Enteral versus parenteral nutrition in critically ill patients: an updated systematic review and meta-analysis of randomized controlled trials

Subgroup analysis comparing the effect of enteral versus parenteral nutrition on infectious complications in higher versus lower quality trials (with the median methodological score 7 as cutoff). CI confidence interval, EN enteral nutrition, M-H Mantel-Haenszel test, PN parenteral nutrition. (PDF 87 kb

Floral response to the Late Triassic Carnian Pluvial Episode

The Late Triassic Carnian Pluvial Episode (CPE; ca. 234–232 Ma) was characterized by dramatic global temperature and humidity increases, which in many terrestrial settings was accompanied by changes from arid to humid vegetation types. This study reviews current evidence of terrestrial floral composition and distribution during the CPE and analyzes spatial and temporal variation with relation to potential environmental driving mechanisms. Available evidence suggests the CPE was a globally significant event that triggered significant increases in the abundance of ferns and hygrophytes in terrestrial floras and freshwater algae in fluvial and lacustrine settings. These changes ended a long interval of relatively arid terrestrial climatic conditions since the early Triassic and are linked temporally with eruptions of the oceanic plateau Wrangellia Large Igneous Province (LIP). The massive release of greenhouse gasses including isotopically light CO2 during 3–4 distinct pulses of Wrangellia volcanism appears to have been the main driver of CPE climate change. Each pulse enhanced global atmospheric circulation and the hydrological cycle and resulted in changes from arid to humid conditions that affected floral abundance and composition. Higher terrestrial primary productivity in humid phases facilitated increased burial of terrestrial organic carbon and led to the recommencement of peat accumulation, ending the coal gap that had persisted since the earliest Triassic times. Enhanced movement of carbon from the atmosphere through the biosphere into the geosphere may have counteracted the warming effects of Wrangellia volcanic greenhouse gas emissions and ultimately led to the return of a steady climate state that terminated the warm and humid conditions of the CPE

Hyperspectral Reflectance Characteristics of Rice Canopies under Changes in Diffuse Radiation Fraction

To analyze the hyperspectral reflectance characteristics of rice canopies under changes in diffuse radiation fraction, experiments using different cover materials were performed in Nanjing, China, during 2016 and 2017. Each year, two treatments with different reduction ratios of diffuse radiation fraction but with similar shading rates were set in the field experiment: In T1, total solar radiation shading rate was 14.10%, and diffuse radiation fraction was 31.09%; in T2, total solar radiation shading rate was 14.42%, and diffuse radiation fraction was 39.98%, respectively. A non-shading treatment was included as a control (CK). Canopy hyperspectral reflectance, soil and plant analyzer development (SPAD), and leaf area index (LAI) were measured under shading treatments on different days after heading. The red-edge parameters (position, λ0; maximum amplitude, Dλ; area, α0; width, σ) were calculated, as well as the area, depth, and width of three absorption bands. The location of the first absorption band appeared in the range of 553–788 nm, and the second and third absorption bands appeared in the range of 874–1257 nm. The results show that the shading treatment had a significant effect on the rice canopy’s hyperspectral reflectance. Compared with CK, the canopy reflectance of T1 (the diffuse radiation fraction was 31.09%) and T2 (the diffuse radiation fraction was 39.98%) decreased in the visible light range (350–760 nm) and increased in the near-infrared range (800–1350 nm), while the red-edge parameters (λ0, Dλ, α0), SPAD, and LAI increased. On the other hand, under shading treatment, the increase in diffuse radiation fraction also had a significant impact on the hyperspectral spectra of the rice canopy, especially at 14 days after heading. Compared with T1, the green peak (550 nm) of T2 reduced by 16.12%, and the average reflectance at 800–900 nm increased by 10%. Based on correlation analysis, it was found that these hyperspectral reflectance characteristics were mainly due to the increase in SPAD (2.31%) and LAI (7.62%), which also led to the increase in Dλ (8.70%) and α0 (13.89%). Then, the second and third absorption features of T2 were significantly different from that of T1, which suggests that the change in diffuse radiation fraction could affect the process of water vapor absorption by rice

Hyperspectral Reflectance Characteristics of Rice Canopies under Changes in Diffuse Radiation Fraction

To analyze the hyperspectral reflectance characteristics of rice canopies under changes in diffuse radiation fraction, experiments using different cover materials were performed in Nanjing, China, during 2016 and 2017. Each year, two treatments with different reduction ratios of diffuse radiation fraction but with similar shading rates were set in the field experiment: In T1, total solar radiation shading rate was 14.10%, and diffuse radiation fraction was 31.09%; in T2, total solar radiation shading rate was 14.42%, and diffuse radiation fraction was 39.98%, respectively. A non-shading treatment was included as a control (CK). Canopy hyperspectral reflectance, soil and plant analyzer development (SPAD), and leaf area index (LAI) were measured under shading treatments on different days after heading. The red-edge parameters (position, λ0; maximum amplitude, Dλ; area, α0; width, σ) were calculated, as well as the area, depth, and width of three absorption bands. The location of the first absorption band appeared in the range of 553–788 nm, and the second and third absorption bands appeared in the range of 874–1257 nm. The results show that the shading treatment had a significant effect on the rice canopy’s hyperspectral reflectance. Compared with CK, the canopy reflectance of T1 (the diffuse radiation fraction was 31.09%) and T2 (the diffuse radiation fraction was 39.98%) decreased in the visible light range (350–760 nm) and increased in the near-infrared range (800–1350 nm), while the red-edge parameters (λ0, Dλ, α0), SPAD, and LAI increased. On the other hand, under shading treatment, the increase in diffuse radiation fraction also had a significant impact on the hyperspectral spectra of the rice canopy, especially at 14 days after heading. Compared with T1, the green peak (550 nm) of T2 reduced by 16.12%, and the average reflectance at 800–900 nm increased by 10%. Based on correlation analysis, it was found that these hyperspectral reflectance characteristics were mainly due to the increase in SPAD (2.31%) and LAI (7.62%), which also led to the increase in Dλ (8.70%) and α0 (13.89%). Then, the second and third absorption features of T2 were significantly different from that of T1, which suggests that the change in diffuse radiation fraction could affect the process of water vapor absorption by rice

Preparation and Evaluation of Novel Folate Isonitrile 99mTc Complexes as Potential Tumor Imaging Agents to Target Folate Receptors

In order to seek novel technetium-99m folate receptor-targeting agents, two folate derivatives (CN5FA and CNPFA) were synthesized and radiolabeled to obtain [99mTc]Tc-CN5FA and [99mTc]Tc-CNPFA complexes, which exhibited high radiochemical purity (>95%) without purification, hydrophilicity, and good stability in vitro. The KB cell competitive binding experiments indicated that [99mTc]Tc-CN5FA and [99mTc]Tc-CNPFA had specificity to folate receptor. Biodistribution studies in KB tumor-bearing mice illustrated that [99mTc]Tc-CN5FA and [99mTc]Tc-CNPFA had specific tumor uptake. Compared with [99mTc]Tc-CN5FA, the tumor/muscle ratios of [99mTc]Tc-CNPFA were higher, resulting in a better SPECT/CT imaging background. According to the results, the two 99mTc complexes have potential as tumor imaging agents to target folate receptors