Comparison of the portion size and frequency of consumption of 156 foods across seven European countries: insights from the Food4ME study.

There are no standardised serving/portion sizes defined for foods consumed in the European Union (EU). Typical serving sizes can deviate significantly from the 100 g/100 ml labelling specification required by the EU legislation. Where the nutritional value of a portion is specified, the portion size is determined by the manufacturers. Our objective was to investigate the potential for standardising portion sizes for specific foods, thereby ensuring complementarity across countries. We compared portion size for 156 food items measured using a food frequency questionnaire across the seven countries participating in the Food4me study. The probability of consuming a food and the frequency of consumption differed across countries for 93% and 58% of the foods, respectively. However, the individual country mean portion size differed from the average across countries in only 16% of comparisons. Thus, although dietary choices vary markedly across countries, there is much less variation in portion sizes. Our results highlight the potential for standardisation of portion sizes on nutrition labels in the EU.

Nitrogen fertilizer replacement value of cattle slurry in grassland as affected by method and timing of application.

Slurry application with methods such as trailing shoe (TS) results in reduced emissions of ammonia (NH3) compared with broadcast application using splashplate (SP). Timing the application during cool and wet weather conditions also contributes to low NH3 emissions. From this perspective, we investigated whether reduced NH3 emissions due to improved slurry application method and timing results in an increase in the nitrogen (N) fertilizer replacement value (NFRV). The effects of application timing (June vs. April) and application method (TS vs. SP) on the apparent N recovery (ANR) and NFRV from cattle slurry applied to grassland were examined on three sites over 3 yr in randomized block experiments. The NFRV was calculated using two methods: (i) NFRV(N) based on the ANR of slurry N relative to mineral N fertilizer; and (ii) NFRV(DM) based on DM yield. The TS method increased the ANR, NFRV(N), and NFRV(DM) compared with SP in the 40- to 50-d period following slurry application by 0.09, 0.10, and 0.10 kg kg(-1), respectively. These values were reduced to 0.07, 0.06, and 0.05 kg kg(-1), respectively, when residual harvests during the rest of the year were included. The highest NFRV(DM) for the first harvest period was with application in April using STS (0.30 kg kg(-1)), while application in June with SP had the Slowest (0.12 kg kg(-1)). The highest NFRV(DM) for the cumulative harvest period was with application in April using TS (0.38 kg kg(-1)), while application in June with SP had the lowest (0.17 kg kg(-1)). Improved management of application method, by using TS instead of SP, and timing, by applying slurry in April rather than June, offer potential to increase the NFRV(DM) of cattle slurry applied to grassland.

Determining phosphorus and sediment release rates from five Irish tillage soils.

The aim of this study was to compare the nutrient and sediment releases from five Irish tillage soils, inclined at 10- and 15-degree slopes, under a simulated rainfall intensity of 30 mm h(-1) in a controlled laboratory study. Using the relationship between soil test phosphorus (STP) in the five soils and the dissolved reactive phosphorus (DRP) released in surface runoff, a runoff dissolved phosphorus risk indicator (RDPRI) was developed to identify the STP level for Irish tillage soils above which there may be a potential threat to surface water quality. The results of this study indicated that tillage soils may produce surface runoff P concentrations in excess of 30 microg L(-1) (the value above which eutrophication of rivers is likely to occur and the maximum allowable concentration of DRP in rivers under the EU Water Framework Directive, WFD) if their Morgan's phosphorus (P(m)), Mehlich 3 phosphorus (M3-P), and water extractable phosphorus (WEP) concentrations exceed 9.5 mg L(-1), 67.2 mg kg(-1), and 4.4 mg kg(-1), respectively. This work reinforces the statutory agronomic based requirements of the European Communities (Good Agricultural Practice for Protection of Waters) Regulations 2009 (S.I. no. 101 of 2009). A statistical analysis showed that WEP gave the best prediction for runoff DRP.

Diversity-interaction modeling: estimating contributions of species identities and interactions to ecosystem function.

We develop a modeling framework that estimates the effects of species identity and diversity on ecosystem function and permits prediction of the diversity-function relationship across different types of community composition. Rather than just measure an overall effect of diversity, we separately estimate the contributions of different species interactions. This is especially important when both positive and negative interactions occur or where there are patterns in the interactions. Based on different biological assumptions, we can test for different patterns of interaction that correspond to the roles of evenness, functional groups, and functional redundancy. These more parsimonious descriptions can be especially useful in identifying general diversity-function relationships in communities with large numbers of species. We provide an example of the application of the modeling framework. These models describe community-level performance and thus do not require separate measurement of the performance of individual species. This flexible modeling approach can be tailored to test many hypotheses in biodiversity research and can suggest the interaction mechanisms that may be acting.

Factors affecting nitrate distribution in shallow groundwater under a beef farm in south eastern Ireland.

Groundwater contamination was characterised using a methodology which combines shallow groundwater geochemistry data from 17 piezometers over a 2 yr period in a statistical framework and hydrogeological techniques. Nitrate-N (NO3-N) contaminant mass flux was calculated across three control planes (rows of piezometers) in six isolated plots. Results showed natural attenuation occurs on site although the method does not directly differentiate between dilution and denitrification. It was further investigated whether NO3-N concentration in shallow groundwater (<5 m below ground level) generated from an agricultural point source on a 4.2 ha site on a beef farm in SE Ireland could be predicted from saturated hydraulic conductivity (Ksat) measurements, ground elevation (m Above Ordnance Datum), elevation of groundwater sampling (screen opening interval) (m AOD) and distance from a dirty water point pollution source. Tobit regression, using a background concentration threshold of 2.6 mg NO3-N L(-1) showed, when assessed individually in a step wise procedure, Ksat was significantly related to groundwater NO3-N concentration. Distance of the point dirty water pollution source becomes significant when included with Ksat in the model. The model relationships show areas with higher Ksat values have less time for denitrification to occur, whereas lower Ksat values allow denitrification to occur. Areas with higher permeability transport greater NO3-N fluxes to ground and surface waters. When the distribution of Cl- was examined by the model, Ksat and ground elevation had the most explanatory power but Ksat was not significant pointing to dilution having an effect. Areas with low NO3 concentration and unaffected Cl- concentration points to denitrification, low NO3 concentration and low Cl- chloride concentration points to dilution and combining these findings allows areas of denitrification and dilution to be inferred. The effect of denitrification is further supported as mean groundwater NO3-N was significantly (P<0.05) related to groundwater N2/Ar ratio, redox potential (Eh), dissolved O2 and N2 and was close to being significant with N2O (P=0.08). Calculating contaminant mass flux across more than one control plane is a useful tool to monitor natural attenuation. This tool allows the identification of hot spot areas where intervention other than natural attenuation may be needed to protect receptors.

Evaluation of cover crop and reduced cultivation for reducing nitrate leaching in Ireland.

Nitrate (NO(3)) loss from arable systems to surface and groundwater has attracted considerable attention in recent years in Ireland. Little information exists under Irish conditions, which are wet and temperate, on the effects of winter cover crops and different tillage techniques on NO(3) leaching. This study investigated the efficacy of such practices in reducing NO(3) leaching from a spring barley (Hordeum vulgare L.) system in the Barrow River valley, southeast Ireland. The study compared the effect of two tillage systems (plow-based tillage and noninversion tillage) and two over-winter alternatives (no vegetative cover and a mustard cover crop) on soil solution NO(3) concentrations at 90 cm depth over two winter drainage seasons (2003/04 and 2004/05). Soil samples were taken and analyzed for inorganic N. During both years of the study, the use of a mustard cover crop significantly reduced NO(3) losses for the plowed and reduced cultivation treatments. Mean soil solution NO(3) concentrations were between 38 and 70% lower when a cover crop was used, and total N load lost over the winter was between 18 and 83% lower. Results from this study highlight the importance of drainage volume and winter temperatures on NO(3) concentrations in soil solution and overall N load lost. It is suggested that cover crops will be of particular value in reducing NO(3) loss in temperate regions with mild winters, where winter N mineralization is important and high winter temperatures favor a long growing season.

Exercise-induced myocardial ischaemia in women: factors affecting prevalence.

Coronary artery disease (CAD) is a major health care challenge, and is the leading cause of death amongst women. Both the delay in the clinical manifestations of CAD and 'atypical' symptomatology in women complicates both diagnosis and treatment strategies in this population. It appears that the age-adjusted prevalence of all-cause angina (effort, unstable, etc.) appears to be greater in women than men, although stenotic lesions are demonstrated less frequently. There are a number of factors that complicates the diagnosis and identification of CAD in women, including more diffuse anginal symptoms, a lower initial detection rate of myocardial ischemia by traditional methods, lower rates of interventional procedures, and lastly, potential differences in the pathophysiology of myocardial ischemia. The lower sensitivity and specificity of many diagnostic techniques including ECG and various imaging technologies contributes significantly to these findings. The increased presence of syndrome X in post-menopausal women may reflect an increased likelihood of microcirculatory disease, where the 'gold standard' angiography fails to detect the presence of disease. Thus nonepicardial coronary stenotic disease may be largely undetected by most studies, rendering many positive ECG stress results unverifiable. The increased co-morbidity seen with CAD in women further complicates diagnosis and interventional results. Combined, these factors act to falsely lower the post-test likelihood of disease in women, adding to the existing gender bias in the diagnosis and referral rates for treatment of CAD in women. The lower precision of disease detection in women contributes to the perception that women have less exertional angina than men, despite evidence to the contrary.

Management of difficult wounds with Biobrane.

Nine patients with open wounds are reviewed. All wounds were debrided prior to application of Biobrane. Silver sulfadiazine was applied twice daily. All healed uneventfully after closure. Biobrane is recommended for treatment of difficult and large open wounds; its use reduces evaporative loss and bacterial proliferation, enabling development of a healthy wound base suitable for grafting or delayed closure. This approach can prevent the necessity for flap repair and reduce pain during wound dressing. Wounds such as lower extremity ulcers are often resistant to therapy. Repeated debridements may result in further desiccation without progression of wound healing. Biobrane-treated wounds develop a healthy granulating base which can be grafted or closed.

Frailty: a public health perspective.

Traditionally, frailty has been conceptualized as reflecting an inevitable decline in abilities usually associated with physical aspects of aging. More recent thinking now sees frailty as reflecting an interaction among individual factors and a range of environmental elements. These emerging models, however, continue to consider frailty as a condition that resides within the individual rather than a situation that exists for the individual. We present a new model that defines frailty as occurring when there is diminished ability to carry out the important practical and social activities of daily living. Factors related to the occurrence of frailty are considered, as are the theoretical and practice implications of viewing frailty as a social construction.

Roping injuries in the hand: mechanism of injury and functional results.

Twenty-two patients with roping injuries to 38 digits, including 19 patients injured while team roping, are discussed. Ten digits in nine patients were successfully revascularized or replanted. Seven digits in three patients failed after initial success. One patient is included in both categories. The failure rate is 41 percent for all 17 digits. Average follow-up is 18 months. The dominant hand was injured in 83 percent of team roping injuries; the thumb is the most commonly injured digit. Average interphalangeal motion for thumb replants is zero; for revascularizations, it is 47 degrees. There was 43 percent return of pinch strength for thumb replants compared to 83 percent return for a single thumb revascularization. The most common mechanism of injury was catching the roping thumb in the "thumb up" position during dallying. There are good motion and pinch strength with thumb revascularizations provided tendons and the interphalangeal joint are intact. Reconstruction of the flexor pollicis longus in the replanted thumb gave poor results. Primary tenodesis or arthrodesis is recommended.

Primary hyperparathyroidism presenting as spinal cord compression: report of a case.

A report of a case of primary hyperparathyroidism presenting as spinal cord compression due to a brown tumour of the vertebra is presented. Coexisting chrondrocalcinosis illustrates one of the several radiological features seen in hyperparathyroidism.