Recupero della funzione renale in pazienti con acute kidney injury (AKI) sottoposti a terapia sostitutiva renale

L’insufficienza renale acuta(AKI) grave che richiede terapia sostitutiva, è una complicanza frequente nelle unità di terapia intensiva(UTI) e rappresenta un fattore di rischio indipendente di mortalità. Scopo dello studio é stato valutare prospetticamente, in pazienti “critici” sottoposti a terapie sostitutive renali continue(CRRT) per IRA post cardiochirurgia, la prevalenza ed il significato prognostico del recupero della funzione renale(RFR). Pazienti e Metodi:Pazienti(pz) con AKI dopo intervento di cardiochirurgia elettivo o in emergenza con disfunzione di due o più organi trattati con CRRT. Risultati:Dal 1996 al 2011, 266 pz (M 195,F 71, età 65.5±11.3aa) sono stati trattati con CRRT. Tipo di intervento: CABG(27.6%), dissecazione aortica(33%), sostituzione valvolare(21.1%), CABG+sostituzione valvolare(12.6%), altro(5.7%). Parametri all’inizio del trattamento: BUN 86.1±39.4, creatininemia(Cr) 3.96±1.86mg/dL, PAM 72.4±13.6mmHg, APACHE II score 30.7±6.1, SOFAscore 13.7±3. RIFLE: Risk (11%), Injury (31.4%), Failure (57.6%). AKI oligurica (72.2%), ventilazione meccanica (93.2%), inotropi (84.5%). La sopravvivenza a 30 gg ed alla dimissione è stata del 54.2% e del 37.1%. La sopravvivenza per stratificazione APACHE II: <24=85.1 e 66%, 25-29=63.5 e 48.1%, 30-34=51.8 e 31.8%, >34=31.6 e 17.7%. RFR ha consentito l’interruzione della CRRT nel 87.8% (86/98) dei survivors (Cr 1.4±0.6mg/dL) e nel 14.5% (24/166) dei nonsurvivors (Cr 2.2±0.9mg/dL) con un recupero totale del 41.4%. RFR è stato osservato nel 59.5% (44/74) dei pz non oligurici e nel 34.4% dei pz oligurici (66/192). La distribuzione dei pz sulla base dei tempi di RFR è stata:<8=38.2%, 8-14=20.9%, 15-21=11.8%, 22-28=10.9%, >28=18.2%. All’analisi multivariata, l’oliguria, l’età e il CV-SOFA a 7gg dall’inizio della CRRT si sono dimostrati fattori prognostici sfavorevoli su RFR(>21gg). RFR si associa ad una sopravvivenza elevata(78.2%). Conclusioni:RFR significativamente piu frequente nei pz non oligurici si associa ad una sopravvivenza alla dimissione piu elevata. La distribuzione dei pz in rapporto ad APACHE II e SOFAscore dimostra che la sopravvivenza e RFR sono strettamente legati alla gravità della patologia.

Effects of Seed Treatments and a Soil-applied Nematicide on Corn Yields and Nematode Population Densities

Plant-parasitic nematodes are microscopic worms that feed on plants. Almost every nematode that feeds on corn is capable of feeding on many other plants. These nematode parasites are thought to be native to most Iowa soils and to have fed upon native plants before corn was grown as a cultivated crop. Population densities (numbers) of most species of plant-parasitic nematodes that feed on corn have to increase to damaging levels (called damage thresholds) before yield loss occurs.

All-America Selections® Vegetable Trial

All-America Selections® (AAS) is an independent, non-profit organization established in 1932 by industry leaders to organize and oversee unbiased evaluations of new, soon to be released, flower and vegetable varieties. The goal of the AAS is to identify truly improved home garden varieties through a national network of trial grounds and then promote these proven winners as All-America Selections® .

Effect of Fungicides and Plant Populations on Soybean Disease and Yield

Applications of foliar fungicides on soybeans have been shown to reduce disease pressure and protect yield under the right conditions, especially in environments that have very wet or humid conditions. In the past decade, fungicide use in Iowa has increased. Initially, growers were concerned with the potential threat of soybean rust, which is controlled effectively by foliar fungicides. In Iowa, however, there has not been any case of yield reduction due to soybean rust. New potential purposes for foliar fungicides include “plant health” benefits and the reduction of foliar diseases endemic in Iowa such as Septoria brown spot, Cercospora leaf blight, and frogeye leaf spot. Currently what is not known is how the efficacy of fungicides is affected when agricultural practices change. Our question: How does plant population affect the efficacy of fungicides?

Miscanthus Establishment and Survival

Rising costs of petroleum fuels and increased awareness of the adverse effects of greenhouse gases have spurred interest in renewable fuels and other ‘green’ products. Recent legislation has set goals of approximately 20 billion gallons of renewable fuel produced from non-corn starch sources by the year 2022. These driving forces have increased interest in dedicated bioenergy crops. Among perennial grasses, which have received an exceptional amount of attention as dedicated energy crops, one stands out: Miscanthus (Miscanthus x giganteus).

Seasonal and Rotational Influences on Corn Nitrogen Requirements

This project is designed to study the N fertilization needs in continuous corn (CC) and corn rotated with soybean (SC) as influenced by location and climate. Multiple rates of fertilizer N are spring applied, with the intent to measure yield response to N within each rotation on a yearly basis for multiple years at multiple sites across Iowa. This will allow the determination of N requirements for each rotation, differences that exist between the two rotations, responses to applied N across different soils and climatic conditions, and evaluation of tools used to adjust N application.

Water Table Level as Influenced by Rainfall, Crop Requirements, and Tiling Method during the past Three Years

In 1979, a portion of the research farm was pattern tiled including the large tillage plots. This was used as an opportunity to compare tile installation methods: a conventional trenching machine (used widely prior to late 70s), and a trenchless “tile plow” machine. The tile plow inserted plastic tile using a mole approach, which is the current primary tiling method. This research showed that plow and trenching tiling methods were not significantly different and both provided adequate drainage. It also showed that water table measurements were influenced more by timing of water needs of the crop being grown and intensity of the rainfall event than tiling method. This report focuses on continued research completed on these trial plots from 2009 to 2011 measuring water table level.

Two-pass Weed Management Programs in Corn

The purpose of this study was to evaluate various herbicides for corn injury and weed control when applied preemergence and postemergence.

Elite Soybean Test—North

The purpose of this test was to evaluate the experimental elite soybean lines adapted to northern Iowa. The 2011 Elite Test included commodity–yellow hilum soybeans and large seed and high protein beans, along with commercially grown varieties released by Iowa State University tested for comparison of agronomic traits. These varieties are used in the production of soy foods.

Fertilizer and Swine Manure Management Systems Impacts on Phosphorus in Soil and Subsurface Tile Drainage

Swine manure and fertilizer can be used to supply the nitrogen (N) and phosphorus (P) needs of crops. Excess P application sometimes applied with N-based manure for corn increases the risk of P loss and water quality impairment. Poor water quality in Iowa streams and lakes due to excess P has prompted questions about the impact of cropping and nutrient management systems on P loss from fields.

Oat Variety Trials, 2010 and 2011

Oat is the major spring-sown, small grain crop in Iowa. Spring-sown small grains can be used for grain and straw production, as a companion crop to establish hay and pastures, or as a source of early-season forage as hay or haylage. Because small grains generally mature before the end of July, a forage legume, cover crop, or green manure crop can follow oats, or animal manure can be spread on the field in which oats were grown.

National Elm Trial

Although many Dutch elm disease-resistant elm cultivars are available in the nursery trade, much of the public is hesitant to purchase and plant any elm tree. In order to promote interest in planting these trees, scientific data on growth, form, and pest resistance for existing Dutch elm disease resistant elm cultivars are essential.

Conservation Reserve Program to Row Crop Demonstration

The demonstration project was designed to examine one way of preparing Conservation Reserve Program (CRP) land for row crop production. Many producers have successfully converted CRP land for this purpose; additionally, there was an opportunity for the research farm to gain experience in this area. The goal of the project was to document one way of going through the process.

Effect of Sulfur and Boron Fertilization on Alfalfa

Historically, sulfur (S) deficiency has not been an issue for crop production in Iowa. Research results as recent as 2002 on corn and soybeans were consistent with previous results. The exception was a long-standing suggestion to apply S as commercial fertilizer or livestock manure for alfalfa production on sandy soils.