Journal articles on the topic 'Feeding'

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1

Hofman, Zandrie, Harm Kuipers, Hans A. Keizer, Erik J. Fransen, and Roderique C. J. Servais. "Glucose and Insulin Responses after Commonly Used Sport Feedings before and after a 1-hr Training Session." International Journal of Sport Nutrition 5, no. 3 (September 1995): 194–205. http://dx.doi.org/10.1123/ijsn.5.3.194.

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This investigation examined the plasma glucose and insulin response in 6 trained athletes after consumption of four commercially available sport feedings 2 hr before as well as immediately after 1 hr of running under common training conditions. Four feedings were compared: Feeding 1, 160 g CHO/400 ml; Feeding 2, 69 g CHO/400 ml; Feeding 3, 69 g CHO + 6 g protein/400 ml; and Feeding 4, solid 69 g CHO + 5 g protein + 4 g fat. Before the training session, there were no differences between the four sport feedings in the area under the glucose and insulin curves and the insulin/glucose ratio. However, after exercise, Feeding 2 resulted in a significantly greater area under the glucose curve compared with Feedings 1, 3, and 4 (respectively, 352 vs. 241, 251, and 182) and a significantly lower insulin/glucose ratio compared with Feeding 1 (respectively, 6.2 vs. 15.8). Therefore, it is concluded that the kind of sport feeding may influence postexercise glucose and insulin responses.
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Tolia, Vasundhara, and Ralph E. Kauffman. "Comparison of Evaluation of Gastroesophageal Reflux in Infants Using Different Feedings During Intraesophageal pH Monitoring." Journal of Pediatric Gastroenterology and Nutrition 10, no. 4 (May 1990): 426–29. http://dx.doi.org/10.1002/j.1536-4801.1990.tb10024.x.

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SummaryThe effect of two different types of feedings on results of esophageal pH monitoring was prospectively studied in 49 infants undergoing evaluation for gastro‐esophageal reflux (GER). Infants were randomly assigned to receive either apple juice (AJ) or formula for the first feeding during extended pH monitoring (EPM). Each infant received the alternate liquid for the second feeding. During the rest of the monitoring period, infants received formula feedings. The percentage of time that esophageal pH was less than 4.0 following both types of feedings and the percentage of time that pH was lower than 5.0 following formula feedings were determined. Following AJ feeding, the mean percentage of time pH was less than 4.0 was 43.8% in contrast to 5.1% following formula feeding. However, following formula feeding, pH was less than 5.0 35.7% of time, similar to the percentage of time pH was less than 4.0 after AJ feeding. Ability to detect GER with short‐term monitoring after the two feedings was compared to detection following extended monitoring. Detection of GER with short‐term monitoring following AJ feeding correlated well with extended monitoring (r = 0.67; p < 0.001). There was a weaker, although significant, correlation between short‐term monitoring following formula feeding using pH less than 5.0 as the reflux criterion and extended monitoring (r = 0.3; p < 0.01). We conclude that outpatient GER evaluation with intraesoph‐ageal pH monitoring during a feeding interval following an AJ feeding may serve as an acceptable substitute for extended pH monitoring when it is not practical or desirable to admit the patient to the hospital.
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3

Menon, Dr Pramila G. "Training of Health Professionals in Breast Feeding, Complementary Feeding (IyCF)- Infant young Child Feeding." International Journal of Scientific Research 3, no. 4 (June 1, 2012): 310–11. http://dx.doi.org/10.15373/22778179/apr2014/107.

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4

Fernandez, Eduardo J., Bruce Upchurch, and Nancy C. Hawkes. "Public Feeding Interactions as Enrichment for Three Zoo-Housed Elephants." Animals 11, no. 6 (June 6, 2021): 1689. http://dx.doi.org/10.3390/ani11061689.

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The past few decades have seen increased interest in studies examining the welfare of elephants and animal–visitor interactions. One understudied area for both pursuits is the impact of public feeding interactions. Our study examined the effects of public feedings on the general activity of three zoo-housed elephants. Prior to public feedings, we developed and assessed a 21-behavior ethogram split into six classes of behavior. Comparisons between the elephants demonstrated that only one of the elephants engaged in stereotypies with regularity (>30%), and that the stereotypies occurred in place of most foraging. During public feedings, we compared the general activity of each elephant independently and across both public feeding and nonpublic feeding days, as well as the general activity before, during, and after a public feeding. Public feedings increased social activity and decreased stereotypies when compared with nonpublic feeding days for two of the elephants. In addition, all three elephants showed increased foraging and decreased inactivity in the period after a public feeding session. These results demonstrate that public feedings can be a useful tool for enriching the welfare of zoo-housed elephants and are among the first sets of data to demonstrate positive welfare outcomes associated with public feedings.
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Shimura, Mitsuhiro, and Takashi Tsuchiya. "Trophic feeding." Japanese Journal of SURGICAL METABOLISM and NUTRITION 49, no. 1 (2015): 53–57. http://dx.doi.org/10.11638/jssmn.49.1_53.

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6

Freed, Gary L., Sarah J. Clark, Jacob A. Lohr, and James R. Sorenson. "Pediatrician Involvement in Breast-Feeding Promotion: A National Study of Residents and Practitioners." Pediatrics 96, no. 3 (September 1, 1995): 490–94. http://dx.doi.org/10.1542/peds.96.3.490.

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Objective. Physician support for breast-feedings mothers has been shown to improve breast-feeding rates, but no evaluation of the adequacy of physicians' breast-feeding-related training has been conducted. This study was designed to assess pediatricians' knowledge, attitudes, training, and activities related to breast-feeding promotion. Methods. Surveys were mailed to a national random sample of pediatric residents (n = 999) and practitioners (n = 610) who were board certified within the previous 3 to 5 years. Results. Response rates were 74% for residents and 69% for practitioners. Although more than 90% of respondents agreed that pediatricians should be involved in breast-feeding promotion, their clinical knowledge and experience did not suggest a high degree of competency. For example, practitioners were only slightly more aware of breast-feeding's protective effect against otitis media (71% vs 60%), and more than one quarter of both groups did not agree that exclusive breast-feeding is the most beneficial form of infant nutrition. Clinical advice often included inappropriate recommendations for breast-feeding termination or formula supplementation; only 64% of practitioners and 52% of residents knew that supplementing during the first few weeks of life may cause breast-feeding failure. For both groups, prior personal breast-feeding experience (ie, respondent or spouse had breast-fed an infant for 2 or more weeks) was a major determinant of improved clinical knowledge, more frequent activity, and greater self-confidence and perceived effectiveness in the area of breast-feeding promotion. Residents reported that the breast-feeding instruction provided during training was primarily in lecture format, with limited clinical opportunities to practice skills needed to assist breast-feeding mothers. Reflecting on their own training, more than 70% of practitioners recommended that more time be devoted to direct patient interaction and practice of counseling and problem-solving skills. Conclusions. These results indicate that residency training does not adequately prepare pediatricians for their role in breast-feeding promotion. Improvements in residency training and innovative continuing education programs should be implemented to help pediatricians meet the needs of their breast-feeding patients.
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ElHennawy, Adel A., John W. Sparks, Debra Armentrout, Valerie Huseby, and Carol Lynn Berseth. "Erythromycin Fails to Improve Feeding Outcome in Feeding‐Intolerant Preterm Infants." Journal of Pediatric Gastroenterology and Nutrition 37, no. 3 (September 2003): 281–86. http://dx.doi.org/10.1002/j.1536-4801.2003.tb11995.x.

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ABSTRACTObjectiveApproximately half of extremely low birth weight infants have feeding intolerance, which delays their achievement of full enteral feedings. Erythromycin, a motilin receptor agonist, triggers migrating motor complexes and accelerates gastric emptying in adults with feeding intolerance. Few studies have assessed the efficacy of this drug in preterm infants with established feeding intolerance. This study was designed to assess the efficacy of erythromycin in feeding‐intolerant infants, as measured by gastric emptying, maturation of gastrointestinal motor patterns, and time to achieve full enteral feedings.MethodsSubjects were 27 preterm infants who were admitted to the neonatal intensive care unit and who did not achieve full enteral feeding volumes (150 mL/kg/day) within 8 days of the initiation of feedings. In a controlled, randomized, double‐blinded clinical trial, infants received intragastric erythromycin or placebo for 8 days without crossover. At study entry, the authors recorded motor activity in the antrum and the duodenum during fasting, in response to intragastric erythromycin (1.5 mg/kg) or placebo, and in response to feeding. Gastric emptying at 20 minutes and transit time from duodenum to anus were determined. Each infant then received erythromycin or placebo for 8 days, and feeding characteristics were prospectively tracked.ResultsGastric emptying and characteristics of antroduodenal motor contractions were similar in the two groups, as were the transit times from duodenum to anus. Feeding outcomes were comparable in the two groups.ConclusionIntragastric erythromycin does not improve feeding tolerance in preterm infants with established feeding intolerance because it fails to improve gastrointestinal function in the short or long term.
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Osborn, Erika K., and Sudarshan R. Jadcherla. "Developing a Quality Improvement Feeding Program for NICU Patients." NeoReviews 23, no. 1 (January 1, 2022): e23-e35. http://dx.doi.org/10.1542/neo.23-1-e23.

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Practices in NICUs vary widely, particularly when clinical decisions involve complex tasks and multiple disciplines, which occurs with feeding preterm infants. Neonatal feeding difficulties in preterm infants often lead to prolonged tube feeding and therefore lengthened hospital stays. Education and compliance with evidence-based protocols and guidelines are needed on the initiation of feedings and feeding advancement to transform enteral and oral feeding practices and thus reduce practice variation and improve clinical outcomes.
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Kim, Hungdai. "Sham Feeding? Same Feeding?" Annals of Coloproctology 29, no. 6 (2013): 224. http://dx.doi.org/10.3393/ac.2013.29.6.224.

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10

Elpern, Ellen H., Luminita Stutz, Sarah Peterson, David P. Gurka, and Annalynn Skipper. "Outcomes Associated With Enteral Tube Feedings in a Medical Intensive Care Unit." American Journal of Critical Care 13, no. 3 (May 1, 2004): 221–27. http://dx.doi.org/10.4037/ajcc2004.13.3.221.

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• Background Underfeeding of patients reliant on enteral tube feedings most likely is due primarily to interruptions in the infusions. Strategies to improve energy intake require an understanding of such interruptions and associated outcomes. • Objectives To compare daily energy intake with goal energy intake; to ascertain frequency, duration, and reasons for interruptions in feedings; and to determine occurrences of feeding intolerance. • Methods A prospective, descriptive study of a convenience sample of patients admitted during a 3-month period to a medical intensive care unit. Patients were included who were expected to receive continuous enteral tube feedings for at least 48 hours. Patients were studied until discontinuation of feedings, discharge from the unit, or death. • Results Thirty-nine patients were studied for 276 feeding days. Patients received a mean of 64% of goal energy intake. Mean length of interruptions in feeding was 5.23 hours per patient per day. Interruptions for performance of tests and procedures accounted for 35.7% of the total cessation in feeding time. Next most time-consuming interruptions occurred with changes in body position (15%), unstable clinical conditions (13.5%), high gastric residual volume (11.5%), and nausea and vomiting (9.2%). Patients had diarrhea 105 (38%) of 276 feeding days. Gastric residual volumes exceeded 150 mL on 28 measurements in 11 patients. Five patients experienced episodes of nausea and vomiting. Four patients experienced an episode of feeding aspiration. • Conclusions Precautionary interruptions in enteral feedings to decrease presumed risk of aspiration occurred frequently and resulted in underfeeding. Episodes of vomiting and of aspiration were uncommon.
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Sirota, Gisela Laura, Ita Litmanovitz, Carmel Vider, Shmuel Arnon, Shiran Sara Moore, Eynit Grinblatt, Orly Levkovitz, and Sofia Bauer Rusek. "Regional Splanchnic Oxygenation during Continuous versus Bolus Feeding among Stable Preterm Infants." Children 9, no. 5 (May 9, 2022): 691. http://dx.doi.org/10.3390/children9050691.

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Introduction: There is no agreement regarding the best method for tube-feeding preterm infants. Few studies, to date, have evaluated the influence of different methods of enteral feeding on intestinal oxygenation. The use of near-infrared spectroscopy (NIRS) has permitted the noninvasive measurement of splanchnic regional oxygenation (rSO2S) in different clinical conditions. The aim of this prospective, single-center study was to compare rSO2S during continuous versus bolus feeding among stable preterm infants. Methods: Twenty-one preterm infants, less than 32 weeks gestation and appropriate for gestational age, were enrolled. All infants were clinically stable and on full tube feedings. Each infant received a bolus feeding initially (20 min duration), and after 3 h, a continuous feeding (5 h duration). Infants were evaluated 30 min before and 30 min after the bolus and continuous feedings. The regional splanchnic saturation (rSO2S) was measured using near-infrared spectroscopy (NIRS) technology and systemic saturation was measured with pulse oximetry. From these measurements, we calculated the splanchnic fractional oxygen extraction ratio (FOES) for each of the four intervals. Results: rSO2S decreased after continuous vs. bolus feeding (p = 0.025), while there was a trend toward decreased SaO2 after bolus feeding (p = 0.055). The FOES, which reflects intestinal oxygen extraction, was not affected by the feeding mode (p = 0.129). Discussion/Conclusion: Continuous vs. bolus feeding decreases rSO2S but does not affect oxygen extraction by intestinal tissue; after bolus feeding there was a trend towards decreased systemic saturation.
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Rivera-Nieves, Desiree, Anita Conley, Keri Nagib, Kaiya Shannon, Karoly Horvath, and Devendra Mehta. "Gastrointestinal Conditions in Children With Severe Feeding Difficulties." Global Pediatric Health 6 (January 2019): 2333794X1983853. http://dx.doi.org/10.1177/2333794x19838536.

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Feeding aversion in children may progress to severe feeding difficulties. While oral-motor and sensory issues are usually the leading causes, organic etiologies should be considered. This study aimed to assess the prevalence of gastrointestinal conditions in children with severe feeding difficulties. We conducted a retrospective study of 93 children requiring an intensive feeding program. The medical records, radiologic and diagnostic tests, use of gastric tube feedings, preexisting medical conditions, and medications were reviewed. Fifty-two percent (52%) had esophagitis, 26.2% gastritis, and 40.7% lactase deficiency in upper endoscopy. In those who underwent an upper endoscopy, 26% of patients that were also tested for small intestinal bacterial overgrowth were found to be positive. Allergy testing was abnormal in 56.6% of those tested, while 27.5% and 75% had abnormal gastric emptying times and pH impedance results, respectively. Constipation was present in 76.3%. Thirteen of 32 were weaned off tube feedings. We conclude that gastrointestinal conditions are common in children with feeding disorders and should be investigated prior to feeding therapy.
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13

Anderson, Diane. "Feeding the Ill or Preterm Infant." Neonatal Network 21, no. 7 (January 2002): 7–14. http://dx.doi.org/10.1891/0730-0832.21.7.7.

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Illness and immaturity often interfere with a neonate’s ability to receive full enteral feedings during the first week of life. The goals of feeding in the NICU are to nourish the preterm infant for appropriate growth and development and to facilitate the earliest possible discharge from the NICU. Early, small-volume feedings, or trophic feedings, have been studied as a method for achieving these goals. The high-risk infant given such trophic feedings not only receives minimum enteral nutrition, but also attains earlier full nutritional feedings and, consequently, is discharged home earlier. Oro- or nasal-gastric gavage feedings are usually indicated for this group of infants because of their physiologic immaturity and the frequent presence of respiratory illness. Recent studies support the use of intermittent bolus feedings, which have long been used for the premature infant. Several authors have noted advantages to continuous infusions as well. Because the infant is unable to pace or refuse gavage feedings, the caretaker must determine the appropriate volume of each feeding. The optimal volume for initiation and advancement of trophic and nutritional feedings is still under investigation, but reports have demonstrated safe volumes for even the extremely premature infant.
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Astoria, Mark, Leroy Thacker, and Karen Hendricks-Muñoz. "Oral Feeding Outcome after Analgesic and Sedative Exposure in VLBW Preterm Infant." American Journal of Perinatology 35, no. 14 (June 8, 2018): 1399–404. http://dx.doi.org/10.1055/s-0038-1660468.

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Objective The objective of this study was to assess the association of analgesics and sedatives on oral feeding function and need for feeding tube at discharge in the very low birth weight (VLBW) (<1,500 g) preterm infant. Study Design A retrospective review of surviving inborn infants < 1,500 g and < 32 weeks' gestation (n = 209), discharged between January 1, 2012, and December 31, 2014, from the neonatal intensive care unit identified exposure to analgesic and sedative medications, demographics, medical course, and nasogastric or gastrostomy tube (GT) feeding at discharge. Predictive modeling with logistic regression to identify independent factors associated with discharge on tube feedings. Results Out of 209, 45 (21.5%) infants received an analgesic/sedative with 23 out of 45 (51.1%) discharged with tube feedings. Infants discharged with tube feedings were born smaller, of younger gestation, with greater SNAPPE-II scores, periventricular leukomalacia, chronic lung disease, postnatal glucocorticoids, lansoprazole, and longer time intubated. After adjusting for covariates, exposure to analgesic/sedatives (fentanyl, midazolam, or morphine) was independently predictive of discharge on tube feedings. Conclusion Analgesic and sedative exposure in VLBW infants is highly associated with poor oral feeding and need for tube feedings at discharge.
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Ashland, Jean E. "Feeding Interactions and Feeding Outcomes: Bottle Feeding Premature Infants." Perspectives on Swallowing and Swallowing Disorders (Dysphagia) 10, no. 2 (June 2001): 10–12. http://dx.doi.org/10.1044/sasd10.2.10.

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Halnan, Bridget. "Breast feeding is not best feeding, it's normal feeding." British Journal of Healthcare Assistants 10, no. 3 (March 2, 2016): 117–18. http://dx.doi.org/10.12968/bjha.2016.10.3.117.

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17

Berseth, C. L., and C. Nordyke. "Enteral nutrients promote postnatal maturation of intestinal motor activity in preterm infants." American Journal of Physiology-Gastrointestinal and Liver Physiology 264, no. 6 (June 1, 1993): G1046—G1051. http://dx.doi.org/10.1152/ajpgi.1993.264.6.g1046.

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Low-compliance perfusion manometry and clinical outcome were used to assess the chronic effects of feeding on functional maturation of the preterm intestine in 32 infants. During the first postnatal week, 16 infants received a small volume of formula to supplement their routine parenteral nutrition (24 ml.kg-1.day-1), and 16 received an equal volume of water. After 10 days of enteral "feedings," the manometric tracings of those infants who had received nutrient feedings had more migrating activity (P < 0.01) and less clustered phasic activity (P < 0.05) during fasting than did the tracings of those infants who had received nonnutrient feedings containing sterile water. Infants who received nutrient feedings demonstrated a change in motor activity in response to feeding; infants who had received water feedings failed to show a change in motor activity in response to feeding. After water-fed infants were given formula feedings for 2 wk, their motor activity patterns were similar to those who had initially been fed formula, and their motor responses to feeding were restored. Despite normalization of their motor activity patterns by 1 mo of age, these water-fed infants established full enteral nutrition and full nipple feedings later than did infants who had been fed formula (P < 0.01), suggesting that the delay of enteral feedings in preterm infants does not permit optimal intestinal maturation of nonmucosal functions.
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Mahran, Ghada, Asmaa Mahgoup, Emad Zarief Kamel, and Muayyad M. Ahmad. "Effect of 2 Enteral Feeding Schedules on Intra-abdominal Pressure in Patients Receiving Mechanical Ventilation: A Randomized Controlled Trial." Critical Care Nurse 39, no. 6 (December 1, 2019): 29–35. http://dx.doi.org/10.4037/ccn2019967.

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Background Elevated intra-abdominal pressure is associated with morbidity in critically ill patients. Enteral feeding is important for these patients but may cause complications. Objective To compare the effects of 2 intermittent feeding schedules on intra-abdominal pressure in patients receiving mechanical ventilation. Methods A single-blinded, prospective, parallel-group, randomized controlled trial was conducted in an intensive care unit in a teaching hospital in Egypt. Fifty adult patients requiring more than 48 hours of mechanical ventilation were enrolled. Patients were randomly sorted into 2 study groups. The intervention group received intermittent enteral feedings 5 times daily at 4-hour intervals. The control group received intermittent enteral feedings 10 times daily at 2-hour intervals. Both groups fasted for 8 hours overnight. Intra-abdominal pressure was measured 7 times: at admission and before and after the first 3 feedings on the third day of the intensive care unit stay. Results One-way repeated-measures analysis of variance showed that mean intra-abdominal pressure was higher in the control group before the first feeding (t = 2.27, P = .03) but was higher in the intervention group after the second feeding (t = 2.51, P = .02) and after the third feeding (t = 2.41, P = .02). Vomiting and diarrhea were not significantly different between the groups. More constipation and abdominal distension occurred in the intervention group than in the control group. Conclusion Intra-abdominal pressure was not significantly affected by feeding interval. However, reducing the time interval between intermittent enteral feedings may minimize the risk for constipation and abdominal distension.
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White-Traut, Rosemary. "Descriptive Longitudinal Pilot Study: Behaviors Surrounding Feeding of Preterm Infants Who Received Extended Tube Feedings." Neonatology and Clinical Pediatrics 9, no. 1 (April 13, 2022): 1–7. http://dx.doi.org/10.24966/ncp-878x/100092.

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To our knowledge, this was the first pilot study to comprehensively describe the changes in behaviors surrounding feeding over time and with respect to advancing PMA for preterm infants who received extended tube feedings during the NICU hospitalization. Infants demonstrated distinct behaviors surrounding feeding as young as 28 weeks post menstrual age. These behaviors may vary among infants and change significantly with advancing post-menstrual age. Assessment of subtle behaviors surrounding feeding is important to ensure oral feeding readiness.
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Dellert, Susan F., Jeffrey S. Hyams, William R. Treem, and M. Alex Geertsma. "Feeding Resistance and Gastroesophageal Reflux in Infancy." Journal of Pediatric Gastroenterology and Nutrition 17, no. 1 (July 1993): 66–71. http://dx.doi.org/10.1002/j.1536-4801.1993.tb10915.x.

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SummaryResistance to oral feedings occurring during the course of chronic gastroesophageal reflux (GER) in infants has received little attention in the literature. Accordingly, we reviewed the clinical courses of 600 infants of <24 months of age with GER seen over an 8‐year period to determine the prevalence and course of this problem. After excluding infants with severe neurologic disease, craniofacial disorders, or a history of esophageal surgery, 25 infants were found to have resistance to oral feedings that was severe enough to warrant tube feedings for nutritional support. Sixteen of these 25 infants had a history of resistance to oral feeding antedating a diagnosis of GER, whereas nine developed resistance to feeding during the course of therapy. Gestational age, age at onset of GER symptoms, severity of GER, presence/severity of esophagitis, type of medical therapy, need for fundoplication, or postfundoplication complications were similar in these two groups. When the clinical records of these 25 infants were compared to an age‐ and sex‐matched infant population with GER but without feeding resistance, no differences were noted in severity of GER or the presence/severity of esophagitis. However, failure to thrive and the need for fundoplication were significantly more common in the feeding resistance group (p < 0.001). Among those infants with neurodevelopmental evaluation, mild delay was seen more commonly in the infants with feeding resistance but fell short of statistical significance (p = 0.08). Our observations suggest that resistance to oral feedings is an uncommon but severe problem associated with GER in infancy. Future work will need to further characterize possible neurodevelopmental abnormalities or upper gastrointestinal dysmotility that might predispose patients to this type of feeding difficulty.
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Huffman, Sandra L., and Luann H. Martin. "First feedings: Optimal feeding of infants and toddlers." Nutrition Research 14, no. 1 (January 1994): 127–59. http://dx.doi.org/10.1016/s0271-5317(05)80374-4.

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22

Metheny, Norma A., and Barbara J. Stewart. "Testing feeding tube placement during continuous tube feedings." Applied Nursing Research 15, no. 4 (November 2002): 254–58. http://dx.doi.org/10.1053/apnr.2002.35946.

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ERDKAMP, P. "Feeding Rome, or Feeding Mars?" Ancient Society 30 (January 1, 2000): 53–70. http://dx.doi.org/10.2143/as.30.0.565558.

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Gardner, R. Allen. "Feeding forward versus feeding backward." Behavioral and Brain Sciences 23, no. 2 (April 2000): 256–57. http://dx.doi.org/10.1017/s0140525x00302436.

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The Domjan et al. target article is a valuable summary of a vital field of conditioning and learning. It lists, thumbnails, and organizes classical and recent findings into a useful and familiar structure. Perhaps it is time to consider modern developments in ethology, experimental psychology, and computer science that supersede the traditional structure.
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Schiere, J. B., and J. de Wit. "Feeding standards and feeding systems." Animal Feed Science and Technology 43, no. 1-2 (August 1993): 121–34. http://dx.doi.org/10.1016/0377-8401(93)90147-c.

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Fujimoto, Rodrigo Yudi, Rudã Fernandes Brandão Santos, Henrique Malta Dias, Fabrício Menezes Ramos, Derlan José Ferreira Silva, and Claucia Aparecida Honorato. "Feeding frequency on the production viability of production and quantitative descriptors of parasitism in angelfish." Ciência Rural 46, no. 2 (February 2016): 304–9. http://dx.doi.org/10.1590/0103-8478cr20141704.

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ABSTRACT: Angelfish (Pterophyllum scalare) is a very important species in Brazil's domestic market, however feeding managements differ from fish breeders to aquarists, so the cost of feed and labor become relevant items when cultivating the species. The objective of this research was to assess feeding frequency and feed deprivation based on growth performance, parasite infestation and cost-benefit in farming this species. The experiment was conducted in a completely randomized design in a 3x2 factorial scheme with 3 daily feeding levels, 4 meals, 2 meals and 1 meal; with and without feed deprivation and two repetitions. Feed deprivation consisted of offering feed 5 days a week only. Feeding twice a day without deprivation and four times a day with or without feed deprivation resulted in higher growth performance than feeding once a day. Monogenean and nematode parasitic loads were not influenced by feeding management. The cost-benefit analysis enabled us to observe that the treatment with the best benefit was the one involving two feedings a day with no deprivation. Thus, considering the parameters mentioned above, we concluded that the two daily feedings with no feed deprivation is the most adequate for farming this specie.
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Reilly, S. "The ontogeny of aquatic feeding behavior in Salamandra salamandra: stereotypy and isometry in feeding kinematics." Journal of Experimental Biology 198, no. 3 (March 1, 1995): 701–8. http://dx.doi.org/10.1242/jeb.198.3.701.

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To examine the extent to which aquatic prey-capture behavior in salamanders is stereotyped and how feeding kinematics scales with size, the ontogenetic variability of aquatic feeding behavior was examined in eight Salamandra salamandra. Feeding kinematics (seven duration and angular displacement variables), kinematic variance and capture performance were quantified and compared in the first several feedings after birth with a series of feedings 8 weeks later, just prior to metamorphosis. Analysis of variance revealed no statistically significant ontogenetic differences in the kinematic variables, and individual differences were found in only two variables (maximum gape angle and gape cycle time). A comparison of the relative kinematic variance within individuals revealed no significant differences in variance during ontogeny. In addition, capture success rate did not change. The strike is significantly faster than that of other salamanders. These results indicate that the initial prey-capture behavior remains unchanged throughout larval ontogeny. Thus, aquatic strike behavior in S. salamandra is developmentally fixed (innate) and does not appear to be influenced by learning or improvement in 'skill', supporting the hypothesis that aquatic salamander feeding is a highly stereotyped, unmodulated behavior. In addition, the lack of kinematic change through ontogeny indicates that feeding kinematics do not scale with body size, contrary to predictions that movements should be slower in larger animals.
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Henderson, Robin A., Jose M. Saavedra, Jay A. Perman, Nancy Hutton, Robert A. Livingston, and Robert H. Yolken. "Effect of Enteral Tube Feeding on Growth of Children with Symptomatic Human Immunodeficiency Virus Infection." Journal of Pediatric Gastroenterology and Nutrition 18, no. 4 (May 1994): 429–34. http://dx.doi.org/10.1002/j.1536-4801.1994.tb11209.x.

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SummaryMalnutrition and growth failure are frequent clinical consequences of human immunodeficiency virus (HIV) infection in children. Tube feeding is a means by which to increase the enteral intake of nutrients. We examined the effect of tube feeding in 18 children, median age 6 months (range, 3–159). Tube feedings were initiated due to growth failure in all, which was also associated with dysfunctional swallowing or aspiration in seven children and gastroesophageal reflux in two. Tube feedings were infused via nasogastric tube (n = 4) or gastrostomy tube (n = 14) and were continued for a median of 8.5 months (range, 2–24). Stoma complications developed in three children with gastrostomy tubes; these were the only tube‐related side effect. Tube feedings were discontinued due to noncompliance (n = 3), gastrostomy leakage (n = 2), intolerance (n = 2), and death (n = 3). Anthropometric changes were evaluated comparing mean standard deviation scores (Z) before and after tube feeding. Tube feeding resulted in significantly increased weight for age (Z, −2.13 + 0.7 vs. −1.46 + 1.4; p = 0.04), weight for height (Z, −1.07 + 1.0 vs. −0.13 + 1.0; p = 0.004), and arm fat area (Z, −1.75 + 1.3 vs. −0.62 + 1.2; p = 0.01). However, tube feeding did not result in significant changes in height for age (Z, −1.93 + 0.8 vs. −1.74 + 1.6) or arm muscle area (Z, −1.24 + 0.9 vs. −0.57 + 1.2). Tube feedings effectively increased the weight of HIV‐infected children in this study, but they were not sufficient to correct linear growth deficits.
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Meurer, Fábio, Robie Allan Bombardelli, Patrícia Santana da Paixão, Lilian Carolina Rosa da Silva, and Lilian Dena dos Santos. "Feeding frequency on growth and male percentage during sexual reversion phase of Nile tilapia." Revista Brasileira de Saúde e Produção Animal 13, no. 4 (December 2012): 1133–42. http://dx.doi.org/10.1590/s1519-99402012000400024.

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The sex reversal is one of the most important stages for the commercial breeding of Nile tilapia in relation to the problems arising from early breeding of this species in cultivation tanks. The objective was to determine the effect of feeding frequency on growth and sex ratio of Nile tilapia (Oreochromis niloticus) during the sex reversal phase. Five hundred Nile tilapia fry were used and stocked in twenty-five plastic aquaria (36L) in a completely randomized design with five treatments and five replicates. The treatments were: one feeding (10h), two feeding (09h and 17h), three feeding (09h; 13h and 17h), four feeding (07h; 10h; 13h and 17h), and five feeding (07h; 09h; 11h; 15h and 17h). The feeding frequency affected sex ratio of male fingerlings, where the treatments with four and five feedings provided similar values, but higher (P<0.01) than other treatments. It is recommended feeding frequency at least four times a day to provide lots with suitable index of sex reversal for cultivation.
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Pados, Britt F., Suzanne M. Thoyre, Hayley H. Estrem, Jinhee Park, George J. Knafl, and Brant Nix. "Effects of milk flow on the physiological and behavioural responses to feeding in an infant with hypoplastic left heart syndrome." Cardiology in the Young 27, no. 1 (March 16, 2016): 139–53. http://dx.doi.org/10.1017/s1047951116000251.

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AbstractInfants with hypoplastic left heart syndrome often experience difficulty with oral feeding, which contributes to growth failure, morbidity, and mortality. In response to feeding difficulty, clinicians often change the bottle nipple, and thus milk flow rate. Slow-flow nipples have been found to reduce the stress of feeding in other fragile infants, but no research has evaluated the responses of infants with hypoplastic left heart syndrome to alterations in milk flow. The purpose of this study was to evaluate the physiological and behavioural responses of an infant with hypoplastic left heart syndrome to bottle feeding with either a slow-flow (Dr. Brown’s Preemie) or a standard-flow (Dr. Brown’s Level 2) nipple. A single infant was studied for three feedings: two slow-flow and one standard-flow. Oral feeding, whether with a slow-flow or a standard-flow nipple, was distressing for this infant. During slow-flow feeding, she experienced more coughing events, whereas during standard-flow she experienced more gagging. Disengagement and compelling disorganisation were most common during feeding 3, that is slow-flow, which occurred 2 days after surgical placement of a gastrostomy tube. Clinically significant changes in heart rate, oxygen saturation, and respiratory rate were seen during all feedings. Heart rate was higher during standard-flow and respiratory rate was higher during slow-flow. Further research is needed to examine the responses of infants with hypoplastic left heart syndrome to oral feeding and to identify strategies that will support these fragile infants as they learn to feed. Future research should evaluate an even slower-flow nipple along with additional supportive feeding strategies.
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McCain, Gail. "An Evidence-Based Guideline for Introducing Oral Feeding to Healthy Preterm Infants." Neonatal Network 22, no. 5 (January 2003): 45–50. http://dx.doi.org/10.1891/0730-0832.22.5.45.

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The ability of a preterm infant to make the transition from gavage to oral nipple feeding depends on the infant’s neurodevelopment in relation to behavioral organization, to a rhythmic suck-swallow-breathe pattern, and to cardiorespiratory regulation. Research-based knowledge about infant neurodevelopment in these three areas has led to the creation of a semidemand feeding method to aid in this transition. The method combines the use of nonnutritive sucking to promote awake behavior for feeding, use of behavioral assessment to identify readiness for feeding, and systematic observation of and response to infant behavior cues to regulate frequency, length, and volume of oral feedings. Semidemand feeding may be individualized for healthy preterm infants. This article discusses both the relevant knowledge about neurodevelopment and the semidemand feeding method itself.
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Podedworna, J., M. Zubrowska-Sudol, K. Sytek-Szmeichel, A. Gnida, J. Surmacz-Górska, and D. Marciocha. "Impact of multiple wastewater feedings on the efficiency of nutrient removal in an IFAS-MBSBBR: number of feedings vs. efficiency of nutrient removal." Water Science and Technology 74, no. 6 (July 5, 2016): 1457–68. http://dx.doi.org/10.2166/wst.2016.331.

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This article presents the results of research into the influence of one, two and three wastewater feedings in a cycle on efficiency and performance of combined biological nitrogen and phosphorus removal in an integrated fixed-film activated sludge and moving-bed sequencing batch biofilm reactor (IFAS-MBSBBR). The experiment lasted 158 days and was conducted in two laboratory models of the IFAS-MBSBBR with an active volume of 28 L. It was found that along with an increase in the number of wastewater feedings, an increase in nitrogen removal efficiency was observed (from 56.9 ± 2.30% for a single feeding to 91.4 ± 1.77% for three feedings). Moreover, the contribution of simultaneous nitrification/denitrification in nitrogen removal increased (from 2.58% for a single feeding to 69.5% for three feedings). Systems with a greater number of feedings stimulated the process of denitrifying phosphorus removal. Regardless of the way in which wastewater feeding was applied to the IFAS-MBSBBR, highly efficient chemical oxygen demand (COD) removal (94.8 ± 1.80%) and biological phosphorus removal (98.9 ± 0.87%) were achieved.
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Schurr, Patti, and Esther Perkins. "The Relationship Between Feeding and Necrotizing Enterocolitis in Very Low Birth Weight Infants." Neonatal Network 27, no. 6 (November 2008): 397–407. http://dx.doi.org/10.1891/0730-0832.27.6.397.

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Necrotizing enterocolitis (NEC) is the most common gastrointestinal emergency in the NICU, with often devastating consequences. The etiology of NEC is probably multifactorial, with preterm infants at the highest risk. The relationship between feeding and NEC was identified in the 1970s, leading to delayed feeding becoming standard treatment in NICUs. More recent research suggests that early feedings not only are safe, but reduce other morbidities associated with prematurity. Standardized feeding guidelines seem to confer some benefits in decreasing NEC, despite a wide variability in feeding practices within the published guidelines. A standardized approach to the management of feeding problems may be the key. This article briefly reviews the pathogenesis of NEC and examines studies of various feeding practices for their relationship to the development of NEC. It also highlights the potential benefits of breast milk in NEC prevention.
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Chai, Hui Zhong, Lalit Kumar Radha Krishna, and Victoria Hwei May Wong. "Feeding." American Journal of Hospice and Palliative Medicine® 31, no. 2 (March 15, 2013): 166–71. http://dx.doi.org/10.1177/1049909113480883.

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35

Bhagat, Rugved. "Review on Automatic Pet Feeding System." International Journal for Research in Applied Science and Engineering Technology 12, no. 3 (March 31, 2024): 322–25. http://dx.doi.org/10.22214/ijraset.2024.58684.

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Abstract: Automatic pet feeding systems have gained popularity in recent years due to the convenience they offer to pet owners in ensuring regular and timely feeding of their pets. This paper provides a comprehensive overview of automatic pet feeding systems, including their design, functionality, benefits, and potential drawbacks. The study examines various types of automatic pet feeding systems available in the market, ranging from basic gravity-fed dispensers to more advanced programmable devices with portion control and scheduling capabilities. Furthermore, the paper discusses the technological aspects of automatic pet feeding systems, such as the use of sensors to detect food levels, timers for scheduling feedings, and remote access features for monitoring and controlling feeding sessions. The benefits of automatic pet feeding systems, including the ability to maintain feeding routines, prevent overfeeding, and reduce the risk of obesity in pets, are also highlighted. Moreover, the study addresses potential drawbacks of automatic pet feeding systems, such as technical malfunctions, reliance on electricity or batteries, and the lack of human interaction during feeding times. Recommendations for pet owners considering investing in an automatic pet feeding system are provided, emphasizing the importance of choosing a system that suits their pet's dietary needs, size, and feeding habits. Overall, this paper serves as a valuable resource for pet owners, veterinarians, and researchers interested in understanding the functionality and implications of automatic pet feeding systems in enhancing the well-being and health of companion animals.
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Chavko, Jozef, and Anton Krištín. "Foraging opportunism and feeding frequency in the red-footed falcon (Falco vespertinus) in Slovakia: case study from 2017." Slovak Raptor Journal 11, no. 1 (December 1, 2017): 31–41. http://dx.doi.org/10.1515/srj-2017-0009.

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Abstract Foraging opportunism and feeding frequency are less studied parameters of behaviour in insectivorous falcons, many of which are endangered bird species. In this short study, prey composition and feeding frequency of red-footed falcon (Falco vespertinus) nestlings were studied using the method of camera recordings during seven days in July 2017 in southwestern Slovakia. Camera recording analyses of 2–3 chicks (14–26 days old) in three nests revealed a significant preference for insects (97%, n = 305 prey items), of which the Italian locust (Calliptamus italicus) was highly predominant (54%). We also found very high average chick feeding frequency (9.9 feedings per hour, n = 29 hours 22 min of regular observations), whereby the females fed their young ones more frequently (64.9%, n = 305 feedings) than the males (35.1%). Analyses of food composition in adverse weather conditions showed that unfavourable weather had a negative effect on chick feeding frequency, and in rainy weather the males fed significantly less than the females.
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37

Phalen, J. A. "Managing Feeding Problems and Feeding Disorders." Pediatrics in Review 34, no. 12 (December 1, 2013): 549–57. http://dx.doi.org/10.1542/pir.34-12-549.

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38

Phalen, James A. "Managing Feeding Problems and Feeding Disorders." Pediatrics In Review 34, no. 12 (December 1, 2013): 549–57. http://dx.doi.org/10.1542/pir.34.12.549.

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39

Forbes, J. M. "Consequences of feeding for future feeding." Comparative Biochemistry and Physiology Part A: Molecular & Integrative Physiology 128, no. 3 (March 2001): 461–68. http://dx.doi.org/10.1016/s1095-6433(00)00328-7.

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40

Kopczyńska, Ewa, and Katarzyna Zielińska. "Feeding the Body, Feeding the Gender." East European Politics and Societies: and Cultures 30, no. 1 (March 2, 2015): 147–68. http://dx.doi.org/10.1177/0888325415570964.

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Food and eating serve as an expression of social relations and roles as well as a mechanism sustaining or challenging social structure and roles. This also includes marking and reproducing gender roles and identities. With the profound social, cultural, and political changes that have taken place there recently, Poland offers an interesting case study for grasping the changing meaning of both food and gender and the relationship between them. The aim of this article is therefore twofold—to present available data on food choices among men and women (mostly dietary choices) and to offer a socio-cultural interpretation of the data by discussing it in the context of emerging food regimes and recent gender transformations. In other words, we will be interested in finding out how food is incorporated in doing gender in the Polish context and how it can be interpreted in the light of scholarly work on both gender and food.
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41

Ng, Steven Chin‐Yuen, Joseph Manuel Gomez, Victor Samuel Rajadurai, Seang‐Mei Saw, and Seng‐Hock Quak. "Establishing Enteral Feeding in Preterm Infants with Feeding Intolerance: A Randomized Controlled Study of Low‐dose Erythromycin." Journal of Pediatric Gastroenterology and Nutrition 37, no. 5 (November 2003): 554–58. http://dx.doi.org/10.1002/j.1536-4801.2003.tb12061.x.

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ABSTRACTObjectiveA prospective, double‐blind, randomized, controlled trial was conducted to evaluate the effect of low‐dose erythromycin on the time taken to attain full enteral feedings in preterm infants with very low birth weight and feeding intolerance.MethodsTwo groups of preterm infants (birth weight ≤ 1500 g) with feeding intolerance were randomized to either low‐dose erythromycin (5 mg/kg every 8 hours) or 5% dextrose placebo, both of which were discontinued 1 week after full enteral feedings were tolerated. The primary outcome variable was the time taken to attain full enteral feedings of at least 130 mL/kg/d.ResultsThe gestational age at birth was similar in the two groups (erythromycin, 27.1 ± 1.9 weeks; placebo, 27.5 ± 2.9 weeks). The mean birth weight of the erythromycin group was lower (806.3 ± 215.6 g) than the placebo group (981.4 ± 285.4 g; P = 0.18), and included more infants who were small for gestational age (4/13 = 31% versus 1/11 = 9%; P = 0.224). There was no difference between the two groups with regard to the volume of feedings they were receiving at the time of enrollment. Reduction in symptoms of gastroesophageal reflux was similar in the two groups. 3 of 13 in the erythromycin group and 4 of 11 in the placebo group improved during the study (P = 0.565). The mean time to attain full enteral feedings after enrollment was 24.9 + 2.9 days in the erythromycin group and 30.8 ± 4.1 days in the placebo group, a difference that did not reach statistical significance (P = 0.17).ConclusionsLow‐dose erythromycin did not reduce the time taken to attain full enteral feedings in preterm infants with very low birth weight and feeding intolerance. Gastroesophageal reflux decreased as a consequence of maturation of the gastrointestinal tract and not because of erythromycin. These preliminary results justify verification in larger multicenter trials.
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42

Musulmonovich, Rajabov Baxtiyor. "FEEDING OF BREEDING BULLS." European International Journal of Multidisciplinary Research and Management Studies 02, no. 10 (October 1, 2022): 28–30. http://dx.doi.org/10.55640/eijmrms-02-10-05.

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The nutrient requirements of breeding bulls depend on their age, level of fatness, and the level of their use during insemination or insemination. The degree of their use during fertilization is divided into three cases: not used, medium and high. If a couple of times a week, the level of use is considered medium, if it is 23 times, it is considered high.
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43

Thomson, Brittany. "Feeding in the NICU: Comparing Bolus and Continuous Feedings." Newborn and Infant Nursing Reviews 16, no. 3 (September 2016): 126–28. http://dx.doi.org/10.1053/j.nainr.2016.08.006.

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44

Stamenkovic, Dusica, Marica Basic, I. Palibrk, and Zorica Jankovic. "Enteral nutrition and surgical patient." Acta chirurgica Iugoslavica 50, no. 4 (2003): 109–13. http://dx.doi.org/10.2298/aci0304109s.

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Enterai nutrition can be applicated alone or in combination with, parenteral nutrition. Enterai feeding should be applicated as early as possible in preoperative preparation or in postoperative period in respect of contraindications and everyday evaluation of patients. Immunomodulatory substances like arginin, 3-o-fat acids, ribonucleic acid and glutamine are incorporated in "ready to use" solution for enterai feeding. Enterai feedings oral or via tubes are safe if some precautions are taken: like sitting position and control of feeding tubes position. Use of jejunostomy and promotility agents improved enterai feeding after major abdominal surgery and acute pancreatitis. Enterai feeding and immunonutrition improved postoperative course in reduction of hospital stay, incidence of postoperative complications especially infections. The aim of this review article is to validate pro and con for enterai nutrition in preoperative and postoperative course.
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45

Howard, Cynthia R., Elisabeth A. de Blieck, Cynthia B. ten Hoopen, Fred M. Howard, Bruce P. Lanphear, and Ruth A. Lawrence. "Physiologic Stability of Newborns During Cup- and Bottle-feeding." Pediatrics 104, Supplement_6 (November 1, 1999): 1204–7. http://dx.doi.org/10.1542/peds.104.s6.1204.

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Background. To prevent breastfeeding problems, cup-feeding has been recommended as a method of providing medically necessary supplemental feedings to breastfed infants. Objectives. To compare amounts ingested, administration time, and infant physiologic stability during cup-, bottle-, and breastfeeding. Design/Methods. A total of 98 term, healthy newborns were randomized to either cup-feeding (n = 51) or bottle-feeding (n = 47). The heart (HR), respiratory (RR), and oxygen (O2) saturation rates were monitored on these infants and 25 breastfed newborns during 1 feeding. Differences in amounts ingested and administration times were evaluated with t tests and physiologic data with repeat measures analysis of variance. Results. There were no significant differences in administration time, amounts ingested or overall HR, RR, and (O2) saturation rates, between cup and bottle groups. Breastfed infants had longer administration times and lower overall HR, RR, and higher O2 saturation as compared with cup- and bottle-fed infants. Conclusions. Administration times, amounts ingested, and infant physiologic stability do not differ with cup- and bottle-feeding. Breastfeeding takes longer than cup- or bottle-feeding, but infants experience less physiologic variability. These data support cup-feeding as an alternative to bottle-feeding for supplying supplements to breastfed infants.
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46

Thoyre, Suzanne, Catherine Shaker, and Karen Pridham. "The Early Feeding Skills Assessment for Preterm Infants." Neonatal Network 24, no. 3 (May 2005): 7–16. http://dx.doi.org/10.1891/0730-0832.24.3.7.

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Preterm infants develop the skills necessary to begin oral feeding as their health stabilizes and as they reach a postconceptional age that supports coordination of breathing and swallowing with oral-motor functioning. The time from initiation of oral feeding to full oral feedings (with adequate intake for growth and maintenance of physiologic stability) can vary from days to months for the preterm infant. The approach to feeding the infant during this transition period must be developmentally supportive and tailored to meet the needs of the individual. To accomplish this, caregivers—notably nurses and parents—need to communicate about the specific skills that the infant has gained, about skills that are emerging, and about skills that the infant has not yet developed. The Early Feeding Skills (EFS) Assessment is a checklist for assessing infant readiness for and tolerance of feeding and for profiling the infant’s developmental stage regarding specific feeding skills: the abilities to remain engaged in feeding, organize oral-motor functioning, coordinate swallowing with breathing, and maintain physiologic stability. This article introduces the EFS.
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Berseth, Carol Lynn, and Hila Helen McCoy. "Birth Asphyxia Alters Neonatal Intestinal Motility in Term Neonates." Pediatrics 90, no. 5 (November 1, 1992): 669–73. http://dx.doi.org/10.1542/peds.90.5.669.

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As an extension of an earlier study showing that manometry can identify preterm newborns at risk for feeding intolerance, the authors investigated whether abnormalities of intestinal motor activity underlie the feeding intolerance seen in asphyxiated newborns. Low-compliance perfusion manometry was recorded within the first postnatal week in 25 term neonates admitted consecutively for respiratory diseases. Eleven of these neonates were identified to have experienced birth asphyxia because three concurrent features were present: 1-minute Apgar score of less than 2; 5-minute Apgar score of less than 4; and recurrent seizures within the first 48 postnatal hours. The remaining 14 neonates, who did not have any of these three characteristics, were considered to be nonasphyxiated control neonates. Motor activity differed in nonasphyxiated and asphyxiated neonates during fasting and feeding. During fasting, asphyxiated neonates had less migrating activity than nonasphyxiated neonates. In addition, episodes of motor quiescence and clustered phasic activity were less well organized in asphyxiated neonates. Both groups of neonates displayed a change in motor activity in response to a feeding infusion; however, the response was initiated significantly sooner in asphyxiated than in control neonates. All of the 11 asphyxiated neonates were intolerant of enteral feedings during the first poststudy week, but no control neonate was feeding intolerant. Six of the asphyxiated neonates were reevaluated 1 to 2 weeks later. During this latter study, motor activity in these asphyxiated neonates was similar to that of nonasphyxiated neonates; 5 of 6 of these neonates subsequently tolerated enteral feedings. It is speculated that changes in motor activity underlie the feeding intolerance that asphyxiated neonates typically exhibit. Furthermore, manometrics may provide a direct method to monitor functional responsiveness of the intestinal tract to identify those neonates at risk for feeding intolerance and to guide feeding management in these neonates.
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48

Norton, Jane A., Linda G. Ott, Craig McClain, Linas Adams, Robert J. Dempsey, Dennis Haack, Phillip A. Tibbs, and A. Byron Young. "Intolerance to enteral feeding in the brain-injured patient." Journal of Neurosurgery 68, no. 1 (January 1988): 62–66. http://dx.doi.org/10.3171/jns.1988.68.1.0062.

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✓ Calorie and protein supplementation improves nutritional status. This support may improve outcome and decrease morbidity and mortality in acutely brain-injured patients. Investigators have observed a poor tolerance to enteral feedings after brain injury and have noted that this persists for approximately 14 days postinjury. This delay has been attributed to increased gastric residuals, prolonged paralytic ileus, abdominal distention, aspiration pneumonitis, and diarrhea. In the present investigation, 23 brain-injured patients with an admission 24-hour peak Glasgow Coma Scale (GCS) score between 4 and 10 were studied for 18 days from hospital admission. The mean duration from injury to initiation of full-strength, full-rate enteral feeding was 11.5 days. Seven of the 23 patients tolerated enteral feedings within the first 7 days following hospital admission (mean 4.3 days), four patients tolerated feedings between 7 and 10 days postadmission (mean 9 days), and 12 patients did not tolerate feedings until after 10 days postinjury (mean 15.9 days). There was a marginally significant relationship between low GCS scores on admission and length of days to enteral feeding tolerance (p = 0.07). A significant inverse relationship was observed between daily peak intracranial pressure (ICP) and time to tolerance of feedings (p = 0.02). There was no significant relationship between feeding tolerance and days to return of bowel sounds (p = 0.12). Serum albumin levels decreased during the investigation (mean ± standard error to the mean: 3.2 ± 0.12 gm/dl on Day 1; 2.7 ± 0.23 gm/dl on Day 16; normal = 3.5 to 5.0 gm/dl), whereas the percentage of patients tolerating feedings increased over the course of the study. The authors conclude that patients with acute severe brain injury do not adequately tolerate feedings via the enteral route in the early postinjury period. Tolerance of enteral feeding is inversely related to increased ICP and severity of brain injury. It is suggested that parenteral nutritional support is required following brain injury until enteral nutrition can be tolerated.
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Anderson, C. W. "THE MODULATION OF FEEDING BEHAVIOR IN RESPONSE TO PREY TYPE IN THE FROG RANA PIPIENS." Journal of Experimental Biology 179, no. 1 (June 1, 1993): 1–12. http://dx.doi.org/10.1242/jeb.179.1.1.

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Using high-speed video motion analysis, the kinematics of feeding behavior was studied in Rana pipiens. Rana pipiens exhibits differing behavior patterns depending upon prey type. When feeding on small prey such as waxworms, R. pipiens uses tongue protraction to catch prey, minimizing head and body movements. When feeding on the larger earthworm, it arches its body, flexes the head downwards and uses jaw prehension to capture the prey. Time to completion of tongue retraction, time to completion of mouth closing, duration of tongue retraction, duration of mouth closing, total time that the mouth is open and maximum tongue reach were significantly longer during waxworm feedings than during earthworm feedings. The tongue angle and degree of head flexion were significantly greater during earthworm feedings. These different kinematic patterns correspond to differences in feeding behavior among major taxa of anurans. Phylogenetically primitive archaeobatrachian frogs have short tongues which can be protracted only a few millimeters. In contrast, many neobatrachians have long tongues which they project to catch small prey. The similarity between the behavior that neobatrachians use to catch large prey and the movement patterns of archaeobatrachians suggests that Rana pipiens has retained the plesiomorphic archaeobatrachian motor pattern and uses it to catch large prey, while evolving a new motor pattern for catching small prey.
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Osman, Atiat, Eman Ahmed, Hend Mohamed, Farok Hassanein, and Debra Brandon. "Oral motor intervention accelerates time to full oral feeding and discharge." International Journal of Advanced Nursing Studies 5, no. 2 (November 2, 2016): 228. http://dx.doi.org/10.14419/ijans.v5i2.6797.

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Background: A Survival rate in early preterm infants has increased over the last 30 years, but many of these infants have medical and developmental problems. Difficulty with feeding and poor nutrition complications are common, which contribute to their readmission and morbidity.Objective: To purpose of this study was to assess whether an oral motor stimulation intervention can decrease the time to achieve full oral feeding and shorten the length of hospitalization in preterm infants.Design and Methods: Seventy-five preterm infants born at 30 to ≤ 32 weeks gestational age were randomly assigned to three groups to assess intervention effects. Two groups received the intervention once per day with varying different intervention doses across time, while the control group received a sham intervention.Results: The time needed to reach full oral feeding was significantly different among groups (P <0.0001). Infants who received the intervention from initiation of tube feedings until full oral feeding (high dose) gained full oral feedings and were discharged from the hospital earlier than the low dose and control groups (P = 0.0001). Infants in the high dose group were discharged 6 days earlier than controls and 4 days earlier than the low dose group.Conclusion: Oral motor stimulation intervention accelerated the time to full oral feeding and decreased the length of hospital stay.
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