GRAZING ON PUBLIC LANDS IN THE 21ST CENTURY

A panel of professionals from the ranching, environmental, agency, and university communities was assembled to examine trends relating to the future of grazing on federal lands. Five factors were identified that were thought to influence the use of grazed forages over the next 20 years. These factors were (1) multiple uses of public land, (2) public sentiment towards grazing on public lands, (3) environmental and federal agency regulations, (4) permittee issues, and (5) use of science and technology for managing public land grazing. A list of issues associated with each of the five factors was concurrently developed. The panel of experts was surveyed to explore the future direction each issue would take and the influence each issue may exert on grazing on public lands. All four groups were fairly consistent on the way they viewed the future of grazing on public lands. The most likely scenario includes (1) a significant increase in the demand for multiple uses on public lands, (2) a continued public sentiment against grazing on public lands, (3) and increase in the regulations, and their enforcement, that will negatively impact livestock grazing on the majority of allotments, (4) a continued demand or slight decline in rancher demand for grazing on public lands, and (5) a significant increase in the use of science and technology for managing public land grazing.Land Economics/Use,

AN EVALUATION OF THE PRIA GRAZING FEE FORMULA

The federal grazing fee is currently set using the Public Rangeland Improvement Act (PRIA) fee formula established in 1978 and modified in 1986. The formula is adjusted annually using indices of private land grazing lease rates (Forage Value Index, FVI), prices received for beef cattle (Beef Cattle Price Index, BCPI), and costs of beef production (Prices Paid Index, PPI). The FVI tracks price movement in the private forage market and was the only index originally proposed to be included in the fee formula. Public land ranchers and an Interdepartmental Grazing Fee Technical Committee assigned to study grazing fee alternatives in the 1960s questioned the ability of the FVI to account for short-term demand, supply, and price equilibrium, and, for this reason, the BCPI and PPI were added to the fee formula. Over 30 years of data are now available to evaluate whether adding the BCPI and PPI did, in fact, help explain short-term market fluctuations. This analysis shows, as earlier studies did, that, if tracking the private forage market is the primary objective, then the fee formula should have included only the FVI. Including the BCPI and, especially, the PPI has caused calculated grazing fees to fall further and further behind private land lease rates. Had the $1.23 base fee in the PRIA formula been indexed by only the FVI, the federal grazing fee would have been$3.84/AUM instead of $1.35/AUM in 2000. It is time to consider the feasibility of a competitive bid system for public lands, or, at the very least, adopt a new fee formula that generates more equitable grazing fees.Land Economics/Use,

Low NT-proBNP levels in overweight and obese patients do not rule out a diagnosis of heart failure with preserved ejection fraction

Background Heart failure with preserved ejection fraction (HFpEF) is a heterogeneous syndrome that presents clinicians with a diagnostic challenge. The use of natriuretic peptides to exclude a diagnosis of HFpEF has been proposed. We sought to compare HFpEF patients with N-terminal pro-brain natriuretic peptide (NT-proBNP) level above and below the proposed cut-off. Methods Stable patients (n = 30) with left ventricular (LV) ejection fraction ≥ 50% were eligible if they had a diagnosis of HF according to the European Society of Cardiology diagnostic criteria. Characteristics of patients with NT-proBNP below (≤125 pg/mL) and above (\u3e125 pg/mL) the diagnostic criterion were compared. Results There were 19 (66%) women with median age 54 years. Half were African American (16, 53%), and most were obese. There were no significant differences in clinical characteristics or medication use between groups. LV end-diastolic volume index was greater in high NT-proBNP patients (P = 0.03). Left atrial volume index, E/e\u27 ratio, and E/e\u27 ratio at peak exercise were not significantly different between NT-proBNP groups. Peak oxygen consumption (VO2), VO2 at ventilatory threshold, and ventilatory efficiency measures were impaired in all patients and were not significantly different between high and low NT-proBNP patients. Conclusions NT-proBNP was below the proposed diagnostic cut-off point of 125 pg/mL in half of this obese study cohort. Cardiac diastolic dysfunction and cardiorespiratory fitness were not significantly different between high and low NT-proBNP patients. These data indicate that excluding the diagnosis of HFpEF based solely on NT-proBNP levels should be discouraged

Keating, always Welcome Inn, and Imbler Fish paleofaunas, NE Oregon: Tests of miocene-pliocene drainage connections

A persistent puzzle in the study of late Miocene and Pliocene hydrography of the Pacific Northwest United States involves timing and location of connections among the many drainage basins containing sediments and fossils. The Keating, Imbler, and Always Welcome Inn faunas are important datum points that link the Western Snake River Plain to the interior Columbia River Basin. The sites lie in a tectonically active region with punctuated periods of volcanic activity that have periodically disrupted drainage, forcing new connections that allowed faunal interchange between hydrologic basins. Late Miocene to Pliocene fossils from the Keating (Lower Powder), Always Welcome Inn (Baker), and Imbler (Grande Ronde Valley) of northeast Oregon, the Oregon-Idaho Graben and Drewsey-Juntura Graben, Oregon, and lakes of the Western Snake River Plain reveal patterns as well as conflicting evidence. Discovery of distinctive fish groups in the middle Miocene Oregon-Idaho Graben documents the beginning of their appearance in the area following a long period of Oligocene high elevation, cold, and aridity.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/150494/1/MP204_5.pdf-1Description of MP204_5.pdf : Main Pape

Interleukin-1 blockade in heart failure with preserved ejection fraction: rationale and design of the Diastolic Heart Failure Anakinra Response Trial 2 (D-HART2)

Heart failure with preserved ejection fraction (HFpEF) now accounts for the majority of con-firmed HF cases in the United States. However, there are no highly effective evidence-basedtreatments currently available for these patients. Inflammation correlates positively withadverse outcomes in HF patients. Interleukin (IL)-1, a prototypical inflammatory cytokine, hasbeen implicated as a driver of diastolic dysfunction in preclinical animal models and a pilot clini-cal trial. The Diastolic Heart Failure Anakinra Response Trial 2 (D-HART2) is a phase 2, 2:1 ran-domized, double-blind, placebo-controlled clinical trial that will test the hypothesis that IL-1blockade with anakinra (recombinant human IL-1 receptor antagonist) improves (1) cardiorespi-ratory fitness, (2) objective evidence of diastolic dysfunction, and (3) elevated inflammation inpatients with HFpEF (http://www.ClinicalTrials.gov NCT02173548). The co–primary endpointswill be placebo-corrected interval changes in peak oxygen consumption and ventilatory effi-ciency at week 12. In addition, secondary and exploratory analyses will investigate the effectsof IL-1 blockade on cardiac structure and function, systemic inflammation, endothelial function,quality of life, body composition, nutritional status, and clinical outcomes. The D-HART2 clinicaltrial will add to the growing body of evidence on the role of inflammation in cardiovascular dis-ease, specifically focusing on patients with HFpEF

Dietary Fat, Sugar Consumption, and Cardiorespiratory Fitness in Patients With Heart Failure With Preserved Ejection Fraction

Heart failure with preserved ejection fraction (HFpEF) is associated with obesity and, indirectly, with unhealthy diet. The role of dietary components in HFpEF is, however, largely unknown. In this study, the authors showed that in obese HFpEF patients, consumption of unsaturated fatty acids (UFA), was associated with better cardiorespiratory fitness, and UFA consumption correlated with better diastolic function and with greater fat-free mass. Similarly, mice fed with a high-fat diet rich in UFA and low in sugars had preserved myocardial function and reduced weight gain. Randomized clinical trials increasing dietary UFA consumption and reducing sugar consumption are warranted to confirm and expand our findings

Increased C-reactive protein is associated with the severity of thoracic radiotherapy-induced cardiomyopathy

Background: Irradiation of the heart during cancer radiotherapy is associated with a dose-dependent risk of heart failure. Animal studies have demonstrated that irradiation leads to an inflammatory response within the heart as well as a reduction in cardiac reserve. In the current study we aimed to evaluate whether inflammatory biomarkers correlated with changes in cardiac function and reserve after radiotherapy for breast or lung cancer. Methods and results: We studied 25 subjects with a history of breast or lung cancer without a prior diagnosis of cardiovascular disease or heart failure, 1.8 years [0.4–3.6] post-radiotherapy involving at least 5 Gray (Gy) to at least 10% of the heart. High-sensitivity C-reactive protein (CRP) was abnormal (≥2 mg/L) in 16 (64%) subjects. Cardiac function and reserve was measured with Doppler echocardiography before and after exercise and defined as left-ventricular ejection fraction (LVEF), early diastolic mitral annulus velocity (e’), and increase in LV outflow tract velocity time integral cardiac output (cardiac reserve) with exercise. Subjects with abnormal CRP had significantly lower LVEF (51 [44–59] % vs 61 [52–64] %, P = 0.039), lower e’ (7.4 [6.6–7.9] cm/sec vs 9.9 [8.3–12.0] cm/sec, P = 0.010), and smaller cardiac reserve (+ 1.5 [1.2–1.7] L/min vs + 1.9 [1.7–2.2] L/min, P = 0.024). Conclusion: Elevated systemic inflammation is associated with impaired left-ventricular systolic and diastolic function both at rest and during exercise in subjects who have received radiotherapy with significant incidental heart dose for the treatment of cancer

Handbook for Aboriginal Alcohol and Drug Work

The Handbook for Aboriginal Alcohol and Drug Work is a practical tool written for Aboriginal drug and alcohol workers, mental health workers and others working in this field. It offers a detailed look at alcohol and drug work from clinical, through to prevention, early intervention and harm reduction. This handbook is also likely to help people working to improve policy and those advocating for change. The idea for it came from workers all over Australia. They told us that they needed an easy to use handbook that can help them respond to the range of alcohol and drug issues they face every day. They also told us that such a book needs to take into account the complex challenges facing workers when helping clients, their families and, sometimes, whole communities