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1.
Proc Natl Acad Sci U S A ; 119(31): e2200354119, 2022 Aug 02.
Artículo en Inglés | MEDLINE | ID: mdl-35878021

RESUMEN

Nitrous oxide (N2O) is an important greenhouse gas (GHG) that also contributes to depletion of ozone in the stratosphere. Agricultural soils account for about 60% of anthropogenic N2O emissions. Most national GHG reporting to the United Nations Framework Convention on Climate Change assumes nitrogen (N) additions drive emissions during the growing season, but soil freezing and thawing during spring is also an important driver in cold climates. We show that both atmospheric inversions and newly implemented bottom-up modeling approaches exhibit large N2O pulses in the northcentral region of the United States during early spring and this increases annual N2O emissions from croplands and grasslands reported in the national GHG inventory by 6 to 16%. Considering this, emission accounting in cold climate regions is very likely underestimated in most national reporting frameworks. Current commitments related to the Paris Agreement and COP26 emphasize reductions of carbon compounds. Assuming these targets are met, the importance of accurately accounting and mitigating N2O increases once CO2 and CH4 are phased out. Hence, the N2O emission underestimate introduces additional risks into meeting long-term climate goals.

2.
Glob Chang Biol ; 28(17): 5121-5141, 2022 09.
Artículo en Inglés | MEDLINE | ID: mdl-35678108

RESUMEN

Inhibitors are widely considered an efficient tool for reducing nitrogen (N) loss and improving N use efficiency, but their effectiveness is highly variable across agroecosystems. In this study, we synthesized 182 studies (222 sites) worldwide to evaluate the impacts of inhibitors (urease inhibitors [UI], nitrification inhibitors [NI] and combined inhibitors) on crop yields and gaseous N loss (ammonia [NH3 ] and nitrous oxide [N2 O] emissions) and explored their responses to different management and environmental factors including inhibitor application timing, fertilization regime, cropping system, water management, soil properties and climatic conditions using subgroup meta-analysis, meta-regression and multivariate analyses. The UI were most effective in enhancing crop yields (by 5%) and reducing NH3 volatilization (by 51%), whereas NI were most effective at reducing N2 O emissions (by 49%). The application of UI mitigates NH3 loss and increases crop yields especially in high NH3 -N loss scenarios, whereas NI application would minimize the net N2 O emissions and the resultant environmental impacts especially in low NH3 -N loss scenarios. Alternatively, the combined application of UI and NI enables producers to balance crop production and environmental conservation goals without pollution tradeoffs. The inhibitor efficacy for decreasing gaseous N loss was dependent upon soil and climatic conditions and management practices. Notably, both meta-regression and multivariate analyses suggest that inhibitors provide a greater opportunity for reducing fertilizer N inputs in high-N-surplus systems and presumably favor crop yield enhancement under soil N deficiency situations. The pursuit of an improved understanding of the interactions between plant-soil-climate-management systems and different types of inhibitors should continue to optimize the effectiveness of inhibitors for reducing environmental losses while increasing productivity.


Asunto(s)
Óxido Nitroso , Suelo , Agricultura , Amoníaco/análisis , Fertilizantes/análisis , Nitrógeno/análisis , Óxido Nitroso/análisis
3.
Environ Sci Technol ; 56(18): 13485-13498, 2022 09 20.
Artículo en Inglés | MEDLINE | ID: mdl-36052879

RESUMEN

There is a growing realization that the complexity of model ensemble studies depends not only on the models used but also on the experience and approach used by modelers to calibrate and validate results, which remain a source of uncertainty. Here, we applied a multi-criteria decision-making method to investigate the rationale applied by modelers in a model ensemble study where 12 process-based different biogeochemical model types were compared across five successive calibration stages. The modelers shared a common level of agreement about the importance of the variables used to initialize their models for calibration. However, we found inconsistency among modelers when judging the importance of input variables across different calibration stages. The level of subjective weighting attributed by modelers to calibration data decreased sequentially as the extent and number of variables provided increased. In this context, the perceived importance attributed to variables such as the fertilization rate, irrigation regime, soil texture, pH, and initial levels of soil organic carbon and nitrogen stocks was statistically different when classified according to model types. The importance attributed to input variables such as experimental duration, gross primary production, and net ecosystem exchange varied significantly according to the length of the modeler's experience. We argue that the gradual access to input data across the five calibration stages negatively influenced the consistency of the interpretations made by the modelers, with cognitive bias in "trial-and-error" calibration routines. Our study highlights that overlooking human and social attributes is critical in the outcomes of modeling and model intercomparison studies. While complexity of the processes captured in the model algorithms and parameterization is important, we contend that (1) the modeler's assumptions on the extent to which parameters should be altered and (2) modeler perceptions of the importance of model parameters are just as critical in obtaining a quality model calibration as numerical or analytical details.


Asunto(s)
Carbono , Suelo , Ecosistema , Humanos , Nitrógeno , Incertidumbre
4.
Cardiol Young ; 32(7): 1112-1120, 2022 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-34521491

RESUMEN

BACKGROUND: Diagnosis of sinus venosus defects, not infrequently associated with complex anomalous pulmonary venous drainage, may be delayed requiring multimodality imaging. METHODS: Retrospective review of all patients from February 2008 to January 2019. RESULTS: Thirty-seven children were diagnosed at a median age of 4.2 years (range 0.5-15.5 years). In 32 of 37 (86%) patients, diagnosis was achieved on transthoracic echocardiography, but five patients (14%) had complex variants (four had high insertion of anomalous vein into the superior caval vein and three had multiple anomalous veins draining to different sites, two of whom had drainage of one vein into the high superior caval vein). In these five patients, the final diagnosis was achieved by multimodality imaging and intra-operative findings. The median age at surgery was 5.2 years (range 1.6-15.8 years). Thirty-one patients underwent double patch repair, four patients a Warden repair, and two patients a single-patch repair. Of the four Warden repairs, two patients had a high insertion of right-sided anomalous pulmonary vein into the superior caval vein, one patient had bilateral superior caval veins, and one patient had right lower pulmonary vein insertion into the right atrium/superior caval vein junction. There was no post-operative mortality, reoperation, residual shunt or pulmonary venous obstruction. One patient developed superior caval vein obstruction and one patient developed atrial flutter. CONCLUSION: Complementary cardiac imaging modalities improve diagnosis of complex sinus venosus defects associated with a wide variation in the pattern of anomalous pulmonary venous connection. Nonetheless, surgical treatment is associated with excellent outcomes.


Asunto(s)
Defectos del Tabique Interatrial , Venas Pulmonares , Síndrome de Cimitarra , Malformaciones Vasculares , Adolescente , Niño , Preescolar , Defectos del Tabique Interatrial/diagnóstico por imagen , Defectos del Tabique Interatrial/cirugía , Humanos , Lactante , Venas Pulmonares/anomalías , Venas Pulmonares/diagnóstico por imagen , Venas Pulmonares/cirugía , Síndrome de Cimitarra/diagnóstico por imagen , Síndrome de Cimitarra/cirugía , Resultado del Tratamiento , Vena Cava Superior/anomalías , Vena Cava Superior/diagnóstico por imagen , Vena Cava Superior/cirugía
5.
Glob Chang Biol ; 27(4): 904-928, 2021 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-33159712

RESUMEN

Simulation models represent soil organic carbon (SOC) dynamics in global carbon (C) cycle scenarios to support climate-change studies. It is imperative to increase confidence in long-term predictions of SOC dynamics by reducing the uncertainty in model estimates. We evaluated SOC simulated from an ensemble of 26 process-based C models by comparing simulations to experimental data from seven long-term bare-fallow (vegetation-free) plots at six sites: Denmark (two sites), France, Russia, Sweden and the United Kingdom. The decay of SOC in these plots has been monitored for decades since the last inputs of plant material, providing the opportunity to test decomposition without the continuous input of new organic material. The models were run independently over multi-year simulation periods (from 28 to 80 years) in a blind test with no calibration (Bln) and with the following three calibration scenarios, each providing different levels of information and/or allowing different levels of model fitting: (a) calibrating decomposition parameters separately at each experimental site (Spe); (b) using a generic, knowledge-based, parameterization applicable in the Central European region (Gen); and (c) using a combination of both (a) and (b) strategies (Mix). We addressed uncertainties from different modelling approaches with or without spin-up initialization of SOC. Changes in the multi-model median (MMM) of SOC were used as descriptors of the ensemble performance. On average across sites, Gen proved adequate in describing changes in SOC, with MMM equal to average SOC (and standard deviation) of 39.2 (±15.5) Mg C/ha compared to the observed mean of 36.0 (±19.7) Mg C/ha (last observed year), indicating sufficiently reliable SOC estimates. Moving to Mix (37.5 ± 16.7 Mg C/ha) and Spe (36.8 ± 19.8 Mg C/ha) provided only marginal gains in accuracy, but modellers would need to apply more knowledge and a greater calibration effort than in Gen, thereby limiting the wider applicability of models.


Asunto(s)
Carbono , Suelo , Agricultura , Carbono/análisis , Francia , Federación de Rusia , Suecia , Incertidumbre , Reino Unido
6.
J Environ Manage ; 300: 113739, 2021 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-34536740

RESUMEN

Nitrate (NO3-) leaching has negative human and environmental health consequences that can be attributed to and mitigated by agricultural decision making. The purpose of this study is to examine the economic and environmental nitrogen (N) leaching reduction from 4R (Right Rate, Right Source, Right Time, Right Placement) agricultural management practices, including application methods, timing and rates, and the use of nitrification and urease inhibitors, for Ontario corn production. This study employed an integrated biophysical and economic GIS-based simulation model considering corn yields, prices, and production costs, and environmental losses, under historical weather scenarios, with NO3- leaching constraints. Reducing N application from historical to model optimized agronomic rates sharply lowered corn NO3- leaching from 75.3 to 24.9 kt N per year. Increasing model restrictions on corn NO3- leaching increased the use of broadcast and sidedress application methods compared to injection and lower overall production. They also increased the use of nitrification and urease inhibitors, which increased N use efficiency, because they allowed lower leaching from corn production, for a price. Leaching decreases from restrictions trade-off with ammonia (NH3) volatilization increases, but there was no trade-off with nitrous oxide (N2O) emissions. This highlighted the importance of considering net N losses and production trade-offs by policy decision-makers when developing N loss reduction strategies.


Asunto(s)
Nitrógeno , Zea mays , Agricultura , Fertilizantes/análisis , Humanos , Nitratos/análisis , Óxido Nitroso/análisis , Ontario , Suelo
7.
J Environ Manage ; 290: 112640, 2021 Jul 15.
Artículo en Inglés | MEDLINE | ID: mdl-33887638

RESUMEN

It is currently uncertain whether process-based models are capable of assessing crop yield and nitrogen (N) losses while helping to investigate best management practices from vegetable cropping systems. The objectives of this study were to (1) calibrate and evaluate the Denitrification-Decomposition (DNDC) model in simulating crop growth and nitrate leaching in a typical field radish system; (2) optimize management practices to improve radish yield and mitigate nitrate leaching under 20-year climate variability. A five-season in-situ field experiment of spring and autumn radish in northern China was established in the autumn of 2017 and measurements of radish yield, N uptake, soil temperature, soil moisture, drainage, and nitrate leaching were obtained under different N usage. DNDC overall demonstrated "good" to "excellent" performance in simulating radish yield, total biomass, N uptake, and soil temperature across all treatments (6.4% ≤ normalized root mean square error (nRMSE) ≤ 15.5%; 0.12 ≤ Nash-Sutcliffe efficiency (NSE) ≤ 0.88; 0.80 ≤ index of agreement (d) ≤ 0.97). DNDC generally exhibited "fair" performance in estimating soil moisture and drainage (10.9% ≤ nRMSE ≤ 27.2%; -0.18 ≤ NSE ≤ 0.37; 0.69 ≤ d ≤ 0.82) and "good" performance when predicting nitrate leaching (12.4% ≤ nRMSE ≤ 26.7%; -0.59 ≤ NSE ≤ 0.51; 0.68 ≤ d ≤ 0.90). Sensitivity analyses demonstrated that optimized management practices (planting dates, irrigation amount, fertilization rate and timing) could substantially reduce N usage by 40%-50%, irrigation amount by 33%-50%, and nitrate leaching by 86%-95% compared to farmers' practice in radish planting system. This study indicated that a modelling method is helpful for evaluating the biogeochemical effects of management alternatives and identifying optimal management practices in radish production systems of China.


Asunto(s)
Nitratos , Raphanus , Agricultura , China , Fertilizantes/análisis , Nitratos/análisis , Nitrógeno/análisis , Suelo
8.
Glob Chang Biol ; 26(10): 5942-5964, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-32628332

RESUMEN

Smallholder farmers in sub-Saharan Africa (SSA) currently grow rainfed maize with limited inputs including fertilizer. Climate change may exacerbate current production constraints. Crop models can help quantify the potential impact of climate change on maize yields, but a comprehensive multimodel assessment of simulation accuracy and uncertainty in these low-input systems is currently lacking. We evaluated the impact of varying [CO2 ], temperature and rainfall conditions on maize yield, for different nitrogen (N) inputs (0, 80, 160 kg N/ha) for five environments in SSA, including cool subhumid Ethiopia, cool semi-arid Rwanda, hot subhumid Ghana and hot semi-arid Mali and Benin using an ensemble of 25 maize models. Models were calibrated with measured grain yield, plant biomass, plant N, leaf area index, harvest index and in-season soil water content from 2-year experiments in each country to assess their ability to simulate observed yield. Simulated responses to climate change factors were explored and compared between models. Calibrated models reproduced measured grain yield variations well with average relative root mean square error of 26%, although uncertainty in model prediction was substantial (CV = 28%). Model ensembles gave greater accuracy than any model taken at random. Nitrogen fertilization controlled the response to variations in [CO2 ], temperature and rainfall. Without N fertilizer input, maize (a) benefited less from an increase in atmospheric [CO2 ]; (b) was less affected by higher temperature or decreasing rainfall; and (c) was more affected by increased rainfall because N leaching was more critical. The model intercomparison revealed that simulation of daily soil N supply and N leaching plays a crucial role in simulating climate change impacts for low-input systems. Climate change and N input interactions have strong implications for the design of robust adaptation approaches across SSA, because the impact of climate change in low input systems will be modified if farmers intensify maize production with balanced nutrient management.


Asunto(s)
Cambio Climático , Zea mays , Fertilizantes , Malí , Nitrógeno
9.
Ann Vasc Surg ; 66: 233-241.e4, 2020 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-31863955

RESUMEN

BACKGROUND: Studies suggest that patients admitted on weekends may have worse outcomes as compared with those admitted on weekdays. Lower extremity vascular trauma (LEVT) often requires emergent surgical intervention and might be particularly sensitive to this "weekend effect." The objective of this study was to determine if a weekend effect exists for LEVT. METHODS: The National and Nationwide Inpatient Sample Database (2005-2014) was queried to identify all adult patients who were admitted with an LEVT diagnosis. Patient and hospital characteristics were recorded or calculated and outcomes including in-hospital mortality, amputation, length of stay (LOS), and discharge disposition were assessed. Independent predictors of outcomes were identified using multivariable regression models. RESULTS: There were 9,282 patients admitted with LEVT (2,866 weekend admissions vs. 6,416 weekday admissions). Patients admitted on weekends were likely to be younger than 45 years (68% weekend vs. 55% weekday, P < 0.001), male (81% weekend vs. 75% weekday, P < 0.001), and uninsured (22% weekend vs. 17% weekday, P < 0.001) as compared with patients admitted on weekdays. There were no statistically significant differences in mortality (3.8% weekend vs. 3.3% weekday, P = 0.209), amputation (7.2% weekend vs. 6.6% weekday, P = 0.258), or discharge home (57.4% weekend vs. 56.1% weekday, P = 0.271). There was no clinically significant difference in LOS (median 7 days weekend vs. 7 days weekday), P = 0.009. On multivariable regression analyses, there were no statistically significant outcome differences between the groups. CONCLUSIONS: This study did not identify a weekend effect in LEVT patients in the United States. This suggests that factors other than the day of admission may be important in influencing outcomes after LEVT.


Asunto(s)
Atención Posterior , Extremidad Inferior/irrigación sanguínea , Admisión del Paciente , Procedimientos Quirúrgicos Vasculares , Lesiones del Sistema Vascular/cirugía , Adolescente , Adulto , Anciano , Amputación Quirúrgica , Bases de Datos Factuales , Urgencias Médicas , Femenino , Mortalidad Hospitalaria , Humanos , Pacientes Internos , Tiempo de Internación , Masculino , Persona de Mediana Edad , Alta del Paciente , Estudios Retrospectivos , Factores de Riesgo , Factores de Tiempo , Resultado del Tratamiento , Estados Unidos , Procedimientos Quirúrgicos Vasculares/efectos adversos , Procedimientos Quirúrgicos Vasculares/mortalidad , Lesiones del Sistema Vascular/diagnóstico por imagen , Lesiones del Sistema Vascular/mortalidad , Adulto Joven
10.
J Card Surg ; 35(4): 930-933, 2020 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-32069370

RESUMEN

The indications for extracorporeal membrane oxygenation (ECMO) are expanding. Postobstructive pulmonary edema, also known as negative pressure pulmonary edema, can result in severe respiratory compromise and acute respiratory distress syndrome. We present a case of a 26-year-old female with laryngeal papillomatosis and laryngospasm after direct laryngoscopy, who developed severe NPPE refractory to mechanical ventilator support, which was successfully treated with veno-venous ECMO.


Asunto(s)
Oxigenación por Membrana Extracorpórea/métodos , Neoplasias Laríngeas/cirugía , Papiloma/cirugía , Complicaciones Posoperatorias/terapia , Edema Pulmonar/terapia , Adulto , Femenino , Humanos , Neoplasias Laríngeas/complicaciones , Laringismo/complicaciones , Laringismo/cirugía , Papiloma/complicaciones , Presión , Índice de Severidad de la Enfermedad , Resultado del Tratamiento
11.
Glob Chang Biol ; 24(2): e603-e616, 2018 02.
Artículo en Inglés | MEDLINE | ID: mdl-29080301

RESUMEN

Simulation models are extensively used to predict agricultural productivity and greenhouse gas emissions. However, the uncertainties of (reduced) model ensemble simulations have not been assessed systematically for variables affecting food security and climate change mitigation, within multi-species agricultural contexts. We report an international model comparison and benchmarking exercise, showing the potential of multi-model ensembles to predict productivity and nitrous oxide (N2 O) emissions for wheat, maize, rice and temperate grasslands. Using a multi-stage modelling protocol, from blind simulations (stage 1) to partial (stages 2-4) and full calibration (stage 5), 24 process-based biogeochemical models were assessed individually or as an ensemble against long-term experimental data from four temperate grassland and five arable crop rotation sites spanning four continents. Comparisons were performed by reference to the experimental uncertainties of observed yields and N2 O emissions. Results showed that across sites and crop/grassland types, 23%-40% of the uncalibrated individual models were within two standard deviations (SD) of observed yields, while 42 (rice) to 96% (grasslands) of the models were within 1 SD of observed N2 O emissions. At stage 1, ensembles formed by the three lowest prediction model errors predicted both yields and N2 O emissions within experimental uncertainties for 44% and 33% of the crop and grassland growth cycles, respectively. Partial model calibration (stages 2-4) markedly reduced prediction errors of the full model ensemble E-median for crop grain yields (from 36% at stage 1 down to 4% on average) and grassland productivity (from 44% to 27%) and to a lesser and more variable extent for N2 O emissions. Yield-scaled N2 O emissions (N2 O emissions divided by crop yields) were ranked accurately by three-model ensembles across crop species and field sites. The potential of using process-based model ensembles to predict jointly productivity and N2 O emissions at field scale is discussed.


Asunto(s)
Agricultura/métodos , Productos Agrícolas/fisiología , Modelos Biológicos , Óxido Nitroso/metabolismo , Simulación por Computador , Abastecimiento de Alimentos , Incertidumbre
12.
Eur Radiol ; 28(11): 4598-4606, 2018 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-29721685

RESUMEN

OBJECTIVES: The objective of this study was to investigate the effect of location and number of anomalously connected pulmonary veins and any associated atrial septal defect (ASD) on the magnitude of left-to-right shunting in patients with partial anomalous pulmonary venous connection (PAPVC), and how that influences right ventricular volume loading. METHODS AND RESULTS: The cardiac magnetic resonance (CMR) and echocardiography examinations of 26 paediatric patients (mean age, 11.2 ± 5.1 years) with unrepaired PAPVC were analysed. Fourteen patients had right-sided, 11 left-sided and 1 patient bilateral PAPVC. An ASD was present in 11 patients, of which none had a Qp/Qs < 1.5 and 8 had a Qp/Qs≥ 2.0. No patient with isolated left upper PAPVC experienced a Qp/Qs ≥ 2.0 compared to 9/12 patients with right upper PAPVC. Qp/Qs correlated with indexed right ventricle (RV) end-diastolic volume (RVEDVi, r = 0.59, p = 0.002) by CMR and with echocardiographic right ventricular end-diastolic dimension (RVED) z-score (r = 0.68, p = 0.003). A RVEDVi >124 ml/m2 by CMR and a RVED z-score >2.2 by echocardiography identified patients with a Qp/Qs ≥1.5 with good sensitivity and specificity. CONCLUSIONS: An asymptomatic patient with a single anomalously connected left upper pulmonary vein and without an ASD is unlikely to have a significant left-to-right shunt. On the other hand, right-sided PAPVC is frequently associated with a significant left-to-right shunt, especially when an ASD is present. KEY POINTS: • Patients with PAPVC and ASD routinely have a significant left-to-right shunt. • Patients with right PAPVC are likely to have a significant left-to-right shunt. • Patients with left PAPVC are unlikely to have a significant left-to-right shunt. • CMR is helpful in decision-making for patients with PAPVC.


Asunto(s)
Defectos del Tabique Interatrial/diagnóstico , Ventrículos Cardíacos/diagnóstico por imagen , Hemodinámica/fisiología , Imagen por Resonancia Cinemagnética/métodos , Venas Pulmonares/anomalías , Adolescente , Niño , Preescolar , Ecocardiografía , Femenino , Defectos del Tabique Interatrial/fisiopatología , Ventrículos Cardíacos/fisiopatología , Humanos , Lactante , Masculino , Venas Pulmonares/diagnóstico por imagen
13.
J Environ Qual ; 47(4): 635-643, 2018 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-30025058

RESUMEN

Agricultural practices such as including perennial alfalfa ( L.), winter wheat ( L.), or red clover ( L.) in corn ( L.) rotations can provide higher crop yields and increase soil organic C (SOC) over time. How well process-based biogeochemical models such as DeNitrification-DeComposition (DNDC) capture the beneficial effects of diversified cropping systems is unclear. To calibrate and validate DNDC for simulation of observed trends in corn yield and SOC, we used long-term trials: continuous corn (CC) and corn-oats ( L.)-alfalfa-alfalfa (COAA) for Woodslee, ON, 1959 to 2015; and CC, corn-corn-soybean [ (L.) Merr.]-soybean (CCSS), corn-corn-soybean-winter wheat (CCSW), corn-corn-soybean-winter wheat + red clover (CCSW+Rc), and corn-corn-alfalfa-alfalfa (CCAA) for Elora, ON, 1981 to 2015. Yield and SOC under 21st century conditions were projected under future climate scenarios from 2016 to 2100. The DNDC model was calibrated to improve crop N stress and was revised to estimate changes in water availability as a function of soil properties. This improved yield estimates for diversified rotations at Elora (mean absolute prediction error [MAPE] decreased from 13.4-15.5 to 10.9-14.6%) with lower errors for the three most diverse rotations. Significant improvements in yield estimates were also simulated at Woodslee for COAA, with MAPE decreasing from 24.0 to 16.6%. Predicted and observed SOC were in agreement for simpler rotations (CC or CCSS) at both sites (53.8 and 53.3 Mg C ha for Elora, 52.0 and 51.4 Mg C ha for Woodslee). Predicted SOC increased due to rotation diversification and was close to observed values (58.4 and 59 Mg C ha for Elora, 63 and 61.1 Mg C ha for Woodslee). Under future climate scenarios the diversified rotations mitigated crop water stress resulting in trends of higher yields and SOC content in comparison to simpler rotations.


Asunto(s)
Carbono/análisis , Producción de Cultivos , Zea mays , Agricultura , Productos Agrícolas , Suelo
15.
J Paediatr Child Health ; 50(6): 482-6, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-24528530

RESUMEN

AIM: The aim of this study is to evaluate consultant general paediatricians' opinions of a UK paediatric telecardiology service. METHODS: A structured questionnaire was developed and sent to all consultant paediatricians working in a district general hospital in Northern Ireland. RESULTS: Paediatricians (n = 35) regarded the regional paediatric telecardiology service as very useful and of good value for money. Paediatricans in hospitals without access to telecardiology expressed a desire to join the network (86%, 12/14). More frequent use of the paediatric telecardiology service was associated with increased confidence in performing echocardiography and using the telemedicine equipment and a special interest in neonatology. The vast majority of paediatricians (32/35, 91%) believed that there should be a shared clinical responsibility for the patient following a teleconsultation. A total of 33/35 (94%) stated that the telephone costs of the consultation should be paid by the paediatrician but that the professional time of the cardiologist should be paid by the tertiary centre (29/35, 83%). CONCLUSIONS: Paediatricians have consistently positive experiences of a regional paediatric telecardiology service. They believe that clinical responsibility is shared, and there should not be any professional fee for telemedicine activities.


Asunto(s)
Actitud del Personal de Salud , Cardiología/métodos , Cardiopatías Congénitas/terapia , Encuestas y Cuestionarios , Telemedicina/organización & administración , Adulto , Niño , Preescolar , Estudios Transversales , Femenino , Cardiopatías Congénitas/diagnóstico , Humanos , Lactante , Recién Nacido , Masculino , Monitoreo Fisiológico , Pediatría , Evaluación de Programas y Proyectos de Salud , Derivación y Consulta/estadística & datos numéricos , Reino Unido
16.
Sci Total Environ ; 915: 169639, 2024 Mar 10.
Artículo en Inglés | MEDLINE | ID: mdl-38181952

RESUMEN

Municipal biosolids are a nitrogen (N)-rich agricultural fertilizer which may emit nitrous oxide (N2O) after rainfall events. Due to sparse empirical data, there is a lack of biosolids-specific N2O emission factors to determine how land-applied biosolids contribute to the national greenhouse gas inventory. This study estimated N2O emissions from biosolids-amended land in Canada using Tier 1, Tier 2 (Canadian), and Tier 3 (Denitrification and Decomposition model [DNDC]) methodologies recommended by the Intergovernmental Panel on Climate Change (IPCC). Field data was from replicated plots at 8 site-years between 2017 and 2019 in the provinces of Quebec, Nova Scotia and Alberta, Canada, representing three distinct ecozones. Municipal biosolids were the major N source for the crop, applied as mesophilic anaerobically digested biosolids, composted biosolids, or alkaline-stabilized biosolids alone or combined with an equal amount of urea-N fertilizer to meet the crop N requirements. Fluxes of N2O were measured during the growing season with manual chambers and compared to N2O emissions estimated using the IPCC methods. In all site-years, the mean emission of N2O in the growing season was greater with digested biosolids than other biosolids sources or urea fertilizer alone. The emissions of N2O in the growing season were similar with composted or alkaline-stabilized biosolids, and no greater than the unfertilized control. The best estimates of N2O emissions, relative to measured values, were with the Tier 3 > adapted Tier 2 with biosolids-specific correction factors > standard Tier 2 = Tier 1 methods of the IPCC, according to the root mean square error statistic. The Tier 3 IPCC method was the best estimator of N2O emissions in the Canadian ecozones evaluated in this study. These results will be used to improve methods for estimating N2O emissions from agricultural soils amended with biosolids and to generate more accurate GHG inventories.


Asunto(s)
Óxido Nitroso , Suelo , Óxido Nitroso/análisis , Biosólidos , Fertilizantes , Agricultura , Nitrógeno/análisis , Urea , Alberta
17.
J Environ Qual ; 52(4): 939-947, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37102242

RESUMEN

Methane emissions from liquid manure storage are currently estimated with a methane conversion factor (MCF) based on manure temperature inputs or air temperatures as a substitute in the 2019 IPCC Tier 2 method. However, differences between peak manure temperature and peak air temperature (Tdiff ) in warm seasons are likely to occur and result in poor estimates of MCF and methane emissions. To address this concern, this study aims to investigate the relationship between the Tdiff and ratio of manure surface area to manure volume (Rs:v ) using a mechanistic model and by analyzing farm-scale measurement studies across Canada. Positive correlations between Tdiff and Rs:v were found using a modeling approach and from farm-scale results (r = 0.55, p = 0.06). Tdiff ranged from -2.2 to 2.6°C in farm-scale results mainly collected from eastern Canada. We suggest that manure volume and surface area, in addition to removal frequency, could be used to estimate Tdiff and be part of the criteria for improving manure temperature estimates, which could lead to improved estimates of MCF.


Asunto(s)
Estiércol , Metano , Temperatura , Granjas , Estaciones del Año
18.
Tenn Med ; 105(1): 38-9, 2012 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-22359994

RESUMEN

The U.S. Department of Veterans Affairs' Operation Stand Down has done much to address homeless needs among veterans. Gaining client trust is central to the effectiveness of the program. Music therapy has been found beneficial in moving individuals from isolation to community. We report our experience with participatory music therapy in Operation Stand Down and offer this as a legitimate intervention to enhance client participation.


Asunto(s)
Personas con Mala Vivienda/psicología , Musicoterapia , Aislamiento Social/psicología , Veteranos/psicología , Humanos , Tennessee , Estados Unidos , United States Department of Veterans Affairs
19.
Sci Total Environ ; 835: 155325, 2022 Aug 20.
Artículo en Inglés | MEDLINE | ID: mdl-35447179

RESUMEN

Methane emissions from liquid manure management in Canada are an important greenhouse gas source. A wide range of seasonal temperatures, distribution of livestock farms, and various management practices in Canada means that regional methane conversion factors (MCF) that account for spatially discrete climate and management should be used. This study explores the impacts of using the 2019 IPCC Refinement methodology on estimates of MCFs across Canada. MCFs were calculated for 3403 locations across Canada using historical weather data, with varying management parameters at each location (emptying efficiency, timing, and frequency of manure removal). Sensitivity to two model parameters was also evaluated (minimum manure temperature, damping factor). Results showed the influence of climate, as average MCF in each ecozone ranged from 0.27 in the Mixedwood Plains to 0.15 in the Taiga. Further climate variation within ecozones was evident. For example, the MCF range within Mixedwood Plains was 0.17 to 0.33. The MCF reduction by improving management was evident as the average MCF in Canada was 0.15 for triannual removal, 0.21 for biannual removal, 0.28 for one-time removal in spring, and 0.32 for one-time removal in fall. Emptying efficiency was found to be critical; for example, the average MCF for triannual removal with 100% efficiency was 0.14 but increased to 0.15 at 95%, 0.17 at 85%, and 0.30 at 50% efficiency. The damping factor had higher sensitivity in terms of model parameters because it influences peak manure temperature in summer before manure removal. Our results suggest that the average MCF in Canada will be similar to the 2006 IPCC value, but that using the 2019 IPCC Refinement provides a greater ability to represent the variations in climate and management regionally across the country. This will improve accuracy and enable inventory practitioners to reflect regional farm management changes in national methane emission estimates.


Asunto(s)
Gases de Efecto Invernadero , Metano , Granjas , Estiércol/análisis , Metano/análisis , Óxido Nitroso , Estaciones del Año
20.
Sci Total Environ ; 823: 153695, 2022 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-35143794

RESUMEN

Municipal wastewater sludge may be processed into biosolids and applied to farmland for crop production, rather than be disposed of in landfills. Biosolids supply plant nutrients and increase soil organic carbon but also contribute to the production of greenhouse gases (GHGs). Computational models must therefore be refined to estimate the contribution of these gases to national GHG inventories. The DeNitrification and DeComposition (DNDC) model was evaluated for processes regulating crop growth, GHGs and soil C&N dynamics to determine its suitability for informing policy decision-making and advancing Canada's GHG inventory. Three years (2017-2019) of data were collected from replicated corn (Zea mays L.) plots in Quebec, Canada. The plots received 120 kg of available N ha-1 y-1 in mesophilic anaerobically digested biosolids, composted biosolids, alkaline-stabilized biosolids, urea, or combinations of these, while control plots were left unfertilized. Treatments receiving digested biosolids emitted more nitrous oxide (N2O) during the growing season than other treatments, while carbon dioxide (CO2) emissions were similar between treatments. After calibration, DNDC estimates were within the 95% confidence interval of the measured variables. Correlation coefficients (r) indicated discrepancies in trends between the estimated and measured values for daily CO2 and N2O emissions. These emissions were underestimated in the early and mid-growing season of 2018. They were more variable from plots fertilized with composted or alkaline-stabilized biosolids than from those with digested biosolids. Annual N2O emissions (r = 0.8), crop yields (r = 0.5), and soil organic carbon (r = 0.4) were modelled with higher accuracy than cumulative CO2 emissions (r = 0.3) and total soil N (r = 0.1). These findings suggest that DNDC is suitable for estimating field-scale N2O emissions following biosolids application, but estimates of CO2 emissions could be improved, perhaps by disaggregating the biosolids from the soil organic matter pools in the decomposition subroutines.


Asunto(s)
Gases de Efecto Invernadero , Agricultura , Biosólidos , Carbono , Dióxido de Carbono/análisis , Desnitrificación , Granjas , Fertilizantes/análisis , Metano/análisis , Óxido Nitroso/análisis , Suelo
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