A simple and easy method to measure ammonia volatilization: Accuracy under field conditions

Field studies on soil ammonia (NH3) volatilization are restricted in many countries owing to the high costs commonly demanded for accurate quantification. We assessed the accuracy of a simple, open chamber design to capture NH3 under field conditions, as affected by different chamber placement schemes. Urea-15N was surface applied to lysimeters installed in the spaces between maize rows. Open chambers made from plastic bottles were installed on each lysimeter with variations in i) N rates (3, 8, 13, and 18 g m–2), ii) the height of the chamber above the soil surface (0, 5, and 10 mm), and iii) chamber relocation (static vs. dynamic). Reference lysimeters without chambers were used to measure NH3 losses by 15N-balance. Losses of NH3 -N accounted for more than 50% of the applied N. Relocation of the chambers had no impact on their NH3-trapping efficiencies, proving to be an unnecessary procedure. Variation in the height of the chambers above the soil surface affected the capture of NH3, but the results still maintained high linearity with the NH3 losses quantified by the reference method (R2 > 0.98). When the same placement scheme used in the introductory study describing the chamber was utilized (static and touching the soil surface), we found a trapping efficiency of 60%, which was very similar to that (57%) obtained in the previous study. Our results show that this simple, open chamber design can be used with satisfactory accuracy under field conditions, provided that simple, standardized procedures are warranted

Optimizing the use of open chambers to measure ammonia volatilization in field plots amended with urea

Measuring ammonia (NH3) volatilization from urea-fertilized soils is crucial for evaluation of practices that reduce gaseous nitrogen (N) losses in agriculture. The small area of chambers used for NH3 volatilization measurements compared with the size of field plots may cause significant errors if inadequate sampling strategies are adopted. Our aims were: i) to investigate the effect of using multiple open chambers on the variability in the measurement of NH3 volatilization in urea-amended field plots and ii) to define the critical period of NH3-N losses during which the concentration of sampling effort is capable of reducing uncertainty. The use of only one chamber covering 0.015% of the plot (51.84 m2) generates a value of NH3-N loss within an expected margin of error of 30% around the true mean. To reduce the error margin by half (15%), 3–7 chambers were required with a mean of 5 chambers per plot. Concentrating the sampling efforts in the first two weeks after urea application, which is usually the most critical period of N losses and associated errors, represents an efficient strategy to lessen uncertainty in the measurements of NH3 volatilization. This strategy enhances the power of detection of NH3-N loss abatement in field experiments using chambers

Uma análise bibliométrica da literatura sobre estratégia e avaliação de desempenho A bibliometric analysis of strategy and performance measurement

Motivado por uma pesquisa que visa estudar como a avaliação de desempenho pode ser utilizada para apoiar a estratégia empresarial, o presente trabalho visa apresentar um processo para selecionar artigos relevantes sobre o tema, publicados entre os anos 2000 e 2010, a fim de compor o cerne de um referencial bibliográfico sobre o tema em questão. O processo possibilitou identificar 41 artigos relevantes e alinhados com o tema de pesquisa em uma base de dados internacional. Além da seleção de artigos, o presente trabalho realiza uma análise bibliométrica desse portfólio e descreve estatisticamente, para o portfólio selecionado, os artigos mais relevantes, os autores e os periódicos que mais publicaram sobre o tema de avaliação de desempenho em uma perspectiva estratégica. Com os resultados, acadêmicos e praticantes podem desenvolver seus arcabouços teóricos sobre artigos, autores e periódicos que mais se destacam nessa área de pesquisa de avaliação de desempenho e estratégia organizacional.<br>Motivated by a study that aims to study how performance measurement can be used to support business strategies, this paper presents a procedure to select relevant articles on the subject in order to compose the core bibliography of this area of knowledge. The process enabled the identification of 41 relevant and aligned articles on the research theme in an international database. In addition to the selection of articles, this paper carries out a bibliometric analysis of this portfolio and describes statistically the most relevant articles, authors, and journals that have published more articles on the topic of performance measurement in a strategic perspective. With the results, academics and practitioners can develop their core collection of articles, authors, and journals that stand out in this research area of performance evaluation and organizational strategy

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research