A common perception is that pasture-based, low-input dairy systems characteristic of the 1940s were more conducive to environmental stewardship than modern milk production systems. The objective of ...this study was to compare the environmental impact of modern (2007) US dairy production with historical production practices as exemplified by the US dairy system in 1944. A deterministic model based on the metabolism and nutrient requirements of the dairy herd was used to estimate resource inputs and waste outputs per billion kg of milk. Both the modern and historical production systems were modeled using characteristic management practices, herd population dynamics, and production data from US dairy farms. Modern dairy practices require considerably fewer resources than dairying in 1944 with 21% of animals, 23% of feedstuffs, 35% of the water, and only 10% of the land required to produce the same 1 billion kg of milk. Waste outputs were similarly reduced, with modern dairy systems producing 24% of the manure, 43% of CH₄, and 56% of N₂O per billion kg of milk compared with equivalent milk from historical dairying. The carbon footprint per billion kilograms of milk produced in 2007 was 37% of equivalent milk production in 1944. To fulfill the increasing requirements of the US population for dairy products, it is essential to adopt management practices and technologies that improve productive efficiency, allowing milk production to be increased while reducing resource use and mitigating environmental impact.
Background
We sought to assess a novel, noninvasive, portable vagal nerve stimulator (nVNS) for acute treatment of migraine.
Methods
Participants with migraine with or without aura were eligible for ...an open-label, single-arm, multiple-attack study. Up to four migraine attacks were treated with two 90-second doses, at 15-minute intervals delivered to the right cervical branch of the vagus nerve within a six-week time period. Subjects were asked to self-treat at moderate or severe pain, or after 20 minutes of mild pain.
Results
Of 30 enrolled patients (25 females, five males, median age 39), two treated no attacks, and one treated aura only, leaving a Full Analysis Set of 27 treating 80 attacks with pain. An adverse event was reported in 13 patients, notably: neck twitching (n = 1), raspy voice (n = 1) and redness at the device site (n = 1). No unanticipated, serious or severe adverse events were reported. The pain-free rate at two hours was four of 19 (21%) for the first treated attack with a moderate or severe headache at baseline. For all moderate or severe attacks at baseline, the pain-free rate was 12/54 (22%).
Conclusions
nVNS may be an effective and well-tolerated acute treatment for migraine in certain patients.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
The objective of this study was to compare the environmental impact of Jersey or Holstein milk production sufficient to yield 500,000 t of cheese (equivalent cheese yield) both with and without ...recombinant bovine somatotropin use. The deterministic model used 2009 DairyMetrics (Dairy Records Management Systems, Raleigh, NC) population data for milk yield and composition (Jersey: 20.9kg/d, 4.8% fat, 3.7% protein; Holstein: 29.1kg/d, 3.8% fat, 3.1% protein), age at first calving, calving interval, and culling rate. Each population contained lactating and dry cows, bulls, and herd replacements for which rations were formulated according to DairyPro (Agricultural Modeling and Training Systems, Cornell, Ithaca, NY) at breed-appropriate body weights (BW), with mature cows weighing 454kg (Jersey) or 680kg (Holstein). Resource inputs included feedstuffs, water, land, fertilizers, and fossil fuels. Waste outputs included manure and greenhouse gas emissions. Cheese yield (kg) was calculated according to the Van Slyke equation. A yield of 500,000 t of cheese required 4.94 billionkg of Holstein milk compared with 3.99 billionkg of Jersey milk—a direct consequence of differences in milk nutrient density (fat and protein contents) between the 2 populations. The reduced daily milk yield of Jersey cows increased the population size required to supply sufficient milk for the required cheese yield, but the differential in BW between the Jersey and Holstein breeds reduced the body mass of the Jersey population by 125×10³ t. Consequently, the population energy requirement was reduced by 7,177×10⁶MJ, water use by 252×10⁹ L, and cropland use by 97.5×10³ ha per 500,000 t of cheese yield. Nitrogen and phosphorus excretion were reduced by 17,234 and 1,492 t, respectively, through the use of Jersey milk to yield 500,000 t of Cheddar cheese. The carbon footprint was reduced by 1,662×10³ t of CO₂-equivalents per 500,000 t of cheese in Jersey cows compared with Holsteins. Use of recombinant bovine somatotropin reduced resource use and waste output in supplemented populations, with decreases in carbon footprint equivalent to 10.0% (Jersey) and 7.5% (Holstein) compared with nonsupplemented populations. The interaction between milk nutrient density and BW demonstrated by the Jersey population overcame the reduced daily milk yield, thus reducing resource use and environmental impact. This reduction was achieved through 2 mechanisms: diluting population maintenance overhead through improved milk nutrient density and reducing maintenance overhead through a reduction in productive and nonproductive body mass within the population.
Calcium-alginate immobilized cell systems were developed for the detoxification and biodegradation of coumaphos, an organophosphate insecticide, and its hydrolysis products, chlorferon and ...diethlythiophosphate (DETP). Optimum bead loadings for bioreactor operation were found to be 200
g-beads/L for chlorferon degradation and 300
g-beads/L for DETP degradation. Using waste cattle dip (UCD) solution as substrate, the degradation rate for an immobilized consortium of chlorferon-degrading bacteria was five times greater than that for freely suspended cells, and hydrolysis of coumaphos by immobilized OPH
+
Escherichia coli was 2.5 times greater. The enhanced degradation of immobilized cells was due primarily to protection of the cells from inhibitory substances present in the UCD solution. In addition, physiological changes of the cells caused by Ca-alginate immobilization may have contributed to increased reaction rates. Degradation rates for repeated operations increased for successive batches indicating that cells became better adapted to the reaction conditions over time.
Highlights • mRNA for orexin receptors 1 and 2 was detected in the TG and STN. • DORA-12 inhibited CFA-mediated increases in inflammatory markers in the TG and STN. • DORA-12 transiently suppressed ...facial nocifensive responses to CFA.
Summary Background Calcitonin gene-related peptide (CGRP) is crucial in the pathophysiology of migraine. We assessed the safety, tolerability, and efficacy of ALD403, a genetically engineered ...humanised anti-CGRP antibody, for migraine prevention. Methods In this randomised, double-blind, placebo-controlled, exploratory, proof-of-concept phase 2 trial, patients aged 18–55 years with five to 14 migraine days per 28-day period were randomly assigned (1:1) via an interactive web response system to receive an intravenous dose of ALD403 1000 mg or placebo. Site investigators, patients, and the sponsor were masked to treatment allocation during the study. The primary objective was to assess safety at 12 weeks after infusion. The primary efficacy endpoint was the change from baseline to weeks 5–8 in the frequency of migraine days, as recorded in patient electronic diaries. Patients were followed up until 24 weeks for exploratory safety and efficacy analyses. Safety and efficacy analyses were done by intention to treat. This study is registered with ClinicalTrials.gov , NCT01772524. Findings Between Jan 28, 2013, and Dec 23, 2013, of 174 patients randomly assigned at 26 centres in the USA, 163 received either ALD403 (n=81) or placebo (n=82). Adverse events were experienced by 46 (57%) of 81 patients in the ALD403 group and 43 (52%) of 82 in the placebo group. The most frequent adverse events were upper respiratory tract infection (placebo 6 7% patients vs ALD403 7 9% patients), urinary tract infection (4 5% vs 1 1%), fatigue (3 4% vs 3 4%), back pain (4 5% vs 3 4%), arthralgia (4 5% vs 1 1%), and nausea and vomiting (2 2% vs 3 4%). Six serious adverse events were reported by three patients and were judged to be unrelated to study drug: in the ALD403 group, one patient had four serious adverse events and one had one serious adverse event, and in the placebo group, one patient had one serious adverse event. There were no differences in vital signs or laboratory safety data between the two treatment groups. The mean change in migraine days between baseline and weeks 5–8 was −5·6 (SD 3·0) for the ALD403 group compared with −4·6 (3·6) for the placebo group (difference −1·0, 95% CI −2·0 to 0·1; one-sided p=0·0306). Interpretation No safety concerns were noted with an intravenous dose of ALD403 1000 mg. This study also provides preliminary evidence for the efficacy of ALD403 in the preventive treatment of migraine in patients with a high monthly frequency of migraine days. Funding Alder Biopharmaceuticals.
The Telescope Array (TA) collaboration has measured the energy spectrum of ultra-high energy cosmic rays (UHECRs) with primary energies above 1.6 x 10 super(18) eV. This measurement is based upon ...four years of observation by the surface detector component of TA. The spectrum shows a dip at an energy of 4.6 x 10 super(18) eV and a steepening at 5.4 x 10 super(19) eV which is consistent with the expectation from the GZK cutoff. We present the results of a technique, new to the analysis of UHECR surface detector data, that involves generating a complete simulation of UHECRs striking the TA surface detector. The procedure starts with shower simulations using the CORSIKA Monte Carlo program where we have solved the problems caused by use of the "thinning" approximation. This simulation method allows us to make an accurate calculation of the acceptance of the detector for the energies concerned.
Background: Migraine and other severe headaches can cause suffering and reduce functioning and productivity. Patients are the best source of information about such impact. Objective: To develop a new ...short form (HIT-6) for assessing the impact of headaches that has broad content coverage but is brief as well as reliable and valid enough to use in screening and monitoring patients in clinical research and practice. Methods: HIT-6 items were selected from an existing item pool of 54 items and from 35 items suggested by clinicians. Items were selected and modified based on content validity, item response theory (IRT) information functions, item internal consistency, distributions of scores, clinical validity, and linguistic analyses. The HIT-6 was evaluated in an Internet-based survey of headache sufferers (n = 1103) who were members of America Online (AOL). After 14 days, 540 participated in a follow-up survey. Results: HIT-6 covers six content categories represented in widely used surveys of headache impact. Internal consistency, alternate forms, and test-retest reliability estimates of HIT-6 were 0.89, 0.90, and 0.80, respectively. Individual patient score confidence intervals (95%) of app. ±5 were observed for 88% of all respondents. In tests of validity in discriminating across diagnostic and headache severity groups, relative validity (RV) coefficients of 0.82 and 1.00 were observed for HIT-6, in comparison with the Total Score. Patient-level classifications based in HIT-6 were accurate 88.7% of the time at the recommended cut-off score for a probability of migraine diagnosis. HIT-6 was responsive to self-reported changes in headache impact. Conclusions: The IRT model estimated for a 'pool' of items from widely used measures of headache impact was useful in constructing an efficient, reliable, and valid 'static' short form (HIT-6) for use in screening and monitoring patient outcomes.
When a field or a small watershed is repeatedly surveyed for soil water content, locations can often be identified where soil water contents are either consistently larger or consistently less than ...the study area average. This phenomenon has been called temporal stability, time stability, temporal persistence, or rank stability in spatial patterns of soil water contents. Temporal stability is of considerable interest in terms of facilitating upscaling of observed soil water contents to obtain average values across the observation area, improving soil water monitoring strategies, and correcting the monitoring results for missing data. The objective of this work was to contribute to the existing knowledge base on temporal stability in soil water patterns using frequent multi-depth measurements with Multisensor Capacitance Probes (MCPs) installed in a coarse-texture soil under multi-year corn production. Water contents at 10, 30, 50, and 80 cm depths were measured every 10 min for 20 months of continuous observation from May 2001 to December 2002. The MCPs revealed temporal stability in soil water content patterns. Temporal stability was found to increase with depth. The statistical hypothesis could not be rejected (
P
<
0.0001) that data collected each 10 min, each 2 h, each day, and each week had the same temporal stability. The locations that were best for estimating the average water contents were different for different depths. The best three locations for the whole observation period were the same as the best locations for a month of observations in about 60% of the cases. Temporal stability for a specific location and depth could serve as a good predictor of the utility of this location for estimating the area-average soil water content for that depth. Temporal stability could be efficiently used to correct area-average water contents for missing data. Soil water contents can be upscaled and efficiently monitored using the temporal stability of soil water content patterns.
We study the anisotropy of Ultra-High Energy Cosmic Ray (UHECR) events collected by the Telescope Array (TA) detector in the first 40 months of operation. Following earlier studies, we examine event ...sets with energy thresholds of 10 EeV, 40 EeV, and 57 EeV. We find that the distributions of the events in right ascension and declination are compatible with an isotropic distribution in all three sets. We then compare with previously reported clustering of the UHECR events at small angular scales. No significant clustering is found in the TA data. We then check the events with E > 57 EeV for correlations with nearby active galactic nuclei. No significant correlation is found. Finally, we examine all three sets for correlations with the large-scale structure (LSS) of the universe. We find that the two higher-energy sets are compatible with both an isotropic distribution and the hypothesis that UHECR sources follow the matter distribution of the universe (the LSS hypothesis), while the event set with E > 10 EeV is compatible with isotropy and is not compatible with the LSS hypothesis at 95% CL unless large deflection angles are also assumed. We show that accounting for UHECR deflections in a realistic model of the Galactic magnetic field can make this set compatible with the LSS hypothesis.
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