Impact of early life development on later onset chronic kidney disease and hypertension and the role of evolutionary trade-offs

NEW FINDINGS What is the topic of this review? In this report, we summarize the latest clinical evidence linking developmental programming in the kidney to later life blood pressure and kidney disease. What advances does it highlight? Population-level studies now show convincingly that low birth weight, fetal growth restriction and preterm birth are associated with and have a synergistic impact on the risk of kidney disease in later life. A new approach also considers how evolutionary selection pressure might fail to select for long-term robustness of kidney function. ABSTRACT The global burden of kidney disease is high and rising. The risk of kidney disease among individuals is highly variable, in part related to genetic and environmental factors, but also likely to be modulated by developmental programming of the number of nephrons and kidney function in fetal life. The number of nephrons varies widely across the population and is lower among those who were born small or preterm. Population registry evidence clearly shows an association between these birth circumstances and later-life risk of hypertension and kidney disease, not only for chronic kidney disease but also for acquired kidney disease, demonstrating an inherent susceptibility to kidney disease in these individuals. Gestational stressors impact kidney development, a process that is likely to be layered upon the evolutionary history of the kidney and how the organ has developed in response to selection pressure to support reproductive capacity in early adulthood, but not to withstand multiple stresses later in life. Reducing the global burden of kidney disease in future generations will require both individual- and population/environment-level risks to be addressed

A 10-day vacancy period after cleaning and disinfection has no effect on the bacterial load in pig nursery units

Background: Biosecurity measures such as cleaning, disinfection and a vacancy period between production cycles on pig farms are essential to prevent disease outbreaks. No studies have tested the effect of a longer vacancy period on bacterial load in nursery units. Methods: The present study evaluated the effect of a 10-day vacancy period in pig nursery units on total aerobic flora, Enterococcus spp., Escherichia coli, faecal coliforms and methicillin resistant Staphylococcus aureus (MRSA). Three vacancy periods of 10 days were monitored, each time applied in 3 units. The microbiological load was measured before disinfection and at 1, 4, 7 and 10 days after disinfection. Results: No significant decrease or increase in E. coli, faecal coliforms, MRSA and Enterococcus spp. was noticed. Total aerobic flora counts were the lowest on day 4 after disinfection (i.e. 4.07 log CFU/625 cm(2)) (P < 0.05), but the difference with other sampling moments was limited (i.e. 0.6 log CFU/625 cm(2)) and therefore negligible. Furthermore, this observation on day 4 was not confirmed for the other microbiological parameters. After disinfection, drinking nipples were still mostly contaminated with total aerobic flora (i.e. 5.32 log CFU/625 cm(2)) and Enterococcus spp. (i.e. 95 % of the samples were positive) (P < 0.01); the feeding troughs were the cleanest location (total aerobic flora: 3.53 log CFU/625 cm(2) and Enterococcus spp.: 50 % positive samples) (P < 0.01). Conclusions: This study indicates that prolonging the vacancy period in nursery units to 10 days after disinfection with no extra biosecurity measures has no impact on the environmental load of total aerobic flora, E. coli, faecal coliforms, MRSA and Enterococcus spp.

Краєзнавець, вчений, педагог (Геннадій Васильович Бондаренко)

У статті розкриті деякі аспекти наукової, педагогічної та громадської діяльності Геннадія Васильовича Бондаренка, голови Волинської обласної організації Національної спілки краєзнавців України.В статье раскрыты некоторые аспекты научной, педагогической и общественной деятельности Геннадия Васильевича Бондаренко, председателя Волынской областной организации Национального союза краеведов Украины.The article deals with some aspects of scientifi c, pedagogical and public activities of Henadii Bondarenko, the head of Volyn regional organization of National union of regional ethnographers of Ukraine

Eculizumab in Shiga toxin-producing Escherichia coli hemolytic uremic syndrome: a systematic review

BACKGROUND: Infection-associated hemolytic uremic syndrome (IA-HUS), most often due to infection with Shiga toxin-producing bacteria, mainly affects young children. It can be acutely life-threatening, as well as cause long-term kidney and neurological morbidity. Specific treatment with proven efficacy is lacking. Since activation of the alternative complement pathway occurs in HUS, the monoclonal C5 antibody eculizumab is often used off-label once complications, e.g., seizures, occur. Eculizumab is prohibitively expensive and carries risk of infection. Its utility in IA-HUS has not been systematically studied. This systematic review aims to present, summarize, and evaluate all currently available data regarding the effect of eculizumab administration on medium- to long-term outcomes (i.e., outcomes after the acute phase, with a permanent character) in IA-HUS. METHODS: PubMed, Embase, and Web of Science were systematically searched for studies reporting the impact of eculizumab on medium- to long-term outcomes in IA-HUS. The final search occurred on March 2, 2022. Studies providing original data regarding medium- to long-term outcomes in at least 5 patients with IA-HUS, treated with at least one dose of eculizumab during the acute illness, were included. No other restrictions were imposed regarding patient population. Studies were excluded if data overlapped substantially with other studies, or if outcomes of IA-HUS patients were not reported separately. Study quality was assessed using the ROBINS-I tool for risk of bias in non-randomized studies of interventions. Data were analyzed descriptively. RESULTS: A total of 2944 studies were identified. Of these, 14 studies including 386 eculizumab-treated patients met inclusion criteria. All studies were observational. Shiga toxin-producing E. coli (STEC) was identified as the infectious agent in 381 of 386 patients (98.7%), effectively limiting the interpretation of the data to STEC-HUS patients. Pooling of data across studies was not possible. No study reported a statistically significant positive effect of eculizumab on any medium- to long-term outcome. Most studies were, however, subject to critical risk of bias due to confounding, as more severely ill patients received eculizumab. Three studies attempted to control for confounding through patient matching, although residual bias persisted due to matching limitations. DISCUSSION: Current observational evidence does not permit any conclusion regarding the impact of eculizumab in IA-HUS given critical risk of bias. Results of randomized clinical trials are eagerly awaited, as new therapeutic strategies are urgently needed to prevent long-term morbidity in these severely ill patients

Psychometric properties of the Dutch version of the eating competence Satter Inventory (ecSI 2.0TM) in community adolescents

Eating competence can help adolescents navigate their food choices and attitudes toward eating in a healthy and balanced way. In the present study, we investigated the psychometric properties of the Dutch translation of the Eating Competence Satter Inventory 2.0TM (ecSI 2.0TM), which was developed to assess eating attitudes and behaviors. A sample of 900 Flemish adolescents completed the ecSI 2.0TM DUTCH and two self-report measures on eating disorder symptoms and identity functioning (i.e., confusion and synthesis). Confirmatory factor analysis confirmed the four-factor structure of the ecSI 2.0TM DUTCH, and the resulting four subscales (i.e., Eating Attitudes, Food Acceptance, Internal Regulation, and Contextual Skills) showed acceptable-to-excellent reliability (αs ranging from 0.69 to 0.91). The ecSI 2.0TM DUTCH also demonstrated scalar invariance across sex and age (&lt;17 years, ≥17 years). Males reported significantly higher ecSI 2.0TM DUTCH scores than females on the four subscales and the total scale. The two age groups did not significantly differ on the ecSI 2.0TM DUTCH scales. Finally, scores on the ecSI 2.0TM DUTCH subscales showed non-significant or small negative correlations with adolescents’ Body Mass Index (BMI), large negative correlations with eating disorder symptoms and identity confusion, and large positive associations with identity synthesis. The Dutch translation of the ecSI 2.0TM is a valid and reliable instrument to assess eating competence skills in male and female adolescents

Is competitive exclusion a valuable alternative for classical cleaning and disinfection of pig-growing units?

Colonization of the environment of pig-growing units by pathogenic microrganisms is an important factor in development of endemic diseases in pigs and, in spreading of zoonotic diseases. These pathogens are mostly controlled by the use of antibiotics and disinfection during vacancy. Because, the past years an increasing resistance against these measures is noticed, alternative methods such as competitive exclusion (CE) are promoted as promising. In this study the effect of a CE protocol on the bacterial infection in piggrowing units was compared to a classical cleaning and disinfection (C&D) protocol. Tests were performed during three successive production rounds using multiple identical pig-growing units. CE protocol consisted of cleaning (no disinfection) after loading piglets and spraying probiotic bacteria (Bacillus spp. spores) during vacancy and production. The cleaning product also contained Bacillus spores. Sampling was performed at different time-points: immediately after pig loading (manure still present); 24 hours after cleaning (CE units) or after disinfection (control units); after one week and five weeks of production (piglets present). At each time point, swab samples for analyses were taken. Enumerations of bacterial spores, Enterococcus spp., E. coli, fecal coliforms and MRSA and detections of E. coli, fecal coliforms and MRSA were performed. Next to bacterial analyses, also feed conversion and fecal consistency was monitored. This study showed that, although probiotic spores were administered well, the analyzed bacteria were not decreased after three production rounds in CE units and remained on the same level as the control units (C&D). Also, the infection pressure in CE units during vacancy was not as much reduced as after the disinfection-step in control units. Finally, no differences in feed conversion and fecal consistency were found. These results indicate that the used CE protocol is not a valuable alternative for classical C&D

Comparison of competitive exclusion with classical cleaning and disinfection on bacterial load in pig nursery units

Background: Colonisation of the environment of nursery units by pathogenic micro-organisms is an important factor in the persistence and spread of endemic diseases in pigs and zoonotic pathogens. These pathogens are generally controlled by the use of antibiotics and disinfectants. Since an increasing resistance against these measures has been reported in recent years, methods such as competitive exclusion (CE) are promoted as promising alternatives. Results: This study showed that the infection pressure in CE units after microbial cleaning was not reduced to the same degree as in control units. Despite sufficient administration of probiotic-type spores, the analysed bacteria did not decrease in number after 3 production rounds in CE units, indicating no competitive exclusion. In addition, no differences in feed conversion were found between piglets raised in CE and control units in our study. Also, no differences in faecal consistency (indicator for enteric diseases) was noticed. Conclusion: These results indicate that the CE protocol is not a valuable alternative for classical C&D

Converging identities: dimensions of acculturation and personal identity status among immigrant college students

The present study was designed to ascertain the extent to which dimensions of acculturation would differ across personal identity statuses in a sample of 2,411, first and second generation immigrant college‐attending emerging adults. Participants from 30 colleges and universities around the United States completed measures of personal identity processes as well as of heritage and American cultural practices, values, and identifications. Cluster‐analytic procedures were used to classify participants into personal identity statuses based on the personal identity processes. Results indicated that, across ethnic groups, individuals in the achieved and searching moratorium statuses reported the greatest endorsement of heritage and American cultural practices, values, and identifications; and individuals in the carefree diffusion status reported the lowest endorsement of all the cultural variables under study. These results are discussed in terms of the convergence between personal identity and cultural identity processes