Feeding Success Research Articles

Comparison of enteral prucalopride versus intravenous metoclopramide for feeding intolerance in patients with critical illness: a randomized double-blinded study

BackgroundFeeding intolerance is commonly experienced during enteral feeding, necessitating cessation. Metoclopramide may be given to assist gastric emptying, but patients experience adverse effects and gradual loss of efficacy. Prucalopride, a safer prokinetic, may play a role in gastric emptying. Therefore, the current study aimed to assess its effectiveness and safety in feeding intolerance developed in critically ill patients.Materials and MethodsIn this prospective randomized double-blinded study, patients with feeding intolerance were randomized to receive 2 mg prucalopride enterally once daily or 10 mg metoclopramide intravenously every 6–8 h for 7 days. Patients were monitored for treatment failure, successful feeding, gastric residual volume (GRV), and the development of medication-related adverse effects.ResultsA total of 70 patients (35 in the metoclopramide group and 35 in the prucalopride group) completed the study. The average daily GRV in the prucalopride group was significantly lower compared to the metoclopramide group (p=<0.001) on day 7. Additionally, the percentage change in GRV from day 1 to day 7 showed a greater significant change in the prucalopride arm versus the metoclopramide arm (p=<0.001). The treatment groups were comparable in terms of ICU length of stay (p = 0.094). Moreover, there was a significantly higher successful caloric intake in the prucalopride group compared to the metoclopramide group on day 7 (p = 0.039).ConclusionPrucalopride administration in enterally fed patients with feeding intolerance may reduce GRV and improve feeding success rates compared to metoclopramide treatment. The use of prucalopride was found to be tolerable and safe in critically ill patients.Clinical Trial Registrationclinicaltrials.gov, identifier NCT05496179

Strong winds reduce foraging success in albatrosses

Knowledge of how animals respond to weather and changes in their physical environment is increasingly important, given the higher frequency of extreme weather recorded in recent years and its forecasted increase globally.1,2 Even species considered to be highly adapted to extremes of weather, as albatrosses are to strong winds,3,4,5 may be disadvantaged by shifts in those extremes. Tracked albatrosses were shown recently to avoid storms and the strongest associated winds.6 The drivers of this response are so far unknown, though we hypothesize that turbulent storm conditions restrict foraging success, possibly by reducing the detectability or accessibility of food, and albatrosses divert toward more profitable conditions where possible. We tested the impact of the physical environment-wind speed, rainfall, water clarity, and time of day-on feeding activity and success of two species of albatrosses with contrasting foraging strategies. We tracked 33 wandering and 48 black-browed albatrosses from Bird Island (South Georgia) with GPS and immersion loggers, and 19 and 7 individuals, respectively, with stomach-temperature loggers to record ingestions, providing an in-depth picture of foraging behavior. Reduced foraging profitability (probability of prey capture and overall mass) was associated with stormy conditions, specifically strong winds and heavy rain in surface-seizing wandering albatrosses, and the probability of prey capture was reduced in strong winds in black-browed albatrosses. We show that even highly wind-adapted species may frequently encounter conditions that make foraging difficult, giving context to storm avoidance in albatrosses.

Barriers and Facilitators in Lactation Support for the Preterm Mother-Infant Dyad: An Integrated Approach.

Breastfeeding offers significant health benefits for both mothers and infants, particularly preterm infants, where it serves as a therapeutic strategy to reduce mortality and morbidities. However, breastfeeding practices are threatened globally by societal norms and systemic barriers at both micro and macro levels. This paper explores the complex interplay of these barriers and facilitators, focusing on the Neonatal Intensive Care Unit (NICU) setting. Preterm infants face specific feeding challenges due to immature physiological functions, yet evidence supports that strategies like cue-based feeding and individualized care can enhance feeding success and health outcomes. For mothers, initiating and maintaining lactation after preterm birth is critical but challenging, with early lactation support and achieving sufficient milk volume being key predictors of success. Partner support significantly influences lactation outcomes, although more inclusive research is needed for diverse family structures. In the NICU, a multidisciplinary approach to lactation care is vital, emphasizing the need for experienced staff and family-centered practices. NICU design, policies promoting parental presence, and adherence to Baby-friendly Hospital Initiative guidelines further support breastfeeding. This paper aims to provide directives for local breastfeeding policies through an integrated approach, considering societal attitudes and healthcare practices. The findings advocate for improved lactation support in NICUs, inclusive language and policies, and further research into diverse familial and gender roles in breastfeeding.

How do fish miss? Attack strategies of threespine stickleback capturing non-evasive prey.

Most predators rely on capturing prey for survival, yet failure is common. Failure is often attributed to prey evasion, but predator miscalculation and/or inaccuracy may also drive an unsuccessful event. We addressed the latter using threespine stickleback as predators and bloodworms (non-evasive) as prey. High-speed videography of the entire attack allowed us to determine the strike tactics leading to successful or missed strikes. We analyzed movements and morphological traits from 57 individuals. Our results reveal that kinematics drive the strike outcome and that failed strikes primarily arise from incorrect timing of mouth opening, often beginning too far from the prey for suction to be effective. This likely stems from the lack of integration between locomotion and feeding systems. Our study begins to unravel the important link between behavior and success in fish feeding.

Predicting enteral feeding success among critically ill patients receiving whey/standard protein sources: A retrospective observational study

Predicting enteral feeding success among critically ill patients receiving whey/standard protein sources: A retrospective observational study

Diet and size at birth affect larval rockfish condition and survival

Feeding success and maternal effects on larval size have long been hypothesized to be important contributors to interannual recruitment variability in marine fishes. This study examined the feeding ecology and influences of diet and size at birth on length and growth of larval rockfishes (Sebastes spp.). Prey carbon biomass and selection were calculated from gut contents, size at birth was estimated using otolith core size, and recent growth was derived from outer otolith increment widths. Biomass contributions of preferred prey and otolith data were integrated into Bayesian hierarchical models predicting length and growth. Larvae primarily fed on and selected for copepod nauplii and calanoid copepodites, modulating feeding with ontogeny and in response to prey availability. Based on carbon weight, the relative contribution of calanoid copepodites to the diet was more strongly and positively correlated with length and growth than that of nauplii. Younger larvae experienced faster growth in association with calanoid copepodite consumption than older larvae. Positive effects of core radius suggest that initial larval size, believed to be mediated by maternal provisioning, increases the likelihood of survival, larger size, and faster growth. These findings ultimately provide evidence that selective feeding and size at birth mediate rockfish survival in early life stages.

Relationship between dominance hierarchy steepness and rank-relatedness of benefits in primates.

In animal social groups, the extent to which individuals consistently win agonistic interactions and their ability to monopolize resources represent 2 core aspects of their competitive regime. However, whether these two aspects are closely correlated within groups has rarely been studied. Here, we tested the hypothesis that hierarchy steepness, which is generally used to represent power differentials between group members, predicts the variation in the distribution of fitness-related benefits (i.e. fecundity, infant survival, mating success, and feeding success) in relation to individual dominance ranks. We tested this hypothesis in primate groups using comparative phylogenetic meta-analytical techniques. Specifically, we reviewed published and unpublished studies to extract data on individual dominance ranks, their access to fitness-related benefits, and hierarchy steepness. We collected and included in our analysis a total of 153 data points, representing 27 species (including 2 chimpanzee sub-species). From these, we used 4 common methods to measure individual dominance ranks and hierarchy steepness, i.e. D ij -based normalized David's scores, randomized Elo-ratings, and David's scores and Elo-ratings estimated in Bayesian frameworks. We found that hierarchy steepness had no effect on the strength of the relationship between dominance rank and access to fitness-related benefits. Our results suggest that hierarchy steepness does not reflect between-group variation in the extent to which individual dominance affects the acquisition of fitness-related benefits in primates. Although the ability to win agonistic encounters is essential, we speculate that other behavioral strategies adopted by individuals may play crucial roles in resource acquisition in animal competitive regimes.

Impact of Neuraxial Preservative-Free Morphine in Vaginal Delivery on Opiate Consumption and Recovery: A Randomized Control Trial.

Neuraxial opioids are commonly used after cesarean delivery (CD). However, they are not commonly used after vaginal delivery (VD) though some studies have suggested they may be beneficial from a pain perspective. However, they did not evaluate other potential benefits including patient satisfaction, impact on postpartum depression and breastfeeding (BF) success, or side effects such as pruritus. Parturients who delivered vaginally with epidural analgesia were randomized to receive either 2 mg of preservative-free morphine (4 mL) or saline (4 mL) via the epidural catheter within 1 hour of VD. Routine analgesics were unchanged and included q 6-hour dosing of acetaminophen 975 mg orally and ketorolac 30 mg intravenous (IV). Hydromorphone 2 mg or oxycodone 10 mg were offered for breakthrough pain. Our primary outcome was opiate consumption in the first 24 hours after drug administration. Secondary outcomes included pain scores at 24 hours and 1 week postpartum as well as opiate consumption up to 1 week postpartum. Additional end points such as obstetric quality of recovery score (OBS-QOR10) breast feeding success, and an Edinburgh Postnatal Depression Score (EPDS) were also obtained. Data were analyzed for 157 parturients, 80 in the morphine group and 77 in the saline group. No difference was observed in the EDPS score predelivery or intention to BF. We found a statistically significant difference in the use of opioids in the first 24 hours, 3.8% (95% confidence interval [CI], 0.9%-11.3%) vs 14.3% (7.7%-24.5%) in the morphine and saline groups, respectively; and in total opioid dose, median (interquartile range, IQR [range]) of morphine milligram equivalent vs 0 (0-0 [0-47.5]) vs 0 (0-0 [0-72]), P = .023, in the morphine and saline groups, respectively. Verbal pain scores (0-10) at 24 hours were lower in the morphine group (median (IQR [range): 2.0 (1-4 [0-10]) vs 3.0 (1.5-5.0 [0-10]), P = .043. There was a greater incidence of pruritus in the morphine group versus saline group, 37.5% (95% CI, 27.1%-49.1%) vs 18.2% (95% CI, 10.6%-29.0%), P = .008. We did not find any differences in the OBS-QOR10, BF success, or EPDS at 6 weeks PP (P < .05). A single epidural dose of 2 mg preservative-free morphine after VD was effective at decreasing pain and opioid use at 24 hours after VD but came at the cost of increased pruritus. We did not detect any differences in BF, recovery scores, or PPD. Future studies should focus on elucidating the role of neuraxial preservative-free morphine after VD.

Validation of Gene Expression Patterns for Oral Feeding Readiness: Transcriptional Analysis of Set of Genes in Neonatal Salivary Samples.

Neonatal health assessment is crucial for detecting and intervening in various disorders. Traditional gene expression analysis methods often require invasive procedures during sample collection, which may not be feasible or ideal for preterm infants. In recent years, saliva has emerged as a promising noninvasive biofluid for assessing gene expression. Another trend that has been growing is the use of "omics" technologies such as transcriptomics in the analysis of gene expression. The costs for carrying out these analyses and the difficulty of analysis make the detection of candidate genes necessary. These genes act as biomarkers for the maturation stages of the oral feeding issue. Salivary samples (n = 225) were prospectively collected from 45 preterm (<34 gestational age) infants from five predefined feeding stages and submitted to RT-qPCR. A better description of the targeted genes and results from RT-qPCR analyses were included. The six genes previously identified as predictive of feeding success were tested. The genes are AMPK, FOXP2, WNT3, NPHP4, NPY2R, and PLXNA1, along with two reference genes: GAPDH and 18S. RT-qPCR amplification enabled the analysis of the gene expression of AMPK, FOXP2, WNT3, NPHP4, NPY2R, and PLXNA1 in neonatal saliva. Expression results were correlated with the feeding status during sample collection. In summary, the genes AMPK, FOXP2, WNT3, NPHP4, NPY2R, and PLXNA1 play critical roles in regulating oral feeding and the development of premature infants. Understanding the influence of these genes can provide valuable insights for improving nutritional care and support the development of these vulnerable babies. Evidence suggests that saliva-based gene expression analysis in newborns holds great promise for early detection and monitoring of disease and understanding developmental processes. More research and standardization of protocols are needed to fully explore the potential of saliva as a noninvasive biomarker in neonatal care.

First instar and adult male bed bugs, Cimex lectularius (Hemiptera: Cimicidae), increase feeding activity in the presence of adult females

BackgroundBed bugs, Cimex lectularius, form day-time aggregations from which they depart at night to feed on human blood. Obtaining an initial blood meal is a critical step in the development of first instars. Previous research had shown that first instars had greater success in obtaining this essential meal when in the presence of adults than when they were alone.MethodsFeeding by bed bugs was tested in upright vertical cylindrical chambers fitted with a paper ramp to aid in climbing toward a blood feeder suspended across the upper end of the cylinder. Feeding success by the first instars was tested when they were alone in the chamber or when they were in the presence of adult females, males, or both together. ResultsThe mean proportions of the first instars that fed were significantly higher when they were confined with adults of both sexes or adult females than when they were confined alone or with males. Feeding by adult males was also enhanced by confinement with females. When first instars and adult females were confined together, the mean duration before first instars began feeding was longer than for females. There was no difference in feeding success by first instars confined with their mothers or nonmothers.ConclusionsElevated feeding by first instars and adult males in the presence of females may be adaptive traits that enhance fitness. First instars must feed to avoid dehydration and starvation and to obtain resources needed for development. Adult males would benefit not only by increased feeding success but also by greater likelihood of finding a recently engorged female with which to mate. The lack of any difference in feeding success of first instars in the presence of their mothers or nonmothers argues against parental care in this species.Graphical

Effects of a blood-free mosquito diet on fitness and gonotrophic cycle parameters of laboratory reared Anopheles gambiae sensu stricto

BackgroundThe current rise of new innovative tools for mosquito control, such as the release of transgenic mosquitoes carrying a dominant lethal gene and Wolbachia-based strategies, necessitates a massive production of mosquitoes in the insectary. However, currently laboratory rearing depends on vertebrate blood for egg production and maintenance. This practice raises ethical concerns, incurs logistical and cost limitations, and entails potential risk associated with pathogen transmission and blood storage. Consequently, an artificial blood-free diet emerges as a desirable alternative to address these challenges. This study aims to evaluate the effects of a previously formulated artificial blood-free diet (herein referred to as BLOODless) on Anopheles gambiae (An. gambiae s.s.; IFAKARA) gonotrophic parameters and fitness compared with bovine blood.MethodsThe study was a laboratory-based comparative evaluation of the fitness, fecundity and fertility of An. gambiae s.s. (IFAKARA) reared on BLOODless versus vertebrate blood from founder generation (F0) to eighth generation (F8). A total of 1000 female mosquitoes were randomly selected from F0, of which 500 mosquitoes were fed with bovine blood (control group) and the other 500 mosquitoes were fed with BLOODless diet (experimental group). The feeding success, number of eggs per female, hatching rate and pupation rate were examined post-feeding. Longevity and wing length were determined as fitness parameters for adult male and female mosquitoes for both populations.ResultsWhile blood-fed and BLOODless-fed mosquitoes showed similar feeding success, 92.3% [95% confidence interval (CI) 89.7–94.9] versus 93.6% (95% CI 90.6–96.6), respectively, significant differences emerged in their reproductive parameters. The mean number of eggs laid per female was significantly higher for blood-fed mosquitoes (P < 0.001) whereas BLOODless-fed mosquitoes had significantly lower hatching rates [odds ratio (OR) 0.17, 95% CI 0.14–0.22, P < 0.001]. Wing length and longevity were similar between both groups.ConclusionsThis study demonstrates the potential of the BLOODless diet as a viable and ethical alternative to vertebrate blood feeding for rearing An. gambiae s.s. This breakthrough paves the way for more efficient and ethical studies aimed at combating malaria and other mosquito-borne diseases.Graphical

Breast milk feeding: Trials and tribulations of Indian mothers having infants with cleft lip and palate

ABSTRACT Background: Breastfeeding infants with a cleft is difficult due to underlying anatomical deficits. The success of breastmilk feeding in this population is highly dependent on the mother. Nevertheless, the rate and duration of breastmilk feeding are often poor in this population due to early cessation of breastmilk production. These infants are therefore at high risk for “failure to thrive”. Aim: The study aimed to identify the challenges encountered by mothers having infants with cleft in establishing and maintaining breastmilk production. Objective: To explore the factors that impact establishing and maintaining breastmilk production viz., a) Mother-infant separation b) Access to Lactation and Feeding consultation c) Breastmilk expression strategies d) Formula supplementation rate e) Motivating or demotivating factors to breastmilk feeding. Method: This study was a phone survey conducted on 28 mothers who had availed lactation and feeding consultations between 2019 and 2020. Results: Various factors impacting the onset and establishment of breastmilk feeding noted were, separation of mother and infant at birth and the duration of separation, lack of access to professional help in lactation and feeding during stay in hospital, irregular and inappropriate breast milk expression, early formula supplementation demotivation due to various lactation and feeding challenges. Conclusion: Support from healthcare professionals specialized in lactation and feeding consultation for mothers having infants with cleft particularly, Speech Pathologists, Nursing staff and Lactation Consultants is critical to increase the rate and duration of breastmilk feeding. Breastmilk feeding should be thus prioritized and supported to enable infants with cleft to thrive.

Movement Behavior of the Dusky Grouper Epinephelus marginatus (Lowe, 1834) in Early Life Stages

The dusky grouper (Epinephelus marginatus) is a vulnerable predatory fish found in the Atlantic and Indian oceans, and in the Mediterranean Sea. This study investigates the movement patterns of grouper larvae (151 individuals) during their first feeding period (three to ten days post hatching) through laboratory experiments offering rotifers (Brachionus sp.) and copepod nauplii as food. High-speed cameras and imaging techniques including bright field microscopy, matched filters, and holography captured rapid displacements (up to 25 body lengths per second), peduncle caudal beats (up to 40 beats s−1), turns, and resting periods. Reynolds numbers ranged from &lt;45 for routine swimming to 222 for burst swimming. Specific behaviors, including changes in swimming velocity and body movements, were observed from three days post hatching, when feeding begins, suggestive of an array of responses to environmental forcing, predator avoidance, food search, and feeding success. These findings provide insights into the critical movement performances of E. marginatus larvae, which help to unravel their ecological interactions and survival strategies. Understanding grouper larval swimming behavior is pivotal for devising effective cultivation strategies aimed at replenishing wild stocks and enhancing production for human consumption.

Growth–feeding linkage in small pelagic fish larvae in the Kii Channel, Japan

AbstractThe linkage between growth rate and feeding success has been shown to strengthen the effects of early growth rate on later growth rate in the early life history of fish. However, the growth–feeding linkage largely remains to be tested at the individual level within the same populations/cohorts. We examined the growth–feeding linkage for multiple populations/cohorts in Japanese anchovy Engraulis japonicus larvae and Pacific round herring Etrumeus micropus larvae, through otolith microstructure analysis, based on samples collected from the commercial fishery for larval fish in the Kii Channel, Japan. The three growth–feeding mechanisms, which are based on the respective potential advantages of larger somatic size, higher growth rate, and earlier morphological development for achieving feeding success, were tested to understand how growth rate relates to feeding success. The “somatic size” mechanism was supported for all of six samples for anchovy larvae and three of four samples for round herring larvae. The “growth rate” mechanism was supported for two of six samples for anchovy larvae and three of four samples for round herring larvae. The “morphological development” mechanism was supported for three of four samples for anchovy larvae and all of three samples for round herring larvae. Overall, the present analysis supported the growth–feeding linkage but revealed the dynamics of the growth–feeding mechanisms. All the mechanisms were shown to operate at least for certain populations/cohorts, but none of them were universally effective over all populations/cohorts across the two species. Understanding the dynamics of the growth–feeding mechanisms would provide precious hints for considering strategies of predicting recruitment dynamics.

Herbicide changes the role of body condition in mating interactions of a wolf spider but courtship is primarily affected by female immunity

AbstractAnimals that live in human‐impacted landscapes experience an onslaught of novel stimuli that may interfere with natural communication pathways. During mating, this interference may alter the criteria deployed to assess potential mates as males and females find they must shift their focus and emphasize alternative sensory modalities. The wolf spider, Tigrosa helluo (Araneae, Lycosidae) is common in agricultural fields where commercial formulations of herbicides with glyphosate as the active ingredient are regularly applied. With the development of genetically resistant crops, glyphosate‐based herbicides have become among the most widely used and heavily applied agricultural chemicals in the world. In a laboratory experiment, we explored the effects of this herbicide on male—female interactions during courtship, mating, and sexual cannibalism. We expected that it might impact assessment such that there was a shift in the features that were important to the outcome of mating interactions. When herbicide was present, female body condition, an indication of recent feeding success, became important to mating success. This result was, in part, due to higher rates of sexual cannibalism in parings of males and females with low body condition values. The leg raises and pedipalp waves that males perform in courtship were not affected by herbicide nor were they related to mating success but, across all treatments, they were negatively correlated with lytic activity of females as measured just prior to pairing. This result indicates that males detected this aspect of the female's physiology and that a strong immune response made the female less attractive, possibly because it indicated a current or recent infection. Taken together, these results verify that a common herbicide shifts mating criteria used by an agribiont spider and, separate from the herbicide, the immune status of females affects the reactions of courting males.

Spatial ecology and microhabitat selection of the nocturnal pitviper Viridovipera stejnegeri (Squamata: Viperidae) in relation to prey.

Habitat is fundamental for facilitating various life activities in animals, for instance, snakes procure essential energy for survival and reproduction by selecting ambush microhabitats. While there has been extensive research on the selection of microhabitat for feeding in terrestrial and aquatic snakes, little is known about arboreal snakes. In the present study, we analyzed the ambush microhabitat preferences of Viridovipera stejnegeri, a widely distributed Asian pitviper in China, conducted association analysis between snake microhabitat and prey microhabitat and abundance to determine the ro5le of microhabitat selection in feeding. Employing random forest analysis and habitat selection functions, we further constructed a predictive framework for assessing the probability of ambush site selection by V. stejnegeri. Our results revealed that V. stejnegeri exhibited a distinct microhabitat preference for ambush prey. Among the 13 environmental factors assessed, V. stejnegeri showed pronounced preferences towards 12 of these factors, including climatic factors, geographical factors, and vegetation factors. Furthermore, although the preferences of V. stejnegeri overlapped substantially with those of its prey across multiple habitat factors, food abundance shows no significant association with various habitat factors of V. stejnegeri, and does not have significant predictive effect on habitat selection of V. stejnegeri. Therefore, we infer that V. stejnegeri does not preferentially select microhabitats with the highest food abundance, which does not support the hypothesis that "snakes select habitats based on the spatial distribution of prey abundance." By analyzing the characteristics of vegetation, geography, and climate, we conclude that V. stejnegeri tends to choose microhabitats with better ambush conditions to increase attack success rate, thereby achieving the optimal feeding success rate at the microhabitat scale, which is in line with the predictions of optimal foraging theory. This study provides new insights into the predation ecology and habitat selection of snakes.

Impacts of host availability and temperature on mosquito‐borne parasite transmission

AbstractGlobal climate change is predicted to cause range shifts in the mosquito species that transmit pathogens to humans and wildlife. Recent modeling studies have sought to improve our understanding of the relationship between temperature and the transmission potential of mosquito‐borne pathogens. However, the role of the vertebrate host population, including the importance of host behavioral defenses on mosquito feeding success, remains poorly understood despite ample empirical evidence of its significance to pathogen transmission. Here, we derived thermal performance curves for mosquito and parasite traits and integrated them into two models of vector–host contact to investigate how vertebrate host traits and behaviors affect two key thermal properties of mosquito‐borne parasite transmission: the thermal optimum for transmission and the thermal niche of the parasite population. We parameterized these models for five mosquito‐borne parasite transmission systems, leading to two main conclusions. First, vertebrate host availability may induce a shift in the thermal optimum of transmission. When the tolerance of the vertebrate host to biting from mosquitoes is limited, the thermal optimum of transmission may be altered by as much as 5°C, a magnitude of applied significance. Second, thresholds for sustained transmission depend nonlinearly on both vertebrate host availability and temperature. At any temperature, sustained transmission is impossible when vertebrate hosts are extremely abundant because the probability of encountering an infected individual is negligible. But when host biting tolerance is limited, sustained transmission will also not occur at low host population densities. Furthermore, our model indicates that biting tolerance should interact with vertebrate host population density to adjust the parasite population thermal niche. Together, these results suggest that vertebrate host traits and behaviors play essential roles in the thermal properties of mosquito‐borne parasite transmission. Increasing our understanding of this relationship should lead us to improved predictions about shifting global patterns of mosquito‐borne disease.

Mating harassment may boost the effectiveness of the sterile insect technique for Aedes mosquitoes

The sterile insect technique is based on the overflooding of a target population with released sterile males inducing sterility in the wild female population. It has proven to be effective against several insect pest species of agricultural and veterinary importance and is under development for Aedes mosquitoes. Here, we show that the release of sterile males at high sterile male to wild female ratios may also impact the target female population through mating harassment. Under laboratory conditions, male to female ratios above 50 to 1 reduce the longevity of female Aedes mosquitoes by reducing their feeding success. Under controlled conditions, blood uptake of females from an artificial host or from a mouse and biting rates on humans are also reduced. Finally, in a field trial conducted in a 1.17 ha area in China, the female biting rate is reduced by 80%, concurrent to a reduction of female mosquito density of 40% due to the swarming of males around humans attempting to mate with the female mosquitoes. This suggests that the sterile insect technique does not only suppress mosquito vector populations through the induction of sterility, but may also reduce disease transmission due to increased female mortality and lower host contact.

Diagnostic value of a deep learning-based hyoid bone tracking model for aspiration in patients with post-stroke dysphagia.

Hyoid bone movement is potentially related to aspiration risk in post-stroke dysphagia (PSD) patients but is difficult to assess quantitatively. This study aimed to measure the distance of hyoid bone movement more efficiently and accurately using a deep learning model and determine the clinical usefulness of the model in PSD patients. This study included 85 patients with PSD within 6 months from onset. Patients were grouped into an aspiration group (n = 35) and a non-aspiration group (n = 50) according to the results of a videofluoroscopic swallowing study. Hyoid bone movement was tracked using a deep learning model constructed with the BiFPN-U-Net(T) architecture. The maximum distance of hyoid bone movement was measured horizontally (H max), vertically (V max), and diagonally (D max). Compared with the non-aspiration group, the aspiration group showed significant decreases in hyoid bone movement in all directions. The area under the curve of V max was highest at 0.715 with a sensitivity of 0.680 and specificity of 0.743. The V max cutoff value for predicting aspiration risk was 1.61 cm. The success of oral feeding at the time of discharge was significantly more frequent when hyoid movement was equal to or larger than the cutoff value although no significant relationship was found between hyoid movement and other clinical characteristics. Hyoid bone movement of PSD patients can be measured quantitatively and efficiently using a deep learning model. Deep learning model-based analysis of hyoid bone movement seems to be useful for predicting aspiration risk and the possibility of resuming oral feeding.

Vector competence of Ixodes ricinus instars for the transmission of Borrelia burgdorferi sensu lato in different small mammalian hosts

BackgroundMany pathogens and parasites can infect multiple host species, and the competence of different hosts as pathogen reservoirs is key to understanding their epidemiology. Small mammals are important hosts for the instar stages of Ixodes ricinus ticks, the principal vector of Lyme disease in Europe. Small mammals also act as reservoirs of Borrelia afzelii, the most common genospecies of the Borrelia burgdorferi sensu lato (s.l.) spirochetes causing Lyme disease in Europe. However, we lack quantitative estimates on whether different small mammal species are equally suitable hosts for feeding I. ricinus and whether they show differences in pathogen transmission from host to tick.MethodsHere, we analysed the feeding success and prevalence of B. burgdorferi s.l. infections in 12,987 instar I. ricinus found on captured small mammals with known infection status in Norway (2018–2022).ResultsWe found that larvae were more likely to acquire a blood meal from common shrews (Sorex araneus, 46%) compared to bank voles (Myodes glareolus, 31%) and wood mice (Apodemus sylvaticus, 36%). Nymphs tended to be more likely to acquire a blood meal from wood mice (66%) compared to bank voles (54%). Common shrews harboured few nymphs (n=19). Furthermore, we found that larvae feeding on infected bank voles (11%) were more likely to be infected with B. burgdorferi s.l. than larvae on infected common shrews (7%) or wood mice (4%).ConclusionsOur study provides quantitative evidence of differences in suitability for the instar stages of I. ricinus across taxa of small mammals and highlights how even known small mammal host species can differ in their ability to feed ticks and infect larval ticks with the pathogen causing Lyme disease.Graphical