Low Weight Research Articles

Stress relief of chemo illness.

New studies (Tang et al. 2024. J. Exp. Med.https://doi.org/10.1084/jem.20231395) describe a liver stress pathway that is activated by certain chemotherapeutic drugs, which in turn induces a peptide hormone which partially mediates the lower food intake and body weight loss during chemotherapy treatment.

Heritable Phenotypic Variations in the Self-Pollinated Progeny from Grafted Cucumber with Pumpkin as Rootstock

This study investigated whether grafting cucumber (Cucumis sativus L.) onto pumpkin (Cucurbita moschata Duch.) rootstocks can induce phenotypic variations in the self-bred cucumber progeny. The phenotypic traits of the self-pollinated progeny of grafted ‘Zhenghuang 1409’ cucumber were significantly different from those of the naturally rooted ‘Zhenghuang 1409’ parent line. Compared with the ‘Zhenghuang 1409’ cucumber inbred line, the first self-pollinated and naturally rooted generation of grafted cucumber displayed reduced length and width of the leaf at the node of the second female flower, a tapered petiole and stem, increased internode length, shorter plants, decreased fruit diameter, longer fruit stalk, thicker pulp, decreased seed length and width, and a lower 100-grain weight. Similar changes in most of these phenotypic traits were observed in the second generation of self-pollinated plants from grafted cucumber. By observing plant phenotypic traits, two leaf phenotypic variations were observed in the first generation of selfed grafted cucumber, and these two phenotypes were inherited in the second selfed generation.

Characteristics of first-time blood donors with unsatisfactory hemoglobin level and positive hepatitis B test in Binh Dinh Province

Blood transfusion is essential in the treatment of a various diseases. In order to guarantee a safe and sufficient volume of blood supply, it is crucial to select appropriate donors based on stringent eligibility criteria. The objective of this study was to furnish robust epidemiological information and identify the risk factors linked to hepatitis B virus (HBV) infection and low hemoglobin levels in first-time blood donors in Binh Dinh. Understanding the causes for donor deferrals can assist better plan and establish an efficient recruiting strategies as well as evaluate donor selection criteria. A cross-sectional study was undertaken in Binh Dinh Provincial General Hospital from November 2022 to February 2023 to examine individuals in their first-time blood donation. Data were sourced directly from voluntary blood donation registration forms. HBsAg results were assessed using rapid immunochromatographic tests and chemiluminescent immunoassays. The rate of unsatisfactory hemoglobin levels was 2.56% tested on 1,638 participants. This rate was significantly associated with female sex (18 times greater odds than males), and lower weight. The results revealed that the rate of HBV infection was 3.13% when detected by the rapid test, but increased by 0.58% when measured by chemiluminescent microparticle immunoassay. The positive hepatitis B deferral correlated with sex (p<0.05), age group (p<0.05) and occupation (p<0.05). HBV was found the leading cause of deferral in the study area and associated with males, age groups (25–35 and 36–44), officer, worker-farmer, and self-employed people. The prevalence of low hemoglobin donor deferral obtained was 2.56%. Low hemoglobin deferral is associated with female gender, lower body weight, worker-farmer, and self-employed - others. This finding underscores a significant public health concerns, highlighting the need for strategies to lower the infection rates. Understanding the factors leading to defered donation can contribute to development of proactive strategies for recruiting and retaining donors.

ПЕРЕВОД И МЕЖКУЛЬТУРНАЯ АДАПТАЦИЯ «ИНСТРУМЕНТА СКРИНИНГА ТРУДНОСТЕЙ С КОРМЛЕНИЕМ/ГЛОТАНИЕМ И НЕДОСТАТОЧНОСТИ ПИТАНИЯ У ДЕТЕЙ С ДЕТСКИМ ЦЕРЕБРАЛЬНЫМ ПАРАЛИЧОМ (FNST)»

Children with cerebral palsy (CP) often have feeding and swallowing difficulties, which can lead to malnutrition and low body weight gain and negatively affect growth and development. In order to identify feeding difficulties and malnutrition in children with CP and timely access to specialists, the FNST (Feeding Nutrition Screening Tool) English-language questionnaire has been developed and validated. The purpose of the research was to translate into Russian and carry out a cross-cultural adaptation of the FNST screening tool. Methods used: the translation and cross-cultural adaptation of the questionnaire content consisted of seven stages in accordance with the standards of the International Society for Pharmacoeconomics Research and Evaluation of Results (ISPOR). Preliminary testing of the pre-final version of the tool was conducted with the participation of 30 parents/caretakers of CP patients and 10 practitioners. The stages of the work were carried out at the National Medical Research Center for Children’s Health, I.M. Sechenov First Moscow State Medical University and Moscow State Linguistic University (all three are located in Moscow, Russia). The pre-final version was adopted with minor changes. Results: the final Russian-language adapted 4-point screening tool represents a short and simple questionnaire to identify feeding disorders and malnutrition in children with CP aged 2 to 19 y/o and to ensure the possibility of timely dietary intervention. The translation of the questionnaire into Russian and its cross-cultural adaptation have preserved functional, structural and operational equivalence. Conclusion: a Russian-language version of the FNST questionnaire has been created and adapted for screening for eating disorders in children with CP, which is the first necessary step for its further official validation and implementation.

Cytomegalovirus pneumonia with intermittent pulmonary hemorrhage leading to asphyxia death: a case report and literature review

Neonatal pulmonary hemorrhage is a late manifestation of various diseases. Premature delivery and low body weight are frequently observed as high-risk factors, characterized by acute onset, rapid progression, and high mortality rates. Pulmonary hemorrhage caused by cytomegalovirus infection in newborns with normal immune function is a rare occurrence. This case report focuses on a term neonate with normal birth weight who presented solely with nasal obstruction shortly after birth. However, 4 days after birth, the newborn experienced a sudden onset of blood gushing from both the mouth and nasal cavity. The patient was diagnosed with gastrointestinal bleeding, neonatal pneumonia and neonatal lung consolidation. And he was discharged after ten days of symptomatic treatment. However, upon returning home, the patient experienced a sudden onset of bleeding from the mouth and nose, leading to his untimely demise. Subsequent autopsy revealed the presence of pulmonary hemorrhage in newborn, which presented as interstitial pneumonia. The cause of pulmonary hemorrhage is cytomegalovirus infection. This case emphasizes the importance of pediatricians enhancing their skills in differentiating pulmonary hemorrhage, especially from cytomegalovirus pneumonia.

Effect of the addition of black garlic on the quality parameters of jerked beef meat with pork.

The objective of this work was to evaluate the effects of the replacement of nitrite by natural antioxidants from black garlic (BG) on the quality parameters of jerked beef meat with pork for 60 days. Four formulations were prepared: control, 0.02% of sodium nitrite in brine curing, w/v (CON); 1.5% BG in brine curing, w/v (ASU); 1.5% BG in dry curing, w/w (ASS); and 1.5% of BG in the brine curing, w/v and 1.5% of BG in dry curing, w/w (ASUS). Nutritional composition, pH, water activity, shear force, fatty acid profile, color, and oxidative stability of the formulations were analyzed. The addition of BG did not affect the nutritional composition, pH, water activity, shear force, and fatty acid profile. On the other hand, it resulted in lower weight loss after centrifugation and lower values of L* and a*. TBARS values from the 30th day of storage were lower in the ASUS formulation, while carbonyl compounds at all times were lower than in the CON formulation. Results suggest that BG was an efficient alternative to nitrite in controlling protein oxidation during storage. Thus, the use of pork for the manufacture of jerked beef can be an alternative, and black garlic can be applied as a natural additive to the replacement of nitrite. In addition, black garlic was efficient in improving the oxidative stability of the jerked beef meat with pork.

Gestational Diabetes Risk and Low Birth Weight After Metabolic Bariatric Surgery: a Complex Interplay to be Balanced.

Metabolic bariatric surgery (MBS) is known to improve the obstetric outcomes of women with obesity and to prevent gestational diabetes (GD). To what extent does MBS decreases GD, without incurring at additional risks is a matter of concern. A retrospective case-control study to compare the pregnancy outcomes of women previously submitted to MBS to those of age and preconception body mass index (PC BMI) matched non-operated controls. Pregnancies of women after MBS (n = 79) and matched controls (n = 79) were included. GD was significantly less frequent after MBS (7.6% vs. 19%; p = 0.03). Fasting blood glucose (76.90 ± 0.77 vs 80.37 ± 1.15mg/dl, p < 0.05; 70.08 ± 1.34 vs. 76.35 ± 0.95mg/dl; p < 0.05, first and second trimesters respectively) and birth weight (2953.67 ± 489.51g vs. 3229.11 ± 476.21g; p < 0.01) were significantly lower after MBS when compared to controls. The occurrence of small-for-gestational-age (SGA) was more frequent after MBS (22.8% vs. 6.3%; p < 0.01), but no longer significant after controlling for smoking habits (15.5% vs. 6%, p = 0.14). There were no significant differences in gestational weight gain, prematurity rate nor mode of delivery between groups. MBS was associated with a lower prevalence of GD than observed in non-operated women with the same age and BMI. After controlling for smoking, this occurred at the expense of a lower birth weight. Our data reinforces the hypothesis that MBS has body weight independent effects on glucose kinetics during pregnancy with distinctive impacts for mother and offspring, which need to be balanced.

Obstetric outcomes of patients with inflammatory bowel disease.

Inflammatory bowel diseases (IBD) are frequently diagnosed between the ages of 20 and 40, i.e. the most fertile period for women. The potential impact of IBD on pregnancy is therefore a frequent issue. To determine the impact of disease activity during pregnancy on the obstetric prognosis of women with IBD. Gastroenterological and obstetric data were collected for patients for all consecutive patients with IBD and pregnancy followed up at Amiens University Hospital (Amiens, France) between 2007 and 2021. Obstetrics outcome of patients with and without active disease were compared. One hundred patients were included (81 with Crohn's Disease for 198 pregnancies, 19 with Ulcerative Colitis for 37 pregnancies). Patients with active IBD (21 patients, 24 pregnancies) were more likely to be admitted to hospital during pregnancy (66.6, vs. 5.2% in the inactive IBD group; p < 0.001), to give birth prematurely (mean term: 36.77 weeks of amenorrhoea (WA) vs. 38.7 WA, respectively; p = 0.02) and to experience very premature delivery (before 32 WA: 12.5 vs. 1.4%, respectively; p = 0.02). Patients with active disease had a shorter term at birth (38.4 WA, vs. 39.8 WA in the inactive disease group; p < 0.0001), a lower birth weight (2707 g vs. 3129 g, respectively; p = 0.01) and higher caesarean section rate (54.2 vs. 16.9%, respectively; p = 0.03). Women with IBD patients are at risk of pregnancy related complications, especially when IBD is active. Controlling disease activity at conception and close monitoring of the pregnancy is essential to improve both gastroenterological and obstetric outcome.

Maternal Cardiac Disease and Perinatal Outcomes in a Single Tertiary Care Center.

This study aims to compare the perinatal outcomes of pregnant women with heart disease and a healthy pregnant control group, as well as the maternal and newborn outcomes of pregnant women with congenital heart disease and acquired heart disease. Pregnant women with heart disease and healthy control pregnant women were included in this retrospective study. Sociodemographic data of all patients included in the study were obtained from electronic records. Perinatal outcomes of all patients were compared. A total of 258 pregnant women were included in the study. While 129 pregnant women were diagnosed with heart disease, 129 patients were low-risk pregnant women. Preeclampsia (p=0.004) and cesarean section (p=0.01) rates were higher in pregnant women with heart disease compared to healthy pregnant women. Compared with healthy pregnant women, pregnant women with heart disease had a lower birth weight (p=0.003), a higher fetal growth restriction (FGR) rate (p=0.036), lower birth percentiles (p=0.002), a lower 5-minute APGAR (p=0.0001), a higher neonatal intensive care unit (NICU) admission rate (p=0.001), and a longer NICU stay rate (p=0.001). The mean gestational age at birth of pregnant women with congenital heart disease was higher than that of those with acquired heart disease (p=0.017). It was observed that all maternal heart diseases were associated with adverse perinatal outcomes compared to healthy pregnant women. In this series, perinatal adverse outcomes of pregnant women with congenital and acquired heart disease did not differ.

Choice of antiretroviral therapy has low impact on weight gain.

Antiretroviral therapy (ART) containing integrase inhibitors (INSTIs) and/or tenofovir alafenamide (TAF) has been associated with greater weight gain. Yet few studies have delineated between exposure to "anchor" drugs (protease inhibitors [PI], non-nucleoside reverse transcriptase inhibitors [NNRTI] or INSTIs) and exposure to nucleoside reverse transcriptase inhibitors (NRTIs). In this cohort of antiretroviral (ARV) naïve patients who initiated ART from 2008-2022, we analyzed body mass index (BMI) gain for 8 contemporary "anchor" drugs and 3 contemporary NRTIs during the first 3 years of ART. We censored patients if they stopped, switched, or added another ARV to their regimen. We used generalized estimating equations (GEE) to assess the association between BMI gain and choice of ART and a non-linear mixed model for the marginal coefficients of determination. We adjusted for time, baseline demographic and HIV-characteristics, and time-updated HIV and substance use related variables. 4,194 patients contributed 20,528 BMI measurements which were used for multivariable modeling. Most patients were black (55%) and male (77%). Median BMI gain over 3 years was +1.9 kg/m2 (IQR 0.1-4.1). ARV use accounted for only 9% of the predicted BMI change. Only efavirenz (EFV) and tenofovir disoproxil fumarate (TDF) were independently associated with (lower) weight gain while no differences between INSTIs, PIs, or rilpivirine were observed, nor between TAF and abacavir. The choice of initial ART had little impact on weight gain. INSTIs or TAF were not independently associated with weight change after ART initiation, but EFV and TDF were.

Thoracoscopic primary repair is useful for esophageal atresia with tracheoesophageal fistula in neonates with low body weight

PurposeThe surgical indication of thoracoscopic primary repair for esophageal atresia with tracheoesophageal fistula is under debate. The current study aimed to investigate the outcome of thoracoscopic primary repair for esophageal atresia with tracheoesophageal fistula in patients weighing < 2000 g and those who underwent emergency surgery at the age of 0 day.MethodsThe surgical outcomes were compared between patients weighing < 2000 g and those weighing > 2000 g at surgery and between patients who underwent surgery at the age of 0 day and those who underwent surgery at age ≥ 1 day.ResultsIn total, 43 patients underwent thoracoscopic primary repair for esophageal atresia with tracheoesophageal fistula. The surgical outcomes according to body weight were similar. Patients who underwent surgery at the age of 0 day were more likely to develop anastomotic leakage than those who underwent surgery at the age of ≥ 1 day (2 vs. 0 case, p = 0.02). Anastomotic leakage was treated with conservative therapy.ConclusionThoracoscopic primary repair is safe and useful for esophageal atresia with tracheoesophageal fistula even in newborns weighing < 2000 g. However, emergency surgery at the age of 0 day should be cautiously performed due to the risk of anastomotic leakage.

Feeding Performance of Argentine Stem Weevil Is Reduced by Peramine from Perennial Ryegrass Infected with Endophyte Fungus.

One of the primary supports for extensive agriculture is pasture, which can suffer severe damage from insects including the Argentine stem weevil, Listronotus bonariensis. The main control method has been the infection of ryegrass with an endophyte fungus, forming a symbiotic association that produces alkaloids. In this study, we evaluated the impact of endophyte and peramine production on the weight of L. bonariensis across seven unnamed lines (LE161-LE167), and two Lolium perenne cultivars: Jumbo and Alto AR1. L. bonariensis adults fed on leaves from LE164, LE166, and ALTO AR1 showed weight losses of 13.3%, 17.1% and 18.2%, respectively. Similarly, the corresponding alkaloidal extract from LE164, LE166, and ALTO AR1 exhibited an antifeedant effect on L. bonariensis adults in laboratory assays, as observed through weight loss or low weight gain (-12.5%, 8.8% and 4.9%, respectively). Furthermore, one alkaloid, peramine, also elicited an antifeedant effect when incorporated into an artificial diet. Liquid chromatographic analysis of the alkaloid extract revealed that peramine was present in LE164, LE166 and ALTO AR1 in amounts ranging from 46.5-184.2 ng/g. Peramine was not detected in Jumbo and the remaining experimental lines. These data suggest that L. bonariensis were susceptible to peramine produced from endophyte infection in experimental lines LE164 and LE166, as well as ALTO AR1, affecting their feeding behavior.

Long-term safety of lanthanum carbonate in the real word: a 19-year disproportionality analysis from the FDA Adverse Event Reporting System

Background Lanthanum carbonate is widely used to manage serum phosphate and calcium levels in end-stage kidney disease (ESKD) patients, yet comprehensive long-term safety data are lacking. This study leverages the FDA Adverse Event Reporting System (FAERS) to assess the extended safety profile of lanthanum carbonate. Research design and methods We analyzed FAERS data (2004-2022) to study the association between lanthanum carbonate and adverse events (AEs). Using MedDRA v25.0, we identified risk signals through System Organ Classes (SOCs) and Preferred Terms (PTs). Disproportionality analyses quantified lanthanum carbonate-associated AE signals. Results Among 3,284 reports, 2,466 were primary suspected AEs linked to lanthanum carbonate. Males reported AEs more frequently than females. Patients aged over 64 represented the majority. Median onset time for lanthanum carbonate-related AEs was 146 days. Gastrointestinal disorders were prevalent. We identified 16 new signals, including stress, abnormal hepatic function, cholelithiasis, bile duct stone, gastric cancer, and adenocarcinoma gastric. Stress was notable, particularly in male patients over 65 and those with lower weight. Conclusions This study affirms lanthanum carbonate’s long-term safety for reducing elevated blood phosphorus levels. While gastrointestinal disorders were common, attention must focus on emerging AEs, particularly stress, especially in elderly patients.

Facile Synthesis of Surface-Modified Hollow-Silica (SiO2) Aerogel Particles via Oil-Water-Oil Double Emulsion Method.

Due to their high surface area and low weight, silica aerogels are ideally suited for several uses, including drug delivery, catalysis, and insulation. Oil-water-oil (OWO) double emulsion is a simple and regulated technique for encasing a volatile oil phase in a silica shell to produce hollow silica (SiO2) aerogel particles by using hydrophilic and hydrophobic emulsifiers. In this study, the oil-water-oil (OWO) double emulsion method was implemented to synthesize surface-modified hollow silica (SiO2) aerogel particles in a facile and effective way. This investigation mainly focused on the influence of the N-hexane-to-water glass (OW) ratio (r) in the first emulsion, silica (water glass) content concentration (x), and surfactant concentration (s) variations. Furthermore, surface modification techniques were utilized to customize the aerogel's characteristics. The X-ray diffraction (XRD) patterns showed no imprints of impurities except SiO2. Scanning electron microscopy (SEM) and transmission electron microscopy (TEM) images highlight the hollow microstructure of silica particles. Zeta potential was used to determine particle size analysis of hollow silica aerogel particles. The oil-water-oil (OWO) double emulsion approach was successfully employed to synthesize surface-modified hollow silica (SiO2) aerogel particles, providing precise control over the particle characteristics. By the influence of the optimization condition, this approach improves the aerogel's potential applications in drug delivery, catalysis, and insulation by enabling surface modifications.

Axial transfer characteristics of a drillstring in conjunction with bit penetration behavior in horizontal wells

Nonlinear friction and interaction between bit and rock often result in a lower weight on bit (WOB) than the intended design value. The analysis of the dynamic transmission mechanism of a drillstring in complex horizontal wells is a crucial engineering problem that aims to enhance drilling efficiency. In this paper, a mechanical model was developed, integrating nonlinear bit penetration behavior and variable axial loads, aiming to unveil the nonlinear axial vibration characteristics and elucidate the transmission mechanisms within the drillstring. Notably, the mean value of axial force distributed along the drillstring is dictated by wellhead pulling force, while the amplitude is shaped by the interaction between bit and rock, and rotary speed. In calculated examples for horizontal wells, the analysis reveals that significant losses in power axial transmission, resulting in WOB is only 38% of the intended value. And reducing the wellhead pulling force by 30 kN leads to a maximum increase in WOB only of 9.51 kN. Extended region in drillstring with negative axial forces exhibit maximum values 5–6 times higher than the WOB. Specific zones, such as 20 m–40 m and 0–20 m from the bit, experience axial force fluctuation amplitudes of 40.5% and 138.8% of the mean value respectively, with the latter identified as an intense vibration zone, while the acceleration values 0–10 m from the bit signal a high-risk zone. In prolonged horizontal section, stability issues manifest, with spiral buckling observed in the holding section and sinusoidal buckling in the horizontal section. Mitigating the synchronous vibrations between the bit and the surrounding drillstring can effectively reduce the intensity of axial vibration. To ensure successful drilling to target formation, adjusting the wellhead pulling force to keep the WOB in the range of 60–90 kN and limiting the rotary speed to 90 r/min are recommended practices. This comprehensive analysis offers valuable insights for optimizing drilling parameters, pinpointing high-vibration zones, and mitigating risks associated with drilling, providing a holistic approach to enhancing drilling efficiency.

Toxicity of weight-based vs. flat dosing for immune checkpoint inhibitors in patients with low weight: Retrospective analysis from a tertiary care center.

e14616 Background: Immune checkpoint inhibitors (ICI) have come to the forefront of cancer therapy. Barring Ipilimumab, all other ICIs are dosed at flat doses for ease of administration. Pharmacokinetic studies have shown a wide range of peak and trough concentrations for flat doses. However, for underweight patients (&lt;50 Kg), when one looks at weight-based dosing, it may seem that flat dose may deliver excessive amounts of the drug within a short period of time, which in turn may cause an immune-related adverse event (irAE). We conducted a retrospective study comparing the toxicities and outcomes of weight based and flat doses in underweight patients treated with ICI. Methods: This is a retrospective study of patients receiving ICI for any cancer-related indication. Patients receiving chemotherapy with pembrolizumab, nivolumab and/or ipilimumab were included. Patients on other ICI were excluded. All grade toxicities were recorded, and Odds ratio (OR) was calculated using the Z-test. Results: 313 patients were included where 255 (81.5%) were females, median age 66 years (range 19-93), and 225 (72%) were White. Lung cancer was the most common histology (n-170, 54%) followed by H&amp;N (n-34, 11%) and GI cancers (n- 27, 9%). The median weight was 47 Kgs (range: 31-50). 252 patients (80.5%) received flat dose ICI and 61 patients (19.5%) received weight-based ICI, most of whom (n-45, 74%) received prior to 2018. Median ICI cycles was 4 (2-9) vs. 5 (3-10). Single agent PDL-1 inhibitor was prescribed to 205 patients (65%) of which 120 received pembrolizumab (59%) and 85 received nivolumab (41%), and 89 patients (28%) received ICI in combination with chemo or targeted therapy. 94 patients (30%) experienced all grade toxicities. Thyroid dysfunction (n-47, 15%) and colitis (n-24, 8%) were the most common. There was a non-significant trend towards lower toxicity in weight-based dosing: 13 (21.3%) vs. 81 (32.1%), OR =0.57, 95% CI (0.29 - 1.11) p =0.10, and a trend toward less hospitalization or need for treatment for iRAE: 8 (13.1%) vs. 55 (21.8%), OR =0.54, 95% CI (0.24 - 1.20) p=0.13. Significantly higher toxicity was recorded when chemotherapy-ICI or TT-ICI combinations: 56 (24.8%) vs. 38 (43.7%) OR = 0.42, 95% CI (0.25 - 0.71) p= 0.001. There was no difference in death or needing hospice care rates: 43 (70.5%) vs 169 (67.1%), OR= 1.17 (95% CI, 0.64 - 2.16) p= 0.61. Conclusions: Compared to standard flat dosing, weight-based dosing of ICI was associated with a trend towards lower iRAE in patients &lt; 50 Kgs without a difference in survival. These results urge the oncology community to consider the potential financial toxicity savings if weight-based dosing of ICI is adopted more broadly in underweight patients without negatively impacting outcomes, large scale and prospective studies are needed to support this hypothesis.

Effect of nonstructural carbohydrates on production performance, rumen metabolism and rumen health in lambs fed with isocaloric and isonitrogenous complete diets.

Nonstructural carbohydrates (NSC) are readily fermentable in the rumen and, are a critical factor while preparing protracted feed for higher animal performance. Four isocaloric and isonitrogenous complete feeds were prepared for this investigation to contain varying levels of nonstructural carbohydrates viz., 40.13 (NSC1), 45.21 (NSC2), 50.00 (NSC3) and 55.85 (NSC4) per cent, respectively. The four isocaloric and isonitrogenous complete feeds were tested in 32 Mecheri ram lambs (around three months of age) in a completely randomised block design (n = 8), and the lambs were fed their respective feed for six months. The study revealed that the increased NSC level in the complete diet increased the body weight and weight gain linearly (P < 0.05). The dietary NSC level affected the dry matter consumption in a quadratic manner (P < 0.05) and the lambs of the NSC4 group consumed significantly (P < 0.05) less DM compared to other dietary groups. The overall average feed conversion efficiency differed significantly (P < 0.05) among dietary groups. The correlation between dietary NSC level and faecal score was quadratic (r2 = 62.7, P < 0.05). The rumen pH, total nitrogen and NH3-N concentration were linearly decreased (P < 0.05) and the molar proportion of total short-chain fatty acids and propionic acid were increased (P < 0.05). The energy loss expressed as methane production was significantly (P < 0.01) lower for the high NSC diet-fed lambs. The lambs fed on a low NSC diet had significantly (P < 0.05) lower carcass weights, dressing percentage and loin eye area. The per cent share of rumen weight in the total fore stomach and the rumen papillae measurements length, width and surface area were significantly (P < 0.05) higher in high NSC diet-fed lambs. Increased levels of NSC in the diet increased (P < 0.05) fat deposition in the internal organs. The saturated fatty acids content in the meat was significantly (P < 0.05) lowered, whereas, the oleic acid and linoleic acid were increased (P < 0.05) as the NSC level increased in the diet. The study revealed that as the level of NSC increased in the complete diet there was a concomitant improvement in the final body weight, ADG and feed efficiency of post-weaned Mecheri lambs. It can therefore be recommended that the complete feed with 50 per cent NSC levels would be optimum to reap maximum returns from fattening Mecheri lambs.

Mortality and extrauterine growth restriction of necrotizing enterocolitis in very preterm infants with heart disease: a multi-center cohort study.

Congenital heart disease (CHD) and patent ductus arteriosus (PDA) are risk factors of necrotizing enterocolitis (NEC) in infants. However, it is unclear whether the prognosis of NEC is different between very preterm infants (VPIs) with and without heart diseases. This was an observational cohort study that enrolled VPIs (born between 24+0 and 31+6weeks) admitted to 79 tertiary neonatal intensive care units (NICU) in the Chinese Neonatal Network (CHNN) between 2019 and 2021. The exposure was CHD or isolated PDA, and VPIs with NEC were divided into three groups: complicated with CHD, with isolated PDA, and without heart diseases. The primary outcomes were NEC-related adverse outcomes (death or extrauterine growth restriction (EUGR)). Logistic regression models were used to adjust potential confounders and calculate the odds ratios (ORs) and 95% confidential intervals (CIs) for each outcome. A total of 1335 VPIs with NEC were enrolled in this study, including 65 VPIs with CHD and 406 VPIs with isolated PDA. The VPIs with heart diseases had smaller gestational ages and lower body weights at birth, more antenatal steroids use, and requiring inotrope prior to the onset of NEC. While suffering from NEC, there was no significant increased risks in NEC-related death in VPIs with either CHD (adjusted OR [aOR]: 1.10; 95% CI: 0.41-2.50) or isolated PDA (aOR: 1.25; 95% CI 0.82-1.87), and increased risks in EUGR were identified in either survival VPIs with CHD (aOR: 2.35; 95% CI: 1.31-4.20) or isolated PDA (aOR: 1.53; 95% CI: 1.16-2.01) in survivors. The composite outcome (death or EUGR) was also more often observed in VPIs with either CHD (aOR: 2.07; 95% confidence interval [CI]: 1.20-3.60) or isolated PDA (aOR: 1.51; 95% CI: 1.17-1.94) than that without heart diseases. VPIs with either CHD or isolated PDA were associated with significantly prolonged duration of fasting, extended time to achieve full enteral feeding, and longer ventilation duration and hospitalization duration. Similar characteristics were also seen in VPIs with isolated PDA, with the exception that VPIs with CHD are more likely to undergo surgical intervention and maintain a prolonged fast after NEC. Conclusion: In VPIs with NEC, CHD and isolated PDA are associated with an increased risk in worse outcomes. We recommend that VPIs with cardiac NEC be managed with aggressive treatment and nutrition strategies to prevent EUGR. What is Known: • CHD and PDA are risk factors for NEC in infants, which can lead to adverse outcomes such as death and EUGR. • NEC in infants with heart disease differs clinically from that in infants without heart disease and should be recognized as a separate disease process. What is New: • CHD and isolated PDA are associated with increased risks of EUGR in VPIs with NEC. • Risk factors associated with VPIs with cardiac NEC suggested these patients should be managed with aggressive treatment and nutrition strategies to adverse outcomes.

Effects of Photoperiod Treatments on Stock Plants and Cutting Rooting of Three Cultivars of Ornamental Perennials

Many species of herbaceous perennials now have numerous cultivars, with growth habits and flower colors unique to each cultivar. Vegetative propagation is required so that resulting plants are genetically identical to the parent plant. Although many cultivars are selected for precocious and vigorous flowering, it is often difficult to collect adequate vegetative cuttings from such cultivars for commercial production because juvenile (vegetative) growth is preferred for high-quality cuttings. Cuttings that are reproductive (with flower buds or flowers) can have reduced or delayed rooting and increased occurrences of fungal pathogens (especially Botrytis species), resulting in lack of crop uniformity. We sought to answer the question, can growing stock plants of herbaceous perennials under defined photoperiods extend the length of the vegetative period and enhance the rooting of cuttings harvested from these stock plants? In this study, stock plants of ‘P009S’ twinspur (Diascia integerrima), ‘Furman's Red’ sage (Salvia greggii), and ‘Wild Thing’ sage (Salvia greggii) were grown under ambient, 12-hour light, 10-hour light, and 8-hour light to determine if a particular photoperiod could be used to suppress reproductive growth by promoting vegetative growth, thereby enhancing cutting rooting success. Effects of photoperiod treatments varied among the plant cultivars studied. Plants grown under 8-hour photoperiod had longer duration of vegetative growth, smaller growth rates, and lower dry weights when compared with plants grown under 12-hour or 10-hour photoperiod. Plants grown under 12-hour photoperiod had shorter duration of vegetative growth, larger growth rates, and higher dry weights when compared with plants grown under 10-hour and 8-hour photoperiods. The probability of rooting of cuttings harvested from stock plants of ‘P009S’ twinspur, ‘Furman’s Red’ sage, and ‘Wild Thing’ sage grown under 12-hour and 10-hour photoperiods was greater when compared with cuttings harvested from stock plants grown under 8 h photoperiod.

Flow and heat transfer characteristics of hydrocarbon fuel in lightweight C/SiC regenerative cooling combustor

To meet the requirements of higher thermal protection ability and lower structural weight of regenerative cooling structures in advanced hypersonic vehicles, carbon-fiber-reinforced silicon carbide (C/SiC) composites with high permittable service temperatures and low densities are promising for application in thermal protection systems. In this study, four cylindrical regenerative cooling configurations applying C/SiC composites for a designated scramjet engine combustor are proposed, and the thermal protection performance under the influence of the cooling equivalence ratio (0.4∼1.0) and anisotropic thermal conductivity is studied. The results show that the C/SiC composites can significantly improve the heat resistance of the entire regenerative cooling structure owing to their relatively low thermal conductivity, which reduces the total heat flux transferred to the inner structure. The thermal protection ability can be maintained, whereas the coolant flow rate is reduced by 50%. C/SiC composites with higher thermal conductivities in the circumferential direction are beneficial for uniform temperature distribution. A flow distribution deterioration phenomenon caused by the thermal cracking of the coolant and the increasing flow resistance in the cooling channels can be observed under certain conditions, leading to a mass flow rate difference of 2.5 times among the cooling channels. Moreover, introducing C/SiC composites into the regenerative cooling structure design can significantly reduce the total structural weight by over 50% compared to traditional superalloys.