Peri-operative SARS-CoV-2 infection increases postoperative mortality. The aim of this study was to determine the optimal duration of planned delay before surgery in patients who have had SARS-CoV-2 infection. This international, multicentre, prospective cohort study included patients undergoing elective or emergency surgery during October 2020. Surgical patients with pre-operative SARS-CoV-2 infection were compared with those without previous SARS-CoV-2 infection. The primary outcome measure was 30-day postoperative mortality. Logistic regression models were used to calculate adjusted 30-day mortality rates stratified by time from diagnosis of SARS-CoV-2 infection to surgery. Among 140,231 patients (116 countries), 3127 patients (2.2%) had a pre-operative SARS-CoV-2 diagnosis. Adjusted 30-day mortality in patients without SARS-CoV-2 infection was 1.5% (95%CI 1.4-1.5). In patients with a pre-operative SARS-CoV-2 diagnosis, mortality was increased in patients having surgery within 0-2 weeks, 3-4 weeks and 5-6 weeks of the diagnosis (odds ratio (95%CI) 4.1 (3.3-4.8), 3.9 (2.6-5.1) and 3.6 (2.0-5.2), respectively). Surgery performed ≥ 7 weeks after SARS-CoV-2 diagnosis was associated with a similar mortality risk to baseline (odds ratio (95%CI) 1.5 (0.9-2.1)). After a ≥ 7 week delay in undertaking surgery following SARS-CoV-2 infection, patients with ongoing symptoms had a higher mortality than patients whose symptoms had resolved or who had been asymptomatic (6.0% (95%CI 3.2-8.7) vs. 2.4% (95%CI 1.4-3.4) vs. 1.3% (95%CI 0.6-2.0), respectively). Where possible, surgery should be delayed for at least 7 weeks following SARS-CoV-2 infection. Patients with ongoing symptoms ≥ 7 weeks from diagnosis may benefit from further delay.

SARS-CoV-2 has been associated with an increased rate of venous thromboembolism in critically ill patients. Since surgical patients are already at higher risk of venous thromboembolism than general populations, this study aimed to determine if patients with peri-operative or prior SARS-CoV-2 were at further increased risk of venous thromboembolism. We conducted a planned sub-study and analysis from an international, multicentre, prospective cohort study of elective and emergency patients undergoing surgery during October 2020. Patients from all surgical specialties were included. The primary outcome measure was venous thromboembolism (pulmonary embolism or deep vein thrombosis) within 30 days of surgery. SARS-CoV-2 diagnosis was defined as peri-operative (7 days before to 30 days after surgery); recent (1-6 weeks before surgery); previous (≥7 weeks before surgery); or none. Information on prophylaxis regimens or pre-operative anti-coagulation for baseline comorbidities was not available. Postoperative venous thromboembolism rate was 0.5% (666/123,591) in patients without SARS-CoV-2; 2.2% (50/2317) in patients with peri-operative SARS-CoV-2; 1.6% (15/953) in patients with recent SARS-CoV-2; and 1.0% (11/1148) in patients with previous SARS-CoV-2. After adjustment for confounding factors, patients with peri-operative (adjusted odds ratio 1.5 (95%CI 1.1-2.0)) and recent SARS-CoV-2 (1.9 (95%CI 1.2-3.3)) remained at higher risk of venous thromboembolism, with a borderline finding in previous SARS-CoV-2 (1.7 (95%CI 0.9-3.0)). Overall, venous thromboembolism was independently associated with 30-day mortality ). In patients with SARS-CoV-2, mortality without venous thromboembolism was 7.4% (319/4342) and with venous thromboembolism was 40.8% (31/76). Patients undergoing surgery with peri-operative or recent SARS-CoV-2 appear to be at increased risk of postoperative venous thromboembolism compared with patients with no history of SARS-CoV-2 infection. Optimal venous thromboembolism prophylaxis and treatment are unknown in this cohort of patients, and these data should be interpreted accordingly.

Phosphorus (P) deficiency is the main hurdle in achieving sustainable crop production ps especially in calcareous soils. Using bio-fertilizers like phosphate solubilizing bacteria (PSB) could be a useful approach for sustainable P management as they improve P availability in soil via dissolution, desorption and mineralization reactions. In addition, application of organic amendments with PSB could further ameliorate soil conditions for sustainable management of immobilized nutrients in calcarious soils. Therefore, we performed pot experiment to study the role of PSB in nullifying antagonistic effects of liming (4.78, 10, 15 and 20%) on P availability from poultry manure (PM), farm yard manure (FYM), single super phosphate (SSP) and rock phosphate (RP) in alkaline soils. PSB inoculation improved wheat growth, P availability and stimulated soil acidification over control regardless of P sources and lime levels. Soil calcification adversely affected plant growth, P nutrition, induced soil salinity and alkalinity, however, PSB and manures application potentially nullified such harmful effects over mentioned traits. Individually, organic sources were superior than mineral sources however, the performance of mineral fertilizers with PSB was at par to sole application of manures. Furthermore, application of RP with PSB proved as effective as sole SSP. Therefore, using PSB as bio-fertilizer has huge potential for improving P availability in calcareous soils.

In calcareous soils, wheat productivity is much lower due to improper nutrient management, especially phosphorus (P). Therefore, this study was conducted to manage P availability from various organic (Control, FYM and Sugar cane straw applied at the rate of 10 ton ha−1) and inorganic (Control, 100% rock phosphate (RP), 50% acidulated RP, 100% acidulated RP, single super phosphate (SSP) and diammonium phosphate (DAP)) sources applied at the rate of 90 kg P2O5 ha−1 in calcareous soil while using wheat as test crop. When averaged across the organic sources, SSP performed better in emergence m−2 (126), tillers m−2 (431), spikes m−2 (419), grains spikes−1 (61), plant height (95.1 cm), 1000-GW (40 g), biological yield (11,023 kg ha−1), grain yield (4022 kg ha−1), phosphorus use efficiency (10.5%), phosphorus in leaves at tillering (2.63 mg kg−1) and anthesis stage (2.50 mg kg−1), soil P at heading (1.73 mg kg−1) and post-harvest stage (1.56 mg kg−1) compared to the rest of the mineral sources. Similarly, among the organic sources, FYM performed better than others for all tested traits. Integration of inorganic P sources with organic manures further improved crop performance and post-harvest soil P content. Therefore, using 10 tons FYM ha−1 in integration to SSP or 100% acidulated RP at the rate of 90 kg P2O5 ha−1 is recommended for ensuring optimum wheat productivity under calcareous soils.

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Continuous cropping of rice (Oryza sativa L.) and wheat (Triticum aestivum L.) deplete soil fertility and reduce crop productivity as well as zinc (Zn) concentrations in rice grains and straw. Low Zn concentrations in rice grains have a negative impact on human health, while low Zn concertation in rice straw creates a nutritional problem for animals. The current high yielding rice varieties and hybrids remove large quantities of Zn from the soils, lowering the residual concentrations of soil Zn for the subsequent crop (e.g., wheat). Field experiments were conducted on farmers field in Malakand with the objective to evaluate the impact of various combinations of phosphorus (0, 40, 80, and 120 kg ha−1) and Zn levels (0, 5, 10, and 15 kg ha−1) on biofortification of Zn in grains and straw of rice genotypes [fine (Bamati-385) vs. coarse (Fakhre-e-Malakand and Pukhraj)]. The results revealed that Zn biofortification in rice genotypes increased with the integrated use of both nutrients (P + Zn) when applied at higher rates (80 and 120 kg P ha−1, and 10 and 15 kg Zn ha−1, respectively). The biofortification of Zn in both grains and straw was higher in the coarse than fine rice genotypes (Pukhraj > Fakhre-e-Malakand > Basmati-385). It was concluded from this study that the application of higher P and Zn levels increased Zn contents in rice parts (grains and straw) under the rice-wheat system. We also concluded from this study that Zn concentrations in rice grains and straw are influenced by plant genetic factors and Zn management practices.

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