Irbesartan in Marfan syndrome (AIMS): a double-blind, placebo-controlled randomised trial

BACKGROUND: Irbesartan, a long acting selective angiotensin-1 receptor inhibitor, in Marfan syndrome might reduce aortic dilatation, which is associated with dissection and rupture. We aimed to determine the effects of irbesartan on the rate of aortic dilatation in children and adults with Marfan syndrome. METHODS: We did a placebo-controlled, double-blind randomised trial at 22 centres in the UK. Individuals aged 6-40 years with clinically confirmed Marfan syndrome were eligible for inclusion. Study participants were all given 75 mg open label irbesartan once daily, then randomly assigned to 150 mg of irbesartan (increased to 300 mg as tolerated) or matching placebo. Aortic diameter was measured by echocardiography at baseline and then annually. All images were analysed by a core laboratory blinded to treatment allocation. The primary endpoint was the rate of aortic root dilatation. This trial is registered with ISRCTN, number ISRCTN90011794. FINDINGS: Between March 14, 2012, and May 1, 2015, 192 participants were recruited and randomly assigned to irbesartan (n=104) or placebo (n=88), and all were followed for up to 5 years. Median age at recruitment was 18 years (IQR 12-28), 99 (52%) were female, mean blood pressure was 110/65 mm Hg (SDs 16 and 12), and 108 (56%) were taking β blockers. Mean baseline aortic root diameter was 34·4 mm in the irbesartan group (SD 5·8) and placebo group (5·5). The mean rate of aortic root dilatation was 0·53 mm per year (95% CI 0·39 to 0·67) in the irbesartan group compared with 0·74 mm per year (0·60 to 0·89) in the placebo group, with a difference in means of -0·22 mm per year (-0·41 to -0·02, p=0·030). The rate of change in aortic Z score was also reduced by irbesartan (difference in means -0·10 per year, 95% CI -0·19 to -0·01, p=0·035). Irbesartan was well tolerated with no observed differences in rates of serious adverse events. INTERPRETATION: Irbesartan is associated with a reduction in the rate of aortic dilatation in children and young adults with Marfan syndrome and could reduce the incidence of aortic complications

Evidence of pteridophyte-arthropod interactions in the fossil record

The past decade has seen the emergence of considerable fossil evidence of a history of pteridophyte-arthropod interaction extending back to the Devonian period. Such fossils include plant tissue showing lesions, bites and borings with associated features implicating arthropods as causal agents. Gut contents of Carboniferous arthropods, which include lycopod xylem elements and spores, are a tangible demonstration of phytophagy. Pteridophyte spores in fossil droppings (coprolites) indicate the prevalence of arthropod spore-eating in the Palaeozoic. This may have had compensations for the source plant and evidently represented the start of the co-evolution which culminated in the elaborate adaptations shown by flowering plants and their insect pollination vectors

Reducing the short-term mortality of juvenile school prawns (Metapenaeus macleayi) discarded during trawling

A field experiment was carried out in southeastern Australia to assess the short-term mortality and stress incurred by juvenile school prawns (Metapenaeus macleayi) discarded from an estuarine trawler. Some 35% of the prawns died up to 72 h after being caught in a trawl, exposed to air during sorting and separation from the retained catch (as per normal commercial procedures), then discarded into replicate cages. Total mortality was partitioned into that caused by trawling (about 16% of mortalities), and by subsequent sorting and grading (about 19%). Assuming that the majority of the non-penaeid bycatch is excluded from trawls (by the use of bycatch reduction devices), the latter mortalities could be almost eliminated by sorting and separating unwanted school prawns in water-filled compartments. Emersion stress was measured as concentrations of l-lactate in the haemolymph, which were elevated for at least 40 min following capture, but similar among all trawled treatments. l-lactate levels decreased within the first 24 h post-capture, then remained constant over at least the next 48 h, and were greater than baseline levels. The potential benefits associated with subtle changes to handling practices onboard estuarine trawlers are discussed

Ion current signal interpretation via artificial neural networks for gasoline HCCI control

The control of Homogeneous Charge Compression Ignition (HCCI) (also known as Controlled Auto Ignition (CAI)) has been a major research topic recently, since this type of combustion has the potential to be highly efficient and to produce low NOx and particulate matter emissions. Ion current has proven itself as a closed loop control feedback for SI engines. Based on previous work by the authors, ion current was acquired through HCCI operation too, with promising results. However, for best utilization of this feedback signal, advanced interpretation techniques such as artificial neural networks can be used. In this paper the use of these advanced techniques on experimental data is explored and discussed. The experiments are performed on a single cylinder cam-less (equipped with a Fully Variable Valve Timing (FVVT) system) research engine fueled with commercially available gasoline (95 ON). The results obtained display an improvement in the correlation between characteristics of ion current and cylinder pressure, thus allowing superior monitoring and control of the engine. Peak pressure position can be estimated with sufficient precision for practical applications, thus pushing the HCCI operation closer to its limits