Microplastic(MP)pollution has spread from the mainland to the ocean.However,Haizhou Bay,which is one of the important land-ocean transition zones,has been reported relatively little about the enrichment of MPs.To prov...Microplastic(MP)pollution has spread from the mainland to the ocean.However,Haizhou Bay,which is one of the important land-ocean transition zones,has been reported relatively little about the enrichment of MPs.To provide fundamental data for MP pollution in Haizhou Bay,we studied the occurrence of microplastics in the intestines of 8 species of fish with different habits and feeding modes.The fish intestines were digested with a 10%KOH solution,and MPs are separated with a glass fiber filter.Then,the size,shape,color,and composition of the MPs were analyzed using a stereomicroscope and Fourier transform infrared spectrometer.The results showed the abundance of MP intake ranged from 0.02 items g^(-1) to 0.16 items g^(-1) and the detection rate of MPs ranged from 53.33% to 80% across different fish species.The MP intake in benthic fish and omnivorous fish was significantly higher than that of pelagic fish and predatory fish.Smaller MPs(<0.25 mm)were the dominant types and accounted for 62.50% of the total.The fiber was the prevailing shape of MPs,and the black MPs were the most common,followed by red and yellow ones.Polyethylene terephthalate(PET),polyamide(PA),and polystyrene(PS)were the main components of MPs,accounting for 34.9%,29.9%,and 16.4%,respectively.According to the composition analysis of MPs,the main sources of MPs in fish of Haizhou Bay were attributed to marine aquaculture and port construction.The results are helpful for our better understanding of the status of MP pollution in this area,and further aid in the development of the pointed measures to mitigate and prevent the MP pollution in this ecologically important area.展开更多
In the face of constantly changing environments,the central nervous system(CNS)rapidly and accurately calculates the body's needs,regulates feeding behavior,and maintains energy homeostasis.The arcuate nucleus of ...In the face of constantly changing environments,the central nervous system(CNS)rapidly and accurately calculates the body's needs,regulates feeding behavior,and maintains energy homeostasis.The arcuate nucleus of the hypothalamus(ARC)plays a key role in this process,serv-ing as a critical brain region for detecting nutrition-related hormones and regulating appetite and energy homeostasis.Agouti-related protein(AgRP)/neuropeptide Y(NPY)neu-rons in the ARC are core elements that interact with other brain regions through a complex appetite-regulating network to comprehensively control energy homeostasis.In this review,we explore the discovery and research progress of AgRP neurons in regulating feeding and energy metabolism.In addition,recent advances in terms of feeding behavior and energy homeostasis,along with the redundant neural mecha-nisms involved in energy metabolism,are discussed.Finally,the challenges and opportunities in the field of neural regula-tion of feeding and energy metabolism are briefly discussed.展开更多
In aquaculture, feed represents the main component of production costs, and the development of this sector depends on the development of an economical feed formulation that meets the qualitative and quantitative requi...In aquaculture, feed represents the main component of production costs, and the development of this sector depends on the development of an economical feed formulation that meets the qualitative and quantitative requirements of fish. The aim of this study was to determine the nutritive and microbiological quality of fish feed formulated from local flours enriched with Hermetia illucens larvae. The raw materials used for formulation were fishmeal, corn meal, low-grade rice, soybean meal and Hermetia illucens larvae meal. Different iso-protein feed compositions were prepared with 0%, 10%, 25%, 35%, 50%, 65%, 75% and 100% incorporation of Hermetia illucens larvae meal as a substitute for fish meal. Biochemical and microbiological analyses of these flours were determined using standard methods. The results showed that incorporation of larvae meal had an influence on the biochemical characteristics ash (8.15 to 20.27%), lipid (11.55 to 24.94%), fiber (13.93 to 20.41%) and dry matter (89.65 to 91.19%) of various formulated feed. Loads of fecal Streptococci, Staphylococci, Aeromonas, yeasts and molds ranged from 2.4 to 4.9 log 10 CFU/g;3.6 to 3.9 log 10 CFU/g;2.2 to 2.7 log 10 CFU/g;2.1 to 2.3 log 10 CFU/g, respectively. The level of contamination of these flours was below the microbiological criteria applicable to animal feed. Feed formulated with 0% and 10% Hermetia illucens larvae showed the best nutritive and microbiological characteristics. These results suggest that flours enriched with Hermetia illucens larvae could be used in fish feed.展开更多
Feed efficiency(FE)is a crucial economic trait that significantly impacts profitability in intensive sheep production,and can be evaluated by the residual feed intake(RFI)and feed conversion ratio(FCR).However,the und...Feed efficiency(FE)is a crucial economic trait that significantly impacts profitability in intensive sheep production,and can be evaluated by the residual feed intake(RFI)and feed conversion ratio(FCR).However,the underlying genetic mechanisms that underlie FE-related traits in sheep are not fully understood.Herein,we measured the FE-related traits of 1,280 Hu sheep and conducted the phenotype statistics and correlation analysis,the result showcase that there was a large variation for FE-related traits,and RFI was significant positive correlation with average daily feed intake(ADFI)and FCR.Moreover,a genome-wide association study(GWAS)was conducted using whole-genome resequencing data to investigate the genetic associations of ADFI,FCR and RFI.For ADFI and FCR traits,2 and one single nucleotide polymorphisms(SNPs)exceeded the genome-wide significance threshold,whereas ten and 5 SNPs exceeded the suggestive significance threshold.For RFI traits,only 4 SNPs exceeded the suggestive significance threshold.Finally,a total of 8 genes(LOC101121953,LOC101110202,CTNNA3,IZUMO3,PPM1E,YIPF7,ZSCAN12and LOC105603808)were identified as potential candidate genes for FE-related traits.Simultaneously,we further analyzed the effects of 2 candidate SNPs associated with RFI on growth and FE traits in enlarged experimental population,the results demonstrated that these 2 SNPs was not significantly associated with growth traits(P>0.05),but significantly related to RFI traits(P<0.05).These findings will provide valuable reference data and key genetic variants that can be used to effectively select feed-efficient individual in sheep breeding programs.展开更多
The efficiency and mechanism of hydrous iron oxide(HFO)and HFO/calcite mixture to inactivate the phosphorus in the overlying water(OW)/sediment system under the feed adding condition were explored,and the effect of HF...The efficiency and mechanism of hydrous iron oxide(HFO)and HFO/calcite mixture to inactivate the phosphorus in the overlying water(OW)/sediment system under the feed adding condition were explored,and the effect of HFO and HFO/calcite mixture addition on the diversity,composition and function of bacterial communities in the sediment was examined.HFO and HFO/calcite mixture direct addition can effectively lower the concentration of soluble reactive phosphorus(RSP)and diffusion gradient in thin film-unstable phosphorus(PD GT)in OW and inactivate the P DGTin the upper sediment.The elimination efficiencies of RSP by the direct HFO and HFO/calcite mixture addition were 48.9%-97.0%and 42.4%-95.4%,respectively.The alteration in the addition mode from the one-time to multiple direct addition was beneficial to the immobilization of RSP and PD GTin OW and P DGTin the upper sediment by HFO and HFO/calcite mixture under the feed input condition in the long run.Permeable fabric wrapping reduced the inactivation efficiency of RSP in OW by HFO and HFO/calcite mixture,but it made the recycling of these materials possible.Most of P immobilized by HFO and HFO/calcite mixture was relatively or very stable.After the HFO and HFO/calcite mixture addition,the composition of bacterial communities in the surface sediment changed.However,the bacterial communities in the amended sediments still can perform good ecological function.Our findings suggest that HFO and HFO/calcite mixture are promising phosphorus-immobilization materials for the inactivation of RSP and PD GTin OW and PD GTin the upper sediment under the feed inputting condition.展开更多
Background This study was carried out to investigate the individual and combined contamination of aflatoxin B_(1)(AFB_(1)),deoxynivalenol(DON),and zearalenone(ZEN)in feeds in China between 2021 and 2024.A total of 23,...Background This study was carried out to investigate the individual and combined contamination of aflatoxin B_(1)(AFB_(1)),deoxynivalenol(DON),and zearalenone(ZEN)in feeds in China between 2021 and 2024.A total of 23,003 feed samples,including 17,489 feedstuff samples and 5,514 complete feed samples,were collected from different provinces of China for mycotoxin analysis.Results The analyzed mycotoxins displayed considerably high contamination in the feed samples,with the individual contamination of AFB_(1),DON,and ZEN were 20.0%–100%,33.3%–100%,and 85.0%–100%,respectively.The average concentrations of AFB_(1),DON,and ZEN were 1.2–728.7μg/kg,106–8,634.8μg/kg,and 18.1–3,341.6μg/kg,respectively.Notably,the rates over China’s safety standards for AFB_(1),DON,and ZEN in raw ingredients were 9.7%,2.7%,and 15.7%,respectively.Meanwhile,3.5%,1.1%,and 8.7%of analyzed complete feeds exceeded China’s safety standards for AFB_(1),DON,and ZEN,respectively.Moreover,the co-contamination rates of AFB_(1),DON,and ZEN in more than 70%of raw ingredients and 87.5%of complete feed products were 60.0%–100%and 61.5%–100%,respectively.Conclusion This study reveals that the feeds in China have commonly been contaminated with AFB_(1),DON,and ZEN alone and their combination during the past four years.These findings highlight the significance of monitoring mycotoxin contaminant levels in domestic animal feed and the importance of carrying out feed administration and remediation strategies for mycotoxin control.展开更多
Background Intestinal oxidative stress serves as an endogenous host defense against the gut microbiota by increas-ing energy expenditure and therefore decreasing feed efficiency(FE).Several systems coordinately regula...Background Intestinal oxidative stress serves as an endogenous host defense against the gut microbiota by increas-ing energy expenditure and therefore decreasing feed efficiency(FE).Several systems coordinately regulate redox bal-ance,including the mitochondrial respiratory chain,nicotinamide adenine dinucleotide phosphate(NADPH)oxidase,and different antioxidants.However,it remains unclear which redox balance compartments in the intestine are crucial for determining FE.Results In this study,we first screened the key targets of different metabolites and redox balance-related gene expression in broiler ceca.We then constructed a mouse colitis model to explore malic acid(MA)ability to allevi-ate intestinal inflammation.We further used controlled release technology to coat MA and investigated its effects on the intestinal redox status and FE in vivo.Finally,we examined the underlying mechanism by which MA modulated redox status using a porcine intestinal epithelial cell jejunum 2(IPEC-J2)cell model in vitro.Our results demonstrated that the MA/malic enzyme 3(ME3)pathway may play an important role in reducing oxidative stress in the broiler cecum.In addition,colon infusion of MA attenuated inflammatory phenotypes in the dextran sulfate sodium salt(DSS)induced mouse colitis model.Then,dietary supplementation with controlled-release MA pellet(MAP)reduced the feed to gain(F/G)ratio and promoted chicken growth,with reduced oxidative stress and increased bacterial diver-sity.Finally,the in vitro IPEC-J2 cell model revealed that ME3 mediated the effect of MA on cellular oxidative stress.Conclusion In summary,our study firstly revealed the important role of the MA/ME3 system in the hindgut of broiler chickens for improving intestinal health and FE,which may also be crucial for the implications of colon inflammation associated diseases.展开更多
The radula is a crucial adaptation for food-processing in molluscs.A deeper understanding of the interaction between the radula and the preferred food is lacking,complicating the inference of the precise ecological ro...The radula is a crucial adaptation for food-processing in molluscs.A deeper understanding of the interaction between the radula and the preferred food is lacking,complicating the inference of the precise ecological roles of radular structures.This study presents the first experimental set-up that allows to study the influence of the radular morphology,specifically the degree of tooth-tooth interlocking(so-called collective effect),on the feeding efficiency.For this purpose,physical 3D models of the teeth were designed using CAD software and 3D printing technique.The feeding efficiencies with models of different degree of interlocking were determined by tensile tests,pulling the models trough agar gels with different viscosities.The forces generated by the models and the masses of the removed gel fragments were determined.We found,that radular models with a high degree of tooth–tooth interlocking performed best as they were able to remove most agar.We additionally broke the teeth and determined,that the teeth with the highest degree of interlocking could resist to highest force.Overall,the study highlights the complex interplay between radular morphology and its ecological function,suggesting that even minor morphological alterations can significantly impact the efficiency and effectiveness of food gathering.Understanding these interactions cannot only shed light on the ecological adaptations of molluscs,but provide further insights into development of more effective grinding,scraping,and cleaning technical devices.展开更多
BACKGROUND Esophageal cancer(EC)is an aggressive malignancy with low survival(10%-30%).Nutritional problems are present throughout the perioperative period and are key to prognosis.Home enteral nutrition appears to im...BACKGROUND Esophageal cancer(EC)is an aggressive malignancy with low survival(10%-30%).Nutritional problems are present throughout the perioperative period and are key to prognosis.Home enteral nutrition appears to improve the nutritional status of patients with EC.Few studies have addressed the experience of patients administering their own nutritional fluids and managing their own feeding tubes at home.The aim of this study was to explore the real-life experience of self-management of feeding tubes in patients at home after EC surgery in the first 3 months after discharge following surgery.AIM To explore feeding tube self-management experience of patients at home 3 months after discharge following EC surgery.METHODS Face-to-face semi-structured interviews were conducted with 18 patients using a feeding tube at home after EC surgery.Thematic analysis of the recordings identified themes related to feeding tube self-management.RESULTS Patients expressed similar feelings about their tube management experiences concerning three contextualized themes:Self-management dilemmas,distressing experiences,and self-management facilitators.CONCLUSION There are many dilemmas and problems in self-managing feeding tubes in postoperative homebound patients with EC.Clinical staff should provide guidance to promote a positive change in self-management behavior.展开更多
The feed industry serves as a critical intermediary between agriculture and animal husbandry,providing essential support for the modern breeding industry.Utilizing the annual financial report data from 19 publicly lis...The feed industry serves as a critical intermediary between agriculture and animal husbandry,providing essential support for the modern breeding industry.Utilizing the annual financial report data from 19 publicly listed companies within the feed industry in 2023,a comprehensive evaluation index system was developed to assess the financial performance of these companies from four dimensions:debt paying ability,operational ability,profitability,and development ability.Factor analysis and hierarchical cluster analysis were employed to assess the financial performance of publicly listed companies within the feed industry.By comparing the mean classifications and comprehensive scores,this study analyzed the strengths and weaknesses of these listed feed companies.Ultimately,it offered recommendations for improvement in areas such as product optimization and enhancement,reasonable liability management,and the advancement of company governance practices.展开更多
Rotational feeding combined with shift feeding electrochemical trepanning(RF-SF ECTr)is an effective method for machining aeroengine blisks.However,given the variable relative motion of the electrodes and the complex ...Rotational feeding combined with shift feeding electrochemical trepanning(RF-SF ECTr)is an effective method for machining aeroengine blisks.However,given the variable relative motion of the electrodes and the complex flow channels around the bending and twisting blades,the accessibility and uniformity of the flow field are poor in blisk RF-SF ECTr using the traditional electrolyte supply(TES)mode,resulting in poor machining stability and low machining efficiency.To improve the distribution of the flow field,a new multi-channel electrolyte supply(MCES)mode is proposed for blisk RF-SF ECTr,in which the position and volume of the electrolyte supply are controlled effectively by setting multiple inlet channels in the liquid inlet area.A flow-field simulation comparison between TES and MCES shows that better accessibility and uniformity of the flow-field distribution are achieved under MCES.To clarify further the flow-field distribution characteristics under RF-SF ECTr,a series of flow-field simulations was conducted at different machining depths.Based on the obtained dynamic change law for the flow field,to enhance further its uniformity and accessibility,a global coverage strategy for the electrolyte supply and a flow-field structure optimization method for MCES are proposed,which involve optimizing the number,diameter,and location of the inlet channels.After many simulations,the optimal MCES structure was achieved whereby the electrolyte covers all positions effectively in the processing area.To verify the proposed method as effective and correct,a series of RF-SF ECTr experiments was carried out.Under the optimized MCES mode,the feeding rate was increased from 0.8 mm/min with the TES mode to 2.0 mm/min,and the processing stability and efficiency were improved significantly.The methods presented here offer an effective guide for flow-field optimization when machining other components with complex spatial structures.展开更多
Globally,gastric cancer ranks as the fifth most common malignancy and the third leading cause of cancer-related mortality.Gastrectomy combined with periop-erative chemotherapy is currently the standard of care in loca...Globally,gastric cancer ranks as the fifth most common malignancy and the third leading cause of cancer-related mortality.Gastrectomy combined with periop-erative chemotherapy is currently the standard of care in locally advanced stages,but the completion rate of multimodal approach is influenced also by patient related factors.Malnutrition is a well-known risk factor associated with poor oncological outcomes.Its perioperative supplementation could lead to an im-provement of the nutritional status.This article reviews and comments the retro-spective study conducted by Jaquet et al,which evaluates the impact of enteral nutrition by jejunostomy feeding in patients undergoing gastrectomy for cancer.The authors included 172 patients,35%of whom received jejunostomy.Patients with optimized biological nutritional parameters(body mass index,albumin,prealbumin)showed reduced major complications(>III),according to the Dindo-Clavien classification,0(0%)vs 8(4.7%)(P=0.05).In the era of multimodal treatment,optimization of nutritional and performance status is integral part of the therapeutic strategy.展开更多
Background Post-weaning diarrhea(PWD)in piglets,often caused by F4^(+)enterotoxigenic Escherichia coli(ETEC),poses significant challenges in pig production.Traditional solutions like antibiotics and zinc oxide face in...Background Post-weaning diarrhea(PWD)in piglets,often caused by F4^(+)enterotoxigenic Escherichia coli(ETEC),poses significant challenges in pig production.Traditional solutions like antibiotics and zinc oxide face increasing restrictions due to growing concerns over antibiotic resistance and environmental sustainability.This study investigates the application of bivalent heavy chain variable domain(V_(H)H)constructs(BL1.2 and BL2.2)targeting ETEC virulence factors,administered in feed to mitigate ETEC-induced PWD in weaned piglets.Results The supplementation of BL1.2 and BL2.2 in both mash and pelleted feed significantly reduced the diarrhea incidence and fecal shedding of F4^(+)ETEC in challenged piglets.Pelleted feed containing V_(H)H constructs helped to preserve gut barrier integrity by maintaining levels of the tight junction protein occludin in the small intestine.Additionally,the constructs maintained blood granulocyte counts at a similar level to the non-challenged control group,including neutrophils,and ameliorated the acute phase protein response after challenge.Notably,even at low feed intake immediately after weaning,V_(H)H constructs helped maintain piglet health by mitigating ETEC-induced inflammation and the resulting diarrhea.Conclusions Our findings demonstrated that using V_(H)H constructs as feed additives could serve as an effective strategy to help manage ETEC-associated PWD,by reducing F4^(+)ETEC gut colonization and supporting gut barrier function of weaned piglets.The high stability of these V_(H)H constructs supports their incorporation into industrial feed manufacturing processes,offering a more sustainable preventive strategy compared to traditional antimicrobial interventions,which could contribute to sustainable farming practices.展开更多
The “Greater Food” approach has replaced the older “taking grain production as a top priority” approach. Theimportance of feed and forage as the material basis for guaranteeing high-quality development of the live...The “Greater Food” approach has replaced the older “taking grain production as a top priority” approach. Theimportance of feed and forage as the material basis for guaranteeing high-quality development of the livestock industry has gradually become prominent. However, owing to the tradition of “both human staple food and animal feed relying on grain production” in China and the decoupling of feed crop planting and livestock farming, the risk of feed grain security has increased, especially as it relates to the supply of high-quality protein feed ingredients from abroad, which is facing a bottleneck. To ensure food security, effective domestic agricultural production should be adopted. Nevertheless, guaranteeing the supply of high-quality protein feed through domestic soybean production is difficult because of limited arable land;furthermore, pressure on the staple food supply is still extreme. In this article, the historical and realistic implications for the security risks of feed grain in China are analyzed. Proposals are made to separate staple food grains for humans from the feed grain supply for animals and to develop high-quality forage to reduce feed grain use. High-quality forage can be supplied via intercropping with grain crops in arable land and reseeding perennial legumes or grasses into natural grasslands. However, “managing forage for grain” needs to be supported via technical paths and policies as the forage industry develops to effectively increase the capacity to ensure feed grain security.展开更多
BACKGROUND Congenital intestinal atresia(CIA)is a common intestinal malformation in the neonatal period,and surgery is currently the main treatment method.The choice of postoperative feeding is crucial for the recover...BACKGROUND Congenital intestinal atresia(CIA)is a common intestinal malformation in the neonatal period,and surgery is currently the main treatment method.The choice of postoperative feeding is crucial for the recovery of gastrointestinal function in children.AIM To compare and analyze the effects of different postoperative feeding methods on gastrointestinal function reconstruction in newborns with CIA.METHODS Twenty-six children diagnosed with neonatal CIA,treated with minimally invasive surgery at Shijiazhuang Maternal and Child Health Hospital between January 2021 and May 2024,were selected for this single-center prospective randomized controlled study.They were divided into two groups using envelope randomization:Enteral nutrition(EN)group(n=13)and parenteral nutrition(PN)group(n=13).Baseline and clinical characteristics were collected,and recovery time of bowel sounds and time to first defecation were used as evaluation indices for gastrointestinal functional reconstruction.Differences between the groups were analyzed using t-test,χ2 test,and Fisher’s exact test.Spearman’s correlation tests and linear regression models were employed to analyze factors influencing time to first defecation.RESULTS The time to bowel sound recovery(51.54 vs 65.85,P=0.013)and first defecation(58.15 vs 76.62,P<0.001)was shorter in the EN group compared to the PN group.Clinical improvements in the EN group,including discharge weight(P=0.044),hospital stay(P=0.027),white blood cell count(P=0.023),albumin content(P=0.013),and direct bilirubin content(P=0.018),were also better than those in the PN group.No substantial differences in postoperative complications were found between the groups.Correlation analysis indicated that abdominal infection and operation time may relate to time to first defecation.Linear regression analysis demonstrated a considerable association between EN feeding and shorter time to first defecation.Abdominal infection and an operation time>2 hours may be risk factors for prolonged time to first defecation.CONCLUSION EN substantially promotes the recovery of gastrointestinal function after CIA in neonates and can improve clinical outcomes in children.Future research should explore optimal EN practices to enhance clinical application and child health.展开更多
The agricultural sector, encompassing agriculture, forestry, and land use, significantly contributes to global greenhouse gas(GHG) emissions, accounting for 23% of the total(IPCC 2019). It faces substantial challenges...The agricultural sector, encompassing agriculture, forestry, and land use, significantly contributes to global greenhouse gas(GHG) emissions, accounting for 23% of the total(IPCC 2019). It faces substantial challenges due to population growth and the urgent need to reduce its GHG emissions. Livestock husbandry, a crucial component of agriculture, accounts for a significant proportion of agricultural GHG emissions(Nugrahaeningtyas et al. 2024). Reducing emissions from livestock is essential not only for addressing climate change but also for protecting the ecological environment and achieving sustainable development. This is a critical task for the future of our planet and the well-being of future generations.展开更多
Appropriate feeding practices are important during infancy for good health, growth and development of infants and children. WHO revised its earlier recommendation of Exclusive Breastfeeding (EBF) of infants from 4 to ...Appropriate feeding practices are important during infancy for good health, growth and development of infants and children. WHO revised its earlier recommendation of Exclusive Breastfeeding (EBF) of infants from 4 to 6 months of age to EBF until about 6 months of age, with the addition of complementary foods thereafter. This recommendation confirms that breast milk alone is sufficient to meet infants’ nutritional requirements for the first 6 months of life. The main objective of this study was to investigate the effect of various feeding practices on the Nutritional status of infants 0 - 12-month-old in the Kumba 1 Sub-Division. A descriptive cross-sectional study was conducted from December 2019 to August 2020. A total of 341 nursing mothers and their infants 0 - 12 months of age were recruited. Socio-demographic factors and the different feeding habits of the children were assessed using a semi-structured questionnaire. Nutritional status was assessed using anthropometric measurements. The overall proportion of infants who exclusively breastfed for 6 months was 69.2% and those who were mix-fed were 30.8% in the study area. The overall prevalence of malnutrition in the population was 61.0%. Among the malnourished children, 53.1% were underweight, 19.6% were wasted and 10.0% were stunted. Though not significant, the prevalence of wasting (21.0%) and underweight (58.3%) was higher among Mix-Fed (MF) children when compared to their EBF counterparts. Feeding practices affected the nutritional status of the infants. Underweight and wasting were observed among infants on Complementary Feeding (CF), although some exclusively breast-fed infants were stunted. Hence, nursing mothers should try as much as possible to practice EBF as recommended by WHO and can practice CF when the child is above six months.展开更多
Objective:To summarize the evidence of tube feeding intolerance in critically ill children,aiming to provide evidence-based information for clinical nursing staff.Methods:Evidence search was done in Chinese and Englis...Objective:To summarize the evidence of tube feeding intolerance in critically ill children,aiming to provide evidence-based information for clinical nursing staff.Methods:Evidence search was done in Chinese and English databases to guide network and professional associations at home and abroad.The search time limit was from January 2014 to January 2024,nearly 10 years of relevant literature,mainly including guidelines,consensus,expert advice,best practice,evidence summary,system evaluation,and meta-analysis.Literature quality evaluation and evidence extraction were independently performed by two researchers.Results:This paper included 13 articles,including three guidelines,three systematic evaluations,three expert opinions,and four expert consensus.Twenty-six pieces of evidence were summarized from 10 aspects of feeding intolerance definition,team building,nutritional assessment,nutritional preparation,feeding protocol,feeding route,feeding management,pipeline management,gastric residual volume,and drug application.Conclusion:This paper summarized the evidence of tube feeding intolerance in critically ill children,which can provide evidence-based information for clinical practice.The abdominal signs should be closely observed when evaluating feeding intolerance,focusing on the prevention and reduction of feeding interruption.展开更多
基金funded by research grants from the National Natural Science Foundation of China(Nos.41706142 and 32071615)the China Agriculture Research System of MOF and MARA(No.CARS-49)the Funding for School-Level Research Projects of Yancheng Institute of Technology(No.XJR2021035)。
文摘Microplastic(MP)pollution has spread from the mainland to the ocean.However,Haizhou Bay,which is one of the important land-ocean transition zones,has been reported relatively little about the enrichment of MPs.To provide fundamental data for MP pollution in Haizhou Bay,we studied the occurrence of microplastics in the intestines of 8 species of fish with different habits and feeding modes.The fish intestines were digested with a 10%KOH solution,and MPs are separated with a glass fiber filter.Then,the size,shape,color,and composition of the MPs were analyzed using a stereomicroscope and Fourier transform infrared spectrometer.The results showed the abundance of MP intake ranged from 0.02 items g^(-1) to 0.16 items g^(-1) and the detection rate of MPs ranged from 53.33% to 80% across different fish species.The MP intake in benthic fish and omnivorous fish was significantly higher than that of pelagic fish and predatory fish.Smaller MPs(<0.25 mm)were the dominant types and accounted for 62.50% of the total.The fiber was the prevailing shape of MPs,and the black MPs were the most common,followed by red and yellow ones.Polyethylene terephthalate(PET),polyamide(PA),and polystyrene(PS)were the main components of MPs,accounting for 34.9%,29.9%,and 16.4%,respectively.According to the composition analysis of MPs,the main sources of MPs in fish of Haizhou Bay were attributed to marine aquaculture and port construction.The results are helpful for our better understanding of the status of MP pollution in this area,and further aid in the development of the pointed measures to mitigate and prevent the MP pollution in this ecologically important area.
基金supported by Grants from the Research Funds of the Center for Advanced Interdisciplinary Science and Biomedicine of IHM(QYPY20220018)the National Natural Science Foundation of China(31822026,32271063,31500860,and 32100821)the National Science and Technology Innovation 2030 Major Project of China(2021ZD0203900).
文摘In the face of constantly changing environments,the central nervous system(CNS)rapidly and accurately calculates the body's needs,regulates feeding behavior,and maintains energy homeostasis.The arcuate nucleus of the hypothalamus(ARC)plays a key role in this process,serv-ing as a critical brain region for detecting nutrition-related hormones and regulating appetite and energy homeostasis.Agouti-related protein(AgRP)/neuropeptide Y(NPY)neu-rons in the ARC are core elements that interact with other brain regions through a complex appetite-regulating network to comprehensively control energy homeostasis.In this review,we explore the discovery and research progress of AgRP neurons in regulating feeding and energy metabolism.In addition,recent advances in terms of feeding behavior and energy homeostasis,along with the redundant neural mecha-nisms involved in energy metabolism,are discussed.Finally,the challenges and opportunities in the field of neural regula-tion of feeding and energy metabolism are briefly discussed.
文摘In aquaculture, feed represents the main component of production costs, and the development of this sector depends on the development of an economical feed formulation that meets the qualitative and quantitative requirements of fish. The aim of this study was to determine the nutritive and microbiological quality of fish feed formulated from local flours enriched with Hermetia illucens larvae. The raw materials used for formulation were fishmeal, corn meal, low-grade rice, soybean meal and Hermetia illucens larvae meal. Different iso-protein feed compositions were prepared with 0%, 10%, 25%, 35%, 50%, 65%, 75% and 100% incorporation of Hermetia illucens larvae meal as a substitute for fish meal. Biochemical and microbiological analyses of these flours were determined using standard methods. The results showed that incorporation of larvae meal had an influence on the biochemical characteristics ash (8.15 to 20.27%), lipid (11.55 to 24.94%), fiber (13.93 to 20.41%) and dry matter (89.65 to 91.19%) of various formulated feed. Loads of fecal Streptococci, Staphylococci, Aeromonas, yeasts and molds ranged from 2.4 to 4.9 log 10 CFU/g;3.6 to 3.9 log 10 CFU/g;2.2 to 2.7 log 10 CFU/g;2.1 to 2.3 log 10 CFU/g, respectively. The level of contamination of these flours was below the microbiological criteria applicable to animal feed. Feed formulated with 0% and 10% Hermetia illucens larvae showed the best nutritive and microbiological characteristics. These results suggest that flours enriched with Hermetia illucens larvae could be used in fish feed.
基金supported by the National Key R&D Program of China(2021YFD1300901)the National Key R&D Young Scientists Project of China(2022YFD1302000)+1 种基金the Education Department of Gansu Province:Outstanding Postgraduate“Innovation Star”,China(2022CXZX-086)the Major Science and Technology Project of Gansu Province,China(22ZD6NC069)。
文摘Feed efficiency(FE)is a crucial economic trait that significantly impacts profitability in intensive sheep production,and can be evaluated by the residual feed intake(RFI)and feed conversion ratio(FCR).However,the underlying genetic mechanisms that underlie FE-related traits in sheep are not fully understood.Herein,we measured the FE-related traits of 1,280 Hu sheep and conducted the phenotype statistics and correlation analysis,the result showcase that there was a large variation for FE-related traits,and RFI was significant positive correlation with average daily feed intake(ADFI)and FCR.Moreover,a genome-wide association study(GWAS)was conducted using whole-genome resequencing data to investigate the genetic associations of ADFI,FCR and RFI.For ADFI and FCR traits,2 and one single nucleotide polymorphisms(SNPs)exceeded the genome-wide significance threshold,whereas ten and 5 SNPs exceeded the suggestive significance threshold.For RFI traits,only 4 SNPs exceeded the suggestive significance threshold.Finally,a total of 8 genes(LOC101121953,LOC101110202,CTNNA3,IZUMO3,PPM1E,YIPF7,ZSCAN12and LOC105603808)were identified as potential candidate genes for FE-related traits.Simultaneously,we further analyzed the effects of 2 candidate SNPs associated with RFI on growth and FE traits in enlarged experimental population,the results demonstrated that these 2 SNPs was not significantly associated with growth traits(P>0.05),but significantly related to RFI traits(P<0.05).These findings will provide valuable reference data and key genetic variants that can be used to effectively select feed-efficient individual in sheep breeding programs.
基金supported by the Capacity Building Project of Local University of Shanghai Municipal Science and Technology Commission(No.10230502900)the Program for Shanghai Collaborative Innovation Center for Cultivating Elite Breeds and Green-culture of Aquaculture animals(No.2021-KJ-02-12)the Innovation Project for Chongming Agriculture Industry from Chongming District Agriculture Commission of Shanghai(No.2022CNKC-01-05)。
文摘The efficiency and mechanism of hydrous iron oxide(HFO)and HFO/calcite mixture to inactivate the phosphorus in the overlying water(OW)/sediment system under the feed adding condition were explored,and the effect of HFO and HFO/calcite mixture addition on the diversity,composition and function of bacterial communities in the sediment was examined.HFO and HFO/calcite mixture direct addition can effectively lower the concentration of soluble reactive phosphorus(RSP)and diffusion gradient in thin film-unstable phosphorus(PD GT)in OW and inactivate the P DGTin the upper sediment.The elimination efficiencies of RSP by the direct HFO and HFO/calcite mixture addition were 48.9%-97.0%and 42.4%-95.4%,respectively.The alteration in the addition mode from the one-time to multiple direct addition was beneficial to the immobilization of RSP and PD GTin OW and P DGTin the upper sediment by HFO and HFO/calcite mixture under the feed input condition in the long run.Permeable fabric wrapping reduced the inactivation efficiency of RSP in OW by HFO and HFO/calcite mixture,but it made the recycling of these materials possible.Most of P immobilized by HFO and HFO/calcite mixture was relatively or very stable.After the HFO and HFO/calcite mixture addition,the composition of bacterial communities in the surface sediment changed.However,the bacterial communities in the amended sediments still can perform good ecological function.Our findings suggest that HFO and HFO/calcite mixture are promising phosphorus-immobilization materials for the inactivation of RSP and PD GTin OW and PD GTin the upper sediment under the feed inputting condition.
基金supported by the Chinese Natural Science Foundation projects(32272915 and 32472949)National Key Research and Development Programs of China(2023YFD1301003)+1 种基金the Fundamental Research Funds for the Central Universities(2662023DKPY002)Hebei Panshuo Biotechnolog Co.,Ltd.
文摘Background This study was carried out to investigate the individual and combined contamination of aflatoxin B_(1)(AFB_(1)),deoxynivalenol(DON),and zearalenone(ZEN)in feeds in China between 2021 and 2024.A total of 23,003 feed samples,including 17,489 feedstuff samples and 5,514 complete feed samples,were collected from different provinces of China for mycotoxin analysis.Results The analyzed mycotoxins displayed considerably high contamination in the feed samples,with the individual contamination of AFB_(1),DON,and ZEN were 20.0%–100%,33.3%–100%,and 85.0%–100%,respectively.The average concentrations of AFB_(1),DON,and ZEN were 1.2–728.7μg/kg,106–8,634.8μg/kg,and 18.1–3,341.6μg/kg,respectively.Notably,the rates over China’s safety standards for AFB_(1),DON,and ZEN in raw ingredients were 9.7%,2.7%,and 15.7%,respectively.Meanwhile,3.5%,1.1%,and 8.7%of analyzed complete feeds exceeded China’s safety standards for AFB_(1),DON,and ZEN,respectively.Moreover,the co-contamination rates of AFB_(1),DON,and ZEN in more than 70%of raw ingredients and 87.5%of complete feed products were 60.0%–100%and 61.5%–100%,respectively.Conclusion This study reveals that the feeds in China have commonly been contaminated with AFB_(1),DON,and ZEN alone and their combination during the past four years.These findings highlight the significance of monitoring mycotoxin contaminant levels in domestic animal feed and the importance of carrying out feed administration and remediation strategies for mycotoxin control.
基金supported by the local innovative and research teams project of Guangdong province(2019BT02N630)national key research and development program(2022YFD1300401)+2 种基金Double first-class discipline promoting project(2023B10564001)National Natural Science Foundation of China(32272954)Natural Science Foundation of Guangdong Province,China(2024A1515013131).
文摘Background Intestinal oxidative stress serves as an endogenous host defense against the gut microbiota by increas-ing energy expenditure and therefore decreasing feed efficiency(FE).Several systems coordinately regulate redox bal-ance,including the mitochondrial respiratory chain,nicotinamide adenine dinucleotide phosphate(NADPH)oxidase,and different antioxidants.However,it remains unclear which redox balance compartments in the intestine are crucial for determining FE.Results In this study,we first screened the key targets of different metabolites and redox balance-related gene expression in broiler ceca.We then constructed a mouse colitis model to explore malic acid(MA)ability to allevi-ate intestinal inflammation.We further used controlled release technology to coat MA and investigated its effects on the intestinal redox status and FE in vivo.Finally,we examined the underlying mechanism by which MA modulated redox status using a porcine intestinal epithelial cell jejunum 2(IPEC-J2)cell model in vitro.Our results demonstrated that the MA/malic enzyme 3(ME3)pathway may play an important role in reducing oxidative stress in the broiler cecum.In addition,colon infusion of MA attenuated inflammatory phenotypes in the dextran sulfate sodium salt(DSS)induced mouse colitis model.Then,dietary supplementation with controlled-release MA pellet(MAP)reduced the feed to gain(F/G)ratio and promoted chicken growth,with reduced oxidative stress and increased bacterial diver-sity.Finally,the in vitro IPEC-J2 cell model revealed that ME3 mediated the effect of MA on cellular oxidative stress.Conclusion In summary,our study firstly revealed the important role of the MA/ME3 system in the hindgut of broiler chickens for improving intestinal health and FE,which may also be crucial for the implications of colon inflammation associated diseases.
基金Open Access funding enabled and organized by Projekt DEALfinanced by the Deutsche Forschungsgemeinschaft(DFG)grant 470833544 to WK.
文摘The radula is a crucial adaptation for food-processing in molluscs.A deeper understanding of the interaction between the radula and the preferred food is lacking,complicating the inference of the precise ecological roles of radular structures.This study presents the first experimental set-up that allows to study the influence of the radular morphology,specifically the degree of tooth-tooth interlocking(so-called collective effect),on the feeding efficiency.For this purpose,physical 3D models of the teeth were designed using CAD software and 3D printing technique.The feeding efficiencies with models of different degree of interlocking were determined by tensile tests,pulling the models trough agar gels with different viscosities.The forces generated by the models and the masses of the removed gel fragments were determined.We found,that radular models with a high degree of tooth–tooth interlocking performed best as they were able to remove most agar.We additionally broke the teeth and determined,that the teeth with the highest degree of interlocking could resist to highest force.Overall,the study highlights the complex interplay between radular morphology and its ecological function,suggesting that even minor morphological alterations can significantly impact the efficiency and effectiveness of food gathering.Understanding these interactions cannot only shed light on the ecological adaptations of molluscs,but provide further insights into development of more effective grinding,scraping,and cleaning technical devices.
文摘BACKGROUND Esophageal cancer(EC)is an aggressive malignancy with low survival(10%-30%).Nutritional problems are present throughout the perioperative period and are key to prognosis.Home enteral nutrition appears to improve the nutritional status of patients with EC.Few studies have addressed the experience of patients administering their own nutritional fluids and managing their own feeding tubes at home.The aim of this study was to explore the real-life experience of self-management of feeding tubes in patients at home after EC surgery in the first 3 months after discharge following surgery.AIM To explore feeding tube self-management experience of patients at home 3 months after discharge following EC surgery.METHODS Face-to-face semi-structured interviews were conducted with 18 patients using a feeding tube at home after EC surgery.Thematic analysis of the recordings identified themes related to feeding tube self-management.RESULTS Patients expressed similar feelings about their tube management experiences concerning three contextualized themes:Self-management dilemmas,distressing experiences,and self-management facilitators.CONCLUSION There are many dilemmas and problems in self-managing feeding tubes in postoperative homebound patients with EC.Clinical staff should provide guidance to promote a positive change in self-management behavior.
文摘The feed industry serves as a critical intermediary between agriculture and animal husbandry,providing essential support for the modern breeding industry.Utilizing the annual financial report data from 19 publicly listed companies within the feed industry in 2023,a comprehensive evaluation index system was developed to assess the financial performance of these companies from four dimensions:debt paying ability,operational ability,profitability,and development ability.Factor analysis and hierarchical cluster analysis were employed to assess the financial performance of publicly listed companies within the feed industry.By comparing the mean classifications and comprehensive scores,this study analyzed the strengths and weaknesses of these listed feed companies.Ultimately,it offered recommendations for improvement in areas such as product optimization and enhancement,reasonable liability management,and the advancement of company governance practices.
基金Supported by National Natural Science Foundation of China(Grant Nos.52275435,52075465,52375519)Open Fund Project of Jiangsu Key Laboratory of Precision and Micro-manufacturing Technology(Grant No.JSKL2324K03)Key Research and Development Program of Hunan Province of China(Grant No.2023GK2026)。
文摘Rotational feeding combined with shift feeding electrochemical trepanning(RF-SF ECTr)is an effective method for machining aeroengine blisks.However,given the variable relative motion of the electrodes and the complex flow channels around the bending and twisting blades,the accessibility and uniformity of the flow field are poor in blisk RF-SF ECTr using the traditional electrolyte supply(TES)mode,resulting in poor machining stability and low machining efficiency.To improve the distribution of the flow field,a new multi-channel electrolyte supply(MCES)mode is proposed for blisk RF-SF ECTr,in which the position and volume of the electrolyte supply are controlled effectively by setting multiple inlet channels in the liquid inlet area.A flow-field simulation comparison between TES and MCES shows that better accessibility and uniformity of the flow-field distribution are achieved under MCES.To clarify further the flow-field distribution characteristics under RF-SF ECTr,a series of flow-field simulations was conducted at different machining depths.Based on the obtained dynamic change law for the flow field,to enhance further its uniformity and accessibility,a global coverage strategy for the electrolyte supply and a flow-field structure optimization method for MCES are proposed,which involve optimizing the number,diameter,and location of the inlet channels.After many simulations,the optimal MCES structure was achieved whereby the electrolyte covers all positions effectively in the processing area.To verify the proposed method as effective and correct,a series of RF-SF ECTr experiments was carried out.Under the optimized MCES mode,the feeding rate was increased from 0.8 mm/min with the TES mode to 2.0 mm/min,and the processing stability and efficiency were improved significantly.The methods presented here offer an effective guide for flow-field optimization when machining other components with complex spatial structures.
文摘Globally,gastric cancer ranks as the fifth most common malignancy and the third leading cause of cancer-related mortality.Gastrectomy combined with periop-erative chemotherapy is currently the standard of care in locally advanced stages,but the completion rate of multimodal approach is influenced also by patient related factors.Malnutrition is a well-known risk factor associated with poor oncological outcomes.Its perioperative supplementation could lead to an im-provement of the nutritional status.This article reviews and comments the retro-spective study conducted by Jaquet et al,which evaluates the impact of enteral nutrition by jejunostomy feeding in patients undergoing gastrectomy for cancer.The authors included 172 patients,35%of whom received jejunostomy.Patients with optimized biological nutritional parameters(body mass index,albumin,prealbumin)showed reduced major complications(>III),according to the Dindo-Clavien classification,0(0%)vs 8(4.7%)(P=0.05).In the era of multimodal treatment,optimization of nutritional and performance status is integral part of the therapeutic strategy.
基金financially supported by the Green Development and Demonstration Programme(GUDP)(case number 34009-19-1585)。
文摘Background Post-weaning diarrhea(PWD)in piglets,often caused by F4^(+)enterotoxigenic Escherichia coli(ETEC),poses significant challenges in pig production.Traditional solutions like antibiotics and zinc oxide face increasing restrictions due to growing concerns over antibiotic resistance and environmental sustainability.This study investigates the application of bivalent heavy chain variable domain(V_(H)H)constructs(BL1.2 and BL2.2)targeting ETEC virulence factors,administered in feed to mitigate ETEC-induced PWD in weaned piglets.Results The supplementation of BL1.2 and BL2.2 in both mash and pelleted feed significantly reduced the diarrhea incidence and fecal shedding of F4^(+)ETEC in challenged piglets.Pelleted feed containing V_(H)H constructs helped to preserve gut barrier integrity by maintaining levels of the tight junction protein occludin in the small intestine.Additionally,the constructs maintained blood granulocyte counts at a similar level to the non-challenged control group,including neutrophils,and ameliorated the acute phase protein response after challenge.Notably,even at low feed intake immediately after weaning,V_(H)H constructs helped maintain piglet health by mitigating ETEC-induced inflammation and the resulting diarrhea.Conclusions Our findings demonstrated that using V_(H)H constructs as feed additives could serve as an effective strategy to help manage ETEC-associated PWD,by reducing F4^(+)ETEC gut colonization and supporting gut barrier function of weaned piglets.The high stability of these V_(H)H constructs supports their incorporation into industrial feed manufacturing processes,offering a more sustainable preventive strategy compared to traditional antimicrobial interventions,which could contribute to sustainable farming practices.
基金funded by the China Agriculture Research System of MOF and MARA (CARS-34)the National Natural Science Foundation of China (32201471)+1 种基金the Development and Demonstration Project of Key Technologies for High Quality Development of Forage Industry in Ordos, Chinathe fellowship of China Postdoctoral Science Foundation (2023T160697)。
文摘The “Greater Food” approach has replaced the older “taking grain production as a top priority” approach. Theimportance of feed and forage as the material basis for guaranteeing high-quality development of the livestock industry has gradually become prominent. However, owing to the tradition of “both human staple food and animal feed relying on grain production” in China and the decoupling of feed crop planting and livestock farming, the risk of feed grain security has increased, especially as it relates to the supply of high-quality protein feed ingredients from abroad, which is facing a bottleneck. To ensure food security, effective domestic agricultural production should be adopted. Nevertheless, guaranteeing the supply of high-quality protein feed through domestic soybean production is difficult because of limited arable land;furthermore, pressure on the staple food supply is still extreme. In this article, the historical and realistic implications for the security risks of feed grain in China are analyzed. Proposals are made to separate staple food grains for humans from the feed grain supply for animals and to develop high-quality forage to reduce feed grain use. High-quality forage can be supplied via intercropping with grain crops in arable land and reseeding perennial legumes or grasses into natural grasslands. However, “managing forage for grain” needs to be supported via technical paths and policies as the forage industry develops to effectively increase the capacity to ensure feed grain security.
文摘BACKGROUND Congenital intestinal atresia(CIA)is a common intestinal malformation in the neonatal period,and surgery is currently the main treatment method.The choice of postoperative feeding is crucial for the recovery of gastrointestinal function in children.AIM To compare and analyze the effects of different postoperative feeding methods on gastrointestinal function reconstruction in newborns with CIA.METHODS Twenty-six children diagnosed with neonatal CIA,treated with minimally invasive surgery at Shijiazhuang Maternal and Child Health Hospital between January 2021 and May 2024,were selected for this single-center prospective randomized controlled study.They were divided into two groups using envelope randomization:Enteral nutrition(EN)group(n=13)and parenteral nutrition(PN)group(n=13).Baseline and clinical characteristics were collected,and recovery time of bowel sounds and time to first defecation were used as evaluation indices for gastrointestinal functional reconstruction.Differences between the groups were analyzed using t-test,χ2 test,and Fisher’s exact test.Spearman’s correlation tests and linear regression models were employed to analyze factors influencing time to first defecation.RESULTS The time to bowel sound recovery(51.54 vs 65.85,P=0.013)and first defecation(58.15 vs 76.62,P<0.001)was shorter in the EN group compared to the PN group.Clinical improvements in the EN group,including discharge weight(P=0.044),hospital stay(P=0.027),white blood cell count(P=0.023),albumin content(P=0.013),and direct bilirubin content(P=0.018),were also better than those in the PN group.No substantial differences in postoperative complications were found between the groups.Correlation analysis indicated that abdominal infection and operation time may relate to time to first defecation.Linear regression analysis demonstrated a considerable association between EN feeding and shorter time to first defecation.Abdominal infection and an operation time>2 hours may be risk factors for prolonged time to first defecation.CONCLUSION EN substantially promotes the recovery of gastrointestinal function after CIA in neonates and can improve clinical outcomes in children.Future research should explore optimal EN practices to enhance clinical application and child health.
文摘The agricultural sector, encompassing agriculture, forestry, and land use, significantly contributes to global greenhouse gas(GHG) emissions, accounting for 23% of the total(IPCC 2019). It faces substantial challenges due to population growth and the urgent need to reduce its GHG emissions. Livestock husbandry, a crucial component of agriculture, accounts for a significant proportion of agricultural GHG emissions(Nugrahaeningtyas et al. 2024). Reducing emissions from livestock is essential not only for addressing climate change but also for protecting the ecological environment and achieving sustainable development. This is a critical task for the future of our planet and the well-being of future generations.
文摘Appropriate feeding practices are important during infancy for good health, growth and development of infants and children. WHO revised its earlier recommendation of Exclusive Breastfeeding (EBF) of infants from 4 to 6 months of age to EBF until about 6 months of age, with the addition of complementary foods thereafter. This recommendation confirms that breast milk alone is sufficient to meet infants’ nutritional requirements for the first 6 months of life. The main objective of this study was to investigate the effect of various feeding practices on the Nutritional status of infants 0 - 12-month-old in the Kumba 1 Sub-Division. A descriptive cross-sectional study was conducted from December 2019 to August 2020. A total of 341 nursing mothers and their infants 0 - 12 months of age were recruited. Socio-demographic factors and the different feeding habits of the children were assessed using a semi-structured questionnaire. Nutritional status was assessed using anthropometric measurements. The overall proportion of infants who exclusively breastfed for 6 months was 69.2% and those who were mix-fed were 30.8% in the study area. The overall prevalence of malnutrition in the population was 61.0%. Among the malnourished children, 53.1% were underweight, 19.6% were wasted and 10.0% were stunted. Though not significant, the prevalence of wasting (21.0%) and underweight (58.3%) was higher among Mix-Fed (MF) children when compared to their EBF counterparts. Feeding practices affected the nutritional status of the infants. Underweight and wasting were observed among infants on Complementary Feeding (CF), although some exclusively breast-fed infants were stunted. Hence, nursing mothers should try as much as possible to practice EBF as recommended by WHO and can practice CF when the child is above six months.
文摘Objective:To summarize the evidence of tube feeding intolerance in critically ill children,aiming to provide evidence-based information for clinical nursing staff.Methods:Evidence search was done in Chinese and English databases to guide network and professional associations at home and abroad.The search time limit was from January 2014 to January 2024,nearly 10 years of relevant literature,mainly including guidelines,consensus,expert advice,best practice,evidence summary,system evaluation,and meta-analysis.Literature quality evaluation and evidence extraction were independently performed by two researchers.Results:This paper included 13 articles,including three guidelines,three systematic evaluations,three expert opinions,and four expert consensus.Twenty-six pieces of evidence were summarized from 10 aspects of feeding intolerance definition,team building,nutritional assessment,nutritional preparation,feeding protocol,feeding route,feeding management,pipeline management,gastric residual volume,and drug application.Conclusion:This paper summarized the evidence of tube feeding intolerance in critically ill children,which can provide evidence-based information for clinical practice.The abdominal signs should be closely observed when evaluating feeding intolerance,focusing on the prevention and reduction of feeding interruption.
