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1.

Purpose

Bivalve production is an important aquaculture activity worldwide, but few environmental assessments have focused on it. In particular, bivalves’ ability to extract nutrients from the environment by intensely filtering water and producing a shell must be considered in the environmental assessment.

Methods

LCA of blue mussel bouchot culture (grown out on wood pilings) in Mont Saint-Michel Bay (France) was performed to identify its impact hotspots. The chemical composition of mussel flesh and shell was analyzed to accurately identify potential positive effects on eutrophication and climate change. The fate of mussel shells after consumption was also considered.

Results and discussion

Its potential as a carbon-sink is influenced by assumptions made about the carbon sequestration in wooden bouchots and in the mussel shell. The fate of the shells which depends on management of discarded mussels and household waste plays also an important role. Its carbon-sink potential barely compensates the climate change impact induced by the use of fuel used for on-site transportation. The export of N and P in mussel flesh slightly decreases potential eutrophication. Environmental impacts of blue mussel culture are determined by the location of production and mussel yields, which are influenced by marine currents and the distance to on-shore technical base.

Conclusions

Bouchot mussel culture has low environmental impacts compared to livestock systems, but the overall environmental performances depend on farming practices and the amount of fuel used. Changes to the surrounding ecosystem induced by high mussel density must be considered in future LCA studies.
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2.

Purpose

To evaluate the efficiency of corneal collagen cross-linking (CXL) in addition to topical voriconazole in cases with mycotic keratitis.

Design

Retrospective case series in a tertiary university hospital.

Participants

CXL was performed on 13 patients with mycotic keratitis who presented poor or no response to topical voriconazole treatment.

Methods

The clinical features, symptoms, treatment results and complications were recorded retrospectively. The corneal infection was graded according to the depth of infection into the stroma (from grade 1 to grade 3). The visual analogue scale was used to calculate the pain score before and 2 days after surgery.

Main Outcome Measures

Grade of the corneal infection.

Results

Mean age of 13 patients (6 female and 7 male) was 42.4 ± 17.7 years (20–74 years). Fungus was demonstrated in culture (eight patients) or cytological examination (five patients). Seven of the 13 patients (54%) were healed with topical voriconazole and CXL adjuvant treatment in 26 ± 10 days (15–40 days). The remaining six patients did not respond to CXL treatment; they initially presented with higher grade ulcers. Pre- and post-operative pain score values were 8 ± 0.8 and 3.5 ± 1, respectively (p < 0.05).

Conclusions

The current study suggests that adjunctive CXL treatment is effective in patients with small and superficial mycotic ulcers. These observations require further research by large randomized clinical trials.
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3.

Background

In the years 2000 and 2002, the German Environment Agency in Berlin (UBA) published the results of a comprehensive LCA study on beverage containers comprising aluminium cans with volumes of 330 ml and 500 ml. Starting with the aluminium can scenarios and the respective results obtained during the UBA study, additional analyses were performed by IFEU in 2003, a German consultant having been a member of the project team working on the UBA study. The objective was to examine the influence of selected parameters on the LCA profile of carbonated soft drink containers. Data and method were in complete analogy with the LCI and LCA part of the UBA study.

Materials

In 2006, the aluminium industry commissioned a study on further influential factors that help determine the sale of certain types of beer, studying the effects of two selected parameter settings on the comparative results of the aluminium can against the refillable glass bottle. In this scenario, special attention was given to two influential factors, the distribution distance—distinguished by regional and nationwide distribution—and trippage rate.

Results and discussion

The results of the initial LCA from the years 2000 and 2002 showed, for the examined parameters container weight, rate of post-consumer recovery of used containers, degree of recycled content and quality of the recycling routes, that each had a considerable influence on the environmental impact profile of the aluminium can within the given framework. Can weight and recycling rate were sensitive factors in the impact categories of climate change, fossil resources, summer smog (POCP), acidification and terrestrial eutrophication. Can volume affected virtually all impact categories examined.

Conclusions

By now, individual improvement options have already been put into practice in Germany. The environmental profile of the average 330 ml aluminium can on the German market can be expected to be ahead of that of the aluminium can at the time of the UBA study. The introduction of a 500-ml can on the market denotes a fundamental step forward in improving LCA results of the aluminium can as a container for beverages.
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4.

Background

Integrating cardiopulmonary resuscitation (CPR) training in secondary schools will increase the number of potential CPR providers. However, currently too few certified instructors are available for this purpose. Training medical students and physical education student teachers to become CPR instructors could decrease this shortage.

Aim

Examine whether medical students and physical education student teachers can provide CPR training for secondary school pupils as well as (i.?e., non-inferior to) registered nurses.

Methods

A total of 144 secondary school pupils were randomly assigned to CPR training by a registered nurse (n = 12), a  medical student (n = 17) or a physical education student teacher (n = 15). CPR performance was assessed after training and after eight weeks in a simulated cardiac arrest scenario on a resuscitation manikin, using manikin software and video recordings.

Results

No significant differences were found between the groups on the overall Cardiff Test scores and the correctness of the CPR techniques during the post-training and retention test. All pupils showed sufficient CPR competence, even after eight weeks.

Conclusion

Training by medical students or physical education student teachers is non-inferior to training by a registered nurse, suggesting that school teachers, student teachers and medical students can be recruited for CPR training in secondary schools.
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5.

Purpose

This paper introduces the new EcoSpold data format for life cycle inventory (LCI).

Methods

A short historical retrospect on data formats in the life cycle assessment (LCA) field is given. The guiding principles for the revision and implementation are explained. Some technical basics of the data format are described, and changes to the previous data format are explained.

Results

The EcoSpold 2 data format caters for new requirements that have arisen in the LCA field in recent years.

Conclusions

The new data format is the basis for the Ecoinvent v3 database, but since it is an open data format, it is expected to be adopted by other LCI databases. Several new concepts used in the new EcoSpold 2 data format open the way for new possibilities for the LCA practitioners and to expand the application of the datasets in other fields beyond LCA (e.g., Material Flow Analysis, Energy Balancing).
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6.

Purpose

The well-to-wheel (WTW) methodology is widely used for policy support in road transport. It can be seen as a simplified life cycle assessment (LCA) that focuses on the energy consumption and CO2 emissions only for the fuel being consumed, ignoring other stages of a vehicle’s life cycle. WTW results are therefore different from LCA results. In order to close this gap, the authors propose a hybrid WTW+LCA methodology useful to assess the greenhouse gas (GHG) profiles of road vehicles.

Methods

The proposed method (hybrid WTW+LCA) keeps the main hypotheses of the WTW methodology, but integrates them with LCA data restricted to the global warming potential (GWP) occurring during the manufacturing of the battery pack. WTW data are used for the GHG intensity of the EU electric mix, after a consistency check with the main life cycle impact (LCI) sources available in literature.

Results and discussion

A numerical example is provided, comparing GHG emissions due to the use of a battery electric vehicle (BEV) with emissions from an internal combustion engine vehicle. This comparison is done both according to the WTW approach (namely the JEC WTW version 4) and the proposed hybrid WTW+LCA method. The GHG savings due to the use of BEVs calculated with the WTW-4 range between 44 and 56 %, while according to the hybrid method the savings are lower (31–46 %). This difference is due to the GWP which arises as a result of the manufacturing of the battery pack for the electric vehicles.

Conclusions

The WTW methodology used in policy support to quantify energy content and GHG emissions of fuels and powertrains can produce results closer to the LCA methodology by adopting a hybrid WTW+LCA approach. While evaluating GHG savings due to the use of BEVs, it is important that this method considers the GWP due to the manufacturing of the battery pack.
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7.

Introduction

New platforms are emerging that enable more data providers to publish life cycle inventory data.

Background

Providing datasets that are not complete LCA models results in fragments that are difficult for practitioners to integrate and use for LCA modeling. Additionally, when proxies are used to provide a technosphere input to a process that was not originally intended by the process authors, in most LCA software, this requires modifying the original process.

Results

The use of a bridge process, which is a process created to link two existing processes, is proposed as a solution.

Discussion

Benefits to bridge processes include increasing model transparency, facilitating dataset sharing and integration without compromising original dataset integrity and independence, providing a structure with which to make the data quality associated with process linkages explicit, and increasing model flexibility in the case that multiple bridges are provided. A drawback is that they add additional processes to existing LCA models which will increase their size.

Conclusions

Bridge processes can be an enabler in allowing users to integrate new datasets without modifying them to link to background databases or other processes they have available. They may not be the ideal long-term solution but provide a solution that works within the existing LCA data model.
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8.

Introduction

There is still a clear need for a widely available, inexpensive and reliable method to diagnose Alzheimer’s disease (AD) and monitor disease progression. Liquid chromatography–mass spectrometry (LC-MS) is a powerful analytic technique with a very high sensitivity and specificity.

Objectives

The aim of the present study is to measure concentrations of 20 bile acids using the novel Kit from Biocrates Life Sciences based on LC-MS technique.

Methods

Twenty bile acid metabolites were quantitatively measured in plasma of 30 cognitively healthy subjects, 20 patients with mild cognitive impairment (MCI) and 30 patients suffering from AD.

Results

Levels of lithocholic acid were significantly enhanced in plasma of AD patients (50?±?6 nM, p?=?0.004) compared to healthy controls (32?±?3 nM). Lithocholic acid plasma levels of MCI patients (41?±?4 nM) were not significantly different from healthy subjects or AD patients. Levels of glycochenodeoxycholic acid, glycodeoxycholic acid and glycolithocholic acid were significantly higher in AD patients compared to MCI patients (p?<?0.05). All other cholic acid metabolites were not significantly different between healthy subjects, MCI patients and AD patients. ROC analysis shows an overall accuracy of about 66%. Discriminant analysis was used to classify patients and we found that 15/23 were correctly diagnosed. We further showed that LCA levels increased by about 3.2 fold when healthy subjects converted to AD patients within a 8–9 year follow up period. Pathway analysis linked these changes to a putative toxic cholesterol pathway.

Conclusion

In conclusion, 4 bile acids may be useful to diagnose AD in plasma samples despite limitations in diagnostic accuracy.
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9.

Purpose

Built in 1941, the Progreso Pier was the first concrete structure in the world built with nickel-containing stainless steel reinforcement. The Pier has been in service for over 70 years without any significant repair or maintenance activities. The aim of this study was to understand the environmental and economic implications of selecting nickel-containing stainless steel reinforcement using the Progreso Pier as the case study.

Methods

A combined environmental life cycle assessment (LCA) and life cycle costing (LCC) study was conducted. The analysis considered the potential environmental impacts and the net present cost of the stainless steel reinforced structure from cradle to grave and compared it to the same structure using conventional carbon steel.

Results and discussion

The results indicated that while using stainless steel reinforcement resulted in a marginally higher environmental impact after initial construction, this is offset by the increased service life and, hence, less frequent maintenance and reconstruction activities. Relative to the as-built stainless steel reinforcement design, the environmental impacts of the carbon steel reinforced design are between 69 and 79 % higher over the analysis period. Similar observations were made for the other investigated impact categories. The cost implications of using stainless steel reinforcement show economic benefits that are complementary to the environmental benefits. Similar to the LCA, the service life benefits outweigh the higher unit costs for stainless steel, assuming a discount rate of 0.01 % as the baseline scenario. The carbon steel reinforced design has a net present cost that is 44 % higher than the as-built stainless steel reinforcement design. The crossover point for the two designs occurs at year 50, which corresponds to the reconstruction activity. A sensitivity analysis shows that the results and conclusions are sensitive to the choice in discount rate: Rates 3 % and lower produce net present costs that are lower for the as-built design; rates 4 % and higher produce net present costs that are lower for the alternative design.

Conclusions

The study demonstrates how LCA and LCC are complementary tools that can be used in decision-making for sustainable construction. The Progreso Pier exemplifies the importance of considering the entire life cycle with service life and recycling as well as long-term life cycle impacts of infrastructure projects from an environmental and economic perspective.
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10.

Background

Centrifugation is an indispensable procedure for plasma sample preparation, but applied conditions can vary between labs.

Aim

Determine whether routinely used plasma centrifugation protocols (1500×g 10 min; 3000×g 5 min) influence non-targeted metabolomic analyses.

Methods

Nuclear magnetic resonance spectroscopy (NMR) and High Resolution Mass Spectrometry (HRMS) data were evaluated with sparse partial least squares discriminant analyses and compared with cell count measurements.

Results

Besides significant differences in platelet count, we identified substantial alterations in NMR and HRMS data related to the different centrifugation protocols.

Conclusion

Already minor differences in plasma centrifugation can significantly influence metabolomic patterns and potentially bias metabolomics studies.
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11.

Introduction

Collecting feces is easy. It offers direct outcome to endogenous and microbial metabolites.

Objectives

In a context of lack of consensus about fecal sample preparation, especially in animal species, we developed a robust protocol allowing untargeted LC-HRMS fingerprinting.

Methods

The conditions of extraction (quantity, preparation, solvents, dilutions) were investigated in bovine feces.

Results

A rapid and simple protocol involving feces extraction with methanol (1/3, M/V) followed by centrifugation and a step filtration (10 kDa) was developed.

Conclusion

The workflow generated repeatable and informative fingerprints for robust metabolome characterization.
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12.

Purpose

A novel approach was used for quantifying uncertainty propagation in life cycle assessment (LCA). The approach was designed to be efficient and applicable in practice. The model was applied to a specific case study concerning alternative strategies for managing bio-waste: incineration versus anaerobic digestion followed by composting.

Methods

The uncertainty of each impact category was calculated starting from the variance (σ2) and geometric mean (μ) of the lognormal distribution of each input data. A procedure consisting of three mandatory steps and one facultative step was developed. Mandatory steps were calculation of the associated normal distribution for each input, calculation of the percentile curve for each input, and calculation of the percentile curve of the impact categories. The facultative step consisted in calculating the lognormal distribution of the impact categories if all the values of the percentile curve were >0.

Results and discussion

The uncertainty associated with the results of the anaerobic digestion and composting scenario was significantly higher than those associated with the incineration scenario. These results were confirmed by those obtained by Monte Carlo simulations. Environmental gains calculated for the scenario with incineration concerning acidification, global warming, terrestrial eutrophication, and photochemical ozone creation had a high level of probability (i.e., >90 %). On the contrary, the impact categories of the scenario with anaerobic digestion and composting had higher uncertainties.

Conclusions

The source of uncertainty in LCA analysis can be due to multiple factors. Among these, the variability of the values of the LCI can have a significant influence on the results of the study. LCA analysis based on the exploitation of geometric means and/or average values of inputs reported in LCI can lead to results affected by a low level of reliability. In particular, this aspect can play a relevant role for LCA-based decisions when different scenarios and options are compared. As in the case study reported in this work, neglecting the propagation of uncertainty can result in a relevant bias for obtaining a full informative impression of the problem analyzed.
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13.

Purpose

The effect of regional factors on life cycle assessment (LCA) of camelina seed production and camelina methyl ester production was assessed in this study. While general conclusions from LCA studies point to lower environmental impacts of biofuels, it has been shown in many studies that the environmental impacts are dependent on location, production practices, and even local weather variations.

Methods

A cradle-to-farm gate and well-to-pump approaches were used to conduct the LCA. To demonstrate the impact of agro-climatic and management factors (weather condition, soil characteristics, and management practices) on the overall emissions for four different regions including Corvallis, OR, Pendleton, OR, Pullman, WA, and Sheridan, WY, field emissions were simulated using the DeNitrification-DeComposition (DNDC) model. openLCA v.1.4.2 software was used to quantify the environmental impacts of camelina seed and camelina methyl ester production.

Results and discussion

The results showed that greenhouse gas (GHG) emissions during camelina production in different regions vary between 49.39 and 472.51 kg CO2-eq./ha due to differences in agro-climatic and weather variations. The GHG emissions for 1 kg of camelina produced in Corvallis, Pendleton, Pullman, and Sheridan were 0.76 ± 11, 0.55 ± 10, 0.47 ± 18, and 1.26 ± 6 % kg CO2-eq., respectively. The GHG emissions for 1000 MJ of camelina biodiesel using camelina produced in Corvallis, Pendleton, Pullman, and Sheridan were 53.60 ± 5, 48.87 ± 5, 44.33 ± 7, and 78.88 ± 4 % kg CO2-eq., respectively. Other impact categories such as acidification and ecotoxicity for 1000 MJ of camelina biodiesel varied across the regions by 43 and 103 %, respectively.

Conclusions

It can be concluded that process-based crop models such as DNDC in conjunction with Monte Carlo analysis are helpful tools to quantitatively estimate the influence of regional factors on field emissions which consequently can provide information about the expected variability in LCA results.
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14.

Background

Cord blood lipids are potential disease biomarkers. We aimed to determine if their concentrations were affected by delayed blood processing.

Method

Refrigerated cord blood from six healthy newborns was centrifuged every 12 h for 4 days. Plasma lipids were analysed by liquid chromatography/mass spectroscopy.

Results

Of 262 lipids identified, only eight varied significantly over time. These comprised three dihexosylceramides, two phosphatidylserines and two phosphatidylethanolamines whose relative concentrations increased and one sphingomyelin that decreased.

Conclusion

Delay in separation of plasma from refrigerated cord blood has minimal effect overall on the plasma lipidome.
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15.

Background

R-wave synchronised atrial pacing is an effective temporary pacing therapy in infants with postoperative junctional ectopic tachycardia. In the technique currently used, adverse short or long intervals between atrial pacing and ventricular sensing (AP–VS) may be observed during routine clinical practice.

Objectives

The aim of the study was to analyse outcomes of R-wave synchronised atrial pacing and the relationship between maximum tracking rates and AP–VS intervals.

Methods

Calculated AP–VS intervals were compared with those predicted by experienced pediatric cardiologist.

Results

A maximum tracking rate (MTR) set 10 bpm higher than the heart rate (HR) may result in undesirable short AP–VS intervals (minimum 83 ms). A MTR set 20 bpm above the HR is the hemodynamically better choice (minimum 96 ms). Effects of either setting on the AP–VS interval could not be predicted by experienced observers. In our newly proposed technique the AP–VS interval approaches 95 ms for HR > 210 bpm and 130 ms for HR < 130 bpm. The progression is linear and decreases strictly (? 0.4 ms/bpm) between the two extreme levels.

Conclusions

Adjusting the AP–VS interval in the currently used technique is complex and may imply unfavorable pacemaker settings. A new pacemaker design is advisable to allow direct control of the AP–VS interval.
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16.

Purpose

Hydrothermal liquefaction of lignin has been demonstrated as a successful process for the synthesis of value-added phenolic chemical compounds such as vanillin. Vanillin has commercial value as a flavor and fragrance ingredient. This study performs a comparative process simulation and life cycle assessment (LCA) of synthesis of vanillin from depolymerization of lignin, one of the most abundant natural polymers on Earth.

Methods

Laboratory-scale scenarios for alkali lignin treatment were analyzed using LCA (TRACI 2.1) and green design metrics (process and energy efficiency, waste prevention, renewability, and hazard/pollution avoidance); scenarios included temperature, residence time, lignin loading, gas presence, and catalyst variants.

Results and discussion

Results show that models which adhere better to green design metrics also result in environmental impact reductions, demonstrating a positive correlation between both sustainability metrics. Vanillin yield increased ~ 7% when reaction time increased from 10 to 20 min; however, the energy used for maintaining operational conditions during process increased between 10 and 50%. Catalyst selection was found to be a deterministic factor affecting results. A catalytic system comprised of a heterogeneous catalyst (nickel oxide) and acidic homogeneous catalyst (supercritical carbon dioxide) was identified as the best option; the catalyst reduced carcinogenic and ecotoxicity impacts by ~ 80 and 90%, respectively when compared to molybdenum oxide. Use of energy and dichloromethane were found to be significant overall environmental impact contributors.

Conclusions

Laboratory results can be used and evaluated via LCA to identify sustainable pathways for commercial chemical processing development.
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17.

Purpose

Ignoring metal speciation in the determination of characterization factors (CFs) in life cycle assessment (LCA) could significantly alter the validity of LCA results since toxicity is directly linked to bioavailability.

Methods

Zinc terrestrial ecotoxicity CFs are obtained using modified USEtox fate factors, WHAM 6.0-derived bioavailable factors, and effect factors calculated using the assessment of mean impact (AMI) method with available terrestrial ecotoxicity data. Soil archetypes created using influent soil properties on Zn speciation (soil texture, pH, cation exchange capacity, organic matter and carbonate contents) are used to group soils of the world into a more manageable spatial resolution for LCA. An aggregated global CF value is obtained using population density as a Zn emission proxy. Results are presented in a world map to facilitate use.

Results and discussion

When using soluble Zn as the bioavailable fraction, CF values vary over 1.76 orders of magnitude, indicating that a single aggregated value could reasonably be used for the world. When using true solution Zn, CFs cover 14 orders of magnitude. To represent this variability, 518 archetypes and 13 groups of archetypes were created. Aggregated global default values are 4.58 potentially affected fraction of species (PAF) m3·day kg?1 for soluble Zn and 1.45 PAF m3·day kg?1 for true solution Zn. These values are respectively 28 and 88 times lower than the Zn terrestrial CF in IMPACT 2002 (128 PAF m3·day kg?1).

Conclusions

The CFs obtained for Zn, except for soluble Zn, are at least 2 orders of magnitude lower than current CFs. However, they must be tested in case studies to measure the impact of including Zn speciation in the CF definition of terrestrial ecotoxicity.
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18.

Purpose

This study presents a life cycle assessment (LCA)-based sustainable and lightweight automotive engine hood design and compares the life cycle energy consumption and potential environmental impacts of a steel (baseline) automotive engine hood with three types of lightweight design: advanced high strength steel (AHSS), aluminum, and carbon fiber.

Methods

A “cradle-to-grave” LCA including the production, use, and end-of-life stages is conducted in accordance with the ISO 14040/14044 standards. Onsite data collected by Chinese automotive companies in 2015 are used in the assessment. The Cumulative Energy Demand v1.09 method is applied to evaluate cumulative energy demand (CED), and the International Panel on Climate Change 2013 100a method is used to estimate global warming potential (GWP 100a).

Results and discussion

Among the different lightweight designs for the engine hood, the aluminum design is the most sustainable and has the lowest CED and GWP (100a) from a life cycle perspective, which is based on a lifetime driving distance of approximately 150,000 km. In addition, the AHSS design is also sustainable and lightweight. The carbon fiber design results in higher CED and GWP (100a) values than the steel (baseline) design during the life cycle but results in the largest CED and GWP (100a) savings through waste material recycling. The AHSS design exhibits the best break-even distance based on CED and GWP (100a) within 150,000 km.

Conclusions

Sensitivity analysis results show that the lifetime driving distance and material recycling rate have the largest impacts on the overall CEDs and GWPs of the three lightweight designs.
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19.

Purpose

System modelling and life cycle assessment (LCA) were used to assess the climate change, acidification and eutrophication impacts of milk production using spring calving pasture-based system. The objective of the study was to evaluate the effect of climate and soil resources on the environmental impact per unit milk produced at the farm gate from low-cost, grass-based rotational-grazing dairy production.

Methods

A dairy system model, Dairy_sim, designed to identify optimum grass-based spring calving production systems considering the interaction between climate and soil resources was tested using the Irish National Dairy Blueprint and then used to assess regional differences of system management with well, moderately, mixed moderately-poorly and poorly drained soil resources available. Life cycle assessment was used to quantify environmental impacts of climate and soil drainage status. The Dairy_sim output was used as activity data for the LCA model.

Results and discussion

Differences were found in the management tactics influenced by climate and drainage resource. The impact of poor drainage reduced stocking rate, increased housing time and had greater need for later cut silage and more reliance on silage. Climate change, acidification and eutrophication impacts were greater for optimum management on poorly drained soil. The climate change ranged from 1.06 kg CO2 eq./kg (well drained) to 1.18 kg CO2 eq./kg (poorly drained) of energy corrected milk (ECM). The acidification and eutrophication ranged from 3.87 to 6.85 g SO2 eq./kg ECM and 2.69 to 3.64 g PO4 eq./kg ECM, respectively. Around 50% of poorly drained soil resource can be easily accommodated in dairy systems with little increase in environmental impact, where poor drained portion is utilised for silage.

Conclusions

LCA combined with a system optimization model revealed how dairy farm management practises constrained by poor land resource increased the environmental impact per unit product.
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20.
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