Legumes as a Strategy for Reducing Greenhouse Gas Emissions of Forage-Livestock Systems

Incorporation of legumes into forage systems has been a widely adopted strategy to increase pasture productivity and forage nutritive value, while reducing N inputs. Considering the population growth, and the diminishing land resources for food production, the need to increase the food supply will have to be balanced with the environmental impact of these systems, particularly their carbon footprint. Enteric methane production represents the largest source of greenhouse gas emissions from livestock. Certain forage legumes have evolved plant secondary compounds, such as tannins and other polyphenols, which have been associated with reductions in enteric methane emissions. Studies were conducted at Utah State University (USU), and at the University of Florida, North Florida Research and Education Center (UF-NFREC) to assess in vivo methane emissions in grazing cattle, using the SF6 tracer technique. At USU, cattle grazing pastures of Birdsfoot trefoil (Lotus corniculatus; BFT) emitted less methane per unit of dry matter consumed when compared with cattle fed a totally mixed ration (50% barley grain, 25% alfalfa hay, and 25% corn silage) in ad libitum amounts. However, emissions in cattle grazing BFT did not differ from those grazing the legume Cicer milkvetch (Astragalus cicer), or a traditional pasture-finishing system based on Meadow brome (Bromus riparius). At UF-NFREC, three livestock-forage systems were tested during three consecutive years to determine the effects of including the legume Rhizoma peanut (Arachis glabrata Benth.; BHR) in bahiagrass pastures (Paspalum notatum Flügge) fertilized (BH) or not (BHF) with N during the warm season. No differences were observed in methane emissions (g d-1), or in methane emission intensity. From the legumes grazed in these experiments, only BFT contains significant concentrations of tannins. Thus, the potential to mitigate livestock enteric methane emissions by grazing legumes appears to be directly related to the presence of tannins

Nutrient Return from Plant Litter and Cattle Excretion Grazing on N-Fertilized Grass or Grass-Legume Pastures in North Florida

Nutrient recycling via plant litter and livestock excreta is an important ecosystem service provided by grasslands. This study determined nutrient return via these pathways in three grazing systems. The experiment was conducted from May to October (2016 and 2017) and treatments were: 1) Nitrogen fertilized bahiagrass (Paspalum notatum Flügge) pastures (112 kg N ha-1) during the warm-season, overseeded with a mixture (56 kg ha-1 of each) of ‘FL 401’ cereal rye (Secale cereale, L.) and ‘RAM’ oat (Avena sativa, L.) during the cool-season (BGN); 2) Ecoturf Rhizoma peanut (Arachis glabrata Benth.)/bahiagrass pastures during the warm-season, overseeded with similar rye/oat mixture fertilized with 34 kg N ha-1 plus a mixture of clovers (Trifolium incarnatum L., T. pretense L., and T. nigrescens L.) during the cool-season (BGRP); 3) unfertilized bahiagrass pastures during the warm-season, overseeded with similar rye/oat grass/clover mixture + 34 kg N ha-1 during the cool-season (BG). Litter mass was evaluated every 5wk. Litter decomposition was evaluated with incubation periods of 0, 2, 4, 8, 16, 32, 64, 128, and 256 days. Urine and fecal samples were collected for N concentration analysis. There was a net return of 47 kg N ha-1 season-1 via litter in all three systems without differing among them. In addition, litter decomposition rates were not different in the three systems. Conversely, N returned via excreta (urine and feces) was greater (63, 27, and 51 kg N ha-1 season-1) than that returned via litter (58.6, 41.6, and 41.2 kg ha-1 season-1). When assessing the proportions of N returning to the system via litter or excreta, no differences were observed among treatments, and on average 65.1 % of the N returned via excreta vs. 34.9 % returning via litter. The introduction of legumes could reduce the inputs from N fertilizers in grazing systems and keep the productivity similar because of more efficient N cycling

Development, Calibration and Performance of an HIV Transmission Model Incorporating Natural History and Behavioral Patterns: Application in South Africa

Understanding HIV transmission dynamics is critical to estimating the potential population-wide impact of HIV prevention and treatment interventions. We developed an individual-based simulation model of the heterosexual HIV epidemic in South Africa and linked it to the previously published Cost-Effectiveness of Preventing AIDS Complications (CEPAC) International Model, which simulates the natural history and treatment of HIV. In this new model, the CEPAC Dynamic Model (CDM), the probability of HIV transmission per sexual encounter between short-term, long-term and commercial sex worker partners depends upon the HIV RNA and disease stage of the infected partner, condom use, and the circumcision status of the uninfected male partner. We included behavioral, demographic and biological values in the CDM and calibrated to HIV prevalence in South Africa pre-antiretroviral therapy. Using a multi-step fitting procedure based on Bayesian melding methodology, we performed 264,225 simulations of the HIV epidemic in South Africa and identified 3,750 parameter sets that created an epidemic and had behavioral characteristics representative of a South African population pre-ART. Of these parameter sets, 564 contributed 90% of the likelihood weight to the fit, and closely reproduced the UNAIDS HIV prevalence curve in South Africa from 1990–2002. The calibration was sensitive to changes in the rate of formation of short-duration partnerships and to the partnership acquisition rate among high-risk individuals, both of which impacted concurrency. Runs that closely fit to historical HIV prevalence reflect diverse ranges for individual parameter values and predict a wide range of possible steady-state prevalence in the absence of interventions, illustrating the value of the calibration procedure and utility of the model for evaluating interventions. This model, which includes detailed behavioral patterns and HIV natural history, closely fits HIV prevalence estimates

Assessing the Factorial Validity of the Attitudes and Belief Scale 2-Abbreviated Version: A Call for the Development a Gold Standard Method of Measuring Rational and Irrational Beliefs

Rational Emotive Behaviour Therapy (REBT) does not possess a measure of rational and irrational beliefs that meets internationally recognised standards for acceptable psychometric properties. Without such a measure the theory/practice of REBT cannot be rigorously evaluated, thus undermining its scientific veracity. The current study investigates the validity and reliability of a recently developed measure of rational and irrational beliefs: the Attitudes and Belief Scale 2-Abbreviated Version (ABS-2-AV). University students from three countries completed the ABS-2-AV (N = 397). An alternative models framework using confirmatory factor analysis indicated that a theoretically consistent eight-factor model of the ABS-2-AV provided the best fit of the data. A number of post-hoc modifications were required in order to achieve acceptable model fit results, and these modifications revealed important methodological limitations with the ABS-2-AV. Results indicated that the validity of the ABS-2-AV was undermined due to items measuring both the psychological process of interest (rational and irrational beliefs) and the context in which these beliefs processes are presented. This is a serious methodological limitation of the ABS-2 and all questionnaires derived from it, including the ABS-2-AV. This methodological limitation resulted in the ABS-2-AV possessing poor internal reliability. These limitations are discussed in relation to the broader REBT literature and the impact such problems have on research and practice. A call is made for REBT researchers to come together to develop a “gold standard” method of assessing rational and irrational beliefs that meets international standard for psychometric excellence

Ongoing under-reporting of clinically relevant safety data in phase II studies of tyrosine kinase inhibitors

status: publishe

A Smartphone-based Decision Support Tool Improves Test Performance Concerning Application of the Guidelines for Managing Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy

BACKGROUND: The American Society of Regional Anesthesia and Pain Medicine (ASRA) consensus statement on regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy is the standard for evaluation and management of these patients. The authors hypothesized that an electronic decision support tool (eDST) would improve test performance compared with native physician behavior concerning the application of this guideline. METHODS: Anesthesiology trainees and faculty at 8 institutions participated in a prospective, randomized trial in which they completed a 20-question test involving clinical scenarios related to the ASRA guidelines. The eDST group completed the test using an iOS app programmed to contain decision logic and content of the ASRA guidelines. The control group completed the test by using any resource in addition to the app. A generalized linear mixed-effects model was used to examine the effect of the intervention. RESULTS: After obtaining institutional review board's approval and informed consent, 259 participants were enrolled and randomized (eDST = 122; control = 137). The mean score was 92.4 ± 6.6% in the eDST group and 68.0 ± 15.8% in the control group (P < 0.001). eDST use increased the odds of selecting correct answers (7.8; 95% CI, 5.7 to 10.7). Most control group participants (63%) used some cognitive aid during the test, and they scored higher than those who tested from memory alone (76 ± 15% vs. 57 ± 18%, P < 0.001). There was no difference in time to completion of the test (P = 0.15) and no effect of training level (P = 0.56). CONCLUSIONS: eDST use improved application of the ASRA guidelines compared with the native clinician behavior in a testing environment

Cathepsin L Inhibition Prevents Murine Autoimmune Diabetes via Suppression of CD8+ T Cell Activity

Background: Type 1 diabetes (T1D) is an autoimmune disease resulting from defects in central and peripheral tolerance and characterized by T cell-mediated destruction of islet b cells. To determine whether specific lysosomal proteases might influence the outcome of a T cell–mediated autoimmune response, we examined the functional significance of cathepsin inhibition on autoimmune T1D-prone non-obese diabetic (NOD) mice. Methods and Findings: Here it was found that specific inhibition of cathepsin L affords strong protection from cyclophosphamide (CY)-induced insulitis and diabetes of NOD mice at the advanced stage of CD8 + T cell infiltration via inhibiting granzyme activity. It was discovered that cathepsin L inhibition prevents cytotoxic activity of CD8 + T cells in the pancreatic islets through controlling dipeptidyl peptidase I activity. Moreover, the gene targeting for cathepsin L with application of in vivo siRNA administration successfully prevented CY-induced diabetes of NOD mice. Finally, cathepsin L mRNA expression of peripheral CD8 + T cells from NOD mice developing spontaneous T1D was significantly increased compared with that from control mice. Conclusions: Our results identified a novel function of cathepsin L as an enzyme whose activity is essential for the progression of CD8 + T cell-mediated autoimmune diabetes, and inhibition of cathepsin L as a powerful therapeutic strateg

Effect of a Cognitive Aid on Adherence to Perioperative Assessment and Management Guidelines for the Cardiac Evaluation of Noncardiac Surgical Patients

The 2007 American College of Cardiologists/American Heart Association Guidelines on Perioperative Cardiac Evaluation and Care for Noncardiac Surgery is the standard for perioperative cardiac evaluation. Recent work has shown residents and anesthesiologists do not apply these guidelines when tested. This research hypothesized that a decision support tool would improve adherence to this consensus guideline

Herbage Accumulation and Nutritive Value of Limpograss Breeding Lines Under Stockpiling Management.

Supplements or conserved forage are often used to overcome forage quantity deficits for beef cattle, but stockpiled forage can be more economical. Limpograss [Hemarthria altissima (Poir.) Stapf & C.E. Hubb.] is the best available species for stockpiling in Florida because it is productive in autumn and maintains greater digestibility than other grasses at advanced stages of maturity. New limpograss hybrid breeding lines have been developed, but they have not been tested under stockpiling. Three limpograss breeding lines (1, 4F, and 10) and the most-used cultivar, Floralta, received 50 or 100 kg N ha?1 at initiation of stockpiling and herbage accumulated for 8, 12, or 16 wk. Entry 4F had greater herbage accumulation (7.3 Mg ha?1) than Entries 10, 1, and Floralta (6.1, 6.0, and 5.4 Mg ha?1, respectively). Entry 4F also had greater in vitro digestible organic matter (IVDOM) concentration (530?594 g kg?1) than Entries 1 and Floralta, but 4F was not different from Entry 10 (519?531 g kg?1) after 12 and 16 wk of accumulation. As stockpiling period increased from 8 to 16 wk, herbage accumulation increased from 5.3 to 7.4 Mg ha?1, dead material proportion increased from 1 to 10%, and herbage crude protein (CP) decreased from 44 to 32 g kg?1. Limpograss hybrids 4F and 10 are superior to Floralta for stockpiling, stockpiling period should not be longer than 12 wk, and protein supplement will be required to achieve satisfactory animal performance on stockpiled limpograss

The effectiveness of a preferred intensity exercise programme on the mental health outcomes of young people with depression: a sequential mixed methods evaluation

<p>Abstract</p> <p>Background</p> <p>People with mental illness are more likely to suffer physical health problems than comparable populations who do not have mental illness. There is evidence to suggest that exercise, as well has having obvious physical benefits, also has positive effects on mental health. There is a distinct paucity of research testing its effects on young people seeking help for mental health issues. Additionally, it is generally found that compliance with prescribed exercise programmes is low. As such, encouraging young people to exercise at levels recommended by national guidelines may be unrealistic considering their struggle with mental health difficulties. It is proposed that an exercise intervention tailored to young people's preferred intensity may improve mental health outcomes, overall quality of life, and reduce exercise attrition rates.</p> <p>Methods/Design</p> <p>A sequential mixed methods design will be utilised to assess the effectiveness of an individually tailored exercise programme on the mental health outcomes of young people with depression. The mixed methods design incorporates a Randomised Controlled Trial (RCT), focus groups and interviews and an economic evaluation. <it>Participants: </it>158 young people (14-17 years) recruited from primary care and voluntary services randomly allocated to either the intervention group or control group. <it>Intervention group</it>: Participants will undertake a 12 week exercise programme of 12 × 60 minutes of preferred intensity aerobic exercise receiving motivational coaching and support throughout. Participants will also be invited to attend focus groups and 1-1 interviews following completion of the exercise programme to illicit potential barriers facilitators to participation. <it>Control group</it>: Participants will receive treatment as usual. <it>Primary Outcome measure</it>: Depression using the Children's Depression Inventory 2 (CDI-2). <it>Secondary Outcome measures</it>: Quality of Life (EQ-5D), physical fitness (Borg RPE scale, heart rate), incidents of self-harm, treatment received and compliance with treatment, and the cost effectiveness of the intervention. Outcome measures will be taken at baseline, post intervention and 6 month follow up.</p> <p>Discussion</p> <p>The results of this study will inform policy makers of the effectiveness of preferred intensity exercise on the mental health outcomes of young people with depression, the acceptability of such an intervention to this population and its cost effectiveness.</p> <p>Trial Registration</p> <p>ClinicalTrials.gov: <a href="http://www.clinicaltrials.gov/ct2/show/NCT01474837">NCT01474837</a></p