Territorial Life Cycle Assessment (TLCA) appears a promising method to support informed decision making of local actors in territorial agricultural production systems (TAPS), by assessing environmental impacts of agricultural activities and potential strategies. The objectives of this study were to i) adapt TLCA methodology to integrated environmental assessment of TAPS and ii) evaluate TLCA's contribution to supporting informed decision making by assessing scenarios of change in TAPS. A TLCA of the agricultural sector was performed for a territory in the Aube department in France, including main crops and animal production types from raw material extraction to the first stage of processing. Exchanges of agricultural products and by-products among agricultural subsectors were considered by allocating impacts, which prevented double-counting them. Two contrasting scenarios were assessed with TLCA - development of on-farm biogas production and reintroduction of sheep grazing - and compared to the current situation. Results were expressed per unit area (ha), per unit biomass produced (kg) and per percentage contribution to total impacts of the territory before and after processing (at and beyond the farm gate, respectively). The main contributors (cereal and oilseed crops) did not have the highest impact at the farm scale (per ha and per kg), which highlights that contribution to total impacts of the territory is a relevant addition to the impacts per functional unit. Consideration of exchanges showed that TLCA can be used to assess effects of material interactions (biomass flows) between sectors. Scenario results showed no significant differences in impacts, except for higher water resource depletion for the biogas scenario, because most differences between scenarios were smaller than uncertainties in the input data. Other challenges were identified, such as the need to evaluate consequences of changes beyond the territory gate when performing TLCA of scenarios or the utility of characterizing the network of biomass flows in more detail. In conclusion, the methodological framework that was developed successfully identified environmental hotspots and reflected environmental impacts of material interactions between actors. Finally, it can estimate environmental impacts of future strategies, as long as uncertainty is reduced; thus, it shows potential as a decision-support tool.
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http://dx.doi.org/10.1016/j.jenvman.2021.112288 | DOI Listing |
Indian J Gastroenterol
January 2025
Department of Gastroenterology, Christian Medical College, Vellore, 632 517, India.
Background: Groove pancreatitis (GP) is a form of pancreatitis that affects the pancreaticoduodenal groove area, which lies between the head of the pancreas, the second part of the duodenum and the distal bile duct, presenting as abdominal pain and gastric outlet obstruction. In this study, we present the clinical and radiological characteristics of individuals diagnosed with groove pancreatitis at our center and discuss the use of a conservative treatment approach in managing GP.
Methods: The data of patients with groove pancreatitis treated at our center between January 2012 and December 2021 was analyzed.
Pediatr Cardiol
January 2025
Department of Infectious Disease, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, No. 1678 Dongfang Road, Pudong New Area, Shanghai, 200127, China.
Kawasaki disease (KD) is a febrile vasculitis disorder, with coronary artery lesions (CALs) being the most severe complication. Early detection of CALs is challenging due to limitations in echocardiographic equipment (UCG). This study aimed to develop and validate an artificial intelligence algorithm to distinguish CALs in KD patients and support diagnostic decision-making at admission.
View Article and Find Full Text PDFSoc Psychiatry Psychiatr Epidemiol
January 2025
College of Education, Psychology and Social Work, Flinders University, Adelaide, Australia.
Purpose: Meaningful connections, encompassing relationships providing emotional support, understanding, acceptance, and a sense of belonging, are vital for social inclusion and well-being of Individuals with serious mental illness (SMI). The mixed methods review critically explored multifaceted approaches supporting people with SMI to foster meaningful (non-intimate) social relationships or connections.
Methods: Searches of eight electronic databases returned 4882 records.
Rev Gastroenterol Peru
January 2025
Departamento de Gastroenterología, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Helicobacter pylori (H. pylori) is the primary etiological agent of gastric adenocarcinoma, which affects over 60% of the global population, with a significant prevalence in Latin America. Given its impact on the affected population, it is crucial to understand the diagnostic tools available for detecting this infection.
View Article and Find Full Text PDFWomens Health (Lond)
January 2025
Research Centre for Public Health, Equity and Human Flourishing, Torrens University Australia, Adelaide, SA, Australia.
Background: Population-level mammography screening for early detection of breast cancer is a secondary prevention measure well-embedded in developed countries, and the implications for women's health are widely researched. From a public health perspective, efforts have focused on why mammography screening rates remain below the 70% screening rate required for effective population-level screening. From a sociological perspective, debates centre on whether 'informed choice' regarding screening exists for all women and the overemphasis on screening benefits, at the cost of not highlighting the potential harms.
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