Comparative Efficacy of Insecticides against Cabbage Aphid Brevicoryne Brassicae, A Pest of Oilseed Rape, Brassica napus (L.) under Controlled Conditions

Rapeseed and mustard is the same group of oilseed crops (Brassica sp.) as well as a significant source of edible oil in Pakistan. The cabbage aphid, Brevicoryne brassicae is considered a major insect pest of oilseed rape, Brassica napus L. and causes significant yield loss. An experiment was conducted in a completely randomized design (CRD) consisting of four insecticidal treatments i.e. Confidor 200 SL (imidacloprid), Mospilan 20 SP (acetamiprid), Arrivo (cypermethrin), Triazophos 40 EC (triazophos) at low to high concentrations along with control treatment to estimate the efficacy of canola leaves against aphid population. Among all insecticide applications of cypermethrin and acetamiprid were found highly effective applied at higher concentrations throughout the experiment as compared to imidacloprid and triazophos, indicating consistent mortality at high and medium concentrations. Taking together, insecticides cypermethrin and acetamiprid were recommended to control aphid infestation based on their residual activity, yield response, and rate of marginal return. This study gives directions to control aphid infestation on a quick basis at a larger scale

Efficacy of Botanical Plant Extracts on the Population Dynamics of Cotton Aphid, Aphis gossypii Glover (Hemiptera; Aphididae)

Synthetic pesticides are excessively consumed to control crop pests but abundant use of chemicals may implicate the whole ecosystem badly in the end. Despite the growing concern, few natural products are commercialized for pest control whilst on-farm use of existing botanically-based pesticides remains a small, but growing, component of crop protection practice. The experiment was conducted to assess the potential trade-offs of using botanical extracts (Neem leaf extract, NLE, and Moringa leaf extract, MLE) along with synthetic insecticide, Confidor 200 SL, against Aphis gossypii Glover. Meanwhile, impact of these insecticides on natural enemies were also determined in the field experiment. Data were recorded 12h before, as well as 1, 3, and 7 days after the application (DPA) of insecticides. Results revealed that chemical insecticide after 1DPA were showed higher mortality (%) of aphid’s population at leaf (33%) and boll stage (41%), whereas, the botanical treated plots showed lower mortality used alone as well combined application but lower numbers were observed on the negative controls. The same trend of insecticidal activity was observed from all treatments after 3DPA, but interestingly, after 7DPA, the resurgence of beneficial insects were only recorded in botanical extract-treated plots. The Confidor presented an adverse effect on natural enemies whereas no or few natural enemies were observed compared to herbal extracts. Overall, for long-term control, the combined use of botanical insecticides is proved to be more efficient in the management of the aphids than Confidor and caused no or little adverse impact on the beneficial insects

Infected pancreatic necrosis: outcomes and clinical predictors of mortality. A post hoc analysis of the MANCTRA-1 international study

: The identification of high-risk patients in the early stages of infected pancreatic necrosis (IPN) is critical, because it could help the clinicians to adopt more effective management strategies. We conducted a post hoc analysis of the MANCTRA-1 international study to assess the association between clinical risk factors and mortality among adult patients with IPN. Univariable and multivariable logistic regression models were used to identify prognostic factors of mortality. We identified 247 consecutive patients with IPN hospitalised between January 2019 and December 2020. History of uncontrolled arterial hypertension (p = 0.032; 95% CI 1.135-15.882; aOR 4.245), qSOFA (p = 0.005; 95% CI 1.359-5.879; aOR 2.828), renal failure (p = 0.022; 95% CI 1.138-5.442; aOR 2.489), and haemodynamic failure (p = 0.018; 95% CI 1.184-5.978; aOR 2.661), were identified as independent predictors of mortality in IPN patients. Cholangitis (p = 0.003; 95% CI 1.598-9.930; aOR 3.983), abdominal compartment syndrome (p = 0.032; 95% CI 1.090-6.967; aOR 2.735), and gastrointestinal/intra-abdominal bleeding (p = 0.009; 95% CI 1.286-5.712; aOR 2.710) were independently associated with the risk of mortality. Upfront open surgical necrosectomy was strongly associated with the risk of mortality (p < 0.001; 95% CI 1.912-7.442; aOR 3.772), whereas endoscopic drainage of pancreatic necrosis (p = 0.018; 95% CI 0.138-0.834; aOR 0.339) and enteral nutrition (p = 0.003; 95% CI 0.143-0.716; aOR 0.320) were found as protective factors. Organ failure, acute cholangitis, and upfront open surgical necrosectomy were the most significant predictors of mortality. Our study confirmed that, even in a subgroup of particularly ill patients such as those with IPN, upfront open surgery should be avoided as much as possible. Study protocol registered in ClinicalTrials.Gov (I.D. Number NCT04747990)

SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study

Background: Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling. Methods: The primary outcome was the number needed to vaccinate (NNV) to prevent one COVID-19-related death in 1 year. NNVs were based on postoperative SARS-CoV-2 rates and mortality in an international cohort study (surgical patients), and community SARS-CoV-2 incidence and case fatality data (general population). NNV estimates were stratified by age (18-49, 50-69, 70 or more years) and type of surgery. Best- and worst-case scenarios were used to describe uncertainty. Results: NNVs were more favourable in surgical patients than the general population. The most favourable NNVs were in patients aged 70 years or more needing cancer surgery (351; best case 196, worst case 816) or non-cancer surgery (733; best case 407, worst case 1664). Both exceeded the NNV in the general population (1840; best case 1196, worst case 3066). NNVs for surgical patients remained favourable at a range of SARS-CoV-2 incidence rates in sensitivity analysis modelling. Globally, prioritizing preoperative vaccination of patients needing elective surgery ahead of the general population could prevent an additional 58 687 (best case 115 007, worst case 20 177) COVID-19-related deaths in 1 year. Conclusion: As global roll out of SARS-CoV-2 vaccination proceeds, patients needing elective surgery should be prioritized ahead of the general population

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)