Mesotrione and Amicarbazone Tank-mixtures for Annual Bluegrass (Poa annua) Control in Cool-season Turfgrass

Annual bluegrass (Poa annua L.) control with postemergence herbicides in cool-season turfgrass is often inconsistent. Amicarbazone and mesotrione have complementary modes of action but have not been evaluated in tank-mixtures for control of mature annual bluegrass in cool-season turfgrass. Field experiments were conducted during 2018 in New Jersey, and in Indiana, Iowa, and New Jersey during 2019 to evaluate springtime applications of amicarbazone and mesotrione for POST annual bluegrass control in cool-season turfgrass. On separate tall fescue (Festuca arundinacea Schreb.) and kentucky bluegrass (Poa pratensis L.) sites in 2018, three sequential applications of amicarbazone (53 g⋅ha−1) + mesotrione at 110 to 175 g⋅ha−1 provided >70% annual bluegrass control, whereas three sequential applications of amicarbazone alone at 53 and 70 as well as two sequential applications at 110 g⋅ha−1 provided <15% control at 14 weeks after initial treatment (WAIT). In 2019, results in New Jersey were similar to 2018 where amicarbazone alone provided less control than mesotrione + amicarbazone tank-mixtures. In Indiana, where the annual bluegrass infestation was severe and most mature, tank-mixtures were more effective than amicarbazone alone at 6 WAIT, but at 12 WAIT all treatments provided poor control. In Iowa, where the annual bluegrass infestation was <1 year old, all treatments provided similar control throughout the experiment and by >80% at the conclusion of the experiment. This research demonstrates that sequential applications of mesotrione + amicarbazone can provide more annual bluegrass control than either herbicide alone, but efficacy is inconsistent across locations, possibly due to annual bluegrass maturity and infestation severity.

Homeopathic pathogenetic trial of Plumbum metallicum: the complete 2000 trial with a synthesis of the original 1828 trial

Background: in a previous paper we reported the statistical analysis and other distribution data of a homeopathic pathogenetic trial (HPT) of Plumbum metallicum 30cH carried out by our group. However, at that time we did not report the resulting pure materia medica, i.e., the totality of symptoms elicited by the tested medicine on healthy volunteers. Aim: to communicate to the homeopathic community the full record of symptoms collected in our HPT of Plb. Methods: methods to collect and select symptoms have been reported in the previous paper. In synthesis were excluded all previous common symptoms of volunteers, even with slight differences, and selected only those that were really unknown, never seen, unusual or very strange for the prover. In this paper special emphasis was given to new symptoms as well as unusual or repeated dreams, while in the previous paper special emphasis was given to repeated and crossed symptoms. Results: symptoms are reported in their chronological order of appearance in each volunteer. 37 new symptoms were found, useful to update Homeopathic Repertories. It is also included a synthesis of the original HPT of Plb carried out in 1828 in order to make available the full experimental materia medica currently existing. Conclusions: the new HPT, besides widening the pathogenetic picture of Plb (skin and mucosae symptoms), also allowed us to give new and deeper meanings to some of the symptoms reported in the original trial, such as Anxiety, Activity, Depression, Slowness, Gastro-oesophageal problems, Colitis. The dreams complete the remedy image, mainly in work, religion and sexual themes. Up to the present time there is no peer-reviewed publication devoted to HPTs. For this reason, researchers are compelled to publish HPTs as private editions. This results in poor control of the quality of publications and a lack of standards on how to present the results of HPTs.

Risk Factors for Low Back Pain Increase in Rheumatoid Arthritis: Analysis of a 7-year Follow-up Study

Objective Several studies have demonstrated that low back pain (LBP) is related to disease activity in patients with rheumatoid arthritis (RA). However, there is no longitudinal research. This study aimed to determine the impacts and risk factors for LBP increase in RA in a longitudinal cohort study. Methods The study evaluated 113 patients with RA who completed the secondary survey. LBP increase was defined as ≥1 standard deviation of mean change in visual analog scale (VAS) between the baseline and secondary surveys. The impacts of LBP increase on quality of life (QOL) and psychological status were evaluated. Risk factors were assessed among patient demographic characteristics, radiological changes. Results Mean change in VAS for LBP was −0.8±30.4 mm during a mean 7-year follow-up. LBP increase was defined as ≥30-mm increase in VAS for LBP. Patients with LBP increase had significantly lower QOL and worse mental status than patients without. Poor control of RA was identified as an independent risk factor for LBP increase (odds ratio, 9.82, p=0.001). Conclusion Patients with poor control of RA were likely to experience LBP increase in the long-term. Control of RA disease activity is important for control of LBP, QOL, and mental status.

Impact of Covid-19 on asthmatic patients in Western region in Saudi Arabia

Background: Respiratory symptoms are a characteristic feature present in covid-19 patients, and they usually range from mild to severe. Asthma is a chronic disease involving the airways that carry air in and out of the lungs. However, there is limited resources that discuss the relation between asthma and prevalence of COVID-19. Aims: Identify the impact of covid19 on asthmatic patients. Methodology: This is a descriptive cross-sectional study that was conducted to study the impact of COVID-19 on asthmatic patients, which was conducted using a prepared questionnaire which was distributed online among 300 patients with asthma. After collecting the data, MS Excel was used for data entry while SPSS version 24 was used for data analysis. Results: In this study, we were able to collect data from 311 asthmatic patients in response to our questionnaire. Most of the asthmatic patients were females (67.2%) with a ratio of females: males of 2:1. Moreover, most patients thought that they control their asthma well and only 13.5 % indicated that they had frequent emergency visits because of asthma. The prevalence of COVID-19 in asthmatic patients was 64.3 % where a third of patients needed to go to hospital because of their bad condition, 12.6 % needed to be hospitalized in ICU and 56.4 % needed oxygen. Moreover, severity of COVID-19 symptoms and outcomes are related to the control of asthma where better control of asthma was associated with better outcomes including lower need for ICU admission and oxygen need. Conclusion: Prevalence of COVID-19 in asthmatic patients was much higher than the general population especially in female patients aged between 31-40 years old. Moreover, COVID-19 had more severe outcomes in asthmatic patients including higher prevalence of ICU admission and oxygen need. Poorer outcomes of COVID-19 were associated with poor control of asthma. Key words: Asthma, Covid-19, Western Region, Saudi Arabia

Enterprise target cost control algorithm based on hypercycle model

Considering that the current cost control algorithm has the problems of poor control effect and high cost of manpower and material resources in enterprise cost control, a target cost control algorithm based on Hypercycle model is proposed. By analyzing the relationship between capital, price, technology and target cost control, this paper analyzes the influence of uncertain factors on target cost, and constructs a cost control super cycle model to realize enterprise cost control. Examples show that the algorithm can effectively improve the cost effect of enterprises, and has the practicability of reducing enterprise costs and improving enterprise profits.

Layer-by-Layer Fabrication of Hydrogel Microsystems for Controlled Drug Delivery From Untethered Microrobots

Targeted drug delivery from untethered microrobots is a topic of major interest in current biomedical research. The possibility to load smart materials able to administer active principles on remotely in vivo guidable microdevices constitutes one of the most attractive opportunities to overcome the drawbacks of classical untargeted delivery methodologies. Hydrogels, in particular, are ideal candidates as drug-carrying materials due to their biocompatibility, low cost, and ease of manufacturing. On the other hand, these polymers suffer from poor control over release rate and overall released amount. Starting from these premises, the present article demonstrates the possibility to tune the release of hydrogels applied on magnetically steerable microrobots by fabricating microsystems via layer-by-layer self-assembly. By doing this, the diffusion of chemicals from the hydrogel layers to the external environment can be optimized and the phenomenon of burst release can be strongly limited. The microrobotic platforms employed to transport the hydrogel active material are fabricated by employing 3D printing in combination with wet metallization and present a gold layer on their surface to enhance biocompatibility. The maneuverability of microdevices coated with both thin and thick multilayers is investigated, individuating optimized parameters for efficient actuation.

Direct medical costs of type 2 diabetes mellitus in the Philippines: findings from two hospital databases and physician surveys

ObjectiveTo estimate the annual direct medical cost of type 2 diabetes mellitus (T2DM) in hospitals and outpatient care clinics from a healthcare payer perspective in the Philippines.Design and participants(1) A review of electronic hospital records of people with T2DM in two tertiary hospitals—Ospital ng Makati (OsMak) and National Kidney and Transplant Institute (NKTI) and (2) a cross-sectional survey with 50 physicians providing outpatient care for people with T2DM.SettingPrimary, secondary and tertiary healthcare facilities in Metro Manila.Outcome measuresCost of managing T2DM and its related complications in US dollars (USD) in 2016.ResultsA total of 1023 and 1378 people were identified in OsMak and NKTI, with a complication rate of 66% and 74%, respectively. In both institutions, the average annual cost per person was higher if individuals were diagnosed with any complication (NKTI: US$3226 vs US$2242 and OsMak: US$621 vs US$127). Poor diabetes control was estimated to incur higher per person cost than good control in both public outpatient care (poor control, range: US$727 to US$2463 vs good control, range: US$614 to US$1520) and private outpatient care (poor control, range: US$848 to US$2507 vs good control, range: US$807 to US$1603).ConclusionThe results highlight the high direct medical cost resulting from poor diabetes control and the opportunity for cost reduction by improving control and preventing its complications.

The liver proteome response to torpor in a basoendothermic mammal, Tenrec ecaudatus, provides insights into the evolution of homeothermy

Many mammals use adaptive heterothermy (e.g. torpor, hibernation) to reduce metabolic demands of maintaining high body temperature (Tb). Torpor is typically characterized by coordinated declines in Tb and metabolic rate (MR) followed by active rewarming. Most hibernators experience periods of euthermy between bouts of torpor during which homeostatic processes are restored. In contrast, the common tenrec, a basoendothermic Afrotherian mammal, hibernates without interbout arousals and displays extreme flexibility in Tb and MR. We investigated the molecular basis of this plasticity in tenrecs by profiling the liver proteome of animals that were active or torpid with high and more stable Tb (~32°C) or lower Tb (~14°C). We identified 768 tenrec liver proteins, of which 50.9% were differentially abundant between torpid and active animals. Protein abundance was significantly more variable in active cold and torpid compared to active warm animals, suggesting poor control of proteome abundance. Our data suggest that torpor in tenrecs may lead to mismatches in protein pools due to poor coordination of anabolic and catabolic processes. We propose that the evolution of endothermy leading to a more realized homeothermy of boreoeutherians likely led to greater coordination of homeostatic processes and reduced mismatches in thermal sensitivities of metabolic pathways.

Improvement of binocular summation in intermittent exotropia following successful postoperative alignment

To investigate the improvement of binocular summation (BiS) at high contrast (100%) and different low contrasts (10, 5 and 2.5%) in patients with intermittent exotropia (IXT) after successfully postoperative alignment. A total of 76 patients (aged 9–40 years) with IXT and poor control at distance before surgery were enrolled in this study. The postoperative deviations ranged between 4 PD esophoria to 10 PD exotropia in the primary position (at near and at distance) in all the enrolled patients. The follow-up visits were 2–3 months after the surgery. We analyzed preoperative and postoperative BiS and the proportions of patients with different BiS for the high contrast and the low contrasts. Binocular summation (BiS) was classified into three situations: binocular summation, equal and inbibition. The results of the distant random dots stereograph (RDS) were grouped into A, unable to recognize; B, moderate, 200″ ≤ RDS ≤ 400″ and C, good, RDS < 200″. Following the successful postoperative alignment, the proportion of patients with BiS were increased from 9.2 to 40.8%, 17.1 to 53.9%, 21.1 to 76.1% and 21.1 to 72.4% at 100%, 10%, 5% and 2.5% contrasts respectively. At 2.5% contrast, (1) more patients presented binocular summation in the groups B and C; (2) postoperative improvements of binocular visual acuity (BVA) in groups B (1.5 ± 1.03 lines) and C (1.57 ± 1.26 lines) were significantly different from the BVA in the group A (0.74 ± 1.00 line); and (3) in the group with central fusion, more patients presented BiS after surgery and the postoperative BVA improved by 1.43 ± 1.16 lines. Binocular summation for high contrast and different low contrasts can be improved in patients with IXT after successful surgical treatment. The improvement of BiS was associated with obtaining central fusion, recovering distant stereopsis and good alignment after the surgeries. The most significant improvement was shown at 2.5% contrast and was associated with good stereopsis and central fusion. The improvement of BiS, particularly at low contrast, has benefits for the daily activities in the real environment. BiS improvement could be used as a supplementary assessment of binocular function in patients with IXT before and after treatment.