A gendered assessment of crop traits to improve breeding product design and uptake: the case of potato in Kenya

The study assesses the gender implications of a target product profile for table potato in Kenya. Breeding programs mostly emphasize farmers’ trait requirements and rarely pay attention to other value chain actors’ preferences. This partially contributes to the low uptake of improved varieties. Therefore, efforts are required to assess the gender implications of crop product profile proposals during development, testing, and dissemination. In this paper, we assess the gender implications of traits targeted by a potato breeding program in Kenya using the G+ tools. The study applies the G+ product profile tool to examine the instances the selected traits may exacerbate gender disparity along four domains: unpaid labor, access to employment opportunities, requiring extra inputs and control over benefits. We use mixed methods including a review by social scientists, key informant interviews and a multistakeholder workshop to gather insights from female and male farmers, breeders, and other stakeholders. Findings show that pest, disease resistance, and shelf-life traits benefit women and men in the target customer segments. On the other hand, earliness, dry matter, and yield could increase drudgery for women. The traits increase demand for women’s unpaid labor during harvesting, sorting and food preparation time while also displacing women from profitable nodes. We recommend that gender-responsive strategies accompany the release of the target variety to mitigate inequities and enhance adoption

Implementation of an Emissions Inventory for UK Peatlands

This report summarises work undertaken on behalf of the Department for Business, Energy and Industrial Strategy (BEIS) to develop and implement a new method for reporting greenhouse gas (GHG) emissions from peatlands in the UK’s emissions inventory. The work builds on the Intergovernmental Panel on Climate Change (IPCC) 2013 Wetlands Supplement, by providing empirically-based and UK-specific ‘Tier 2’ estimates of emissions from a representative range of peat land-use and condition categories. It collates consistent spatial information on peat extent and condition from each of the four UK administrations, as well as the most peat-rich Crown Dependencies and Overseas Territories (Isle of Man and Falkland Islands respectively). These data were used to assess the overall extent and condition of UK peatlands; to estimate change in condition over the period from 1990 to 2013; to implement the first UK-wide inventory of peatland GHG emissions over this period; and to project future peat-derived GHG emissions through to 2050 based on a set of five illustrative scenarios.Department for Business, Energy and Industrial Strategy, U

Effect of general anaesthesia on functional outcome in patients with anterior circulation ischaemic stroke having endovascular thrombectomy versus standard care: a meta-analysis of individual patient data

Background: General anaesthesia (GA) during endovascular thrombectomy has been associated with worse patient outcomes in observational studies compared with patients treated without GA. We assessed functional outcome in ischaemic stroke patients with large vessel anterior circulation occlusion undergoing endovascular thrombectomy under GA, versus thrombectomy not under GA (with or without sedation) versus standard care (ie, no thrombectomy), stratified by the use of GA versus standard care. Methods: For this meta-analysis, patient-level data were pooled from all patients included in randomised trials in PuMed published between Jan 1, 2010, and May 31, 2017, that compared endovascular thrombectomy predominantly done with stent retrievers with standard care in anterior circulation ischaemic stroke patients (HERMES Collaboration). The primary outcome was functional outcome assessed by ordinal analysis of the modified Rankin scale (mRS) at 90 days in the GA and non-GA subgroups of patients treated with endovascular therapy versus those patients treated with standard care, adjusted for baseline prognostic variables. To account for between-trial variance we used mixed-effects modelling with a random effect for trials incorporated in all models. Bias was assessed using the Cochrane method. The meta-analysis was prospectively designed, but not registered. Findings: Seven trials were identified by our search; of 1764 patients included in these trials, 871 were allocated to endovascular thrombectomy and 893 were assigned standard care. After exclusion of 74 patients (72 did not undergo the procedure and two had missing data on anaesthetic strategy), 236 (30%) of 797 patients who had endovascular procedures were treated under GA. At baseline, patients receiving GA were younger and had a shorter delay between stroke onset and randomisation but they had similar pre-treatment clinical severity compared with patients who did not have GA. Endovascular thrombectomy improved functional outcome at 3 months both in patients who had GA (adjusted common odds ratio (cOR) 1·52, 95% CI 1·09–2·11, p=0·014) and in those who did not have GA (adjusted cOR 2·33, 95% CI 1·75–3·10, p<0·0001) versus standard care. However, outcomes were significantly better for patients who did not receive GA versus those who received GA (covariate-adjusted cOR 1·53, 95% CI 1·14–2·04, p=0·0044). The risk of bias and variability between studies was assessed to be low. Interpretation: Worse outcomes after endovascular thrombectomy were associated with GA, after adjustment for baseline prognostic variables. These data support avoidance of GA whenever possible. The procedure did, however, remain effective versus standard care in patients treated under GA, indicating that treatment should not be withheld in those who require anaesthesia for medical reasons

Analysis of Outcomes in Ischemic vs Nonischemic Cardiomyopathy in Patients With Atrial Fibrillation A Report From the GARFIELD-AF Registry

IMPORTANCE Congestive heart failure (CHF) is commonly associated with nonvalvular atrial fibrillation (AF), and their combination may affect treatment strategies and outcomes