Investigating hill sheep farmers and crofters’ experiences of blackloss in the Highlands and Islands of Scotland

Hill sheep farming is an important component of Scottish agriculture and comprises a significant land use in much of the Highlands and Islands. However it faces significant challenges due to the natural constraints of the landscape. Hill sheep farming uses hardy traditional breeds, such as the Scottish blackface and North Country Cheviot to graze extensive areas, where the sheep are not housed and tend to lamb on the open hill. Flocks are gathered several times a year for stock checks, husbandry, and health treatments. Between these handling events, stock will disappear and be unaccounted for. These unexplained losses are known as blackloss in the Highlands and Islands. Previously reported figures for annual lamb blackloss give an average of 18.6%. These losses are in addition to the known losses of lambs and represent a significant welfare and sustainability issue. High parasite burdens, predation, a photosensitisation disease known as plochteach or yellowses, and poor nutrition are often given as presumed reasons for blackloss. A questionnaire was developed to assess the experiences, impacts and understanding flock managers have of blackloss. Typology analysis using partitioning around medoids was used to cluster respondents into three distinct groups: 1- very large extensive farms and Sheep Stock Clubs, 2- medium sized farms, and 3- small-scale crofts. The responses of these groups were subsequently analysed to see if their experiences and perceptions of blackloss differed with relation to lamb health challenges and predation impacts. The groups reported similar health challenges, apart from Group 1 which had a significantly higher plochteach challenge. In terms of predators, Group 1 also perceived white-tailed eagles (Haliaeetus albicilla) as a much higher threat to their lambs than the other groups. It was observed that many of the respondents believed blackloss is inevitable and that predators pose a large threat to lambs. However, most agreed that reducing these losses is important and that understanding the causes would enable them to do so.</p

Levelised Cost of Energy assessment for offshore wind farms - an examination of different methodologies, input variables and uncertainty

Levelised Cost of Energy (LCoE) is the most common metric used in renewable energy assessments. However, this can be a very complex calculation with numerous methodologies depending on the perspective taken. Inputs including costs, energy production are generally forecasts and predictions based on publicly available information; therefore they are key areas of uncertainty. Elements of the calculation are site or region specific such as the tax rate or inclusion of grid connection costs. The business case and financial assumptions applied will be very project specific e.g. the discount rate applied. These numerous variables and uncertainties must be fully understood in order to effectively apply the metric or review and compare LCoEs. Therefore, this paper provides a comprehensive set of LCoE methodologies that provide a reference basis for researchers. A case study demonstrates the application of these methods and the variation in results illustrates the importance of correctly selecting the discount rate and cash flow based on the perspective and motivation of the user. Sensitivity studies further investigates the potential impact of key variables and areas of uncertainty on results. Analysis indicates that the energy production and discount rate applied will have the most significant impact on LCoE, followed by CAPEX costs. While the key areas of uncertainties cannot necessarily be solved, this paper promotes consistency in the application and understanding of the metric, which can help overcome its limitations

Study protocol for evaluating the implementation and effectiveness of an emergency department longitudinal patient monitoring system using a mixed-methods approach

Background: Early detection of patient deterioration is a key element of patient safety as it allows timely clinical intervention and potential rescue, thus reducing the risks of serious patient safety incidents. Longitudinal patient monitoring systems have been widely recommended for use to detect clinical deterioration. However, there is conflicting evidence on whether they improve patient outcomes. This may in part be related to variation in the rigour with which they are implemented and evaluated. This study aims to evaluate the implementation and effectiveness of a longitudinal patient monitoring system designed for adult patients in the unique environment of the Emergency Department (ED). Methods: A novel participatory action research (PAR) approach is taken where socio-technical systems (STS) theory and analysis informs the implementation through the improvement methodology of ‘Plan Do Study Act’ (PDSA) cycles. We hypothesise that conducting an STS analysis of the ED before beginning the PDSA cycles will provide for a much richer understanding of the current situation and possible challenges to implementing the ED-specific longitudinal patient monitoring system. This methodology will enable both a process and an outcome evaluation of implementing the ED-specific longitudinal patient monitoring system. Process evaluations can help distinguish between interventions that have inherent faults and those that are badly executed. Discussion: Over 1.2 million patients attend EDs annually in Ireland; the successful implementation of an ED-specific longitudinal patient monitoring system has the potential to affect the care of a significant number of such patients. To the best of our knowledge, this is the first study combining PAR, STS and multiple PDSA cycles to evaluate the implementation of an ED-specific longitudinal patient monitoring system and to determine (through process and outcome evaluation) whether this system can significantly improve patient outcomes by early detection and appropriate intervention for patients at risk of clinical deterioration

Whey protein effects on energy balance link the intestinal mechanisms of energy absorption with adiposity and hypothalamic neuropeptide gene expression

peer-reviewedWe tested the hypothesis that dietary whey protein isolate (WPI) affects the intestinal mechanisms related to energy absorption and that the resulting energy deficit is compensated by changes in energy balance to support growth. C57BL/6 mice were provided a diet enriched with WPI with varied sucrose content, and the impact on energy balance-related parameters was investigated. As part of a high-sucrose diet, WPI reduced the hypothalamic expression of pro-opiomelanocortin gene expression and increased energy intake. The energy expenditure was unaffected, but epididymal weight was reduced, indicating an energy loss. Notably, there was a reduction in the ileum gene expression for amino acid transporter SLC6a19, glucose transporter 2, and fatty acid transporter 4. The composition of the gut microbiota also changed, where Firmicutes were reduced. The above changes indicated reduced energy absorption through the intestine. We propose that this mobilized energy in the adipose tissue and caused hypothalamic changes that increased energy intake, acting to counteract the energy deficit arising in the intestine. Lowering the sucrose content in the WPI diet increased energy expenditure. This further reduced epididymal weight and plasma leptin, whereupon hypothalamic ghrelin gene expression and the intestinal weight were both increased. These data suggest that when the intestine-adipose-hypothalamic pathway is subjected to an additional energy loss (now in the adipose tissue), compensatory changes attempt to assimilate more energy. Notably, WPI and sucrose content interact to enable the component mechanisms of this pathway

Developing outcome, process and balancing measures for an emergency department longitudinal patient monitoring system using a modified Delphi

Early warning score systems have been widely recommended for use to detect clinical deterioration in patients. The Irish National Emergency Medicine Programme has developed and piloted an emergency department specific early warning score system. The objective of this study was to develop a consensus among frontline healthcare staff, quality and safety staff and health systems researchers regarding evaluation measures for an early warning score system in the Emergency Department

Evaluating the Potential of Legumes to Mitigate N2O Emissions From Permanent Grassland Using Process-Based Models

Funding Information: This modeling study was a joint effort of the Models4Pastures project within the framework of FACCE-JPI. Lutz Merbold and Kathrin Fuchs acknowledge funding received for the Swiss contribution to Models4Pastures (FACCE-JPI project, SNSF funded contract: 40FA40_154245/1) and for the Doc. Mobility fellowship (SNSF funded project: P1EZP2_172121). Lutz Merbold further acknowledges the support received for CGIAR Fund Council, Australia (ACIAR), Irish Aid, the European Union, the Netherlands, New Zealand, Switzerland, UK, USAID, and Thailand for funding to the CGIAR Research Program on Climate Change, Agriculture and Food Security (CCAFS) as well as for the CGIAR Research Program on Livestock. The NZ contributors acknowledge funding from the New Zealand Government Ministry of Primary Industries to support the aims of the Livestock Research Group of the Global Research Alliance on Agricultural Greenhouse Gases and from AgResearch's Strategic Science Investment Fund (the Forages for Reduced Nitrate Leaching (FRNL) research program). The UK partners acknowledge funding by DEFRA and the RCUK projects: N-Circle (BB/N013484/1), UGRASS (NE/M016900/1), and GREENHOUSE (NE/K002589/1). R.M. Rees and C.F.E. Topp also received funding from the Scottish Government Strategic Research Programme. Lorenzo Brilli, Camilla Dibari, and Marco Bindi received funding from the Italian Ministry of Agricultural Food and Forestry Policies (MiPAAF). The FR partners acknowledge funding from CN-MIP project funded by the French National Research Agency (ANR-13-JFAC-0001) and from ADEME (no. 12-60-C0023). Open access funding enabled and organized by Projekt DEAL Funding Information: This modeling study was a joint effort of the Models4Pastures project within the framework of FACCE‐JPI. Lutz Merbold and Kathrin Fuchs acknowledge funding received for the Swiss contribution to Models4Pastures (FACCE‐JPI project, SNSF funded contract: 40FA40_154245/1) and for the Doc. Mobility fellowship (SNSF funded project: P1EZP2_172121). Lutz Merbold further acknowledges the support received for CGIAR Fund Council, Australia (ACIAR), Irish Aid, the European Union, the Netherlands, New Zealand, Switzerland, UK, USAID, and Thailand for funding to the CGIAR Research Program on Climate Change, Agriculture and Food Security (CCAFS) as well as for the CGIAR Research Program on Livestock. The NZ contributors acknowledge funding from the New Zealand Government Ministry of Primary Industries to support the aims of the Livestock Research Group of the Global Research Alliance on Agricultural Greenhouse Gases and from AgResearch's Strategic Science Investment Fund (the Forages for Reduced Nitrate Leaching (FRNL) research program). The UK partners acknowledge funding by DEFRA and the RCUK projects: N‐Circle (BB/N013484/1), UGRASS (NE/M016900/1), and GREENHOUSE (NE/K002589/1). R.M. Rees and C.F.E. Topp also received funding from the Scottish Government Strategic Research Programme. Lorenzo Brilli, Camilla Dibari, and Marco Bindi received funding from the Italian Ministry of Agricultural Food and Forestry Policies (MiPAAF). The FR partners acknowledge funding from CN‐MIP project funded by the French National Research Agency (ANR‐13‐JFAC‐0001) and from ADEME (no. 12‐60‐C0023). Open access funding enabled and organized by Projekt DEAL Publisher Copyright: ©2020. The Authors. Open access funding enabled and organized by Projekt DEALPeer reviewedPublisher PD

Pregnancy-specific stress, fetoplacental haemodynamics, and neonatal outcomes in women with small for gestational age pregnancies: a secondary analysis of the multicentre Prospective Observational Trial to Optimise Paediatric Health in Intrauterine Growth Restriction

Objectives: To examine associations between maternal pregnancy-specific stress and umbilical (UA PI) and middle cerebral artery pulsatility indices (MCA PI), cerebroplacental ratio, absent end diastolic flow (AEDF), birthweight, prematurity, neonatal intensive care unit admission and adverse obstetric outcomes in women with small for gestational age pregnancies. It was hypothesised that maternal pregnancy-specific stress would be associated with fetoplacental haemodynamics and neonatal outcomes. Design: This is a secondary analysis of data collected for a large-scale prospective observational study. Setting: This study was conducted in the seven major obstetric hospitals in Ireland and Northern Ireland. Participants: Participants included 331 women who participated in the Prospective Observational Trial to Optimise Paediatric Health in Intrauterine Growth Restriction. Women with singleton pregnancies between 24 and 36 weeks gestation, estimated fetal weight <10th percentile and no major structural or chromosomal abnormalities were included. Primary and secondary outcome measures Serial Doppler ultrasound examinations of the umbilical and middle cerebral arteries between 20 and 42 weeks gestation, Pregnancy Distress Questionnaire (PDQ) scores between 23 and 40 weeks gestation and neonatal outcomes. Results: Concerns about physical symptoms and body image at 35–40 weeks were associated with lower odds of abnormal UAPI (OR 0.826, 95% CI 0.696 to 0.979, p=0.028). PDQ score (OR 1.073, 95% CI 1.012 to 1.137, p=0.017), concerns about birth and the baby (OR 1.143, 95% CI 1.037 to 1.260, p=0.007) and concerns about physical symptoms and body image (OR 1.283, 95% CI 1.070 to 1.538, p=0.007) at 29–34 weeks were associated with higher odds of abnormal MCA PI. Concerns about birth and the baby at 29–34 weeks (OR 1.202, 95% CI 1.018 to 1.421, p=0.030) were associated with higher odds of AEDF. Concerns about physical symptoms and body image at 35–40 weeks were associated with decreased odds of neonatal intensive care unit admission (OR 0.635, 95% CI 0.435 to 0.927, p=0.019). Conclusions: These findings suggest that fetoplacental haemodynamics may be a mechanistic link between maternal prenatal stress and fetal and neonatal well-being, but additional research is required

Investigating Key Decision Problems to Optimize the Operation and Maintenance Strategy of Offshore Wind Farms

This paper investigates three decision problems with potential to optimize operation and maintenance and logistics strategies for offshore wind farms: the timing of pre-determined jack-up vessel campaigns; selection of crew transfer vessel fleet; and timing of annual services. These problems are compared both in terms of potential cost reduction and the stochastic variability and associated uncertainty of the outcome. Pre-determined jack-up vessel campaigns appear to have a high cost reduction potential but also a higher stochastic variability than the other decision problems. The paper also demonstrates the benefits and difficulties of considering problems together rather than solving them in isolation