Development of an educational intervention for patients with Irritable Bowel Syndrome (IBS) – a pilot study

<p>Abstract</p> <p>Background</p> <p>Many IBS patients experience that they receive limited information and that the health care system does not take their complaints seriously. We aimed to develop a structured patient education, an 'IBS school', and investigate if the efficacy could be evaluated in terms of improved knowledge, symptom severity and health related quality of life (HRQOL).</p> <p>Methods</p> <p>The IBS school consisted of six weekly two hour sessions in a group setting. Five different health care professionals were responsible for one session each. Questionnaires covering patients' experience of the education, perceived knowledge about IBS, gastrointestinal symptoms, and HRQOL, were used for evaluation at baseline and at three, six, and twelve months after education.</p> <p>Results</p> <p>Twelve IBS patients were included. The patients were overall satisfied with the IBS school. In line with this, the gastrointestinal symptoms, HRQOL, and perceived knowledge about IBS improved significantly after the education.</p> <p>Conclusion</p> <p>An IBS school seems to be a proper method to meet the patients' need of information about IBS and also to improve the patients' gastrointestinal symptoms, HRQOL, and knowledge about IBS. Further controlled studies are now needed in larger numbers of patients to confirm these preliminary results in order to implement this intervention in clinical practice.</p

Effects of vegetation management intensity on biodiversity and ecosystem services in vineyards A meta-analysis

International audience1. At the global scale, vineyards are usually managed intensively to optimize wine production without considering possible negative impacts on biodiversity and ecosystem services (ES) such as high soil erosion rates, degradation of soil fertility or contamination of groundwater. Winegrowers regulate competition for water and nutrients between the vines and inter-row vegetation by tilling, mulching and/or herbicide application. Strategies for more sustainable viticulture recommend maintaining vegetation cover in inter-rows, however, there is a lack of knowledge as to what extent this less intensive inter-row management affects biodiversity and associated ES. 2. We performed a hierarchical meta-analysis to quantify the effects of extensive vineyard inter-row vegetation management in comparison to more intensive management (like soil tillage or herbicide use) on biodiversity and ES from 74 studies covering four continents and 13 wine-producing countries. 3. Overall, extensive vegetation management increased above- and below-ground biodiversity and ecosystem service provision by 20% in comparison to intensive management. Organic management together with management without herbicides showed a stronger positive effect on ES and biodiversity provision than inter-row soil tillage. 4. Soil loss parameters showed the largest positive response to inter-row vegetation cover. The second highest positive response was observed for biodiversity variables, followed by carbon sequestration, pest control and soil fertility. We found no trade-off between grape yield and quality vs. biodiversity or other ES