Early postnatal high-dose fat-soluble enteral vitamin A supplementation for moderate or severe bronchopulmonary dysplasia or death in extremely low birthweight infants (NeoVitaA): a multicentre, randomised, parallel-group, double-blind, placebo-controlled, investigator-initiated phase 3 trial.

BACKGROUND: Vitamin A plays a key role in lung development, but there is no consensus regarding the optimal vitamin A dose and administration route in extremely low birthweight (ELBW) infants. We aimed to assess whether early postnatal additional high-dose fat-soluble enteral vitamin A supplementation versus placebo would lower the rate of moderate or severe bronchopulmonary dysplasia or death in ELBW infants receiving recommended basic enteral vitamin A supplementation. METHODS: This prospective, multicentre, randomised, parallel-group, double-blind, placebo-controlled, investigator-initiated phase 3 trial conducted at 29 neonatal intensive care units in Austria and Germany assessed early high-dose enteral vitamin A supplementation (5000 international units [IU]/kg per day) or placebo (peanut oil) for 28 days in ELBW infants. Eligible infants had a birthweight of more than 400 g and less than 1000 g; gestational age at birth of 32+0 weeks postmenstrual age or younger; and the need for mechanical ventilation, non-invasive respiratory support, or supplemental oxygen within the first 72 h of postnatal age after admission to the neonatal intensive care unit. Participants were randomly assigned by block randomisation with variable block sizes (two and four). All participants received basic vitamin A supplementation (1000 IU/kg per day). The composite primary endpoint was moderate or severe bronchopulmonary dysplasia or death at 36 weeks postmenstrual age, analysed in the intention-to-treat population. This trial was registered with EudraCT, 2013-001998-24. FINDINGS: Between March 2, 2015, and Feb 27, 2022, 3066 infants were screened for eligibility at the participating centres. 915 infants were included and randomly assigned to the high-dose vitamin A group (n=449) or the control group (n=466). Mean gestational age was 26·5 weeks (SD 2·0) and mean birthweight was 765 g (162). Moderate or severe bronchopulmonary dysplasia or death occurred in 171 (38%) of 449 infants in the high-dose vitamin A group versus 178 (38%) of 466 infants in the control group (adjusted odds ratio 0·99, 95% CI 0·73-1·55). The number of participants with at least one adverse event was similar between groups (256 [57%] of 449 in the high-dose vitamin A group and 281 [60%] of 466 in the control group). Serum retinol concentrations at baseline, at the end of intervention, and at 36 weeks postmenstrual age were similar in the two groups. INTERPRETATION: Early postnatal high-dose fat-soluble enteral vitamin A supplementation in ELBW infants was safe, but did not change the rate of moderate or severe bronchopulmonary dysplasia or death and did not substantially increase serum retinol concentrations. FUNDING: Deutsche Forschungsgemeinschaft and European Clinical Research Infrastructures Network (ECRIN).

Facile fabrication of micro-/nanostructured, superhydrophobic membranes with adjustable porosity by 3D printing.

Porous membranes with special wetting properties have attracted great interest due to their various functions and wide applications, including water filtration, selective oil/water separation and oil skimming. Special wetting properties such as superhydrophobicity can be achieved by controlling the surface chemistry as well as the surface topography of a substrate. Three-dimensional (3D) printing is a promising method for the fast and easy generation of various structures. The most common method for 3D printing of superhydrophobic materials is a two-step fabrication process: 3D printing of user-defined topographies, such as surface structures or bulk porosity, followed by a chemical post-processing with low-surface energy chemicals such as fluorinated silanes. Another common method is using a hydrophobic polymer ink to print intricate surface structures. However, the resolution of most common printers is not sufficient to produce nano-/microstructured textures, moreover, the resulting delicate surface micro- or nanostructures are very prone to abrasion. Herein, we report a simple approach for 3D printing of superhydrophobic micro-/nanoporous membranes in a single step, combining the required topography and chemistry. The bulk porosity of this material, which we term "Fluoropor", makes it insensitive to abrasion. To achieve this, a photocurable fluorinated resin is mixed with a porogen mixture and 3D printed using a stereolithography (SLA) printing process. This way, micro-/nanoporous membranes with superhydrophobic properties with static contact angles of 164° are fabricated. The pore size of the membranes can be adjusted from 30 nm to 300 nm by only changing the porogen ratio in the mixture. We show the applicability of the printed membranes for oil/water separation and the formation of Salvinia layers which are of great interest for drag reduction in maritime transportation and fouling prevention.

Fused Deposition Modeling of Microfluidic Chips in Polymethylmethacrylate.

Polymethylmethacrylate (PMMA) is one of the most important thermoplastic materials and is a widely used material in microfluidics. However, PMMA is usually structured using industrial scale replication processes, such as hot embossing or injection molding, not compatible with rapid prototyping. In this work, we demonstrate that microfluidic chips made from PMMA can be 3D printed using fused deposition modeling (FDM). We demonstrate that using FDM microfluidic chips with a minimum channel cross-section of ~300 µm can be printed and a variety of different channel geometries and mixer structures are shown. The optical transparency of the chips is shown to be significantly enhanced by printing onto commercial PMMA substrates. The use of such commercial PMMA substrates also enables the integration of PMMA microstructures into the printed chips, by first generating a microstructure on the PMMA substrates, and subsequently printing the PMMA chip around the microstructure. We further demonstrate that protein patterns can be generated within previously printed microfluidic chips by employing a method of photobleaching. The FDM printing of microfluidic chips in PMMA allows the use of one of microfluidics' most used industrial materials on the laboratory scale and thus significantly simplifies the transfer from results gained in the lab to an industrial product.

Real-space imaging of translational and rotational dynamics of hard spheres from the fluid to the crystal.

Using real-space imaging of single particles, we investigate the interplay between translational and rotational motion of tracer particles in suspensions of colloidal particles over a wide range of volume fractions from dilute fluid to densely packed crystal. To this end, we introduce a new type of spherical colloidal tracer particles containing two differently labelled fluorescent cores. The tracer particles can be combined with host particles enclosing a single fluorescent core and chemical and physical properties identical to the tracers. This leads to a system of spherical colloidal particles, in which spatio-temporal trajectories of rotation and translation of individual particles can be recorded simultaneously with full 360° resolution of rotational dynamics. Our analysis shows that translation and rotation of colloidal particles are uncorrelated and decoupled for all volume fractions irrespective of the phase of the particle system.