Evaluation of physio-biochemical criteria in maize inbred lines and their F1 hybrids grown under water-deficit conditions

Since the application of deficit water became a dominant tactic in crop irrigation, developing and surveying newly adapted genotypes should be adopted. In this study, we determined the physio-biochemical activities of 21 maize genotypes under 100 % and 70 % crop evapotranspiration irrigation conditions (normal and deficit irrigation, respectively) in sandy soil to determine which activities can identify drought-tolerant, high-yield genotypes. The experimental design was arranged in randomized complete blocks with three replicates. Results showed that the drought-tolerant parents and hybrids had the highest relative water content (RWC), membrane stability index (MSI), chlorophyll a and b (Chl. a, b), total chlorophyll (total Chl.), chlorophyll a/b ratio (Chl. a/b), chlorophyll stability index (CSI), proline, phenolic content, superoxide dismutase (SOD), catalase (CAT) and peroxidase (POD) levels. They also had the lowest malondialdehyde (MDA) content. The physio-biochemical traits were positively correlated with more tolerant inbred lines and hybrids that displayed a high yield under both irrigation treatments. Furthermore, maize parents that performed well under the 100 % and 70 % evapotranspiration levels were capable of producing high-performance hybrids under both conditions. Accordingly, the hybrids P1 x P6, P2 x P5, and P4 x P6 gave a high performance in sandy soil under both conditions, based on yield attributes estimation. It could be concluded that physio-biochemical traits can be used as effective selection criteria at the silking stage of maize plants to identify high-yield inbred lines and hybrids under stress and normal conditions. These findings will undoubtedly aid maize breeders in rapidly improving and developing new drought-tolerant varieties

Influence of Nano-Chitosan Loaded with Potassium on Potassium Fractionation in Sandy Soil and Strawberry Productivity and Quality

Under sandy soil conditions, increasing the efficiency of potassium (K) fertilizers is considered to be a major limiting factor for improving the productivity and quality of fruit crops. In this context, utilizing nanotechnology has emerged as a novel technique to increase the efficiency of K applications. In our study, two field trials were conducted, in two consecutive seasons (2019/2020 and 2020/2021), to compare the effects of nano-chitosan loaded with K as a foliar treatment with those of conventional soil applications of K on plant growth, yield, and quality of strawberry plants grown in sandy soil. Strawberry plants were treated with 12 different treatments, which were replicated three times in a randomized complete block design in each growing season. Potassium sulfate (K2SO4, 48% K2O) was applied to the soil at a rate of 150.0 kg acre−1 (recommended rate, 100%). Meanwhile, the spraying of nano-chitosan loaded with K was applied at 1000 mg L−1 as a control. In addition, K2SO4 was applied either individually or in combination at the rate of 112.5 or 75.0 kg acre−1 with four nano-chitosan-K dosages (250, 500, 750, and 1000 mg L−1). After harvesting, soil samples were collected and prepared to determine K fractions. As well, plant samples were collected to determine the vegetative growth parameters and the foliage content of NPK and chlorophyll. Eventually, the yield traits and quality parameters were evaluated. A principal component analysis was conducted to determine the interrelationships of the treatments’ averages and their effects on yield components and quality traits. A combined analysis was performed for the two studied seasons and the values were the mean of six replications. The results indicated that the application of common K fertilizer (150.0 kg K2SO4 acre−1) resulted in the maximum increase in soluble and exchangeable K in the soil, which was comparable to those observed with 112.5 kg K2SO4 acre−1 + 1000 mg L−1 nano-chitosan-K and 112.5 K2SO4 acre−1 + 750 mg L−1 nano-chitosan-K. The total yield, marketable yield, and fruit firmness were all significantly increased by the latter two treatments compared to the control group. Furthermore, plots treated with 112.5 kg K2SO4 acre−1 + 1000 mg L−1 nano-chitosan-K significantly increased the total soluble solids, vitamin C levels, acidity, total sugar, and anthocyanin levels in strawberry fruits. In conclusion, under sandy soil conditions, the utilization of nanoparticles could be an indispensable tool for manipulating fertilization management when cultivating strawberries. The K status of the soil was improved by applying 75% of the recommended dose of mineral K in combination with 1000 or 750 mg L−1 of nano-chitosan-K, without compromising strawberry yield or quality

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Global Incidence and Risk Factors Associated With Postoperative Urinary Retention Following Elective Inguinal Hernia Repair

Importance Postoperative urinary retention (POUR) is a well-recognized complication of inguinal hernia repair (IHR). A variable incidence of POUR has previously been reported in this context, and contradictory evidence surrounds potential risk factors.Objective To ascertain the incidence of, explore risk factors for, and determine the health service outcomes of POUR following elective IHR.Design, Setting, and Participants The Retention of Urine After Inguinal Hernia Elective Repair (RETAINER I) study, an international, prospective cohort study, recruited participants between March 1 and October 31, 2021. This study was conducted across 209 centers in 32 countries in a consecutive sample of adult patients undergoing elective IHR.Exposure Open or minimally invasive IHR by any surgical technique, under local, neuraxial regional, or general anesthesia.Main Outcomes and Measures The primary outcome was the incidence of POUR following elective IHR. Secondary outcomes were perioperative risk factors, management, clinical consequences, and health service outcomes of POUR. A preoperative International Prostate Symptom Score was measured in male patients.Results In total, 4151 patients (3882 male and 269 female; median [IQR] age, 56 [43-68] years) were studied. Inguinal hernia repair was commenced via an open surgical approach in 82.2% of patients (n = 3414) and minimally invasive surgery in 17.8% (n = 737). The primary form of anesthesia was general in 40.9% of patients (n = 1696), neuraxial regional in 45.8% (n = 1902), and local in 10.7% (n = 446). Postoperative urinary retention occurred in 5.8% of male patients (n = 224), 2.97% of female patients (n = 8), and 9.5% (119 of 1252) of male patients aged 65 years or older. Risk factors for POUR after adjusted analyses included increasing age, anticholinergic medication, history of urinary retention, constipation, out-of-hours surgery, involvement of urinary bladder within the hernia, temporary intraoperative urethral catheterization, and increasing operative duration. Postoperative urinary retention was the primary reason for 27.8% of unplanned day-case surgery admissions (n = 74) and 51.8% of 30-day readmissions (n = 72).Conclusions The findings of this cohort study suggest that 1 in 17 male patients, 1 in 11 male patients aged 65 years or older, and 1 in 34 female patients may develop POUR following IHR. These findings could inform preoperative patient counseling. In addition, awareness of modifiable risk factors may help to identify patients at increased risk of POUR who may benefit from perioperative risk mitigation strategies