Can we predict 1-year functional outcomes and mortality following hip fracture in middle-aged and geriatric patients at time of admission?

This study's purpose is to determine if patients treated for hip fracture at highest risk for poor functional outcomes, shorter time to death, and death within 1-year can be predicted at the time of admission. We hypothesized that the Score for Trauma Triage in the Geriatric and Middle-Aged (STTGMA) tool can be used to predict risk of these variables. Between February 2019-July 2020, 544 patients ≥ 55-years-old were treated for hip fracture [AO/OTA 31A/B, 32A/C]. Each patient's demographics, functional status, and injury details were used to calculate their respective risk (STTGMA) score at time of admission. Patients were divided into risk quartiles by STTGMA score. Patients were contacted by phone to complete EuroQol-5 Dimension (EQ5D-3L) questionnaires on functional status. Comparative analyses were conducted on outcomes and EQ5D-3L questionnaire results. 439 patients (80.7%) had at least 1-year follow-up. 82 patients (18.7%) died within 1-year after hospitalization. Mean STTGMA score was 1.67% ± 4.49%. The highest-risk cohort experienced a 42x (p < 0.01) and 2.5x (p = 0.01) increased rate of 1-year mortality compared to the minimal- and low-risk groups respectively. The highest-risk cohort had the shortest time to death (p = 0.015). The highest-risk cohort had the lowest EQ5D index (p < 0.01) and VAS scores (p < 0.01) along with the highest rate of 30 day readmission (p < 0.01) and the longest length of stay (p < 0.01). The STTGMA tool provides important prognostic information for middle-aged and geriatric hip fracture patients that can help modulate care levels. This information is useful when counseling patients, their families, and caregivers on expected outcomes.

Associated cultivated plants in tomato cropping systems structure arthropod communities and increase the Helicoverpa armigera regulation.

Cultivating plant mixtures is expected to provide a higher productivity and a better control of pests and diseases. The structure of the arthropod community is a major driver of the magnitude of natural pest regulations.With the aim of optimizing pest management, a study was carried out to determine the effect of the cropping system type (tomato mono-cropping vs. mixed-cropping) on the diversity and abundance of arthropods from three trophic groups (herbivores, omnivores, predators) and the abundance of Helicoverpa armigera. Therefore, the diversity of cultivated plants and arthropod communities was assessed within tomato fields from 30 farmer's fields randomly selected in South of Benin. Results showed that the arthropod abundance was significantly higher in mixed-cropping systems compared with mono-cropping systems, although the crop type did not alter significantly the arthropod diversity, evenness, and richness. At the level of taxa, the abundances of generalist predators including ants (Pheidole spp., and Paltothyreus tarsatus) and spiders (Araneus spp. and Erigone sp.) were significantly higher in mixed fields than in mono-crop fields. Then, the abundances of omnivore-predator trophic groups have a negative significant effect on the H. armigera abundance. This study allowed better understanding of how plant diversity associated to tomato fields structures arthropod's food webs to finally enhance the ecological management of H. armigera.

Storage insects on yam chips and their traditional management in Northern Benin.

Twenty-five villages of Northern Benin were surveyed to identify the constraints of yam chips production, assess the diversity of storage insects on yam chips, and document farmers' perception of their impacts on the stocks and their traditional management practices. Damages due to storage insects (63.9% of responses) and insufficiency of insect-resistant varieties (16.7% of responses) were the major constraints of yam chips production. Twelve insect pest species were identified among which Dinoderus porcellus Lesne (Coleoptera, Bostrichidae) was by far the most important and the most distributed (97.44% of the samples). Three predators (Teretrius nigrescens Lewis, Xylocoris flavipes Reuter, and Alloeocranum biannulipes Montrouzier & Signoret) and one parasitoid (Dinarmus basalis Rondani) all Coleoptera, Bostrichidae were also identified. The most important traditional practices used to control or prevent insect attack in yam chips were documented and the producers' preference criteria for yam cultivars used to produce chips were identified and prioritized. To further promote the production of yam chips, diversification of insect-resistant yam varieties, conception, and use of health-protective natural insecticides and popularization of modern storage structures were proposed.