Knowledge and decision support for variable rate application of materials in prescription farming

One major goal of prescription farming is to optimize application rates for seed fertilizer, and other agricultural inputs as a function of location within a field. There are four main components of a variable rate application system: (1) A method of determining the location of farm equipment (e.g. combines, tractors) within a field. (2) A system for controlling the application rate of materials (seeds, fertilizers, pesticides). (3) The capability to measure the results using a real time yield monitor. (4) An algorithm or prescription for determining what rates of materials to apply at each location. In this dissertation it is the fourth component that is the focus of the research. The main objective of this research was to develop a method of predicting yields as a function of position in the field that can be used to make fertilizer application rate decisions in a prescription farming system;The dissertation is organized into three parts: a discussion of general strategies for determining application rates and a review of the literature on research into in-field variability; development of a fuzzy logic yield model for predicting yields as a function of location; and discussion on implementation of a variable rate application system;In the yield model, rules combined yield data, weather data and estimated physical and chemical properties of the soil. The rules were adjusted manually for two transects and then applied to a third transect. Reasonably good agreement between measured and predicted yields at each position was obtained. The results indicated that this type of model could be combined with variable rate fertilizer application results and used as a decision support system for variable rate application. The results also indicated that it may be possible to develop a yield modeling program that operates only on yield history, weather data and application rates. However, the specific model described in this dissertation should not be used without incorporating some method of automatically optimizing the rules

The Right Stuff , Farming by Location

A satellite-based positioning system is being developed to determine the location of farm equipment while working in the field. A satellite receiver mounted in a moving tractor or combine calculates position coordinates based on signals received from a selection of satellites in the Department of Defense Global Positioning System (GPS). The position coordinates are retrieved from the receiver by a computer and combined in a common data base with additional information collected by the computer such as yield, soil fertility, soil moisture, temperature, implement draft, and fuel consumption. There are a number of possible applications for this system. One is the automation of position information and data collection for research purposes. Comparison of results between years can be easily made. Another application is the optimized and automated application of manure, fertilizers and chemicals. Profits can be increased and environmental damage minimized

Effects of a Meditation and Contemplative Practice Course on College Students’ Mindfulness, Self-Compassion, and Mental Health

Objectives: Mindfulness-based practices have been shown to be effective in reducing depression and anxiety among college students. Less is known about whether coursework incorporating contemplative practices has similar beneficial effects. This study sought to investigate the benefits of a course focusing on contemplative practices that included mindfulness-based practice inside and outside the classroom. Method: In Study 1, 42 students enrolled in Meditation and Contemplative Practice, a course taught through the Department of Classics, Philosophy, and Religious Studies, completed measures of mindfulness, self-compassion, depression, and anxiety at the beginning and end of the semester. In Study 2, 43 students in this course, and 65 students in an Introduction to World Religions course completed the same measures at the beginning and end of the semester. In Study 3, 15 students enrolled in the contemplative practices course completed a pre-test, a post-test, and a follow-up assessment six weeks later. Results: Across all three studies mindfulness and self-compassion rose over the course of the semester. In Study 1, anxiety significantly decreased. In Study 2, those in the religious studies course did not experience increased mindfulness or self-compassion over the course of the semester. Furthermore, there were significant interactions indicating that the religion students increased in depression and anxiety over the course of the semester while those in the contemplative practices class decreased. Study 3 indicated that the gains made during the semester continued after the course was over. Conclusions: Results indicate that coursework on contemplative practices is beneficial to the mental health of college students

The implausibility of ‘usual care’ in an open system: sedation and weaning practices in Paediatric Intensive Care Units (PICUs) in the United Kingdom (UK)

Background: The power of the randomised controlled trial depends upon its capacity to operate in a closed system whereby the intervention is the only causal force acting upon the experimental group and absent in the control group, permitting a valid assessment of intervention efficacy. Conversely, clinical arenas are open systems where factors relating to context, resources, interpretation and actions of individuals will affect implementation and effectiveness of interventions. Consequently, the comparator (usual care) can be difficult to define and variable in multi-centre trials. Hence outcomes cannot be understood without considering usual care and factors that may affect implementation and impact on the intervention. Methods: Using a fieldwork approach, we describe PICU context, ‘usual’ practice in sedation and weaning from mechanical ventilation, and factors affecting implementation prior to designing a trial involving a sedation and ventilation weaning intervention. We collected data from 23 UK PICUs between June and November 2014 using observation, individual and multi-disciplinary group interviews with staff. Results: Pain and sedation practices were broadly similar in terms of drug usage and assessment tools. Sedation protocols linking assessment to appropriate titration of sedatives and sedation holds were rarely used (9 % and 4 % of PICUs respectively). Ventilator weaning was primarily a medical-led process with 39 % of PICUs engaging senior nurses in the process: weaning protocols were rarely used (9 % of PICUs). Weaning methods were variably based on clinician preference. No formal criteria or use of spontaneous breathing trials were used to test weaning readiness. Seventeen PICUs (74 %) had prior engagement in multi-centre trials, but limited research nurse availability. Barriers to previous trial implementation were intervention complexity, lack of belief in the evidence and inadequate training. Facilitating factors were senior staff buy-in and dedicated research nurse provision. Conclusions: We examined and identified contextual and organisational factors that may impact on the implementation of our intervention. We found usual practice relating to sedation, analgesia and ventilator weaning broadly similar, yet distinctively different from our proposed intervention, providing assurance in our ability to evaluate intervention effects. The data will enable us to develop an implementation plan; considering these factors we can more fully understand their impact on study outcomes

Assessment and detection of pain in noncommunicative severely brain-injured patients.

peer reviewedDetecting pain in severely brain-injured patients recovering from coma represents a real challenge. Patients with disorders of consciousness are unable to consistently or reliably communicate their feelings and potential perception of pain. However, recent studies suggest that patients in a minimally conscious state can experience pain to some extent. Pain monitoring in these patients is hence of medical and ethical importance. In this article, we will focus on the possible use of behavioral scales for the assessment and detection of pain in noncommunicative patients

The Efficacy of the COMFORT Scale in Assessing Optimal Sedation in Critically Ill Children Requiring Mechanical Ventilation

Sedation is often necessary to optimize care for critically ill children requiring mechanical ventilation. If too light or too deep, however, sedation can cause significant adverse reactions, making it important to assess the degree of sedation and maintain its optimal level. We evaluated the efficacy of the COMFORT scale in assessing optimal sedation in critically ill children requiring mechanical ventilation. We compared 12 month data in 21 patients (intervention group), for whom we used the pediatric intensive care unit (PICU) sedation protocol of Asan Medical Center (Seoul, Korea) and the COMFORT scale to maintain optimal sedation, with the data in 20 patients (control group) assessed before using the sedation protocol and the COMPORT scale. Compared with the control group, the intervention group showed significant decreases in the total usage of sedatives and analgesics, the duration of mechanical ventilation (11.0 days vs. 12.5 days) and PICU stay (15.0 days vs. 19.5 days), and the development of withdrawal symptoms (1 case vs. 7 cases). The total duration of sedation (8.0 days vs. 11.5 days) also tended to decrease. These findings suggest that application of protocol-based sedation with the COMPORT scale may benefit children requiring mechanical ventilation

Endpoints in pediatric pain studies

Assessing pain intensity in (preverbal) children is more difficult than in adults. Tools to measure pain are being used as primary endpoints [e.g., pain intensity, time to first (rescue) analgesia, total analgesic consumption, adverse effects, and long-term effects] in studies on the effects of analgesic drugs. Here, we review current and promising new endpoints used in pediatric pain assessment studies

Brazilian adolescents' knowledge and beliefs about abortion methods: A school-based internet inquiry

Background: Internet surveys that draw from traditionally generated samples provide the unique conditions to engage adolescents in exploration of sensitive health topics.Methods: We examined awareness of unwanted pregnancy, abortion behaviour, methods, and attitudes toward specific legal indications for abortion via a school-based internet survey among 378 adolescents aged 12-21 years in three Rio de Janeiro public schools.Results: Forty-five percent knew peers who had undergone an abortion. Most students (66.0%) did not disclose abortion method knowledge. However, girls (aOR 4.2, 95% CI 2.4-7.2), those who had experienced their sexual debut (aOR1.76, 95% CI 1.1-3.0), and those attending a prestigious magnet school (aOR 2.7 95% CI 1.4-6.3) were more likely to report methods. Most abortion methods (79.3%) reported were ineffective, obsolete, and/or unsafe. Herbs (e.g. marijuana tea), over-the-counter medications, surgical procedures, foreign objects and blunt trauma were reported. Most techniques (85.2%) were perceived to be dangerous, including methods recommended by the World Health Organization. A majority (61.4%) supported Brazil's existing law permitting abortion in the case of rape. There was no association between gender, age, sexual debut, parental education or socioeconomic status and attitudes toward legal abortion. However, students at the magnet school supported twice as many legal indications (2.7, SE.27) suggesting a likely role of peers and/or educators in shaping abortion views.Conclusions: Abortion knowledge and attitudes are not driven simply by age, religion or class, but rather a complex interplay that includes both social spaces and gender. Prevention of abortion morbidity and mortality among adolescents requires comprehensive sexuality and reproductive health education that includes factual distinctions between safe and unsafe abortion methods