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Objective
In gastroschisis, there is evidence to suggest that gut dysfunction develops secondary to bowel inflammation; we aimed to evaluate the effect of maternal antenatal corticosteroids administered for obstetric reasons on time to full enteral feeds in a multicenter cohort study of gastroschisis infants.Methods
A three center, retrospective cohort study (1992-2013) with linked fetal/neonatal gastroschisis data was conducted. The primary outcome measure was time to full enteral feeds (a surrogate measure for bowel function) and secondary outcome measure was length of hospital stay. Analysis included Mann-Whitney and Cox regression.Results
Of 500 patients included in the study, 69 (GA at birth 34 [25-38] weeks) received antenatal corticosteroids and 431 (GA at birth 37 [31-41] weeks) did not. Antenatal corticosteroids had no effect on the rate of reaching full feeds (Hazard ratio HR 1.0 [95% CI: 0.8-1.4]). However, complex gastroschisis (HR 0.3 [95% CI: 0.2-0.4]) was associated with an increased time to reach full feeds and later GA at birth (HR 1.1 per week increase in GA [95% CI: 1.1-1.2]) was associated with a decreased time to reach full feeds.Conclusion
Maternal antenatal corticosteroids use, under current antenatal steroid protocols, in gastroschisis is not associated with an improvement in neonatal outcomes such as time to full enteral feeds or length of hospital stay. 相似文献This study aimed to perform a comparative analysis of the performance of five models (Gompertz, logistic, Richards, the first-order, artificial neural networks) in predicting methane production rate from anaerobic digestion of livestock manures. The input variables were fermentation time, digestion temperature, biogas temperature, ambient temperature, pH, and specific biogas production rate. The physicochemical compositions of cow manure and sheep manure showed that volatile solid (VS) contents were close to each other in manure compositions (77.6% and 64.7%, respectively), while the potential of methane production from cow manure (673.44 mL CH4/g VS) was greater than that from sheep manure (320.32 mL CH4/g VS). The determination coefficients (R2) for logistic function, Gompertz, Richards, the first-order, and ANN models were obtained as 0.968, 0.967, 0.975, 0.825, and 0.995 for the cow manure, respectively. In case of the sheep manure, the R2 values obtained from these models were 0.976, 0.979, 0.981, 0.968 and 0.991, respectively. Although the determination coefficients of all models were in satisfactory agreement with the experimental data, the ANN model showed competitive lower RMSE values of 0.111 and 0.164 for cow and sheep manure data sets, respectively, indicating its superior performance than other models.
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