Is irrigation fit for purpose? A review of the relationships between scheme size and performance of irrigation systems

Irrigation is increasingly being called upon to help stabilize and grow food and water security in the face of multiple crises;these crises include climate change, but also recent global food and energy price crises, including the 2007/08 food and energy price crises, and the more recent crises triggered by the COVID-19 pandemic and the war on Ukraine. While irrigation development used to focus on public, large-scale, surface- and reservoir-fed systems, over the last several decades, private small-scale investments in groundwater irrigation have grown in importance and are expected to see rapid future growth, particularly in connection with solar-powered pumping systems. But is irrigation 'fit-for-purpose' to support population growth, economic development, and multiple food, energy and climate crises? This paper reviews how fit-for-purpose irrigation is with a focus on economies of scale of surface and groundwater systems, and a particular examination of systems in Sub-Saharan Africa where the need for expansion is largest. The review finds challenges for both larger surface and smaller groundwater systems in the face of growing demand for irrigated agriculture and dwindling and less reliable water supplies. To support resilience of the sector, we propose both a holistic design and management improvement agenda for larger surface systems, and a series of suggestions to improve sustainability concerns of groundwater systems.

An LLMS Remotely Controlled Experiment for Smart Hydro Energy Storage and Irrigation System Powered by Photo-Voltaic Array and IoT

Many students all over the world have faced some educational issues due to the Covid-19 epidemic. As a consequence, many educational institutes focused on shifting to an E-learning system. This paper introduces a design and implementation steps of a remotely controlled experiment representing a smart hydro energy storage and irrigation system with monitoring capability using photovoltaic power and the Internet of Things (IoT). The experiment is running within the newly proposed Laboratory Learning Management System (LLMS). The remotely controlled experiment is a smart hydro energy storage and irrigation system, where the stored water during the daytime is used at night for smart irrigation of three different types of plants based on the moisture and temperature, in addition to the amount of water that the user sets for every area. In this experiment, during the daytime, the utilities are feeding from the solar panel and battery, but at night, the utilities are feeding from the battery or the hydro turbine that converts the water potential energy to electric energy. The overall Experiment is controlled using IoT sensors and relays which are connected and driven by the parameters that the user sets and can be communicated with the system using the Internet which allows the system to be proactive and take the needed decision in the right time. The main contribution of this system's experiment is the pumping of underground water in irrigation using a renewable and clean energy source, in addition to controlling the systems using IoT through the proposed LLMS. © 2022 IEEE.

Design of a Tuned Proportional-Integral-Derivative Water Level Controller for First-Order Automated Irrigation System in Rice Field

Some problems of Filipino farmers in Nueva Ecija are irrigation systems and labor shortage. Most of them are unable to work due to old age while others chose to stop because of the COVID-19 pandemic. Meanwhile, irrigation systems have been an issue due to the lack of resources such as continuous water supply and control. Fortunately, there is a progression of smart farming in the country which could assist in optimizing farming processes. This study presents a systematic literature survey on rice farming technologies and challenges. This study also aims to help address these problems by creating a rice irrigation system that introduces a water level control system. The system was comprised of a mobile application, Arduino ESP32 module, and a tank with water level sensors. The mobile application was used to set the desired water level while the proportional- integral-derivative (PID) controller adjusted the water level automatically. When current water level is lower than the setpoint, the valves to the tank will open. Tank specifications were used to come up with a transfer function for the system. The proposed design was simulated in MATLAB Simulink and PID parameters were tuned to enhance system performance. The tuned control system obtained an output response with less overshoot and faster settling time. © 2022 IEEE.

Cool Your Jets Bro

History: Twenty-two year old male basic trainee was brought to the ED after collapsing during a routine ruck march. At mile 8/12, soldier was noted to develop an unsteady gate and had witnessed loss of consciousness. A rectal core temperature was obtained and noted to be >107degreeF. Cooling initiated with ice sheets and EMS was activated. On arrival to the ED, patient demonstrated confusion and persistently elevated core temperatures despite ice sheeting, chilled saline and cold water bladder lavage. Cooling measures were discontinued after patient achieved euthermia in the ED;however, his temperatures subsequently spiked>103degreeF. Given rebound hyperthermia, an endovascular cooling (EVC) device was placed in the right femoral vein and patient was transferred to the ICU. Multiple attempts to place EVC device on standby were unsuccessful with subsequent rebound hyperthermia. Prolonged cooling was required. Physical Exam: VS: HR 121, BP 85/68, RR 22 SpO2 100% RA, Temp 102.4degreeF Gen: young adult male, NAD, shivering, A&Ox2 (person and place only) HEENT: Scleral anicteric, conjunctiva non-injected, moist mucus membranes Neck: Supple, no LAD Chest: CTAB, no wheezes/rales/rhonchi CV: tachycardia, regular rhythm, normal S1, S2 without murmurs, rubs, gallops ABD: NABS, soft/non-distended, no guarding or rebound EXT: No LE edema, tenderness SKIN: blisters with broad erythematous bases on bilateral heels Neuro: CN II-XII grossly intact, 5/5 strength in all extremities. Differential Diagnosis: 216. Septic Shock 217. Hypothalamic Stroke 218. Exertional Heat Stroke (EHS) 219. Neuroleptic Malignant Syndrome 220. Thyroid Storm Test Results: CBC: 18.2>14.5/40.6<167 CMP: 128/3.5 88/1831/2.7<104, AST 264, ALT 80, Ca 8.8 Lactate: 7.1 CK: 11 460 Myoglobin: 18 017 TSH: 3.16 CXR: No acute cardiopulmonary process Blood Cx: negative x2 CSF Cx: Negative COVID/Influenza/EBV: Negative Brain MRI: wnl. Final Diagnosis: Exertional Heat Stroke. Discussion(s): No EVC protocols exist for the management of EHS or rebound/refractory hyperthermia. As a result, the protocol used for this patient was adapted from post-cardiac arrest cooling protocols. It is unclear if this adapted protocol contributed to his delayed cooling and rebound hyperthermia as it was not intended for this patient demographic/ pathophysiology. Furthermore, despite initiating empiric antibiotics upon admission, delayed recognition and tailored therapy for his bilateral ankle cellulitis may have contributed to the difficulty in achieving euthermia. In summary, more research needs to be done to evaluate and develop an EVC protocol for EHS. Outcome(s): Euthermia was achieved and maintained after 36 hours of continuous EVC, at which point it was discontinued. His CK, AST/ALT, creatinine and sodium down-trended after discontinuation of EVC. Patient's antibiotics were transitioned to an oral formulation for treatment of ankle cellulitis and he was prepared for discharge. He was discharged with regular follow-up with the Fort Benning Heat Clinic. Follow-Up: After discharge, patient had regularly scheduled visits with the Fort Benning Heat Clinic. His typical lab markers for exertional heat stroke were regularly monitored. He had continued resolution of his Rhabdomyolysis, acute kidney injury and hyponatremia with typical treatment. Soldier returned to duty after 10 weeks of close monitoring and rehabilitation.

Impact of Crystalloid Administration on Patients Receiving Haploidentical Allogeneic Stem Cell Transplant (Haplo SCT) with Post Transplant Cytoxan Prophylaxis (PtCy): a Quality Improvement Initiative

Background: Crystalloid fluid administration has traditionally played an important role in prevention of hemorrhagic cystitis with high dose cyclophosphamide. Cryopreservation of stem cells in the era of the COVID pandemic has further led to an increase in crystalloid use. Excess fluid administration over a short duration could lead to volume overload, respiratory failure and impact overall survival. Method(s): A retrospective chart review was conducted on patients receiving PtCy following Haplo SCT at UVA Medical Center from September 2016 through August 2022. Internal BMT quality audit in June 2021 identified increased rate of ICU transfers and respiratory failure amongst patient receiving PtCy due to fluid overload. Hence our PtCy hydration was reduced, with IV fluid administration decreasing from 200 mL/ hr over 62 hours to 100 mL/hr over 12 hours. Urine output parameters placed to administer Cytoxan were also removed. We present our quality improvement project demonstrating outcomes pre and post intervention. Result(s): All demographic patient and transplant-related data was collected during the period of hospitalization for Haplo SCT [Table 1]. Pre-intervention spanned 9/2016-8/2021. Our analysis identified higher than expected rates of respiratory (Table Presented) failure prompting intervention on 8/2021. Post-intervention spanned 8/2021-8/2022. Pre-intervention, 45% of patients receiving Haplo SCT developed respiratory failure (defined as a new hypoxia) in the 30 day post-transplant period. Of these, 93% had volume overload. Mechanical ventilation was required in 21%. Complication rates included ICU transfer - 30%, AKI - 39%, and renal replacement therapy - 18%. Three percent (1 pt) developed hemorrhagic cystitis requiring bladder irrigation. Median LOS was 31.0 days. Post-intervention, average IV crystalloid received was reduced by about 15L. Median diuretic use reduced by 40%. No instances of respiratory failure, mechanical ventilation, ICU transfer, AKI or renal replacement therapy occurred in this group. Median LOS was 26.5 days. There were no cases of hemorrhagic cystitis. Please refer Figure 1. (Figure Presented) (Figure Presented) Conclusion(s): This single center quality improvement initiative shows that reducing IV crystalloid administration with PtCy is associated with a reduction in respiratory failure and other adverse clinical outcomes, without observed increase in hemorrhagic cystitis. Larger multi-center studies are needed to validate this finding.Copyright © 2023 American Society for Transplantation and Cellular Therapy

Virucidal Effect of Povidone Iodine on SARS-CoV-2 in Nasopharynx: An Open-label Randomized Clinical Trial.

To assess the virucidal effect of povidone iodine (PVP-I) on severe acute respiratory syndrome coronavirus 2 (SARS CoV-2) located in the nasopharynx and suitable dose-formulation for nasal application were the purpose of this clinical trial. This single-center, open-label randomized clinical trial with a 7-arm parallel-group design was conducted in Dhaka Medical College (DMC) Hospital. A total of 189 reverse transcription-polymerase chain reaction (RT-PCR)-confirmed SARS CoV-2 positive cases aged 12-90 years with symptoms was sequentially enrolled following randomization. Nasopharyngeal clearance of SARS-CoV-2 was tested against PVP-I nasal irrigation (NI) at diluted concentrations of 0.4%, 0.5% and 0.6%, and PVP-I nasal spray (NS) at diluted concentrations of 0.5% and 0.6%. All groups were compared to the corresponding controls (distilled water). Written informed consent was ensured before participation. All procedures were conducted in after ethical clearance from the Ethical Review Board and in accordance with the Declaration of Helsinki. Viral clearance in a repeat RT-PCR (qualitative) was the primary outcome, and occurrence of any adverse event following administration of testing drug was considered as the secondary outcome. Analysis was performed using SPSS (Version 26). All cases were randomized into seven groups and each group consists of 27-patient. Mean age of the cases 43.98 ± 12.67 years (SD). All strength of NI were effective in nasopharyngeal clearance compared to the control (0.4%, p = 0.006; 0.5%, p < 0.001; and 0.6%, p = 0.018). Similarly, all strength of the NS is also effective than control (0.5%, p = < 0.001; and 0.6%, p ≤ 0.001). Highest nasopharyngeal clearance was observed in patients using 0.5% NI (n = 25, 92.6%, p = 0.018). Nasal irritation was the single most adverse event recorded in this trial and found in two patients using 0.4%, and 0.6% PVP-I NI, respectively. Both PVP-I NS and NI are effective for nasopharyngeal clearance in-vivo. However, further community trials are needed to repurpose these solutions as preventive agents against SARS-CoV2. Ethical clearance memo no ERC-DMC/ECC/2020/93. Trial registration NCT Identifier number NCT04549376. Supplementary Information: The online version contains supplementary material available at 10.1007/s12070-022-03106-0.

The benefits of nature-based systems in a and uncertain world

Multifunctional nature-based solutions (NBS) can help urban areas become more climate proof and adaptable and provide a range of societal goals. Alongside chronic impacts from climate change, the Covid-19 pandemic has illustrated the disruption that unexpected and acute shocks can bring to society. Measures such as NBS can help reduce the vulnerability of urban areas and increase resilience. Traditional infrastructure planning relies on strong business cases to demonstrate the economic value of a scheme. Numerous approaches assign economic value to the benefits from using NBS. However, this value is more than what can be accounted for by traditional finance methods, as there are many different perspectives on 'value'. Decision making processes for selection of NBS measures require stronger integration of these value perspectives. This paper considers these perspectives in the business models that are being used in the decision processes regarding use and selection of NBS. Examples are drawn from case studies in the EU Begin project and also from the Living with Water partnership in the UK, which illustrate how value perspectives can be included in business cases for NBS, also signposting the need to account for potential future changes using scenario planning.

The benefits of nature-based systems in a changing and uncertain world

Multifunctional nature-based solutions (NBS) can help urban areas become more climate proof and adaptable and provide a range of societal goals. Alongside chronic impacts from climate change, the Covid-19 pandemic has illustrated the disruption that unexpected and acute shocks can bring to society. Measures such as NBS can help reduce the vulnerability of urban areas and increase resilience. Traditional infrastructure planning relies on strong business cases to demonstrate the economic value of a scheme. Numerous approaches assign economic value to the benefits from using NBS. However, this value is more than what can be accounted for by traditional finance methods, as there are many different perspectives on 'value'. Decision making processes for selection of NBS measures require stronger integration of these value perspectives. This paper considers these perspectives in the business models that are being used in the decision processes regarding use and selection of NBS. Examples are drawn from case studies in the EU Begin project and also from the Living with Water partnership in the UK, which illustrate how value perspectives can be included in business cases for NBS, also signposting the need to account for potential future changes using scenario planning. [ FROM AUTHOR] Copyright of Proceedings of the Institution of Civil Engineers: Engineering Sustainability is the property of Thomas Telford Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Destroying Institutions: Abandoning the Medical Profession During a Pandemic

Institutions have been described as essential patterns of behavior that come to support a society and are generally understood and agreed upon in their roles. They can include behaviors that individuals must participate in as in rites of passage in religion, or in the use of money or joining a military or providing labor for communal structures or means as in irrigation. When one segment of a society comes to disagree with the goals of institutions and withdraws support or actively attacks one or more, it threatens not only the existence of the institution but the society as an organization. Often in history, revolutions are built on such attacks as in those of the Optimates in Ancient Rome or the Bolsheviks in Russia. The attack on the medical profession in the United States has been one that has a longer history, one bracketed in disbelief in science in general and has set the two institutions of religion and medicine at odds. An underfunded medical profession has faced the pandemic in a cloud of conspiracy theories that question even the purpose or need for medicine. The consequences during Covid-19 have been catastrophic by many assessments.

A review of South African sugarcane production in the 2021/22 season: climate, production and economics

This paper characterises South African sugarcane production for the 2021/22 milling season, from an agricultural perspective, to enable the industry to evaluate recent production strategies, and to identify priorities for improved efficiency. The industry's cane and sugar production during the 2021/22 season was 17.2 and 1.84 million tons, respectively. These figures show a marked drop of 5.6% for cane and 8.7% for sugar, when compared to the production figures for the 2020/21 season. The estimated industry average cane yield and quality also decreased slightly, compared to the previous season, but the main reason the drop in cane and sugar production was the limited milling capacity at several mills in KwaZulu-Natal. The civil unrest in July 2021 exacerbated the situation, causing disruptions to harvest and mill operations, as well as the subsequent closure of mills in parts of KwaZulu-Natal. The area harvested decreased considerably from an estimated 254 028 ha in 2020/21 to 241 030 ha in 2021/22 while estimated carry-over cane area increased from 24 029 ha to 32 476 ha over the same period. Rainfall was generally well above the long-term mean and well-distributed in most areas, while irrigation water supply also improved remarkably, compared to 2020 supply. Low temperatures and reduced sunshine duration caused yield reduction in the northern irrigated areas, but most rainfed areas experienced yield improvements when compared to 2020/21, because of the good rainfall. The Midlands region experienced severe frost damage during the winter of 2021, which had a negative impact on cane yield and quality. The Sugar Industry Value Chain Master Plan continued to help stabilise local sugar demand as well as reduce imports and exports at low world market prices, which all contributed to a 6% increase in the Recoverable Value (RV) price. This improved profitability for both largeand small-scale growers. COVID-19 had no noteworthy impact on sugarcane production.

Selection and evaluation of environmentally friendly pesticides, biological preparations and resistant variety samples against harmful objects of gourds in the conditions of the south-east of Kazakhstan

In the Republic of Kazakhstan melons and gourds are produced mainly in the traditional way, that is, by using chemical fertilizers and pesticides. The production of environmentally friendly melons is at the initial stage of its development. There is no organic melon growing at all. Considering the huge export potential of melons among other crops cultivated in the country (the total supply of melons and melons on the domestic market is 472%), the great economic and social significance of the transition of the melon industry to organic production is growing. In the future, Kazakhstan may be in the center of attention of the world community as a manufacturer and supplier of environmentally friendly (organic) melons, and environmentally friendly, natural melons may well become a brand of our sovereign state. To do this, it is necessary to make fundamental changes in the melon industry of the country. In general, the transition of agricultural production to an organic direction will contribute to the consumption of the safest and most useful products by the local population. Here, one should also take into account the decrease in the immunity of the human body due to various diseases, including those associated with the coronavirus pandemic. It should also be taken into account that only a limited number of pesticides used against harmful objects in agriculture act as intended, and most of the toxic substances spread into the environment. The use of disinfectants without scientific support has a negative impact on flora and fauna, being deposited in the soil and irrigation system of fields for a long time, thereby causing enormous damage to the environment. Given the above facts, our scientific research was aimed at the selection of pesticides and biological preparations with high biological and economic efficiency, low rates and frequency of treatments, as well as varieties with high resistance to fungal diseases of melons (watermelon, melon). Research work was carried out on the experimental plots of the Regional Branch "Kainar" of the LLP "Kazakh Research Institute of Horticulture" in the period 2020-2021. The studies used classical methods generally accepted in melon growing. The results obtained are new and relevant, and in the future, will contribute to the transition from traditional melon growing to biological.

Efficacy of nasal irrigation and oral rinse with sodium bicarbonate solution on virus clearance for COVID-19 patients.

Background: Recent studies have shown that the infectivity of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is reduced under alkaline conditions. The purpose of this study is to assess the effect of nasal irrigation and oral rinse with sodium bicarbonate solution on virus clearance among COVID-19 patients. Materials and methods: COVID-19 patients were recruited and randomly divided into two group, i.e., the experimental group and the control group. The experimental group received regular care plus nasal irrigation and oral rinse with 5% sodium bicarbonate solution, while the control group only received regular care. Nasopharyngeal and oropharyngeal swab samples were collected daily for reverse transcription-polymerase chain reaction (RT-PCR) assays. The negative conversion time and hospitalization time of the patients were recorded, and the results were statistically analyzed. Results: A total of 55 COVID-19 patients with mild or moderate symptoms were included in our study. There was no significant difference in gender, age and health status between the two groups. The average negative conversion time was 1.63 days after treatment with sodium bicarbonate, and the average hospitalization time of the control group and the experimental group were 12.53 and 7.7 days, respectively. Conclusions: Nasal irrigation and oral rinse with 5% sodium bicarbonate solution is effective in virus clearance for COVID-19 patients.

Corticosteroid nasal irrigation as early treatment of olfactory dysfunction in COVID-19: A prospective randomised controlled trial.

OBJECTIVE: This study aimed to evaluate the efficacy of corticosteroid irrigation compared to saline to no nasal irrigation in COVID-19 patients with olfactory loss. DESIGN AND SETTING: A randomised controlled study was conducted at the Otolaryngology-Head & Neck Surgery Department, Ramathibodi Hospital, Faculty of Medicine, Mahidol University. PARTICIPANTS: Two hundred thirty-seven COVID-19 participants with a new-onset smell loss were recruited into the study. Two hundred twenty-two participants met the inclusion criteria and were randomised into three groups: corticosteroid irrigation, saline irrigation and no treatment. MAIN OUTCOME MEASURES: The primary outcome was the mean difference in the smell sensation score among the groups after treatment at 1, 2 and 6 weeks. The secondary outcomes measurements included (1) a self-rating quality of life (QOL)-related smell dysfunction score, (2) the change over time in smell sensation score and self-rating QOL-related smell dysfunction score and (3) the median time to complete recovery of smell loss. RESULTS: The mean differences in smell sensation scores among the three groups were not statistically significant at any follow-up period. The mean score of self-rating QOL-related smell dysfunction in the corticosteroid group was significantly better than the other groups at 1 week. The change of outcome scores showed significant improvement over time, regardless of the treatments. The median time to complete smell recovery was similar: 3 weeks. CONCLUSION: This study emphasised that corticosteroid nasal irrigation is not superior to saline or no nasal irrigation in restoring the sense of smell in COVID-19-associated olfactory loss.

Effect of nasal irrigation in adults infected with Omicron variant of COVID-19: A quasi-experimental study.

Objective: To investigate the effect of nasal irrigation on the duration of symptoms and nucleic acid conversion in adults infected with the Omicron variant of COVID-19. Methods: This quasi-experimental study enrolled patients diagnosed with asymptomatic, mild, or moderate Omicron infection at the Shandong Public Health Clinical Center between April 1, 2022 and May 1, 2022. Patients were divided into two groups to receive Lianhua Qingwen granules and traditional Chinese medicine (TCM) prescriptions (conventional group) and 3% hypertonic saline nasal irrigation based on conventional treatment (nasal irrigation groups), respectively. Primary outcomes were symptom disappearance time and nucleic acid negative conversion time. Secondary outcomes were peripheral blood white blood cell (WBC), lymphocyte (LYM) count, neutrophil (NEU) count, C-reactive protein (CRP) level, and chest CT examination findings. Results: Eighty patients were included (40 patients/group). Multiple linear regression analysis showed that, after adjustment for comorbidities, smoking history, LYM count, and Ct values of N gene, the patients in the nasal irrigation group were more likely to get lower nucleic acid negative conversion time (ß = -11.052, 95% CI: -8.277-13.827, P < 0.001) compared with the conventional group. The symptom disappearance time showed no significant improvement (P > 0.05). Subgroup analysis for treatment-naïve patients in the nasal irrigation group showed similar nucleic acid negative conversion time improvement (P = 0.038). Conclusion: Early nasal irrigation shortens the nucleic acid negative conversion time in adults infected with the Omicron variant but without improvements in symptom disappearance time.

Spring frost protection in orchards by under canopy sprinkler irrigation. (L'Accademia per il post Covid-19.)

Spring frost events are predicted to increase due to climate change. Yield losses caused by late radiative frosts can be highly remarkable in many fruit species, mostly stone fruits, grapes and kiwi, and active protection means are part of a general need for adaptation in orchard management. The principle of using over canopy and under canopy irrigation is based on the property of water that, when freezing, releases heat. Technical and management tools able to magnify such effect have been developed and here described for under canopy application, when the icing of water sprinkled to orchard grass allows adequate increase of the air temperature at canopy level.

An intelligent approach to improve date palm crop yield and water productivity under different irrigation and climate scenarios.

Drought, rising demand for water, declining water resources, and mismanagement have put society at serious risk. Therefore, it is essential to provide appropriate solutions to increase water productivity (WP). As an element of research, this study presents a hybrid machine learning approach and investigates its potential for estimating date palm crop yield and WP under different levels of subsurface drip irrigation (SDI). The amount of applied water in the SDI system was compared at three levels of 125% (T1), 100% (T2), and 75% (T3) of water requirement. The proposed ACVO-ANFIS approach is composed of an anti-coronavirus optimization algorithm (ACVO) and an adaptive neuro-fuzzy inference system (ANFIS). Since the effect of irrigation factors, climate, and crop characteristics are not equal in estimating the WP and yield, the importance of these factors should be measured in the estimation phase. To fulfill this aim, ACVO-ANFIS employed eight different feature combination models based on irrigation factors, climate, and crop characteristics. The proposed approach was evaluated on a benchmark dataset that contains information about the groves of Behbahan agricultural research station located in southeast Khuzestan, Iran. The results explained that the treatment T3 advanced data palm crop yield by 3.91 and 1.31%, and WP by 35.50 and 20.40 kg/m3, corresponding to T1 and T2 treatments, respectively. The amount of applied water in treatment T3 was 7528.80 m3/ha, which suggests a decrease of 5019.20 and 2509.6 m3/ha of applied water compared to the T1 and T2 treatments. The modeling results of the ACVO-ANFIS approach using a model with factors of crop variety, irrigation (75% water requirement of SDI system), and effective rainfall achieved RMSE = 0.005, δ = 0.603, and AICC = 183.25. The results confirmed that the ACVO-ANFIS outperformed its counterparts in terms of performance criteria.

The Effect of Delay in Diagnosis and Treatment Process on Recurrence and Progression of Patients with Non-Muscle-Invasive Bladder Cancer During The COVID-19 Pandemic

Objective: The coronavirus disease-2019 (COVID-19) pandemic caused significant delays in the diagnosis and treatment of non-muscle invasive bladder cancer (NMIBC), like many diseases. We investigated the effect of delays due to the COVID-19 pandemic on oncological outcomes in NMIBC. Material(s) and Method(s): The patients diagnosed and followed up with primary bladder cancer between October 2017 and August 2022 were analyzed retrospectively. Patients were divided into groups the pre-COVID-19 and COVID-19 periods. Result(s): A total of 93 patients were included, 54 (58.1%) in the pre-COVID-19 and 39 (41.9%) in the COVID-19 group. The median time from symptoms to diagnosis (p=0.002), time from diagnosis to transurethral resection of the bladder tumor (TUR-BT) (p=0.001), the time to re-TUR-BT (p<0.001) and time to adjuvant therapy (p=0.004) were significantly longer in the COVID-19 period. The maintenance bladder instillation rates were significantly lower in the COVID-19 period (p=0.028). The progression rates were similar in both periods (p=0.347), and the recurrence rate was significantly higher in the COVID-19 period (p=0.041). Recurrence-free survival (RFS) was significantly lower in the pre-COVID-19 period (p=0.024). In multivariate analysis, time from symptoms to diagnosis (p=0.030) and time to adjuvant therapy (p=0.010) were independent predictors of recurrence. Conclusion(s): NMIBC patients in the COVID-19 era had worse RFS outcomes. Especially with a delay of >7.5 weeks from symptoms to diagnosis and a delay of >3.5 weeks to adjuvant therapy, recurrence rates increase significantly. © Copyright 2022 by Urooncology Association Bulletin of Urooncology / Published by Galenos Yayinevi.

Impact of COVID-19 lockdown on the water quality of the Damodar River, a tributary of the Ganga River in West Bengal.

The COVID-19 (SARS-CoV-2) pandemic is wreaking havoc on the planet, yet control of waste materials comforted the ecosystem during the lockdown restricting human activities. Damodar is the most important tributary of the lower Ganga River in West Bengal. It flows through an industrially developed, agriculturally flourished populated area. Different methods are applied to identify the changing pattern of water quality during the lockdown. BOD graph shows an increase in pollution levels in residential areas but a sharp decline in coliform levels in urban residential sites. The National Sanitation Foundation Water Quality Index (NSFWQI) shows the same pattern of water quality throughout the course. Irrigation suitability of water is examined using sodium percentage (%Na), sodium absorption ratio (SAR), potential salinity (PS), magnesium absorption ratio (MAR), and Kelly's ratio (KR). Mujhermana (received maximum pollutants from industries and residential areas) station shows a decrease in ions concentration and subsequent improvement in agriculture water quality during the COVID-19 period. According to Kelly's ratio, the water at this sample site is unfit for agricultural use; however, the water quality improved and became acceptable for cultivation during the lockdown period. Cluster analysis is used to understand the similar pollution concentration of eleven sampling stations in different periods. Mujhermana site makes a separate cluster due to its high pollution load compared to other sampling sites before the COVID-19. But during the lockdown period, this site was clustered with the most petite contaminated sites. Supplementary Information: The online version contains supplementary material available at 10.1007/s40899-022-00790-2.

Handbook for scaling irrigation systems

The demand for more efficient use of land and water resources to enable farmers to produce food using climate-resilient processes continues to grow in the face of a growing global population and the impacts of climate change and other shocks such as Coronavirus (COVID-19). Although irrigation has been widely promoted as important for productivity and resilience, it has not been sufficiently expanded. Large, well-established irrigation projects developed by public institutions and select private sector projects play an important role in providing access to irrigation, but they are insufficient to meet need. In parallel, farmers have been developing effective small-scale irrigation (SSI) options that include a range of technologies, financing methods, and operating models. International Finance Corporation (IFC) and the International Fund for Agricultural Development (IFAD) are global organizations focused on promoting resilient agriculture and food system transformation. This handbook takes a practical approach in guiding its target readers, which comprise policy makers, governments and government agencies, private sector actors, and development institution partners, on how to deliver effective design and operation strategies, combined with financing models, to implement and sustainably expand use of irrigation.