20 research outputs found

    Determinants of grassland primary production in seasonally-dry silvopastoral systems in Central America

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    Grassland primary productivity is the function that underpins the majority of the fodder production in cattle-rearing silvopastoral farms. Hence, understanding the factors that determine grassland productivity is critical for the design and management of silvpastoral systems. We studied the effect of two factors with documented impact on grassland productivity in seasonally dry silvopastures of Nicaragua, rainfall and trees. We assessed the effects of three species that differed in crown size and phenology, one evergreen, Cassia grandis, and two deciduous species, Guazuma ulmifolia and Tabebuia rosea. Overall, grassland ANPP had a quadratic response to rainfall, with a decline at high rainfall that coincided with peak standing biomass and grassland cover. Trees had a predominately negative effect on grassland productivity, and the effect was concentrated in the rainy season at peak productivity. The effect of the trees corresponded with the tree crown area, but not with crown density. Trees reduced the standing biomass of graminoids and increased forb biomass; thus, the effect of trees on grassland ANPP appears in part to respond to changes in grassland composition. We also found higher levels of soil moisture content below the tree canopy, particularly at the peak of the rainy season when soils tend to become waterlogged. The evergreen species, C. grandis, affected grassland ANPP more strongly than the deciduous specie

    Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in India: Insights from the GARFIELD-AF Registry.

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    BACKGROUND: The Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF) is an ongoing prospective noninterventional registry, which is providing important information on the baseline characteristics, treatment patterns, and 1-year outcomes in patients with newly diagnosed non-valvular atrial fibrillation (NVAF). This report describes data from Indian patients recruited in this registry. METHODS AND RESULTS: A total of 52,014 patients with newly diagnosed AF were enrolled globally; of these, 1388 patients were recruited from 26 sites within India (2012-2016). In India, the mean age was 65.8 years at diagnosis of NVAF. Hypertension was the most prevalent risk factor for AF, present in 68.5% of patients from India and in 76.3% of patients globally (P < 0.001). Diabetes and coronary artery disease (CAD) were prevalent in 36.2% and 28.1% of patients as compared with global prevalence of 22.2% and 21.6%, respectively (P < 0.001 for both). Antiplatelet therapy was the most common antithrombotic treatment in India. With increasing stroke risk, however, patients were more likely to receive oral anticoagulant therapy [mainly vitamin K antagonist (VKA)], but average international normalized ratio (INR) was lower among Indian patients [median INR value 1.6 (interquartile range {IQR}: 1.3-2.3) versus 2.3 (IQR 1.8-2.8) (P < 0.001)]. Compared with other countries, patients from India had markedly higher rates of all-cause mortality [7.68 per 100 person-years (95% confidence interval 6.32-9.35) vs 4.34 (4.16-4.53), P < 0.0001], while rates of stroke/systemic embolism and major bleeding were lower after 1 year of follow-up. CONCLUSION: Compared to previously published registries from India, the GARFIELD-AF registry describes clinical profiles and outcomes in Indian patients with AF of a different etiology. The registry data show that compared to the rest of the world, Indian AF patients are younger in age and have more diabetes and CAD. Patients with a higher stroke risk are more likely to receive anticoagulation therapy with VKA but are underdosed compared with the global average in the GARFIELD-AF. CLINICAL TRIAL REGISTRATION-URL: http://www.clinicaltrials.gov. Unique identifier: NCT01090362

    Rising rural body-mass index is the main driver of the global obesity epidemic in adults

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    Body-mass index (BMI) has increased steadily in most countries in parallel with a rise in the proportion of the population who live in cities 1,2 . This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity 3�6 . Here we use 2,009 population-based studies, with measurements of height and weight in more than 112 million adults, to report national, regional and global trends in mean BMI segregated by place of residence (a rural or urban area) from 1985 to 2017. We show that, contrary to the dominant paradigm, more than 55 of the global rise in mean BMI from 1985 to 2017�and more than 80 in some low- and middle-income regions�was due to increases in BMI in rural areas. This large contribution stems from the fact that, with the exception of women in sub-Saharan Africa, BMI is increasing at the same rate or faster in rural areas than in cities in low- and middle-income regions. These trends have in turn resulted in a closing�and in some countries reversal�of the gap in BMI between urban and rural areas in low- and middle-income countries, especially for women. In high-income and industrialized countries, we noted a persistently higher rural BMI, especially for women. There is an urgent need for an integrated approach to rural nutrition that enhances financial and physical access to healthy foods, to avoid replacing the rural undernutrition disadvantage in poor countries with a more general malnutrition disadvantage that entails excessive consumption of low-quality calories. © 2019, The Author(s)

    Three-dimensional evaluation of mandibular bone regenerated by bone transport distraction osteogenesis

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    The purpose of this study was to evaluate the structure and material properties of native mandibular bone and those of early regenerate bone, produced by bone transport distraction osteogenesis. Ten adult foxhounds were divided into two groups of five animals each. In all animals, a 3- to 4-cm defect was created on one side of the mandible. A bone transport reconstruction plate, consisting of a reconstruction plate with an attached intraoral transport unit, was utilized to stabilize the mandible and regenerate bone at a rate of 1 mm/day. After the distraction period was finished, the animals were killed at 6 and 12 weeks of consolidation. Micro-computed tomography was used to assess the morphometric and structural indices of regenerate bone and matching bone from the unoperated contralateral side. Significant new bone was formed within the defect in the 6- and 12-week groups. Significant differences (P = 0.05) between mandibular regenerated and native bone were found in regard to bone volume fraction, mineral density, bone surface ratio, trabecular thickness, trabecular separation, and connectivity density, which increased from 12 to 18 weeks of consolidation. We showed that regenerated bone is still mineralizing and that native bone appears denser because of a thick outer layer of cortical bone that is not yet formed in the regenerate. However, the regenerate showed a significantly higher number of thicker trabeculae. © 2011 Springer Science+Business Media, LLC

    Bone regeneration and docking site healing after bone transport distraction osteogenesis in the canine mandible

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    Purpose: Bone transport distraction osteogenesis provides a promising alternative to traditional grafting techniques. However, existing bone transport distraction osteogenesis devices have many limitations. The purpose of this research was to test a new device, the mandibular bone transport reconstruction plate, in an animal model with comparable mandible size to humans and to histologically and mechanically examine the regenerate bone. Materials and Methods: Eleven adult foxhounds were divided into an unreconstructed control group of 5 animals and an experimental group of 6 animals. In each animal, a 34-mm segmental defect was created in the mandible. The defect was reconstructed with a bone transport reconstruction plate. Histologic and biomechanical characteristics of the regenerate and unrepaired defect were analyzed and compared with bone on the contralateral side of the mandible after 4 weeks of consolidation. Results: The reconstructed defect was bridged with new bone, with little bone in the control defect. Regenerate density and microhardness were 22.3% and 42.6%, respectively, lower than the contralateral normal bone. Likewise, the anisotropy of the experimental group was statistically lower than in the contralateral bone. Half the experimental animals showed nonunion at the docking site. Conclusion: The device was very stable and easy to install and activate. After 1 month of consolidation, the defect was bridged with new bone, with evidence of active bone formation. Regenerate bone was less mature than the control bone. Studies are underway to identify when the regenerate properties compare with normal bone and to identify methods to augment bone union at the docking site. © 2012 American Association of Oral and Maxillofacial Surgeons

    Testing reproducibility of vitrinite and solid bitumen reflectance measurements in North American unconventional source-rock reservoir petroleum systems

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    An interlaboratory study (ILS) was conducted to test reproducibility of vitrinite and solid bitumen reflectance measurements in six mudrock samples from United States unconventional source-rock reservoir petroleum systems. Samples selected from the Marcellus, Haynesville, Eagle Ford, Barnett, Bakken and Woodford are representative of resource plays currently under exploitation in North America. All samples are from marine depositional environments, are thermally mature (T >445 °C) and have moderate to high organic matter content (2.9–11.6 wt% TOC). Their organic matter is dominated by solid bitumen, which contains intraparticle nano-porosity. Visual evaluation of organic nano-porosity (pore sizes 1.0 produced lowest R values, generally ≤0.5% (absolute reflectance), similar to a prior ILS for similar samples. Other traditional approaches to outlier removal (outside mean ± 1.5*interquartile range and outside F10 to F90 percentile range) also produced similar R values. Standard deviation values < 0.15*(VR or BR) reduce R and should be a requirement of dispersed organic matter reflectance analysis. After outlier removal, R values were 0.1%–0.2% for peak oil thermal maturity, about 0.3% for wet gas/condensate maturity and 0.4%–0.5% for dry gas maturity. That is, these R values represent the uncertainty (in absolute reflectance) that users of vitrinite and solid bitumen reflectance data should assign to any one individual reported mean reflectance value from a similar thermal maturity mudrock sample. R values of this magnitude indicate a need for further standardization of reflectance measurement of dispersed organic matter. Furthermore, these R values quantify realistic interlaboratory measurement dispersion for a difficult but critically important analytical technique necessary for thermal maturity determination in the source-rock reservoirs of unconventional petroleum systems.This research was funded by the USGS Energy Resources Program
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