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Author(s):  
Alyssa Courtney ◽  
Anne Bernard ◽  
Scott Burgess ◽  
Katie Davies ◽  
Kelly Foster ◽  
...  

BACKGROUND AND OBJECTIVES: Infants hospitalized with bronchiolitis are commenced on nasogastric feeding to maintain hydration. Feeding strategies vary according to physician or institution preference. The current study hypothesized that continuous nasogastric feeding would prolong length of stay (LOS) when compared to bolus feeding. METHODS: A randomized, parallel-group, superiority clinical trial was performed within an Australian children’s hospital throughout 2 bronchiolitis seasons from May 2018 to October 2019. Infants <12 months hospitalized with bronchiolitis and requiring supplemental nasogastric feeding were randomly assigned to continuous or bolus nasogastric regimens. LOS was the primary outcome. Secondary outcome measures included pulmonary aspirations and admissions to intensive care. RESULTS: The intention-to-treat analysis included 189 patients: 98 in the bolus nasogastric feeding group and 91 in the continuous group. There was no significant difference in LOS (median LOS of the bolus group was 54.25 hours [interquartile range 40.25–82] and 56 hours [interquartile range 38–78.75] in the continuous group). A higher proportion of admissions to intensive care was detected in the continuous group (28.57% [26 of 91] of the continuous group vs 11.22% [11 of 98] of the bolus group [P value 0.004]). There were no clinically significant pulmonary aspirations or statistically significant differences in vital signs between the groups within 6 hours of feed initiation. CONCLUSIONS: No significant difference in LOS was found between bolus and continuous nasogastric feeding strategies for infants hospitalized with bronchiolitis. The continuous feeding group had a higher proportion of intensive care admissions, and there were no aspiration events.


2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Tingting Che ◽  
Cheng Yan ◽  
Dingyuan Tian ◽  
Xin Zhang ◽  
Xuejun Liu ◽  
...  

Abstract Background Time-restricted feeding is an emerging dietary intervention that is becoming increasingly popular. There are, however, no randomised clinical trials of time-restricted feeding in overweight patients with type 2 diabetes. Here, we explored the effects of time-restricted feeding on glycaemic regulation and weight changes in overweight patients with type 2 diabetes over 12 weeks. Methods Overweight adults with type 2 diabetes (n = 120) were randomised 1:1 to two diet groups: time-restricted feeding (n = 60) or control (n = 60). Sixty patients participated in a 10-h restricted feeding treatment program (ad libitum feeding from 8:00 to 18:00 h; fasting between 18:00 and 8:00 h) for 12 weeks. Results Haemoglobin A1c and body weight decreased in the time-restricted feeding group (− 1.54% ± 0.19 and − 2.98 ± 0.43 kg, respectively) relative to the control group over 12 weeks (p < 0.001). Homeostatic model assessment of β-cell function and insulin resistance changed in the time-restricted feeding group (0.73 ± 0.21, p = 0.005; − 0.51 ± 0.08, p = 0.02, respectively) compared with the control group. The medication effect score, SF-12 score, and the levels of triglycerides, total cholesterol and low-density lipoprotein cholesterol were improved in the time-restricted feeding group (− 0.66 ± 0.17, p = 0.006; 5.92 ± 1.38, p < 0.001; − 0.23 ± 0.08 mmol/L, p = 0.03; − 0.32 ± 0.07 mmol/L, p = 0.01; − 0.42 ± 0.13 mmol/L, p = 0.02, respectively) relative to the control group. High-density lipoprotein cholesterol was not significantly different between the two groups. Conclusion These results suggest that 10-h restricted feeding improves blood glucose and insulin sensitivity, results in weight loss, reduces the necessary dosage of hypoglycaemic drugs and enhances quality of life. It can also offer cardiovascular benefits by reducing atherosclerotic lipid levels. Trial registration: This study was registered with the Chinese Clinical Trial Registry (ChiCTR-IPR-15006371).


2021 ◽  
Author(s):  
Erica L. Johnson ◽  
Erin F. Abernethy ◽  
J. Checo Colón-Gaud

Abstract Floodplains of the southeastern United States exhibit high biological productivity, maintained by periodic floodplain inundation as a result of seasonal flooding. To examine the relationship between biological productivity and seasonal flooding following periods of drought, we quantified aquatic macroinvertebrate communities monthly in an inundated floodplain during the annual flood pulse (December-April) in two years, one following a multi-year drought and one following a larger than average flooding event. We predicted that floodplain communities would differ in richness, biomass, and community composition between years and that differences would be driven by discharge at the main stem and organic matter availability. We collected macroinvertebrates from the floodplain of the Altamaha River, an unimpounded 6th order river in the Coastal Plain region of the southeastern US that experiences floodplain connectivity. With invertebrates identified to genus, we elucidated richness, abundance, biomass, community composition, and functional feeding group. Richness was generally higher in the drought year but decreased throughout the flood pulse, while during the flood year richness was lower and increased. Biomass decreased throughout the flood pulse following the drought year and increased during the flood year. There was a high degree of overlap in invertebrate community composition based on abundance data during both years of the study with collector gatherers being the most highly abundant functional feeding group. As climate change impacts (i.e., severe droughts) become more common, it is critical to investigate how aquatic communities are responding to increasingly unpredictable flow conditions in unimpounded and seemingly unaltered rivers.


2021 ◽  
Author(s):  
Belinda K. Goddard ◽  
Alistair Becker ◽  
David Harasti ◽  
James A. Smith ◽  
Iain M. Suthers

Abstract More than half of the fish biomass of coastal rocky reefs depends on zooplankton; however, the trophic basis of estuarine fish assemblages remains unknown. We quantified the trophic basis (i.e. basal energy sources) of fish community biomass inhabiting three habitat types (seagrass, natural reef and artificial reef) in two estuaries, and at two coastal rocky reef sites. Estuarine fish assemblages were surveyed with Baited Remote Underwater Video (BRUVs). Species abundance, richness and biomass of fish were classified into 9 functional feeding groups (3 elasmobranch and 6 teleost). Comparable metrics for coastal fish assemblages were obtained from published surveys using BRUV, remote underwater video and visual census survey methods. Using the functional feeding group biomass and the group-specific diet composition, the breakdown of energy sources was calculated using a food web analysis. Estuarine reef habitats had different species and different functional feeding group composition than seagrass habitat. The majority of fish biomass in the seagrass habitat was supported by detritus (51% at one estuary) or macrophytes (58% at the other estuary). In contrast, zooplankton supported most fish biomass (45-59%) at the coastal reef locations, and in reef habitat in one estuary (35-43%), but not the other estuary (33-34%). The trophic basis of estuarine and coastal fish assemblages reveals their potential response to urbanisation including changes to habitat, nutrient supply and current flow.


Author(s):  
Mohamed A. Mohamed ◽  
Kirsten K. Teumer ◽  
Mariana Leone ◽  
Nabi Akram ◽  
Mohamed H. Rahamn ◽  
...  

Objective Cue-based feeding aims at matching introduction of per oral (PO) feeding with physiological readiness of preterm infants to facilitate PO intake and avoid oral aversion. It was claimed that cue-based feeding may lead to delay in the initiation or achieving full PO feeding in clinical setting primarily using bubble nasal continuous positive airway pressure (CPAP). The study aimed to examine the association of cue-based feeding with time of introduction and completing oral feeding in infants primarily managed with bubble CPAP. Study Design A retrospective analysis where outcomes of preterm infants ≤32 weeks' gestational age (GA) and ≤2,000 g birth weight (BW) were compared after a practice change from volume-based feeding advancement to cue-based feeding. Continuous variables were compared by using t-test and multilinear regression analysis to control for confounding variables. Results Of the 311 preterm infants who met inclusion and exclusion criteria, 194 were in the cue-based feeding group and 117 were in the volume-based advancement historical comparison group. There were no differences between groups regarding demographic or clinical variables. Postmenstrual age (PMA) of initial feeding assessment was less in the cue-based feeding group. Age of first PO feeding and when some PO was achieved every feed was mildly delayed in the cue-based feeding compared with comparison group, 34 (±1.3) versus 33.7 (±1.2) weeks, and 36.2 (±2.3) versus 36.0 (±2.4) weeks, (p < 0.01) respectively. However, the age of achieving full PO did not differ between groups, 36.8 (±2.2) versus 36.4 (±2.4) weeks (p = 0.13). There was no difference between groups regarding growth parameters at 36 weeks' PMA or at discharge. Similar results were obtained when examining subcategories of infants ≤1,000 g and 1,001 to 2,000 g. Conclusion Cue-based feeding may not be associated with a delay in achieving full oral feeding or prolongation of the length of stay in preterm infants managed with CPAP. Key Points


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 1199-1199
Author(s):  
Theresa Bushman ◽  
Te-Yueh Lin ◽  
Xiaoli Chen

Abstract Objectives Extracellular vesicles (EVs), especially exosomes, have emerged as a critical regulator of intercellular and inter-organ communications. Dysregulation of exosome secretion and exosomal cargo composition has been associated with metabolic diseases. The objective of this study was to determine the effect of intermittent fasting (IF) on the size profile and cargoes of exosomes in diet-induced obesity. Methods Female and male mice (8–10 weeks old) were fed a high-fat diet (HFD) for 18 weeks prior to being placed either in an ad libitum feeding group (HFD-AL) or an IF feeding group (HFD-IF) for an additional 10 weeks. Mice on the normal chow ad libitum (NC-AL) for 28 weeks served as control. The IF group had food available for 10 hours and fasted for 14 hours daily. Serum EVs measured using Nanoparticle Tracking Analysis. Results HFD-AL mice had an increasing trend in mean diameter of serum EVs by 24 nm (P = 0.30) compared to the NC-AL mice. The IF caused a significant decrease in mean diameter of serum EVs by 47.9 nm (P &lt; 0.03) when compared to the HFD-AL mice. However, neither HFD nor IF altered the overall particle amount per mL of serum when compared to NC-AL. The HFD-AL mice had a decreasing trend in the population of small-size EVs but an increase in large-size EVs compared to the NC-AL mice. Mice on long-term HFD with IF had a significant increase in the total amount of small EVs/exosomes (50–100 nm in size) per unit of serum, but a decrease in the amount of large EVs (250–500 nm in size). Moreover, the mean population (particles/ml) of small EVs/exosomes were increased in the HFD-IF mice by an average of 38% (P &lt; 0.03), whereas the population of large-size micro-vesicles (250–300 nm in size) were decreased by an average of 4% (P &lt; 0.01) when compared to the HFD-AL mice. In addition to exosome alterations, the weekly weigh-in differences were significantly higher in the HFD-IF mice compared to the HFD-AL mice (P &lt; 0.02). Lastly, we found that IF could prevent the whitening of brown adipose tissue (BAT) and liver micro-vesicular steatosis induced by a long-term HFD. Conclusions IF significantly alters the profile of serum EVs, which may serve as an important mechanism for the metabolic benefits of IF such as preventing the whitening of BAT and liver micro-vesicular steatosis in obesity. Funding Sources This work was supported by the General Mills Foundation Chair in Genomics for Healthful Foods to X.C.


2021 ◽  
Vol 9 ◽  
Author(s):  
Rebecca A. Clement ◽  
Habacuc Flores-Moreno ◽  
Lucas A. Cernusak ◽  
Alexander W. Cheesman ◽  
Abbey R. Yatsko ◽  
...  

Termites are important ecosystem engineers in tropical habitats, with different feeding groups able to decompose wood, grass, litter, and soil organic matter. In most tropical regions, termite abundance and species diversity are assumed to increase with rainfall, with highest levels found in rainforests. However, in the Australian tropics, this pattern is thought to be reversed, with lower species richness and termite abundance found in rainforest than drier habitats. The potential mechanisms underlying this pattern remain unclear. We compared termite assemblages (abundance, activity, diversity, and feeding group composition) across five sites along a precipitation gradient (ranging from ∼800 to 4,000 mm annual rainfall), spanning dry and wet savanna habitats, wet sclerophyll, and lowland and upland rainforests in tropical North Queensland. Moving from dry to wet habitats, we observed dramatic decreases in termite abundance in both mounds and dead wood occupancy, with greater abundance and activity at savanna sites (low precipitation) compared with rainforest or sclerophyll sites (high precipitation). We also observed a turnover in termite species and feeding group diversity across sites that were close together, but in different habitats. Termite species and feeding group richness were highest in savanna sites, with 13 termite species from wood-, litter-, grass-, dung-, and soil-feeding groups, while only five termite species were encountered in rainforest and wet sclerophyll sites—all wood feeders. These results suggest that the Australian termite diversity anomaly may be partly driven by how specific feeding groups colonized habitats across Australia. Consequently, termites in Australian rainforests may be less important in ecosystem processes, such as carbon and nutrient cycling during decomposition, compared with termites in other tropical rainforests.


2021 ◽  
Vol 43 ◽  
pp. 79-91
Author(s):  
Toblie Quashie Effowe ◽  
Boris Dodji Kasseney ◽  
Abdoulaye Baïla Ndiaye ◽  
Bassan Banibea Sanbena ◽  
Komina Amevoin ◽  
...  

Termites occur in many ecosystems throughout tropical and subtropical areas. Their distribution is driven by several factors, including landscape and some soil characteristics. This study aims to determine soil organic matter’s role on termites’ diversity in a shrubby savanna park. Termites were sampled across transects in 3 sites of Galangashi park (northern part of Togo). The soil in which termites were harvested was analyzed to check organic matter’s influence on termites’ species richness. A total of 28 termite species belonging to 14 genera and 6 subfamilies were identified. Feeding group II (all fungus-growing termites, grass feeders, and wood feeders) was the most important among the three identified groups. Nine species (with two potentially new species for sciences: Amitermes sp and Eremotermes sp) were recorded for the first time in the country. A strong correlation was found between species richness, total organic matter, and total organic carbon, suggesting the influence of soil richness on termite distribution. The occurrence of the unique member of the feeding group I, Coptotermes intermedius Silvestri, 1912, as well as the occurrence of Fulleritermes tenebricus Silvestri, 1914 (both wood-dwelling termites), was certainly due to the vegetation. The relatively higher species richness as well as the correlation between the species richness and the organic matter of shrub savanna, suggest a better conservation of this landscape.


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