Inception report on the Technical Assistance study (T.A. No. 1481-PAK): Crop based irrigation operations in the NWFP

Irrigation systems / Irrigation practices / Cropping systems / Water requirements / Pakistan

Crop-based irrigation operations in the NWFP: Progress report no.2, Kharif 92 on the Technical Assistance Study, T.A. No.1481-PAK

Irrigation operation / Cropping systems / Irrigation canals / Water users' associations / Institutions / Pakistan

Impact assessment of irrigation management transfer in the Alto Rio Lerma Irrigation District, Mexico

Irrigation managementPrivatizationAssessmentEconomic aspectsLegal aspectsData collectionWater rightsWater allocationWater distributionGroundwaterFinancingMaintenanceOperationsAgricultural productionWater users' associationsFarmer participation

Irrigation management transfer in Colombia: A pilot experiment and its consequences

Irrigation managementFarmers' associationsPrivatizationWater users' associationsFarmer managed irrigation systemsPolicyFarmers' attitudes

Rice seedlings showed a higher heat tolerance through the foliar application of biostimulants

The use of biostimulants is an agronomic tool to improve plant tolerance to abiotic stress in plants. This study explored the effect of foliar biostimulants sprays such as brassinosteroids (BR), amino acids (AA), nitrophenolates (NP) or a biostimulant based on botanical extracts (BE) on leaf gas exchange parameters [photosynthesis (PN), stomatal conductance (gs) and transpiration (E)], leaf photosynthetic pigments, lipid peroxidation of membranes and proline content of two commercial rice genotypes [‘Fedearroz 67’ and ‘Fedearroz 60’] under heat stress conditions. The established treatments were: i) plants without heat stress and foliar applications of biostimulants (C), ii) plants under heat stress and without foliar applications of biostimulants (HT), and iii) plants with heat stress and three foliar applications with BR (1 mL·L-1), AA (30 mL·L-1), NP (15 mL·L-1) or BE (15 mL·L-1). The results showed that the application of BR, AA, NP or BE increased the values ​​of PN (~14.5 µmol CO2·m-2·s-1), gs (~0.46 mmol·m-2·s-1) and E (~43.9 H20 day-1·plant-1) compared to plants (both genotypes) not treated with biostimulants under heat stress (9.9 µmol CO2·m-2·s-1 for PN, 0.31 mmol·m-2·s-1 for gs, and 27.3 H20 day-1·plant-1 for E). Foliar biostimulant sprays also caused a lower malondialdehyde and proline production in rice genotypes under heat stress. In conclusion, the biostimulants BR, AA, NP, or BE can be considered an agronomic strategy to help mitigate the adverse effects of heat stress in rice areas where periods of high temperatures are expected during the day in Colombia

Crop-based irrigation operations in the North West Frontier Province of Pakisatn. Vol.III: Data collection procedures and data sets. Final report

Irrigation management / Crop-based irrigation / Data collection / Watercourses / Water supply / Climate / Pakistan / North West Frontier Province

Robotic Living Donor Right Hepatectomy: A Systematic Review and Meta-Analysis

The introduction of robotics in living donor liver transplantation has been revolutionary. We aimed to examine the safety of robotic living donor right hepatectomy (RLDRH) compared to open (ODRH) and laparoscopic (LADRH) approaches. A systematic review was carried out in Medline and six additional databases following PRISMA guidelines. Data on morbidity, postoperative liver function, and pain in donors and recipients were extracted from studies comparing RLDRH, ODRH, and LADRH published up to September 2020; PROSPERO (CRD42020214313). Dichotomous variables were pooled as risk ratios and continuous variables as weighted mean differences. Four studies with a total of 517 patients were included. In living donors, the postoperative total bilirubin level (MD: −0.7 95%CI −1.0, −0.4), length of hospital stay (MD: −0.8 95%CI −1.4, −0.3), Clavien–Dindo complications I–II (RR: 0.5 95%CI 0.2, 0.9), and pain score at day > 3 (MD: −0.6 95%CI −1.6, 0.4) were lower following RLDRH compared to ODRH. Furthermore, the pain score at day > 3 (MD: −0.4 95%CI −0.8, −0.09) was lower after RLDRH when compared to LADRH. In recipients, the postoperative AST level was lower (MD: −0.5 95%CI −0.9, −0.1) following RLDRH compared to ODRH. Moreover, the length of stay (MD: −6.4 95%CI −11.3, −1.5) was lower after RLDRH when compared to LADRH. In summary, we identified low- to unclear-quality evidence that RLDRH seems to be safe and feasible for adult living donor liver transplantation compared to the conventional approaches. No postoperative deaths were reported

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p<0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p<0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised