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Abstract: Swede midge (Contarinia nasturtii Keiffer) is a serious gall-forming insect pest of cruciferous plants in Europe and southwestern Asia. In North America, it was first identified in Ontario, Canada, in 2000 and in Niagara County, New York, US, in 2004. The insect is now rapidly spreading in Canada and the US. To date, infestation of C. nasturtii has been confirmed in 46 counties in Canada. The US Department of Agriculture has confirmed the presence of C. nasturtii in 6 counties in the US, although our surveys using pheromone traps have identified 19 counties in New York and one county in Massachusetts and New Jersey. Currently, hundreds of farms in the northeastern US that grow cruciferous vegetables are at risk for infestation of C. nasturtii through movement of vegetable seedlings and harvested produce from infested areas. To prevent the spread of C. nasturtii, the efficacy of acetamiprid, the first labeled insecticide in the US for C. nasturtii control, was evaluated by using foliar sprays on cauliflower seedlings. Results indicated the efficacy of acetamiprid on C. nasturtii was 99.52% 100% and 99.83% when cauliflower seedlings were sprayed before inoculation with C. nasturtii, 0 and 4d after inoculation, respectively. The efficacy of acetamiprid was reduced to 69.89% when seedlings were sprayed 8d after inoculation, and C. nasturtii larvae could successfully pupate and emerge after the spray. These results indicate that acetamiprid can effectively control C. nasturtii on cauliflower seedlings, especially in the early stage of insect occurrence. Based on these results, we suggest that seedlings be treated with acetamiprid as a foliar spray before shipment of seedlings from C. nasturtii infested areas. [Copyright &y& Elsevier]

Urinary incontinence is a common disease among middle-aged and elderly women, which not only affects the physical and mental health of patients, but also brings a great medical burden to society. Obesity is a known risk factor for urinary incontinence and is the most common secondary cause of hyperlipidemia. Most obese patients also suffer from hyperlipidemia in the clinic. However, few studies have explored the role of hyperlipidemia in women with urinary incontinence. Using data from the 2005-2018 National Health and Nutrition Examination Survey (NHANES), we aimed to evaluated the independent associations of high body mass index and hyperlipidemia with urinary incontinence in Americans by conducting a weighted multivariate logistic regression model. Additive interactions were also assessed using the relative excess risk due to interaction (RERI), attributed proportion of interaction (AP) and synergy index (S). This study demonstrated that hyperlipidemia was associated with a higher risk of stress urinary incontinence among women with obesity (OR = 1.52, 95% CI = 1.03-2.25), and there was a significant synergistic effect of hyperlipidemia and obesity on stress urinary incontinence(adjusted RERI: 3.75, 95% CI 0.30-7.20; adjusted AP: 0.67, 95% CI 0.54-0.80; adjusted S: 5.49, 95% CI 4.15-7.27). Moreover, fasting serum triglyceride lipids were the most relevant blood lipid indicator for the risk of stress urinary incontinence, especially among obese women younger than 50 years old, which contributes to the development of more refined lipid control protocols for patients with urinary incontinence in different age groups., (© 2024. The Author(s).)

Objectives: This study sought to evaluate transcatheter aortic valve replacement (TAVR) in bicuspid aortic valve (BAV) aortic stenosis (AS), with a particular emphasis on TAVR-directed bicuspid aortic valve imaging (BAVi) of morphological classification., Background: TAVR has been used to treat BAV-AS but with heterogeneous outcomes and uncertainty regarding the relevance of morphology., Methods: In 14 centers in the United States, Canada, Europe, and Asia, 130 BAV-AS patients underwent TAVR. Baseline cardiac computed tomography (CT) was analyzed by a dedicated Corelab. Outcomes were assessed in line with Valve Academic Research Consortium criteria., Results: Bicommissural BAV (vs. tricommissural) accounted for 68.9% of those treated in North America, 88.9% in Europe, and 95.5% in Asia (p = 0.003). For bicommissural bicuspids, non-raphe type (vs. raphe type) BAV accounted for 11.9% of those treated in North America, 9.4% in Europe, and 61.9% in Asia (p < 0.001). Overall rates of 30-day mortality (3.8%) and cerebrovascular events (3.2%) were favorable and similar among anatomical subsets. The rate of new permanent pacemaker insertion was high (26.2%) and similar between balloon-expandable (BE) and self-expanding (SE) designs (BE: 25.5% vs. SE: 26.9%; p = 0.83); there was a trend to greater permanent pacemaker insertion in BE TAVR in the presence of coronary cusp fusion BAV morphology. Paravalvular aortic regurgitation (PAR) ≥ moderate was 18.1% overall but lower at 11.5% in those with pre-procedural CT. In the absence of pre-procedural CT, there was an excess of PAR in BE TAVR that was not the case in those with a pre-procedural CT; SE TAVR required more post-dilation. Predictors of PAR included intercommissural distance for bicommissural bicuspids (odd ratio [OR]: 1.37; 95% confidence interval [CI]: 1.02 to 1.84; p = 0.036) and lack of a baseline CT for annular measurement (OR: 3.03; 95% CI: 1.20 to 7.69; p = 0.018)., Conclusions: In this multicenter study, TAVR achieved favorable outcomes in patients with pre-procedural CT, with the exception of high permanent pacemaker rates for all devices and shapes., (Copyright © 2016 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.)

The Swede midge, Contarinia nasturtii Kieffer (Diptera: Cecidomyiidae), a common insect pest in Europe, is a newly invasive pest in North America that constitutes a major threat to cruciferous vegetable and field crops. Since its first identification in Ontario, Canada, in 2000, it has rapidly spread to 65 counties in the provinces of Ontario and Quebec and has recently been found in canola (one of two cultivars of rapeseed, Brassica napus L. and Brassica campestris L.) in the central Prairie region where the majority of Canada's 6.5 million ha (16 million acres) of canola is grown. The first detection of Swede midge in the United States was in 2004 in New York cabbage (Brassica oleracea L.), but it has now been found in four additional states. Here, we review the biology of Swede midge, its host plant range, distribution, economic impact, pest status, and management strategies. We provide insight into this insect's future potential to become an endemic pest of brassica crops in North America. We also proposed research needed to develop tactics for handling this invasive pest in brassica crops.