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INTRODUCTION At the confirmation hearing following his nomination to serve as Chief Justice of the Supreme Court of the United States, then-Judge John G. Roberts, Jr. made an analogy that [...]

Specialty fruit crops represent a substantial portion of the value of agricultural production in the Pacific Northwest. Climate change may threaten water sources, lengthen the dry season, raise temperatures during both the winter chilling period and the growing season, and facilitate the spread of fungal diseases and insects. Such changes have the potential to substantially reduce net returns due to increased input costs and altered yields and product quality. Many management strategies that are already being used to prolong growing seasons in marginal production areas and to improve production and quality in established production regions may also be useful as adaptation strategies under a changing climate. These strategies mostly involve moderating temperatures and controlling or compensating for mismatches between phenology and seasonal weather conditions. [ABSTRACT FROM AUTHOR]

A correction is presented to the article “Specialty fruit production in the Pacific Northwest: adaptation strategies for a changing climate" which appeared in the April 3, 2017 issue.

Background: Home parenteral nutrition (HPN) is a life-sustaining therapy for short bowel syndrome (SBS) and other severe digestive diseases, but complications are common. We evaluated a predischarge HPN hands-on training course to reduce complications in children with SBS, including hospital readmissions., Methods: We conducted a prospective, nonrandomized controlled research study between April 1, 2014, and April 30, 2017. Eligible participants were children aged <18 years old with SBS and anticipated HPN dependence duration ≥6 months. Excluded participants had a previous history of discharge with a central venous catheter (CVC), HPN, or intravenous fluids or strictly palliative goals of care. An intervention group practiced hands-on HPN within the hospital room for 24 hours using infusion equipment. The groups received standard teaching (CVC care, home infusion pump operation, HPN preparation and administration)., Results: Nine children were assigned to the intervention group and 12 served as controls. The median age was 8.4 months, and length of stay (LOS) was 82 days. All participants experienced ≥1 event, with a total of 47 issues related to HPN. There were no significant associations between group assignment and 30-day postdischarge events. Each additional week of LOS was associated with 11% increase in the odds of an emergency department visit (OR 1.11; 95% CI, 1.01-1.26) and 16% increase in the odds of readmission (OR 1.16; 95% CI, 1.04-1.37)., Conclusions: Postdischarge events remained widespread despite HPN bedside interventions offered by this pilot intervention. With refinement of HPN discharge processes, quality benchmarks are needed., (© 2018 American Society for Parenteral and Enteral Nutrition.)