BACKGROUND Postoperative complications remain a paramount concern for surgeons and healthcare practitioners.AIM To present a comprehensive analysis of the Estimation of Physiologic Ability and Surgical Stress(E-PASS)s...BACKGROUND Postoperative complications remain a paramount concern for surgeons and healthcare practitioners.AIM To present a comprehensive analysis of the Estimation of Physiologic Ability and Surgical Stress(E-PASS)scoring system’s efficacy in predicting postoperative complications following abdominal surgery.METHODS A systematic search of published studies was conducted,yielding 17 studies with pertinent data.Parameters such as preoperative risk score(PRS),surgical stress score(SSS),comprehensive risk score(CRS),postoperative complications,post-operative mortality,and other clinical data were collected for meta-analysis.Forest plots were employed for continuous and binary variables,withχ2 tests assessing heterogeneity(P value).RESULTS Patients experiencing complications after abdominal surgery exhibited significantly higher E-PASS scores compared to those without complications[mean difference and 95%confidence interval(CI)of PRS:0.10(0.05-0.15);SSS:0.04(0.001-0.08);CRS:0.19(0.07-0.31)].Following the exclusion of low-quality studies,results remained valid with no discernible heterogeneity.Subgroup analysis indicated that variations in sample size and age may contribute to hetero-geneity in CRS analysis.Binary variable meta-analysis demonstrated a correlation between high CRS and increased postoperative complication rates[odds ratio(OR)(95%CI):3.01(1.83-4.95)],with a significant association observed between high CRS and postoperative mortality[OR(95%CI):15.49(3.75-64.01)].CONCLUSION In summary,postoperative complications in abdominal surgery,as assessed by the E-PASS scoring system,are consistently linked to elevated PRS,SSS,and CRS scores.High CRS scores emerge as risk factors for heightened morbidity and mortality.This study establishes the accuracy of the E-PASS scoring system in predicting postoperative morbidity and mortality in abdominal surgery,underscoring its potential for widespread adoption in effective risk assessment.展开更多
The main animal protein ingredient in fish diets is most often fishmeal because of its nutritional quality.However,the limited availability and increasingly cost of fishmeal has lead to investigations of either loweri...The main animal protein ingredient in fish diets is most often fishmeal because of its nutritional quality.However,the limited availability and increasingly cost of fishmeal has lead to investigations of either lowering or replacing the fishmeal content with more economic protein sources of animal and/or plant origin.The research for appropriate and cheap cost alternative sources of protein to use in commercial fish diets will be the most important factor in intensive fish culture development.Insect meals are healthy and nutritious alternatives to fish meal due to their rich nutritional values,particularly protein,fat and minerals.Housefly maggots(Musca domestica)meal is also rich in B complex vitamins,trace elements and phosphorus.From the results of previous studies,Housefly maggots meal can be used successfully to replace the fish meal portion partially or completely in the fish diets.Also,the results observed that not physiological stressful was introduced in the fish by feeding Housefly maggots meal diets.This indicates that Housefly maggots meal were well utilized by the fish thus resulting in good growth of fish.In other study,observed a best growth performance with fish feeding on diets containing maggot’s meal compared with fish feeding on fishmeal diet.This indicates the high nutritional quality and fish acceptance of maggot’s meal.展开更多
The benefits of dominance may not come without costs,particularly for males.For example,the“immunocompetence handicap hypothesis”states that males with enhanced mating success allocate resources to enhance reproduct...The benefits of dominance may not come without costs,particularly for males.For example,the“immunocompetence handicap hypothesis”states that males with enhanced mating success allocate resources to enhance reproductive output at a cost to their current health,whereas the“resource quality hypothesis”predicts that high-ranking males may benefit from increased reproduction and good health.Whereas the predictions from each have been well tested in captive animals and in a variety of highly social primates,fewer studies have been carried out in free-living,facultatively social animals.Using adult male yellow-bellied marmots(Marmota flaviventer),we evaluated predictions of these hypotheses by examining the relationship between social rank and 2 health indicators—fecal glucocorticoid metabolite(FCM)levels,and neutrophil/lymphocyte(N/L)ratios—after accounting for variation explained by age,body mass,and seasonality.We found that higher-ranking males tended to have a lower N/L ratio(reflecting good health)than lower-ranking individuals,whereas FCM levels were not significantly related to rank.In addition,heavier male marmots had lower N/L ratios,whereas body mass was not associated with FCM levels.We also found that older adult males had lower FCM levels(reflecting less physiological stress)but higher N/L ratios than younger adults.Finally,we found that FCM levels decreased as the active season progressed and FCM levels were associated with the time of the day.Overall,our results suggest that socially-dominant male marmots enjoyed better,not worse health in terms of lower N/L ratios.展开更多
基金Supported by Medical Science and Technology Project of Zhejiang Province of China,No.2020PY053.
文摘BACKGROUND Postoperative complications remain a paramount concern for surgeons and healthcare practitioners.AIM To present a comprehensive analysis of the Estimation of Physiologic Ability and Surgical Stress(E-PASS)scoring system’s efficacy in predicting postoperative complications following abdominal surgery.METHODS A systematic search of published studies was conducted,yielding 17 studies with pertinent data.Parameters such as preoperative risk score(PRS),surgical stress score(SSS),comprehensive risk score(CRS),postoperative complications,post-operative mortality,and other clinical data were collected for meta-analysis.Forest plots were employed for continuous and binary variables,withχ2 tests assessing heterogeneity(P value).RESULTS Patients experiencing complications after abdominal surgery exhibited significantly higher E-PASS scores compared to those without complications[mean difference and 95%confidence interval(CI)of PRS:0.10(0.05-0.15);SSS:0.04(0.001-0.08);CRS:0.19(0.07-0.31)].Following the exclusion of low-quality studies,results remained valid with no discernible heterogeneity.Subgroup analysis indicated that variations in sample size and age may contribute to hetero-geneity in CRS analysis.Binary variable meta-analysis demonstrated a correlation between high CRS and increased postoperative complication rates[odds ratio(OR)(95%CI):3.01(1.83-4.95)],with a significant association observed between high CRS and postoperative mortality[OR(95%CI):15.49(3.75-64.01)].CONCLUSION In summary,postoperative complications in abdominal surgery,as assessed by the E-PASS scoring system,are consistently linked to elevated PRS,SSS,and CRS scores.High CRS scores emerge as risk factors for heightened morbidity and mortality.This study establishes the accuracy of the E-PASS scoring system in predicting postoperative morbidity and mortality in abdominal surgery,underscoring its potential for widespread adoption in effective risk assessment.
文摘The main animal protein ingredient in fish diets is most often fishmeal because of its nutritional quality.However,the limited availability and increasingly cost of fishmeal has lead to investigations of either lowering or replacing the fishmeal content with more economic protein sources of animal and/or plant origin.The research for appropriate and cheap cost alternative sources of protein to use in commercial fish diets will be the most important factor in intensive fish culture development.Insect meals are healthy and nutritious alternatives to fish meal due to their rich nutritional values,particularly protein,fat and minerals.Housefly maggots(Musca domestica)meal is also rich in B complex vitamins,trace elements and phosphorus.From the results of previous studies,Housefly maggots meal can be used successfully to replace the fish meal portion partially or completely in the fish diets.Also,the results observed that not physiological stressful was introduced in the fish by feeding Housefly maggots meal diets.This indicates that Housefly maggots meal were well utilized by the fish thus resulting in good growth of fish.In other study,observed a best growth performance with fish feeding on diets containing maggot’s meal compared with fish feeding on fishmeal diet.This indicates the high nutritional quality and fish acceptance of maggot’s meal.
基金K.U.was supported by the Japan Society for the Promotion of Science Overseas Research Fellowship.J.E.S.was supported by the American Association of University Women,Institute for Society and Genetics at the University of California Los Angeles,and American Philosophical Society for fellowships.D.T.B.was supported by the National Geographic Society,UCLA(Faculty Senate and the Division of Life Sciences),a Rocky Mountain Biological Laboratory research fellowship,and by the National Science Foundation(I.D.B.R.-0754247,and D.E.B.-1119660 and 1557130 to D.T.B.,as well as D.B.I.0242960,0731346,and 1226713 RMBL).
文摘The benefits of dominance may not come without costs,particularly for males.For example,the“immunocompetence handicap hypothesis”states that males with enhanced mating success allocate resources to enhance reproductive output at a cost to their current health,whereas the“resource quality hypothesis”predicts that high-ranking males may benefit from increased reproduction and good health.Whereas the predictions from each have been well tested in captive animals and in a variety of highly social primates,fewer studies have been carried out in free-living,facultatively social animals.Using adult male yellow-bellied marmots(Marmota flaviventer),we evaluated predictions of these hypotheses by examining the relationship between social rank and 2 health indicators—fecal glucocorticoid metabolite(FCM)levels,and neutrophil/lymphocyte(N/L)ratios—after accounting for variation explained by age,body mass,and seasonality.We found that higher-ranking males tended to have a lower N/L ratio(reflecting good health)than lower-ranking individuals,whereas FCM levels were not significantly related to rank.In addition,heavier male marmots had lower N/L ratios,whereas body mass was not associated with FCM levels.We also found that older adult males had lower FCM levels(reflecting less physiological stress)but higher N/L ratios than younger adults.Finally,we found that FCM levels decreased as the active season progressed and FCM levels were associated with the time of the day.Overall,our results suggest that socially-dominant male marmots enjoyed better,not worse health in terms of lower N/L ratios.
