Climate change impact and adaptation on wheat yield, water use and water use efficiency at North Nile Delta

This is an accepted manuscript of an article published by Springer in Frontiers of Earth Science on 29/04/2020, available online: https://doi.org/10.1007/s11707-019-0806-4 The accepted version of the publication may differ from the final published version.© 2020, Higher Education Press and Springer-Verlag GmbH Germany, part of Springer Nature. Investigation of climate change impacts on food security has become a global hot spot. Even so, efforts to mitigate these issues in arid regions have been insufficient. Thus, in this paper, further research is discussed based on data obtained from various crop and climate models. Two DSSATcrop models (CMs) (CERESWheat and N-Wheat) were calibrated with two wheat cultivars (Gemiza9 and Misr1). A baseline simulation (1981-2010) was compared with different scenarios of simulations using three Global Climate Models (GCMs) for the 2030s, 2050s and 2080s. Probable impacts of climate change were assessed using the GCMs and CMs under the high emission Representative Concentration Pathway (RCP8.5). Results predicted decreased wheat grain yields by a mean of 8.7%, 11.4% and 13.2% in the 2030s, 2050s and 2080s, respectively, relative to the baseline yield. Negative impacts of climatic change are probable, despite some uncertainties within the GCMs (i. e., 2.1%, 5.0% and 8.0%) and CMs (i.e., 2.2%, 6.0% and 9.2%). Changing the planting date with a scenario of plus or minus 5 or 10 days from the common practice was assessed as a potentially effective adaptation option, which may partially offset the negative impacts of climate change. Delaying the sowing date by 10 days (from 20 November to 30 November) proved the optimum scenario and decreased further reduction in wheat yields resulting from climate change to 5.2%, 6.8% and 8.5% in the 2030s, 2050s and 2080s, respectively, compared with the 20 November scenario. The planting 5-days earlier scenario showed a decreased impact on climate change adaptation. However, the 10-days early planting scenario increased yield reduction under projected climate change. The cultivar Misr1 was more resistant to rising temperature than Gemiza9. Despite the negative impacts of projected climate change on wheat production, water use efficiency would slightly increase. The ensemble of multi-model estimated impacts and adaptation uncertainties of climate change can assist decision-makers in planning climate adaptation strategies.Published versio

Occupational pesticide intoxications among farmers in Bolivia: a cross-sectional study

BACKGROUND: Pesticide use and its consequences are of concern in Bolivia due to an intensive and increasing use. METHODS: To assess the magnitude and reasons for occupational pesticide intoxication, a cross-sectional study with interviews and blood-tests was performed among 201 volunteer farmers from 48 villages in the temperate and subtropical valleys in the eastern part of the Andes Mountains in Bolivia. Of these 171 male farmers using pesticides in their agricultural production were used in the statistical analysis, including linear- and logistic regression analysis. RESULTS: This study documented a frequent use of the most toxic pesticides among farmers who have had almost no instructions in how to use pesticides and protect themselves against the dangers of intoxication, reflected in the hazardous practices used when handling pesticides. Symptoms of intoxications were common in connection with spraying operations. The risk of experiencing symptoms and the serum cholinesterase activity were influenced by whether or not organophosphates were used and the number of times sprayed. The experience of symptoms was moreover influenced by the hygienic and personal protective measures taken during spraying operations while this had no influence on the serum cholinesterase level. CONCLUSION: The study showed that occupational pesticide intoxications were common among farmers and did depend on multiple factors. Pesticide use is probably one of the largest toxicological problems in Bolivia, and a coordinated action by authorities, society and international bodies is needed to limit the number of intoxications and the environmental pollution

Global variation in anastomosis and end colostomy formation following left-sided colorectal resection

Background End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model. Results In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001). Conclusion Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone