Why We Need a Ruminant Revolution: Combating Malnutrition and Metabolic Illnesses to Enable Sustainable Development

Animal source foods (ASF) are essential for proper human development and function. Livestock in general, and ruminants in particular, are essential components of our sustainable global food systems. Of significant worldwide impact, diets with higher-than-recommended levels of ASF can correct the symptoms of metabolic illnesses, offering hope in arresting the current worldwide epidemic of diabetes and other metabolic diseases. Most dietary policy and recommendations are based on the ill-founded belief that plant-based, high-carbohydrate diets are “healthy.” High-quality scientific evidence does not support the belief that vegetarian diets are healthier than omnivorous or animal-based diets. A Therapeutic Carbohydrate Reduction (TCR) lifestyle approach has demonstrated its efficacy in reversing Insulin Resistance (IR) and the non-communicable diseases associated with, or caused, by it. True sustainability is a multifaceted topic consisting of societal, economic, and ecological aspects. The enormous suffering and financial costs of chronic illness must be acknowledged. The production of high-quality animal protein and animal fat by ruminants from feed resources humans cannot directly utilize will be fundamental to feeding a growing population. This essential food production can preserve and enhance the diverse environments where it takes place. We need a revolution in our thinking of what constitutes a healthy diet, of what causes chronic illness, of the vital role that animal product play in the human diet, and the essential nature of ruminant animal agriculture in meeting humanity’s needs. This will mean overthrowing established policies and institutions, and confronting vested belief systems. We’ll need an effort, analogous to the Green Revolution, to develop and deploy the knowledge and technology necessary to meet the needs of the mid-21st Century world

Leadership for health improvement: implementation and evaluation

Purpose The purpose of this paper is to present a co-authored reflection on the health improvement leadership development programme and the key evaluation messages derived from piloting in an English National Health Service region. It highlights the specific attributes of this approach to health improvement leadership development and clarifies health improvement development issues. Design/methodology/approach Appreciative inquiry and soft systems methodology are combined in an evaluation approach designed to capture individual as well as organisation learning and how it impacts on leadership in specific contexts. Findings The evaluation exposes the health improvement leadership needs of a multi-organisation cohort, offers some explanations for successful achievement of learning needs while also exposing of the challenges and paradoxes faced in this endeavour. Originality/value There are limited reported templates of how to develop leadership for health improvement. This paper details a whole systems approach, acknowledging the impact of context on leadership and an approach to evaluating such complex initiatives

GIS-Based Forage Species Adaptation Mapping

Selecting forage crops adapted to the climatic and edaphic conditions of specific locations is essential for economic sustainability and environmental protection. Yet, currently, proper selection is difficult due to the absence of advanced selection tools. Significant improvements are being made in the process through Geographic Information System (GIS)-based mapping. Climate and soil GIS layers are being matched with forage characteristics through rules describing species tolerances. Better matching will reduce economic risks and environmental hazards associated with sub-optimal crop selection and subsequent performance. Once developed, these forage crop selection strategies and tools can be adapted for use with other crops. A matrix of species characteristics is being assembled for 6 major forage crops. GIS-based climate and soils maps are being developed and reviewed. Base layer climate and soils maps and the species adaptation maps will be placed on a CD-ROM to help educators, consultants, farmers, and ranchers match their conditions to suitable forage crop species. A WWW segment is being developed to provide a source of current information and links to original data and supplementary materials

Cardiac risk factors and risk scores vs cardiac computed tomography angiography: a prospective cohort study for triage of ED patients with acute chest pain.

OBJECTIVE: The objective of the study is to evaluate cardiac risk factors and risk scores for prediction of coronary artery disease (CAD) and adverse outcomes in an emergency department (ED) population judged to be at low to intermediate risk for acute coronary syndrome. METHODS: Informed consent was obtained from consecutive ED patients who presented with chest pain and were evaluated with coronary computed tomography angiography (cCTA). Cardiac risk factors, clinical presentation, electrocardiogram, and laboratory studies were recorded; the Thrombolysis in Myocardial Infarction (TIMI) and Global Registry of Acute Coronary Events (GRACE) scores were tabulated. Coronary computed tomography angiography findings were rated on a 6-level plaque burden scale and classified for significant CAD (stenosis ≥50%). Adverse cardiovascular outcomes were recorded at 30 days. RESULTS: Among 250 patients evaluated by cCTA, 143 (57%) had no CAD, 64 (26%) demonstrated minimal plaque (70% stenosis). Six patients developed adverse cardiovascular outcomes. Among traditional cardiac risk factors, only age (older) and sex (male) were significant independent predictors of CAD. Correlation with CAD was poor for the TIMI (r = 0.12) and GRACE (r = 0.09-0.23) scores. The TIMI and GRACE scores were not useful to predict adverse outcomes. Coronary computed tomography angiography identified severe CAD in all subjects with adverse outcomes. CONCLUSION: Among ED patients who present with chest pain judged to be at low to intermediate risk for acute coronary syndrome, traditional risk factors are not useful to stratify risk for CAD and adverse outcomes. Coronary computed tomography angiography is an excellent predictor of CAD and outcome

Creating an International Forage and Grasslands Curriculum

Grasslands cover nearly 2/3 of the land masses of the world and make up 1/4 of the earth\u27s surface. Although various regions of the world have different names for their grasslands, common management principles govern maintaining and improving these lands for the food production and environmental services they provide. There is much talk today about “finding the balance between environmental protection and economic development” but there is little evidence of knowledge about grassland ecosystems being translated into effectively implemented policies designed to restore degraded grasslands. In contrast, there are many examples of the tragic consequences of economic development rather than biological capacity driving decision-making. Historically, people were connected with the land and understood the soil, plant, animal, human “circle of life.” This understanding led to appropriate management. Today, the vast majority of the developed world has little understanding of these natural processes and increasing percentages of the developing world live in cities and are disconnected from the natural ecosystems that service them. Even those few studying agricultural sciences have little appreciation for the scope and diversity of grasslands present in the world. Far fewer have an understanding of the importance of grasslands management principles and needed supporting policies. Thus, there is a need for teaching materials that can be used worldwide to convey the importance and proper management of grasslands and forage-livestock systems

Developing a National Alfalfa Information System

Using state-of-the-art telecommunication technologies, this project is developing a comprehensive knowledge resource for alfalfa (Medicago sativa L.); the National Alfalfa Information System (NAIS). This project will serve as an improved model for Extension educational programs. Alfalfa is the most important forage crop in the USA and grown worldwide for feeding millions of livestock and in many cropping systems. As a legume, it is important in sustaining the environment and the productivity of agriculture. Information needs are present in every state and internationally. The NAIS is being developed through national and international cooperation, putting the best science-based alfalfa information and expertise at the fingertips of producers, consultants, extension workers, instructors, researchers, and users. Collaboratively developed materials will reduce duplication of effort. To make the knowledge easy-to-use, educational design, communication, and information science professionals are working with alfalfa experts in creating a WWW system and Web-aware CD-ROM. To ensure content quality, peer-review by members of multiple professional societies is included. A significant result will be around-the-clock availability of up-to-date, easy-to-use, and peerreviewed information. Shared workload and the peer-review process can influence faculty morale, efficiency, and effectiveness, an adjunct to maximizing the utilization of alfalfa worldwide by making the best information readily available

Managing small-acreage horse farms in central and eastern Oregon

Some good goals for a well-managed, small-acreage horse farm are: • A productive pasture with plenty of grass and few weeds • Less dust during the dry season and less mud during the wet season • Healthy horses free of problems associated with dust, manure, mud, and toxic plants • Manure managed as an important resource on the farm or recycled off the farm • Good stewardship of your property and the water that flows through, across, and below it • Satisfied owners who are able to conveniently care for their animals without dreading the chorePublished November 2007. Reviewed December 2013. Please look for up-to-date information in the OSU Extension Catalog: http://extension.oregonstate.edu/catalo

Vaginal noise: prevalence, bother and risk factors in a general female population aged 45–85 years

Item does not contain fulltextINTRODUCTION AND HYPOTHESIS: Vaginal noise (VN) is a symptom of pelvic floor (PF) dysfunction and has been described in a few studies. No other risk factors have been described besides parity and pelvic organ prolapse (POP). Underlying mechanisms of VN are unclear. Aims of this study were to describe prevalence, bother and relation between VN and PF (muscle)(dys)function. METHODS: A cross-sectional study was performed on a general population of 2,921 women (aged 45-85 years). Questionnaires were filled in by 1,397 women, and 800 were selected at random to undergo vaginal examination for POP Quantification and PF muscle function assessment. Chi-square tests, Student's t test and multivariate logistic regression were performed (P < 0.05). RESULTS: Response rate was 62.7%. Prevalence of VN was 12.8%; 72.1% reported only a little bother. Odds ratios for parity and solid stool were high. CONCLUSIONS: VN was strongly related to many symptoms of pelvic floor dysfunction, but it was only causing a little bother

Cognitive frames in corporate sustainability: managerial sensemaking with paradoxical and business case frames

Corporate sustainability confronts managers with tensions between complex economic, environmental, and social issues. Drawing on the literature on managerial cognition, corporate sustainability, and strategic paradoxes, we develop a cognitive framing perspective on corporate sustainability. We propose two cognitive frames—a business case frame and a paradoxical frame—and explore how differences between them in cognitive content and structure influence the three stages of the sensemaking process—that is, managerial scanning, interpreting, and responding with regard to sustainability issues. We explain how the two frames lead to differences in the breadth and depth of scanning, differences in issue interpretations in terms of sense of control and issue valence, and different types of responses that managers consider with regard to sustainability issues. By considering alternative cognitive frames, our argument contributes to a better understanding of managerial decision making regarding ambiguous sustainability issues, and it develops the underlying cognitive determinants of the stance that managers adopt on sustainability issues. This argument offers a cognitive explanation for why managers rarely push for radical change when faced with complex and ambiguous issues, such as sustainability, that are characterized by conflicting yet interrelated aspects