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The effect of red-and blue-light-emitting diodes on shoot and root growth of Hybrid Franc grape, a rootstock cultivar, along with two other grape genotypes, Kadainou R-1 and Vitis ficifolia var. ganebu, were investigated in vitro. Plants cultured under red-light-emitting diodes produced the longest shoots with longer internodes for all genotypes. The chlorophyll content measured as SPAD value and leaf number per explant were highest on plants cultured under blue-light-emitting diodes in all the genotypes. Blue light was also responsible for a higher number of stomata in all the genotypes; however, there was no significant difference in size of stomata in all genotypes under the different light conditions tested. Different light-emitting diodes did not affect the rooting percentage of Hybrid Franc but red-lightemitting diodes gave a higher rooting percentage along with higher root numbers for the two other grape genotypes.

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High temperature affects berry composition, especially titratable acidity, total soluble solids, and anthocyanin content. Vitis ficifolia var. ganebu, a wild grape of sub-tropical origin with a low chilling trait, develops good coloration in its natural habitat, where daytime and nighttime temperatures are high during the berry ripening stage, while V. vinifera 'Muscat of Alexandria', a table grape, has large berries and high sugar content, hence, it was hypothesized that hybridizing V. ficifolia var. genebu with V. vinifera would improve the sugar content and reduce titratable acidity compared to V. ficifolia var. ganebu and retain berry color even under high temperature conditions. The aim of this study was to investigate the influence of temperature on the berry composition of 'Kadainou R-1', an interspecific hybrid wine grape derived from V. ficifolia var. ganebu × V. vinifera 'Muscat of Alexandria'. Potted 'Kadainou R-1' vines with their ownroots were subjected to continuous temperatures of 20, 25, and 30°C in a phytotron during the berry-softening stage. Berries were harvested 15, 30, and 37 days after the vines were placed in the phytotron. Titratable acidity was lower at 30°C than at 20°C, while total soluble solids were highest at 25°C. Accumulations of glucose and fructose were higher at low rather than high temperatures. Total anthocyanin content (mg·g −1 of fresh weight) was significantly reduced at 20 and 30°C but not at 25°C. Flavonol content was highest at 25°C. The present study revealed that 'Kadainou R-1' grapes can produce optimum berry quality in locations where the night temperature reaches 25°C without significant loss in berry quality.

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Background: Patients have significant pain following laparoscopic cholecystectomy. Several modalities have been used to manage this pain. Subcostal transversus abdominis plane (TAP) block is one of the components of multimodal analgesia and has been described as an effective technique for postoperative pain management. This study compares the impact of subcostal TAP block with port site local infiltration following laparoscopic cholecystectomy for postoperative pain and opioid consumption.Methods: This is a prospective, randomized, interventional study. Sixty patients were enrolled and divided into two groups having 30 patients in each group. Group A received bilateral ultrasound guided subcostal TAP block with 10 mL of 0.25% bupivacaine after the completion of surgery. Group B received similar amount of local anesthetic infiltrated over all the laparoscopic port sites. Pain at rest and on movement was assessed using VAS scale in post-operative period at 0 min, 30 min, 2, 4, 6, 12 and 24 hours. Time of first rescue analgesic requirement and total opioid consumption over 24 hours were recorded.Results: Patients receiving Subcostal TAP block had reduced postoperative pain as compared to port site infiltration and statistically significantly in first two hours after surgery. The 24 hours opioids consumption was significantly less (125mg ±25.42 versus 175mg ±25.42, p <0.001) in Subcostal TAP block group. Time for request of first rescue analgesic was prolonged in patients receiving the Subcostal TAP block (3.20±0.84 hours vs 1.70±0.65 hours, p <0.001). Conclusions: Ultrasound guided bilateral Subcostal TAP block provides effective post-operative analgesia and reduces opioid consumption in patients undergoing laparoscopic cholecystectomy. Keywords: Laparoscopic cholecystectomy; post-operative analgesia; subcostal TAP block.

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BackgroundBone cement implantation syndrome is a known complication causing mortality during perioperative period particularly in patients with malignancy. With rise in aging population with malignancy in low income country, the syndrome is more likely to be encountered.Case presentationWe present a case of 66 years old male patient with metastatic bronchogenic carcinoma of lung with pathological proximal femur fracture of left hip that underwent a cemented endoprosthesis under combined spinal epidural anesthesia who succumbed to intraoperative mortality due to grade III bone cement implantation syndrome even after aggressive fluid resuscitation, vasopressor use, and mechanical ventilation.ConclusionsCareful identification of risk factors with aggressive vigilance and intervention in part of surgeons and anesthesia both during intraoperative and postoperative period can mitigate the risk of bone cement implantation syndrome.