Effect of elevated CO2 on the interaction between invasive thrips, Frankliniella occidentalis, and its host kidney bean, Phaseolus vulgaris.

BACKGROUND: Elevated CO2 can alter the leaf damage caused by insect herbivores. Frankliniella occidentalis (Pergande) is highly destructive invasive pest of crop production worldwide. To investigate how elevated CO2 affects F. occidentalis fed with Phaseolus vulgaris and, in particular, the interaction between plant defense and thrips anti-defense, nutrient content and antioxidant enzyme activity of P. vulgaris were measured, as well as the detoxifying enzyme activity of adult thrips. RESULTS: Elevated CO2 increased the soluble sugar, soluble protein and free amino acid content in non thrip-infested plants, and decreased superoxide dismutase (SOD) and peroxidase (POD) activity in these plants. Feeding thrips reduced the nutrient content in plants, and increased their SOD, catalase and POD activity. Variations in nutrient content and antioxidant enzyme activity in plants showed an opposite tendency over thrip feeding time. After feeding, acetylcholinesterase, carboxylesterase, and mixed-function oxidase activity in thrips increased to counter the plant defenses. Greater thrip densities induced stronger plant defenses and, in turn, detoxifying enzyme levels in thrips increased over thrip numbers. CONCLUSION: Our study revealed that F. occidentalis can induce not only an antioxidant-associated plant defense, but also detoxifying enzymes in thrips. Elevated CO2 might both enhance plant defense against thrip attack, and increase thrip anti-defense against plant defenses. © 2018 Society of Chemical Industry.

Use of patient satisfaction data in a continuous quality improvement program for endoscopic sinus surgery.

OBJECTIVE: Continuous quality improvement (CQI) is an effort by health care providers to improve the quality of service by continuously exceeding patients' expectations. Patient satisfaction is one of the measures of the quality of care. The aims of this study were to report the patients' evaluation of endoscopic sinus surgery (ESS) and to explore the feasibility in using patient satisfaction data in the CQI program for ESS. METHODS: Eighty-three patients completed a validated patient satisfaction survey (PSS) 1 month after undergoing ESS. Logistic regression models were applied to determine the confounders of patient satisfaction. RESULTS: In general, 72% of patients were very satisfied with the services. Education level and milder disease correlated with higher overall satisfaction levels (P