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Abstract Context Fluid restriction (FR) is the recommended first-line treatment for syndrome of inappropriate antidiuresis (SIAD), despite the lack of prospective data to support its efficacy. Design A prospective nonblinded randomized controlled trial of FR versus no treatment in chronic SIAD. Interventions and Outcome A total of 46 patients with chronic asymptomatic SIAD were randomized to either FR (1 liter/day) or no specific hyponatremia treatment (NoTx) for 1 month. The primary endpoints were change in plasma sodium concentration (pNa) at days 4 and 30. Results Median baseline pNa was similar in the 2 groups [127 mmol/L (interquartile range [IQR] 126-129) FR and 128 mmol/L (IQR 126–129) NoTx, P = 0.36]. PNa rose by 3 mmol/L (IQR 2-4) after 3 days FR, compared with 1 mmol/L (IQR 0-3) NoTx, P = 0.005. There was minimal additional rise in pNa by day 30; median pNa increased from baseline by 4 mmol/L (IQR 2-6) in FR, compared with 1 mmol/L (IQR 0-1) NoTx, P = 0.04. After 3 days, 17% of FR had a rise in pNa of ≥5 mmol/L, compared with 4% NoTx, RR 4.0 (95% CI 0.66-25.69), P = 0.35. After 3 days, 61% of FR corrected pNa to ≥130 mmol/L, compared with 39% of NoTx, RR 1.56 (95% CI 0.87-2.94), P = 0.24. Conclusion FR induces a modest early rise in pNa in patients with chronic SIAD, with minimal additional rise thereafter, and it is well-tolerated. More than one-third of patients fail to reach a pNa ≥130 mmol/L after 3 days of FR, emphasizing the clinical need for additional therapies for SIAD in some patients.

Abstract This experiment investigated the effects of 24-h feed or water deprivation on hay intake, metabolic, and inflammatory responses in growing beef heifers. Forty Angus × Hereford heifers were ranked by initial BW (275 ± 6 kg) and age (278 ± 6 d) and randomly allocated to 20 drylot pens (2 heifers/pen). Pens were randomly assigned to 1 of 5 squares (4 × 4; 4 pens/square; a total of 8 animals per square), that were run simultaneously with each containing 4 experimental periods of 17 d each (day −6 to 10). From day −5 to 0 of each period, pens were offered alfalfa-grass hay ad libitum + 454 g of dried distillers grains with solubles (as-fed basis) per heifer daily. On day 0 of each period, pens received 1 of 4 treatments: 1) feed and water deprivation for 24 h (FWD), 2) feed deprivation for 24 h, but regular access to water (FD), 3) water deprivation for 24 h, but regular access to feed (WD), or 4) regular access to feed and water (CON). Treatments were concurrently applied from day 0 to 1. Heifer full BW was collected on day −6 and −5, before (day 0) and after (day 1) treatment application, and on day 3, 6, 9, and 10 of each period. Hay DMI was recorded daily from day −5 to 10. Blood samples were collected on day −5, 0, 1, 3, 6, and 10 of each experimental period. Following treatment application on day 1, BW loss was greater, and BW was less (P < 0.01) in WD, FWD, and FD compared with CON heifers, and similar (P = 0.64) among FWD and FD heifers. No treatment effects were detected (P ≥ 0.21) for final BW and overall ADG. Plasma cortisol concentrations were greater (P < 0.01) in FD and FWD vs. WD and CON on day 1, whereas FD had greater (P < 0.01) plasma cortisol concentration vs. CON, WD, and FWD on day 6 and 10. Serum NEFA concentration was greater (P < 0.01) in FD and FWD vs. WD and CON on day 1, and greater (P < 0.01) in WD vs. CON heifers on day 1. No treatment effects were detected (P = 0.53) for plasma haptoglobin concentration. Plasma ceruloplasmin concentration was greater (P < 0.01) in FD and FWD vs. CON on day 1, and greater (P < 0.01) in FD vs. CON and WD on day 3 and 6. Collectively, feed or water deprivation for 24 h did not impact feed intake and BW gain, whereas metabolic results suggest that feed deprivation stimulates cortisol, NEFA, and ceruloplasmin responses in growing beef heifers.

Annually, more than 1.2 million scorpion stings and more than 3,000 deaths occur worldwide. Tityus serrulatus Lutz and Mello, 1922 (Scorpiones, Buthidae) is the most medically relevant species in Brazil where it is spreading rapidly and causing over 90,000 cases of envenomation yearly. We monitored T. serrulatus longevity and ability to reproduce under conditions of food and/or water deprivation. We found that T. serrulatus is highly tolerant to food deprivation, with individuals enduring up to 400 days without food. On the other hand, access to water played a pivotal role in T. serrulatus survival. Food and water deprived scorpions showed weight reduction. Reproduction occurred throughout the year for food-deprived scorpions and controls, but not in the water-deprived groups. Remarkably, food-deprived animals were able to give birth after 209 days of starvation. Tityus serrulatus resistance to food and water deprivation is likely to be an additional factor underlying this species' geographic expansion and the difficulties encountered in controlling it.

Purpose The consumption of freshwater can increase local competition among ecosystems needs, agriculture, and domestic users. This competition can lead to reduced domestic water availability and subsequent inadequate hygiene practices leading to water-related diseases. Among the few attempts to develop endpoint-oriented characterization models and factors to assess this impact pathway, limitations still need to be addressed to improve the effect factor (EF) representing the marginal increase in health damage associated with 1 m 3 of water consumed. This research proposes a revised country-scale effect model assessing diarrheal diseases due to domestic water deprivation, considering different levels of water availability within a country. Methods The calculation of the EF is based on the principle that the probability of negative health consequences associated with depriving a domestic user of 1 m 3 of water depends on the quantity used daily by this user. Three classes of domestic water users are defined based on their range of daily water use. EFs are calculated for each class of domestic users building on a comparative risk assessment methodology and households’ levels of access to drinking water and sanitation from the Joint Monitoring Program. Country-specific EFs are computed as the weighted sum of class-specific EF proportionally to the population within each class. Revised country-specific EFs are used to overwrite the generic constant EF used in previous characterization models and to compute new characterization factors (CFs). Results and discussion Class-specific effect factors equal to 1.35e − 3, 3.44e − 4, and 7.53e − 5 DALY/m 3 for the three classes of users, showing a 57, 89, and 98% reduction compared to previous characterization models. Country-specific EF values range from 7.5e − 05 to 8.7e − 04 DALY/m 3 deprived ( M : 2.5e − 04; SD: 1.8e − 04), representing a reduction of 72.2 to 97.6% compared to previous models. New 11987 CFs were compiled ranging from 0 to 7.63e − 04 DALY/m 3 consumed ( M : 1.9e − 6; SD: 2.1e − 5). The global potential impact induced by water consumption over the year 2019 computed with our model reaches 2.77e + 7 DALYs, corresponding to 50% of the water-related burden of diarrheal disease calculated by a recent epidemiology study, which confirms the plausibility of our results. Conclusions Unlike previous methods, our revised EFs acknowledge inequalities in domestic water consumption within a country. Revised EFs are calculated by country, going beyond the global resolution of previous models, compared to which they show a reduction of 72 to 98%. A sanity check confirms the plausibility of our CFs but does not rule out a potential overestimation. Future research is needed to provide empirical evidence supporting a causal link between water deprivation and diarrheal diseases and to assess uncertainties of the model results.

Rising global temperatures lead to a continuous increase in the frequency and intensity of extreme weather events, such as droughts and floods, posing serious threats to terrestrial homeotherms. However, adaptive changes in respiratory metabolism and molecular mechanisms in lung tissues of small mammals under extreme water shortage conditions remain unclear. This study hypothesized that small desert mammals can adapt to extreme water shortage environments by regulating the plasticity of lung tissue gene expression and respiratory metabolism. Using 29 wild-caught Siberian jerboas (Orientallactaga sibirica) as subjects, we implemented a 12-day complete water deprivation protocol to simulate extreme aridity. Body weight, food intake, and daily energy expenditure (DEE) were monitored throughout the experiment. Whole-transcriptome sequencing of lung tissues was performed to profile mRNA, circRNA, and miRNA expression, with competitive endogenous RNA (ceRNA) network analysis to explore molecular mechanisms underlying lung adaptation to water deprivation. Over the 12-day water deprivation (WS) period, Orientallactaga sibirica (O. sibirica) exhibited a 30.3% reduction in body mass and a 68.1% decrease in food intake relative to the baseline level. DEE during the peak activity period at the end of the experiment was 12.6% lower in the WS group compared to the control group. In lung tissue, structural integrity-related genes (Mybl2, Ccnb1) were downregulated. A key finding was that circ_0015576 exhibits a significant positive correlation with the potassium channel gene Kcnk15 and a robust negative correlation with miR-503-5p—suggesting that circ_0015576 functions as a competing endogenous RNA (ceRNA) to sequester miR-503-5p and thereby derepress Kcnk15 expression. Core regulatory genes (ApoA4, Dusp15 etc.) were also coordinately downregulated. Collectively, these results indicate that O. sibirica reduces overall energy expenditure, which may be associated with lung gene expression plasticity, such as those related with lung cell proliferation, pulmonary function, and gas exchange efficiency. This metabolic downregulation facilitates energy conservation under severe water scarcity.

The objective of this study was to compare the effects of 24-h road transport or 24-h feed and water deprivation on acute-phase and performance responses of feeder cattle. Angus × Hereford steers (n = 30) and heifers (n = 15) were ranked by gender and BW (217 ± 3 kg initial BW; 185 ± 2 d initial age) and randomly assigned to 15 pens on d -12 of the experiment (3 animals/pen; 2 steers and 1 heifer). Cattle were fed alfalfa-grass hay ad libitum and 2.3 kg/animal daily (DM basis) of a corn-based concentrate throughout the experiment (d -12 to 28). On d 0, pens were randomly assigned to 1 of 3 treatments: 1) transport for 24 h in a livestock trailer for 1,200 km (TRANS), 2) no transport but feed and water deprivation for 24 h (REST), or 3) no transport and full access to feed and water (CON). Treatments were concurrently applied from d 0 to d 1. Total DMI was evaluated daily from d -12 to d 28. Full BW was recorded before treatment application (d -1 and 0) and at the end of experiment (d 28 and 29). Blood samples were collected on d 0, 1, 4, 7, 10, 14, 21, and 28. Mean ADG was greater (P < 0.01) in CON vs. TRANS and REST cattle but similar (P = 0.46) between TRANS and REST cattle (1.27, 0.91, and 0.97 kg/d, respectively; SEM = 0.05). No treatment effects were detected for DMI (P ≥ 0.25), but CON had greater G:F vs. TRANS (P < 0.01) and REST cattle (P = 0.08) whereas G:F was similar (P = 0.21) between TRANS and REST cattle. Plasma cortisol concentrations were greater (P ≤ 0.05) in REST vs. CON and TRANS cattle on d 1, 7, 14, and 28 and also greater (P = 0.02) in TRANS vs. CON cattle on d 1. Serum NEFA concentrations were greater (P < 0.01) in REST and TRANS vs. CON cattle on d 1 and greater (P < 0.01) in REST vs. TRANS cattle on d 1. Plasma ceruloplasmin concentrations were greater (P = 0.04) in TRANS vs. CON cattle on d 1, greater (P = 0.05) in REST vs. CON on d 4, and greater (P ≤ 0.05) in REST vs. TRANS and CON on d 14. Plasma haptoglobin concentrations were greater (P < 0.01) in TRANS vs. CON and REST cattle on d 1 and greater (P ≤ 0.05) for REST vs. TRANS and CON cattle on d 7. In conclusion, 24-h transport and 24-h nutrient deprivation elicited acute-phase protein reactions and similarly reduced feedlot receiving performance of feeder cattle. These results suggest that feed and water deprivation are major contributors to the acute-phase response and reduced feedlot receiving performance detected in feeder cattle transported for long distances.

PurposeIn contrast to water consumption, water pollution has gained less attention in water footprinting so far. Unlike water scarcity impact assessment, on which a consensus has recently been achieved, there is no agreement on how to address water quality deterioration in water footprinting. This paper provides an overview of existing water footprint methods to calculate impacts associated with water pollution and discusses their strengths and limitations using an illustrative example.MethodsThe methods are described and applied to a case study for the wastewater generated in textile processing. The results for two scenarios with different water quality parameters are evaluated against each other and the water scarcity footprint (WSF). Finally, methodological aspects, strengths and limitations of each method are analysed and discussed and recommendations for the methods application are provided.Results and discussionTwo general impact assessment approaches exist to address water quality in water footprinting: the Water Degradation Footprint (WDF) calculates the impacts associated with the propagation of released pollutants in the environment and their uptake by the population and ecosystem, while the Water Availability Footprint (WAF) quantifies the impacts related to the water deprivation, when polluted water cannot be used. Overall, seven methods to consider water quality in water footprinting were identified, which rely upon one or a combination of WDF, WAF and WSF. Methodological scopes significantly vary regarding the inventory requirements and provided results (a single-score or several impact categories). The case study demonstrated that the methods provide conflicting results concerning which scenario is less harmful with regard to the water pollution.ConclusionsThis paper provides a review of the water pollution assessment methods in water footprinting and analyses their modelling choices and resulting effects on the WF. With regard to the identified inconsistencies, we reveal the urgent need for a guidance for the methods application to provide robust results and allow a consistent evaluation of the water quality in water footprinting.

Differentiating central diabetes insipidus (CDI), nephrogenic diabetes insipidus (NDI), and primary polydipsia (PP) in pediatric patients with polyuria–polydipsia syndrome (PPS) remains a clinical challenge. The water deprivation test (WDT) is the traditional gold standard; however, it is time-consuming, burdensome, and prone to equivocal results. Stimulated copeptin, a surrogate marker of vasopressin, has emerged as a promising diagnostic alternative. We conducted a prospective, observational, cross-sectional study involving 27 pediatric patients (ages 2–17) presenting with PPS. Each patient underwent a WDT with desmopressin and hypertonic saline infusion (3% NaCl) for stimulated copeptin testing. Diagnostic accuracy was assessed using clinical diagnoses as a reference. The WDT showed high accuracy with an area under the curve (AUC) of 0.97, and there was an increased optimal threshold of ≥14% urine osmolality after desmopressin acetate (1-deamino-8-D-arginine vasopressin, DDAVP) administration (sensitivity 88.9%, specificity 100%). Stimulated copeptin at a threshold of <6.5 pmol/L demonstrated 100% sensitivity and specificity (AUC = 1.00) for CDI versus PP. Basal copeptin ≥21.4 pmol/L accurately identified all NDI cases. The agreement between the WDT and copeptin was low (κ = 0.06, McNemar p = 0.021), suggesting that copeptin has greater specificity, particularly for borderline or partial CDI. These results support the use of stimulated copeptin as a first-line diagnostic tool in pediatric PPS, offering improved objectivity, tolerability, and diagnostic clarity compared with the WDT. Basal copeptin also demonstrated excellent performance in rapid noninvasive NDI identification.

Adaptive behaviors are guided by motivation and memory. Motivational states specify goals, and memory can inform motivated behavior by providing detailed records of past experiences when goals were obtained. These 2 fundamental processes interact to guide animals to biologically relevant targets, but the neuronal mechanisms that integrate them remain unknown. To investigate these mechanisms, we recorded unit activity from the same population of hippocampal neurons as rats performed identical tasks while either food or water deprived. We compared the influence of motivational state (hunger and thirst), memory demand, and spatial behavior in 2 tasks: hippocampus-dependent contextual memory retrieval and hippocampus-independent random foraging. We found that: (i) hippocampal coding was most strongly influenced by motivational state during contextual memory retrieval, when motivational cues were required to select among remembered, goal-directed actions in the same places; (ii) the same neuronal populations were relatively unaffected by motivational state during random foraging, when hunger and thirst were incidental to behavior, and signals derived from deprivation states thus informed, but did not determine, hippocampal coding; and (iii) \"prospective coding\" in the contextual retrieval task was not influenced by allocentric spatial trajectory, but rather by the animal's deprivation state and the associated, non-spatial target, suggesting that hippocampal coding includes a wide range of predictive associations. The results show that beyond coding spatiotemporal context, hippocampal representations encode the relationships between internal states, the external environment, and action to provide a mechanism by which motivation and memory are coordinated to guide behavior.

Among domestic ruminants, goats are renowned for their ability to tolerate water deprivation, water restriction and energy restriction. However, some basic questions regarding their ability to endure water restriction under heat stress are still open. Three levels of water restriction (56%, 73% and 87% of the ad libitum) were imposed on 20 cross-bred 3-year-old female goats (75% German Fawn and 25% Hair Goat) distributed into four groups, with five animals per treatment. The experiment was conducted from the beginning of July to the end of August in a farm located in the Eastern Mediterranean region of Turkey (40 m in altitude; 36 59' N, 35 18'E), in which subtropical weather conditions prevail. The average daily temperature during the experiment was 34.2°C, whereas the highest and lowest temperatures were 42°C and 23.1°C, respectively. The average relative humidity was 68.2% and wind speed was 1.2 km/h. Weekly average thermal heat indexes during the experiment were 78.3 (week 1), 79.1 (week 2), 80.1 (weak 3), 79.8 (weak 4), 81.3 (weak 5) and on average 79.7. Feed intake, heart rate, thermoregulatory responses (rectal temperature, respiration rate), blood plasma concentrations of ions (Na, K), antidiuretic hormone (ADH), metabolites (glucose, cholesterol, creatinine and urea) and behavioral aspects (standing, walking, lying) were studied over 30 days. The responses to water restriction were proportional to the level of restriction. The reductions in feed intake (up to 13%), BW (up to 4.6%) and the increases in rectal temperature (0.5°C) and breath rate (10 respirations/min) were moderate and also were far from responses encountered under severe heat and water stresses. The increase in plasma Na (from 119 to 140 mM) and ADH concentrations (from 12.6 to 17.4 pg/ml) indicates that the physiological response to water restriction was in response to mild dehydration, which also explains the increase in blood plasma concentrations of glucose, cholesterol, creatinine and urea. Behavioral responses (reduction in walking from 226 to 209 min/day and increase in lying from 417 to 457 min/day) were associated with conservation of energy or thermoregulation (reducing the exposure to direct radiation).