Objectives We aimed to determine the feasibility of conducting a randomised controlled trial (RCT) on the use of aromatherapy during labour as a care option that could improve maternal and neonatal outcomes.Design RCT comparing aromatherapy with standard care during labour.Setting District general maternity unit in Italy.Sample Two hundred and fifty-one women randomised to aromatherapy and 262 controls.Methods Participants randomly assigned to administration of selected essential oils during labour by midwives specifically trained in their use and modes of application.Main outcome measures Intrapartum outcomes were the following: operative delivery, spontaneous delivery, first-and second-stage augmentation, pharmacological pain relief, artificial rupture of membranes, vaginal examinations, episiotomy, labour length, neonatal wellbeing (Apgar scores) and transfer to neonatal intensive care unit (NICU).Results There were no significant differences for the following outcomes: caesarean section (relative risk [RR] . Significantly more babies born to control participants were transferred to NICU, 0 versus 6 (2%), P = 0.017. Pain perception was reduced in aromatherapy group for nulliparae. The study, however, was underpowered.Conclusion This study demonstrated that it is possible to undertake an RCT using aromatherapy as an intervention to examine a range of intrapartum outcomes, and it provides useful information for future sample size calculations.

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Corchorus olitorius L. is an African leafy vegetable of high nutritional interest. To assess its agricultural suitability to sustainable cultivation conditions and its potential benefits for human nutrition, its phytochemical content in response to conservation agriculture practices [i.e., no-tillage (NT) and cover crop maintenance] and low water regime were evaluated and compared with response under conventional agriculture management. Hydric stress and NT did not affect the content of antioxidant metabolites, compared to conventional agricultural practices. In both conditions, leaves were found to be a great source of phenolic compounds. The effect of these phenolic fractions was assessed on two colon cell phenotypes to evaluate putative nutraceutical properties. Polyphenol-enriched extracts (PEEs) displayed selective cytotoxic activities against tumor Caco-2 cells but not on the healthy CCD841 line. PEEs were able to trigger oxidative stress and to inhibit the activity of glutathione-independent antioxidant enzymes on Caco-2 cells. C. olitorius showed to be a promising crop for improving both agricultural sustainability and health benefits due to the great amount of antioxidant compounds in leaves, whose occurrence is not altered by stressful farming conditions. Given its high adaptability, the cultivation of this crop is therefore recommendable also in the Mediterranean Basin.

Nowadays, agriculture is facing the great challenge of climate change which puts the productivity of the crops in peril due to unpredictable rain patterns and water shortages, especially in the developing world. Besides productivity, nutritional values of the yields of these crops may also be affected, especially under low mechanization and the low water availability conditions of the developing world. Conservation agriculture (CA) is a topic of emerging interest due to the provision of adequate yields and reduced environmental impact, such as greenhouse gas emissions, by being based on three main principles: minimum soil disturbance (reduced or no tillage), cover crop maintenance, and crop rotation. The aim of this study was to assess the impact of CA management on the growth performance and the nutritional profile of cowpea (Vigna unguiculata L. Walp), a pulse of African origin, commonly known as black eye bean under field conditions. A field experiment was designed to assess the effect of conventional tillage (CT) and no-tillage (NT) combined with the usage of a set of cover crops, coupled to normal and deficient water regimes. Cowpea was revealed to be able to grow and yield comparably at each level of the treatment tested, with a better ability to face water exhaustion under CA management. After a faster initial growth phase in CT plots, the level of adaptability of this legume to NT was such that growth performances improved significantly with respect to CT plots. The flowering rate was higher and earlier in CT conditions, while in NT it was slower but longer-lasting. The leafy photosynthetic rate and the nutritional profile of beans were slightly influenced by tillage management: only total starch content was negatively affected in NT and watered plots while proteins and aminoacids did not show any significant variation. Furthermore, significantly higher carbon and nitrogen concentration occurred in NT soils especially at the topmost (0–5 cm) soil horizon. These findings confirm the capability of CA to enrich soil superficial horizons and highlight that cowpea is a suitable crop to be grown under sustainable CA management. This practice could be pivotal to preserve soils and to save agronomical costs without losing a panel of nutrients that are important to the human diet. Due to its great protein and aminoacidic composition, V. unguiculata is a good candidate for further cultivation in regions of the word facing deficiencies in the intake of such nutrients, such as the Mediterranean basins and Sub-Saharan countries.

The food waste generated by small and medium agro-industrial enterprises requires appropriate management and valorization in order to decrease environmental problems and recover high-value products, respectively. In this study, the Camelina sativa seed by-product was used as a source of glucosinolates. To begin, the chemical profile of the extract obtained using an international organization for standardization (ISO) procedure was determined by UPLC-HRMS/MS analysis. In addition, an extraction method based on ultrasound-assisted extraction was developed as an alternative and green method to recover glucosinolates. Main parameters that affect extraction efficiency were optimized using a response surface design. Under optimized conditions, the extract showed an improvement in extraction yield with a reduction in organic solvent amount compared to those obtained using the ISO procedure. Finally, the extract obtained with the ultrasound-assisted method was purified, tested on human colorectal cancer cell lines, and showed promising results.