How Does Nitrogen Application Rate Affect Plant Functional Traits and Crop Growth Rate of Perennial Ryegrass-Dominated Permanent Pastures?

High doses of nitrogen (N) fertiliser input on permanent pastures are crucial in terms of N surplus and N losses. Quantitative analyses of the response of plant functional traits (PFT) driving crop growth rate (CGR) under low N input are lacking in frequently defoliated pastures. This study aimed to understand the significance of PFTs for productivity and N uptake in permanent grasslands by measuring dynamics in tiller density (TD), tiller weight (TW), leaf weight ratio (LWR), leaf area index (LAI), specific leaf area (SLA), as well as leaf N content per unit mass (LNCm) and per unit area (LNCa) in perennial ryegrass (Lolium perenne)-dominated pastures, in a simulated rotational grazing approach over two consecutive growing seasons. Annual N application rates were 0, 140 and 280 kg N ha−1. The phenological development of perennial ryegrass was the main driver of CGR, N uptake and most PFTs. The effect of N application rate on PFTs varied during the season. N application rate showed the greatest effect on TD, LAI and, to a lesser extent, on SLA and LNCm. The results of this study highlight the importance of TD and its role in driving CGR and N uptake in frequently defoliated permanent pastures

Perioperative lipid-enriched enteral nutrition versus standard care in patients undergoing elective colorectal surgery (SANICS II):a multicentre, double-blind, randomised controlled trial

Postoperative ileus and anastomotic leakage severely impair recovery after colorectal resection. We investigated the effect of perioperative lipid-enriched enteral nutrition versus standard care on the risk of postoperative ileus, anastomotic leakage, and other clinical outcomes. We did an international, multicentre, double-blind, randomised, controlled trial of patients (≥18 years) undergoing elective colorectal surgery with primary anastomosis at six clinical centres in the Netherlands and Denmark. Patients were randomly assigned (1:1), stratified by location (colonic and rectal) and type of surgery (laparoscopic and open), via online randomisation software, with block sizes of six, to receive either continuous lipid-enriched enteral tube feeding from 3 h before until 6 h after surgery (intervention) or no perioperative nutrition (control). Surgeons, patients, and researchers were masked to treatment allocation for the entire study period. The primary outcome was postoperative ileus. Secondary outcomes included anastomotic leakage, pneumonia, preoperative gastric volumes, time to functional recovery, length of hospital stay, the need for additional interventions, intensive care unit admission, postoperative inflammatory response, and surgical complications. Analyses were by intention to treat. This study is registered with ClinicalTrials.gov, number NCT02175979, and trialregister.nl, number NTR4670. Between July 28, 2014, and February 20, 2017, 280 patients were randomly assigned, 15 of whom were excluded after random allocation because they fulfilled one or more exclusion criteria. 265 patients received perioperative nutrition (n=132) or standard care (n=133) and were included in the analyses. A postoperative ileus occurred in 37 (28%) patients in the intervention group versus 29 (22%) in the control group (risk ratio [RR] 1·09, 95% CI 0·95-1·25; p=0·24). Anastomotic leakage occurred in 12 (9%) patients in the intervention group versus 11 (8%) in the control group (RR 1·01, 95% CI 0·94-1·09; p=0·81). Pneumonia occurred in ten (8%) patients in the intervention group versus three (2%) in the control group (RR 1·06, 95% CI 1·00-1·12; p=0·051). All other secondary outcomes were similar between groups (all p>0·05). Perioperative lipid-enriched enteral nutrition in patients undergoing elective colorectal surgery has no advantage over standard care in terms of postoperative complications. Netherlands Organisation for Health Research and Development (ZonMW), Fonds NutsOhra, and Danone Researc