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Anecdotally, secondary post-tonsillectomy haemorrhage tends to occur out-of-hours. This study sought to establish whether there is a link between haemorrhage and time of day, and examined correlations with month and with monthly temperature.
Methods
Data were obtained for patients in our hospital undergoing surgical arrest of secondary post-tonsillectomy haemorrhage between January 2002 and December 2020. Haemorrhage timing was categorised into daytime (07:00–18:00), evening (18:00–22:00) and overnight (22:00–07:00). The chi-square test was used to assess diurnal and monthly variation in haemorrhage rates (p < 0.05). Pearson's correlation test was used to analyse monthly haemorrhage rates and average monthly temperature.
Results
Fifty per cent of patients suffered post-tonsillectomy haemorrhage overnight and 28.1 per cent haemorrhaged in the evening, representing a significant difference (p = 0.018). The highest rate of haemorrhage was in July (2.96 per cent), which was statistically significant (p = 0.0024). There was a positive correlation between average monthly temperature and haemorrhage rate (Pearson's correlation = 0.478, p = 0.116004), although this was not significant.
Conclusion
Most post-tonsillectomy haemorrhages occur out-of-hours (78.1 per cent), which could be conveyed during the consent process. The haemorrhage rate is lower in winter, which may influence planned operating theatre scheduling.
Approximately, 1.7 million individuals in the United States have been infected with SARS-CoV-2, the virus responsible for the novel coronavirus disease-2019 (COVID-19). This has disproportionately impacted adults, but many children have been infected and hospitalised as well. To date, there is not much information published addressing the cardiac workup and monitoring of children with COVID-19. Here, we share the approach to the cardiac workup and monitoring utilised at a large congenital heart centre in New York City, the epicentre of the COVID-19 pandemic in the United States.
The new mineral hansesmarkite (IMA2015-067), Ca2Mn2Nb6O19·20H2O, was discovered at the AS Granit larvikite quarry in Tvedalen, Larvik, Vestfold, Norway. Hansesmarkite forms faintly yellow crystals up to 0.3 mm or thin coatingsin patches on gonnardite. Hansesmarkite is biaxial (+) with refractive indices (white light): α = 1.683(2), β = 1.698(2) and γ = 1.745(3); 2V(meas.) = 60.7(6)° and 2V(calc.) = 60.3°. The mineral exhibits moderate dispersion (r > v)and is pleochroic with X (almost colourless) < Y ( pale yellow) << Z (orangey yellow). The optical orientation is X ^ c = 20°, Y ^ b = 16° and Z ^ a = 5°. The empirical formula based on five electron probemicroanalyses and calculated based on Nb = 6 apfu is (Ca1.93Na0.02K0.01)∑1.96(Mn1.79Fe0.11)∑1.90Nb6O18.84·20H2O, with H2O determined from the structure solution.The mineral is triclinic, P1, with a = 9.081(4), b = 9.982(8), c = 10.60(1) Å, α = 111.07(8), β = 101.15(6), γ = 99.39(5)°, V = 850.8(13) Å3 and Z = 1. The structure was solved at 120 K because of thermalinstability of the mineral and refined to R1 = 2.50% for Fo > 4σ. The strongest reflections in the x-ray diffraction diagram are: [dobs. in Å (I)(hkl)] 9.282(36)(001), 8.610(100)(100, 011), 3.257(30)(031, 131)and 3.058(18)(130, 212). Hansesmarkite is the third naturally occurring hexaniobate in which six edge-sharing Nb-octahedra form the Lindqvist ion. These are linked via Mn-octahedra forming rods along [100] and Ca is located between the rods, creating a three dimensional structure via hydrogen bonds.
Giant ragweed is a highly competitive weed that continually threatens crop production systems due to evolved resistance to acetolactate synthase–inhibiting herbicides (ALS-R) and glyphosate (GR). Two biotypes of GR giant ragweed exist and are differentiated by their response to glyphosate, termed here as rapid response (RR) and non–rapid response (NRR). A comparison of data from surveys of Indiana crop fields done in 2006 and 2014 showed that GR giant ragweed has spread from 15% to 39% of Indiana counties and the NRR biotype is the most prevalent. A TaqMan® single-nucleotide polymorphism genotyping assay was developed to identify ALS-R populations and revealed 47% of GR populations to be ALS-R as well. The magnitude of glyphosate resistance for NRR populations was 4.6 and 5.9 based on GR50 and LD50 estimates, respectively. For RR populations, these values were 7.8 to 9.2 for GR50 estimates and 19.3 to 22.3 for LD50 estimates. A novel use of the Imaging-PAM fluorometer was developed to discriminate RR plants by assessing photosystem II quantum yield across the entire leaf surface. H2O2 generation in leaves of glyphosate-treated plants was also measured by 3,3′-diaminobenzidine staining and quantified using imagery analysis software. Results show photo-oxidative stress of mature leaves is far greater and occurs more rapidly following glyphosate treatment in RR plants compared with NRR and glyphosate-susceptible plants and is positively associated with glyphosate dose. These results suggest that under continued glyphosate selection pressure, the RR biotype may surpass the NRR biotype as the predominant form of GR giant ragweed in Indiana due to a higher level of glyphosate resistance. Moreover, the differential photo-oxidative stress patterns in response to glyphosate provide evidence of different mechanisms of resistance present in RR and NRR biotypes.
Field experiments were conducted from 1995 to 1997 to test approaches to managing atrazine-resistant Datura stramonium. Eight weed management programs in a Zea mays and Glycine max rotation were evaluated for their effects on the dynamics of atrazine-resistant and -susceptible D. stramonium populations. Overall D. stramonium density and relative abundance of resistant (R) biotypes were greatly reduced in no-till Secale cereale L. (rye) cover crop management programs without triazine compared to conventional-tillage systems with the application of triazine herbicides. The negative effects of no-till on D. stramonium were greater under a G. max–Z. mays—G. max (SCS) rotation than under a Z. mays–G. max—Z. mays (CSC) rotation. A cropping system involving more G. max phases under no-till reduced both the resistant and susceptible D. stramonium populations. Results from this study support the use of soil management, crop rotation, and negative cross-resistant herbicides to manage atrazine-resistant biotypes.
The growth regulator herbicides 2,4-D and dicamba are used to control glyphosate-resistant horseweed before crops are planted. With the impending release of 2,4-D–resistant and dicamba-resistant crops, use of these growth regulator herbicides postemergence will likely increase. The objective of this study was to determine the effectiveness of various growth regulators on Indiana horseweed populations. A greenhouse dose–response study was conducted to evaluate the effectiveness of 2,4-D ester, diglycolamine salt of dicamba, and dimethylamine salt of dicamba on control of four populations of horseweed in the greenhouse. Population 66 expressed twofold levels of tolerance to 2,4-D ester and diglycolamine salt of dicamba. Population 43 expressed an enhanced level of tolerance to diglycolamine salt of dicamba but not to the other herbicides. Diglycolamine salt of dicamba provided the best overall control of populations 3 and 34. Additionally, a field study was conducted to evaluate standard use rates of 2,4-D amine, 2,4-D ester, diglycolamine salt of dicamba, and dimethylamine salt of dicamba on control of various sized glyphosate-resistant horseweed plants. Control of plants 30 cm or less in height was 90% or greater for all four herbicides. On plants greater than 30 cm tall, diglycolamine salt of dicamba provided 97% control while 2,4-D amine provided 81% control. Diglycolamine salt of dicamba provided the highest level of control of glyphosate-resistant horseweed, followed by dimethylamine salt of dicamba, 2,4-D ester and 2,4-D amine, respectively. This research demonstrates that horseweed populations respond differently to the various salts of 2,4-D and dicamba, and it will be important to determine the appropriate use rates of each salt to control glyphosate-resistant horseweed.
Horseweed can be a problematic weed in no-till soybean fields and populations can vary in their response to 2,4-D. The objective of this study was to evaluate the growth and seed production of four horseweed populations after exposure to 2,4-D. 2,4-D amine was applied at 0, 140, 280, and 560 g ae ha−1 to 5- to 10-cm-tall horseweed plants. An additional treatment of 280 g ha−1 of 2,4-D + 840 g ae ha−1 of glyphosate was included in the study. At 2 wk after treatment (WAT), injury ranged from 47 to 98%, but by 6 WAT the injury ranged from 89 to 100% for all four populations. Between 6 and 12 WAT some individual horseweed plants started to recover. No differences in dry weights were observed between the four populations in the untreated checks at 0, 2, 6, and 12 WAT. At 280 g ha−1 of 2,4-D amine, seed production was reduced by greater than 95%. However, three of the four horseweed populations had plants that survived and produced seed after exposure to 840 g ha−1 of glyphosate + 280 g ha−1 of 2,4-D. One plant produced seed after exposure to 560 g ha−1 of 2,4-D. These results suggest that horseweed can evolve resistance to 2,4-D and no fitness penalities were observed in populations that had higher levels of tolerance to 2,4-D.
A segment of the debate surrounding the commercialization of geneticallyengineered (GE) crops, such as glyphosate-resistant (GR) crops, focuses onthe theory that implementation of these traits is an extension of theintensification of agriculture that will further erode the biodiversity ofagricultural landscapes. A large field-scale study was conducted in 2006 inthe United States on 156 different field sites with a minimum 3-yr historyof GR corn, cotton, or soybean in the cropping system. The impact ofcropping system, crop rotation, frequency of using the GR crop trait, andseveral categorical variables on emerged weed density and diversity wasanalyzed. Species richness, evenness, Shannon's H′, proportion of forbs,erect growth habit, and C3 species diversity were all greater inagricultural sites that lacked crop rotation or were in a continuous GR cropsystem. Rotating between two GR crops (e.g., corn and soybean) or rotatingto a non-GR crop resulted in less weed diversity than a continuous GR crop.The composition of the weed flora was more strongly related to location(geography) than any other parameter. The diversity of weed flora inagricultural sites with a history of GR crop production can be influenced byseveral factors relating to the specific method in which the GR trait isintegrated (cropping system, crop rotation, GR trait rotation), the specificweed species, and the geographical location. The finding that fields withcontinuous GR crops demonstrated greater weed diversity is contrary toarguments opposing the use of GE crops. These results justify furtherresearch to clarify the complexities of crops grown withherbicide-resistance traits, or more broadly, GE crops, to provide a morecomplete characterization of their culture and local adaptation.
In 2010, a grower survey was administered to 1,299 growers in 22 states to determine changes in weed management in the United States from 2006 to 2009. The majority of growers had not changed weed management practices in the previous 3 yr; however, 75% reported using weed management practices targeted at glyphosate-resistant (GR) weeds. Growers were asked to rate their efforts at controlling GR weeds and rate the effectiveness of various practices for controlling/preventing GR weeds regardless of whether they were personally using them. Using the herbicide labeled rate, scouting fields, and rotating crops were among the practices considered by growers as most effective in managing GR weeds. Sixty-seven percent of growers reported effective management of GR weeds. Between the 2005 and 2010 Benchmark surveys, the frequency of growers using specific actions to manage GR weeds increased markedly. Although the relative effectiveness of practices, as perceived by growers, remained the same, the effectiveness rating of tillage and the use of residual and POST herbicides increased.
A telephone survey was conducted with growers in Iowa, Illinois, Indiana, Nebraska, Mississippi, and North Carolina to discern the utilization of the glyphosate-resistant (GR) trait in crop rotations, weed pressure, tillage practices, herbicide use, and perception of GR weeds. This paper focuses on survey results regarding herbicide decisions made during the 2005 cropping season. Less than 20% of the respondents made fall herbicide applications. The most frequently used herbicides for fall applications were 2,4-D and glyphosate, and these herbicides were also the most frequently used for preplant burndown weed control in the spring. Atrazine and acetochlor were frequently used in rotations containing GR corn. As expected, crop rotations using a GR crop had a high percentage of respondents that made one to three POST applications of glyphosate per year. GR corn, GR cotton, and non-GR crops had the highest percentage of growers applying non-glyphosate herbicides during the 2005 growing season. A crop rotation containing GR soybean had the greatest negative impact on non-glyphosate use. Overall, glyphosate use has continued to increase, with concomitant decreases in utilization of other herbicides.
Greenhouse studies were conducted to determine the prevalence of resistance to acetolactate synthase (ALS)-inhibiting herbicides in 266 Indiana horseweed populations, both glyphosate-susceptible and glyphosate-resistant, and to characterize the response of selected biotypes to combinations of glyphosate and cloransulam. Populations with individuals resistant to ALS inhibitors were more frequent in the northern half (38% of the populations in the NW and 50% of the populations in the NE) of Indiana than in the southern half (26% of the populations in the SW and 5% of the populations in the SE). Only 2% of the populations appeared to be resistant to both glyphosate and ALS inhibitors in an initial greenhouse study. Horseweed populations with resistance to ALS inhibitors exhibited herbicide doses required for 50% reduction in plant growth (GR50) values ranging from 14 to 255 g ai ha−1 of cloransulam. The resistant : susceptible (R : S) ratio for four horseweed populations with suspected resistance to glyphosate and ALS inhibitors ranged from 0.3 to 50 and from 2.5 to 8.1 for cloransulam and glyphosate, respectively. The tank mixtures exhibited an antagonistic response to 3 of the 16 combinations of cloransulam and glyphosate on the susceptible population. The tank mixtures exhibited primarily an additive response to those same combinations in the multiple-resistant populations, but the response was occasionally synergistic for two of the four populations. The additive response between glyphosate and cloransulam indicates that, where the level of resistance is fairly low, combinations of these herbicides should be more effective for control of multiple-resistant populations compared with application of a single herbicide.
Corn and soybean growers in Illinois, Indiana, Iowa, Mississippi, Nebraska, and North Carolina, as well as cotton growers in Mississippi and North Carolina, were surveyed about their views on changes in problematic weeds and weed pressure in cropping systems based on a glyphosate-resistant (GR) crop. No growers using a GR cropping system for more than 5 yr reported heavy weed pressure. Over all cropping systems investigated (continuous GR soybean, continuous GR cotton, GR corn/GR soybean, GR soybean/non-GR crop, and GR corn/non-GR crop), 0 to 7% of survey respondents reported greater weed pressure after implementing rotations using GR crops, whereas 31 to 57% felt weed pressure was similar and 36 to 70% indicated that weed pressure was less. Pigweed, morningglory, johnsongrass, ragweed, foxtail, and velvetleaf were mentioned as their most problematic weeds, depending on the state and cropping system. Systems using GR crops improved weed management compared with the technologies used before the adoption of GR crops. However, the long-term success of managing problematic weeds in GR cropping systems will require the development of multifaceted integrated weed management programs that include glyphosate as well as other weed management tactics.
A phone survey was administered to 1,195 growers in six states (Illinois, Indiana, Iowa, Mississippi, Nebraska, and North Carolina). The survey measured producers' crop history, perception of glyphosate-resistant (GR) weeds, past and present weed pressure, tillage practices, and herbicide use as affected by the adoption of GR crops. This article describes the changes in tillage practice reported in the survey. The adoption of a GR cropping system resulted in a large increase in the percentage of growers using no-till and reduced-till systems. Tillage intensity declined more in continuous GR cotton and GR soybean (45 and 23%, respectively) than in rotations that included GR corn or non-GR crops. Tillage intensity declined more in the states of Mississippi and North Carolina than in the other states, with 33% of the growers in these states shifting to more conservative tillage practices after the adoption of a GR crop. This was primarily due to the lower amount of conservation tillage adoption in these states before GR crop availability. Adoption rates of no-till and reduced-till systems increased as farm size decreased. Overall, producers in a crop rotation that included a GR crop shifted from a relatively more tillage-intense system to reduced-till or no-till systems after implementing a GR crop into their production system.
A segment of the debate surrounding the commercialization and use of glyphosate-resistant (GR) crops focuses on the theory that the implementation of these traits is an extension of the intensification of agriculture that will further erode the biodiversity of agricultural landscapes. A large field-scale study was initiated in 2006 in the United States on 156 different field sites with a minimum 3-yr history of GR-corn, -cotton or -soybean in the cropping system. The impact of cropping system, crop rotation, frequency of using the GR crop trait, and several categorical variables on seedbank weed population density and diversity was analyzed. The parameters of total weed population density of all species in the seedbank, species richness, Shannon's H′ and evenness were not affected by any management treatment. The similarity between the seedbank and aboveground weed community was more strongly related to location than management; previous year's crops and cropping systems were also important while GR trait rotation was not. The composition of the weed flora was more strongly related to location (geography) than any other parameter. The diversity of weed flora in agricultural sites with a history of GR crop production can be influenced by several factors relating to the specific method in which the GR trait is integrated (cropping system, crop rotation, GR trait rotation), the specific weed species, and the geographical location. Continuous GR crop, compared to fields with other cropping systems, only had greater species diversity (species richness) of some life forms, i.e., biennials, winter annuals, and prostrate weeds. Overall diversity was related to geography and not cropping system. These results justify further research to clarify the complexities of crops grown with herbicide-resistance traits to provide a more complete characterization of their culture and local adaptation to the weed seedbank.
Over 175 growers in each of six states (Illinois, Indiana, Iowa, Mississippi, Nebraska, and North Carolina) were surveyed by telephone to assess their perceptions of the benefits of utilizing the glyphosate-resistant (GR) crop trait in corn, cotton, and soybean. The survey was also used to determine the weed management challenges growers were facing after using this trait for a minimum of 4 yr. This survey allowed the development of baseline information on how weed management and crop production practices have changed since the introduction of the trait. It provided useful information on common weed management issues that should be addressed through applied research and extension efforts. The survey also allowed an assessment of the perceived levels of concern among growers about glyphosate resistance in weeds and whether they believed they had experienced glyphosate resistance on their farms. Across the six states surveyed, producers reported 38, 97, and 96% of their corn, cotton, and soybean hectarage planted in a GR cultivar. The most widely adopted GR cropping system was a GR soybean/non-GR crop rotation system; second most common was a GR soybean/GR corn crop rotation system. The non-GR crop component varied widely, with the most common crops being non-GR corn or rice. A large range in farm size for the respondents was observed, with North Carolina having the smallest farms in all three crops. A large majority of corn and soybean growers reported using some type of crop rotation system, whereas very few cotton growers rotated out of cotton. Overall, rotations were much more common in Midwestern states than in Southern states. This is important information as weed scientists assist growers in developing and using best management practices to minimize the development of glyphosate resistance.
Field studies were conducted to determine the response of sublethal glyphosate and dicamba doses to processing tomato flowering loss and marketable yield. Dose–response studies for both herbicides were conducted on four commercial processing tomato lines (two different lines within each study) and plants were sprayed at either the vegetative stage or the early bloom stage. Both glyphosate and dicamba caused higher yield losses when sprayed at the early bloom stage. A 25% yield loss was observed with 8.5 and 7.5 g ae ha−1 for glyphosate and dicamba, respectively, at the early bloom stage and 43.9 and 11.9 g ae ha−1 for glyphosate and dicamba, respectively, at the early vegetative stage. Overall, these tomato cultivars were more sensitive to dicamba than to glyphosate. We conclude that glyphosate and dicamba drift could have serious implications on tomato yields especially if the drift occurs during flowering.
Almost 1,650 corn, cotton, and soybean growers in 22 states participated in a 2010 telephone survey to determine their attitudes with regard to which weed species were most problematic in glyphosate-resistant (GR) crop production systems for corn, cotton, and soybean. The survey is a follow-up to a previous 2005 to 2006 survey that utilized a smaller set of growers from fewer states. In general, growers continued to estimate weed populations as low and few challenges have been created following adoption of GR cropping systems. Pigweed and foxtail species were dominant overall, whereas other species were more commodity and state specific. Corn, cotton, and soybean growers cited velvetleaf, annual morningglory, and waterhemp, respectively, as predominant weeds. Growers in the South region were more likely to report pigweed and waterhemp (Amaranthus spp.), whereas growers in the East and West reported horseweed. When growers were asked with which GR weeds they had experienced personally, horseweed was reported in all regions, but growers in the South more frequently reported pigweed, whereas growers in the East and West regions more frequently reported waterhemp. Comparisons with the previous 2005 survey indicated that more growers believed they were experiencing GR weeds and were more aware of specific examples in their state. In particular, the Amaranthus complex was of greatest concern in continuously cropped soybean and cotton.
A 2010 survey of 1,299 corn, cotton, and soybean growers was conducted to determine their attitudes and awareness regarding glyphosate-resistant (GR) weeds and resultant implications on weed management practices. An additional 350 growers included in the current study participated in a 2005 survey, and these answers were compared across time so that cross-sectional and longitudinal comparisons of responses could be made. Most growers surveyed in 2010 were aware of the potential for weeds to evolve resistance to glyphosate; however, many growers were not aware of glyphosate resistance in specific weeds in their county or state. Growers in the South were different from growers in other geographic regions and were significantly more aware of local cases of GR weeds. Awareness of GR weeds did not increase appreciably from 2005 to 2010, but the percentage who reported GR weeds as problematic was significantly higher. Grower reports of GR weeds on-farm in 2010 were up considerably from 2005, with growers in the South reporting significantly more instances than growers in other regions. Growers in the South were also more likely to consider glyphosate resistance a serious problem. Overall, 30% of growers did not consider GR weeds to be a problem. It appears that most growers received information about glyphosate resistance from farm publications, although in the South this percentage was less than for other geographic regions. Growers in the South received more information from universities and extension sources.
A survey of farmers from six U.S. states (Indiana, Illinois, Iowa, Nebraska, Mississippi, and North Carolina) was conducted to assess the farmers' views on glyphosate-resistant (GR) weeds and tactics used to prevent or manage GR weed populations in genetically engineered (GE) GR crops. Only 30% of farmers thought GR weeds were a serious issue. Few farmers thought field tillage and/or using a non-GR crop in rotation with GR crops would be an effective strategy. Most farmers did not recognize the role that the recurrent use of an herbicide plays in evolution of resistance. A substantial number of farmers underestimated the potential for GR weed populations to evolve in an agroecosystem dominated by glyphosate as the weed control tactic. These results indicate there are major challenges that the agriculture and weed science communities must face to implement long-term sustainable GE GR-based cropping systems within the agroecosystem.
2,4-D is often used as a preplant burndown herbicide to help control horseweed and other broadleaf weeds before planting in no-till corn and soybean production. Isolated instances of poor horseweed control have occurred in production fields. The objective of this research was to evaluate the response of various horseweed populations to 2,4-D. In the first study, 478 horseweed populations from Indiana were subjected to 280 g ae ha−1 of 2,4-D amine in the greenhouse. This rate of 2,4-D caused visible injury and prevented all biotypes from forming new leaves for 28 days. There were specific populations where all plants sprayed were alive at 28 days after treatment (DAT), and approximately 10% of all populations had a least one plant that survived 280 g ae ha−1 2,4-D, resumed growth, and produced seed. In a dose-response study, we observed populations with three-fold more tolerance to 2,4-D. The most tolerant population had a GR90 of 513 g ae ha−1 and the most susceptible population had a GR90 of 121 g ae ha−1 based on dry weights. Growth suppression with 2,4-D was not affected by rosette size for rosettes between 0.5 and 10 cm in width.