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Head and neck cancer (HNC) is a prevalent and aggressive form of cancer with high mortality rates and significant implications for nutritional status. Accurate assessment of malnutrition in patients with HNC is crucial for optimizing treatment outcomes and improving survival rates. This study aimed to evaluate the use of ultrasound techniques for predicting nutritional status, malnutrition, and cancer outcomes in patients with HNC. A total of 494 patients with HNC were included in this cross-sectional observational study. Various tools and body composition measurements, including muscle mass and adipose tissue ultrasound evaluations, were implemented. Using regression models, we mainly found that high levels of RF-CSA (rectus femoris cross-sectional area) were associated with a decreased risk of malnutrition (as defined with GLIM criteria (OR = 0.81, 95% CI: 0.68–0.98); as defined with PG-SGA (OR = 0.78, 95% CI: 0.62–0.98)) and sarcopenia (OR = 0.64, 95% CI: 0.49–0.82) after being adjusted for age, sex, and BMI. To predict the importance of muscle mass ultrasound variables on the risk of mortality, a nomogram, a random forest, and decision tree models were conducted. RF-CSA was the most important variable under the random forest model. The obtained C-index for the nomogram was 0.704, and the Brier score was 16.8. With an RF-CSA < 2.7 (AUC of 0.653 (0.59–0.77)) as a split, the decision tree model classified up to 68% of patients as possessing a high probability of survival. According to the cut-off value of 2.7 cm2, patients with a low RF-CSA value lower than 2.7 cm2 had worse survival rates (p < 0.001). The findings of this study highlight the importance of implementing ultrasound tools, for accurate diagnoses and monitoring of malnutrition in patients with HNC. Adipose tissue ultrasound measurements were only weakly associated with malnutrition and not with sarcopenia, indicating that muscle mass is a more important indicator of overall health and nutritional status. These results have the potential to improve survival rates and quality of life by enabling early intervention and personalized nutritional management. [ABSTRACT FROM AUTHOR]

Objective: To analyze the situation experienced by the agricultural organizations in the Yaqui Valley in relation to the way they generate knowledge and their capacity for innovation in health contingency. Methodology: Through qualitative research using interview guides with various farmers in the Yaqui Valley. Results: It was found that the agricultural sector quickly adapted to the appearance of Covid-19, seeking to generate ideas and strategies that allow them to obtain more knowledge about their crops. Limitations: The sector's barriers to participating in this type of research need to be pointed out as a limitation. The above is due to two main points: crime and extortion. They argue that they have been contacted by supposed institutes with the intention of contacting business appointments, and in the end, they result in telephone blackmail. Therefore, not all agricultural producers show openness regarding collaboration for the project, which makes obtaining information even more complex. Conclusion: The agricultural organizations seek to manage their knowledge through innovation, specifically product innovation. [ABSTRACT FROM AUTHOR]

Recently, various state-space implementations of surplus production models (SPMs) have been developed for data-limited stocks. Often, catches and fishing effort are underestimated and discards are ignored. This results in biased estimates of stock status and reference points. Therefore, we conduct a sensitivity analysis for different under-reporting scenarios (due to non-declared landings, by-catch, and discards) on model estimates and thus advice for the black hake species in northwest Africa. Two modelling frameworks were used, namely a stochastic SPM in continuous time (SPiCT) and Just Another Bayesian Biomass Assessment (JABBA). A common set of diagnostics was developed to allow comparison across modelling frameworks. Scenarios correspond to hypotheses about misreporting and assumptions and priors that were kept consistent. The ratio of current fishing mortality over the fishing pressure that gives the maximum sustainable yield, F/FMSY , is most affected by under-reporting. Results are sensitive to the prior assumed for the initial depletion level, B0/K , and research is needed. If the misreporting is changing over time, relative quantities (e.g. F/FMSY) and trends are biased, while if misreporting (or at least a part of misreporting) is constant, relative quantities are unbiased. Therefore, the nature of any trend in misreporting should be investigated. [ABSTRACT FROM AUTHOR]

(1) Background: Hyperglycaemia that occurs during enteral nutrition (EN) should be prevented and treated appropriately since it can have important consequences for morbidity and mortality. However, there are few quality studies in the literature regarding the management of EN in this situation. The objective of this project was to attempt to respond, through a panel of experts, to those clinical problems regarding EN in patients with diabetes or stress hyperglycaemia (hereinafter referred to only as hyperglycaemia) for which we do not have conclusive scientific evidence; (2) Methods: The RAND/UCLA Appropriateness Method, a modified Delphi panel method, was applied. A panel of experts made up of 10 clinical nutrition specialists was formed, and they scored on the appropriateness of EN in hyperglycaemia, doing so in two rounds. A total of 2992 clinical scenarios were examined, which were stratified into five chapters: type of formula used, method of administration, infusion site, treatment of diabetes, and gastrointestinal complications. (3) Results: consensus was detected in 36.4% of the clinical scenarios presented, of which 23.7% were deemed appropriate scenarios, while 12.7% were deemed inappropriate. The remaining 63.6% of the scenarios were classified as uncertain; (4) Conclusions: The recommendations extracted will be useful for improving the clinical management of these patients. However, there are still many uncertain scenarios reflecting that the criteria for the management of EN in hyperglycaemia are not completely standardised. More studies are required to provide quality recommendations in this area. [ABSTRACT FROM AUTHOR]