The Impact of Nasal Intubation on Feeding Outcomes in Neonates Requiring Cardiac Surgery: A Randomized Control Trial.

Neonates who require surgery for congenital heart disease (CHD) frequently have difficulty with oral feeds post-operatively and may require a feeding tube at hospital discharge. The purpose of this study was to determine the effect of oral or nasal intubation route on feeding method at hospital discharge. This was a non-blinded randomized control trial of 62 neonates who underwent surgery for CHD between 2018 and 2021. Infants in the nasal (25 patients) and oral (37 patients) groups were similar in terms of pre-operative risk factors for feeding difficulties including completed weeks of gestational age at birth (39 vs 38 weeks), birthweight (3530 vs 3100 g), pre-operative PO intake (92% vs 81%), and rate of pre-operative intubation (22% vs 28%). Surgical risk factors were also similar including Society of Thoracic Surgeons-European Association for Cardio-Thoracic Surgery category (3.9 vs 4.1), shunt placement (32% vs 41%), cardiopulmonary bypass time (181 vs 177 min), and cross-clamp time (111 vs 105 min). 96% of nasally intubated patients took full oral feeds by discharge as compared with 78% of orally intubated infants (p = 0.05). Nasally intubated infants reach full oral feeds an average of 3 days earlier than their orally intubated peers. In this cohort of patients, nasally intubated infants reach oral feeds more quickly and are less likely to require supplemental tube feeding in comparison to orally intubated peers. Intubation route is a potential modifiable risk factor for oral aversion and appears safe in neonates. The study was approved by the University of Virginia Institutional Review Board for Health Sciences Research and was retrospectively registered on clinicaltrials.gov (NCT05378685) on May 18, 2022.

Levels of persistent organic pollutants (POPs) and the role of anthropic subsidies in the diet of avian scavengers tracked by stable isotopes.

Persistent Organic Pollutants (POPs) have been identified as a significant factor driving declines in wildlife populations. These contaminants exhibit a dual tendency to biomagnify up the food chains and persist within tissues, rendering long-lived vertebrates, such as raptors, highly vulnerable to their adverse effects. We assessed the concentrations of polychlorinated biphenyls (PCBs) and organochlorine pesticides (OCPs) in fledglings of two vulture species, the Egyptian vulture (Neophron percnopterus) and the griffon vulture (Gyps fulvus), coexisting in northern Spain. Vultures, currently facing a severe threat with a population decline exceeding 90%, represent one of the most critically endangered avian groups in the Old World. Despite this critical situation, there remains a scarcity of research examining the intricate relationship between contaminant levels and individual foraging behaviors. In parallel, we analyzed stable isotope levels (δ15N and δ13C) in fledgling's feathers and prey hair to determine the association between individual dietary and contaminant burdens. Our findings revealed higher levels of PCBs in Egyptian vultures, while pesticide concentrations remained very similar between focal species. Furthermore, higher individual values of δ13C, indicating a diet based on intensive farming carcasses and landfills, were associated with higher levels of PCBs. While the levels of POPs found do not raise immediate alarm, the presence of individuals with unusually high values reveals the existence of accessible contamination sources in the environment for avian scavengers. The increasing reliance of these birds on intensive livestock farming and landfills, due to the decline of extensive livestock farming, necessitates long-term monitoring of potential contaminant effects on their populations.

Key Factors behind the Dynamic Stability of Pairs of Egyptian Vultures in Continental Spain.

Conservation science aims to identify the factors influencing the distribution of threatened species, thereby permitting the implementation of effective management strategies. This is key for long-lived species that require long-term monitoring such as the worldwide endangered Egyptian vulture (Neophron percnopterus). We studied temporal and spatial variations in the distribution of breeding pairs and examined the intrinsic and anthropic factors that may be influencing the abundance of breeding territories in continental Spain. Based on the census data of breeding pairs from 2000, 2008, and 2018, we used Rank Occupancy-Abundance Profiles to assess the temporal stability of the population and identified the spatial heterogeneity through a Local Index of Spatial Autocorrelation analysis. The GLMs showed that the abundance distribution was mainly influenced by the abundance of griffon vultures (Gyps fulvus) and cattle at a regional scale. Nonparametric comparisons showed that the presence of wind farms had a significant negative effect on local breeding pairs abundance, but that supplementary feeding stations and food resource-related variables had a positive impact. In light of these findings, we recommend a hierarchical approach in future conservation programs involving actions promoting regional-scale food resource availability and highlight the need to address the negative impact of wind farms at local levels.

Effect of Supplementary Feeding on Milk Volume, Milk Composition, Blood Biochemical Index, and Fecal Microflora Diversity in Grazing Yili Mares.

Grazing is a common approach to rearing. We investigated the effects of supplementation during grazing on milk yield and composition, blood biochemistry, and fecal microflora in Yili horses. The control mares grazed normally, while those in groups I and II received 1 kg/d of concentrate and 1 kg/d of concentrate + 0.4 kg/d of coated FA, respectively. Milk volumes were significantly higher in groups I and II than in the control group, and among the previous two, milk volumes were significantly higher in group II than in group I. Milk fat, lactose, and protein levels were significantly higher in group II than in the others. BUN was highly significantly lower in group I than in the control group. Specific FAs, total SFA, and total UFA were significantly higher in group II than in the other groups. After feeding, plasma GLU, free FA, TG, LDL, and VLDL were significantly higher in group II than in the other groups. The control group, group I, and group II had 4984, 5487, and 5158 OTUs, respectively, and 3483 OTUs were common to all groups. The abundance of Bacteroidetes and Firmicutes was >75%. The abundance of Verrucomicrobia was significantly higher in groups I and II than in the control group and, among the previous two, significantly higher in group II than in group I. The abundance of Treponema_saccharophilum significantly differed between the control and other groups, and WCHB 1_41, Kiritimatiellae, and Verrucomicrobia abundances significantly differed between groups II and the other groups.

Infectious keratoconjunctivitis in semi-domesticated reindeer (Rangifer tarandus tarandus): a questionnaire-based study among reindeer herders in Norway and Sweden.

BACKGROUND: The effects of climate change, loss of pastureland to other land usage and presence of large carnivores are the main reasons for the increase in supplementary feeding of semi-domesticated reindeer (Rangifer tarandus tarandus) in Fennoscandia over the last decades. Feeding might expose reindeer to stress and increased animal-to-animal contact, leading to an increased risk of infectious disease transmission, such as infectious keratoconjunctivitis (IKC). As it can develop rapidly and be very painful, IKC is described as an important animal welfare concern and a potential source of economic loss. The aim of this study was to investigate the current presence of IKC and potential associations between IKC and supplementary feeding through an online questionnaire survey, distributed among reindeer herders in Norway and Sweden in 2021. RESULTS: Seventy-six reindeer herders (33 from Norway and 43 from Sweden) responded to the questionnaire, representing 6% and 4% of the registered reindeer herding groups in Norway and Sweden, respectively. Infectious keratoconjunctivitis was common, with 54 (71%) of the 76 herders that responded having observed clinical signs during the past 10 years. These signs were mainly observed as increased lacrimation, causing "wet cheeks", but also as keratitis and conjunctivitis. Autumn and winter were the seasons in which IKC was observed most. The herders reported several measures, such as slaughter and isolation of affected reindeer, to counteract the spread of disease. The herding year 2019/2020 was associated with reports of outbreaks of IKC in herds as well as being the herding year where most herders (80%) had performed supplementary feeding. A significant association was found between IKC and feeding performed in an enclosure (odds ratio = 15.20), while feeding on free-range areas had a non-significant, negative, relationship with the appearance of IKC outbreaks (odds ratio = 0.29). Finally, there was a trend in the data suggesting that IKC affected calves especially. CONCLUSIONS: Infectious keratoconjunctivitis is a common disease, mainly observed in winter and autumn. It usually has mild to moderately severe clinical signs. Our results imply that IKC is associated with stress and feeding situations and that calves might be more susceptible than adults, however, this needs to be confirmed with further studies, preferably at an individual animal level.

Effect of supplementary feeding on the production traits, carcass and meat quality of Jamuna basin lambs.

This study aimed to identify the optimum level of supplementary feeds on the carcass traits and meat quality of Jamuna basin lambs. Forty selected lambs were divided into four treatments such as T0 (no concentrate supplementation), T1 (1% concentrate feed), T2 (1.5% concentrate feed) and T3 (2% concentrate feed) having ten lambs per treatment. The data were analyzed through Completely Randomized Design (CRD) with SAS software. Hot carcass, dressing percentage, head, leg, neck, loin, heart, and spleen weight were showed significantly (p < 0.05) higher values with increasing concentrate feed. The crude protein (CP), ether extract (EE) and ash values were significantly increased (p < 0.001) except T2 treatment. The ultimate pH was significantly increased except T2 and cooked pH was significantly decreased (p < 0.001) except T3 treatment. Drip loss and cooking loss (CL) % had significantly reduced (p < 0.001) except T3 treatment. The water holding capacity (WHC) % was significantly increased (p < 0.001) except T3 treatment. The score of color, juiciness and tenderness were significantly different (p < 0.001). Flavor and overall acceptability score were significantly increased (p < 0.05) in different treatments. The color values L* and b* had significantly changed (p < 0.001) and a* value was found significantly higher (p < 0.05) in all treatments. Hence, 12 months of aged lambs with 1.5% concentrate feed showed better performances on carcass, nutritional, physicochemical, sensory and instrumental color values to increase the carcass and the meat quality of lambs.

Garden Scraps: Agonistic Interactions between Hedgehogs and Sympatric Mammals in Urban Gardens.

Hedgehogs occur within an urban mammal guild in the United Kingdom. This guild commonly utilizes anthropogenic food provision, which is potentially beneficial to wild animal populations, but may also bring competitors and predators into proximity, raising the question of how these species interact in urban gardens. In this study, we determined interactions between hedgehogs, foxes, badgers, and domestic cats using videos submitted via citizen science. We analyzed interactions within and between species to determine interaction type, hierarchical relationships, and effect of supplementary food presence/amount. We found that overall agonistic interactions between individuals occurred more frequently (55.4%) than neutral interactions (44.6%) and that interspecific interactions showed greater agonism (55.4%) than intraspecific ones (36%). Within intraspecific interactions, those between hedgehogs were the most agonistic (54.9%) and between badgers the least (6.7%). Species composition of the interaction affected agonism, with interactions between cats and foxes showing the highest level (76.7%). In terms of overall "wins", where access to garden resources was gained, badgers dominated cats, which were dominant or equal to foxes, which dominated hedgehogs. However, hedgehogs exhibited a greater overall proportion of wins (39.3%) relative to cats. Our findings are important in the context of the documented impact of patchy resources on urban wildlife behavior, and we show that provision of anthropogenic food can potentially result in unintended consequences. We recommend actions to reduce proximity of guild competitors in space and time to limit negative effects.

Efficacy of Management Efforts to Reduce Food-Related Dingo-Human Interactions and Conflict on K'gari (Fraser Island), Australia.

Humans and dingoes (Canis familiaris (dingo)) share the environment of K'gari, and conflict inevitably occurs between the two species, particularly over food. Dingo attacks on humans have occurred, and some have been serious and even fatal in outcome. Wildlife feeding may cause animals to develop unnatural and potentially dangerous behaviours towards conspecifics and humans on a relatively frequent basis. Food-based attraction has been implicated in the development of human-directed aggression in the dingo population of K'gari. Supplemental feeding, whether intentional or accidental, alters wildlife foraging behaviours and may have consequences at the population and ecosystem levels. Management strategies such as education programs, prohibition of inappropriate human behaviours (compliance) and fencing of garbage dumps have each been implemented to stop the intentional or inadvertent feeding of dingoes by people. However, there has been no formal assessment of the effectiveness of these interventions at reducing food-related dingo-human incidents over time. We collated and analysed 7791 unique reports of dingo-human interactions on K'gari between 1990 and 2020, inclusive of 1307 food-related reports, including the severity of these interactions. These data showed clear seasonal peaks in the percentage of food-related dingo-human interactions, corresponding with biologically significant breeding periods in autumn and weaning and dispersing in spring. Trends in serious food-related incidents remained stable overtime. Less serious food-related incidents declined, suggesting that management efforts were successful. However, these efforts appear to have reached the limits of their effectiveness. Further innovations are required to reduce serious incidents involving the relatively few dingoes and people still experiencing conflict, and thereby provide protection to both species on K'gari.

Low impact of tuberculosis severity on wild boar body condition.

Body condition (BC), is a measure to assess the health status of domestic and wild animals. When food resources are abundant, a decrease in BC may indicate an increase in the energetic expenditure due to the effects of growth, reproduction, or disease. BC impoverishment is one of the most common clinical effects of diseases progressing chronically, such as animal tuberculosis (TB) caused by bacteria belonging to the Mycobacterium tuberculosis complex. The Eurasian wild boar (Sus scrofa) is the main wild TB reservoir in the Mediterranean basin. The specific aims of this work were to assess the relationship between sex, age and TB severity altogether on the BC of wild boar. For this purpose, we used the kidney fat index (KFI), to assess the impact of TB progression on the BC of 1372 hunter-harvested free-ranging wild boar in seven populations in southern Spain. Surprisingly, TB had only slight effects on wild boar BC and individuals exhibiting severe TB showed greater BC than TB-free individuals. The age (adults had greater BC than juveniles) and sex (females had greater BC than males) were the main BC determinants in wild boar. Sampling population and season explained more BC variability than individual factors, suggesting that other external factors might play an important role in the BC, and probably on the impact of the disease on this wild reservoir. The low impact of TB on wild boar BC suggests that individuals with severe TB and good BC represent potential long-term super-shedders of this pathogen.

Effects of immunocastration and supplementary feeding level on the performance and blood biochemical markers of farmed yearling fallow deer (Dama dama).

In cervids, blood biochemical markers may reflect changes in various physiological and environmental factors, especially in response to changes in metabolism following nutrient supplementation or the manipulation of hormone production. Decreasing androgen production through immunocastration (IC) to ease the husbandry of male animals is currently a more ethically acceptable method than physical castration, but its commercial use is unexplored in fallow deer. Forty yearlings male fallow deer were grouped into four treatment combinations: IC on high (200 g commercial pellets + 600 g concentrate mixture of 90% oats and 10% wheat grains) or low (100 g commercial pellets + 300 g concentrate mixture of 90% oats and 10% wheat grains) level of feed supplementation, or noncastrated bucks on a high or low level of feed supplementation. Immunocastrated animals were vaccinated at the start of the study (Week 1) and again during Week 3 of the study. Diet affected all body growth parameters (slaughter weight, daily gain, carcass weight, dressing percentage and body condition score). Fallow deer from all treatments showed increasing concentrations of fat and energy blood biochemical markers over the study period, including plasma glucose (GLU) and triglyceride (TRIG), and decreased cholesterol (CHOL) and lipase (LIPA) concentrations. The higher level of supplementary feeding decreased plasma albumin (ALB) and creatinine (CREA), and increased globulin (GLOB) concentrations. On the other hand, IC and lower-level supplementation reduced growth performance. Overall, IC may be an interesting tool for welfare management of yearling stags for slaughter; however, the advantage appears to only be in well-fed animals, as low-level of feeding can further reduce growth performance in immunocastrated animals. Further studies should evaluate the carcass performance of animals under similar treatment conditions to ascertain the effects on muscle and fat yields.

Winter condition variability decreases the economic sustainability of reindeer husbandry.

Wild and semidomesticated reindeer are one of the key species in Arctic and subarctic areas, and their population dynamics are closely tied to winter conditions. Difficult snow conditions have been found to decrease the calving success and survivability of reindeer, but the economic effects of variation in winter conditions on reindeer husbandry have not been studied. In this study, we combine state-of-the-art economic-ecological modeling with the analysis of annual reindeer management reports from Finland. These contain local knowledge of herding communities. We quantify the occurrence probabilities of different types of winters from annual management reports and analyze the effects of this variation in winter conditions on reindeer husbandry using an age- and sex-structured bioeconomic reindeer-lichen model. Our results show that difficult winters decrease the net revenues of reindeer husbandry. However, they also protect lichen pastures from grazing, thereby increasing future net revenues. Nonetheless, our solutions show that the variability of winter conditions overall decrease the net income of herders compared to constant winter conditions. Low lichen biomass appears to make reindeer management more sensitive to the effects of difficult winter conditions. We also found that it is economically sensible to use supplementary feeding during difficult winters, but the net revenues still decrease compared to average winters because of the high feeding costs. Overall, our analysis suggests that the increasing variability of winter conditions due to climate change will decrease net revenues in reindeer husbandry. This decrease will still occur even if the most extreme effects of climate change do not occur. This study shows that combining a state-of-the-art bioeconomic model and practitioner knowledge can bring compatible insights, ideas, results, and a bottom-up perspective to the discussion.

Improvement in dietary diversity and feeding habits of malnourished under-five children attending supplementary feeding programmmes: a community-based cross-sectional study in Zambia.

A community-based cross-sectional study was conducted on 390 under-five malnourished children enrolled in the Rainbow Project supplementary feeding programmmes-SFPs. Dietary diversity, feeding habits and nutritional status at admission (T1) and at discharge (T2) were compared. At T1 the diet was monotonous and unbalanced, with a progressive decline in dietary diversity and anthropometric values noted with children's age growth (p < 0.001). Significant improvements were registered at T2: DDS 5.1 ± 1.1 SD vs. 8.3 ± 1.0 SD; meal frequency 3.0 ± 0.6 SD vs. 4.9 ± 0.2 SD; animal-protein consumed 62.8% vs. 90.5%; drinking water treated 41.0% vs. 97.2%. At T1, the risk of having ZMUAC < 2.5SD increased when teenage motherhood (AOR: 5.3; CI: 1.8-15.2; p = 0.002), followed by children's age >2 years (AOR: 1.9; CI: 1.1-3.5; p = 0.020). Children's age was associated with an increased risk of WAZ < 2.5 SD (AOR: 4.9; CI: 2.4-10.4; p < 0.001). When considering inadequate DDS, the variable associated was breastfeeding cessation (AOR: 12.0; CI: 4.6-31.4; p < 0.001). Rainbow's SFPs have proved effective in treating under-five malnourished children, irrespective of the severity of malnutrition.

Nutrición e inmunidad en las primeras etapas de la vida / Early life nutrition and immunity

Los primeros 1.000 días de vida, que van desde la concepción hasta los dos años, son una ventana de tiempo crítica para el crecimiento ydesarrollo humano, ya que la interacción de diversos factores puede generar cambios relevantes en diferentes estructuras y funciones delorganismo tanto a corto como a largo plazo.La mayoría de los estudios en este ámbito se han realizado en el periodo prenatal y neonatal. Algunos de los factores más relevantes que puedenafectar el desarrollo inmunitario en esta etapa son el tabaquismo, la obesidad materna y la ingesta inadecuada de micronutrientes durante elembarazo. En el caso de la etapa posnatal, la lactancia materna es en primera instancia el factor más importante relacionado con el estadonutricional e inmunológico del recién nacido, asociándose también con un efecto protector frente a la obesidad. Posteriormente, la introducciónapropiada de la alimentación complementaria será fundamental para ofrecer un porcentaje adecuado de nutrientes.Por su parte, la microbiota intestinal también juega un papel clave durante este periodo, ya que interviene en diferentes funciones metabólicas,protectoras e inmunológicas del hospedador. Fluctuaciones en su homeostasis van a condicionar la aparición de disbiosis, la cual se asocia conel desarrollo de diferentes enfermedades, tanto en la niñez como en la adolescencia y también en la edad adulta. (AU)

The first 1,000 days of life, from conception to two years of age, are a critical time window for human growth and development, since theinteraction of different factors can generate relevant changes in different structures and functions of the organism, both at short and long term.Most of the studies in this area have been carried out in the prenatal and neonatal period. Some of the most relevant factors that can affectimmune development at this time are smoking, maternal obesity and inadequate intake of micronutrients during pregnancy. In the case of thepostnatal period, breastfeeding is primarily the most important factor related to the nutritional and immunological status of the newborn, alsobeing associated with a protective effect against obesity. Subsequently, the proper introduction of complementary feeding will be essential tooffer an adequate percentage of nutrients.Likewise, the intestinal microbiota also plays a key role during this period since it is part of different metabolic, protective, and immunologicalfunctions of the host. Fluctuations in homeostasis will condition the appearance of dysbiosis, which is associated with the development of differentdiseases in childhood, adolescence, and adulthood. (AU)

Percepción del método Baby Led Weaning por parte de las familias y de los profesionales de Enfermería / Perception of the Baby-Led Weaning method by families and nursing professionals

Objetivo: describir el conocimiento acerca del método Baby Led Weaning (BLW), así como las ventajas y los inconvenientes entre los profesionales de Enfermería y su aplicación en la práctica clínica; e identificar el perfil de las familias que utilizan el método, así como la forma de llevarlo a cabo y la satisfacción con el mismo. Método: estudio descriptivo transversal en profesionales de Enfermería de Atención Primaria y Especializada de Aragón, y en progenitores que habían realizado el taller “Aprender a comer solito” en el Centro de Salud del Arrabal de Zaragoza. Para la recogida de los datos se utilizaron cuestionarios ad hoc autoadministrados a través de Google Forms®. Resultados: el 92,6% de los profesionales conocía el BLW; el punto fuerte que obtuvo mayor porcentaje (83,4%) fue que el BLW permitía al bebé experimentar y conocer los alimentos, siendo el punto débil más prevalente el riesgo de atragantamiento (67,6%). Las familias que habían realizado el BLW recomendarían efectuar el método en un 94,4%; destacaron, con un 88,9% como punto fuerte: “Método más natural que facilita el paso de la lactancia materna exclusiva a una alimentación complementaria”, y como punto débil, con un 77,8%: “Falta de tiempo”. Conclusiones: el BLW es un método ampliamente conocido por los profesionales de Enfermería, aunque se han encontrado barreras en su recomendación en la práctica diaria, especialmente ligadas al riesgo de atragantamiento. Las familias destacaron la autonomía y diversión que el método proporcionaba al bebé, así como la naturalidad en la transición a alimentos, manifestando un alto grado de satisfacción del método BLW y considerándolo recomendable.(AU)

Objective: to describe the awareness among Nursing professionals regarding the Baby-Led Weaning (BLW) method, as well as its advantages and drawbacks and its application in clinical practice; and to identify the profile of families using this method, as well as the way to conduct it and the level of satisfaction with it. Method: a descriptive cross-sectional study among Primary and Specialized Care Nursing professionals in Aragon, and among parents who participated in the “Aprender a comer solito” (“Learning to eat on your own”) workshop in the Arrabal Primary Care Centre in Zaragoza. Self-administered ad hoc questionnaires were used for data collection, through Google forms®. Results: there was awareness of BLW in 92% of professionals; the strength with the highest rate (83.4%) was that BLW allowed babies to experiment and get to know foods, while the most prevalent weakness was the risk of choking (67.6%). Families who had conducted BLW would recommend the method on a 94.4%; they highlighted as a strength, with 88.9%, “A more natural method which allows moving from exclusive breastfeeding to complementary diet”, and as a weakness, with 77.8%, “Lack of time”. Conclusions: BLW is a method widely known by Nursing professionals, though barriers have been found for its recommendation in daily practice, particularly linked to the risk of choking. Families highlighted the autonomy and enjoyment that the method provided to babies, as well as a natural transition to foods, stating a high level of satisfaction with the BLW method and considering it recommendable.(AU)

Determinants of the exposure of Eurasian griffon vultures (Gyps fulvus) to fluoroquinolones used in livestock: The role of supplementary feeding stations.

Veterinary pharmaceuticals, including antibiotics, are emerging contaminants of concern worldwide. Avian scavengers are exposed to pharmaceuticals through consumption of livestock carcasses used for feeding wildlife for conservation purposes at supplementary feeding stations. Here we tested the hypothesis that griffon vultures (Gyps fulvus) would be more exposed to antibiotics (i.e., quinolones) when feeding on livestock carcasses from intensive farming than when they rely on carcasses from extensive farming or wild animals. We sampled 657 adult griffon vultures captured between 2008 and 2012. In addition, we sampled tissues from domestic livestock supplied at feeding stations in the study area between 2009 and 2019; pig (n = 114), sheep (n = 28), cow (n = 1) and goat (n = 2). Samples were analysed by liquid chromatography with electrospray ionization mass spectrometry (LC-ESI-MS). Quinolones were detected in plasma from 12.9% of the griffon vultures analysed. Quinolone prevalence in griffon vultures varied significantly among feeding stations but was also affected by the total amount of carcasses supplemented, especially the mass of pig carcasses. These results aligned with a 21.1% quinolone prevalence in pig carcasses sampled at feeding stations, wherein enrofloxacin and ciprofloxacin levels of up to 3359 ng/g and 1550 ng/g, respectively, were found. Given enrofloxacin pharmacokinetics in pig tissues, 5.3% of the analysed pigs may have died no more than one day after treatment. Quinolone presence in vultures was negatively associated with blood lead levels, which mostly originates from lead ammunition and indicates a higher consumption of game animal carcasses. Carcass disposal for feeding avian scavengers must always assess and manage the risks posed by veterinary pharmaceuticals, especially when livestock provided may have died soon after treatment.

Effect of early oral nutrition supplement using Encover in patients undergoing hepato-biliary-pancreatic surgery.

Backgrounds/Aims: Early recovery after surgery has become a popular trend. The aim of this study was to evaluate effect of nutritional intervention using Encover, an oral nutritional supplement, in patients undergoing hepato-biliary-pancreatic surgery. Methods: This single center, prospective case-control study was conducted in Gangnam Severance Hospital from September 2018 to April 2019. Through randomization, patients were divided into an experimental group (30 patients) and a control group (30 patients). At postoperative seven days, the experimental group was instructed to take two packs of Encover (JW Pharmaceutical, Seoul, Korea) daily for seven days. Body cell mass index was measured at seven days after surgery and 14 days after discharge and Patient-Generated Subjective Global Assessment (PG-SGA) was performed at 14 days after discharge. Results: Body cell mass index during outpatient follow-up was significantly decreased compared to that at discharge in both groups. However, the amount of body cell mass index showed no significant difference between postoperative seven days and outpatient follow- up in either group. During outpatient follow-up, the experimental group had a higher mean value of PG-SGA score than the control group (11.32 ± 3.46 vs. 9.48 ± 3.97; p = 0.037). Conclusions: Short-term Encover doses after surgery may not produce significant results in weight gain or other body cell mass index. Encover did not significantly affect other dietary conditions based on PG-SGA.

Uso de suplementos alimentares combinado com a prática de atividade física entre universitários do extremo sul do Brasil / Food supplement use combined to physical activity practice among college students from extreme South of Brazil

Resumo Introdução O consumo de suplementos alimentares vem aumentando e se popularizando, especialmente em conjunto com a prática de atividade física. Objetivo Investigar o uso de suplementos alimentares combinado com a prática de atividades físicas em universitários do extremo sul do Brasil. Método Estudo de delineamento transversal realizado em uma universidade pública de Rio Grande/RS, com uma amostra de 1.401 universitários. Resultados 29,7% (IC95%: 27,3-32,1) dos universitários relataram o uso de algum tipo de suplemento alimentar ao praticar atividades físicas. Os suplementos que predominaram foram: Whey Protein (79%), Maltodextrina (48%) e isotônicos (45%). As principais fontes de orientação para o uso de suplementos foram amigos e outros praticantes de academias. A análise multivariável apontou que atuais participantes de academias têm uma probabilidade 158% maior de usar suplementos em comparação a não participantes de atividades físicas em academias. Outros grupos associados ao uso de suplementos foram: universitários do sexo masculino, jovens entre 20 e 29 anos, com maior renda familiar e consumidores de álcool. Conclusão Um em cada três estudantes universitários já consumiu suplementos alimentares, e tal conduta pode estar disseminada nos espaços das academias, sem maior detalhamento dos cuidados e das necessidades para individuais para o uso.

Background Background The consumption of dietary supplements has been increasing and becoming popular, especially combined with the practice of physical activity. Objective The aim of the study was to investigate the use of dietary supplements combined with the practice of physical activities in university students in the extreme south of Brazil. Method A cross-sectional study conducted at a public university in Rio Grande/Rio Grande do Sul (Brazil), with a sample of 1,401 university students. Results A total of 29.7% (95% CI: 27.3-32.1) of university students reported having used some kind of dietary supplement when practicing physical activities. The predominant supplements were: Whey Protein (79%), Maltodextrin (48%) and isotonic (45%). The main sources of guidance for using supplements were friends and other practitioners of fitness centers. The multivariate analysis showed that current gym center users are 158% more likely to use supplements compared to non-participants in physical activities at such centers. Other groups associated with the use of supplements were: male college students, young people from 20 to 29 years of age, with higher family income and alcohol users. Conclusion One in three college students have already used dietary supplements and such behavior may be widespread in gyms, without further details on the care and needs for using them.

Supplementary Feeding of Moderately Wasted Children in Sierra Leone Reduces Severe Acute Malnutrition and Death When Compared with Nutrition Counseling: A Retrospective Cohort Study.

BACKGROUND: There is uncertainty about whether children with moderate wasting should receive supplementary feeding. OBJECTIVES: We examined whether supplementary feeding compared with counseling alone in children with moderate wasting prevented progression to severe acute malnutrition (SAM) or death. METHODS: This was a retrospective, dual-cohort study in which 1791 children with moderate wasting were drawn from 2 prior randomized controlled trials that took place in the same location in rural Sierra Leone. A total of 1077 children received supplementary feeding, whereas 714 children received counseling alone. Children in both cohorts were followed for ≥24 wk from enrollment. The primary outcome was time to SAM or death using Kaplan-Meier analysis. Secondary outcomes included time to death as well as proportions of children with healthy midupper arm circumference (MUAC), moderate wasting, SAM, or death at 6, 12, and 24 wk from enrollment. RESULTS: Children who received supplementary feeding were less likely to develop SAM or die across the entire follow-up period (HR: 0.53; 95% CI: 0.44, 0.65; P < 0.001). Time to event for death alone also revealed a lower risk for children who received supplementary feeding (HR: 0.52; 95% CI: 0.28, 0.94; P = 0.03). Children who received supplementary feeding were more likely to have a healthy MUAC at 6 wk (RR: 2.0; 95% CI: 1.7, 2.2) and 12 wk (RR: 1.3; 95% CI: 1.2, 1.5), were less likely to develop SAM at 6 (RR: 0.7; 95% CI: 0.6, 0.9), 12 (RR: 0.5; 95% CI: 0.3, 0.8), and 24 wk (RR: 0.2; 95% CI: 0.1, 0.5), and had higher rates of gain in weight and MUAC at 6 and 12 wk. CONCLUSIONS: Supplementary feeding of children with moderate wasting reduces risk of SAM and death across 24 wk of follow-up.

Supplementary Feeding of Moderately Wasted Children in Sierra Leone Reduces Severe Acute Malnutrition and Death When Compared with Nutrition Counseling: A Retrospective Cohort Study.

BACKGROUND: There is uncertainty about whether children with moderate wasting should receive supplementary feeding. OBJECTIVES: We examined whether supplementary feeding compared with counseling alone in children with moderate wasting prevented progression to severe acute malnutrition (SAM) or death. METHODS: This was a retrospective, dual-cohort study in which 1791 children with moderate wasting were drawn from 2 prior randomized controlled trials that took place in the same location in rural Sierra Leone. A total of 1077 children received supplementary feeding, whereas 714 children received counseling alone. Children in both cohorts were followed for ≥24 wk from enrollment. The primary outcome was time to SAM or death using Kaplan-Meier analysis. Secondary outcomes included time to death as well as proportions of children with healthy midupper arm circumference (MUAC), moderate wasting, SAM, or death at 6, 12, and 24 wk from enrollment. RESULTS: Children who received supplementary feeding were less likely to develop SAM or die across the entire follow-up period (HR: 0.53; 95% CI: 0.44, 0.65; P < 0.001). Time to event for death alone also revealed a lower risk for children who received supplementary feeding (HR: 0.52; 95% CI: 0.28, 0.94; P = 0.03). Children who received supplementary feeding were more likely to have a healthy MUAC at 6 wk (RR: 2.0; 95% CI: 1.7, 2.2) and 12 wk (RR: 1.3; 95% CI: 1.2, 1.5), were less likely to develop SAM at 6 (RR: 0.7; 95% CI: 0.6, 0.9), 12 (RR: 0.5; 95% CI: 0.3, 0.8), and 24 wk (RR: 0.2; 95% CI: 0.1, 0.5), and had higher rates of gain in weight and MUAC at 6 and 12 wk. CONCLUSIONS: Supplementary feeding of children with moderate wasting reduces risk of SAM and death across 24 wk of follow-up.

Baby led weaning, ¿seguro y eficaz? Una revisión narrativa / Baby led weaning, safe and effective? A narrative review

Introducción: el baby led weaning (BLW) o destete dirigido por el bebé es una técnica de alimentación complementaria que se ha puesto de moda en los últimos años gracias principalmente a su difusión por internet. Objetivo: determinar si dos de las principales críticas recibidas por este método (riesgo de atragantamiento y déficits nutricionales) son reales en comparación con otras técnicas de alimentación complementaria. Metodología: revisión narrativa de estudios de cohorte y diseños aleatorizados publicados en los últimos años en las bases de datos PubMed y Google Scholar. Resultados: once trabajos (siete relacionados con el atragantamiento y cuatro vinculados con los déficits nutricionales) fueron incluidos y analizados en esta revisión. Conclusiones: el BLW se presenta como una técnica de alimentación complementaria segura ya que no presenta más riesgo de atragantamiento que otras. En relación a su eficacia nutricional, no existe una evidencia sólida en relación a la exposición de alimentos ricos en hierro en niños que siguen el BLW con respecto a niños que siguen otra técnica (AU)

Introduction: the baby led weaning (BLW), or weaning directed by the baby, is a complementary feeding technique that has become fashionable in recent years thanks mainly to its diffusion on the internet. Objective: to determine if two of the main criticisms received by this method (risk of choking and nutritional deficits) are real compared to other complementary feeding techniques. Methodology: narrative review of cohort studies and randomized designs published in recent years in the PubMed and Google Scholar databases. Results: eleven works (seven related to choking and four related to nutritional deficits) were included and analyzed in this review. Conclusions: the BLW is presented as a safe complementary feeding technique since it presents no more choking risk than others. Regarding their nutritional efficacy, there is no solid evidence regarding the exposure of iron-rich foods in children who follow the BLW with respect to children who follow another technique (AU)