Pasture Production and Lamb Growth from Dryland Hill Pastures in Western Oregon

Pasture legumes that persist under challenging agro-ecological conditions are crucial to ensure high lamb growth rates in dryland pastures. Pasture and lamb production from white clover (TF-Whc), birdsfoot trefoil (TF-Bft), balansa clover (TF-Bc) and subterranean clover (TF-Sc) planted with tall fescue either as binary mixtures or as a diverse combination of all (TF-Mix) were compared in a summer-dry hill site in Corvallis, Oregon over a two-year period. In 2018, all pasture combinations provided similar lamb liveweight gains (LWG, mean 177 g d-1) in the first half of spring. Lambs in TF-Bc and TF-Mix pastures grew 31 to 41 g d-1 faster than those grazing TF-Sc, TF-Whc and TF-Bft in the second half of spring (P<0.05). Overall, TF-Bc and TF-Mix had higher (P<0.05) legume content (32 and 37% respectively) compared to other pasture combinations. In spring 2019, lambs that grazed TF-Mix and TF-Whc pastures had higher LWG than those on other pastures (P<0.05). The superior lamb growth rates were associated with the higher legume content and pasture quality maintained into the late spring period. Overall, the legume content of all pastures decreased over the course of the two-year trial with the decline being substantial for balansa clover. The present study confirmed that high legume content of pastures leads to greater lamb growth rates. Total annual DM yield of the pastures that had greater legume content were superior to others (P<0.05). Combination of self-regenerating annual clovers with perennial legumes in pasture mixtures may ensure higher legume content and longer persistence in dryland hill pastures

Enumerative Sphere Shaping for Rate Adaptation and Reach Increase in WDM Transmission Systems

The performance of enumerative sphere shaping (ESS), constant composition distribution matching (CCDM), and uniform signalling are compared at the same forward error correction rate. ESS is shown to offer a reach increase of approximately 10% and 22% compared to CCDM and uniform signalling, respectively.Comment: 4 Pages, 4 figure

Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Enumerative sphere shaping for wireless communications with short packets

Probabilistic amplitude shaping (PAS) combines an outer shaping layer with an inner, systematic forward error correction (FEC) layer to close the shaping gap. Proposed for PAS, constant composition distribution matching (CCDM) produces amplitude sequences with a fixed empirical distribution. We show that CCDM suffers from high rate losses for small block lengths, and we propose to use Enumerative Sphere Shaping (ESS) instead. ESS minimizes the rate loss at any block length. Furthermore, we discuss the computational complexity of ESS and demonstrate that it is significantly smaller than shell mapping (SM), which is another method to perform sphere shaping. We then study the choice of design parameters for PAS. Following Wachsmann et al., we show that for a given constellation and target rate, there is an optimum balance between the FEC code rate and the entropy of the Maxwell-Boltzmann distribution that minimizes the gap-to-capacity. Moreover, we demonstrate how to utilize the non-systematic convolutional code from IEEE 802.11 in PAS. Simulations over the additive white Gaussian noise (AWGN) and frequency-selective channels exhibit that ESS is up to 1.6 and 0.7 dB more energy-efficient than uniform signaling at block lengths as small as 96 symbols, respectively, with convolutional and low-density parity-check (LDPC) codes

Comparison and Optimization of Enumerative Coding Techniques for Amplitude Shaping

The energy efficiency of enumerative coding algorithms is investigated for amplitude shaping in the context of binary transmission. First, a simple method for the calculation of the amplitude distribution is derived for enumerative sphere shaping (ESS). For ultra-short blocklengths, ESS—which orders sequences lexicographically—is shown to be less energy-efficient than algorithms that use energy-based ordering such as shell mapping. Second, ESS is optimized heuristically such that its energy efficiency is improved. Simulations show that optimized ESS achieves the same error probabilities as energy-based ordering methods for the additive white Gaussian noise (AWGN) channel, even at ultra-short blocklengths

Comparison of Short Blocklength Sphere Shaping and Nonlinearity Compensation in WDM Systems

In optical communication systems, short blocklength probabilistic enumerative sphere shaping (ESS) provides both linear shaping gain and nonlinear tolerance. In this work, we investigate the performance and complexity of ESS in comparison with fiber nonlinearity compensation via digital back propagation (DBP) with different steps per span. We evaluate the impact of the shaping blocklength in terms of nonlinear tolerance and also consider the case of ESS with a Volterra-based nonlinear equalizer (VNLE), which provides lower complexity than DBP. In single-channel transmission, ESS with VNLE achieves similar performance in terms of finite length bit-metric decoding rate to uniform signaling with one step per span DBP. In the context of a dense wavelength-division multiplexing (WDM) transmission system, we show that ESS outperforms uniform signaling with DBP for different step sizes