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Agricultural productivity is constantly being forced to maintain yield stability to feed the enormously growing world population. However, shrinking arable and nutrient-deprived soil and abiotic and biotic stressor (s) in different magnitudes put additional challenges to achieving global food security. Though well-defined, the concept of macro, micronutrients, and beneficial elements is from a plant nutritional perspective. Among various micronutrients, selenium (Se) is essential in small amounts for the life cycle of organisms, including crops. Selenium has the potential to improve soil health, leading to the improvement of productivity and crop quality. However, Se possesses an immense encouraging phenomenon when supplied within the threshold limit, also having wide variations. The supplementation of Se has exhibited promising outcomes in lessening biotic and abiotic stress in various crops. Besides, bulk form, nano-Se, and biogenic-Se also revealed some merits and limitations. Literature suggests that the possibilities of biogenic-Se in stress alleviation and fortifying foods are encouraging. In this article, apart from adopting a combination of a conventional extensive review of the literature and bibliometric analysis, the authors have assessed the journey of Se in the "soil to spoon" perspective in a diverse agroecosystem to highlight the research gap area. There is no doubt that the time has come to seriously consider the tag of beneficial elements associated with Se, especially in the drastic global climate change era.
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Selenio , Oligoelementos , Micronutrientes/análisis , Suelo , Agricultura , Productos AgrícolasRESUMEN
The collective behavior of a binary mixture of polar self-propelled particles (SPPs) with different motile properties is studied. The binary mixture consists of slow-moving SPPs (sSPPs) of fixed velocity v_{s} and fast-moving SPPs (fSPPs) of fixed velocity v_{f}. These SPPs interact via a short-range interaction irrespective of their types. They move following certain position and velocity update rules similar to the Vicsek model (VM) under the influence of an external noise η. The system is studied at different values of v_{f} keeping v_{s}=0.01 constant for a fixed density ρ=0.5. Different phase-separated collective patterns that appear in the system over a wide range of noise η are characterized. The fSPPs and the sSPPs are found to be orientationally phase synchronized at the steady state. We studied an orientational order-disorder transition varying the angular noise η and identified the critical noise η_{c} for different v_{f}. Interestingly, both the species exhibit continuous transition for v_{f}<100v_{s} and discontinuous transition for v_{f}>100v_{s}. A new set of critical exponents is determined for the continuous transitions. However, the binary model is found to be nonuniversal as the values of the critical exponents depend on the velocity. The effect of interaction radius on the system behavior is also studied.
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Copper bactericides are routinely used to control Xanthomonas perforans (XP), causal agent of bacterial spot of tomato. Given the widespread tolerance to copper in XP strains in FL, USA, nanotechnology-based elemental composites have gained interest for their potential applications in agriculture in part due to their enhanced antimicrobial properties and toxicity to copper-tolerant strains. However, little is known about the potential impact of conventional copper bactericides as well as nano-based elemental composites on soil microbial communities, as determined by high-throughput sequencing of the 16S rDNA. We compared the effects of 2 and 200 µg/mL of core-shell (CS), a metallic copper composite, and a conventional copper bactericide + mancozeb (Cu+Man) on the soil microbiome. These treatments were compared to three controls, the microbial profile of the soil prior to application of copper products, a water application, and spiking the soil with a soilborne phytobacterium, Ralstonia solanacearum (RS). The RS treatment was included to determine if downstream analysis could detect the artificial inoculation. Utilizing multiple ß diversity measurements, each emphasizing various tenets of ecology, provided a greater perspective of the effects the treatments had on the microbiome. Analysis of HTS data revealed that the two treatments containing field applied rates of metallic copper, CS 200 and Cu+Man, had the largest impact on the soil microbiome at seven-days posttreatment compared to water. However, we simulated field applied rates of CS 200 entering the soil by treating soil with CS 2 and determined this concentration had a negligible effect on the soil microbiome. IMPORTANCE Nanotechnology-based elemental composites have gained popularity for their potential applications in plant disease management due to their enhanced antimicrobial properties. However, little is known about their potential impact on the environment. Foliar applications of nano metallic composites upon leaching into the soil have the potential to impact soil microbial populations that in turn influence soil health. Utilizing multiple ß diversity measurements, high-throughput sequencing analysis revealed that field applied rates of metallic copper (200 µg/mL) from an advanced copper composite (core-shell [CS]) and a conventional copper bactericide in combination with mancozeb had the largest impact on the soil microbiome compared to water and nontreated control. To simulate leaching from the leaf surface, a lower concentration (2 µg/mL) of CS was also applied to the soil and had a negligible effect on the soil microbiome. Thus, field applied rates of CS may have a minimal effect on soil microbial communities.
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Cobre , Microbiota , Antibacterianos/farmacología , Cobre/farmacología , Humanos , Suelo , Microbiología del Suelo , Agua , XanthomonasRESUMEN
We consider the N particle classical Riesz gas confined in a one-dimensional external harmonic potential with power-law interaction of the form 1/r^{k}, where r is the separation between particles. As special limits it contains several systems such as Dyson's log-gas (kâ0^{+}), the Calogero-Moser model (k=2), the 1D one-component plasma (k=-1), and the hard-rod gas (kâ∞). Despite its growing importance, only large-N field theory and average density profile are known for general k. In this Letter, we study the fluctuations in the system by looking at the statistics of the gap between successive particles. This quantity is analogous to the well-known level-spacing statistics which is ubiquitous in several branches of physics. We show that the variance goes as N^{-b_{k}} and we find the k dependence of b_{k} via direct Monte Carlo simulations. We provide supporting arguments based on microscopic Hessian calculation and a quadratic field theory approach. We compute the gap distribution and study its system size scaling. Except in the range -1
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The efficiencies of a proton recoil neutron telescope for neutron energies ranging from 4 MeV to 20 MeV were calculated for different geometries given by Bame et al., for the case of an isotropic point neutron source colinear with the radiator and charge particle detector that are parallel & coaxial to each other. An analytical expression for the efficiency was obtained as a function of the radiator size, detector aperture, source-radiator & radiator-detector distances and n-p differential scattering cross section. The relativistic transformation of n-p differential scattering cross section from center-of-mass to laboratory system was used in the calculations, taking into account the angular anisotropy of the n-p scattering. The accuracies of the calculations were checked by comparing with published efficiency values by Thomas & Axton and Bame et al. The difference between calculated and published efficiencies were small and, in most cases, it was below 1%. Finally, efficiency of the telescope was calculated using the latest n-p scattering cross section data from the evaluated nuclear data file (ENDF) VII for neutron energies ranging from 4 MeV to 20 MeV.
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Despite the growing interest in studying the oscillatory behavior of delay differential equations of even-order, odd-order equations have received less attention. In this work, we are interested in studying the oscillatory behavior of two classes of odd-order equations with deviating arguments. We get more than one criterion to check the oscillation in different methods. Our results are an extension and complement to some results published in the literature.
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In this work, by using both the comparison technique with first-order differential inequalities and the Riccati transformation, we extend this development to a class of third-order neutral differential equations of the mixed type. We present new criteria for oscillation of all solutions, which improve and extend some existing ones in the literature. In addition, we provide an example to illustrate our results.
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AlgoritmosRESUMEN
A single stage vacuum-type proton recoil neutron telescope (PRT) was used for accurate measurement of 14.57 MeV neutron fluence rate from an indigenously developed D-T neutron generator at Purnima, BARC. The telescope consists of a polyethylene radiator having 4 cm diameter and CsI (Tl) scintillation crystal having thickness 1.5 mm and 4 cm diameter separated by 20.5 cm kept in a vacuum chamber. The neutron detection efficiency of the telescope for 14.57 MeV neutrons was calculated analytically using n-p scattering cross section data from Evaluated Nuclear Data File VII and also evaluated using fluka simulation. The relativistic transformation of n-p differential scattering cross section from centre-of-mass to laboratory system was used for calculating the efficiency of PRT. The 14.57 MeV neutron fluence rate was also measured using copper foils. The comparison of fluence rate measured using PRT and copper foil activation techniques is presented in this paper. The total uncertainty in measurement using PRT and copper foil activation technique is found to be 3.93 and 6.97%, respectively.
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Protones , Telescopios , Neutrones , Dosis de Radiación , RadiometríaRESUMEN
The outcome of 110 patients with paediatric onset mucopolysaccharidosis II (MPS II) since the commercial introduction of enzyme replacement therapy (ERT) in England in 2007 is reported. Median length of follow up was 10â¯years 3â¯months (rangeâ¯=â¯1â¯y 2â¯m to 18â¯years 6â¯month). 78 patients were treated with ERT, 18 had no ERT or disease modifying treatment 7 had haematopoietic stem cell transplant, 4 experimental intrathecal therapy and 3 were lost to follow up. There is clear evidence of improved survival (median age of death of ERT treated (nâ¯=â¯16)â¯=â¯15.13â¯years (rangeâ¯=â¯9.53 to 20.58â¯y), and untreated (nâ¯=â¯17)â¯=â¯11.43â¯y (0.5 to 19.13â¯y) pâ¯=â¯.0005). Early introduction of ERT improved respiratory outcome at 16â¯years, the median FVC (% predicted) of those in whom ERT initiated <8â¯yearsâ¯=â¯69% (rangeâ¯=â¯34-86%) and 48% (25-108) (pâ¯=â¯.045) in those started >8â¯years. However, ERT appears to have minimal impact on hearing, carpal tunnel syndrome or progression of cardiac valvular disease. Cardiac valvular disease occurred in 18/46 (40%), with progression occurring most frequently in the aortic valve 13/46 (28%). The lack of requirement for neurosurgical intervention in the first 8â¯years of life suggests that targeted imaging based on clinical symptomology would be safe in this age group after baseline assessments. There is also emerging evidence that the neurological phenotype is more nuanced than the previously recognized dichotomy of severe and attenuated phenotypes in patients presenting in early childhood.
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Terapia de Reemplazo Enzimático , Mucopolisacaridosis II/tratamiento farmacológico , Adolescente , Niño , Preescolar , Recolección de Datos , Progresión de la Enfermedad , Inglaterra , Estudios de Seguimiento , Humanos , Lactante , Mucopolisacaridosis II/mortalidad , Fenotipo , Estudios Retrospectivos , Factores de Tiempo , Resultado del TratamientoRESUMEN
In phenylketonuria, casein glycomacropeptide (CGMP) requires modification with the addition of some essential and semi essential amino acids to ensure suitability as a protein substitute. The optimal amount and ratio of additional amino acids is undefined. AIM: A longitudinal, parallel, controlled study over 12 months evaluating a CGMP (CGMP-AA2) formulation compared with phenylalanine-free L-amino acid supplements (L-AA) on blood Phe, Tyr, Phe:Tyr ratio, biochemical nutritional status and growth in children with PKU. The CGMP-AA2 contained 36 mg Phe per 20 g protein equivalent. METHODS: Children with PKU, with a median age of 9.2 y (5-16y) were divided into 2 groups: 29 were given CGMP-AA2, 19 remained on Phe-free L-AA. The CGMP-AA2 formula gradually replaced L-AA, providing blood Phe concentrations were maintained within target range. Median blood Phe, Tyr, Phe:Tyr ratio and anthropometry, were compared within and between the two groups at baseline, 26 and 52 weeks. Nutritional biochemistry was studied at baseline and 26 weeks only. RESULTS: At the end of 52 weeks only 48% of subjects were able to completely use CGMP-AA2 as their single source of protein substitute. At 52 weeks CGMP-AA2 provided a median of 75% (30-100) of the total protein substitute with the remainder being given as L-AA. Within the CGMP-AA2 group, blood Phe increased significantly between baseline and 52 weeks: [baseline to 26 weeks; baseline Phe 270 µmol/L (170-430); 26 weeks, Phe 300 µmol/L (125-485) p = 0.06; baseline to 52 weeks: baseline, Phe 270 µmol/L (170-430), 52 weeks Phe 300 µmol/L (200-490), p < 0.001)]. However, there were no differences between the CGMP-AA2 and L-AA group for Phe, Tyr, Phe:Tyr ratio or anthropometry at any of the three measured time points. Within the CGMP-AA2 group only weight (p = 0.0001) and BMI z scores (p = 0.0001) increased significantly between baseline to 52 weeks. Whole blood and plasma selenium were significantly higher (whole blood selenium [p = 0.0002]; plasma selenium [p = 0.0007]) at 26 weeks in the CGMP-AA2 group compared L-AA. No differences were observed within the L-AA group for any of the nutritional markers. CONCLUSIONS: CGMP-AA increases blood Phe concentrations and so it can only be used partly to contribute to protein substitute in some children with PKU. CGMP-AA should be carefully introduced in children with PKU and close monitoring of blood Phe control is essential.
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Caseínas/uso terapéutico , Fragmentos de Péptidos/uso terapéutico , Fenilalanina/sangre , Fenilcetonurias/sangre , Fenilcetonurias/tratamiento farmacológico , Adolescente , Niño , Preescolar , Femenino , Humanos , Estudios Longitudinales , Masculino , Estado NutricionalRESUMEN
We report the first observation of the parity-violating gamma-ray asymmetry A_{γ}^{np} in neutron-proton capture using polarized cold neutrons incident on a liquid parahydrogen target at the Spallation Neutron Source at Oak Ridge National Laboratory. A_{γ}^{np} isolates the ΔI=1, ^{3}S_{1}â^{3}P_{1} component of the weak nucleon-nucleon interaction, which is dominated by pion exchange and can be directly related to a single coupling constant in either the DDH meson exchange model or pionless effective field theory. We measured A_{γ}^{np}=[-3.0±1.4(stat)±0.2(syst)]×10^{-8}, which implies a DDH weak πNN coupling of h_{π}^{1}=[2.6±1.2(stat)±0.2(syst)]×10^{-7} and a pionless EFT constant of C^{^{3}S_{1}â^{3}P_{1}}/C_{0}=[-7.4±3.5(stat)±0.5(syst)]×10^{-11} MeV^{-1}. We describe the experiment, data analysis, systematic uncertainties, and implications of the result.
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Bacterial spot, caused by Xanthomonas spp., is a widespread and damaging bacterial disease of tomato (Solanum lycopersicum). For disease management, growers rely on copper bactericides, which are often ineffective due to the presence of copper-tolerant Xanthomonas strains. This study evaluated the antibacterial activity of the new copper composites core-shell copper (CS-Cu), multivalent copper (MV-Cu), and fixed quaternary ammonium copper (FQ-Cu) as potential alternatives to commercially available micron-sized copper bactericides for controlling copper-tolerant Xanthomonas perforans. In vitro, metallic copper from CS-Cu and FQ-Cu at 100 µg/ml killed the copper-tolerant X. perforans strain within 1 h of exposure. In contrast, none of the micron-sized copper rates (100 to 1,000 µg/ml) from Kocide 3000 significantly reduced copper-tolerant X. perforans populations after 48 h of exposure compared with the water control (P < 0.05). All copper-based treatments killed the copper-sensitive X. perforans strain within 1 h. Greenhouse studies demonstrated that all copper composites significantly reduced bacterial spot disease severity when compared with copper-mancozeb and water controls (P < 0.05). Although there was no significant impact on yield, copper composites significantly reduced disease severity when compared with water controls, using 80% less metallic copper in comparison with copper-mancozeb in field studies (P < 0.05). This study highlights the discovery that copper composites have the potential to manage copper-tolerant X. perforans and tomato bacterial spot.
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Antibacterianos/farmacología , Cobre/farmacología , Enfermedades de las Plantas/prevención & control , Solanum lycopersicum/microbiología , Xanthomonas/efectos de los fármacos , Enfermedades de las Plantas/microbiología , Xanthomonas/fisiologíaRESUMEN
Children with inherited metabolic disorders (IMD) who are dependent on tube feeding and require a protein restriction are commonly fed by 'modular tube feeds' consisting of several ingredients. A longitudinal, prospective two-phase study, conducted over 18 months assessed the long-term efficacy of a pre-measured protein-free composite feed. This was specifically designed to meet the non-protein nutritional requirements of children (aged over 1 year) with organic acidaemias on low protein enteral feeds and to be used as a supplement with an enteral feeding protein source. METHODOLOGY: All non-protein individual feed ingredients were replaced with one protein-free composite feed supplying fat, carbohydrate, and micronutrients. Thirteen subjects, median age 7.4y (3-15.5y), all nutritionally tube dependent (supplying nutritional intake: ≥ 90%, n = 12; 75%, n = 1), and diagnosed with organic acidaemias (Propionic acidaemia, n = 6; Vitamin B12 non-responsive methyl malonic acidaemia, n = 4; Isovaleric acidaemia, n = 2; Glutaric aciduria type1, n = 1); were studied. Nutritional intake, biochemistry and anthropometry were monitored at week - 8, 0, 12, 26 and 79. RESULTS: Energy intake remained unchanged, providing 76% of estimated energy requirements. Dietary intakes of vitamins, minerals and essential fatty acids significantly increased from week 0 to week 79, but sodium, potassium, magnesium, decosahexanoic acid and fibre did not meet suggested requirements. Plasma zinc, selenium, haemoglobin and MCV significantly improved, and growth remained satisfactory. Natural protein intake met WHO/FAO/UNU 2007 recommendations. CONCLUSIONS: A protein-free composite feed formulated to meet the non-protein nutritional requirements of children aged over 1 year improved nutritional intake, biochemical nutritional status, and simplified enteral tube feeding regimens in children with organic acidaemias.
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Interactive aspect of among selenium (Se) and As (As) to mitigate As induced phytotoxicity in rice during germination and seedling growth has been based on mostly to petriplates and hydroponic mode of experiments. In this investigation we explore the consequences of sowing Se primed rice seeds in As spiked soil. Unprimed, hydroprimed and Se primed rice (IET-4094) seeds sown in As spiked soil, with five replications, arranged in complete randomized design for evaluating the impacts of seed priming on germination and seedling growth as well as As uptake and translocation pattern. Se promotes germination, seedling growth by modulating proline content, lipid peroxidation in root and shoot beside enhancing total chlorophyll content significantly in both As free and As spiked soil as compared to their respective unprimed and hydroprimed counterparts grown alike. Findings also indicates that seed priming with Se was able to execute dual roles i.e. a promotive and antagonistic aspect against As by restricting maximum soil As load to the root (with greater bioconcentration factor) and reducing translocation of As from root to shoot in a more practical and farmer friendly way to mitigate As induced toxicity and enhance germination and growth in rice seedlings.
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Arsénico/toxicidad , Germinación/efectos de los fármacos , Oryza/efectos de los fármacos , Plantones/efectos de los fármacos , Semillas/efectos de los fármacos , Selenio/farmacología , Contaminantes del Suelo/toxicidad , Arsénico/metabolismo , Oryza/crecimiento & desarrollo , Raíces de Plantas/efectos de los fármacos , Plantones/crecimiento & desarrollo , Suelo , Contaminantes del Suelo/metabolismoRESUMEN
CuBO2 nanostructures were synthesized by employing a low-cost hydrothermal technique to combine into the CuBO2-RGO nanocomposite for the first time using chemically prepared graphene sheets. The nanohybrid samples were characterized for structural information using X-ray diffraction (XRD) that revealed the proper crystalline phase formation of CuBO2 unaltered by composite formation with graphene. Raman spectroscopic studies were employed to confirm the presence of graphene. A morphological study with field emission scanning electron microscopy (FESEM) and transmission electron microscopy (TEM) suggested the proper wrapping of RGO sheets over CuBO2 nanocubes. Moreover, the close proximity of lattice planes of CuBO2 and RGO to each other was observed in high-resolution TEM studies that were correlated with the Raman spectroscopic studies. Finally, the samples were characterized to study the field emission (FE) properties of the same using a laboratory-made high-vacuum field-emission setup. Finite-element-based theoretical simulation studies were carried out to explain and compare the field emission properties with the experimental results. The FE properties of the composite samples were found to be tuned by the nature of wrapping the RGO sheets over the CuBO2 nanocubes, which was typically dependent upon the spiky morphology of the nanocubes.
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Mass cytometry (MC) is a powerful method that combines the cellular resolution of flow cytometry with the isotopic resolution of inductively coupled plasma mass spectrometry (ICP-MS). This combination theoretically allows for the simultaneous quantification of >80 different parameters at the single cell level, in turn allowing for the deep profiling of heterogeneous cell populations. The majority of available reagents for MC are antibodies labeled with heavy metal isotopes, allowing for the quantification of static biomarkers. To complement these reagents, we aim to develop small molecule reporters of cellular metabolism that are compatible with MC. Here we report a probe of ß-galactosidase activity capable of detecting cellular senescence. The galactoside probe contains a tellurophene reporter group and, when hydrolyzed, generates a quinone alkide. This reactive alkylating agent forms covalent tellurophene bearing conjugates with local nucleophiles, allowing for the quantification of ß-galactosidase activity in individual cells. Difluoromethyl and monofluoroethyl quinone alkide generating warheads were examined for their activities and compared in vitro and in vivo. We showed that the difluoromethyl derivative gave higher tellurium labelling in vitro and that the quinone methide was more reactive towards thiols than amines. In vivo the difluoromethyl derivative successfully labeled senescent cells with comparable selectivity to the commonly used fluorescent senescence probe C12FDG.
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Microwave induced chemical etching (MICE) has been established as a faster and improved technique compared to other contemporary etching techniques for the development of tracks in a CR-39 detector. However, the methodology could not be applied for LET (linear energy transfer) spectrometry due to lack of a calibration curve using this method. For this purpose, a new LET calibration curve in the range of 12 keV/µm-799 keV/µm was generated considering different ions such as H, Li, C, O, and F on CR-39 having different LETs in water. An empirical relation was established from the obtained calibration curve for determining the value of LET (in water) from the value of V, the ratio of track etch rate to bulk etch rate. For application of this calibration curve in neutron dosimetry, CR-39 detectors were irradiated to neutrons generated from 120 and 142 MeV 16O+27Al systems followed by a similar MICE procedure. The absorbed dose (DLET) and the dose equivalent (HLET) were obtained from the LET spectra and were found to be 13% and 10% higher for 142 MeV 16O+27Al system than those for 120 MeV 16O+27Al system, respectively. The outcome of the study demonstrates the possibility of using the MICE technique for neutron dose estimation by CR-39 via LET spectrometry.
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BACKGROUND: Enteral tube feeding for children with organic acidaemias (OA) is recommended. Protein restriction, providing minimum safe levels of protein intake, is advocated. Standard paediatric tube feeding formulae provide more than the minimum safe protein requirements and are unsuitable in OA without modification. Modified paediatric enteral feeds consist of several modular ingredients. The aim of this prospective longitudinal interventional study was to assess the efficacy of a premeasured novel protein-free module developed for children aged over 12 months compared to conventional practice. METHODS: In total, 15 children with OA (11.6-31 kg) needing enteral feeding were recruited. The protein-free module, from either a protein-free infant feed or modular ingredients, was replaced by the study feed. To ensure metabolic stability, energy and protein intake were unchanged. Dietary intake, anthropometry and nutritional biochemistry were recorded at baseline and week 26. RESULTS: Dietary intakes of magnesium (P = 0.02), sodium (P = 0.005), vitamin D (P = 0.04), docosahexaenoic acid (P = 0.01) and arachidonic acid (P = 0.001) significantly improved; plasma selenium (P = 0.002) and whole blood glutathione peroxidase (P = 0.02) significantly increased. Feed preparation accuracy as measured by composition analysis showed consistent errors both in pre- and study feeds. CONCLUSIONS: A protein-free module improved nutritional intake and biochemistry, although feed preparation errors remained a common finding.
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Acidosis/terapia , Proteínas en la Dieta/administración & dosificación , Nutrición Enteral , Evaluación Nutricional , Necesidades Nutricionales , Antropometría , Niño , Preescolar , Carbohidratos de la Dieta/administración & dosificación , Grasas de la Dieta/administración & dosificación , Etnicidad , Femenino , Humanos , Lactante , Estudios Longitudinales , Masculino , Micronutrientes/administración & dosificación , Estudios ProspectivosRESUMEN
The spanning cluster properties of a percolation model with nucleation and preferential growth exhibit first-order transitions depending on the values of the growth parameter g_{0} and the initial seed concentration ρ. Except for the preferential growth of smaller clusters with a size-dependent growth probability of amplitude g_{0}, the model preserves all other criteria of the original percolation model. As ρ decreases starting from the percolation threshold p_{c} of the original percolation, a line of continuous transition encounters a coexistence region of percolative and nonpercolative large clusters. At sufficiently small values of ρ (≤0.05), the value of g_{0} exceeds p_{c} and generates compact spanning clusters leading to first-order discontinuous transitions.
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Isobutyryl-CoA Dehydrogenase Deficiency (IBDD) is an inherited disorder of valine metabolism caused by mutations in ACAD8. Most reported patients have been diagnosed through newborn screening programmes due to elevated C4-carnitine levels and appear clinically asymptomatic. One reported non-screened patient had dilated cardiomyopathy and anaemia at the age of two years. We report a 13 month old girl diagnosed with IBDD after developing hypoglycaemic encephalopathy (blood glucose 1.9 mmol/l) during an episode of rotavirus-induced gastroenteritis. Metabolic investigations demonstrated an appropriate ketotic response (free fatty acids 2594 µmol/l, 3-hydroxybutyrate 3415 µmol/l), mildly elevated plasma lactate (3.4 mmol/l), increased C4-carnitine on blood spot and plasma acylcarnitine analysis and other metabolic abnormalities secondary to ketosis. After recovery, C4-carnitine remained increased and isobutyrylglycine was detected on urine organic acid analysis. Free carnitine was normal in all acylcarnitine samples. IBDD was confirmed by finding a homozygous c.845C > T substitution in ACAD8. The patient was given, but has not used, a glucose polymer emergency regimen and after ten years' follow-up has had no further episodes of hypoglycaemia nor has she developed cardiomyopathy or anaemia. Psychomotor development has been normal to date. Though we suspect IBDD did not contribute to hypoglycaemia in this patient, patients should be followed-up carefully and glucose polymer emergency regimens may be indicated if recurrent episodes of hypoglycaemia occur.