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The 2020 update of the Canadian Stroke Best Practice Recommendations (CSBPR) for the Secondary Prevention of Stroke includes current evidence-based recommendations and expert opinions intended for use by clinicians across a broad range of settings. They provide guidance for the prevention of ischemic stroke recurrence through the identification and management of modifiable vascular risk factors. Recommendations address triage, diagnostic testing, lifestyle behaviors, vaping, hypertension, hyperlipidemia, diabetes, atrial fibrillation, other cardiac conditions, antiplatelet and anticoagulant therapies, and carotid and vertebral artery disease. This update of the previous 2017 guideline contains several new or revised recommendations. Recommendations regarding triage and initial assessment of acute transient ischemic attack (TIA) and minor stroke have been simplified, and selected aspects of the etiological stroke workup are revised. Updated treatment recommendations based on new evidence have been made for dual antiplatelet therapy for TIA and minor stroke; anticoagulant therapy for atrial fibrillation; embolic strokes of undetermined source; low-density lipoprotein lowering; hypertriglyceridemia; diabetes treatment; and patent foramen ovale management. A new section has been added to provide practical guidance regarding temporary interruption of antithrombotic therapy for surgical procedures. Cancer-associated ischemic stroke is addressed. A section on virtual care delivery of secondary stroke prevention services in included to highlight a shifting paradigm of care delivery made more urgent by the global pandemic. In addition, where appropriate, sex differences as they pertain to treatments have been addressed. The CSBPR include supporting materials such as implementation resources to facilitate the adoption of evidence into practice and performance measures to enable monitoring of uptake and effectiveness of recommendations.
Multiple herbicide-resistant populations of horseweed [Conyza canadensis (L.) Cronquist] continue to spread rapidly throughout Ontario, notably in areas where no-till soybean [Glycine max (L.) Merr.] is grown. The occurrence of multiple herbicide resistance within these populations suggests that the future role of herbicide tank mixtures as a means of control will be limited. An integrated weed management strategy utilizing complementary selection pressures is needed to reduce the selection intensity of relying solely on herbicides for control. Field studies were conducted in 2018 and 2019 to test the hypothesis: if fall-seeded cereal rye (Secale cereale L.) can reduce C. canadensis seedling density and suppress seedling growth, then the interaction(s) of complementary selection pressures of tillage, cereal rye, and herbicides would improve the level of C. canadensis control. Laboratory studies were conducted to determine whether the allelopathic compound 2-benzoxazolinone (BOA) affected the root development of C. canadensis seedlings. The interactions observed among multiple selection pressures of tillage, cereal rye, and herbicides were inconsistent between the 2 yr of study. A monoculture of cereal rye seeded in the fall, however, did reduce seedling height and biomass of C. canadensis consistently, but not density. This reduction in seedling height and biomass was likely caused by the allelopathic compound BOA, which reduced seedling root development. Control of C. canadensis seedlings in the spring required the higher registered rates of dicamba or saflufenacil. The addition of shallow fall tillage and the presence of cereal rye did not improve the variability in control observed notably with 2,4-D or the lower rates of saflufenacil or dicamba. With the implementation of complementary weed management strategies, environmental variables in any given year will likely have a direct influence on whether these interactions are additive or synergistic.
The importance of PRE herbicide applications in cotton has increased since the evolution of glyphosate-resistant (GR) Palmer amaranth. Cotton producers are relying on residual herbicides for control of Palmer amaranth, as POST options are limited or ineffective. S-Metolachlor, acetochlor, fomesafen, and dicamba all provide PRE control of Palmer amaranth; however, little is known about the effect of irrigation rate on incorporation and herbicidal efficacy. In 2015, an experiment was conducted on fine sand and loamy sand soils to evaluate the influence of irrigation volume (0.0 to 12.7 mm ha−1) on Palmer amaranth control with PRE herbicides. Irrigation volume after herbicide application was significant for both S-metolachlor and acetochlor. Efficacy of S-metolachlor was greatest in plots receiving 6.4 and 12.7 mm of irrigation where Palmer amaranth biomass was reduced to 4 and 2% of a nontreated control (NTC), respectively, compared with 61% in plots with the 0-mm irrigation treatment. Palmer amaranth control by acetochlor incorporated at 3.2- to 12.7-mm irrigation did not differ but did reduce Palmer amaranth biomass compared with the 1.6-mm irrigation rate. Irrigation volume was not significant for the soil incorporation of fomesafen or dicamba. Across all herbicides, fomesafen-treated plots provided the most consistent control of Palmer amaranth, reducing its biomass to < 3% of NTC at all irrigation rates. Dicamba provided the least and most inconsistent control of Palmer amaranth, producing 17 to 51% of NTC biomass.
Development of herbicide-resistant crops has resulted in significant changes to agronomic practices, one of which is the adoption of effective, simple, low-risk, crop-production systems with less dependency on tillage and lower energy requirements. Overall, the changes have had a positive environmental effect by reducing soil erosion, the fuel use for tillage, and the number of herbicides with groundwater advisories as well as a slight reduction in the overall environmental impact quotient of herbicide use. However, herbicides exert a high selection pressure on weed populations, and density and diversity of weed communities change over time in response to herbicides and other control practices imposed on them. Repeated and intensive use of herbicides with the same mechanisms of action (MOA; the mechanism in the plant that the herbicide detrimentally affects so that the plant succumbs to the herbicide; e.g., inhibition of an enzyme that is vital to plant growth or the inability of a plant to metabolize the herbicide before it has done damage) can rapidly select for shifts to tolerant, difficult-to-control weeds and the evolution of herbicide-resistant weeds, especially in the absence of the concurrent use of herbicides with different mechanisms of action or the use of mechanical or cultural practices or both.
Background: The human retinal pigment epithelium (RPE) is reportedly 3% bi-nucleated. The importance to human vision of multi-nucleated (MN)-RPE cells could be clarified with more data about their distribution in central retina. Methods: Nineteen human RPE-flatmounts (9 ≤ 51 years, 10 > 80 years) were imaged at 12 locations: 3 eccentricities (fovea, perifovea, near periphery) in 4 quadrants (superior, inferior, temporal, nasal). Image stacks of lipofuscin-attributable autofluorescence and phalloidin labeled F-actin cytoskeleton were obtained using a confocal fluorescence microscope. Nuclei were devoid of autofluorescence and were marked using morphometric software. Cell areas were approximated by Voronoi regions. Mean number of nuclei per cell among eccentricity/quadrant groups and by age were compared using Poisson and binominal regression models. Results: A total of 11,403 RPE cells at 200 locations were analyzed: 94.66% mono-, 5.31% bi-, 0.02% tri-nucleate, and 0.01% with 5 nuclei. Age had no effect on number of nuclei. There were significant regional differences: highest frequencies of MN-cells were found at the perifovea (9.9%) and near periphery (6.8%). The fovea lacked MN-cells almost entirely. The nasal quadrant had significantly more MN-cells compared to other quadrants, at all eccentricities. Conclusion: This study demonstrates MN-RPE cells in human macula. MN-cells may arise due to endoreplication, cell fusion, or incomplete cell division. The topography of MN-RPE cells follows the topography of photoreceptors; with near-absence at the fovea (cones only) and high frequency at perifovea (highest rod density). This distribution might reflect specific requirements of retinal metabolism or other mechanisms addressable in further studies.
The present work aimed to differentiate between proteolytic activities of plants and micro-organisms during the incubation of grass in cattle rumens. Freshly cut ryegrass was placed in bags of varying permeability and incubated for 16 h in the rumens of dairy cows that had previously grazed a ryegrass sward, supplemented with 4 kg dairy concentrate daily. Woven polyester bags (50 μm pore size) permitted direct access of the micro-organisms and rumen fluid enzymes to the plant material. The polythene was impermeable even to small molecules such as NH3. Dialysis tubing excluded micro-organisms and rumen enzymes/metabolites larger than 10 kDa. DM loss was 46·3 % in polyester, 36·2 % in polythene and 38·1 % in dialysis treatments. It is possible that the DM loss within polythene bags occurred due to a solubilisation of plant constituents (e.g. water-soluble carbohydrates) rather than microbial attachment/degradation processes. The final protein content of the herbage residues was not significantly different between treatments. Regardless of bag permeability, over 97 % of the initial protein content was lost during incubations in situ. Electrophoretic separation showed that Rubisco was extensively degraded in herbage residues whereas the membrane-associated, light-harvesting protein remained relatively undegraded. Protease activity was detected in herbage residues and bathing liquids after all incubation in situ treatments. Although rumen fluid contains proteases (possibly of plant and microbial origin), our results suggest that, owing to cell compartmentation, their activity against the proteins of intact plant cells is limited, supporting the view that plant proteases are involved in the degradation of proteins in freshly ingested herbage.
HST-stis spectroscopy of the Homunculus reflection nebula around η Carinae provides a rare opportunity to observe a star from more than one direction, and reveals that η Car has an aspherical stellar wind. Relatively high velocities and strong absorption are seen near the polar axis, suggesting higher mass flux toward the poles, perhaps resulting from equatorial gravity darkening on a rotating star. The bipolar wind geometry may imply that intrinsically asymmetric ejection helped form the Homunculus. It is also critical for understanding this star's variability and evolution.
The Homunculus reflection nebula around η Carinae provides a rare opportunity to observe a star from more than one direction. For η Car, the nebula’s geometry is known well enough to infer how wind profiles vary with latitude. STIS spectra of the Homunculus show directly that η Car has an aspherical stellar wind. P Cygni absorption in Balmer lines depends on latitude, with relatively high velocities and strong absorption near the polar axis. Stronger absorption at high latitudes is surprising, and it suggests higher mass flux toward the poles, perhaps resulting from equatorial gravity darkening on a rotating star. Reflected profiles of He I lines are more puzzling, and offer clues to η Car’s circumstellar structure. The bipolar wind geometry may imply that intrinsically asymmetric ejection helped form the Homunculus. It is also critical for understanding this star’s variability and evolution.
The experiment was conducted using a range of forages with accurately predetermined OMD values (ADAS) to compare rumen liquor (RL) and faeces (FA) as sources of inocula in the pressure transducer technique (PTT) (Theodorou et al., 1994). Gas production results were examined in relation to OMD determined in vitro (PTT, Tilley and Terry) and in vivo.
A previous study (Mauricio et al., 1998) with 12 forage substrates (straw, hay and dried grasses) showed a high correlation between rumen liquor and faeces for total gas production and in vitro organic matter digestibility (OMD). However parameters estimated using faecal inoculum were generally lower man when using rumen liquor. To confirm this observation, a second study was conducted using maize silage and silages made from maize plant fractions.
To estimate the risk of hepatitis B virus (HBV) infection among hospital workers, we measured the prevalence of HBV infection in employees in five hospitals in different parts of the country and examined the effect of occupational and non-occupational factors on HBV prevalence. Among 5,697 persons studied, serologic markers of HBV infection were found in 807 (14%). Prevalence of infection was strongly related to race (Asian > Black > White), sex (male > female) and increasing age.
Risk related to health occupation, studied by examining the change in HBV prevalence with duration in occupational group, was most strongly correlated with frequency of contact with blood during work. Workers having frequent blood contact had the highest estimated infection rate (1.05 per 100 person-years) and those with moderate contact an intermediate infection rate, compared to a negligible infection rate in workers with no blood contact. Frequency of needle accidents had an independent, positive effect on HBV infection rates, while degree of patient contact had no effect. Infection risk was uniform among all hospitals for groups with frequent blood contact. Among different occupation groups, risk of HBV infection also correlated closely with degree of blood-needle contact during daily work. This study provides a general approach to assessing risk of HBV infection in hospital personnel, and indicates that risk may be most easily estimated by quantitating degree of blood-needle contact during daily work.
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