早期干预对极低出生体重早产儿智能发育的影响研究

目的 探讨早期干预对极低出生体重早产儿智能发育的影响,为极低出生体重早产儿的早期干预提供依据。方法 239 例极低出生体重早产儿为早产随访组,采用鲍秀兰早期教育资料制定的干预计划,进行系统干预,并与326 例失访的早产儿童以及与随访组相似的326 例正常儿童进行对照分析。采用Gesell 儿童发育量表等标准化工具进行发育评估。结果 早产随访组Gesell 儿童发育量表5 项均分、总发育商（developmental quotient,DQ）总分与早产失访组相比差异均有统计学差异（均P＜0.05）。结论 早期干预能显著促进极低出生体重早产儿的智能发育,提高患儿的生活质量。     

Vocalization and breathing during the first year of life

Vocalization and breathing were studied in 40 healthy infants, including five boys and five girls each at ages 5 weeks, 2.5 months, 6.5 months, and 12 months. Breathing was monitored through the use of a variable inductance plethysmograph that enabled estimates of the volume changes of the rib cage, abdomen, and lung, as well as estimates of selected temporal features of the breathing cycle. Four vocalization types were studied intensively. These included cries, whimpers, grunts, and syllable utterances. Breathing behavior was highly variable across the four vocalization types, demonstrating the degrees of freedom of performance available to the infant to accomplish the aeromechanical drive required. Such behavior was influenced by body length, body position, and age, but not by vocalization type and sex. The protocol established is a useful tool for observing the natural course of the emergence of vocalization and breathing during the first year of life.     

电感耦合等离子体串联质谱测定婴幼儿谷类辅助食品中的重金属镉

婴幼儿谷类辅助食品是婴幼儿营养的重要能量来源,其主要原料为大米,而水稻极易从其生长的土壤和水中吸收重金属Cd积累到谷粒中,导致大米中Cd的残留浓度相对较高,从而对婴幼儿谷类辅助食品构成潜在威胁。提出了电感耦合等离子体串联质谱（ICP-MS/MS）测定婴幼儿谷类辅助食品中重金属Cd的新策略。样品经微波消解处理后,采用ICP-MS/MS进行测定。婴幼儿谷类辅助食品中Cd的测定所面临的质谱干扰主要来源于高浓度Mo所形成的Mo基多原子干扰离子（MoO+,MoN+,MoC+）以及Sn所形成的同量异位素（112Sn+,114Sn+,116Sn+）。针对这些干扰,在MS/MS模式下,分别采用H₂,NH₃/He和O₂为反应气,考察不同Cd同位素的质谱干扰消除效果和分析灵敏度。结果表明,在H₂和NH₃/He反应模式下,H₂和NH₃均能与Mo基干扰离子发生质量转移反应,而不与Sn+反应,可选择110Cd+,111Cd+和113Cd+进行测定,但H₂与Mo基干扰离子反应速度较慢,难以彻底消除高浓度Mo基质中对Cd的质谱干扰;在O₂反应模式下,所有干扰离子均能与O₂发生质量转移反应,虽然获得的分析灵敏度略低于NH₃/He反应模式,但背景等效浓度（BEC）明显比NH₃/He反应模式低。确定了以O₂为反应气消除干扰测定Cd的最优分析方案。利用标准参考物质评价了方法的准确性,采用国标法（GB5009.268—2016）进行对比分析验证了方法的可靠性。结果表明,Cd的LOD为2.03～13.4 ng·L-1,标准参考物质的测定值与认定值基本一致,在95%的置信水平,对比分析结果之间无显著性差异。方法的灵敏度高,结果准确可靠,适用于大批量婴幼儿谷类辅助食品中重金属Cd的高通量测定。     

Determination of quinolone residues in infant and young children powdered milk combining solid-phase extraction and ultra-performance liquid chromatography-tandem mass spectrometry

The present work describes a method based on solid-phase extraction (SPE) and ultra-performance liquid chromatography tandem mass spectrometry (UPLC-MS/MS) for the simultaneous determination of three quinolones (pipemidic acid, oxolinic acid and flumequine) and twelve fluoroquinolones (marbofloxacin, fleroxacin, pefloxacin, levofloxacin, norfloxacin, ciprofloxacin, enrofloxacin, danofloxacin, lomefloxacin, difloxacin, sarafloxacin, and moxifloxacin) in different infant and young children powdered milks. After suitable deproteination of the reconstituted powdered samples, a SPE procedure was developed providing recovery values higher than 84% (RSDs lower than 13%) for all the analytes, with limits of detection between 0.04 and 0.52 μg/kg. UPLC-MS/MS analyses were carried out in less than 10 min. Sixteen infant and young children powdered milk samples of different origin, type and composition bought at Spanish markets were analyzed. Residues of the selected antibiotics were not detected in any of the analyzed samples.     

MRI detection of brown adipose tissue with low fat content in newborns with hypothermia

Purpose

To report the observation of brown adipose tissue (BAT) with low fat content in neonates with hypoxic–ischemic encephalopathy (HIE) after they have undergone hypothermia therapy.

Materials and Methods

The local ethics committee approved the imaging study. Ten HIE neonates (3 males, 7 females, age range: 2–3 days) were studied on a 3-T MRI system using a low-flip-angle (3°) six-echo proton-density-weighted chemical-shift-encoded water-fat pulse sequence. Fat-signal fraction (FF) measurements of supraclavicular and interscapular (nape) BAT and adjacent subcutaneous white adipose tissues (WAT) were compared to those from five non-HIE neonates, two recruited for the present investigation and three from a previous study.

Results

In HIE neonates, the FF range for the supraclavicular, interscapular, and subcutaneous regions was 10.3%–29.9%, 28.0%–57.9%, and 62.6%–88.0%, respectively. In non-HIE neonates, the values were 23.7%–42.2% (p = 0.01), 45.4%–59.5% (p = 0.06), and 67.8%–86.3% (p = 0.38), respectively. On an individual basis, supraclavicular BAT FF was consistently the lowest, interscapular BAT values were higher, and subcutaneous WAT values were the highest (p < 0.01).

Conclusion

We speculate that hypothermia therapy in HIE neonates likely promotes BAT-mediated non-shivering thermogenesis, which subsequently leads to a depletion of the tissue's intracellular fat stores. We believe that this is consequently reflected in lower FF values, particularly in the supraclavicular BAT depot, in contrast to non-HIE neonates.     

广州市芳村区297例正常婴幼儿头发中6种元素的含量及水平分析

报道了广州市芳村区２９７例正常婴幼儿头发中锌、铁、铜、钙、锰、铅的含量水平。     

Photorefraction images analysis through neural networks

The importance of an early evaluation of infants’ visual system condition is long time recognized. Non-corrected visual disorders may lead to major vision and developmental non-reversible limitations in the future. Among the objective methods of refraction, photorefractive techniques are specifically designed for screening young children. Over the years a number of photorefraction systems with different grades of complexity and automation were developed. A critical problem that one needs to deal with in any approach to these systems is the interpretation and classification of the photorefraction images. In digital photorefraction conventional image processing operators and Fourier techniques were currently used. In this communication we will report on the use of Neural Networks for automated classification of digital photorefraction images.     

婴幼儿肺炎并心衰的护理观察体会

防治心衰是降低婴幼儿肺炎死亡率的关键。报道了其护理观察体会。