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SPSS version 22 was used to analyze data. Patients on parenteral nutrition had a higher ratio of malnutrition with a significant Child-Pugh score-61.8% of patients belonged to Class C and 35.3% Class B, while in enteral support, 7.3% belonged to Class C and 43.9% patients belonged to Class B ( -value = 0.00. There was a definite relationship observed in the route of intake and malnutrition among cirrhotic patients. Enteral route of nutrition is an effective and the safest way to provide appropriate nutrients according to the patient'

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Third, we demonstrate the usefulness of farming systems modeling to estimate multidimensional impacts of forages and for reducing agro-environmental trade-offs. We conclude that improved forages in East Africa are at a crossroads if adopted by farmers at scale, they can be a cornerstone of pathways toward sustainable livestock systems in East Africa.Agriculture in Africa is expected to meet the dual objectives of providing food and helping people to escape poverty. African agriculture is dominated by smallholdings and donors generally