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Selected AbstractsPediatric hospital medicine core competencies: Development and methodologyJOURNAL OF HOSPITAL MEDICINE, Issue S2 2010Erin R. Stucky MD Abstract Background: Pediatric hospital medicine is the most rapidly growing site-based pediatric specialty. There are over 2500 unique members in the three core societies in which pediatric hospitalists are members: the American Academy of Pediatrics (AAP), the Academic Pediatric Association (APA) and the Society of Hospital Medicine (SHM). Pediatric hospitalists are fulfilling both clinical and system improvement roles within varied hospital systems. Defined expectations and competencies for pediatric hospitalists are needed. Methods: In 2005, SHM's Pediatric Core Curriculum Task Force initiated the project and formed the editorial board. Over the subsequent four years, multiple pediatric hospitalists belonging to the AAP, APA, or SHM contributed to the content of and guided the development of the project. Editors and collaborators created a framework for identifying appropriate competency content areas. Content experts from both within and outside of pediatric hospital medicine participated as contributors. A number of selected national organizations and societies provided valuable feedback on chapters. The final product was validated by formal review from the AAP, APA, and SHM. Results: The Pediatric Hospital Medicine Core Competencies were created. They include 54 chapters divided into four sections: Common Clinical Diagnoses and Conditions, Core Skills, Specialized Clinical Services, and Healthcare Systems: Supporting and Advancing Child Health. Each chapter can be used independently of the others. Chapters follow the knowledge, skills, and attitudes educational curriculum format, and have an additional section on systems organization and improvement to reflect the pediatric hospitalist's responsibility to advance systems of care. Conclusion: These competencies provide a foundation for the creation of pediatric hospital medicine curricula and serve to standardize and improve inpatient training practices. Journal of Hospital Medicine 2010;5(4)(Suppl 2):82,86. © 2010 Society of Hospital Medicine. [source] Nitrogen fertilisation in coriander (Coriandrum sativum L.): a review and meta-analysisJOURNAL OF THE SCIENCE OF FOOD AND AGRICULTURE, Issue 6 2009Alessandra Carrubba Abstract Nitrogen (N) fertilisation is one of the most important external inputs in assessing coriander seed yield and plant growth. Recent concerns related to the misuse of N fertilisers in agricultural environments, however, stress the opportunity for a fine-tuning of N management in order to optimise the use of this element, avoiding losses and reducing environmental hazards. In this study, some results from the literature concerning N fertilisation in coriander are reviewed and, by means of statistical analysis, an attempt is made to derive from them some general suggestions about practices of N fertilisation. In most cases examined, N fertilisation allowed a 10,70% increase in seed yields in comparison with each respective untreated control. The efficiency of use of this element, however, has proven to be greatly dependent on the overall fertility conditions of the growing site. The greatest yield advantages were actually found in more favourable environments, whereas in low-yielding environments plants reached their maximum yield with a comparatively reduced N supply. In low-yielding environments a careful risk/benefit assessment of this practice is therefore advisable. No definite conclusion could be drawn at this stage about essential oil yield and composition in relation to N fertilisation. Copyright © 2009 Society of Chemical Industry [source] Phenological growth stages of cacao plants (Theobroma sp.): codification and description according to the BBCH scaleANNALS OF APPLIED BIOLOGY, Issue 1 2010N. Niemenak The detailed description of growth stages of useful plants followed by adequate codification facilitates communication between scientists and practicians if, for example, new findings of science have to be transferred to management procedures or if experiences made at one growing site have to be adapted to another. We describe the growth stages of the worldwide species of cacao trees (Theobroma sp.) to prepare the basis for production management, comparisons of epidemiological studies of disease, of growth patterns under different environmental factors and of genetically clone specific parameters. The codification follows the ,extended BBCH (BBCH, Biologische Bundesantalt, Bundessortenamt and CHemische Industrie, Germany) scale', a numerical system that differentiates between principal, secondary and tertiary growth stages. Each growth stage presented from seed germination to crown development and harvest is correlated with general management practices. This scale will be of great help to cacao growers and scientists around the world for better communication, more efficient planning of management practices and experiments. [source] Pronounced drought tolerance characterizes the early life stages of the epiphytic bromeliad Tillandsia flexuosaFUNCTIONAL ECOLOGY, Issue 3 2009Maaike Y. Bader Summary 1Germination and seedling performance may set the limits for plant distributions, particularly in stressful habitats. Stressful conditions at these early stages may be avoided by opportunistic germination and growth, or may be tolerated. Many epiphytic plants are frequently exposed to severe drought. Adult epiphytes endure such dry periods in various ways, but little is known about strategies employed during germination and early life. 2Epiphyte seedlings could show either opportunistic fast growth to quickly attain the benefits of being larger or inherently slow growth and early drought tolerance. Here we address the question: which of these strategies characterizes the early life stages of the epiphytic bromeliad Tillandsia flexuosa, a species typical for dry tropical habitats? 3We studied growth and drought tolerance of germinating seeds, of the emerging seedlings and of 2-month-old seedlings under controlled conditions. Additionally, we studied drought hardening in 6-month-old seedlings. 4Germination of T. flexuosa was reduced by intermittent dry periods. However, compared to the congeneric T. fasciculata, which typically occurs in wetter habitats, the depression of germination by drought was small. Seedling growth was fastest at intermediate moisture levels: both prolonged drought and continuous moisture depressed growth. Prolonged drought had a less negative effect on drought-hardened seedlings than on previously well-watered seedlings. After a 3-week drought treatment the previously well-watered seedlings had lost their growth advantage entirely. Had drought continued, they would have probably been starved, indicated by the low level of their non-structural carbohydrate pool. 5Tillandsia flexuosa employs a stress-tolerance strategy both during germination and during the seedling stage. In its epiphytic habitat this strategy is clearly adaptive, considering the predictable briefness of moisture availability throughout the year and the low competition pressure that allows the very slow growth typically seen in adults and seedlings. These conditions characterize not only the dry-forest habitat of T. flexuosa, but all exposed epiphytic growing sites, so we expect this early stress-tolerance to be common among epiphytes in general. Still, a lower stress tolerance in species from wetter habitats may at least partly explain why T. flexuosa shares its dry-forest habitat with so few other vascular epiphytes. [source] |