THE HISTORICAL BASIS RECORD FOR GRAIN AND SOYBEANS IN DELAWARE; MARKETING YEARS 1999/00 TO 2003/04

Basis is used in the grain marketing industry as a guide in making all grain marketing decisions. Historical basis records for given geographical locations should be updated periodically. The historical basis record for the most recent three to five year period is necessary to effect grain marketing decisions. This publication updates the historical basis record for corn, soybeans, and wheat for the 1999/00 to 2003/04 Marketing Years. The following can be used in effecting current grain marketing decisions: Five-year average basis table summaries for Northern and Southern Eastern Shore Corn can be found on pages 18 and 24. Corresponding graphical illustrations are given on pages 59 and 65. Five-year average basis table summaries for Northern and Southern Eastern Shore Soybeans can be found on pages 30 and 36. Corresponding graphical illustrations are given on pages 71 and 77. Five-year average basis table summaries for Northern and Southern Eastern Shore Wheat can be found on pages 42 and 48. Corresponding graphical illustrations are given on pages 83 and 89.Crop Production/Industries, Marketing,

Simultaneous Occurrence of Duane Retraction Syndrome with Marfan Syndrome

Marfan syndrome (MFS) is an autosomal dominant disorder of connective tissue, while Duane retraction syndrome (DRS) is a congenital cranial dysinnervation disorder (CCDD) which can be transmitted as autosomal dominant disorder in 5–10% of patients. In this paper, we present an 8-year-old girl who presented with left eye DRS and bilateral subluxation of the lens associated with MFS in absence of familial involvement. To our knowledge this is the first case report of DRS with MFS. The occurrence of these syndromes together is very rare and appears to be coincidental

Multicenter evaluation of the clinical utility of laparoscopy-assisted ERCP in patients with Roux-en-Y gastric bypass

Background and Aims The obesity epidemic has led to increased use of Roux-en-Y gastric bypass (RYGB). These patients have an increased incidence of pancreaticobiliary diseases yet standard ERCP is not possible due to surgically altered gastroduodenal anatomy. Laparoscopic-ERCP (LA-ERCP) has been proposed as an option but supporting data are derived from single center small case-series. Therefore, we conducted a large multicenter study to evaluate the feasibility, safety, and outcomes of LA-ERCP. Methods This is retrospective cohort study of adult patients with RYGB who underwent LA-ERCP in 34 centers. Data on demographics, indications, procedure success, and adverse events were collected. Procedure success was defined when all of the following were achieved: reaching the papilla, cannulating the desired duct and providing endoscopic therapy as clinically indicated. Results A total of 579 patients (median age 51, 84% women) were included. Indication for LA-ERCP was biliary in 89%, pancreatic in 8%, and both in 3%. Procedure success was achieved in 98%. Median total procedure time was 152 minutes (IQR 109-210) with median ERCP time 40 minutes (IQR 28-56). Median hospital stay was 2 days (IQR 1-3). Adverse events were 18% (laparoscopy-related 10%, ERCP-related 7%, both 1%) with the clear majority (92%) classified as mild/moderate whereas 8% were severe and 1 death occurred. Conclusion Our large multicenter study indicates that LA-ERCP in patients with RYGB is feasible with a high procedure success rate comparable with that of standard ERCP in patients with normal anatomy. ERCP-related adverse events rate is comparable with conventional ERCP, but the overall adverse event rate was higher due to the added laparoscopy-related events

Occlusion-amblyopia following high dose oral levodopa combined with part time patching

Part time occlusion therapy is not reported to cause occlusion (reverse) amblyopia. However, when combined with high dose oral levodopa, an increase in the plasticity of the visual cortex can lead to occlusion amblyopia. In this case report, we describe a six year old child who developed occlusion amblyopia following part time patching combined with oral levodopa

Can the Bruckner test be used as a rapid screening test to detect significant refractive errors in children?

<b>Purpose: </b> To assess the suitability of Br&#x00FC;ckner test as a screening test to detect significant refractive errors in children. <b> Materials and Methods:</b> A pediatric ophthalmologist prospectively observed the size and location of pupillary crescent on Br&#x00FC;ckner test as hyperopic, myopic or astigmatic. This was compared with the cycloplegic refraction. Detailed ophthalmic examination was done for all. Sensitivity, specificity, positive predictive value and negative predictive value of Br&#x00FC;ckner test were determined for the defined cutoff levels of ametropia. <b> Results:</b> Ninety-six subjects were examined. Mean age was 8.6 years (range 1 to 16 years). Br&#x00FC;ckner test could be completed for all; the time taken to complete this test was 10 seconds per subject. The ophthalmologist identified 131 eyes as ametropic, 61 as emmetropic. The Br&#x00FC;ckner test had sensitivity 91&#x0025;, specificity 72.8&#x0025;, positive predictive value 85.5&#x0025; and negative predictive value 83.6&#x0025;. Of 10 false negatives four had compound hypermetropic astigmatism and three had myopia. <b> Conclusions:</b> Br&#x00FC;ckner test can be used to rapidly screen the children for significant refractive errors. The potential benefits from such use may be maximized if programs use the test with lower crescent measurement cutoffs, a crescent measurement ruler and a distance fixation target

Feed back of the parents and / or relatives witnessing a squint surgery of their ward in the operation theater

The aim of the study was to know the response of the relatives attending the squint surgery of their ward. A trained secretary administered an eight item questionnaire by live / telephonic interview. Of the 44 attendees, two left the Operation Theater before completion of the surgery. Mean age of the patients was 7.2 years ± 7.8 and that of the attendees was 36.1 years ± 8.5. Forty patients had a surgery under general anesthesia and four under local anesthesia. Eleven (25%) attendees experienced an increase in anxiety. Thirty-six (82%) attendees reported increased transparency, 38 (86%) reported increased confidence, and 43 (98%) reported increased awareness. None found any disadvantage. Twenty-seven (61%) recommended this practice for all and 16 (36%) recommended the practice selectively. The internal validity of the questionnaire was fair (Cronbach's Alpha = 0.6). It was concluded that the presence of relatives in the Operation Theater during the surgery could bring in more transparency, accountability, confidence, awareness, and trust

Early warning signs in Software Projects

The software industry has been plagued by the staggering failure rate of projects, which have resulted in the loss of billions of dollars. The well known Chaos Report by the Standish Group declared that software projects are in chaos with only 16.2% of software projects actually being successful in the year 1994 and a more recent study by them suggest that 32% of the projects were successful in the year 2009 (Eveleens and Verhoef, 2010; Dominguez, 2009; Bishop, 2009). The post-mortem examination of failed software development projects reveals that failures do not happen overnight and that long before the failure, the projects render significant symptoms or “early warning signs” of trouble (Kappelman, McKeeman and Zhang, 2006). A warning sign is an indication or an event that predicts or alerts impending problems. Early warning sign provide an indication of manifesting risks. This research mainly focuses on a new and innovative concept known as early warning signs which could be incorporated into ongoing project risk management to ameliorate the project success rates by addressing early warning signs encountered during the project. The project risk management theories are not closely integrated with the early warning phenomenon but this can apparently be utilised as a tool in project risk management (Nikander, 2002). The study utilises the System Development Research Methodology. The models simulating a typical project environment were designed using a simulation tool known as SimSE. For the evaluation of the models two experimental techniques namely “Individual EWS Testing” and “Controlled Experimental Study” were used. Findings of the research suggest that the implementation of early warning phenomenon has positive effects on the project outcomes. Also, there is a positive impact on the project outcomes if the corrective actions are taken early. The concept of early warning signs looks promising and this study is just one step in this direction and has introduced this new concept to the research arena

Clinical characteristics of spontaneous late-onset comitant acute nonaccommodative esotropia in children

Purpose: To describe the clinical characteristics of spontaneous, late-onset comitant acute, nonaccommodative esotropia (ANAET) in children. Materials and Methods: Clinical characteristics of a cohort of patients under 16 years of age with ANAET were studied retrospectively. Results: Of 15 patients eight were females. Mean age was 7.15 years (range 2.5-13, SD 3.34). Mean age of the onset of deviation was 3.2 years (range 1.5-9, SD 2.26). Mean duration of strabismus was 36 months (range 3-132, SD 43). History of a precipitating event was present in five patients (33.3&#x0025;). Mean cycloplegic refraction was 1.84 diopter sphere (range -5.75 to &#x002B;7.25, SD 3.55). Mean esodeviation for near and distance fixation was 40 prism diopter (range 15-90, SD 23.9). None had near/distance disparity of more than 5 prism diopter. Amblyopia was present in 13 cases (87&#x0025;). Strabismus surgery was performed for eight patients. Five patients had orthophoria and three were aligned within 8 prisms esodeviation. Conclusion: ANAET is more common than previously reported, has a variable time of onset and high incidence of amblyopia. Timely management would avert emergence of amblyopia and vertical incomitance thereby promising better binocular outcome