A human cadaveric model for venous air embolism tool development.

Purpose: A human cadaveric model combining standard lung protective mechanical ventilation and modified cardiac bypass techniques was developed to allow investigation into automated modes of detection of venous air emboli (VAE) prior to in vivo human or animal investigations.

Methods: In this study, in order to create an artificial cardiopulmonary circuit in a cadaver that could mimic VAE physiology, the direction of flow was reversed from conventional cardiac bypass. Saline was circulated in isolation through the heart and lungs as opposed to the peripheral organs by placing the venous cannula into the aorta and the arterial cannula into the inferior vena cava with selective ligation of other vessels.

Performance of new thresholds of the Glasgow Blatchford score in managing patients with upper gastrointestinal bleeding.

Background & Aims: Upper gastrointestinal hemorrhage (UGIH) is a common cause of hospital admission. The Glasgow Blatchford score (GBS) is an accurate determinant of patients' risk for hospital-based intervention or death. Patients with a GBS of 0 are at low risk for poor outcome and could be managed as outpatients.

Leverage points for improving global food security and the environment.

Achieving sustainable global food security is one of humanity's contemporary challenges. Here we present an analysis identifying key "global leverage points" that offer the best opportunities to improve both global food security and environmental sustainability. We find that a relatively small set of places and actions could provide enough new calories to meet the basic needs for more than 3 billion people, address many environmental impacts with global consequences, and focus food waste reduction on the commodities with the greatest impact on food security.

Emissions and air quality impacts of truck-to-rail freight modal shifts in the Midwestern United States.

We present an examination of the potential emissions and air quality benefits of shifting freight from truck to rail in the upper Midwestern United States. Using a novel, freight-specific emissions inventory (the Wisconsin Inventory of Freight Emissions, WIFE) and a three-dimensional Eulerian photochemical transport model (the Community Multiscale Air Quality Model, CMAQ), we quantify how specific freight mode choices impact ambient air pollution concentrations. Using WIFE, we developed two modal shift scenarios: one focusing on intraregional freight movements within the Midwest and a second on through-freight movements through the region.

Closing yield gaps through nutrient and water management.

In the coming decades, a crucial challenge for humanity will be meeting future food demands without undermining further the integrity of the Earth's environmental systems. Agricultural systems are already major forces of global environmental degradation, but population growth and increasing consumption of calorie- and meat-intensive diets are expected to roughly double human food demand by 2050 (ref. 3).

Solutions for a cultivated planet.

Increasing population and consumption are placing unprecedented demands on agriculture and natural resources. Today, approximately a billion people are chronically malnourished while our agricultural systems are concurrently degrading land, water, biodiversity and climate on a global scale. To meet the world's future food security and sustainability needs, food production must grow substantially while, at the same time, agriculture's environmental footprint must shrink dramatically.

Resorption and remodeling of hydroxyapatite-poly-L-lactic acid composite anterior cruciate ligament interference screws.

Purpose: The purpose of this study was to evaluate the progression of hydroxyapatite-poly-L-lactic acid (HA-PLLA) interference screw resorption and remodeling in patients after anterior cruciate ligament (ACL) reconstruction.

Methods: Sixty-five patients undergoing ACL reconstruction with patellar tendon autograft or allograft fixed at both the femur and tibia with HA-PLLA screws were evaluated. We evaluated 10 patients each at 2, 3, and 4 years postoperatively, whereas 35 patients were evaluated at 5 years postoperatively.

A global comparison of national biodiesel production potentials.

This study presents a consistent, national-level evaluation of potential biodiesel volumes and prices, replicated across 226 countries, territories, and protectorates. Utilizing all commercially exported lipid feedstocks from existing agricultural lands, we compare the upper-limit potential for expanded biodiesel production in terms of absolute biodiesel volumes, profitable potential from biodiesel exports, and potential from expanded vegetable oil production through agricultural yield increases. Country findings are compared across a variety of economic, energy, and environmental metrics.