Regular Diet Research Articles

Enhanced Recovery after Surgery for Pediatric Abdominal Tumor Resections: A Prospective Multi-Institution Study

BackgroundEnhanced recovery after surgery (ERAS) protocols are multi-disciplinary approaches to standardize perioperative care. This is the first prospective, multi-institutional study to evaluate ERAS in pediatric patients undergoing abdominal tumor resections. MethodsAll patients >1-month-old undergoing abdominal tumor resection at one of three children’s hospitals between 2020–2022 were eligible. ERAS counseling was performed, and informed consent obtained. The ERAS protocol was standardized across institutions. We compared the prospective cohort to a propensity-matched historical cohort (2014–2020) from each institution utilizing 16 variables. Categorical variables were compared using McNemar’s and/or Stuart-Maxwell testing. Continuous data was compared using logistic regression. ResultsNinety-five patients enrolled in the prospective cohort and were compared to 95 well-matched historic patients. Median LOS was 5.3 (4.1 - 7.2) days in the historic cohort, and 4.3 (3.3-6.2) days in the ERAS cohort (p = 0.053). Post-operative opioid consumption was lower in ERAS patients at 0.08 (0.03-0.16) MME mg/kg/day versus 0.23 (0.12-0.52) in historic patients (p = 0.013). ERAS patients received clear (POD#0, 0-0) and regular (POD#1, 1.0-1.0) diets two days sooner (both p < 0.001). ERAS patients ambulated two days sooner (1.0, 1.0-2.0 versus 3.0, 2.0-5.0). Patients who experienced any complication was significantly lower in the ERAS cohort (44, 44.2%) compared to historic (82, 86.3%, p<0.001). This reduction was seen across each Clavien-Dindo grade 1-3 category (all p<0.05). ConclusionERAS protocols are feasible in pediatric patients undergoing abdominal tumor resections. Use of an ERAS protocol significantly reduced complications, opioid consumption, time to mobility, and time to diets. Level of EvidenceII

CEREBRAL MICROVASCULATURE IN AN EXCLUSIVELY FAT DIET MODEL

The microcirculation system plays a major role in the process of food intake and assimilation by the body. It ensures the distribution of oxygen and nutrients among neurons, taking into account their functional activity. The capillaries of the villi in the choroid plexus of cerebral ventricles remain the main source of cerebrospinal fluid production, which determines most physiological functions of the body. The aim of the study is to identify the peculiarities of remodeling of the microvasculature and vascular plexus of the third cerebral ventricle in rats kept exclusively on a fat diet. Materials and Methods. The work was performed on 20 white mongrel male rats (200–250 g.), divided into control and experimental groups. Animals of the control group were on a regular diet. Rats of the experimental group were fed exclusively with fatty food (sheep tail fat). On the 15th and 30th days, the animals were withdrawn from the experiment. A study of biochemical blood parameters (cholesterol, glucose, and protein) was carried out. After decapitation, the brain was fixed in formalin, brain sections were stained with hematoxylin and eosin (Van Gieson stain). The authors conducted light microscopy and morphometry on an Olympus B×40 microscope (Japan). Results. The animals showed a significant increase in the levels of cholesterol, glucose and albumin in the blood serum under an exclusively fat diet. By the 30th day of the experiment, the smooth muscles of the cerebral arteries undergo paresis, proteolysis, vacuolar dystrophy, hypoplasia with a sharp expansion of the vessel lumen. Signs of myoelastofibrosis are observed in the adventitia. Vein walls are thinned, the lumen is dilated, intravascular thrombi are observed. In the choroid plexus of the 3rd cerebral ventricle, a deficit of plasma flow through the sinusoidal capillaries with compensatory ependymocyte hyperfunction is noted. Conclusion. An exclusively fat diet leads to remodeling of the cerebral microvasculature, including the capillaries of the villi of the choroid plexus of the 3rd ventricle. All changes are compensatory and adaptive in nature. However, by the 30th day of the experiment, some of them become irreversible.

Influence of bone morphogenetic protein (BMP) signaling and masticatory load on morphological alterations of the mouse mandible during postnatal development

ObjectiveBone homeostasis relies on several contributing factors, encompassing growth factors and mechanical stimuli. While bone morphogenetic protein (BMP) signaling is acknowledged for its essential role in skeletal development, its specific impact on mandibular morphogenesis remains unexplored. Here, we investigated the involvement of BMP signaling and mechanical loading through mastication in postnatal mandibular morphogenesis. DesignWe employed conditional deletion of Bmpr1a in osteoblasts and chondrocytes via Osterix-Cre. Cre activity was induced at birth for the 3-week group and at three weeks for the 9-week and 12-week groups, respectively. The conditional knockout (cKO) and control mice were given either a regular diet (hard diet, HD) or a powdered diet (soft diet, SD) from 3 weeks until sample collection, followed by micro-CT and histological analysis. ResultsThe cKO mice exhibited shorter anterior lengths and a posteriorly inclined ramus across all age groups compared to the control mice. The cKO mice displayed an enlarged hypertrophic cartilage area along with fewer osteoclast numbers in the subchondral bone of the condyle compared to the control group at three weeks, followed by a reduction in the cartilage area in the posterior region at twelve weeks. Superimposed imaging and histomorphometrical analysis of the condyle revealed that BMP signaling primarily affects the posterior part of the condyle, while mastication affects the anterior part. ConclusionsUsing 3D landmark-based geometric morphometrics and histological assessments of the mandible, we demonstrated that BMP signaling and mechanical loading reciprocally contribute to the morphological alterations of the mandible and condyle during postnatal development.

Caloric Restriction Diet Attenuates Systemic Bone Fragility after Radiotherapy

Bone fragility is a well-documented long-term side effect of radiotherapy, which currently has no preventative treatments. In this study, we applied a caloric restriction (CR) diet to attenuate both local and systemic bone loss after irradiation (RTx) in an established female Balb/c mouse model (4 consecutive daily doses of 5 Gy to the right hindlimb only). CR mice were tapered down to a 30% reduced calorie diet (RTx/CR) one week before irradiation, while regular diet (RD) mice received food ad libitum (RTx/RD). Unirradiated (sham) mice received either a 30% CR diet (SH/CR) or received food ad libitum (SH/RD). Irradiated, contralateral, and unirradiated hindlimbs were evaluated at 2, 4, and 8 weeks postirradiation using micro-computed tomography (μCT) to assess bone morphology and 3-point bending to quantify femur strength. Histological analysis of irradiated and unirradiated tibiae was performed to examine general bone tissue cytology and serum biomarker analysis was performed using terminal blood draw samples. After treatment, femur strength and metaphyseal bone quantity was decreased in irradiated and contralateral femora of RTx/RD mice compared to SH/RD femurs; this finding is consistent with previous studies. RTx/CR mice had positive effects when compared to RTx/RD mice, including increased strength relative to body mass in both the irradiated and contralateral limb, increased trabecular bone mass, and decreased marrow adiposity. However, a number of adverse effects were also observed, including a significant decrease in body mass and decreased cortical bone. Overall, CR shows promise as a preventative treatment for postirradiated bone fragility, yet questions remain to be addressed in future studies. Ideal diet duration, impact to normal tissue, and mechanism of action must be explored to better understand the clinical implication of a CR diet.

Application of small animal ultrasound imaging technology for identification of polycystic ovary syndrome in a mouse model

Background and AimsPolycystic ovary syndrome (PCOS) is a hormonal disorder common among women of reproductive age, characterized by irregular menstrual periods, elevated levels of androgens, and polycystic ovaries, leading to various symptoms and complications such as infertility, metabolic issues, and increased risk of diabetes and heart disease. This study aimed to compare traditional histological methods and ultrasound imaging for consistency in identifying PCOS in a mouse model. The shortest time to construct the PCOS model using letrozole was determined. MethodsFemale C57/BL mice were randomly divided into three groups: Group A received normal saline and a regular diet; Group B received 1 mg/kg/day of letrozole with a regular diet; and Group C received 1 mg/kg/day of letrozole with a high-fat diet. All mice were administered letrozole by intragastric gavage daily for five weeks. The traditional identification method included measuring body weight, examining vaginal smears, monitoring the estrous cycle, measuring serum androgen levels, and performing H&E staining of ovarian tissues. The PCOS model was evaluated using ultrasound imaging to identify and monitor follicles. The significance of the difference between the traditional identification method and the ultrasonic method was calculated using the nonparametric McNemar test, and consistency between the two methods was assessed with the kappa-coefficient test. On this basis, the ultrasound imaging technology was used to monitor the model-making process for 2, 3 and 4 weeks, and to monitor the parameters of the ovary and follicles to judge the shortest time that gavage letrozole caused the appearance of vesicular follicles in the mouse ovary. ResultsThe traditional identification method showed no PCOS phenotype in group A mice, while groups B and C showed multiple ovarian cystic follicles, indicating successful model induction. The ultrasound imaging results were consistent with the traditional method, showing no PCOS in group A and multiple cystic follicles in groups B and C. The McNemar test revealed no significant difference between the traditional and ultrasonic identification methods. The kappa-coefficient test assessed consistency, yielding a value of 0.903, indicating strong agreement between the methods. The ovarian area, diameter, and the number and diameter of cystic follicles were not significantly changed at two weeks in the letrozole group compared with the control group. At three weeks, there were significant increases in the number and in the diameter of vesicular follicles compared with control cells. At four weeks, the number and diameter, the maximum cross-sectional area and diameter of the ovary were significantly increased compared with the control group. ConclusionsThe ultrasound and traditional methods provide consistent results for identifying PCOS in a mouse model. Construction of the PCOS model by letrozole gavage takes at least three weeks.

Pain Related Secondary Outcomes Associated with Cold Tonsillectomy and Role of Topical Sucralfate in Mitigating Their Severity: A Comparative Observational Study

The aim of the study was to assess the pain related secondary outcomes associated with cold tonsillectomy and role of topical sucralfate to reduce their intensity. Material and Methods: This comparative observational study was conducted in the ENT department of the Pakistan Institute of Medical Sciences (P.I.M.S.), affiliated with the Shaheed Zulfiqar Ali Bhutto Medical University (SZABMU), Islamabad, spanned from December 2016 to August 2017, following institutional ethical approval. The study comprised 112 patients with recurrent tonsillitis, evenly assigned to group A (subjects) and group B (control). Tonsillectomy, employing the cold steel dissection method, was administered to all patients. Group A received 10ml of topical sucralfate every 8 hours on the zero and first postoperative days, while group B received a placebo. Comparative analysis between the groups focused on pain-related secondary outcomes, including referred otalgia and the ability to initiate a regular oral diet on the morning of the first postoperative day. SPSS version 21 facilitated data analysis, with significance set at p &lt; 0.005. Results: In group A, the mean age was 12.14±5.17, and in group B, it was 11.53±3.95, resulting in an overall mean age of 11.83±4.59 for both groups. Among 112 patients, 55.4% (n=62) were male, and 44.6% (n=50) were female. The frequency of referred earache was significantly lower in group A (15, 26.8%) compared to group B (25, 54.6%) [n1=n2=56, p=0.049]. Intolerance to start a normal diet was significantly lower in group A (17, 30.4%) compared to group B (39, 69.6%) at the first post-op day [n1=n2=56, p=0.034].Conclusion: Utilizing topical sucralfate alongside other pain management strategies proves to be an effective approach in reducing the intensity of pain related secondary complication i.e. referred otalgia and intolerance to oral intake among patients undergoing tonsillectomy using the cold steel dissection technique.

440 The effects of reducing dietary nutrient density after the second dose of GnRF immunization (Improvest) on growth performance and carcass characteristics of gilts and intact males

Abstract Objectives were to determine the effects of reducing dietary nutrient density after the second dose of GnRF immunization (Improvest; Zoetis Inc.) on growth performance and carcass characteristics. Pigs (n = 1,008) were fed in five diet phases during the 102-d grow-finish period. Diets were formulated to meet 100% of recommended SID Lys to net energy established by PIC (2021) for physically castrated (PC) barrows/non-immunized gilts (regular diet), while diets for GnRF-immunized pigs were formulated with 120% SID lysine than PC barrows/ non-immunized gilts (nutrient-dense diet). During diet phase-4 (2 d after the second GnRF analogue dose), SID lysine and vitamins/trace minerals for the nutrient-dense diet were either maintained at 100% or reduced to 95% or 90%. During diet phase-5 (18 d after second GnRF analogue dose), SID lysine and vitamins/trace minerals nutrient-dense diet were either maintained at 100% or reduced to 90% or 80%. The study consisted of six pen replications (21 pigs/pen) of the following eight treatments: CON-NEG: traditional mixed-sex pigs (PC barrows and non-immunized gilts) that received the regular diet; CON-POS: traditional mixed-sex pigs that received the nutrient-dense diet; I-MALE-100: immunized males (I-MALES) that received the nutrient-dense diet with 100% density; I-MALE-95/90: I-MALES that received the nutrient-dense diet with 95% density during diet phase-4 and 90% density during diet phase-5; I-MALE-90/80 I-MALES that received the nutrient-dense diet with 90% density during diet phase-4 and 80% density during diet phase-5; I-FEM-100: immunized females (I-FEM) that received the nutrient-dense diet with 100% density; I-FEM-95/90: I-FEM that received the nutrient-dense diet with 95% density during diet phase-4 and 90% density during diet phase-5; I-FEM-90/80: I-FEM that received the nutrient-dense diet with 90% density during diet phase-4 and 80% density during diet phase-5. Data were analyzed with PROC MIXED of SAS, with pen serving as the experimental unit. In addition, linear effects of diet dilution for I-MALE and I-FEM pigs were tested using contrast statements. There were not significant linear effects of diet dilution for gain:feed or hot carcass weight in either the I-MALE (P &amp;gt; 0.28) or I-FEM (P &amp;gt; 0.78) pigs. For the overall period, gain:feed was improved by 7.4% for I-MALE pigs compared with the CON-NEG pigs and was improved by 1.6% for the I-FEM pigs compared with the CON-NEG pigs. Hot carcass weight was 3.6 kg greater for the I-MALE pigs compared with the CON-NEG pigs and 1.6 kg greater for the I-FEM pigs compared with the CON-NEG pigs. The results would suggest that removing nutrients during the post-second dose period of GnRF immunization does not negatively affect growth performance or carcass characteristics, while both I-MALE and I-FEM pigs are more efficient and heavier when compared with traditional mixed sex pigs.

Ameliorating effect of Tennetti-Tilla (dried figs and sesame seeds laddu) on type 2 Diabetic convalescents-A case study

Diabetes mellitus is a common endocrine disorder of impaired glucose metabolism and is increasing globally due to changes in the lifestyle of individuals. It can be controlled or reversible by following a regular diet and proper exercises. Along with the diet exercises naturally available supplements are also helpful in controlling diabetes. There are many plant-based products which can be consumed in daily diet which act as nutraceuticals. The present case study was based on the natural supplementation with dried figs and sesame seeds. A 64-year-oldman known case of Type 2 diabetes consulted at nature cure hospital with chief complaint of uncontrolled fasting sugar and HbA1c since 8 years. Using dried figs and sesame seeds named as the formulation Tennetti-tilla. Along with regular medicines 10 g of supplementation was advised for 90 days to the subject. After the study period it was observed that Fasting sugar levels have reduced from 116 mg/dl to 96 mg/dl, post prandial 147mg/dl to 118 g/dl, HBA1c 7.1% to 6%.

Clo-miR-14: a medicinally valued spice-derived miRNA with therapeutic implications in rheumatoid arthritis.

Plant microRNAs (miRNA) are regularly consumed orally along with diet, gaining attention for their RNA-based drug potential because of their ability to regulate mammalian gene expression specifically at the post-transcriptional level. Medicinally valued plants are well known for their anti-inflammatory property; however, the contribution of their miRNA in managing inflammation has been less studied. We investigated miRNA from four medicinally valued regularly consumed spices, and validated one of the most potential miRNA 'Clo-miR-14' for its thermal stability, and absorption in the plasma samples of RA patient's by RT-PCR. In vitro and in vivo studies were performed to investigate the effect of Clo-miR-14 in ameliorating rheumatoid arthritis (RA) like symptoms. Our results suggest that 'Clo-miR-14,' an exogenous miRNA present in Curcuma longa, absorbed through regular diet, has robust thermal stability at 100°C in humans. It significantly reduced pro-inflammatory cytokines (TNF, IL-1β, IL-6) and RA-like symptoms, suggesting that plant-based miRNA could be a promising candidate as an RNA-based drug for RA pathogenesis.

Experimental Study of Hypolipidemic Effect of Manjal Noiku Kudineer

Hyperlipidemia, is a major stake for the development of serious diseases like atherosclerosis, Coronary Artery Diseases, Stroke. Siddha system of Medicine with the numerous combination of medicines has Manjal Noiku Kudineer(MNK), a Siddha poly herbal formulation indicated for Manjal Noi. This study deals with the Hypolipidemic activity of Manjal Noiku Kudineer on atherogenic diet induced hyperlipidemia in experimental Wistar Albino Rats Place of Study: The study was conducted at Arulmigu Kalasalingam College of Pharmacy, Virudhunagar. Methodology: The study protocol for MNK was reviewed and approved by Institutional Animal Ethics Committee (IAEC), Arulmigu Kalasalingam College of Pharmacy, Virudhunagar, with the IAEC number AKCP/IAEC/10/24-25. The experimental hyperlipidemic diet consists of well-pulverized 400 mg/kg cholesterol, 50 mg/kg cholic acid, and coconut oil. All groups other than the control group were fed the prepared atherogenic meal in lieu of the regular pellet diet. Group I served as normal control, Group II represented hyperlipidemic control rats given an atherogenic diet, Group III and IV represented test groups given MNK 200 mg/kg and MNK 400 mg/kg, respectively, and Group V represented standard-administered atorvastatin (10 mg/kg/day). All groups were compared, observations were noted and the observations were statistically evaluated. Results: The study shows the results of reduction in body weight, blood lipid profile, liver lipid profile of hyperlipidemic rats on treating with the study medicine, which possess hypolipidemic activity. Histopathologic images of rat liver also shown normal parenchyma and parenchyma with minimal necrosis and minimal inflammatory changes on treating with the study medicine MNK. Conclusion: The results stands as a support for MNK hypolipidemic activity, which in turn can be used as a antihyperlipidemic therapeutic agent from the Siddha System of Medicine.

Mineralocorticoid Receptor Blocker Prevents Mineralocorticoid Receptor-Mediated Inflammation by Modulating Transcriptional Activity of Mineralocorticoid Receptor-p65-Signal Transducer and Activator of Transcription 3 Complex.

Mineralocorticoid receptor (MR) induces cardiac inflammation cooperatively with nuclear factor-κB and signal transducer and activator of transcription 3 (STAT3); MR blockers exert anti-inflammatory effects. However, the underlying mechanism remains unclear. We investigated the anti-inflammatory effect of esaxerenone, a novel MR blocker, in experimental myocardial infarction (MI) and its underlying mechanisms. Male C57BL/6J mice subjected to ligation of the left anterior descending artery were randomly assigned to either the vehicle or esaxerenone group. Esaxerenone was provided with a regular chow diet. The mice were euthanizedat either 4 or 15 days after MI. Cardiac function, fibrosis, and inflammation were evaluated. Esaxerenone significantly improved cardiac function and attenuated cardiac fibrosis at 15 days after MI independently of its antihypertensive effect. Inflammatory cell infiltration, inflammatory-related gene expression, and elevated serum interleukin-6 levels at 4 days after MI were significantly attenuated by esaxerenone. Invitro experiments using mouse macrophage-like cell line RAW264.7 cells demonstrated that esaxerenone- and spironolactone-attenuated lipopolysaccharide-induced interleukin-6 expression without altering the posttranslational modification and nuclear translocation of p65 and STAT3. Immunoprecipitation assays revealed that MR interacted with both p65 and STAT3 and enhanced the p65-STAT3 interaction, leading to a subsequent increase in interleukin-6 promoter activity, which was reversed by esaxerenone. Esaxerenone ameliorated postinfarct remodeling in experimental MI through its anti-inflammatory properties exerted by modulating the transcriptional activity of the MR-p65-STAT3 complex. These results suggest that the MR-p65-STAT3 complex can be a novel therapeutic target for treating MI.

Keratinocyte-Derived Exosomes in Painful Diabetic Neuropathy.

Painful diabetic neuropathy (PDN) is a challenging complication of diabetes with patients experiencing a painful and burning sensation in their extremities. Existing treatments provide limited relief without addressing the underlying mechanisms of the disease. PDN involves the gradual degeneration of nerve fibers in the skin. Keratinocytes, the most abundant epidermal cell type, are closely positioned to cutaneous nerve terminals, suggesting the possibility of bi-directional communication. Exosomes are small extracellular vesicles released from many cell types that mediate cell to cell communication. The role of keratinocyte-derived exosomes (KDEs) in influencing signaling between the skin and cutaneous nerve terminals and their contribution to the genesis of PDN has not been explored. In this study, we characterized KDEs in a well-established high-fat diet (HFD) mouse model of PDN using primary adult mouse keratinocyte cultures. We obtained highly enriched KDEs through size exclusion chromatography and then analyzed their molecular cargo using proteomic analysis and small RNA sequencing. We found significant differences in the protein and microRNA content of HFD KDEs compared to KDEs obtained from control mice on a regular diet (RD), including pathways involved in axon guidance and synaptic transmission. Additionally, using an in vivo conditional extracellular vesicle (EV) reporter mouse model, we demonstrated that epidermal-originating GFP-tagged KDEs are retrogradely trafficked into the DRG neuron cell body. Overall, our study presents a potential novel mode of communication between keratinocytes and DRG neurons in the skin, revealing a possible role for KDEs in contributing to the axonal degeneration that underlies neuropathic pain in PDN. Moreover, this study presents potential therapeutic targets in the skin for developing more effective, disease-modifying, and better-tolerated topical interventions for patients suffering from PDN, one of the most common and untreatable peripheral neuropathies.

Nutrient Status of Some Food Fishes with Respect to Their Proximate Composition: A Review

The nutritional awareness is a vital issue in most of the developing countries. Consumption of imbalance nutrients is globally responsible for the malnutrition, a curse for the people who belongs to below poverty line. Fish is a vital source of protein and many other essential nutrients for the human health. More than one billion of people around the world include fish food in their regular diet. Many of the developing countries like India are resided by poor villagers who gladly consume the small fish species which are of low cost and easily available in the water lands. The nutrient status the small food fishes are of greater interest to the researchers in the field of biochemistry in terms of their socio-economic impact and sustainable human food chain. Advanced researches on the biochemical constituents of different fishes are signified and essential to the human health as well as medicinal practitioners to formulate newer medicines for the prevention of many life risk diseases of the community. This review article is an attempt to review the current scientific literatures on the nutrient status with respect to their proximate composition of different fish species across the globe. The significance of such study on Food-to-food fortification (FtFF) on the basis of proximate composition of fish along with challenges and future perspectives are also highlighted.

Viromes of arthropod parasites and their hosts: The case of bats and bat ectoparasites

Blood feeding ectoparasites of bats have been found to contain insect-specific and vertebrate-infecting viruses of agricultural and medical importance. While it is plausible that some of these are of bat origin, those would be sourced either from the bat exterior or their blood meal. Bats, in addition to their regular diets, consume numerous ectoparasites during grooming. All microbes on and in the ectoparasites would then be introduced into the bat gut upon ingestion of the ectoparasites. To investigate the potential impact of bat ectoparasite viromes on the gut viral microbiome of bats, we compared virus sequences from bats and their blood feeding ectoparasites collected from Yunnan Province, China. Although all the co-occurring viruses were bacteriophages, we observed that bats contained a larger set of viruses than their ectoparasites, and that the set of predicted viruses present in the bats were more diverse than those present in bat ectoparasites. Our analysis suggests that despite a heavy influx of ectoparasites into the digestive tract of bats through consumption, there are only few co-occurring/shared viruses between bats and their ectoparasites, and that these ectoparasites may not be a major driver of bat virome diversity. Our findings provide necessary preliminary data for the evaluation of bat ectoparasites as a potential source of bat infecting viruses.

O37 LINK BETWEEN NMDA RECEPTOR GluN2C DEFICIENCY AND HYPERTENSION IN MICE

N-methyl-D-aspartate (NMDA) receptors are glutamate receptors located in the CNS and peripheral tissues. We previously demonstrated that kidney NMDA receptors in the connecting/collecting ducts (CNT/CCD) participate in renal autoregulation and kidney vasodilation. Additionally, we found that the use of non-specific NMDA inhibitors increases blood pressure. This study aims to identify which NMDA receptor subtypes are associated with hypertension. We evaluated the RNA transcription of the Grin2C gene (GluN2C subunit) and the Grin2D gene (GluN2D subunit) in the CNT/CCD using in-situ hybridization RNA scope, along with the presence of the CNT/CCD marker AQP-2. Blood pressure was evaluated in C57B mice and global genetic ablated mice on a C57B background: GluN2C-KO and GluN2D-KO. Blood pressure was measured using the tail-cuff method three times a week for two weeks following a three-session training period. Both male and female mice were used. Animals were fed regular and high salt diets (4%). RNA expression of NMDA subunits 2C and 2D was found in AQP2-positive regions of mouse kidneys, consistent with CNT/CCD regions. Females had higher Grin2C transcription levels than males (p&lt;0.01). The average systolic blood pressure (SBP) for C57B control mice was 105.6±10.5 mmHg. SBP in GluN2C-KO mice was 114.6±7.3 mmHg, significantly elevated compared to the matched C57B control mice (p&lt;0.01). SBP in GluN2D-KO mice was 111.6±10.4 mmHg, with no significant differences from the matched control (111.1±4.6 mmHg; p=0.93). GluN2C-KO female tends to have higher SBP tan males, however the difference was not statistical significant. Following a high salt diet challenge, blood pressure did not change in any of the three groups. NMDA receptor subunits GluN2C and GluN2D are expressed in the CNT/CCD region. The genetic absence of GluN2C is associated with increased blood pressure, whereas the lack of GluN2D did not affect SBP. No salt sensitivity was observed in any of the genetically ablated mice. Future research will explore the effects of these subunits on renal hemodynamics.

O81 EFFECT OF ANTIHYPERTENSIVE MEDICATIONS ON URINARY SODIUM TO POTASSIUM (Na/K) RATIO

Background: The urinary sodium to potassium ratio (Na/K) greater than 2 indicating either excess sodium or insufficient potassium intake. However, the effect of antihypertensive medications on the urinary Na/K ratio has not been evaluated. We hypothesized that antihypertensive medication would acutely affect the urinary Na/K ratio. Methods: Male and female C57BL/6J mice, 14 weeks old, and a separate cohort of 24-month-old mice were subjected to a regular chow diet (NaCl 0.4%) and a high salt diet (4%). Urinary Na/K ratios in spot urine samples were measured three times a week. After baseline measurements, all animals were treated with one antihypertensive medication for 2 weeks, followed by a one-week washout period. The effects of enalapril (25 mg/kg/day), hydrochlorothiazide (25 mg/kg/day), and amlodipine (10 mg/kg/day)—were compared under a high salt diet mimicking human salt consumption. Urinary Na/K ratios collected on day 1 (acute) and day 8 (subacute) after initiating medication were compared to the vehicle period using a two-way ANOVA. Medication was administered with food using gel food pellets. Results: Under regular chow, the urinary Na/K ratio was 0.65±0.58 (n=15) with no interaction between sex or age (all p&gt;0.05). Under a high salt diet, the urinary Na/K ratio increased to 4.5±2.2 (p&lt;0.01 vs. regular chow) with no differences between sex and age. After the washout period, enalapril, both acutely and subacutely, did not affect the Na/K ratio. Similarly, hydrochlorothiazide did not affect the Na/K ratio in either period. However, amlodipine reduced the Na/K ratio in both acute and subacute periods (p&lt;0.001). No interaction was observed with sex or age. The effect of amlodipine was related to higher potassium excretion (43.9±23 vs. 81.6±33 meq/L; p&lt;0.001) with no changes in sodium excretion (152.2±75 vs. 173.3±43.5 meq/L; p=0.8). Conclusion: The Na/K ratio reflects salt and potassium consumption. The Na/K ratio is not affected by enalapril or hydrochlorothiazide. Amlodipine decreases the Na/K ratio acutely and subacutely due to increased potassium excretion.

Mental Health Literacy Among Urban and Rural Residents of Guangdong Province, China.

The study aims to understanding the mental health literacy level of urban and rural residents in Guangdong Province, the first major province in China, and its influencing factors is crucial. A multi-stage stratified equal-volume random sampling method was adopted in October-December 2022 to select permanent residents aged 18 years and above in Guangdong Province for the questionnaire survey, which consisted of a general demographic information questionnaire and a national mental health literacy questionnaire. Rao-Scott χ²-test with correction based on sampling design, independent samples t-test and binary multivariate logistic regression analysis were performed. A total of 51744 individuals completed the questionnaire, including 31822 urban residents and 19200 rural residents. The rate of achievement of mental health literacy was 13.6% among urban residents, which was significantly higher compared to the rate of 8.6% among rural residents. Logistic regression analysis showed that female, higher education, being mental worker, being a retiree, having a higher monthly household income, maintaining a regular diet, and using electronic products for 2-6hours per day were protective factors for mental health literacy attainment in urban residents, while having chronic diseases, being a smoker and having a history of drinking were identified as risk factors in urban residents. Among in rural residents, married, younger, higher education, being mental worker and using electronic products for 2-6hours per day, maintaining a regular diet, and engaging in regular exercise were protective factors for achieving mental health literacy, while previous smoking was a risk factor. The study revealed a low level of mental health literacy among urban and rural residents of Guangdong Province, with a significant disparity between the two areas. These findings highlight the need for continuing efforts to increase the dissemination of mental health knowledge in rural communities and improve levels of mental health literacy.

Comparative Analysis of Early Versus Traditional Feeding Protocols in Elective Lower Segment Cesarean Sections.

Background Postoperative care following elective lower segment cesarean section (LSCS) traditionally involves delayed oral feeding. However, recent evidence suggests that early feeding may enhance recovery and improve patient outcomes. This study aimed to compare the recovery outcomes of elective LSCS patients between early feeding and traditional feeding protocols. Methods This prospective, comparative study was conducted at the Department of Obstetrics and Gynecology, Government Medical College (GMC) Budaun, over nine months. Women aged 18 to 40 years undergoing elective LSCS with singleton pregnancies and gestational ages between 37 and 42 weeks were included. Participants were randomized into two groups: the early feeding group (EFG) and the traditional feeding group (TFG). The EFG received oral intake as early as two hours post-surgery, progressing to a regular diet within six to eight hours. The TFG followed standard postoperative protocols, beginning oral intake after 12-24 hours. Primary outcomes included time to return of bowel function and length of hospital stay. Secondary outcomes were patient satisfaction and complication rates. Data were analyzed using SPSS version 22.0 (IBM Corp., Armonk, NY), with p-values < 0.05 considered statistically significant. Results The study included 94 participants (EFG: n = 44, TFG: n = 50). The EFG showed significantly faster return of bowel function, with time to first flatus (23.9 ± 6.2 vs. 34.1 ± 8.8 hours, p < 0.0001) and first stool (54.6 ± 8.5 vs. 91.3 ± 12.3 hours, p < 0.0001). Length of hospital stay was shorter in the EFG (4.3 ± 1.1 vs. 6.7 ± 1.4 days, p < 0.0001). Visual analog scale (VAS) scores before discharge were higher in the EFG (94.4 ± 8.7 vs. 81.4 ± 9.5, p < 0.0001), indicating greater patient satisfaction. Complication rates, including nausea, vomiting, abdominal distension, and wound infections, did not differ significantly between groups. Conclusion Early feeding post-elective LSCS significantly enhances recovery, as evidenced by quicker return of bowel function, reduced hospital stay, and higher patient satisfaction without increasing complication rates. These findings support revising postoperative care protocols to incorporate early feeding strategies.

Impact of an oral nutritional supplement on nutritional status in older adults with malnutrition: A randomized controlled trial

Background: The aging population is expanding at an unprecedented rate, leading to a significant increase in the prevalence of malnutrition among older adults. Oral Nutritional Supplements (ONS) have emerged as a widely accepted strategy to address the nutritional needs of this demographic. Objective: This study aimed to evaluate the impact of an ONS on the nutritional status of malnourished older adults. Methods: This was an open-label, randomized-controlled, parallel-group, single-centered study. Recruitment criteria were age ≥60 years, and mini nutrition assessment-short form (MNA-SF) score ≤11. A total of 50 participants were randomly assigned to the intervention (IG) and control (CG) groups (1:1 ratio). The IG received 200 mL of ONS as a bedtime drink for 12 weeks, while the CG received 200 mL of water. Nutrition status, biochemical analysis, and dietary assessment were performed at the beginning and end of the study. Results: Forty-two participants (IG: n=20, and CG: n=22) completed the study. After 12 weeks, the IG showed a significant improvement in the MNA-SF score (p&lt;0.001) compared to the CG (p=0.118). The IG experienced a substantial increment in the vitamin D level (p=0.002). No significant improvements were found in the serum albumin and haemoglobin levels in either group. The intervention led to significant increases in daily intake of energy (p&lt;0.001), carbohydrate (p=0.013), protein (p&lt;0.001), and fat (p&lt;0.001) in comparison to the control group. Conclusion: Supplementing with an ONS, along with a regular diet, significantly improved nutritional status, some biochemical parameters, and daily intake of energy and macronutrients in older adults with malnutrition.

Analysis of Patients' Dietary Status/Restrictions Following Instrumental Swallow Evaluations in Skilled Nursing Facilities.

Many residents in Skilled Nursing Facilities (SNFs) present with dysphagia and receive altered diets or liquids to minimize the risk of complications. Limited access to timely instrumental evaluations of swallow may impede the best management of these dysphagic residents. De-identified FEES reports completed by a mobile FEES company during a single month, January 2019, were reviewed. Descriptive statisticswere used to summarize the pre-study diet/liquid levels and the post-study diet/liquid recommendations. FEES reports (n = 952) were reviewed. Before the FEES evaluation, 209 residents were receiving only non-oral nutrition. After the FEES evaluation, 76% of these residents were recommended to receive oral nutrition. Before the FEES evaluation, 442 (46%) residents were receiving thickened liquids, after the FEES evaluation, 244 (26%) were recommended to have a less restrictive liquid level. Before the FEES evaluation, 576 (60%) residents were receiving altered food texture, after the FEES evaluation, 413 (43%) were recommended to have a less restrictive food texture. The percentage of residents recommended to receive thin liquids increased from 32 to 68% and those recommended to receive a regular diet increased from 18 to 34%. These data indicate that access to instrumental swallow evaluations in the SNF setting generally resulted in lifting liquid and diet restrictions for many residents in the cohort reviewed and potentially improved their quality of life.