Systematic review of the use of translated patient-reported outcome measures in cancer trials

Background Patient-reported outcomes (PROs) are used in clinical trials to assess the effectiveness and tolerability of interventions. Inclusion of participants from different ethnic backgrounds is essential for generalisability of cancer trial results. PRO data collection should include appropriately translated patient-reported outcome measures (PROMs) to minimise missing data and sample attrition. Methods Protocols and/or publications from cancer clinical trials using a PRO endpoint and registered on the National Institute for Health Research Portfolio were systematically reviewed for information on recruitment, inclusion of ethnicity data, and use of appropriately translated PROMs. Semi-structured interviews were conducted with key stakeholders to explore barriers and facilitators for optimal PRO trial design, diverse recruitment and reporting, and use of appropriately translated PROMs. Results Eighty-four trials met the inclusion criteria, only 14 (17%) (n = 4754) reported ethnic group data, and ethnic group recruitment was low, 611 (13%). Although 8 (57%) studies were multi-centred and multi-national, none reported using translated PROMs, although available for 7 (88%) of the studies. Interviews with 44 international stakeholders identified a number of perceived barriers to ethnically diverse recruitment including diverse participant engagement, relevance of ethnicity to research question, prominence of PROs, and need to minimise investigator burden. Stakeholders had differing opinions on the use of translated PROMs, the impact of trial designs, and recruitment strategies on diverse recruitment. Facilitators of inclusive research were described and examples of good practice identified. Conclusions Greater transparency is required when PROs are used as primary or secondary outcomes in clinical trials. Protocols and publications should demonstrate that recruitment was accessible to diverse populations and facilitated by trial design, recruitment strategies, and appropriate PROM usage. The use of translated PROMs should be made explicit when used in cancer clinical trials

OXIDATION OF URANIUM(IV) BY OXYGEN AND NITROUS ACID

The oxidation of uranium(IV) by oxygen and nitrous acid was studied in both 30% TBP-""Ultrasene"" and in aqueous solutions. Emphasis was placed on reactions between uranium(IV) and nitrous acid. Distribution coefficients were measured for uranium(IV) and uranium(VI) in the nitric acid-30% TBP system. The use of uranium(IV) as a reductant for plutonium in the Purex process is discussed. (auth

Riparian buffers in tropical agriculture:Scientific support, effectiveness and directions for policy

There is a weak evidence base supporting the effective management of riparian ecosystems within tropical agriculture. Policies to protect riparian buffers—strips of non-cultivated land alongside waterways—are vague and vary greatly between countries. From a rapid evidence appraisal, we find that riparian buffers are beneficial to hydrology, water quality, biodiversity and some ecosystem functions in tropical landscapes. However, effects on connectivity, carbon storage and emissions reduction remain understudied. Riparian functions are mediated by buffer width and habitat quality, but explicit threshold recommendations are rare. Policy implications. A one-size fits all width criterion, commonly applied, will be insufficient to provide all riparian functions in all circumstances. Context-specific guidelines for allocating, restoring and managing riparian buffers are necessary to minimise continued degradation of biodiversity and ecosystem functioning in tropical agriculture

Glass transition behaviour of fructose

The glass transition temperature and the second transition (the endothermic change between the glass transition and melting temperatures) of fructose were studied. The thermal history strongly affected both transitions of fructose. Storage for 10 days at 22degreesC increased the dynamic glass transition temperature from 16 to 25degreesC and decreased the second transition of fructose from 110 to 98degreesC in the first differential scanning calorimetric (DSC) scan. The amplitude of the second transition increased slightly with storage time and reached 260% of the first transition for vacuum oven dried samples. The effect of thermal history on the glass transition temperature of fructose can be removed by scanning the sample in a DSC to 130degreesC. The effects of water content, glucose and sucrose on the two transitions were also investigated