Isoleucine and valine supplementation of a low-protein corn-wheat-soybean meal-based diet for piglets: growth performance and nitrogen balance

The effects of Ile and Val supplementation of a low-CP, corn-wheat-soybean meal-based piglet diet on growth performance, incidence of diarrhea, and N balance were studied using 60 Landrace × Duroc male piglets in a 4-wk experiment. The 60 individually caged piglets were divided into 5 dietary treatments, each consisting of 12 piglets. Diet 1 was a positive control diet (20% CP); diet 2 was a low-CP negative control diet (17% CP); diets 3, 4, and 5 were low-CP diets to which Ile, Val, or the combination of Ile and Val were added, respectively. All diets were supplemented with Lys, Met, Thr, and Trp to provide the required concentrations of these AA according to the 1998 NRC. Average daily gain and ADFI were similar among pigs fed the positive control, Val-added, and the Val plus Ileadded diets. On wk-2 and wk-4, fecal score was greater (softer feces) in piglets fed the 20% CP level compared with the remaining treatments (P < 0.01). Nitrogen intake was decreased (P < 0.0001) in pigs fed diets containing low levels of CP compared with pigs fed the 20% CP diet. Fecal N excretion (g/d) was decreased (P < 0.05) in piglets fed low-CP diets at wk 1 and wk 4 of feeding, and in urine at wk 4 of feeding. Crude protein levels or AA supplementation had no effect on N retention efficiencies. These results indicate that the supplementation of Val alone, or in combination with Ile, to a low-CP piglet diet with adequate levels of Lys, Met, Thr, and Trp is necessary to achieve maximum performance in pigs consuming corn-wheat-soybean meal-based diets

Monotone difference schemes for weakly coupled elliptic and parabolic systems

The present paper is devoted to the development of the theory of monotone difference schemes, approximating the so-called weakly coupled system of linear elliptic and quasilinear parabolic equations. Similarly to the scalar case, the canonical form of the vector-difference schemes is introduced and the definition of its monotonicity is given. This definition is closely associated with the property of non-negativity of the solution. Under the fulfillment of the positivity condition of the coefficients, two-side estimates of the approximate solution of these vector-difference equations are established and the important a priori estimate in the uniform norm C is given

The preserved plume of the Caribbean Large Igneous Plateau revealed by 3D data-integrative models

Remnants of the Caribbean Large Igneous Plateau (C-LIP) are found as thicker than normal oceanic crust in the Caribbean Sea that formed during rapid pulses of magmatic activity at similar to 91-88 and similar to 76 Ma. Strong geochemical evidence supports the hypothesis that the C-LIP formed due to melting of the plume head of the Galapagos hotspot, which interacted with the Farallon (Proto-Caribbean) plate in the eastern Pacific. Considering plate tectonics theory, it is expected that the lithospheric portion of the plume-related material migrated within the Proto-Caribbean plate in a north-north-eastward direction, developing the present-day Caribbean plate. In this research, we used 3D lithospheric-scale, data-integrative models of the current Caribbean plate setting to reveal, for the first time, the presence of positive density anomalies in the uppermost lithospheric mantle. These models are based on the integration of up-to-date geophysical datasets from the Earth's surface down to 200 km depth, which are validated using high-resolution free-air gravity measurements. Based on the gravity residuals (modelled minus observed gravity), we derive density heterogeneities both in the crystalline crust and the uppermost oceanic mantle (<50 km). Our results reveal the presence of two positive mantle density anomalies beneath the Colombian and the Venezuelan basins, interpreted as the preserved fossil plume conduits associated with the C-LIP formation. Such mantle bodies have never been identified before, but a positive density trend is also indicated by S-wave tomography, at least down to 75 km depth. The interpreted plume conduits spatially correlate with the thinner crustal regions present in both basins; therefore, we propose a modification to the commonly accepted tectonic model of the Caribbean, suggesting that the thinner domains correspond to the centres of uplift due to the inflow of the hot, buoyant plume head. Finally, using six different kinematic models, we test the hypothesis that the C-LIP originated above the Galapagos hotspot; however, misfits of up to similar to 3000 km are found between the present-day hotspot location and the mantle anomalies, reconstructed back to 90 Ma. Therefore, we shed light on possible sources of error responsible for this offset and discuss two possible interpretations: (1) the Galapagos hotspot migrated (similar to 1200-3000 km) westward while the Caribbean plate moved to the north, or (2) the C-LIP was formed by a different plume, which - if considered fixed - would be nowadays located below the South American continent

Marine animal behaviour: neglecting ocean currents can lead us up the wrong track

Tracks of marine animals in the wild, now increasingly acquired by electronic tagging of individuals, are of prime interest not only to identify habitats and high-risk areas, but also to gain detailed information about the behaviour of these animals. Using recent satellite-derived current estimates and leatherback turtle (Dermochelys coriacea) tracking data, we demonstrate that oceanic currents, usually neglected when analysing tracking data, can substantially distort the observed trajectories. Consequently, this will affect several important results deduced from the analysis of tracking data, such as the evaluation of the orientation skills and the energy budget of animals or the identification of foraging areas. We conclude that currents should be systematically taken into account to ensure the unbiased interpretation of tracking data, which now play a major role in marine conservation biology

Oral vinorelbine and cisplatin with concomitant radiotherapy in stage III non-small cell lung cancer (NSCLC): A feasibility study

Background: Concurrent chemoradiotherapy has improved survival in inoperable stage III non-small cell lung cancer (NSCLC). This phase I trial was performed in order to establish a dose recommendation for oral vinorelbine in combination with cisplatin and simultaneous radiotherapy. Patients and Methods: Previously untreated patients with stage IIIB NSCLC received concurrent chemoradiotherapy with 66 Gy and 2 cycles of cisplatin and oral vinorelbine which was administered at 3 different levels (40, 50 and 60 mg/m(2)). This was to be followed by 2 cycles of cisplatin/vinorelbine oral consolidation chemotherapy. The study goal was to determine the maximal recommended dose of oral vinorelbine during concurrent treatment. Results: 11 stage IIIB patients were entered into the study. The median radiotherapy dose was 66 Gy. Grade 3-4 toxicity included neutropenia, esophagitis, gastritis and febrile neutropenia. The dose-limiting toxicity for concurrent chemoradiotherapy was esophagitis. 9 patients received consolidation chemotherapy, with neutropenia and anemia/thrombocytopenia grade 3 being the only toxicities. The overall response was 73%. Conclusion: Oral vinorelbine 50 mg/m(2) (days 1, 8, 15 over 4 weeks) in combination with cisplatin 20 mg/m2 (days 1-4) is the recommended dose in combination with radiotherapy (66 Gy) and will be used for concurrent chemoradiotherapy in a forthcoming phase III trial testing the efficacy of consolidation chemotherapy in patients not progressing after chemoradiotherapy

Automatic Detection of Adverse Drug Events in Geriatric Care: Study Proposal

BACKGROUND One-third of older inpatients experience adverse drug events (ADEs), which increase their mortality, morbidity, and health care use and costs. In particular, antithrombotic drugs are among the most at-risk medications for this population. Reporting systems have been implemented at the national, regional, and provider levels to monitor ADEs and design prevention strategies. Owing to their well-known limitations, automated detection technologies based on electronic medical records (EMRs) are being developed to routinely detect or predict ADEs. OBJECTIVE This study aims to develop and validate an automated detection tool for monitoring antithrombotic-related ADEs using EMRs from 4 large Swiss hospitals. We aim to assess cumulative incidences of hemorrhages and thromboses in older inpatients associated with the prescription of antithrombotic drugs, identify triggering factors, and propose improvements for clinical practice. METHODS This project is a multicenter, cross-sectional study based on 2015 to 2016 EMR data from 4 large hospitals in Switzerland: Lausanne, Geneva, and Zürich university hospitals, and Baden Cantonal Hospital. We have included inpatients aged ≥65 years who stayed at 1 of the 4 hospitals during 2015 or 2016, received at least one antithrombotic drug during their stay, and signed or were not opposed to a general consent for participation in research. First, clinical experts selected a list of relevant antithrombotic drugs along with their side effects, risks, and confounding factors. Second, administrative, clinical, prescription, and laboratory data available in the form of free text and structured data were extracted from study participants' EMRs. Third, several automated rule-based and machine learning-based algorithms are being developed, allowing for the identification of hemorrhage and thromboembolic events and their triggering factors from the extracted information. Finally, we plan to validate the developed detection tools (one per ADE type) through manual medical record review. Performance metrics for assessing internal validity will comprise the area under the receiver operating characteristic curve, F$_{1}$-score, sensitivity, specificity, and positive and negative predictive values. RESULTS After accounting for the inclusion and exclusion criteria, we will include 34,522 residents aged ≥65 years. The data will be analyzed in 2022, and the research project will run until the end of 2022 to mid-2023. CONCLUSIONS This project will allow for the introduction of measures to improve safety in prescribing antithrombotic drugs, which today remain among the drugs most involved in ADEs. The findings will be implemented in clinical practice using indicators of adverse events for risk management and training for health care professionals; the tools and methodologies developed will be disseminated for new research in this field. The increased performance of natural language processing as an important complement to structured data will bring existing tools to another level of efficiency in the detection of ADEs. Currently, such systems are unavailable in Switzerland. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/40456

The melanoma-specific graded prognostic assessment does not adequately discriminate prognosis in a modern population with brain metastases from malignant melanoma

The melanoma-specific graded prognostic assessment (msGPA) assigns patients with brain metastases from malignant melanoma to 1 of 4 prognostic groups. It was largely derived using clinical data from patients treated in the era that preceded the development of newer therapies such as BRAF, MEK and immune checkpoint inhibitors. Therefore, its current relevance to patients diagnosed with brain metastases from malignant melanoma is unclear. This study is an external validation of the msGPA in two temporally distinct British populations.Performance of the msGPA was assessed in Cohort I (1997-2008, n=231) and Cohort II (2008-2013, n=162) using Kaplan-Meier methods and Harrell's c-index of concordance. Cox regression was used to explore additional factors that may have prognostic relevance.The msGPA does not perform well as a prognostic score outside of the derivation cohort, with suboptimal statistical calibration and discrimination, particularly in those patients with an intermediate prognosis. Extra-cerebral metastases, leptomeningeal disease, age and potential use of novel targeted agents after brain metastases are diagnosed, should be incorporated into future prognostic models.An improved prognostic score is required to underpin high-quality randomised controlled trials in an area with a wide disparity in clinical care

Wavelength selective light-induced magnetic effects in the binuclear spin crossover compound {[Fe(bt)(NCS)2]2(bpym)}

International audienceUsing Fourier transform infrared spectroscopy, x-ray diffraction, and magnetic susceptibility measurements under light irradiation, the selective light-induced excited spin state trapping (LIESST) and the reversible-LIESST effect have been evidenced and studied in depth in the binuclear spin crossover compound {[Fe(bt)(NCS)2]2bpym}. In this system, each magnetic site can switch from low spin (LS) to high spin (HS), so that three states exist, namely, the LS-LS, HS-LS, and HS-HS. All these techniques shine a new light on the high phototunability of this system. In addition to the direct photoswitching from the LS-LS to the HS-LS or to the HS-HS state, here we show that photoinduced switching between the excited photoinduced states can be triggered in a reversible way: from HS-LS to HS-HS (irradiation around 800 nm), or reverse from HS-HS to HS-LS (irradiation around 1300 nm). The nature of the intermediate HS-LS state during the thermal and light-induced spin state changes is also discussed by comparing the spectroscopic measurements and the structural analysis. The loss of inversion symmetry in the HS-LS molecular state, where the two magnetic Fe sites are no more equivalent, is not accompanied by any long-range ordering of the noncentrosymmetric molecules in the crystal. Therefore the continuous double-step spin conversion corresponds to a double crossover