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Greenhouse tomato limited cluster production systems: crop management practices affect yield.

Limited-cluster production systems may be a useful strategy to increase crop production and profitability for the greenhouse tomato (Lycopersicon esculentum Mill). In this study, using an ebb-and-flood hydroponics system, we modified plant architecture and spacing and determined the effects on fruit yield and harvest index at two light levels. Single-cluster plants pruned to allow two leaves above the cluster had 25% higher fruit yields than did plants pruned directly above the cluster; this was due to an increase in fruit weight, not fruit number. Both fruit yield and harvest index were greater for all single-cluster plants at the higher light level because of increases in both fruit weight and fruit number. Fruit yield for two-cluster plants was 30% to 40% higher than for single-cluster plants, and there was little difference in the dates or length of the harvest period. Fruit yield for three-cluster plants was not significantly different from that of two-cluster plants; moreover, the harvest period was delayed by 5 days. Plant density (5.5, 7.4, 9.2 plants/m2) affected fruit yield/plant, but not fruit yield/unit area. Given the higher costs for materials and labor associated with higher plant densities, a two-cluster crop at 5.5 plants/m2 with two leaves above the cluster was the best of the production system strategies tested.

Agriculture↗

Practical management of recurrent acute otitis media.

Recurrent acute otitis media (RAOM) represents a frequent challenge for the primary care physician and a major source of consultation to otolaryngologists. We recommend insertion of ventilation tubes when school performance or speech acquisition is compromised. Chemoprophylaxis with trimethoprim---sulfamethoxazole (TMP/SMX) is still a viable option in other cases, despite the potential development of drug resistance. Other medical treatments are available, including vaccination and steroids. Finally, we have used limited mastoidectomy in carefully selected cases where retention of infected secretions and lack of aeration are implicated.

Journal Article↗

[Practical management of pleural effusion].

There are many different diseases that can be associated with pleural effusions. When a pleural effusion is discovered, two questions need to be answered: 1) is the effusion a transudate or is it an exudate?, and 2) if the effusion is an exudate, what is the disease responsible for its production?. Answers to these questions can be obtained in more than two-thirds of patients testing the pleural fluid by diagnostic thoracentesis. The remainder may require watchful waiting until resolution or further diagnostic procedures, either non-invasive (radiologic imaging) or invasive (bronchoscopy, pleural biopsy, thoracoscopy).

Diagnosis, Differential↗