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The epitome of hand waving? Larval feeding and hypotheses of metazoan phylogeny.

The homology of larval forms, and particularly their feeding methods, has been a major element in some recent discussions about animal phylogeny. "Downstream feeding" is one of two main larval-feeding modes and is usually equated to an opposed-band system with ciliary bands called the prototroch and metatroch. Feeding in larvae is reviewed here and the homology hypothesis of downstream larval feeding is expanded, encompassing any feeding involving the prototroch. It is often argued that the presence of planktotrophic larvae using downstream feeding is plesiomorphic among spiralian animals, and that there is a bias in transformations, such that feeding larvae tend to be lost rather than gained. These hypotheses are assessed using cladistic parsimony methodology, in relation to Spiralia, Trochozoa, and with particular reference to polychaete annelids. Methods adopted for the possibility of a bias in transformations toward loss of downstream larval feeding include: expanded primary homology arguments, character reconstructions favoring reversals, and polymorphic terminals coded as having downstream larval feeding. Nevertheless, all analyses show that downstream larval feeding appears to have evolved multiple times from a lecithotrophic condition. The results support a conclusion that the prototroch was primarily locomotory, and has become associated with feeding a number of times. Hypotheses of metazoan phylogeny predicated on the assumption that downstream-feeding larvae are plesiomorphic are re-assessed.

Animals↗

A comparison of methods for exposing chickens to Coccidiosis in floor-pen trials.

Three floor-pen trials were conducted for the purpose of evaluating 4 methods of exposing broiler chickens to coccidiosis. The methods were compared on the basis of their effect on weight, feed efficiency, histological lesions, and mortality. In each of the individual trials, birds exposed to coccidiosis via the feed had significantly (P is less than 0.5) higher incidence of light to severe histological lesions that those exposed via "seeder birds" or contaminated litter. On the basis of pooled data from the three trials, birds exposed via the feed had lower feed efficiency, higher mortality, and significantly (P is less than 0.5) lower weight at 8 weeks than those exposed via the other techniques. However, the feed method of exposure resulted in a significantly higher variability (P is less than 0.1) in mortality among pens. For uniformity of infection, it was concluded that the most satisfactory method of exposing birds to coccidiosis in floor pen trials was to spread laboratory sportulated oocysts over the litter.

Animal Feed↗

Kupffer cell inactivation alleviates ethanol-induced steatosis and CYP2E1 induction but not inflammatory responses in rat liver.

BACKGROUND/AIMS: Gadolinium chloride inactivates Kupffer cells and alleviates alcohol-induced liver lesions. We investigated the mechanism of gadolinium chloride protection after oral ethanol feeding. METHODS: Rats were maintained ethanol-intoxicated for 6 weeks by feeding ethanol in a low-carbohydrate/high-fat liquid diet. Macrophages were inactivated by intravenous administrations of gadolinium chloride. At termination, liver samples and cell lysates obtained from the periportal and perivenous region were analyzed for histopathology, mRNA expression of endotoxin-associated parameters and cytokines and for enzymes involved in oxidative stress. RESULTS: Ethanol treatment alone caused marked microvesicular/macrovacuolar steatosis and focal inflammation. Gadolinium significantly alleviated pathology, by reducing steatosis but not inflammation. Gadolinium treatment eliminated ED2 immunopositive Kupffer cells, which were larger and more frequent periportally. Ethanol significantly increased the mRNA expression of the endotoxin (LPS) receptor CD14 and the LPS binding protein LBP, but not that of the pro-inflammatory cytokines TNF-alpha and IL-1beta. The mRNA of CD14 was found to be expressed preferentially in the perivenous region, but gadolinium treatment had no significant effect on the expression or the distribution. However, gadolinium significantly moderated the ethanol induction of CYP2E1 and this effect correlated to the degree of steatosis. Ethanol increased glutathione transferase and reduced glutathione peroxidase activity, but these changes persisted after gadolinium treatment. CONCLUSIONS: Our results suggest that gadolinium chloride reduces symptoms of ALD mainly by counteracting steatosis, and that CD14-positive Kupffer cell populations are not involved in gadolinium protection. The strong correlation between pathology and CYP2E1 induction might suggest a steatopathogenic role for this enzyme.

Acute-Phase Proteins↗

The relationship between pacifier use, bottle feeding and breast feeding.

OBJECTIVE: To investigate the influence of pacifier use and the introduction of formula milk on breast feeding. METHODS: The mothers of 356 healthy newborn infants who initiated breast feeding while in-patients were interviewed within 3 days of birth and later at 2 and 6 months postpartum. Information regarding previous birth, breast-feeding frequency, pacifier use and the adoption of formula milk were obtained. The data were analyzed using chi2 and Kruskal-Wallis tests. RESULTS: At the end of the second month, 264 (74%) of the mothers were still breast feeding; by the end of the sixth month this had fallen to 236 (66%). Among the 356 mothers, 152 had at least one previous infant, and 132 (86.8%) of them had breast fed a previous infant. Of the women who breast fed their previous infant for more than 2 months, 112 (84.8%) breast fed the current child until the end of the second month and 104 (78.7%) until the end of the sixth month after delivery. Of all investigated patients, 204 were primiparous (57.3%). Of these, 152 (74.5%) breast fed until the end of the second month, and 132 (64.7%) until the end of the sixth month after delivery. Amongthe 204 primiparae, 92 (45%) gave formula to their newborn infants. Forty-four of these 92 mothers (47.8%) had discontinued breast feeding by the end of the second month. Among the 356 newborn infants, 220 used pacifiers at the end of the second month. Within this group, 72 (33%) of the infants did not breast feed, while 148 (67%) did breast feed. Of all investigated mothers, 136 did not give pacifiers to their infants and only eight of these mothers (6%) had stopped breast feeding at the end of the second month. CONCLUSIONS: We found an inverse correlation between pacifier usage and breast feeding. Breast feeding was most common among multiparous mothers.

Breast Feeding↗

Trends in infant feeding in Port Moresby.

A survey of infant feeding practices was conducted among children aged less than 1 year attending an urban health clinic and the main Children's Outpatients Department (COPD) in Port Moresby in 1986. A further survey was conducted in 1987 to assess the short-term trends. The use of artificial milk increased by 60%, from 9.4% in the first to 15.2% in the second survey. This increase was particularly marked in the COPD sample. Bottle feeding accounted for 95% of artificial feeding methods. In 67% of cases the reason given for using artificial feeding was that the mother was working. Legislation and an explicit government policy to foster the establishment of creches in the work place may be necessary to counter the worrying increase in artificial feeding.

Bottle Feeding↗

[Gastro-intestinal disorders in premature neonates receiving early enteral feeding (author's transl)].

Gastro-intestinal (G-I) disorders were studied in 95 premature neonates. Each child presented with at least one of the features usually associated with mesenteric ischemia. Nearly all the children had been fed early with tyndallized maternal milk. No certain necrotizing enterocolitis (NEC) was observed; however, it was suspected in 4 children (4.2%) and in 7 (7.3%), minor changed occurred. Among the 13 factors examined which might be responsible for inducing NEC, only 2 were correlated with G-I disorders: low birth weight (less than 1,500 gm) and occurrence of secondary apnea or asphyxia incidents during mechanical ventilation. This study led to the following practical conclusion: maintenance of early enteral feeding in prematures theoretically at risk for G-I disorders, taking into account the low incidence of severe G-I impairments and of the advantages of such a feeding method, while carefully supervising intestinal symptoms; preventative and temporary interruption of feeding in low weight prematures, in case of acute asphyxia or hypoxia episodes.

Asphyxia Neonatorum↗

Artificial feeding of ixodid ticks.

Ixodid ticks are economically important as they cause direct damage to livestock and are vectors of several pathogens that cause diseases in humans and animals. Some of the important tick-borne pathogens of livestock are Theileria parva, T. annulata, Babesia bigemina, B. bovis, Anaplasma marginale and Cowdria ruminantium. These pathogens are responsible for causing enormous losses in livestock. Identification of factors that influence transmission and development of these pathogens in ticks will greatly facilitate development of rational strategies for control of tick-borne diseases. This research has been hampered by the lack of suitable artificial feeding methods. In this paper, Sam Waladde, Aian Young and Subhash Morzaria review recent developments in the artificial feeding of ixodid ticks and evaluate how this method can potentially be exploited. They use an example the transmission of an important livestock pathogen, T. parva, by Rhipicephalus appendiculatus.

Journal Article↗

The effect of early feeding on postburn hypermetabolism.

The effect of early enteral feeding upon postburn hypermetabolism was studied on the fourteenth postburn day using five groups of rats. Feeding methods and treatments for the groups were: I) rat chow ad libitum at 2 hours postburn (PB); II) fed early by gastrostomy at 2 hours PB; III) fed late by gastrostomy at 72 hours PB; IV) fed early by gastrostomy--shaved control; V) rat chow ad libitum--shaved control. Gastrostomy feedings delivered 175 kcal/kg.day. The rates of heat production and heat loss did not differ significantly between any of the burn groups, whether fed ad libitum, or early or late by way of gastrostomy. The burned rats fed ad libitum gained significantly more weight than the rats fed late by gastrostomy. Contrary to previous studies using a guinea pig model, method and timing of feeding had no demonstrable effect on the postburn increment in heat loss and the secondary increment in heat production following thermal injury in rats.

Animals↗

In vitro feeding of instars of the ixodid tick Amblyomma variegatum on skin membranes and its application to the transmission of Theileria mutans and Cowdria ruminatium.

An in vitro feeding method using rabbit or cattle skin membranes, applied successfully to all stages (larvae, nymphae and adults) of the ioxodid tick, Amblyomma variegatum, is described. The feeding apparatus consisted of a blood container with a membrane placed on top of a tick containment unit. A carbon dioxide atmosphere of between 5 and 10% and a temperature of 37 degrees C were used as stimulants for the attachment of the ticks. High CO2 concentrations in the atmosphere improved the feeding success of all instars. The effect of anticoagulation methods for the bloodmeal was investigated, and heparinized blood was found to be the most suitable for tick feeding. When the bloodmeal was replaced by tissue culture medium for feeding nymphs the subsequent moulting success was reduced. Adult ticks of both sexes remained attached for up to 16 days, until completion of their bloodmeals. All stages of the tick fed on whole blood in the artificial feeding system and all reached engorged weights less than those achieved by control ticks fed on experimental animals. A large proportion of ticks, fed artificially on whole blood, moulted or laid eggs successfully. The method was successfully applied for the transmission of Theileria mutans and Cowdria ruminantium to cattle.

Animals↗

Infant feeding practices of women in a perinatal HIV-1 prevention study in Nairobi, Kenya.

OBJECTIVE: To determine feeding practices and nutritional status of infants born to HIV-1-infected women. METHODS: Feeding plans and practices were evaluated by questionnaires and focus group discussions. Infants were weighed at 1 and 6 weeks and tested for HIV-1 at 6 weeks. RESULTS: Of 128 women seen after delivery, 111 completed the study. Mothers who planned to breast feed were more likely to feed their infants as planned (86% vs. 55%; P < 0.001). Women opted to breast feed due to financial constraints, partner influence, and fear of losing confidentiality. Women who reported that their partners were willing to have HIV-1 testing were less likely to be breast feeding at 6 weeks (odds ratio [OR] = 0.3, 95% confidence interval [CI]: 0.1-0.8; P = 0.01). At 6 weeks, more infants were mixed fed (31% vs. 21%; P = 0.05) than at 1 week. Lower infant weight at 6 weeks was associated with not breast feeding (P = 0.001), HIV-1 infection (P = 0.05), birth weight <3000 g (P = 0.01), maternal employment (P = 0.02), and paying <$12.5 per month in house rent (among infants not breast fed; P = 0.05). CONCLUSIONS: Replacement feeding was difficult, particularly without partner support in HIV-1 testing. Mixed feeding was common and increased by 6 weeks. Mothers of low socioeconomic status who opt not to breast feed require support to avoid nutritional compromise of infants.

Adult↗

Is breastfeeding really favoring early neonatal jaundice?

OBJECTIVE: The purpose of this study was to evaluate the development of significant hyperbilirubinemia in a large unselected newborn population in a metropolitan area with particular attention to the relationship between type of feeding and incidence of neonatal jaundice in the first week of life. STUDY DESIGN: A population of 2174 infants with gestational age >/=37 weeks was prospectively investigated during the first days of life. Total serum bilirubin determinations were performed on infants with jaundice. The following variables were studied: type of feeding, method of delivery, weight loss after birth in relationship to the type of feeding, and maternal and neonatal risk factors for jaundice. Statistical analyses were performed using the z test for parametric variables and the t test for nonparametric variables. In addition, the multiple logistic regression allows for the estimation of the role of the individual characteristics in the development of hyperbilirubinemia. Data concerning serum bilirubin peak distribution in jaundiced newborns were analyzed using a single and a double Gaussian best fit at least squares. The t test was performed to compare 2 values (high and low) of the serum bilirubin peak in breastfed and supplementary-fed infants with those in bottle-fed infants. RESULTS: The maximal serum bilirubin concentration exceeded 12.9 mg/dL (221 micromol/L) in 112 infants (5.1%). The study demonstrated a statistically significant positive correlation between patients with a total serum bilirubin concentration >12.9 mg/dL (221 micromol/L) and supplementary feeding; oppositely, breastfed neonates did not present a higher frequency of significant hyperbilirubinemia in the first days of life. However, best Gaussian fitting of our data suggests that a small subpopulation of breastfed infants have a higher serum bilirubin peak than do bottle-fed infants. Newborns with significant hyperbilirubinemia underwent a greater weight loss after birth compared with the overall studied population, and infants given mixed feeding lost more weight than breastfed and formula-fed newborns, indicating that formula has been administered in neonates who had a weight loss beyond a predetermined percentage of birth weight. Significant hyperbilirubinemia was also strongly associated with delivery by vacuum extractor, some perinatal complications (cephalohematoma, positive Coombs' test, and blood group systems of A, AB, B, and O [ABO] incompatibility) and Asian origin. Multiple logistic regression analysis shows that supplementary feeding, weight loss percentage, ABO incompatibility, and vacuum extraction significantly increase the risk of jaundice, while only cesarean section decreases the risk. CONCLUSION: The present study confirms the important role of fasting in the pathogenesis of neonatal hyperbilirubinemia, although breastfeeding per se does not seem related to the increased frequency of neonatal jaundice but to the higher bilirubin level in a very small subpopulation of infants with jaundice. In fact, in the breastfed infants, there is a small subpopulation with higher serum bilirubin levels. These infants, when starved and/or dehydrated, could probably be at high risk of bilirubin encephalopathy.

Bilirubin↗

In vitro feeding in the rearing of tsetse flies (Glossina m. morsitans and G.p. palpalis, Diptera: Glossinidae).

The increasing demand for laboratory reared tsetse flies for research and biological control makes it necessary to develop effective and standardized tsetse fly feeding methods without using live animals for the daily blood uptake. The in vitro feeding technique, described in this paper, has been used for rearing G. m. morsitans by feeding them defibrinated equine blood through a silicone membrane. The results obtained for female longevity and productivity and mean weight of puparia are satisfactory. However, feeding defibrinated bovine blood results in significantly lighter puparia. A colony of G. p. palpalis feeding on defibrinated bovine blood is the only colony of this species that has been successfully maintained by in vitro feeding over several years. The survival rate of the females being fed defibrinated bovine, equine or porcine blood is equal. The number of larvae produced by females being fed defibrinated equine blood is significantly lower. Females younger than 50 days produce larvae which form a heavier puparia than females aged between 51 to 80 or 100 days, irrespective of blood source. Bovine blood used within the first 3 days after its collection leads to significantly higher mean weights of puparia than bovine blood used therafter. The increasing degree of haemolysis is most probably not the reason for this observation. A colony production model based on the performance of both species, G. m. morsitans and G. p. palpalis, fed in vitro, shows the importance of the first five age group periods (i.e. 45 to 50 days after emergence) for the overall performance of the flies. According to the results obtained, about 2,3 puparia per female are needed to maintain the same number of females in the colony. This level of production is reached in the fifth age group period. All larvae produced thereafter are available for colony expansion or experimental purposes. Rearing of both species with in vitro feeding is now a matter of routine.

Animal Feed↗

Feeding the low birth weight infant.

A true gold standard for assessing the nutritional outcome of preterm infants remains elusive. We are seeing an expansion beyond the traditional intrauterine-based short-term growth and nutrient retention rates toward a broader, and possibly life-long, range of outcomes. As our nutritional end points shift, the suitability of the preterm infants' own mothers' milk may become more apparent. Whether the unique properties of human milk or the use of human milk components for fortification are sufficient to rekindle the use of donor milk from milk banks remains to be seen. Improved formulas designed specifically for preterm infants and the possibility of providing passive immunity in formula have added fuel to the debate over what constitutes an ideal nutrient source. The optimal time to begin to feed our smallest and sickest patients is being reevaluated. A policy of exclusive parenteral nutrition for prolonged periods of time may be replaced with one in which minimal amounts of feeding are used, in conjunction with parenteral support, to prepare and maintain intestinal function until advancements toward full enteral nutrition are possible. Although well-controlled trials are needed to add substance to our decisions on many feeding methods, such as intermittent bolus versus continuous gastric infusion, the use of transpyloric feeding should be discouraged. Finally, we need to determine if there are any tangible nutritional benefits from the use of nonnutritive sucking. It is hoped that resolution of some of the controversies of feeding preterm infants will broaden our clinical view of infant nutrition. The discussion on work rounds will then move away from the current "did the baby get 120 kcal/kg yesterday?" toward an informed discussion of how, what, when, and why to feed the infant. Over a century ago, Abraham Jacopi cautioned pediatricians that "You cannot feed a baby with mathematics; you must feed them with brains."

Enteral Nutrition↗

Total parenteral nutrition for patients receiving antineoplastic therapy at a regional oncology unit: a two-year study.

The aim of this prospective study was to establish the exact role parenteral nutrition has in the provision of nutritional support to patients receiving antineoplastic therapy. The diagnosis, reasons for implementation, method of delivery and duration of nutritional support were determined. The outcome of nutritional support was established by the percentage change in weight and alteration in body mass index during the period of nutritional support. The results indicate that parenteral nutrition can successfully maintain the body weight of patients who are unable to receive enteral nutrition whilst receiving antineoplastic treatment. However, it is recommended that the provision of parenteral nutrition is evaluated at regular intervals and alternative feeding methods via the enteral feeding route are accessed as soon as possible.

Adult↗

Clinical application of clip-assisted endoscopic method for nasoenteric feeding in patients with gastroparesis and gastroesophageal wounds.

AIM: To report the clinical experiences in the application of clip-assisted endoscopic method for nasoenteric feeding in patients with gastroparesis and patients with gastroesophageal wounds, and to compare the efficacy of nasoenteric feeding in these two indications. METHODS: From April 2002 to January 2004, 21 consecutive patients with gastroparesis or gastroesophageal wounds were enrolled and received nasoenteric feeding for nutritional support. A clip-assisted method was used to place the nasoenteric tubes. Outcomes in the two groups were compared with respect to the successful rate of enteral feeding, percentage of recommended energy intake (REI), and complication rates. RESULTS: The gastroparesis group included 13 patients with major burns (n = 7), trauma (n = 2), congestive heart failure (n = 2) and post-surgery gastric stasis syndrome (n = 2). The esophageogastric wound group included eight patients with tracheoesophageal fistula (n = 2) and wound leakage following gastric surgery (n = 6). Two study groups were similar in feeding successful rates (84.6% vs 75.0%). There were also no differences in the percentage of REI between groups (79.4% vs 78.6%). Additionally, no complications occurred in any of the study groups. CONCLUSION: Nasoenteric feeding is a useful method to provide nutritional support to most of the patients with gastroparesis who cannot tolerate nasogastric tube feeding and to the cases who need bypass feeding for esophageogastric wounds.

Adult↗

Breast-feeding practices among WIC participants in Hawaii.

OBJECTIVE: To describe breast-feeding practices and identify correlates of breast-feeding among participants in the Hawaii Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) program. DESIGN: A cross-sectional survey. SUBJECTS/SETTING: We conducted structured, in-person interviews with 535 women at WIC clinics throughout Hawaii (95% response rate). The interview collected information on maternal characteristics and infant-feeding practices. STATISTICAL ANALYSES: Breast-feeding prevalence was examined by infant age and predictors of infant-feeding method were examined via bivariate tests and multivariable logistic regression analysis. Reported breast-feeding promotion efforts in health care settings outside of WIC were also examined. RESULTS: Most women (82%) attempted to breast-feed, albeit for short durations for many women; of the women who breast-fed in combination with formula feeding, 46% introduced formula within the first week after delivery. Significant predictors of breast-feeding initiation included previous breast-feeding experience, having a close relative or friend who breast-fed, multiparity, Asian/Pacific Island ethnicity (other than Filipino), and being foreign-born. Significant predictors of mixed feeding (vs exclusive breast-feeding) included working or attending school, age less than 20 years, Hawaiian/part Hawaiian or Filipino ethnicity, being Hawaiian-born, and residing in Oahu county. CONCLUSIONS: Although most women in this population initiated breast-feeding, formula was usually introduced at an early age. This study identified several factors associated with breast-feeding initiation and exclusive breast-feeding, factors that may prove useful for the development of appropriate interventions to promote these behaviors.

Adult↗

The impact of prematurity and neonatal illness on the decision to breast-feed.

This paper reports on a qualitative and quantitative cross-sectional study of infant feeding practices made in three neonatal intensive care units. Findings from interviews with 44 mothers of diverse ethnic origin, social class, age and gestation at delivery are reported. All the mothers interviewed had at some time provided breast milk and rates of breast-feeding on these units were higher than the national average. Eight mothers reported changing their mind about feeding methods after their baby was admitted, including three changes from formula to breast-feeding. Mothers' perceptions with regard to milk expression and their expressing history gave indications of factors underlying decisions to provide breast milk and the quality of support to do so. While mothers considered overall support to have been good, notably 35% of mothers had themselves suggested that they express milk, nearly half did not start expressing for 2 or more days, 43% expressed fewer than four times a day and 48% of mothers had received conflicting advice. There were some difficulties with both the hospital facilities and with expressing milk at home. There is a need for more consistent advice and practical help to be given to mothers.

Breast Feeding↗

Comparison of direct percutaneous endoscopic jejunostomy and PEG with jejunal extension.

BACKGROUND: Jejunostomy tubes can be placed endoscopically by means of percutaneous gastrostomy with jejunal extension (PEG-J) or by direct percutaneous jejunostomy. These 2 techniques were retrospectively compared in patients requiring long-term jejunal feeding. METHOD: An endoscopy database was used to identify all patients who underwent endoscopic jejunal feeding tube placement from January 1996 to May 2001. Patients with a history of upper GI surgery were excluded. There were 56 patients with a direct percutaneous jejunostomy and 49 with a percutaneous gastrostomy with jejunal extension. Patients in the direct percutaneous jejunostomy group received a 20F direct jejunostomy tube; a 20F PEG tube with a 9F jejunal extension was used in the percutaneous gastrostomy with jejunal extension group. Medical records for the period of 6 months after establishment of jejunal access were reviewed. Complications and need for further endoscopic intervention within this time frame were recorded. The duration of feeding tube patency (number of days from established jejunal access to first endoscopic reintervention) was compared for both groups. RESULTS: Feeding tube patency was significantly longer in patients who had a direct percutaneous jejunostomy compared with those with a percutaneous gastrostomy with jejunal extension. Within the 6-month period, 5 patients with a direct percutaneous jejunostomy required endoscopic reintervention for tube dysfunction compared with 19 patients who had a percutaneous gastrostomy with jejunal extension (p < 0.0001). CONCLUSIONS: For patients who require long-term jejunal feeding, a direct percutaneous jejunostomy with a 20F tube provides more stable jejunal access compared with a percutaneous gastrostomy with jejunal extension with a 9F extension and has a lower associated rate of endoscopic reintervention.

Adult↗