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1.
Sci Total Environ ; 912: 168901, 2024 Feb 20.
Artículo en Inglés | MEDLINE | ID: mdl-38042198

RESUMEN

Use of nutrients recycled from societal waste streams in agriculture is part of the circular economy, and in line with organic farming principles. Nevertheless, diverse contaminants in waste streams create doubts among organic farmers about potential risks for soil health. Here, we gather the current knowledge on contaminant levels in waste streams and recycled nutrient sources, and discuss associated risks. For potentially toxic elements (PTEs), the input of zinc (Zn) and copper (Cu) from mineral feed supplements remains of concern, while concentrations of PTEs in many waste streams have decreased substantially in Europe. The same applies to organic contaminants, although new chemical groups such as flame retardants are of emerging concern and globally contamination levels differ strongly. Compared to inorganic fertilizers, application of organic fertilizers derived from human or animal feces is associated with an increased risk for environmental dissemination of antibiotic resistance. The risk depends on the quality of the organic fertilizers, which varies between geographical regions, but farmland application of sewage sludge appears to be a safe practice as shown by some studies (e.g. from Sweden). Microplastic concentrations in agricultural soils show a wide spread and our understanding of its toxicity is limited, hampering a sound risk assessment. Methods for assessing public health risks for organic contaminants must include emerging contaminants and potential interactions of multiple compounds. Evidence from long-term field experiments suggests that soils may be more resilient and capable to degrade or stabilize pollutants than often assumed. In view of the need to source nutrients for expanding areas under organic farming, we discuss inputs originating from conventional farms vs. non-agricultural (i.e. societal) inputs. Closing nutrient cycles between agriculture and society is feasible in many cases, without being compromised by contaminants, and should be enhanced, aided by improved source control, waste treatment and sound risk assessments.


Asunto(s)
Agricultura Orgánica , Contaminantes del Suelo , Animales , Humanos , Fertilizantes/análisis , Plásticos , Agricultura/métodos , Suelo/química , Medición de Riesgo , Nutrientes , Contaminantes del Suelo/análisis , Aguas del Alcantarillado/química
2.
World J Urol ; 36(9): 1409-1415, 2018 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-29680949

RESUMEN

PURPOSE: To estimate the diagnostic accuracy of multiparametric MRI (mpMRI) for the detection of locally advanced prostate cancer (T-stage 3-4) prior to radical prostatectomy, in a multicenter cohort representing daily clinical practice. In addition, the radiologic learning curve for the detection of locally advanced disease is evaluated. METHODS: Preoperative mpMRI findings of 430 patients (2012-2016) were compared to pathology results following radical prostatectomy. The diagnostic accuracy (sensitivity, specificity, PPV, and NPV) for the detection of locally advanced disease was calculated and compared for all years separately, to evaluate the presence of a radiological learning curve. RESULTS: Of all 137 patients with locally advanced disease, 62 patients were preoperatively detected with mpMRI [sensitivity 45.3% (95% CI 36.9-53.6%), specificity 75.8% (CI 70.9-80.7%), PPV 46.6% (CI 38.1-55.1%), and NPV 74.7% (CI 69.8-79.7%)]. The diagnostic accuracy did not improve significantly over time (sensitivity p = 0.12; specificity p = 0.57). CONCLUSIONS: In daily clinical practice, the diagnostic accuracy of mpMRI for the detection of locally advanced prostate cancer remains limited. It, therefore, seems questionable whether mpMRI is adequate to guide preoperative decision-making. No significant radiologic learning curve for the detection of locally advance disease was observed.


Asunto(s)
Curva de Aprendizaje , Imagen por Resonancia Magnética/métodos , Neoplasias de la Próstata/diagnóstico por imagen , Anciano , Humanos , Laparoscopía/métodos , Masculino , Persona de Mediana Edad , Estadificación de Neoplasias , Países Bajos , Cuidados Preoperatorios , Prostatectomía/métodos , Neoplasias de la Próstata/patología , Estudios Retrospectivos , Procedimientos Quirúrgicos Robotizados , Sensibilidad y Especificidad
3.
Animal ; 1(3): 439-48, 2007 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-22444342

RESUMEN

Extremely high nutrient loads have been reported in grazed grassland regimes compared with cutting regimes in some dairy systems that include the use of supplemental feeding. The aim of this study was, therefore, to investigate the effects on productivity and behaviour of high-yielding dairy cows with limited access to indoor feed and restriction in the time at pasture in a continuous stocking system. During a 6-week period from the start of the grazing season 2005, an experiment was conducted with the aim of investigating the effect of restrictive indoor feeding combined with limiting the time at pasture on the productivity and behaviour of high-yielding dairy cows (31.0 ± 5.4 kg energy-corrected milk) in a system based on continuous stocking. The herd was split into three groups allocated to three treatments consisting of 4, 6.5 and 9 h at pasture, respectively. Each group of cows grazed in separate paddocks with three replicates and was separately housed in a cubicle system with slatted floor during the rest of the day. All cows were fed the same amount of supplement, adjusted daily to meet the ad libitum indoor intake of the cows at pasture for nine hours. The herbage allowance was 1650 kg dry matter (DM) per ha, and the intake of supplemental feed was 9.1 kg DM per cow daily. The limitation of the time at pasture to 4 h in combination with restrictive indoor feeding reduced the daily milk, fat and protein yield and live weight compared with 9 h of access to pasture. The proportion of time during which the cows were grazing while at pasture increased from 0.64 to 0.86 and the estimated herbage intake per h at pasture decreased from 2547 g DM to1398 g DM, when time at pasture changed from 4 to 9 h. It can be concluded, that in systems with a high herbage allowance, the cow was able to compensate for 0.8 of the reduction in time at pasture by increasing the proportion of time spent grazing and presumably also both the bite rate and mass, although the latter two have not been directly confirmed in the present study.

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