Effects of Cadmium (Cd) on Dry Matter and on Cd Concentration in Leaves and Roots of Purple Coneflower (Echinacea purpurea L.)

The aim of this research was to examine the effect of Cd on leaves dry matter (LDM), root dry matter (RDM) and on Cd concentration in leaves (Cd-leaves) and roots (Cd-roots) of purple coneflower (E. purpurea) grown in an acid and in a neutral substrate. A completely randomized block design with four treatments (0-control, 1, 2, and 5 mg Cd L-1) and six replications for each treatment and each substrate (acid, neutral) was conducted in pot experiments. Cd concentration in leaves grown in acid substrate as well as in roots of plants grown in neutral substrate increased at Cd rates greater than 2 mg Cd L-1. Cd concentration in roots of the plants grown in neutral substrate raised with increasing doses of Cd. In general Cd concentration in the roots and leaves of purple coneflower grown either in acid or in neutral substrate was affected by Cd applications

Sexual and Asexual Propagation of Teucrium brevifolium

The propagation with seeds and stem cuttings of Teucrium brevifolium were investigated in order to facilitate the use of the species in floricultural practice and as a medicinal plant. The seeds after they subjected to different types of treatments (dipping in H2SO4 for 15 min or in H2SO4 for 15 min and GA3 1000 mg l-1 for 10 min, 24 or 48h and untreated) cultured for germination in vitro at 5, 10, 15, 20, 25, and 30 °C. The cuttings were planted in a peat/perlite mixture 1:1 v/v in plastic square plug trays in order to study the rooting percentage. Seed germination was very low (2%) at temperatures of 15-25 °C, while chemical treatment with the concentrated H2SO4 for 15 min, increased germination to 8-10% at the same temperatures. Asexual propagation of the species resulted in a 52.5-61.5% rooting percentage, in all seasons except winter. Treatment with IBA 2000 mg l-1 increaseds rooting percentage

Nickel (Ni) Effects on Shoots and Roots Dry Matter and on Ni Concentration in Shoots of Mojito (Mentha × villosa) and Lavender (Lavandula angustifolia)

Nickel is an essential trace element for plants, but excessive Ni levels in the soil can result in toxicity to plants. The aim of this research was to examine the effect of Ni on shoots dry matter (SDM), roots dry matter (RDM) and on Ni concentrations in SDM (Ni-SDM) of mojito and lavender plants. A completely randomized block design with five treatments (0, 5, 10, 20 and 40 mg Ni L-1) and five replications for each treatment and plant species was conducted in pot experiments. Nickel was applied to the pot medium as NiCl26H2O. No visible toxic or inhibitory symptoms were observed on the plants due to the increasing rates of Ni applications. The SDM and RDM were not affected by Ni in the studied plants. Ni-SDM of mojito and lavender raised with increasing rates of Ni above 20 and 10 mg Ni L-1, respectively

Prospective observational cohort study on grading the severity of postoperative complications in global surgery research

Background The Clavien–Dindo classification is perhaps the most widely used approach for reporting postoperative complications in clinical trials. This system classifies complication severity by the treatment provided. However, it is unclear whether the Clavien–Dindo system can be used internationally in studies across differing healthcare systems in high- (HICs) and low- and middle-income countries (LMICs). Methods This was a secondary analysis of the International Surgical Outcomes Study (ISOS), a prospective observational cohort study of elective surgery in adults. Data collection occurred over a 7-day period. Severity of complications was graded using Clavien–Dindo and the simpler ISOS grading (mild, moderate or severe, based on guided investigator judgement). Severity grading was compared using the intraclass correlation coefficient (ICC). Data are presented as frequencies and ICC values (with 95 per cent c.i.). The analysis was stratified by income status of the country, comparing HICs with LMICs. Results A total of 44 814 patients were recruited from 474 hospitals in 27 countries (19 HICs and 8 LMICs). Some 7508 patients (16·8 per cent) experienced at least one postoperative complication, equivalent to 11 664 complications in total. Using the ISOS classification, 5504 of 11 664 complications (47·2 per cent) were graded as mild, 4244 (36·4 per cent) as moderate and 1916 (16·4 per cent) as severe. Using Clavien–Dindo, 6781 of 11 664 complications (58·1 per cent) were graded as I or II, 1740 (14·9 per cent) as III, 2408 (20·6 per cent) as IV and 735 (6·3 per cent) as V. Agreement between classification systems was poor overall (ICC 0·41, 95 per cent c.i. 0·20 to 0·55), and in LMICs (ICC 0·23, 0·05 to 0·38) and HICs (ICC 0·46, 0·25 to 0·59). Conclusion Caution is recommended when using a treatment approach to grade complications in global surgery studies, as this may introduce bias unintentionally

The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis

© 2017 British Journal of Anaesthesia Background: The surgical safety checklist is widely used to improve the quality of perioperative care. However, clinicians continue to debate the clinical effectiveness of this tool. Methods: Prospective analysis of data from the International Surgical Outcomes Study (ISOS), an international observational study of elective in-patient surgery, accompanied by a systematic review and meta-analysis of published literature. The exposure was surgical safety checklist use. The primary outcome was in-hospital mortality and the secondary outcome was postoperative complications. In the ISOS cohort, a multivariable multi-level generalized linear model was used to test associations. To further contextualise these findings, we included the results from the ISOS cohort in a meta-analysis. Results are reported as odds ratios (OR) with 95% confidence intervals. Results: We included 44 814 patients from 497 hospitals in 27 countries in the ISOS analysis. There were 40 245 (89.8%) patients exposed to the checklist, whilst 7508 (16.8%) sustained ≥1 postoperative complications and 207 (0.5%) died before hospital discharge. Checklist exposure was associated with reduced mortality [odds ratio (OR) 0.49 (0.32–0.77); P\u3c0.01], but no difference in complication rates [OR 1.02 (0.88–1.19); P=0.75]. In a systematic review, we screened 3732 records and identified 11 eligible studies of 453 292 patients including the ISOS cohort. Checklist exposure was associated with both reduced postoperative mortality [OR 0.75 (0.62–0.92); P\u3c0.01; I2=87%] and reduced complication rates [OR 0.73 (0.61–0.88); P\u3c0.01; I2=89%). Conclusions: Patients exposed to a surgical safety checklist experience better postoperative outcomes, but this could simply reflect wider quality of care in hospitals where checklist use is routine

Critical care admission following elective surgery was not associated with survival benefit: prospective analysis of data from 27 countries

This was an investigator initiated study funded by Nestle Health Sciences through an unrestricted research grant, and by a National Institute for Health Research (UK) Professorship held by RP. The study was sponsored by Queen Mary University of London