Search Results (9,250)

This study evaluated the effects of guanidinoacetic acid (GAA) supplementation during the growing and finishing phases on Nellore bulls’ performance, carcass traits, and meat quality. Fifty-two Nellore bulls were randomly assigned to four treatments: control (CON, without GAA) and three GAA levels (3, 6, and 9 g/kg dry matter [DM] in the growing supplement; 0.3, 0.6, and 0.9 g/kg DM in the finishing diet). During the 280-day growing phase, bulls were kept in paddocks, while in the 74-day feedlot finishing phase, they were housed in collective pens. Body weight, average daily gain, and carcass ultrasound measurements were recorded in both phases. Feed intake was recorded daily during finishing, and carcass traits were evaluated post-slaughter. GAA supplementation during the growing phase did not affect performance or ultrasound carcass traits (p ≥ 0.12). In the finishing phase, increasing GAA doses linearly reduced body weight gain (p = 0.03) without affecting carcass traits assessed by ultrasound or post-slaughter (p ≥ 0.10). GAA supplementation linearly reduced cooking loss (p = 0.02) without influencing other meat quality parameters (p ≥ 0.11). It is concluded that, under the conditions of this study, GAA supplementation did not affect performance or carcass traits, except for reduced weight gain at the highest dose, but reduced water loss from cooked meat. Full article

Background/Objectives: Despite advances in public health and medical treatment, the number of patients with type 2 diabetes is increasing and it remains among the top 10 causes of death and a leading cause of disability in the United States. Early interventions with innovative approaches are essential to improving dietary intake and blood glucose control, potentially preventing or delaying type 2 diabetes and related complications. This study examined the effects of integrating real-time feedback from continuous glucose monitoring (CGM) into individualized nutrition therapy (INT) on diet and sleep quality in individuals with prediabetes and overweight or obesity. Methods: Thirty participants were randomized to either the treatment (n = 15) or the control group (n = 15). Both groups received individualized nutrition recommendations tailored to energy needs for weight maintenance and blood glucose control. The treatment group had real-time access to CGM data, while the control group remained blinded. Dietary intake and sleep quality were assessed using ASA24 recall and analyzed via general linear model repeated measures. Results: Incorporating CGM feedback into nutrition therapy significantly increased whole-grain (p = 0.02) and plant-based protein intake (p = 0.02) in the treatment group, with trends toward increased fruit intake (p = 0.07) and a reduced percentage of calories from carbohydrates (p = 0.08). Sleep efficiency also improved significantly by 5% (p = 0.02) following the intervention. Conclusions: These findings support the effectiveness of CGM-enhanced nutrition therapy in improving diet and sleep quality in individuals with prediabetes and overweight or obesity. Further research is needed to assess the sustainability and long-term impact of this approach. Full article

Pastoral systems in New Zealand are under societal pressure due to their increasing negative environmental impact in terms of greenhouse gas emissions. This study was conducted to investigate the effects of supplementing a mixture containing hydrolysable and condensed tannins on the in vitro fermentation characteristics and gas production of three different forages, Lolium perenne, Medicago sativa, and Plantago lanceolata. Three fermentation runs of 48 h were conducted using the ANKOM gas production technique, with each pertaining to a particular forage with or without (control) tannin. Tannins were added to the fermentable substrate (i.e., forage) at a level of 0.3%. For each run, rumen fluid was collected from two fistulated Holstein Friesian × Jersey cows. The ANKOM RF gas production modules were used to monitor gas pressure and temperature every 5 min. At the end of each run, the pH of the fluid was measured, gas vials were taken for methane (CH₄) measurements and liquor samples were taken to measure volatile fatty acids (VFA) and NH₃ concentrations. The addition of tannins reduced the fractional rate of gas production for alfalfa (p ≤ 0.04) but increased it for ryegrass and plantain. There was a tendency for reduced gas production for ryegrass when tannins were added (p = 0.10). There was also a tendency for CH₄ production to reduce (p < 0.10) and N₂O to increase (p = 0.10) when tannins were added. Iso-butyrate tended to be lower for ryegrass control than to ryegrass with tannins (p = 0.08). Valerate concentration was lower for plantain control than to plantain with tannins. No effects were detected for gas composition (p > 0.05) or VFA concentrations (p > 0.05) when fermenting alfalfa. Under the condition of this study, these results may suggest that low-level tannin addition to the diet may affect rumen-fermentation pattern with a potential reduction of CH₄ production in Lolium perenne-based diets. Further research is required on the effect of low levels of tannin supplementation under ex vitro and in vivo conditions as tannin supplementation effects might be substrate-dependent. Full article

The weaning period is a critical phase for nursery pigs that is characterized by rapid growth and alterations in the intestinal microbiome associated with nutrient utilization. The present study aimed to investigate the efficacy of halquinol, when used as an antibiotic (ABO), on the growth performance, diarrhea incidence, coefficient of apparent total tract digestibility (CATTD), fecal volatile fatty acids (VFAs), and microbiota in pigs. A total of 210 healthy weaned pigs with an average initial weight of 6.9 kg and aged 28 ± 2 days were assigned to five treatments (six pens/treatment) in a complete randomized design, including a control group (T1, CON; feed with no ABO), a colistin group (T2, CLT; feed containing 120 ppm colistin), and three halquinol groups (T3 to T5, HAL; feed containing 180, 240, and 360 ppm halquinol, respectively). The experiment period lasted for 10 days. Field recordings, observation, and feces collection were performed on D1, D5, and D10. CATTD and VFA assessments were conducted on D10. The composition of the fecal microbiota was analyzed via 16S rRNA gene sequencing using the Illumina Miseq platform. The results demonstrated that the in-feed ABO groups exhibited a significantly lower ADFI (p < 0.01). Pigs fed the T3 and T4 diets had the lowest FCR (p < 0.01) on D5 and D10 and, thus, had reduced ADFI (p < 0.01). A quadratic contrast was found in ADFI and FCR on D5 and D10, indicating a negative correlation with HAL concentration (p < 0.01). Pigs fed CLT and HAL had significantly reduced levels of coliform (p < 0.01) and E. coli (p < 0.01). Moreover, pigs receiving ABO also had a lower fecal score compared to those on the CON diet (p < 0.01). Dietary in-feed ABO had no effect on all the parameters of the CATTD on D10 (p > 0.05), except for fat digestibility in pigs that received T4 (p < 0.01). Pigs fed the T4 and T5 diets had higher propionate concentrations and lower A/P ratios than pigs fed T1, T2, and T3 (p < 0.01). The microbial diversity shifted quickly through the early weaning period. The relative abundance of beneficial Enterococcus microbes increased in pigs fed in-feed ABO, whereas the relative prevalence of pathogenic bacteria, such as Escherichia and Klebsiella, decreased. Escherichia and Bacteroides were negatively correlated with carbohydrate digestibility and butyric and valeric acid production (p < 0.05). Overall, the appropriate HAL dosage was 240 ppm (T4), and this antimicrobial can potentially be characterized as an in-feed colistin replacer that improves feed efficiency and fat digestion, enhancing VFA production, alleviating post-weaning diarrhea, and protecting ABO-resistant piglets. Full article

Background/Objectives: Metabolic syndrome (MetS) is a prevalent health condition characterized by central obesity, insulin resistance, hypertension, and dyslipidemia, increasing the risk of cardiovascular disease and type 2 diabetes. Lifestyle interventions, particularly plant-based nutrition and exercise, are essential for managing MetS. While both strategies are well-documented independently, their synergistic effects remain less explored. This narrative review integrates findings from both domains to evaluate their combined impact on metabolic syndrome. The review examines the individual and combined impacts of plant-based nutrition and exercise on MetS-related metabolic dysfunction. Methods: A comprehensive review of 114 peer-reviewed studies was conducted to assess the role of plant-based diets and structured physical activity in improving insulin sensitivity, lipid profiles, inflammation, and weight management. Studies investigating the mechanisms through which dietary components and exercise modalities influence metabolic health were analyzed, along with behavioral and psychological factors affecting long-term adherence. Results: Plant-based diets, particularly those high in fiber, polyphenols, and healthy fats, improve glucose metabolism, reduce inflammation, and enhance cardiovascular health. Exercise complements these benefits by increasing insulin sensitivity, promoting fat oxidation, and improving lipid metabolism. When combined, plant-based nutrition and exercise provide superior metabolic outcomes, including greater reductions in visceral adiposity, improved endothelial function, and enhanced glycemic control. Conclusions: Plant-based nutrition and structured exercise are effective strategies for managing MetS. Their synergistic effects highlight the importance of integrated lifestyle interventions for long-term metabolic health. Full article

Background/Objectives: Obesity and abdominal adiposity are associated with worse surgical and functional outcomes in prostate cancer (PCa) patients. This exploratory study assessed whether reductions in total body fat mass (TFM) among overweight and obese PCa patients enrolled in a diet and exercise weight loss intervention prior to robotic-assisted radical prostatectomy (RARP) improved outcomes. Methods: In this secondary analysis of an NIH-funded randomized controlled trial (NCT01886677) conducted 2012–2015, twenty-nine patients with newly diagnosed, pathology-confirmed PCa who participated and underwent RARP were evaluated for percent change in TFM and divided into High Fat Losers who lost ≥1% TFM per week and Low Fat Losers who lost <1% TFM per week. High versus Low Fat Losers were compared on operative time (OT), estimated blood loss (EBL), length of hospital stay (LOS), incidence of surgical or postoperative complications, and incontinence and impotence scores at first postoperative follow-up. Results: There was a statistically significant difference between High versus Low Fat Losers with respect to overall complications (p = 0.027); 28.6% of High Fat Losers experienced one or more complications by first postoperative follow-up, compared to 73.3% of Low Fat Losers. However, no differences were observed for each individual complication analyzed, or with respect to OT, EBL, LOS, or incontinence or impotence scores. Conclusions and Relevance: Findings implicate the potential benefit of healthy weight loss as an adjunct to surgery, and support the need for larger trials to elucidate a clearer relationship between improvements in body composition and effects on specific surgical complications and functional outcomes. Full article

To develop cotton straw as a feed resource through biological fermentation, it was fermented using compound probiotics (Bacillus subtilis, Saccharomyces cerevisiae, and Lactobacillus plantarum) and subsequently fed to sheep after the nutrients and hygienic indices of the fermented cotton straw (FCS) were analyzed. Sixty sheep were randomly assigned to five groups: a control group (CON); a low-proportion fermented cotton straw group (LFC, with FCS comprising 14.5% of the diet); a high-proportion fermented cotton straw group (HFC, with FCS comprising 29.0% of the diet); a compound microbial group (MIC, containing Bacillus licheniformis, Bacillus subtilis, and yeast); and a microbial-enzymatic preparation group (MEY, containing compound probiotics and enzymes such as cellulase, xylanase, β-glucanase, amylase, and protease). The trial lasted seven weeks and was divided into two stages: stage 1 (weeks 1–4, days 1–28) and stage 2 (weeks 5–7, days 29–49). Body weight and daily feed intake were registered, and blood and rumen fluid samples were obtained at day 28 and day 49 of the feeding trial. Fermentation significantly increased the crude protein content of cotton straw while reducing neutral detergent fiber (NDF) and acid detergent fiber (ADF) (p < 0.05). Additionally, fermentation reduced the residues of aflatoxin B1, vomitoxin, zearalenone, and free gossypol in the treatment groups (p < 0.05). LFC possessed the lowest value of feed-to-gain ratio (F/G) among all groups. Serum indices related to antioxidant capacity and utilization of fat and protein increased in the treatment group (p < 0.05). Rumen microbiota were separated between different groups (p < 0.05). LFC and HFC enhanced the abundance of Prevotella. These findings could provide conclusions that fermented cotton straw has the tendency to enhance the growth performance of sheep by increasing the abundance of bacteria related to utilization of protein, carbohydrate, and other nutrients such as Prevotella, in which the LFC group has the best fast-fattening (about 50 d) effect. Full article

This study contributes to promoting green farming and achieving sustainable pork production. Especially under the conditions of resource scarcity and rising environmental demands, efficient and eco-friendly feeding strategies have become key to industry development. We evaluated the effects of supplementing an eco-friendly additive (EFA) in diets with normal and low protein (−2% CP) levels on growth performance, nutrient digestibility, gas emission, fecal score, meat quality, and blood profile in finishing pigs. In this 10-week (70-day and 7-day adaptation period) feeding experiment, 200 crossbred pigs [Duroc × (Landrace × Yorkshire)] with an initial average body weight (BW) of 55.05 ± 3.35 kg were used. The pigs were randomly assigned to four treatment groups in a 2 × 2 factorial arrangement, with five pigs per replicate group, including two gilts and three barrows per pen, and each treatment group was repeated 10 times. The experimental treatments included the following: two protein levels (normal CP and −2% CP) and two EFA levels (0% and 0.5% EFA). The results showed that pigs fed high-protein + EFA diets had a significantly higher ADG from weeks 0–5 compared to the high-protein control group (p < 0.05). From weeks 5–10 and overall, both high-protein + EFA and low-protein + EFA groups had a higher ADG than the low-protein − EFA group (p < 0.05). At week 10, the low-protein + EFA group showed significantly higher nitrogen digestibility and significantly lower ammonia emissions compared to the high-protein − EFA group (p < 0.05). Both EFA supplementation and protein level had significant effects on ammonia emissions. The fecal score was not significantly affected (p > 0.05). In blood profiles, NPY was higher in the high-protein + EFA group than in the low-protein − EFA group (p < 0.05). In terms of meat quality, both EFA-supplemented groups had a higher WHC compared to the low-protein − EFA group, while the high-protein + EFA group had a greater LMA (p < 0.05) and lower drip loss on day 7 after slaughter (p < 0.05). In conclusion, supplementing low-protein diets with EFA can effectively enhance the growth performance of finishing pigs, mitigate environmental pollution, and offer feeding advantages while lowering feed costs. Full article

Studies demonstrated that Bacillus coagulans (B. coagulans) as a dietary additive enhanced broiler growth performance, yet its mechanisms of action modulation remained unclear. Therefore, this study investigated effects of dietary B. coagulans BCH0 (1 × 10⁹ CFU/kg) on growth performance, intestinal morphology, gut microbiota, and ileal transcriptomics in Arbor Acres broilers using a completely randomized design. A total of 200 one-day-old broilers were allocated to control (Con, basal diet) and experimental (BCH0, basal diet + 1 × 10⁹ CFU/kg B. coagulans BCH0) groups (10 replicates/group, 10 birds/replicate) over a 42-day trial. The results revealed that BCH0 significantly increased body weights (BW) at 21 and 42 days (p < 0.05), improved the average daily gain (ADG) during the starter (1–21 days) and overall phases (1–42 days), and reduced the ratio of feed intake to body weight gain (F/G) across all phases (p < 0.05). Duodenal morphology analysis indicated a BCH0 elevated villus height (+16.9%, p < 0.01) and villus height/crypt depth (V/C) (p < 0.01) and no significant differences in crypt depth (p = 0.46). In the ileum, the BCH0 group exhibited a significantly greater villus height (p < 0.01), crypt depth (p < 0.05), and V/C (p < 0.05) than the Con group. Microbiota analysis revealed no significant differences in α-diversity or β-diversity, but phylum-level shifts involved an increase in Firmicutes and a reduction in Actinobacteriota in the BCH0 group. At the genus level, dominance shifted from Romboutsia (Control group) to Lactobacillus (BCH0 group), accompanied by marked reductions in Turicibacter, Ldatus_arthromitus, and Rothia. Ileal transcriptomics identified 605 differentially expressed genes, with KEGG enrichment highlighting activated nutrient assimilation pathways (p < 0.05), including carbohydrate, mineral, fat, and protein digestion/absorption. These findings collectively demonstrated that B. coagulans BCH0 enhanced broiler growth through the synergistic modulation of beneficial microbiota, the upregulation of nutrient metabolism genes, and intestinal architectural optimization, supporting its role as a sustainable microbial additive for enhancing poultry productivity and gut health. Full article

Background: Head and neck cancers (HNCs) and their surgical treatment can result in significant functional deficits including impaired masticatory function, dysphagia and dysgeusia, among others. These contribute to nutritional deficits weakening immune responses, increased post-surgical infections and complications. Aim: This study assesses the impact of removable prosthetic restorations on nutritional habits in edentulous patients who have undergone surgery for head and neck cancer. Materials and methods: This study included 44 post-surgical oncology patients and 20 healthy edentulous patients who served as controls. All patients received removable acrylic complete prostheses. Controls received maxillary and mandibular complete prostheses and HNC patients received post-resection complete maxillary and mandibular prostheses. Nutritional intake was assessed through a 24 h dietary recall and the Food Frequency Questionnaire administered before prosthetic treatment and 6 weeks and 3, 6 and 12 months after the provision of removable prosthetic restorations. Results: This study found that both patient groups maintained consistent meal frequency, with the study group exhibiting stable food intake over time. The intake of various food items fluctuated post prosthesis delivery in both groups, with an initial decline followed by partial recovery. Statistically significant differences were observed in food preferences; however, diet variations between and within the groups were not statistically significant. Conclusions: This study found that the use of removable prosthetic restoration in surgically managed edentulous head and neck cancer patients and edentulous controls showed no significant differences apart from certain food preferences and diet variations. A prolonged adaptation period was observed highlighting the need to include clinical dietitians to support the patients. Full article

This study investigated the effects of replacing soybean meal (SBM) with high-protein cottonseed meal (CSM) and de-phenolized cottonseed meal (DPCSM) on growth performance, apparent nutrient digestibility, serum biochemical parameters, slaughter traits, and meat quality in yellow-feathered broilers. A total of 5760 one-day-old male Liangfeng Hua broilers were randomly divided into five groups with eight replicates per group. The control group was fed a corn-SBM diet (SBM group), while the CSM₅₀, CSM₁₀₀, DPCSM₅₀, and DPCSM₁₀₀ groups replaced 50% and 100% of the equivalent protein from SBM with CSM and DPCSM, respectively. Compared to the control group, the CSM₅₀ and DPCSM₅₀ groups showed no significant negative effect on growth performance; however, dietary calcium digestibility was significantly reduced on day 21. Furthermore, CSM₁₀₀ and DPCSM₁₀₀ adversely impacted growth performance, significantly reducing crude fat digestibility and increasing serum urea nitrogen levels on day 42. The broilers in these groups also had reduced pre- and post-slaughter body weights, while those in the CSM₅₀ and DPCSM₁₀₀ groups exhibited decreased half-clearance rates. In addition, the CSM₁₀₀ group had significantly increased pectoral muscle drip loss and a* (24 h) values. pH values measured at 45 min and 24 h were significantly elevated in the DPCSM₅₀ and DPCSM₁₀₀ groups. In conclusion, the replacement of SBM with CSM and DPCSM in yellow-feathered broiler diets should be limited to 50%. Full article

Reducing enteric methane emissions is critical for improving the sustainability of ruminant livestock production. In this study, we investigated the impact of the methane inhibitors 3-nitrooxypropanol (3-NOP) and canola oil, fed both individually and in combination, on the anaerobic gut fungi (AGF) of the rumen. Eight ruminally cannulated Angus heifers were used in a replicated double 4 × 4 Latin square over 28-day periods with a 2 (control, 3-NOP) × 2 (control, canola oil) factorial arrangement. Rumen samples were collected after 13 d dietary adaptation, and AGF communities were evaluated using amplicon sequencing of the D1/D2 region of the 28S rRNA (LSU) gene. Although 3-NOP reduced methane yield by approximately 32%, it did not substantially alter the diversity, composition, or overall abundance of the AGF community. In contrast, canola oil supplementation, either alone or combined with 3-NOP, markedly disrupted the fungal community. These treatments reduced overall fungal diversity and the abundance of key fiber-degrading taxa, such as Neocallimastix and Piromyces, while eliciting variable responses among less abundant genera. Furthermore, resilience analyses using control-diet-fed samples indicated that repeated perturbation impaired the recovery of some AGF taxa, leading to a shift in the composition of the fungal community. Overall, our findings suggest that 3-NOP offers a targeted methane mitigation strategy and does not alter the rumen AGF. In contrast, the addition of canola oil at levels that inhibit enteric methane emissions has a disruptive impact on the AGF community, contributing to reduced feed digestibility. Full article

This study evaluated the effects of tea residue combined with complex enzymes on the growth performance, serum biochemistry, meat quality, and intestinal microbiota of Xiangling fattening pigs. A total of 120 healthy Xiangling fattening pigs, with an average weight of 47.93 kg (±15.28 kg), were randomly assigned to five treatment groups, each comprising four replicates of six pigs. The control group (CON) received a basal diet; the experimental groups received a diet containing 5.8% fermented tea residue as an alternative energy and protein source (dry matter basis) and mixed additional 0 (CZ), 200 (M200), 400 (M400), and 800 (M800) complex enzymes. The trial lasted for 83 days. The results showed that tea residue and complex enzymes failed to affect growth performance (p > 0.05). Tea residue reduced the serum aspartate aminotransferase and alkaline phosphatase activities (p < 0.01), and complex enzyme supplementation lowered the total cholesterol levels and reduced the alanine aminotransferase activity (p < 0.05). Additionally, tea residue decreased the pH_24h and b*_1h values (p < 0.05), and complex enzyme supplementation increased the L*_24h value and pork shear force (p < 0.05). In terms of amino acid content, tea residue significantly elevated aspartic acid and inosine monophosphate (p < 0.05), and complex enzyme addition increased the glutamic acid, lysine, alanine, valine, tyrosine, isoleucine, leucine, and phenylalanine levels (p < 0.05). The 800 mg/kg complex enzyme group exhibited a reduction in the C10:0, C15:0, and C17:0 contents (p < 0.05). Microbial analysis showed that tea residue promoted the abundance of Oribacterium and Butyricicoccus, while enzyme supplementation enriched Eggerthellaceae, Oscillospirales, and Peptococcaceae. Overall, the combination of tea residue and complex enzymes improved the pork quality, enhanced metabolic health markers, and modulated the gut microbiota composition, with the 400 mg/kg enzyme dose (M400) achieving the most pronounced benefits. These findings suggest a potential feeding strategy for improving pork quality without compromising growth performance. Full article

This study evaluates the effects of a compound microecological preparation named ATABG, which is composed of antimicrobial peptide ID13 and Saccharomyces boulardii, on Hu sheep’s growth performance, feed digestibility, and rumen parameters. A total of 40 three-month-old Hu sheep (21.65 ± 0.33 kg) were randomly assigned to two groups: the control group (Con), which received a basal diet, and the experimental group (ATABG), which received the same diet supplemented with 1 g/kg ATABG on a dry matter basis. After a 10-day pre-feeding period to adapt the animals to the experimental diet, dry matter intake and weight gain were recorded during the subsequent 63-day trial period. Body weight was measured on days 1, 21, 42, and 63 of the trial, and animals were slaughtered on day 63 to collect rumen fluid and tissue. Results indicated that ATABG supplementation significantly increased the apparent digestibility of crude protein, neutral detergent fiber, acid detergent fiber, and organic matter (p < 0.05). Rumen fluid analysis revealed increased microbial protein concentration and cellulase activity (p < 0.05) in the ATABG group. Microbiota analysis indicated that ATABG increased the relative abundance of Ruminococcus and Proteobacteria, elevated Firmicutes, and reduced Bacteroidota (p < 0.05). Correlation analysis showed Ruminococcus was positively associated with crude protein digestibility, while Quinella correlated with growth-related indices (r > 0.4, p < 0.05). In conclusion, ATABG supplementation improves protein digestibility and rumen microbial protein synthesis by enriching Ruminococcus and enhancing cellulase activity, potentially optimizing nitrogen utilization in Hu sheep. Full article

Reproductive failure has significant socioeconomic impacts on smallholder pig farms. This systematic review was conducted to compile the types of reproductive failures and their underlying causes reported in smallholder pig farms from East and Southeast Asia and to identify relevant knowledge gaps. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, 26 peer-reviewed studies met the eligibility criteria and were included in our synthesis. These studies were conducted in 11 countries, with Vietnam, China, and Thailand representing the highest share (53.8%). Only six studies (23%) investigated reproductive failure as their primary objective. Stillbirth, mummification, late-term abortion, and weak-born piglets were the predominant reproductive failures reported from smallholder pig farms across the region. The most frequently cited viral pathogens associated with these failures were porcine reproductive and respiratory syndrome virus (PRRSV) and porcine circovirus type 2 (PCV-2). Common non-infectious risk factors included extreme climate conditions (e.g., heat stress), poor diet and housing, and suboptimal boar management. Our synthesis highlighted a dearth of research focused on reproductive failure in smallholder pig farms in the region and emphasised the need for more targeted studies to clarify the biological, environmental, and managerial risk factors contributing to reproductive failure. This will facilitate the development of targeted prevention and control measures that account for the unique farming conditions and challenges smallholder farms face in East and Southeast Asia. Full article