Effects of phosphate limestone on structure and quality under sugarcane vertisoles

The work was developed in sugarcane areas of cuban vertisols of the north coast of the province of Villa Clara municipality of Sagua la Grande, with the aim of evaluating the effectiveness of phosphate limestone and their combinations with fertilizers and organic manure on the structure and quality of vertisols under sugarcane cultivation. An experiment with phosphate limestone levels and combinations with organic manure (compost, filter cake) and fertilizers (NPK) was carried out on a wasstrip-block design. A soil analysis was performedat the depth of 0-20 and 20 -40 cm 36 months after the application of treatments. Organic matter, stable aggregates, factor structure, permeability, T value, exchangeable cations, index soil quality and productivity of sugarcane were evaluated. Phosphate limestone and there combinations with organic manures manifested significant effects on soil structure both in the surface layer and subsurface with residual impact over time to 36 months. The results show the close relationship between phosphate limestone and there combinations with organic manures on soil quality index additive, yield of sugarcane and economic impact

The biomass of Bambusa vulgaris as an alternative for the recovery of degraded soils

The production of bamboo biomass in reforestation projects can contribute to the regeneration of degraded soils. The work was carried out at the Center for Agricultural Research of the Central University "Marta Abreu" of Las Villas, with the objective of evaluating the quality of bamboo biomass as an alternative to recover degraded soils. A chemical characterization of bamboo biomass, represented by bamboo litter, bamboo humus, bamboo compost and a reference control constituted by earthworm humus from other organic substrates, was carried out. Ash, Cu, Zn, Co, Mn and Fe were evaluated. An experiment was carried out under semi-controlled conditions with 6 randomized block design treatments with the substrates described. Samples were taken from the experiment for the microbiological analysis of fungal and actinomycete bacteria. In addition, an experimental plot was assembled (two representative areas, one of bamboo of 5 years of established, to study the behavior of the species and changes in the soil from 30 cm to 5 m away from the seedling, and another area without bamboo representing the reference of degraded soil (RSD). Samples were taken at the depth of 0-10 cm to evaluate the state of the structure and the consistency of the soil. The results show that the quality of the bamboo biomass significantly improves the biological properties of the soil as well as structure and its consistency

VIS/NIR determination of the organic matter content in agricultural Cambisol soils

Soil samples were collected and analyzed using the VIS/NIR spectroscopy technique to determine the organic matter content of a Cambisol at the “Alvaro Barba Machado” agricultural experimental station, located on the campus of the University “Marta Abreu” of Las Villas. Traditional chemical analysis methods were applied, and a portable spectrophotometer was used in the visible (379-780 nm) and near infrared (780-1702 nm) ranges. Both datasets obtained were correlated by using multivariate statistical analysis techniques. The chemical analysis results showed there was a low percentage of organic matter content in the sampled soil. Spectral analysis showed a peak in the soil spectra around 1350 - 1430 nm range, due to the presence of water particles and other components. The mathematical model obtained describes the organic matter percentage from the linear combination of the reflectance percentage for each wavelength, where dependence was significant by 88%

GECOP-MMC: phase IV randomized clinical trial to evaluate the efficacy of hyperthermic intraperitoneal chemotherapy (HIPEC) with mytomicin-C after complete surgical cytoreduction in patients with colon cancer peritoneal metastases.

The French PRODIGE 7 trial, published on January 2021, has raised doubts about the specific survival benefit provided by HIPEC with oxaliplatin 460 mg/m2 (30 minutes) for the treatment of peritoneal metastases from colorectal cancer. However, several methodological flaws have been identified in PRODIGE 7, specially the HIPEC protocol or the choice of overall survival as the main endpoint, so its results have not been assumed as definitive, emphasizing the need for further research on HIPEC. It seems that the HIPEC protocol with high-dose mytomicin-C (35 mg/m2) is the preferred regime to evaluate in future clinical studies. GECOP-MMC is a prospective, open-label, randomized, multicenter phase IV clinical trial that aims to evaluate the effectiveness of HIPEC with high-dose mytomicin-C in preventing the development of peritoneal recurrence in patients with limited peritoneal metastasis from colon cancer (not rectal), after complete surgical cytoreduction. This study will be performed in 31 Spanish HIPEC centres, starting in March 2022. Additional international recruiting centres are under consideration. Two hundred sixteen patients with PCI ≤ 20, in which complete cytoreduction (CCS 0) has been obtained, will be randomized intraoperatively to arm 1 (with HIPEC) or arm 2 (without HIPEC). We will stratified randomization by surgical PCI (1-10; 11-15; 16-20). Patients in both arms will be treated with personalized systemic chemotherapy. Primary endpoint is peritoneal recurrence-free survival at 3 years. An ancillary study will evaluate the correlation between surgical and pathological PCI, comparing their respective prognostic values. HIPEC with high-dose mytomicin-C, in patients with limited (PCI ≤ 20) and completely resected (CCS 0) peritoneal metastases, is assumed to reduce the expected risk of peritoneal recurrence from 50 to 30% at 3 years. EudraCT number: 2019-004679-37; Clinicaltrials.gov: NCT05250648 (registration date 02/22/2022, )

The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis

© 2017 British Journal of Anaesthesia Background: The surgical safety checklist is widely used to improve the quality of perioperative care. However, clinicians continue to debate the clinical effectiveness of this tool. Methods: Prospective analysis of data from the International Surgical Outcomes Study (ISOS), an international observational study of elective in-patient surgery, accompanied by a systematic review and meta-analysis of published literature. The exposure was surgical safety checklist use. The primary outcome was in-hospital mortality and the secondary outcome was postoperative complications. In the ISOS cohort, a multivariable multi-level generalized linear model was used to test associations. To further contextualise these findings, we included the results from the ISOS cohort in a meta-analysis. Results are reported as odds ratios (OR) with 95% confidence intervals. Results: We included 44 814 patients from 497 hospitals in 27 countries in the ISOS analysis. There were 40 245 (89.8%) patients exposed to the checklist, whilst 7508 (16.8%) sustained ≥1 postoperative complications and 207 (0.5%) died before hospital discharge. Checklist exposure was associated with reduced mortality [odds ratio (OR) 0.49 (0.32–0.77); P\u3c0.01], but no difference in complication rates [OR 1.02 (0.88–1.19); P=0.75]. In a systematic review, we screened 3732 records and identified 11 eligible studies of 453 292 patients including the ISOS cohort. Checklist exposure was associated with both reduced postoperative mortality [OR 0.75 (0.62–0.92); P\u3c0.01; I2=87%] and reduced complication rates [OR 0.73 (0.61–0.88); P\u3c0.01; I2=89%). Conclusions: Patients exposed to a surgical safety checklist experience better postoperative outcomes, but this could simply reflect wider quality of care in hospitals where checklist use is routine

Prospective observational cohort study on grading the severity of postoperative complications in global surgery research

Background The Clavien–Dindo classification is perhaps the most widely used approach for reporting postoperative complications in clinical trials. This system classifies complication severity by the treatment provided. However, it is unclear whether the Clavien–Dindo system can be used internationally in studies across differing healthcare systems in high- (HICs) and low- and middle-income countries (LMICs). Methods This was a secondary analysis of the International Surgical Outcomes Study (ISOS), a prospective observational cohort study of elective surgery in adults. Data collection occurred over a 7-day period. Severity of complications was graded using Clavien–Dindo and the simpler ISOS grading (mild, moderate or severe, based on guided investigator judgement). Severity grading was compared using the intraclass correlation coefficient (ICC). Data are presented as frequencies and ICC values (with 95 per cent c.i.). The analysis was stratified by income status of the country, comparing HICs with LMICs. Results A total of 44 814 patients were recruited from 474 hospitals in 27 countries (19 HICs and 8 LMICs). Some 7508 patients (16·8 per cent) experienced at least one postoperative complication, equivalent to 11 664 complications in total. Using the ISOS classification, 5504 of 11 664 complications (47·2 per cent) were graded as mild, 4244 (36·4 per cent) as moderate and 1916 (16·4 per cent) as severe. Using Clavien–Dindo, 6781 of 11 664 complications (58·1 per cent) were graded as I or II, 1740 (14·9 per cent) as III, 2408 (20·6 per cent) as IV and 735 (6·3 per cent) as V. Agreement between classification systems was poor overall (ICC 0·41, 95 per cent c.i. 0·20 to 0·55), and in LMICs (ICC 0·23, 0·05 to 0·38) and HICs (ICC 0·46, 0·25 to 0·59). Conclusion Caution is recommended when using a treatment approach to grade complications in global surgery studies, as this may introduce bias unintentionally