Background: Cotton with coevolving pests has been grown in India more than 5000 years. Hybrid cotton was introduced in the 1970s with increases in fertilizer and in insecticide use against pink bollworm that caused outbreaks of bollworm. Hybrid Bt cotton, introduced in 2002 to control bollworm and other lepidopteran pests, is grown on more than 90 % of the cotton area. Despite initial declines, year 2013 insecticide use is at 2000 levels, yields plateaued nationally, and farmer suicides increased in some areas. Biological modeling of the pre-1970s cotton/pink bollworm system was used to examine the need for Bt cotton, conditions for its economic viability, and linkage to farmer suicides. Results: Yields in rainfed cotton depend on timing, distribution, and quantity of monsoon rains. Pink bollworm causes damage in irrigated cotton, but not in rainfed cotton unless infested from irrigated fields. Use of Bt cotton seed and insecticide in rainfed cotton is questionable. Conclusions: Bt cotton may be economic in irrigated cotton, whereas costs of Bt seed and insecticide increase the risk of farmer bankruptcy in low-yield rainfed cotton. Inability to use saved seed and inadequate agronomic information trap cotton farmers on biotechnology and insecticide treadmills. Annual suicide rates in rainfed areas are inversely related to farm size and yield, and directly related to increases in Bt cotton adoption (i.e., costs). High-density short-season cottons could increase yields and reduce input costs in irrigated and rainfed cotton. Policy makers need holistic analysis before new technologies are implemented in agricultural development.
Fifty patients, over 60 years of age, were evaluated for mental status change at the time of hip fracture. Specifically, demographic and historical data were gathered and patients were given an assessment battery to evaluate depression and cognitive impairment during hospitalization for femoral fracture. Prevalence of depression was 28%, and cognitive impairment was present in 40% of the patients evaluated. Pre-fracture activities of daily living were estimated. These data provide the first systematically accumulated baseline data for patients in the immediate post-hip fracture period. Patients will be reassessed at three-month intervals to quantify mental status change and to evaluate its effects on morbidity, mortality, and rehabilitative success.
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