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The effect of photoperiod and growing degree days (GDD) on dry matter and dry matter partitioning in Jerusalem artichoke was investigated during 2008-09 and 2009-10. Three Jerusalem artichoke genotypes (CN-52867, JA-89 and HEL-65) were planted in 15 day-intervals between with thirteen different dates (September 20 to March 20) at Khon Kaen University, Thailand. Jerusalem artichoke genotypes responded differently to varying planting dates for harvest index, shoot dry weight, leaf area, number of tubers and tuber size. Two genotypes, CN-52867 and JA-89, were significantly more productive on the planting date of 20 September and they also performed well on planting dates of 5 October to 20 March. Plant grown in long photoperiod with a higher number of GDD produced shoot dry weight rather than greater number of harvestable tubers, while short photoperiod induced high partitioning of assimilates to harvestable tubers. Jerusalem artichoke plants grown during short photoperiod were smaller and produced larger tubers than those grown during long photoperiod. Tuber yield was relatively unchanged across planting dates. Since Jerusalem artichoke during short photoperiod had smaller plants, growing Jerusalem artichoke at higher plant population with optimum density is highly recommended to increase tuber yield. The information obtained in this study is extremely important for Jerusalem artichoke production and breeding in the tropical agro-climatic conditions such as Thailand. [ABSTRACT FROM AUTHOR]

Traits related to nitrogen fixation may be used as indirect selection criteria for aflatoxin resistance in peanut. The aim of this study was to investigate the relationship between N2 fixation traits and aflatoxin contamination in peanut under different drought conditions. Eleven peanut genotypes were evaluated under three water regimes for two seasons in the field. Data were observed on kernel infection by Aspergillus flavus, aflatoxin contamination, total nitrogen content, N2 fixation and its related traits viz, nodule number, nodule dry weight and nitrogenese activity. Drought stress reduced total nitrogen content and N2 fixation, but it increased kernel infection and aflatoxin contamination. Total nitrogen content, N2 fixation and its related traits had negative and significant effects on kernel infection and aflatoxin contamination especially under drought conditions. In addition, negative correlations between kernel infection and aflatoxin contamination with drought tolerance index (DTI) of N2 fixation traits were also found. The results indicated that the ability to maintain high N2 fixation under drought conditions of peanut genotypes can result in better resistance to aflatoxin contamination. [ABSTRACT FROM AUTHOR]

We examine variations in the glass transition temperature (T(g)(x)), molar volume (V(m)(x)), and Raman scattering of titled glasses as a function of modifier (BaO) content in the 25% < x < 48% range. Three distinct regimes of behavior are observed; at low x, 24% < x < 29% range, the modifier largely polymerizes the backbone, T(g)(x) increase, features that we identify with the stressed-rigid elastic phase. At high x, 32% < x < 48% range, the modifier depolymerizes the network by creating non-bridging oxygen (NBO) atoms; in this regime T(g)(x) decreases, and networks are viewed to be in the flexible elastic phase. In the narrow intermediate x regime, 29% < x < 32% range, T(g)(x) shows a broad global maximum almost independent of x, and Raman mode scattering strengths and mode frequencies become relatively x-independent, V(m)(x) show a global minimum, features that we associate with the isostatically rigid elastic phase, also called the intermediate phase. In this phase, medium range structures adapt as revealed by the count of Lagrangian bonding constraints and Raman mode scattering strengths.

Introduction: The aim of this study was to develop a standardised management plan for boys with abnormal appearance of meatus at circumcision for balanitis xerotica obliterans (BXO)., Methods: Between 1995 and 2008, 107 boys underwent circumcision for BXO (confirmed on histology). Of these, 23 had abnormal appearance of the meatus at operation; their case notes were reviewed for age, presenting symptoms, management, outcome and follow up., Results: The age range at operation was 3-15 years (mean: 9 years). Patients commonly presented with phimosis and balanitis. Seven patients had an additional procedure at circumcision: six had meatotomy, one had meatal dilatation. Thirteen were treated with topical steroid cream post-operatively. Eight of these (62%) subsequently required meatotomy. Three patients were observed and did not require further intervention. Meatotomy was required in 9 patients, 6-29 months after circumcision (mean: 11 months). Two patients required dilatation, including one with a previous intraoperative meatotomy, who required multiple dilatations., Conclusions: We propose the following standardised management plan: 1. With clinical evidence of BXO at circumcision, prepuce should be sent for histology. 2. If BXO is confirmed but the meatus appears normal, patients should be seen once post-operatively to give information about meatal stenosis. 3. When the meatus appears scarred with a narrowed lumen at operation, a meatotomy should be performed, with follow up for at least two years. 4. If the lumen is scarred but adequate, patients should be followed up in clinic for the same period for possible development of stenosis. 5. Topical steroid cream can be considered for voiding discomfort without decreased urine stream.

Purpose: To review our experience of laparoscopic nephroureterectomy and hemi-nephroureterectomy over a 10-year period., Methods: Forty patients had surgery between December 2000 and April 2010. Case notes were reviewed for clinical data, intraoperative time, complications, postoperative management, outcome and follow-up., Results: Mean age was 5.2 years. Thirty patients underwent nephroureterectomy. There were complications in five. Four required conversion. Two had bleeding from an adherent upper pole. One had adhesions from previous pyeloplasty. The fourth had a staghorn calculus secondary to xanthogranulomatous pyelonephritis. There were extensive inflammatory adhesions and despite early conversion, operating time was 9 h. Excluding this, mean operating time was 159 min. Nine patients underwent hemi-nephroureterectomy. There were complications in two; a hilar bleed and a peritoneal tear (neither required conversion). Mean operating time was 177 min. One patient with MCDK was for nephroureterectomy, but no renal tissue was found at laparoscopy and the procedure was abandoned., Conclusions: Laparoscopic nephroureterectomy/hemi-nephroureterectomy is well tolerated in children and should be the preferred option. Operative time is acceptable. There are few complications. Patients with MCDK should have an ultrasound before surgery to confirm ongoing presence of renal tissue. In patients with xanthogranulomatous disease, laparoscopy should be avoided.

Aflatoxins are potent carcinogens produced by some Aspergillus spp. Infection of peanut (Arachis hypogaea) by root-knot nematodes (Meloidogyne arenaria) can lead to an increase in aflatoxin contamination of kernels when the plants are subjected to drought stress during pod maturation. It is not clear whether the increased aflatoxin contamination is primarily due to greater invasion of the galled pods by toxigenic Aspergillus spp. or whether root galling is also involved. Our objective was to determine the contribution of root and pod galling caused by root-knot nematodes to the increase in aflatoxin contamination in peanut. Two greenhouse experiments were conducted in which pods and roots were physically separated. Pod set was restricted to soil-filled pans (41 cm dia. x 10 cm depth), while the roots grew underneath the pan into a pot. The experiments had a factorial arrangement of treatments: pod zone with and without nematodes, and root zone with and without nematodes. In Experiment 1, 5000 eggs of M. arenaria were added to the root zone14 days after planting (DAP) and 8000 eggs were added to the pod zone 60 and 80 DAP. In Experiment 2, 3000 eggs were added to the root zone 30 DAP and 8000 eggs were added to the pod zone every week starting 60 DAP. The four treatment combinations were replicated 10 to 13 times. Conidia of Aspergillus flavus/A. parasiticus was added to the soil surface (pods zone) at mid bloom. Plants were subjected to drought stress 40 days before harvest. In Experiment 1, adding nematodes to the pod zone had no effect on aflatoxin concentrations in the peanut kernel. However, the lack of an effect may have been to due to the low occurrence of galling on the hulls. In pots where nematodes were added to the root zone, 50 to 80% of the root system was galled. Adding nematodes to the root zone increased aflatoxin concentrations in the peanut kernels from 34 ppb in the control to 71 ppb. In Experiment 2, there was heavy pod galling with galls present on 53% of the pods. Adding nematodes to the pod zone increased aflatoxin concentrations in the kernels from 19 ppb in the control to 572 ppb. Based on the results of the two experiments, it appears that infection of either the roots or pods by M. arenaria can lead to greater aflatoxin contamination of peanut kernels.

Objective: To define the putative role of the PA-I lectin/adhesin, a binding protein of Pseudomonas aeruginosa, on lethal gut-derived sepsis after surgical stress, and to determine if this protein is expressed in vivo in response to physical and chemical changes in the local microenvironment of the intestinal tract after surgical stress., Summary Background Data: Previous work from the authors' laboratory has established that lethal gut-derived sepsis can be induced after the introduction of P. aeruginosa into the cecum of mice after a 30% hepatectomy. This effect does not occur when P. aeruginosa is introduced into the cecum of sham operated control mice. Previous experiments further established that the mechanism of this effect is due to the presence of the PA-I lectin/adhesin of P. aeruginosa, which induces a permeability defect to a lethal cytotoxin of P. aeruginosa, exotoxin A., Methods: Three strains of P. aeruginosa, one lacking functional PA-I, were tested in two complementary systems to assess virulence. Strains were tested for their ability to adhere to and alter the permeability of cultured human colon epithelial cells, and for their ability to induce mortality when injected into the cecum of mice after a 30% hepatectomy. To determine if PA-I is "in vivo expressed" when present in the cecal environment after hepatectomy, strains were retrieved from the cecum of sham-operated and hepatectomy-treated mice 24 and 48 hours after their introduction into the cecum and their PA-I expression was assessed., Results: Results indicated that PA-I plays a putative role in lethal gut-derived sepsis in the mouse, because strains lacking functional PA-I had an attenuated effect on cultured human epithelial cells, and were nonlethal when injected into the cecum of mice after 30% surgical hepatectomy. Furthermore, surgical stress in the form of hepatectomy significantly altered the intestinal microenvironment, resulting in an increase in luminal norepinephrine associated with an increase in PA-I expression in retrieved strains of P. aeruginosa. Co-incubation of P. aeruginosa with norepinephrine increased PA-I expression in vitro, suggesting that norepinephrine plays a role in the observed response in vivo., Conclusions: Lethal gut-derived sepsis may occur when intestinal pathogens express virulence determinants in response to environmental signals indicating host stress. In this regard, the PA-I lectin/adhesin of P. aeruginosa appears to be a specific example of in vivo virulence expression in colonizing pathogens in the intestinal tract in response to surgical stress.

Objective: To evaluate the cardiovascular effects of a propofol-ketamine combination in patients undergoing coronary artery surgery., Design: Prospective, randomized study., Setting: Tertiary care teaching hospital, single center., Participants: Seventy-eight adult patients., Interventions: Patients were randomly allocated to receive propofol-ketamine for induction and maintenance of anesthesia (n = 36) or fentanyl-enflurane (controls, n = 42)., Measurements and Main Results: Hemodynamics and other variables were recorded during and after surgery and for 24 hours in the intensive care unit. Before cardiopulmonary bypass (CPB), there was similar incidence of treatment for hypotension (42% of patients in both groups), tachycardia (propofol-ketamine, 6%; controls, 5%), and myocardial ischemia (propofol-ketamine, 3%; controls, 12%). In the propofol-ketamine group, there was a decreased requirement for inotropic agents after CPB (22% of patients) compared with controls (49% of patients; p = 0.02). There was a reduced incidence of myocardial infarctions (creatine kinase myocardial band >133 U/L) in the propofol-ketamine group compared with the control group (0% v 14%; p = 0.02; Fisher's exact test). Patients in the propofol-ketamine group were more likely to have their tracheas extubated within 8 hours of arrival in the intensive care unit compared with controls (33% v 7%; p = 0.01; Cochran-Mantel-Haenzel test)., Conclusions: The propofol-ketamine combination was associated with a similar incidence of pre-CPB hypotension and ischemia, a decreased need for inotropes after CPB, an earlier time to tracheal extubation, and a reduced incidence of myocardial infarctions compared with controls.

Objective: To evaluate the neuromuscular, ventilatory, and cardiovascular effects of rocuronium and vecuronium., Design: Randomized, prospective, blinded study., Setting: Tertiary care teaching center, single institution., Participants: Patients undergoing elective coronary artery bypass graft procedure., Interventions: Patients received rocuronium, 1.0 mg/kg (n = 17), or vecuronium, 0.15 mg/kg (n = 15), during fentanyl induction of anesthesia., Measurements and Main Results: Measures consisted of time to visual loss of orbicularis oculi twitches in response to facial nerve stimulation, ease of mask ventilation, hemodynamics, need for vasoactive drugs, and tracheal intubating conditions. Median time to twitch loss was faster (p < 0.05) after rocuronium (60 s) than after vecuronium (>84 s). Within 45 seconds, only 3 of 17 patients in the rocuronium group had moderate-to-severe difficulty with mask ventilation versus 12 of 15 patients in the vecuronium group (p < 0.05). Tracheal intubating conditions were excellent in all patients after rocuronium. In the vecuronium group, intubating conditions were excellent in 46%, good in 27%, and poor in 27% (p < 0.05 vrocuronium). Patients receiving vecuronium were more likely to require ephedrine and phenylephrine for hypotension (10/15 patients v 5/17 patients for rocuronium, p < 0.05). There were no clinically important differences in hemodynamic variables, oxygen metabolism, or myocardial ischemia between groups., Conclusion: During narcotic induction of anesthesia, rocuronium was associated with lower requirement for vasopressors, faster onset of neuromuscular blockade, and better conditions for mask ventilation and tracheal intubation compared with vecuronium.