Acute toxicity effects of pesticides on predatory snout mites (Trombidiformes: Bdellidae).

Predatory mites biologically control a range of arthropod crop pests and are often central to agricultural IPM strategies globally. Conflict between chemical and biological pest control has prompted increasing interest in selective pesticides with fewer off-target impacts on beneficial invertebrates, including predatory mites. However, the range of predatory mite species included in standardized pesticide toxicity assessments does not match the diversity of naturally occurring species contributing to biocontrol, with most testing carried out on species from the family Phytoseiidae (Mesostigmata). Here, we aim to bridge this knowledge gap by investigating the impacts of 22 agricultural pesticides on the predatory snout mite, Odontoscirus lapidaria (Kramer) (Trombidiformes: Bdellidae). Using internationally standardized testing methodologies, we identified several active ingredients with minimal impact on O. lapidaria mortality, including Bacillus thuringiensis, nuclear polyhedrosis virus, flonicamid, afidopyropen, chlorantraniliprole, and cyantraniliprole, which may therefore be good candidates for IPM strategies utilizing both chemical and biological control. Comparison of our findings with previous studies on Phytoseiid mites reveals important differences in responses to a number of chemicals between predatory mite families, including the miticides diafenthiuron and abamectin, highlighting the risk of making family-level generalizations from acute toxicity assessments. We also tested the impacts of several pesticides on a second Bdellidae species (Trombidiformes: Bdellidae) and found differences in the response to chlorpyrifos compared with O. lapidaria, further highlighting the taxon-specific nature of nontarget toxicity effects.

Acute toxicity effects of pesticides on beneficial organisms - Dispelling myths for a more sustainable use of chemicals in agricultural environments.

Agricultural practitioners, researchers and policymakers are increasingly advocating for integrated pest management (IPM) to reduce pesticide use while preserving crop productivity and profitability. Using selective pesticides, putatively designed to act on pests while minimising impacts on off-target organisms, is one such option - yet evidence of whether these chemicals control pests without adversely affecting natural enemies and other beneficial species (henceforth beneficials) remains scarce. At present, the selection of pesticides compatible with IPM often considers a single (or a limited number of) widely distributed beneficial species, without considering undesired effects on co-occurring beneficials. In this study, we conducted standardised laboratory bioassays to assess the acute toxicity effects of 20 chemicals on 15 beneficial species at multiple exposure timepoints, with the specific aims to: (1) identify common and diverging patterns in acute toxicity responses of tested beneficials; (2) determine if the effect of pesticides on beetles, wasps and mites is consistent across species within these groups; and (3) assess the impact of mortality assessment timepoints on International Organisation for Biological Control (IOBC) toxicity classifications. Our work demonstrates that in most cases, chemical toxicities cannot be generalised across a range of beneficial insects and mites providing biological control, a finding that was found even when comparing impacts among closely related species of beetles, wasps and mites. Additionally, we show that toxicity impacts increase with exposure length, pointing to limitations of IOBC protocols. This work challenges the notion that chemical toxicities can be adequately tested on a limited number of 'representative' species; instead, it highlights the need for careful consideration and testing on a range of regionally and seasonally relevant beneficial species.

Characterizing location of spotted lanternfly egg masses in wooded habitat during early invasion stages.

The spotted lanternfly, Lycorma delicatula (Hemiptera: Fulgoridae), is an invasive planthopper from Asia that is estimated to have spread 17 km/yr since it's initial detection in Pennsylvania in 2014. Lycorma delicatula is a pest to the agricultural and forestry industries in the Mid-Atlantic region of the United States, in part due to its highly polyphagous nature. Current detection relies on visual observations, unbaited traps, or eDNA surveillance in its primary hosts, including grape and hardwoods. These approaches narrow the surveillance area by concentrating on known host plants but could be further refined to narrow the search parameters from the 100+ known host plants. Because L. delicatula appears to have a strong population buildup in wooded areas, we evaluated the relationship between egg mass presence and habitat characteristics in wooded habitats adjacent to vineyards in New Jersey at six farms within the first two years of L. delicatula detection. Habitat characteristics included distance from wood edge, and presence of a critical host plant Ailanthus altissima, and presence of Vitis spp. within 4.5 m. We identified a significant relationship between egg mass presence and Vitis spp. with an 88% probability of finding an egg mass close to a wild grapevine, dropping to 9% where grapes were absent. During the early invasion stages when this research was conducted, a two-year delay from initial detection in wooded habitats to nymphal presence in the vineyard was observed.

Diapause Termination in Invasive Populations of the Brown Marmorated Stink Bug (Hemiptera: Pentatomidae) in Response to Photoperiod.

Understanding cues for diapause termination in insects can be valuable in predicting phenological events in their lifecycles. Once identified, such cues can be utilized as a biofix, the point at which the majority of individuals within a population begin to accumulate degree days. We investigated the impact of photoperiod on completion of reproductive diapause in the invasive eastern North American population of the brown marmorated stink bug, Halyomorpha halys (Stål) (Hemiptera: Pentatomidae), by exposing diapausing females to varying light regimes in otherwise identical environments. The critical photoperiod estimated to initiate reproductive development in at least 50% of the potential reproductive population was 13.0-13.5 h, with increasing photoperiods coinciding with increased probability of females reproducing, earlier time to first oviposition, and higher rates of fecundity. These data on the species' response to photoperiod are in agreement with previous modeling that predicted the twin constraints of photoperiod and temperature on H. halys reproduction prevents populations that undergo diapause from producing more than two generations annually anywhere within the continental U.S. However, the facultative nature of diapause in H. halys leaves open the possibility that sub-populations may not enter diapause in some conditions, potentially allowing for additional annual generations.

The World Federation of Societies of Anaesthesiologists Minimum Capnometer Specifications 2021-A Guide for Health Care Decision Makers.

Capnometry, the measurement of respiratory carbon dioxide, is regarded as a highly recommended safety technology in intubated and nonintubated sedated and/or anesthetized patients. Its utility includes confirmation of initial and ongoing placement of an airway device as well as in detecting gas exchange, bronchospasm, airway obstruction, reduced cardiac output, and metabolic changes. The utility applies prehospital and throughout all phases of inhospital care. Unfortunately, capnometry devices are not readily available in many countries, especially those that are resource-limited. Constraining factors include cost, durability of devices, availability of consumables, lack of dependable power supply, difficulty with cleaning, and maintenance. There is, thus, an urgent need for all stakeholders to come together to develop, market, and distribute appropriate devices that address costs and other requirements. To foster this process, the World Federation of Societies of Anaesthesiologists (WFSA) has developed the "WFSA-Minimum Capnometer Specifications 2021." The intent of the specifications is to set the minimum that would be acceptable from industry in their attempts to reduce costs while meeting other needs in resource-constrained regions. The document also includes very desirable and preferred options. The intent is to stimulate interest and engagement among industry, clinical providers, professional associations, and ministries of health to address this important patient safety need. The WFSA-Minimum Capnometer Specifications 2021 is based on the International Organization for Standardization (ISO) capnometer specifications. While industry is familiar with such specifications and their presentation format, most clinicians are not; therefore, this article serves to more clearly explain the requirements. In addition, the specifications as described can be used as a purchasing guide by clinicians.

Managing orchard groundcover to reduce pollinator foraging post-bloom.

BACKGROUND: Agricultural insecticides are believed to play a role in global pollinator decline. In mass-flowering orchard crops, recommendations to reduce exposure of pollinators to insecticides include spraying at periods when bees aren't foraging, such as dusk and dawn and outside of crop flowering times. However, the presence of flowering weeds within orchards mean pollinators may still be found foraging throughout the growing season, increasing the likelihood that exposure will still occur. We hypothesized that removing these weeds within orchard groundcover may reduce pollinator foraging post-bloom and thus reduce exposure of this group to pesticides. We tested this hypothesis by using herbicide to remove flowering broadleaf weeds in the sod middles ('groundcover') between rows of a nectarine orchard in New Jersey, USA, and assessing the effect on pollinator visitation via three different methods. RESULTS: Significantly lower abundance, richness, diversity, and evenness of pollinators were found in plots where herbicide treatment had removed the majority of flowering weeds, compared to untreated plots. This was the case for bees, and for pollinators overall, and was reflected in both visual observations and active sampling through sweep netting. Passive sampling with blue vane traps failed to detect a difference between treatments. CONCLUSION: Groundcover management in orchards is often employed as part of integrated pest management programs to remove alternative host plants of insect pests. The findings of this study show that it is also effective in reducing post-bloom pollinator foraging in orchards, thus potentially preventing exposure of these beneficial organisms to harmful insecticides. © 2021 Society of Chemical Industry.

The COVID-19 Pandemic: Effects on Low- and Middle-Income Countries.

Coronavirus disease 2019 (COVID-19) is spreading rapidly around the world with devastating consequences on patients, health care workers, health systems, and economies. As it reaches low- and middle-income countries, its effects could be even more dire, because it will be difficult for them to respond aggressively to the pandemic. There is a great shortage of all health care providers, who will be at risk due to a lack of personal protection equipment. Social distancing will be almost impossible. The necessary resources to treat patients will be in short supply. The end result could be a catastrophic loss of life. A global effort will be required to support faltering economies and health care systems.

Planning for the Rheumatologist Workforce: Factors Associated With Work Hours and Volumes.

OBJECTIVE: The aim of this study was to evaluate factors associated with rheumatologists' clinical work hours and patient volumes based on a national workforce survey in rheumatology. METHODS: Adult rheumatologists who participated in a 2015 workforce survey were included (n = 255). Univariate analysis evaluated the relationship between demographics (sex, age, academic vs. community practice, billing fee for service vs. other plan, years in practice, retirement plans) and workload (total hours and number of ½-day clinics per week) or patient volumes (number of new and follow-up consults per week). Multiple linear regression models were used to evaluate the relationship between practice type, sex, age, and working hours or clinical volumes. RESULTS: Male rheumatologists had more ½-day clinics (p = 0.05) and saw more new patients per week (p = 0.001) compared with females. Community rheumatologists had more ½-day clinics and new and follow-up visits per week (all p < 0.01). Fee-for-service rheumatologists reported more ½-day clinics per week (p < 0.001) and follow-ups (p = 0.04). Workload did not vary by age, years in practice, or retirement plans. In multivariate analysis, community practice remained independently associated with higher patient volumes and more clinics per week. Female rheumatologists reported fewer clinics and fewer follow-up patients per week than males, but this did not affect the duration of working hours or new consultations. Age was not associated with work volumes or hours. CONCLUSIONS: Practice type and rheumatologist sex should be considered when evaluating rheumatologist workforce needs, as the proportion of female rheumatologists has increased over time and alternative billing practices have been introduced in many centers.

Small-scale urban agriculture results in high yields but requires judicious management of inputs to achieve sustainability.

A major challenge of the 21st century is to produce more food for a growing population without increasing humanity's agricultural footprint. Urban food production may help to solve this challenge; however, little research has examined the productivity of urban farming systems. We investigated inputs and produce yields over a 1-y period in 13 small-scale organic farms and gardens in Sydney, Australia. We found mean yields to be 5.94 kg⋅m-2, around twice the yield of typical Australian commercial vegetable farms. While these systems used land efficiently, economic and emergy (embodied energy) analyses showed they were relatively inefficient in their use of material and labor resources. Benefit-to-cost ratios demonstrated that, on average, the gardens ran at a financial loss and emergy transformity was one to three orders of magnitude greater than many conventional rural farms. Only 14.66% of all inputs were considered "renewable," resulting in a moderate mean environmental loading ratio (ELR) of 5.82, a value within the range of many conventional farming systems. However, when all nonrenewable inputs capable of being substituted with local renewable inputs were replaced in a hypothetical scenario, the ELR improved markedly to 1.32. These results show that urban agriculture can be highly productive; however, this productivity comes with many trade-offs, and care must be taken to ensure its sustainability.

Stand Up and Be Counted: Measuring and Mapping the Rheumatology Workforce in Canada.

OBJECTIVE: To characterize the practicing rheumatologist workforce, the Canadian Rheumatology Association (CRA) launched the Stand Up and Be Counted workforce survey in 2015. METHODS: The survey was distributed electronically to 695 individuals, of whom 519 were expected to be practicing rheumatologists. Demographic and practice information were elicited. We estimated the number of full-time equivalent rheumatologists per 75,000 population from the median proportion of time devoted to clinical practice multiplied by provincial rheumatologist numbers from the Canadian Medical Association. RESULTS: The response rate was 68% (355/519) of expected practicing rheumatologists (304 were in adult practice, and 51 pediatric). The median age was 50 years, and one-third planned to retire within the next 5-10 years. The majority (81%) were university-affiliated. Rheumatologists spent a median of 70% of their time in clinical practice, holding 6 half-day clinics weekly, with 10 new consultations and 45 followups seen per week. Work characteristics varied by type of rheumatologist (adult or pediatric) and by practice setting (community- or university-based). We estimated between 0 and 0.8 full-time rheumatologists per 75,000 population in each province. This represents a deficit of 1 to 77 full-time rheumatologists per province/territory to meet the CRA recommendation of 1 rheumatologist per 75,000 population, depending on the province/territory. CONCLUSION: Our results highlight a current shortage of rheumatologists in Canada that may worsen in the next 10 years because one-third of the workforce plans to retire. Efforts to encourage trainees to enter rheumatology and strategies to support retention are critical to address the shortage.

Subdural haematoma following infant spinal anaesthesia.

INTRODUCTION: Subdural haematoma (SDH) is rare following spinal anaesthesia and has not been reported previously in an infant. Non-accidental injury is the commonest cause of subdural haematoma in infants. METHODS: We describe two cases of SDH following spinal anaesthesia in infants. RESULTS: In both cases, forensic investigation was commenced and no evidence of child abuse was found. Both children are well 2 years after diagnosis. CONCLUSION: Paediatric health workers should be aware of the possibility of SDH after spinal anaesthesia and consider this as a differential diagnosis when investigating possible non-accidental injury in an infant.

Perioperative mortality rate (POMR): a global indicator of access to safe surgery and anaesthesia.

INTRODUCTION: The unmet global burden of surgical disease is substantial. Currently, two billion people do not have access to emergency and essential surgical care. This results in unnecessary deaths from injury, infection, complications of pregnancy, and abdominal emergencies. Inadequately treated surgical disease results in disability, and many children suffer deformity without corrective surgery. METHODS: A consensus meeting was held between representatives of Surgical and Anaesthetic Colleges and Societies to obtain agreement about which indicators were the most appropriate and credible. The literature and state of national reporting of perioperative mortality rates was reviewed by the authors. RESULTS: There is a need for a credible national and/or regional indicator that is relevant to emergency and essential surgical care. We recommend introducing the perioperative mortality rate (POMR) as an indicator of access to and safety of surgery and anaesthesia. POMR should be measured at two time periods: death on the day of surgery and death before discharge from hospital or within 30 days of the procedure, whichever is sooner. The rate should be expressed as the number of deaths (numerator) over the number of procedures (denominator). The option of before-discharge or 30 days is practical for those low- to middle-income countries where postdischarge follow-up is likely to be incomplete, but it allows those that currently can report 30-day mortality rates to continue to do so. Clinical interpretation of POMR at a hospital or health service level will be facilitated by risk stratification using age, urgency (elective and emergency), procedure/procedure group, and the American Society of Anesthesiologists grade. CONCLUSIONS: POMR should be reported as a health indicator by all countries and regions of the world. POMR reporting is feasible, credible, achieves a consensus of acceptance for reporting at national level. Hospital and Service level POMR requires interpretation using simple measures of risk adjustment such as urgency, age, the condition being treated or the procedure being performed and ASA status.