Trunk Injection of Oxytetracycline for Huanglongbing Management in Mature Grapefruit and Sweet Orange Trees.

Huanglongbing (HLB) is a devastating bacterial disease associated with 'Candidatus Liberibacter asiaticus'. The location of the pathogen within the vasculature of the tree has left growers with limited options for the effective management of the disease. Trunk injection is a crop protection technique that applies therapeutics directly into the xylem of woody tree species and allows for their systemic uptake and transport, which may provide more effective management of vascular diseases such as HLB. In this study, mature 'Valencia' and 'Hamlin' sweet orange (Citrus sinensis) and 'Duncan' grapefruit (C. paradisi) trees were injected with oxytetracycline (OTC) in the spring and/or fall to evaluate the effects of injection timing and response to injection. In addition to seasonal evaluations of tree health and bacterial titer, preharvest fruit drop, yield, and fruit quality were measured at harvest to determine the effects of OTC injection. The benefits associated with injection included a reduction in fruit drop, an increase in fruit yield and fruit size, and improvements in juice quality. However, results varied due to the timing of injection and were not consistent across all three varieties. Residue analysis at different time points after injection suggests that trunk injection effectively delivers therapeutics to mature citrus trees. This study provides fundamental information on the short-term benefits associated with trunk injection of OTC for HLB management in citrus groves. The potential for use of trunk injection at the commercial scale and the possible risks are discussed.

Large abdominal hernia repair with closed incision negative pressure therapy: a case series.

OBJECTIVE: A major challenge of large abdominal incisional hernia repair is the high rates of wound complications. Closed incision negative pressure therapy (CINPT) can offer many treatment advantages in the management of these wounds and has been shown to reduce complications for other postoperative incisions. This study assesses the wound outcomes for hernia repair patients receiving CINPT. METHOD: A six-year retrospective case series of patients who had undergone large abdominal incisional hernia repair wounds treated with CINPT was conducted. Outcomes for patients treated with CINPT were compared with patients who had not received CINPT acting as a control. RESULTS: A total of 23 patients were treated with CINPT after hernia repair and compared with 12 patients in the control group. A statistically significant decreased rate of return to theatre (odds ratio: 0.12) was found in this study. Non-significant reductions in wound infection, seroma and wound dehiscence were also seen. No adverse events with CINPT therapy were reported. CONCLUSIONS: CINPT, when used after large abdominal incisional hernia repair, may help in the prevention of wound complications.

Temporal and spatial distribution of soil water and nitrate content affected by surface irrigation and fertilizer rate in silage corn fields.

Among surface irrigation systems, long border and furrow are more adaptive to mechanized farming but may cause a non-uniform distribution of water and nutrients. In this study, field experiments were carried out in a flat silage corn field in Hebei, China to investigate the uniformity along the length of border or furrow to understand the spatial and temporal distribution characteristics of soil water, electrical conductivity, and nitrate. This will guide irrigation and fertigation management recommendations, land consolidation, and high standard farmland construction. Border and furrow irrigation were tested using fertilizer rates of 750, 600, 450 and 300 kg/ha. Low quarter distribution uniformity (DUlq) and storage efficiency (E) were quantified to determine the distribution of soil water and soil nitrate content. The results indicate heterogeneity along the length of the border or furrow is weak for soil water content and is moderate for nitrate content, based on the uniformity coefficient (CV). The average low quarter distribution uniformity of soil water (DUlqW) was 96.34, there was a significant effect of irrigation type on DUlqW, and the DUlqW for border irrigation was 0.8% larger than that for furrow irrigation. The average low quarter distribution uniformity of nitrate content DUlqN was 79.04, and there was no significant influence of irrigation type and fertilizer rate on DUlqN. Spatial and temporal distribution analysis showed that the variation of soil water in the 0-60 cm soil layer was larger than that in 60-100 cm soil layer, and the electrical conductivity (EC) and nitrate content gradually decreased with increasing soil depth. There was a decreasing trend in soil EC and nitrate content with decreasing fertilizer rates. The storage efficiency of water (EW) for border irrigation was 56.63, and significantly lower than that for furrow irrigation over the whole growth duration. The nitrate storage efficiency (EN) was 65.47, and there was no significant effect of irrigation type or fertilizer rate on EN. Even with longer borders or furrows of 90 m, the uniformity of water and nitrate along the length of the border or furrow is weak or medium, which can create non-uniform conditions for crop growth. Furrow irrigation may store slightly more water in the top 60 cm of soil compared to border irrigation. Fertilizer rate had no significant effect on the uniformity and distribution of soil water or nitrate.

Depression and anxiety in palliative care inpatients compared with those receiving palliative care at home.

OBJECTIVE: This study compared the prevalence of anxiety and depression as measured on the Hospital Anxiety and Depression Scale (HADS) in palliative care patients being treated at home with those being treated as inpatients. METHOD: The participants were palliative care patients being treated at home (n = 46) and palliative care inpatients (n = 46). Subjects were assessed for functionality on the Karnofsky Performance Status Scale (KPS) and anxiety and depression were measured on the HADS. RESULTS: The results showed that ~20% of all patients were depressed and anxious as measured on the HADS, regardless of the cutoff criteria. There was no significant difference in depression and anxiety between the two groups when socioeconomic status and functionality were controlled for. Functionality, as measured on the KPS, was uniquely a predictor of depression, and younger patients were shown to have greater anxiety. SIGNIFICANCE OF RESULTS: The results suggest that home-based palliative care patients and palliative care inpatients should receive equal psychological support, and that clinicians need to be aware of the psychological vulnerability of younger and less-functional patients. The prevalence of depression and anxiety indicates that all palliative care patients should be screened for psychological distress, to identify those who need further assessment and treatment.