Nutritional status differentially affect yield and must composition of hybrids and

Nova Scotia is characterized by cold climate and acidic soils and high organic matter for viticultural development. There is little scientific information available about the nutritional management of grapevine varieties cultivated under cold climate conditions even in Nova Scotia. This study carried out in three seasons aimed to find correlations between tissue nutrients with yield and must composition in order to provide better nutritional management for a given variety. The yield of “L’Acadie” variety was correlated with B, K and Mg. In this variety, Ca to Mg ratio could be an interesting indicator of yield. The yield of “New York Muscat” variety was correlated with Zn, while N, P and K was related to bunch weight and weight of berries. Interspecific hybrids presented lower accumulation of B in their tissues than V. vinifera varieties. Zn and Fe were found as determinant micronutrients in “Chardonnay” variety. “Riesling” variety accumulated high levels of K in their tissues even over the optimal values recommended for grapevines. K to Ca ratio could be an important indicator of yield in “Pinot Noir” variety. A strong correlation between the petiole and blade analysis was found in macro and micro-nutrients. These results may contribute to improve the nutritional management of grapevines grown under cold climate conditions, mostly in Nova Scotia

Viticultural Performance of Hybrids and Vitis vinifera Varieties Established in Annapolis Valley (Nova Scotia)

(1) Background: Cold-hardy interspecific hybrid grapes (CIHG) are well adapted to the Annapolis Valley edaphoclimatic conditions. The main characteristics of CIHG are the high bud hardiness tolerance to winter frost, the short growing cycle, and the good tolerance to cryptogamic diseases. Based on local experience, the Vitis vinifera varieties should be grown in the warmest areas of the Annapolis Valley (Nova Scotia, Canada). Despite this, there is little scientific evidence that shows the viticultural behavior of these varieties under the edaphoclimatic conditions of this valley. (2) Methods: Thus, the aim of this research was to evaluate the viticultural behavior of two CIHG (L’Acadie and New York Muscat) and three V. vinifera varieties (Chardonnay, Riesling, and Pinot Noir) growing in the Annapolis Valley over three consecutive seasons. (3) Results: The coldest season (2019) produced a delay in grapevine phenology of at least 18 days for budburst compared to the warm seasons (2017 and 2018). In addition, in the coldest season from budburst to bloom the duration decreased compared to the rest of the seasons. The main phenological stages started earlier in L’Acadie than in the V. vinifera varieties. L’Acadie presented lower N petiole content than the V. vinifera varieties, which conditioned shoot growth in the studied seasons. CIHG presented low B petiole levels and produced musts with low malic acid content, while V. vinifera varieties produced musts with high N content. L’Acadie was the only variety that could bud out, and differentially produced fruit after the spring frost of −2 to −3 °C for 2 h in 2018 in this trial. (4) Conclusions: L’Acadie, and to a lesser extent, Riesling, hold an interesting adaptation to the edaphoclimatic conditions of the Annapolis Valley

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)