7 research outputs found

    Microstructural characterization of commercial kiwifruit cultivars using X-ray micro computed tomography

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    The skin is the physical barrier between the fruit and the environment in which it develops. Environmental conditions during fruit development have a large influence on fruit quality, both at the time of harvest and during subsequent storage. It is hypothesized that some features of the skin and sub-epidermal tissues could provide information about the past growing conditions to which the fruit was exposed and therefore be of predictive value for storage quality. In this study, five commercial kiwifruit cultivars (‘Hayward’, ‘Hort16A’, ‘G3’, ‘G9’ and ‘G14’) were studied, and ‘Hayward’ fruit were manipulated during growth with different light or cultural practices. After harvest at horticultural maturity, X-ray micro computed tomography (”CT) was used to investigate features of the skin and the immediate parenchyma tissue. Despite orchard management practices (crop load and girdling) being observed to effect macro fruit quality parameters (mass, firmness, SSC, and DM), differences in microstructure (e.g. porosity) caused by these practices were not observed. However, porosity and pore size were found to be highly variable between cultivars. The thickness of dense sub-epidermal tissue could be readily measured and the 3-D distribution of raphide bundles was visible as high density particles distributed within the parenchyma. Overall, ”CT was found to be a powerful technique to explore fruit epidermal and sub-epidermal structures in three dimensions at a micro level. However, the length of time required for data capture and analysis and the large number of samples required to overcome natural variation within horticultural products need to be considered. Future work may define the impact of differences in porosity or sub-epidermal anatomy on kiwifruit physiology (e.g. firmness change or sensitivity to low oxygen storage atmospheres). With this information, ”CT could be used as a screening tool during plant breeding, or to determine the response to agronomic treatments, without conducting lengthy storage trials.publisher: Elsevier articletitle: Microstructural characterisation of commercial kiwifruit cultivars using X-ray micro computed tomography journaltitle: Postharvest Biology and Technology articlelink: http://dx.doi.org/10.1016/j.postharvbio.2014.01.012 content_type: article copyright: Copyright © 2014 Elsevier B.V. All rights reserved.status: publishe

    Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

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    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)
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