6 research outputs found

    Evaluation of Water Retention Functions and Computer Program “Rosetta” in Predicting Soil Water Characteristics of Seasonally Impounded Shrink–Swell Soils

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    Not AvailableSoil water retention is a critical factor influencing irrigation decisions and hence agricultural crop yields. However, information on soil water retention characteristics (SWRC) is seldom available for irrigation planning, crop yield modeling, or hydrological simulations, especially for problematic soils, such as seasonally impounded shrink-swell soils. As large scale direct measurement of SWRC is not viable due to a number of reasons, researchers have developed pedotransfer functions (PTFs) to estimate SWRC from easily measured soil properties, such as texture, organic matter content, bulk density, etc. However, PTF applicability in locations other than those of data collection has been rarely reported. One of the most recent PTFs that has shown overall reasonable predictions in evaluation studies is Rosetta, a numerical code for estimating soil hydraulic parameters with hierarchical pedotransfer functions. Relatively, the development of large databases makes it one of the widely used PTFs. If validated for spatial application, it has immense use potential in countries like India, where data on soil hydraulic properties are seldom available, a deficiency that hampers better simulations in processes, like partitioning runoff and infiltration, assessing evapotranspiration, irrigation scheduling, etc. Rosetta is also relatively flexible allowing estimation of hydraulic properties from easily available minimum input of textural fractions. This study was conducted to evaluate (1) an applicability of four widely used soil water retention functions to describe SWRC; and (2) the computer program Rosetta for its validity. Statistical indices, i.e., root mean square error (RMSE), mean absolute error, maximum absolute error, and degree of agreement (d) were computed to evaluate “goodness-of-fit” of the four functions to the measured SWRC data. These indices were also used to compare measured SWRC with estimates of SWRC by Rosetta. For soil samples collected from 41 profiles, 175 SWRC were measured in the laboratory. The van Genuchten function fitted relatively better (RMSE=0.052m3m−3) to SWRC of clay soils, whereas the Brooks–Corey (BC) function was better in expressing SWRC of clay loam and sandy clay loam soils with RMSE=0.06 and 0.07m3m−3, respectively. Campbell and Cass–Hutson (CH) functions were of intermediate value. Worst performing functions were BC (clay soils), Campbell (clay loam), and CH (sandy clay loam) with corresponding RMSE=0.059, 0.065, and 0.077m3m−3. Estimates of two important points on the SWRC curve, i.e., field capacity and permanent wilting point were predicted with relatively better accuracy for clay and sandy clay loam soils by all the four functions. RMSE and d ranged from 0.027to0.043m3m−3 and from 0.73 to 0.88 for clay soils. Corresponding values for sandy clay loam soils were 0.008–0.019m3m−3, and 0.92–0.98. However, in clay loam soils, only two functions were found suitable. Estimates of SWRC obtained by applying hierarchical rules in Rosetta were reliable (RMSE<0.05m3m−3). Magnitude of average RMSE increased progressively in clay loam, clay and sandy clay loam soils (0.028<0.035<0.042m3m−3). The study established that SWRC of the “Haveli” soils could be estimated using generic PTF and thus information that is prerequisite in simulating hydrological processes occurring in seasonally impounded soils could be acquired.Not Availabl

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    Safety of hospital discharge before return of bowel function after elective colorectal surgery

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    Background: Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function. Methods: A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multivariable regression analysis. Other outcomes were postoperative complications within 30 days of surgery, measured using the Clavien\u2013Dindo classification system. Results: A total of 3288 patients were included in the analysis, of whom 301 (9\ub72 per cent) were discharged before the return of bowel function. The median duration of hospital stay for patients discharged before and after return of bowel function was 5 (i.q.r. 4\u20137) and 7 (6\u20138) days respectively (P &lt; 0\ub7001). There were no significant differences in rates of readmission between these groups (6\ub76 versus 8\ub70 per cent; P = 0\ub7499), and this remained the case after multivariable adjustment for baseline differences (odds ratio 0\ub790, 95 per cent c.i. 0\ub755 to 1\ub746; P = 0\ub7659). Rates of postoperative complications were also similar in those discharged before versus after return of bowel function (minor: 34\ub77 versus 39\ub75 per cent; major 3\ub73 versus 3\ub74 per cent; P = 0\ub7110). Conclusion: Discharge before return of bowel function after elective colorectal surgery appears to be safe in appropriately selected patients

    Safety and efficacy of non-steroidal anti-inflammatory drugs to reduce ileus after colorectal surgery

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    Background: Ileus is common after elective colorectal surgery, and is associated with increased adverse events and prolonged hospital stay. The aim was to assess the role of non-steroidal anti-inflammatory drugs (NSAIDs) for reducing ileus after surgery. Methods: A prospective multicentre cohort study was delivered by an international, student- and trainee-led collaborative group. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The primary outcome was time to gastrointestinal recovery, measured using a composite measure of bowel function and tolerance to oral intake. The impact of NSAIDs was explored using Cox regression analyses, including the results of a centre-specific survey of compliance to enhanced recovery principles. Secondary safety outcomes included anastomotic leak rate and acute kidney injury. Results: A total of 4164 patients were included, with a median age of 68 (i.q.r. 57\u201375) years (54\ub79 per cent men). Some 1153 (27\ub77 per cent) received NSAIDs on postoperative days 1\u20133, of whom 1061 (92\ub70 per cent) received non-selective cyclo-oxygenase inhibitors. After adjustment for baseline differences, the mean time to gastrointestinal recovery did not differ significantly between patients who received NSAIDs and those who did not (4\ub76 versus 4\ub78 days; hazard ratio 1\ub704, 95 per cent c.i. 0\ub796 to 1\ub712; P = 0\ub7360). There were no significant differences in anastomotic leak rate (5\ub74 versus 4\ub76 per cent; P = 0\ub7349) or acute kidney injury (14\ub73 versus 13\ub78 per cent; P = 0\ub7666) between the groups. Significantly fewer patients receiving NSAIDs required strong opioid analgesia (35\ub73 versus 56\ub77 per cent; P &lt; 0\ub7001). Conclusion: NSAIDs did not reduce the time for gastrointestinal recovery after colorectal surgery, but they were safe and associated with reduced postoperative opioid requirement

    Safety of hospital discharge before return of bowel function after elective colorectal surgery

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    © 2020 BJS Society Ltd Published by John Wiley & Sons LtdBackground: Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function. Methods: A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multivariable regression analysis. Other outcomes were postoperative complications within 30 days of surgery, measured using the Clavien–Dindo classification system. Results: A total of 3288 patients were included in the analysis, of whom 301 (9·2 per cent) were discharged before the return of bowel function. The median duration of hospital stay for patients discharged before and after return of bowel function was 5 (i.q.r. 4–7) and 7 (6–8) days respectively (P < 0·001). There were no significant differences in rates of readmission between these groups (6·6 versus 8·0 per cent; P = 0·499), and this remained the case after multivariable adjustment for baseline differences (odds ratio 0·90, 95 per cent c.i. 0·55 to 1·46; P = 0·659). Rates of postoperative complications were also similar in those discharged before versus after return of bowel function (minor: 34·7 versus 39·5 per cent; major 3·3 versus 3·4 per cent; P = 0·110). Conclusion: Discharge before return of bowel function after elective colorectal surgery appears to be safe in appropriately selected patients
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