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Preterm infants have higher nutritional requirements than term neonates and are vulnerable to extrauterine growth restriction. Providing adequate nutritional support during the initial few weeks of life plays a crucial role in improving the short- and long-term outcomes of these infants. Emerging evidence on enteral feeding emphasises rapid feed advancement, early total enteral feeding and early human milk (HM) fortification for preterm babies. The objective of this review was to summarise the latest evidence around enteral nutrition in very low birth weight or very preterm infants (<32 weeks’ gestation) and provide evidence-based recommendations for practice. The strength of recommendations was graded using the Oxford Centre for Evidence-Based Medicine criteria. This review provides clinical practice guidelines on the following key domains: (1) feed initiation strategies including oral immune therapy, minimal enteral nutrition and early total enteral feeds; (2) type of milk for feeding preterm infants; (3) feed advancement strategies and standardised feeding regimen; (4) various approaches to HM fortification and (5) multivitamin and mineral supplementation. This updated review will serve as a practical guide for clinicians and dietitians in handling the difficulties related to the nutritional management of preterm infants and improving clinical outcomes.
Black Soldier Fly Larvae (BSFL, Hermetia illucens), yellow mealworms (MW, Tenebrio molitor) and house crickets (HC, Acheta domesticus) are the most common production systems insects reared as an alternative protein source for human food or in livestock feeds. However, the nutrient composition, particularly of larval insects (BSFL and MW), varies significantly. This review will focus on the protein nutritional quality of these species, as well as describing how body composition of MW can be manipulated. These three insect species contain relatively high concentrations of protein (34–72%) and have reported digestibility which varies widely (48–99%). Digestible indispensable amino acid scores (DIAAS) for these three species are at best 75–92%, each with a different limiting indispensable amino acid. Both protein content and digestibility vary between species but also within species due to different feeds and product processing. The administration of exogenous Juvenile Hormone to MW feed causes a large and favourable increase in protein and decrease in fat content, thereby demonstrating the potential for MW nutrient composition to be manipulated to provide a higher value feed ingredient. A similarly agriculturally positive impact on MW nutrient composition, but also growth characteristics, can also be achieved by independently manipulating the individual macro- and micro-nutrient composition of MW’s feed. This demonstrates use of feeds with varying nutrient content, could potentially be used to differentially alter protein to fat ratios in MW and increase the total yield of protein. This would represent an important step in improving the commercial viability of mealworms as an animal feed.
Chapter 3 focuses on the literature concerning the physical health of international adoptees before, during, and after adoption. As the literature indicates, specific health issues characteristic of international adoptees are directly linked to (1) the public health care systems in their countries of origin and (2) the policies of those countries toward orphaned children. This chapter provides a brief summary of what is known about the health challenges faced by international adoptees upon arrival in their new countries and the systems of care developed to address these challenges. It also briefly examines the situations of children with special needs.
We study real and monetary growth models with households endowed with limited foresight and planning only for a finite number of periods, despite being infinitely lived (myopia). In the real model, there emerges a unique Balanced Growth Path ($BGP$) characterized by sub-optimal capital accumulation. However, by relaxing myopia, it converges to the $BGP$ of the economy with perfect foresight. We then prove the existence of equilibria where money, even in absence of financial frictions or liquidity constraints, is positively valued and non-neutral, in contrast to usual results in infinite horizon. Specifically, there arise two monetary $BGPs$, where money is non-neutral along the first one and neutral along the second one. Eventually, we perform a global stability analysis and identify the optimal monetary policy maximizing welfare.
Sotol plants belong to the Dasylirion genus, a group of perennial angiosperms distributed from the southern United States to southern Mexico. They have been used historically for food and crafts, and they are the source of a distilled beverage called sotol. Since nearly all production relies on wild populations, identifying genotypes with strong growth potential is a priority. Early growth variation was evaluated in 30 half-sib families of sotol collected from southeastern Coahuila, along with a control population. A total of 522 plants were grown under greenhouse conditions using a one-way random design. Through 21 months, stem diameter was measured to assess early growth potential. Growth trends were modelled through longitudinal analysis with 3,460 data points. Heritabilities among genotypes were estimated based on the variance of predicted values from a mixed model. The most promising families were selected through best linear unbiased prediction (BLUP). The longitudinal analysis revealed significant genetic variation in stem diameter growth rate among genotypes over the 21-month period, and the trajectories were approximately linear. Heritability for stem diameter growth rate was estimated at 0.725 when the 30 families and the control genotype were included in the model. Without considering the control genotype, heritability was estimated at 0.707. BLUP allowed ranking of the 30 families for selection. The results show the existence of genetic variation in Dasylirion for early growth rate and open the possibility of selecting promising genotypes to be grown under cultivation conditions, with good behaviour in the greenhouse stage.
This concluding chapter invites educators to pause and reflect deeply on the interconnections between critical reflection, effective teaching, and personal wellbeing. It challenges teachers to view classroom leadership as a practice built on self-awareness, relational responsiveness, and thoughtful decision-making. Central to this interconnectedness is the ability to manage workload, set clear priorities, and self-regulate. These elements form a foundation for teaching that is effective and sustainable over time. Through this lens, wellbeing is not treated as separate from pedagogy or professionalism; rather, it directly shapes how teachers lead with empathy, uphold integrity, and make purposeful choices. By exploring how wellbeing, emotional regulation, and reflection shape the capacity to lead and connect, this chapter encourages teachers to consider how personal and professional growth are closely linked.
In 2020, over 13.4 million babies globally (>10% of all live births) were born preterm(1). Nutrition during the neonatal period plays a crucial role in supporting optimal growth, brain development, and reducing the risk of metabolic diseases later in life(2). Current guidelines on nutrition for preterm infants contain inconsistent recommendations(3), most of which are based on very low certainty of evidence. Challenges in formulating recommendations for nutrition in preterm infants partly arise from inconsistent reporting of outcomes in nutrition intervention studies(4). We aimed to develop a standardised reporting framework for measures of nutrition intake and growth outcomes in preterm nutrition studies. Measures of nutrition intake and growth outcomes were identified in a scoping review, curated, and presented in two real-time Delphi surveys to participants from three stakeholder groups with experience in preterm infants, nutrition, and growth: healthcare consumer; healthcare professional, and researcher. The first survey was to identify measures deemed critical for reporting in a minimum reporting set; the second on how to report these measures. Questions were rated for their importance on a 9-point Likert scale. Items were considered for inclusion when ≥80% of all participants scored the item as 7–9 (critical for inclusion) and <15% scored as 1–3, or when ≥80% of healthcare consumers scored the item as 7–9. The standardised reporting framework was finalised during three online consensus meetings, where stakeholders were given the opportunity to discuss and then vote on the importance of each item. Items receiving ≥80% “critical for inclusion” votes from all attendees or from consumers were included. We recruited 313 participants from 32 countries for survey 1, and 121 participants from 26 countries for survey 2. The proportions of stakeholder groups in both surveys were similar: 12% consumers; 73-77% healthcare professionals, and 11-15% researchers. Eight measures are included in the final standardised reporting framework:(1) the type of milk the baby receives;(2) the type of supplement to milk that a baby receives;(3) the nutrition that the baby actually receives;(4) the time period over which the measurement of the nutrition that the baby actually receives was made; (5) baby’s weight; (6) baby’s length/height; (7) baby’s head circumference; and (8) the time point at which, or the time interval over which, the measurement of size or growth was made. These eight measures are accompanied by 22 recommended measurement methodologies. This standardised reporting framework should be used in the development of future study protocols, evidence syntheses, and nutrition guidelines for preterm infants. Widespread adoption of this framework in preterm nutrition studies would improve the design of studies, the comparability of research findings, thereby facilitating reliable evidence synthesis, and potentially could support the development of evidence-based clinical guidelines and practice.
Having faced not one financial car crash but several in less than a generation, it is little wonder today’s risk-takers, investors, households and corporates alike, are sticking rather than twisting, saving not spending, braking not accelerating, their animal spirits anaesthetised. Although collectively damaging, this is the individually prudent thing to do. We are facing a twenty-first-century ‘paradox of thrift’, whose psychological scars might easily persist as long as those of its twentieth-century counterpart. The upstream effects of this reduced risk-taking can be clearly seen in the damped dynamism and caged animal spirits of both businesses and households. In the words of Austrian economist Joseph Schumpeter, the forces of ‘creative destruction’ have been significantly and persistently diminished by the sequence of crises, stunting innovation, enterprise and hence the dynamism of our economies. For businesses, those caged animal spirits have manifested themselves in reduced numbers of firms entering and, just as importantly, exiting the market. Entry and exit rates for UK firms are around a third lower today than at the time of the GFC. Entrepreneurs are more fearful of starting new businesses, despite them being the wellspring of innovation and jobs.
Plant morphogenesis relies on dynamic growth deformations at the cell and tissue scales driven by osmotic fluxes. A mechanistic understanding of this phenomenon demands a physical framework that integrates cell imbibition, tissue mechanics and water fluxes, as well as their biophysical and molecular regulations, within a theory of plant active matter capturing the open-system and out-of-equilibrium properties of tissues. Building on historical insights into growth geometry, physics and mechanics, combined with recent experimental results, we outline the key challenges in modelling plant growth and propose steps towards a unified physical theory of plant morphogenesis, in which biological regulation, mechanical forces and water fluxes interact to shape biological form through the fundamental principles of living matter.
The discovery and analysis of immature Neandertal remains have yielded significant insights into Neandertal growth and development, despite numerous historical challenges in the curation and study of these fossils. The relatively large number of immature Neandertal remains, attributed in part to their practice of intentional burial, has allowed for extensive ontogenetic studies. Early research focused on the timing of Neandertal trait emergence, and recent studies have expanded to include aspects such as birth, gestation, and growth rates. Notable differences between Neandertals and modern humans have been observed, particularly in craniofacial growth, brain development, and dental formation. Despite some evidence suggesting accelerated dental development in Neandertals, there is still considerable debate. Postcranial studies have highlighted distinctive features that emerge early in Neandertal growth, although discrepancies between dental and skeletal maturity remain. Future research is poised to benefit from integrated approaches that combine cranial, dental, and postcranial data and consider a wide range of comparative samples. Understanding Neandertal growth within a developmental context not only enhances our knowledge of Neandertals but also provides broader insights into human evolutionary biology.
We solve three problems raised in recent articles by Longstaff [Bull. Aust. Math. Soc.102 (2020), 226–236; 103 (2021), 260–270; 104 (2021), 78–93]. We show that: (1) the length of an irreducible family of $n\times n$ rank-one matrices can take any value $1,2,\ldots ,n$; (2) the slot length of an irreducible pair of $n\times n$ matrices can exceed $2n-4$; and (3) we give bounds on the $1$-minimum spanning lengths of irreducible pairs.
Malnutrition remains a major public health challenge in low- and middle-income countries and disproportionately affecting children under five. Eggs, given their high nutrient density and relative physical or economic accessibility, have been tested for their effect on improving nutritional outcomes in children under five. However, findings from scientific exercises to test the impact of egg-based trials on child growth have not been systhematically pooled and synthesised. Therefore, this meta-analysis aimed to synthesise evidence on the impact of egg-based interventions on the nutritional status of children underfive as determined by weight-for-height Z-score (WHZ), weight-for-age z-score (WAZ), and height-for-age z-score (HAZ). Research articles of randomised controlled trials published between 2013 and 2023 were identified through a comprehensive search of PubMed/MEDLINE, Web of Science, CINAHL, Embase, Science Direct, Google Scholar, and African Index Medicus data bases. Articles evaluated the effect of egg-based interventions against alternative diets, behaviour-change education, or no alternative intervention were included. Primary outcomes are WHZ, WAZ, and HAZ. Random-effects models were used to pool effect sizes (mean difference), and subgroup analyses and meta-regression explored sources of heterogeneity. Publication bias was assessed using funnel plots and Egger’s test. Seven studies involving 3673 children met the inclusion criteria. Egg-based intervention significantly improved WAZ (MD: 0.33; 95% CI: 0.11–0.55) and WHZ (MD: 0.30; 95% CI: 0.12–0.48). However, no significant effect was observed on HAZ (MD: 0.05; 95% CI: –0.05–0.14). It is figuredout that egg-based interventions can improve weight-related nutritional outcomes (WHZ and HAZ) among children underfive in sub-Saharan Africa, but not linear growth (HAZ).
The function, composition and processes underlying the formation and maturation of the skeleton, bone the organ and bone the tissue, are the focus of this chapter. Knowledge of the immature infant skeleton and its inherent weaknesses and susceptibility to physical injury, facilitates understanding the morphologic manifestations of bone injury and the body’s response to associated tissue damage. The skeleton is a complex structure that plays a variety of different roles crucial to life. It is composed of many individual bones that are constructed of proteins, minerals and the cells specific to bone, namely, the families of osteoblasts and osteoclasts. Bones form through enchondral and intramembranous ossification, and these processes are complex and tightly regulated by molecular genetics and cell-signaling pathways. Understanding the structure of the skeleton and its growth and development provides the foundation to understand its susceptibility to trauma and the pathology induced by injury and tissue damage.
B. infantis abundance in the infant gut may be associated with growth and health outcomes. However, these relationships have not been widely studied in settings where B. infantis is a dominant early-life commensal and growth faltering is prevalent. Here, we estimated associations between neonatal B. infantis abundance and anthropometric outcomes up to 6 months of age in generally healthy infants in Dhaka, Bangladesh; diarrhoea and hospitalizations (at 1–2 and 6 months) were secondary morbidity outcomes. B. infantis stool absolute abundance was quantified by qPCR; for each infant, the primary exposure was mean abundance (0–28 days). Length-for-age, weight-for-age, and weight-for-length z-scores were derived at birth, 2, 3, and 6 months. Neonatal B. infantis abundance had a bimodal distribution, with 63% of infants having detectable B. infantis by 28 days of age. Anthropometric z-score distributions were shifted down, with means below zero. Neonatal B. infantis abundance was not associated with any anthropometric outcome at 2, 3, or 6 months of age (n = 830), or with the risks of diarrhoea or hospitalizations. The lack of association of neonatal B. infantis abundance with growth outcomes suggests that promoting early B. infantis colonization is unlikely to improve growth in populations with postnatal faltering.
Understanding trends in height and BMI, along with trajectories of weight status, is crucial to identifying the optimal timing for intervention. The objective of this study was to describe trends in height and BMI among children and adolescents and identify the trajectory of weight status over time. This was a longitudinal study with data collected annually (2013–2020). A total of 41 325 students aged 5–18 years from forty-seven schools participated in the study, and a subsample of 11 535 participants with at least five BMI measurements was used for the analyses. Mixed-effects analysis showed significant increases in height over the years for boys (0·19 cm, standard error 0·01, P < 0·001) and girls (0·15 cm, standard error 0·01, P < 0·001). Regarding BMI, an increasing trend over the years was also found in boys (0·04 kg/m2, se 0·01, P < 0·001) and girls (0·04 kg/m², se 0·01, P < 0·001). Analysing weight status trajectories, three groups were identified: consistently normal weight (males 63·7 %, females 64·5 %), increasingly overweight (males 21·8 %, females 20·7 %) and increasingly obese (males 14·5 %, females 14·8 %). We conclude that in adolescence, height was below expected, indicating that children are not reaching their maximum growth potential. Furthermore, the identification of increasing trajectories of overweight and obesity, starting in childhood, emphasises the progressive nature of excessive weight gain before adulthood. These findings highlight the early onset of nutritional deviations in this population, suggesting the need for interventions to promote healthy weight as children transition into adolescence to mitigate future health risks.
Edited by
Latika Chaudhary, Naval Postgraduate School, Monterey, California,Tirthankar Roy, London School of Economics and Political Science,Anand V. Swamy, Williams College, Massachusetts
India was a poor and unequal country in 1947. Much of its labour force was in low-productivity agriculture, but it had a significant, if small, industrial sector. A plausible trajectory going forward was that rapid industrial growth would draw labour into higher-productivity areas, reducing poverty and inequality. But India went down a different path, beginning with an emphasis on heavy industry. This increased the economy’s productive capacity, but did not generate enough jobs to dent poverty and inequality. Over-regulation and neglect of exports contributed to slow growth until 1980, though agricultural productivity rose with the introduction of new high-yielding varieties of crops in some areas. After 1980, and especially after 1991, policies became more friendly to markets and business and India grew rapidly, led by growth in the services sector. This, however, did not create jobs at the same rate, because the growth was skill- and capital-intensive. Poverty fell substantially, but inequality spiked, and job creation remains a big concern.
Edited by
Latika Chaudhary, Naval Postgraduate School, Monterey, California,Tirthankar Roy, London School of Economics and Political Science,Anand V. Swamy, Williams College, Massachusetts
It has been a remarkable journey for India from the nation’s independence in 1947 to now. Economic performance has been mixed, with growth remaining sluggish during the first three decades, and picking up only after the mid-1990s. On the political front, with free media, secularism and a vibrant democracy, India was an outlier in the developing world; it resembled some of the most advanced economies in the world. This chapter is a study of this unusual growth path, over the last seventy years, with a focus on how the economy and politics impacted each other. It is argued that, while early political choices may have slowed growth during the early decades, they played a vital role in India rising to be among the world’s fastest-growing nations in the first decade of the twenty-first century.
Edited by
Latika Chaudhary, Naval Postgraduate School, Monterey, California,Tirthankar Roy, London School of Economics and Political Science,Anand V. Swamy, Williams College, Massachusetts
Pakistan’s seventy-five-year economic history can be divided into three distinct periods. The first decade after 1947 was a period of low growth, but one in which a functioning state was set up from scratch and rapid industrialization occurred. The 1960–1990 period saw high economic growth but high costs, including the secession of Pakistan’s eastern wing (now Bangladesh), the Soviet occupation of Afghanistan and the ensuing civil war, which spilled over into Pakistan. Between 1990 and 2022, growth halved, primarily due to the continuing conflict in Afghanistan – this time with the US- led invasion after 9/11 – coupled with poor economic management in dealing with recurring balance-of-payments crisis and frequent recourse to the IMF. The key factors responsible for these changes are identified through ten turning points, which capture major events both internal and external and the ensuing structural changes, including in the composition of the ruling elite. Failure to undertake economic reforms was a key factor in Pakistan’s overall disappointing performance after a promising start.
Abstract: In this chapter, English examines Human Nature and Conduct (1922) through the lens of Dewey’s broader theory of how humans learn. The chapter shows how Dewey’s emphasis on the productive role of uncertainty in human learning processes relates to how he differentiates between a habit as “a vital art” and a habit as “a mechanical routine.” The chapter then examines how Dewey expands his critique of traditional education by showing how traditional schooling separates habits from thought, creating mechanistic habits that do not allow for young people to learn the habit of learning – the habit to grow through encounters with difference. Using an example of classroom dialogue, English discusses how classrooms can become educational environments that foster the types of habits associated with educative growth. The chapter concludes by emphasizing that Human Nature and Conduct offers insight into not only the education of young people but also the education of grown-ups. Accordingly, adult society must construct environments for themselves that nurture thought and thereby help them develop rich perceptions of interdependencies between humans. Ultimately, the chapter provides an understanding of why making learning a habit is essential for the growth of an equitable, democratic future of education and society.
Abstract: This chapter examines John Dewey’s concept of moral education as growth, emphasizing its implications for moral development beyond his earlier work. While Moral Principles in Education (1909) presents Dewey’s approach to moral education through social participation, it does not incorporate his later view of growth as the sole moral end. Waks points to the need for the reconstruction of Dewey’s moral education theory in light of Human Nature and Conduct (1922), where he defines morality as the expansion of conduct in meaning. As Waks illustrates, Dewey’s later theory of growth introduces a tension between cooperative participation and individual moral development. The chapter shows how, for Dewey, true moral growth requires openness to new experiences, creative problem-solving involving new ends and new means, and self-transformation, sometimes in conflict with established social norms and cooperative action. This challenges educators to cultivate both group cooperation and individual moral experimentation. Waks concludes that a reconstructed Deweyan moral education must balance social engagement and cooperation with fostering independent growth, requiring educators to create environments that encourage both communal participation and personal moral discovery.