Evaluating the potential of soil management to reduce the effect of Fusarium oxysporum f. sp. cubense in banana (Musa AAA)

Fusarium oxysporum f. sp. cubense (Foc) causes Fusarium wilt in banana (Musa AAA). Foc Race 1 devastated the subgroup Gros Michel during the first half of the twentieth century. The Gros Michel was largely replaced by the resistant subgroup Cavendish in the 1950s. However, in the 1980s, Foc Tropical Race 4 started to spread affecting Cavendish bananas. No proper control measures have been found to deal with the disease. This paper re-takes an important research line from the 1950s to evaluate the potential of soil management for Fusarium wilt management. The role of soil properties on Fusarium wilt in bananas was studied in two greenhouse experiments. It was evaluated whether the influence of two main soil properties (pH and N) on Fusarium wilt is similar for Race 1 and Tropical Race 4. Two soil pH levels (lower than 5.2 and higher than 6.0) respectively ensured through acidification and liming; and three levels of N (ammonium nitrate, 33.5% N) weekly doses (low:0 N g, medium: 0.08 N g and high: 0.25 N g per plant) were achieved. The first experiment in Costa Rica confirmed the earlier results about the influence of soil pH and nitrogen on Fusarium wilt (Race 1) on Gros Michel bananas. The second experiment in The Netherlands evaluated the influence of pH and N on interactions between Foc (both Race 1 and Tropical Race 4) and Cavendish bananas. Results in both experiments showed that soil pH affected crop development and the disease. Besides, the interaction of the lower pH x the higher N accelerated the infection and reduced plant development. As such, the results showed that soil management has the potential to reduce the impacts of Fusarium wilt while dealing with Race 1 and Tropical Race 4 although it requires confirmation and further evaluation under field conditions

Mortality from esophagectomy for esophageal cancer across low, middle, and high-income countries: An international cohort study.

BACKGROUND No evidence currently exists characterising global outcomes following major cancer surgery, including esophageal cancer. Therefore, this study aimed to characterise impact of high income countries (HIC) versus low and middle income countries (LMIC) on the outcomes following esophagectomy for esophageal cancer. METHOD This international multi-center prospective study across 137 hospitals in 41 countries included patients who underwent an esophagectomy for esophageal cancer, with 90-day follow-up. The main explanatory variable was country income, defined according to the World Bank Data classification. The primary outcome was 90-day postoperative mortality, and secondary outcomes were composite leaks (anastomotic leak or conduit necrosis) and major complications (Clavien-Dindo Grade III - V). Multivariable generalized estimating equation models were used to produce adjusted odds ratios (ORs) and 95% confidence intervals (CI). RESULTS Between April 2018 to December 2018, 2247 patients were included. Patients from HIC were more significantly older, with higher ASA grade, and more advanced tumors. Patients from LMIC had almost three-fold increase in 90-day mortality, compared to HIC (9.4% vs 3.7%, p < 0.001). On adjusted analysis, LMIC were independently associated with higher 90-day mortality (OR: 2.31, CI: 1.17-4.55, p = 0.015). However, LMIC were not independently associated with higher rates of anastomotic leaks (OR: 1.06, CI: 0.57-1.99, p = 0.9) or major complications (OR: 0.85, CI: 0.54-1.32, p = 0.5), compared to HIC. CONCLUSION Resections in LMIC were independently associated with higher 90-day postoperative mortality, likely reflecting a failure to rescue of these patients following esophagectomy, despite similar composite anastomotic leaks and major complication rates to HIC. These findings warrant further research, to identify potential issues and solutions to improve global outcomes following esophagectomy for cancer