Sarcopenia is associated with longer hospital stay and multiorgan dysfunction in alcoholic hepatitis.

Introduction: Excessive alcohol consumption has steadily risen to become the third leading cause of preventable death in the USA. One consequence of heavy alcohol use recently under considerable investigation is alcoholic hepatitis. Although many risk factors for developing alcoholic hepatitis have been documented, our aim in this study was to examine the potential association between sarcopenia and severity, mortality, 30 days readmission rate, complication, infections and length of hospital stay in alcoholic hepatitis patients.

Southern Phosphorus Indices, Water Quality Data, and Modeling (APEX, APLE, and TBET) Results: A Comparison.

Phosphorus (P) Indices in the southern United States frequently produce different recommendations for similar conditions. We compared risk ratings from 12 southern states (Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, and Texas) using data collected from benchmark sites in the South (Arkansas, Georgia, Mississippi, North Carolina, Oklahoma, and Texas). Phosphorus Index ratings were developed using both measured erosion losses from each benchmark site and Revised Universal Soil Loss Equation 2 predictions; mostly, there was no difference in P Index outcome.

Evaluation of the APEX Model to Simulate Runoff Quality from Agricultural Fields in the Southern Region of the United States.

The Agricultural Policy Environmental eXtender (APEX) model has been widely applied to assess phosphorus (P) loss in runoff water and has been proposed as a model to support practical decisions regarding agricultural P management, as well as a model to evaluate tools such as the P Index. The aim of this study is to evaluate the performance of APEX to simulate P losses from agricultural systems to determine its potential use for refinement or replacement of the P Index in the southern region of the United States. Uncalibrated and calibrated APEX model predictions were compared against measured water quality data from row crop fields in North Carolina and Mississippi and pasture fields in Arkansas and Georgia.

Comparing an Annual and a Daily Time-Step Model for Predicting Field-Scale Phosphorus Loss.

A wide range of mathematical models are available for predicting phosphorus (P) losses from agricultural fields, ranging from simple, empirically based annual time-step models to more complex, process-based daily time-step models. In this study, we compare field-scale P-loss predictions between the Annual P Loss Estimator (APLE), an empirically based annual time-step model, and the Texas Best Management Practice Evaluation Tool (TBET), a process-based daily time-step model based on the Soil and Water Assessment Tool. We first compared predictions of field-scale P loss from both models using field and land management data collected from 11 research sites throughout the southern United States.

The Promise, Practice, and State of Planning Tools to Assess Site Vulnerability to Runoff Phosphorus Loss.

Over the past 20 yr, there has been a proliferation of phosphorus (P) site assessment tools for nutrient management planning, particularly in the United States. The 19 papers that make up this special section on P site assessment include decision support tools ranging from the P Index to fate-and-transport models to weather-forecast-based risk calculators. All require objective evaluation to ensure that they are effective in achieving intended benefits to protecting water quality.

Evaluation of the TBET Model for Potential Improvement of Southern P Indices.

Due to a shortage of available phosphorus (P)-loss datasets, simulated data from an accurate quantitative P transport model could be used to evaluate a P Index. The objective of this study was to compare predictions from the Texas Best Management Practice Evaluation Tool (TBET) against measured P-loss data to determine whether the model could be used to improve P Indices in the southern region. Measured P-loss data from field-scale study sites in Arkansas, Georgia, and North Carolina were used to assess the accuracy of TBET for predicting field-scale loss of P.

Evaluation of Phosphorus Site Assessment Tools: Lessons from the USA.

Critical source area identification through phosphorus (P) site assessment is a fundamental part of modern nutrient management planning in the United States, yet there has been only sparse testing of the many versions of the P Index that now exist. Each P site assessment tool was developed to be applicable across a range of field conditions found in a given geographic area, making evaluation extremely difficult. In general, evaluation with in-field monitoring data has been limited, focusing primarily on corroborating manure and fertilizer "source" factors.

Modeling the Effects of Onsite Wastewater Treatment Systems on Nitrate Loads Using SWAT in an Urban Watershed of Metropolitan Atlanta.

Onsite wastewater treatment systems (OWTSs) can be a source of nitrogen (N) pollution in both surface and ground waters. In metropolitan Atlanta, GA, >26% of homes are on OWTSs. In a previous article, we used the Soil Water Assessment Tool to model the effect of OWTSs on stream flow in the Big Haynes Creek Watershed in metropolitan Atlanta.

Isolating the impact of septic systems on fecal pollution in streams of suburban watersheds in Georgia, United States.

The presence of multiple sources of fecal pollution at the watershed level presents challenges to efforts aimed at identifying the influence of septic systems. In this study multiple approaches including targeted sampling and monitoring of host-specific Bacteroidales markers were used to identify the impact of septic systems on microbial water quality. Twenty four watersheds with septic density ranging from 8 to 373 septic units/km were monitored for water quality under baseflow conditions over a 3-year period.

Confirmation of the Impact of Onsite Wastewater Treatment Systems on Stream Base-Flow Nitrogen Concentrations in Urban Watersheds of Metropolitan Atlanta, GA.

Wastewater and lawn fertilizer potentially contribute to degraded water quality in urban watersheds. Previously we described a study from 2011 to 2012 in which we examined the effect of the density of onsite wastewater treatment systems (OWTS) on nitrogen concentrations in 24 small streams in metropolitan Atlanta. Our objective in this study was to confirm that the impact on water quality that we observed was due to OWTS and not lawn fertilizer.

Applicability of models to predict phosphorus losses in drained fields: a review.

Most phosphorus (P) modeling studies of water quality have focused on surface runoff loses. However, a growing number of experimental studies have shown that P losses can occur in drainage water from artificially drained fields. In this review, we assess the applicability of nine models to predict this type of P loss.

Quantifying the Contribution of On-Site Wastewater Treatment Systems to Stream Discharge Using the SWAT Model.

In the southeastern United States, on-site wastewater treatment systems (OWTSs) are widely used for domestic wastewater treatment. The degree to which OWTSs represent consumptive water use has been questioned in Georgia. The goal of this study was to estimate the effect of OWTSs on streamflow in a gauged watershed in Gwinnett County, Georgia using the Soil and Water Assessment Tool (SWAT) watershed-scale model, which includes a new OWTS algorithm.

Laccase mediated transformation of 17β-estradiol in soil.

It is known that 17β-estradiol (E2) can be transformed by reactions mediated by some oxidoreductases such as laccase in water. Whether or how such reactions can happen in soil is however unknown although they may significantly impact the environmental fate of E2 that is introduced to soil by land application of animal wastes. We herein studied the reaction of E2 in a model soil mediated by laccase, and found that the reaction behaviors differ significantly from those in water partly because of the dramatic difference in laccase stability.

Evaluating the influence of septic systems and watershed characteristics on stream faecal pollution in suburban watersheds in Georgia, USA.

Aims: To determine the impact of septic systems on water quality and in so doing identify watershed level characteristics that influence septic system impact.

Methods And Results: Water samples were collected from streams in 24 well-characterized watersheds during baseflow to analyse for the levels of faecal indicators Escherichia coli and enterococci. The watersheds represent a gradient of land-use conditions from low to high density of septic systems, as well as developed to undeveloped uses.

17β-estradiol and testosterone sorption in soil with and without poultry litter.

17β-estradiol and testosterone are naturally occurring steroids that co-occur in poultry litter. The effects of litter on sorption of these hormones to soil are not known. Sorption isotherms were developed for C-labeled testosterone and H-labeled estradiol in a Cecil sandy clay loam with and without poultry litter addition.

Sediment fingerprinting to determine the source of suspended sediment in a southern Piedmont stream.

Thousands of stream miles in the southern Piedmont region are impaired because of high levels of suspended sediment. It is unclear if the source is upland erosion from agricultural sources or bank erosion of historic sediment deposited in the flood plains between 1830 and 1930 when cotton farming was extensive. The objective of this study was to determine the source of high stream suspended sediment concentrations in a typical southern Piedmont watershed using sediment fingerprinting techniques.

Diffuse phosphorus models in the United States and europe: their usages, scales, and uncertainties.

Today there are many well-established computer models that are being used at different spatial and temporal scales to describe water, sediment, and P transport from diffuse sources. In this review, we describe how diffuse P models are commonly being used in the United States and Europe, the challenge presented by different temporal and spatial scales, and the uncertainty in model predictions. In the United States, for water bodies that do not meet water quality standards, a total maximum daily load (TMDL) of the pollutant of concern must be set that will restore water quality and a plan implemented to reduce the pollutant load to meet the TMDL.

Impact of water troughs on cattle use of riparian zones in the Georgia Piedmont in the United States.

Cattle use of riparian areas may lead to stream water contamination with nutrients, pathogens, and sediments. Providing alternative water away from the stream may reduce the amount of time cattle spend near streams and therefore reduce contamination. We conducted this study to 1) evaluate the effect of providing water troughs outside of the riparian zones on the amount of time cattle spend in riparian zones, and 2) evaluate if environmental factors such as temperature and humidity affect the impact of water trough availability on the amount of time cattle spend within riparian and nonriparian locations.

Modeling phosphorus in the Lake Allatoona watershed using SWAT: II. Effect of land use change.

Lake Allatoona is a large reservoir northeast of metropolitan Atlanta, GA, threatened by excessive algal growth. We used the calibrated Soil and Water Assessment Tool (SWAT) models developed in our companion paper to estimate the annual P load to Lake Allatoona in 1992 and in 2001 after significant changes occurred in land use. Land use data in 1992 and 2001 from the Multi-Resolution Land Characteristics (MRLC) Consortium showed that forest land use decreased during this period by about 20%, urban land use increased by about 225%, and pasture land uses increased by about 50%.

Modeling phosphorus in the Lake Allatoona watershed using SWAT: I. Developing phosphorus parameter values.

Lake Allatoona is a large reservoir north of Atlanta, GA, that drains an area of about 2870 km2 scheduled for a phosphorus (P) total maximum daily load (TMDL). The Soil and Water Assessment Tool (SWAT) model has been widely used for watershed-scale modeling of P, but there is little guidance on how to estimate P-related parameters, especially those related to in-stream P processes. In this paper, methods are demonstrated to individually estimate SWAT soil-related P parameters and to collectively estimate P parameters related to stream processes.

Modeling phosphorus in the upper Etowah River basin: identifying sources under uncertainty.

The Uniform Covering by Probabilistic Rejection (UCPR) algorithm was used, in conjunction with the Soil and Water Assessment Tool (SWAT) model, to identify P loads from point source and nonpoint source polluters in the upper Etowah River basin (UERB) in Georgia. The key findings of the research are as follows. The mean absolute error was preferred over the root mean square error as a search criterion for the UCPR algorithm when water quality observations are scarce.

Sorption and transport of 17beta-estradiol and testosterone in undisturbed soil columns.

Land-applied domestic animal wastes contain appreciable amounts of 17beta-estradiol (henceforth, estradiol) and testosterone. These sex hormones may be transported through soil to groundwater and streams, where they may adversely affect the environment. Previous column transport studies with these hormones used repacked soil and did not consider preferential flow.

Physician decisions to discontinue long-term medications using a two-stage framework: the case of growth hormone therapy.

Background: Physician decisions to discontinue prescription medications for chronic conditions are fundamental determinants of drug use but have been inadequately studied. The decision to stop growth hormone (GH) therapy is an important example because of high cost (approximately $26,000/y for a 48-kg child), complexity of treatment options, and expansion of patient populations.

Aim: The aim of this study was to identify the factors that influence physician recommendations in the process of discontinuing therapy.

Phosphorus, sediment, and Escherichia coli loads in unfenced streams of the Georgia Piedmont, USA.

Contamination of unfenced streams with P, sediments, and pathogenic bacteria from cattle (Bos taurus) activity may be affected by the availability of shade and alternative water sources. The objectives of this study were to evaluate water quality in two streams draining tall fescue (Festuca arundinacea Schreb.)-common bermudagrass (Cynodon dactylon L.

Rainfall timing and poultry litter application rate effects on phosphorus loss in surface runoff.

Phosphorus (P) in runoff from pastures amended with poultry litter may be a significant contributor to eutrophication of lakes and streams in Georgia and other areas in the southeastern United States. The objectives of this research were to determine the effects of litter application rate and initial runoff timing on the long-term loss of P in runoff from surface-applied poultry litter and to develop equations that predict P loss in runoff under these conditions. Litter application rates of 2, 7, and 13 Mg ha(-1), and three rainfall scenarios applied to 1- x 2-m plots in a 3 x 3 randomized complete block design with three replications.