Comparison of optimised MDI versus pumps with or without sensors in severe hypoglycaemia (the Hypo COMPaSS trial)

Background
Severe hypoglycaemia (SH) is one of the most feared complications of type 1 diabetes (T1DM) with a reported prevalence of nearly 40%. In randomized trials of Multiple Daily Injections (MDI) and Continuous Subcutaneous Insulin Infusion (CSII) therapy there is a possible benefit of CSII in reducing SH. However few trials have used basal insulin analogues as the basal insulin in the MDI group and individuals with established SH have often been excluded from prospective studies. In published studies investigating the effect of Real Time Continuous Glucose Monitoring (RT-CGM) benefit in terms of reduced SH has not yet been demonstrated. The primary objective of this study is to elucidate whether in people with T1DM complicated by impaired awareness of hypoglycaemia (IAH), rigorous prevention of biochemical hypoglycaemia using optimized existing self-management technology and educational support will restore awareness and reduce risk of recurrent SH.

Methods/design
This is a multicentre prospective RCT comparing hypoglycaemia avoidance with optimized MDI and CSII with or without RT-CGM in a 2×2 factorial design in people with type 1 diabetes who have IAH. The primary outcome measure for this study is the difference in IAH (Gold score) at 24 weeks. Secondary outcomes include biomedical measures such as HbA1c, SH incidence, blinded CGM analysis, self monitored blood glucose (SMBG) and response to hypoglycaemia in gold standard clamp studies. Psychosocial measures including well-being and quality of life will also be assessed using several validated and novel measures. Analysis will be on an intention-to-treat basis.

Discussion
Most existing RCTs using this study’s interventions have been powered for change in HbA1c rather than IAH or SH. This trial will demonstrate whether IAH can be reversed and SH prevented in people with T1DM in even those at highest risk by using optimized conventional management and existing technology.

Was monochloramine responsible for widespread lettuce crop failures at a major recycled water irrigation scheme?

In 2008, vegetable growers observed stunted lettuce plants showing signs of chlorosis and wilting. It was suspected that monochloramine in the recycled water used for irrigation, in combination with extreme environmental conditions (high irrigation water salinity and extreme heat), was responsible for these crop failures. A series of glasshouse studies was conducted to evaluate the impact of monochloramine concentration alone on iceberg lettuce seedlings, as well as in combination with high salinity and hot ambient temperatures. Monochloramine concentrations up to 9 and 15 mg L−1 Cl2 for continuous and initial irrigation only, respectively, did not affect the weight of iceberg lettuce heads (p > 0.05), while the combination of monochloramine (4–5 mg L−1 Cl2) and salinity (3,500 μS cm−1) did not significantly affect harvest measurements (p > 0.05). We therefore conclude that it is unlikely that monochloramine was responsible for the observed crop failures.

A history of wastewater irrigation in Melbourne, Australia

Reclamation of wastewater for irrigation has had an important role to play in Melbourne’s struggle to manage water resources as effectively as possible. Rapid growth within the first few years of the founding of the city led to a sanitary crisis, which provided the impetus for the construction of a large sewerage system. Interest in using the effluent from sewage treatment plants for irrigation gained attention in the late 1970s, but despite some activity in the early 1980s, it was not until 2005 that large-scale wastewater irrigation schemes became a reality. Successful to a degree, there have also been problems, and the future viability of one large irrigation scheme for commercial vegetable production is threatened by high salt concentrations in the treated wastewater. Greywater irrigation at the household level has also become commonplace in Melbourne over the last decade, but it is difficult to regulate and the health risks urgently need to be quantified. More recently, several third-pipe schemes, where treated wastewater is reticulated to households, have been commissioned with plans for many more, and treated stormwater is growing in popularity, particularly for irrigation of public open spaces.

Avaliação de tanques de escorva utilizados em substituição à válvula-de-pé em instalações de bombeamento

A maioria das instalações de abastecimento de água utiliza bombas hidráulicas do tipo turbobombas, requerendo que o interior de sua carcaça e da tubulação de sucção esteja preenchido com água (escorvados) para que a sucção da água possa ser efetivada. O escorvamento das bombas pode ser efetuado instalando-as abaixo do reservatório de captação (bomba afogada). Quando a bomba está acima do reservatório e o escorvamento é manual, é necessário usar válvulas-de-pé, que são suscetíveis ao mau funcionamento, limitando a confiabilidade do sistema, principalmente em caso de automação. Como alternativa à válvula-de-pé, neste trabalho, foram estudados dois tanques escorva, testados no Laboratório de Hidráulica e Irrigação da FCAV/UNESP - Jaboticabal, avaliando-se situações de altura manométrica de sucção de bomba centrífuga e relações entre volume útil do tanque e volume do tubo de sucção, tendo-se concluído: a) o volume do tanque de escorva é função do volume do tubo de sucção da instalação de bombeamento e da altura manométrica de sucção; b) o volume do tanque de escorva pode ser calculado seguindo-se a Lei de Boyle, com percentagem de acréscimo que, neste estudo, foi de 10% para um modelo de tanque e de 30% para o segundo modelo.

Influence of irrigation on wheat crop

O uso da irrigação na triticultura tem aumentado significativamente nos últimos anos no Brasil. Neste trabalho, objetivou-se avaliar a influência da irrigação na produtividade, na qualidade tecnológica da farinha e no sistema radicular do trigo. em experimento de campo no IAPAR, em Londrina, Paraná, a cultivar IPR 118 foi cultivada sob irrigação por aspersão convencional (Tratamento Irrigado) e sem irrigação (Tratamento Sequeiro). A produtividade foi determinada, colhendo-se três amostras de 25 m² por tratamento. Nestas mesmas amostras, procedeu-se à análise da qualidade tecnológica da farinha, sendo avaliada, entre outros parâmetros, a força de glúten (W). A avaliação do sistema radicular foi realizada após a colheita, no perfil de 0 a 45 cm de profundidade do solo, amostrando-se oito plantas em cada tratamento. O método da parede do perfil foi utilizado para determinar o número de raízes (NR) e o método do monólito para determinar a massa seca de raízes (MSR). A irrigação aumentou em três vezes a produtividade do trigo, porém diminuiu o W na farinha. Ainda assim, o valor de W encontrado no Tratamento Irrigado (249 10-4 J) foi suficiente para manter a classificação do trigo como tipo-pão, a mesma para o qual a cultivar IPR 118 é classificada. Os valores medidos de NR e a MSR foram iguais ou maiores no Tratamento Sequeiro.

Measurement systems of soil water matric potential and evaluation of soil moisture under different irrigation depths

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Seedlings production of Tabebuia heptaphylla in different substrates and levels of irrigation, in greenhouse conditions

The objective of this research was to evaluate the growth of Tabebuia heptaphylla seedlings in distinct substrates with different amounts of urban waste compost and the relation between this growth and irrigation. A completely randomized experimental design was used, with a factorial arrangement of 15 substrates and 2 irrigation levels. The substrates were composed by the combination of different materials: urban waste, tanned cattle manure, vermiculite, soil and the commercial form Plantmax (R). For the study of the seedlings development, the following characteristics were evaluated: plant height, stem diameter at soil level, number of leaves, above ground dry matter, root system dry matter, relation between plant height and stem base diameter, Dickson quality index and relation between plant height and above ground dry matter. Evaluations of plant height, stem diameter at soil level and number of leaves were made at 75, 90, 105, 120, 135 and 150 days after sowing. According to the results, it was concluded that urban waste compost does not increase plant development. Significant differences in relation to the irrigation levels were found, with better results for the 150% irrigation level compared to 100% evapotranspiration.

Grapevine root distribution in drip and microsprinkler irrigation

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Investment recovery period in electric motor of higher efficiency in pumping for irrigation

Neste trabalho, ajustou-se um modelo matemático para quantificar o efeito do rendimento do motor elétrico sobre os custos de um sistema de bombeamento para irrigação na estrutura tarifária de energia elétrica convencional e horo-sazonal verde, bem como calcular o tempo de recuperação do capital investido no equipamento de maior rendimento. em seguida, o mesmo foi aplicado a um sistema de irrigação tipo pivô central em duas opções de rendimento do motor elétrico: 92,6% (linha padrão) e 94,3% (linha alto rendimento), sendo que o custo de aquisição do primeiro correspondeu a 70% do segundo. A potência do motor elétrico era de 100 cv. Os resultados mostraram que o modelo permitiu avaliar se um motor de alto rendimento era viável economicamente em relação ao motor-padrão em cada estrutura tarifária. Nas duas estruturas tarifárias, o motor de alto rendimento não foi viável. Na tarifa horo-sazonal verde, somente seria viável se seu rendimento fosse 4,46% superior ao do motor-padrão. Na tarifa convencional, somente seria viável se o ganho de rendimento superasse 2,71%.

Avaliação microscópica dos fragmentos ósseos obtidos por diferentes métodos de osteotomia e de irrigação em aloenxertos irradiados e congelados de coelho

Oral and facial bone defects can undertake appearance, psychosocial well-being and stomathognatic function of its patients. Over the yerars several strategies for bone defect regeneration have arised to treat these pathologies, among them the use of frozen and irradiated bone allograft. Manipulation of bone grafts it s not determined yet, and several osteotomy alternatives can be observed. The present work evaluated with a microscope the bone fragments obtained from different osteotomy methods and irrigation on rings and blocks allografts irradiated and frozen at 80° negative in a rabbit model. The study is experimental in vitro and it sample was an adult male New Zealand rabbit. The animal was sacrificed to obtain long bones, that were submitted to freezing at 80º negative and irradiated with Cobalt- 60. Then the long bones were sectioned into 24 bone pieces, divided into 4 groups: G1 (n=06) osteotomy was performed with bur No. 6 forming rings with 5 mm thickness with high-speed handpiece with manual irrigation; G2 (n=06) osteotomy was performed with bur No. 6 forming rings with 5 mm thick with surgical motor with a manual irrigation rotation 1500 rpm; GA (n=06), osteotomy with trephine using manual irrigation with saline; and GB (n=06), osteotomy with trephine using saline from peristaltic pumps of surgical motor. Five bone pieces of each group were prepared for analysis on light microscopy (LM) and one on electronic scan electronic microscopy (SEM). On the SEM analysis edges surface, presence of microcracks and Smear Layer were evaluated. Analyzing osteotomy technics on SEM was observed: increased presence of microcracks cutting with high speed; increased presence of areas covered by Smear Layer when cutting with motor implant. The irrigation analysis with SEM was observed: that the presence of microcracks does not depend on the type of irrigation; on manual irrigation, there was greater discrepancy between the cutting lines. The descriptive analysis of the osteotomy and irrigation process on LM showed: histological analysis showing the bony margins with clear tissue changed layer, composed of blackened tissue of charred appearance near to the cortical bone; on the edges of the bony part, bone fragments that were displaced during the bone cut and bone irregularities were observed. After analysis of results we can conclude: that there was greater regularity of the bone cut using high-speed handpiece than using motor implant; the cut with trephine using saline irrigated from peristaltic pumps of surgical motor showed greater homogeneity when compared with manual irrigation; charred tissue was found in all obtained bone samples, whit no significant statistically difference on the proportion of carbonization of the two analysed technics

Water supplied by sprinkler irrigation system for upland rice seed production

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Experimental periodontal disease treatment by subgingival irrigation with tetracycline hydrochloride in rats

Objective: The aim of this study was to compare subgingival irrigation with tetracycline hydrochloride (TTC-HCL) as adjunctive treatment to scaling and root planning (SRP) on induced periodontitis in rats. Material and Methods: In 60 rats, periodontal disease was ligature-induced at the mandibular left first molar. After 7 days, the ligature was removed and all animals were submitted to SRP, and divided into 2 groups according to the following treatment: C (n=30) - subgingival irrigation with 1 mL of saline; T (n=30) - subgingival irrigation with 1 mL of TTC-HCL (50 mg/mL). Ten animals in each group were euthanized at 7, 15 and 30 days posttreatment. The histometric values were statistically analyzed (p<0.05). Results: In the histometric analysis, at 7, 15 and 30 days, Group T (0.72+/-0.05 mm(2), 0.57+/-0.14 mm(2), 0.62+/-0.07 mm(2)), showed less bone loss (p<0.05) than Group C (1.35+/-0.25 mm(2); 1.40+/-0.31 mm(2); 1.29+/-0.27 mm(2)), respectively. Conclusions: Subgingival irrigation with TTC-HCL was an effective adjunctive treatment for periodontal disease induced in rats.