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In recent years, riparian buffers have become known as one of the most effective best management practices for nonpoint-source pollution. However, establishment of riparian buffer systems with respect to plant species and their position in the buffer zone has not been investigated due to lack of efficient evaluation methods for the analysis of water quality improvement with established riparian buffers. To solve this problem, the SWAT-REMM prototype version was developed by researchers in Canada. In the SWAT-REMM prototype version, many riparian-related input parameters are not directly read from the local input data. Thus, a SWAT-REMM enhancement was developed by improving three major limitations of the prototype version of SWAT-REMM: (1) riparian buffers at designated reaches in the watersheds, (2) riparian buffers using local soil properties at the riparian buffer zone along reaches, and (3) multiple weather stations in a larger-scale watershed. The enhanced SWAT-REMM version was applied to the Bonggok watershed in Korea. This study investigated riparian buffers with different widths (10 m, 5 m, and 1 m) along the slope. Total nitrogen reduction ranged from 14.8% to 54.0% in each catchment for 10 m widths. Total nitrogen reduction ranged from 6.9% to 31.6% in each catchment for 1 m widths. The reduction efficiency was not simply proportional to the width of buffers. This study evaluated the enhanced SWAT-REMM simulation of water quality improvement. Based on this research, the enhanced SWAT-REMM can be used to evaluate water quality improvement by riparian buffers at various watersheds worldwide using local data. In particular, simulation of riparian buffers at user-designated reaches in a watershed enables simulation of riparian buffers in watersheds experiencing frequent flooding where no riparian buffers can be established. It is expected that the enhanced SWAT-REMM can be used to determine economical and environmentally optimum riparian buffer scenarios. [ABSTRACT FROM AUTHOR]

Older living kidney donors are regularly accepted. Better knowledge of recipient outcomes is needed to inform this practice. This retrospective cohort study observed kidney allograft recipients from Ontario, Canada between January 2000 and March 2008. Donors to these recipients were older living (≥ 60 years), younger living, or standard criteria deceased (SCD). Review of medical records and electronic healthcare data were used to perform survival analysis. Recipients received 73 older living, 1187 younger living and 1400 SCD kidneys. Recipients of older living kidneys were older than recipients of younger living kidneys. Baseline glomerular filtration rate (eGFR) of older kidneys was 13 mL/min per 1.73 m² lower than younger kidneys. Median follow-up time was 4 years. The primary outcome of total graft loss was not significantly different between older and younger living kidney recipients [adjusted hazard ratio, HR (95%CI): 1.56 (0.98-2.49)]. This hazard ratio was not proportional and increased with time. Associations were not modified by recipient age or donor eGFR. There was no significant difference in total graft loss comparing older living to SCD kidney recipients [HR: 1.29 (0.80-2.08)]. In light of an observed trend towards potential differences beyond 4 years, uncertainty remains, and extended follow-up of this and other cohorts is warranted., (©2011 The Authors Journal compilation©2011 The American Society of Transplantation and the American Society of Transplant Surgeons.)

There is a paucity of comparative studies on country-specific outcomes in kidney transplantation. We compared post-transplant mortality among primary, adult, solitary kidney transplant recipients (KTR) from the United States (n = 70 708) and Canada (n = 5773), between January 1, 1991 and December 31, 1998, using data from the Scientific Registry of Transplant Recipients and the Canadian Organ Replacement Register. Multivariable Cox regression revealed higher adjusted post-transplant mortality among U.S. (vs. Canadian) KTR (HR = 1.35 [95% CI 1.24, 1.47; p < 0.005]). Mortality risk in the first post-transplant year was similar in both countries but higher in the United States beyond the first year (HR = 1.49-1.53; p < 0.005). There was no difference in mortality among patients transplanted within 1 year of starting dialysis, but mortality was increased in U.S. (vs. Canadian) patients after 1-2 and 4+ years on dialysis (HR = 1.36-1.66; p < 0.005). Greater mortality was also seen in U.S. patients with diabetes mellitus and/or graft failure. In conclusion, there are considerable differences in the survival of KTR in the United States and Canada. A detailed examination of factors contributing to this variation may yield important insights into improving outcomes for all KTR.