Simulated Soil Organic Carbon Response to Tillage, Yield, and Climate Change in the Southeastern Coastal Plains.

Intensive tillage, low-residue crops, and a warm, humid climate have contributed to soil organic carbon (SOC) loss in the southeastern Coastal Plains region. Conservation (CnT) tillage and winter cover cropping are current management practices to rebuild SOC; however, there is sparse long-term field data showing how these management practices perform under variable climate conditions. The objectives of this study were to use CQESTR, a process-based C model, to simulate SOC in the top 15 cm of a loamy sand soil (fine-loamy, kaolinitic, thermic Typic Kandiudult) under conventional (CvT) or CnT tillage to elucidate the impact of projected climate change and crop yields on SOC relative to management and recommend the best agriculture management to increase SOC. Conservation tillage was predicted to increase SOC by 0.10 to 0.64 Mg C ha for six of eight crop rotations compared with CvT by 2033. The addition of a winter crop [rye ( L.) or winter wheat ( L.)] to a corn ( L.)-cotton ( L.) or corn-soybean [ (L.) Merr.] rotation increased SOC by 1.47 to 2.55 Mg C ha. A continued increase in crop yields following historical trends could increase SOC by 0.28 Mg C ha, whereas climate change is unlikely to have a significant impact on SOC except in the corn-cotton or corn-soybean rotations where SOC decreased up to 0.15 Mg C ha by 2033. The adoption of CnT and cover crop management with high-residue-producing corn will likely increase SOC accretion in loamy sand soils. Simulation results indicate that soil C saturation may be reached in high-residue rotations, and increasing SOC deeper in the soil profile will be required for long-term SOC accretion beyond 2030.

Soil physicochemical conditions, denitrification rates, and abundance in north Carolina coastal plain restored wetlands.

Over the last century, North Carolina has seen a severe reduction in the percentage of wetlands and a rise in negative environmental impacts related to this loss. To counter these effects, efforts have been enacted to mitigate wetland loss and create new wetland areas. The objective of this study was to assess the impact of hydrological restoration at several sites in the North Carolina coastal plain. Nine sites were selected for study. Hydrologically restored wetlands were compared with natural wetlands and prior converted (PC) croplands (i.e., historic wetlands under agricultural production). Each site was analyzed along a relative wetness gradient, and physicochemical properties, denitrification enzyme activity, and NO reductase gene () abundances using real-time PCR were measured. Physicochemically, restoration resulted in significantly increased levels of total C as compared with PC cropland sites. Restored wetland sites also saw pH, soil moisture, P, and NO+NO approximate levels similar to those of natural wetlands. Denitrification enzyme activity rates varied based on relative wetness within individual sites, generally increasing with increasing soil moisture. However, denitrification tended to be lower in restored wetland sites relative to natural wetlands. Gene abundances of saw statistically significant decreases in restored wetland soils. In conclusion, although analysis of restored wetlands reveals clear changes in several physicochemical characteristics and significant decreases in gene abundances, restoration efforts appear to have not significantly affected the denitrification component of the N cycle.

Microbial community structure across a wastewater-impacted riparian buffer zone in the southeastern coastal plain.

Riparian buffer zones are important for both natural and developed ecosystems throughout the world because of their ability to retain nutrients, prevent soil erosion, protect aquatic environments from excessive sedimentation, and filter pollutants. Despite their importance, the microbial community structures of riparian buffer zones remains poorly defined. Our objectives for this study were twofold: first, to characterize the microbial populations found in riparian buffer zone soils; and second, to determine if microbial community structure could be linked to denitrification enzyme activity (DEA). To achieve these objectives, we investigated the microbial populations of a riparian buffer zone located downslope of a pasture irrigated with swine lagoon effluent, utilizing DNA sequencing of the 16S rDNA, DEA, and quantitative PCR (qPCR) of the denitrification genes nirK, nirS, and nosZ. Clone libraries of the 16S rDNA gene were generated from each of twelve sites across the riparian buffer with a total of 986 partial sequences grouped into 654 operational taxonomic units (OTUs). The Proteobacteria were the dominant group (49.8% of all OTUs), with the Acidobacteria also well represented (19.57% of all OTUs). Analysis of qPCR results identified spatial relationships between soil series, site location, and gene abundance, which could be used to infer both incomplete and total DEA rates.

Effect of polyaluminium chloride on phosphorus removal in constructed wetlands treated with swine wastewater.

Total phosphorus (TP) removal in aged constructed wetlands poses a challenge, especially when treated with swine wastewater with high concentrations of phosphorus (P). Our earlier studies with anaerobic lagoon swine wastewater treatment in constructed wetlands showed a decline in P removal (45-22%) with increased years of operation. These particular wetlands have been treated with swine wastewater every year since the first application in 1997. Preliminary lab-scale studies were conducted to evaluate the efficiency of polyaluminium chloride (PAC) in the removal of phosphate-P (PO4-P) from swine wastewater. The experimental objective was to increase the phosphorus treatment efficiency in constructed wetland by adding PAC as a precipitating agent. PAC was added by continuous injection to each wetland system at a rate of 3 L day(-1) (1:5 dilution of concentrated PAC). Swine wastewater was added from an anaerobic lagoon to four constructed wetland cells (11m wide x 40m long) at TP loads of 5.4-6.1 kg ha(-1) day(-1) in two experimental periods, September to November of 2008 and 2009. Treatment efficiency of two wetland systems: marsh-pond-marsh (M-P-M) and continuous marsh (CM) was compared. The wetlands were planted with cattails (Typha latifolia L.) and bulrushes (Scirpus americanus). In 2008, PAC treatment showed an increase of 27.5 and 40.8% of TP removal over control in M-P-M and CM respectively. Similar trend was also observed in the following year. PAC as a flocculant and precipitating agent showed potential to enhance TP removal in constructed wetlands treated with swine wastewater.

Denitrification in anaerobic lagoons used to treat swine wastewater.

Anaerobic lagoons are commonly used for the treatment of swine wastewater. Although these lagoons were once thought to be relatively simple, their physical, chemical, and biological processes are very complex. This study of anaerobic lagoons had two objectives: (i) to quantify denitrification enzyme activity (DEA) and (ii) to evaluate the influence of lagoon characteristics on the DEA. The DEA was measured by the acetylene inhibition method. Wastewater samples and physical and chemical measurements were taken from the wastewater column of nine anaerobic swine lagoons from May 2006 to May 2009. These lagoons were typical for anaerobic swine lagoons in the Carolinas relative to their size, operation, and chemical and physical characteristics. Their mean value for DEA was 87 mg N2O-N m(-3) d(-1). In a lagoon with 2-m depth, this rate of DEA would be compatible with 1.74 kg N ha(-1) d(-1) When nonlimiting nitrate was added, the highest DEA was compatible with 4.38 kg N ha(-1) d(-1) loss. Using stepwise regression for this treatment, the lagoon characteristics (i.e., soluble organic carbon, total nitrogen, temperature, and NO3-N) provided a final step model R2 of 0.69. Nitrous oxide from incomplete denitrification was not a significant part of the system nitrogen balance. Although alternate pathways of denitrification may exist within or beneath the wastewater column, this paper documents the lack of sufficient denitrification enzyme activity within the wastewater column of these anaerobic lagoons to support large N2 gas losses via classical nitrification and denitrification.

The potential impacts of biomass feedstock production on water resource availability.

Biofuels are a major topic of global interest and technology development. Whereas bioenergy crop production is highly dependent on water, bioenergy development requires effective allocation and management of water. The objectives of this investigation were to assess the bioenergy production relative to the impacts on water resource related factors: (1) climate and weather impact on water supplies for biomass production; (2) water use for major bioenergy crop production; and (3) potential alternatives to improve water supplies for bioenergy. Shifts to alternative bioenergy crops with greater water demand may produce unintended consequences for both water resources and energy feedstocks. Sugarcane and corn require 458 and 2036 m(3) water/m(3) ethanol produced, respectively. The water requirements for corn grain production to meet the US-DOE Billion-Ton Vision may increase approximately 6-fold from 8.6 to 50.1 km(3). Furthermore, climate change is impacting water resources throughout the world. In the western US, runoff from snowmelt is occurring earlier altering the timing of water availability. Weather extremes, both drought and flooding, have occurred more frequently over the last 30 years than the previous 100 years. All of these weather events impact bioenergy crop production. These events may be partially mitigated by alternative water management systems that offer potential for more effective water use and conservation. A few potential alternatives include controlled drainage and new next-generation livestock waste treatment systems. Controlled drainage can increase water available to plants and simultaneously improve water quality. New livestock waste treatments systems offer the potential to utilize treated wastewater to produce bioenergy crops. New technologies for cellulosic biomass conversion via thermochemical conversion offer the potential for using more diverse feedstocks with dramatically reduced water requirements. The development of bioenergy feedstocks in the US and throughout the world should carefully consider water resource limitations and their critical connections to ecosystem integrity and sustainability of human food.

Intake and digestibility of 'coastal' bermudagrass hay from treated swine waste using subsurface drip irrigation.

Waste handling systems for confined swine production in the upper South (approximately 32-37 degrees N and 79-93 degrees W) depend mainly on anaerobic lagoons and application of the waste effluent to cropland. The main objective of this study was to evaluate the quality of 'Coastal' bermudagrass [Cynodon dactylon (L.) Pers.] hay receiving effluent generated from a raw swine waste treatment system designed to reduce P and K concentrations and delivered by subsurface drip irrigation (SDI) compared with hay produced from commercial N fertilizer. Eight treatments, consisting of commercial N fertilizer or effluent, each irrigated at two irrigation rates (75 and 100% of estimated evapotranspiration) and two lateral spacings (0.6 and 1.2 m), were compared with a control treatment of commercial N fertilizer without irrigation. Three harvests were taken in each of 2 yr and five of the six evaluated using wether sheep (30-45 kg). Greatest dry matter intake (DMI) per unit body weight occurred for the control vs. all irrigated treatments (1.94 vs. 1.77 kg 100(-1) kg; P = 0.02; SEM = 0.11). Among irrigated treatments, DMI was greatest from commercial N vs. effluent (1.81 vs. 1.71 kg 100(-1) kg; P = 0.05; SEM = 0.11). Dry matter intake was similar for the 75% rate treatments and the non-irrigated treatment (mean, 1.87 kg 100(-1) kg) but was reduced for the 100% rate (1.94 vs. 1.72 kg 100(-1) kg; P = 0.03; SEM = 0.11). Hay from the 75% rate was more digestible than hay from the 100% rate (527 vs. 508 g kg(-1); P = 0.03; SEM = 21). The SDI system functioned well, and lateral spacing did not alter hay quality. Treated waste from a raw waste treatment system was readily delivered by SDI at the recommended rate to produce bermudagrass hay of adequate quality for ruminant production systems.

Thermochemical conversion of livestock wastes: carbonization of swine solids.

Slow pyrolysis or carbonization promotes the conversion of animal manures such as swine manure into charcoal. In this paper, the carbonizing kinetics of swine solids taken from different treatment stages were investigated with a thermogravimetric analyzer. Compared to their biologically stabilized counterpart (lagoon sludge) with an activation energy of 160 kJ mol(-1), the activation energies for fresh swine solid samples such as homogenized flushed manure and dewatered solids were much lower between 92 and 95 kJ mol(-1). Compared to the kinetics of first order decomposition of cellulose, the pyrolytic decomposition of the swine manures were more complex with the reaction orders varying at 3.7 and 5.0. The two different mathematical methods employed in this paper yielded the similar values of activation energy (E) and pre-exponential factor (A), confirming the validity of these methods. The results of this study provide useful information for development of farm-scale swine solid carbonization process.

Nitrous oxide accumulation in soils from riparian buffers of a coastal plain watershed carbon/nitrogen ratio control.

Riparian buffers are used throughout the world for the protection of water bodies from nonpoint-source nitrogen pollution. Few studies of riparian or treatment wetland denitrification consider the production of nitrous oxide (N2O). The objectives of this research were to ascertain the level of potential N2O production in riparian buffers and identify controlling factors for N2O accumulations within riparian soils of an agricultural watershed in the southeastern Coastal Plain of the USA. Soil samples were obtained from ten sites (site types) with different agronomic management and landscape position. Denitrification enzyme activity (DEA) was measured by the acetylene inhibition method. Nitrous oxide accumulations were measured after incubation with and without acetylene (baseline N2O production). The mean DEA (with acetylene) was 59 microg N2O-N kg(-1) soil h(-1) for all soil samples from the watershed. If no acetylene was added to block conversion of N2O to N2, only 15 microg N2O-N kg(-1) soil h(-1) were accumulated. Half of the samples accumulated no N2O. The highest level of denitrification was found in the soil surface layers and in buffers impacted by either livestock waste or nitrogen from legume production. Nitrous oxide accumulations (with acetylene inhibition) were correlated to soil nitrogen (r2=0.59). Without acetylene inhibition, correlations with soil and site characteristics were lower. Nitrous oxide accumulations were found to be essentially zero, if the soil C/N ratios>25. Soil C/N ratios may be an easily measured and widely applicable parameter for identification of potential hot spots of N2O productions from riparian buffers.

Wind-driven surficial oxygen transfer and dinitrogen gas emission from treatment lagoons.

Surficial oxygen transfer plays an important role, when analyzing the complex biochemical and physical processes responsible for ammonia and dinitrogen gas emission in animal waste treatment lagoons. This paper analyzes if currently known nitrogen biochemical pathways can explain the enigmatic dinitrogen gas emissions recently observed from the treatment lagoons, based on the amount of wind-driven oxygen that can be transferred through the air-water interface. The stoichiometric amounts of the maximum dinitrogen gas production potential per unit mass of O(2) transferred were calculated according to three most likely biochemical pathways for ammonia removal in the treatment lagoons-classical nitrification-denitrification, partial nitrification-denitrification, and partial nitrification-Anammox. Partial nitrification-Anammox pathway would produce the largest N(2) emission, followed by partial nitrification-denitrification pathway, then by classical nitrification-denitrification pathway. In order to estimate stoichiometric amount (i.e., maximum) of N(2) emission from these pathways, we assumed that heterotrophic respiration was substantially inhibited due to high levels of free ammonia prevalent in treatment lagoons. Most observed N(2) emission data were below the maximum N(2) emission potentials by the classical nitrification-denitrification pathway. However, one value of observed N(2) emission was much higher than that could be produced by even the partial nitrification-Anammox pathway. This finding suggests yet unknown biological processes and/or non-biological nitrogen processes such as chemodenitrification may also be important in these treatment lagoons.

Denitrification in a coastal plain riparian zone contiguous to a heavily loaded swine wastewater spray field.

Riparian zones are recognized as landscape features that buffer streams from pollutants, particularly nitrogen. The objectives of this experiment were to (i) assess denitrification activity within a riparian zone and (ii) determine the influence of physical, chemical, and landscape features on denitrification. This experiment was conducted from 1994 to 1997 in North Carolina on a riparian zone contiguous to a spray field that was heavily loaded with swine lagoon wastewater. Denitrification enzyme activity (DEA) was measured on soils collected from (i) the soil surface, (ii) midway between the soil surface and water table, and (iii) above the water table. The DEA ranged from 3 to 1660 microg N(2)O-N kg(-1) soil h(-1). The DEA was highest next to the stream and lowest next to the spray field. Nitrate was found to be the limiting factor for denitrification. The DEA generally decreased with soil depth; means for the surface, middle, and bottom depths were 147, 83, and 67 microg N(2)O-N kg(-1) soil h(-1), respectively. These DEA values are higher than those reported for riparian zones adjoining cropland of the southeastern United States, but are lower than those reported for a constructed wetland used for treatment of swine wastewater. Regression analysis indicated that soil total nitrogen was the highest single factor correlated to DEA (r(2) = 0.65). The inclusion of water table depth, soil depth, and distance from the spray field improved the R(2) to 0.86. This riparian zone possessed sufficient soil area with high denitrifying conditions to be a significant factor in the removal of excess nitrogen in the ground water.

Ammonia volatilization from marsh-pond-marsh constructed wetlands treating swine wastewater.

Ammonia (NH3) volatilization is an undesirable mechanism for the removal of nitrogen (N) from wastewater treatment wetlands. To minimize the potential for NH3 volatilization, it is important to determine how wetland design affects NH3 volatilization. The objective of this research was to determine how the presence of a pond section affects NH3 volatilization from constructed wetlands treating wastewater from a confined swine operation. Wastewater was added at different N loads to six constructed wetlands of the marsh-pond-marsh design that were located in Greensboro, North Carolina, USA. A large enclosure was used to measure NH3 volatilization from the marsh and pond sections of each wetland in July and August of 2001. Ammonia volatilized from marsh and pond sections at rates ranging from 5 to 102 mg NH3-N m(-2) h(-1). Pond sections exhibited a significantly greater increase in the rate of NH3 volatilization (p < 0.0001) than did either marsh section as N load increased. At N loads greater than 15 kg ha(-1) d(-1), NH3 volatilization accounted for 23 to 36% of the N load. Furthermore, NH3 volatilization was the dominant (54-79%) N removal mechanism at N loads greater than 15 kg ha(-1) d(-1). Without the pond sections, NH3 volatilization would have been a minor contributor (less than 12%) to the N balance of these wetlands. To minimize NH3 volatilization, continuous marsh systems should be preferred over marsh-pond-marsh systems for the treatment of wastewater from confined animal operations.

Distribution of ammonium-N in the water-soil interface of a surface-flow constructed wetland for swine wastewater treatment.

Most livestock wastewaters treated in constructed wetlands are typically rich in ammonium N. The objective of this study was to evaluate the soil-water ammonium distribution and the diffusive flux through the soil-water interface. Wetland system 1 (WS1) was planted to rush and bulrushes, and wetland system 2 (WS2) was planted to bur-reed and cattails. Nitrogen was applied at a rate of 2.5 g m(-2) d(-1). Interstitial soil water was sampled at 9, 24, 50, and 70 m from the inlet. In both wetlands, we found that NH4+ diffusion gradient and N losses were highest in the wetland system with lowest water depth. From other studies, we knew that shallower depths may have promoted a more effective interfacing of nitrifying and denitrifying environments. In turn, this N reduction in the water column may be the reason for steady NH4+-N upward diffusion fluxes. The assumed mechanism for N removal has been nitrification and denitrification but ammonia volatilization could also have occurred. Although diffusion may explain a significant portion of the material transport between the soil-water interface, the large differences in concentrations between outlet and inlet need further explanation.

State of the art for animal wastewater treatment in constructed wetlands.

Although confined animal production generates enormous per-unit-area quantities of waste, wastewater from dairy and swine operations has been successfully treated in constructed wetlands. However, solids removal prior to wetland treatment is essential for long-term functionality. Plants are an integral part of wetlands; cattails and bulrushes are commonly used in constructed wetlands for nutrient uptake, surface area, and oxygen transport to sediment. Improved oxidation and nitrification may also be obtained by the use of the open water of marsh-pond-marsh designed wetlands. Wetlands normally have sufficient denitrifying population to produce enzymes, carbon to provide microbial energy, and anaerobic conditions to promote denitrification. However, the anaerobic conditions of wetland sediments limit the rate of nitrification. Thus, denitrification of animal wastewaters in wetlands is generally nitrate-limited. Wetlands are also helpful in reducing pathogen microorganisms. On the other hand, phosphorus removal is somewhat limited by the anaerobic conditions of wetlands. Therefore, when very high mass removals of nitrogen and phosphorus are required, pre- or in-wetland procedures that promote oxidation are needed to increase treatment efficiency. Such procedures offer potential for enhanced constructed wetland treatment of animal wastewater.

Treatment of swine wastewater in marsh-pond-marsh constructed wetlands.

Swine waste is commonly treated in the USA by flushing into an anaerobic lagoon and subsequently applying to land. This natural system type of application has been part of agricultural practice for many years. However, it is currently under scrutiny by regulators. An alternate natural system technology to treat swine wastewater may be constructed wetland. For this study we used four wetland cells (11 m width x 40 m length) with a marsh-pond-marsh design. The marsh sections were planted to cattail (Typha latifolia, L.) and bulrushes (Scirpus americanus). Two cells were loaded with 16 kg N ha(-1) day(-1) with a detention of 21 days. They removed 51% of the added N. Two additional cells were loaded with 32 kg ha(-1) day(-1) with 10.5 days detention. These cells removed only 37% of the added N. However, treatment operations included cold months in which treatment was much less efficient. Removal of N was moderately correlated with the temperature. During the warmer periods removal efficiencies were more consistent with the high removal rates reported for continuous marsh systems--often > than 70%. Phosphorus removal ranged from 30 to 45%. Aquatic macrophytes (plants and floating) assimilated about 320 and 35 kg ha(-1), respectively of N and P.

Evaluating peats for their capacities to remove odorous compounds from liquid swine manure using headspace "solid-phase microextraction".

This paper reports on research designed to investigate the capacities of different highly characterized peats to remove odorous compounds from liquid swine manure (LSM). Peat types representing a wide range of properties were tested in order to establish which chemical and physical properties might be most indicative of their capacities to remediate odors produced by LSM. Eight percent slurries (of peat/LSM) were measured for odor changes after 24 hours using odor panel and GC/MS-Solid-phase microextraction (GC/MS-SPME) analysis. The GC/MS-SPME and odor panel results indicated that, although all peats tested in this study were found to be effective at removing odor-causing compounds found in LSM, some peats tended to work better than others. Overall, the peats that were the most effective at removing odor-causing compounds tended to have lower bulk densities, ash contents, fulvic acids contents, and guaiacyl lignins contents, and higher water holding capacities, hydraulic conductivities, "total other lignins" contents, hydrogen contents, carbon contents, and total cellulose contents. GC/MS-SPME analysis was found to be a reasonably inexpensive and efficient way of conducting this type of research. It allows one to identify a large number of the odor-causing compounds found in LSM, and more importantly, to detect with some precision specific differences in the amounts of these compounds between peat types.

Genetic variation in two cultures of Bradyrhizobium japonicum 110 differing in their ability to impart drought tolerance to soybean.

The polymerase chain reaction with arbitrary primers (RAPD) discriminated between two separately maintained cultures of Bradyrhizobium japonicum USDA 110 differing in symbiotic performance under drought conditions. Since strain 110 is used in inoculum production, the use of RAPD to monitor inoculum cultures could help to preserve their genetic composition and prevent the loss of important symbiotic properties. The use of RAPD could also be extended to other B. japonicum strains currently used in inoculum production.

Swine wastewater treatment by media filtration.

A media filter was constructed to treat swine wastewater after anaerobic lagoon treatment. The media filter consisted of a tank (1.5-m-diameter x 0.6-m-height) filled with marl gravel. The marl gravel had a carbonate content of 300 g kg-1. Gravel particle size distributions were 85 and 14% in the 4.7- to 12.7-mm and 12.7- to 19-mm size classes, respectively. Pore space of the filtration unit was 57%. Wastewater flow rate was 606 L m-2 d-1, and total Kjeldahl nitrogen (TKN) load was 198 g m-2 d-1. The media filter removed 54% of chemical oxygen demand (COD) content after one cycle, but increased cycling did not produce additional COD reduction. Total suspended solids (TSS) removal after one cycle was 50% of initial levels, and additional cycling reduced TSS levels at a much lower rate of 7% per cycle. Removal efficiencies for total phosphorus (TP) ranged from 37% to 52% (one to four cycles), but long-term phosphorus removal would be limited by the sorption capacity of the gravel. Up to 24% of TKN was converted to nitrate-plus-nitrite-N (NO3+NO2-N). Effluents with high NO3+NO2-N levels can be treated further for denitrification with constructed wetlands or anaerobic lagoon. This is important in cases where land is limited for wastewater application.

Lyme disease and seventh nerve paralysis in children.

PURPOSE: This study was undertaken to determine the frequency of Lyme disease (LD) as a cause of transient facial nerve palsy (FNP) in children. Acute onset FNP in children has been primarily associated with acute otitis media (AOM). Recently, LD has emerged in regions where the deer-tick vector is present and has been associated with multiple cranial neuropathies. PATIENTS AND METHODS: Fifty children with transient FNP were evaluated and treated at our institution over a 5.5-year period. RESULTS: The rank of etiologies confirmed LD to now be the most common (50%), followed by AOM (12%), varicella (6%), Herpes zoster (4%), and coxsackievirus (2%). Thirteen children (26%) had idiopathic FNP consistent with Bell's palsy. CONCLUSION: We conclude that transient FNP in children is most commonly caused by LD for regions with endemic infections caused by Borrelia burgdorferi.

The effects of daily intake of folic acid on the efficacy of methotrexate therapy in children with juvenile rheumatoid arthritis. A controlled study.

OBJECTIVE: To determine the effect of 1 mg/day of folic acid on the efficacy of methotrexate (MTX) to control disease activity in children with juvenile rheumatoid arthritis (JRA). METHODS: Randomized, double blind, placebo controlled, crossover trial of 13 weeks' duration. Nineteen children with the diagnosis of JRA, fulfilling the American College of Rheumatology diagnostic criteria, who had been receiving MTX for at least 6 months and whose disease status had remained stable for at least one month before entry were enrolled in the study. Subjects were randomly assigned to receive 1 mg/day of liquid folic acid or a liquid placebo for 6 weeks, followed by a one week washout period, and subsequent crossover to the alternate form for another 6 weeks. Disease activity indicators, including swollen joint count, duration of morning stiffness, physician and patient global assessment, and C-reactive protein, were assessed at study entry and at 6 and 13 weeks. RESULTS: One patient flared during the first 2 weeks while taking placebo, requiring study withdrawal and exclusion from outcome analysis. For the remaining 18 patients, there was no statistical difference in disease activity indicators with folic acid treatment compared to placebo. CONCLUSION: Supplementation with 1 mg/day of folic acid may not affect the clinical efficacy of oral weekly MTX in children with JRA.