Pershore Community Hospital

The present study was conducted to evaluate the effects of dietary nano-nutrients on the growth, physiological and amino acid responses in tilapia fish. Vitamins were incorporated with chemically synthesized nanoparticles (Fe, Zn, Cu and Se) to form a nano-nutrient complex (NNC). Powder X-ray diffraction (PXRD) and scanning electron microscopy (SEM) analyses were performed to confirm the structure and morphology of the as-prepared nutrients. A commercial basal diet without the addition of any NNC was used as a control and compared with the other two diets formulated with different levels of NNC. In a 60 day feeding trial, the fish fed with a diet of NNC60 showed significant differences in final weight and length compared with the basal diet. Furthermore, a high value of nutrient content was observed in the muscles of fish fed with nano diets. In addition, protein, total fat, vitamin C, and essential amino acid levels were significantly higher in the NNC60-treated fish compared with the other groups. The present study suggests that the addition of NNC to a commercial diet has the potential to enhance the growth performance and biochemical parameters in tilapia fish.

ObjectiveDue to the risk of malignancy, the established management of choledochal cysts mandates bile duct excision and biliary reconstruction. While the reconstructive procedure of choice for most surgeons has traditionally been hepatico-jejunostomy, this may not be feasible in selected cases due to immobility or inadequacy of the jejunum. The following case will outline the management of a 32-year-old woman with short bowel syndrome, who was diagnosed with choledocholithiasis and a type 1 choledochal cyst. Method and materialsAs a child, our patient suffered midgut volvulus secondary to malrotation which resulted in extensive bowel resection and developed short bowel syndrome. She presented with recurrent bouts of cholangitis. Imaging of her biliary tree confirmed common duct stones extending into the branched hepatic ducts, as well as a fusiform dilatation of the common bile duct, that appeared consistent with a type 1 choledochal cyst. Laparoscopic excision of the cyst with reconstruction using a hepatico-duodenostomy was planned. ResultsThe patient underwent successful laparoscopic cholecystectomy, CBD clearance with excision of the bile duct and reconstruction with hepatico-duodenostomy. Recovery was uneventful and she is asymptomatic on subsequent follow-up. Histology is consistent with a markedly dilated bile duct rather than a choledochal cyst. ConclusionsThis case illustrates the dilemma of diagnosis and treatment of a dilated bile duct mimicking a choledochal cyst in the setting of short bowel syndrome and the feasibility of a laparoscopic approach in such cases. Also, it demonstrates that hepatico-duodenostomy may be a safe alternative in cases with limited material for conduit.

In the UK, 25% of adults smoke cigarettes, 1% smoke a pipe regularly and 4% of men smoke at least one cigar per month. Of the cigarette smokers, 34% hand-roll their cigarettes, 55% would find it hard to go a whole day without a cigarette and 17% (mostly heavy smokers) have their first cigarette within 5 min of waking up. Overall, a slightly higher percentage of men (26%) than women (23%) smoke. Prevalence is highest in those aged 20–34 and then declines with age ( Fig. 1 ).

SummarySuccessful propagation of Cineraria saxifraga was achieved using apical softwood cuttings and micropropagation protocols. Plants propagated using micropropagation had a multiplication rate eight times that of the original population after 4 wk. Apical cuttings were subjected to a standard conductive freezing test to establish the freezing tolerance of the species. Results showed that cold‐acclimated plants had a 43% increased survival compared to non‐acclimated plants. Using plants established from tissue culture, two further freezing tests were conducted to establish the effects of surface water and container size on the frost resistance of this species. Surface water significantly decreased survival score compared to dry plants. Plants grown in small containers had a significant decrease in plant survival score compared to those grown in large containers.

Journal Article "Stockeagles." Get access William Pearce, F.S.A. William Pearce, F.S.A. 1Perrott House, Pershore Search for other works by this author on: Oxford Academic Google Scholar Notes and Queries, Volume s11-XI, Issue 278, 24 April 1915, Page 322, https://doi.org/10.1093/nq/s11-XI.278.322c Published: 24 April 1915