meeting was done in Thailand in February 2009. Titles for 10 possible themes were identified on the following fields: Bacteria antibioresistance, Mycotoxins, Pathogens (bacteria), Pesticides, Heavy metals, Food traceability, Food Supply Chain, Preserving nutrients, Consumers attitudes, Peri-urban markets