Several disease forecast models have been developed to guide treatment of the sooty blotch and flyspeck (SBFS) disease complex of apple. Generally, these empirical models are based on the accumulation of hours of leaf wetness (leaf wetness duration [LWD]) from a biofix at or near the phenological growth stage petal fall, when apple flower petals senesce and drop. The models recommend timing of the initial fungicide application targeting SBFS. However, there are significant differences among SBFS forecast models in terms of biofix and the length of LWD thresholds. A comparison of models using a single input data set generated recommendations for the first SBFS fungicide application that differed by up to 5 weeks. In an attempt to improve consistency among models, potential sources for differences were examined. Leaf wetness (LW) is a particularly variable parameter among models, depending on whether on-site or remote weather data were used, the types of sensors and their placement for on-site monitors, and the models used to estimate LW remotely. When SBFS models are applied in the field, recommended treatment thresholds do not always match the method of data acquisition, leading to potential failures. Horticultural factors, such as tree size, canopy density, and cultivar, and orchard site factors such as the distance to potential inoculum sources can impact risk of SBFS and should also be considered in forecast models. The number of fungal species identified as contributors to the SBFS disease complex has expanded tremendously in recent years. A lack of understanding of key epidemiological factors for different fungi in the complex, and which fungi represent the most challenging management problems, are obvious issues in the development of improved SBFS models. If SBFS forecast models are to be adopted, researchers will need to address these issues.
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http://dx.doi.org/10.1094/PDIS-03-11-0248 | DOI Listing |
Pharmacoeconomics
January 2025
Belgian Health Care Knowledge Centre, Brussels, Belgium.
Background: Forecasting future public pharmaceutical expenditure is a challenge for healthcare payers, particularly owing to the unpredictability of new market introductions and their economic impact. No best-practice forecasting methods have been established so far. The literature distinguishes between the top-down approach, based on historical trends, and the bottom-up approach, using a combination of historical and horizon scanning data.
View Article and Find Full Text PDFJ Am Geriatr Soc
January 2025
Department of Physical Therapy and Rehabilitation Science, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Background: Community mobility is a vital patient-centered outcome for older adults living in the community. These deficits in mobility are linked to social isolation, increased hospitalizations, and higher mortality rates. Impaired pulmonary function may be a modifiable risk factor for mobility decline, with existing inequities in lung health potentially contributing disproportionately to mobility loss among Black older adults.
View Article and Find Full Text PDFHealth Serv Res
January 2025
Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Objective: To examine the extent of segregation between hospitals for Medicare beneficiaries by race, ethnicity, and dual-eligible status over time.
Data Sources And Study Setting: We used Medicare inpatient hospital provider data for fee-for-service (FFS) beneficiaries, and the Dartmouth Atlas of Health Care from 2013 to 2021 nationwide, for hospital referral regions (HRRs), and for and hospital service areas (HSAs).
Study Design: We conducted time trend analysis with dissimilarity indices (DIs) for Black (DI-Black), Hispanic (DI-Hispanic), non-White (including Black, Hispanic, and other non-White) (DI-non-White), and dual-eligible (DI-Dual) beneficiaries.
Int J Rheum Dis
January 2025
Health Services Research, Faculty of Health, School of Medicine, Witten/Herdecke University, Witten, Germany.
Objective: Various demographic factors, including sex, socioeconomic status, and immigration status, have been linked to disparities in healthcare outcomes. Despite efforts by healthcare providers to address these inequities, interventions are not always effective. The present investigation provides empirical insights from Germany focusing on patients with systemic connective tissue disorders, highlighting the need for evaluated strategies to mitigate healthcare disparities.
View Article and Find Full Text PDFJ Clin Med
December 2024
Department of Nephrology, Hypertension, Transplantation and Internal Medicine, Central University Hospital, Medical University of Lodz, 90-419 Lodz, Poland.
Chronic kidney disease (CKD) is associated with increased annual costs, with the highest costs attributable to renal replacement therapy (RRT). These costs will rise as prevalence increases. Therefore, forecasting the future prevalence and economic burden of CKD, particularly in underdiagnosed populations, may provide valuable insights to policymakers looking at strategies to implement interventions to delay CKD progression.
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