Citrus growers vary in their adoption of biological control

In a spring 2010 survey, we investigated the characteristics that influenced whether California growers controlled major citrus pests with beneficial insects. We also performed statistical analysis of growers' reliance on Aphytus melinus, a predatory wasp, to control California red scale. The survey results suggest that growers with greater citrus acreage and more education are more likely to use biological control. Marketing outlets, ethnicity and primary information sources also influenced the extent of reliance on beneficial insects. In Probit model analysis, respondents with greater citrus acreage were more likely to incorporate A. melinus into their pest management, as well as those with more education and higher-valued crops. Information sources and growing region also had statistically significant effects

Nurse-led advance care planning with older people who have end-stage kidney disease: feasibility of a deferred entry randomised controlled trial incorporating an economic evaluation and mixed methods process evaluation (ACReDiT)

© 2020, The Author(s). Background: Advance Care Planning is recommended for people with end-stage kidney disease but evidence is limited. Robust clinical trials are needed to investigate the impact of advance care planning in this population. There is little available data on cost-effectiveness to guide decision makers in allocating resources for advance care planning. Therefore we sought to determine the feasibility of a randomised controlled trial and to test methods for assessing cost-effectiveness. Methods: A deferred entry, randomised controlled feasibility trial, incorporating economic and process evaluations, with people with end-stage kidney disease, aged 65 years or older, receiving haemodialysis, in two renal haemodialysis units in Northern Ireland, UK. A nurse facilitator helped the patient make an advance care plan identifying: a surrogate decision-maker; what the participant would like to happen in the future; any advance decision to refuse treatment; preferred place of care at end-of-life. Results: Recruitment lasted 189 days; intervention and data collection 443 days. Of the 67 patients invited to participate 30 (45%) declined and 36 were randomised to immediate or deferred advance care plan groups. Twenty-two (61%) made an advance care plan and completed data collection at 12 weeks; 17 (47.2%) were able to identify a surrogate willing to be named in the advance care plan document. The intervention was well-received and encouraged end-of-life conversations, but did not succeed in helping patients to fully clarify their values or consider specific treatment choices. There was no significant difference in health system costs between the immediate and deferred groups. Conclusions: A trial of advance care planning with participants receiving haemodialysis is feasible and acceptable to patients, but challenging. A full trial would require a pool of potential participants five times larger than the number required to complete data collection at 3 months. Widening eligibility criteria to include younger (under 65 years of age) and less frail patients, together with special efforts to engage and retain surrogates may improve recruitment and retention. Traditional advance care planning outcomes may need to be supplemented with those that are defined by patients, helping them to participate with clinicians in making medical decisions. Trial registration: Registered December 16, 2015. ClinicalTrials.gov Identifier: NCT02631200

State of the evidence: Fetal Alcohol Spectrum Disorder (FASD) prevention: Final report

The review of the literature on Fetal Alcohol Spectrum Disorder (FASD) Prevention was carried out by a multidisciplinary team using a Cochrane-style systematic review methodology. A key component of the review was the double-blind reading by two independent reviewers of all documents identified in a broad scope literature search. The objective of this methodological approach was to create a comprehensive context through which policy and practice can be informed and developed from a sound evidence base.Alberta Centre for Child, Family and Community Research (ACCFCR)

Promoting Alcohol Abstinence among Pregnant Women: Potential Social Change Strategies

Sherpa Romeo green journal. Permission to archive accepted author manuscriptFetal Alcohol Syndrome Disorder (FASD) is one of the most preventable sources of developmental abnormalities, and has a singular cause-alcohol consumption during pregnancy. Estimates for the costs of treatment of a single case of FASD range often above one million dollars. The primary strategy for prevention currently centers on no alcohol consumption during pregnancy. However, a sizeable number of North American women currently drink during pregnancy. A literature review examined the behavior of maternal alcohol consumption in order to understand the rationale associated with drinking. Generally, it appears that pregnant women differ by their alcohol consumption habits and their reasons to drink. In an attempt to eliminate FASD, we review a number of educational, legal, and community-based programs that have been used to promote abstinence and examine where they have been successful. Unfortunately, social marketing strategies have received less attention. Several potential applications of social marketing directed to drinkingduringpregnancy campaigns are suggested, and possible contributions to the overall effort are explained.The authors would like to thank the Alberta Centre for Children, Family and Community Research for their financial support to carry out the state of evidence review of FASD prevention.Ye

The impact of the Great Exhibition of 1851 on the development of technical education during the second half of the nineteenth century

This paper examines the contribution made by the mechanics’ institute movement in Britain just prior to, and following, the opening of the Great Exhibition of 1851 in London. It argues that far from making little contribution to education, as often portrayed by historians, the movement was ideally positioned to respond to the findings of the Exhibition, which were that foreign goods on display were often more advanced than those produced in Britain. The paper highlights, through a regional study, how well suited mechanics’ institutes were in organising their own exhibitions, providing the idea of this first international exhibition. Subsequently, many offered nationally recognised technical subject examinations through relevant education as well as informing government commissions, prior to the passing of the Technical Instruction Acts in 1889 and the Local Taxation Act of 1890. These acts effectively put mechanics’ institutes into state ownership as the first step in developing further education for all in Britai

Exile

Byron rehearsed going into exile in 1809, when he was twenty-one years old. Before setting sail for Lisbon, he wrote, “I leave England without regret, I shall return to it without pleasure. – I am like Adam the first convict sentenced to transportation, but I have no Eve, and have eaten no apple but what was sour as a crab and thus ends my first Chapter” (BLJ 1: 211). Byron’s sardonic perception of himself as a biblical exile foreshadowed the allusive character of his second longer-term exile at the age of twenty-eight, when his carefully staged exit required an audience (some of the same friends and servants), expensive props (a replica of Napoleon’s carriage) and a literary precursor. On his last evening in England, Byron visited the burial place of the satirist Charles Churchill, and lay down on his grave. It was a performance of immense weariness with life and solidarity with an embittered outcast.Postprin

The Lake Poets

“If Southey had not been comparatively good,” writes Herbert F. Tucker, “he would never have drawn out Byron’s best in those satirical volleys that were undertaken, at bottom, in order to reprehend not the want of talent but its wastage.” And if Wordsworth and Coleridge had not been dangerously talented, Byron might have spared them some of his stinging sallies. In Table Talk Coleridge proclaimed the conclusion of the “intellectual war” Byron threatened in Don Juan (XI. 62: 496), declaring Wordsworth the poet who “will wear the crown,” triumphing over Byron and his ilk for the poetic laurels of the Romantic period. But Byron was not simply an opponent of his contemporaries. His responses to the Lake poets, particularly to Wordsworth, ran the gamut from “reverence” (HVSV, 129) then “nausea” (Medwin, 237) to Don Juan’s comical though cutting disdain, in under a decade. Focusing on Byron’s relationship with Wordsworth and Coleridge, I will show how Byron’s poetry and drama reveal the range and complexity of his dialogue with his older peers, where, even at their most apparently divergent, the conversation between the poets reveals the depth of the engagement across their works

Post-Franco Theatre

In the multiple realms and layers that comprise the contemporary Spanish theatrical landscape, “crisis” would seem to be the word that most often lingers in the air, as though it were a common mantra, ready to roll off the tongue of so many theatre professionals with such enormous ease, and even enthusiasm, that one is prompted to wonder whether it might indeed be a miracle that the contemporary technological revolution – coupled with perpetual quandaries concerning public and private funding for the arts – had not by now brought an end to the evolution of the oldest of live arts, or, at the very least, an end to drama as we know it

Prognostic model to predict postoperative acute kidney injury in patients undergoing major gastrointestinal surgery based on a national prospective observational cohort study.

Background: Acute illness, existing co-morbidities and surgical stress response can all contribute to postoperative acute kidney injury (AKI) in patients undergoing major gastrointestinal surgery. The aim of this study was prospectively to develop a pragmatic prognostic model to stratify patients according to risk of developing AKI after major gastrointestinal surgery. Methods: This prospective multicentre cohort study included consecutive adults undergoing elective or emergency gastrointestinal resection, liver resection or stoma reversal in 2-week blocks over a continuous 3-month period. The primary outcome was the rate of AKI within 7 days of surgery. Bootstrap stability was used to select clinically plausible risk factors into the model. Internal model validation was carried out by bootstrap validation. Results: A total of 4544 patients were included across 173 centres in the UK and Ireland. The overall rate of AKI was 14·2 per cent (646 of 4544) and the 30-day mortality rate was 1·8 per cent (84 of 4544). Stage 1 AKI was significantly associated with 30-day mortality (unadjusted odds ratio 7·61, 95 per cent c.i. 4·49 to 12·90; P < 0·001), with increasing odds of death with each AKI stage. Six variables were selected for inclusion in the prognostic model: age, sex, ASA grade, preoperative estimated glomerular filtration rate, planned open surgery and preoperative use of either an angiotensin-converting enzyme inhibitor or an angiotensin receptor blocker. Internal validation demonstrated good model discrimination (c-statistic 0·65). Discussion: Following major gastrointestinal surgery, AKI occurred in one in seven patients. This preoperative prognostic model identified patients at high risk of postoperative AKI. Validation in an independent data set is required to ensure generalizability