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Nitrous oxide (N 2 O), like carbon dioxide, is a long-lived greenhouse gas that accumulates in the atmosphere. Over the past 150 years, increasing atmospheric N 2 O concentrations have contributed to stratospheric ozone depletion 1 and climate change 2 , with the current rate of increase estimated at 2 per cent per decade. Existing national inventories do not provide a full picture of N 2 O emissions, owing to their omission of natural sources and limitations in methodology for attributing anthropogenic sources. Here we present a global N 2 O inventory that incorporates both natural and anthropogenic sources and accounts for the interaction between nitrogen additions and the biochemical processes that control N 2 O emissions. We use bottom-up (inventory, statistical extrapolation of flux measurements, process-based land and ocean modelling) and top-down (atmospheric inversion) approaches to provide a comprehensive quantification of global N 2 O sources and sinks resulting from 21 natural and human sectors between 1980 and 2016. Global N 2 O emissions were 17.0 (minimum–maximum estimates: 12.2–23.5) teragrams of nitrogen per year (bottom-up) and 16.9 (15.9–17.7) teragrams of nitrogen per year (top-down) between 2007 and 2016. Global human-induced emissions, which are dominated by nitrogen additions to croplands, increased by 30% over the past four decades to 7.3 (4.2–11.4) teragrams of nitrogen per year. This increase was mainly responsible for the growth in the atmospheric burden. Our findings point to growing N 2 O emissions in emerging economies—particularly Brazil, China and India. Analysis of process-based model estimates reveals an emerging N 2 O–climate feedback resulting from interactions between nitrogen additions and climate change. The recent growth in N 2 O emissions exceeds some of the highest projected emission scenarios 3 , 4 , underscoring the urgency to mitigate N 2 O emissions. Bottom-up and top-down approaches are used to quantify global nitrous oxide sources and sinks resulting from both natural and anthropogenic sources, revealing a 30% increase in global human-induced emissions between 1980 and 2016.

High and low rates of ammonium supply are believed to favour ammonia-oxidising bacteria (AOB) and archaea (AOA), respectively. Although their contrasting affinities for ammonium are suggested to account for these differences, the influence of ammonia concentration on AOA and AOB has not been tested under environmental conditions. In addition, while both AOB and AOA contribute to nitrous oxide (N 2 O) emissions from soil, N 2 O yields (N 2 O–N produced per NO 2 − –N generated from ammonia oxidation) of AOA are lower, suggesting lower emissions when AOA dominate ammonia oxidation. This study tested the hypothesis that ammonium supplied continuously at low rates is preferentially oxidised by AOA, with lower N 2 O yield than expected for AOB-dominated processes. Soil microcosms were supplied with water, urea or a slow release, urea-based fertiliser and 1-octyne (inhibiting only AOB) was applied to distinguish AOA and AOB activity and associated N 2 O production. Low ammonium supply, from mineralisation of organic matter, or of the fertiliser, led to growth, ammonia oxidation and N 2 O production by AOA only, with low N 2 O yield. High ammonium supply, from free urea within the fertiliser or after urea addition, led to growth of both groups, but AOB-dominated ammonia oxidation was associated with twofold greater N 2 O yield than that dominated by AOA. This study therefore demonstrates growth of both AOA and AOB at high ammonium concentration, confirms AOA dominance during low ammonium supply and suggests that slow release or organic fertilisers potentially mitigate N 2 O emissions through differences in niche specialisation and N 2 O production mechanisms in AOA and AOB.

Background Children often experience anxiety and pain during minor surgical procedures, prompting the search for effective pain management strategies beyond traditional pharmaceutical approaches. This study aims to evaluate the efficacy of virtual reality (VR) as a pain reduction method in pediatric outpatient surgical interventions compared to the standard use of nitrous oxide. The research questions explore pain reduction levels, patient preferences, enjoyment during VR use, and the time limit of the VR application. Methods The study employs a randomized controlled trial design, utilizing VR technology and nitrous oxide in separate groups in 100 children at the age from 6 to 15 undergoing minor surgical procedures. Outcomes are monitored directly after the intervention and two weeks following the procedure. The primary outcome measure is the pain level, assessed using visual face and visual analog scales. Secondary outcomes are the fun and/or fear experienced during the intervention, the willingness to undergo the same procedure again (if necessary), and whether there is a time limit with the VR application compared to nitrous oxide. The study also considers adverse events and safety measures. Discussion The study aims to address a significant research gap in pediatric pain management strategies, as it is the first randomized controlled trial designed to compare pain levels using VR versus a control group with nitrous oxide analgosedation in children undergoing minor surgical procedures. Preliminary evidence suggests VR may offer a viable alternative to traditional pain management methods, as VR technology could be an effective distraction and pain management tool for pediatric patients undergoing outpatient surgical procedures. Trial registration ClinicalTrials.gov NCT05510141. Registered on August 22, 2022. Virtual Reality Games in Pediatric Surgery—Full Text View—ClinicalTrials.gov. Trial sponsor The principal investigator, Cordula Scherer act as the Sponsor, Clinic for pediatric surgery, Inselspital, Bern University Hospital, CH 3010 Bern, Switzerland.

Nitrous oxide (N2O) is a potent, globally important, greenhouse gas, predominantly released from agricultural soils during nitrogen (N) cycling. Arbuscular mycorrhizal fungi (AMF) form a mutualistic symbiosis with two-thirds of land plants, providing phosphorus and/or N in exchange for carbon. As AMF acquire N, it was hypothesized that AMF hyphae may reduce N2O production. AMF hyphae were either allowed (AMF) or prevented (nonAMF) access to a compartment containing an organic matter and soil patch in two independent microcosm experiments. Compartment and patch N2O production was measured both before and after addition of ammonium and nitrate. In both experiments, N2O production decreased when AMF hyphae were present before inorganic N addition. In the presence of AMF hyphae, N2O production remained low following ammonium application, but increased in the nonAMF controls. By contrast, negligible N2O was produced following nitrate application to either AMF treatment. Thus, the main N2O source in this system appeared to be via nitrification, and the production of N2O was reduced in the presence of AMF hyphae. It is hypothesized that AMF hyphae may be outcompeting slow-growing nitrifiers for ammonium. This has significant global implications for our understanding of soil N cycling pathways and N2O production.

Burn patients experience severe pain when undergoing rehabilitation after skin grafting, which negatively affects their recovery. Traditional analgesic methods (such as opioids) have the risk of addictiveness and side effects. Nitrous oxide, which has rapid analgesic and sedative effects, is commonly used for conscious analgesia. The purpose of this study was to determine whether diluted nitrous oxide reduces pain compared to Placebo(oxygen) during rehabilitation after burn surgery. This single-center, randomized, double-blind, and controlled trial will enroll 80 patients. Patients ≥ 18 years of age who underwent rehabilitation 1 month after burn surgery with acute pain (VAS ≥ 4) were included. The main exclusion criteria included: pulmonary disease (pulmonary embolism, pneumothorax), intestinal obstruction, etc. Patients were randomly assigned in a 1: 1 ratio to intervention (A) and control (B) groups. Doctors, therapists, patients, and data collectors were unaware of the assignment outcomes. Rehabilitation will be performed by a therapist. The nurse performing the intervention handed the envelope with the patient code and the A or B assignment to the physician. Group A will receive diluted nitrous oxide inhalation plus conventional therapy (without analgesics) 30 minutes once daily for 4 weeks, and Group B will receive oxygen plus conventional therapy (without analgesics) under the same conditions. Assessments will be performed before the intervention (T0), 2 minutes (T1) and 5 minutes (T2) after the start of the intervention, and 5 minutes (T3) after the start of the intervention. The primary outcome was pain score. Secondary outcomes included vital signs, side effects, quality of life score, scar score, need for adjuvant analgesia, therapist and patient satisfaction, and willingness to receive the same gas again. If the experimental results show that diluted nitrous oxide can bring good analgesic effects without serious side effects, it can improve patients' compliance with rehabilitation treatment and quality of life, and it is even widely implemented in hospitals and rehabilitation institutions.

The global agri-food system relies on synthetic nitrogen (N) fertilisation to increase crop yields, yet the use of synthetic N fertiliser is unsustainable. In this study we estimate global greenhouse (GHG) emissions due to synthetic N fertiliser manufacture, transportation, and field use in agricultural systems. By developing the largest field-level dataset available on N 2 O soil emissions we estimate national, regional and global N 2 O direct emission factors (EFs), while we retrieve from the literature the EFs for indirect N 2 O soil emissions, and for N fertiliser manufacturing and transportation. We find that the synthetic N fertiliser supply chain was responsible for estimated emissions of 1.13 GtCO 2 e in 2018, representing 10.6% of agricultural emissions and 2.1% of global GHG emissions. Synthetic N fertiliser production accounted for 38.8% of total synthetic N fertiliser-associated emissions, while field emissions accounted for 58.6% and transportation accounted for the remaining 2.6%. The top four emitters together, China, India, USA and EU28 accounted for 62% of the total. Historical trends reveal the great disparity in total and per capita N use in regional food production. Reducing overall production and use of synthetic N fertilisers offers large mitigation potential and in many cases realisable potential to reduce emissions.

The emission of the greenhouse gas nitrous oxide (N2O) can occur during biological nutrient removal. Denitrifying enhanced biological phosphorus removal (d-EBPR) systems are an efficient means of removing phosphate and nitrogen, performed by denitrifying polyphosphate-accumulating organisms (d-PAOs). The aim of this work was to study the effect of various combinations of electron acceptors, nitrate (NO3−), nitrite (NO2−), and N2O, on the denitrification pathway of a d-EBPR system. Batch tests were performed with different electron acceptor combinations, to explore the denitrification pathway. Reverse transcriptase-qPCR (RT-qPCR) and high-throughput sequencing, combined with chemical analysis, were used to study gene expression, microbial diversity, and denitrification kinetics. The potential for N2O production was greater than the potential for its reduction in most tests. A strong correlation was observed between the N2O reduction rate and the relative gene expression of nitrous oxide reductase per nitrite reductase (nosZ/(nirS + nirK)), suggesting that the expression of denitrifying marker genes is a strong predictor of the N2O reduction rate. The d-EBPR community maintained a core population with low variations throughout the study. Furthermore, phylogenetic analyses of the studied marker genes revealed that the organisms actively involved in denitrification were closely related to Thauera sp., Candidatus Accumulibacter phosphatis, and Candidatus Competibacter denitrificans. Moreover, Competibacter-related OTUs seem to be important contributors to the N2O reduction capacity of the system, likely scavenging the N2O produced by other organisms. Overall, this study contributes to a better understanding of the microbial biochemistry and the genetics involving biological denitrification removal, important to minimize N2O emissions in wastewater treatment plants.

This review analyzes published data on manure management practices used to mitigate methane (CH4) and nitrous oxide (N2O) emissions from animal operations. Reducing excreted nitrogen (N) and degradable organic carbon (C) by diet manipulation to improve the balance of nutrient inputs with production is an effective practice to reduce CH4 and N2O emissions. Most CH4 is produced during manure storage; therefore, reducing storage time, lowering manure temperature by storing it outside during colder seasons, and capturing and combusting the CH4 produced during storage are effective practices to reduce CH4 emission. Anaerobic digestion with combustion of the gas produced is effective in reducing CH4 emission and organic C content of manure; this increases readily available C and N for microbial processes creating little CH4 and increased N2O emissions following land application. Nitrous oxide emission occurs following land application as a byproduct of nitrification and dentrification processes in the soil, but these processes may also occur in compost, biofilter materials, and permeable storage covers. These microbial processes depend on temperature, moisture content, availability of easily degradable organic C, and oxidation status of the environment, which make N2O emissions and mitigation results highly variable. Managing the fate of ammoniacal N is essential to the success of N2O and CH4 mitigation because ammonia is an important component in the cycling of N through manure, soil, crops, and animal feeds. Manure application techniques such as subsurface injection reduce ammonia and CH4 emissions but can result in increased N2O emissions. Injection works well when combined with anaerobic digestion and solids separation by improving infiltration. Additives such as urease and nitrification inhibitors that inhibit microbial processes have mixed results but are generally effective in controlling N2O emission from intensive grazing systems. Matching plant nutrient requirements with manure fertilization, managing grazing intensity, and using cover crops are effective practices to increase plant N uptake and reduce N2O emissions. Due to system interactions, mitigation practices that reduce emissions in one stage of the manure management process may increase emissions elsewhere, so mitigation practices must be evaluated at the whole farm level.

Nitrous oxide (N₂O) has a global warming potential that is 300 times that of carbon dioxide on a 100-y timescale, and is of major importance for stratospheric ozone depletion. The climate sensitivity of N₂O emissions is poorly known, which makes it difficult to project how changing fertilizer use and climate will impact radiative forcing and the ozone layer. Analysis of 6 y of hourly N₂O mixing ratios from a very tall tower within the US Corn Belt—one of the most intensive agricultural regions of the world—combined with inverse modeling, shows large interannual variability in N₂O emissions (316 Gg N₂O-N·y−1 to 585 Gg N₂O-N·y−1). This implies that the regional emission factor is highly sensitive to climate. In the warmest year and spring (2012) of the observational period, the emission factor was 7.5%, nearly double that of previous reports. Indirect emissions associated with runoff and leaching dominated the interannual variability of total emissions. Under current trends in climate and anthropogenic N use, we project a strong positive feedback to warmer and wetter conditions and unabated growth of regional N₂O emissions that will exceed 600 Gg N₂O-N·y−1, on average, by 2050. This increasing emission trend in the US Corn Belt may represent a harbinger of intensifying N₂O emissions from other agricultural regions. Such feedbacks will pose a major challenge to the Paris Agreement, which requires large N₂O emission mitigation efforts to achieve its goals.

The net balance of terrestrial biogenic greenhouse gases produced as a result of human activities and the climatic impact of this balance are uncertain; here the net cumulative impact of the three greenhouse gases, methane, nitrous oxide and carbon dioxide, on the planetary energy budget from 2001 to 2010 is a warming of the planet. Climate mitigation by nitrous oxide reduction The biogenic fluxes of individual greenhouse gases have extensively studied, but the net terrestrial biogenic greenhouse gas balance as a result of human activities and its climatic impact remains uncertain. Hanqin Tian et al . have quantified the net cumulative impact of three greenhouse gases — methane, nitrous oxide and carbon dioxide — on the planetary energy budget. From 2001 to 2010, they find a net positive (warming) cumulative impact and conclude that a reduction in agricultural methane and nitrous oxide emissions — in particular in Southern Asia — may help mitigate climate change. The terrestrial biosphere can release or absorb the greenhouse gases, carbon dioxide (CO 2 ), methane (CH 4 ) and nitrous oxide (N 2 O), and therefore has an important role in regulating atmospheric composition and climate 1 . Anthropogenic activities such as land-use change, agriculture and waste management have altered terrestrial biogenic greenhouse gas fluxes, and the resulting increases in methane and nitrous oxide emissions in particular can contribute to climate change 2 , 3 . The terrestrial biogenic fluxes of individual greenhouse gases have been studied extensively 4 , 5 , 6 , but the net biogenic greenhouse gas balance resulting from anthropogenic activities and its effect on the climate system remains uncertain. Here we use bottom-up (inventory, statistical extrapolation of local flux measurements, and process-based modelling) and top-down (atmospheric inversions) approaches to quantify the global net biogenic greenhouse gas balance between 1981 and 2010 resulting from anthropogenic activities and its effect on the climate system. We find that the cumulative warming capacity of concurrent biogenic methane and nitrous oxide emissions is a factor of about two larger than the cooling effect resulting from the global land carbon dioxide uptake from 2001 to 2010. This results in a net positive cumulative impact of the three greenhouse gases on the planetary energy budget, with a best estimate (in petagrams of CO 2 equivalent per year) of 3.9 ± 3.8 (top down) and 5.4 ± 4.8 (bottom up) based on the GWP100 metric (global warming potential on a 100-year time horizon). Our findings suggest that a reduction in agricultural methane and nitrous oxide emissions, particularly in Southern Asia, may help mitigate climate change.