Computed tomography–assessed presarcopenia and clinical outcomes after laparoscopic surgery for rectal cancer

Purpose Previous studies have reported that presarcopenia negatively affects rectal cancer treatment. However, most studies have analyzed patients including majority of open surgery, and the association between presarcopenia and clinical outcomes after laparoscopic rectal cancer surgery remains unclear. This study aimed to evaluate the impact of presarcopenia on the clinical and oncological outcomes after laparoscopic rectal cancer surgery. Methods Three hundred and one patients undergoing laparoscopic rectal cancer surgery between December 2009 and May 2016 were enrolled. Body composition was assessed using computed tomography by measuring the muscle and fat areas at the third lumbar (L3) vertebra. The L3 skeletal muscle area was used to calculate the skeletal muscle index and evaluate presarcopenia. Results Presarcopenia was more common in older (≥70 years, P=0.008) or female patients (P=0.045). Patients with presarcopenia had decreased skeletal muscle area (P<0.001), lower hemoglobin level (P=0.034), longer time to first flatus (P<0.001), and more frequent surgical site infection (P=0.001). However, survival rates were not significantly different between those with and without presarcopenia. Conclusion Computed tomography-assessed presarcopenia was associated with delayed functional recovery and increased surgical site infection, although it was not revealed as a prognostic factor for oncological outcomes

Microsoft Word - 29-75 ED15-0863 _final_ 160209.doc

In South Korea, there is increasing public concern about the welfare of farm animals, but relatively little information has been published regarding the effect on farm animal welfare of managing farm environment, especially bedding materials for rearing beef cattle. In Korean farm environment, Hanwoo spend most of their time on beddings, thus proper bedding management is important to maximize productivity and welfare of farm livestock. Floor type and bedding materials on the floor may have no significant effect on performance, carcass characteristics and meat quality of beef cattle ABSTRACT: In this study, two experiments were conducted to investigate the physicochemical characteristics (Exp. I) of bedding materials such as rice hulls (RH), sawdust (SD), wood shavings (WS) and sawdust+wood shavings (S+W; 1:1 in volume), and utilization of these beddings except RH (Exp. II) for rearing beef cattle. In Exp. I, the distribution of particle size (%) with 250 μm and below 250 μm was greater (p&lt;0.05) in SD (30.4) than RH (4.4), WS (18.8) and S+W (20.1). Bulk density (kg/m 3 ) of bedding materials was directly proportional to the percentage of 250 μm and below 250 μm particles, 178, 46, 112, and 88 for SD, WD, S+W and RH, respectively. Water absorption rate (%) after submersion in water for 24 h was higher (p&lt;0.05) in WS (540.2) compared to SD (270.2), S+W (368.2). The S+W had an intermediate value of the absorption rate between SD and WS, but had an outstanding durability of water absorption capacity. Moisture evaporation rate (%) for 12 h was higher (p&lt;0.05) in WS (75.4) than SD (70.5), S+W (72.2) and RH (57.8). Average ammonia emission (mg/m 2 /h) for 36 h was higher (p&lt;0.05) in RH (3.15) than SD (1.70), WS (1.63), and S+W (1.73). In Exp. II, thirty six Hanwoo cows were allocated in 9 pens with one side on feed bunk side (Side A) and another side equipped with water supply (Side B) for 3 weeks with duplicated periods. Average moisture concentrations (%) of beddings were higher (p&lt;0.05) in WS (side A, 65.7; side B, 57.9) than SD (side A, 62.5; side B, 52.2) and S+W (side A, 61.6; side B, 50.7). Regardless of types of beddings, moisture concentrations (%) of beddings within a pen were lower (p&lt;0.05) at side B than A, implying longer period of utilization. These results suggest that using S+W would be a better choice than SD or WS alone, considering physicochemical characteristics and economics, and RH is not a suitable material as a bedding for beef cattle

Characteristics of Rice Hulls, Sawdust, Wood Shavings and Mixture of Sawdust and Wood Shavings, and Their Usefulness According to the Pen Location for Hanwoo Cattle

In this study, two experiments were conducted to investigate the physicochemical characteristics (Exp. I) of bedding materials such as rice hulls (RH), sawdust (SD), wood shavings (WS) and sawdust+wood shavings (S+W; 1:1 in volume), and utilization of these beddings except RH (Exp. II) for rearing beef cattle. In Exp. I, the distribution of particle size (%) with 250 μm and below 250 μm was greater (p<0.05) in SD (30.4) than RH (4.4), WS (18.8) and S+W (20.1). Bulk density (kg/m3) of bedding materials was directly proportional to the percentage of 250 μm and below 250 μm particles, 178, 46, 112, and 88 for SD, WD, S+W and RH, respectively. Water absorption rate (%) after submersion in water for 24 h was higher (p<0.05) in WS (540.2) compared to SD (270.2), S+W (368.2). The S+W had an intermediate value of the absorption rate between SD and WS, but had an outstanding durability of water absorption capacity. Moisture evaporation rate (%) for 12 h was higher (p<0.05) in WS (75.4) than SD (70.5), S+W (72.2) and RH (57.8). Average ammonia emission (mg/m2/h) for 36 h was higher (p<0.05) in RH (3.15) than SD (1.70), WS (1.63), and S+W (1.73). In Exp. II, thirty six Hanwoo cows were allocated in 9 pens with one side on feed bunk side (Side A) and another side equipped with water supply (Side B) for 3 weeks with duplicated periods. Average moisture concentrations (%) of beddings were higher (p<0.05) in WS (side A, 65.7; side B, 57.9) than SD (side A, 62.5; side B, 52.2) and S+W (side A, 61.6; side B, 50.7). Regardless of types of beddings, moisture concentrations (%) of beddings within a pen were lower (p<0.05) at side B than A, implying longer period of utilization. These results suggest that using S+W would be a better choice than SD or WS alone, considering physicochemical characteristics and economics, and RH is not a suitable material as a bedding for beef cattle