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Y. Feng, Kelly Cho, S. Lindstrom, P. Kraft, Jean B. Cormack, Kendra Peter T. Graham David V. Christopher K. Jane W. Ji Blalock Campbell Casey Conti Edlund Figueiredo Jam, Kendra L. Blalock, P. Campbell et al.

F. Djodjic, H. Elmquist, D. Collentine

Abstract Diffuse phosphorus (P) losses from arable land need to be reduced in a cost-efficient way, taking into account their temporal and spatial variability. This study, based on 16 farms across southern Sweden, examined possibilities for identifying critical source areas for P losses based on the combined results of high-resolution erosion modelling, independent risk assessments by farmers, soil survey and SWOT analysis performed by farmers. Statistically significant differences in dissolved P release were found between soil P test classes in the studied area, whereas soil textural classes and not P content governed potential mobilisation of soil particles and unreactive P. Spatial comparison of problem areas identified by farmers and modelled features showed that the modelled erosion pathways intersected 109 in a total of 128 (85%) observed problem areas. The study demonstrates the value in involving farmers in the identification of critical source areas in order to select and support implementation of effective countermeasures.

M. Sartelli, D. Weber, E. Ruppé, M. Bassetti, B. Wright, L. Ansaloni, F. Catena, F. Coccolini et al.

The original article [1] contains an error whereby a co-author, Boris Sakakushev has their family name spelt incorrectly as 'Sakakhushev'. The authors would therefore like it known that the correct spelling of the family name is 'Sakakushev'.

Samir Husić, Semir Imamović, Srecko Matic, A. Šukalo

Introduction: This research was to follow characteristics of breakthrough pain caused by cancer (BTcP) and other most common sympthoms (ESAS) at patients in advanced stage of cancer disease in palliative care. Patients and methods: Prospective study included 433 patients which were treated in Palliative Care Centre in UKC Tuzla, Bosnia and Herzegovina. Group 1 was consisted of 353 patients whose basal cancer pain of intensity 4-7 NRS was treated weak opiates (basal analgetic- fixed combination of tramadol/paracetamol (37.5 mg/325 mg) in initial dose 3x1tbl for pain intensity 4, to 4x2tbl (for pain intensity 7). In Group 2 (80 patients) basal pain of intensity 8-10 was treated strong opiates as basal analgetic (oral morphine and transdermal fentanil). If the previous day were 2 or more breakthrough pain that required ‘’rescue dose’’ of analgetics (tramadol 50-100 mg orally in group 1 ie. Oral morphine 8-12 mg in the group 2), the dose of basal analgetic was increased. Results: The total number of reported breakthrough pain in all 433 patients for 10 days of treatment was 3 369 (0.78 BTcP /per patient/day), where at Group 1 patients showed significantly lower BTcP (0.56 BTcP/patient/day). The average intensity of BTcP was 5.91 where in the Group1 was 4.51 while in the Group 2 8.04. 582 (17.28%) was rated grade 7, of which 539 were successfully coupled by strong and 43 (7.39%) successfully coupled by weak opiates. From 556 BTcP who were rated with 8, 540 of them were coupled strong and only 16 successfully coupled by weak opiates. 1967 (58.39 %) of breakthrough pain has occured in the evening hours (18-06 h), while 1402 (41.62%) BTCP occured during day hours (06-18h). Most (1290 or 38.29%) of breakthrough pain lasted less than 10 minutes, 882 (26.18%) between 16 and 20 minutes, 752 (22.32%) between 11 and 15 minutes, 407 (12.8%) between 21 and 30 minutes and 38 (1.13%) lasted longer than 20 minutes. Conclusion: Duriong our study, we noted a relatively large number of breakthrough pain with lower intensity (3-6) in patients treated with weak opiates, which are also adversely affected patients satisfaction with pain treatment and required additional doses of analgetics. In the small percentage is possible the breakthrough pain of stronger intensity (7-8) treat by maximum doses of weak opiates.

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