Early versus delayed application of Thomas splints in patients with isolated femur shaft fractures: The benefits quantified.

AIMS: To investigate and quantify the clinical benefits of early versus delayed application of Thomas splints in patients with isolated femur shaft fractures. MATERIALS AND METHODS: Level IV retrospective clinical and radiological analysis of patients presenting from January to December 2012 at a Level 1 Trauma Unit. All skeletally mature patients with isolated femur shaft fractures independently of their mechanism of injury were included. Exclusion criteria were: ipsilateral fracture of the lower limb, neck and supracondylar femur fractures, periprosthetic and incomplete fractures. Their clinical records were analysed for blood transfusion requirements, pulmonary complications, surgery time, duration of hospital stay and analgesic requirements. RESULTS: A total of 106 patients met our inclusion criteria. There were 74 males and 32 females. Fifty seven (54%) patients were in the 'early splinted' group and 49 patients (46%) were in the 'delayed splinted' group (P>0.05). The need for blood transfusion was significantly reduced in the 'early splinted' group (P=0.04). There was a significantly higher rate of pulmonary complications in the 'delayed splinted' group (P=0.008). All other parameters were similar between the two groups. CONCLUSION: The early application of Thomas splints for isolated femur fractures in non-polytraumatised patients has a clinically and statistically significant benefit of reducing the need for blood transfusions and the incidence of pulmonary complications.

Early versus delayed application of Thomas splints in patients with isolated femur shaft fractures: The benefits quantified

AIMS To investigate and quantify the clinical benefits of early versus delayed application of Thomas splints in patients with isolated femur shaft fractures. MATERIALS AND METHODS Level IV retrospective clinical and radiological analysis of patients presenting from January to December 2012 at a Level 1 Trauma Unit. All skeletally mature patients with isolated femur shaft fractures independently of their mechanism of injury were included. Exclusion criteria were: ipsilateral fracture of the lower limb, neck and supracondylar femur fractures, periprosthetic and incomplete fractures. Their clinical records were analysed for blood transfusion requirements, pulmonary complications, surgery time, duration of hospital stay and analgesic requirements. RESULTS A total of 106 patients met our inclusion criteria. There were 74 males and 32 females. Fifty seven (54%) patients were in the 'early splinted' group and 49 patients (46%) were in the 'delayed splinted' group (P>0.05). The need for blood transfusion was significantly reduced in the 'early splinted' group (P=0.04). There was a significantly higher rate of pulmonary complications in the 'delayed splinted' group (P=0.008). All other parameters were similar between the two groups. CONCLUSION The early application of Thomas splints for isolated femur fractures in non-polytraumatised patients has a clinically and statistically significant benefit of reducing the need for blood transfusions and the incidence of pulmonary complications.

Early combination disease modifying antirheumatic drug treatment for rheumatoid arthritis

Most people presenting with rheumatoid arthritis today can expect to achieve disease suppression, can avoid or substantially delay joint damage and deformities, and can maintain a good quality of life. Optimal management requires early diagnosis and treatment, usually with combinations of conventional disease modifying antirheumatic drugs (DMARDs). If these do not effect remission, biological DMARDs may be beneficial. Lack of recognition of the early signs of rheumatoid arthritis, ignorance of the benefits of early application of modern treatment regimens, and avoidable delays in securing specialist appointments may hinder achievement of best outcomes for many patients. Triage for recognising possible early rheumatoid arthritis must begin in primary care settings with the following pattern of presentation as a guide: involvement of three or more joints; early-morning joint stiffness of greater than 30 minutes; or bilateral squeeze tenderness at metacarpophalangeal or metatarsophalangeal joints.

Straw and early nitrogen fertilization affect soil properties and upland rice yield.

The presence of cover crop straw and early application of total N at sowing may provide significant changes in the microbial population, reflecting on the N dynamics in the soil and in upland rice plants. This study aimed at determining the effect of the early application of nitrogen doses as mineral N and microbial biomass carbon in the soil, as well as in the activity of nitrate reductase, and grain yield of upland rice plants cultivated under notillage system (NTS). A randomized blocks design, in a split-plot scheme, with four replications, was used. The treatments consisted of N doses (0 kg ha-1, 40 kg ha-1, 80 kg ha-1 and 120 kg ha-1) and the presence or absence of U. brizantha cover straw. Maintaining the straw on the soil surface reduces the ammonium levels and increases the microbial biomass carbon content of the soil. The application of increasing doses of N in the soil provides increases in the levels of nitrate and ammonium in the soil up to 28 days after emergence. The activity of the nitrate reductase enzyme in the plants increases and the contents of ammonium and nitrate in the soil decrease with the crop development. The number of panicles and grain yield of upland rice increase with the increase of the nitrogen fertilization, but decrease in the presence of U. brizantha straw. Thus, it is recommend the use of early N fertilization in upland rice crop.

THERAPEUTIC ULTRASOUND DID NOT INCREASE THE MECHANICAL PROPERTIES OF FLEXOR TENDONS AFTER THEIR REPAIR

Objective: Experimental study idealized to investigate the mechanical properties of deep flexor tendons of rabbits that underwent the tenotomy followed by tenorrhaphy and early application of therapeutic ultrasound with different intensities, in comparison to tendons submitted to tenorrhaphy only. Material and Method: Forty-four rabbits were divided into four experimental groups according to the ultrasound application. They were all submitted to a section of deep flexor tendon in zone 2 and immobilized with an orthosis maintained throughout the experiment. Group A received ultrasonic treatment with an intensity of 1.4 W/cm(2), group B with 0.6 W/cm(2), both in continuous mode, group C with 0.6 W/cm(2) SATA, in pulsated mode at 50% and group D did not receive any ultrasonic treatment. The ultrasonic frequency employed was 1 MHz. After euthanasia, the tendons were dissected and submitted to the mechanical test of traction and qualitative histological analysis. The evaluated mechanical properties were: maximum force, deformation in maximum force and stiffness. Results: There were no statistically significant differences among the experimental groups. Conclusion: Therapeutic ultrasound did not improve the mechanical properties of the flexor tendons after repair.

A yield architecture framework to explain adaptation of pearl millet to environmental stress

Functional knowledge of the physiological basis of crop adaptation to stress is a prerequisite for exploiting specific adaptation to stress environments in breeding programs. This paper presents an analysis of yield components for pearl millet, to explain the specific adaptation of local landraces to stress environments in Rajasthan, India. Six genotypes, ranging from high-tillering traditional landraces to low-tillering open-pollinated modern cultivars, were grown in 20 experiments, covering a range of nonstress and drought stress patterns. In each experiment, yield components (particle number, grain number, 100 grain mass) were measured separately for main shoots, basal tillers, and nodal tillers. Under optimum conditions, landraces had a significantly lower grain yield than the cultivars, but no significant differences were observed at yield levels around 1 ton ha(-1). This genotype x environment interaction for grain yield was due to a difference in yield strategy, where landraces aimed at minimising the risk of a crop failure under stress conditions, and modem cultivars aimed at maximising yield potential under optimum conditions. A key aspect of the adaptation of landraces was the small size of the main shoot panicle, as it minimised (1) the loss of productive tillers during stem elongation; (2) the delay in anthesis if mid-season drought occurs; and (3) the reduction in panicle productivity of the basal tillers under stress. In addition, a low investment in structural panicle weight, relative to vegetative crop growth rate, promoted the production of nodal tillers, providing a mechanism to compensate for reduced basal tiller productivity if stress occurred around anthesis. A low maximum 100 grain mass also ensured individual grain mass was little affected by environmental conditions. The strategy of the high-tillering landraces carries a yield penalty under optimum conditions, but is expected to minimise the risk of a crop failure, particularly if mid-season drought stress occurs. The yield architecture of low-tillering varieties, by contrast, will be suited to end-of-season drought stress, provided anthesis is early. Application of the above adaptation mechanisms into a breeding program could enable the identification of plant types that match the prevalent stress patterns in the target environments. (C) 2003 E.J. van Oosterom. Published by Elsevier Science B.V. All rights reserved.

SELECTIVITY OF FOMESAFEN TO COTTON

ABSTRACT The aim of this work was to evaluate the selectivity of fomesafen alone or in a tank mixture with other preemergent herbicides, with or without S-metolachlor application in early postemergence in cotton plant, cultivar DP 555 BG RR(r). The design utilized was a randomized complete block, organized in a split-plot arrangement, with four replications. For that, 24 herbicides were evaluated with fomesafen (0.45 and 0.625 kg ha-1), prometryn (1.25 kg ha-1), diuron (1.25 kg ha-1), trifluralin (1.8 kg ha-1), and S-metolachlor (0.77 kg ha-1), applied as preemergent, with or without S-metolachlor (0.77 kg ha-1) applied in early postemergence. The variables evaluated were: phytotoxicity, insertion height of the first reproductive branch, plant height, stand, number of reproductive branches per plant, number of bolls per plant, bolls weight, and productivity of cotton seed. Fomesafen alone or in a tank mixture with preemergent prometryn, diuron, trifluralin and S-metolachlor was selective to cotton plant. Preemergent fomesafen isolated application followed by the application of S-metolachlor in early postemergence was also selective. However, on average, preemergent tank mixtures applied in association with preemergent S-metolachlor early application was not selective to cotton crop.

Factores asociados a fracaso terapéutico en pacientes con sepsis abdominal

Introducción: La sepsis severa de origen abdominal es la segunda causa de ingreso a UCI en Colombia con mortalidad de 30%, por lo que es necesario determinar factores asociados a evolución clínica tórpida para su identificación y manejo temprano y establecer pronóstico. Metodología: Se realizó un estudio de casos y controles de pacientes que ingresan a UCI con diagnóstico de sepsis abdominal. Se describieron las variables cuantitativas y cualitativas y se realizó regresión logística con las variables significativas para establecer las asociadas a fracaso terapéutico, definido como mortalidad. Resultados: Se incluyeron 235 pacientes, 62 casos y 173 controles, con edad promedio 58 años, en su mayoría hombres. El origen de infección más frecuente fue gastrointestinal, hígado y vía biliar. Se observó SOFA y APACHE II más elevados en los pacientes que fallecieron, así como persistencia de choque y SIRS a las 96 horas de seguimiento. En la regresión logística se encontraron las siguientes variables asociadas a fracaso terapéutico: edad, falla renal (OR 3.19, p 0.003), complicaciones cardiovasculares (OR 2.3, p 0.029), coagulopatía (OR 3.57, p 0.001, y la presencia de Enterococcus spp (OR 10.5, p 0.004). Discusión: La población descrita en el trabajo presenta características similares previas a lo encontrado en la literatura. Las variables asociadas a fracaso terapéutico encontradas, no están descritas previamente, especialmente falla renal y cardiovascular, y la presencia de Enterococcus spp, lo que permite establecerlos como factores de riesgo asociados a mortalidad en este tipo de pacientes, para hacer intervenciones médicas y quirúrgicas más tempranas.

Utilisation by upland rice of plant residue- and fertiliser-phosphorus in two tropical acid soils

A dual isotopic technique was used to assess the effects of soil type, and residues of Gliricidia sepium, without and with added fertiliser-P on the utilisation of P. Upland rice (Oryza sativa) was grown for 70 days in two tropical acid soils of different P sorbing capacity and P status. Uniformly P-32-labelled soils were treated with inorganic fertiliser-P tagged with P-33, Gliricidia sepium residue applied at planting and 3 weeks earlier, and in a combination of fertiliser-P and Gliricidia applied at and 3 weeks before planting. There were significant responses of shoot and root weights, and total P uptake to Gliricidia- and/or fertiliser-P addition in the Ultisol (low P status) but not the Oxisol (high P status), suggesting that P in the latter soil was not yield limiting, despite the high standard P requirement. Similarly, incorporation of Gliricidia three weeks before planting further increased shoot weight only in the Ultisol. There were generally higher proportions, quantities and percent utilisations of the Gliricidia- P and fertiliser-P in the Ultisol than in the Oxisol. Gliricidia significantly increased the utilisation of fertiliser-P only in the Ultisol. However, early application of Gliricidia increased Gliricidia- P but not fertiliser-P utilisation in the Ultisol. Added fertiliser-P did not influence Gliricidia- P utilisation.

The impact of an insecticide on insect flower visitation and pollination in an agricultural landscape

1 Pesticides are considered a threat to pollinators but little is known about the potential impacts of their widespread use on pollinators. Less still is known about the impacts on pollination, comprising the ecosystem service that pollinators provide to wildflowers and crops. 2 The present study measured flower visitation and pollination in an agricultural landscape, by placing potted flowering plants (Petunia sp.) in vine fields sprayed with a highly toxic insecticide (fenitrothion). During two sampling rounds, insect visitors to the petunias were observed and measures of pollination were recorded by counting and weighing seeds. 3 In the earlier sampling round, a lower species richness of insect visitors was observed in fields that had received an early application of insecticide. No negative impacts were found from later applications. The results obtained suggest a greater potential harm to insect pollinators and flower visitation as a result of insecticide application early in the season. 4 No reduction in pollination was found in fields that received an early insecticide application. Pollination was greater with two insecticide applications between sampling rounds rather than one application. 5 In the present study system, insecticide application had a negative effect on pollinators but a possible positive effect on pollination services. In some cases, it may be that actions for conserving biodiversity will not benefit pollination services to all plants.

Produtividade e acúmulo de potássio na soja em função da antecipação da adubação potássica no sistema plantio direto

A aplicação antecipada de fertilizante potássico no cultivo de espécies de cobertura no sistema plantio direto (SPD) pode ser vantajosa para a lavoura comercial. O objetivo deste trabalho foi avaliar a produtividade de grãos e a acumulação de K na soja em função da aplicação antecipada de fertilizante potássico na instalação do milheto em relação com o K aplicado na semeadura da soja subseqüente no SPD. O experimento foi realizado na FCA-Unesp em Botucatu-SP, nas safras 2000/2001, 2001/2002 e 2002/2003. Utilizou-se um Latossolo Vermelho distroférrico de textura média, que estava sendo cultivado com soja e aveia-preta no SPD, por dois anos antes da instalação do experimento. O milheto (Pennisetum glaucum) foi semeado em setembro sobre a palhada de aveia-preta (Avena strigosa), e a soja (Glycine max) na primeira quinzena de dezembro, nos três anos agrícolas. Utilizou-se o delineamento experimental em blocos ao acaso no esquema fatorial 4 x 4, com quatro repetições, com 0, 30, 60 e 90 kg ha-1 de K2O no milheto, combinados com 0, 30, 60 e 90 kg ha-1 de K2O na soja. Coletaram-se plantas de soja aos 25, 50, 75 e 100 dias após a emergência, e os grãos no final do ciclo, para a determinação do acúmulo de K e da produtividade. A antecipação de 60 a 90 kg ha-1 de K2O na semeadura do milheto não comprometeu o acúmulo de K na lavoura de soja. As máximas produtividades de soja foram alcançadas no primeiro e segundo ano com doses de 85 a 90 kg ha-1 de K2O, que poderiam ser antecipadas totalmente na semeadura da gramínea de cobertura. A aplicação antecipada de KCl na semeadura do milheto minimizou a exportação de K pela colheita de grãos de soja.

The North-South dimension of the environmental and cleaner technology industries

Includes bibliography

Nitrogênio na semeadura e em cobertura para o feijoeiro em sistema plantio direto em fase de implantação e consolidado

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

Épocas de aplicação de nitrogênio em feijoeiro cultivado após milho solteiro ou consorciado com braquiária

The objective of this work was to evaluate the common bean response to N application timing, under no-tillage system, after single corn or intercropped with palisade grass. A randomized complete block experimental design was used in a split-plot arrangement, with four replicates. Plots consisted of: single corn crop or corn intercropped with palisade grass, in two summer cropping seasons precedent to common bean sowing. Subplots consisted of: 100 kg ha-1 N application in three times - before sowing, at sowing, and at side-dressing - and a control treatment without N application. Nitrogen fertilization on common bean increased leaf-N content, the number of pods per plant, and grain yield (33% in the average application timing), only in the cropping after single corn. By providing large mass production and by N cycling, the cultivation of palisade grass intercropped with corn reduced N requirement of common bean in succession, in comparison to previous sole corn cultivation. Early N application before or during common bean sowing time provides grain yield similar to the observed one in the side-dressing application.