Prolonged drying cycles stimulate ABA accumulation in Citrus macrophylla seedlings exposed to partial rootzone drying

Partial rootzone drying (PRD) establishes discrete wet and dry parts of the rootzone (for example using parallel drip lines on either side of the crop row), and alternates them to stimulate root growth and root-to-shoot ABA signalling. To assess whether alternation frequency affects plant physiological responses, Citrus macrophylla Wester seedlings were grown with the root system split between two pots and 5 irrigation treatments applied: Control, PRD-Fixed (where wet and dry parts of the rootzone were not alternated) and three alternate PRD treatments where the wet and dry parts were swapped at 3 (PRD1), 6 (PRD2) and 12 (PRD3) days intervals, to dry the soil to different degrees before alternating the irrigation. Water was equally distributed between both pots in Control plants, whereas only one pot was watered and the other allowed to dry in PRD plants, with all plants receiving the same irrigation volume. After 24 days, soil water content (θv), leaf water potential (Ψleaf), root water potential (Ψroot), abscisic acid (ABA) concentration in roots ([ABA]root), leaves ([ABA]leaf) and shoot xylem sap ([X-ABA]shoot), biomass allocation and leaf area were measured. Higher soil water availability of the dry side (PRD1 and PRD2) had no significant effects on leaf water relations, ABA status and plant biomass allocation. However, increasing the duration of exposure of part of the root system to dry soil (PRD3 and PRD-Fixed) further decreased Ψroot and stimulated root ABA accumulation, while decreasing Ψleaf and increasing [ABA]leaf of PRD3 plants compared to the other treatments. Differences in physiological response between PRD3 and PRD-Fixed plants were attributed to differences in the proportion of root mass exposed to drying soil: PRD3 plants had a lower Ψleaf and a higher [ABA]leaf with a smaller proportion of their root mass in wet soil. Since long drying cycles were required to alter plant biomass allocation and physiological responses in PRD plants, these should be implemented in designing suitable PRD strategies for field application

Estimating long-term tuberculosis reactivation rates in Australian migrants

BACKGROUND: The risk of progression to tuberculosis (TB) disease is greatest soon after infection, yet disease may occur many years or decades later. However, rates of TB reactivation long after infection remain poorly quantified. Australia is a low-TB incidence setting and most cases occur among migrants. We explored how TB rates in Australian migrants varied with time from migration, age and gender. METHODS: We combined TB notifications in census years 2006, 2011 and 2016 with time and country-specific estimates oflatent TB prevalence in migrant cohorts to quantifypost-migration reactivation rates. RESULTS: During the census years 3,246 TB cases occurred among an estimated 2,084,000 migrants with latent-TB. There were consistent trends in post-migration reactivation rates, which appeared to be dependent on both time from migration and age. Rates were lower in cohorts with increasing time until at least twenty years from migration, and on this background there also appeared to be increasing rates during youth (15-24 years of age), and in those aged 70 years and above. Within five years of migration, annual reactivation rates were approximately 400 per 100,000 (uncertainty interval [UI]: 320-480), dropping to 170 (UI: 130-220) and 110 (UI: 70-160) from five-to-ten and ten-to-twenty, then sustaining at 60-70 per 100,000 up to sixty years from migration. Rates varied depending on age at migration. CONCLUSIONS: Post-migration reactivation rates appeared to show dependency on both time from migration and age. This approach to quantifying reactivation risk will enable evaluation of the potential impact of TB control and elimination strategies

Physiological response of post-veraison deficit irrigation strategies and growth patterns of table grapes (cv. Crimson Seedless)

To determine whether partial root-zone drying (PRD) offers physiological advantages compared with regulated deficit irrigation (RDI), a 3 year long-experiment was conducted on a commercial vineyard of ‘Crimson Seedless’ table grapes (Vitis vinifera L.). Four different drip irrigation treatments were imposed: (i) a Control treatment irrigated at 110% of seasonal crop evapotranspiration (ETc), (ii), a regulated deficit irrigation (RDI) treatment irrigated similar to Control before veraison and at 50% of the Control treatment post-veraison, (iii) a partial root-zone drying (PRD) irrigated similar to RDI but alternating (every 10–14 days) the dry and wet side of the root-zone, and (iv) a null irrigation treatment (NI) which only received the natural precipitation and occasional supplementary irrigation when midday stem water potential (Ψs) dropped below −1.2 MPa. Post-veraison, PRD vines accumulated greater localized soil and plant water deficit at midday than RDI vines, but maintained similar pre-dawn water potential (Ψpd) values. Stomatal conductance (gs) of PRD vines remained high, likely because there was sufficient root water uptake from irrigated soil. Xylem ABA concentration ([ABA]xylem) did not change yet intrinsic WUE (WUEi) decreased compared to RDI vines, probably because PRD induced greater root density and root development at depth, allowing greater water uptake from roots in the wet part of the soil profile. Vegetative growth was only decreased by severe deficit irrigation (NI) although total leaf area index (LAI) was also affected by PRD in the 1st and 3rd year.. PRD can be considered a useful strategy in semiarid areas with limited water resources because sustained water use maintained assimilation rates despite greater stress than conventional RDI strategy, which may be related to root and morphological adjustment

A randomised trial to optimise gestational weight gain and improve maternal and infant health outcomes through antenatal dietary, lifestyle and exercise advice: the OPTIMISE randomised trial

There are well-recognised associations between excessive gestational weight gain (GWG) and adverse pregnancy outcomes, including an increased risk of pre-eclampsia, gestational diabetes and caesarean birth. The aim of the OPTIMISE randomised trial was to evaluate the effect of dietary and exercise advice among pregnant women of normal body mass index (BMI), on pregnancy and birth outcomes. The trial was conducted in Adelaide, South Australia. Pregnant women with a body mass index in the healthy weight range (18.5-24.9 kg/m2) were enrolled in a randomised controlled trial of a dietary and lifestyle intervention versus standard antenatal care. The dietitian-led dietary and lifestyle intervention over the course of pregnancy was based on the Australian Guide to Healthy Eating. Baseline characteristics of women in the two treatment groups were similar. There was no statistically significant difference in the proportion of infants with birth weight above 4.0 kg between the Lifestyle Advice and Standard Care groups (24/316 (7.59%) Lifestyle Advice versus 26/313 (8.31%) Standard Care; adjusted risk ratio (aRR) 0.91; 95% confidence interval (CI) 0.54 to 1.55; p = 0.732). Despite improvements in maternal diet quality, no significant differences between the treatment groups were observed for total GWG, or other pregnancy and birth outcomes.Jodie M. Dodd, Andrea R. Deussen and Jennie Louis

Optimising gestational weight gain and improving maternal and infant health outcomes through antenatal dietary, lifestyle and physical activity advice: the OPTIMISE randomised controlled trial protocol

Introduction: Obesity represents a significant health burden, and WHO recognises the importance of preventing weight gain and subsequent development of obesity among adults who are within the healthy weight range. Women of reproductive age have demonstrated high rates of weight gain during pregnancy placing them at risk of becoming overweight or obese. We will evaluate the effects of dietary and physical activity advice on maternal, fetal and infant health outcomes, among pregnant women of normal body mass index (BMI). Methods and analysis: We will conduct a randomised controlled trial, consenting and randomising women with a live singleton pregnancy between 10+0 and 20+0 weeks and BMI 18.5–24.9 kg/m2 at first antenatal visit, from a tertiary maternity hospital. Women randomised to the Lifestyle Advice Group will receive three face-to-face sessions (two with a research dietitian and one with a trained research assistant) and three telephone calls over pregnancy, in which they will be provided with dietary and lifestyle advice and encouraged to make change using a SMART goals approach. Women randomised to the Standard Care Group will receive routine antenatal care. The primary outcome is infant birth weight >4 kg. Secondary outcomes will include adverse infant and maternal outcomes, maternal weight change, maternal diet and physical activity changes, maternal quality of life and emotional well-being, fetal growth and costs of healthcare. We will recruit 624 women to detect a reduction from 8.72% to 3.87% (alpha 0.05 (two-tailed); power 70%) in infants with birth weight >4 kg. Analyses will be intention to treat with estimates reported as relative risks and 95% CIs. Ethics and dissemination: Ethical approval has been obtained from the Women’s and Children’s Hospital ethics committee. Findings will be disseminated widely via journal publication and conference presentation(s), and participants informed of results.Jodie M Dodd, Andrea R Deussen, Jennie Louis

Wearable sensors can reliably quantify gait alterations associated with disability in people with progressive multiple sclerosis in a clinical setting

Gait disability in people with progressive multiple sclerosis (MS) is difficult to quantify using existing clinical tools. This study aims to identify reliable and objective gait-based biomarkers to monitor progressive multiple sclerosis (MS) in clinical settings. During routine clinical visits, 57 people with secondary progressive MS and 24 healthy controls walked for 6 minutes wearing three inertial motion sensors. Fifteen gait measures were computed from the sensor data and tested for between-session reliability, for differences between controls and people with moderate and severe MS disability, and for correlation with Expanded Disability Status Scale (EDSS) scores. The majority of gait measures showed good to excellent between-session reliability when assessed in a subgroup of 23 healthy controls and 25 people with MS. These measures showed that people with MS walked with significantly longer step and stride durations, reduced step and stride regularity, and experienced difficulties in controlling and maintaining a stable walk when compared to controls. These abnormalities significantly increased in people with a higher level of disability and correlated with their EDSS scores. Reliable and objective gait-based biomarkers using wearable sensors have been identified. These biomarkers may allow clinicians to quantify clinically relevant alterations in gait in people with progressive MS within the context of regular clinical visits

Maternal cardiometabolic markers are associated with fetal growth: a secondary exploratory analysis of the LIMIT randomised trial

BACKGROUND:To determine the association between maternal cardiometabolic and inflammatory markers with measures of fetal biometry and adiposity. METHODS:Women included in this exploratory analysis were randomised to the 'Standard Care' group (N = 911) from the LIMIT randomised trial involving a total of 2212 pregnant women who were overweight or obese (ACTRN12607000161426, Date of registration 9/03/2007, prospectively registered). Fetal biometry including abdominal circumference (AC), estimated fetal weight (EFW), and adiposity measurements (mid-thigh fat mass, subscapular fat mass, abdominal fat mass) were obtained from ultrasound assessments at 28 and 36 weeks' gestation. Maternal markers included C reactive protein (CRP), leptin and adiponectin concentrations, measured at 28 and 36 weeks' gestation and fasting triglycerides and glucose concentrations measured at 28 weeks' gestation. RESULTS:There were negative associations identified between maternal serum adiponectin and fetal ultrasound markers of biometry and adiposity. After adjusting for confounders, a 1-unit increase in log Adiponectin was associated with a reduction in the mean AC z score [- 0.21 (- 0.35, - 0.07), P = 0.004] and EFW [- 0.23 (- 0.37, - 0.10), P < 0.001] at 28 weeks gestation. Similarly, a 1-unit increase in log Adiponectin was association with a reduction in the mean AC z score [- 0.30 (- 0.46, - 0.13), P < 0.001] and EFW [- 0.24 (- 0.38, - 0.10), P < 0.001] at 36 weeks gestation. There were no consistent associations between maternal cardiometabolic and inflammatory markers with measurements of fetal adiposity. CONCLUSION:Adiponectin concentrations are associated with measures of fetal growth. Our findings contribute to further understanding of fetal growth in the setting of women who are overweight or obesity.Cecelia M. O’Brien, Jennie Louise, Andrea Deussen and Jodie M. Dod

Effect of metformin in addition to an antenatal diet and lifestyle intervention on fetal growth and adiposity: the GRoW randomised trial

Background: The infants born to women who are overweight or obese in pregnancy are at an increased risk of being born macrosomic or large for gestational age. Antenatal dietary and lifestyle interventions have been shown to be ineffective at reducing this risk. Our aim was to examine the effects of metformin in addition to a diet and lifestyle intervention on fetal growth and adiposity among women with a BMI above the healthy range. Methods: Women who had a body mass index ≥25 kg/m² in early pregnancy, and a singleton gestation, were enrolled in the GRoW trial from three public maternity hospitals in metropolitan Adelaide. Women were invited to have a research ultrasounds at 28 and 36 weeks' gestation at which ultrasound measures of fetal biometry and adiposity were obtained. Fetal biometry z-scores and trajectories were calculated. Measurements and calculations were compared between treatment groups. This secondary analysis was pre-specified. Results: Ultrasound data from 511 women were included in this analysis. The difference in femur length at 36 weeks' gestation was (0.07 cm, 95% CI 0.01-0.14 cm, p = 0.019) and this was was statistically significant, however the magnitude of effect was small. Differences between treatment groups for all other fetal biometry measures, z-scores, estimated fetal weight, and adiposity measures at 28 and 36 weeks' gestation were similar. Conclusions: The addition of metformin to dietary and lifestyle advice in pregnancy for overweight and obese women has no clinically relevant effect on ultrasound measures of fetal biometry or adiposity.Amanda J. Poprzeczny, Jennie Louise, Andrea R. Deussen and Jodie M. Dod

Skin and subcutaneous fascia closure at caesarean section to reduce wound complications: the closure randomised trial

Background: Wound infection is a common complication following caesarean section. Factors influencing the risk of infection may include the suture material for skin closure, and closure of the subcutaneous fascia. We assessed the effect of skin closure with absorbable versus non-absorbable suture, and closure versus non-closure of the subcutaneous fascia on risk of wound infection following Caesarean section. Methods: Women undergoing caesarean birth at an Adelaide maternity hospital were eligible for recruitment to a randomised trial using a 2 × 2 factorial design. Women were randomised to either closure or non-closure of the subcutaneous fascia and to subcuticular skin closure with an absorbable or non-absorbable suture. Participants were randomised to each of the two interventions into one of 4 possible groups: Group 1 - non-absorbable skin suture and non-closure of the subcutaneous fascia; Group 2 - absorbable skin suture and non-closure of the subcutaneous fascia; Group 3 - non-absorbable skin suture and closure of the subcutaneous fascia; and Group 4 - absorbable skin suture and closure of the subcutaneous fascia. The primary outcomes were reported wound infection and wound haematoma or seroma within the first 30 days after birth. Results: A total of 851 women were recruited and randomised, with 849 women included in the analyses (Group 1: 216 women; Group 2: 212 women; Group 3: 212 women; Group 4: 211 women). In women who underwent fascia closure, there was a statistically significant increase in risk of wound infection within 30 days post-operatively for those who had skin closure with an absorbable suture (Group 4), compared with women who had skin closure with a non-absorbable suture (Group 3) (adjusted RR 2.17; 95% CI 1.05, 4.45; p = 0.035). There was no significant difference in risk of wound infection for absorbable vs non-absorbable sutures in women who did not undergo fascia closure. Conclusion: The combination of subcutaneous fascia closure and skin closure with an absorbable suture may be associated with an increased risk of reported wound infection after caesarean section.Amanda J. Poprzeczny, Rosalie M. Grivell, Jennie Louise, Andrea R. Deussen and Jodie M. Dod

Universal Quantum Computation using Exchange Interactions and Teleportation of Single-Qubit Operations

We show how to construct a universal set of quantum logic gates using control over exchange interactions and single- and two-spin measurements only. Single-spin unitary operations are teleported instead of being executed directly, thus eliminating a major difficulty in the construction of several of the most promising proposals for solid-state quantum computation, such as spin-coupled quantum dots, donor-atom nuclear spins in silicon, and electrons on helium. Contrary to previous proposals dealing with this difficulty, our scheme requires no encoding redundancy. We also discuss an application to superconducting phase qubits.Comment: 4.5 pages, including 2 figure