Food systems for sustainable development: proposals for a profound four-part transformation.

Evidence shows the importance of food systems for sustainable development: they are at the nexus that links food security, nutrition, and human health, the viability of ecosystems, climate change, and social justice. However, agricultural policies tend to focus on food supply, and sometimes, on mechanisms to address negative externalities. We propose an alternative. Our starting point is that agriculture and food systems' policies should be aligned to the 2030 Agenda for Sustainable Development. This calls for deep changes in comparison with the paradigms that prevailed when steering the agricultural change in the XXth century. We identify the comprehensive food systems transformation that is needed. It has four parts: first, food systems should enable all people to benefit from nutritious and healthy food. Second, they should reflect sustainable agricultural production and food value chains. Third, they should mitigate climate change and build resilience. Fourth, they should encourage a renaissance of rural territories. The implementation of the transformation relies on (i) suitable metrics to aid decision-making, (ii) synergy of policies through convergence of local and global priorities, and (iii) enhancement of development approaches that focus on territories. We build on the work of the "Milano Group," an informal group of experts convened by the UN Secretary General in Milan in 2015. Backed by a literature review, what emerges is a strategic narrative linking climate, agriculture and food, and calling for a deep transformation of food systems at scale. This is critical for achieving the Sustainable Development Goals and the Paris Agreement. The narrative highlights the needed consistency between global actions for sustainable development and numerous local-level innovations. It emphasizes the challenge of designing differentiated paths for food systems transformation responding to local and national expectations. Scientific and operational challenges are associated with the alignment and arbitration of local action within the context of global priorities.

Are patients with eosinophilic esophagitis treated at an academic hospital comparable to a patient from a population-based cohort? Not in Denmark.

Background and Aim: Little are known about differences in eosinophilic esophagitis (EoE) patients in the general population compared with patients treated at academic hospitals. This might affect the generalizability of study results. The aims of the study were to compare clinical features, and complications of EoE between patients from a population-based cohort (DanEoE) and patients from an academic hospital cohort in Copenhagen (EoE-Cph). Methods: The DanEoE cohort is a population- and register-based cohort including all 236 adult EoE patients diagnosed in the North Denmark Region in 2007-2017 previously described in detail. The new EoE-Cph cohort consists of 245 consecutively referred adult patients to a dedicated EoE center in an Academic Hospital in the Danish capital in 2013-2020. Data were collected from medical registries and medical files. Results: Patients in the academic cohort were at symptom debut 12 (SD 16) years younger (P = 0.001). At the time of diagnosis they were 5.4 (SD 15) years younger (P < 0.001). Where Gastro-esophageal reflux disease (GORD) was present in one-third of the population-based cohort, this was only observed in 14% of the EoE-Cph group (P < 0.05). Food bolus obstruction before diagnosis was 24% less common in the EoE-Cph patients (P < 0.001). Conclusion: Results indicated that EoE patients referred to a Danish EoE center is a selected subgroup with disease debut at a younger age, less comorbid GORD, and rarely food bolus obstruction before diagnosis. This suggests that study results from academic hospitals might not have generalizability to the average EoE patient in a population.

The Effects of Pen Size and Design, Bedding, Rooting Material and Ambient Factors on Pen and Pig Cleanliness and Air Quality in Fattening Pig Houses.

There are several environmental and ambient factors that can affect pig eliminative behaviour. The aim of this survey was to investigate factors related to the physical and ambient environment that have the strongest effects on pig and pen cleanliness and ammonia concentration. Data were collected from 87 pig farms and analysed using mixed (ammonia concentration) or generalized linear (pen and pig cleanliness) model in SAS. The pen was cleaner when pen partitions were open compared to closed (p = 0.010) and increased with increasing amount of litter (p = 0.002), using straw (p = 0.002) as rooting material. Pig cleanliness was higher when pen partitions in the eliminative area were open compared to closed (p = 0.007) and increased with increasing space per pig in the resting area (p < 0.001), with decreasing temperature (p < 0.001), and lowering of air velocity (p = 0.003). Other factors that increased cleanliness was using straw as rooting material (p = 0.028) and increasing amount of litter in the resting area (p = 0.002). Ammonia concentration was reduced with increasing floor space in the eliminative area (p < 0.001) and increasing amount of litter (p = 0.006). Our results pinpoint physical and ambient conditions affecting pen and pig cleanliness and air quality.

Search Behavior in Goat (Capra hircus) Kids From Mothers Kept at Different Animal Densities Throughout Pregnancy.

Individual differences in cognitive performance are often reported but factors related to variation within species are rarely addressed. Goats (Capra hircus) have been subjects of many cognitive studies recently but without focus on individual variation. Among others, factors such as prenatal stress and sex of the individual have been proposed as possible explanations for individual variation in cognitive skills. We aimed to study whether prenatal environment, prenatal stress, litter size, sex, and birth weight influences search behavior skills of goat kids. Pregnant Norwegian dairy goats were exposed to different spatial allowance (namely 1.0, 2.0, or 3.0 m2 per animal) within the commercially applied range during pregnancy and their serum cortisol levels were measured six times within this period. Twenty-six of the kids born entered a three-stage searching task with increasing difficulty when they were 6 weeks old. The tasks included finding a bucket of milk: while moving (stage 1), after moving and disappearing behind a curtain (stage 2), and moving behind a displacement device and the device moving behind a curtain while hiding the bucket (stage 3). We found that prenatal animal density had no effect on the search skills of the offspring, while kids with higher prenatal maternal cortisol levels performed better at the highest stage tested: finding an object after single invisible displacement. At this stage, singleton kids and males performed better than twins and females. Birth weight had no effect at this stage. The findings suggest that maternal cortisol in the observed range had a facilitating effect on cognitive development of goat kids.

Sow communication with piglets while being active is a good predictor of maternal skills, piglet survival and litter quality in three different breeds of domestic pigs (Sus scrofa domesticus).

Maternal care behaviour is crucial for offspring quality and survival in pigs. Defining care is therefore essential for ensuring the welfare of pigs and sustainability of pig production. The aim of the present study was to investigate the relationship between sow nest building, communication with piglets (sniffing, nudging, grunting) during resting and activity, and piglet survival in three different sow breeds: a maternal line selected for high weaned pig production (Landrace), a paternal line selected for meat traits (Duroc), and a crossbred line (Landrace and Yorkshire). We predicted that a higher frequency of nest building and sow communication would have a positive impact on piglet survival. Secondly, we predicted that a high level of maternal care outside the time of nursing (nest building and communication) would increase the quality of the litter (weight at weaning). We also predicted that nest building activity and sow communication would be more pronounced in maternal sow lines selected for maternal traits than in a non-selected, paternal line, and that primiparous sows would perform more nest building behaviour and communicate more than multiparous sows due to high investment in their first litter. Finally, an impaired condition around farrowing (i.e. low body condition score and presence of shoulder lesions) was predicted to be negatively correlated to care behaviours. Data was collected on 38 sows with 511 born piglets. Sows with their litters, were loose-housed in individual farrowing pens until weaning. Nest building activity can be partly considered as maternal care behaviour as it prepares the sows for motherhood and is associated with a lower proportion of stillborn piglets (P < 0.001), starved piglets (P = 0.004), and overlaid piglets (P = 0.034). As predicted, sows that communicated more while being active had lower postnatal piglet mortality (starvation (P < 0.001), less overlying (P < 0.001), overlying with (P < 0.001), and without the milk in the stomach (P < 0.001) and fewer that died of other causes (P < 0.001), higher piglet survival (P < 0.001) and litter weight (P < 0.001) at weaning irrespective of the breed. A higher level of communication while active was associated with more pronounced shoulder lesions in sows (P = 0.010), suggesting a positive association between good maternal care and prevalence of shoulder lesions. We also found that resting sows that communicated more with piglets outside the time of nursing, had higher postnatal piglet mortality (P < 0.001) due to starvation (P < 0.001), overlying (P < 0.001), overlying with (P < 0.001), or without milk (P < 0.001). Communication during resting was more pronounced with increasing litter size at birth (P < 0.001), especially for thin sows (P < 0.001). Communication during resting was more pronounced in the non-selected Duroc line (P < 0.001). Our results suggest that sow communication while being active is a good predictor of good maternal care, piglet survival and litter quality in three different breeds of domestic pigs.

Density-Dependent Spacing Behaviour and Activity Budget in Pregnant, Domestic Goats (Capra hircus).

Very little is known about the spacing behaviour in social groups of domestic goats (Capra hircus) in the farm environment. In this experiment, we studied interindividual distances, movement patterns and activity budgets in pregnant goats housed at three different densities. Norwegian dairy goats were kept in stable social groups of six animals throughout pregnancy at 1, 2 or 3 m2 per individual and their spacing behaviours (i.e., distance travelled, nearest and furthest neighbour distance) and activity budgets (e.g., resting, feeding, social activities) were monitored. Observations were made in the first, second and last thirds of pregnancy in the mornings, at noon and in the afternoons of each of these phases (4.5 hours per observation period). The findings show that goats held at animal densities of 2 and 3 m2 moved longer distances when they had more space per animal and kept larger nearest and furthest neighbour distances when compared to the 1 m2 per animal density. Less feeding activity was observed at the high animal density compared to the medium and low density treatments. The phase of gestation also had an impact on almost all behavioural variables. Closer to parturition, animals moved further distances and the increase in nearest and furthest neighbour distance was more pronounced at the lower animal densities. During the last period of gestation, goats spent less time feeding and more on resting, social behaviours and engaging in other various activities. Our data suggest that more space per goat is needed for goats closer to parturition than in the early gestation phase. We concluded that in goats spacing behaviour is density-dependent and changes with stages of pregnancy and activities. Finally, the lower density allowed animals to express individual preferences regarding spacing behaviour which is important in ensuring good welfare in a farming situation.

[Can emergency admissions to departments of internal medicine be replaced by planned admissions?]. / Kan akutte indlaeggelser konverteres til planlagte indlaeggelser på medicinske afdelinger?

INTRODUCTION: The aim of the study was to describe the pattern of admissions to a medical department and to analyse how far acute admissions can be replaced by planned subacute admissions to an outpatient department. MATERIALS AND METHODS: All acute admissions to the medical department during two six-day periods were registered. The department's registrars filled in a structured questionnaire and the senior registrars evaluated the admissions. In addition, a local general practitioner evaluated one-third of the admissions. RESULTS: Altogether, 214 consecutive patients were entered in the study. One-third of the patients had consulted their GP in the week before the admission. Admissions from the casualty department and from GPs were assessed as appropriate in 92% and 71% of the cases, respectively. The senior registrars assessed that 17-20% of the acute admissions could have been replaced by a subacute, planned admission. Only 5% of the patients shared this conclusion. The ability to predict the total length of stay was limited, and greatest accuracy was achieved in prediction of short-term stays. DISCUSSION: In a medical department with many acute admissions, it is possible to replace acute admissions with planned subacute admissions for a large group of patients.

The effects of prenatal stocking densities on the fear responses and sociality of goat (Capra hircus) kids.

Prenatal stress (stress experienced by a pregnant mother) and its effects on offspring have been comprehensively studied but relatively little research has been done on how prenatal social stress affects farm animals such as goats. Here, we use the operational description of 'stress' as "physical or perceived threats to homeostasis." The aim of this study was to investigate the prenatal effects of different herd densities on the fear responses and sociality of goat kids. Pregnant Norwegian dairy goats were exposed to high, medium or low prenatal animal density treatments throughout gestation (1.0, 2.0 or 3.0 m2 per animal, respectively). One kid per litter was subjected to two behavioral tests at 5 weeks of age. The 'social test' was applied to assess the fear responses, sociality and social recognition skills when presented with a familiar and unfamiliar kid and the 'separation test' assessed the behavioral coping skills when isolated. The results indicate goat kids from the highest prenatal density of 1.0 m2 were more fearful than the kids from the lower prenatal densities (i.e. made more escape attempts (separation test: P < 0.001) and vocalizations (social test: P < 0.001; separation test: P < 0.001). This effect was more pronounced in females than males in the high density (vocalizations; social test: P < 0.001; separation test: P  =  0.001) and females were generally more social than males. However, goat kids did not differentiate between a familiar and an unfamiliar kid at 5 weeks of age and sociality was not affected by the prenatal density treatment. We conclude that high animal densities during pregnancy in goats produce offspring that have a higher level of fear, particularly in females. Behavioral changes in offspring that occur as an effect of prenatal stress are of high importance as many of the females are recruited to the breeding stock of dairy goats.

[Liquorice-induced hypertension and hypokalaemia]. / Lakridsinduceret hypertension og hypokaliæmi.

Consumption of large amounts of liquorice can cause hypertension and hypokalaemia. Liquorice contains glycyrrhetinic acid, which inhibits the enzyme 11 beta-hydroxysteroid dehydrogenase type 2, and ultimately leads to an apparent mineralocorticoid excess syndrome. This case report describes a 50 year-old woman presenting with hypertension and hypokalaemia-induced limb paresis due to chronic liquorice ingestion. The patient was treated with potassium supplementation and spironolactone. Her blood pressure and electrolyte status normalised within a month after cessation of liquorice intake.

Outside enclosure and additional enrichment for dairy goats--a preliminary study.

BACKGROUND: Dairy goats are commonly housed at a space allowance of 0.7-0.8 m²/goat in commercial Norwegian goat herds, which is very low compared to regulations and recommendations in other European countries. One easy and cheap way to increase space allowance is to allow the animals' access to outdoor area. The aim of this study was to investigate the effect of access to an outside enclosure and environmental enrichment for dairy goats kept in slatted floor pens with low space allowance on their activity pattern and social behaviour. METHODS: A group of 82 dairy goats on a commercial Norwegian dairy farm were kept inside during the winter period from October to April. In April the goats were given access to an outside enclosure for 8 hours per day. After having access to the enclosure for another for two days, enrichment (branches) was provided, and after 19 days the enrichment were removed. The goats were observed for 5 hours per day for the two last days before they got access to the outside enclosure, the two days in the enclosure, the two first and the two last days with enrichment and for the following two days without enrichment by two trained observers. RESULTS: When allowed access to the enclosure, the goats spent nearly 50% of the time outside, and later the time spent outside was reduced to less than 40% (P < 0.0001), but there was no clear effect of enrichment. All the goats appeared to have a regular use of the enclosure. Time spent resting decreased 59.2% to only 25.2% when the goats first got access to the enclosure, but then started to increase again (P < 0.0001). Initially time spent exploring and chewing the branches was 20%, but this was reduced to around 12% in the last part of the ENRICH period (P < 0.0001). Number of aggressive interactions tended to increase when the goats were allowed access to the outdoor enclosure whereas play behaviour was only observed in the outside enclosure (P < 0.05). CONCLUSIONS: In conclusion, the goats preferred to use the outside enclosure when being active, and branches were perceived as an attractive enrichment.

Maternal investment, sibling competition, and offspring survival with increasing litter size and parity in pigs (Sus scrofa).

The aim of this study was to examine the effects of litter size and parity on sibling competition, piglet survival, and weight gain. It was predicted that competition for teats would increase with increasing litter size, resulting in a higher mortality due to maternal infanticide (i.e., crushing) and starvation, thus keeping the number of surviving piglets constant. We predicted negative effects on weight gain with increasing litter size. Based on maternal investment theory, we also predicted that piglet mortality would be higher for litters born late in a sow's life and thus that the number of surviving piglets would be higher in early litters. As predicted, piglet mortality increased with increasing litter size both due to an increased proportion of crushed piglets, where most of them failed in the teat competition, and due to starvation caused by increased sibling competition, resulting in a constant number of survivors. Piglet weight at day 1 and growth until weaning also declined with increasing litter size. Sows in parity four had higher piglet mortality due to starvation, but the number of surviving piglets was not affected by parity. In conclusion, piglet mortality caused by maternal crushing of piglets, many of which had no teat success, and starvation caused by sibling competition, increased with increasing litter size for most sow parities. The constant number of surviving piglets at the time of weaning suggests that 10 to 11 piglets could be close to the upper limit that the domestic sow is capable of taking care of.

[Promising web-based introductory course in research training]. / Netbaseret grundkursus i forskningstraening er lovende.

The Faculty of Health Sciences, University of Southern Denmark has developed a course in research training for residents, where traditional face-to-face teaching is mixed with computer-supported collaborative learning. The course focuses on the ability to ask research questions, retrieve information and appraise scientific papers. Initially, many course participants are reluctant to the course concept. Yet a majority of participants are very active online and give the course good evaluations. The course concept seems well-suited to "scaffold" participants' acquisition of research methodology competences.

The preference for water nipples vs. water bowls in dairy goats.

BACKGROUND: Previous studies have reported that the design of the water dispensers can influence the water intake in farm animals. Horses and dairy cows seem to prefer to drink from an open surface whereas sheep and pigs apparently prefer water nipples, probably because of the worse water quality in water bowls. The aim of the present study was to examine the preference of dairy goats for water nipples or water bowls. METHODS: In each of the two experiments (exp. 1, dry goats, exp. 2 lactating goats), 42 dairy goats were allotted into 6 groups of 7 goats. In period 1, the goats had access to a water nipple. In period 2, they had access to a water bowl and in period 3 (preference test) they had access to both a water nipple and a water bowl. Water usage and wastage was recorded and water intake (water usage - water wastage) was calculated for each group for the two last days of each period. In experiment 2, water samples from each dispenser were analyzed for heterotrophy germs at 22°C, Escherichia coli and turbidity. RESULTS: Water usage was higher from water nipples than from water bowls both in experiment 1 (dry goats) and experiment 2 (lactating goats). There was however, no difference in water intake from water nipples and water bowls. In the preference test (period 3), the water intake tended to be higher from the water nipple than from the water bowl both for the dry goats (exp. 1) and lactating goats (exp. 2). Especially for the dry goats, the differences between groups were large. Turbidity and heterotrophy germs were much higher in the samples from the water bowls than from the water nipples.Water wastage from the water bowls was negligible compared to the water nipples. From the water nipples the water wastage was 30% and 23% of water usage for the dry and lactating goats respectively. CONCLUSIONS: We conclude that type of water dispenser (nipple or bowl) was probably of minor importance for water intake in goats, but water bowls had a lower water quality.

Genetic and environmental factors as predictors of disease severity and extent at time of diagnosis in an inception cohort of inflammatory bowel disease, Copenhagen County and City 2003-2005.

BACKGROUND AND AIMS: The etiology of the inflammatory bowel diseases (IBD), Crohn's disease (CD) and ulcerative colitis (UC) remains unknown. We aimed to investigate the influence of genetic, serological, and environmental factors on phenotypic presentation of IBD at diagnosis in a population-based Danish inception cohort from 2003-2005. METHODS: Three-hundred-forty-seven (62%) of 562 cohort patients were genotyped. ASCA and p/c-ANCA were determined and patients answered a questionnaire concerning environmental factors with possible influence on IBD. RESULTS: Fourteen percent of CD patients vs. 11% of controls were positive for common CARD15 mutation (ns), whereas more CD patients than healthy controls were homozygous for the OCTN-TC haplotype (p=0.03). ASCA was more common in CD (22%) than UC (14%) (p=0.045) and was related to age and localization of CD. p-ANCA was more frequent in UC (p=0.00001) but was related to pure colonic CD (p=0.0001). Sugar consumption was significantly higher in CD patients than in UC patients (p=0.0001) and more CD patients than UC patients had undergone appendectomy prior to IBD diagnosis (p=0.03). A possible relation between tonsillectomy and disease severity in CD, and a relation between use of oral contraception and disease localization of UC to rectum/left-sided colon were found. CONCLUSIONS: In this cohort of unselected IBD patients we found a very low frequency of mutations in IBD susceptibility genes and observed a greater impact of ASCA and ANCA than of genetic factors on disease phenotypes. In addition, several environmental factors seemed to influence disease occurrence and disease presentation in both UC and especially CD.

Increasing incidences of inflammatory bowel disease and decreasing surgery rates in Copenhagen City and County, 2003-2005: a population-based study from the Danish Crohn colitis database.

OBJECTIVES: A continuous increase in the incidence of inflammatory bowel disease (IBD), Crohn's disease (CD), ulcerative colitis (UC), and indeterminate colitis (IC) has been suggested. Since Denmark provides excellent conditions for epidemiological research, we aimed to describe contemporary IBD incidence rates and patient characteristics in Copenhagen County and City. METHODS: All patients diagnosed with IBD during 2003-2005 were followed prospectively. Demographic and clinical characteristics, such as disease extent, extraintestinal manifestations, smoking habits, medical treatment, surgical interventions, cancer, and death, were registered. RESULTS: Five-hundred sixty-two patients were diagnosed with IBD, resulting in mean annual incidences of 8.6/10(5) for CD, 13.4/10(5) for UC, and 1.1/10(5) for IC. Time from onset to diagnosis was 8.3 months in CD and 4.5 months in UC patients. A family history of IBD, smoking, and extraintestinal manifestations was significantly more common in CD than in UC patients. Only 0.6% of UC patients had primary sclerosing cholangitis. In CD, old age at diagnosis was related to pure colonic disease, whereas children significantly more often had proximal and extensive involvement. Twelve percent of CD patients and 6% of UC patients underwent surgery during the year of diagnosis, significantly less than earlier reported. CONCLUSIONS: The incidence of IBD in Copenhagen increased noticeably during the last decades. Time from onset of symptoms until diagnosis decreased markedly, extent of CD was related to age at diagnosis, and the risk of surgery was low in UC.

Recombinant human serum amyloid P component from Pichia pastoris: production and characterization.

Human serum amyloid P component (SAP) was expressed in the methylotrophic yeast Pichia pastoris. SAP cDNA was placed under control of regulatory sequences derived from the alcohol oxidase gene (AOX1), and its protein product was secreted using the Saccharomyces cerevisiae alpha-mating factor signal sequence. Recombinant SAP (r-SAP) was produced in a bioreactor with computer controlled fed-batch mode and purified by use of a C-terminal histidine tag. The yield of purified r-SAP was 3-4mg from 1L supernatant and 5-6mg from 1L cell paste, indicating that the majority of the produced SAP was not secreted. Treatment of the cell paste with EDTA increased the yield further by about 30%. The N-terminal of r-SAP purified from the supernatant showed non-complete cleavage of the alpha-mating factor signal sequence. Purified r-SAP, analyzed under native conditions, was shown to be a decamer, like purified human SAP (h-SAP), with monomers of 27kDa. Each monomer had one N-glycosylation site, positioned at the same site as for h-SAP. r-SAP bound to antibodies produced against h-SAP. Furthermore, r-SAP bound to ds DNA and influenza A virus subunits in a Ca(2+)-dependent manner and inhibited influenza A virus hemagglutination. These results indicate that r-SAP produced in P. pastoris has the same biological activity as purified h-SAP.