广州黄埔区内0～6岁儿童近五年健康状况分析

为了解最近5年广州医学院港湾医院辖区内0~6岁小儿的营养、健康状况变化趋势和明确今后儿童保健工作的重点,对该院管辖的7所幼儿园集体儿童及9个居委散居儿童,连续5年(2002—2006年)的体检资料进行了回顾性分析,人数达14485人,所有的体检资料均按照《WHO 0~6岁儿童身高体质量参考值及评价标准》以及贫血、视力异常、龋齿的国家卫生部标准进行评价。结果表明,总体的儿童营养不良率为0.86%,肥胖率为1.87%,生长迟缓患病率为1.26%,轻度贫血率1.35%;观察各年情况,肥胖率有逐年增长趋势,儿童营养不良率无逐年下降趋势;广州医学院港湾医院辖区内0~6岁小儿的营养不良、肥胖、生长迟缓、轻度贫血等患病率低于全国水平,但也有不容忽视之处,营养不良、轻度贫血等并没有因生活水平的提高而消失。加强对家长的科学育儿健康教育,以提高他们的育儿知识水平,是儿保工作的重点,应进一步降低儿童营养不良、贫血的发生率;对儿童肥胖应当切实采取措施,预防和控制肥胖症的发生。     

反复呼吸道感染儿童血锌检测分析

为探讨低锌对儿童反复呼吸道感染的影响 ,检测了 1 2 3例儿童指血锌 (Zn)值 ,并采用t检验 ,与正常儿童组进行血锌值比较。结果表明 ,反复呼吸道感染组血Zn值 48 69± 4 89μmol/L ,正常儿童组血Zn值 5 7 46± 1 9 1 8μmol/L ,经t检验 ,t>t0 0 1( 12 1) ,P <0 0 1 ,具有极其显著差异。提示儿童锌缺乏明显导致儿童免疫力下降 ,削弱机体对病毒及细菌的抵抗力 ,适当补锌有助于预防和治疗上呼吸道感染     

血清微量元素与儿童少年身高生长的相关研究

报道了6-18岁在校学生身高生长突增的情况以及身高突增期前后血清中Ca、Mg、Zn、Fe、Cu、Mn、Se、Pb8种元素含量的变化。结果表明，女生身高生长突增开始、达到高峰及突增结束年龄均早于男生约2年。在身高生长的三个阶段，血清Ga、Mn、Cu、Se、Pb含量都有显著或极显著差异。血清Ca在身高突增期以后水平较低，血清Mn在身高突增期以前水平较低，血清Cu在身高突增期以前水平较高，血清Se、Pb则呈渐减趋势。而两性间除血清Cu女生高于男生外，其它各元素均无显著性羌异。     

硒锌氨基酸治疗儿童锌缺乏症疗效分析

为观察硒锌氨基酸治疗儿童锌缺乏的疗效,将98例锌缺乏儿童随机分为硒锌氨基酸治疗组及对照组,测定治疗前后血锌增加值,并比较治疗效果。结果表明,治疗组血锌平均增加值为(16.37±4.89)μmol/L,对照组为(12.39±5.01)μmol/L,P<0.01,差异有高度显著性;治疗组50例中,显效36例,有效10例,无效4例,对照组48例中显效24例,有效12例,无效12例,χ2=4.12,P<0.05,差异有显著性。可见硒锌氨基酸治疗儿童锌缺乏症取得显著疗效。     

Identification and quantification of the antipsychotics risperidone,aripiprazole, pipamperone and their major metabolites in plasma using ultra‐high performance liquid chromatography–mass spectrometry

The antipsychotics risperidone, aripiprazole and pipamperone are frequently prescribed for the treatment in children with autism. The aim of this study was to validate an ultra‐high performance liquid chromatography–mass spectrometry method for the quantification of these antipsychotics in plasma. An ultra‐high performance liquid chromatography–mass spectrometry assay was developed for the determination of the drugs and metabolites. Gradient elution was performed on a reversed‐phase column with a mobile phase consisting of ammonium acetate, formic acid in methanol or in Milli‐Q ultrapure water at a flow rate of 0.5 mL/min. The method was validated according to the US Food and Drug Administration guidelines. The analytes were found to be stable enough after reconstitution and injection of only 5 μL improved the accuracy and precision in combination with the internal standard. Calibration curves of all five analytes were linear. All analytes were stable for at least 72 h in the autosampler and the high quality control of 9‐OH‐risperidone was stable for 48 h. The method allows quantification of all analytes. The advantage of this method is the combination of a minimal injection volume, a short run‐time, an easy sample preparation method and the ability to quantify all analytes in one run. Copyright © 2015 John Wiley & Sons, Ltd.     

Heavy Metals in Acrylic Color Paints Intended for the School Children Use: A Potential Threat to the Children of Early Age

Heavy metals are the harmful elements, regarded as carcinogens. Nevertheless, owing to their physical and chemical properties, they are still used in the production of several commercial products. Utilization of such products increases the chance for the exposure of heavy metals, some of them are categorized as probable human carcinogens (Group 1) by the International Agency for Research on Cancer. Exposure of heavy metals to school children at early age can result severe life time health issues and high chance of emerging cancer. Thus, we have performed study relating to the presence of heavy metals in acrylic color paints commonly used by the school children. Acrylic paints of different colors were assayed for seven potential heavy metals manganese (Mn), cobalt (Co), nickel (Ni), zinc (Zn), arsenic (As), cadmium (Cd) and lead (Pb) using microwave digestion and iCAPQ inductively coupled plasma mass spectrometry (ICP-MS) system. The optimized method including paints digestion reagents nitric acid (HNO₃, 65%, 5 mL) and hydrofluoric acid (HF, 40%, 2 mL) have offered excellent method performance with recovery values ranged between 99.33% and 105.67%. The elements were identified in all of the analyzed samples with concentrations ranged from 0.05 to 372.59 µg/g. Cd constitutes the lower percentage (0.05%), whereas Zn constitutes high ratio contribution which was tremendously high (68.33%). Besides, the paints contamination was also color specific, with considerably total heavy metal concentrations found in brunt umber (526.57 µg/g) while scarlet color (12.62 µg/g) contained lower amounts. The outcomes of our investigation highlight the necessity for guidelines addressing the heavy metals in acrylic color paints intended for the school children usage.     

光化学柱后衍生–高效液相色谱法测定婴幼儿营养米粉中的黄曲霉毒素B1

建立婴幼儿营养米粉中黄曲霉毒素B1的高效液相色谱荧光检测器测定方法。样品以甲醇–水(体积比70∶30)溶液匀质提取,过黄曲霉毒素B1免疫层析亲和柱净化,经CNW Athena C18色谱柱分离和光化学柱后衍生反应器衍生后,用带有荧光检测器的高效液相色谱仪测定。采用峰面积外标法定量黄曲霉毒素B1含量。黄曲霉毒素B1在0～10μg/L的浓度范围内线性关系良好,相关系数为0.999 8,检出限为0.25μg/kg。在3个添加水平下加标回收率为97.7%～106.9%,测定结果的相对标准偏差为1.7%(n=6)。该方法的灵敏度、准确度、精密度均符合黄曲霉毒素B1的检测技术要求,适用于婴幼儿营养米粉中黄曲霉毒素B1的日常检测。     

Deuterium dilution technique for body composition assessment: resolving methodological issues in children with moderate acute malnutrition

Childhood malnutrition is highly prevalent and associated with high mortality risk. In observational and interventional studies among malnourished children, body composition is increasingly recognised as a key outcome. The deuterium dilution technique has generated high-quality data on body composition in studies of infants and young children in several settings, but its feasibility and accuracy in children suffering from moderate acute malnutrition requires further study. Prior to a large nutritional intervention trial among children with moderate acute malnutrition, we conducted pilot work to develop and adapt the deuterium dilution technique. We refined procedures for administration of isotope doses and collection of saliva. Furthermore, we established that equilibration time in local context is 3?h. These findings and the resulting standard operating procedures are important to improve data quality when using the deuterium dilution technique in malnutrition studies in field conditions, and may encourage a wider use of isotope techniques.     

广州员村地区0～6岁109例儿童发铅含量的调查分析

通过对广州员村１０９名０～６岁儿童发铅含量测定，结果发现各年龄组儿童发铅超标严重，男、女间及各年龄组间无明显差异。结论：重视铅污染对儿童健康的危害，加强对铅污染的普查及防治。     

湖南省湘潭市1038例儿童血铅调查

于 2 0 0 0年 3月～ 2 0 0 1年 6月在湖南省湘潭市对 1 0 38例 1～ 8岁儿童进行了血铅抽样调查。结果显示 2 85例儿童血铅 >1 0 0 μg/L ,占调查人数的 2 7 7%。男女童之间血铅水平无显著差异P >0 0 5。高血铅年龄分布在 2岁组、 6岁年龄组 ,与其他年龄组比较有显著差异P <0 0 5。工业区儿童血铅水平高于市中心区P <0 0 1 ,农村郊区儿童血铅水平最低。本调查为湖南湘潭地区环境治理提供了科学依据。