Unveiling Annona Reticulata's Bioactive Arsenal for Enhanced Antibiotic Effects.

OBJECTIVE: To study the antibacterial and phytochemical activities of bioactive elements in the leaves of Annona reticulata Linn, a historically used Bangladeshi medicinal plant. METHODS: Shade-dried and crushed plant leaves were soaked with various solvents to obtain samples for different chemical analyses. All extracts were selected for antimicrobial, physicochemical, and Pharmacological investigations. The antimicrobial activity was evaluated using disc diffusion assay, and broth microdilution methods determined potentiation of the activities of the antibiotic antibacterial activity of the plant extracts was investigated using either gram-positive or gram-negative pathogenic wild-type bacteria. RESULTS: From the initial phytochemical and pharmacological studies, it was clear that all extracts, methanol, chloroform, and ethyl acetate, of the leaves of A. reticulata, were proven to process potent bioactive constituents. While differential antimicrobial properties were found to be possessed by all extracts, methanolic extract was the most potent one against all tested microorganisms. It also has potentiated the activities of antibiotics in E. coli. CONCLUSION: Bioactive constituents in the plant extracts were shown to possess phytochemical and antimicrobial activities. More investigation is needed to segregate the chemical components responsible for the respective phytochemical and antimicrobial activities.

Real-time measurement of parametric influences on the refractive index and length changes in silica optical fibers.

In this paper, we present a simple cascaded Fabry-Perot interferometer (FPI) that can be used to measure in real-time the refractive index (RI) and length variation in silica optical fibers caused due to external physical parameters, such as temperature, strain, and radiation. As a proof-of-concept, we experimentally demonstrate real-time monitoring of temperature effects on the RI and length and measure the thermo-optic coefficient (TOC) and thermal expansion coefficient (TEC) by using the cascaded FPI within a temperature range of 21-486°C. The experimental results provide a TEC of 5.53 × 10-7/°C and TOC of 4.28 × 10-6/°C within the specified temperature range. Such a simple cascaded FPI structure will enable the design of optical sensors to correct for measurement errors by understanding the change in RI and length of optical fiber caused by environment parameters.

Active Compensation of Radiation Effects on Optical Fibers for Sensing Applications.

Neutron and gamma irradiation is known to compact silica, resulting in macroscopic changes in refractive index (RI) and geometric structure. The change in RI and linear compaction in a radiation environment is caused by three well-known mechanisms: (i) radiation-induced attenuation (RIA), (ii) radiation-induced compaction (RIC), and (iii) radiation-induced emission (RIE). These macroscopic changes induce errors in monitoring physical parameters such as temperature, pressure, and strain in optical fiber-based sensors, which limit their application in radiation environments. We present a cascaded Fabry-Perot interferometer (FPI) technique to measure macroscopic properties, such as radiation-induced change in RI and length compaction in real time to actively account for sensor drift. The proposed cascaded FPI consists of two cavities: the first cavity is an air cavity, and the second is a silica cavity. The length compaction from the air cavity is used to deduce the RI change within the silica cavity. We utilize fast Fourier transform (FFT) algorithm and two bandpass filters for the signal extraction of each cavity. Inclusion of such a simple cascaded FPI structure will enable accurate determination of physical parameters under the test.

Numerical Analysis of Radiation Effects on Fiber Optic Sensors.

Optical fiber sensors (OFS) are a potential candidate for monitoring physical parameters in nuclear environments. However, under an irradiation field the optical response of the OFS is modified via three primary mechanisms: (i) radiation-induced attenuation (RIA), (ii) radiation-induced emission (RIE), and (iii) radiation-induced compaction (RIC). For resonance-based sensors, RIC plays a significant role in modifying their performance characteristics. In this paper, we numerically investigate independently the effects of RIC and RIA on three types of OFS widely considered for radiation environments: fiber Bragg grating (FBG), long-period grating (LPG), and Fabry-Perot (F-P) sensors. In our RIC modeling, experimentally calculated refractive index (RI) changes due to low-dose radiation are extrapolated using a power law to calculate density changes at high doses. The changes in RI and length are subsequently calculated using the Lorentz-Lorenz relation and an established empirical equation, respectively. The effects of both the change in the RI and length contraction on OFS are modeled for both low and high doses using FIMMWAVE, a commercially available vectorial mode solver. An in-depth understanding of how radiation affects OFS may reveal various potential OFS applications in several types of radiation environments, such as nuclear reactors or in space.

Discrepant Rates of Hypospadias Surgical Complications: A Comparison of U.S. News & World Report and Pediatric Health Information System® Data and Published Literature.

PURPOSE: Complication rates of 5% to 10% and 12% to 23% have been observed following distal and proximal hypospadias repair, respectively. However, these rates may be overreported. We hypothesized that data from the Pediatric Health Information System would corroborate the complication rates reported in the literature and refute the rates established by U.S. News & World Report as quality metrics. MATERIALS AND METHODS: The Pediatric Health Information System database was interrogated for hypospadias and revision CPT® codes. To evaluate the appropriateness of the U.S. News & World Report code list to identify revisions, 3 CPT groups were defined. Group A included codes sought by U.S. News & World Report, group B included group A plus codes for acquired urethrocutaneous fistula in males and group C included group B plus any revision codes associated with the index procedures. To evaluate the appropriateness of U.S. News & World Report followup interval, we assessed revision rates with ever increasing followup intervals out to 7 years. Yearly revision rates were summarized by median and quantile to correlate whether median revision rates changed significantly depending on whether increased followup or enhanced code lists were used. RESULTS: Average complication rates for group A were 3.32% (range 0.48% to 7.36%) and 12.29% (3.48% to 36.36%) for distal and proximal repairs, respectively. Revision rates increased significantly from group A (median 3.32%) by inclusion of a more expansive list of CPT codes associated with revision procedures (group B, 4.26%, p <0.001 and group C, 6.37%, p <0.001) in distal hypospadias. Among proximal hypospadias cases this difference was not significant when comparing group A (12.29%) to group B (12.53%, p=0.813), but was significant when comparing group A to group C (22.14%, p <0.001). Median revision rates for distal and proximal hypospadias increased with longer followup for all 3 groups, although the upward trend was not statistically significant. CONCLUSIONS: Depending on how one defines hypospadias revision, no hospital within the Pediatric Health Information System data set meets the U.S. News & World Report definition of perfection, a finding that is supported by recent reports from some of the largest, most prolific and most highly regarded pediatric urology programs. We posit that the U.S. News & World Report quality metrics do not accurately reflect the nature of hypospadias surgery complication rates.

Determination of aflatoxin M1 and deoxynivalenol biomarkers in infants and children urines from Bangladesh.

The mycotoxins aflatoxin B1 (AFB1) and deoxynivalenol (DON) are found worldwide in crops and dietary staples. The prevalence and levels of these contaminants can vary greatly, and data in Bangladeshi food commodities are scarce. To characterize human exposure, we have conducted biomonitoring, analyzing AFM1 (a metabolite of AFB1) and DON levels in urines of adult cohorts in Bangladesh. Yet, AFM1 and DON occurrence has not been studied in the very young population of this country. Thus, the same methods, HPLC-FD for AFM1 and LC-MS/MS for DON analysis, were now applied to determine these biomarkers in urines of infants (n = 49) and young children (n = 105) in Rajshahi and Dhaka district. Overall, AFM1 and DON detection frequency was 43.5% and 33.4%, with 34.7% and 11.5% in infant and 47.6% and 39.4% in children urines, respectively. The mean AFM1 levels in all infants (9.1 ± 14.3, max 55.6 pg/mL) and children (8.8 ± 12.9, max 75.3 pg/mL) were not significantly different. The AFM1 mean level was slightly higher in Dhaka (9.4 ± 12.4) compared to Rajshahi (8.5 ± 13.9 pg/mL) district. The average DON level was about 2-fold higher in infant (3.8 ± 2.9, max 6.8 ng/mL) than children urines (1.6 ± 1.8, max 8.6 ng/mL), and higher in Rajshahi (2.1 ± 2.3 ng/mL) than Dhaka (1.4 ± 1.6 ng/mL) district. The biomarker-based estimated average daily DON intake (29.6 ± 108.3 ng/kg bw in infants and 36.4 ± 81.8 ng/kg bw in children) or the maximum exposure (560 ng/kg bw) do not exceed the current maximum provisional tolerable daily intake value of 1 µg/kg bw for DON, although DON exposure in infants and children is higher than that of Bangladeshi adults. The AFM1 urine levels in young children are somewhat lower than those found previously in adult cohorts in Bangladesh, but the frequent detection of this biomarker for AFB1 exposure raises further concerns, also for this vulnerable part of the population. Therefore, continuous surveillance for aflatoxins in Bangladeshi food commodities is clearly required, first to identify major sources of intake and then to reduce exposure.

Formative research for the design of a scalable water, sanitation, and hygiene mobile health program: CHoBI7 mobile health program

BACKGROUND: The Cholera-Hospital-Based-Intervention-for-7-Days (CHoBI7) is a handwashing with soap and water treatment intervention program delivered by a health promoter bedside in a health facility and through home visits to diarrhea patients and their household members during the 7 days after admission to a health facility. In a randomized controlled trial among cholera patient households in Bangladesh, the 7-day CHoBI7 program resulted in a significant reduction in cholera among household members of cholera patients and sustained improvements in drinking water quality and handwashing with soap practices 12 months post-intervention. In an effort to take this intervention to scale across Bangladesh in partnership with the Bangladesh Ministry of Health and Family Welfare, this study evaluates the feasibility and acceptability of mobile health (mHealth) programs as a low-cost, scalable approach for CHoBI7 program delivery. METHODS: Formative research for the development of the CHoBI7 mHealth intervention included 40 semi-structured interviews, 4 mHealth workshops, 2 group discussions, and a pilot study of 52 households to assess the feasibility and acceptability of the developed mHealth program. Thematic analysis of the interviews and group discussions was conducted by two individuals separately based on emergent themes, and then themes were compared and discussed. RESULTS: A theory- and evidence-based approach using qualitative research methods was implemented to design the CHoBI7 mHealth program. Semi-structured interviews with government stakeholders identified perceptions and preferences for scaling the CHoBI7 mHealth program. Group discussions and semi-structured interviews with diarrhea patients and their family members identified beneficiary perceptions of mHealth and preferences for CHoBI7 mHealth program delivery. mHealth workshops were conducted as an interactive approach to draft and refine mobile message content based on stakeholder preferences. The pilot findings indicate that the CHoBI7 mHealth program has high user acceptability and is feasible to deliver to diarrhea patients that present at health facilities for treatment in Bangladesh. Both text and voice messages were recommended for program delivery. Dr. Chobi, the sender of mHealth messages, was viewed as a credible source of information that could be shared with others. CONCLUSION: This study presents a theory- and evidence-based approach that can be implemented for the development of future water, sanitation, and hygiene mHealth programs in low-resource settings.

Correction to: Formative research for the design of a scalable water, sanitation, and hygiene mobile health program: CHoBI7 mobile health program.

It was highlighted that the original article [1] contained an error in the title. Additionally, Table 2 contained a typesetting mistake. This Correction article shows the incorrect and correct article title and Table 2. The original article has been updated.

Ultra low-loss hybrid core porous fiber for broadband applications.

In this paper, we present the design and analysis of a novel hybrid porous core octagonal lattice photonic crystal fiber for terahertz (THz) wave guidance. The numerical analysis is performed using a full-vector finite element method (FEM) that shows that 80% of bulk absorption material loss of cyclic olefin copolymer (COC), commercially known as TOPAS can be reduced at a core diameter of 350 µm. The obtained effective material loss (EML) is as low as 0.04 cm-1 at an operating frequency of 1 THz with a core porosity of 81%. Moreover, the proposed photonic crystal fiber also exhibits comparatively higher core power fraction, lower confinement loss, higher effective mode area, and an ultra-flattened dispersion profile with single mode propagation. This fiber can be readily fabricated using capillary stacking and sol-gel techniques, and it can be used for broadband terahertz applications.

Novel porous fiber based on dual-asymmetry for low-loss polarization maintaining THz wave guidance.

In this Letter, we suggest a novel kind of porous-core photonic crystal fiber (PCF) (to the best of our knowledge) for efficient transportation of polarization maintaining (PM) terahertz (THz) waves. We introduce an asymmetry in both the porous-core and the porous-cladding of the structure to achieve an ultra-high birefringence. Besides, only circular air holes have been used to represent the structure, which makes the fiber remarkably simple. The transmission characteristics have been numerically examined based on an efficient finite element method (FEM). The numerical results confirm a high birefringence of ∼0.045 and a very low effective absorption loss of 0.08 cm(-1) for optimal design parameters at 1 THz. We have also thoroughly investigated some important modal properties such as bending loss, power fraction, dispersion, and fabrication possibilities to completely analyze the structure's usability in a multitude of THz appliances. Moreover, physical insights of the proposed fiber have also been discussed.

Fast transient thermal analysis of non-Fourier heat conduction using Tikhonov well-conditioned asymptotic waveform evaluation.

Non-Fourier heat conduction model with dual phase lag wave-diffusion model was analyzed by using well-conditioned asymptotic wave evaluation (WCAWE) and finite element method (FEM). The non-Fourier heat conduction has been investigated where the maximum likelihood (ML) and Tikhonov regularization technique were used successfully to predict the accurate and stable temperature responses without the loss of initial nonlinear/high frequency response. To reduce the increased computational time by Tikhonov WCAWE using ML (TWCAWE-ML), another well-conditioned scheme, called mass effect (ME) T-WCAWE, is introduced. TWCAWE with ME (TWCAWE-ME) showed more stable and accurate temperature spectrum in comparison to asymptotic wave evaluation (AWE) and also partial Pade AWE without sacrificing the computational time. However, the TWCAWE-ML remains as the most stable and hence accurate model to analyze the fast transient thermal analysis of non-Fourier heat conduction model.

Development of hybrid braided composite rods for reinforcement and health monitoring of structures.

In the present study, core-reinforced braided composite rods (BCRs) were developed and characterized for strain sensing capability. A mixture of carbon and glass fibre was used in the core, which was surrounded by a braided cover of polyester fibres. Three compositions of core with different carbon fibre/glass fibre weight ratios (23/77, 47/53, and 100/0) were studied to find out the optimum composition for both strain sensitivity and mechanical performance. The influence of carbon fibre positioning in BCR cross-section on the strain sensing behaviour was also investigated. Strain sensing property of BCRs was characterized by measuring the change in electrical resistance with flexural strain. It was observed that BCRs exhibited increase (positive response) or decrease (negative response) in electrical resistance depending on carbon fibre positioning. The BCR with lowest amount of carbon fibre was found to give the best strain sensitivity as well as the highest tensile strength and breaking extension. The developed BCRs showed reversible strain sensing behaviour under cyclic flexural loading with a maximum gauge factor of 23.4 at very low strain level (0.55%). Concrete beams reinforced with the optimum BCR (23/77) also exhibited strain sensing under cyclic flexural strain, although the piezoresistive behaviour in this case was irreversible.

Design, characterization and in-vitro evaluation of different cellulosic acrylic and methacrylic polymers loaded aceclofenac microspheres.

The aspire of this attempt was to design and evaluate aceclofenac loaded sustained release microspheres by emulsion solvent evaporation method, using different polymers like Ethyl cellulose (EC), Kollidon SR (KSR), Eudragit RS 100, Eudragit RL 100 and Hydroxypropylmethyl Cellulose (HPMC K100M). Microspheres were prepared using different stirring rate (1200, 1500, 2000rpm) and larger microspheres were obtained with lower stirring rate. Performance of microspheres was evaluated in terms of in vitro dissolution study which was allowed according to USP paddle method using Phosphate Buffer (pH 6.8) for 8 hours. UV-spectrophotometric method was used to calculate the drug content and the maximum and minimum release of aceclofenac from microspheres was observed 96.08% and 46.41% for formulation F18 and F5 after 8 hours respectively. Dissolution data were fitted by different mathematical models such as the zero order plot, first order plot, Higuchi plot, Hixon-Crowel plot and korsemeyer plot. Korsemeyer model has found to best fitted with release data. Scanning electron microscopic technique was performed to obtain the particle size and morphological changes due to different polymers. Fourier Transform Infra-red (FT-IR) spectroscopy was performed to find out any interaction of drug with the polymers. The drug might be released by both diffusion and erosion as data were best fitted with Korsemeyer model. So it has been demonstrated that aceclofenac microspheres containing different cellulosic, acrylic and methacrylic loaded polymers may be excellent candidates for consideration in drug delivery systems.

Investigation of the Thermodynamic and Kinetic Behavior of Acid Dyes in Relation to Wool Fiber Morphology.

Wool fibers from several different sheep breeds in the UK have very limited applications. The main aim of this study was to establish an understanding of the dye sorption properties of different wool fibers through thermodynamics and kinetics of dyeing using Acid Red 1 dye. Wool fibers from Leicester, Ryeland, and Dartmoor sheep breeds were pretreated (to remove impurities) and dyed using Acid Red 1. Leicester showed 7% higher dye exhaustion than Dartmoor wool fibers (20% on mass of fiber). Dyeing equilibrium results for both Leicester and Dartmoor wool fibers were fitted to Langmuir and Freundlich isotherms, and the theoretical maximum sorption capacities were 164 and 144 mg g-1, respectively. Leicester, Ryeland, and Dartmoor also followed the pseudo-second-order reaction kinetics. Thermodynamic parameters like Gibb's free energy (ΔG°) and standard affinity (Δµ°) of the fibers were calculated to understand the interaction of the Acid Red 1 with wool fibers. The difference in dye uptake was explained through the possible involvement of the scale opening gap (surface morphology) of the wool fibers.

Knowledge, attitude, and practice of blood donation: A cross-sectional survey in Khulna city, Bangladesh.

Background: There is evidence that the worldwide need for safe blood is not being met, particularly in poor nations like Bangladesh, where there is a scarcity of voluntary blood donors. This research intends to evaluate the public's knowledge, attitude, and practice of voluntary blood donation and the socio-demographic factors associated with blood donation in Khulna city, Bangladesh. Materials and methods: 720 interviews were taken using a structural questionnaire with Khulna city residents implementing the convenience sampling technique. After pre-processing and removing missing values, 697 records were left for further analysis. To investigate the association of sociodemographic factors such as age, gender, education, occupation, marital status, permanent address, and smoking status with knowledge, attitude, and practice of blood donation, the binary logistic regression model was used. Results: According to this research, 478 (68.58%), 654 (93.83%), and 451 (64.71%) respondents were knowledgeable, had a favorable attitude, and practiced VBD, respectively. The study level higher secondary (AOR = 2.2; CI: 1.16-4.18), honors or degree (AOR = 2.37; CI: 1.3-4.3), and masters or above (AOR = 3.27; CI: 1.69-6.35) were associated with the knowledge. The favorable attitude was connected with being male (AOR = 2.24; CI: 1.23-4.06), learning about VBD through online social media (AOR = 2.61; CI: 1.13-6.05), and having knowledge of VBD (AOR = 3.05; CI: 1.82-5.12). Age between 26 and 35 years (AOR = 2.83; CI: 1.43-5.57) and older than 45 years (AOR = 3.74; CI: 1.34-10.4), being a man (AOR = 3.6; CI: 2.25-5.78), being a smoker (AOR = 1.87; CI: 1.17-2.98), knowing about VBD (AOR = 2.31; CI: 1.55-3.42), and having a positive attitude (AOR = 3.78; CI: 2.11-6.77) were significant factors for practicing blood donation. Conclusion: This research demonstrates poor blood donation practices and limited knowledge of blood donation among Khulna city residents. The awareness of the residents should be prolonged for voluntary blood donation by the health bureau, the government, and non-governmental organizations.

Objective documentation of hypospadias anatomy with three-dimensional scanning.

INTRODUCTION: The absence of a standardized classification of hypospadias hinders understanding of the anatomic differences among patients and the evaluation of outcomes following surgical repair. In working towards a standardized, objective method of recording patients' hypospadias anatomy, we describe our initial experience using a non-invasive three-dimensional scanner. MATERIAL AND METHODS: An Artec3D Space Spider scanner was used to obtain 3D scans in 29 patients undergoing hypospadias repair. Measurements of the urethral plate width, urethral plate length, glans width, penile shaft length, and penile shaft width were made by 2 pediatric urology attendings and 1 pediatric urology fellow. Measurements were compared and inter-rater reliability was calculated. RESULTS: A total of 435 measurements were made on 29 successfully generated 3D scans, ranging from distal to proximal hypospadias. The inter-rater reliability of measurements from the generated 3D models shown good inter-rater reliability of urethral plate width (ICC0.87 [95%CI:0.76,0.93]), penile shaft length (ICC0.87 [95%CI:0.70,0.94]) and glans width (ICC0.83 [95%CI:0.68,0.92]), excellent inter-rater reliability of urethral plate length (ICC0.96) and moderate inter-rater reliability of penile shaft width (ICC0.69 [95%CI:0.44,0.84]). DISCUSSION: There was a high degree of reliability of measurements made across multiple users. Calculation of the ratio of the urethral plate length/total penile shaft length objectively defined the initial position of the urethral meatus. When compared to the 3-dimensional volume of the glans, a more proximally positioned urethral meatus was associated with a lower glans volume. CONCLUSION: 3D scanning offers a rapid, reproducible, and non-invasive method of documenting hypospadias anatomy. The ability to evaluate three dimensional features (i.e. glans volume) offers an exciting opportunities for robust investigation of hypospadias outcomes and further understanding of the relationship between a patient's genotype and phenotype.

Analysis of Leaf and Soil Nutrients, Microorganisms and Metabolome in the Growth Period of Idesia polycarpa Maxim.

Idesia polycarpa Maxim is an emerging oil plant species. Understanding its microecological characteristics and internal mechanisms can serve as a basis for field management and the screening and application of growth-promoting bacteria during the growth phase of young trees. This study used three-year-old young I. polycarpa to analyze the tree's root morphology, soil, and leaf nutrient status variations from May to October. In addition, differences in the rhizosphere soil, leaf metabolites, and microorganisms were observed. The results showed that, from May to October, the total nitrogen (TN) in the soil significantly decreased, whereas the TN, total potassium (TK), and total phosphorus (TP) in the leaves differed (p < 0.05). The leaf-dominant bacteria changed from Pseudomonadota to Firmicutes phylum. In addition, the relative abundance of soil and leaf-dominant bacteria decreased. The study found that the soil and leaf differential metabolites were mainly sugars and phenolic acids. The soil bacterial community showed a significant correlation with soil pH, available potassium (AK), available phosphorus (AP), and TN (p < 0.05). Further, the soil fungal community was significantly correlated with pH and AK (p < 0.001). TP, pH, and TK were the main factors influencing the leaf bacterial community, while the leaf fungal community was significantly correlated with five factors, including pH, TC, and TN. The root morphology was also mainly affected by pH, Pedomicrobium sp., Talaromyces sp., Penicillium sp., and D-Mannitol 2.

Receipt of hepatitis E vaccine and fetal loss in rural Bangladesh: further analysis of a double-blind, cluster-randomised, controlled trial.

BACKGROUND: Vaccination constitutes an attractive control measure for hepatitis E virus (HEV), a major cause of maternal and perinatal mortality globally. Analysis of pregnant participants in an effectiveness trial of the HEV vaccine HEV239 showed possible HEV239-associated fetal losses. We aimed to conduct a detailed analysis of this safety signal. METHODS: In a double-blind, cluster-randomised trial, 67 villages in Matlab, Bangladesh, were randomly allocated (1:1) to two vaccine groups, in which non-pregnant women aged 16-39 years received either HEV239 (HEV239 group) or Hepa-B (a hepatitis B vaccine; control group). We implemented weekly surveillance for pregnancy detection, and follow-up of pregnancies once every 2 weeks, using physician-confirmed diagnoses to evaluate fetal loss outcomes (miscarriage [spontaneous abortion], stillbirth, and elective termination). Data from a parallel system of reproductive health surveillance in Matlab were used to clarify study diagnoses when necessary. Miscarriage was assessed only among participants whose first positive pregnancy test and vaccination date (for whichever dose was closest to the date of last menstrual period [LMP]) were before 20 weeks' gestation. We defined the following analysis periods of interest: from 90 days before the LMP until the pregnancy outcome (the proximal period); from the LMP date until the pregnancy outcome (the pregnancy period); from 90 days before the LMP until the LMP date (90 days pre-LMP period); and from enrolment until 90 days before the LMP (the distal period). Both Poisson and Cox regression models were used to assess the associations between receipt of HEV239 and fetal loss outcomes. The trial was registered with ClinicalTrials.gov (NCT02759991). FINDINGS: Among the 19 460 non-pregnant participants enrolled in the trial, 5011 were identified as having pregnancies within 2 years following vaccination and met the criteria for analysis (2407 in the HEV239 group and 2604 in the control group). Among participants vaccinated in the proximal period and evaluated for miscarriage, miscarriage occurred in 54 (8·9%) of 607 in the HEV239 group and 32 (4·5%) of 719 in the control group (adjusted relative risk [aRR] 2·0 [95% CI 1·3-3·1], p=0·0009). Similarly, the risk of miscarriages was increased in the HEV239 group versus the control group among participants inadvertently vaccinated during pregnancy (22 [10·5%] miscarriages among 209 participants in the HEV239 group vs 14 [5·3%] of 266 in the control group; aRR 2·1 [95% CI 1·1-4·1], p=0·036) and among those vaccinated within 90 days pre-LMP (32 [8·0%] of 398 vs 18 [4·0%] of 453; 1·9 [1·1-3·2], p=0·013). No increased risk of miscarriage was observed in those who received HEV239 in the distal period (93 [5·6%] of 1647 vs 80 [4·5%] of 1773; 1·3 [0·8-1·9], p=0·295). Stillbirth and elective termination showed no increased risk among women administered HEV239 versus those administered Hepa-B in any of the analysis periods. INTERPRETATION: HEV239 given shortly before or during pregnancy was associated with an elevated risk of miscarriage. This association poses a possible safety concern for programmatic use of HEV239 in women of childbearing age. FUNDING: Research Council of Norway and Innovax.

Development of novel parameters for characterising scale morphology of wool fibre and its correlation with dye diffusion coefficient of acid dye.

This paper reports the development of novel surface parameters which can be used to characterise the scale structure of wool fibres obtained from different breeds. Scanning electron microscopy and subsequent image analysis technique were used to study wool fibres from Leicester, Dartmoor, Ryeland and Herdwick breeds of sheep. Novel scale parameters related to wool fibre's effective chemical diffusion pathway were developed. Namely, the total scale perimeter per 100 µm fibre length and scale perimeter index, which is the total scale perimeter per 100 µm length divided by the fibre diameter. Wool fibres obtained from different breeds showed significant differences in their scale pattern with the change in fibre diameter. The scale perimeter per 100 µm length increased with the fibre diameter and showed a polynomial correlation. It was also demonstrated that an increase in the diameter of the wool fibre resulted in an increase in the apparent dye diffusion coefficient, which contrasts the established theory that finer fibres are associated with a higher dyeing rate. The increase in effective diffusion pathway (total scale perimeter per 100 µm) for the wool fibres (among different breeds) resulted in a higher dye diffusion rate at the initial phase of dyeing (liquor to surface).