Shared decision-making in trauma and emergency surgery settings. A literature review

Emergency teams are made up of professionals of different specialities, including emergency physicians, surgeons, anesthesiologists, and nurses. Such units are characterized by the need to face unexpected situations with little time to make clinical decisions. In trauma and emergency settings, clinicians must act in a coordinated way, ensuring, at the same time, proper knowledge transfer and sharing to reach the best possible result for the patient. While such dynamics must be explicit and clear within the team, involving the patient in the decision-making process may require additional tools and procedures. Indeed, the time to engage with the patient and the family to understand the patient’s wishes and treatment preferences may be limited or absent at all. While the so-called shared decision-making (SDM) stands as one of the pillars of the modern patient-centric healthcare scenario, knowledge translation and transfer dynamics may appear particularly challenging in emergency settings. Starting from an investigation of the recent literature on SDM, the paper presents a literature review of the barriers, facilitators, and knowledge translation dynamics of SDM in trauma and emergency surgery. Results assess the importance, tools, and dynamics of SDM processes

Further evidence that not all executive functions are equal

The current study presents a comparison of 2 structural equation models describing the relationship between the executive functions of updating and inhibiting. Although it has been argued that working memory capacity is defined by one’s ability to control the focus of attention, the findings of the current study support a view of the executive control of attention that reflects updating and inhibiting as not entirely dependent on the same resources

Characterization and manipulation of fruit susceptibility to \u3ci\u3eDrosophila suzukii\u3c/i\u3e

Drosophila suzukii (Matsumura) is an economic pest of small fruits and cherries that attacks intact ripening fruits. Host susceptibility may be influenced by characteristics such as flesh firmness, penetration force of the skin, total soluble solids (TSS, also known as Brix), and pH. Improved knowledge of factors affecting fruit susceptibility is needed for developing thresholds and risk prediction models for IPM. A combination of laboratory and field studies was conducted to develop prediction and potential management tools. First, a direct bioassay was used to calculate the probability of oviposition in a given fruit based on various characteristics as determined across laboratory and field trials in Oregon and North Carolina, US. When multiple characteristics were evaluated simultaneously, oviposition probability consistently increased as penetration force decreased and pH increased. Oviposition probability sometimes increased as TSS increased. Second, raspberries and blueberries in unsprayed fields had substantially lower infestation in ripening fruit compared to ripe fruit. There was no or minimal infestation in green fruit. Third, given that skin penetration force influences oviposition, practices used to improve fruit quality were examined in laboratory no-choice cages for potential reduction of oviposition. Blueberry fruit sprayed with calcium silicate in the field had greater penetration force and firmness and reduced number of eggs laid by D. suzukii compared to untreated fruit. Other calcium-based treatments increased Ca content and firmness of fruit relative to untreated fruit. Timing of insecticide spray for D. suzukii might be delayed until fruit become susceptible

Humidity affects populations of Drosophila suzukii (Diptera: Drosophilidae) in blueberry

Temperature and humidity affect insect physiology, survival, fecundity, reproductive status and behaviour. Complementing previous work investigating the effects of temperature on adult survival and fecundity of the invasive frugivorous pest, Drosophila suzukii (Matsumura), this study was conducted to determine the effect of humidity on D. suzukii larval development, adult survival, fecundity and reproductive status using blueberry as a host substrate. The five constant humidity levels in laboratory bioassays were 20, 33, 71, 82 and 94% RH at 20.6 ± 0.2°C. As RH increased, fecundity and longevity increased. At the higher humidity levels, RH had limited impact on mean generation times (T), larval development and eclosion times. The highest net reproductive rate (R[subcript]o = 68) and highest intrinsic rate of population increase (r[subscript]m = 0.17) were both recorded at 94% RH. The reproductive status of females, as indicated by the number of mature oocytes per female, was significantly greater at 82 and 94% RH, compared to 71% RH. In addition to the laboratory procedures, we correlated field trap captures over an 81-day summer period to relative humidity (RH) levels in close proximity to those traps. In the field, low ambient humidity levels resulted in decreased trap captures. A humidity-dependent population model predicted lower densities of D. suzukii relative to populations at higher humidity. This study supports the hypothesis that cultural practices that minimize lower humidity levels in crops can contribute to the management of D. suzukii. Such methods may include open pruning, drip irrigation and field floor management.This is the publisher’s final pdf. The article is copyrighted by Blackwell Verlag and published by John Wiley & Sons, Inc. It can be found at: http://onlinelibrary.wiley.com/journal/10.1111/%28ISSN%291439-0418Keywords: ovarian maturation, longevity, relative humidity, fecundity, spotted wing drosophilaKeywords: ovarian maturation, longevity, relative humidity, fecundity, spotted wing drosophil

Increasing Seed Viability of Maize Haploid Inducing Lines by Genetic and Non-Genetic Approaches

Some haploid inducing lines used in the production of maize doubled haploids (DHs), express germination problems and reduced vigor. In this study, haploid inducing lines RWS, RWK-76 and their reciprocal hybrids RWS/RWK-76 and RWK-76/RWS were examined for viability by Tetrazolium (TZ) and germination ability by standard germination tests. Evaluation based on TZ tests showed that 59% of the seed of RWK-76/RWS were not viable, compared with only 12% dead seed in RWS/RWK-76. Similarly, the percentage and speed of germination in RWK- 76/RWS (25%, 1.53) was lower than for RWS/RWK-76 (74%, 4.30). In an effort to develop a quick method for assessing seed viability in these lines, the TZ test was repeated in a different way. Seed from each genotype was placed in beakers containing distilled water.Seed would either float or sink. Subsequent TZ testing confirmed that seed that floated was dead, and seed that sank was alive, although some of them had defective embryos. The dead seed in both genotypes failed to develop an embryo, leaving an empty cavity that would fill with air and cause seed to float on water. This feature can be exploited for a simple and practical method to separate living from dead seed. In addition, we surveyed theig1 (indeterminate gametophyte) gene as a candidate for germination problems in inducer lines.Sequencing data from theig1 region showed that RWS and RWK-76 differed in one nucleotide and amino acidin the firstexon of ig1.Segregation of ig1 alleles from RWS and RWK-76 wassignificantly (P=0.01) distortedin the respectiveF2 population relative to the expected Mendelian segregation ratio (1:2:1). Thus, either ig1 or a linked gene in the ig1 region affect seed viability

The impact of recent and long-term experience on access to word meanings: Evidence from large-scale internet-based experiments

Many word forms map onto multiple meanings (e.g., ‘‘ace”). The current experiments explore the extent to which adults reshape the lexical–semantic representations of such words on the basis of experience, to increase the availability of more recently accessed meanings. A naturalistic web-based experiment in which primes were presented within a radio programme (Experiment 1; N = 1800) and a lab-based experiment (Experiment 2) show that when listeners have encountered one or two disambiguated instances of an ambiguous word, they then retrieve this primed meaning more often (compared with an unprimed control condition). This word-meaning priming lasts up to 40 min after exposure, but decays very rapidly during this interval. Experiments 3 and 4 explore longer term word-meaning priming by measuring the impact of more extended, naturalistic encounters with ambiguous words: recreational rowers (N = 213) retrieved rowing related meanings for words (e.g., ‘‘feather”) more often if they had rowed that day, despite a median delay of 8 hours. The rate of rowing-related interpretations also increased with additional years’ rowing experience. Taken together these experiments show that individuals’ overall meaning preferences reflect experience across a wide range of timescales from minutes to years. In addition, priming was not reduced by a change in speaker identity (Experiment 1), suggesting that the phenomenon occurs at a relatively abstract lexical–semantic level. The impact of experience was reduced for older adults (Experiments 1, 3, 4) suggesting that the lexical–semantic representations of younger listeners may be more malleable to current linguistic experience

Covert Reorganization of Implicit Task Representations by Slow Wave Sleep

There is evidence that slow wave sleep (SWS) promotes the consolidation of memories that are subserved by mediotemporal- and hippocampo-cortical neural networks. In contrast to implicit memories, explicit memories are accompanied by conscious (attentive and controlled) processing. Awareness at pre-sleep encoding has been recognized as critical for the off-line memory consolidation. The present study elucidated the role of task-dependent cortical activation guided by attentional control at pre-sleep encoding for the consolidation of hippocampus-dependent memories during sleep.A task with a hidden regularity was used (Number Reduction Task, NRT), in which the responses that can be implicitly predicted by the hidden regularity activate hippocampo-cortical networks more strongly than responses that cannot be predicted. Task performance was evaluated before and after early-night sleep, rich in SWS, and late-night sleep, rich in rapid eye movement (REM) sleep. In implicit conditions, slow cortical potentials (SPs) were analyzed to reflect the amount of controlled processing and the localization of activated neural task representations.During implicit learning before sleep, the amount of controlled processing did not differ between unpredictable and predictable responses, nor between early- and late-night sleep groups. A topographic re-distribution of SPs indicating a spatial reorganization occurred only after early, not after late sleep, and only for predictable responses. These SP changes correlated with the amount of SWS and were covert because off-line RT decrease did not differentiate response types or sleep groups.It is concluded that SWS promotes the neural reorganization of task representations that rely on the hippocampal system despite absence of conscious access to these representations.Original neurophysiologic evidence is provided for the role of SWS in the consolidation of memories encoded with hippocampo-cortical interaction before sleep. It is demonstrated that this SWS-mediated mechanism does not depend critically on explicitness at learning nor on the amount of controlled executive processing during pre-sleep encoding

Performance breakdown effects dissociate from error detection effects in typing

Mistakes in skilled performance are often observed to be slower than correct actions. This error slowing has been associated with cognitive control processes involved in performance monitoring and error detection. A limited literature on skilled actions, however, suggests that preerror actions may also be slower than accurate actions. This contrasts with findings from unskilled, discrete trial tasks, where preerror performance is usually faster than accurate performance. We tested 3 predictions about error-related behavioural changes in continuous typing performance. We asked participants to type 100 sentences without visual feedback. We found that (a) performance before errors was no different in speed than that before correct key-presses, (b) error and posterror key-presses were slower than matched correct key-presses, and (c) errors were preceded by greater variability in speed than were matched correct key-presses. Our results suggest that errors are preceded by a behavioural signature, which may indicate breakdown of fluid cognition, and that the effects of error detection on performance (error and posterror slowing) can be dissociated from breakdown effects (preerror increase in variability). © 2013 © 2013 The Experimental Psychology Society

Agricultural landscape simplification reduces natural pest control: A quantitative synthesis

Numerous studies show that landscape simplification reduces abundance and diversity of natural enemies in agroecosystems, but its effect on natural pest control remains poorly quantified. Further, natural enemy impacts on pest populations have usually been estimated for a limited number of taxa and have not considered interactions among predator species. In a quantitative synthesis with data collected from several cropping systems in Europe and North America, we analyzed how the level and within-field spatial stability of natural pest control services was related to the simplification of the surrounding landscape. All studies used aphids as a model species and exclusion cages to measure aphid pest control. Landscape simplification was quantified by the proportion of cultivated land within a 1 km radius around each plot. We found a consistent negative effect of landscape simplification on the level of natural pest control, despite interactions among enemies. Average level of pest control was 46% lower in homogeneous landscapes dominated by cultivated land, as compared with more complex landscapes. Landscape simplification did not affect the amount of positive or negative interactions among ground-dwelling and vegetation-dwelling predators, or the within-field stability of pest control. Our synthesis demonstrates that agricultural intensification through landscape simplification has negative effects on the level of natural pest control with important implications for management to maintain and enhance ecosystem services in agricultural landscapes. Specifically, preserving and restoring semi-natural habitats emerges as a fundamental first step to maintain and enhance pest control services provided by predatory arthropods to agriculture