Establishment of lipiodol as a fertility treatment - prospective study of the complete innovative treatment data set.

BACKGROUND: Our randomised controlled trial (RCT) found that a hysterosalpingogram (HSG) with the oil-soluble contrast medium (OSCM) lipiodol improves pregnancy rates amongst couples with unexplained and endometriosis-related infertility. These results were supported by the findings of our observational study of the first 100 women to undergo the procedure after it was offered as an innovative treatment in New Zealand from September 2003. AIM: To further assess the safety and efficacy of lipiodol procedures and present together the complete data set of the procedures performed in our RCT and those performed as innovative procedures (n = 296) prior to it being offered as a standard fertility treatment. METHODS: Women with infertility underwent a therapeutic lipiodol procedure by HSG technique with fluoroscopy X-ray screening. Primary outcomes were clinical pregnancy within six months of the procedure and live birth. RESULTS: The overall pregnancy rate for the 296 women was 40.2%. The live birth/ongoing pregnancy rate was 31.4%. The pregnancy rates for women under the age of 40 with endometriosis and unexplained infertility were 51.1 and 31.4%, respectively. CONCLUSION: Lipiodol can now be considered a standard treatment for both unexplained and endometriosis-related infertility. The precise mechanism behind the fertility-enhancing effect of lipiodol has yet to be elucidated. This study supports a mechanism of effect on the endometrium with possible enhanced receptivity of the endometrium to embryo implantation.

The analysis of photosynthetic performance in leaves under field conditions: A case study using Bruguiera mangroves.

In this report, we analyze the photosynthetic capacity and performance of leaves under field conditions with a case study based on the mangroves Bruguiera parviflora and B. gymnorrhiza. Using a tower through a closed canopy at a field sight in North Queensland and portable infra-red gas analyzers, a large data set was collected over a period of 11 days early in the growing season. The set was used to analyze the relationship between net photosynthesis (Pnet) and light, leaf temperature, stomatal conductance and intracellular CO2 (Ci).There are three objectives of this report: (1) to determine photosynthetic potential as indicated by the in situ responses of Pnet to light and stomatal conductance, (2) to determine the extent to which photosynthetic performance may be reduced from that potential, and (3) to explore the basis for and physiological significance of the reduction.The results indicate that even under harsh tropical conditions, the mangrove photosynthetic machinery is capable of operating efficiently at low light and with maximal rates of more than 15 µmol CO2 m(-2) s(-1). Though stomata were more often limiting than light, in any single measurement the average reduction of Pnet from the maximum value predicted by light or conductance responses was 35%. Analysis of single leaf light and CO2 responses indicated that photosynthetic performance was under direct photosynthetic, or non-stomatal, control at all light and conductance levels. Capacity was adjustable rapidly from a maximum value to essentially nil such that Ci varied inversely with Pnet from ca. 150 µL L(-1) at the highest rates of CO2 exchange to ambient at the lowest.

Changes in gas exchange characteristics and water use efficiency of mangroves in response to salinity and vapour pressure deficit.

Measurements were made of the photosynthetic gas exchange properties and water use efficiency of 19 species of mangrove in 9 estuaries with different salinity and climatic regimes in north eastern Australia and Papua New Guinea. Stomatal conductance and CO2 assimilation rates differed significantly between species at the same locality, with the salt-secreting species, Avicennia marina, consistently having the highest CO2 assimilation rates and stomatal conductances. Proportional changes in stomatal conductance and CO2 assimilation rate resulted in constant and similar intercellular CO2 concentrations for leaves exposed to photon flux densities above 800 µmol·m-2·s-1 in all species at a particular locality. In consequence, all species at the same locality had similar water use efficiencies. There were, however, significant differences in gas exchange properties between different localities. Stomatal conductance and CO2 assimilation rate both decreased with increasing salinity and with increasing leaf to air vapour pressure deficit (VPD). Furthermore, the slope of the relationship between assimilation rate and stomatal conductance increased, while intercellular CO2 concentration decreased, with increasing salinity and with decreasing ambient relative humidity. It is concluded from these results that the water use efficiency of mangroves increases with increasing environmental stress, in this case aridity, thereby maximising photosynthetic carbon fixation while minimising water loss.

The purification and identification of flavin nucleotides by high-performance liquid chromatography.

Many preparations of flavin nucleotides contain nucleotide isomers of the natural compounds which are difficult to remove or separate. The method of dynamic complex-exchange (or paired-ion) chromatography has been used with high-performance liquid chromatography to achieve resolution and purification of isomers. A solution of nucleotide in water was chromatographed isocratically on a C18-substituted silica column with a mobile phase of methanol, water, and tetrabutylammonium phosphate at neutral pH. Commercial preparations of FMN and FAD contained multiple components. The purified isomers were subjected to ion-exchange chromatography directly on a quaternary nitrogen-substituted silica column to remove methanol and tetrabutylammonium cation, and thus obtain pure nucleotide in aqueous buffer suitable for use with proteins. With analytical equipment, a milligram of pure FMN or FAD was produced in 1 day. The same procedure was useful for the rapid identification and quantitation of flavin nucleotides in proteins. After exposure of a protein solution to heat treatment, the supernatant was subjected to dynamic complex-exchange chromatography, as described above.

Physiological and chemical characterization of invertebrate metallothionein-like proteins.

Metallothionein-like proteins have been isolated from marine invertebrates. Three crustaceans, Scyllus serratus, Cancer magister and Acetes sibogae together with a mollusc, Cryptochiton stelleri, have been investigated. S. serratus hepatopancreas was shown to contain cadmium and zinc inducible metallothionein-like proteins with an amino acid analysis very similar to vertebrate metallothioneins. The molecular weight, ultra-violet spectrum and isoelectric points of S. serratus metallothioneins are also comparable to the vertebrate proteins, suggesting a fundamental biological function conserved throughout evolution.