4 research outputs found
Maize Production Impacts on Groundwater Quality
The cumulative effects of management practices on nitrate-nitrogen (NO3-N) leaching and ground water quality are frequently difficult to document because of the time required for expression and the diversity of interacting process involved. This work reports results of a N and water management program initiated by the Central Platte Natural Resource District (CPNRD) in Nebraska. Cultural pratices recommended by the (CPNRD) in Nebraska. Cultural practices recommended by the CPNRD and reported by producers for the 1988 growing season, representing approximately 3900 fields covering 84 210 ha of irrigated corn (Zea mays L.) indicated NO3-N contamination of groundwater was influenced by yield goals and fertilizer N application rates. Groundwater NO2-N concentrations were positively correlated with residual N in the surface 0.9 m of soil prior to the growing season, reflecting the effects of past N and water management practices. Yield goals in 1988 averaged 9% higher than the average 10.0 Mg ha-1 corn yield attained, which accounts for an average of about 20 kg N ha-1 in excess of the average N recommendation. By comparison, in a 1980 to 1984 study from an area within the CPNRD, yield goals in 1988 accounted for 42% of the average excess N application rate of 48 kg ha-1 (based on University of Nebraska recommendations). A large portion of average excess N application is attributed to producers in 14% of the area who applied \u3e100 kg N ha-1 more than the recommended rates. Fertilizer N applied showed little relationship to fertilizer N recommended. Better education and more stringent measures may be required to address the select group of producers who fail to follow CPNRD recommendations
Maize Production Impacts on Groundwater Quality
The cumulative effects of management pratices on nitrate-nitrogen (NO3-N) leaching and groundwater quality are frequently difficult to document because of the time required for expression and the diversity of interacting process involved. This work reports results of a N and water management program initiated by the Central Platte Natural Resource District (CPNRD) in Nebraska. Cultural pratices recommended by the CPNRD and reported by producers for the 1988 growing season, representing approximately 3900 fields and fertilizer N application rates. Groundwater NO3-N concentrations were positively correlated with ressidual N in the surface 0.9 m of soil prior to the growing season, reflecting the effects of past N and water management practices. Yield goals in 1988 averaged 9% higher than the average 10.0 Mg ha-1 in excess of the average N recommendation. By comparison, in a 1980 to 1984 study from an area within the CPNRD, yield goals averaged 28% greater than actual yields. Overly optimistic yield goals in 1988 accounted for 42% of the average excess N application rate 48 kg ha-1 (based on University of Nebraska recommendations). A large portion of average excess N application is attributed to producers in 14% of the area who applied \u3e 100 kg N ha-1 more than the recommened rates. Fertilizer N applied showed little relationship to fertilizer N recommended. Better education and more stringent measures may be required to address the select group of producers who fail to follow CPNRD recommendations
Maize Production Impacts on Groundwater Quality
The cumulative effects of management practices on nitrate-nitrogen (NO3-N) leaching and ground water quality are frequently difficult to document because of the time required for expression and the diversity of interacting process involved. This work reports results of a N and water management program initiated by the Central Platte Natural Resource District (CPNRD) in Nebraska. Cultural pratices recommended by the (CPNRD) in Nebraska. Cultural practices recommended by the CPNRD and reported by producers for the 1988 growing season, representing approximately 3900 fields covering 84 210 ha of irrigated corn (Zea mays L.) indicated NO3-N contamination of groundwater was influenced by yield goals and fertilizer N application rates. Groundwater NO2-N concentrations were positively correlated with residual N in the surface 0.9 m of soil prior to the growing season, reflecting the effects of past N and water management practices. Yield goals in 1988 averaged 9% higher than the average 10.0 Mg ha-1 corn yield attained, which accounts for an average of about 20 kg N ha-1 in excess of the average N recommendation. By comparison, in a 1980 to 1984 study from an area within the CPNRD, yield goals in 1988 accounted for 42% of the average excess N application rate of 48 kg ha-1 (based on University of Nebraska recommendations). A large portion of average excess N application is attributed to producers in 14% of the area who applied \u3e100 kg N ha-1 more than the recommended rates. Fertilizer N applied showed little relationship to fertilizer N recommended. Better education and more stringent measures may be required to address the select group of producers who fail to follow CPNRD recommendations
The Miami International Evidence-based Guidelines on Minimally Invasive Pancreas Resection.
The aim of this study was to develop and externally validate the first evidence-based guidelines on minimally invasive pancreas resection (MIPR) before and during the International Evidence-based Guidelines on Minimally Invasive Pancreas Resection (IG-MIPR) meeting in Miami (March 2019).
MIPR has seen rapid development in the past decade. Promising outcomes have been reported by early adopters from high-volume centers. Subsequently, multicenter series as well as randomized controlled trials were reported; however, guidelines for clinical practice were lacking.
The Scottisch Intercollegiate Guidelines Network (SIGN) methodology was used, incorporating these 4 items: systematic reviews using PubMed, Embase, and Cochrane databases to answer clinical questions, whenever possible in PICO style, the GRADE approach for assessment of the quality of evidence, the Delphi method for establishing consensus on the developed recommendations, and the AGREE-II instrument for the assessment of guideline quality and external validation. The current guidelines are cosponsored by the International Hepato-Pancreato-Biliary Association, the Americas Hepato-Pancreato-Biliary Association, the Asian-Pacific Hepato-Pancreato-Biliary Association, the European-African Hepato-Pancreato-Biliary Association, the European Association for Endoscopic Surgery, Pancreas Club, the Society of American Gastrointestinal and Endoscopic Surgery, the Society for Surgery of the Alimentary Tract, and the Society of Surgical Oncology.
After screening 16,069 titles, 694 studies were reviewed, and 291 were included. The final 28 recommendations covered 6 topics; laparoscopic and robotic distal pancreatectomy, central pancreatectomy, pancreatoduodenectomy, as well as patient selection, training, learning curve, and minimal annual center volume required to obtain optimal outcomes and patient safety.
The IG-MIPR using SIGN methodology give guidance to surgeons, hospital administrators, patients, and medical societies on the use and outcome of MIPR as well as the approach to be taken regarding this challenging type of surgery