25 research outputs found

    Effects of Production and Oxidation Processes on Methane Emissions from Rice Fields

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    The emission of methane from rice fields is the difference between the amount produced in the anaerobic zone below the soil and the amount oxidized in the root zone. Plants can also contribute to methane production by exuding organic compounds that may be utilized by methanogenic bacteria. We measured methane emissions from rice fields at Tu Zu in China between 1988 and 1994, which gave average emissions of about 30 mg m⁻ÂČ h⁻Âč. We estimate that 45-60% of the methane produced was oxidized before reaching the atmosphere; and root exudates may have contributed of the order of 10% of the methane that was produced. The fraction of methane oxidized is low compared to experimental studies at other locations (60-85%). At Tu Zu, methane production is enhanced by continuously flooded fields and the use of large amounts of organic fertilizers; in addition, the lower oxidation rate may also contribute to the higher methane emissions observed compared to other locations. In the past, most of the attention has been devoted to the factors that affect methane production and transport, but it seems that the factors that affect methane oxidation are equally important in determining the flux, if not more so. The comparison of methane fluxes observed at different locations and the extrapolation of field measurements to accurately estimate global emissions will require a better understanding of the rate of methane oxidation in the soils and the factors that control it

    Systematic Review to Inform a World Health Organization (WHO) Clinical Practice Guideline: Benefits and Harms of Needling Therapies for Chronic Primary Low Back Pain in Adults

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    PURPOSE Evaluate benefits and harms of needling therapies (NT) for chronic primary low back pain (CPLBP) in adults to inform a World Health Organization (WHO) standard clinical guideline. METHODS Electronic databases were searched for randomized controlled trials (RCTs) assessing NT compared with placebo/sham, usual care, or no intervention (comparing interventions where the attributable effect could be isolated). We conducted meta-analyses where indicated and graded the certainty of evidence. RESULTS We screened 1831 citations and 109 full text RCTs, yeilding 37 RCTs. The certainty of evidence was low or very low across all included outcomes. There was little or no difference between NT and comparisons across most outcomes; there may be some benefits for certain outcomes. Compared with sham, NT improved health-related quality of life (HRQoL) (physical) (2 RCTs; SMD = 0.20, 95%CI 0.07; 0.32) at 6 months. Compared with no intervention, NT reduced pain at 2 weeks (21 RCTs; MD = - 1.21, 95%CI - 1.50; - 0.92) and 3 months (9 RCTs; MD = - 1.56, 95%CI - 2.80; - 0.95); and reduced functional limitations at 2 weeks (19 RCTs; SMD = - 1.39, 95%CI - 2.00; - 0.77) and 3 months (8 RCTs; SMD = - 0.57, 95%CI - 0.92; - 0.22). In older adults, NT reduced functional limitations at 2 weeks (SMD = - 1.10, 95%CI - 1.71; - 0.48) and 3 months (SMD = - 1.04, 95%CI - 1.66; - 0.43). Compared with usual care, NT reduced pain (MD = - 1.35, 95%CI - 1.86; - 0.84) and functional limitations (MD = - 2.55, 95%CI - 3.70; - 1.40) at 3 months. CONCLUSION Based on low to very low certainty evidence, adults with CPLBP experienced some benefits in pain, functioning, or HRQoL with NT; however, evidence showed little to no differences for other outcomes

    Systematic Review to Inform a World Health Organization (WHO) Clinical Practice Guideline: Benefits and Harms of Structured and Standardized Education or Advice for Chronic Primary low back pain in Adults

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    PURPOSE: Evaluate benefits and harms of education/advice for chronic primary low back pain (CPLBP) in adults to inform a World Health Organization (WHO) standard clinical guideline. METHODS: Electronic databases were searched for randomized controlled trials (RCTs) assessing education/advice compared with placebo/sham, usual care, or no intervention (including comparison interventions where the attributable effect of education/advice could be isolated). We conducted meta-analyses and graded the certainty of evidence. RESULTS: We screened 2514 citations and 86 full text RCTs and included 15 RCTs. Most outcomes were assessed 3 to 6 months post-intervention. Compared with no intervention, education/advice improved pain (10 RCTs, MD = -1.1, 95% CI -1.63 to -0.56), function (10 RCTs, SMD = -0.51, 95% CI -0.89 to -0.12), physical health-related quality of life (HRQoL) (2 RCTs, MD = 24.27, 95% CI 12.93 to 35.61), fear avoidance (5 RCTs, SMD = -1.4, 95% CI -2.51 to -0.29), depression (1 RCT; MD = 2.10, 95% CI 1.05 to 3.15), and self-efficacy (1 RCT; MD = 4.4, 95% CI 2.77 to 6.03). Education/advice conferred less benefit than sham Kinesio taping for improving fear avoidance regarding physical activity (1 RCT, MD = 5.41, 95% CI 0.28 to 10.54). Compared with usual care, education/advice improved pain (1 RCT, MD = -2.10, 95% CI -3.13 to -1.07) and function (1 RCT, MD = -7.80, 95% CI -14.28 to -1.32). There was little or no difference between education/advice and comparisons for other outcomes. For all outcomes, the certainty of evidence was very low. CONCLUSION: Education/advice in adults with CPLBP was associated with improvements in pain, function, HRQoL, and psychological outcomes, but with very low certainty

    Patient and stakeholder engagement learnings: PREP-IT as a case study

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    Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19

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    IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19. Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19. DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022). INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days. MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes. RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively). CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570

    Decreasing Emissions of Methane from Rice Agriculture

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    Methane emissions from rice fields are controlled by several key factors. The most important are the application of organic soil amendments and water management: whether the fields are flooded intermittently or continuously. The total annual emissions from any country or the world are thus affected by the area of rice harvested, and a composite emission factor that takes into account how the various agricultural practices are distributed in terms of fertilizer use and water management, as well as other less important variables. Over decades the area of rice harvested changes but so does the composite emission factor. The product therefore, may change substantially over decadal time scales. We will argue that for China at least, there are downward trends of both area and emission factor leading to a substantial reduction of annual emissions over the last two decades from some 30 Tg/yr to perhaps less than 10 Tg/yr. The changes that cause these reductions would increase nitrous oxide emissions from rice fields as organic fertilizers are replaced with nitrogen based fertilizers. Similar changes are likely to be occurring world-wide. These trends of emissions are probably represented in the observed slowdown of methane trend in the atmosphere and the continuing steady increase of nitrous oxide

    Flux Measurements and Sampling Strategies: Applications to Methane Emissions from Rice Fields

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    The emissions of methane from rice fields and other sources are often measured by placing chambers on the surface and taking sequential samples. Although static chambers pose several problems that affect the accuracy of the data, there are a few parameters that, if carefully chosen, can improve the reliability of the data and reduce the uncertainties. These parameters are the length of time the chamber is kept on the rice plants, the number of samples that are drawn to estimate the flux, the basal area and height of the chamber, the frequency of measurements during the growing season, and the number of plots sampled. In this paper we analyze a large data set to determine how these parameters can be chosen to improve data quality. The results show that, for individual flux measurements, extending the time the chambers are left on the plots improves precision more effectively than taking more sequential samples for each flux measurement. The exposure time cannot be extended too far, however, as it leads to a saturation effect so that the rate of accumulation in the chamber slows down. This can compromise the accuracy of the measurement. There is an optimum exposure time that balances these two effects. Many individual measurements are needed to characterize the emissions from the larger area of the fields and the seasonal patterns. For methane emissions from rice fields, the amplitude of the systematic seasonal cycle is usually large compared to the variability on shorter timescales. Consequently, reducing the sampling frequency increases the uncertainty of the seasonal flux very slowly. The spatial variability is large and random on the small scales of the basal area of the chambers. Reducing the number of plots sampled, therefore, has a major effect on the uncertainty of the seasonal average flux

    Isotopic Signatures and Concentration Profiles of Nitrous Oxide in a Rice-Based Ecosystem During the Drained Crop-Growing Season

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    The stable isotopic composition of nitrous oxide (N₂O) in agricultural soils can improve our understanding of the relative contributions of the main microbial processes (nitrification and denitrification) responsible for N₂O formation in soils, and can provide constraints for the atmospheric N2O budget. Here, we present soil profiles featuring N₂O concentrations and ÎŽÂč⁔N and ÎŽÂč⁞O values in N₂O over time, which permit the in situ identification of processes and sites of N₂O production in a rice-based ecosystem seeded with winter wheat. Our ÎŽÂč⁔N and ÎŽÂč⁞O soil profile values support the conclusion that denitrification is the dominant process behind N₂O production during the winter wheat season. The soil N₂O gas concentrations are higher below 10 cm than above 10 cm, and more depleted in Âč⁔N - N₂O at 10–15 cm depth compared to other soil depths, which indicates that the N₂O production zone is located at a depth of 10–15 cm within 0–20 cm. The ÎŽÂč⁔Nair and ÎŽÂč⁞OSMOW (ÎŽÂč⁞O of standard mean ocean water) values for soil gas N₂O averaged over the entire wheat growing season are +0.90 ± 2.9 (n = 64) and +39.3 ± 3.1 (n = 64), respectively. Given that paddy source N₂O is much heavier in both measured Âč⁔N and Âč⁞O compared to other fertilized soils, agricultural soils have been underestimated as a source of N₂O since isotopic constraints from rice agriculture have not been taken into account

    Production, Oxidation, and Emissions of Methane from Rice Fields in China

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    Detailed field studies of methane emissions from rice fields show that when nitrogen fertilizers are used with intermittent irrigation the seasonal average flux is about 3 mg/mÂČ/hr. When continuous flooding and organic material is added to the same fields, the emissions rise to nearly 30 mg/mÂČ/hr. Production rates measured during the two years when both organic material and water were applied to these fields were found to be 60 and 90 mg/mÂČ/hr in consecutive years. The fraction oxidized is calculated to be about 80% one year and 43% the next year. The results suggest that high organic fertilizer increases production, but may affect the emissions more by reducing oxidation. The data show that seasonally averaged emissions vary by up to factor of 2 among adjacent fields but the variability of production is only about 20%. Information obtained from the farmers suggests that there is a trend towards less use of organic manure as nitrogen fertilizers have become available and the occurrence of intermittent flooding has increased for various reasons. These conditions have likely led to decreasing emissions of methane from rice fields in China in the recent decades

    Methane and Nitrous Oxide Emissions From Subtropical Rice Agriculture in China

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    Emissions of methane and nitrous oxide, two significant greenhouse gases, were measured from rice fields at Qingyuan in Guangdong Province, China. The region has a subtropical climate which allows two crops of rice to be grown every year. The prevailing agricultural practices create a complex interaction between factors known to have a major effect on methane and nitrous oxide emissions from rice fields, namely, intermittent flooding and use of organic fertilizers. In this region, the farmers depend on nitrogen fertilizers and, at least in recent years, have only intermittently flooded their fields during the growing seasons. These factors tend to reduce methane emissions. But the rice straw and crop residues from the first crop of the year are plowed into the fields, providing a large addition of organic material under hot weather conditions favorable to quick decomposition during the second crop period. This, and the addition of farmyard manure, increases emissions of methane emissions from these fields. The results of the present study show that the effect of these competing factors and their timing lead to an average rate of emissions of 5 ± 2 and 6 ± 2 mg/m2/h from the first crops for the 2 years when measurements were taken (2003 and 2004), and 12 ± 8 and 13 ± 8 mg/m2/h from the second crop. Further, production measurements showed that during the 2 years of these experiments, the average production rates were about 27 mg/m2/h for the first crop and 22–34 mg/m2/h for the second crop, resulting in estimated oxidation rates of about 80% for the first crop and 50–60% for the second crop. The higher fluxes in the second crop therefore appear to be caused more by reduced oxidation than higher production. Nitrous oxide emissions, when they were detected, usually occurred within a few days after the application of nitrogen fertilizers. The seasonally averaged emissions were between 0.01 and 0.02 mg/m2/h except in the first year when large emissions over one short period pushed the average upwar
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