New early IAC peach cultivars: Jóia and Doçura types

Jóia-3 (IAC 4974-6), Jóia-4 (IAC 4974-23), Jóia-5 (IAC 976-1) e Doçura-4 (IAC 5174-6) são novas cultivares de pêssego para mesa, obtidas no Instituto Agronômico de Campinas, através de cruzamentos entre variedades de pêssegos locais com pêssegos e nectarinas introduzidos da Flórida, EUA. Apresentam plantas vigorosas, alta produtividade, maturação precoce e frutos de polpa branca e caroço solto, e se constituem em opções varietais de valor aos pêssegos de características similares, atualmente em cultivo nas regiões de inverno brando do Estado de São Paulo.Jóia-3 (IAC 4974-6), Jóia-4 (IAC 4974-23), Jóia-5 (IAC 976-1) and Doçura-4 (IAC 5174-6) are new dessert peach cultivars, obtained at Instituto Agronômico, Campinas, São Paulo State, Brazil, from crosses between local peach cultivars with peaches and nectarines introduced from Florida, USA. Their main characteristics are great tree vigour, high productiveness, early ripening and white-flesh and freestone fruits. These cultivars are indicated for commercial orchards in the mild winters prevailing in the State of São Paulo, as advantageous alternative to actual cultivars that present similar characteristics

'Somel’ and 'Rosalina' – new yellow-flesh nectarines

'Somel' (IAC N 1974-7) e 'Rosalina' (IAC N 3074-49) são duas novas variedades de nectarina, obtidas no Instituto Agronômico de Campinas (IAC), Campinas, SP, através do programa de melhomento genético iniciado em 1970. Trata-se de seleções com pequena exigência de frio, obtidas na geração F2, através de cruzamentos originais entre variedades locais de pêssegos e as de nectarina introduzidas da Flórida, EUA. Ambas apresentam frutos graúdos, de polpa amarela e de caroço preso; 'Somel', que é de sabor doce-acentuado, com baixa acidez, provém da autofecundação do pêssego F1, IAC 1870 ('Ouromel' x 'Rubro-sol'), enquanto que 'Rosalina', de sabor doce-acidulado acentuado, é resultante da polinização aberta do pêssego F1, IAC 370 ('Real' x Fla. 44-28).'Somel' (IAC N 1974-7) and 'Rosalina' (IAC N 3074-49) are two new low chilling nectarine selections adapted to the mild winter climatic conditions prevailing in the State of São Paulo. They are the result of the nectarine breeding work started at the Instituto Agronômico, Campinas (IAC), Campinas, SP, Brazil, in 1970, with crosses between some local peach cultivars and nectarine selections introduced from Florida, USA. 'SomeI' parentage is 'Ouromel' x 'Sunred' F2 self-pollinated, highy-sweet, with low acidity, while 'Rosalina' is 'Real' x Fla. 44-28 F2 open pollinated and highly-acidulous sweet. Both are yellow flesh, clingstone nectarines, of good dessert quality

Time for a paradigm shift in shared decision-making in trauma and emergency surgery? Results from an international survey

BackgroundShared decision-making (SDM) between clinicians and patients is one of the pillars of the modern patient-centric philosophy of care. This study aims to explore SDM in the discipline of trauma and emergency surgery, investigating its interpretation as well as the barriers and facilitators for its implementation among surgeons.MethodsGrounding on the literature on the topics of the understanding, barriers, and facilitators of SDM in trauma and emergency surgery, a survey was created by a multidisciplinary committee and endorsed by the World Society of Emergency Surgery (WSES). The survey was sent to all 917 WSES members, advertised through the society's website, and shared on the society's Twitter profile.ResultsA total of 650 trauma and emergency surgeons from 71 countries in five continents participated in the initiative. Less than half of the surgeons understood SDM, and 30% still saw the value in exclusively engaging multidisciplinary provider teams without involving the patient. Several barriers to effectively partnering with the patient in the decision-making process were identified, such as the lack of time and the need to concentrate on making medical teams work smoothly.DiscussionOur investigation underlines how only a minority of trauma and emergency surgeons understand SDM, and perhaps, the value of SDM is not fully accepted in trauma and emergency situations. The inclusion of SDM practices in clinical guidelines may represent the most feasible and advocated solutions