A more palatable alternative to oral rehydration therapy for kids

Review of: Freedman SB, Willan AR, Boutis K, et al. Effect of dilute apple juice and preferred fluids vs electrolyte maintenance solution on treatment failure among children with mild gastroenteritis: a randomized clinical trial. JAMA. 2016;315:1966-1974.Stength of recommendation: B: Based on a single, good quality randomized controlled trial.A more palatable alternative to oral rehydration therapy for kids. Parents no longer need to struggle to get their kids to drink electrolyte solutions during episodes of mild gastroenteritis; apple juice works just as well. Practice changer: Recommend that parents give half-strength apple juice to children greater than or equal to 24 months of age who are minimally dehydrated following a case of simple viral gastroenteritis. The juice reduces the need for further interventions better than oral hydration therapy

Anfälligkeit neuer Kartoffelsorten gegenüber Kraut- und Knollenfäule (Phytophthora infestans) und Rhizoctonia (Rhizoctonia solani) – entscheidend für Ertrags- und Qualitätssicherung im biologischen Anbau

Potato is affected by numerous diseases. Among those diseases, late blight (Phytophthora infestans) and rhizoctonia (Rhizoctonia solani) have a strong economic impact. Organic farming doesn’t have efficient protection products to control those diseases and to guarantee yield and production quality. Furthermore, we observe that organic food chain propose the same cultivars as the traditional food chain and those cultivars are generally susceptible to late blight. Regarding to the trials managed to propose new cultivars to Swiss cultivars recommendation list, there are numerous new cultivars with interesting resistance profile. Among 141 cultivars tested, 30 could be proposed to the organic food chain. Indeed, those cultivars are less susceptible to late blight and rhizoctonia and can cover the whole range of potato utilization from boiled potato to French fries and crisps

Spatial and Seasonal Patterns of Cattle Habitat use in a Mountain Wooded Pasture

Management-oriented models of cattle habitat use often treat grazing pressure as a single variable summarizing all cattle activities. This paper addresses the following questions: How does the spatial pattern of cattle effects vary between cattle activities in a highly heterogeneous landscape? Do these patterns change over the grazing season as forage availability decreases? What are the respective roles of natural and management-introduced structures? We estimated the intensity of herbage removal, dung deposition and trampling after each of three grazing periods on a grid of 25m×25m cells covering an entire paddock in the Swiss Jura Mountains. We found no significant positive correlations between cattle effects. Spatial patterns weakened through the season for grazing and trampling, whereas dunging patterns changed little between grazing periods. Redundancy analysis showed that different cattle effects were correlated with different environmental variables and that the importance of management-introduced variables was highest for herbage removal. Autocorrelograms and partial redundancy analyses using principal coordinates of neighbour matrices suggested that dunging patterns were more coarse-grained than the others. Systematic differences in the spatial and seasonal patterns of cattle effects may result in complex interactions with vegetation involving feedback effects through nutrient shift, with strong implications for ecosystem management. In heterogeneous environments, such as pasture-woodland landscapes, spatially explicit models of vegetation dynamics need to model cattle effects separatel

Spatial and Seasonal Patterns of Cattle Habitat use in a Mountain Wooded Pasture

Management-oriented models of cattle habitat use often treat grazing pressure as a single variable summarizing all cattle activities. This paper addresses the following questions: How does the spatial pattern of cattle effects vary between cattle activities in a highly heterogeneous landscape? Do these patterns change over the grazing season as forage availability decreases? What are the respective roles of natural and management-introduced structures? We estimated the intensity of herbage removal, dung deposition and trampling after each of three grazing periods on a grid of 25 m × 25 m cells covering an entire paddock in the Swiss Jura Mountains. We found no significant positive correlations between cattle effects. Spatial patterns weakened through the season for grazing and trampling, whereas dunging patterns changed little between grazing periods. Redundancy analysis showed that different cattle effects were correlated with different environmental variables and that the importance of management-introduced variables was highest for herbage removal. Autocorrelograms and partial redundancy analyses using principal coordinates of neighbour matrices suggested that dunging patterns were more coarse-grained than the others. Systematic differences in the spatial and seasonal patterns of cattle effects may result in complex interactions with vegetation involving feedback effects through nutrient shift, with strong implications for ecosystem management. In heterogeneous environments, such as pasture-woodland landscapes, spatially explicit models of vegetation dynamics need to model cattle effects separately

Percutaneous aspiration of lumbar zygapophyseal joint synovial cyst under fluoroscopic guidance -A case report-

A 51-year-old man with a 1-month history of lower back pain and radiating pain visited to our pain clinic. A magnetic resonance imaging (MRI) scan demonstrated a cyst like mass at the level of the L4-5 interspace and compression of the thecal sac and the nerve root on the right side. We performed percutaneous needle aspiration of the lumbar zygapophyseal joint synovial cyst under fluoroscopic guidance. The patient felt an immediate relief of symptoms after the aspiration, and had no signs or symptoms of recurrence at the follow-up 6 months later. No demonstrable lesion was found in the 6 months follow-up MRI

Changing the computer-patient-physician relationship : a qualitative evaluation of 30-inch computer screens in family medicine exam rooms

The electronic health record (EHR) and use of computers in today's exam rooms is a dramatic change in medicine from decades past. There are concerns about how the computer and EHR might adversely affect patient-provider interaction and that it may be detrimental to PCC. Patient-centered care (PCC) promotes active involvement of the patient in their medical care. Several positive outcomes have been associated with PCC, including: better emotional health, improved symptom burden, improved recovery, and fewer diagnostic tests and referrals both at the time of the visit and in the subsequent 2 months. PCC can therefore help to decrease medical expenditures while improving patient outcomes and satisfaction. It has been proposed that certain exam room and computer configurations combined with uses of the EHR may enhance PCC. If we can better determine how different types of computers affect this interaction, it would help suggest improvements for increasing PCC, thus gaining the aforementioned benefits of decreased cost and improved health outcomes