61 research outputs found

    Guidelines for physical weed control research: flame weeding, weed harrowing and intra-row cultivation

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    A prerequisite for good research is the use of appropriate methodology. In order to aggregate sound research methodology, this paper presents some tentative guidelines for physical weed control research in general, and flame weeding, weed harrowing and intra-row cultivation in particular. Issues include the adjustment and use of mechanical weeders and other equipment, the recording of impact factors that affect weeding performance, methods to assess effectiveness, the layout of treatment plots, and the conceptual models underlying the experimental designs (e.g. factorial comparison, dose response). First of all, the research aims need to be clearly defined, an appropriate experimental design produced and statistical methods chosen accordingly. Suggestions on how to do this are given. For assessments, quantitative measures would be ideal, but as they require more resources, visual classification may in some cases be more feasible. The timing of assessment affects the results and their interpretation. When describing the weeds and crops, one should list the crops and the most abundantly present weed species involved, giving their density and growth stages at the time of treatment. The location of the experimental field, soil type, soil moisture and amount of fertilization should be given, as well as weather conditions at the time of treatment. The researcher should describe the weed control equipment and adjustments accurately, preferably according to the prevailing practice within the discipline. Things to record are e.g. gas pressure, burner properties, burner cover dimensions and LPG consumption in flame weeding; speed, angle of tines, number of passes and direction in weed harrowing. The authors hope this paper will increase comparability among experiments, help less experienced scientists to prevent mistakes and essential omissions, and foster the advance of knowledge on non-chemical weed management

    Clinical prediction models for mortality in patients with covid-19: external validation and individual participant data meta-analysis

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    OBJECTIVE: To externally validate various prognostic models and scoring rules for predicting short term mortality in patients admitted to hospital for covid-19. DESIGN: Two stage individual participant data meta-analysis. SETTING: Secondary and tertiary care. PARTICIPANTS: 46 914 patients across 18 countries, admitted to a hospital with polymerase chain reaction confirmed covid-19 from November 2019 to April 2021. DATA SOURCES: Multiple (clustered) cohorts in Brazil, Belgium, China, Czech Republic, Egypt, France, Iran, Israel, Italy, Mexico, Netherlands, Portugal, Russia, Saudi Arabia, Spain, Sweden, United Kingdom, and United States previously identified by a living systematic review of covid-19 prediction models published in The BMJ, and through PROSPERO, reference checking, and expert knowledge. MODEL SELECTION AND ELIGIBILITY CRITERIA: Prognostic models identified by the living systematic review and through contacting experts. A priori models were excluded that had a high risk of bias in the participant domain of PROBAST (prediction model study risk of bias assessment tool) or for which the applicability was deemed poor. METHODS: Eight prognostic models with diverse predictors were identified and validated. A two stage individual participant data meta-analysis was performed of the estimated model concordance (C) statistic, calibration slope, calibration-in-the-large, and observed to expected ratio (O:E) across the included clusters. MAIN OUTCOME MEASURES: 30 day mortality or in-hospital mortality. RESULTS: Datasets included 27 clusters from 18 different countries and contained data on 46 914patients. The pooled estimates ranged from 0.67 to 0.80 (C statistic), 0.22 to 1.22 (calibration slope), and 0.18 to 2.59 (O:E ratio) and were prone to substantial between study heterogeneity. The 4C Mortality Score by Knight et al (pooled C statistic 0.80, 95% confidence interval 0.75 to 0.84, 95% prediction interval 0.72 to 0.86) and clinical model by Wang et al (0.77, 0.73 to 0.80, 0.63 to 0.87) had the highest discriminative ability. On average, 29% fewer deaths were observed than predicted by the 4C Mortality Score (pooled O:E 0.71, 95% confidence interval 0.45 to 1.11, 95% prediction interval 0.21 to 2.39), 35% fewer than predicted by the Wang clinical model (0.65, 0.52 to 0.82, 0.23 to 1.89), and 4% fewer than predicted by Xie et al's model (0.96, 0.59 to 1.55, 0.21 to 4.28). CONCLUSION: The prognostic value of the included models varied greatly between the data sources. Although the Knight 4C Mortality Score and Wang clinical model appeared most promising, recalibration (intercept and slope updates) is needed before implementation in routine care

    Effects of lay support for pregnant women with social risk factors on infant development and maternal psychological health at 12 months postpartum

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    Background The ELSIPS (Evaluation of Lay Support in Pregnant Women with Social Risk) RCT showed that lay support for women with social risk had a positive effect on maternal mental health and mother-infant bonding. This exploratory study examined whether these observed benefits would impact infant development at 1 year. Methods A sub-sample of women whose infants were under one year who had participated in the ELSIPS RCT which randomised women to receive either standard care or the services of a Pregnancy Outreach Worker (POW), and who were contactable, were eligible to participate in the follow up. At home visits, the Bayley Scales of Infant Development (3rd Edition) and standardised measures of depression, self efficacy, mind-mindedness and bonding were completed. Results 486 women were eligible for follow up, of whom 154 agreed to participate. 61/273 were successfully followed up in the standard maternity care arm and 51/213 in the POW arm. Women who completed follow up were less depressed and had higher selfefficacy scores at 8–12 weeks postpartum than those who did not complete follow up. There were no significant differences in maternal outcomes, infant cognitive development, receptive communication, expressive communication, fine motor development or social/emotional functioning between groups at 12 month follow up. Infants of mothers who received the POW intervention had significantly better gross motor development than infants whose mothers received standard care (p<0.03)

    Maternal common mental disorders and infant development in Ethiopia : the P-MaMiE Birth Cohort

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    Background: Chronicity and severity of early exposure to maternal common mental disorders (CMD) has been associated with poorer infant development in high-income countries. In low- and middle-income countries (LAMICs), perinatal CMD is inconsistently associated with infant development, but the impact of severity and persistence has not been examined. Methods: A nested population-based cohort of 258 pregnant women was identified from the Perinatal Maternal Mental Disorder in Ethiopia (P-MaMiE) study, and 194 (75.2%) were successfully followed up until the infants were 12 months of age. Maternal CMD was measured in pregnancy and at two and 12 months postnatal using the WHO Self-Reporting Questionnaire, validated for use in this setting. Infant outcomes were evaluated using the Bayley Scales of Infant Development. Results: Antenatal maternal CMD symptoms were associated with poorer infant motor development ( β ^ -0.20; 95% CI: -0.37 to -0.03), but this became non-significant after adjusting for confounders. Postnatal CMD symptoms were not associated with any domain of infant development. There was evidence of a dose-response relationship between the number of time-points at which the mother had high levels of CMD symptoms (SRQ ≥ 6) and impaired infant motor development ( β ^ = -0.80; 95%CI -2.24, 0.65 for ante- or postnatal CMD only, β ^ = -4.19; 95%CI -8.60, 0.21 for ante- and postnatal CMD, compared to no CMD; test-for-trend χ213.08(1), p < 0.001). Although this association became non-significant in the fully adjusted model, the β ^ coefficients were unchanged indicating that the relationship was not confounded. In multivariable analyses, lower socio-economic status and lower infant weight-for-age were associated with significantly lower scores on both motor and cognitive developmental scales. Maternal experience of physical violence was significantly associated with impaired cognitive development. Conclusions: The study supports the hypothesis that it is the accumulation of risk exposures across time rather than early exposure to maternal CMD per se that is more likely to affect child development. Further investigation of the impact of chronicity of maternal CMD upon child development in LAMICs is indicated. In the Ethiopian setting, poverty, interpersonal violence and infant undernutrition should be targets for interventions to reduce the loss of child developmental potential.Peer Reviewe

    Early identification of young children at risk for poor academic achievement: preliminary development of a parent-report prediction tool

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    <p>Abstract</p> <p>Background</p> <p>Early school success is clearly related to later health. A prediction index that uses parent report to assess children's risk for poor academic achievement could potentially direct targeted service delivery to improve child outcomes.</p> <p>Methods</p> <p>We obtained risk factors through literature review and used the National Longitudinal Survey of Youth 1979 Child Files to examine the predictive associations of these factors with academic achievement scores.</p> <p>Results</p> <p>Twenty predictors were identified including four strong predictors (maternal education, child gender, family income, and low birth weight). Significantly, 12 predictors explained 17-24% of score variance.</p> <p>Conclusions</p> <p>Parent-reported factors provide predictive accuracy for academic achievement.</p

    Iliocaval venous obstruction, cardiac preload reserve, and exercise limitation

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    Cardiac output during exercise increases by as much as five-fold in the untrained man, and by as much as eight-fold in the elite athlete. Increasing venous return is a critical but much overlooked component of the physiological response to exercise. Cardiac disorders such as constrictive pericarditis, restrictive cardiomyopathy and pulmonary hypertension are recognised to impair preload and cause exercise limitation, however the effects of peripheral venous obstruction on cardiac function have not been well described. This manuscript will discuss how obstruction of the iliocaval venous outflow can lead to impairment in exercise tolerance; how such obstructions may be diagnosed, the potential implications of chronic obstructions on sympathetic nervous system activation, and relevance of venous compression syndromes in heart failure with preserved ejection fraction

    Selective uprooting by weed harrowing on sandy soils

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    Uprooting by weed harrowing and the potential of the uprooting process for selective weed control at early crop growth stages was studied. Effects of working depth, seed depth, soil moisture content and working speed on uprooting of Lolium perenne L., Lepidium sativum L. and Chenopodium quinoa Willd. were investigated in laboratory harrowing experiments on a sandy soil. Harrowing uprooted on average 51% of the emerging plants and 21% of the plants in the seedling stage. Seventy per cent of all uprooted plants were completely covered by soil. An increase in working depth from 10 mm to 30 mm doubled the average fraction of uprooted plants. Uprooting was also promoted by higher soil moisture contents and higher working speeds. Average uprooting selectivity (=fraction of uprooted emerging plants/fraction of uprooted seedlings of the same species) varied between 2.0 (deep tillage and high speed) and 5.6 (dry soil). If tines could keep a distance of more than 3 mm from the crop and weed plants, the average selectivity of all treatments would improve from 2.4 to 5.5 and the average fraction of uprooted seedlings would decrease from 21% to 8%. This study indicates that uprooting may be a more important weed control mechanism than commonly believed. If working depth and the path of the harrow tines in relation to crop rows could be accurately controlled, uprooting could be a relatively selective weed control mechanism at early crop growth stages

    The implementation of the Water Framework Directive: a focused comparison of governance arrangements to improve water quality.

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    Contains fulltext : 199699pub.pdf (publisher's version ) (Open Access)110 p
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