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Sample records for 6-month-old infant due

  1. Cushing Syndrome in a 6-Month-Old Infant due to Adrenocortical Tumor

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    Volmar KeithE

    2009-09-01

    Full Text Available Cushing syndrome is rare in infancy and usually due to an adrenocortical tumor (ACT. We report an infant with Cushing syndrome due to adrenocortical carcinoma. The patient presented at six months of age with a three-month history of growth failure, rapid weight gain, acne, and irritability. Physical examination showed obesity, hypertension, and Cushingoid features. Biochemical evaluation showed very high serum cortisol, mildly elevated testosterone, and suppressed ACTH. Abdominal MRI revealed a heterogeneous right adrenal mass extending into the inferior vena cava. Evaluation for metastases was negative. The tumor was removed surgically en bloc. Pathologic examination demonstrated low mitotic rate, but capsular and vascular invasion. She received no adjuvant therapy. Her linear growth has improved and Cushingoid features resolved. Hormonal markers and quarterly PET scans have been negative for recurrence 24 months postoperatively. In conclusion, adrenocortical neoplasms in children are rare, but should be considered in the differential diagnosis of Cushing syndrome.

  2. Cushing Syndrome in a 6-Month-Old Infant due to Adrenocortical Tumor

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    Keith E. Volmar

    2009-01-01

    Full Text Available Cushing syndrome is rare in infancy and usually due to an adrenocortical tumor (ACT. We report an infant with Cushing syndrome due to adrenocortical carcinoma. The patient presented at six months of age with a three-month history of growth failure, rapid weight gain, acne, and irritability. Physical examination showed obesity, hypertension, and Cushingoid features. Biochemical evaluation showed very high serum cortisol, mildly elevated testosterone, and suppressed ACTH. Abdominal MRI revealed a heterogeneous right adrenal mass extending into the inferior vena cava. Evaluation for metastases was negative. The tumor was removed surgically en bloc. Pathologic examination demonstrated low mitotic rate, but capsular and vascular invasion. She received no adjuvant therapy. Her linear growth has improved and Cushingoid features resolved. Hormonal markers and quarterly PET scans have been negative for recurrence 24 months postoperatively. In conclusion, adrenocortical neoplasms in children are rare, but should be considered in the differential diagnosis of Cushing syndrome.

  3. Audiovisual temporal fusion in 6-month-old infants.

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    Kopp, Franziska

    2014-07-01

    The aim of this study was to investigate neural dynamics of audiovisual temporal fusion processes in 6-month-old infants using event-related brain potentials (ERPs). In a habituation-test paradigm, infants did not show any behavioral signs of discrimination of an audiovisual asynchrony of 200 ms, indicating perceptual fusion. In a subsequent EEG experiment, audiovisual synchronous stimuli and stimuli with a visual delay of 200 ms were presented in random order. In contrast to the behavioral data, brain activity differed significantly between the two conditions. Critically, N1 and P2 latency delays were not observed between synchronous and fused items, contrary to previously observed N1 and P2 latency delays between synchrony and perceived asynchrony. Hence, temporal interaction processes in the infant brain between the two sensory modalities varied as a function of perceptual fusion versus asynchrony perception. The visual recognition components Pb and Nc were modulated prior to sound onset, emphasizing the importance of anticipatory visual events for the prediction of auditory signals. Results suggest mechanisms by which young infants predictively adjust their ongoing neural activity to the temporal synchrony relations to be expected between vision and audition.

  4. Age-specific average head template for typically developing 6-month-old infants.

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    Lisa F Akiyama

    Full Text Available Due to the rapid anatomical changes that occur within the brain structure in early human development and the significant differences between infant brains and the widely used standard adult templates, it becomes increasingly important to utilize appropriate age- and population-specific average templates when analyzing infant neuroimaging data. In this study we created a new and highly detailed age-specific unbiased average head template in a standard MNI152-like infant coordinate system for healthy, typically developing 6-month-old infants by performing linear normalization, diffeomorphic normalization and iterative averaging processing on 60 subjects' structural images. The resulting age-specific average templates in a standard MNI152-like infant coordinate system demonstrate sharper anatomical detail and clarity compared to existing infant average templates and successfully retains the average head size of the 6-month-old infant. An example usage of the average infant templates transforms magnetoencephalography (MEG estimated activity locations from MEG's subject-specific head coordinate space to the standard MNI152-like infant coordinate space. We also created a new atlas that reflects the true 6-month-old infant brain anatomy. Average templates and atlas are publicly available on our website (http://ilabs.washington.edu/6-m-templates-atlas.

  5. Acute gastroenteritis in infants under 6 months old.

    OpenAIRE

    Fox, R; Leen, C L; Dunbar, E M; Ellis, M E; Mandal, B K

    1990-01-01

    Sixty two babies under the age of 6 months who were admitted with gastroenteritis completed a study of gradual refeeding compared with abrupt refeeding after a period of rehydration. There was no difference in the incidence of recurrence of diarrhoea due to lactose intolerance, effect on weight, or duration of hospital stay. Twenty six babies (42%) had recurrence of diarrhoea after refeeding, all of whom settled with the introduction of a lactose free soya based formula. Well nourished babies...

  6. Perception of neon color spreading in 3-6-month-old infants.

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    Yang, Jiale; Kanazawa, So; Yamaguchi, Masami K

    2009-12-01

    Although lots of studies about neon color spreading have been reported, few of these studies have focused on the perceptual development of it in human infants. Therefore, this study explores the perceptual development of neon color spreading in infants. In experiment 1, we examined 3-6-month-olds' perception of neon color spreading in static conditions. In experiment 2, we examined 3-6-month-olds' perception of neon color spreading in moving conditions. Our results suggest that while only 5-6-month-old infants show a preference for neon color spreading in the static condition, 3-4-month-old infants also prefer neon color spreading if motion information is available.

  7. Social perception: How do 6-month-old infants look at pointing gestures?

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    Schmitow, Clara; Kochukhova, Olga; Nyström, Pär

    2016-02-01

    The study explored 6-month-old infants' ability to follow a pointing gesture in a dynamic social context. The infants were presented with a video of a model pointing to one of two toys. The pointing gesture was performed either normally (with arm and hand pointing at the same direction), with a stick, or the model's arm and hand pointing in different directions (at different toys). The results indicate that infants at this age reliably followed pointing performed normally. PMID:26859864

  8. Neural dynamics of audiovisual synchrony and asynchrony perception in 6-month-old infants

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    Franziska eKopp

    2013-01-01

    Full Text Available Young infants are sensitive to multisensory temporal synchrony relations, but the neural dynamics of temporal interactions between vision and audition in infancy are not well understood. We investigated audiovisual synchrony and asynchrony perception in 6-month-old infants using event-related potentials (ERP. In a prior behavioral experiment (n = 45, infants were habituated to an audiovisual synchronous stimulus and tested for recovery of interest by presenting an asynchronous test stimulus in which the visual stream was delayed with respect to the auditory stream by 400 ms. Infants who behaviorally discriminated the change in temporal alignment were included in further analyses. In the EEG experiment (final sample: n = 15, synchronous and asynchronous stimuli (visual delay of 400 ms were presented in random order. Results show latency shifts in the auditory ERP components N1 and P2 as well as the infant ERP component Nc. Latencies in the asynchronous condition were significantly longer than in the synchronous condition. After video onset but preceding the auditory onset, amplitude modulations propagating from posterior to anterior sites and related to the Pb component of infants' ERP were observed. Results suggest temporal interactions between the two modalities. Specifically, they point to the significance of anticipatory visual motion for auditory processing, and indicate young infants’ predictive capacities for audiovisual temporal synchrony relations.

  9. Frequency of “Nursing Strike” among 6-Month-Old Infants, at East Tehran Health Center and Contributing Factors

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    Fatemeh Nayyeri

    2015-10-01

    Full Text Available Objective:An abrupt refusal by the infant to breastfeed is often called “nursing strike”. In fact a common reason for cessation of nursing is infant’s refusal to breast feed. This problem can often be overcome. This paper has aimed to identify the causes of “breast feeding refusal” or “nursing strike” in 6 month old infants visiting the East Tehran health center for their scheduled vaccination of 6 months old.Materials and methods:Totally 175 six month old infants were enrolled in this study. A questionnaire was filled by mother for each child and later the infants with “nursing strike” were compared with all others.Results:In this study prevalence of breast feeding refusal in infants was 24%.There was significant relation between the “breastfeeding refusal” and maternal academic education or working status. In this study mothers reported various reasons associated with “refusal breast feeding. According to the mothers playful infant and nasal obstructions were the probable causes for refusal.Conclusion:There is a diverse variety of factors influencing nursing strike. Most of these factors can be prevented by identifying the background reasons and proper training.

  10. Energy intake from human milk covers the requirement of 6-month-old Senegalese exclusively breast-fed infants.

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    Agne-Djigo, Anta; Kwadjode, Komlan M; Idohou-Dossou, Nicole; Diouf, Adama; Guiro, Amadou T; Wade, Salimata

    2013-11-01

    Exclusive breast-feeding until 6 months is advised by the WHO as the best practice to feed infants. Yet, some studies have suggested a gap between energy requirements and the energy provided by human milk for many infants at 6 months. In order to assess the adequacy of WHO recommendations in 6-month-old Senegalese lactating infants, a comprehensive study was designed to measure human milk intake by the dose-to-the mother 2H2O turnover method. Infants’ energy intakes were calculated using daily breast milk intake and the energy content of milk was estimated on the basis of creamatocrit. Of the fifty-nine mother–infant pairs enrolled, fifteen infants were exclusively breast-fed (Ex) while forty-four were partially breast-fed (Part). Infants’ breast milk intake was significantly higher in the Ex group (993 (SD 135) g/d, n 15) compared with the Part group (828 (SD 222) g/d, n 44, P¼0·009). Breast milk energy content as well as infants' growth was comparable in both groups. However, infants’ energy intake from human milk was significantly higher (364 (SD 50) kJ/kg per d (2586 (SD 448) kJ/d)) in the Ex group than in the Part group (289 (SD 66) kJ/kg per d (2150 (SD 552) kJ/d), P,0·01). Compared with WHO recommendations, the results demonstrate that energy intake from breast milk was low in partially breast-fed infants while exclusively breast-fed 6-month-old Senegalese infants received adequate energy from human milk alone, the most complete food for infants. Therefore, advocacy of exclusive breast-feeding until 6 months should be strengthened.

  11. Verbal encouragements can influence manual preference in 6 month-old-infants

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    Françoise eMorange-Majoux

    2014-11-01

    Full Text Available The purpose of this study was to investigate the influence of social encouragement on manual motricity, in particular on manual preference. Thirty-six infants were observed at 5.5 months. In a first step, their spontaneous manual preference was recorded with an object placed on the midline position; then, the second step consisted in leading infants to use their non-preferred hand by putting the object near that hand and congratulating them. The third step was similar to the first one (object placed on the midline position except that the infant continued to be congratulated when (she used the non-preferred hand for reaching the object. Results showed that half of the infants exhibited a spontaneous manual preference. A majority of these infants could use their non-preferred hand if they were verbally encouraged. Moreover, spontaneously left-handed infants modified their hand-use more easily than right-handed infants. Although our findings only show a momentary influence of the social context in a short term, results are discussed in a more socio-cognitive perspective, where social encouragements can model manual preference, in particular its strength and its stability.

  12. Origins of a Stereotype: Categorization of Facial Attractiveness by 6-Month-Old Infants

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    Ramsey, Jennifer L.; Langlois, Judith H.; Hoss, Rebecca A.; Rubenstein, Adam J.; Griffin, Angela M.

    2004-01-01

    Like adults, young infants prefer attractive to unattractive faces (e.g. Langlois, Roggman, Casey, Ritter, Rieser-Danner & Jenkins, 1987; Slater, von der Schulenburg, Brown, Badenoch, Butterworth, Parsons & Samuels, 1998). Older children and adults stereotype based on facial attractiveness (Eagly, Ashmore, Makhijani & Longo, 1991; Langlois,…

  13. Estimated fluoride intake of 6-month-old infants in four dietary regions of the United States.

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    Ophaug, R H; Singer, L; Harland, B F

    1980-02-01

    Eleven composite food groups comprising the infant "market basket" food collections for 1977 or 1978 from each of four dietary regions of the United States were analyzed for their fluoride content. Based upon the determined fluoride content of each composite and Food and Drug Administration estimates of food consumption the daily fluoride intake of an average 6-month-old infant residing in each of the dietary regions was calculated. The daily fluoride intake varied from 0.207 mg/day in Grand Rapids, Mich. (north central dietary region) to 0.541 mg/day in Orlando, Fla. (south dietary region). Flouride intakes of 0.272 and 0.354 mg/day were calculated for Philadelphia, Pa. (northeast dietary region) and Los Angeles, Calif. (west dietary region), respectively. The fluoride content of the water supplies ranged from 0.37 ppm (Los Angeles) to 1.04 ppm (Grand Rapids). Drinking water, dairy products and substitutes (other than milk), and grain and cereal products contributed 44 to 80% of the daily fluoride intake. In three of the four dietary regions the daily fluoride intake was less than the optimum level of 0.05 mg/kg body weight.

  14. Verapamil-sensitive idiopathic left ventricular tachycardia in a 6-month-old: unique considerations in diagnosis and management in an infant.

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    Hiremath, Gurumurthy; Li, Walter; Foltz, Rhonda; Roy-Burman, Arup; Cocalis, Mark; Tanel, Ronn E

    2015-01-01

    Idiopathic left ventricular tachycardia of the Belhassen type is rare in infants. We present a 6-month-old infant girl with a wide-complex tachycardia with right bundle branch block QRS morphology, a superior axis, and atrioventricular dissociation, consistent with a left anterior fascicular tachycardia. Initial echocardiogram revealed depressed ventricular function. The tachycardia was unresponsive to therapeutic trials of adenosine, esmolol, procainamide, and lidocaine. There was brief conversion of the tachycardia to sinus rhythm with transesophageal atrial overdrive pacing, suggesting a reentrant mechanism of the arrhythmia. Ultimately, the judicious administration of intravenous verapamil resulted in termination of the arrhythmia, which has been sustained on oral therapy. PMID:25526021

  15. Development/global validation of a 6-month-old pediatric head finite element model and application in investigation of drop-induced infant head injury.

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    Li, Zhigang; Luo, Xiao; Zhang, Jinhuan

    2013-12-01

    Drop is a frequent cause for infant head injury. To date, finite element (FE) modeling was gradually used to investigate child head dynamic response under drop impact conditions, however, two shortages still exist on this topic: (1) due to ethical reasons, none of developed 6-month-old (6MO) head FE model was found to be quantitatively validated against child cadaver tests at similar age group; (2) drop height and impact surface stiffness effects on infant head responses were not comprehensively investigated. In this study, motivated by the recently published material properties of soft tissues (skull and suture, etc.) and reported pediatric head global cadaver tests, a 6MO child head FE model was developed and simulated results compared with the child cadaver experimental data under compression and drop conditions. Comparison of results indicated that the FE model showed a fairly good biofidelic behavior in most dynamic responses. The validated FE model was further used to investigate effects of different drop heights and impact surface stiffness on the head dynamic responses. Numerical results show that the pediatric head mechanical parameters (peak acceleration, HIC, maximal vonMises stress and maximal first principal strain of skull) keep increasing with the increase in drop height, and exhibit "logarithmic function" shapes at "fast-slow" trends with increase in impact surface stiffness. Based on above analysis, the regressions were conducted to describe the relationship between drop height and impact surface stiffness and head global injury predictors (head peak acceleration, HIC, etc.). This paper provides a fundamental study of child head injury mechanism and protection under drop conditions. PMID:24008251

  16. The Emergence of Probabilistic Reasoning in Very Young Infants: Evidence from 4.5- and 6-Month-Olds

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    Denison, Stephanie; Reed, Christie; Xu, Fei

    2013-01-01

    How do people make rich inferences from such sparse data? Recent research has explored this inferential ability by investigating probabilistic reasoning in infancy. For example, 8- and 11-month-old infants can make inferences from samples to populations and vice versa (Denison & Xu, 2010a; Xu & Denison, 2009; Xu & Garcia, 2008a). The current…

  17. Are you talking to me? Neural activations in 6-month-old infants in response to being addressed during natural interactions.

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    Lloyd-Fox, Sarah; Széplaki-Köllőd, Borbála; Yin, Jun; Csibra, Gergely

    2015-09-01

    Human interactions are guided by continuous communication among the parties involved, in which verbal communication plays a primary role. However, speech does not necessarily reveal to whom it is addressed, especially for young infants who are unable to decode its semantic content. To overcome such difficulty, adults often explicitly mark their communication as infant-directed. In the present study we investigated whether ostensive signals, which would disambiguate the infant as the addressee of a communicative act, would modulate the brain responses of 6-month-old infants to speech and gestures in an ecologically valid setting. In Experiment 1, we tested whether the gaze direction of the speaker modulates cortical responses to infant-direct speech. To provide a naturalistic environment, two infants and their parents participated at the same time. In Experiment 2, we tested whether a similar modulation of the cortical response would be obtained by varying the intonation (infant versus adult directed speech) of the speech during face-to-face communication, one on one. The results of both experiments indicated that only the combination of ostensive signals (infant directed speech and direct gaze) led to enhanced brain activation. This effect was indicated by responses localized in regions known to be involved in processing auditory and visual aspects of social communication. This study also demonstrated the potential of fNIRS as a tool for studying neural responses in naturalistic scenarios, and for simultaneous measurement of brain function in multiple participants. PMID:25891796

  18. Cortical Responses to Speech Sounds in 3- and 6-Month-Old Infants Fed Breast Milk, Milk Formula, or Soy Formula

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    The influence of the three most common infant diets (breast milk, milk-based and soy-based formulas) on growth, behavioral development, and cortical responses (ERPs) to the consonant-vowel syllable /pa/, was examined in 130 healthy infants from an ongoing longitudinal study of 600 from birth through...

  19. Mediated Imitation in 6-Month-Olds: Remembering by Association.

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    Barr, Rachel; Vieira, Aurora; Rovee-Collier, Carolyn

    2001-01-01

    Two experiments examined whether associating an imitation task with an operant task affected 6-month-olds' memory for either task. Results indicated that infants successfully imitated a puppet's action for up to 2 weeks only if the associated operant task (pressing a lever to activate a miniature train) was retrieved first. Follow-up study…

  20. 6月龄超重和肥胖婴儿神经心理发育分析%Analysis of neuropsychological development of overweight and obese 6-month-old infants

    Institute of Scientific and Technical Information of China (English)

    熊淑英; 孙晓勉; 钟赛如

    2014-01-01

    Objective To explore the influence of overweight and obesity on the development of neuropsychology of 6-month-old infants, and to provide theoretical basis for prevention and intervention of infant obesity .Methods Neuropsychological development of 98 overweight and obese infants aged 6 months ( overweight and obese group ) and that of 100 normal weight infants ( normal group ) were assessed with Developmental Screening Test (DST), an intellectual developmental screening test developed by Pediatric Hospital of Fudan University in Shanghai , and the differences in developmental quotient abnormality , exercise capacity , social adaptation and intelligence were compared between two groups .Results The proportion of infants with suspicious values of DQ in the overweight and obese group was obviously higher than that in the normal group (χ2 =4.521,P<0.05).The value of the exercise capacity in the overweight and obese group was lower than that of the normal group (χ2 =3.207, P <0.05 ).Conclusion Overweight and obesity have bad influence on neuropsychological development of 6-month-old infants, so they should be prevented .%目的:探讨超重和肥胖对6月龄婴儿神经心理发育的影响,为婴儿肥胖的预防和干预提供理论依据。方法采用上海复旦大学儿科医院0~6岁发育筛查测验( DST),对98例6月龄超重和肥胖婴儿和100例正常体质量婴儿进行对照研究,比较两组发育商( DQ)的异常率和在运动、社会适应、智力能区的差异。结果超重和肥胖组中DQ值可疑的婴儿比例明显高于正常体质量组(χ2=4.521,P<0.05)。在运动能区得分中,超重和肥胖组低于正常体质量组(χ2=3.207,P<0.05)。结论超重和肥胖对6月龄婴儿神经心理发育有不良影响,应预防婴儿超重和肥胖的发生。

  1. Immune Response and Clinical Reaction to Measles Vaccine in 6-month old Infants%6月龄婴儿麻疹疫苗免疫效果及人体反应观察

    Institute of Scientific and Technical Information of China (English)

    卢莉; 王文胜; 王岩; 柳银芝; 王冬梅; 郭舫如; 辜荫华

    2001-01-01

    In vaccine era, measles antibody in women of childbearing age is vaccine-induced, and the maternal antibody of their infants disappeared in advance. In big city, such as Beijing, more and more <8 month-old infants who do not reach the first immunization age are attacked by measles virus. We selected 119*"6 month-old infants, giving them measles vaccine (MV) , to observe their immune response and clinical reaction. The results showed the maternal antibody in 84% of the 6 month-old infants before vaccination were negative, and the antibody level in rest of them were very low. After MV vaccination, their seropositive rate reached 86.6%, the immunization successful rate was 80.7%, the GMT was 1∶528.45, the rates for fever and rash were 16.8% and 2.52% respectively, suggesting that the first vaccination of MV in 6 month-old infants is feasible. Compared with infants primarily vaccinated at 8 months old, both the immunization successful rate and GMT were lower. This means that there is interference of residual maternal antibody with vaccine but most chiefly contributes to the immature development of the immune system of the infants (age related factor). We recommend to give the first dose of MV to infants of 6 months old and the second dose at 1 year old, but before doing this, it is necessary to do cost effectiveness analysis and to explore new MV with good antigenicity to infants of lower age.%疫苗时代育龄期妇女体内麻疹抗体多为麻疹疫苗所介导,所生婴儿母传抗体消失提前,未及初免月龄已成为易感者。针对北京市及其它一些大城市<8月龄婴儿麻疹发病越来越突出的情况,为控制该人群发病,选取北京市户籍的6月龄婴儿119人进行麻疹减毒活疫苗(MV)免疫效果及人体反应观察。结果显示:6月龄婴儿中有84%母传抗体已阴转,阳性者抗体水平也极低。接种MV后抗体阳性率达到86.6%,免疫成功率为80.7%,

  2. Relationship between intelligence development and birth season in 6 month old infants%出生季节与6月龄婴儿智能发育的关系分析

    Institute of Scientific and Technical Information of China (English)

    金岚; 李培培; 杨珍珍; 高明娟

    2013-01-01

    Objective To study the relationship between intelligence development and their birth seasons in 6 month old infants, and to provide the basis for early childhood development. Methods A total of 214 children at the age of 6 month, no high risk, healthy were chosen from children's mental health clinic of Maternal and Child Health Institution in the city of Hefei, as the subjects of study with the method of tests and interviews. Results Infants at the age of 6 month had significant differences in gross motor, fine motor, adaptability, sociability and average DQ (P<0.01), according to their different birth seasons. The DQ of infants born in summer was less than that of infants born in spring and winter (P<0.01), and fine motor, adaptability and average DQ were less than those of infants born in autumn (P <0.05 for fine motor P<0.01 for adaptability and average DQ). Infants born in spring and winter had the higher score. Conclusion Seasonal differences exist in the intelligence development of 6 month old infants.%目的 研究6月龄婴儿出生季节与智能发育的关系,为儿童早期发展指导提供依据.方法 合肥市妇幼保健所儿童心理保健科测试的无高危因素且0~6月龄无重大疾病的6 月龄婴儿共214 例作为研究对象,运用0~6 岁儿童智能发育测验与访谈法进行研究.结果 不同出生季节的婴儿在6月龄时各能区发育商比较,大运动、精细动作、适应能力、社交、平均发育商差异有统计学意义(P<0.01).夏季出生的6月龄婴儿发育商分别低于春、冬季出生的婴儿,差异有统计学意义(P <0.01),精细动作、适应能力和平均发育商分别低于秋季出生的婴儿(精细动作P <0.05,适应能力和平均发育商P <0.01),冬春季出生的6 月龄婴儿各能区发育商分值高于夏秋季.结论 6月龄婴儿智能发育存在季节差异性.

  3. 喂养方式与0~6月龄婴儿肥胖关系的研究%Correlation between Different Feeding Types and Obesity in 0-6 Month Old Infants

    Institute of Scientific and Technical Information of China (English)

    陈凯; 叶小青; 彭雪娟

    2012-01-01

    目的 研究不同的喂养方式与0~6月龄婴儿的超重和肥胖之间是否有关系,从而为制定预防儿童超重和肥胖干预措施提供依据.方法 回顾调查512名婴儿,定期儿童保健系统管理,比较出生以后0~6月内不同喂养方式对婴儿的超重和肥胖的影响,探讨不同的喂养方式与超重和肥胖率之间的关系.结果 42d、3月、4月、5月、6月龄婴儿的母乳喂养组与配方奶喂养组以及混合喂养组三者之间的超重率和肥胖率的差异均无统计学意义(P>0.05).结论 不同喂养方式与婴儿期的超重和肥胖无相应关系,未显示母乳喂养对0~6月龄婴儿的肥胖发生有保护作用.婴儿的性别、出生体重、分娩方式、母亲年龄、文化水平、职业、家庭经济状况以及辅食添加时间对6月龄儿童肥胖发生率影响不明显.%Objective To explore the relationship between different feeding patterns and overweight and obesity in 0 to 6-month-old infants,so as to develop the prevention measures of childhood overweight and provide the basis for obesity interventions. Methods Child care system management was carried out and the data of 512 infants were surveyed to analyze the effects of feeding patterns on the overweight and obesity in 0 to 6-monlh-old infants. Results Among the breastfeeding group .formula feeding group and the mixed feeding group,the difference in the incidence of overweight and obesity in 42 day,3-month,4-month, 5-month and 6-month-old infants was not statistically significant (P>0.05). Conclusion There is no corresponding relationship between the feeding patterns and ihe incidence of overweight and obesity in infants, the result does not reveal a protective effect of breastfeeding.The baby's sex and birth weight,mode of delivery,maternal age,educational level,occupation,family economic conditions and the time for adding complementary foods have not an obvious effect on the incidence of obesity in children aged 6

  4. Analysis of factors on development of 6-month-old infants%影响6月龄婴儿发育水平的相关因素分析

    Institute of Scientific and Technical Information of China (English)

    孔莉芳

    2012-01-01

    [Objective]To analyse the factors which influence the infants' early development and provide the theoretical basis for promoting child early development. [Methods] Compared the effects on developmental quotients by 15 factors including feeding method,early education method,nutrition condition,periodical check,main caregivers and so on,based on 518 6-month-old infants' developmental quotients in Gesell development scale. {Results] In single-factor analysis, there were 12 factors which executively affect on early developmental quotients of babies including mother education level, feeding method,early education method,nutrition condition. And through Multiple regression analysis, there were 6 factors which were correlated positively with 6-month-old infants' developmental quotients including mother education level, feeding method,early education method, pregnant woman's health, nutrition status and the main caregivers. I Conclusions] There are 6 factors which greatly affect on 6-month infants' developmental quotients including mother education level, feeding method,early education method, pregnant woman's health, nutrition status and the main caregivers. So great importance should be focused to these factors to promote early child development.%[目的]研究影响婴儿早期发育状况的相关因素,为婴儿发育的早期促进提供参考依据. [方法]收集2008-2010年在浏阳市妇幼保健院心理行为发育门诊进行盖泽尔发育测试的6月龄婴儿共518例,从喂养方式,母亲文化程度、家庭经济收入、早教方式、营养状况、定期检查、主要抚养人等15个方面进行多因素分析,分别比较对婴儿发育水平的影响. [结果]相关因素的分析显示母亲文化、喂养方式、早教方式、孕母营养等12种因素影响婴儿的早期发育水平.经多元回归分析,母亲文化、喂养方式、早教方式、孕母营养、营养状况、主要抚养人6项因素与6月龄

  5. Early diagnosis and treatment of septic arthritis of hip in infants under 6 month old%6月龄以下婴儿化脓性髋关节炎诊疗分析

    Institute of Scientific and Technical Information of China (English)

    金斌; 孙军

    2015-01-01

    目的:探讨6月龄以内婴儿化脓性髋关节炎的诊断和治疗时机,以减少后遗症的发生。方法回顾性分析本院自2003年1月至2010年12月收治的年龄在6个月以内的化脓性髋关节炎患儿临床资料,共32例33髋,归纳分析其早期诊断、治疗方法与效果。结果32例术后平均随访2.1年,其中21例于起病1周内就诊并获确诊,急诊给予髋关节切开置管冲洗引流术,并静脉二联应用抗生素至体温正常后1周,再口服抗生素2周,予 Pavlik 吊带将患髋外展位固定4周,痊愈率达100%,随访无后遗症。11例12髋起病超过1周后就诊,确诊后按上述方法治疗,6例痊愈无后遗症,5例6髋遗留股骨头骺破坏,关节僵硬,其中1例双侧股骨头骺破坏吸收,造成病理性髋关节脱位。结论早期发现、早期诊断、早期手术及抗炎治疗是减少或避免婴儿化脓性髋关节炎发生严重后遗症的关键因素。早期诊治的时间节点是起病1周内。%Objetive To explore the best diagnosis and treatment of septic arthritis of hip in infants un-der 6 month old,in order to reduce the incidence of complications.Methods Retrospective analyze the cases under 6 month old of septic arthritis of the hip in our hospital from January 2003 to December 201 0,which have 32 patients (33 hips),and summarize the methods of early diagnosis and treatment. Results There were 21 cases visited our hospital and had been diagnosed septic arthritis of the hip.We gave them emergent operation of hip incision drainage and catheter flushing,then two-antibiotic anti-infective therapy for 2 weeks,and two weeks of oral antibiotics,fixed the hip abduction with Pavlik harness for 4 weeks,we got the cure rate of 1 00%,without any sequelae after more than 1 year follow-up.1 1 patients with 1 2 hips were transferred to our hospital more than a week after the onset,underwent the same treatment after diagnosis.6 cases recovered

  6. 神农架川金丝猴投食群0-6月龄的母亲照顾行为%Infant-care behaviors exhibited toward 0 -6 month-old infants of a provisioned group of Sichuan snub-nosed monkey in Shennongjia National Nature Reserve

    Institute of Scientific and Technical Information of China (English)

    罗芳; 陈九屹; 蔚培龙; 鲍伟东

    2011-01-01

    与其它哺乳动物相比,灵长类动物的一个最典型的特征就是婴儿在出生之后完全没有独立生活能力,处于这个时期的动物非常软弱( Nicolson,1987).在这段发育期内,必须依靠社群内成年或亚成年个体的照顾才能顺利存活,尤其是来自母亲的照顾,母亲通过哺乳提供给它们成长所需要的营养,并通过限制行为实施保护,同时教会婴儿基本的生存技能,为今后能更好地融入社群做好充足准备(Gould,1977).%Detailed observations of female primate infant care are important for clearly understanding maternal behavior and the behavioral development of the infant. From March to November 2009, field observations of maternal behaviors toward 0-6 month-old infants of a provisioned Sichuan Snub-nosed monkey group were conducted using objective animal sampling, point-recording and whole event recording methods at Dalongtan, Shennongjia National Nature Reserve of Hubei Province. Of all of the mother-infant behaviors observed maternal carrying behavior occurred most frequently, followed by breast-feeding, hugging, grooming, and restraining. Restraining behavior between provision and non-provision periods was significantly different and reached a higher peak in 2- and 3-month-old infants. Maternal carrying, hugging, and grooming behaviors gradually decreased as infants aged. Maternal care behaviors in this provisioned group of Snub-nosed monkey were similar to those in other populations and no independent behavioral evolution resulted from geographical segregation between these populations.

  7. 山西省城市0~6个月龄婴儿母乳喂养现状调查%0-6 month-old infants breastfed Investigation in urban areas in Shanxi

    Institute of Scientific and Technical Information of China (English)

    任丽丽; 朱玲; 杨建平

    2016-01-01

    Objective To investigate the status and influencing factors of breastfeeding among infants of 0 to 6 months in urban areas in Shanxi,to increase the rate of breastfeeding.Methods A total of urban infants aged 0 -6 months were selected and their mothers were investigated by the questionnaire on site.Results A total of 4 868 urban infants aged 0 -6 months and their mothers were investigated.The rate of breastfeeding was 64.60%,the rate of mixed feeding was 27.90%,the rate of artificial feeding was 7.40%.The infants′mother′s age,culture level, the way of delivery(natural labor,dystocia,cesarean delivery),the situation of the nipple(normal,flat,concave), nutritional status during pregnancy,mother's self awareness of the amount of breasts supply(enough,not enough)were associated with breastfeeding(χ2 =62.367,25.021,67.419,60.941,16.675,8.241,3.081,all P <0.05 or P <0.01).Conclusion The corresponding measures should be taken according to the factors affecting breastfeeding in order to improve the rate of breastfeeding.%目的:了解目前山西省城市0~6个月龄婴儿母乳喂养现状及影响母乳喂养因素,提高母乳喂养率。方法采用现场问卷对城市0~6个月龄婴儿母乳喂养状况进行调查,对调查结果进行统计学分析。结果共调查0~6月龄婴儿及母亲4868例,母乳喂养率为64.60%,混合喂养率27.90%,人工喂养率7.40%。母乳喂养与婴儿母亲年龄、文化程度、分娩方式(顺产、难产、剖宫产)、乳头情况(正常、扁平、凹陷)、孕期营养状况、母亲自觉奶量(充足、不足)有关,差异均有统计学意义(χ2=62.367、25.021、67.419、60.941、16.675、8.241、3.081,均 P <0.05或 P <0.01)。结论应针对影响母乳喂养的因素采取相应措施,提高母乳喂养率。

  8. Multifocal hepatoblastoma in a 6-month-old girl with trisomy 18: a case report

    Directory of Open Access Journals (Sweden)

    Kitanovski Lidija

    2009-06-01

    Full Text Available Abstract Introduction Edward's syndrome (trisomy 18 is a rare entity with a reported incidence of 1/3000 to 1/7000 births. Less than 10% of patients survive beyond the first year of life, which may influence the fact that malignant tumors are rarely reported in association with this syndrome. Case presentation The authors report a rare case of a 6-month-old girl with trisomy 18 and multifocal hepatoblastoma. The course of the disease, autopsy results and review of the literature are presented. Conclusion Our case represents the seventh published case of hepatoblastoma in a patient with trisomy 18. All of the seven published cases were women, possibly due to the high preponderance of females among the children with Edward's syndrome and longer survival of females with trisomy 18 compared to males. Since both trisomy 18 and hepatoblastoma are rare conditions, the probability that a child with trisomy 18 will independently develop a hepatoblastoma is very low. Therefore, we believe that the existence of these cases in children with trisomy 18 indicates a significant association. It can be assumed that trisomy 18 potentiates the development of hepatoblastoma. Careful clinical and post-mortem studies are needed to recognize the real frequency of hepatoblastoma in children with trisomy 18, who might die from different causes with unrecognizable hepatoblastoma.

  9. Adipsia and hypernatraemia in a 6-month-old Staffordshire bull terrier

    Directory of Open Access Journals (Sweden)

    Vanessa McClure

    2013-02-01

    Full Text Available A 6-month-old female Staffordshire bull terrier cross presented to the Onderstepoort Veterinary Academic Hospital with lethargy, weakness, decreased appetite, abnormal vocalisation, twitching of the facial muscles and ears, circling, alopecia, pruritus, seborrhoea sicca and erythema. Serum biochemistry revealed severe hypernatraemia (200.4 mmol/L; Reference Interval 140 mmol/L – 155 mmol/L. Treatment required careful administration of intravenous fluids. The electrolytes were monitored to ensure slow and controlled sodium normalisation (the target reduction of Na concentration was by 0.5 mmol/L/h –1 mmol/L/h or 12 mmol/L/24 h – 24 mmol/L/24 h. Despite the careful fluid calculations and close monitoring, the serum sodium levels dropped more than the recommended 0.5 mmol/L/h – 1 mmol/L/h in the first 4 h and the fluids had to be adjusted. The patient’s habitus improved and the central nervous system signs started to resolve after 1 day of fluid treatment. The puppy started eating food mixed with water, but made no attempt to drink water. The pruritus and erythema resolved once the sodium levels normalised and the seborrhoea sicca began to resolve. At a follow up visit 20 days post discharge the skin was normal. A diagnosis of hypernatraemia as a result of pure water loss due to hypodipsia or adipsia was made, as the puppy made no attempt to drink water when her serum sodium levels increased (a strong thirst stimulus. Hypernatraemia recurred if she was not forced to take in adequate amounts of water mixed with her food. Dermatological changes such as seborrhoea, hyperkeratosis and alopecia have been reported in a few other cases of hypernatraemia in dogs and sodium levels should be investigated in dermatological patients when no other cause can be established. This study, supported by another retrospective study done in 2008, suggests that the Staffordshire bull terrier may be a breed that is predisposed to hypernatraemia.

  10. An unusual form of localized papulonodular cutaneous histiocytosis in a 6-month-old boy.

    Science.gov (United States)

    van Haselen, C W; Toonstra, J; den Hengst, C W; van Vloten, W A

    1995-09-01

    We report a 6-month-old boy with an unusual form of cutaneous histiocytosis. The lesions were noticed shortly after birth, and there was no evidence of systemic disease. This histiocytic disorder could not be classified according to the Histiocyte Society classification, and was therefore designated an 'unclassified' group II histiocytic disorder. The clinical picture was characterized by dark-red papulonodules with a tendency to coalesce into plaques. Histologically, the infiltrate was characterized by non-epidermotropic histiocytes showing varying degrees of differentiation, eosinophils and lymphocytes, and by the absence of foamy cells and Touton giant cells. As a most conspicuous feature, electron microscopic examination revealed laminated dense bodies, whereas Birbeck granules and comma-shaped bodies were absent. This further distinguished this uncommon variant from the well-known class II histiocytoses. During a 6-month follow-up period all the lesions showed marked regression.

  11. Protecting Against the Flu: Advice for Caregivers of Children Less than 6 Months Old. Fact Sheet

    Science.gov (United States)

    Centers for Disease Control and Prevention, 2007

    2007-01-01

    Research has shown that children less than 5 years of age are at high risk of serious flu-related complications. It is estimated that more than 20,000 children less than 5 years old are hospitalized due to flu each year in the U.S. Many more have to go to a doctor, an urgent care center, or the emergency room because of flu. Complications from the…

  12. Importance of back blow maneuvers in a 6 month old patient with sudden upper airway obstruction.

    Science.gov (United States)

    Gencpinar, Pinar; Duman, Murat

    2015-12-01

    Foreign body aspiration in children under four years old is one of the most frequently observed reasons for accident related deaths. It is more common in this age group due to inadequate swallowing functions and exploration of objects with the mouth. The most frequently encountered foreign bodies are food and toy parts. Life threatening complete laryngeal obstruction is rarely observed. Dyspnea, hypersalivation, cough and cyanosis can be seen. The basic and life-saving treatment approach is complete removal of foreign body maneuvers in the sudden onset of total obstruction. Here we report a six-month old male, who ingested a foreign body and was treated with back blow maneuvers successfully. In this case we emphasized the importance of back blow maneuvers. PMID:27239623

  13. Treatment of the Developmental Dysplasia of the Hip with an Abduction Brace in Children up to 6 Months Old

    Directory of Open Access Journals (Sweden)

    Raphaël Wahlen

    2015-01-01

    Full Text Available Introduction. Use of Pavlik harness for the treatment of DDH can be complicated for parents. Any misuse or failure in the adjustments may lead to significant complications. An abduction brace was introduced in our institution, as it was thought to be easier to use. Aim. We assess the results for the treatment of DDH using our abduction brace in children of 0–6 months old and compare these results with data on treatments using the Pavlik harness. Method. Retrospective analysis of patients with DDH from 0 to 6 months old at diagnosis, performed from 2004 to 2009. Outcomes were rates of reduction of the hip and avascular necrosis of the femoral head (AVN. Follow-up was at one year and up to 4 years old. Results. Hip reduction was successful in 28 of 33 patients (85%, with no AVN. Conclusion. Our results in terms of hip reduction rate and AVN rate are similar to those found in literature assessing Pavlik harness use, with a simpler and comfortable treatment procedure.

  14. Inflammatory myofibroblastic tumor of the pancreatic head – a case report of a 6 months old child and review of the literature

    International Nuclear Information System (INIS)

    Inflammatory myofibroblastic tumors are rare in the pediatric population. Most common localizations were reported in the lungs. A localization in the pancreas needs differentiation from other tumors and chronic pancreatitis. Treatment is surgical resection, although there are reports of treatment with oral steroids and radiation therapy. A 6-month-old child was treated due to a tumor in the head of the pancreas. On admission he was jaundiced with pruritus. US and MRI confirmed pancreatic tumor. Preoperative biopsy wasn’t conclusive regarding the nature of the tumor. Duodenopancreatectomy was performed. Postoperative course was uneventful. Histologic examination confirmed the diagnosis of inflammatory myofibroblastic tumor. On follow up, he remained with no evidence of recurrence. A literature review revealed 10 cases of pancreatic inflammatory myofibroblastic tumors in the pediatric age group. Our patient is the youngest reported. Despite major resection, there were no complications. However, management of this child might be possible with steroids, but conservative treatment might be insufficient, especially in aggressive forms of tumors

  15. The Rhythmic, Sonorous and Melodic Components of Adult-Child-Object Interactions Between 2 and 6 Months Old.

    Science.gov (United States)

    Moreno-Núñez, Ana; Rodríguez, Cintia; Del Olmo, María Jesús

    2015-12-01

    Adults mediate the relationship between material reality and children, according to functional units of cultural relevance. This paper explores early development of semiotic systems in infants, analyzing rhythmic, sonorous and melodic components, which enable adult-child interaction with and about objects. The triads (with sonorous and non-sonorous objects) was studied longitudinally at age 2, 4 and 6 months. We propose that rhythmic, sonorous and melodic components conformed one of the basic semiotic systems upon the adult's action relies (through gestures and uses of objects) in order to segment and organize objects in the world. Likewise, children actively respond to these presentations and seek sounds for themselves when they are able to interact with the object more autonomously. PMID:25715826

  16. [Intraoperative fluid therapy in infants with congestive heart failure due to intracranial pial arteriovenous fistula].

    Science.gov (United States)

    Arroyo-Fernández, F J; Calderón-Seoane, E; Rodríguez-Peña, F; Torres-Morera, L M

    2016-05-01

    Pial arteriovenous fistula is a rare intracranial congenital malformation (0.1-1: 100,000). It has a high blood flow between one or more pial arteries and drains into the venous circulation. It is usually diagnosed during the childhood by triggering an intracranial hypertension and/or congestive heart failure due to left-right systemic shunt. It is a rare malformation with a complex pathophysiology. The perioperative anaesthetic management is not well established. We present a 6-month-old infant diagnosed with pial arteriovenous fistula with hypertension and congestive heart failure due to left-right shunt. He required a craniotomy and clipping of vascular malformation. Anaesthetic considerations in patients with this condition are a great challenge. It must be performed by multidisciplinary teams with experience in paediatrics. The maintenance of blood volume during the intraoperative course is very important. Excessive fluid therapy can precipitate a congestive heart failure or intracranial hypertension, and a lower fluid therapy may cause a tissue hypoxia due to the bleeding.

  17. Unusual pediatric co-morbility: autoimmune thyroiditis and cortico-resistant nephrotic syndrome in a 6-month-old Italian patient

    Directory of Open Access Journals (Sweden)

    Urbano Flavia

    2012-10-01

    Full Text Available Abstract We report on a case of autoimmune thyroiditis in a 6-month-old patient with cortico-resistant nephrotic syndrome. Normal serum levels of thyroid hormons and thyroid-stimulating hormone were detected with high titers of circulant antithyroid antibodies and a dysomogeneous ultrasound appearance of the gland, typical of autoimmune thyroiditis. The research of maternal thyroid antibodies was negative. This is the first case of autoimmune thyroiditis found in such a young patient with pre-existing nephrotic syndrome ever described in literature. This association is random because nephrotic syndrome does not have an autoimmune pathogenesis and the genes involved in autoimmune thyroiditis are not related to those of nephrotic syndrome.

  18. Classical swine fever virus infection modulates serum levels of INF-α, IL-8 and TNF-α in 6-month-old pigs.

    Science.gov (United States)

    von Rosen, T; Lohse, L; Nielsen, J; Uttenthal, Å

    2013-12-01

    Several studies have highlighted the important role of cytokines in disease development of classical swine fever virus (CSFV) infection. In the present study, we examined the kinetics of 7 porcine cytokines in serum from pigs infected with 3 different CSFV strains. Based on the clinical picture in 6-month-old Danish pigs, the strains used for inoculation were classified as being of low (Bergen), low to moderate (Eystrup) and moderate to high (Lithuania) virulence. The cytokines interferon-alpha (INF-α), interleukin-8 (IL-8) and tumor necrosis factor-alpha (TNF-α) showed increased levels after CSFV infection with more or less comparable course in the 3 groups. However, the cytokine level peaked with a 2-3 days delay in pigs infected with the low virulent strain compared to those infected with a moderately or highly virulent strain. These findings may indicate that INF-α, IL-8 and TNF-α are involved in the immune response during CSFV infection with strains of different virulence.

  19. Extreme hypernatremic dehydration due to potential sodium intoxication: consequences and management for an infant with diarrhea at an urban intensive care unit in Bangladesh: a case report

    OpenAIRE

    Das, Sumon Kumar; Afroze, Farzana; Ahmed, Tahmeed; Faruque, Abu Syed Golam; Sarker, Shafiqul Alam; Huq, Sayeeda; Islam, M. Munirul; Shahrin, Lubaba; Matin, Fariha Bushra; Chisti, Mohammod Jobayer

    2015-01-01

    Introduction Hypernatremia (serum sodium ≥150mmol/L) is one of the most life-threatening complications of childhood diarrhea, and its management remains challenging, even in a highly advanced critical care setting. This case report describes the acute clinical course and 3-month neurological follow-up after discharge of an infant with extreme hypernatremia in an intensive care unit in Dhaka, Bangladesh. Case presentation A 6-month-old Asian Bangladeshi girl of middle-class socioeconomic statu...

  20. Disparities in Infant Mortality Due to Congenital Anomalies on Guam.

    Science.gov (United States)

    Noel, Jonathan K; Namazi, Sara; Haddock, Robert L

    2015-12-01

    In the 1970's and 1980's, there were large inter-village disparities in infant mortality due to congenital anomalies on Guam. A village-level analysis was conducted to determine if these disparities can be explained by behavioral (ie, median age of village females, village fertility ratio), structural (ie, population density, persons per household, single mother households per village, married females per village), and environmental (ie, living in a village where Agent Orange (AO) spraying was conducted) factors. Village-level data for live births and infant mortality due to congenital anomalies (1970-1989) was collected from Guam's Office of Vital Statistics. Data on median age of village females, village fertility ratio, population density, persons per household, single mother households, and married females were obtained from the 1980 US Census. Estimates of village-level AO use were provided through personal communications, and villages were dichotomized into AO and non-AO spray areas. Village location was classified by usual residence of the mother. Linear regression was used to determine associations between infant mortality due to congenital anomalies and the behavioral, structural, and environmental factors. The association between AO spray area and infant mortality due to congenital anomalies was statistically significant under univariable (B [95%CI] = 1.88 [0.64,3.11], P = .005) and multivariable conditions (B [95%CI] = 2.02 [0.08,3.96], P = .042). These results suggest that infants born to mothers whose usual residence was in an AO spray area on Guam are at an increased risk of mortality due to congenital anomalies. Further studies using individual-level data are needed to validate these results.

  1. Number Sense in Human Infants

    Science.gov (United States)

    Xu, Fei; Spelke, Elizabeth S.; Goddard, Sydney

    2005-01-01

    Four experiments used a preferential looking method to investigate 6-month-old infants' capacity to represent numerosity in visual-spatial displays. Building on previous findings that such infants discriminate between arrays of eight versus 16 discs, but not eight versus 12 discs (Xu & Spelke, 2000), Experiments 1 and 2 investigated whether…

  2. Survey on the relationship between breastfeeding and anemia in 6-month-old child of flower town in Guangzhou%广州市花山镇6月龄婴儿母乳喂养与贫血关系的调查报告

    Institute of Scientific and Technical Information of China (English)

    李功基; 陈霞; 潘银友; 罗就馨; 范雪芬

    2016-01-01

    Objective:To investigate the relationship between breastfeeding and anemia in 6-month-old child of flower town in Guangzhou , as well as the relationship between feeding and anemia .Methods:1 180 infants of 6 months born and examined healthy in flower town from January 2011 to December 2014 were taken as the objective of the study .According to the difference in the way of feeding , all was divided into breast feed-ing group, artificial feeding group, and mixed feeding group.The relationship between different feeding patterns and anemia in infants was ob-served, with the rate of anemia and the mean value of hemoglobin between the three groups compared .And then the main factors of infants'anemia of six months were explored in flower town in Guangzhou .Results:The detection rate of anemia in breastfeeding was much lower than that in artifi-cial feeding and mixed feeding, and the difference was statistically significant ( P <0.01).The detection rate of anemia in mixed feeding was less than that in artificial feeding, with the difference statistically significant ( P <0.01) .The comparison of the mean value of hemoglobin between the three groups demonstrated that the mean value of hemoglobin in breastfeeding group was higher than that in mixed feeding group , and the mean value of hemoglobin in mixed feeding group was higher than that in artificial feeding, the difference statistically significant ( P <0.05).Anemia univariate analysis reflected that anemia of the mother, feeding patterns within6 months of infants, complementary feeding, and anemia of 6 -month-old infants were significantly associated .Multivariate Logistic regression analysis showed that risk factors in infants of 6 months were artifi-cial feeding patterns and anemia of the mother; and the addition of the milk and colostrum feeding formula was a protective factor for anemia of in-fants, the difference statistically significant ( P <0.01).Conclusion:Breastfeeding can reduce the prevalence of anemia in

  3. Motor Acquisition Rate in Brazilian Infants

    Science.gov (United States)

    Lopes, Virlaine Bardella; de Lima, Carolina Daniel; Tudella, Eloisa

    2009-01-01

    This study used the Alberta Infant Motor Scale (AIMS) with the aim of characterizing motor acquisition rate in 70 healthy 0-6-month-old Brazilian infants, as well as comparing both emergence (initial age) and establishment (final age) of each skill between the study sample and the AIMS normative data. New motor skills were continuously acquired…

  4. Infant formula increases bone turnover favoring bone formation

    Science.gov (United States)

    In the first year of life, the major infant food choices have traditionally been breast milk (BM), cow's milk formula (MF), or soy formula (SF). Studies examining the effects of infant formula on early life skeletal development are extremely limited. We have enrolled 120 healthy 6-month-old infants ...

  5. Brain ultrasonographic findings of late-onset circulatory dysfunction due to adrenal insufficiency in preterm infants

    OpenAIRE

    Su-Mi Shin; Jee Won Chai

    2016-01-01

    Purpose: The aim of this study was to characterize the brain ultrasonographic findings of late-onset circulatory dysfunction (LCD) due to adrenal insufficiency (AI) in preterm infants. Methods: Among the 257 preterm infants born at

  6. Determinants of Anger in Young Infants: The Effect of Loss of Control.

    Science.gov (United States)

    Sullivan, Margaret W.; Lewis, Michael

    This study examined the effect of different types of loss of control on the quality and quantity of the frustration response in 4- to 6-month-old infants. To establish an expectancy, all infants received 4 minutes of contingency training in which infants were presented with slides and music after they performed a pulling response with their right…

  7. Behavior of Mothers and Infants with and without Down Syndrome during the Still-Face Procedure

    Science.gov (United States)

    Moore, Derek G.; Oates, John M.; Goodwin, Julia; Hobson, R. Peter

    2008-01-01

    There has been limited study of how the constitutional characteristics of infants with Down syndrome (DS) influence the patterning of their relations with caregivers. To assess natural and perturbed interactions between infants with DS and their mothers, we tested ten 6-month-old infants with DS and 20 typically developing (TD) 4-month-old of…

  8. Primary Amoebic Meningoencephalitis in an Infant due to Naegleria fowleri

    Directory of Open Access Journals (Sweden)

    Vinay Khanna

    2011-01-01

    Full Text Available Primary amoebic meningoencephalitis (PAM caused by free-living amebae Naegleria fowleri is a rare and fatal condition. A fatal case of primary amoebic meningoencephalitis was diagnosed in a 5-month-old infant who presented with the history of decrease breast feeding, fever, vomiting, and abnormal body movements. Trophozoites of Naegleria fowleri were detected in the direct microscopic examination of CSF and infant was put on amphotericin B and ceftazidime. Patient condition deteriorated, and he was discharged against medical advice and subsequently expired. We also reviewed previously reported 8 Indian cases of primary amoebic meningoencephalitis (PAM and observed that for the last 5 years, none of the patients responded to amphotericin B. Has an era of amphotericin B-resistant Naegleria fowleri been emerged? Management strategy of PAM needs to be reviewed further.

  9. Brain ultrasonographic findings of late-onset circulatory dysfunction due to adrenal insufficiency in preterm infants

    Science.gov (United States)

    2016-01-01

    Purpose: The aim of this study was to characterize the brain ultrasonographic findings of late-onset circulatory dysfunction (LCD) due to adrenal insufficiency (AI) in preterm infants. Methods: Among the 257 preterm infants born at AI. Brain ultrasonographic findings were retrospectively analyzed before and after LCD in 14 preterm infants, after exclusion of the other 21 infants with AI due to the following causes: death (n=2), early AI (n=5), sepsis (n=1), and patent ductus arteriosus (n=13). Results: Fourteen of 257 infants (5.4%) were diagnosed with LCD due to AI. The age at LCD was a median of 18.5 days (range, 9 to 32 days). The last ultrasonographic findings before LCD occurred showed grade 1 periventricular echogenicity (PVE) in all 14 patients and germinal matrix hemorrhage (GMH) with focal cystic change in one patient. Ultrasonographic findings after LCD demonstrated no significant change in grade 1 PVE and no new lesions in eight (57%), grade 1 PVE with newly appearing GMH in three (21%), and increased PVE in three (21%) infants. Five infants (36%) showed new development (n=4) or increased size (n=1) of GMH. Two of three infants (14%) with increased PVE developed cystic periventricular leukomalacia (PVL) and rapid progression to macrocystic encephalomalacia. Conclusion: LCD due to AI may be associated with the late development of GMH, increased PVE after LCD, and cystic PVL with rapid progression to macrocystic encephalomalacia. PMID:27156563

  10. Severe methemoglobinemia due to food intoxication in infants.

    Science.gov (United States)

    Murone, Anne-Joëlle Bosset; Stucki, Pascal; Roback, Mark G; Gehri, Mario

    2005-08-01

    The purpose of this case report is to illustrate food intoxication in infants as a consequence of fennel ingestion. Four cases of methemoglobinemia (MetHb) are presented here. Each patient ate homemade fennel purée a few hours prior to arriving to the emergency department with cyanosis unresponsive to oxygen, in the absence of suspected cyanotic heart disease. All 4 patients received treatment with methylene blue and fully recovered. Our cases emphasize that improper handling and storing of vegetables can lead to life-threatening MetHb.

  11. Gaze Behavior and Affect at 6 Months: Predicting Clinical Outcomes and Language Development in Typically Developing Infants and Infants at Risk for Autism

    Science.gov (United States)

    Young, Gregory S.; Merin, Noah; Rogers, Sally J.; Ozonoff, Sally

    2009-01-01

    This paper presents follow-up longitudinal data to research that previously suggested the possibility of abnormal gaze behavior marked by decreased eye contact in a subgroup of 6-month-old infants at risk for autism (Merin, Young, Ozonoff & Rogers, 2007). Using eye-tracking data and behavioral data recorded during a live mother-infant interaction…

  12. Brain ultrasonographic findings of late-onset circulatory dysfunction due to adrenal insufficiency in preterm infants

    Directory of Open Access Journals (Sweden)

    Su-Mi Shin

    2016-07-01

    Full Text Available Purpose: The aim of this study was to characterize the brain ultrasonographic findings of late-onset circulatory dysfunction (LCD due to adrenal insufficiency (AI in preterm infants. Methods: Among the 257 preterm infants born at <33 weeks of gestation between December 2009 and February 2014 at our institution, 35 preterm infants were diagnosed with AI. Brain ultrasonographic findings were retrospectively analyzed before and after LCD in 14 preterm infants, after exclusion of the other 21 infants with AI due to the following causes: death (n=2, early AI (n=5, sepsis (n=1, and patent ductus arteriosus (n=13. Results: Fourteen of 257 infants (5.4% were diagnosed with LCD due to AI. The age at LCD was a median of 18.5 days (range, 9 to 32 days. The last ultrasonographic findings before LCD occurred showed grade 1 periventricular echogenicity (PVE in all 14 patients and germinal matrix hemorrhage (GMH with focal cystic change in one patient. Ultrasonographic findings after LCD demonstrated no significant change in grade 1 PVE and no new lesions in eight (57%, grade 1 PVE with newly appearing GMH in three (21%, and increased PVE in three (21% infants. Five infants (36% showed new development (n=4 or increased size (n=1 of GMH. Two of three infants (14% with increased PVE developed cystic periventricular leukomalacia (PVL and rapid progression to macrocystic encephalomalacia. Conclusion: LCD due to AI may be associated with the late development of GMH, increased PVE after LCD, and cystic PVL with rapid progression to macrocystic encephalomalacia.

  13. 父母受教育水平对婴儿早期智能发育的影响%The Effect of the Parent's Education on the Early Intellectual Development of infants

    Institute of Scientific and Technical Information of China (English)

    张朝; 于宗富

    2002-01-01

    Objective: To study the effect of parent's education on the early intellectual development of infants. Methods: A total of 3,000 infants in a general hospital were sampled and divided into three groups: 3-month-old, 6-month-old and 9-month-old. All of the infants were tested with DST. Results: The parent's education was shown to have a significant effect on the intellectual development of 6-month-old and 9-month-old infants. The better education the parents had, the brighter the infants were. Conclusions: The parent's education had significant effect on the baby's early intelligence development.

  14. Spinal Epidural Hematoma Following Cupping Glass Treatment in an Infant With Hemophilia A.

    Science.gov (United States)

    Fruchtman, Yariv; Dardik, Rima; Barg, Assaf Arie; Livnat, Tami; Feldman, Zeev; Rubinstein, Marina; Grinberg, Gahl; Rosenberg, Nurit; Kenet, Gili

    2016-06-01

    A 6 months old infant, diagnosed with a rare mutation causing severe hemophilia A, presented with spinal epidural hematoma. Parents later admitted the infant had glass cupping therapy performed within 2 weeks of the onset of symptoms. The rare mutation, rare bleeding complication, and the eventual course of therapy applied in this case will be discussed in our case report.

  15. Fungemia due to Kodamaea ohmeri in a young infant and review of the literature.

    Science.gov (United States)

    Vivas, Rosalba; Beltran, Claudia; Munera, Maria Isabel; Trujillo, Monica; Restrepo, Andrea; Garcés, Carlos

    2016-09-01

    Fungal infections have become an important cause of morbidity and mortality in hospitalized children due to many complicating and underlying conditions. We present the case of a newborn infant with fungemia due to Kodamaea ohmeri who had a good outcome of the infection after using the combination of antifungal treatment and central venous catheter removal. PMID:27630816

  16. Developmental Changes in Infant Attention to Dynamic and Static Stimuli

    Science.gov (United States)

    Shaddy, D. Jill; Colombo, John

    2004-01-01

    This study examined 4- and 6-month-olds' responses to static or dynamic stimuli using behavioral and heart-rate-defined measures of attention. Infants looked longest to dynamic stimuli with an audio track and least to a static stimulus that was mute. Overall, look duration declined with age to the different stimuli. The amount of time spent in…

  17. Severe hypoglycemic encephalopathy due to hypoallergenic formula in an infant.

    Science.gov (United States)

    Ogawa, Erika; Ishige, Mika; Takahashi, Yuno; Kodama, Hiroko; Fuchigami, Tatsuo; Takahashi, Shori

    2016-08-01

    A 7-month-old girl was brought to hospital due to vomiting. Upon admission, she was in a convulsive state and stupor with extremely low blood glucose. Head computed tomography showed brain edema, and comprehensive treatment for acute encephalopathy was initiated immediately. Severe hypoglycemia, metabolic acidosis, elevation of ammonia and serum transaminases and creatine kinase suggested metabolic decompensation. Infusion of a high-glucose solution containing vitamins, biotin, and l-carnitine resolved the metabolic crisis quickly, but brain damage was irreversible. She was found to have been fed exclusively on a hypoallergenic formula (HF) for 7 months, although she was found later to be non-allergic. Evidence of inborn metabolic diseases was absent, therefore biotin deficiency and carnitine deficiency were concluded to be a consequence of reliance on a HF for a prolonged period. Health-care professionals should warn parents of the consequences of using HF. PMID:27324861

  18. Do Verbal Interactions with Infants during Electronic Media Exposure Mitigate Adverse Impacts on Their Language Development as Toddlers?

    Science.gov (United States)

    Mendelsohn, Alan L.; Brockmeyer, Carolyn A.; Dreyer, Benard P.; Fierman, Arthur H.; Berkule-Silberman, Samantha B.; Tomopoulos, Suzy

    2010-01-01

    The goal of this study was to determine whether verbal interactions between mothers and their 6-month-old infants during media exposure ("media verbal interactions") might have direct positive impacts, or mitigate any potential adverse impacts of media exposure, on language development at 14 months. For 253 low-income mother-infant dyads…

  19. Red to Green or Fast to Slow? Infants' Visual Working Memory for "Just Salient Differences"

    Science.gov (United States)

    Kaldy, Zsuzsa; Blaser, Erik

    2013-01-01

    In this study, 6-month-old infants' visual working memory for a static feature (color) and a dynamic feature (rotational motion) was compared. Comparing infants' use of different features can only be done properly if experimental manipulations to those features are equally salient (Kaldy & Blaser, 2009; Kaldy, Blaser, & Leslie,…

  20. Virulence of pertactin-negative Bordetella pertussis isolates from infants, France.

    Science.gov (United States)

    Bodilis, Hélène; Guiso, Nicole

    2013-03-01

    Bordetella pertussis isolates that do not express pertactin (PRN) are increasing in regions where acellular pertussis vaccines have been used for >7 years. We analyzed data from France and compared clinical symptoms among infants <6 months old infected by PRN-positive or PRN-negative isolates. No major clinical differences were found between the 2 groups.

  1. Estimation of the dose to the nursing infant due to direct irradiation from activity present in maternal organs and tissues

    International Nuclear Information System (INIS)

    ) due to the incorporation of 1 Bq of a radionuclide by the mother. This information may be used to provide external dose estimates to the infant in the case of a known or suspected radionuclide incorporation by the mother due to, for example, a nuclear medicine procedure. (authors)

  2. Gaze Behavior and Affect at 6-Months: Predicting Clinical Outcomes and Language Development in Typically Developing Infants and Infants At-Risk for Autism

    OpenAIRE

    Young, Gregory S.; Merin, Noah; Rogers, Sally J.; Ozonoff, Sally

    2009-01-01

    This paper presents follow-up longitudinal data to research that previously suggested the possibility of abnormal gaze behavior marked by decreased eye contact in a subgroup of 6-month-old infants at risk for autism (Merin et al., 2007). Using eye-tracking data and behavioral data recorded during a live mother-infant interaction involving the still-face procedure, the predictive utility of gaze behavior and affective behaviors at 6 months was examined using diagnostic outcome data obtained lo...

  3. Hemoglobin cut-off values in healthy Turkish infants

    Institute of Scientific and Technical Information of China (English)

    Ahmet Arvas; Emel Gür; DurmuşDoğan

    2014-01-01

    Background: Anemia is a widespread public health problem associated with an increased risk of morbidity and mortality. This study was undertaken to determine the cut-off value of hemoglobin for infant anemia. Methods: A cross-sectional retrospective study was carried out at well-baby clinics of a tertiary care hospital. A total of 1484 healthy infants aged between 4 to 24 months were included in the study. The relationship of hemoglobin (Hb) levels with mother age, birth weight, weight gain rate, feeding, and gender was evaluated. Results: The Hb levels were assessed in four age groups (4 months, 6 months, 9-12 months, and 15-24 months) and the cut-off values of Hb were determined. Hb cut-off values (5th percentile for age) were detected as 97 g/L and 93 g/L at 4 months and 6 months, respectively. In older infants, the 5th percentile was 90.5 g/L and 93.4 g/L at 9-12 months and 15-24 months, respectively. The two values were lower than the World Health Organization criteria for anemia, which could partly due to the lack of information on iron status in our population. However, this difference highlights the need for further studies on normal Hb levels in healthy infants in developing countries. Hb levels of females were higher in all age groups; however, a statistically significant difference was found in gender in only 6 month-old infants. No statistically significant difference was found among Hb levels, mother's age, birth weight, weight gain rate, and nutritional status. Conclusion: Hb cut-off values in infants should be re-evaluated and be compatible with growth and development of children in that community.

  4. Cortical Activation to Action Perception is Associated with Action Production Abilities in Young Infants

    OpenAIRE

    Lloyd-Fox, Sarah; Wu, Rachel; RICHARDS, JOHN E.; Elwell, Clare E; Johnson, Mark H.

    2013-01-01

    The extent to which perception and action share common neural processes is much debated in cognitive neuroscience. Taking a developmental approach to this issue allows us to assess whether perceptual processing develops in close association with the emergence of related action skills within the same individual. The current study used functional near-infrared spectroscopy (fNIRS) to investigate the perception of human action in 4- to 6-month-old human infants. In addition, the infants' manual ...

  5. Bacteremia due to Acinetobacter ursingii in infants: Reports of two cases

    Science.gov (United States)

    Yakut, Nurhayat; Kepenekli, Eda Kadayifci; Karaaslan, Ayse; Atici, Serkan; Akkoc, Gulsen; Demir, Sevliya Ocal; Soysal, Ahmet; Bakir, Mustafa

    2016-01-01

    Acinetobacter ursingii is an aerobic, gram-negative, opportunistic microorganism which is rarely isolated among Acinetobacter species. We present two immunocompetent infants who developed bacteremia due to A. ursingii. The first patient is a two -month- old boy who had been hospitalized in pediatric surgery unit for suspected tracheo-esophageal fistula because of recurrent aspiration pneumonia unresponsive to antibiotic therapy. The second patient is a fourteen -month- old boy with prolonged vomiting and diarrhea. A. ursingii was isolated from their blood cultures. They were successfully treated with ampicillin-sulbactam. Although A. ursingii has recently been isolated from a clinical specimen; reports of infection with A. ursingii in children are rare. A. ursingii should be kept in mind as an opportunistic microorganism in children. PMID:27347282

  6. Maternal Posttraumatic Stress Symptoms and Infant Emotional Reactivity and Emotion Regulation

    Science.gov (United States)

    Enlow, Michelle Bosquet; Kitts, Robert L.; Blood, Emily; Bizarro, Andrea; Hofmeister, Michelle; Wright, Rosalind J.

    2011-01-01

    The current study examined associations between maternal posttraumatic stress disorder (PTSD) symptoms and infant emotional reactivity and emotion regulation during the first year of life in a primarily low-income, urban, ethnic/racial minority sample of 52 mother-infant dyads. Mothers completed questionnaires assessing their own trauma exposure history and current PTSD and depressive symptoms and their infants’ temperament when the infants were 6 months old. Dyads participated in the repeated Still-Face Paradigm (SFP-R) when the infants were 6 months old, and infant affective states were coded for each SFP-R episode. Mothers completed questionnaires assessing infant trauma exposure history and infant current emotional and behavioral symptoms when the infants were 13 months old. Maternal PTSD symptoms predicted infants’ emotion regulation at 6 months as assessed by (a) infant ability to recover from distress during the SFP-R and (b) maternal report of infant rate of recovery from distress/arousal in daily life. Maternal PTSD symptoms also predicted maternal report of infant externalizing, internalizing, and dysregulation symptoms at 13 months. Maternal PTSD was not associated with measures of infant emotional reactivity. Neither maternal depressive symptoms nor infant direct exposure to trauma accounted for the associations between maternal PTSD symptoms and infant outcomes. These findings suggest that maternal PTSD is associated with offspring emotion regulation difficulties as early as infancy. Such difficulties may contribute to increased risk of mental health problems among children of mothers with PTSD. PMID:21862136

  7. Maternal and Paternal Plasma, Salivary, and Urinary Oxytocin and Parent-Infant Synchrony: Considering Stress and Affiliation Components of Human Bonding

    Science.gov (United States)

    Feldman, Ruth; Gordon, Ilanit; Zagoory-Sharon, Orna

    2011-01-01

    Studies in mammals have implicated the neuropeptide oxytocin (OT) in processes of bond formation and stress modulation, yet the involvement of OT in human bonding throughout life remains poorly understood. We assessed OT in the plasma, saliva, and urine of 112 mothers and fathers interacting with their 4-6-month-old infants. Parent-infant…

  8. Study of community-based intervention on early education caregivers attitude in 0 ~ 6 months old infants%0~6月龄婴儿早期教育综合干预模式对看护人态度的影响

    Institute of Scientific and Technical Information of China (English)

    何红; 曾芳芳; 朱明范; 陈慧; 石英英; 陈亚英; 江明; 郭丽

    2011-01-01

    [Objective] Community as a link, to study community-based intervention on early education'caregivers attitude change. [Methods] 422 newborns selected from November 2009 to March 2010, were divided into intervention group (202) and control group (220). Both groups were given basic health services. In addition, the intervention group were given comprehensive intervention program. Intervention period lasted 6-month. Caregivers knowledge, attitude and behavior change were compared before and after intervention. [Result] Caregivers increased frequency of listening music and movement training significantly, and parents actively participated in other early education course in intervention group. [Conclusion] Early community-based comprehensive intervention can obviously promote caregivers mothering knowledge, attitude and behavior.%目的 以社区家庭为纽带,了解立足社区的婴儿早期教育的综合干预模式对看护人教养态度的影响 方法 选择2009年11月-2010年3月出生的新生儿422人,干预组202人,对照组220人 两组婴儿均给予基本的儿童保健服务,干预组在此基础上给予自行设计的早期教育综合干预方案,干预为期6个月,比较综合干预前后两组看护人的育儿知识、态度、行为的变化情况 结果 干预组看护者明显增加了婴儿听音乐及动作训练的频率,并主动参与其他早教课程 结论 对看护人进行早期教育综合干预,可明显改善看护人的育儿知识、态度和行为.

  9. The neuropsychology of infants' pro-social preferences.

    Science.gov (United States)

    Gredebäck, Gustaf; Kaduk, Katharina; Bakker, Marta; Gottwald, Janna; Ekberg, Therese; Elsner, Claudia; Reid, Vincent; Kenward, Ben

    2015-04-01

    The current study is the first to investigate neural correlates of infants' detection of pro- and antisocial agents. Differences in ERP component P400 over posterior temporal areas were found during 6-month-olds' observation of helping and hindering agents (Experiment 1), but not during observation of identically moving agents that did not help or hinder (Experiment 2). The results demonstrate that the P400 component indexes activation of infants' memories of previously perceived interactions between social agents. This leads to suggest that similar processes might be involved in infants' processing of pro- and antisocial agents and other social perception processes (encoding gaze direction, goal directed grasping and pointing).

  10. 214例婴儿缺铁性贫血的特点及其相关因素分析%Analysis on Features and Related Factors of Iron Deficiency Anemia in 214 Infants

    Institute of Scientific and Technical Information of China (English)

    李蕙; 周敏; 曹雪梅; 徐鸣; 李丹; 史宏

    2011-01-01

    Objective To analyze the clinical characteristics and the risk factors of iron deficiency anemia (IDA) in infants.Methods The retrospective study of clinical data involving 214 IDA inpatients aged 4- 12 months old in our hospital from January 2002 to June 2009 was carried out.Results Among 214 infantile cases, infants less than 6 months old accounted 12.62% and infants more than 6 months old accounted for 87.38%.Rural infants with IDA were more prevalent than city infants (61.21% vs.38.79% ).Most of these IDA infants had mild to moderate anemia degree (56.54% and 38.79% ), only 4.67% inpatients were severe anemia.The prevalence rate of IDA in infants with breast- feeding without food supplement on time was 29.44%, which was more than that in infants with artificial feeding and mixed feeding.Most of these infants were full term infants (89.25% ), while only 10.75% were premature or twins.Laboratory examination indicated serum iron decrease (49.06% ), ferritin decrease (56.07%) and serum transferrin receptor increase (33.33%).A hundred and eighty - four cases (85.98%) of these IDA infants were hospitalized because of varied complications such as respiratory infection.Conclusion Infants with IDA are more prevalent in rural infants more than 6 months old, in which the main cause is breast- feeding without food supplement on time.And IDA is often neglected because most of the patients could see a doctor due to complicating diseases.Prevention aiming at high risk groups, early diagnosis and early treatment are very important.%目的 分析医院婴儿缺铁性贫血的特点和相关危险因素.方法 回顾性分析儿童医院2002年1月至2009年6月收治的214例缺铁性贫血患儿的临床资料.结果 214例患儿中,6月龄以下占12.62%,6月龄以上占87.38%;农村患儿占61.21%,城市患儿占38.79% ;轻度贫血占56.54%,中度贫血占38.79%,重度贫血占4.67%;母乳喂养但未按时添加辅食者占29.44%;足月儿占89

  11. Acute liver failure due to Human Herpesvirus 6 in an infant

    Directory of Open Access Journals (Sweden)

    G.M. Tronconi

    2012-10-01

    Full Text Available We report a case of a 4-months infant with fever in the absence of other specific symptoms that has rapidly and unexpectedly developed acute liver failure (ALF with coagulopathy and complicated with bone marrow failure without encephalopathy. The main viral infection agents (hepatitis virus A, B, C, Citomegalovirus, Ebstain Barr virus, Parvovirus B19, Adenovirus, drug-induced hepatotoxicity and metabolic disorders associated to ALF were excluded. Quantitative determination of Human Herpesvirus 6 (HHV6 genome was positive with a significant number of copies for mL. A favorable evolution of the clinical symptoms and a progressive hematochemical resolution were obtained. Plasma and Vitamin K were administrated as a support therapy for treating coagulopathy. The present case report and the cases’ review from the literature, evidence the importance of always including screening for HHV6 infection in the diagnostic approach to acute onset of liver failure. HHV6 is a common virus in the pediatric population with a greater number of cases of fulminant viral non-A, non-B, non-C hepatitis in immunocompetent patients due to this virus: these forms have often a high mortality rate and maybe necessitate liver transplantation; for this reason correct etiological agent identification is mandatory for the prognosis and it has to be based on the quantitative search of the virus’s genome. Pathogenesis of liver-induced damage associated to HHV6 remains unclear; however in vitro studies demonstrate the potential hepatotoxicity effects of this virus.

  12. [Acute liver failure due to human herpesvirus 6 in an infant].

    Science.gov (United States)

    Tronconi, G M; Mariani, B; Pajno, R; Fomasi, M; Cococcioni, L; Biffi, V; Bove, M; Corsin, P; Garbetta, G; Barera, G

    2012-01-01

    We report a case of a 4-months infant with fever in the absence of other specific symptoms that has rapidly and unexpectedly developed acute liver failure (ALF) with coagulopathy and complicated with bone marrow failure without encephalopathy. The main viral infection agents (hepatitis virus A, B, C, Citomegalovirus, Ebstain Barr virus, Parvovirus B19, Adenovirus), drug-induced hepatotoxicity and metabolic disorders associated to ALF were excluded. Quantitative determination of Human Herpesvirus 6 (HHV6) genome was positive with a significant number of copies for mL. A favorable evolution of the clinical symptoms and a progressive hematochemical resolution were obtained. Plasma and Vitamin K were administrated as a support therapy for treating coagulopathy. The present case report and the cases' review from the literature, evidence the importance of always including screening for HHV6 infection in the diagnostic approach to acute onset of liver failure. HHV6 is a common virus in the pediatric population with a greater number of cases of fulminant viral non-A, non-B, non-C hepatitis in immunocompetent patients due to this virus: these forms have often a high mortality rate and maybe necessitate liver transplantation; for this reason correct etiological agent identification is mandatory for the prognosis and it has to be based on the quantitative search of the virus's genome. Pathogenesis of liver-induced damage associated to HHV6 remains unclear; however in vitro studies demonstrate the potential hepatotoxicity effects of this virus. PMID:23342747

  13. Social looking, social referencing and humor perception in 6- and-12-month-old infants.

    Science.gov (United States)

    Mireault, Gina C; Crockenberg, Susan C; Sparrow, John E; Pettinato, Christine A; Woodard, Kelly C; Malzac, Kirsten

    2014-11-01

    Social referencing refers to infants' use of caregivers as emotional referents in ambiguous situations (Walden, 1993). Studies of social referencing typically require ambulation, thereby over-looking younger, non-ambulatory infants (i.e., ≤8-months) and resulting in a widespread assumption that young infants do not employ this strategy. Using a novel approach that does not require mobility, we found that when parents provided unsolicited affective cues during an ambiguous-absurd (i.e., humorous) event, 6-month-olds employ one component of social referencing, social looking Additionally, 6-month-olds who did not laugh at the event were significantly more likely to look toward parents than their counterparts who found the event funny. Sequential analyses revealed that, following a reference to a smiling parent, 6-month olds were more likely to smile at the parent, but by 12 months were more likely to smile at the event suggesting that older infants are influenced by parental affect in humorous situations. The developmental implications of these findings are discussed, as well as the usefulness of studying humor for understanding important developmental phenomena. PMID:25061893

  14. Infant exposure to polybrominated diphenyl ethers (PBDEs) via consumption of homemade baby food in Korea.

    Science.gov (United States)

    Jeong, Yunsun; Lee, Sunggyu; Kim, Sunmi; Choi, Sung-Deuk; Park, Jeongim; Kim, Hai-Joong; Lee, Jeong Jae; Choi, Gyuyeon; Choi, Sooran; Kim, Sungjoo; Kim, Su Young; Kim, Young Don; Cho, Geumjoon; Suh, Eunsook; Kim, Sung Koo; Eun, So-Hee; Eom, Soyong; Kim, Seunghyo; Kim, Gun-Ha; Lee, Won Chan; Choi, Kyungho; Kim, Sungkyoon; Moon, Hyo-Bang

    2014-10-01

    Limited data are available on the residue levels of polybrominated diphenyl ethers (PBDEs) in baby food. In this study, 24 PBDE congeners were determined in 147 homemade baby food samples collected from 97 households for 6-, 9-, 12-, 15-, and from 24 to 27-month-old infant groups during the period of 2012-2013. The concentrations of total PBDEs (ΣPBDE) ranged from 24.5 to 6000 (mean: 263) pg/g fresh weight, higher than those found in commercial formulae from the United States. The predominant congeners were BDEs 209 and 47, accounting for 92% of the ΣPBDE concentrations, reflected by high deca-BDE consumption in Korea. The residue levels and detection rates of BDE 47 in the baby food samples showed a gradual increasing trend with an increase in infant ages, due to changes in the food ingredients from hypoallergenic to greasy. The daily intakes of BDEs 47 and 209 via baby food consumption ranged from 0.04 to 0.58, 0.80 to 20.3, and 1.06 to 22.3 ng/kg body weight/day for 6-, 9-, 12-, 15-, and 24-27-month-old infant groups, respectively; these intakes were lower than the oral reference doses proposed by the US EPA. Together with three exposure sources, baby food, breast milk and dust ingestion for 6-month-old infants, the daily intake of ΣPBDE was 25.5 ng/kg body weight/day, which was similar to the intake via baby food consumption only for over 24-month-old infants in our study. This indicates that baby food is an important exposure pathway of PBDEs for over 24-month-old infants. This is the first study regarding the occurrence and exposure assessment of PBDEs via homemade baby food. PMID:25218705

  15. Infant exposure to polybrominated diphenyl ethers (PBDEs) via consumption of homemade baby food in Korea.

    Science.gov (United States)

    Jeong, Yunsun; Lee, Sunggyu; Kim, Sunmi; Choi, Sung-Deuk; Park, Jeongim; Kim, Hai-Joong; Lee, Jeong Jae; Choi, Gyuyeon; Choi, Sooran; Kim, Sungjoo; Kim, Su Young; Kim, Young Don; Cho, Geumjoon; Suh, Eunsook; Kim, Sung Koo; Eun, So-Hee; Eom, Soyong; Kim, Seunghyo; Kim, Gun-Ha; Lee, Won Chan; Choi, Kyungho; Kim, Sungkyoon; Moon, Hyo-Bang

    2014-10-01

    Limited data are available on the residue levels of polybrominated diphenyl ethers (PBDEs) in baby food. In this study, 24 PBDE congeners were determined in 147 homemade baby food samples collected from 97 households for 6-, 9-, 12-, 15-, and from 24 to 27-month-old infant groups during the period of 2012-2013. The concentrations of total PBDEs (ΣPBDE) ranged from 24.5 to 6000 (mean: 263) pg/g fresh weight, higher than those found in commercial formulae from the United States. The predominant congeners were BDEs 209 and 47, accounting for 92% of the ΣPBDE concentrations, reflected by high deca-BDE consumption in Korea. The residue levels and detection rates of BDE 47 in the baby food samples showed a gradual increasing trend with an increase in infant ages, due to changes in the food ingredients from hypoallergenic to greasy. The daily intakes of BDEs 47 and 209 via baby food consumption ranged from 0.04 to 0.58, 0.80 to 20.3, and 1.06 to 22.3 ng/kg body weight/day for 6-, 9-, 12-, 15-, and 24-27-month-old infant groups, respectively; these intakes were lower than the oral reference doses proposed by the US EPA. Together with three exposure sources, baby food, breast milk and dust ingestion for 6-month-old infants, the daily intake of ΣPBDE was 25.5 ng/kg body weight/day, which was similar to the intake via baby food consumption only for over 24-month-old infants in our study. This indicates that baby food is an important exposure pathway of PBDEs for over 24-month-old infants. This is the first study regarding the occurrence and exposure assessment of PBDEs via homemade baby food.

  16. Axillary and rectal temperature measurements in infants.

    OpenAIRE

    Morley, C J; Hewson, P H; Thornton, A. J.; Cole, T J

    1992-01-01

    Rectal and axillary temperatures were measured during the daytime in 281 infants seen randomly at home and 656 at hospital under 6 months old, using mercury-in-glass thermometers. The normal temperature range derived from the babies at home was 36.7-37.9 degrees C for rectal temperature and 35.6-37.2 degrees C for axillary temperature. Rectal temperature was higher than axillary in 98% of the measurements. The mean (SD) difference between rectal and axillary temperatures was 0.7 (0.5) degrees...

  17. Left ventricular outflow tract obstruction due to anomalous mitral valve: successful mitral valve replacement in a four month old infant.

    OpenAIRE

    Morais, P.; Westaby, S.; Hallidie-Smith, K A

    1986-01-01

    A four month old infant was investigated for heart failure was found to have mitral incompetence and severe subvalvar aortic stenosis. The left ventricular outflow tract obstruction was found to be due to an anatomically anomalous mitral valve. The obstruction could only be relieved by removal of the mitral valve and its replacement with a St Jude's prosthesis. Two years after operation the child is fit and active. There have been no difficulties with anticoagulant treatment.

  18. The Effects of Music and Movement on Mother-Infant Interactions

    Science.gov (United States)

    Vlismas, Wendy; Malloch, Stephen; Burnham, Denis

    2013-01-01

    Two experiments investigated the effects of a music and movement (M&M) programme on healthy first-time mothers and their 2-6-month-old infants over a five-week period. Experiment 1 (N?=?96) examined the effects of the M&M activities and the face-to-face (F2F) social contact of a group instruction method on the perception of mothers'…

  19. [Infant and child morbidity and mortality due to diarrheal disease in central Africa].

    Science.gov (United States)

    Keuzeta, J J; Merlin, M; Josse, R; Mouanda, V; Kouka Bemba, D

    1988-06-01

    significance of climatic and seasonal variations. Only 7.1% of the reported diarrheal episodes were treated by oral rehydration therapy. 50.7% received some other form of medical treatment, 27.4% received traditional treatment, and 14.7% were not treated. Oral rehydration was not used at all in 2 survey locations and use exceeded 13% in only 3 locations. Diarrhea was a factor in 53% of reported deaths in infants and small children. Deaths due to diarrhea without any associated cause were in 2nd place following measles. Mortality rates due to diarrhea varied from under 65/1000 in survey sites with tropical or equatorial climates to 119.31 and 263.9.1000 in sites with Sahelian climates. Rural diarrheal mortality rates were higher than urban rates except in N'djamena, Chad.

  20. Acute liver failure due to Human Herpesvirus 6 in an infant

    OpenAIRE

    G.M. Tronconi; B. Mariani; R. Pajno; M. Fomasi; L. Cococcioni; Biffi, V.; Bove, M.; P. Corsin; G. Garbetta; Barera, G

    2012-01-01

    We report a case of a 4-months infant with fever in the absence of other specific symptoms that has rapidly and unexpectedly developed acute liver failure (ALF) with coagulopathy and complicated with bone marrow failure without encephalopathy. The main viral infection agents (hepatitis virus A, B, C, Citomegalovirus, Ebstain Barr virus, Parvovirus B19, Adenovirus), drug-induced hepatotoxicity and metabolic disorders associated to ALF were excluded. Quantitative determination of Human Herpesvi...

  1. The impact of infant feeding patterns on infection and diarrheal disease due to enterotoxigenic Escherichia coli

    Directory of Open Access Journals (Sweden)

    Long Kurt

    1999-01-01

    Full Text Available OBJECTIVE. Determine the impact of dietary risk factors on patterns of infection by heat labile toxin-producing Escherichia coli (LT-ETEC. MATERIALS AND METHODS. Ninety-eight infants were followed from birth for one year in Guadalajara, Mexico, beginning in august of 1986. Stool and breast milk samples were collected weekly from infants and their mothers, respectively. Mothers were also interviewed on a weekly basis regarding the health of the infants. Parametric hazard models were fit to durations of different LTETEC disease states determined through the analysis of stools. The child's consumption of supplemental foods and liquids as well as specific levels of LT-ETEC-specific breast milk antibodies were included in each model as time-varying covariates. RESULTS. The hazard of LTETEC asymptomatic infection increased 400 percent among children who received oats gruel (hazard rate= 4.01; 95% CI 2.77-5.24. The duration of infection was reduced if the child had had a previous LT-ETEC diarrheal episode (2.12; 95% CI 1.74-2.49 but was prolonged if the child consumed herbal teas (0.53; 95% CI 0.27-0.7. Herbal teas and high LTETEC-specific breast milk antibody levels each reduced the hazard of symptomatic infection by ninety percent. Symptomatic episodes became asymptomatic more rapidly if a child was given rice water. CONCLUSIONS. Specific weaning foods increase the risk of infection. Breastmilk antibodies and liquid infusions reduce diarrheal disease and infection duration.

  2. Six-month-old infants' perception of the hollow face illusion: evidence for a general convexity bias.

    Science.gov (United States)

    Corrow, Sherryse L; Mathison, Jordan; Granrud, Carl E; Yonas, Albert

    2014-01-01

    Corrow, Granrud, Mathison, and Yonas (2011, Perception, 40, 1376-1383) found evidence that 6-month-old infants perceive the hollow face illusion. In the present study we asked whether 6-month-old infants perceive illusory depth reversal for a nonface object and whether infants' perception of the hollow face illusion is affected by mask orientation inversion. In experiment 1 infants viewed a concave bowl, and their reaches were recorded under monocular and binocular viewing conditions. Infants reached to the bowl as if it were convex significantly more often in the monocular than in the binocular viewing condition. These results suggest that infants perceive illusory depth reversal with a nonface stimulus and that the infant visual system has a bias to perceive objects as convex. Infants in experiment 2 viewed a concave face-like mask in upright and inverted orientations. Infants reached to the display as if it were convex more in the monocular than in the binocular condition; however, mask orientation had no effect on reaching. Previous findings that adults' perception of the hollow face illusion is affected by mask orientation inversion have been interpreted as evidence of stored-knowledge influences on perception. However, we found no evidence of such influences in infants, suggesting that their perception of this illusion may not be affected by stored knowledge, and that perceived depth reversal is not face-specific in infants.

  3. Fecal calprotectin levels are higher in rural than in urban Chinese infants and negatively associated with growth

    OpenAIRE

    Liu Jin-Rong; Sheng Xiao-Yang; Hu Yan-Qi; Yu Xiao-Gang; Westcott Jamie E; Miller Leland V; Krebs Nancy F; Hambidge K

    2012-01-01

    Abstract Background Fecal calprotectin (FC) is an established simple biomarker of gut inflammation. To examine a possible relationship between linear growth and gut inflammation, we compared fecal calprotectin levels in 6 month old infants from poor rural vs affluent urban families. Methods The project was a cross-sectional comparison of FC from rural and urban populations in China. The relationship between length-for-age Z-score (LAZ) and FC concentrations were also compared. Single fecal sa...

  4. Early Prosodic Acquisition in Bilingual Infants: The Case of the Perceptual Trochaic Bias.

    Science.gov (United States)

    Bijeljac-Babic, Ranka; Höhle, Barbara; Nazzi, Thierry

    2016-01-01

    Infants start learning the prosodic properties of their native language before 12 months, as shown by the emergence of a trochaic bias in English-learning infants between 6 and 9 months (Jusczyk et al., 1993), and in German-learning infants between 4 and 6 months (Höhle et al., 2009, 2014), while French-learning infants do not show a bias at 6 months (Höhle et al., 2009). This language-specific emergence of a trochaic bias is supported by the fact that English and German are languages with trochaic predominance in their lexicons, while French is a language with phrase-final lengthening but lacking lexical stress. We explored the emergence of a trochaic bias in bilingual French/German infants, to study whether the developmental trajectory would be similar to monolingual infants and whether amount of relative exposure to the two languages has an impact on the emergence of the bias. Accordingly, we replicated Höhle et al. (2009) with 24 bilingual 6-month-olds learning French and German simultaneously. All infants had been exposed to both languages for 30 to 70% of the time from birth. Using the Head Preference Procedure, infants were presented with two lists of stimuli, one made up of several occurrences of the pseudoword /GAba/ with word-initial stress (trochaic pattern), the second one made up of several occurrences of the pseudoword /gaBA/ with word-final stress (iambic pattern). The stimuli were recorded by a native German female speaker. Results revealed that these French/German bilingual 6-month-olds have a trochaic bias (as evidenced by a preference to listen to the trochaic pattern). Hence, their listening preference is comparable to that of monolingual German-learning 6-month-olds, but differs from that of monolingual French-learning 6-month-olds who did not show any preference (Höhle et al., 2009). Moreover, the size of the trochaic bias in the bilingual infants was not correlated with their amount of exposure to German. The present results thus

  5. Sonographic detection of intrarenal and intraarterial fungus balls in a preterm infant due to systemic candidiasis

    International Nuclear Information System (INIS)

    Shortly after birth a preterm infant suffering from aspiration syndrome and subsequent Pseudomonas aeruginosa sepsis showed signs of renal insufficiency and mycotic infection: Yeast cells were identified in several urinalyses; there was also an increasing anti-Candida IgM antibody titer. At the same time sonographic examinations revealed an increasing echogenicity of the renal cortex and echogenic masses of variable size which did not cause acoustic shadows in both enlarged kidneys. A few days later, we found a right-sided hydronephrosis caused by an intraureteric prevesical mass of equal echogenicity. As we could observe sonographically, the aggressive antimycotic therapy was successful. Eleven weeks later there were signs of cardiac insufficiency. An angiographically demonstrated filling defect within the pulmonary artery showed the same sonographic findings as the previously found intrarenal masses. The baby underwent embolectomy and recovered. The thrombotic material contained yeast cells giving evidence of systemic Candidasis. Provided appropriate equipment is available, ultrasound today is an excellent non-invasive screening and followup method not only for echoencephalography, but also for more complicated neonatologic problems as seen here. The detailed observation of a changing echogenicity of the renal cortex and pelvis is important and often allows a decisive diagnostic clue before other radiological methods become conclusive. (orig.)

  6. [An infant with unexplained epilepsy].

    Science.gov (United States)

    van Gaal, J Carlijn; Petru, Ronald; Sie, Lilian T J

    2010-01-01

    A 6-month-old male infant with an unremarkable past medical history was admitted to the emergency department in an epileptic state. The seizures were resistant to treatment with conventional drugs. The child was sedated, intubated and admitted to the intensive care department. Despite extensive investigations no underlying disease was found. The seizures persisted and the child was repeatedly admitted to the hospital. Four months after the first presentation, ventricular fibrillation occurred from which the child was successfully resuscitated. His stomach appeared to contain a disinfectant and a severe ethanol-intoxication was found, leading to the diagnosis "Munchausen syndrome by proxy". The incidence of this syndrome is underestimated. Recognition of this potentially fatal phenomenon is often difficult, resulting in a delay in diagnosis. Paediatricians and general practitioners should be aware of this syndrome in children presenting with an unusual disease or an unusual medical history reported by the parents or care providers. PMID:21176267

  7. Intervention by the mental health specialist nurse for preventing sleep disorders due to incorrect habits in infants

    Directory of Open Access Journals (Sweden)

    Natalia Cámara Conde

    2009-09-01

    Full Text Available The sleep disorders are among the most common behaviour problems in infancy and early childhood, not only affect children, but parents also suffer from lack of sleep which creates problems of anxiety and communication in the partner by exhaustion. One way to prevent insomnia in children is that parents know how to create the habit of sleeping with their children.The main aims of the protocol are: - To train parents to establish healthy habits for proper sleep hygiene.- Preventing sleep disorders caused by bad habits in the infant. - To prevent symptoms of anxiety due to lack of sleep in the parents.The program will consist of 6 sessions of 90 minutes long, 3 pre-natal where they thrive knowledge and 3 sessions after to exposure doubts and search for solutions. We think that cooperation between the mental health nurse specialist with the midwife it is necessary to create a program that establish a healthy dream pattern in both infants and their parents, will prevent the sleep disorders by incorrect habits and their effects

  8. Safety and Efficacy of Cerebrolysin in Infants with Communication Defects due to Severe Perinatal Brain Insult: A Randomized Controlled Clinical Trial

    OpenAIRE

    Hassanein, Sahar M.A.; Deifalla, Shaymaa M.; El-Houssinie, Moustafa; Mokbel, Somaia A.

    2015-01-01

    Background and Purpose The neuroregenerative drug Cerebrolysin has demonstrated efficacy in improving cognition in adults with stroke and Alzheimer's disease. The aim of this study was to determine the efficacy and safety of Cerebrolysin in the treatment of communication defects in infants with severe perinatal brain insult. Methods A randomized placebo-controlled clinical trial was conducted in which 158 infants (age 6-21 months) with communication defects due to severe perinatal brain insul...

  9. The effect of different acidness lactic acid bacteria on intake,N balance,digestibility and microbial nitrogen flow in the small intestine of 6 month-old sika%不同酸度的乳酸菌饲料添加剂对6月龄梅花鹿消化率及小肠微生物氮流量的影响

    Institute of Scientific and Technical Information of China (English)

    张晓勇

    2012-01-01

    Effect of different acidness lactic acid bacteria on feed intake, N balance, digestibility and microbial nitrogen flow in the small intestine of 6 month-old sika were investigated in the study, in order to determine the suitable pH value of lactic acid bacteria additives in ruminant animals. The results indicated that: Adding different acidity of lactic acid bacteria could significantly improve the sika intake of DM, OM, CF, CP, and nitrogen intake (P0.05), differences among other groups were significant (P<0.05). Adding different acidity of lactic acid bacteria could improve the sika intake of DOM, DCF, N balance, and microbial N of intestinal flow (P<0.05), and pH-5.6 LAB group sikas were significantly higher than the control group on the DOM, DCF, N balance, and microbial N of intestinal flow.%试验通过研究不同酸度的乳酸菌添加剂对6月龄梅花鹿的采食量、氮平衡、消化率以及小肠微生物氮流量的影响,确定乳酸茵添加剂在梅花鹿饲喂中的适宜酸度.结果表明:添加不同酸度的乳酸菌可明显提高梅花鹿对DM、OM、CF、CP以及氮采食量(P<0.05),其中以未调酸的乳酸茵组各种营养成分采食量最高;DM、OM、CF采食量,各组间差异显著(P<0.05),氮的采食量,除调酸组与未调酸组间差异不显著外(P>0.05),其余各组间差异显著(P<0.05).不同酸度的乳酸菌饲料添加剂可提高梅花鹿DOM、DCF、氮沉积以及小肠微生物氮流量,未调酸组的DOM、DCF、氮沉积以及小肠微生物氮流量显著高于对照组(P<0.05).

  10. The Effect of Exclusive Breastfeeding on Hospital Stay and Morbidity due to Various Diseases in Infants under 6 Months of Age: A Prospective Observational Study.

    Science.gov (United States)

    Kaur, Amarpreet; Singh, Karnail; Pannu, M S; Singh, Palwinder; Sehgal, Neeraj; Kaur, Rupinderjeet

    2016-01-01

    Background. Mother's milk is the best for the babies. Protective and preventive role of breast milk was evaluated in this study by assessing the relation of type of feeding and duration of hospital stay or morbidity. Methods. This prospective study was conducted in a tertiary care hospital and 232 infants in the age group of 14 weeks to 6 months formed the sample. There are two groups of infants, that is, one for breastfed and one for top fed infants. Statistical analysis was done and results were calculated up to 95% to 99% level of significance to find effect of feeding pattern on hospital stay due to various diseases and morbidity. Results. Prolonged hospital stay, that is, >7 days, was lesser in breastfed infants and results were statistically significant in case of gastroenteritis (p value < 0.001), bronchopneumonia (p value = 0.0012), bronchiolitis (p value = 0.005), otitis media (p value = 0.003), and skin diseases (p value = 0.047). Lesser morbidity was seen in breastfed infants with gastroenteritis (p value 0.0414), bronchopneumonia (p value 0.03705), bronchiolitis (p value 0.036706), meningitis (p value 0.043), and septicemia (p value 0.04). Conclusions. Breastfed infants have shorter hospital stay and lesser morbidity in regard to various diseases as compared to top fed infants.

  11. Maternal eating disorder and infant diet. A latent class analysis based on the Norwegian Mother and Child Cohort Study (MoBa)

    OpenAIRE

    Torgersen, Leila; Ystrom, Eivind; Siega-Riz, Anna Maria; Berg, Cecilie Knoph; Zerwas, Stephanie; Reichborn-Kjennerud, Ted; Bulik, Cynthia M.

    2014-01-01

    Knowledge of infant diet and feeding practices among children of mothers with eating disorders is essential to promote healthy eating in these children. This study compared the dietary patterns of 6-month-old children of mothers with anorexia nervosa, bulimia nervosa, binge eating disorder, and eating disorder not otherwise specified - purging subtype, to the diet of children of mothers with no eating disorders. The study was based on 53,879 mothers in the Norwegian Mother and Child Cohort St...

  12. Refractory status epilepticus due to pneumococcal meningitis in an infant with congenital immunodeficiency.

    Science.gov (United States)

    Prasanth, Sudhakaran; Shaji, Velayudhan Cheruvallil; Lyla, Chacko; Jayalakshmi, Vasudevapanicker

    2016-01-01

    Pneumococcal meningitis remains a life-threatening infection, with varied presentations. A 3 month-old-baby with pneumococcal meningitis presented with clusters of seizures evolving into refractory status epilepticus despite standard antibiotic and aggressive anticonvulsant therapy. Progressive illness despite antibiotic initially suggested possible antibiotic resistance and resulted in addition of another antibiotic. Nonresponse to standard treatment and previous history of abscess in the back of neck pointed to some underlying congenital immunodeficiency. Further evaluation showed a deficiency of complement factor C3. This case underlines the need to consider underlying immunodeficiency in cases of refractory status epilepticus due to bacterial meningitis. Gram-staining of cerebrospinal fluid sample showing plenty of Gram-positive bacteria and comparatively fewer pus cells is a clue regarding some underlying immunodeficiency. PMID:27606021

  13. Refractory status epilepticus due to pneumococcal meningitis in an infant with congenital immunodeficiency

    Directory of Open Access Journals (Sweden)

    Sudhakaran Prasanth

    2016-01-01

    Full Text Available Pneumococcal meningitis remains a life-threatening infection, with varied presentations. A 3 month-old-baby with pneumococcal meningitis presented with clusters of seizures evolving into refractory status epilepticus despite standard antibiotic and aggressive anticonvulsant therapy. Progressive illness despite antibiotic initially suggested possible antibiotic resistance and resulted in addition of another antibiotic. Nonresponse to standard treatment and previous history of abscess in the back of neck pointed to some underlying congenital immunodeficiency. Further evaluation showed a deficiency of complement factor C3. This case underlines the need to consider underlying immunodeficiency in cases of refractory status epilepticus due to bacterial meningitis. Gram-staining of cerebrospinal fluid sample showing plenty of Gram-positive bacteria and comparatively fewer pus cells is a clue regarding some underlying immunodeficiency.

  14. Refractory status epilepticus due to pneumococcal meningitis in an infant with congenital immunodeficiency

    Science.gov (United States)

    Prasanth, Sudhakaran; Shaji, Velayudhan Cheruvallil; Lyla, Chacko; Jayalakshmi, Vasudevapanicker

    2016-01-01

    Pneumococcal meningitis remains a life-threatening infection, with varied presentations. A 3 month-old-baby with pneumococcal meningitis presented with clusters of seizures evolving into refractory status epilepticus despite standard antibiotic and aggressive anticonvulsant therapy. Progressive illness despite antibiotic initially suggested possible antibiotic resistance and resulted in addition of another antibiotic. Nonresponse to standard treatment and previous history of abscess in the back of neck pointed to some underlying congenital immunodeficiency. Further evaluation showed a deficiency of complement factor C3. This case underlines the need to consider underlying immunodeficiency in cases of refractory status epilepticus due to bacterial meningitis. Gram-staining of cerebrospinal fluid sample showing plenty of Gram-positive bacteria and comparatively fewer pus cells is a clue regarding some underlying immunodeficiency.

  15. Severe G6PD Deficiency Due to a New Missense Mutation in an Infant of Northern European Descent

    DEFF Research Database (Denmark)

    Warny, Marie; Lausen, Birgitte; Birgens, Henrik;

    2015-01-01

    We report a term male infant born to parents of Danish descent, who on the second day of life developed jaundice peaking at 67 hours and decreasing on applied double-sided phototherapy. In the weeks following, the infant showed signs of ongoing hemolysis. Laboratory tests showed very low glucose-...

  16. Severe G6PD Deficiency Due to a New Missense Mutation in an Infant of Northern European Descent.

    Science.gov (United States)

    Warny, Marie; Lausen, Birgitte; Birgens, Henrik; Knabe, Niels; Petersen, Jesper

    2015-11-01

    We report a term male infant born to parents of Danish descent, who on the second day of life developed jaundice peaking at 67 hours and decreasing on applied double-sided phototherapy. In the weeks following, the infant showed signs of ongoing hemolysis. Laboratory tests showed very low glucose-6-phosphate dehydrogenase (G6PD) enzymatic activity, and sequencing of the G6PD gene revealed a previously uncharacterized missense mutation c. 592 C>A (Arg198Ser). Oral DNA from the infant had the same G6PD mutation, suggesting a spontaneous maternal germline mutation as the mutation was not observed in leukocytes from the mother. PMID:26479991

  17. Successful treatment of ligneous conjunctivitis with topical fresh frozen plasma in an infant

    Directory of Open Access Journals (Sweden)

    Zuhal Özen Tunay

    2015-10-01

    Full Text Available ABSTRACTA 6-month-old female infant presented to our clinic with bilateral eyelid swelling, yellowish-white membranes under both lids, and mucoid ocular discharge. Her aunt had similar ocular problems that were undiagnosed. The conjunctival membranes were excised and histopathological investigation of these membranes showed ligneous conjunctivitis. Further, laboratory examination revealed plasminogen deficiency. A good response was observed to topical fresh frozen plasma (FFP treatment without systemic therapy, and the membranes did not recur during the treatment. Topical FFP treatment may facilitate rapid rehabilitation and prevent recurrence in patients with ligneous conjunctivitis.

  18. Successful treatment of ligneous conjunctivitis with topical fresh frozen plasma in an infant.

    Science.gov (United States)

    Tunay, Zuhal Özen; Özdemir, Özdemir; Acar, Damla; Gül, Ece; Akbay, Serap

    2015-01-01

    A 6-month-old female infant presented to our clinic with bilateral eyelid swelling, yellowish-white membranes under both lids, and mucoid ocular discharge. Her aunt had similar ocular problems that were undiagnosed. The conjunctival membranes were excised and histopathological investigation of these membranes showed ligneous conjunctivitis. Further, laboratory examination revealed plasminogen deficiency. A good response was observed to topical fresh frozen plasma (FFP) treatment without systemic therapy, and the membranes did not recur during the treatment. Topical FFP treatment may facilitate rapid rehabilitation and prevent recurrence in patients with ligneous conjunctivitis.

  19. Attentional capture by social stimuli in young infants

    Directory of Open Access Journals (Sweden)

    Maxie eGluckman

    2013-08-01

    Full Text Available We investigated the possibility that a range of social stimuli capture the attention of 6-month-old infants when in competition with other non-face objects. Infants viewed a series of six-item arrays in which one target item was a face, body part, or animal as their eye movements were recorded. Stimulus arrays were also processed for relative salience of each item in terms of color, luminance, and amount of contour. Targets were rarely the most visually salient items in the arrays, yet infants’ first looks toward all three target types were above chance, and dwell times for targets exceeded other stimulus types. Girls looked longer at faces than did boys, but there were no sex differences for other stimuli. These results are interpreted in a context of learning to discriminate between different classes of animate stimuli, perhaps in line with affordances for social interaction, and origins of sex differences in social attention.

  20. Maternal fatty acid desaturase genotype correlates with infant immune responses at 6 months.

    Science.gov (United States)

    Muc, Magdalena; Kreiner-Møller, Eskil; Larsen, Jeppe M; Birch, Sune; Brix, Susanne; Bisgaard, Hans; Lauritzen, Lotte

    2015-09-28

    Breast milk long-chain PUFA (LCPUFA) have been associated with changes in early life immune responses and may modulate T-cell function in infancy. We studied the effect of maternal fatty acid desaturase (FADS) genotype and breast milk LCPUFA levels on infants' blood T-cell profiles and ex vivo-produced cytokines after anti-CD3/CD28 stimulation of peripheral blood mononuclear cells in 6-month-old infants from the Copenhagen Prospective Study of Asthma in Childhood birth cohort. LCPUFA concentrations of breast milk were assessed at 4 weeks of age, and FADS SNP were determined in both mothers and infants (n 109). In general, breast milk arachidonic acid (AA) levels were inversely correlated with the production of IL-10 (r -0.25; P=0.004), IL-17 (r -0.24; P=0.005), IL-5 (r -0.21; P=0.014) and IL-13 (r -0.17; P=0.047), whereas EPA was positively correlated with the counts of blood regulatory T-cells and cytotoxic T-cells and decreased T-helper cell counts. The minor FADS alleles were associated with lower breast milk AA and EPA, and infants of mothers carrying the minor allele of FADS SNP rs174556 had higher production of IL-10 (r -0.23; P=0.018), IL-17 (r -0.25; P=0.009) and IL-5 (r -0.21; P=0.038) from ex vivo-activated immune cells. We observed no association between T-cell distribution and maternal or infant FADS gene variants. We conclude that increased maternal LCPUFA synthesis and breast milk AA are associated with decreased levels of IL-5, IL-13 (type-2 related), IL-17 (type-17 related) and IL-10 (regulatory immune responses), but not with interferon-γ and TNF-α, which could be due to an effect of the maternal FADS variants on the offspring immune response transferred via breast milk LCPUFA. PMID:26283408

  1. Comparing effects of Beractant and Poractant alfa in decreasing mortality rate due to respiratory distress syndrome in premature infants

    Directory of Open Access Journals (Sweden)

    Saeidi R

    2011-02-01

    Full Text Available "nBackground: Exogenous natural and synthetic surfactants is a rescue treatment for respiratory distress syndrome (RDS. The goals of the study were to compare the clinical response and side-effects of two frequently used surfactants, poractant alfa (Curosurf and beractant (Survanta, for the treatment of respiratory distress syndrome in preterm infants."n "nMethods: This clinical trial study was performed during a two-year period in the Neonatal Intensive Care Unit of Ghaem Hospital in Mashhad, Iran. Sample size calculated by a 95% confidence and power of 80, included 104 premature neonates, 74 in survanta and 30 in curosurf groups. The level of statistical significance was considered to be < 0.05."n "nResults: There were no statistically significant differences between the infants treated by survanta or cursurf groups regarding their mean gestational age (30.58 Vs. 29.00 weeks and birth weight (1388 Vs. 1330 g, (p=0.3 There were also no significant differences between the two groups regarding incidences of broncho- pulmonary dysplasia (BPD (40.5% Vs. 40%, intraventricular hemorrhage (IVH grades III/IV (13.5% Vs. 13.3%, pneumothorax (both 20%, patent ductus arteriosus (PDA (28/3% Vs. 20% or death (28% Vs. 26.6% on the 28th day postpartum."n "nConclusion: This study showed that survanta and curosurf had similar therapeutic effects in the treatment of neonatal respiratory distress syndrome.

  2. Stent implantation of left main coronary artery stenosis in an infant: Effective long-term treatment?

    Directory of Open Access Journals (Sweden)

    Christian Paech

    2015-01-01

    Full Text Available Coronary artery stenosis is a rare phenomenon in children. Coronary stent implantation is generally not considered a standard treatment option due to technical difficulties and potential complications in this group of patients. Nevertheless, several pediatric cases reporting successful implantation with acceptable short-term experiences have been described. The following case presents a successful stent implantation for left main coronary artery (LMCA stenosis early after surgery for anomalous left coronary artery from pulmonary artery (ALCAPA at the age of 6 months. The excellent mid-term results and notably the procedure′s potential as a long-term treatment in small children are highlighted. A 6-month-old infant underwent surgery for ALCAPA. Due to sudden postoperative deterioration, cardiac catheterization was performed. Coronary angiography revealed severe (90% ostial LMCA stenosis. A PROMUS drug-eluting stent (Promus Element AL3.0 Χ 8 mm, Boston Scientific, Natick, Massachusetts, USA was implanted. The procedure was performed without complications. Antiplatelet therapy with acetylsalicylic acid and clopidogrel was initiated. Subsequently, cardiac function improved slowly. Cardiac catheterization 3 years 8 months after stent implantation showed no restenosis with a proximal LMCA diameter still at the 50 th percentile for age. Neither were signs of heart failure reported at the last follow-up at 7 years of age. Presupposing normal growth, the implanted stent would thus provide sufficient myocardial perfusion with a LMCA lumen at the 40 th percentile at the age of 16 years. In selected cases, coronary stent implantation may be an effective mid- to long-term treatment of coronary artery stenosis even in very young children.

  3. Cervical mycotic aneurysm in an infant. MRI findings and endovascular treatment

    International Nuclear Information System (INIS)

    A case of cervical mycotic aneurysm in a 6-month-old infant is presented. Eight days after birth the preterm newborn had a perforated necrotizing enterocolitis. Treatment included abdominal percutaneous drainage and surgery. Hemo cultures grew staphylococcus aureus methicillin resistant. Antibiotic therapy was indicated with a favorable evolution. Five months later the infant showed a lateral cervical mass nad hemorrhagic fluid in her right external auditory canal. Ultrasound and MRI were performed. MRI demonstrated a heterogeneous fluid-containing neck mass, similar in appearance to a parapharyngeal hematoma, with flow void sign. Digital substraction angiography (DSA) was performed to highlight the vascular anatomy demonstrating a mycotic aneurysm adjacent to the ascendent pharyngeal artery. The endovascular treatment with Histoacryl-Lipiodol was successful without any technical or neurological complications. Mycotic aneurysm is a very rare, but potentially fatal complication in infants. In our case report, MRI and DSA provided an accurate diagnosis leading to a rapid endovascular therapy. (author)

  4. Impact on infants' cognitive development of antenatal exposure to iron deficiency disorder and common mental disorders.

    Directory of Open Access Journals (Sweden)

    Thach Duc Tran

    Full Text Available OBJECTIVES: The aim of this study was to examine the effects of antenatal exposure to iron deficiency anemia (IDA and common mental disorders (CMD on cognitive development of 6 months old infants in a developing country. METHODS: A prospective population-based study in a rural province in Vietnam, which enrolled pregnant women at 12-20 weeks gestation and followed them up with their infants until six months postpartum. Criteria for IDA were Hb 30 years and primiparity had an indirect adverse effect on infants' Bayley cognitive scores. CONCLUSIONS: These findings suggest that antenatal IDA and CMD both have adverse effects on child cognitive development, which if unrecognized and unaddressed are likely to be lasting. It is crucial that both these risks are considered by policy makers, clinicians, and researchers seeking to improve child cognitive function in developing countries.

  5. Sonographic detection of intrarenal and intra-arterial fungus balls in a preterm infant due to systemic candidiasis

    Energy Technology Data Exchange (ETDEWEB)

    Reither, M.; Schumacher, R.; Hagel, K.J.; Hering, F.

    1983-10-01

    Shortly after birth a preterm infant suffering from aspiration syndrome and subsequent Pseudomonas aeruginosa sepsis showed signs of renal insufficiency and mycotic infection: yeast cells were identified in several urinalyses; there was also an increasing anti-candida IgM antibody titer. At the same time sonographic examinations revealed an increasing echogenicity of the renal cortex and echogenic masses of variable size which did not cause acoustic shadows in both enlarged kidneys. A few days later, we found a right-sided hydronephrosis caused by an intraureteric prevesical mass of equal echogenicity. As we could observe sonographically, the aggressive antimycotic therapy was successful. Eleven weeks later there were signs of cardiac insufficiency. An angiographically demonstrated filling defect, within the pulmonary artery, showed the same sonographic findings as the previously found intrarenal masses. The baby underwent embolectomy and recovered. The thrombotic material contained yeast cells giving evidence of systemic candidasis. Provided appropriate equipment is available, ultrasound today is an excellent non-invasive screening and followup method not only for echoencephalography, but also for more complicated neonatologic problems as seen here. The detailed observation of a changing echogenicity of the renal cortex and pelvis is important and often allows a decisive diagnostic clue before other radiological methods become conclusive.

  6. Junctional Bradycardia as Early Sign of Digoxin Toxicity in a Premature Infant with Congestive Heart Failure due to a Left to Right Shunt.

    Science.gov (United States)

    Dasgupta, Soham; Aly, Ashraf M; Jain, Sunil K

    2016-03-01

    Introduction Congestive heart failure due to left to right cardiac shunt is usually managed medically with diuretics, angiotensin converting enzyme inhibitors, and, in some cases, with the addition of digoxin. Case We report a 31-week gestation premature male infant who did not respond to such treatment and developed hyperaldosteronism and severe hypokalemia secondary to activation of the renin angiotensin aldosterone system. The hypokalemia was not responsive to intravenous KCL supplementation and induced digoxin toxicity despite a relatively normal digoxin level. The earliest signs of digoxin toxicity in the patient were junctional rhythm and bradycardia. The discontinuation of digoxin and the administration of digoxin specific immunoglobulin fragments (Fab) reversed those changes. The addition of spironolactone (an aldosterone antagonist) had a dramatic effect, resulting in clinical improvement of the patient coupled with normalization of Q4 serum and urine electrolytes. Conclusion Serum Digoxin level alone may fail as an independent guide in the diagnosis of digoxin toxicity when hypokalemia is present. In premature infants with congestive heart failure and hypokalemia, addition of an aldosterone antagonist should be considered.

  7. Parenting an infant with a congenital anomaly: how are perceived burden and perceived personal benefits related to parenting stress?

    Science.gov (United States)

    Fonseca, Ana; Nazaré, Bárbara; Canavarro, Maria Cristina

    2015-03-01

    This study aimed to characterize parents' negative (perceived burden) and positive (perceived personal benefits) perceptions about parenting an infant with a congenital anomaly (CA), and to investigate their role in parenting stress. Forty-three couples (43 mothers and 36 fathers) whose 6-month-old infants had a CA completed several questionnaires: the Impact on Family Scale-Revised, the Positive Contributions Scale, and the Parenting Stress Index-Short Form. The results showed similarities between maternal and paternal perceptions. For mothers, higher levels of burden and lower levels of personal benefits were found to predict higher levels of parenting stress. For fathers, greater burden was associated with higher levels of parenting stress. Some dimensions of personal benefits moderated the relationship between burden and parenting stress, for both genders. Specific strategies targeting negative and positive perceptions should be considered when developing psychological interventions to promote the family's adaptation to the experience of parenting an infant with a CA.

  8. Personal familiarity influences the processing of upright and inverted faces in infants

    Directory of Open Access Journals (Sweden)

    Benjamin J Balas

    2010-02-01

    Full Text Available Infant face processing becomes more selective during the first year of life as a function of varying experience with distinct face categories defined by species, race, and age. Given that any individual face belongs to many such categories (e.g. A young Caucasian man’s face we asked how the neural selectivity for one aspect of facial appearance was affected by category membership along another dimension of variability. 6-month-old infants were shown upright and inverted pictures of either their own mother or a stranger while event-related potentials (ERPs were recorded. We found that the amplitude of the P400 (a face-sensitive ERP component was only sensitive to the orientation of the mother’s face, suggesting that “tuning” of the neural response to faces is realized jointly across multiple dimensions of face appearance. .

  9. An infant with hyperalertness, hyperkinesis, and failure to thrive: a rare diencephalic syndrome due to hypothalamic anaplastic astrocytoma

    OpenAIRE

    Stival, Alessia; Lucchesi, Maurizio; Farina, Silvia; Buccoliero, Anna Maria; Castiglione, Francesca; Genitori, Lorenzo; de Martino, Maurizio; Sardi, Iacopo

    2015-01-01

    Background Diencephalic Syndrome is a rare clinical condition of failure to thrive despite a normal caloric intake, hyperalertness, hyperkinesis, and euphoria usually associated with low-grade hypothalamic astrocytomas. Case presentation We reported an unusual case of diencephalic cachexia due to hypothalamic anaplastic astrocytoma (WHO-grade III). Baseline endocrine function evaluation was performed in this patient before surgery. After histological diagnosis, he enrolled to a chemotherapy p...

  10. A young infant with musicogenic epilepsy.

    Science.gov (United States)

    Lin, Kuang-Lin; Wang, Huei-Shyong; Kao, Pan-Fu

    2003-05-01

    Musicogenic epilepsy is a relatively rare form of epilepsy. In its pure form, it is characterized by epileptic seizures that are provoked exclusively by listening to music. The usual type of seizure is partial complex or generalized tonic-clonic. Precipitating factors are quite specific, such as listening to only one composition or the actual playing of music on an instrument. However, simple sound also can be a trigger. We report a 6-month-old infant with musicogenic epilepsy. She manifested right-sided focal seizures with occasional generalization. The seizures were frequently triggered by loud music, especially that by the Beatles. The interictal electroencephalography results were normal. Ictal spikes were present throughout the left temporal area during continuous electroencephalograpic monitoring. Brain magnetic resonance imaging results were normal, whereas single-photon emission computed tomography of the brain revealed hypoperfusion of the left temporal area. The young age and epileptogenic left temporal lobe lesion in this patient with musicogenic epilepsy were unusual characteristics. Theoretically, three levels of integration are involved in music processing in the brain. The involved integration of this infant's brain may be the sensory level rather than the emotional level. Nevertheless, the personal musicality and musical style of the Beatles might play an important role in this patient's epilepsy. PMID:12878300

  11. Relationship between the behaviour of sows at 6 months old and the behaviour and performance at farrowing.

    Science.gov (United States)

    Lensink, B J; Leruste, H; Le Roux, T; Bizeray-Filoche, D

    2009-01-01

    Piglet crushing remains a major problem in pig production. Reduced crushing might be obtained through genetic selection on sow behavioural traits. The aim of the study was to assess the relationship between behavioural responses at 6 months of age, around farrowing, and sows' reproductive performance including crushing levels. At 6 months of age, behavioural responses of 75 nulliparous sows were observed both during behavioural tests to human presence and to the presence of a novel object in their home pen, and their responses when placed in a weighing device. At first farrowing, nervousness of the sows was observed when placed in the farrowing crate 1 week before and the day of farrowing, as well as their fear responses when approached by a human from behind or at the front of the farrowing crate. At 6 months of age, escape from a human tended to be correlated with the reactivity in the weighing device (rs = 0.21, P = 0.09). Around first farrowing, the withdrawal reaction when a human approached at the front was correlated with the fear response when approached from behind and the nervousness of the sow in the crate (rs = 0.29, P piglets crushed at first farrowing was correlated with the latency to approach a novel object at 6 months and nervousness around farrowing (rs = -0.27, P crushing levels of piglets at farrowing. PMID:22444179

  12. Associations between infant feeding practices and length, weight, and disease in developing countries

    Directory of Open Access Journals (Sweden)

    Benjamin eYarnoff

    2013-09-01

    Full Text Available The health benefits of exclusive breastfeeding are well known, but the relative detrimental impacts of other foods on infant health are unknown. Because infants in developing countries are fed a wide range of food, quantifying the burden of these diverse feeding practices on infant health is essential for public health policy. We used data from the Demographic Health Survey from 20 developing countries over multiple years to examine the independent association of six different types of food (exclusive breastfeeding, nonexclusive breastfeeding, infant formula, milk liquids, non-milk liquids, and solid foods with five measures of infant health (length, weight, diarrhea, fever, and cough. We estimated associations with regression analysis, controlling for confounding factors with infant, mother, and household factors and community-year fixed effects. We used these estimates in a simulation model to quantify the burden of different combinations of food on infant health. We show that for an infant younger than 6 months old, following current guidelines and exclusively breastfeeding instead of giving the infant solid foods may increase length by 0.75 centimeters and weight by 0.25 kilograms and decrease diarrhea, fever, and cough prevalence by 8%, 12%, and 11%, respectively. We found that the burden on infant health of some feeding practices is less than others. Although all other feeding practices are associated with worse health outcomes than exclusive breastfeeding, breastfeeding supplemented with liquids has a lower burden on infant health than solid foods and infant formula has a lower burden than milk or nonmilk liquids as measured by four of five health metrics. Providing specific quantified burden estimates of these practices can help inform public health policy related to infant feeding practices.

  13. Maternal group B Streptococcus and the infant gut microbiota.

    Science.gov (United States)

    Cassidy-Bushrow, A E; Sitarik, A; Levin, A M; Lynch, S V; Havstad, S; Ownby, D R; Johnson, C C; Wegienka, G

    2016-02-01

    Early patterns of gut colonization may predispose children to adult disease. Exposures in utero and during delivery are associated with the infant gut microbiome. Although ~35% of women carry group B strep (GBS; Streptococcus agalactiae) during pregnancy, it is unknown if GBS presence influences the infant gut microbiome. As part of a population-based, general risk birth cohort, stool specimens were collected from infant's diapers at research visits conducted at ~1 and 6 months of age. Using the Illumina MiSeq (San Diego, CA) platform, the V4 region of the bacterial 16S rRNA gene was sequenced. Infant gut bacterial community compositional differences by maternal GBS status were evaluated using permutational multivariate analysis of variance. Individual operational taxonomic units (OTUs) were tested using a zero-inflated negative binomial model. Data on maternal GBS and infant gut microbiota from either 1 (n=112) or 6-month-old stool (n=150) specimens was available on 262 maternal-child pairs. Eighty women (30.5%) were GBS+, of who 58 (72.5%) were given intrapartum antibiotics. After adjusting for maternal race, prenatal antifungal use and intrapartum antibiotics, maternal GBS status was statistically significantly associated with gut bacterial composition in the 6 month visit specimen (Canberra R 2=0.008, P=0.008; Unweighted UniFrac R 2=0.010, P=0.011). Individual OTU tests revealed that infants of GBS+ mothers were significantly enriched for specific members of the Clostridiaceae, Ruminococcoceae, and Enterococcaceae in the 6 month specimens compared with infants of GBS- mothers. Whether these taxonomic differences in infant gut microbiota at 6 months lead to differential predisposition for adult disease requires additional study. PMID:26264560

  14. CPR - infant

    Science.gov (United States)

    Rescue breathing and chest compressions - infant; Resuscitation - cardiopulmonary - infant; Cardiopulmonary resuscitation - infant ... those who take care of children should learn infant and child CPR. See www.americanheart.org for ...

  15. Infant Perception of Incongruent Shapes in Cast Shadows

    Directory of Open Access Journals (Sweden)

    Kazuki Sato

    2015-04-01

    Full Text Available A cast shadow occurs when an object blocks the light from an illumination and projects a dark region onto a surface. Previous studies have reported that adults are slower to identify an object when the object has an incongruent cast shadow than when it has a congruent cast shadow (Castiello, 2001. Here, we used the familiarization-novelty preference procedure to examine whether 5- to 8-month-old infants could detect the relationship between object shapes and cast shadows. In Experiment 1, we examined the infants' ability to detect incongruency between objects and cast shadows. Results showed that 7- to 8-month olds could detect incongruence between the object shapes and the cast shadows, whereas 5- to 6-month olds did not. Yet, our control experiment showed that infants could not detect this incongruence from stimuli in which a white outline had been added to the original cast shadow to decrease the possibility of it being perceived as a cast shadow (Experiment 2. The results of these experiments demonstrate that 7- to 8-month olds responded to the congruence of cast shadows and to consistent contrast polarity between the cast shadow and its background.

  16. Becoming musically enculturated: effects of music classes for infants on brain and behavior.

    Science.gov (United States)

    Trainor, Laurel J; Marie, Céline; Gerry, David; Whiskin, Elaine; Unrau, Andrea

    2012-04-01

    Musical enculturation is a complex, multifaceted process that includes the development of perceptual processing specialized for the pitch and rhythmic structures of the musical system in the culture, understanding of esthetic and expressive norms, and learning the pragmatic uses of music in different social situations. Here, we summarize the results of a study in which 6-month-old Western infants were randomly assigned to 6 months of either an active participatory music class or a class in which they experienced music passively while playing. Active music participation resulted in earlier enculturation to Western tonal pitch structure, larger and/or earlier brain responses to musical tones, and a more positive social trajectory. Furthermore, the data suggest that early exposure to cultural norms of musical expression leads to early preferences for those norms. We conclude that musical enculturation begins in infancy and that active participatory music making in a positive social setting accelerates enculturation.

  17. Effect of complementary feeding with lipid-based nutrient supplements and corn-soy blend on the incidence of stunting and linear growth among 6- to 18-month-old infants and children in rural Malawi.

    Science.gov (United States)

    Mangani, Charles; Maleta, Kenneth; Phuka, John; Cheung, Yin Bun; Thakwalakwa, Chrissie; Dewey, Kathryn; Manary, Mark; Puumalainen, Taneli; Ashorn, Per

    2015-12-01

    Low nutritional value of complementary foods is associated with high incidence of childhood growth stunting in low-income countries. This study was done to test a hypothesis that dietary complementation with lipid-based nutrient supplements (LNS) promotes linear growth and reduces the incidence of severe stunting among at-risk infants. A total of 840 6-month-old healthy infants in rural Malawi were enrolled to a randomised assessor-blinded trial. The participants received 12-month supplementation with nothing, milk-LNS, soy-LNS, or corn-soy blend (CSB). Supplements provided micronutrients and approximately 280 kcal energy per day. Outcomes were incidence of severe and very severe stunting [length-for-age z-score, (LAZ) supplementation and the lower incidence of stunting. Exploratory analyses suggest that provision of milk-LNS, but not soy-LNS promotes linear growth among at-risk infants mainly between 9 and 12 months of age.

  18. Premature infant

    Science.gov (United States)

    Preterm infant; Preemie; Premie ... The infant may have trouble breathing and keeping a constant body temperature. ... A premature infant may have signs of the following problems: Anemia Bleeding into the brain or damage to the brain's white ...

  19. Maternal Sensitivity and Infant Autonomic and Endocrine Stress Responses

    Science.gov (United States)

    Enlow, Michelle Bosquet; King, Lucy; Schreier, Hannah; Howard, Jamie M.; Rosenfield, David; Ritz, Thomas; Wright, Rosalind J.

    2014-01-01

    Background Early environmental exposures may help shape the development of the autonomic nervous system (ANS) and hypothalamic-pituitary-adrenal (HPA) axis, influencing vulnerability for health problems across the lifespan. Little is known about the role of maternal sensitivity in influencing the development of the ANS in early life. Aims To examine associations among maternal sensitivity and infant behavioral distress and ANS and HPA axis reactivity to the Repeated Still-Face Paradigm (SFP-R), a dyadic stress task. Study Design Observational repeated measures study. Subjects Thirty-five urban, sociodemographically diverse mothers and their 6-month-old infants. Outcome Measures Changes in infant affective distress, heart rate, respiratory sinus arrhythmia (RSA), and T-wave amplitude (TWA) across episodes of the SFP-R were assessed. A measure of cortisol output (area under the curve) in the hour following cessation of the SFP-R was also obtained. Results Greater maternal insensitivity was associated with greater infant sympathetic activation (TWA) during periods of stress and tended to be associated with greater cortisol output following the SFP-R. There was also evidence for greater affective distress and less parasympathetic activation (RSA) during the SFP-R among infants of predominantly insensitive mothers. Conclusions Caregiving quality in early life may influence the responsiveness of the sympathetic and parasympathetic branches of the ANS as well as the HPA axis. Consideration of the ANS and HPA axis systems together provides a fuller representation of adaptive versus maladaptive stress responses. The findings highlight the importance of supporting high quality caregiving in the early years of life, which is likely to promote later health. PMID:24794304

  20. Supply and Demand Determine the Market Value of Access to Infants in the Golden Snub-Nosed Monkey (Rhinopithecus roxellana)

    Science.gov (United States)

    Garber, Paul A.; Guo, SongTao; Zhang, Pei; Li, BaoGuo

    2013-01-01

    According to a biological market paradigm, trading decisions between partners will be influenced by the current ‘exchange rate’ of commodities (good and services), which is affected by supply and demand, and the trader’s ability to outbid competitors. In several species of nonhuman primates, newborn infants are attractive to female group members and may become a desired commodity that can be traded for grooming within a biological market place. We investigated whether grooming was interchanged for infant handling in female golden snub-nosed monkeys (Rhinopithecus roxellana) inhabiting the Qinling Mountains of central China. R. roxellana exhibit a multilevel social organization characterized by over 100 troop members organized into 6–11 one-male units each composed one adult male and several adult females and their offspring. Behavioral data were collected over the course of 28 months on grooming patterns between mothers with infants less than 6 months old (N = 36) and other adult female troop members. Our results provide strong evidence for the interchange of grooming for access to infants. Grooming for infant access was more likely to be initiated by potential handlers (nonmothers) and less likely reciprocated by mothers. Moreover, grooming bout duration was inversely related to the number of infants per female present in each one-male unit indicating the possibility of a supply and demand market effect. The rank difference between mothers and handlers was negatively correlated with grooming duration. With increasing infant age, the duration of grooming provided by handlers was shorter suggesting that the ‘value’ of older infants had decreased. Finally, frequent grooming partners were allowed to handle and maintain access to infants longer than infrequent groomers. These results support the contention that grooming and infant handling may be traded in R. roxellana and that the price individuals paid for access to infants fluctuated with supply and

  1. [Macrocytic anemia and neurological signs due to vitamin B-12 deficiency in a breast-fed infant of a strict vegetarian mother].

    Science.gov (United States)

    Fogarasi, A; Neuwirth, M; Békési, A; Bocskai, E

    2001-11-18

    Vitamin B12 deficiency is a very rare disease of infants and young children in Europe. Authors report a case of a 9.5-month-old infant who was exclusively breast-fed by his vegan mother and developed serious vitamin B12 deficiency in form of neurological regression, repetitive vomiting, drowsiness, dysphagia, obstipation, and tremor. A few days after intramuscular vitamin substitution his abnormal signs improved dramatically, hematological restitution was reached in six weeks. Authors describe the hematological and neurological signs, the diagnostic and differential-diagnostic pitfalls, therapy, prognosis, and prevention of this condition. Beside reviewing the literature they emphasize the importance of early recognition and intervention and the need of an appropriate doctor-parent cooperation in this disease.

  2. Infant humor perception from 3- to 6-months and attachment at one year.

    Science.gov (United States)

    Mireault, Gina; Sparrow, John; Poutre, Merlin; Perdue, Brittany; Macke, Laura

    2012-12-01

    Infancy is a critical time for the development of secure attachment, which is facilitated by emotionally synchronous interactions with parents. Humor development, which includes shared laughter and joint attention to an event, emerges concurrently with attachment, but little is known regarding the relationship, if any, between humor development and attachment in the first year. Thirty 3-month-old infants were videoed at home each month until they were 6-months old while their parents attempted to amuse them. Frequency of infants' smiles and laughs served as a measure of "state humor", and the smiling/laughing subscale of the Infant Behavior Questionnaire-Revised served as a measure of "trait humor". State and trait humor were not correlated. Lower trait humor as 6 months predicted higher attachment security on the Attachment Q-sort at 12-months (r=.46), suggesting that less good-humored infants elicit greater parental engagement, which works to the benefit of attachment, or vice versa. Future studies should examine the importance of smiling and laughter as they relate to other developmental phenomena in the first year. PMID:22982281

  3. Asian infants show preference for own-race but not other-race female faces: The role of infant caregiving arrangements

    Directory of Open Access Journals (Sweden)

    Shaoying eLiu

    2015-05-01

    Full Text Available Previous studies have reported that 3- to 4-month-olds show a visual preference for faces of the same gender as their primary caregiver (e.g., Quinn et al., 2002. In addition, this gender preference has been observed for own-race faces, but not for other-race faces (Quinn et al., 2008 However, most of the studies of face gender preference have focused on infants at 3 to 4 months. Development of gender preference in later infancy is still unclear. Moreover, all of these studies were conducted with Caucasian infants from Western countries. It is thus unknown whether a gender preference that is limited to own-race faces can be generalized to infants from other racial groups and different cultures with distinct caregiving practices. The current study investigated the face gender preferences of Asian infants presented with male versus female face pairs from Asian and Caucasian races at 3, 6, and 9 months and the role of caregiving arrangements in eliciting those preferences. The results showed an own-race female face preference in 3- and 6-month-olds, but not in 9-month-olds. Moreover, the downturn in the female face preference correlated with the cumulative male face experience obtained in caregiving practices. In contrast, no gender preference or correlation between gender preference and face experience was found for other-race Caucasian faces at any age. The data indicate that the face gender preference is not specifically rooted in Western cultural caregiving practices. In addition, the race dependency of the effect previously observed for Caucasian infants reared by Caucasian caregivers looking at Caucasian but not Asian faces extends to Asian infants reared by Asian caregivers looking at Asian but not Caucasian faces. The findings also provide additional support for an experiential basis for the gender preference, and in particular suggest that cumulative male face experience plays a role in inducing a downturn in the preference in older

  4. Enhancement of gamma oscillations indicates preferential processing of native over foreign phonemic contrasts in infants.

    Science.gov (United States)

    Ortiz-Mantilla, Silvia; Hämäläinen, Jarmo A; Musacchia, Gabriella; Benasich, April A

    2013-11-27

    Young infants discriminate phonetically relevant speech contrasts in a universal manner, that is, similarly across languages. This ability fades by 12 months of age as the brain builds language-specific phonemic maps and increasingly responds preferentially to the infant's native language. However, the neural mechanisms that underlie the development of infant preference for native over non-native phonemes remain unclear. Since gamma-band power is known to signal infants' preference for native language rhythm, we hypothesized that it might also indicate preference for native phonemes. Using high-density electroencephalogram/event-related potential (EEG/ERP) recordings and source-localization techniques to identify and locate the ERP generators, we examined changes in brain oscillations while 6-month-old human infants from monolingual English settings listened to English and Spanish syllable contrasts. Neural dynamics were investigated via single-trial analysis of the temporal-spectral composition of brain responses at source level. Increases in 4-6 Hz (theta) power and in phase synchronization at 2-4 Hz (delta/theta) were found to characterize infants' evoked responses to discrimination of native/non-native syllable contrasts mostly in the left auditory source. However, selective enhancement of induced gamma oscillations in the area of anterior cingulate cortex was seen only during native contrast discrimination. These results suggest that gamma oscillations support syllable discrimination in the earliest stages of language acquisition, particularly during the period in which infants begin to develop preferential processing for linguistically relevant phonemic features in their environment. Our results also suggest that by 6 months of age, infants already treat native phonemic contrasts differently from non-native, implying that perceptual specialization and establishment of enduring phonemic memory representations have been initiated.

  5. Fecal calprotectin levels are higher in rural than in urban Chinese infants and negatively associated with growth

    Directory of Open Access Journals (Sweden)

    Liu Jin-Rong

    2012-08-01

    Full Text Available Abstract Background Fecal calprotectin (FC is an established simple biomarker of gut inflammation. To examine a possible relationship between linear growth and gut inflammation, we compared fecal calprotectin levels in 6 month old infants from poor rural vs affluent urban families. Methods The project was a cross-sectional comparison of FC from rural and urban populations in China. The relationship between length-for-age Z-score (LAZ and FC concentrations were also compared. Single fecal samples were assayed for FC using EK-CAL ELISA kits. Results The age of subjects for both locations was 6.1 ± 0.2 mo; all were apparently healthy. The mean ± SD of the LAZ for the rural and urban infants were −0.6 ± 0.9 and 0.4 ± 0.9, respectively. FC had a non-normal distribution. The median FC of 420.9 and 140.1 μg/g for rural and urban infants, respectively, were significantly different (P  Conclusion FC levels were significantly elevated in the rural infants and high concentrations accounted for approximately one-third of the low LAZ scores of these infants.

  6. Fecal calprotectin levels are higher in rural than in urban Chinese infants and negatively associated with growth

    Science.gov (United States)

    2012-01-01

    Background Fecal calprotectin (FC) is an established simple biomarker of gut inflammation. To examine a possible relationship between linear growth and gut inflammation, we compared fecal calprotectin levels in 6 month old infants from poor rural vs affluent urban families. Methods The project was a cross-sectional comparison of FC from rural and urban populations in China. The relationship between length-for-age Z-score (LAZ) and FC concentrations were also compared. Single fecal samples were assayed for FC using EK-CAL ELISA kits. Results The age of subjects for both locations was 6.1 ± 0.2 mo; all were apparently healthy. The mean ± SD of the LAZ for the rural and urban infants were −0.6 ± 0.9 and 0.4 ± 0.9, respectively. FC had a non-normal distribution. The median FC of 420.9 and 140.1 μg/g for rural and urban infants, respectively, were significantly different (P < 0.0001). For the rural group, linear regression analysis showed that an increase in FC of 100 μg/g was associated with a decrease of 0.06 in LAZ. Conclusion FC levels were significantly elevated in the rural infants and high concentrations accounted for approximately one-third of the low LAZ scores of these infants. PMID:22917269

  7. Infant pupil diameter changes in response to others' positive and negative emotions.

    Directory of Open Access Journals (Sweden)

    Elena Geangu

    Full Text Available It has been suggested that infants resonate emotionally to others' positive and negative affect displays, and that these responses become stronger towards emotions with negative valence around the age of 12-months. In this study we measured 6- and 12-month-old infants' changes in pupil diameter when presented with the image and sound of peers experiencing happiness, distress and an emotionally neutral state. For all participants the perception of another's distress triggered larger pupil diameters. Perceiving other's happiness also induced larger pupil diameters but for shorter time intervals. Importantly, we also found evidence for an asymmetry in autonomous arousal towards positive versus negative emotional displays. Larger pupil sizes for another's distress compared to another's happiness were recorded shortly after stimulus onset for the older infants, and in a later time window for the 6-month-olds. These findings suggest that arousal responses for negative as well as for positive emotions are present in the second half of the first postnatal year. Importantly, an asymmetry with stronger responses for negative emotions seems to be already present at this age.

  8. Hypersensitivity reaction in an infant fed hydrolyzed lactalbumin contained in a semielemental formula.

    Science.gov (United States)

    Heyman, M B; Stoker, T W; Rudolph, C D; Frick, O L

    1990-02-01

    Following introduction of milk protein formula feedings, a 6-month-old male developed profuse, watery diarrhea progressing to shock, requiring cardiopulmonary resuscitation. Reinstitution of enteral feedings with a formula containing hydrolyzed lactalbumin (Travasorb STD) resulted in recurrence of diarrhea with fever. Intestinal and rectal biopsies showed only nonspecific inflammatory changes. He was discharged on an elemental formula (Vivonex). Twenty-three months later, while admitted for evaluation of hypophosphatemic rickets, immunologic testing using the lymphocyte migration inhibition factor (LIF) test demonstrated positive reactions, especially to alpha-lactalbumin (56% inhibition) and whole cow's milk (22%, normal of less than 20% inhibition). Skin tests revealed sensitivity to cow's milk and eggs. Soy formula also produced diarrhea and bloody stools. Protein hydrolysate formulas, touted as hypoallergenic diets, are useful in infants with intolerance to milk protein. This is the first documented case of an immunological reaction to the hydrolyzed whey protein, lactalbumin. Although protein hydrolysate formulas are effective treatment in most infants with milk protein intolerance, allergic reactions are possible. Caution and close observation should be exercised in immunologically sensitized infants rechallenged with any formula. PMID:2135732

  9. 78 FR 61383 - Certain Thermal Support Devices For Infants, Infant Incubators, Infant Warmers, and Components...

    Science.gov (United States)

    2013-10-03

    ... COMMISSION Certain Thermal Support Devices For Infants, Infant Incubators, Infant Warmers, and Components... United States after importation of certain thermal support devices for infants, infant incubators, infant... certain thermal support devices for infants, infant incubators, infant warmers, and components thereof...

  10. Tentativa de infanticídio por um macho dominante de Alouatta caraya (Humboldt (Primates, Atelidae em um infante extra-grupo devido a influência do observador Infanticide attempt by a dominant male of Alouatta caraya (Humboldt (Primates, Atelidae against an extra-group infant due to the influence of the observer

    Directory of Open Access Journals (Sweden)

    Lucas M. Aguiar

    2005-12-01

    Full Text Available Este trabalho relata um caso de tentativa de infanticídio por um macho residente e dominante de um grupo de Alouatta caraya (Humboldt, 1812 em um infante extra-grupo, em ilha do rio Paraná, Paraná, Brasil. O encontro do par fêmea-infante com o macho residente foi propiciado pela interferência humana. Devido às circunstâncias em que ocorreu o fato e a posição hierárquica do agressor, a hipótese de patologia social pareceu plausível na explicação do comportamento.This work reports on an infanticide attempt by a dominant resident male in a group of Alouatta caraya (Humboldt, 1812 on an extra-group infant in an Island in the Paraná river, Paraná, Brazil. The encounter of an infant-female pair with a resident male was brought about by human interference. Give the circumstances in which the event ocurred and the hierarchical position of the agressor, the social pathology hypothesis seems the most plausible explanation for such behavior.

  11. Inflammatory myofibroblastic tumor of the pancreatic head – a case report of a 6 months old child and review of the literature

    Directory of Open Access Journals (Sweden)

    Tomazic Ales

    2015-09-01

    Full Text Available Background. Inflammatory myofibroblastic tumors are rare in the pediatric population. Most common localizations were reported in the lungs. A localization in the pancreas needs differentiation from other tumors and chronic pancreatitis. Treatment is surgical resection, although there are reports of treatment with oral steroids and radiation therapy.

  12. Classical swine fever virus infection modulates serum levels of INF-α, IL-8 and TNF-α in 6-month-old pigs

    DEFF Research Database (Denmark)

    von Rosen, Tanya; Lohse, Louise; Nielsen, Jens;

    2013-01-01

    Several studies have highlighted the important role of cytokines in disease development of classical swine fever virus (CSFV) infection. In the present study, we examined the kinetics of 7 porcine cytokines in serum from pigs infected with 3 different CSFV strains. Based on the clinical picture...

  13. Rapid gains in segmenting fluent speech when words match the rhythmic unit: evidence from infants acquiring syllable-timed languages.

    Science.gov (United States)

    Bosch, Laura; Figueras, Melània; Teixidó, Maria; Ramon-Casas, Marta

    2013-01-01

    The ability to extract word-forms from sentential contexts represents an initial step in infants' process toward lexical acquisition. By age 6 months the ability is just emerging and evidence of it is restricted to certain testing conditions. Most research has been developed with infants acquiring stress-timed languages (English, but also German and Dutch) whose rhythmic unit is not the syllable. Data from infants acquiring syllable-timed languages are still scarce and limited to French (European and Canadian), partially revealing some discrepancies with English regarding the age at which word segmentation ability emerges. Research reported here aims at broadening this cross-linguistic perspective by presenting first data on the early ability to segment monosyllabic word-forms by infants acquiring Spanish and Catalan. Three different language groups (two monolingual and one bilingual) and two different age groups (8- and 6-month-old infants) were tested using natural language and a modified version of the HPP with familiarization to passages and testing on words. Results revealed positive evidence of word segmentation in all groups at both ages, but critically, the pattern of preference differed by age. A novelty preference was obtained in the older groups, while the expected familiarity preference was only found at the younger age tested, suggesting more advanced segmentation ability with an increase in age. These results offer first evidence of an early ability for monosyllabic word segmentation in infants acquiring syllable-timed languages such as Spanish or Catalan, not previously described in the literature. Data show no impact of bilingual exposure in the emergence of this ability and results suggest rapid gains in early segmentation for words that match the rhythm unit of the native language.

  14. Ptosis - infants and children

    Science.gov (United States)

    Blepharoptosis-children; Congenital ptosis; Eyelid drooping-children; Eyelid drooping-amblyopia; Eyelid drooping-astigmatism ... Ptosis in infants and children is often due to a problem with the muscle that raises the eyelid. A nerve problem in the eyelid can ...

  15. Neutropenia - infants

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/007230.htm Neutropenia - infants To use the sharing features on this page, please enable JavaScript. Neutropenia is an abnormally low number of white blood ...

  16. CPR: Infant

    Medline Plus

    Full Text Available Refresher Center Home FIRST AID, CPR and AED LIFEGUARDING Refresher Putting It All Together: CPR—Infant (1:52) Refresher videos only utilize this player QUICK LINKS Home ...

  17. Pneumothorax - infants

    Science.gov (United States)

    ... around the lungs, which leads to a lung collapse. This article discusses pneumothorax in infants. Causes A pneumothorax occurs when some of the tiny air sacs (alveoli) in a baby's lung become overinflated and burst. ...

  18. Temperament of premature infants with cerebral palsy

    OpenAIRE

    Ryu, Hyo Jeong; Don Kim, Kyoung

    2015-01-01

    [Purpose] The purpose of this study was to examine the infant temperaments of children with cerebral palsy due to premature birth. [Subjects and Methods] Data were collected through questionnaires sent to 118 mothers of infants diagnosed with cerebral palsy due to premature birth. [Results] Different infant temperament scores were obtained according to the degrees of disability, type of palsy, birth weights, gestational age, and periods of hospitalization in an NICU; however, the differences ...

  19. Perception and management of fever in infants up to six months of age: A survey of US pediatricans

    Directory of Open Access Journals (Sweden)

    Markson Leona E

    2010-12-01

    Full Text Available Abstract Background A fever is an increase in the body's temperature above normal. This study examined how US pediatricians perceive and manage fever generally versus fever occurring after vaccination in infants up to six months of age. Methods A web-based survey of 400 US pediatricians subscribing to the Physician Desk Reference was conducted in December 2008. Data were collected on the respondents' socio-demographics, number of years in practice, type of practice, their definition of fever severity in infants, and their recommendations for managing fever. Generalized Estimating Equations were used to estimate the odds of a pediatrician recommending an emergency room visit (ER or a hospital admission, office visits, or other treatment option, as a function of infant's age, temperature, whether the infant has recently received a vaccine, and whether the fever was reported during or after office hours, adjusting for practice type and socio-demographic variables. Results On average, the 400 responding pediatricians' (64% were female, average age of 49 years, years in practice = 20 years threshold for extremely serious fever was ≥39.5°C and ≥ 40.0°C for infants 0-2 month and >2-6 month of age respectively. Infants were more likely to be referred to an ER or hospital admission if they were ≤ 2 months of age (Odds Ratio [OR], 29.13; 95% Confidence interval [95% CI], 23.69-35.82 or >2-4 months old (OR 3.37; 95% CI 2.99-3.81 versus > 4 to 6 months old or if they had a temperature ≥ 40.0°C (OR 21.06; 95% CI 17.20-25.79 versus a temperature of 38.0-38.5°C. Fever after vaccination (OR 0.29; 95% CI 0.25-0.33 or reported during office hours (OR 0.17; 95% CI 0.15-0.20 were less likely to result in referral to ER or hospital admission. Conclusion Within this sample of US pediatricians, perception of the severity of fever in infants, as well as the response to infant fever are likely to depend on the infant's age. Recommendations for the management

  20. Rapid gains in segmenting fluent speech when words match the rhythmic unit: evidence from infants acquiring syllable-timed languages

    Directory of Open Access Journals (Sweden)

    Laura eBosch

    2013-03-01

    Full Text Available The ability to extract word-forms from sentential contexts represents an initial step in infants’ process towards lexical acquisition. By age 6 months the ability is just emerging and evidence of it is restricted to certain testing conditions. Most research has been developed with infants acquiring stress-timed languages (English, but also German and Dutch whose rhythmic unit is not the syllable. Data from infants acquiring syllable-timed languages are still scarce and limited to French (European and Canadian, partially revealing some discrepancies with English regarding the age at which word segmentation ability emerges. Research reported here aims at broadening this cross-linguistic perspective by presenting first data on the early ability to segment monosyllabic word-forms by infants acquiring Spanish and Catalan. Three different language groups (two monolingual and one bilingual and two different age groups (8- and 6-month-old infants were tested using natural language and a modified version of the HPP with familiarization to passages and testing on words. Results revealed positive evidence of word segmentation in all groups at both ages, but critically, the pattern of preference differed by age. A novelty preference was obtained in the older groups, while the expected familiarity preference was only found at the younger age tested, suggesting more advanced segmentation ability with an increase in age. These results offer first evidence of an early ability for monosyllabic word segmentation in infants acquiring syllable-timed languages such as Spanish or Catalan, not previously described in the literature. Data show no impact of bilingual exposure in the emergence of this ability and results suggest rapid gains in early segmentation for words that match the rhythm unit of the native language.

  1. [Infant feeding].

    Science.gov (United States)

    Robert, M

    2012-09-01

    Infants are vulnerable: their growth and their development depend largely on their nutritional status. It is important to propose for them an optimal food. The human milk is unquestionably the best choice for the infant. When breastfeeding is not possible, the choice of the milk is made among hundreds of formulas for infants. They are regulated by a European directive. The healthcare professionals have to recommend as often as possible an infant formula: low protein content, predominance of whey proteins, enrichment with long chain fatty acids, lactose, addition of pre- or probiotics. The formulas for specific indications will be recommended in case of particular situations after verification that the complaints (constipation, regurgitations, stomach pains) cannot be corrected by simple dietary measures (increasing of the intakes of meals with a concomitant reduction of the volume of the meals). The food diversification is recommended between 17 and 26 weeks according to the neuromuscular capacities of the infant. These meals must be presented with a spoon to assure a sufficient nutritional intake. In Belgium, the use is to begin with fruits. One should avoid adding biscuits or sugar. The meal of vegetables will be introduced a little later. It should consist of starchy foods, vegetables with some fat to which the meat will be added. Numerous foods (biscuits, croissants and similar products, chips) should never be part of the ordinary menu, but should be reserved for particular occasions. The education of the children should begin from this age on.

  2. Infant formula.

    Science.gov (United States)

    O'Connor, Nina R

    2009-04-01

    Although the American Academy of Pediatrics and the American Academy of Family Physicians recommend breast milk for optimal infant nutrition, many parents still choose formula as an acceptable alternative. The wide variety of available formulas is confusing to parents and physicians, but formulas can be classified according to three basic criteria: caloric density, carbohydrate source, and protein composition. Most infants require a term formula with iron. There is insufficient evidence to recommend supplementation with docosahexaenoic acid or arachidonic acid. Soy formulas are indicated for congenital lactase deficiency and galactosemia, but are not recommended for colic because of insufficient evidence of benefit. Hypoallergenic formulas with extensively hydrolyzed protein are effective for the treatment of milk protein allergy and the prevention of atopic disease in high-risk infants. Antireflux formulas decrease emesis and regurgitation, but have not been shown to affect growth or development. Most infants with reflux require no treatment. Family physicians can use these guidelines to counsel parents about infant formula, countering consumer advertising that is not evidence-based. PMID:19378873

  3. Content and evolution of potential furfural compounds in commercial milk-based infant formula powder after opening the packet.

    Science.gov (United States)

    Chávez-Servín, Jorge L; de la Torre Carbot, Karina; García-Gasca, Teresa; Castellote, Ana I; López-Sabater, M Carmen

    2015-01-01

    Potential furfural compounds were examined by RP-HPLC-DAD in 20 commercial milk-based powdered infant formula (IF) brands from local markets from Paris, France; DF, Mexico; Copenhagen, Denmark; England, UK; and Barcelona, Spain. We traced the evolution of these compounds after the packets had been opened at 0, 30 and 70 days of storage at room temperature (≈25 °C; minimum 23 °C and maximum 25.5 °C). All formula brands were analysed during the first 3-5 months of their shelf life. The mean values of all IFs for potential 5-hydroxymethyl-2-furaldehyde (HMF)+2-furaldehyde (F) were 1115.2 μg/100 g (just opened), 1157.6 μg/100 g (30 days) and 1344.5 μg/100 g of product (70 days). In general, slight increases of potential furfural contents were observed in most of the studied IFs, which suggests that the Maillard reaction increases after opening the packets. The main furfural compound found was HMF, as expected. The range of potential HMF consumed for an infant about 6 months old feeding only on formula was estimated between 0.63 mg and 3.25 mg per day.

  4. Breastfeeding the preterm infant

    Directory of Open Access Journals (Sweden)

    Luigi Corvaglia

    2013-06-01

    Full Text Available Due to its peculiar nutritional and non-nutritional contents, which include long-chain polyunsatured fatty acids (LC-PUFA, prebiotics, immunological factors, hormones and growth factors, breast milk shows significant advantages over infant formulas in nourishing preterm infants. Better neurocognitive outcomes, which are reported to persist far beyond the early childhood, have been largely observed in breastfed preterm infants; a role of LC-PUFA in promoting neural and retinal development is assumed. As far as the gastrointestinal tract is concerned, several evidences have reported a dose-related reduction in NEC incidence among preterm infants fed on human milk. Moreover, the higher amount of immunological factors as secretory IgA within preterm breast milk might play a remarkable role in reducing the overall infections. Despite breastfeeding in preterm infants is generally linked with lowered growth rates which might potentially affect neurocognitive outcomes, the beneficial effects of human milk on neurodevelopment prevail. Fortified human milk might better fulfill the particular nutritional needs of preterm infants. However, as breast milk fortification is difficult to carry out after the achievement of full oral feeding, some concerns on the nutritional adequacy of exclusive breastfeeding during hospitalization as well as after discharge have been raised. Finally, breastfeeding also entails maternal psychological beneficial effects, as promoting the motherhood process and the mother-child relationship, which could be undermined in those women experiencing preterm delivery. Proceedings of the 9th International Workshop on Neonatology · Cagliari (Italy · October 23rd-26th, 2013 · Learned lessons, changing practice and cutting-edge research

  5. Síndrome séptico por Acinetobacter calcoaceticus, variedad anitratus Septic syndrome due to acinetobacter calcoaceticus var. anitratus in an infant: report of a case and review of the subject

    Directory of Open Access Journals (Sweden)

    Carmen Tulia Zapata Muñoz

    1994-04-01

    Full Text Available Se presenta un caso de síndrome séptico por Acinetobacter calcoaceticus, variedad anitratus, adquirido en la comunidad por un niño inmunocompetente. Esta combinación de circunstancias es inusitada. Se manifestó por meningitis, compromiso del pulmón izquierdo y un absceso glúteo. El niño se recuperó completamente con la antibioterapia. Se propone éste como el primer caso informado en la literatura latinoamericana que reúne las condiciones anotadas. Se hace una síntesis de las características generales de la bacteria, la patogénesis de la infección y las principales enfermedades que produce, así como los medios existentes para prevenirla.

    We report on the case of an immunocompetent infant who presented with a septic syndrome due to a community-acquired infection by Acinetobacter calcoaceticus var. anitratus. Clinical manifestations were meningitis, left Iobar pneumonia with pleural effussion and a gluteal ascess. The patient fully recovered with antibiotic therapy. This case may be the first in the Latin-American medical literature with such unusual combination of features. A review is presented on the general characteristics of Acinetobacter, the pathogenesis of the infections It produces, the main clinical presentations and the methods of prevention.

  6. 78 FR 54911 - Certain Thermal Support Devices for Infants, Infant Incubators, Infant Warmers and Components...

    Science.gov (United States)

    2013-09-06

    ... COMMISSION Certain Thermal Support Devices for Infants, Infant Incubators, Infant Warmers and Components.... International Trade Commission has received a complaint entitled Certain Thermal Support Devices for Infants, Infant Incubators, Infant Warmers and Components Thereof, DN 2976; the Commission is soliciting...

  7. CPR: Infant

    Medline Plus

    Full Text Available Refresher Center Home FIRST AID, CPR and AED LIFEGUARDING Refresher Putting It All Together: CPR—Infant (1:52) Refresher videos only utilize this player QUICK LINKS Home RedCross.org Purchase Course Materials Shop Our Store ...

  8. Early colonization of the oral cavity in 6- and 12-month-old infants by cariogenic and periodontal pathogens: a case-control study.

    Science.gov (United States)

    Merglova, Vlasta; Polenik, Pavel

    2016-09-01

    The colonization of the oral cavity by cariogenic and periodontal pathogens occurs earlier than previously thought. This study aimed to identify the presence and quantity of representative cariogenic and periodontal pathogens in the oral cavities of 6- and 12-month olds and to evaluate the influence of C-section delivery on early Streptococcus mutans (Sm) colonization of the oral cavity. The research cohort was composed of 59 infants (35 infants were delivered vaginally and 24 via C-section) and their mothers. At 6 months of age, the infants were examined, and unstimulated saliva samples were collected. Variables concerning mothers were DMF index and salivary levels of Sm. Repeated saliva samples were taken 6 months later. The representative cariogenic and periodontal microorganisms were identified, and their quantities were measured using a polymerase chain reaction-based method. The relationships between the presence of detected microbes, the mode of delivery, and maternal variables were evaluated using paired t tests, chi-squared test, and ANOVAs. High rates of cariogenic bacteria, Aggregatibacter actinomycetemcomitans (Aa) and Fusobacterium nucleatum (Fn), were found in both infant cohorts. An analysis of the differences between delivery methods revealed that the group of 6-month-old vaginally delivered infants had a significantly higher amount of Sm. We conclude that the cariogenic bacteria, Aa and Fn, are present in edentulous infants. This presence increases in the months following the eruption of the deciduous teeth. Results did not confirm the influence of C-section delivery on the early Sm colonization of the oral cavity. PMID:26914065

  9. 深圳市婴儿睡眠现状流行病学研究%Epidemiological study on infant sleep status in Shenzhen.

    Institute of Scientific and Technical Information of China (English)

    谢怡; 孙晓勉; 郑雪媚

    2011-01-01

    [Objective] To understand infant sleep problems through the study of infant sleep status in Shenzhen, and analyse the risk factors. To provide a scientific basis to solve infant sleep problems for pediatricians and children health care workers. [Methods] The survey and temperament tests were taken among 904 parents in five community service centers, at random. [Results] 1) Prevalence of sleep problems among infants was 43. 0% in Shenzhen. 2) The main infant sleep position before 6-month-old was supination. Lateral position and unfixed position gradually increased along with the growth after 6-month-old. Infants sleep on their own or need help to fall asleep had nothing to do with age. 3) Main risk factors were the parents lack of knowledge of sleep, infants with disharmonious temperament, infants sleeping at night with lights and so on.[Conclusions] Infant sleep problems have attracted wide attention from their parents. The parents lack of knowledge of sleep and paying too much attention to infant sleep, is the main risk factor to prevent infants from establishing normal sleep patterns.%[目的]通过对深圳市婴儿睡眠现状的调查研究,了解婴儿睡眠存在的问题,分析可能影响婴儿睡眠问题的危险因素,为儿科和儿童保健工作者解决婴儿睡眠问题提供科学依据. [方法]采用分层随机整群抽样的方法抽取全市5家社区健康服务中心共904名婴儿父母进行问卷调查及气质测试. [结果]深圳市婴儿睡眠问题发生率为43.0%;2)婴儿睡眠姿势6月龄前以仰卧为主,6月龄后侧卧、不固定姿势均随着月龄增长逐渐增多,婴儿自行入睡及需外界帮助入睡方式均与月龄无关;3)影响婴儿睡眠问题的主要因素有父母缺乏睡眠知识,婴儿难养型气质、夜间睡眠开灯等. [结论]婴儿睡眠问题已引起父母广泛关注,父母缺乏睡眠知识而又过多干预婴儿睡眠,是婴儿建立正常的睡眠模式主要相关危险因素.

  10. Infant feeding among HIV-positive mothers and the general population mothers: comparison of two cross-sectional surveys in Eastern Uganda

    Directory of Open Access Journals (Sweden)

    Tylleskär Thorkild

    2009-05-01

    Full Text Available Abstract Background Infant feeding recommendations for HIV-positive mothers differ from recommendations to mothers of unknown HIV-status. The aim of this study was to compare feeding practices, including breastfeeding, between infants and young children of HIV-positive mothers and infants of mothers in the general population of Uganda. Methods This study compares two cross-sectional surveys conducted in the end of 2003 and the beginning of 2005 in Eastern Uganda using analogous questionnaires. The first survey consisted of 727 randomly selected general-population mother-infant pairs with unknown HIV status. The second included 235 HIV-positive mothers affiliated to The Aids Support Organisation, TASO. In this article we compare early feeding practices, breastfeeding duration, feeding patterns with dietary information and socio-economic differences in the two groups of mothers. Results Pre-lacteal feeding was given to 150 (64% infants of the HIV-positive mothers and 414 (57% infants of general-population mothers. Exclusive breastfeeding of infants under the age of 6 months was more common in the general population than among the HIV-positive mothers (186 [45%] vs. 9 [24%] respectively according to 24-hour recall. Mixed feeding was the most common practice in both groups of mothers. Solid foods were introduced to more than half of the infants under 6 months old among the HIV-positive mothers and a quarter of the infants in the general population. Among the HIV-positive mothers with infants below 12 months of age, 24 of 90 (27% had stopped breastfeeding, in contrast to 9 of 727 (1% in the general population. The HIV-positive mothers were poorer and had less education than the general-population mothers. Conclusion In many respects, HIV-positive mothers fed their infants less favourably than mothers in the general population, with potentially detrimental effects on both the child's nutrition and the risk of HIV transmission. Mixed feeding and pre

  11. Factors influencing the bone mineral density in preterm infants%早产婴儿骨密度及其影响因素分析

    Institute of Scientific and Technical Information of China (English)

    杨文旭; 杨慧明

    2011-01-01

    Objective To study the bone mineral development and the factors influencing the development in preterm infants. Methods Ninety preterm and 90 term infants followed up by the child health care service were randomly enrolled. Tibia quantitative ultrasound measurements were used to evaluate bone mineral density described as supersonic speed of sound (SOS) and Z scores at 6 months old ( corrected gestational age for preterm infants). The factors influencing bone mineral development were investigated by questionnaire. Results The SOS values and Z scores in term infants were significantly higher than those in preterm infants at 6 months old. In the preterm group, the SOS values and Z scores were significantly different in infants with different birth weights or gestational ages ( P < 0. 05 ). The SOS values in preterm infants with different weaning time were significantly different. The Z scores in female preterm infants were significantly higher than that in males (P<0. 05). Multiple regression analysis indicated that weaning time and daily time of outdoor activities were independent factors influencing SOS values in preterm infants. Conclusions It is helpful to promote bone mineral development by an appropriate weaning time or increasing the time of outdoor activities in preterm infants.%目的 了解早产儿骨矿发育的情况及影响因素.方法 随机选取儿保门诊随访的早产儿与足月儿各90例,采用定量超声技术测量6月龄时(早产儿为纠正胎龄6月龄)的胫骨骨密度,结果以超声波声速度(SOS)值和Z值表示;同时采用回顾性问卷调查影响骨矿发育的相关因素.结果 足月儿6月龄的SOS值和Z值明显高于纠正胎龄6月龄的早产儿.在早产儿组中,不同出生体重、胎龄婴儿的SOS值和Z值,不同断母乳时间婴儿的SOS值差异有统计学意义(P<0.05);早产儿女婴的Z值明显高于男性婴儿,差异有统计学意义(P<0.05).多元线性回归分析显示,断母乳时间

  12. Sudden Infant Death Syndrome

    Science.gov (United States)

    Sudden infant death syndrome (SIDS) is the sudden, unexplained death of an infant younger than one year old. Some people call ... boys, African Americans, and American Indian/Alaska Native infants have a higher risk of SIDS. Although health ...

  13. Osteopenia - premature infants

    Science.gov (United States)

    Neonatal rickets; Brittle bones - premature infants; Weak bones - premature infants; Osteopenia of prematurity ... that are born full-term. A lack of vitamin D may also lead to osteopenia in infants. ...

  14. Peripheral intravenous line - infants

    Science.gov (United States)

    PIV - infants; Peripheral IV - infants; Peripheral line - infants; Peripheral line - neonatal ... A peripheral intravenous line (PIV) is a small, short, plastic tube, called a catheter. A health care provider puts ...

  15. Effects of prenatal blood lead exposure lower than 100 μg/L on infants neurobehavioral development%出生前低于100μg/L血铅暴露对婴儿发育的影响

    Institute of Scientific and Technical Information of China (English)

    王波; 邵迪初; 项张华; 倪为民; 杨水莲; 吴翠娥; 李凭健; 傅华

    2011-01-01

    [Objective] To determine the effects of prenatal lead exposure(lower than 100 μg/L) on six-month-old infant's growth and development. [Methods] The study subjects were 6-month-old infants whose mothers' blood lead were lower than 100 μg/L both during the 1st and 3rd trimester of gestation in a cohort study. Bayley infant development scale was used to evaluate the infants' development. The differences in mental development index(MDI) and psychomotor development index(PDI) of infant were compared across different prenatal blood exposure levels, using the P25, P50 and P75 of the blood lead during pregnancy as the dividing value of groups, respectively. [Results] The MDI and PDI of 6month-old infants tended to decrease as the increase of prenatal blood lead exposure level. The PDI of 6-month-old infants in the relative high lead level group was lower than that in the relative low lead group as the dividing value of groups was P25 and P50 of blood lead, and the difference were statistically significant(P<0.05). There were no significant differences in the MDI of 6-month-old infants across groups. Besides, multivariate analysis indicated that the PDI of the infants whose prenatal lead concentration higher than P50 was 4.48 point lower than that of infants below P50. Similarly, the PDI of the infants whose prenatal lead concentration higher than P25 was 6.51 point lower than that of infants below P25. The differences were statistically significant. [Conclusion] Low level prenatal lead exposure may exert an influence on infants' behavior development and such effect might be more significant at the low level of lead exposure, which merits further research.%[目的]探讨出生前100 μg/L以下剂量铅暴露对婴儿6月龄时智力和行为发育的影响.[方法]以出生前孕早期和晚期孕妇血铅低于100 μg/L的婴儿为研究对象,在其6月龄时用Bayley婴幼儿发育量表评价智力发育和精神运动发育.根据孕早期和晚期血铅的P25

  16. Body-Part Tracking of Infants

    DEFF Research Database (Denmark)

    Olsen, Mikkel Damgaard; Herskind, Anna; Nielsen, Jens Bo;

    2014-01-01

    Motion tracking is a widely used technique to analyze and measure adult human movement. However, these methods cannot be transferred directly to motion tracking of infants due to the big differences in the underlying human model. However, motion tracking of infants can be used for automatic...... analysis of infant development and might be able to tell something about possible motor disabilities such as cerebral palsy. In this paper, we address markerless 3D body part detection of infants using a widely available depth sensor and discuss some of the major challenges that arise. We present a method...

  17. Maternal eating disorder and infant diet. A latent class analysis based on the Norwegian Mother and Child Cohort Study (MoBa).

    Science.gov (United States)

    Torgersen, Leila; Ystrom, Eivind; Siega-Riz, Anna Maria; Berg, Cecilie Knoph; Zerwas, Stephanie C; Reichborn-Kjennerud, Ted; Bulik, Cynthia M

    2015-01-01

    Knowledge of infant diet and feeding practices among children of mothers with eating disorders is essential to promote healthy eating in these children. This study compared the dietary patterns of 6-month-old children of mothers with anorexia nervosa, bulimia nervosa, binge eating disorder, and eating disorder not otherwise specified-purging subtype, to the diet of children of mothers with no eating disorders (reference group). The study was based on 53,879 mothers in the Norwegian Mother and Child Cohort Study (MoBa). Latent class analysis (LCA) was used to identify discrete latent classes of infant diet based on the mothers' responses to questions about 16 food items. LCA identified five classes, characterized by primarily homemade vegetarian food (4% of infants), homemade traditional food (8%), commercial cereals (35%), commercial jarred baby food (39%), and a mix of all food groups (11%). The association between latent dietary classes and maternal eating disorders were estimated by multinomial logistic regression. Infants of mothers with bulimia nervosa had a lower probability of being in the homemade traditional food class compared to the commercial jarred baby food class, than the referent (O.R. 0.59; 95% CI 0.36-0.99). Infants of mothers with binge eating disorder had a lower probability of being in the homemade vegetarian class compared to the commercial jarred baby food class (O.R. 0.77; 95% CI 0.60-0.99), but only before adjusting for relevant confounders. Anorexia nervosa and eating disorder not otherwise specified-purging subtype were not statistically significantly associated with any of the dietary classes. These results suggest that maternal eating disorders may to some extent influence the child's diet at 6 months; however, the extent to which these differences influence child health and development remains an area for further inquiry. PMID:25453594

  18. The case for social evaluation in preverbal infants: Gazing toward one’s goal drives infants’ preferences for Helpers over Hinderers in the hill paradigm

    Directory of Open Access Journals (Sweden)

    J Kiley eHamlin

    2015-01-01

    Full Text Available In a 2007 empirical report, Hamlin, Wynn, and Bloom provided the first evidence that preverbal infants at 6 and at 10 months of age evaluate others on the basis of their helpful and unhelpful actions toward unknown third parties. In their hill paradigm, a Climber puppet tried but failed to climb a steep hill, and was alternately bumped up the hill by the Helper and bumped down the hill by the Hinderer. After being habituated to these events, both 10- and 6-month-olds selectively reached for the Helper over the Hinderer. In response, Scarf, Imuta, Colombo, & Hayne (2012b provided evidence that rather than reflecting an early developing capacity for social evaluation, infants’ choices in Hamlin et al. reflected low-level perceptual preferences whereby infants are drawn to any character who is associated with the Climber bouncing. The current studies represent an attempt to adjudicate between the social and perceptual accounts of infants’ preferences for Helpers over Hinderers in the hill paradigm, by pitting a perceptual cue (e.g., bouncing against a social cue (e.g., whether or not the Climber gazes toward his goal. Infants’ patterns of preference across 2 experiments support the social account.

  19. Do infants represent the face in a viewpoint-invariant manner? Neural adaptation study as measured by near-infrared spectroscopy

    Directory of Open Access Journals (Sweden)

    Megumi eKobayashi

    2011-11-01

    Full Text Available Recent adult fMRI studies reported that face sensitive cortical areas showed attenuated responses to the repeated presentation of an identical facial image compared to the presentation of different facial images (fMRI-adaptation effects: e.g., Andrews & Ewbank, 2004. Building upon this finding, the current study, employing the adaptation paradigm, used NIRS to explore the neural basis of face processing in infants. In Experiment 1, we compared hemodynamic responses in the bilateral temporal regions during the repeated presentation of the same face (the same-face condition and the sequential presentation of different faces (the different-face condition. We found that 1 hemodynamic responses in the channels around the T5 and T6 regions increased during the presentation of different faces compared to those during the presentation of different objects; and that 2 these channels showed significantly lower response in the same-face condition than in the different-face condition, demonstrating the neural adaptation effect in 5- to 8-month-olds as measured by NIRS. In Experiment 2, when faces in both the same-face and different-face conditions were changed in viewpoint, lower hemodynamic responses in the same-face condition were found in 7- to 8-month-olds but not in 5- to 6-month-olds. Our results suggest that faces are represented in a viewpoint-invariant manner in 7- and 8-month-old infants.

  20. Morbimortalidade infantil por diarréia aguda em área metropolitana da região Nordeste do Brasil, 1986-1989 Infant morbimortality due to acute diarrhoea in a metropolitan area of northeastern Brazil

    Directory of Open Access Journals (Sweden)

    Gilvana de J. do V. Campos

    1995-04-01

    occurred in S. José de Ribamar. The distribution of cases according to age showed a higher prevalence among children of 6-11 months and between 1 and 2 years of age. The prevalence of diarrhoea was highest among the families: that excreted directly into the sea or a latreen; that used water from uncovered wells; that threw their garbage into the sea; and whose bread-winners were unemployed. Diarrhoea was the principal cause of death in both surveys. Infant mortality, in May 1986, was 44.0 per thousand in children under 1 year of age and 12.8 in children under 5 years old; in May 1989 it was 7.9 per thousand and 4.9 per thousand respectively. The decrease in child morbidity and mortality due to diarrhoea between 1986 and 1989 was statistically significant.

  1. Phospholipids in Human Milk and Infant Formulas: Benefits and Needs for Correct Infant Nutrition.

    Science.gov (United States)

    Cilla, Antonio; Diego Quintaes, Késia; Barberá, Reyes; Alegría, Amparo

    2016-08-17

    The composition of human milk has served as a basis for the development of infant formulas, which are used when breastfeeding is not possible. Among the human milk nutrients, 50% of the total energetic value corresponds to fat, with a high level of fatty acids and 0.2-2.0% present in the form of phospholipids (PLs). The PL contents and fatty acid distribution in PL species have been investigated as bioactive elements for the production of infant formulas, since they offer potential benefits for the optimum growth and health of the newborn infant. The differences in the amount of PLs and in fatty acid distribution in PL species between human milk and infant formulas can imply biologically significant differences for newborn infants fed with infant formulas versus human milk-mainly due to the greater proportion of sphingomyelin with respect to phosphatidylcholine in infant formulas. The limited information referred to the characterization of fatty acid distribution in PL species in infant formulas or in ingredients used to enrich them merits further research in order to obtain products with benefits similar to those of human milk in terms of infant growth, visual acuity, and neurological development. The present review establishes the scientific basis for helping to adjust formulations to the requirements of infant nutrition.

  2. Crisis epilépticas generalizadas asociadas a intoxicación pasiva por cocaína en un lactante Generalized epileptic seizures in an infant due to passive exposure to cocaine

    Directory of Open Access Journals (Sweden)

    S. Aguilera

    2009-12-01

    Full Text Available Fundamento. Las crisis convulsivas sin fiebre en lactantes implican un diagnóstico diferencial amplio. Caso clínico. Lactante mujer de 7 meses que presenta, estando afebril, dos crisis generalizadas tónico-clónicas breves en 23 horas. Su desarrollo psicomotor y estaturo-ponderal seguía un curso normal. Se obtuvo analítica de sangre, ecografía cerebral y electroencefalograma, normales. Debido a una situación sociofamiliar desfavorable, se realizaron tóxicos en orina, positivos para cocaína en dos muestras sucesivas; se negativizaron en 48 horas. Estuvo en contacto con humo ambiental horas previas al inicio de las crisis. Sin crisis en los siguientes 6 meses, con desarrollo normal, sigue bajo vigilancia por asistencia social. Discusión. La inhalación pasiva de humo de cocaína se asocia a crisis convulsivas en lactantes. Este riesgo es casi desconocido en nuestro país, a pesar del aumento del consumo de crack. Ante una primera crisis epiléptica afebril en cualquier edad, se debe incluir de forma rutinaria la detección de tóxicos en orina.Background. The differential diagnosis of afebrile seizures in the first year of life is extensive. Case report. A 7-month old infant presented two afebrile generalized tonic-clonic seizures in 23 hours; her psychomotor and growth development followed a normal course. Laboratory analysis, cerebral echography and electroencephalogram were normal. Urine toxicology was positive for cocaine on two occasions. A negative urine sample was obtained 48 hours later. The parents denied drug abuse but explained a recent exposure to smoke some hours before the episode. The patient had no seizures in the following six months, with normal psychomotor development. Discussion. Passive inhalation of cocaine is associated with seizures in infants. There is no perception of the risk of passive exposure to cocaine in our country, despite the increasing consumption of crack in young adults. Urine toxicology should be

  3. Auditory Responses of Infants

    Science.gov (United States)

    Watrous, Betty Springer; And Others

    1975-01-01

    Forty infants, 3- to 12-months-old, participated in a study designed to differentiate the auditory response characteristics of normally developing infants in the age ranges 3 - 5 months, 6 - 8 months, and 9 - 12 months. (Author)

  4. Infant and Newborn Nutrition

    Science.gov (United States)

    ... It has all the necessary vitamins and minerals. Infant formulas are available for babies whose mothers are not able or decide not to breastfeed. Infants usually start eating solid foods between 4 and ...

  5. Infant - newborn development

    Science.gov (United States)

    ... medlineplus.gov/ency/article/002004.htm Infant - newborn development To use the sharing features on this page, please enable JavaScript. Infant development is most often divided into the following areas: ...

  6. Central venous line - infants

    Science.gov (United States)

    CVL - infants; Central catheter - infants - surgically placed ... plastic tube that is put into a large vein in the chest. WHY IS A ... central catheter (PICC) or midline central catheter (MCC). A CVL ...

  7. Caudal ropivacaine in infants

    DEFF Research Database (Denmark)

    Hansen, Tom Giedsing; Ilett, K F; Reid, C;

    2001-01-01

    Ropivacaine is a new long-acting amino-amide local anesthetic. However, there are no data on its use in infants. In the current study, the authors investigated the pharmacokinetics of caudal ropivacaine in 30 infants younger than 12 months.......Ropivacaine is a new long-acting amino-amide local anesthetic. However, there are no data on its use in infants. In the current study, the authors investigated the pharmacokinetics of caudal ropivacaine in 30 infants younger than 12 months....

  8. Primary hyperoxaluria in infants

    Directory of Open Access Journals (Sweden)

    Manel Jellouli

    2016-01-01

    Full Text Available The infantile form of primary hyperoxaluria type-1 (PH-1 is characterized by a rapid progression to the end-stage renal disease (ESRD due to both increased oxalate load and reduced glomerular filtration rate. In the literature, data on this form are limited. The purpose of this study is to analyze retrospectively the clinical, biological, and radiological features of children who were diagnosed with PH-1 during the 1styear of life. We reviewed the records of all children with PH-1 diagnosed and followed-up at our department between January 1995 and December 2013. Among them, only infants younger than 12 months of age were retrospectively enrolled in the study. Fourteen infants with the median age of two months were enrolled in the study. At diagnosis, 11 patients had ESRD. All patients had nephrocalcinosis and two of them had calculi. The diagnosis was established in nine patients on the basis of the positive family history of PH-1, bilateral nephrocalcinosis, and quantitative crystalluria. In four patients, the diagnosis was made with molecular analysis of DNA. Kidney biopsy contributed to the diagnosis in one patient. During follow-up, two patients were pyridoxine sensitive and preserved renal function. Seven among 11 patients who had ESRD died, four patients are currently undergoing peritoneal dialysis. Children with infantile PH and ESRD are at high risk of early death. Peritoneal dialysis is not a treatment of choice. Combined liver-kidney transplantation is mandatory.

  9. Infant crying and abuse

    NARCIS (Netherlands)

    Reijneveld, S.A.; van der Wal, M.F.; Brugman, E.; Hira Sing, R.A.; Verloove-Vanhorick, S.P.

    2004-01-01

    Child abuse and neglect are important causes of child morbidity and death. We assessed potentially detrimental parental actions induced by infant crying in 3259 infants aged 1-6 months, in the Netherlands. In infants aged 6 months, 5.6% (95% CI 4.2-7.0) of parents reported having smothered, slapped,

  10. The experimental study on infant rabbit lung injury induced by ischemia-reperfusion%兔未成熟肺缺血再灌注损伤的实验研究

    Institute of Scientific and Technical Information of China (English)

    仇万山; 贾兵; 叶明; 闫宪刚; 陈纲; 陶麒麟; 沈晟; 陈张根

    2012-01-01

    目的 探讨未成熟肺缺血再灌注损伤的特点及其可能的机制.方法 选用新西兰成熟和幼白兔各24只,随机分为成熟对照组、成熟缺血再灌注组、幼兔对照组、幼兔缺血再灌注组.建立Sakuma模型,肺门阻断1h后,开放再灌注4h.设定阻断1h、开放1、2和4h4个时间点,收集血样.ELISA法检测血液中IL-1β、TNF-α水平;术毕收集肺组织分别进行MDA、ROS-HR浓度及SOD、GSH-PX活性测定;Western blot检测肺组织中MyD88和NF-κB水平;光镜和电镜观察损伤后的肺组织病理改变.结果 幼兔组肺组织损伤性变化明显.光镜观察有更多的粒细胞浸润,组织肿胀、肺泡腔渗液、肺泡腔塌陷明显;电镜观察可见部分肺泡上皮细胞及内皮细胞脱落,线粒体肿胀明显,嵴破裂,甚至消失.MDA、ROS-HR浓度升高,SOD、GSH-PX活性下降;各时间点的IL-1β、TNF-α水平有不同程度升高,特别是再灌注后的2、4 h(P<0.01);再灌注后肺组织中MyD88和NF-κB表达也显著升高.结论 幼兔未成熟肺缺血再灌注损伤严重,可能与其相对低的抗氧化能力和产生更多的ROS有关.%Objective To explore the characteristics of ischemia-reperfusion induced infant lung damage and the potential mechanisms of the injuried.Methods Both infant (15-21 days old) and adult (5-6 months old) rabbits were subjected to either ischemia-reperfusion or sham operation.Ischemia-reperfusion was induced by clamping the right pulmonary hilum for 1 hour and then removal of the clamp for 4 hours under anesthesia.The lung tissue were sampled for histological examination by light and electron microcopies and for biological evaluation of mitochondrial alterations.Production and expression of free radical species-hydroxyl radical (ROS-HR),malondialdehyde (MDA),superoxide dismutase (SOD),glutathione peroxidase (GSH-PX),myeloid differentiation factor-88 (MyD-88),and nuclear factor-κB (NF-κB) in the lung tissue were also examined

  11. Orthotopic liver transplantation from a living-related donor in an infant with a peroxisome biogenesis defect of the infantile Refsum disease type.

    Science.gov (United States)

    Van Maldergem, L; Moser, A B; Vincent, M-F; Roland, D; Reding, R; Otte, J-B; Wanders, R J; Sokal, E

    2005-01-01

    Peroxisomal biogenesis defects include a number of severe neurodevelopmental disorders, among which infantile Refsum disease (IRD) occupies the mildest end of the spectrum. Although high docosahexaenoic acid (DHA) and low phytanic acid diets can correct some of the biochemical defects, they have not consistently altered the progressive course of the disease. We carried out orthotopic liver transplantation (OLT) in a mildly symptomatic 6-month-old infant who was a sibling of a severely neurologically impaired older sister. After transplantation the clinical course of this young child appeared much improved by comparison to her older sister. She walked alone at 4 years, had acceptable social interaction and had a noticeable recovery of audition. After transplantation her biochemical parameters were significantly improved: phytanic acid and very long-chain fatty acid (VLCFA) serum concentrations decreased. Abnormal bile acids disappeared from plasma. Although the OLT did not result in a cure of the disorder, the clinical and biochemical results suggest that OLT should be considered in mildly symptomatic patients.

  12. Optimal Time of Tracheotomy in Infants

    Directory of Open Access Journals (Sweden)

    Sevim Unal MD

    2015-01-01

    Full Text Available Objective. Infants with respiratory failure may require prolonged intubation. There is no consensus on the time of tracheotomy in neonates. Methods. We evaluated infants applied tracheotomy, time of procedure, and early complications in our neonatal intensive care unit (NICU retrospectively from January 2012 to December 2013. Results. We identified 9 infants applied tracheotomy with gestational ages 34 to 41 weeks. Their diagnoses were hypotonic infant, subglottic stenosis, laryngeal cleft, neck mass, and chronic lung disease. Age on tracheotomy ranged from 4 to 10 weeks. Early complication ratio was 33.3% with minimal bleeding (1, air leak (1, and canal revision requirement (1. We discharged 7 infants, and 2 infants died in the NICU. Conclusion. Tracheotomy makes infant nursing easy for staff and families even at home. If carried out by a trained team, the procedure is safe and has low complication. When to apply tracheotomy should be individualized, and airway damage due to prolonged intubation versus risks of tracheotomy should be taken into consideration.

  13. Infant-Infant Interaction in a Daycare Setting.

    Science.gov (United States)

    Durfee, Joan T.; Lee, Lee C.

    The Infant-Infant Contact Code, developed to observe the social behavior in infants, is described. Results from using this scale with nine infants under nine months indicated that contacts between infants are complex in nature, that there are developmental changes in models of encounter, and that babies take different roles in relation to the…

  14. Surfactant therapy in late preterm infants

    Directory of Open Access Journals (Sweden)

    Murat Yurdakök

    2013-06-01

    Full Text Available Late preterm (LPT neonates are at a high risk for respiratory distress soon after birth due to respiratory distress syndrome (RDS, transient tachypnea of the newborn, persistent pulmonary hypertension, and pneumonia along with an increased need for surfactant replacement therapy, continuous positive airway pressure, and ventilator support when compared with the term neonates. In the past, studies on outcomes of infants with respiratory distress have primarily focused on extremely premature infants, leading to a gap in knowledge and understanding of the developmental biology and mechanism of pulmonary diseases in LPT neonates. Surfactant deficiency is the most frequent etiology of RDS in very preterm and moderately preterm infants, while cesarean section and lung infection play major roles in RDS development in LPT infants. The clinical presentation and the response to surfactant therapy in LPT infants may be different than that seen in very preterm infants. Incidence of pneumonia and occurrence of pneumothorax are significantly higher in LPT and term infants. High rates of pneumonia in these infants may result in direct injury to the type II alveolar cells of the lung with decreasing synthesis, release, and processing of surfactant. Increased permeability of the alveolar capillary membrane to both fluid and solutes is known to result in entry of plasma proteins into the alveolar hypophase, further inhibiting the surface properties of surfactant. However, the oxygenation index value do not change dramatically after ventilation or surfactant administration in LPT infants with RDS compared to very preterm infants. These finding may indicate a different pathogenesis of RDS in late preterm and term infants. In conclusion, surfactant therapy may be of significant benefit in LPT infants with serious respiratory failure secondary to a number of insults. However, optimal timing and dose of administration are not so clear in this group. Additional

  15. Involuntary movement in infants during vitamin B12 treatment

    OpenAIRE

    Ayşe Tosun; Yusuf Ziya Aral; Emre Çeçen; Ayvaz Aydoğdu; Bilin Çetinkaya Çakmak

    2011-01-01

    Megaloblastic anemia is rare in infants and is generally due to vitamin B12 (cobalamin) deficiency in the mother. Neurologic symptoms of vitamin B12 deficiency include irritability, failure to thrive, hypotonia, and developmental regression/delay. Herein we present 2 infants with vitamin B12 that developed movement disorder 5 d after initiation of vitamin B12 treatment. Symptoms included tremor and myoclonus, involving in particular the face, tongue, and hands. Clinical findings in infants as...

  16. Immunisation of premature infants

    OpenAIRE

    Bonhoeffer, J; Siegrist, C‐A; Heath, P T

    2006-01-01

    Premature infants are at increased risk of vaccine preventable infections, but audits have shown that their vaccinations are often delayed. Early protection is desirable. While the evidence base for immunisation of preterm infants is limited, the available data support early immunisation without correction for gestational age. For a number of antigens the antibody response to initial doses may be lower than that of term infants, but protective concentrations are often achieved and memory succ...

  17. Postpartum depression and infant-mother attachment at one year

    DEFF Research Database (Denmark)

    Smith-Nielsen, Johanne; Tharner, Anne; Steele, Howard;

    Findings on effects of Postpartum depression (PPD) on infant-mother attachment have been contradictory. This may be due to not considering maternal interpersonal difficulties, for example co-morbid personality disorder (PD). We examined the role of PD in the association between postpartum...... depression and infant-mother attachment. Mothers were recruited either during pregnancy (non-clinical group, n=56) or eight weeks postpartum (PPD-group, n=29). Infants of mothers with PPD only or in combination with PD were compared with infants of mothers with no psychopathology. Depression and PD were...... assessed with questionnaires and clinical interviews. Infant-mother attachment was assessed when infants were 13 months using Strange Situation Procedure. Mothers with PPD were more likely to have co-morbid PD compared with non-clinical mothers. PPD was associated with attachment insecurity only...

  18. Milk Allergy in Infants

    Science.gov (United States)

    ... Story" 5 Things to Know About Zika & Pregnancy Milk Allergy in Infants KidsHealth > For Parents > Milk Allergy ... español Alergia a la leche en bebés About Milk Allergy Almost all infants are fussy at times. ...

  19. 小儿粘连性肠梗阻诊断的临床实验研究%Intestinal Obstruction due to Adhesion in Infants and Children:A Clinical and Experimental Study

    Institute of Scientific and Technical Information of China (English)

    谷继卿; 张金哲; 郭哲人; 陈晋杰; 董玉珍

    1983-01-01

    Acute intestinal obstruction due to adhesion constitutes about 81.4% of the hospitalized sick children with intestinal obstructions.54%of the cases were strangulation type.73.5%of them came in during the first year after laparotomy.Symptoms and signs of strangulation obpalpable intestinal pattern.Low pressure barium enema of limited amount may define the diagnosis of a complete mechanical obcolon.No gas in the rectum and sigmoid should call for the exploration.Peritoneal tap plays two roles in the diagnosis of this condition.One is to diagnose the strangulation.The other is to detect the presence of ly important in the exploration where extensive dense adhesions exist.The limulus lystate of the plasma endotoxin is helpful in the diagnosis of stranguand(2)there is some factor hard to reve.%@@ 小儿粘连性肠梗阻中,某一点粘连如条索或小片状粘连,容易引起内疝,扭绞而使不同长度的肠管坏死,造成休克而死亡,生存者可因肠坏死范围过大而后遗短肠症状群,称之为点状粘连性肠梗阻.

  20. Auditory steady-state evoked response in diagnosing and evaluating hearing in infants

    Institute of Scientific and Technical Information of China (English)

    Fei Mai; Xiaozhuang Zhang; Qunxin Lai; Yanfei Wu; Nanping Liao; Yi Ye; Zhenghui Zhong

    2006-01-01

    .4% of the 321 infants failed in the initial hearing screening and secondary screening after 42 days. ② Severe to extremely severe hearing loss was detected in only 16 cases (8.3%) of the 193 infants of 0-6 months, in 9 cases (27.3%) of the 33 infants of 25-30 months,and 13 cases (39.4%) of the 33 infants of 31-36 months. Of the 193 infants of 0-6 months old who failed in the initial screening and the second screening after 42 days, the ASSR auditory threshold was < 30 dB in 97 cases (50.26%), 31-50 dB in 63 cases (32.6%), 51-70 dB in 17 cases (8.8%), 71-90 dB in 7 cases (3.6%), and > 91 dB in 9 cases (4.7%). ③ Among the 321 infants failed in the screening, the auditory threshold in the 6 age groups was < 30 dB in 47.4%, 31-50 dB in 27.1%, 51-70 dB in 8.4%, 71-90 dB in 6.2%, and > 91 dB in 10.9%. ④The difference between ASSR response threshold and VRA auditory thresholds was 6-18 dB in the normal hearing group, mild and moderate hearing loss groups, and there was high correlation between them. The difference of ASSR and VRA thresholds was less than 5 dB between extremely severe and severe hearing loss groups, 5-13 dB between extremely severe and moderate-to-severe hearing loss groups (P < 0.05), and there was no significant differences between severe and moderate-to-severe hearing loss groups (P > 0.05).CONCLUSION: ① The hearing was normal in about half of the infants, although they failed in the primary screening and secondary screening. ② The proportion of the severity of hearing loss was increased along with aging. ③ Mild and moderate hearing losses are dominant in infants. ④ ASSR is reliable to evaluate the hearing of infants.

  1. When Infants Talk, Infants Listen: Pre-Babbling Infants Prefer Listening to Speech with Infant Vocal Properties

    Science.gov (United States)

    Masapollo, Matthew; Polka, Linda; Ménard, Lucie

    2016-01-01

    To learn to produce speech, infants must effectively monitor and assess their own speech output. Yet very little is known about how infants perceive speech produced by an infant, which has higher voice pitch and formant frequencies compared to adult or child speech. Here, we tested whether pre-babbling infants (at 4-6 months) prefer listening to…

  2. An infant with Imersland-Grasbeck syndrome

    Directory of Open Access Journals (Sweden)

    Ipek Kaplan Bulut

    2012-01-01

    Full Text Available The Imersland-Gräsbeck Syndrome (IGS is a rare inherited disorder characterized by megaloblastic anemia due to a selective Vitamin B 12 malabsorption in association with mild proteinuria. This syndrome can be diagnosed and treated easily. Herein, we describe an infant with IGS as a rare etiology of growth retardation with diarrhea, vomiting and therapy-resistant proteinuria.

  3. Stillbirth and Infant Mortality

    DEFF Research Database (Denmark)

    Nøhr, Ellen Aagaard

    2012-01-01

    mechanisms behind these associations remain largely unknown. Although maternal obesity is associated with a wide range of complications in the mother and neonate that may impair fetal and infant survival, the increased risk of stillbirth and infant mortality is virtually unchanged when accounting...... indicating that some of the excess risk may have a placental origin. To further understand the associations between maternal obesity and late fetal and infant death, we need better and more detailed clinical data, which is difficult to obtain on a population level given the rarity of the outcomes. The best...

  4. Can circumcision prevent recurrent urinary tract infections in hospitalized infants?

    Science.gov (United States)

    Cason, D L; Carter, B S; Bhatia, J

    2000-12-01

    Urinary tract infection (UTI) is an uncommon but concerning condition for hospitalized premature infants. A retrospective chart review of all male infants admitted to the neonatal intensive care unit (NICU) from June 1996 through March 1999 was conducted at the Medical College of Georgia--a large academic medical center with a tertiary Level III NICU--to investigate the frequency and potential prevention of recurrent UTI in hospitalized infants. The effect of circumcision on recurrence of UTI was also investigated. There were 38 infants with 53 UTIs among 744 male infants admitted during the study period (5.1%). Infants were divided into two groups: A1 UTI and A2 UTI. In groups A1 and A2, 57% of the first UTIs were due to Candida or E. coli, the remaining were due to other gram-negative organisms and Staphylococcus species. Mean gestational age (GA) in groups A1 and A2 were similar (29 +/- 2 weeks, and 29 +/- 4 weeks); however, mean GA of infants with Candida UTI was 27 +/- 2 weeks, and for bacterial UTI, 30 +/- 3 weeks (pUTI once a circumcision was performed. Premature uncircumcised males had an increased risk for UTI (Odds Ratio=11.1, 95% CI, 3.3-28.9, pCircumcision appears beneficial in reducing the risk for recurrent UTI in these infants.

  5. Cow's milk - infants

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/article/002448.htm Cow's milk - infants To use the sharing features on this ... old, you should not feed your baby cow's milk, according to the American Academy of Pediatrics (AAP). ...

  6. Infant formulas - overview

    Science.gov (United States)

    ... based formulas should be used for infants with galactosemia , a rare condition. These formulas can also be ... free formulas: These formulas are also used for galactosemia and for children who can't digest lactose. ...

  7. Unconscious Choking: Infant

    Medline Plus

    Full Text Available Refresher Center Home FIRST AID, CPR and AED LIFEGUARDING Refresher Unconscious Choking—Infant (1:36) Refresher videos only utilize this player QUICK LINKS Home RedCross.org Purchase ...

  8. CPR - infant - slideshow

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/presentations/100216.htm CPR - infant - series To use the sharing features on ... yourself to call 911 until you have performed CPR for about 2 minutes. 3. Carefully place the ...

  9. Abbott Infant Formula Recall

    Data.gov (United States)

    U.S. Department of Health & Human Services — This list includes products subject to recall since September 2010 related to infant formula distributed by Abbott. This list will be updated with publicly...

  10. Parenting Your Infant

    Science.gov (United States)

    ... Prenatal Baby Bathing & Skin Care Breastfeeding Crying & Colic Diapers & Clothing Feeding & Nutrition Preemie Sleep Teething & Tooth Care Toddler Preschool Gradeschool Teen Young Adult Healthy Children > Ages & Stages > Baby > Parenting Your Infant ...

  11. Unnatural sudden infant death

    OpenAIRE

    Meadow, R

    1999-01-01

    AIM—To identify features to help paediatricians differentiate between natural and unnatural infant deaths.
METHOD—Clinical features of 81 children judged by criminal and family courts to have been killed by their parents were studied. Health and social service records, court documents, and records from meetings with parents, relatives, and social workers were studied.
RESULTS—Initially, 42 children had been certified as dying from sudden infant death syndrome (SIDS), and 29 wer...

  12. Interpersonal synchrony increases prosocial behavior in infants.

    Science.gov (United States)

    Cirelli, Laura K; Einarson, Kathleen M; Trainor, Laurel J

    2014-11-01

    Adults who move together to a shared musical beat synchronously as opposed to asynchronously are subsequently more likely to display prosocial behaviors toward each other. The development of musical behaviors during infancy has been described previously, but the social implications of such behaviors in infancy have been little studied. In Experiment 1, each of 48 14-month-old infants was held by an assistant and gently bounced to music while facing the experimenter, who bounced either in-synchrony or out-of-synchrony with the way the infant was bounced. The infants were then placed in a situation in which they had the opportunity to help the experimenter by handing objects to her that she had ‘accidently’ dropped. We found that 14-month-old infants were more likely to engage in altruistic behavior and help the experimenter after having been bounced to music in synchrony with her, compared to infants who were bounced to music asynchronously with her. The results of Experiment 2, using anti-phase bouncing, suggest that this is due to the contingency of the synchronous movements as opposed to movement symmetry. These findings support the hypothesis that interpersonal motor synchrony might be one key component of musical engagement that encourages social bonds among group members, and suggest that this motor synchrony to music may promote the very early development of altruistic behavior. PMID:25513669

  13. 陕西省某县城婴儿辅食添加的现状调查%Current status of infant food supplement in a county of Shaanxi Province

    Institute of Scientific and Technical Information of China (English)

    李卫敏; 张田香; 宋戈; 姚红梅; 廖侠; 张剑琴; 邹余粮

    2014-01-01

    目的:了解陕西省某县城父母对婴儿辅食添加知识的掌握状况。方法随机选择母亲对婴儿辅食添加的情况进行问卷调查,并对资料进行分析。结果5~6月龄婴儿平均添加辅食2.33种,其中在5~6月龄的婴儿中,添加谷类、奶类、动物蛋白、植物蛋白和蔬菜水果类的人数分别占总人数的86.1%、54.7%、40.7%、14.0%和34.9%。结论陕西省某县城的大多数家长能及时给婴儿正确添加辅食,问题主要在于添加过早,以及辅食添加的结构不完善。因此应加大对婴儿辅食添加营养健康知识的教育宣传力度,使大家能正确掌握喂养知识,改善婴幼儿的营养状况。%Objective To understand parents ’ knowledge of infants food supplement in a county of Shaanxi Province.Methods A questionnaire was used to survey knowledge of infant food supplement of randomly selected mothers, and the data were analyzed.Results Infants aged 5-6 months old had 2.33 kinds of food supplements on average, and among them 86.1% infants had cereals, 54.7% had milk, 40.7%had animal protein, 14.0% had plant protein, and 34.9% had fruits and vegetables.Conclusion Most parents in the county of Shaanxi Province can add food supplement for infants correctly.However, the problems are too early adding and imperfect component of food supplement.Therefore, knowledge on infant food supplement should be strengthened and popularized, so that parents can master the knowledge to improve infants’ nutrition status.

  14. Ocular Manifestations in Infants Resulted from Assisted Reproductive Technology (ART.

    Directory of Open Access Journals (Sweden)

    Ebrahim Jafarzadehpur

    2013-12-01

    Full Text Available Nowadays, many infertile couples can have child by assistant reproductive technology (ART. Always the undesirable effects of these methods on newborn are considered and are evaluated. The aim of this study is to describe the impact of ART on ocular and visual performances of infants born by these methods.In a cross-sectional descriptive study, 479 infants aged three-nine months presented to an optometry clinic of Child Health and Development Research Department (CHDRD, Tehran, Iran. Static retinoscopy, qualitative fixation evaluation, Hirschberg test, red reflex assessment and external eye examination were carried out. Other information such as birth weight and maturity of the infants was recorded.It was possible to assess only 320 out of 479 infants due to general condition of some participants. Comparison of mean refractive error in infants' right and left eyes did not show any significant difference. Our findings confirmed that 20.3% had poor fixation, while 2.9% revealed manifest strabismus. The results also revealed the prevalences of myopia, hyperopia and emmetropia are 2.9%, 87%, and 10.1%, respectively. Red reflex abnormalities were significantly found in boys and in preterm infants (p < 0.05. Failure of fixation control was seen more frequently with increasing refractive error, which significantly developed in preterm infants (p < 0.001.These results reflect the necessity of more comprehensive assessments and further follow-up of infants born by ART, especially for premature male ART infants. These results also suggest the probability of fixation condition and visual deficiencies in these infants. It is recommended to pay close attention to this preliminary report about the refractive and fixation condition of the infants born after ART.

  15. 婴儿饮食及生活习惯的干预效果分析%Effects of Intervention on Dietary and Living Habits of Infants

    Institute of Scientific and Technical Information of China (English)

    文静; 李开平; 黄健; 樊欣; 赵妍; 王念蓉

    2014-01-01

    Objectives To discuss the effects of child health care outpatient on dietary and living habits of infants.Methods Infants selected randomly from urban area in Chongqing aged up to 3 months were recruited. In the intervention group, infants were accepted all of the designed intervention and guidance, while those infants in the control group received usual health care without changes of the dietary and living habits of infants. Both of the two groups of infants were detected regular the index including breast feeding rate, introduction of food, the frequency of adding complementary food and sleep situation. Results It shows the breast feeding rate of 4 months old infants and the rate of adding food supplement from 4 to 6 months old infants were higher in the intervention group (P<0.05). The frequency of without taking meat, vegetable and fruits everyday were higher in the control group (P<0.01). By 12 months of age,the day time sleep time was longer and the night sleep time was shorter than the control group (P<0.01), but there was no difference between the two groups of the whole day sleep time.Conclusions The intervention from the child health care outpatient can improve dietary and living habits of the infants partly such as enhancing breast feeding rate of the 4 months old infants, and promoting adding food supplement more regularly. However, how to cultivate ifne sleep habits remains further study.%目的:研究儿保门诊对婴儿饮食及生活习惯的干预效果。方法在重庆市城区随机抽取0~3个月龄婴儿为研究对象,干预组接受本研究的所有干预措施,对照组按常规保健服务,定期监测两组婴儿的母乳喂养率、辅食添加时间及添加频次、睡眠状况等指标。结果干预组婴儿4个月内母乳喂养率、4~6个月龄辅食添加率较高(P<0.05),而对照组没有每天进食肉类、蔬菜、水果的频率较高(P<0.01);12个月龄时干预组婴儿

  16. Renal transplantation in infants.

    Science.gov (United States)

    Jalanko, Hannu; Mattila, Ilkka; Holmberg, Christer

    2016-05-01

    Renal transplantation (RTx) has become an accepted mode of therapy in infants with severe renal failure. The major indications are structural abnormalities of the urinary tract, congenital nephrotic syndrome, polycystic diseases, and neonatal kidney injury. Assessment of these infants needs expertise and time as well as active treatment before RTx to ensure optimal growth and development, and to avoid complications that could lead to permanent neurological defects. RTx can be performed already in infants weighing around 5 kg, but most operations occur in infants with a weight of 10 kg or more. Perioperative management focuses on adequate perfusion of the allograft and avoidance of thrombotic and other surgical complications. Important long-term issues include rejections, infections, graft function, growth, bone health, metabolic problems, neurocognitive development, adherence to medication, pubertal maturation, and quality of life. The overall outcome of infant RTx has dramatically improved, with long-term patient and graft survivals of over 90 and 80 %, respectively. PMID:26115617

  17. CDC WONDER: Mortality - Infant Deaths

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Mortality - Infant Deaths (from Linked Birth / Infant Death Records) online databases on CDC WONDER provide counts and rates for deaths of children under 1 year...

  18. Overview: Infant Formula and Fluorosis

    Science.gov (United States)

    ... Journal Articles for Community Water Fluoridation Overview: Infant Formula and Fluorosis Recommend on Facebook Tweet Share Compartir ... dentist or hygienist to see. Because most infant formulas contain low levels of fluoride, regularly mixing powdered ...

  19. Cronobacter Illness and Infant Formula

    Science.gov (United States)

    ... most at risk. Illnesses Linked to Powdered Infant Formula In some outbreak investigations, Cronobacter was found in ... other sources of this rare sickness. Powdered Infant Formula is Not Sterile Manufacturers report that, using current ...

  20. Nutrition for healthy term infants

    OpenAIRE

    1998-01-01

    Nutrition for Healthy Term Infants is the new national statement on nutrition for infants from birth to 24 months, developed collaboratively by the Canadian Paediatric Society, Dietitians of Canada and Health Canada.

  1. Involuntary movement in infants during vitamin B12 treatment

    Directory of Open Access Journals (Sweden)

    Ayşe Tosun

    2011-12-01

    Full Text Available Megaloblastic anemia is rare in infants and is generally due to vitamin B12 (cobalamin deficiency in the mother. Neurologic symptoms of vitamin B12 deficiency include irritability, failure to thrive, hypotonia, and developmental regression/delay. Herein we present 2 infants with vitamin B12 that developed movement disorder 5 d after initiation of vitamin B12 treatment. Symptoms included tremor and myoclonus, involving in particular the face, tongue, and hands. Clinical findings in infants associated with vitamin B12 deficiency vary, and temporary involuntary movement can be observed during vitamin B12 therapy.

  2. Alveolar lymphangioma in infants: report of two cases.

    LENUS (Irish Health Repository)

    FitzGerald, Kirsten

    2009-06-01

    The alveolar lymphangioma is a benign but relatively rare condition found only in the oral cavities of black infants. Dentists practising in Ireland may be unaware of this condition due to its racial specificity. This paper presents two case reports of multiple alveolar lymphangiomas found in black infants in a children\\'s hospital in Ireland. The epidemiology, aetiology, clinical presentation, histology, and management options are discussed. The photographs should aid the practitioner in recognising these lesions.

  3. Alveolar lymphangioma in infants: report of two cases.

    LENUS (Irish Health Repository)

    FitzGerald, Kirsten

    2012-02-01

    The alveolar lymphangioma is a benign but relatively rare condition found only in the oral cavities of black infants. Dentists practising in Ireland may be unaware of this condition due to its racial specificity. This paper presents two case reports of multiple alveolar lymphangiomas found in black infants in a children\\'s hospital in Ireland. The epidemiology, aetiology, clinical presentation, histology, and management options are discussed. The photographs should aid the practitioner in recognising these lesions.

  4. Parent-Infant Education

    Science.gov (United States)

    Charnley, Lucile; Myre, Gloria

    1977-01-01

    Discusses the development and philosophy of parent-infant education programs provided by Washington State community colleges and vocational technical schools consisting of parent-participation classes and cooperative preschools for 10,000 families. Describes program at Seattle Community College. (BF/JH)

  5. Unconscious Choking: Infant

    Medline Plus

    Full Text Available Refresher Center Home FIRST AID, CPR and AED LIFEGUARDING Refresher Unconscious Choking—Infant (1:36) Refresher videos only utilize this player QUICK LINKS Home RedCross.org Purchase Course Materials Shop Our Store ...

  6. Colic in infants

    NARCIS (Netherlands)

    Lucassen, P.L.

    2015-01-01

    INTRODUCTION: Colic in infants leads one in six families (17%) with children to consult a health professional. One systematic review of 15 community-based studies found a wide variation in prevalence, which depended on study design and method of recording. METHODS AND OUTCOMES: We conducted a system

  7. ZINC ABSORPTION BY INFANTS

    Science.gov (United States)

    Zinc is a vital mineral in human nutrition, and rare cases of overt zinc deficiency are well described in term and preterm infants. A variety of methods have been developed to assess zinc absorption, retention, and balance in humans, either using mass (metabolic) balance or stable isotope-based METH...

  8. Mortalidade infantil por doenças infecciosas e parasitárias: reflexo das desigualdades sociais em um município do Nordeste do Brasil Infant mortality due to infectious and parasitic diseases: a reflection of the social inequalities in a municipality in the Northeast Region of Brazil

    Directory of Open Access Journals (Sweden)

    Mirella Bezerra Rodrigues Vilela

    2008-12-01

    Full Text Available OBJETIVOS: estudar a relação entre o coeficiente de mortalidade infantil (CMI por doenças infecciosas e parasitarias (DIP e o indicador de carência social (ICS, identificando áreas geográficas de maior risco no município de Jaboatão dos Guararapes, Pernambuco, Brasil. MÉTODOS: trata-se de um estudo ecológico cujas unidades de análise foram os bairros do município. Os sistemas de informações de mortalidade e de nascidos vivos do Ministério da Saúde foram utilizados para o cálculo do CMI por DIP e o ICS foi construído utilizando dados socioeconômicos do Censo 2000. RESULTADOS: o CMI por DIP foi de 3,56 por 103 nascidos vivos (NV e o coeficiente de mortalidade pós-neonatal foi de 3,39 por 10³ NV. Houve correlação entre ICS e o CMI por DIP (r=0,87; p=0,008; F=12,88. Encontrou-se um risco 48% (RR=1,479 maior das crianças irem a óbito por DIP antes de completarem um ano no estrato de maior carência social. CONCLUSÕES: o ICS é um útil instrumento para o planejamento de ações locais de saúde, contribuindo para a adoção de medidas que promovam a redução da mortalidade infantil, não descartando a necessidade de demandar atenção para o desenvolvimento de políticas sociais e econômicas nas áreas com maiores carências sociais.OBJECTIVES: to study the relationship between the coefficient of infant mortality (CIM due to infectious and parasitic diseases (IPD and the social need indicator, thereby identifying geographical areas at greater risk in the municipality of Jaboatão dos Guararapes, in the State of Pernambuco, Brazil. METHODS: an ecological study was carried out, in which the units of analysis were the districts of the municipality. The mortality and live birth information systems of the Ministry of Health were used to calculate the CIM/IPD, and the social need indicator was established using socioeconomic data from the 2000 census. RESULTS: the CIM/IPD was 3.56 per 1000 live births and the postnatal mortality

  9. Surfactant therapy in late preterm infants

    OpenAIRE

    Murat Yurdakök

    2013-01-01

    Late preterm (LPT) neonates are at a high risk for respiratory distress soon after birth due to respiratory distress syndrome (RDS), transient tachypnea of the newborn, persistent pulmonary hypertension, and pneumonia along with an increased need for surfactant replacement therapy, continuous positive airway pressure, and ventilator support when compared with the term neonates. In the past, studies on outcomes of infants with respiratory distress have primarily focused on extremely premature ...

  10. Maternal and infant sleep postpartum.

    Science.gov (United States)

    McGuire, Elizabeth

    2013-07-01

    New parents should be aware that infants' sleep is unlike that of adults and that meeting their infant's needs is likely to disrupt their own sleep. They will need to adjust their routine to manage their own sleep needs. Parental sleep patterns in the postpartum period are tied to the infant's development of a circadian sleep-wake rhythm, and the infant's feeds. Close contact with the mother and exposure to light/dark cues appear to assist in the development of the infant's circadian rhythm. The composition of breastmilk varies over the course of 24 hours and some components produced at night are likely to contribute to the infant's day/night entrainment. There is no clear evidence that using artificial feeds improves maternal sleep. Most infants need night feeds but requirements for nighttime feeds vary with the individual.

  11. Eosinophilic colitis in infants

    Directory of Open Access Journals (Sweden)

    Adriana Chebar Lozinsky

    2014-01-01

    Full Text Available OBJECTIVE: To review the literature for clinical data on infants with allergic or eosinophilic colitis. DATA SOURCE: MEDLINE search of all indexes was performed using the words ''colitis or procto-colitis and eosinophilic'' or ''colitis or proctocolitis and allergic'' between 1966 and February of 2013. All articles that described patients' characteristics were selected. DATA SYNTHESIS: A total of 770 articles were identified, of which 32 met the inclusion criteria. The 32 articles included a total of 314 infants. According to the available information, 61.6% of infants were male and 78.6% were younger than 6 months. Of the 314 patients, 49.0% were fed exclusively breast milk, 44.2% received cow's milk protein, and 6.8% received soy protein. Diarrheal stools were described in 28.3% of patients. Eosinophilia was found in 43.8% (115/263 of infants. Colonic or rectal biopsy showed infiltration by eosinophils (between 5 and 25 perhigh-power field in 89.3% (236/264 of patients. Most patients showed improvement with theremoval of the protein in cow's milk from their diet or the mother's diet. Allergy challenge tests with cow's milk protein were cited by 12 of the 32 articles (66 patients. CONCLUSIONS: Eosinophilic colitis occurs predominantly in the first six months of life and in males. Allergy to cow's milk was considered the main cause of eosinophilic colitis. Exclusion of cow'smilk from the diet of the lactating mother or from the infant's diet is generally an effective therapeutic measure.

  12. Associação entre fatores sócio-econômicos e mortalidade infantil por diarréia, pneumonia e desnutrição em região metropolitana do Sudeste do Brasil: um estudo caso-controle Association between socioeconomic factors and infant deaths due to diarrhea, pneumonia, and malnutrition in a metropolitan area of Southeast Brazil: a case-control study

    Directory of Open Access Journals (Sweden)

    Elisabeth França

    2001-12-01

    Full Text Available Para investigar fatores determinantes da mortalidade infantil pós-neonatal por diarréia, pneumonia e desnutrição, abordadas como um mesmo grupamento de causas, realizou-se um estudo caso-controle de base populacional na Região Metropolitana de Belo Horizonte. No período de maio de 1991 a abril de 1992, foram estudados 396 óbitos após investigação hospitalar da causa de óbito, os quais foram comparados a crianças residentes na mesma vizinhança, emparelhadas por idade. A pesquisa foi realizada em uma população de baixa renda, sendo que a maioria das famílias entrevistadas residiam em favelas. Neste artigo se discute a metodologia utilizada e resultados relevantes relativos aos fatores sócio-econômicos associados às mortes infantis. Verificou-se que a existência de eletrodomésticos no domicílio, o nível de escolaridade materna e paterna, a situação conjugal da mãe e o fato desta trabalhar fora permaneceram estatisticamente associados ao risco de óbito infantil, após ajuste pelas variáveis sócio-econômicas consideradas, utilizando-se modelo de regressão logística condicional. Estes resultados evidenciam a importância do nível sócio-econômico na determinação dos óbitos infantis por causas evitáveis.A population-based case-control study was carried out to identify determinant factors for post-neonatal infant deaths due to diarrhea, pneumonia, and malnutrition in Greater Metropolitan Belo Horizonte, Southeast Brazil. From May 1, 1991, to April 30, 1992, 511 post-neonatal deaths due to diarrhea, pneumonia, and malnutrition were selected after investigation of medical records to validate cause of death. Of this total, 396 deaths were compared to a neighborhood control group, matched for age. The study was carried out in a low-income area with a high proportion of families living in shantytowns. The article discusses the methodology and selected socioeconomic factors. Logistic regression analysis indicated that

  13. Caucasian infants scan own- and other-race faces differently.

    Science.gov (United States)

    Wheeler, Andrea; Anzures, Gizelle; Quinn, Paul C; Pascalis, Olivier; Omrin, Danielle S; Lee, Kang

    2011-04-13

    Young infants are known to prefer own-race faces to other race faces and recognize own-race faces better than other-race faces. However, it is entirely unclear as to whether infants also attend to different parts of own- and other-race faces differently, which may provide an important clue as to how and why the own-race face recognition advantage emerges so early. The present study used eye tracking methodology to investigate whether 6- to 10-month-old Caucasian infants (N = 37) have differential scanning patterns for dynamically displayed own- and other-race faces. We found that even though infants spent a similar amount of time looking at own- and other-race faces, with increased age, infants increasingly looked longer at the eyes of own-race faces and less at the mouths of own-race faces. These findings suggest experience-based tuning of the infant's face processing system to optimally process own-race faces that are different in physiognomy from other-race faces. In addition, the present results, taken together with recent own- and other-race eye tracking findings with infants and adults, provide strong support for an enculturation hypothesis that East Asians and Westerners may be socialized to scan faces differently due to each culture's conventions regarding mutual gaze during interpersonal communication.

  14. Caucasian infants scan own- and other-race faces differently.

    Directory of Open Access Journals (Sweden)

    Andrea Wheeler

    Full Text Available Young infants are known to prefer own-race faces to other race faces and recognize own-race faces better than other-race faces. However, it is entirely unclear as to whether infants also attend to different parts of own- and other-race faces differently, which may provide an important clue as to how and why the own-race face recognition advantage emerges so early. The present study used eye tracking methodology to investigate whether 6- to 10-month-old Caucasian infants (N = 37 have differential scanning patterns for dynamically displayed own- and other-race faces. We found that even though infants spent a similar amount of time looking at own- and other-race faces, with increased age, infants increasingly looked longer at the eyes of own-race faces and less at the mouths of own-race faces. These findings suggest experience-based tuning of the infant's face processing system to optimally process own-race faces that are different in physiognomy from other-race faces. In addition, the present results, taken together with recent own- and other-race eye tracking findings with infants and adults, provide strong support for an enculturation hypothesis that East Asians and Westerners may be socialized to scan faces differently due to each culture's conventions regarding mutual gaze during interpersonal communication.

  15. Detecting rickets in premature infants and treating them with calcitriol: experience from two cases.

    Science.gov (United States)

    Chen, Hung-Yi; Chiu, Li-Chien; Yek, Yung-Lee; Chen, Yi-Ling

    2012-08-01

    A premature infant is a baby born before 37 weeks of gestation. Rickets is a bone disease characterized by growth retardation due to the expansion of the hypertrophic chondrocyte layer of the growth plate and a failure to mineralize bone. Consequently, the bone is soft and permits marked bending and distortion. Although the incidence of rickets in preterm infants is lower due to improvements in health care and nutrition, there are still infants at high risk for this disease. However, few reports are available regarding the treatment of rickets in premature infants. Furthermore, published case studies on experiences with using calcitriol as a potential therapeutic for rickets in premature infants are very rare. Herein, we describe the detection of rickets in premature infants and our experience with calcitriol treatment in two premature infants. We recommended the use of oral calcitriol at a dose of 0.03-0.125 μg/kg/day, in addition to an appropriate formula that provides an adequate amount of calcium and phosphate intake. One patient was prescribed calcitriol for 40 days and the other for 37 days. The two infants gradually recovered and were discharged without any obvious side effects. It is recommended that alkaline phosphatase levels be monitored within 1 month after birth in premature infants with a birth weight of <1000 g. Infants presenting with high alkaline phosphatase levels are candidates for a long bone survey.

  16. Complement factor H deficiency and endocapillary glomerulonephritis due to paternal isodisomy and a novel factor H mutation

    DEFF Research Database (Denmark)

    Schejbel, L; Schmidt, I M; Kirchhoff, Eva Maria;

    2011-01-01

    Complement factor H (CFH) is a regulator of the alternative complement activation pathway. Mutations in the CFH gene are associated with atypical hemolytic uremic syndrome, membranoproliferative glomerulonephritis type II and C3 glomerulonephritis. Here, we report a 6-month-old CFH-deficient child...

  17. Do infant rats cry?

    Science.gov (United States)

    Blumberg, M S; Sokoloff, G

    2001-01-01

    In the current revival of interest in the emotional and mental lives of animals, many investigators have focused attention on mammalian infants that emit distress vocalizations when separated from the home environment. Perhaps the most intensively studied distress vocalization is the ultrasonic vocalization of infant rats. Since its discovery, this vocalization has been interpreted both as a communicatory signal for the elicitation of maternal retrieval and as the manifestation of emotional distress. In contrast, the authors examined the cardiovascular causes and consequences of the vocalization, and on the basis of this work, they hypothesized that the vocalization is the acoustic by-product of the abdominal compression reaction (ACR), a maneuver that results in increased venous return to the heart. Therefore, the vocalization may be analogous to a sneeze, serving a physiological function while incidentally producing sound. PMID:11212634

  18. Infant-Directed Speech Drives Social Preferences in 5-Month-Old Infants

    Science.gov (United States)

    Schachner, Adena; Hannon, Erin E.

    2011-01-01

    Adults across cultures speak to infants in a specific infant-directed manner. We asked whether infants use this manner of speech (infant- or adult-directed) to guide their subsequent visual preferences for social partners. We found that 5-month-old infants encode an individuals' use of infant-directed speech and adult-directed speech, and use this…

  19. Brain tumors in infants

    Directory of Open Access Journals (Sweden)

    Seyyed Mohammad Ghodsi

    2015-01-01

    Full Text Available Background: Brain tumors in infants have different clinical presentations, anatomical distribution, histopathological diagnosis, and clinical prognosis compared with older children. Materials and Methods: A retrospective analysis was done in patients <12 months old who were operated on for primary brain tumor in Children's Hospital Medical Center since 2008 to 2014. Results: Thirty-one infants, 20 males and 11 females, with the mean age of 7.13 months (0.5–12 were enrolled. There were 16 supratentorial and 15 infratentorial tumors. The presenting symptoms included increased head circumference (16; bulge fontanel (15; vomiting (15; developmental regression (11; sunset eye (7; seizure (4; loss of consciousness (4; irritability (3; nystagmus (2; visual loss (2; hemiparesis (2; torticollis (2; VI palsy (3; VII, IX, X nerve palsy (each 2; and ptosis (1. Gross total and subtotal resection were performed in 19 and 11 cases, respectively. Fourteen patients needed external ventricular drainage in the perioperative period, from whom four infants required a ventriculoperitoneal shunt. One patient underwent ventriculoperitoneal shunting without tumor resection. The most common histological diagnoses were primitive neuroectodermal tumor (7, followed by anaplastic ependymoma (6 and grade II ependymoma. The rate of 30-day mortality was 19.3%. Eighteen patients are now well-controlled with or without adjuvant therapy (overall survival; 58%, from whom 13 cases are tumor free (disease free survival; 41.9%, 3 cases have residual masses with fixed or decreased size (progression-free survival; 9.6%, and 2 cases are still on chemotherapy. Conclusion: Brain tumors in infants should be treated with surgical resection, followed by chemotherapy when necessary.

  20. Neuroprotection in Preterm Infants

    OpenAIRE

    Berger, R.; Söder, S.

    2015-01-01

    Preterm infants born before the 30th week of pregnancy are especially at risk of perinatal brain damage which is usually a result of cerebral ischemia or an ascending intrauterine infection. Prevention of preterm birth and early intervention given signs of imminent intrauterine infection can reduce the incidence of perinatal cerebral injury. It has been shown that administering magnesium intravenously to women at imminent risk of a preterm birth leads to a significant reduction in the likelih...

  1. Infant feeding practices in Malaysia.

    Science.gov (United States)

    Chen, S T

    1978-12-01

    Retrospective nutritional data on 100 children, aged 6 months to 2 1/2 years, who were admitted to the University Hospital in Kuala Lumpur, Malaysia, was obtained by interviewing the mothers of the children. Analysis of the data revealed that 1) only 49% of the children were breast-fed as infants; 2) 50% of the mothers who did breast-feed discontinued breast-feeding before the children were 3 months old; and 3) the weaning diet of at least 1/3 of the children was inadequate. 18% of the children were Malays, 49% were Chinese, and 33% were Indian. The proportion of breast-fed children was highest among the Malays and lowest among the Chinese. Mothers with higher incomes tended to stop breast-feeding earlier than mothers with lower incomes. 67% of the women said they stopped breast-feeding due to inadequate lactation. Most of the children received supplementary foods at relatively early ages. 50% of the infants received starchy foods by the time they were 3 1/2 months old, and 50% received fruit or fruit juice by the time they were 3 1/2 months old. Vegetable products, meat, fish, and eggs were not added to the diet until the children were considerably older. Recommendations, based on the study findings, were 1) hospitals should discontinue the practice of deferring breast-feeding initiation for 24 hours after delivery; 2) mothers should be encouraged to breast-feed fully; and 3) health personnel should discourage the widespread use of costly precooked cereals for supplementary feeding. Tables depicted 1) the frequency distribution of the 100 children by income and by milk feeding patterns according to ethnic affiliation and 2) the cost of serving precooked cereals as compared to the cost of serving home cooked meals. PMID:755160

  2. Bullous mastocytosis in an infant associated with the use of a nonprescription cough suppressant.

    Science.gov (United States)

    Cook, J; Stith, M; Sahn, E E

    1996-01-01

    Bullous mastocytosis is an unusual expression of mastocytosis typically seen in young children, and many causes of the acute mast cell degranulation with bulla formation have been identified. We report a 6-month-old boy with urticaria pigmentosa and an extensive bullous eruption associated with the ingestion of a nonprescription cough suppressant containing dextromethorphan. The pathogenesis of mastocytosis and the care of patients with this disease are discussed. PMID:8893244

  3. Vanishing calcification of the brain in an infant after open heart surgery

    International Nuclear Information System (INIS)

    Neurological complications after cardiac operations with the aid of cardiopulmonary bypass and hypothermia are well known. A 6 months-old child is described with severe neurological complications after cardiac surgery for Fallots tetralogy. On the CT scan cortical calcification was seen to vanish. Such calcification has not been reported in similar patients. Possible causes are discussed but the precise pathophysiology of this phenomenon remains unclear. (orig.)

  4. Infant Formula - Buying, Preparing, Storing, and Feeding

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000806.htm Infant Formula – Buying, Preparing, Storing, and Feeding To use the ... using infant formula . Buying, Preparing, and Storing Infant Formula The following tips can help you buy, prepare, ...

  5. Infant of a substance using mother

    Science.gov (United States)

    ... Maternal substance use; Maternal drug use; Narcotic exposure - infant; Substance use disorder - infant ... ARE THE SIGNS AND SYMPTOMS SEEN IN AN INFANT OF A SUBSTANCE-ABUSING MOTHER? Babies born to ...

  6. Perception of infant cues : the role of childhood experiences and oxytocin

    NARCIS (Netherlands)

    Bhandari, Ritu

    2013-01-01

    In the present thesis we report our findings assessing individual differences in perception of infant signals due to early-life experiences and variability in the oxytocinergic system. We found that the perception of infant cues differs between individuals with fewer versus more experiences of emoti

  7. Vitamin A and iron supplementation of Indonesian pregnant women benefits vitamin A status of their infants

    NARCIS (Netherlands)

    Schmidt, M.K.; Muslimatun, S.; West, C.E.; Schultink, W.; Hautvast, J.G.A.J.

    2001-01-01

    Many Indonesian infants have an inadequate nutritional status, which may be due in part to inadequate maternal nutrition during pregnancy. This study was designed to investigate whether infant nutritional status could be improved by maternal vitamin A and Fe supplementation during gestation. Mothers

  8. Differences in perinatal and infant mortality in high-income countries

    DEFF Research Database (Denmark)

    Deb-Rinker, Paromita; León, Juan Andrés; Gilbert, Nicolas L.;

    2015-01-01

    of viability are likely due to differences in birth registration practices, although true differences in maternal, fetal and infant health cannot be ruled out. This study emphasises the need for further standardisations, in order to enhance the relevance of international comparisons of infant mortality.......BACKGROUND: Variation in birth registration criteria may compromise international comparisons of fetal and infant mortality. We examined the effect of birth registration practices on fetal and infant mortality rates to determine whether observed differences in perinatal and infant mortality rates...... by gestational age and birth weight; gestational age-and birth weight-specific stillbirth rates; neonatal, post-neonatal, and cause-specific infant mortality. RESULTS: Proportion of live births

  9. Infants' Behavioral and Physiological Profile and Mother-Infant Interaction

    Science.gov (United States)

    Costa, Raquel; Figueiredo, Barbara

    2012-01-01

    This study aims to (a) identify and profile groups of infants according to their behavioral and physiological characteristics, considering their neurobehavioral organization, social withdrawal behavior, and endocrine reactivity to stress, and to (b) analyze group differences in the quality of mother-infant interaction. Ninety-seven 8-week-old…

  10. Infant Neurosensory Development: Considerations for Infant Child Care

    Science.gov (United States)

    Marshall, Jennifer

    2011-01-01

    Infant brain development is a dynamic process dependent upon endogenous and exogenous stimulation and a supportive environment. A critical period of brain and neurosensory development occurs during the third trimester and into the "fourth" trimester (first three months of life). Disruption, damage, or deprivation in the infant's social and…

  11. U.S. differentials in infant mortality: why do they persist?

    Science.gov (United States)

    Johnson, J H

    1987-01-01

    Large racial differentials in infant mortality persist in the US. While black babies made up 3.54 million singleton deliveries in the US in 1980, they accounted for 35% of all low-birthweight infants nationwide. Because of this disadvantage in birthweight, black babies accounted for 28% of infant deaths. Furthermore, while overall risk of infant mortality declined from 23.3/1000 live births to 11/1000 from 1960 to 1980 due to technological advances, the gap in infant mortality between black and white babies remains. The chances that a black infant wil die during the 1st year of life are still 2 times greater than white infants--the same odds as existed in 1960. Investigators concluded that the higher proportion of low birth weight babies among blacks is due to adverse socioeconomic conditions. Other recent studies cited in Arizona, Ohio, and California expand on this theory, suggesting that cultural, social, and biological factors may interact to create unique mortality patterns among racial and ethnic subgroups. The number of and risk for infant deaths is given for sex of infant, birth order, mother's age and region of birth. PMID:3691767

  12. Determinants of Infant Behaviour IV.

    Science.gov (United States)

    Foss, B. M., Ed.

    This volume consists of reports of individual studies and surveys of research work on mother-infant interactions. It is divided into two parts. The first section presents a wide range of studies on mother-infant relations as exhibited in the behavior of animals. The second part, concerning human behavior, includes studies on the natural history of…

  13. Learning and Memory in Infants.

    Science.gov (United States)

    Lipsitt, Lewis P.

    1990-01-01

    Discusses important recent strides in the documentation and understanding of the infant's learning and memory capacity. Focuses on the psychobiology of learning, hedonic mediation of approach-avoidance and learned behavior, infant memory, and critical conditions of infancy and behavioral misadventures. (RJC)

  14. What Is Infant Mental Health?

    Science.gov (United States)

    Osofsky, Joy D.; Thomas, Kandace

    2012-01-01

    Unfortunately, the term "infant mental health" can be confusing for some people because it may be understood as translating into "mental illness." Others may not appreciate that babies and toddlers have the capacity to experience complex emotions. The Guest Editors of this issue of the Journal explore the meaning of infant mental health.

  15. Infants Infer Intentions from Prosody

    Science.gov (United States)

    Sakkalou, Elena; Gattis, Merideth

    2012-01-01

    Two studies were conducted to examine infants' ability to discern intentions from lexical and prosodic cues. Two groups of 14-18-month-olds participated in these studies. In both studies, infants watched an adult perform a sequence of two-step actions on novel toys that produced an end-result. In the first study actions were marked intentionally…

  16. Mechanical response of infant brain to manually inflicted shaking.

    Science.gov (United States)

    Couper, Z; Albermani, F

    2010-01-01

    Shaken baby syndrome (SBS) is a contentious issue on both biomechanical and medical fronts, primarily due to a lack of understanding of the loading-injury relationship of infant shaking and the parameters that are deterministic to its nature. In order to address this lack, a finite element (FE) representation of a three month infant head was developed to apply kinematics derived from physical testing with an anthropomorphic infant surrogate. The FE mesh was derived from a three-dimensional geometric basis, allowing for mesh size grading in regions of high importance, and future patient-specific adaptation. Cerebrospinal fluid (CSF) was represented through static pressure equilibration in combination with a locally based squeezing resistance. The results of the simulation indicate that anteroposterior shaking will lead to specific patterns of brain matter motion, increased likelihood of focal axonal injury at contact locations and deep brain structures, and a capacity for the development of subdural hematomas (SDH) due to rupture of central bridging veins.

  17. Long survival in a 69,XXX triploid infant in Greece.

    Science.gov (United States)

    Iliopoulos, Dimitrios; Vassiliou, Georgia; Sekerli, Eleni; Sidiropoulou, Vasiliki; Tsiga, Alexandra; Dimopoulou, Despina; Voyiatzis, Nikolaos

    2005-12-30

    The live birth of a triploidy infant is a very rare event and death usually occurs within the first hours of life. Triploid cases with a survival of more than two months are infrequent. We report on an infant with a 69,XXX chromosome constitution who survived 164 days. Chromosomal analysis demonstrated a 69,XXX karyotype with no evidence of mosaicism. This is the longest survival reported for this condition to date in Greece and the fourth longest worldwide. The infant was admitted to our clinic several times due to respiratory problems, and supplementary oxygen was required. The improved survival of our case was possibly due to better management of respiratory illness and prematurity, and these are essential factors that physicians should consider carefully with such rare cases.

  18. Beriberi (thiamine deficiency and high infant mortality in northern Laos.

    Directory of Open Access Journals (Sweden)

    Hubert Barennes

    2015-03-01

    Full Text Available Infantile beriberi (thiamine deficiency occurs mainly in infants breastfed by mothers with inadequate intake of thiamine, typically among vulnerable populations. We describe possible and probable cases of infantile thiamine deficiency in northern Laos.Three surveys were conducted in Luang Namtha Province. First, we performed a retrospective survey of all infants with a diagnosis of thiamine deficiency admitted to the 5 hospitals in the province (2007-2009. Second, we prospectively recorded all infants with cardiac failure at Luang Namtha Hospital. Third, we further investigated all mothers with infants (1-6 months living in 22 villages of the thiamine deficiency patients' origin. We performed a cross-sectional survey of all mothers and infants using a pre-tested questionnaire, physical examination and squat test. Infant mortality was estimated by verbal autopsy. From March to June 2010, four suspected infants with thiamine deficiency were admitted to Luang Namtha Provincial hospital. All recovered after parenteral thiamine injection. Between 2007 and 2009, 54 infants with possible/probable thiamine deficiency were diagnosed with acute severe cardiac failure, 49 (90.2% were cured after parenteral thiamine; three died (5.6%. In the 22 villages, of 468 live born infants, 50 (10.6%, 95% CI: 8.0-13.8 died during the first year. A peak of mortality (36 deaths was reported between 1 and 3 months. Verbal autopsy suggested that 17 deaths (3.6% were due to suspected infantile thiamine deficiency. Of 127 mothers, 60 (47.2% reported edema and paresthesia as well as a positive squat test during pregnancy; 125 (98.4% respected post-partum food avoidance and all ate polished rice. Of 127 infants, 2 (1.6% had probable thiamine deficiency, and 8 (6.8% possible thiamine deficiency.Thiamine deficiency may be a major cause of infant mortality among ethnic groups in northern Laos. Mothers' and children's symptoms are compatible with thiamine deficiency. The severity

  19. Nutritional requirements of extremely low birthweight infants.

    Science.gov (United States)

    Hay, W W

    1994-09-01

    Extremely low birthweight (ELBW) infants are unique in many developmental characteristics that determine nutritional requirements, including: low energy reserves (both carbohydrate and fat); higher metabolic rate (intrinsically, due to a higher body content of more metabolically active organs, e.g. brain, heart, liver); higher protein turnover rate (especially when growing); higher glucose needs for energy and brain metabolism; higher lipid needs to match the in utero rate of fat deposition, and for essential fatty acids for brain, neural and vascular development; excessive evaporative rates, and occasionally very high urinary water and solute losses; low rates of gastrointestinal peristalsis; limited production of gut digestive enzymes and growth factors; high incidence of stressful events (e.g. hypoxemia, respiratory distress, sepsis); and abnormal neurological outcome if not fed adequately. Postnatally, ELBW infants do not grow well, or at all, often for weeks. This leads to a virtual "growth deficit", which has unknown consequences (which for the most part are not good) and requires excessive feeding later on to catch up to normal growth rates and body composition. The major future challenge for the nutrition of these infants is to define more accurately their nutritional requirements, particularly in the early postnatal period, in order to feed them more appropriately, to reduce to a minimum the nutritional and growth deficits that they so commonly develop and to prevent neurodevelopmental handicaps that are the result of nutritional deficiencies. PMID:7841630

  20. Pulmonary function testing in children and infants

    International Nuclear Information System (INIS)

    Pulmonary function testing is performed in children and infants with the aim of documenting lung development with age and making diagnoses of lung diseases. In children and infants with an established lung disease, pulmonary function is tested to assess the disease progression and the efficacy of therapy. It is difficult to carry out the measurements in this age group without disturbances, so obtaining results of good quality and reproducibility is challenging. Young children are often uncooperative during the examinations. This is partly related to their young age but also due to the long testing duration and the unpopular equipment. We address a variety of examination techniques for lung function assessment in children and infants in this review. We describe the measuring principles, examination procedures, clinical findings and their interpretation, as well as advantages and limitations of these methods. The comparability between devices and centres as well as the availability of reference values are still considered a challenge in many of these techniques. In recent years, new technologies have emerged allowing the assessment of lung function not only on the global level but also on the regional level. This opens new possibilities for detecting regional lung function heterogeneity that might lead to a better understanding of respiratory pathophysiology in children. (topical review)

  1. Infant Cries Rattle Adult Cognition.

    Science.gov (United States)

    Dudek, Joanna; Faress, Ahmed; Bornstein, Marc H; Haley, David W

    2016-01-01

    The attention-grabbing quality of the infant cry is well recognized, but how the emotional valence of infant vocal signals affects adult cognition and cortical activity has heretofore been unknown. We examined the effects of two contrasting infant vocalizations (cries vs. laughs) on adult performance on a Stroop task using a cross-modal distraction paradigm in which infant distractors were vocal and targets were visual. Infant vocalizations were presented before (Experiment 1) or during each Stroop trial (Experiment 2). To evaluate the influence of infant vocalizations on cognitive control, neural responses to the Stroop task were obtained by measuring electroencephalography (EEG) and event-related potentials (ERPs) in Experiment 1. Based on the previously demonstrated existence of negative arousal bias, we hypothesized that cry vocalizations would be more distracting and invoke greater conflict processing than laugh vocalizations. Similarly, we expected participants to have greater difficulty shifting attention from the vocal distractors to the target task after hearing cries vs. after hearing laughs. Behavioral results from both experiments showed a cry interference effect, in which task performance was slower with cry than with laugh distractors. Electrophysiology data further revealed that cries more than laughs reduced attention to the task (smaller P200) and increased conflict processing (larger N450), albeit differently for incongruent and congruent trials. Results from a correlation analysis showed that the amplitudes of P200 and N450 were inversely related, suggesting a reciprocal relationship between attention and conflict processing. The findings suggest that cognitive control processes contribute to an attention bias to infant signals, which is modulated in part by the valence of the infant vocalization and the demands of the cognitive task. The findings thus support the notion that infant cries elicit a negative arousal bias that is distracting; they

  2. Infant Cries Rattle Adult Cognition.

    Directory of Open Access Journals (Sweden)

    Joanna Dudek

    Full Text Available The attention-grabbing quality of the infant cry is well recognized, but how the emotional valence of infant vocal signals affects adult cognition and cortical activity has heretofore been unknown. We examined the effects of two contrasting infant vocalizations (cries vs. laughs on adult performance on a Stroop task using a cross-modal distraction paradigm in which infant distractors were vocal and targets were visual. Infant vocalizations were presented before (Experiment 1 or during each Stroop trial (Experiment 2. To evaluate the influence of infant vocalizations on cognitive control, neural responses to the Stroop task were obtained by measuring electroencephalography (EEG and event-related potentials (ERPs in Experiment 1. Based on the previously demonstrated existence of negative arousal bias, we hypothesized that cry vocalizations would be more distracting and invoke greater conflict processing than laugh vocalizations. Similarly, we expected participants to have greater difficulty shifting attention from the vocal distractors to the target task after hearing cries vs. after hearing laughs. Behavioral results from both experiments showed a cry interference effect, in which task performance was slower with cry than with laugh distractors. Electrophysiology data further revealed that cries more than laughs reduced attention to the task (smaller P200 and increased conflict processing (larger N450, albeit differently for incongruent and congruent trials. Results from a correlation analysis showed that the amplitudes of P200 and N450 were inversely related, suggesting a reciprocal relationship between attention and conflict processing. The findings suggest that cognitive control processes contribute to an attention bias to infant signals, which is modulated in part by the valence of the infant vocalization and the demands of the cognitive task. The findings thus support the notion that infant cries elicit a negative arousal bias that is

  3. Seasonal Timing of Infant Bronchiolitis, Apnea and Sudden Unexplained Infant Death.

    Directory of Open Access Journals (Sweden)

    Chantel D Sloan

    Full Text Available Rates of Sudden Unexplained Infant Death (SUID, bronchiolitis, and central apnea increase in winter in temperate climates. Though associations between these three conditions are suggested, more work is required to establish if there is a causal pathway linking bronchiolitis to SUID through inducing central apnea. Utilizing a large population-based cohort of infants studied over a 20-year period (n = 834,595, from birth years 1989-2009, we analyzed ecological associations between timing of SUID cases, bronchiolitis, and apnea healthcare visits. Data were analyzed between 2013 and 2015. We used a Cox Proportional Hazards model to analyze possible interactions between maternal smoking and maternal asthma with infant bronchiolitis on time to SUID. SUID and bronchiolitis both occurred more frequently in winter. An increase in bronchiolitis clinical visits occurred within a few days prior to apnea visits. We found a temporal relationship between infant bronchiolitis and apnea. In contrast, no peak in SUID cases was seen during peaks of bronchiolitis. Among those without any bronchiolitis visits, maternal smoking was associated with an increased risk of SUID: Hazard Ratio (HR of 2.38 (95% CI: 2.11, 2.67, p-value <0.001. Maternal asthma was associated with an increased risk of SUID among infants with at least one bronchiolitis visit: HR of 2.40 (95% CI: 1.04, 5.54, p-value = 0.04. Consistent trends between bronchiolitis, apnea, and SUID were not established due to small numbers of SUID cases. However, interaction analysis revealed potential differential associations of bronchiolitis and SUID by maternal smoking, maternal asthma status.

  4. The effectiveness of video interaction guidance in parents of premature infants: A multicenter randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Tooten Anneke

    2012-06-01

    Full Text Available Abstract Background Studies have consistently found a high incidence of neonatal medical problems, premature births and low birth weights in abused and neglected children. One of the explanations proposed for the relation between neonatal problems and adverse parenting is a possible delay or disturbance in the bonding process between the parent and infant. This hypothesis suggests that due to neonatal problems, the development of an affectionate bond between the parent and the infant is impeded. The disruption of an optimal parent-infant bond -on its turn- may predispose to distorted parent-infant interactions and thus facilitate abusive or neglectful behaviours. Video Interaction Guidance (VIG is expected to promote the bond between parents and newborns and is expected to diminish non-optimal parenting behaviour. Methods/design This study is a multi-center randomised controlled trial to evaluate the effectiveness of Video Interaction Guidance in parents of premature infants. In this study 210 newborn infants with their parents will be included: n = 70 healthy term infants (>37 weeks GA, n = 70 moderate term infants (32–37 weeks GA which are recruited from maternity wards of 6 general hospitals and n = 70 extremely preterm infants or very low birth weight infants (i.e. full term infants and their parents, receiving care as usual, a control group (i.e. premature infants and their parents, receiving care as usual and an intervention group (i.e. premature infants and their parents, receiving VIG. The data will be collected during the first six months after birth using observations of parent-infant interactions, questionnaires and semi-structured interviews. Primary outcomes are the quality of parental bonding and parent-infant interactive behaviour. Parental secondary outcomes are (posttraumatic stress symptoms, depression, anxiety and feelings of anger and hostility. Infant secondary outcomes are behavioral aspects such as crying

  5. Micronutrient requirements of high-risk infants

    Science.gov (United States)

    Micronutrient requirements are well-established for healthy full-term infants. However, few such recommendations exist for high-risk infants, including full-term infants with a variety of medical disorders or very preterm infants. Key micronutrients considered in this review are calcium, phosphorus,...

  6. Exposure to tobacco smoke and infant crying

    NARCIS (Netherlands)

    Reijneveld, SA; Lanting, Caren; Crone, MR; Van Wouwe, JP

    2005-01-01

    Aim: To examine the association of excessive infant crying with maternal smoking during and after pregnancy, paternal smoking, and smoking by other people in the living environment of the infant. Methods: We collected data on infant crying and smoking in a Dutch national sample of 5845 infants aged

  7. Observed Infant Reactions during Live Interparental Conflict

    Science.gov (United States)

    Du Rocher Schudlich, Tina D.; White, Clare R.; Fleischhauer, Emily A.; Fitzgerald, Kelly A.

    2011-01-01

    Associations between interparental conflict and infant reactions were examined. Infants' history of exposure to interparental conflict and infant reactive temperament were examined as moderators. A community sample of 74 infants, aged 6-14 months, participated with their parents. Behavioral observations were made of parents' marital conflict and…

  8. Prenatal Cocaine Exposure and Infant Cortisol Reactivity

    Science.gov (United States)

    Eiden, Rina D.; Veira, Yvette; Granger, Douglas A.

    2009-01-01

    This study examined the effects of prenatal cocaine exposure on infant hypothalamic-pituitary-adrenal axis activity and reactivity at 7 months of infant age. Participants were 168 caregiver-infant dyads (87 cocaine exposed, 81 not cocaine exposed; 47% boys). Maternal behavior, caregiving instability, and infant growth and behavior were assessed,…

  9. Hydrolyzed Proteins in Preterm Infants.

    Science.gov (United States)

    Senterre, Thibault; Rigo, Jacques

    2016-01-01

    Milk proteins are an essential component of the diet of preterm infants who have high requirements. Hydrolyzed proteins (HPs) have been introduced in infants' formulas (HPFs) to treat gastrointestinal disorders and to prevent allergic diseases. Several studies have evaluated the adequacy of HPs in preterm infants. Protein source significantly influences plasma amino acid concentrations. Protein utilization and efficiency are usually lower with HPFs compared to formulas with intact proteins. When protein intake is similar, a lower weight gain is generally observed with HPFs and a 10% increase in protein content is usually necessary to compensate for this reduction in protein utilization. Mineral absorption may also be reduced and no data exist for trace elements and vitamins. Most HPFs are associated with accelerated gastrointestinal transit time and softer stools but without clear benefit on feeding tolerance. Preterm infants seem to be at similar risk of allergic diseases than term infants, but the preventive effect of HPFs has not been sufficiently explored in preterm infants. Most modern HPFs designed for preterm infants are well tolerated and have adapted their nutrient content to improve nutrient absorption and retention. However, their benefits and safety have not been demonstrated and, therefore, further high-quality studies are needed. PMID:27336633

  10. Lung volume, breathing pattern and ventilation inhomogeneity in preterm and term infants.

    Directory of Open Access Journals (Sweden)

    Philipp Latzin

    Full Text Available BACKGROUND: Morphological changes in preterm infants with bronchopulmonary dysplasia (BPD have functional consequences on lung volume, ventilation inhomogeneity and respiratory mechanics. Although some studies have shown lower lung volumes and increased ventilation inhomogeneity in BPD infants, conflicting results exist possibly due to differences in sedation and measurement techniques. METHODOLOGY/PRINCIPAL FINDINGS: We studied 127 infants with BPD, 58 preterm infants without BPD and 239 healthy term-born infants, at a matched post-conceptional age of 44 weeks during quiet natural sleep according to ATS/ERS standards. Lung function parameters measured were functional residual capacity (FRC and ventilation inhomogeneity by multiple breath washout as well as tidal breathing parameters. Preterm infants with BPD had only marginally lower FRC (21.4 mL/kg than preterm infants without BPD (23.4 mL/kg and term-born infants (22.6 mL/kg, though there was no trend with disease severity. They also showed higher respiratory rates and lower ratios of time to peak expiratory flow and expiratory time (t(PTEF/t(E than healthy preterm and term controls. These changes were related to disease severity. No differences were found for ventilation inhomogeneity. CONCLUSIONS: Our results suggest that preterm infants with BPD have a high capacity to maintain functional lung volume during natural sleep. The alterations in breathing pattern with disease severity may reflect presence of adaptive mechanisms to cope with the disease process.

  11. Novel Approaches to Improve the Intrinsic Microbiological Safety of Powdered Infant Milk Formula

    Directory of Open Access Journals (Sweden)

    Robert M. Kent

    2015-02-01

    Full Text Available Human milk is recognised as the best form of nutrition for infants. However; in instances where breast-feeding is not possible, unsuitable or inadequate, infant milk formulae are used as breast milk substitutes. These formulae are designed to provide infants with optimum nutrition for normal growth and development and are available in either powdered or liquid forms. Powdered infant formula is widely used for convenience and economic reasons. However; current manufacturing processes are not capable of producing a sterile powdered infant formula. Due to their immature immune systems and permeable gastro-intestinal tracts, infants can be more susceptible to infection via foodborne pathogenic bacteria than other age-groups. Consumption of powdered infant formula contaminated by pathogenic microbes can be a cause of serious illness. In this review paper, we discuss the current manufacturing practices present in the infant formula industry, the pathogens of greatest concern, Cronobacter and Salmonella and methods of improving the intrinsic safety of powdered infant formula via the addition of antimicrobials such as: bioactive peptides; organic acids; probiotics and prebiotics.

  12. Hepatitis B Postexposure Prophylaxis in Preterm and Low-Birth-Weight Infants

    Directory of Open Access Journals (Sweden)

    Markus Waitz

    2015-04-01

    Full Text Available Objective - Recommendations for immunoprophylaxis in low-birth-weight (LBW infants born to hepatitis B surface antigen (HBsAg-positive mothers vary. We successfully immunized an HBsAg-exposed infant (birth weight: 400 g and performed a literature review on the outcome of postexposure immunoprophylaxis in HBsAg-exposed preterm and LBW infants. Methods - By use of PubMed we identified articles relevant to the topic. Studies were included if the intended vaccine schedule was completed and follow-up data were reported. Results - Antibody response was reported in 31 LBW infants (birth weight < 2,500 g and 49 infants with gestational age of < 38 weeks. Low anti-HBs antibody levels (< 100 IU/L were found in 9 (29% of the 31 LBW infants. Overall, 2 of 20 (10% preterm infants and 2 of 17 (12% LBW were HBsAg-positive on follow-up. In one study, none of the 26 exposed very LBW infants became infected. Conclusion - Due to heterogeneity in immunization schedules, lack of information on transmission rates, and the small number of included subjects, no firm conclusions can be drawn regarding the optimal postexposure prophylaxis in LBW infants. We propose that active and passive immunization at birth should be completed by three further active doses (0–1–2–12 month schedule until further prospective studies are available.

  13. Design of wireless multi-parameter monitoring system for oral feeding of premature infants.

    Science.gov (United States)

    Wang, Yu-Lin; Kuo, Hsing-Chien; Wang, Lin-Yu; Ko, Mei-Ju; Lin, Bor-Shyh

    2016-07-01

    Premature infants often cannot successfully and coordinately complete their oral feeding. Mature sucking, swallowing, and respiration activities are crucial indicators for the survival of newborn infants. Due to the vulnerability and unobvious muscle activities of premature infants, current clinical care givers mainly depend on the subjective behavioral observation of infants during oral feeding. There is still lack of an integrated oral feeding monitoring system to objectively and quantifiably monitor the related physiological parameters of premature infants. In this study, a wireless multi-parameter monitoring system for oral feeding of premature infants was proposed to monitor the sucking-swallowing-respiratory activities and the heart rate variability to provide quantitative indices of oral feeding. Here, a novel sucking pressure sensing module was also developed to monitor the premature infant's sucking pressure under oral feeding to avoid the immersion influence of milk. The experimental results showed that the proposed system detected the related physiological parameters of premature infants during oral feeding effectively and may provide an objective clinical evaluation tool for oral feeding ability and safety of premature infants in the future.

  14. Design of wireless multi-parameter monitoring system for oral feeding of premature infants.

    Science.gov (United States)

    Wang, Yu-Lin; Kuo, Hsing-Chien; Wang, Lin-Yu; Ko, Mei-Ju; Lin, Bor-Shyh

    2016-07-01

    Premature infants often cannot successfully and coordinately complete their oral feeding. Mature sucking, swallowing, and respiration activities are crucial indicators for the survival of newborn infants. Due to the vulnerability and unobvious muscle activities of premature infants, current clinical care givers mainly depend on the subjective behavioral observation of infants during oral feeding. There is still lack of an integrated oral feeding monitoring system to objectively and quantifiably monitor the related physiological parameters of premature infants. In this study, a wireless multi-parameter monitoring system for oral feeding of premature infants was proposed to monitor the sucking-swallowing-respiratory activities and the heart rate variability to provide quantitative indices of oral feeding. Here, a novel sucking pressure sensing module was also developed to monitor the premature infant's sucking pressure under oral feeding to avoid the immersion influence of milk. The experimental results showed that the proposed system detected the related physiological parameters of premature infants during oral feeding effectively and may provide an objective clinical evaluation tool for oral feeding ability and safety of premature infants in the future. PMID:26429347

  15. Vitamins Minerals and Trace Elements in Nutrition of Preterm Infants

    OpenAIRE

    Yurdakök, Murat

    1994-01-01

    Vitamins minerals and trace elements are micronutrients essential for metabolic functions Due to their immaturity and insufficient body stores preterm and low birth weight infants require higher dosages of some micronutrients compared to full term newborns Key words: Prematurity Vitamins Minerals Trace Elements

  16. Accidental and Nonaccidental Head Injuries in Infants: Distinguishing Characteristics

    Directory of Open Access Journals (Sweden)

    J Gordon Millichap

    2005-07-01

    Full Text Available One hundred fifty infants hospitalized with head injury over a 3-year period, 57 (38% due to child abuse, were studied prospectively at the Departments of Pediatric Neurosurgery, Neuro-ophthalmology, and Legal Medicine, CHRU de Lille, France.

  17. Infants' and Mothers' Vagal Reactivity in Response to Anger

    Science.gov (United States)

    Moore, Ginger A.

    2009-01-01

    Background: Exposure to anger in the family is a risk factor for disruptive behavior disorders characterized by ineffective vagal regulation. Effects of anger on developing vagal regulation may be due to direct exposure or to effects on parents' regulation of emotion as parents support infants' regulation. Little is known about the impact of anger…

  18. Auditory maturation and congenital hearing loss in NICU infants

    NARCIS (Netherlands)

    S. Coenraad (Saskia)

    2011-01-01

    textabstractThe number of preterm births has increased over the past decades as a result of increasing maternal age and in vitro fertilization (1). At the same time the survival of preterm infants has increased due to advances in perinatal and neonatal care. For example, antenatal corticosteroids fo

  19. Neonatal small left colon in an infant with cystic fibrosis

    International Nuclear Information System (INIS)

    A small left colon has been observed in neonates due to several causes: aganglionosis, meconium plug, and neonatal small left colon syndrome. We report a case of small left colon in an infant with cystic fibrosis, underscoring the need to consider this diesease in the diagnostic work up. (orig.)

  20. Infant hip sonography: current concepts.

    Science.gov (United States)

    Harcke, H T; Grissom, L E

    1994-08-01

    Sonography of the infant hip has gained wide acceptance in the decade since its introduction. The two principle techniques of Graf and Harcke have been combined with the proposal of a Dynamic Standard Minimum Examination. Whereas sonography is used increasingly to manage developmental dislocation and/or displasia of the hip, there is no agreement on the use of sonography for universal newborn screening. This article describes in detail the Dynamic Standard Minimum Sonographic Examination of the infant hip. In addition, this article reviews the classification and management of infant hip disorders. PMID:7946476

  1. Dating fractures in infants

    Energy Technology Data Exchange (ETDEWEB)

    Halliday, K.E., E-mail: kath.halliday@nuh.nhs.uk [Department of Radiology, Nottingham University Hospitals, Queen' s Medical Centre, Nottingham (United Kingdom); Broderick, N.J.; Somers, J.M. [Department of Radiology, Nottingham University Hospitals, Queen' s Medical Centre, Nottingham (United Kingdom); Hawkes, R. [Department of Radiology, Paul O' Gorman Building, Bristol (United Kingdom)

    2011-11-15

    Aim: To document the timing of the appearance of the radiological features of fracture healing in a group of infants in which the date of injury was known and to assess the degree of interobserver agreement. Materials and methods: Three paediatric radiologists independently assessed 161 images of 37 long bone fractures in 31 patients aged 0-44 months. The following features were assessed: soft-tissue swelling, subperiosteal new bone formation (SPNBF), definition of fracture line, presence or absence of callus, whether callus was well or ill defined, and the presence of endosteal callus. Results: Agreement between observers was only moderate for all discriminators except SPNBF. SPNBF was invariably seen after 11 days but was uncommon before this time even in the very young. In one case SPNBF was seen at 4 days. Conclusion: With the exception of SPNBF, the criteria relied on to date fractures are either not reproducible or are poor discriminators of fracture age.

  2. Infantes, Infantaticum. Remarques introductives

    Directory of Open Access Journals (Sweden)

    Patrick Henriet

    2008-05-01

    Full Text Available Ce texte commence par donner un chapitre des Miracles d’Isidore de Séville écrits par Lucas de Tuy (années 1220-1230. On y voit le saint expulser du monastère de Saint-Isidore l’infante Sancha, sœur d’Alphonse VII et maîtresse de l’Infantaticum. Une époque se termine, qui, depuis le Xe siècle, avait été marquée par le rôle éminent de certaines infantes (filles et soeurs de rois, placées à la tête d’un ensemble de possessions structurées par un ou plusieurs monastères. A la mort des infantes, ces « infantats » (infantaticum revenaient à la couronne. Cette pratique, qu’il serait sans doute exagéré de qualifier d’institution, ne nous est clairement présentée que chez les chroniqueurs du début du XIIIe siècle, lorsqu’elle disparaît en tant que telle. L’histoire de l’Infantaticum invite donc à s’interroger sur le rôle des femmes dans les stratégies de pouvoir propres à l’Espagne du Moyen Âge central, en même temps qu’elle contraint l’historien à ne pas imaginer les infantes comme les incarnations successives d’un personnage type et invariant à travers les siècles.Este texto empieza con un capítulo de los Milagros de Isidoro de Sevilla escritos por Lucas de Tuy en los años 1220-1230. Se ve al santo expulsar del monasterio de San Isidoro a la infanta Sancha, hermana de Alfonso VII y domina del Infantazgo (Infantaticum. Se acaba una época, que desde el siglo X habia sido marcada por el papel eminente de ciertas infantas (hijas y hermanas de reyes que dominaban un conjunto de posesiones estructuradas por uno o varios monasterios. A la muerte de las infantas, estos « infantazgos » volvían a la corona. Esta práctica, que dificilmente se puede calificar de « institución », no se nos presenta de manera totalmente clara antes de las crónicas de principios del XIII, momento en el cual desaparece como tal. La historia del Infantazgo nos invita a interrogarnos sobre el

  3. Infant Transport Monitoring

    Science.gov (United States)

    1978-01-01

    The photo sequence illustrates the movement of an ill infant to a special care hospital by means of a new Pediatric Monitoring and Transport System, in which NASA technology and technical assistance are being applied to an urgent medical problem. Development of the system is a collaborative effort involving several organizations, principally, NASA Ames Research Center and Children's Hospital Medical Center, Oakland, California. Key to the system's efficacy is a custom-designed ambulance-to-hospital and hospital-to-hospital communications network, including two-way voice capability and space-derived biotelemetry; it allows a specialist at the destination hospital to monitor continuously the vital signs of the patient during transit.

  4. Infant feeding practices and weight gain for length of term normal birth weight infants in the first 6 months of life%喂养习惯与婴儿出生后前6个月按身长体质量增加的相关性

    Institute of Scientific and Technical Information of China (English)

    周丽莉; 孙倩倩; 胡燕琪; 刘金荣; 刘珊珊; 张杰; 盛晓阳

    2010-01-01

    Objective To explore the relationship between infant feeding practices and infants growth,especially the weight gain for length in the first 6 months of life. Methods Two-hundred healthy full-term singlet normal birth weight 5 - 6 months old infants and their main care givers were recruited in Kongjiang community health service center in Shanghai. The questionnaires included infants feeding pattern, feeding environment and care givers feeding behaviors, and were completed on-site by investigators. The birth weight was obtained. The weight and length of infants at 6 months were measured. Results There were 70/200 (35.0%) infants overweight (BMI for age Z score>+1) at 6 months. There were more overweight boys than girls (40.0% vs. 30.9%, x2 = 1.798, P = 0.180). Compared with normal weight infants, the overweight infants had same birth weight (3.30 ± 0.35 kg vs. 3.35 ± 0.32 kg, t =1.010, P = 0.314) and same length at 6 months (67.64 ± 2.10 cm vs. 67.91 ± 1.97 cm, t=- 0.896, P = 0.371). However, the overweight infants gained much more weight for length in the first six months of life. At 6 months, the weight and BMI of overweight infants was significantly higher than that of normal weight infants (9.16 ± 0.67 vs. 7.94 ±0.64, t = 12.324, P 0.05). The grandparents played an important role in infants feeding in Shanghai. There were 39.0% infants fed only by grandparents, and 23.0% infants fed jointly by grandparents and parents (x2 = 0.175, P > 0.05).The care givers' educational level and knowledge of feeding skill were similar in overweight and normal weight infants (x2 = 0.446, t = 0.949, P > 0.05). However, the overweight infants were fed more quickly than normal weight infants (Z = 2.753, P +1),占35%.男婴超重多于女婴(40.0%对30.9%,x2=1.798,P=0.180).超重婴儿和体质量正常婴儿的出生体质量一致(3.30±0.35 kg对3.35±0.32 kg,t=1.010,P=0.314),6月龄时两组婴儿的身长也一致(67.64±2.10 cm对67.91±1.97cm,t=0.896,P=0.371).

  5. Attentional Bias for Word Learning—Mandarin-Speaking Infants' Discrimination of Persons,Actions,and Objects%汉语婴儿词汇学习的注意偏好

    Institute of Scientific and Technical Information of China (English)

    陈杰; 郑小蓓; 孟祥芝; Rachel Pulverman; Twila Tardif; 朱莉琪

    2012-01-01

    Word learning requires establishing a mapping between words and concepts.Yet,even before this mapping process,children need to attend to and identify conceptual units from perceptual inputs.From an associative perspective,attention is the initial step of early word learning,and differences in attentional patterns could play a role in language acquisition and development.English learners typically show vocabularies that are dominated by nouns,while studies reveal that verbs are acquired early and in large quantities by Mandarin Chinese learners.However,little research has examined whether English and Mandarin leamers'early comprehension and production of nouns and verbs could be attributed to attentional patterns.Thus,the interest for the present study is whether we will find fundamental differences in attentional patterns to complex scenes across developmental spans.In particular,we are interested in how the process of word learning may interact with attention among children who have not yet begun this process(i.e.6 month olds) vs.children who are in the middle of an explosive phase of early vocabulary development(i.e.18-month-olds). In this study,we explore Mandarin-learning infants'abilities to discriminate among persons,actions,and objects in both silent and word-learning environments.Infants were randomly assigned to a habituation scene,in which a videotaped event of a young woman performing a novel action on a novel object was presented to infants in a habituation paradigm.Once they were bored,the infants were presented with four test trials,in which none(control trial) or one of the three elements changed(person Change,action change,object change) with the other two held consistent with the habituation.The infants'looking time was calculated on-line by a live experimenter who was blind to the stimuli appearing on the screen and coded the infant's eye movement through a curtain hole. These studies aim to further investigate the cognitive mechanism underlying

  6. 婴儿唾液成分与饮食行为的相关性研究%A study on relationship between saliva constituents and dietary behaviors of the infant

    Institute of Scientific and Technical Information of China (English)

    吴虹桥; 童梅玲; 张敏; 陈丽

    2011-01-01

    目的 分析婴儿唾液成分与饮食行为之间的相关关系,为临床指导婴儿喂养提供客观指标.方法 649例婴儿根据居住地的不同分为城市组和农村组;按月龄段的不同分为1~3月、4~6月、7~9月和10~12月4组;按性别不同分为男婴组和女婴组.对带养人进行面对面婴儿饮食行为的问卷调查,调查内容包括固体食物引入;对每名婴儿测量体重和身长,评价其生长发育状况;收集该婴儿的口腔全唾液,用全自动生化分析仪测定唾液中淀粉酶,K+,Na+,Cl-,葡萄糖,总蛋白,总胆固醇,三酰甘油的含量.结果 不同地区、不同月龄、不同进食能力的婴儿,其唾液成分存在着差异(P<0.01);婴儿唾液成分与饮食行为、体重和身长之间有着一定的相关关系.结论 唾液成分分析对于指导婴儿饮食行为发育具有一定的现实意义.%Objective To explore relationship between saliva constituents and dietary (feeding) behaviors of infants aged under 1 year so as to provide objective basis for infant-feeding instruction in clinic. Methods 649 infants were divided into two groups (city group and rural group) according to their living areas, into four age groups (under 3-month-old group, between 4-6-month-old group, between 7-9-month-old group and between 10-12-month-old group) according to their month ages and into two gender groups (boy group and girl group).Parents and caregivers were investigated by filling in questionnaires about the infants' dietary behaviors for solid food introduction and so on. The body weight and height of the infants were measured to evaluate their growth condition. The subjects' saliva was taken. The contents of K+, Na+, Cl-, glucose, total proteins, total cholesterols and triglyceride were determined by Automatic Biochemical Analysor. Results There were significant differences in saliva constituents among infants in different living areas, ages and abilities to take food (all P < 0

  7. Chest X-ray in newborns and infants

    International Nuclear Information System (INIS)

    Chest X-ray in newborns and infants shows great differences to that in adults. Therefore all radiologists, who engage in X-rays in this age group, must be familiar with the special features. At the beginning specific items of examination methods are explained, which must be strictly followed due to radiological protection. Focus of the paper is the discussion of the important chest diseases in newborn and infants, which are mostly unknown in chest diagnosis in adults. Many of them can be life-threatening, thus their knowledge is essential. Pathophysiological explanations shall make the special radiological signs understandable. (orig.)

  8. The effect of open and closed endotracheal tube suctioning system on respiratory parameters of infants undergoing mechanical ventilation

    OpenAIRE

    Taheri, Parvin; Asgari, Narges; Mohammadizadeh, Majid; Golchin, Mehri

    2012-01-01

    Aims: Mechanical ventilation is used for some infants in neonatal intensive care units (NICU) due to many physiological and clinical causes. Since these patients have endotracheal tubes, cleaning and keeping the airways open through suctioning should be done to increase oxygenation. This study aimed to evaluate effect of open and closed suctioning methods on respiratory parameters of infants undergoing mechanical ventilation. Materials and Methods: In this crossover clinical trial, 44 infants...

  9. Search asymmetry and eye movements in infants and adults.

    Science.gov (United States)

    Adler, Scott A; Gallego, Pamela

    2014-08-01

    Search asymmetry is characterized by the detection of a feature-present target amidst feature-absent distractors being efficient and unaffected by the number of distractors, whereas detection of a feature-absent target amidst feature-present distractors is typically inefficient and affected by the number of distractors. Although studies have attempted to investigate this phenomenon with infants (e.g., Adler, Inslicht, Rovee-Collier, & Gerhardstein in Infant Behavioral Development, 21, 253-272, 1998; Colombo, Mitchell, Coldren, & Atwater in Journal of Experimental Psychology: Learning, Memory and Cognition, 19, 98-109, 1990), due to methodological limitations, their findings have been unable to definitively establish the development of visual search mechanisms in infants. The present study assessed eye movements as a means to examine an asymmetry in responding to feature-present versus feature-absent targets in 3-month-olds, relative to adults. Saccade latencies to localize a target (or a distractor, as in the homogeneous conditions) were measured as infants and adults randomly viewed feature-present (R among Ps), feature-absent (P among Rs), and homogeneous (either all Rs or all Ps) arrays at set sizes of 1, 3, 5, and 8. Results indicated that neither infants' nor adults' saccade latencies to localize the target in the feature-present arrays were affected by increasing set sizes, suggesting that localization of the target was efficient. In contrast, saccade latencies to localize the target in the feature-absent arrays increased with increasing set sizes for both infants and adults, suggesting an inefficient localization. These findings indicate that infants exhibit an asymmetry consistent with that found with adults, providing support for functional bottom-up selective attention mechanisms in early infancy. PMID:24858309

  10. Infant temperament contributes to early infant growth: A prospective cohort of African American infants

    Science.gov (United States)

    Slining, Meghan M; Adair, Linda; Goldman, Barbara Davis; Borja, Judith; Bentley, Margaret

    2009-01-01

    Background Prospective studies linking infant temperament, or behavioral style, to infant body composition are lacking. In this longitudinal study (3 to 18 months), we seek to examine the associations between two dimensions of infant temperament (distress to limitations and activity level) and two anthropometric indicators (weight-for-length z-scores (WLZ) and skin fold (SF) measures) in a population at high risk of overweight. Methods Data are from the Infant Care and Risk of Obesity Project, a longitudinal study of North Carolina low income African American mother-infant dyads (n = 206). Two temperament dimensions were assessed using the Infant Behavior Questionnaire-Revised. A high distress to limitations score denotes an infant whose mother perceives that s/he often cries or fusses, and a high activity level score one who moves his/her limbs and squirms frequently. Cross-sectional analyses were conducted using ordinary least squares regression. Fixed effects longitudinal models were used to estimate anthropometric outcomes as a function of time varying infant temperament. Results In longitudinal models, increased activity levels were associated with later decreased fatness and WLZ. In contrast, high levels of distress to limitations were associated with later increased fatness at all time points and later increased WLZ at 12 months. Conclusion Infant temperament dimensions contribute to our understanding of the role of behavior in the development of the risk of overweight in the formative months of life. Identification of modifiable risk factors early in life may help target strategies for establishing healthy lifestyles prior to the onset of overweight. PMID:19656377

  11. Infant temperament contributes to early infant growth: A prospective cohort of African American infants

    Directory of Open Access Journals (Sweden)

    Goldman Barbara

    2009-08-01

    Full Text Available Abstract Background Prospective studies linking infant temperament, or behavioral style, to infant body composition are lacking. In this longitudinal study (3 to 18 months, we seek to examine the associations between two dimensions of infant temperament (distress to limitations and activity level and two anthropometric indicators (weight-for-length z-scores (WLZ and skin fold (SF measures in a population at high risk of overweight. Methods Data are from the Infant Care and Risk of Obesity Project, a longitudinal study of North Carolina low income African American mother-infant dyads (n = 206. Two temperament dimensions were assessed using the Infant Behavior Questionnaire-Revised. A high distress to limitations score denotes an infant whose mother perceives that s/he often cries or fusses, and a high activity level score one who moves his/her limbs and squirms frequently. Cross-sectional analyses were conducted using ordinary least squares regression. Fixed effects longitudinal models were used to estimate anthropometric outcomes as a function of time varying infant temperament. Results In longitudinal models, increased activity levels were associated with later decreased fatness and WLZ. In contrast, high levels of distress to limitations were associated with later increased fatness at all time points and later increased WLZ at 12 months. Conclusion Infant temperament dimensions contribute to our understanding of the role of behavior in the development of the risk of overweight in the formative months of life. Identification of modifiable risk factors early in life may help target strategies for establishing healthy lifestyles prior to the onset of overweight.

  12. Clival chordoma in an infant.

    Directory of Open Access Journals (Sweden)

    Goel A

    1996-04-01

    Full Text Available An unusual case of clival chordoma seen in a 7 month 16 day old infant is presented. The literature on this subject, clinical course of such tumours and the management strategy in paediatric age group is reviewed.

  13. Home apnea monitor use - infants

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000755.htm Home apnea monitor use - infants To use the sharing ... portable. Why is an Apnea Monitor Used at Home? A monitor may be needed when: Your baby ...

  14. FDA Abbott Infant Formula Recall

    Data.gov (United States)

    U.S. Department of Health & Human Services — On September 22, 2010, Abbott issued a voluntary recall of certain Similac powdered infant formula after identifying a common warehouse beetle (both larvae and...

  15. Parents bereaved by infant death

    DEFF Research Database (Denmark)

    Christiansen, Dorte M.; Elklit, Ask; Olff, Miranda

    2013-01-01

    Losing an infant or fetus late in pregnancy, during birth or in the first year of life is a potentially traumatic event for parents. However, little is known about the factors contributing to chronic posttraumatic stress reactions in this population. The present study examined chronic posttraumatic...... stress disorder (PTSD) symptoms and potential correlates in 634 mothers and fathers up to 18 years (M=3.4 years) after the death of their infant. Members of a private national support organization for parents bereaved by infant death were contacted and asked to participate in the study. Participants...... avoidance, attachment anxiety, emotion-focused coping, avoidant coping, feeling let down and social support satisfaction accounted for 44% of the variance in PTSD severity. The study highlights the long-term impact of infant loss and points to attachment, coping and social support as important contributors...

  16. Parents Bereaved by Infant Death

    DEFF Research Database (Denmark)

    Christiansen, Dorte Mølgaard; Elklit, Ask; Olff, Miranda

    2013-01-01

    Objective: Losing an infant or fetus late in pregnancy, during birth or in the first year of life is a potentiallytraumatic event for parents. However, little is known about the factors contributing to chronic posttraumatic stress reactions in this population. The present study examined chronic...... posttraumatic stress disorder (PTSD)´symptoms and potential correlates in 634 mothers and fathers up to 18 years (M=3.4 years) after the death of their infant. Methods: Members of a private national support organization for parents bereaved by infant death were contacted and asked to participate in the study......, female sex, attachment avoidance, attachment anxiety, emotion-focused coping, rational coping, feeling let down and social support satisfaction accounted for 42% of the variance in PTSD severity. Conclusions: The study highlights the long-term impact of infant loss and points to attachment, coping...

  17. Infant Allergies and Food Sensitivities

    Science.gov (United States)

    ... Prenatal Baby Bathing & Skin Care Breastfeeding Crying & Colic Diapers & Clothing Feeding & Nutrition Preemie Sleep Teething & Tooth Care Toddler Preschool Gradeschool Teen Young Adult Healthy Children > Ages & Stages > Baby > Breastfeeding > Infant Allergies ...

  18. Eczema (Atopic Dermatitis) in Infants

    Science.gov (United States)

    ... rash and rashes clinical tools newsletter | contact Share | Eczema (Atopic Dermatitis) A parent's guide for infants and babies A ... scaling, red, slightly elevated lesions typical of atopic dermatitis (eczema). Overview Eczema, formally known as atopic dermatitis, ...

  19. Cystic fibrosis in premature infants

    OpenAIRE

    Lu, KD; Engmann, C.; Moya, F. (Francina); Muhlebach, M

    2011-01-01

    There are few reports of cystic fibrosis (CF) diagnosed in premature infants. We describe the clinical course of three patients, from our neonatal intensive care units, who were diagnosed with CF, and discuss the existing literature and treatment considerations.

  20. Illegitimacy, Infant Feeding Practices and Infant Survival in Sweden 1750–1950

    OpenAIRE

    Rogers, John; Brändström, Anders; Edvinsson, Sören

    2002-01-01

    The purpose of this study is to examine regional variations in infant mortality and how these were related to the improvements in the survival of infants.4 Were there distinct regional differences in infant mortality during the early nineteenth century, that is, at the outset of the decline of infant mortality? Did these patterns change as mortality declined? One of the most important factors influencing levels of infant mortality is related to infant feeding practices, in particular breast-f...

  1. The study of countermeasures on measles control in infants%小月龄婴儿麻疹发病控制对策探讨

    Institute of Scientific and Technical Information of China (English)

    王联君; 康顺爱; 刘英; 姜晓春; 孙丽英; 姜忠林

    2001-01-01

    that the newborn's antibody level can be improved by vaccination to matured women. In order to reduce morbidity of infant measles, the age of first vaccination of measles vaccine should be changed from 8 months old to 6 months old in some regions.

  2. Factors affecting visualization of posterior rib fractures in abused infants

    International Nuclear Information System (INIS)

    Rib fractures in abused infants commonly occur in the posterior rib arcs. Fractures occurring near the costovertebral articulations are usually identified radiographically only once callus has formed. To assess the factors influencing the visibility of fractures near the costovertical articulations, the authors studied 103 posterior rib fractures occurring in 16 abused infants. Radiologic findings were correlated with CT findings and pathologic material from nine ribs in four patients. The limited visibility of fractures relates to (1) the frequent superimposition of the transverse process over the rib fracture site, (2) a fracture line that crosses at an obliquity to the x-ray beam, and (3) nondisplacement of rib fragments due to preservation of the posterior periosteum. Fresh rib fractures invisible on a frontal projection may be clearly defined on axial CT scans, or on postmortem radiographs. A knowledge of the factors influencing the visibility of these important injuries is useful in planning an appropriate diagnostic evaluation of suspected infant abuse

  3. Infant observation: opportunities, challenges, threats

    OpenAIRE

    Hollway, Wendy

    2012-01-01

    This article reflects on the value of the infant observation tradition from the perspective of someone originally trained in scientific psychology and recently ending a four-year period as external examiner for the Masters and Diploma course in Psychoanalytic Observation at the Tavistock clinic. My aim is to convey, from the perspective of an outsider, how I came to appreciate the core insights that I learned from infant observation through my experience of them in a research context; to conv...

  4. Treatment with paracetamol in infants

    DEFF Research Database (Denmark)

    Arana, A; Morton, N S; Hansen, Tom Giedsing

    2001-01-01

    Paracetamol (N-acetyl-p-amino-phenol) or acetaminophen has become the most widely used analgesic and antipyretic in children. However, there is a wide discrepancy between the extent to which paracetamol is used and the limited available pharmacological data in small infants. The purpose...... of this article is to present a review of the current literature regarding the use of paracetamol in neonates and infants with a particular emphasis on pharmacological issues....

  5. Social theory and infant feeding

    Science.gov (United States)

    2011-01-01

    Clinicians, public health advisors, nutritionists and others have been attempting to increase breastfeeding rates for the last few decades, with varying degrees of success. We need social science researchers to help us understand the role of infant feeding in the family. Some researchers in the area of food and nutrition have found Pierre Bourdieu's theoretical framework helpful. In this editorial, I introduce some of Bourdieu's ideas and suggest researchers interested in infant feeding should consider testing these theories. PMID:21676218

  6. Outcomes for Extremely Premature Infants

    OpenAIRE

    Glass, HC; Costarino, AT; Stayer, SA; Brett, CM; Cladis, F; Davis, PJ

    2015-01-01

    © 2015 International Anesthesia Research Society. Premature birth is a significant cause of infant and child morbidity and mortality. In the United States, the premature birth rate, which had steadily increased during the 1990s and early 2000s, has decreased annually for 7 years and is now approximately 11.39%. Human viability, defined as gestational age at which the chance of survival is 50%, is currently approximately 23 to 24 weeks in developed countries. Infant girls, on average, have bet...

  7. Narrowing inequalities in infant mortality in Southern Brazil

    Directory of Open Access Journals (Sweden)

    Goldani Marcelo Zubaran

    2002-01-01

    Full Text Available OBJECTIVE: To determine the trends of infant mortality from 1995 to 1999 according to a geographic area-based measure of maternal education in Porto Alegre, Brazil. METHODS: A registry-based study was carried out and a municipal database created in 1994 was used. All live births (n=119,170 and infant deaths (n=1,934 were considered. Five different geographic areas were defined according to quintiles of the percentage of low maternal educational level (<6 years of schooling: high, medium high, medium, medium low, and low. The chi-square test for trend was used to compare rates between years. Incidence rate ratio was calculated using Poisson regression to identify excess infant mortality in poorer areas compared to higher schooling areas. RESULTS: The infant mortality rate (IMR decreased steadily from 18.38 deaths per 1,000 live births in 1995 to 12.21 in 1999 (chi-square for trend p<0.001. Both neonatal and post-neonatal mortality rates decreased although the drop seemed to be steeper for the post-neonatal component. The higher decline was seen in poorer areas. CONCLUSION: Inequalities in IMR seem to have decreased due to a steeper reduction in both neonatal and post-neonatal components of infant mortality in lower maternal schooling area.

  8. Pharmacological Therapy of Gastroesophageal Reflux in Preterm Infants

    Directory of Open Access Journals (Sweden)

    Luigi Corvaglia

    2013-01-01

    Full Text Available Although gastroesophageal reflux (GER is a very common phenomenon among preterm infants, its therapeutic management is still an issue of debate among neonatologists. A step-wise approach should be advisable, firstly promoting nonpharmacological interventions and limiting drugs to selected infants unresponsive to the conservative measures or who are suffering from severe GER with clinical complications. Despite of this, a concerning pharmacological overtreatment has been increasingly reported. Most of the antireflux drugs, however, have not been specifically assessed in preterm infants; moreover, serious adverse effects have been noticed in association to their administration. This review mainly aims to draw the state of the art regarding the pharmacological management of GER in preterm infants, analyzing the best piecies of evidence currently available on the most prescribed anti-reflux drugs. Although further trials are required, sodium alginate-based formulations might be considered promising; however, data regarding their safety are still limited. Few piecies of evidence on the efficacy of histamine-2 receptor blockers and proton pump inhibitors in preterm infants with GER are currently available. Nevertheless, a significantly increased risk of necrotizing enterocolitis and infections has been largely reported in association with their use, thereby leading to an unfavorable risk-benefit ratio. The efficacy of metoclopramide in GER’s improvement still needs to be clarified. Other prokinetic agents, such as domperidone and erythromycin, have been reported to be ineffective, whereas cisapride has been withdrawn due to its remarkable cardiac adverse effects.

  9. What could infant and young child nutrition learn from sweatshops?

    Directory of Open Access Journals (Sweden)

    Sagoe-Moses Isabella

    2011-05-01

    Full Text Available Abstract Background Adequate infant and young child nutrition demands high rates of breastfeeding and good access to nutrient rich complementary foods, requiring public sector action to promote breastfeeding and home based complementary feeding, and private sector action to refrain from undermining breastfeeding and to provide affordable, nutrient rich complementary foods. Unfortunately, due to a lack of trust, the public and private sectors, from both the North and the South, do not work well together in achieving optimal infant and young child nutrition. Discussion As the current debate in infant and young child nutrition is reminiscent of the "sweatshop" debate fifteen years ago, we argue that lessons from the sweatshops debate regarding cooperation between public and private sectors - and specific organizational experiences such as the Ethical Trading Initiative in which companies, trade unions, and civil society organizations work together to enhance implementation of labour standards and address alleged allegations - could serve as a model for improving cooperation and trust between public, civil society and private groups, and ultimately health, in infant and young child nutrition. Summary Lessons from the sweatshops debate could serve as a model to promote cooperation and trust between public and private groups, such that they learn to work together towards their common goal of improving infant and young child nutrition.

  10. Patterns of psychological distress in mothers of preterm infants.

    Science.gov (United States)

    Holditch-Davis, Diane; Santos, Hudson; Levy, Janet; White-Traut, Rosemary; O'Shea, T Michael; Geraldo, Victoria; David, Richard

    2015-11-01

    Mothers of preterm infants experience significant psychological distress, with elevated levels of inter-correlated depressive, stress, anxiety and post-traumatic stress symptoms. In a sample of racially and ethnically diverse mothers of preterm infants, we identified differing patterns of psychological distress during infant hospitalization and examined the effect of these psychological distress patterns on longitudinal trajectories of each psychological distress measure and on maternal perceptions of the child over the first year of the infant's life. Mothers of preterm infants (N=232) completed five questionnaires assessing depressive symptoms, anxiety, post-traumatic stress symptoms, stress due to infant appearance, and stress due to parental role alteration during enrollment during the neonatal hospitalization, discharge, and at 2, 6, and 12 months of age adjusted for prematurity. Latent class analysis on the enrollment psychological distress variables allowed us to identify five sub-groups of mothers exhibiting similar patterns of psychological distress, differing primarily in degree and type: low distress, moderate distress, high NICU-related distress, high depressive and anxiety symptoms, and extreme distress. These classes continued to show different longitudinal trajectories for the psychological distress measures through 12 months corrected age. Mothers in the extreme distress class and, to a lesser degree, mothers in the high depressive and anxiety symptom class remained at risk of significant psychological distress one year after discharge and had less positive perceptions of their child (greater worry and higher perceptions of child vulnerability). In conclusion, distinctive sub-groups of mothers during hospitalization had different patterns of psychological distress throughout the 12-month period and may require different interventions in the NICU. PMID:26495909

  11. ASSESSMENT OF GROSS MOTOR DEVELOPMENT IN INFANTS OF AGE 6 TO 18 MONTHS WITH PROTEIN ENERGY MALNUTRITION USING ALBERTA INFANT MOTOR SCALE: A CROSS SECTIONAL STUDY

    OpenAIRE

    Amruta Kulkarni; Deepa Metgud

    2014-01-01

    Background and Objective: Malnutrition is one of the leading cause of death among young children of developing countries and occurs due to deficiency of essential nutrients. In infancy protein deficiency (PEM) can severely affect the different domains of development. Motor development, one of the domains of development has been previously assessed in older children with PEM and not in younger infants. Early detection of motor impairment in infants with PEM followed by early intervention wil...

  12. The impact of infant feeding patterns on infection and diarrheal disease due to enterotoxigenic Escherichia coli El impacto de las modalidades de alimentación infantil en la infección y en las enfermedades diarreicas por Escherichia coli enterotoxigénica

    Directory of Open Access Journals (Sweden)

    Kurt Long

    1999-07-01

    Full Text Available OBJECTIVE. Determine the impact of dietary risk factors on patterns of infection by heat labile toxin-producing Escherichia coli (LT-ETEC. MATERIALS AND METHODS. Ninety-eight infants were followed from birth for one year in Guadalajara, Mexico, beginning in august of 1986. Stool and breast milk samples were collected weekly from infants and their mothers, respectively. Mothers were also interviewed on a weekly basis regarding the health of the infants. Parametric hazard models were fit to durations of different LTETEC disease states determined through the analysis of stools. The child's consumption of supplemental foods and liquids as well as specific levels of LT-ETEC-specific breast milk antibodies were included in each model as time-varying covariates. RESULTS. The hazard of LTETEC asymptomatic infection increased 400 percent among children who received oats gruel (hazard rate= 4.01; 95% CI 2.77-5.24. The duration of infection was reduced if the child had had a previous LT-ETEC diarrheal episode (2.12; 95% CI 1.74-2.49 but was prolonged if the child consumed herbal teas (0.53; 95% CI 0.27-0.7. Herbal teas and high LTETEC-specific breast milk antibody levels each reduced the hazard of symptomatic infection by ninety percent. Symptomatic episodes became asymptomatic more rapidly if a child was given rice water. CONCLUSIONS. Specific weaning foods increase the risk of infection. Breastmilk antibodies and liquid infusions reduce diarrheal disease and infection duration.OBJETIVOS. Determinar el impacto de los factores dietéticos sobre patrones de infección por Escherichia coli enterotoxigénica productora de la toxina lábil (ECET-TL. MATERIAL Y MÉTODOS. Se reclutaron 98 infantes al nacer, en agosto de 1986; se hizo seguimiento durante un año. En visitas semanales se recolectaron muestras de heces de los niños y una muestra de leche de las madres; éstas fueron entrevistadas sobre la morbilidad del niño. Se ajustaron modelos de hazard a la

  13. Cerebral salt wasting following tuberculous meningoencephalitis in an infant

    Directory of Open Access Journals (Sweden)

    Syed Ahmed Zaki

    2012-01-01

    Full Text Available In patients with central nervous system disease, life-threatening hyponatremia can result from either the syndrome of inappropriate secretion of antidiuretic hormone or cerebral salt wasting. Clinical manifestations of the two conditions may be similar, but their pathogeneses and management protocols are different. Cerebral salt wasting syndrome is a disorder in which excessive natriuresis and hyponatremia occurs in patients with intracranial diseases. We report a 6-month-old girl with CSWS associated with tuberculous meningoencephalitis. She was diagnosed as having CSWS on the basis of hypovolemia, polyuria, natriuresis, and the relatively high level of fractional excretion of uric acid. Aggressive replacement of urine salt and water losses using 0.9% or 3% sodium chloride was done. Fludrocortisone was started at 0.1 mg twice daily on the seventh day of admission and was continued for 17 days.

  14. Cerebral salt wasting following tuberculous meningoencephalitis in an infant

    Science.gov (United States)

    Zaki, Syed Ahmed; Lad, Vijay; Shanbag, Preeti

    2012-01-01

    In patients with central nervous system disease, life-threatening hyponatremia can result from either the syndrome of inappropriate secretion of antidiuretic hormone or cerebral salt wasting. Clinical manifestations of the two conditions may be similar, but their pathogeneses and management protocols are different. Cerebral salt wasting syndrome is a disorder in which excessive natriuresis and hyponatremia occurs in patients with intracranial diseases. We report a 6-month-old girl with CSWS associated with tuberculous meningoencephalitis. She was diagnosed as having CSWS on the basis of hypovolemia, polyuria, natriuresis, and the relatively high level of fractional excretion of uric acid. Aggressive replacement of urine salt and water losses using 0.9% or 3% sodium chloride was done. Fludrocortisone was started at 0.1 mg twice daily on the seventh day of admission and was continued for 17 days. PMID:22566734

  15. Report of an infant with noma (cancrum oris).

    Science.gov (United States)

    Yuca, Köksal; Yuca, Sevil Ari; Cankaya, Hakan; Caksen, Hüseyin; Calka, Omer; Kiriş, Muzaffer

    2004-06-01

    Noma (cancrum oris) is an infectious disease that destroys the oro-facial tissues and other neighboring structures in its fulminating course. The starting point of the disease is acute ulcero-necrotic gingivitis, which results in an extensive gangrenous plaque destroying all of the soft tissues of the face. It predominantly affects children aged 2-16 years and is primarily seen in areas where the socioeconomic standards are low and there is poor hygiene, as in developing countries. We discuss possible predisposing factors in cancrum oris such as malnutrition, infectious diseases, HIV infection, and immune compromise conditions. Poverty is the most important risk factor. We report the case of a 6-month-old child with noma and review the characteristic features of this disease.

  16. 早期干预对早产儿脑损伤预后的临床观察%Clinical Research on Early Intervention to Prognosis of Premature Infants with Brain Damage

    Institute of Scientific and Technical Information of China (English)

    杨泽艳; 吴素凤; 蒋淑珍

    2011-01-01

    Objective: To explore the clinical effects of early comprehensive intervention on development of intelligence and motor in preterm infants with brain injury. Meihods: 80 infants with brain damage were divided into two groups, the control group (n=40) received conventional therapy and health care instruction, and the intervention group (n=40) also received early synthesis intervention (GM-1+rehabilitation training). The infants in both groups were followed up regularly for 2 years, and were examined neonatal behavioral neurological assessments (NBNA) in the correction age of the 40 weeks, as well as the development assessments of intelligence and motor. Results: The difference of NBNA scores in the correction age of 40 weeks between the control group (30.95 ± 0.88) and the intervention group (33.04± 1.12) had statistical significance (P<0.05); the mental development index (MDI) of 9 months old infants and the physical development index (PDI) of 6 months old infants in intervention group were significantly higher than those in control group (P<0.05 or P<0,01); when the infants were 1 year old, there were significant differences in gross motor, fine motor, adaptive, language and personal-social function areas between the two groups, especially better in the intervention group (P<0.01); The sequelae rate of the intervention groups (17.5%) were less than that of the control group (32.5%) (P<0.01). Conclusion: The early comprehensive intervention may obviously rehabilitate the damaged neurological system of premature infants with brain injury, promote the development of intelligence and motor and reduce the rate of disability.%目的:探讨早期联合干预对脑损伤早产儿智能及运动发育的影响.方法:80例存在脑损伤的早产儿随机分为干预组与对照组,每组各40例,对照组给予常规治疗与保健指导,干预组在此基础上联合神经节苷脂治疗与早期康复训练,定期随访两年,观察比较患儿纠正胎龄40周时神

  17. Congenital goiter due to maternal ingestion of iodide

    International Nuclear Information System (INIS)

    A newborn infant with large bilateral cervical masses developed respiratory difficulties three days after birth. A congenital goiter was suspected and a biopsy was performed. Later information pointed to the ingestion of large amounts of inorganic iodine, during the pregnancy, by the asthmatic mother. Further investigation proved the goiter to be due to transient depression of peroxidase activity by the exogenous iodine. Within several days after birth, the infant's thyroid regained its full activity, the goiter disappeared, and the few signs of hypothyroidism subsided. (U.S.)

  18. Breast feeding and growth in a group of selected 0 to 24 months infants

    International Nuclear Information System (INIS)

    WHO is undertaking a combined growth study in several countries, in order to establish adequate growth curves for breast-feeding infants. Present growth charts in use, were obtained in a sample of breast and artificial feeding infants, which have overestimated the growth needs. In our country during the last two decades the number of mothers who decide to breast-feed their infants has permanently grown, due to the implementation of health care programs that promote, mother-infant interaction tight after birth, in all Public Hospitals, and education programs for the mothers, during both antenatal and post natal control of mother and child. The last figures obtained in a country sample of 10000 mother-infant pair, shows that 45% of the mothers are exclusively breast-feeding their infants at 6 months of age. This figure could increase if our infants were evaluated by the adequate charts, because it is of common use that many health professionals suggest to stop breast-feeding because the infant is not growing according the charts in use. The anthropometric study proposed by WHO will benefit considerably by adding determination of breast-milk intake using isotopic dilution of deuterium, a standard procedure proposed by Coward et al and extensively used in our country. The proposed study will also include milk composition (fat, protein and lactose) and energy density of milk to correlate energy supply, milk volume and growth. (author)

  19. Outcomes for extremely premature infants.

    Science.gov (United States)

    Glass, Hannah C; Costarino, Andrew T; Stayer, Stephen A; Brett, Claire M; Cladis, Franklyn; Davis, Peter J

    2015-06-01

    Premature birth is a significant cause of infant and child morbidity and mortality. In the United States, the premature birth rate, which had steadily increased during the 1990s and early 2000s, has decreased annually for 7 years and is now approximately 11.39%. Human viability, defined as gestational age at which the chance of survival is 50%, is currently approximately 23 to 24 weeks in developed countries. Infant girls, on average, have better outcomes than infant boys. A relatively uncomplicated course in the intensive care nursery for an extremely premature infant results in a discharge date close to the prenatal estimated date of confinement. Despite technological advances and efforts of child health experts during the last generation, the extremely premature infant (less than 28 weeks gestation) and extremely low birth weight infant (premature labor improved neonatal mortality and morbidity in the late 1990s. The recognition that chronic postnatal administration of steroids to infants should be avoided may have improved outcomes in the early 2000s. Evidence from recent trials attempting to define the appropriate target for oxygen saturation in preterm infants suggests arterial oxygen saturation between 91% and 95% (compared with 85%-89%) avoids excess mortality; however, final analyses of data from these trials have not been published, so definitive recommendations are still pending. The development of neonatal neurocritical intensive care units may improve neurocognitive outcomes in this high-risk group. Long-term follow-up to detect and address developmental, learning, behavioral, and social problems is critical for children born at these early gestational ages.The striking similarities in response to extreme prematurity in the lung and brain imply that agents and techniques that benefit one organ are likely to also benefit the other. Finally, because therapy and supportive care continue to change, the outcomes of extremely low birth weight infants are

  20. Wearable Sensor Systems for Infants

    Directory of Open Access Journals (Sweden)

    Zhihua Zhu

    2015-02-01

    Full Text Available Continuous health status monitoring of infants is achieved with the development and fusion of wearable sensing technologies, wireless communication techniques and a low energy-consumption microprocessor with high performance data processing algorithms. As a clinical tool applied in the constant monitoring of physiological parameters of infants, wearable sensor systems for infants are able to transmit the information obtained inside an infant’s body to clinicians or parents. Moreover, such systems with integrated sensors can perceive external threats such as falling or drowning and warn parents immediately. Firstly, the paper reviews some available wearable sensor systems for infants; secondly, we introduce the different modules of the framework in the sensor systems; lastly, the methods and techniques applied in the wearable sensor systems are summarized and discussed. The latest research and achievements have been highlighted in this paper and the meaningful applications in healthcare and behavior analysis are also presented. Moreover, we give a lucid perspective of the development of wearable sensor systems for infants in the future.

  1. fNIRS: An emergent method to document functional cortical activity during infant movements

    Directory of Open Access Journals (Sweden)

    Ryota eNishiyori

    2016-04-01

    Full Text Available The neural basis underlying the emergence of goal-directed actions in infants has been severely understudied, with minimal empirical evidence for hypotheses proposed. This was largely due to the technological constraints of traditional neuroimaging techniques. Recently, functional near-infrared spectroscopy (fNIRS technology has emerged as a tool developmental scientists are finding useful to examine cortical activity, particularly in young children and infants due to its greater tolerance to movements than other neuroimaging techniques. fNIRS provides an opportunity to finally begin to examine the neural underpinnings as infants develop goal-directed actions.In this methodological paper, I will outline the utility, challenges, and outcomes of using fNIRS to measure the changes in cortical activity as infants reach for an object. I will describe the advantages and limitations of the technology, the setup I used to study primary motor cortex activity during infant reaching, and example steps in the analyses processes. I will present exemplar data to illustrate the feasibility of this technique to quantify changes in hemodynamic activity as infants move. The viability of this research method opens the door to expanding studies of the development of neural activity related to goal-directed actions in infants. I encourage others to share details of techniques used, as well, including analyticals, to help this neuroimaging technology grow as others, such as EEG and fMRI have.

  2. Mothers' Beliefs about Infant Size: Associations with Attitudes and Infant Feeding Practices

    Science.gov (United States)

    Holub, Shayla C.; Dolan, Elaine A.

    2012-01-01

    Few studies have examined maternal attitudes toward infant body size, but extant work suggests there might be less negativity toward overweight sizes and less positivity toward thin sizes for infants than older children. Fifty mothers of 12 to 25 month-old infants completed questionnaires examining attitudes toward infants', children's and their…

  3. Women, Infants and Children (WIC) Authorized Vendors

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Women, Infants and Children (WIC) Program is a federally-funded health and nutrition program that provides assistance to pregnant women, new mothers, infants...

  4. Feeding Vegetarian and Vegan Infants and Toddlers

    Science.gov (United States)

    ... Men For Women For Seniors Feeding Vegetarian and Vegan Infants and Toddlers By Dayle Hayes, MS, RD ... of Pediatrics (AAP) agree: Well-planned vegetarian and vegan eating patterns are healthy for infants and toddlers. ...

  5. Cord Serum Lipid Profile of Infants of Diabetic Mothers

    Directory of Open Access Journals (Sweden)

    Jasim Almusawi

    2015-12-01

    Full Text Available Background: Infants of diabetic mothers (IDM is a critical issue in pediatrics, which is regarded as a major risk factor for birth trauma, respiratory distress syndrome (RDS, birth asphyxia, transient tachypnea of the newborn (TTN and jaundice. IDM is also a risk factor for microvascular (e.g., ocular and renal complications and macrovascular complications (e.g., cerebrovascular accident, atherosclerosis and cardiovascular complications. Lipids are a heterogeneous group of hydrophobic organic molecules which can be extracted from tissues using non-polar solvents. Lipids, due to their hydrophobic property, are mainly found in membranes enclosing various cell organelles. Diabetes mellitus management with insulin (nowadays also with oral hypoglycemic medications has improved the outcomes of gestational diabetes mellitus (GDM (most infants born to diabetic mother are large for gestational age. The neonatal mortality rate in IDM is over five times higher than that of infants of non-diabetic mothers. In this study, therefore, we aimed to assess the effect of maternal diabetes on cord serum lipid profile. Methods: This prospective (case-control study was carried out on 60 infants born in Al-Zahra teaching hospital during February 2014–October 2014. The study group consisted of 30 randomly chosen IDM, and the control group comprised 30 infants who were born to healthy mothers. Results: The results of this study demonstrated that there are significant differences between IDM and infants of healthy mothers regarding lipid profile and birth weight. Conclusion: This study confirms that cord serum lipid profile (serum cholesterol, serum triglycerides and low-density lipoprotein is higher at birth in IDM. Moreover, this study shows a significant association between lipid profile and body weight.

  6. Postpartum Depression And Infant-Mother Attachment Security At One Year:

    DEFF Research Database (Denmark)

    Smith-Nielsen, Johanne; Væver, Mette Skovgaard; Tharner, Anne;

    2016-01-01

    for a longitudinal study either during pregnancy (comparison group) or eight weeks postpartum (clinical group). Infants of mothers with depressive symptoms only or in combination with a PD diagnosis were compared with infants of mothers with no psychopathology. Depression and PD were assessed using self-report......Previous studies on effects of postpartum depression (PPD) on infant-mother attachment have been divergent. This may be due to not taking into account the effects of stable difficulties not specific for depression, such as maternal personality disorder (PD). Mothers (N = 80) were recruited...

  7. Airway obstruction after lingual frenulectomy in two infants with Pierre-Robin Sequence.

    Science.gov (United States)

    Genther, Dane J; Skinner, Margaret L; Bailey, Patti J; Capone, Randolph B; Byrne, Patrick J

    2015-09-01

    Pierre-Robin Sequence (PRS) is defined as the triad of micrognathia, glossoptosis, and cleft palate and affects approximately 1/8500 births. Airway obstruction is common in infants with PRS and results from glossoptosis leading to pharyngeal obstruction. Any procedure that increases the severity of glossoptosis, such as lingual frenulectomy, may increase the risk of obstruction or aggravate existing obstruction. This report discusses two cases of significant airway decompensation after lingual frenulectomy requiring surgical intervention in infants with PRS. We suggest that lingual frenulectomy be contraindicated in infants with PRS or suspected PRS due to the possible increased risk of airway obstruction.

  8. Preclinical assessment of infant formula.

    Science.gov (United States)

    Lönnerdal, Bo

    2012-01-01

    Infant formulas are the sole or predominant source of nutrition for many infants and are fed during a sensitive period of development and may therefore have short- and long-term consequences for infant health. Preclinical safety assessment therefore needs to include both short-term and long-term studies in animals. It is recommended that procedures are instituted by which experts may serve as independent scientists for companies developing novel products, without having their integrity compromised, and later serve the legislative institutions. A two-level assessment approach to determine the potential toxicity of a novel ingredient, its metabolites, and their effects in the matrix on developing organ systems has been suggested by IOM. This appears reasonable, as novel ingredients can be of different levels of concern. The use of modern methods in genomics and proteomics should be considered in these evaluation processes as well as novel methods to evaluate outcomes, including metabolomics and molecular techniques to assess the microbiome.

  9. Oxygen therapy in preterm infants.

    Science.gov (United States)

    Cherian, S; Morris, I; Evans, J; Kotecha, S

    2014-06-01

    Despite being the most widely used and vital therapy in neonatology, optimal strategies for the use of oxygen in preterm infants remain controversial. Achieving the balance between attaining adequate tissue oxygenation and avoiding oxygen toxicity is challenging. There remains a paucity of clear evidence based guidance for clinicians on safe oxygen saturation targets. What does seem apparent is that these targets vary over time in the life of a preterm infant. This article summarises the evidence behind current practice of oxygen monitoring and administration from the first few minutes after birth, through to the acute neonatal and later convalescent periods. Finally, we review the use of home oxygen for preterm infants with bronchopulmonary dysplasia including administration and weaning from domically home oxygen.

  10. Normal infant sleep and parental expectations.

    OpenAIRE

    Rudzik, Alanna E.F.

    2015-01-01

    Infant sleep is a subject of great interest - and concern - for many new parents. Parental expectations for infant sleep often reflect cultural norms that may not align well with the realities of infant growth and development. Unrealistic expectations for infant sleep have been linked to the early cessation of breastfeeding (Ball, 2003) and may contribute to the development of postnatal depressions symptoms (Muscat et al., 2012). Parents frequently consult health providers for advice when the...

  11. Neurodevelopmental outcomes of infants born prematurely.

    Science.gov (United States)

    Aylward, Glen P

    2014-01-01

    Long-term follow-up of infants born prematurely is necessary to determine neurodevelopmental outcomes, particularly with the expansion of interest from major disabilities to high prevalence/low severity dysfunctions. Models of pathogenesis include changes due to developmental disruptions and to injury, the magnitude and type of change influenced by the infant's age, and central nervous system recovery and reorganization. Alterations in neurogenesis, migration, myelination, cell death, and synaptogenesis occur even in the absence of insult. Despite increased knowledge regarding these processes, the functional significance of brain abnormalities is unclear. Because of methodologic problems in follow-up studies, it is difficult to characterize outcome definitively. Nonetheless, an acceptable degree of agreement across studies is found with regard to specific neurodevelopmental outcomes: motor/neurologic function, visuomotor integrative skills, IQ, academic achievement, language, executive function, and attention-deficit hyperactivity disorder/behavioral issues. In general, children born prematurely have more problems in these areas than do their normal birth weight counterparts. Suggestions for improved analyses and clarification of outcomes include use of cluster analysis, structural equation modeling, growth curve analysis, developmental epidemiologic approaches, and better control of background variables using risk indexes and factor scores. Better assessment techniques measuring functions documented to be at higher risk of problems are discussed. PMID:25007063

  12. Therapeutic effects of hyperbaric oxygen at different time points in infants with cerebral palsy%不同时间窗高压氧治疗对脑性瘫痪患儿疗效的影响

    Institute of Scientific and Technical Information of China (English)

    朱敏; 张跃; 汤健; 傅大林; 李红英; 赵晓科; 杜森杰; 张玲; 张丽

    2013-01-01

    Objective To observe the therapeutic effects of hyperbaric oxygen (HBO) at different time points in infants with cerebral palsy.Methods Sixty cases of cerebral palsy with an age of 3 months were randomly divided into 4 groups:group 1,2,3,4,each consisting of 15 cases.All the infants of the 4 groups were given routine rehabilitation treatment until they were 1 year old.The sick infants in group 1,2 and 3started HBO therapy at the following ages:3 to 4 months old,4 to 6 months old and over 6 months old respectively,with a treatment course of 8 weeks and a total of 40 sessions.The infants in groups 4 were not treated with HBO.Gross motor function was evaluated with Gross Motor Function Measure (GMFM).Intelligence was evaluated with Gesell Development Scale.Then,developmental quotient and total developmental quotient in gross motor,fine motor,adaptation,language and individual-social domains were calculated.Results At one year old,GMFM,developmental quotients in the above five domains and total developmental quotients of all the sick infants in the 4 groups improved significantly,when compared with those before treatment.Of all the patients in the 4 groups,the patients in groups 1 improved more significantly than those in group 2,3 and 4,with statistical significance (P < 0.05).The patients in groups B improved more significantly than those in group 3 and 4,also with statistical significance (P < 0.05).No statistical significance could be noted in therapeutic effects,when a comparison was made between group 3 and 4 (P >0.05).No serious adverse reactions could be noticed in the patients of the 4 groups during treatment.Conclusions Therapeutic time points of HBO therapy played an important role in the treatment of cerebral palsy in infants.The earlier the HBO therapy was implemented,the better the treatment.Optimal therapeutic effects could be achieved,if HBO therapy was started within 3 to 4 months after onset of the disease.Less optimal therapeutic results could

  13. Go Naked: Diapers Affect Infant Walking

    Science.gov (United States)

    Cole, Whitney G.; Lingeman, Jesse M.; Adolph, Karen E.

    2012-01-01

    In light of cross-cultural and experimental research highlighting effects of childrearing practices on infant motor skill, we asked whether wearing diapers, a seemingly innocuous childrearing practice, affects infant walking. Diapers introduce bulk between the legs, potentially exacerbating infants' poor balance and wide stance. We show that…

  14. Hepatitis B vaccination in preterm infants

    OpenAIRE

    Huang, F.; Lee, P; Lee, C.; Huang, L.; Chang, L; Liu, S.

    1997-01-01

    AIM—To investigate the immunogenicity and safety of existing recommendations for hepatitis B vaccination in preterm infants.
METHODS—Recombinant hepatitis B vaccine (H-B-VAX II, 5 µg per dose) was given to 85 preterm infants divided into two groups, using two different schedules. Forty four group A infants with birthweights of 

  15. Infant Stool Form Scale: Development and Results

    NARCIS (Netherlands)

    N. Bekkali; S.L. Hamers; J.B. Reitsma; L. van Toledo; M.A. Benninga

    2009-01-01

    Objective To develop an infant stool scale describing consistency, amount, and color and test its usefulness by assessing the differences between term and preterm infants, between breastfed and formula fed infants and examining interobserver and intraobserver variability. Study design Information ab

  16. Facial Expressivity in Infants of Depressed Mothers.

    Science.gov (United States)

    Pickens, Jeffrey; Field, Tiffany

    1993-01-01

    Facial expressions were examined in 84 3-month-old infants of mothers classified as depressed, nondepressed, or low scoring on the Beck Depression Inventory. Infants of both depressed and low-scoring mothers showed significantly more sadness and anger expressions and fewer interest expressions than infants of nondepressed mothers. (Author/MDM)

  17. Infant Communicative Behaviors and Maternal Responsiveness

    Science.gov (United States)

    DiCarlo, Cynthia F.; Onwujuba, Chinwe; Baumgartner, Jennifer I.

    2014-01-01

    Background: This study applies attachment and transactional theories in evaluating the dyadic interactions observed between a mother and her infant. Infant communication and maternal responsivity are highlighted as the medium for positive interaction. Objective: The impact of individualized maternal training on mother infant communicative…

  18. 21 CFR 105.65 - Infant foods.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 2 2010-04-01 2010-04-01 false Infant foods. 105.65 Section 105.65 Food and Drugs... CONSUMPTION FOODS FOR SPECIAL DIETARY USE Label Statements § 105.65 Infant foods. (a) If a food (other than a... use for infants, the label shall bear, if such food is fabricated from two or more ingredients,...

  19. Investigating human infant anthropomorphism in products

    NARCIS (Netherlands)

    Hellen, K.; Saaksjarvi, M.C.

    2012-01-01

    In this paper we set out to investigate the nature and effects of infant anthropomorphism in products, i.e. products that share features of human infants. Across four studies, evidence suggests that infant anthropomorphism comprise four dimensions: sweetness, simplicity, sympathy, and smallness. We

  20. Infant Developmental Outcomes: A Family Systems Perspective

    Science.gov (United States)

    Parfitt, Ylva; Pike, Alison; Ayers, Susan

    2014-01-01

    The aim of the current study was to examine whether parental mental health, parent-infant relationship, infant characteristics and couple's relationship factors were associated with the infant's development. Forty-two families took part at three time points. The first, at 3?months postpartum, involved a video recorded observation…

  1. The Lost Infant: Impact on the Family

    OpenAIRE

    Higgins, G. L.

    1980-01-01

    Stillbirth, sudden infant death syndrome, death of a premature infant or death of an infant through disease give rise grieving processes with many features in common. Feelings, particularly between the parents, and between parents and surviving children, must be dealt with if the grief reaction is to achieve a normal resolution. The family physician can be extremely helpful in bringing these issues to light.

  2. The Neural Substrates of Infant Speech Perception

    Science.gov (United States)

    Homae, Fumitaka; Watanabe, Hama; Taga, Gentaro

    2014-01-01

    Infants often pay special attention to speech sounds, and they appear to detect key features of these sounds. To investigate the neural foundation of speech perception in infants, we measured cortical activation using near-infrared spectroscopy. We presented the following three types of auditory stimuli while 3-month-old infants watched a silent…

  3. Motor Development of Infants with Positional Plagiocephaly

    Science.gov (United States)

    Kennedy, Eileen; Majnemer, Annette; Farmer, Jean-Pierre; Barr, Ronald G.; Platt, Robert W.

    2009-01-01

    Concurrent with recommendations to place infants to sleep in supine, there has been a dramatic increase in the number of infants with positional plagiocephaly (PP). Recent evidence suggests that infants who have decreased exposure to prone position may have a higher incidence of PP and may be at risk for a delay in the acquisition of certain motor…

  4. Social Information Guides Infants' Selection of Foods

    Science.gov (United States)

    Shutts, Kristin; Kinzler, Katherine D.; McKee, Caitlin B.; Spelke, Elizabeth S.

    2009-01-01

    Two experiments investigated the influence of socially conveyed emotions and speech on infants' choices among food. After watching films in which two unfamiliar actresses each spoke while eating a different kind of food, 12-month-old infants were allowed to choose between the two foods. In Experiment 1, infants selected a food endorsed by a…

  5. Acoustic Packaging of Action Sequences by Infants

    Science.gov (United States)

    Brand, Rebecca J.; Tapscott, Stephanie

    2007-01-01

    This study investigated whether acoustic input, in the form of infant-directed speech, influenced infants' segmenting of action sequences. Thirty-two 7.5- to 11.5-month-old infants were familiarized with video sequences made up of short action clips. Narration coincided with portions of the action stream to package certain pairs of clips together.…

  6. Caffeine therapy in preterm infants.

    Science.gov (United States)

    Abdel-Hady, Hesham; Nasef, Nehad; Shabaan, Abd Elazeez; Nour, Islam

    2015-11-01

    Caffeine is the most commonly used medication for treatment of apnea of prematurity. Its effect has been well established in reducing the frequency of apnea, intermittent hypoxemia, and extubation failure in mechanically ventilated preterm infants. Evidence for additional short-term benefits on reducing the incidence of bronchopulmonary dysplasia and patent ductus arteriosus has also been suggested. Controversies exist among various neonatal intensive care units in terms of drug efficacy compared to other methylxanthines, dosage regimen, time of initiation, duration of therapy, drug safety and value of therapeutic drug monitoring. In the current review, we will summarize the available evidence for the best practice in using caffeine therapy in preterm infants. PMID:26566480

  7. Prophylactic Probiotics for Preterm Infants

    DEFF Research Database (Denmark)

    Olsen, Rie; Greisen, Gorm; Schrøder, Morten;

    2016-01-01

    BACKGROUND: Necrotizing enterocolitis (NEC) is a major morbidity and cause of mortality in preterm neonates. Probiotics seem to have a beneficial role in preventing NEC, which is confirmed in meta-analyses of randomized controlled trials (RCTs). We therefore aimed to review and confirm the efficacy...... of probiotics in preterm neonates obtained in observational studies. OBJECTIVE: To assess the effects of prophylactic probiotics in preterm infants. METHODS: A meta-analysis was performed searching PubMed, EMBASE, CENTRAL (the Cochrane Library) and www.clinicaltrials.gov. Reference lists of reviews of RCTs were...... also searched. Included studies were observational studies that enrolled preterm infants

  8. Alfentanil pharmacokinetics in preterm infants.

    OpenAIRE

    Marlow, N; Weindling, A M; Van Peer, A; Heykants, J.

    1990-01-01

    The pharmacokinetics of alfentanil were studied during the first four days after birth in 22 ventilated preterm infants who were all receiving muscle relaxants. Five minutes after a single dose of 20 micrograms/kg alfentanil median serum concentration was 66 ng/ml (range: 20-606). The median clearance was 0.87 ml/kg/min (range: 0.4-9.62) and median elimination half life 321 mins (64-1251). There were wide differences in the manner in which individual infants handled the drug and transient dep...

  9. Infant Gaze Following during Parent-Infant Coviewing of Baby Videos

    Science.gov (United States)

    Demers, Lindsay B.; Hanson, Katherine G.; Kirkorian, Heather L.; Pempek, Tiffany A.; Anderson, Daniel R.

    2013-01-01

    A total of 122 parent–infant dyads were observed as they watched a familiar or novel infant-directed video in a laboratory setting. Infants were between 12-15 and 18-21 months old. Infants were more likely to look toward the TV immediately following their parents' look toward the TV. This apparent social influence on infant looking at television…

  10. Denmark: botulism in an infant or infant botulism?

    DEFF Research Database (Denmark)

    Pærregaard, Anders; Angen, O.; Mølbak, Kare;

    2008-01-01

    was noted. Botulism was suspected and confirmed by testing of patient serum in a bioassay. The condition of the patient improved following administration of botulism antiserum. The clinical picture was suggestive of intestinal (infant) botulism. However, botulism acquired from consumption of food...

  11. Oxytocin increases VTA activation to infant and sexual stimuli in nulliparous and postpartum women

    OpenAIRE

    Gregory, Rebecca; Cheng, Hu; Rupp, Heather A.; Sengelaub, Dale R.; Heiman, Julia R.

    2015-01-01

    After giving birth, women typically experience decreased sexual desire and increased responsiveness to infant stimuli. These postpartum changes may be viewed as a trade-off in reproductive interests, which could be due to alterations in brain activity including areas associated with reward. The goal of this study was to describe the roles of oxytocin and parity on reward area activation in response to reproductive stimuli, specifically infant and sexual images. Because they have been shown to...

  12. General Movements in preterm infants undergoing craniosacral therapy: a randomised controlled pilot-trial

    OpenAIRE

    Raith, Wolfgang; Marschik, Peter B.; Sommer, Constanze; Maurer-Fellbaum, Ute; Amhofer, Claudia; Avian, Alexander; Löwenstein, Elisabeth; Soral, Susanne; Müller, Wilhelm; Einspieler, Christa; Urlesberger, Berndt

    2016-01-01

    Background The objective of this study was to investigate neurological short-term effects of craniosacral therapy as an ideal form of osteopathic manipulative treatment (OMT) due to the soft kinaesthetic stimulation. Methods Included were 30 preterm infants, with a gestational age between 25 and 33 weeks, who were admitted to the neonatal intensive care unit of the University Hospital of Graz, Austria. The infants were randomized either into the intervention group (IG) which received standard...

  13. Negative extrathoracic pressure in treatment of respiratory failure in infants and young children.

    OpenAIRE

    Samuels, M P; Southall, D P

    1989-01-01

    OBJECTIVE--To assess the efficacy of a newly developed system for applying continuous or intermittent negative (subatmospheric) extrathoracic pressure in respiratory failure. DESIGN--Uncontrolled clinical trials in infants deteriorating or failing to improve despite standard medical treatment. SETTING--Paediatric and neonatal intensive care units and paediatric wards. PATIENTS--88 Infants and young children aged 1 day to 2 years with respiratory failure due to bronchopulmonary dysplasia, the ...

  14. Clinical analysis of infant respiratory infection combined with acute otitis media%婴儿呼吸道感染并发急性中耳炎临床分析

    Institute of Scientific and Technical Information of China (English)

    贾西燕; 林秀珍; 刘彦民; 张慧娟

    2013-01-01

    Objective To analyze the related factors of infant respiratory infection combined with acute otitis media.Methods Five hundred and fifty-six cases of respiratory infection infants (including acute upper respiratory infection,bronchitis,pneumonia)admitted from March 2010 to March 2012 in Puyang maternal and child health-care hospital were randomly selected,they were divided into four time periods (0-3 month old,3-6 month old,6-9 month old,9-12 month old) according to the age,and divided into two time periods (less than three days,more than three days) according to the infection time,and then the situation of actue otitis media in infants was analyzed.Results Among the acute upper respiratory tract infection,acute bronchitis and pneumonia,the incidence of acute otitis media in infants had no significant difference (X2 =0.23,P =0.89).Actue otitis media incidence were negatively correlated with age (r =-0.99).With the infection time extension,the incidence of acute otitis media increased significantly(X2 =15.74,P < 0.01),the application of anti-infective drugs in infants with acute otitis media had significantly reduced (X2 =14.02,P < 0.01).Conclusions Respiratory infection combined with acute otitis media in infants is irrelevant to the site of infection,but it' s relevant to the age and infection time,application of anti-infective drugs can reduce the incidence of acute otitis media.%目的 分析婴儿呼吸道感染并发急性中耳炎的相关因素.方法 随机选取2010年3月至2012年3月濮阳市妇幼保健院收治的呼吸道感染(包括急性上呼吸道感染、急性支气管炎、肺炎)患儿556例,按患儿年龄将其分为4个时间段(0~3个月、3~6个月、6~9个月、9~12个月),按感染时间分为2个时间段(3d以内、3d以上),针对并发急性中耳炎情况进行分析.结果 在急性上呼吸道感染、急性支气管炎、肺炎患儿中,急性中耳炎发生率比较差异无统计学意义(X2=0.23,P=0.89);急

  15. Lessons from history--maternal and infant mortality.

    Science.gov (United States)

    1989-07-15

    Historical analysis of trends in infant and maternal mortality rates reveal different patterns and factors that influence them. Recent international and urban-rural differences in trends, associations with population density and the influence of parental social class and income has led to questioning the long accepted interpretation of the sharp decline of infant mortality in Britain (at the turn of the century) as due to such measures as pure water supplies, sewage disposal and pasteurization of milk. Several authors now believe that direct control of fertility influenced parity and birth spacing, with all other factors contributing to the decline in infant mortality. While the drop in infant mortality rates can be attributable to social and environmental influence, trends in maternal mortality differ considerably. Even though high maternal mortality has often been associated with areas of poverty, such a link has been indirect; the determining factor is the place of delivery, and the skill and care of the birth attendant. The decline in maternal mortality rates began by the mid-1930's and have been halved every 10 years since. National concerns due to high rates of maternal mortality led to different organizational solutions. The US adopted a specialist obstetrician/hospital-based delivery system; the Netherlands combined midwives with home delivery; New Zealand trained midwives but with delivery in hospitals, and Britain included specialized obstetricians with better training of midwives and general practitioners. All of these variations had no effect on mortality rates. The decline is attributed to the use of sulphonamids followed by penicillin and improvements in medical management. In a recent publication entitled "Working for Patients", mortality rates continue to remain the outcome measures to be used universally while infant mortality rates are considered crude and not amenable to health interventions. PMID:2567902

  16. Infant Memory for Musical Experiences.

    Science.gov (United States)

    Saffran, Jenny R.; Loman, Michelle M.; Robertson, Rachel R. W.

    2000-01-01

    Two experiments examined memory of 7-month-olds after 2-week retention interval for passages of two Mozart movements heard daily for 2 weeks. Results suggested that the infants retained familiarized music in long-term memory and that their listening preferences were affected by the extent to which familiar passages were removed from the musical…

  17. Noise Exclusion Ability in Infants

    Directory of Open Access Journals (Sweden)

    Geroldene Tsui

    2011-05-01

    Full Text Available An important perceptual ability is to filter out background distractions from relevant information. However, prior research has not identified when this begins in humans. Our study aims to investigate whether noise exclusion ability occurs in infancy. Infants' contrast sensitivity function (CSF was measured by a Baynesian adaptive inference method. Infants' attention was directed to the middle of a monitor where an 8.72 degree static Gabor grating was presented on the left or right side of the monitor. In half the trials, the grating was presented against a gray background; in the other half, against a 16% contrast random-dot noise background. The experimenter and two independent coders judged which side the infants gazed at (force-choice preferential looking paradigm. One-hundred babies aged from 4 to 10 months satisfied the 70% interrater consistency criterion for inclusion. Four parameters defined the best-fitted CSF for each infant. Of these, peak spatial frequency, bandwidth and truncation of CSF were similar in conditions with and without noise. The peak gain estimate was most significantly impaired by external noise, but a marked 31% improvement was observed in 7- to 10-month-olds. This may be the first sign of development of human's noise exclusion ability, and is worth further study.

  18. Infants Can Study Air Science.

    Science.gov (United States)

    Ward, Alan

    1983-01-01

    Provided are activities and demonstrations which can be used to teach infants about the nature of air, uses of air, and objects that fly in the air. The latter include airships, hot-air balloons, kites, parachutes, airplanes, and Hovercraft. (JN)

  19. Music Therapy with Premature Infants

    Science.gov (United States)

    Standley, Jayne

    2003-01-01

    Over 20 years of research and clinical practice in music therapy with premature infants has been compiled into this text designed for Board Certified Music Therapists specializing in Neonatal Intensive Care clinical services, for NICU medical staff incorporating research-based music therapy into developmental care plans, and for parents of…

  20. Stillbirth, Miscarriage, and Infant Death

    Science.gov (United States)

    ... AmazonSmile Contact Us Donate Stillbirth, Miscarriage, and Infant Death A baby’s death, whenever or however it occurs, is a profound ... of isolation –A need to talk about the death and the details of what happened –Feelings of ...

  1. Asymmetry and infants born preterm

    NARCIS (Netherlands)

    Nuijsink, J.

    2012-01-01

    The main aim of the thesis was to contribute to the diagnostic process and clinical decision making by pediatric physiotherapists in very young infants with an atypical motor performance, influenced by both an asymmetric development, and a development according to a preterm birth. In Part I, the dev

  2. Infants' Memory for Musical Performances

    Science.gov (United States)

    Volkova, Anna; Trehub, Sandra E.; Schellenberg, E. Glenn

    2006-01-01

    We evaluated 6- and 7-month-olds' preference and memory for expressive recordings of sung lullabies. In Experiment 1, both age groups preferred lower-pitched to higher-pitched renditions of unfamiliar lullabies. In Experiment 2, infants were tested after 2 weeks of daily exposure to a lullaby at one pitch level. Seven-month-olds listened…

  3. Resurgence of Infant Caregiving Responses

    Science.gov (United States)

    Bruzek, Jennifer L.; Thompson, Rachel H.; Peters, Lindsay C.

    2009-01-01

    Two experiments were conducted to identify the conditions likely to produce resurgence among adult human participants. The preparation was a simulated caregiving context, wherein a recorded infant cry sounded and was terminated contingent upon targeted caregiving responses. Results of Experiment 1 demonstrated resurgence with human participants in…

  4. Chondrosternal Arthritis in Infant: An Unusual Entity

    Directory of Open Access Journals (Sweden)

    Athina Nikolarakou

    2014-01-01

    Full Text Available Primary arthritis of chondrosternal joint is very rare and occurs in infants less than 18 months of age. Presentation is most often subacute but may be acute. Child presents with a parasternal mass with history of fever and/or local signs of infection. Clinical symptoms vary from a painless noninflammatory to a painful mass with local tenderness and swelling, while fever may be absent. Laboratory data show low or marginally raised levels of white blood cells and C-reactive protein, reflecting, respectively, the subacute or acute character of the infection. It is a self-limiting affection due to the adequate immune response of the patient. Evolution is generally good without antibiotherapy with a progressive spontaneous healing. A wait-and-see approach with close follow-up in the first weeks is the best therapeutic option.

  5. Intracranial hemorrhage of the mature newborn infant

    International Nuclear Information System (INIS)

    Concerning four mature newborn infants with intracranial hemorrhage diagnosed by CT, the labour course, treatment, and prognoses were discussed. Of intracranial hemorrhage, 70.7% was small hemorrhage along the cerebellar tentorium and the falx cerebri, 12.2% subdural hemorrhage in the posterior cranial fossa, and 9.8% subdural hemorrhage in the fornex. Intraventricular or extradural hemorrhage was rarely found. The prognosis is determined by severeness of neurotic symptoms due to cerebral hypoxia. Subdural hemorrhage of the posterior cranial fossa resulted in cerebral palsy in one fifth of the cases, and in slight enlargement of the ventricle in three fifths. Subdural hematoma left porencephaly in one fourth of the patients, but the remaining recovered to normal. (Ueda, J.)

  6. EVALUATION OF STRIDOR AND ABNORMAL CRY IN INFANTS

    Directory of Open Access Journals (Sweden)

    Sridhar Reddy

    2016-05-01

    Full Text Available INTRODUCTION Turbulent flow due to partial obstruction of the airway gives rise to abnormal or unwanted noise. Noise originating in the larynx or trachea is typically high-pitched and termed ‘stridor’. Laryngomalacia is the most common congenital cause of stridor in infants. In this study, we have analysed the cases of stridor and abnormal cry in infants that have presented to our institute over a span of one year. AIM To identify the causes of stridor and abnormal cry in infants presenting to our institute. MATERIALS AND METHODS This is a retrospective study of 50 cases of stridor and abnormal cry in infants that presented at a Tertiary Care ENT Hospital in South India from Jan 2015 to Dec 2015. Children below the age of 12 months that presented to our department with stridor and abnormal cry were included in our study. RESULTS The cases were evaluated in terms of Age, Sex ratio, Aetiology and Presenting features and statistically analysed. CONCLUSION The sheer volume of paediatric cases presenting with airway problems and other disease entities necessitates the need for establishment of a dedicated Paediatric ENT wing in every Tertiary Care Hospital.

  7. Knowledge, Attitude and Practices of Mothers Regarding Infant Feeding Practices

    Directory of Open Access Journals (Sweden)

    Sushma Sriram

    2013-04-01

    Full Text Available Background: Present study was conducted to assess the knowledge, attitude and practices of mothers towards infant feeding practices. Materials and methods: The mothers of infants, coming to a tertiary care centre, Ahmedabad, on outpatient basis were interviewed using a pre-designed questionnaire. Total 150 mothers were interviewed. Results: Out of the total, 18% mothers were illiterate.58.67% mothers have been counselled by doctor about feeding. Regarding breast feeding, 96% knew about exclusive breast feeding up to 6months. 90.67% think that colostrum is good for baby.34.67% mothers have given pre-lacteal feeds, tea and jaggery was most common.84.67% mothers knew that they should take extra food during lactation. Father (36% most commonly help in feeding while 31.33% don’t get any domestic help.78.67% women consult doctor for feeding problems. Most common reason of stopping breast feeding was inadequate milk secretion(54.67%.18% think that feeding should be stopped during illness. 75.33% women were completely satisfied with their feeding practices. Conclusion-Mothers had good knowledge about infant feeding practices. Inspite of good knowledge there are lacunae in the practices of mothers due to social and economic reasons. Level of education has positive impact on infant feeding practices. Counselling by doctors had a better impact on the attitude and practices of mothers. [Natl J Med Res 2013; 3(2.000: 147-150

  8. Vitamin D deficiency presenting with cardiogenic shock in an infant

    Directory of Open Access Journals (Sweden)

    Manish Kumar

    2011-01-01

    Full Text Available A 2-month-old child was referred as a case of dilated cardiomyopathy with cardiogenic shock. On evaluation, hypocalcemia secondary to severe vitamin D deficiency was found. There were no clinical or radiological features of rickets. The child had developed multiorgan failure due to cardiogenic shock at the time of admission and could not be saved despite adequate ventilatory and pharmacologic support. Hypocalcemia should be considered as an important differential diagnosis in cases of dilated cardiomyopathy in infants.

  9. Auditory maturation and congenital hearing loss in NICU infants

    OpenAIRE

    Coenraad, Saskia

    2011-01-01

    textabstractThe number of preterm births has increased over the past decades as a result of increasing maternal age and in vitro fertilization (1). At the same time the survival of preterm infants has increased due to advances in perinatal and neonatal care. For example, antenatal corticosteroids for women with threatened preterm delivery, high-frequency oscillatory ventilation and inhaled nitric oxide have now become standard therapy (1). Unfortunately, these improvements sometimes come at a...

  10. What could infant and young child nutrition learn from sweatshops?

    OpenAIRE

    Sagoe-Moses Isabella; Ansett Sean; Singer Peter A

    2011-01-01

    Abstract Background Adequate infant and young child nutrition demands high rates of breastfeeding and good access to nutrient rich complementary foods, requiring public sector action to promote breastfeeding and home based complementary feeding, and private sector action to refrain from undermining breastfeeding and to provide affordable, nutrient rich complementary foods. Unfortunately, due to a lack of trust, the public and private sectors, from both the North and the South, do not work wel...

  11. Prevention of vitamin K deficiency bleeding in newborn infants

    DEFF Research Database (Denmark)

    Mihatsch, Walter; Braegger, Christian; Bronsky, Jiri;

    2016-01-01

    Vitamin K deficiency bleeding (VKDB) due to physiologically low vitamin K plasma concentrations is a serious risk for newborn and young infants and can be largely prevented by adequate vitamin K supplementation. The aim of this position paper is to define the condition, describe the prevalence, d...... whose mothers have taken medications that interfere with vitamin K metabolism. Parents who receive prenatal education about the importance of vitamin K prophylaxis may be more likely to comply with local procedures....

  12. A premature infant with a bilateral thalamostriatal hemorrhage

    International Nuclear Information System (INIS)

    Hemorrhagic areas were seen on ultrasonography and computed tomography in both thalamostriatal regions in a preterm female infant with perinatal asphyxia due to abruptio placentae. At autopsy, marked perivascular bleeding in the thalamus and putamen and eosinophilic neuronal changes in the thalamus and pontine tegmentum were seen. These thalamostriatal and brain stem lesions are thought to have been caused by an acute process causing total asphyxia. (author)

  13. Developmental Outcome of Low-Birth-Weight Premature Infants

    OpenAIRE

    F Solimani

    2007-01-01

    Fetal and extrauterine life form a continuum during which human growth and development are affected by genetic, environmental, and social factors. Perinatal mortality is influenced by prenatal, maternal, and fetal conditions and by circumstances surrounding delivery. The majority of infants deaths and developmental disorders are due to disorders relating to prematurity and unspecified low birth weight (LBW), as well as maternal complications of pregnancy and congenital malformations (chromoso...

  14. The infant caring process among Cherokee mothers.

    Science.gov (United States)

    Nichols, Lee Anne

    2004-09-01

    The purpose of this study was to identify the social process of infant care among Cherokee mothers. Nineteen informants, who had an infant less than 2 years of age, were interviewed. The data were analyzed using the technique of constant comparative analysis. A social process of Indian infant care among Cherokee mothers was identified. Eight concepts emerged from data analysis. The first and principal concept, being a Cherokee mother, describes the functions of being an Indian mother in Cherokee society. The other seven concepts describe the patterns of cultural care the mothers provided to their infants. These included accommodating everyday infant care, accommodating health perspectives, building a care-providing consortium, living spiritually, merging the infant into Indian culture, using noncoercive discipline techniques, and vigilantly watching for the natural unfolding of the infant. Trustworthiness and credibility of the generated theory were evaluated through multiple measures. PMID:15296577

  15. Hydrolyzed Formula for Every Infant?

    Science.gov (United States)

    Fleischer, David M; Venter, Carina; Vandenplas, Yvan

    2016-01-01

    Presently, hydrolyzed formulas (HF) are used primarily in infants that cannot be exclusively breastfed, those with cow's milk allergy and for primary prevention of allergic disease, but HFs are increasingly being used worldwide, begging the question if they may be recommended as the optimal choice for all standard-risk, full-term, non-exclusively breastfed infants. Data regarding the nutritional adequacy of modern-day HFs are scarce and lack long-term data suggesting that growth in infants fed HF versus an intact protein formula (IPF) is different. While human breast milk is the optimal source of nutrition for multiple reasons, a 2006 systematic review determined there were no comparable long-term studies regarding prolonged use of HFs versus breastfeeding. Meta-analyses of formula consumption and risk of atopic dermatitis (AD) have found that infants fed partially HF compared to IPF had a lower risk of AD, but there are significant limitations to these studies, making conclusions about the general use of HFs problematic. Costs should be considered in decision-making regarding the choice of the formula, but global comparison of this is difficult given large cost differences in different countries. Despite the issues raised here, the desire to provide concrete recommendations of widespread HF use needs to be balanced carefully in order not to overstate claims of benefit. Long-term studies are needed to investigate the feasibility of HF as a routine feeding option for healthy, standard-risk infants. Because of the paucity of data, routine use of HF as an equivalent option to breastfeeding or IPF cannot be supported at present based on available scientific evidence.

  16. Hydrolyzed Formula for Every Infant?

    Science.gov (United States)

    Fleischer, David M; Venter, Carina; Vandenplas, Yvan

    2016-01-01

    Presently, hydrolyzed formulas (HF) are used primarily in infants that cannot be exclusively breastfed, those with cow's milk allergy and for primary prevention of allergic disease, but HFs are increasingly being used worldwide, begging the question if they may be recommended as the optimal choice for all standard-risk, full-term, non-exclusively breastfed infants. Data regarding the nutritional adequacy of modern-day HFs are scarce and lack long-term data suggesting that growth in infants fed HF versus an intact protein formula (IPF) is different. While human breast milk is the optimal source of nutrition for multiple reasons, a 2006 systematic review determined there were no comparable long-term studies regarding prolonged use of HFs versus breastfeeding. Meta-analyses of formula consumption and risk of atopic dermatitis (AD) have found that infants fed partially HF compared to IPF had a lower risk of AD, but there are significant limitations to these studies, making conclusions about the general use of HFs problematic. Costs should be considered in decision-making regarding the choice of the formula, but global comparison of this is difficult given large cost differences in different countries. Despite the issues raised here, the desire to provide concrete recommendations of widespread HF use needs to be balanced carefully in order not to overstate claims of benefit. Long-term studies are needed to investigate the feasibility of HF as a routine feeding option for healthy, standard-risk infants. Because of the paucity of data, routine use of HF as an equivalent option to breastfeeding or IPF cannot be supported at present based on available scientific evidence. PMID:27336594

  17. Infant incubators and radiant warmers.

    Science.gov (United States)

    Bell, E F

    1983-10-01

    Incubators and radiant warmers are used to maintain the body temperature of newborn infants. This is best done so that the energy expended for metabolic heat production is minimized. The heat output of these devices is usually regulated by servocontrol to keep the skin temperature constant at a site on the abdomen where a thermistor probe is attached. In incubators, air temperature can also be controlled as an alternative to skin temperature servocontrol. Increased ambient humidity, heat shields and clothing have been used to decrease the evaporative or nonevaporative heat loss of infants in incubators under certain conditions. Double-walled incubators, by adding a second inner layer of Plexiglas, reduce radiant heat loss. They may also reduce total heat loss, but only if air temperature is controlled rather than skin temperature. The minimal oxygen consumption under a radiant warmer is the same or perhaps slightly higher than it is for the same infant in an incubator. Compared with incubators, the partition of body heat loss is quite different under radiant warmers. Radiant warmers increase convective and evaporative heat loss and insensible water loss but eliminate radiant heat loss or change it to net gain. A heat shield of thin polyethylene film can be used with a radiant warmer to reduce heat loss by convection and evaporation. The major advantage of the radiant warmer is the easy access it provides to critically-ill infants without disturbing the thermal environment. Its major disadvantage is the increase in insensible water loss produced by the radiant warmer. Most infants can be safely and adequately cared for in either incubator or radiant warmer bed.

  18. Infants' learning of phonological status.

    Science.gov (United States)

    Seidl, Amanda; Cristia, Alejandrina

    2012-01-01

    There is a substantial literature describing how infants become more sensitive to differences between native phonemes (sounds that are both present and meaningful in the input) and less sensitive to differences between non-native phonemes (sounds that are neither present nor meaningful in the input) over the course of development. Here, we review an emergent strand of literature that gives a more nuanced notion of the problem of sound category learning. This research documents infants' discovery of phonological status, signaled by a decrease in sensitivity to sounds that map onto the same phonemic category vs. different phonemic categories. The former phones are present in the input, but their difference does not cue meaning distinctions because they are tied to one and the same phoneme. For example, the diphthong I in I'm should map to the same underlying category as the diphthong in I'd, despite the fact that the first vowel is nasal and the second oral. Because such pairs of sounds are processed differently than those than map onto different phonemes by adult speakers, the learner has to come to treat them differently as well. Interestingly, there is some evidence that infants' sensitivity to dimensions that are allophonic in the ambient language declines as early as 11 months. We lay out behavioral research, corpora analyses, and computational work which sheds light on how infants achieve this feat at such a young age. Collectively, this work suggests that the computation of complementary distribution and the calculation of phonetic similarity operate in concert to guide infants toward a functional interpretation of sounds that are present in the input, yet not lexically contrastive. In addition to reviewing this literature, we discuss broader implications for other fundamental theoretical and empirical questions. PMID:23130004

  19. Diagnosis of HIV-1 infection in infants using dried blood spots in Tamil Nadu, South India

    Directory of Open Access Journals (Sweden)

    D Anitha

    2011-01-01

    Full Text Available Introduction: Diagnosis of HIV infection in infants is difficult due to the presence of maternal antibodies; only nucleic acid assays are very helpful in early detection. Filter papers are especially useful for blood collection in resource-poor settings with limited access to diagnostic facilities. Materials & Methods: DBS samples were collected from the infants born to HIV seropositive mothers who had received single dose nevirapine at onset of labor. The samples were directly spotted onto the Whatman 903 cards from heel, big toe or finger prick depending on the age of the infants. A total of 766 infant samples were collected on dried blood spots (DBS and transported to the Department of Experimental Medicine (DEM, Chennai, for testing from different government hospitals of rural and urban parts of Tamil Nadu, South India. According to National AIDS Control Organization′s (NACO protocol DNA was extracted from all these DBS and PCR was performed using the Roche kit version 1.5. Results: Fifteen infants were found to be HIV positive and 751 were HIV negative; all these 15 positive infants and 49 negative infants who were in the age group between 10 and 18 months were repeated with another DBS and compared with whole blood. The DBS results were concordant with the whole blood method and the sensitivity and specificity were 100%.

  20. Upper abdominal teratomas in infants: radiological findings and importance of the vascular anatomy

    Energy Technology Data Exchange (ETDEWEB)

    Hart, Jonathan; Mazrani, Waseem; McHugh, Kieran [Great Ormond Street Hospital for Children, Radiology Department, London (United Kingdom); Jones, Niall; Kiely, Edward M. [Great Ormond Street Hospital for Children, Surgery Department, London (United Kingdom); Sebire, Neil J. [Great Ormond Street Hospital for Children, Pathology Department, London (United Kingdom)

    2008-07-15

    Primary upper abdominal teratomas are extremely rare tumours, most commonly arising in infants. The radiological literature relating to them is sparse. Surgical resection is difficult due to distortion of the vascular anatomy. To reassess the value of preoperative imaging with specific reference to the presence/absence of typical features of teratoma, anatomical location and adjacent vascular anatomy. The histopathology database was used to identify infants with upper abdominal teratoma. Pathological, surgical and radiological data were reviewed. The search of the database identified 12 infants (10 girls, 2 boys) with an abdominal/retroperitoneal teratoma during the period 1993 to 2006. All teratomas were benign. In the majority of infants, typical radiological features of teratoma were demonstrated (fat, calcium). Identification of the major abdominal vessels on CT scan (most commonly the inferior vena cava) was not possible in all infants. Distortion (and commonly encasement) of the adjacent major abdominal vessels was usually evident. Upper abdominal teratomas in infants have typical radiological features. Preoperative delineation of the major vascular anatomy is often imprecise. Significant distortion of vascular anatomy was present in all infants and awareness of this feature impacts on surgical planning. (orig.)

  1. Relationship of Maternal Psychological Distress Classes to Later Mother-Infant Interaction, Home Environment, and Infant Development in Preterm Infants.

    Science.gov (United States)

    Santos, Hudson; Yang, Qing; Docherty, Sharron L; White-Traut, Rosemary; Holditch-Davis, Diane

    2016-06-01

    Latent class analyses can be used early in the postpartum period to identify mothers of preterm infants experiencing similar patterns of psychological distress symptoms, but whether these classes of mothers also differ in parental responses to their infants or in their infants' development is largely unknown. In this longitudinal multisite-repeated measures study, we evaluated the usefulness of three psychological distress classes (low distress, high depressive and anxiety symptoms, and extreme distress) in predicting mother-infant interactions, quality of home environment, and infant development in 229 mother-preterm infant pairs. Mothers completed psychological distress questionnaires at study entry; parent-infant interaction was recorded at 2 and 6 months of age corrected for prematurity; and infant developmental data were collected 12 months corrected age. Mothers in the extreme distress class engaged in more developmental stimulation at 2 months (β = .99, p development scores at 12 months corrected age than infants of mothers in the other distress classes, but after controlling for infant neurological insult, there were no differences in cognitive, motor, and language development based on maternal psychological distress class. © 2016 Wiley Periodicals, Inc. PMID:27059608

  2. Distinguishing Mother-Infant Interaction from Stranger-Infant Interaction at 2, 4, and 6 Months of Age

    Science.gov (United States)

    Bigelow, Ann E.; Power, Michelle; Mcquaid, Nancy; Ward, Ashley; Rochat, Philippe

    2008-01-01

    Observers watched videotaped face-to-face mother-infant and stranger-infant interactions of 12 infants at 2, 4, or 6 months of age. Half of the observers saw each mother paired with her own infant and another infant of the same age (mother tapes) and half saw each infant paired with his or her mother and with a stranger (infant tapes). Observers…

  3. Early diagnosis of airway closure from pigtail signature capnogram and its management in intubated small infants undergoing general anaesthesia for surgery

    OpenAIRE

    Sanghamitra Mishra

    2010-01-01

    Spontaneous glottis closure during expiration in infants is a normal protective reflex that helps prevent alveolar and small airway collapse (due to compliant chest wall) and thereby maintains functional residual capacity. Endotracheal intubation eliminates this protective mechanism and puts the infant into the risk of hypoxaemia and hypercarbia. This report sums up the early detection of airway closure in a series of three intubated small infants undergoing surgery with general anaesthesia, ...

  4. Challenges of infant nutrition research: a commentary.

    Science.gov (United States)

    Ryan, Alan S; Hay, William W

    2016-04-22

    Considerable advances have been made in the field of infant feeding research. The last few decades have witnessed the expansion in the number of studies on the composition and benefits of human milk. The practice of breastfeeding and use of human milk represent today's reference standards for infant feeding and nutrition. Additional research regarding the benefits of breastfeeding is needed to determine which factors in human milk and in the act of breastfeeding itself, singly or in combination, are most important for producing the beneficial effects on infant growth, body composition, and neurodevelopmental outcome. We examine evidence that breastfeeding confers health benefits and offer suggestions on how best to interpret the data and present it to the public. We also describe some examples of well-designed infant nutrition studies that provide useful and clinically meaningful data regarding infant feeding, growth, and development. Because not all mothers choose to breastfeed or can breastfeed, other appropriate feeding options should be subjected to critical review to help establish how infant formula and bottle feeding can confer benefits similar to those of human milk and the act of breastfeeding. We conclude with the overarching point that the goal of infant feeding research is to promote optimal infant growth and development. Since parents/families may take different paths to feeding their infants, it is fundamental that health professionals understand how best to interpret research studies and their findings to support optimal infant growth and development.

  5. Congenital Anomalies in Infant with Congenital Hypothyroidism

    Directory of Open Access Journals (Sweden)

    Zahra Razavi

    2012-09-01

    Full Text Available bjective: Congenital hypothyroidism is characterized by inadequate thyroid hormone production in newborn infants. Many infants with CH have co-occurring congenital malformations. This is an investigation on the frequency and types of congenital anomalies in infants with congenital hypothyroidism born from May 2006-2010 in Hamadan, west province of Iran.Methods: The Iranian neonatal screening program for congenital hypothyroidism was initiated in May 2005. This prospective descriptive study was conducted in infants diagnosed with congenital hypothyroidism being followed up in Pediatric Endocrinology Clinicof Besat Hospital, a tertiary care centre in Hamadan. Cases included all infants with congenital hypothyroidism diagnosed through newborn screening program or detected clinically. Anomalies were identified by clinical examination, echocardiography, and X-ray of the hip during the infant’s first year of life.Results: A total of 150 infants with biochemically confirmed primary congenital hypothyroidism (72 females and 78 males were recruited during the period between May 2006-2010. Overall, 30 (20% infants had associated congenital anomalies. The most common type of anomaly was Down syndrome. Seven infants (3.1% had congenital cardiac anomalies such as: ASD (n=3, VSD (n=2, PS (n =1, PDA (n=1. Three children (2.6% had developmental displasia of the hip (n=3.Conclusion: The overall frequency of Down syndrome, cardiac malformation and other birth defect was high in infants with CH. This reinforces the need to examine all infants with congenital hypothyroidism for the presence of associated congenital anomalies.

  6. Hurricane Katrina-related maternal stress, maternal mental health, and early infant temperament.

    Science.gov (United States)

    Tees, Michael T; Harville, Emily W; Xiong, Xu; Buekens, Pierre; Pridjian, Gabriella; Elkind-Hirsch, Karen

    2010-07-01

    To investigate temperament in infants whose mothers were exposed to Hurricane Katrina and its aftermath, and to determine if high hurricane exposure is associated with difficult infant temperament. A prospective cohort study of women giving birth in New Orleans and Baton Rouge, LA (n = 288) in 2006-2007 was conducted. Questionnaires and interviews assessed the mother's experiences during the hurricane, living conditions, and psychological symptoms, 2 months and 12 months postpartum. Infant temperament characteristics were reported by the mother using the activity, adaptability, approach, intensity, and mood scales of the Early Infant and Toddler Temperament Questionnaires, and "difficult temperament" was defined as scoring in the top quartile for three or more of the scales. Logistic regression was used to examine the association between hurricane experience, mental health, and infant temperament. Serious experiences of the hurricane did not strongly increase the risk of difficult infant temperament (association with three or more serious experiences of the hurricane: adjusted odds ratio (aOR) 1.50, 95% confidence interval (CI) 0.63-3.58 at 2 months; 0.58, 0.15-2.28 at 12 months). Maternal mental health was associated with report of difficult infant temperament, with women more likely to report having a difficult infant temperament at 1 year if they had screened positive for PTSD (aOR 1.82, 95% confidence interval (CI) 0.61-5.41), depression, (aOR 3.16, 95% CI 1.22-8.20) or hostility (aOR 2.17, 95% CI 0.81-5.82) at 2 months. Large associations between maternal stress due to a natural disaster and infant temperament were not seen, but maternal mental health was associated with reporting difficult temperament. Further research is needed to determine the effects of maternal exposure to disasters on child temperament, but in order to help babies born in the aftermath of disaster, the focus may need to be on the mother's mental health. PMID:19554438

  7. 'Resuscitation' of extremely preterm and/or low-birth-weight infants - time to 'call it'?

    Science.gov (United States)

    O'Donnell, Colm P F

    2008-01-01

    Since ancient times, various methods have been used to revive apparently stillborn infants; many were of dubious efficacy and had the potential to cause harm. Based largely on studies of acutely asphyxiated term animal models, clinical assessment and positive pressure ventilation have become the cornerstones of neonatal resuscitation over the last 40 years. Over the last 25 years, care of extremely preterm infants in the delivery room has evolved from a policy of indifference to one of increasingly aggressive support. The survival of these infants has improved considerably in recent years; this has not, however, necessarily been due to more aggressive resuscitation. Urban myths have evolved that all extremely preterm infants died before they were intubated, and that all such infants need to immediately intubated or they will quickly die. This has never been true. Clinical assessment of infants at birth is subjective. Also, many techniques used to support preterm infants at birth have not been well studied and there is evidence that they may be harmful. It may thus be argued that many of our well-intentioned resuscitation interventions are of dubious efficacy and have the potential to cause harm. 'Resuscitation' is an emotive term which means 'restoration of life'. Death, thankfully, is a rare presentation in the delivery room. Therefore, concerning neonatal 'resuscitation', it is time to 'call it' something else. This will allow us to dispassionately distinguish preterm infants who are dead, or nearly dead, from those who are merely at high risk of parenchymal lung disease. We may then be able to refine our interventions and determine what methods of support benefit these infants most.

  8. Nutrition, growth, and allergic diseases among very preterm infants after hospital discharge

    DEFF Research Database (Denmark)

    Zachariassen, Gitte

    2013-01-01

    with breastfeeding among very preterm infants at hospital discharge. 3. To describe possible feeding-problems during the intervention-period, and allergic diseases during the first year of life, among very preterm infants related to their nutrition after hospital discharge. 4. To describe the content...... until August 2008 of whom 157 were excluded due to diseases or circumstances influencing nutrition. Further 156 refused participation in the interventional part of the study, but data on breastfeeding, weight, and some epidemiological data until discharge were available. Results on breastfeeding rate at...... fortification (group B) until 4 months CA. Infants (n = 113) who were bottle-fed at discharge (group C) were given a preterm formula (PF) until 4 months CA. Infants were examined at the outpatient clinics at term, and at 2, 4, 6, and 12 months CA, where parameters on growth, allergic diseases, possible feeding...

  9. 21 CFR 880.5130 - Infant radiant warmer.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Infant radiant warmer. 880.5130 Section 880.5130... Devices § 880.5130 Infant radiant warmer. (a) Identification. The infant radiant warmer is a device consisting of an infrared heating element intended to be placed over an infant to maintain the infant's...

  10. Smoking effects on milk's micronutrient content and infant growth

    International Nuclear Information System (INIS)

    Smoking during pregnancy negatively affects birth weight and during breast-feeding alters volume and duration of lactation. As consequence of both effects, breast fed infants of smoking mothers have lower growth rates, compared to those of non-smoking mothers. In smoking mothers, at the end of pregnancy, there is an inverse association between cadmium content in maternal plasma and zinc content in fetal blood, while their newborns exhibited increased copper and diminished iron concentrations. No information exists on micronutrient content of breast milk of smoking mothers, associated to longitudinal growth. Ten smoking mothers (mean of cigarettes: 7.1) and 22 non-smoker controls and their infants, have been recruited within one month after delivery, at a Public Hospital in Santiago, Chile. Infant's weight, height, tricipital skinfold, arm and head circumferences and mother's weight were registered. Milk volume has been assessed by deuterium dilution and cotinine concentrations by radio-immuno-assay (RIA). No significant differences existed in age and nutritional status, between mothers. Cotinine levels were 50 times higher in smoking mothers (2576±2341 mU/L vs 54±25) and 12 times higher in their infants compared with those of non smokers (121±99 mU/L vs 10±5 mU/L). Birth weight was significantly different (3290±327 g vs 3558±432 g, p=0.01) but not so at 3 months of age (6026±550 g vs 6099±510 g, p=0.8). Infants' height was significantly smaller in smokers' infants at birth and 3 months of age (50±1 cm vs 51±1 cm and 59±1 cm vs 61±2 cm). The evidence so far indicates that infant's height is compromised which could be related to an altered transference of essential micronutrients, due to a lesser amount of breast-milk and micronutrient concentrations. These objectives will be proved in the second year of the Coordinated Research Project. (author)

  11. Radiation exposure and infant cancer

    International Nuclear Information System (INIS)

    Medical exposures accompanied by an increase in radiation use in the field of pediatrics were described. Basic ideas and countermeasures to radiation injuries were outlined. In order to decrease the medical exposure, it is necessary for the doctor, x-ray technician and manufacturer to work together. The mechanism and characteristics of radio carcinogenesis were also mentioned. Particularly, the following two points were described: 1) How many years does it take before carcinogenesis appears as a result of radiation exposure in infancy 2) How and when does the effect of fetus exposure appear. Radiosensitivity in infants and fetuses is greater than that of an adult. The occurrence of leukemia caused by prenatal exposure was reviewed. The relation between irradiation for therapy and morbidity of thyroid cancer was mentioned. Finally, precautions necessary for infants, pregnant women and nursing mothers when using radioisotopes were mentioned. (K. Serizawa)

  12. Nutrition of the preterm infant

    OpenAIRE

    Sauer, P. J. J.

    2015-01-01

    Nutrition is of great importance for the preterm infant. It is not only essential for survival, but also makes provision for rapid development of many organs outside the uterus which process normally takes place in the third trimester of pregnancy. It is for future life essential that all factors that might influence the development are as optimal as possible, including nutrition. However, there might also be an upper limit to the intake of some ingredients in the neonatal period. The rate of...

  13. Infant discrimination of humanoid robots.

    Science.gov (United States)

    Matsuda, Goh; Ishiguro, Hiroshi; Hiraki, Kazuo

    2015-01-01

    Recently, extremely humanlike robots called "androids" have been developed, some of which are already being used in the field of entertainment. In the context of psychological studies, androids are expected to be used in the future as fully controllable human stimuli to investigate human nature. In this study, we used an android to examine infant discrimination ability between human beings and non-human agents. Participants (N = 42 infants) were assigned to three groups based on their age, i.e., 6- to 8-month-olds, 9- to 11-month-olds, and 12- to 14-month-olds, and took part in a preferential looking paradigm. Of three types of agents involved in the paradigm-a human, an android modeled on the human, and a mechanical-looking robot made from the android-two at a time were presented side-by-side as they performed a grasping action. Infants' looking behavior was measured using an eye tracking system, and the amount of time spent focusing on each of three areas of interest (face, goal, and body) was analyzed. Results showed that all age groups predominantly looked at the robot and at the face area, and that infants aged over 9 months watched the goal area for longer than the body area. There was no difference in looking times and areas focused on between the human and the android. These findings suggest that 6- to 14-month-olds are unable to discriminate between the human and the android, although they can distinguish the mechanical robot from the human. PMID:26441772

  14. Primary bone tumours in infants

    Energy Technology Data Exchange (ETDEWEB)

    Kozlowski, K.; Beluffi, G.; Cohen, D.H.; Padovani, J.; Tamaela, L.; Azouz, M.; Bale, P.; Martin, H.C.; Nayanar, V.V.; Arico, M.

    1985-09-01

    Ten cases of primary bone tumours in infants (1 osteosarcoma, 3 Ewing's sarcoma, 1 chondroblastoma and 5 angiomastosis) are reported. All cases of angiomatosis showed characteristic radiographic findings. In all the other tumours the X-ray appearances were different from those usually seen in older children and adolescents. In the auhtors' opinion the precise diagnosis of malignant bone tumours in infancy is very difficult as no characteristic X-ray features are present in this age period.

  15. Infants' learning of phonological status

    OpenAIRE

    AmandaSeidl; AlejandrinaCristia

    2012-01-01

    There is a substantial literature describing how infants become more sensitive to differences between native phonemes (sounds that are both present and meaningful in the input) and less sensitive to differences between non-native phonemes (sounds that are neither present nor meaningful in the input) over the course of development. Here, we review an emergent strand of literature that gives a more nuanced notion of the problem of sound category learning. This research documents ...

  16. Congenital chloridorrhea in Korean infants.

    OpenAIRE

    Lee, Y. D.; Lee, H. J.; Moon, H. R.

    1988-01-01

    The present paper describes two Korean male infants, 1. 16 year old and newly born neonate from two families who were diagnosed and managed for one of very rare inborn errors of metabolism, congenital chloridorrhea (Darrow-Gamble syndrome). The diagnosis was suggested by one of the authors (HRM) from the unusual combination of metabolic alkalosis with severe gastrointestinal disorder presenting with chronic, profuse watery diarrhea in the newborn period in the first patient; and the maternal ...

  17. Nanoparticle delivery in infant lungs

    OpenAIRE

    Semmler-Behnke, Manuela; Kreyling, Wolfgang G; Schulz, Holger; Takenaka, Shinji; James P Butler; Henry, Frank S.; Tsuda, Akira

    2012-01-01

    The lung surface is an ideal pathway to the bloodstream for nanoparticle-based drug delivery. Thus far, research has focused on the lungs of adults, and little is known about nanoparticle behavior in the immature lungs of infants. Here, using nonlinear dynamical systems analysis and in vivo experimentation in developing animals, we show that nanoparticle deposition in postnatally developing lungs peaks at the end of bulk alveolation. This finding suggests a unique paradigm, consistent with th...

  18. Infant Formula Fat Analogs and Human Milk Fat: New Focus on Infant Developmental Needs.

    Science.gov (United States)

    Zou, Long; Pande, Garima; Akoh, Casimir C

    2016-01-01

    Human breast milk is generally and universally recognized as the optimal choice for nutrition during the first year of life. In certain cases in which it is not feasible to breast-feed the infant or the breast milk is not sufficient, especially in the case of preterm infants, infant formula is the next best alternative to provide nutrition to nurture the infant. Therefore, it is highly important that the nutrient composition of the infant formula is as close to breast milk as possible for proper growth and development of the infant. However, human milk is a complex dynamic matrix, and therefore significant research has been done and is still ongoing to fully understand and mimic human breast milk, particularly its fat composition. Lipids play a critical role in infant nutrition. A number of advances have been made in infant formula lipid content and composition so that formula can better simulate or mimic the nutritional functions of human maternal milk.

  19. Preclinical assessment of infant formula.

    Science.gov (United States)

    Lönnerdal, Bo

    2012-01-01

    Infant formulas are the sole or predominant source of nutrition for many infants and are fed during a sensitive period of development and may therefore have short- and long-term consequences for infant health. Preclinical safety assessment therefore needs to include both short-term and long-term studies in animals. It is recommended that procedures are instituted by which experts may serve as independent scientists for companies developing novel products, without having their integrity compromised, and later serve the legislative institutions. A two-level assessment approach to determine the potential toxicity of a novel ingredient, its metabolites, and their effects in the matrix on developing organ systems has been suggested by IOM. This appears reasonable, as novel ingredients can be of different levels of concern. The use of modern methods in genomics and proteomics should be considered in these evaluation processes as well as novel methods to evaluate outcomes, including metabolomics and molecular techniques to assess the microbiome. PMID:22699767

  20. Anatomy of the infant head

    International Nuclear Information System (INIS)

    This text is mainly an atlas of illustration representing the dissection of the head and upper neck of the infant. It was prepared by the author over a 20-year period. The commentary compares the anatomy of the near-term infant with that of a younger fetus, child, and adult. As the author indicates, the dearth of anatomic information about postnatal anatomic changes represents a considerable handicap to those imaging infants. In part 1 of the book, anatomy is related to physiologic performance involving the pharynx, larynx, and mouth. Sequential topics involve the regional anatomy of the head (excluding the brain), the skeleton of the cranium, the nose, orbit, mouth, larynx, pharynx, and ear. To facilitate use of this text as a reference, the illustrations and text on individual organs are considered separately (i.e., the nose, the orbit, the eye, the mouth, the larynx, the pharynx, and the ear). Each part concerned with a separate organ includes materials from the regional illustrations contained in part 2 and from the skeleton, which is treated in part 3. Also included in a summary of the embryologic and fetal development of the organ

  1. Preterm Infants and Parents’ self-esteem

    DEFF Research Database (Denmark)

    Aagaard, Hanne; Madsen, Mette Kold

    Background: Little is known about parents to preterm infants and their self-esteem. The care of preterm infants in the neonatal intensive care unit (NICU) is in accordance with the principles of Family Centered Care. Previously, focus has mainly been on the mother-infant-dyad. Current research has......, the experiences of the relationship to infant and the parents’ experiences of their own self-esteem. Likewise, the support from nurses and from the parents’ own network positively impacted on the parents’ experiences of their parental self-esteem. The structural aspects referred to how the parents experienced...... of their self-esteem in the first 24 hours after the birth of a preterm infant are influenced by division (the fathers) and amnesia (the mothers). Later, when the parents build up their sense of parenthood they become very susceptible to the mutual relationship, the relationship to the infant and closest...

  2. MOTHER-INFANT INTERACTION IMPROVES WITH A DEVELOPMENTAL INTERVENTION FOR MOTHER-PRETERM INFANT DYADS

    OpenAIRE

    White-Traut, Rosemary; Norr, Kathleen F.; Fabiyi, Camille; Rankin, Kristin M.; Li, Zhyouing; Liu, Li

    2013-01-01

    While premature infants have a high need for positive interactions, both infants and their mothers are challenged by the infant‘s biological immaturity. This randomized clinical trial of 198 premature infants born at 29–34 weeks gestation and their mothers examined the impact of the H-HOPE (Hospital to Home: Optimizing the Infant’s Environment) intervention on mother-premature infant interaction patterns at 6-weeks corrected age (CA). Mothers had at least 2 social environmental risk factors s...

  3. HIV-exposed uninfected infants in Zimbabwe: insights into health outcomes in the pre-antiretroviral therapy era

    Directory of Open Access Journals (Sweden)

    Ceri eEvans

    2016-06-01

    Full Text Available The ZVITAMBO trial recruited 14110 mother-infant pairs to a randomised controlled trial of vitamin A between 1997-2000, before the availability of antiretroviral therapy for HIV prophylaxis or treatment in Zimbabwe. The HIV status of mothers and infants was well characterised through 1-2 years of follow-up, leading to the largest cohort to date of HIV-exposed uninfected (HEU infants (n=3135, with a suitable comparison group of HIV-unexposed infants (n=9510. Here, we draw on 10 years of published findings from the ZVITAMBO trial. HEU infants had increased morbidity compared to HIV-unexposed infants, with 50% more hospitalisations in the neonatal period and 30% more sick clinic visits during infancy, particularly for skin infections, lower respiratory tract infections and oral thrush. HEU children had 3.9-fold and 2.0-fold higher mortality than HIV-unexposed children during the first and second years of life, respectively, most commonly due to acute respiratory infections, diarrhoea/dysentery, malnutrition, sepsis and meningitis. Infant morbidity and mortality was strongly related to maternal HIV disease severity, with a risk that remained until maternal CD4 counts were >800 cells/uL. HEU infants were more likely to be premature and small-for-gestational age than HIV-unexposed infants, and had more postnatal growth failure. Here, we propose a conceptual framework to explain the increased risk of infectious morbidity, mortality and growth failure among HEU infants, hypothesizing that immune activation and inflammation are key drivers of both infection susceptibility and growth failure. Future studies should further dissect the causes of infection susceptibility and growth failure, and determine the impact of ART and co-trimoxazole on outcomes of this vulnerable group of infants in the current era.

  4. HIV-Exposed Uninfected Infants in Zimbabwe: Insights into Health Outcomes in the Pre-Antiretroviral Therapy Era.

    Science.gov (United States)

    Evans, Ceri; Humphrey, Jean H; Ntozini, Robert; Prendergast, Andrew J

    2016-01-01

    The ZVITAMBO trial recruited 14,110 mother-infant pairs to a randomized controlled trial of vitamin A between 1997 and 2000, before the availability of antiretroviral therapy for HIV prophylaxis or treatment in Zimbabwe. The HIV status of mothers and infants was well characterized through 1-2 years of follow-up, leading to the largest cohort to date of HIV-exposed uninfected (HEU) infants (n = 3135), with a suitable comparison group of HIV-unexposed infants (n = 9510). Here, we draw on 10 years of published findings from the ZVITAMBO trial. HEU infants had increased morbidity compared to HIV-unexposed infants, with 50% more hospitalizations in the neonatal period and 30% more sick clinic visits during infancy, particularly for skin infections, lower respiratory tract infections, and oral thrush. HEU children had 3.9-fold and 2.0-fold higher mortality than HIV-unexposed children during the first and second years of life, respectively, most commonly due to acute respiratory infections, diarrhea/dysentery, malnutrition, sepsis, and meningitis. Infant morbidity and mortality were strongly related to maternal HIV disease severity, and increased morbidity remained until maternal CD4 counts were >800 cells/μL. HEU infants were more likely to be premature and small-for-gestational age than HIV-unexposed infants, and had more postnatal growth failure. Here, we propose a conceptual framework to explain the increased risk of infectious morbidity, mortality, and growth failure among HEU infants, hypothesizing that immune activation and inflammation are key drivers of both infection susceptibility and growth failure. Future studies should further dissect the causes of infection susceptibility and growth failure and determine the impact of ART and cotrimoxazole on outcomes of this vulnerable group of infants in the current era. PMID:27375613

  5. Evaluation of the Growth Process of Infants Conceived by Assisted Reproductive Techniques at Royan Institute from Birth to 9 Months

    Directory of Open Access Journals (Sweden)

    Mohammad-Reza Nateghi

    2011-12-01

    Full Text Available Objective: Due to recent scientific progress in assisted reproductive techniques (ART, infertile couples can now become fertile. Thus, a number of infants in our country are the results of these costly interventions. This study has been undertaken to evaluate the physical growth process of different methods of ART infants by standard growth charts from birth until nine months of age.Methods: This was a descriptive cross-sectional study of 333 infants conceived through ART [intracytoplasmic sperm injection (ICSI and in vitro fertilization (IVF] at Royan Institute. A sequential, non-random sampling method in a period of 22 months was used. Their growth was assessed by measuring infants weight, height and head circumference, and physical examination. The growth patterns were calculated by recording the values in standard growth charts. The final analysis was done with SPSS version 16 and by using Chi-square test.Findings: In comparison with growth charts, the weights of one-third of the infants were less than two standard deviations (SD at birth and one-fourth had head circumference less than three SD at birth. Low birth weight (LBW infants were six times more than infants of normal population. From birth to six months of age, growth abnormalities were seen in a substantial number of infants. However, at nine months of age, there was no significant difference observed between infants conceived by different methods of ART (IVF and ICSI.Conclusion: Multiple births are the most important confounding factor impacting the growth process of ART infants. Multiple pregnancies can lead to low birth weight, height and head circumference, and growth abnormalities up to six months of age. This abnormality improves by increasing age of the infants.

  6. How Infants Learn About the Visual World

    OpenAIRE

    Scott P Johnson

    2010-01-01

    The visual world of adults consists of objects at various distances, partly occluding one another, substantial and stable across space and time. The visual world of young infants, in contrast, is often fragmented and unstable, consisting not of coherent objects but rather surfaces that move in unpredictable ways. Evidence from computational modeling and from experiments with human infants highlights three kinds of learning that contribute to infants' knowledge of the visual world: learning vi...

  7. An Ecological Model for Premature Infant Feeding

    OpenAIRE

    White-Traut, Rosemary; Norr, Kathleen

    2009-01-01

    Premature infants are at increased risk for poor health, feeding difficulties, and impaired mother-infant interaction leading to developmental delay. Social-environmental risks, such as poverty or minority status, compound these biologic risks, placing premature infants in double jeopardy. Guided by an ecological model, the Hospital-Home Transition: Optimizing Prematures’ Environment (H-HOPE) intervention combines the Auditory, Tactile, Visual, and Vestibular intervention with participatory g...

  8. Pulmonary Function in Infants with Swallowing Dysfunction

    OpenAIRE

    Tutor, James D.; Srinivasan, Saumini; Gosa, Memorie M.; Spentzas, Thomas; Stokes, Dennis C.

    2015-01-01

    Background Swallowing dysfunction can lead to recurring aspiration and is frequently associated with chronic symptoms such as cough and wheezing in infants. Our objective was to describe the characteristics of infants with swallowing dysfunction, determine if pulmonary function abnormalities are detectable, and if they improve after therapy. Methods We studied 38 infants with a history of coughing and wheezing who had pulmonary function tests performed within two weeks of their diagnosis of s...

  9. Cerebral palsy in very low birthweight infants.

    OpenAIRE

    Cooke, R W

    1990-01-01

    Eighty one very low birthweight survivors with cerebral palsy were matched with controls by sex, gestational age, and place of birth. Using discriminant analysis, the perinatal profiles for infants with cerebral palsy and their controls were shown to differ significantly. When infants with various types of cerebral palsy were analysed with their controls the discriminating variables differed. Diplegic infants could be differentiated from controls on antenatal variables alone, but significant ...

  10. Congenital Anomalies in Infant with Congenital Hypothyroidism

    OpenAIRE

    Zahra Razavi; Alireza Yavarikia; Saadat Torabian

    2012-01-01

    bjective: Congenital hypothyroidism is characterized by inadequate thyroid hormone production in newborn infants. Many infants with CH have co-occurring congenital malformations. This is an investigation on the frequency and types of congenital anomalies in infants with congenital hypothyroidism born from May 2006-2010 in Hamadan, west province of Iran.Methods: The Iranian neonatal screening program for congenital hypothyroidism was initiated in May 2005. This prospective descriptive study wa...

  11. Premature infants and neurodevelopmental morbidity Invited Author

    OpenAIRE

    Uysal, Serap

    2010-01-01

    Brain injury in some surviving premature infants increases the risk of nbsp; neurodevelopmental disability including major cognitive and motor deficits Periventricular leukomalacia PVL is the main type of brain injury The cerebral white matter thalamus basal ganglia cerebral cortex brain stem and cerebellum may be nbsp; affected Infants with low birth weight are also in high risk It is difficult to shout a clear clinico pathologic correlations in premature infants has been difficult The neuro...

  12. Infant and child mortality in Andhra Pradesh.

    OpenAIRE

    White, Howard

    2003-01-01

    Most countries of the world are reducing infant and child mortality too slowly to meet the Millennium Development Goal (MDG) of a two-thirds reduction by 2015. Yet, some countries and regions – including the Indian state of Kerala – have achieved impressive reductions. This paper examines infant and child mortality in Andhra Pradesh (where Young Lives research is being conducted) and in Kerala, and considers the factors explaining their differential performance. Infant mortality is found to d...

  13. Hypothermia: Novel Approaches for Premature Infants

    OpenAIRE

    Higgins, Rosemary D.; Shankaran, Seetha

    2011-01-01

    Hypothermia for hypoxic ischemic encephalopathy has recently permeated clinical practice for term infants. Speculation regarding a neuroprotective benefit of hypothermia for premature infants with HIE has been raised as a need for further research. Hypothermia for other indications including necrotizing enterocolitis with the hope of tissue preservation following injury is less well studied. A summary of evidence for hypothermia and premature infants is presented in this brief report.

  14. Maintaining Optimal Oxygen Saturation in Premature Infants

    OpenAIRE

    Lau, Yoke Yen; Tay, Yih Yann; Shah, Varsha Atul; Chang, Pisun; Loh, Khuan Tai

    2011-01-01

    Introduction: Advances in technology have resulted in increasing survival rates for premature infants. Oxygen therapy is commonly used in neonatal units as part of respiratory support. The number of premature infants in our institution surviving with severe (stage ≥3) retinopathy of prematurity (ROP) prompted a review of oxygen therapy as a contributing factor. Prolonged exposure to high concentrations of oxygen may cause irreversible damage to the eyes of very-low-birth-weight preterm infant...

  15. Nonpharmacological Management of Gastroesophageal Reflux in Preterm Infants

    Directory of Open Access Journals (Sweden)

    Luigi Corvaglia

    2013-01-01

    Full Text Available Gastroesophageal reflux (GOR is very common among preterm infants, due to several physiological mechanisms. Although GOR should not be usually considered a pathological condition, its therapeutic management still represents a controversial issue among neonatologists; pharmacological overtreatment, often unuseful and potentially harmful, is increasingly widespread. Hence, a stepwise approach, firstly promoting conservative strategies such as body positioning, milk thickening, or changes of feeding modalities, should be considered the most advisable choice in preterm infants with GOR. This review focuses on the conservative management of GOR in the preterm population, aiming to provide a complete overview, based on currently available evidence, on potential benefits and adverse effects of nonpharmacological measures. Nonpharmacological management of GOR might represent a useful tool for neonatologists to reduce the use of antireflux medications, which should be limited to selected cases of symptomatic babies.

  16. Caregiver-Infant Interaction and Early Cognitive Development in Preterm Infants

    Science.gov (United States)

    Beckwith, Leila; And Others

    1976-01-01

    Caregiver-infant transactions with 51 premature infants were studied in naturalistic observations in the home when the infants were aged 1, 3, and 8 months. Gesell developmental schedules and a sensorimotor scale were administered at 9 months. (Author/JH)

  17. 78 FR 37706 - Safety Standards for Infant Walkers and Infant Swings

    Science.gov (United States)

    2013-06-24

    ... for Infant Walkers, with 22 modifications to make the standard more stringent. 75 FR 35266. ASTM... assessment bodies for testing infant walkers (75 FR 35282 (June 21, 2010)) and infant swings (78 FR 15836..., with two modifications to make the standard more stringent. 77 FR 66703. ASTM notified CPSC that...

  18. The Infant Parent Training Institute: A Developmental Model for Training Infant Mental Health Professionals

    Science.gov (United States)

    Arons, Judith; Epstein, Ann; Sklan, Susan

    2011-01-01

    The Infant Parent Training Institute (IPTI) at Jewish Family and Children's Service of Greater Boston offers integrated clinical and theoretical infant mental health training. The curriculum reflects the belief that nurturing and reflective relationships promote optimal learning and growth. A specialty in infant mental health requires knowledge…

  19. In and out of Synch: Infant Childcare Teachers' Adaptations to Infants' Developmental Changes

    Science.gov (United States)

    Recchia, Susan L.; Shin, Minsun

    2012-01-01

    This qualitative multi-case study explored the social exchanges and responsive connections between infants and their infant childcare teachers within a group care context. Infants' naturally occurring behaviours were videotaped purposefully at two separate time points, near the end of their first year and approximately six months later. Findings…

  20. Infant Temperament, Maternal Personality, and Parenting Stress as Contributors to Infant Developmental Outcomes

    Science.gov (United States)

    Molfese, Victoria J.; Rudasill, Kathleen Moritz; Beswick, Jennifer L.; Jacobi-Vessels, Jill L.; Ferguson, Melissa C.; White, Jamie M.

    2010-01-01

    This study examined contributions of maternal personality and infant temperament to infant vocabulary and cognitive development both directly and indirectly through parental stress. Participants were recruited at birth and included 63 infant twin pairs and their mothers. Assessments were completed at 6, 9, 12, and 18 months of age and included…

  1. Socially guided attention influences infants' communicative behavior.

    Science.gov (United States)

    Miller, Jennifer L; Gros-Louis, Julie

    2013-12-01

    For effective prelinguistic communication, infants must be able to direct their attention, vocalizations, and nonverbal gestures in social interactions. The purpose of our study was to examine how different styles of caregiver responses influenced infant attentional and communicative behavior in social interactions, based on prior studies that have shown influences of responsiveness on attention, language and cognitive outcomes. Infants were exposed to redirective and sensitive behavior systematically using an ABA design to examine real-time changes in infants' behavior as a function of caregiver responses. During the two baseline "A" periods, caregivers were instructed to play as they would at home. During the social response "B" period, caregivers were instructed to respond sensitively to infants' behavior on one visit and redirectively on the other visit. Results demonstrated that when caregivers behaved redirectively, infants shifted their attention more frequently and decreased the duration of their visual attention. Caregiver responses also resulted in changes in vocal and gesture production. Infants decreased their production of caregiver-directed vocalizations, gestures, and gesture-vocal combinations during in the redirective condition. Results suggest that caregiver sensitive responding to infants' attentional focus may be one influence on infants' attentional and prelinguistic communicative behavior. PMID:23906941

  2. Chronic Malnutrition Among Infants of Varanasi

    Directory of Open Access Journals (Sweden)

    Nanda S

    1997-01-01

    Full Text Available Research question: What is the nutritional status of infants in Varanasi? Objectives: To find out the magnitude of PEM among infants of Varanasi district. Study design: Cross-sectional. Setting: Urban slum and rural areas. Participants: 360 infants. Study variables: Age, height (length, weight. Outcome variables: Protein Energy Malnutrition. Statistical analysis: Simple proportions; Chi- square test. Results: As per the height for age criteria; only 10.56% of infants were stunted (<90% of reference standard and according to Seoane Latham classification; 44.96%, 6.05% and 4.03% were suffering from acute malnutrition and nutritional dwarfing respectively (90% of reference standard as entry point

  3. Does infant cognition research undermine sociological theory?

    DEFF Research Database (Denmark)

    Bjerre, Jørn

    2012-01-01

    This article discusses how the results of infant research challenge the assumptions of the classical sciences of social behaviour. According to A.J. Bergesen, the findings of infant research invalidate Durkheim's theory of mental categories, thus requiring a re-theorizing of sociology. This article...... argues that Bergesen's reading of Emile Durkheim is incorrect, and his review of the infant research in fact invalidates his argument. Reviewing the assumptions of sociology in the light of the findings of infant research, it is argued that the real challenge is to formulate a research strategy...

  4. Speech vs. singing: infants choose happier sounds

    OpenAIRE

    Corbeil, Marieve; Trehub, Sandra E.; Peretz, Isabelle

    2013-01-01

    Infants prefer speech to non-vocal sounds and to non-human vocalizations, and they prefer happy-sounding speech to neutral speech. They also exhibit an interest in singing, but there is little knowledge of their relative interest in speech and singing. The present study explored infants' attention to unfamiliar audio samples of speech and singing. In Experiment 1, infants 4–13 months of age were exposed to happy-sounding infant-directed speech vs. hummed lullabies by the same woman. They list...

  5. An outbreak of gastroenteritis due to Escherichia coli 0142 H6 in a neonatal department

    NARCIS (Netherlands)

    Fleer, A.; Gerards, L.J.; Hennekam, R.C.M.; Dijk, W.C.V.; Roord, J.J.

    1984-01-01

    An outbreak of gastroenteritis due to Escherichia coli 0142 H6 in a neonatal ward is described. The epidemic affected 16 of 24 infants (infection-rate 66 per cent), of whom one died due to necrotizing enterocolitis. Administration of antibiotics was of limited value in treatment or in eradicating E.

  6. Onycholysis due to trauma

    Directory of Open Access Journals (Sweden)

    Patricia Chang

    2014-04-01

    Full Text Available Female patient, 35 years old who came to the private office due to discoloration of her left thumbnail and little pain since 1 month ago. Clinical examination shows nail disease on her left thumbnail with onycholysis and dyschromia, dermatoscopy showed white-yellowish discoloration (Fig. 1A, B. The rest of the clinical examination was normal. Patient use to using acrylic nails since 2 years ago and denied some trauma at the nail. The diagnosis of onycholysis due to trauma was done and recommended her not to use acrylic nail, maintain the nail short and avoid wetness.

  7. Twelve-month-old infants anticipatorily plan their actions according to expected object weight in a novel motor context.

    Science.gov (United States)

    Upshaw, Michaela Boone; Sommerville, Jessica A

    2015-01-01

    Planning actions in anticipation of object weight is fundamental to skilled action production. The present study investigated whether infants can apply weight information gained from direct actions on objects in order to plan their actions according to object weight in a novel and indirect motor context. In the present study, two groups of 12-month-old infants were provided with experience acting directly on two blocks of different weights and colors (70 versus 470 g; red versus yellow). Subsequently, infants were administered a novel task in which the same blocks (standard condition; n = 60), or blocks of the reversed color-weight pairings (switch condition; n = 60), were placed out-of-reach, on top of a cloth, and infants were encouraged to retrieve the block by acting on the cloth. Infants in the switch condition produced more failed cloth pulls when retrieving the 470 g block, due to inadequate generation of anticipatory force, relative to infants in the standard condition. This demonstrates that infants' force on the cloth was prospectively generated based on their mental representation of the supported block's weight, which was formed through their previous direct actions on the object. Thus, infants use information about the weight of an object in order to anticipate how to obtain that object in a novel and indirect problem-solving context.

  8. Postpartum depression and infant-mother attachment security at one year: The impact of co-morbid maternal personality disorders.

    Science.gov (United States)

    Smith-Nielsen, Johanne; Tharner, Anne; Steele, Howard; Cordes, Katharina; Mehlhase, Heike; Vaever, Mette Skovgaard

    2016-08-01

    Previous studies on effects of postpartum depression (PPD) on infant-mother attachment have been divergent. This may be due to not taking into account the effects of stable difficulties not specific for depression, such as maternal personality disorder (PD). Mothers (N=80) were recruited for a longitudinal study either during pregnancy (comparison group) or eight weeks postpartum (clinical group). Infants of mothers with depressive symptoms only or in combination with a PD diagnosis were compared with infants of mothers with no psychopathology. Depression and PD were assessed using self-report and clinical interviews. Infant-mother attachment was assessed when infants were 13 months using Strange Situation Procedure (SSP). Attachment (in)security was calculated as a continuous score based on the four interactive behavioral scales of the SSP, and the conventional scale for attachment disorganization was used. PPD was associated with attachment insecurity only if the mother also had a PD diagnosis. Infants of PPD mothers without co-morbid PD did not differ from infants of mothers with no psychopathology. These results suggest that co-existing PD may be crucial in understanding how PPD impacts on parenting and infant social-emotional development. Stable underlying factors may magnify or buffer effects of PPD on parenting and child outcomes. PMID:27400381

  9. Interim obturator in an infant with Treacher Collins syndrome: Review and chairside modification in impression making

    Directory of Open Access Journals (Sweden)

    Sudhir Bhandari

    2011-01-01

    Full Text Available Treacher Collins syndrome has been described as a syndrome involving 1st and 2nd branchial arches, affecting various organs in the craniofacial region. Affected infants report with nasal regurgitation and minimal dietary intake due to cleft palate, consequently show delayed and retarded growth. The situation is further complicated when the repair of the palatal defect is postponed due to delayed milestones. At this juncture, it is of paramount importance to intervene prosthetically and close the defect with the aid of an interim obturator. Herein we describe a simple, yet successful, chairside approach to make an impression of an infant without the aid of any kind of anesthesia.

  10. Interim obturator in an infant with Treacher Collins syndrome: Review and chairside modification in impression making.

    Science.gov (United States)

    Bhandari, Sudhir; Aras, Meena; Bakshi, Sonika

    2011-10-01

    Treacher Collins syndrome has been described as a syndrome involving 1st and 2nd branchial arches, affecting various organs in the craniofacial region. Affected infants report with nasal regurgitation and minimal dietary intake due to cleft palate, consequently show delayed and retarded growth. The situation is further complicated when the repair of the palatal defect is postponed due to delayed milestones. At this juncture, it is of paramount importance to intervene prosthetically and close the defect with the aid of an interim obturator. Herein we describe a simple, yet successful, chairside approach to make an impression of an infant without the aid of any kind of anesthesia.

  11. Healthcare professionals' perceptions of pain in infants at risk for neurological impairment

    Directory of Open Access Journals (Sweden)

    Camfield Carol S

    2004-11-01

    Full Text Available Abstract Background To determine whether healthcare professionals perceive the pain of infants differently due to their understanding of that infant's level of risk for neurological impairment. Method Neonatal Intensive Care Units (NICU's at two tertiary pediatric centers. Ninety-five healthcare professionals who practice in the NICU (50 nurses, 19 physicians, 17 respiratory therapists, 9 other participated. They rated the pain (0–10 scale and 0–6 Faces Pain Scale, distress (0–10, effectiveness of cuddling to relieve pain (0–10 and time to calm without intervention (seconds for nine video clips of neonates receiving a heel stick. Prior to each rating, they were provided with descriptions that suggested the infant had mild, moderate or severe risk for neurological impairment. Ratings were examined as a function of the level of risk described. Results Professionals' ratings of pain, distress, and time to calm did not vary significantly with level of risk, but ratings of the effectiveness of cuddling were significantly lower as risk increased [F (2,93 = 4.4, p = .02]. No differences in ratings were found due to participants' age, gender or site of study. Physicians' ratings were significantly lower than nurses' across ratings. Conclusion Professionals provided with visual information regarding an infants' pain during a procedure did not display the belief that infants' level of risk for neurological impairment affected their pain experience. Professionals' estimates of the effectiveness of a nonpharmacological intervention did differ due to level of risk.

  12. Septic arthritis in the newborn and infants

    Directory of Open Access Journals (Sweden)

    Gajdobranski Đorđe R.

    2003-01-01

    Full Text Available Introduction Septic arthritis represents an intra-articular infection caused by pyogenic bacteria. During the earliest childhood it is considered to be a systemic septic condition and demands early diagnosis and prompt surgical treatment. Material and methods This is a retrospective analysis of patients with septic arthritis treated at the Department of Orthopedics of the Pediatric Surgery Clinic in Novi Sad, over a 10-year period. We are also presenting a case of a 12-day-old newborn baby, with clear radiological signs of osteoarthritis of the right knee. Results A retrospective study included the period 1991-2000, and showed that 15 patients, aged 10 days - 12 months were treated for osteoarthritis. The most common localization was the hip, in 60% of cases. In 11 patients the causative agent was Staphylococcus aureus while in the 4 remaining patients the bacteriologic finding was negative. One patient died of generalized sepsis. Discussion In neonates and infants septic arthritis is characterized by atypical clinical picture, often causing delayed diagnosis. In the initial phases of the disease ultrasonographic findings were of greater use compared to radiological imaging, due to relatively late appearance of radiological signs of disease. Conclusions Due to possible development of serious and irreversible damage, even lethal outcome, septic arthritis requires early diagnosis, prompt administration of antibiotics and early surgical treatment. It is a quite unique area in Pediatric Orthopedics where missed or delayed diagnosis may have serious consequences.

  13. Infants' Temperament and Mothers', and Fathers' Depression Predict Infants' Attention to Objects Paired with Emotional Faces.

    Science.gov (United States)

    Aktar, Evin; Mandell, Dorothy J; de Vente, Wieke; Majdandžić, Mirjana; Raijmakers, Maartje E J; Bögels, Susan M

    2016-07-01

    Between 10 and 14 months, infants gain the ability to learn about unfamiliar stimuli by observing others' emotional reactions to those stimuli, so called social referencing (SR). Joint processing of emotion and head/gaze direction is essential for SR. This study tested emotion and head/gaze direction effects on infants' attention via pupillometry in the period following the emergence of SR. Pupil responses of 14-to-17-month-old infants (N = 57) were measured during computerized presentations of unfamiliar objects alone, before-and-after being paired with emotional (happy, sad, fearful vs. neutral) faces gazing towards (vs. away) from objects. Additionally, the associations of infants' temperament, and parents' negative affect/depression/anxiety with infants' pupil responses were explored. Both mothers and fathers of participating infants completed questionnaires about their negative affect, depression and anxiety symptoms and their infants' negative temperament. Infants allocated more attention (larger pupils) to negative vs. neutral faces when the faces were presented alone, while they allocated less attention to objects paired with emotional vs. neutral faces independent of head/gaze direction. Sad (but not fearful) temperament predicted more attention to emotional faces. Infants' sad temperament moderated the associations of mothers' depression (but not anxiety) with infants' attention to objects. Maternal depression predicted more attention to objects paired with emotional expressions in infants low in sad temperament, while it predicted less attention in infants high in sad temperament. Fathers' depression (but not anxiety) predicted more attention to objects paired with emotional expressions independent of infants' temperament. We conclude that infants' own temperamental dispositions for sadness, and their exposure to mothers' and fathers' depressed moods may influence infants' attention to emotion-object associations in social learning contexts. PMID

  14. 婴幼儿百日咳的临床特征%Clinical manifestations of Bordetella pertussis infection in infants

    Institute of Scientific and Technical Information of China (English)

    黄建琼; 马卓娅; 郑跃杰; 刘恩梅

    2014-01-01

    Objective To explore the clinical manifestations and epidemiological profiles of hospitalized infants with Bordetella pertussis infection and to improve the knowledge for its early diagnosis and treatment.Methods Using a retrospective analysis method,the data of 142 hospitalized infants with Bordetella pertussis infection in Shenzhen Children's Hospital from 2011 to 2013 were collected,which was confirmed by a real-time polymerase chain reaction(PCR) of nasopharyngeal secretion.The SPSS 16.0 software was used for statistical analysis.Results Of the 142hospitalized infants with Bordetella pertussis infection,the ratio of male to female was 2.1∶ 1.0 (96/41 cases).Ninetythree (65.5%) cases were aged less than 3 months old,26 cases (18.3%) were 3-6 months old and 23 cases (16.2%) were 6-36 months old.One hundred and twenty-six (88.7%) patients were unvaccinated or incompletely vaccinated.The most common clinical manifestation was paroxysmal cough which accounts for 104/142 (73.2%) cases,and 6 cases of which had roaring(4.2%).Peripheral blood WBC level of 83 cases increased,and 75 (90.4%) cases were lymphocytosis.The positive rate of X-ray was 60.6%.Eighty-one cases were complicated with bacteria,respiratory virus or mycoplasma pneumonia infection.There were significant differences in symptom of fever and infection of respiratory tract pathogen among 3 groups.The symptom of fever in the group aged less than 3 months old group was significantly lower than the other 2 groups (x2 =11.45,P < 0.01 ;x2 =34.56,P < 0.01),and 6-36 months old group was significantly higher than the other 2 groups(x2 =7.590,P < 0.01 ;x2 =6.928,P < 0.01).Conclusions Bordetella pertussis is an important pathogen for the infants with persistent cough,especially in unvaccinated or incompletely vaccinated infants,but the clinical manifestation and signs of pertussis are atypical,which may lead to a misdiagnosis and delay proper treatment.As a rapid and sensitive method of

  15. Nutritional management of newborn infants: Practical guidelines

    Institute of Scientific and Technical Information of China (English)

    Xiao-Ming Ben

    2008-01-01

    The requirements of growth and organ development create a challenge in nutritional management of newborn infants, especially premature newborn and intestinal-failure infants. Since their feeding may increase the risk of necrotizing enterocolitis, some high-risk infants receive a small volume of feeding or parenteral nutrition (PN) without enteral feeding. This review summarizes the current research progress in the nutritional management of newborn infants. Searches of MEDLINE (1998-2007), Cochrane Central Register of Controlled Trials (The Cochrane Library, Issue 3, 2007), abstracts and conference proceedings, references from relevant publications in the English language were performed, showing that breast milk is the preferred source of nutrients for enteral feeding of newborn infants. The number of nutrients found in human milk was recommended as a guideline in establishing the minimum and maximum levels in infant formulas. The fear of necrotizing enterocolitis and feeding intolerance are the major factors limiting the use of the enteral route as the primary means of nourishing premature infants. PN may help to meet many of the nutritional needs of these infants, but has significant detrimental side effects. Trophic feedings (small volume of feeding given at the same rate for at least 5 d) during PN are a strategy to enhance the feeding tolerance and decrease the side effects of PN and the time to achieve full feeding. Human milk is aey component of any strategy for enteral nutrition of all infants. However, the amounts of calcium, phosphorus, zinc and other nutrients are inadequate to meet the needs of the very low birth weight (VLBW) infants during growth. Therefore, safe and effective means to fortify human milk are essential to the care of VLBW infants.

  16. "MOODY BLUES": Affect Interpretation of Infant Facial Expressions and Negative Affect in Mothers of Preterm and Term Infants

    OpenAIRE

    Hedwig J.A. van Bakel; Hoffenkamp, Hannah N.; Anneke Tooten; Ruby A.S. Hall; Merel ter Beek; Hartman, Esther E.; Vingerhoets, Ad. J.J.M.

    2013-01-01

    Preterm birth places infants at increased risk for adverse developmental outcomes, with self- and affect regulation problems among the most important impairments. However, few studies have empirically examined maternal interpretation of infant affect in mothers of pre- and term infants. The current study examines how negative affect of mothers of preterm and term infants is associated with their interpretation of infant facial expressions.One hundred and sixty-eight mothers with their infants...

  17. Connecting the dots: how local structure affects global integration in infants.

    Science.gov (United States)

    Palomares, Melanie; Pettet, Mark; Vildavski, Vladimir; Hou, Chuan; Norcia, Anthony

    2010-07-01

    Glass patterns are moirés created from a sparse random-dot field paired with its spatially shifted copy. Because discrimination of these patterns is not based on local features, they have been used extensively to study global integration processes. Here, we investigated whether 4- to 5.5-month-old infants are sensitive to the global structure of Glass patterns by measuring visual-evoked potentials. Although we found strong responses to the appearance of the constituent dots, we found sensitivity to the global structure of the Glass patterns in the infants only over a very limited range of spatial separation. In contrast, we observed robust responses in the infants when we connected the dot pairs of the Glass pattern with lines. Moreover, both infants and adults showed differential responses to exchanges between line patterns portraying different global structures. A control study varying luminance contrast in adults suggests that infant sensitivity to global structure is not primarily limited by reduced element visibility. Together our results suggest that the insensitivity to structure in conventional Glass patterns is due to inefficiencies in extracting the local orientation cues generated by the dot pairs. Once the local orientations are made unambiguous or when the interpolation span is small, infants can integrate these signals over the image.

  18. Sudden Infant Death Syndrome and prenatal maternal smoking: rising attributed risk in the Back to Sleep era

    Directory of Open Access Journals (Sweden)

    Batal Holly A

    2005-01-01

    Full Text Available Abstract Background Parental smoking and prone sleep positioning are recognized causal features of Sudden Infant Death. This study quantifies the relationship between prenatal smoking and infant death over the time period of the Back to Sleep campaign in the United States, which encouraged parents to use a supine sleeping position for infants. Methods This retrospective cohort study utilized the Colorado Birth Registry. All singleton, normal birth weight infants born from 1989 to 1998 were identified and linked to the Colorado Infant Death registry. Multivariable logistic regression was used to analyze the relationship between outcomes of interest and prenatal maternal cigarette use. Potential confounders analyzed included infant gender, gestational age, and birth year as well as maternal marital status, ethnicity, pregnancy interval, age, education, and alcohol use. Results We analyzed 488,918 birth records after excluding 5835 records with missing smoking status. Smokers were more likely to be single, non-Hispanic, less educated, and to report alcohol use while pregnant (p Conclusions Due to a decreased overall rate of SIDS likely due to changing infant sleep position, the attributed risk associating maternal smoking and SIDS has increased following the Back to Sleep campaign. Mothers should be informed of the 2-fold increased rate of SIDS associated with maternal cigarette consumption.

  19. Providing lipid-based nutrient supplements does not affect developmental milestones among Malawian children

    Science.gov (United States)

    Our objective was to assess whether using lipid-based nutrient supplements (LNS) to complement the diets of infants and young children affected when they achieved selected developmental milestones. In rural Malawi, 840 6-month-old healthy infants were enrolled to a randomised trial. Control particip...

  20. Infant discrimination of humanoid robots

    Directory of Open Access Journals (Sweden)

    Goh eMatsuda

    2015-09-01

    Full Text Available Recently, extremely humanlike robots called androids have been developed, some of which are already being used in the field of entertainment. In the context of psychological studies, androids are expected to be used in the future as fully controllable human stimuli to investigate human nature. In this study, we used an android to examine infant discrimination ability between human beings and non-human agents. Participants (N = 42 infants were assigned to three groups based on their age, i.e., 6- to 8-month-olds, 9- to 11-month-olds, and 12- to 14-month-olds, and took part in a preferential looking paradigm. Of three types of agents involved in the paradigm—a human, an android modeled on the human, and a mechanical-looking robot made from the android—two at a time were presented side-by-side as they performed a grasping action. Infants’ looking behavior was measured using an eye tracking system, and the amount of time spent focusing on each of three areas of interest (face, goal, and body was analyzed. Results showed that all age groups predominantly looked at the robot and at the face area, and that infants aged over 9 months watched the goal area for longer than the body area. There was no difference in looking times and areas focused on between the human and the android. These findings suggest that 6- to 14-month-olds are unable to discriminate between the human and the android, although they can distinguish the mechanical robot from the human.

  1. Teenage mothers and their infants.

    Science.gov (United States)

    Badger, E

    1985-06-01

    The outcomes of the IS/MT pilot project and the expanded services program as well as program replications in other geographic areas suggest that efforts to support the teenage mother in the care of her firstborn infant can have a demonstrable effect. Completing school, securing employment, going off welfare, and acting on a decision to prevent subsequent unwanted pregnancies were all secondary effects of a 20-week postnatal mother-infant class program designed to positively influence infant development. Similar treatment effects have been reported by IS/MT replications in St. Louis and Genesee County, Michigan. Other program innovations, however, lacking the funds and/or the expertise to conduct adequate evaluations, are nonetheless significant because they provide a groundswell capable of establishing a climate for social change. At the community level, this is expressed in the creation of new service paradigms, as in Norfolk and Memphis, where individuals and agencies are transformed and experiment with new solutions to thorny problems. At the national level, it is expressed in coalitions and political alliances around a single issue, as with the Children's Defense Fund and adolescent and single-parent families. As one who has spent almost 20 years addressing the consequences of teenage parenthood, it is heartening to know that the time is near to address the prevention of the problem. Let us hope that the Children's Defense Fund agenda accurately reflects the beliefs and feelings of the majority of our citizenry and that our national priorities will change to include the reduction of teen pregnancy and teen parenthood. PMID:2410176

  2. Pneumothorax in premature infants with respiratory distress syndrome: focus on risk factors

    Directory of Open Access Journals (Sweden)

    Sabina Terzic

    2016-02-01

    Full Text Available Introduction: Pneumothorax is a life threatening condition, more often seen in immature infants receiving mechanical ventilation. It carries a significant risk of death and impaired outcome.Objective: To determine predictive factors for the occurrence of pneumothorax in preterm infants with respiratory distress syndrome (RDS.Patients and methods: The present study was conducted in a tertiary research and educational hospital, NICU, Pediatric Clinic UKC Sarajevo, from January 2010 to December 2013. All infants had chest X-ray at admission, and were treated due to RDS with nasal continuous positive airway pressure (CPAP, mechanical ventilation, or high frequency oscillatory ventilation. At admission we registered data regarding birth weight, gestational age, Apgar score, prenatally given steroids. Inclusion criteria were fulfilled by 417 infants. Data about timing, circumstances, side and treatment of pneumothorax were gathered from medical records.Results: Mean birth weight was 1,477 g, mean gestational age 29.6 weeks. We report 98 infants who did not survive. We also report incidence of pneumothorax in 5% of the infants with RDS. In this study pneumothorax and non-pneumothorax groups didn’t differ regarding sex, gestational age (median 29 and 30 nor birth weight (p = 0.818. Apgar score at the 1st and 5th minute of life had no influence in genesis of pulmonary air leak, neither prenatally given steroids (p = 0.639, nor surfactant administration. There was a low coverage of preterm infants with prenatal steroids (overall 28.29%. We found that FiO2 ≥ 0.4 in the first 12 hours of life, and need for mechanical ventilation are predicting factors for developing pneumothorax (p < 0.05.Conclusion: Together with mechanical ventilation, inspired fraction of oxygen higher than 40%, needed to provide adequate oxygenation in the first 12 hours of life in preterm infants, could be a predictive factor in selecting the highest risk babies for development of

  3. Water loss from the skin of term and preterm infants nursed under a radiant heater.

    Science.gov (United States)

    Kjartansson, S; Arsan, S; Hammarlund, K; Sjörs, G; Sedin, G

    1995-02-01

    The rate of evaporation from the skin (g/m2/h) was measured in 12 full-term and 16 preterm infants (gestational age 25-34 wk) both during incubator care and when nursed under a radiant heater. The method for evaporation rate measurement is noninvasive and based on determination of the water vapor pressure gradient close to the skin surface. Measurements were first made with the infant nursed in an incubator with a controlled environment with respect to humidity, temperature, and air velocity. The measurements in the term infants were performed at an ambient relative humidity (RH) of 50%, and in the preterm infants first at 50% and subsequently at 30-40%. Evaporation rate was then measured with the infant nursed under a radiant heater. In term infants, mean evaporation rate was 3.3 g/m2/h during incubator care (RH 50%) and 4.4 g/m2/h during care under the radiant heater. In preterm infants, the corresponding values were 15.5 g/m2/h in the incubator at RH 50%, 16.7 g/m2/h at RH 30-40%, and 17.9 g/m2/h under the radiant heater. It is concluded that the evaporative water loss from the skin depends on the ambient water vapor pressure, irrespective of whether the infant is nursed in an incubator or under a radiant heater. The higher rate of evaporation during care under a radiant heater is due to the lower ambient water vapor pressure and not to any direct effect of the nonionizing radiation on the skin.

  4. Respiratory symptoms among infants at risk for asthma: association with surfactant protein A haplotypes

    Directory of Open Access Journals (Sweden)

    Bracken Michael B

    2007-04-01

    Full Text Available Abstract Background We examined the association between single nucleotide polymorphisms (SNPs in loci encoding surfactant protein A (SFTPA and risk of wheeze and persistent cough during the first year of life among a cohort of infants at risk for developing asthma. Methods Between September 1996 and December 1998, mothers of newborn infants were invited to participate if they had an older child with clinician-diagnosed asthma. Each mother was given a standardized questionnaire within 4 months of her infant's birth. Infant respiratory symptoms were collected during quarterly telephone interviews at 6, 9 and 12 months of age. Due to the association of SFTPA polymorphisms and race/ethnicity, analyses were restricted to 221 white infants for whom whole blood and respiratory data were available. Ordered logistic regression models were used to examine the association between respiratory symptom frequency and SFTPA haplotypes. Results The 6A allele haplotype of SFTPA1, with an estimated frequency of 6% among our study infants, was associated with an increased risk of persistent cough (OR 3.69, 95% CI 1.71, 7.98 and wheeze (OR 4.72, 95% CI 2.20, 10.11. The 6A/1A haplotype of SFTPA, found among approximately 5% of the infants, was associated with an increased risk of persistent cough (OR 3.20, 95% CI 1.39, 7.36 and wheeze (OR 3.25, 95% CI 1.43, 7.37. Conclusion Polymorphisms within SFTPA loci may be associated with wheeze and persistent cough in white infants at risk for asthma. These associations require replication and exploration in other ethnic/racial groups.

  5. Intestinal absorption of the antiepileptic drug substance vigabatrin is altered by infant formula in vitro and in vivo

    DEFF Research Database (Denmark)

    Nielsen, Carsten Uhd

    2014-01-01

    formula and selected amino acids on the pharmacokinetic profile of vigabatrin was investigated after oral coadministration to male Sprague–Dawley rats using acetaminophen as a marker for gastric emptying. The presence of infant formula significantly reduced the uptake rate and permeability of vigabatrin....... The infant formula decreased the rate of gastric emptying. Here we provide experimental evidence for an in vivo role of PAT1 in the intestinal absorption of vigabatrin. The effect of infant formula on the oral absorption of vigabatrin was found to be due to delayed gastric emptying, however, it seems...

  6. Ultrasonically detectable cerebellar haemorrhage in preterm infants.

    LENUS (Irish Health Repository)

    McCarthy, Lisa Kenyon

    2011-07-01

    To determine the frequency and pattern of cerebellar haemorrhage (CBH) on routine cranial ultrasound (cUS) imaging in infants of ≤32 weeks gestation, and to investigate how extremely preterm infants with CBH differ from those with severe intraventricular haemorrhage (IVH).

  7. The Goldilocks Effect in Infant Auditory Attention

    Science.gov (United States)

    Kidd, Celeste; Piantadosi, Steven T.; Aslin, Richard N.

    2014-01-01

    Infants must learn about many cognitive domains (e.g., language, music) from auditory statistics, yet capacity limits on their cognitive resources restrict the quantity that they can encode. Previous research has established that infants can attend to only a subset of available acoustic input. Yet few previous studies have directly examined infant…

  8. Phonotactic Acquisition in Healthy Preterm Infants

    Science.gov (United States)

    Gonzalez-Gomez, Nayeli; Nazzi, Thierry

    2012-01-01

    Previous work has shown that preterm infants are at higher risk for cognitive/language delays than full-term infants. Recent studies, focusing on prosody (i.e. rhythm, intonation), have suggested that prosodic perception development in preterms is indexed by maturational rather than postnatal/listening age. However, because prosody is heard…

  9. Preference patterns in infant vowel perception

    Science.gov (United States)

    Molnar, Monika T.; Polka, Linda

    2001-05-01

    Infants show directional asymmetries in vowel discrimination tasks that reveal an underlying perceptual bias favoring more peripheral vowels. Polka and Bohn (2003) propose that this bias is language independent and plays an important role in the development of vowel perception. In the present study we measured infant listening preferences for vowels to assess whether a perceptual bias favoring peripheral vowels can be measured more directly. Monolingual (French and English) and bilingual infants completed a listening preference task using multiple natural tokens of German /dut/ and /dyt/ produced by a male talker. In previous work, discrimination of this vowel pair by German-learning and by English-learning infants revealed a robust directional asymmetry in which /u/ acts as a perceptual anchor; specifically, infants had difficulty detecting a change from /u/ to /y/, whereas a change from /y/ to /u/ was readily detected. Preliminary results from preference tests with these stimuli show that most infants between 3 and 5 months of age also listen longer to /u/ than to /y/. Preference data obtained from older infants and with other vowel pairs will also be reported to further test the claim that peripheral vowels have a privileged perceptual status in infant perception.

  10. Model-Based Motion Tracking of Infants

    DEFF Research Database (Denmark)

    Olsen, Mikkel Damgaard; Herskind, Anna; Nielsen, Jens Bo;

    2014-01-01

    Even though motion tracking is a widely used technique to analyze and measure human movements, only a few studies focus on motion tracking of infants. In recent years, a number of studies have emerged focusing on analyzing the motion pattern of infants, using computer vision. Most of these studies...

  11. The Cradle Board and Infant Care.

    Science.gov (United States)

    Clute, Myron; And Others

    This unit deals with Iroquois culture of the past and the aspects of that culture which continue to exist in the longhouse tradition at the present time. The unit contains three sections: (1) an outline of the concept, Indian infant care, and the vocabulary, objectives, and materials; (2) a lesson plan on the mode of caring for infants in Native…

  12. Jinan:infant clothing test notification

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    Before the Spring Festival, Jinan Consumer Council issued the report of comparison test on 16 brands of infant apparel. The results show that all the products are qualified. To create a safe, secure environment for consumption, to ensure that the infants

  13. Euthanasia of Severely Handicapped Infants: Ethical Issues.

    Science.gov (United States)

    Cohen, Libby

    Ethical decisions are involved in life and death decisions for severely handicapped infants. Although it has become common practice for physicians not to treat severely handicapped infants, the ethical considerations involved in euthanasia are complex. A review of the literature reveals that concerns center around the quality of life of the…

  14. Phonotactic Constraints on Infant Word Learning

    Science.gov (United States)

    Estes, Katharine Graf; Edwards, Jan; Saffran, Jenny R.

    2011-01-01

    How do infants use their knowledge of native language sound patterns when learning words? There is ample evidence of infants' precocious acquisition of native language sound structure during the first year of life, but much less evidence concerning how they apply this knowledge to the task of associating sounds with meanings in word learning. To…

  15. Infants' Recognition of Objects Using Canonical Color

    Science.gov (United States)

    Kimura, Atsushi; Wada, Yuji; Yang, Jiale; Otsuka, Yumiko; Dan, Ippeita; Masuda, Tomohiro; Kanazawa, So; Yamaguchi, Masami K.

    2010-01-01

    We explored infants' ability to recognize the canonical colors of daily objects, including two color-specific objects (human face and fruit) and a non-color-specific object (flower), by using a preferential looking technique. A total of 58 infants between 5 and 8 months of age were tested with a stimulus composed of two color pictures of an object…

  16. Glucose kinetics in infants of diabetic mothers

    International Nuclear Information System (INIS)

    Glucose kinetic studies were performed to define the glucose turnover rate with 78% enriched D-[U-13C] glucose by the prime constant infusion technique at less than or equal to 6 hours of age in nine infants of diabetic mothers (four insulin-dependent and five chemical diabetic patients) at term. Five normal infants were studied as control subjects. All infants received 0.9% saline intravenously during the study with the tracer. Fasting plasma glucose, insulin, and glucose13/12C ratios were measured during the steady state, and the glucose turnover rate was derived. The average plasma glucose concentration was similar during the steady state in the infants of the diabetic mothers and in the control infants, and the glucose turnover rate was not significantly different among the groups: 2.3 +/- 0.6 mg . kg-1 min-1 in infants of insulin-dependent diabetic patients; 2.4 +/- 0.4 mg . kg-1 min-1 in infants of chemical diabetic patients; and 3.2 +/- 0.3 mg . kg-1 min-1 in the control subjects. Good control of maternal diabetes evidenced by the normal maternal hemoglobin A1c and plasma glucose concentration at delivery and cord plasma glucose concentration resulted in glucose kinetic values in the infants of diabetic mothers that were indistinguishable from those of control subjects. The data further support the importance of good control of the diabetic state in the pregnant woman to minimize or prevent neonatal hypoglycemia

  17. Infant Mortality: Priority for Social Work.

    Science.gov (United States)

    Combs-Orme, Terri

    1987-01-01

    Bemoans the failure of the social work profession to claim infant mortality as a professional priority in spite of evidence of the appropriateness of social work interventions. Stresses social work's role in the reduction of preventable infant deaths. (Author/KS)

  18. Severe apnoeas following immunisation in premature infants

    OpenAIRE

    Slack, M; Schapira, D

    1999-01-01

    Four premature infants developed apnoeas severe enough to warrant resuscitation after immunisation with diphtheria, pertussis, and tetanus (DPT), and Haemophilus influenzae B (Hib). One required re-intubation and ventilation.
 Although apnoeas after immunisation are recognised, they are not well documented. It is time for further research to elucidate the best time to immunise such infants.



  19. Feeding premature infants after hospital discharge

    OpenAIRE

    Yuen, Doris E

    1998-01-01

    Supplying adequate nutrition to premature infants is an ongoing challenge. Common medical conditions that premature infants develop and therapies given to them can increase their nutritional requirements or interfere with the delivery of nutrients. This article outlines factors to consider when prescribing appropriate diet and nutritional supplements at hospital discharge.

  20. Pulmonary capillary haemangiomatosis in a premature infant

    International Nuclear Information System (INIS)

    Pulmonary capillary haemangiomatosis (PCH) is a rare disorder characterized by widespread capillary proliferation in the lung, infiltrating the interstitium and the alveolar walls. We present the HRCT features of PCH in a surviving ex-premature infant. To our knowledge, this is a unique case of the radiological features of PCH in a young living infant. (orig.)

  1. Pulmonary capillary haemangiomatosis in a premature infant

    Energy Technology Data Exchange (ETDEWEB)

    Silva, Cicero J.T.A.; Massie, John; Mandelstam, Simone A. [University of Melbourne, Royal Children' s Hospital, Parkville, VIC (Australia)

    2005-06-01

    Pulmonary capillary haemangiomatosis (PCH) is a rare disorder characterized by widespread capillary proliferation in the lung, infiltrating the interstitium and the alveolar walls. We present the HRCT features of PCH in a surviving ex-premature infant. To our knowledge, this is a unique case of the radiological features of PCH in a young living infant. (orig.)

  2. Mother, Infant, and Household Factors Associated with the Type of Food Infants Receive in Developing Countries

    Directory of Open Access Journals (Sweden)

    Benjamin eYarnoff

    2014-02-01

    Full Text Available Objectives: We explore the complex factors associated with infant feeding by analyzing what mother, infant, and household factors are associated with the types of food given to infants. We seek to quantify associations in order to inform public health policy about the importance of target populations for infant feeding programs. Methods: We used data from the Demographic Health Survey in 20 developing countries for multiple years to examine mother, infant, and household factors associated with six types of food given to infants (exclusive breastfeeding, non-exclusive breastfeeding, infant formula, milk liquids, non-milk liquids, and solid foods. We performed a seemingly unrelated regressions analysis with community-year fixed effects to account for correlation between food types and control for confounding factors associated with community resources, culture, time period, and geography in the pooled analysis.Results: We found that several mother, infant, and household characteristics were associated with each of the feeding types. Most notably, mother’s education, working status, and weight are significantly associated with the type of food given to infants. We provide quantified estimates of the association of each of these variables with six types of food given to infants. Conclusions: By identifying maternal characteristics associated with infant feeding and quantifying those associations, we help public health policymakers generate priorities for targeting infant feeding programs to specific populations that are at greatest risk. Higher educated, working mothers are best to target with exclusive breastfeeding programs for young infants. Mothers with lower education are best to target with complementary feeding programs in infants older than 1 year. Finally, while maternal weight is associated with higher levels of exclusive breastfeeding the association is too weak to merit targeting of breastfeeding programs to low-weight mothers.

  3. Cor Triatriatum Sinistrum Presenting as Cyanotic Congenital Heart Disease A Rare Case Report

    Directory of Open Access Journals (Sweden)

    Rajendra Gokhroo

    2015-03-01

    Full Text Available   Cor triatriatum is an acyanotic congenital heart disease. We present a rare case of cor triatriatum sinistrum in a 6-month-old female infant who was presented with cyanosis and failure to thrive. The 2D transthoracic echocardiography and the Doppler color flow imaging showed a proximal venous chamber communicating to the distal left atrium  through restrictive opening to the low-pressure, distal left atrial chamber. The Saline Contrast Echocardiography confirmed a right-to-left atrial shunt due to a minor atrial septal defect. The defect was caused by a persistent pulmonary hypertension which had raised the right atrial pressure in the infant. To the best of our knowledge, barely any such cases have been reported in the literature so far. Our report highlights the clinical utility of the Saline Contrast Echo in other cases of congenital heart diseases.

  4. The Efficiency of Sensory Integration Interventions in Preterm Infants.

    Science.gov (United States)

    Pekçetin, Serkan; Akı, Esra; Üstünyurt, Zeynep; Kayıhan, Hülya

    2016-10-01

    This study aimed to explore the effects of individualized sensory integration interventions on the sensory processing functions of preterm infants. Thirty-four preterm infants (intervention group) at a corrected age of seven months and 34 term infants (control group) were included. The preterm infants underwent an eight-week sensory integration intervention. Before and after the intervention, the preterm infants' sensory processing functions were evaluated using the Test of Sensory Functions in Infants and compared with those of term infants. Preterm infants had significantly poorer sensory processing function preintervention when compared with term infants. There was a significant improvement in preterm infants' sensory processing functions after the sensory integration intervention. In conclusion, preterm infants should be evaluated for sensory processing disorders and individualized sensory integration interventions should be implemented.

  5. Enteral nutrition of the premature infant

    Directory of Open Access Journals (Sweden)

    Su Jin Cho

    2010-01-01

    Full Text Available Early nutritional support for preterm infants is critical because such support influences long-term outcome. Minimal enteral feeding should be initiated as soon as possible if an infant is stable and if feeding advancement is recommended as relevant to the clinical course. Maternal milk is the gold standard for enteral feeding, but fortification may be needed to achieve optimal growth in a rapidly growing premature infant. Erythromycin may aid in promoting gastrointestinal motility in cases that exhibit feeding intolerance. Selected preterm infants need vitamins, mineral supplements, and calorie enhancers to meet their nutritional needs. Despite all that is known about this topic, additional research is needed to guide postdischarge nutrition of preterm infants in order to maintain optimal growth and neurodevelopment.

  6. Shining light on infants' discovery of structure.

    Science.gov (United States)

    Mendoza, Jennifer K; Baldwin, Dare

    2014-01-01

    Learning and discovery seem often to begin with noting patterns. Human infants are skilled at pattern detection, even patterns only definable at an abstract level, which is key to their acquisition of complex knowledge systems such as language and music. However, research examining infants' abstract rule learning has generated inconsistent results. We propose that apparent domain differences in infants' abstract rule learning may be the result of extraneous stimulus variation and discrepancies in the methodologies employed across studies probing this skill. We discuss how a behavioral methodology indexing infants' online learning would be valuable in furthering understanding of infants' (as well as adults') abstract rule learning and its neurophysiological concomitants. We outline current research aimed at developing such an index, and we propose future research, pairing such techniques with neurophysiological methods, aimed at shining more light on human skill at discovering structure. PMID:24851348

  7. Human Milk for Preterm Infants and Fortification.

    Science.gov (United States)

    Bhatia, Jatinder

    2016-01-01

    Breastfeeding is universally accepted as the preferred feeding for all newborn infants, including premature infants. The World Health Organization, American Academy of Pediatrics, Canadian Pediatric Society and the European Society for Pediatric Gastroenterology, Hepatology and Nutrition, among others, recommend exclusive breastfeeding for the first 6 months in term infants, while complementary feeding is introduced over the next several months. However, for preterm infants, fortification is recommended to meet requirements. Human milk composition varies with the duration of lactation, within a day and even during one expression, and composition may be altered by method of storage and pasteurization. In this monograph, the use of human milk for premature infants, its limitations, strategies to overcome said limitations and follow-up studies will be reviewed. PMID:27347886

  8. Heart size in new born infants

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Soo Won; Yu, Yun Jeong; Chung, Hye Kyung [Eul-ji General Hospital, Seoul (Korea, Republic of)

    1985-10-15

    Cardiac size of 291 new-bone infants was measured using the method illustrated on Fig 1. Among the 291 infants, 53 were asphyxiated, and asphyxia was only regarded from Apgar score below 6 on 1 min. and 5 min. Remaining 238 infants were normal, and classified to group with lung abnormalities and without lung abnormalities on chest A-P film. The results are as follows; 1. The average CTR. of normal group was 52.37. (C/T1; 54.89, C/T2; 49.43, C/T3; 49.15, C/T4;55.97) 2. The average CTR. of asphyxiated group was 54.91 (C/T1; 57.13, C/T2; 51.69, C/T3; 51.94, C/T4;58.25) 3. Consequently, asphyxiated infants revealed larger cardiac size than normal infant group.

  9. Infant mortality rates declining, but still high.

    Science.gov (United States)

    Hoffman, M

    1992-10-01

    Family planning can improve infant survival. Specifically, use of family planning methods can minimize family size, increase birth spacing, and reduce the likelihood of pregnancy for teenagers and women aged 40 or older. Immunizations and oral rehydration are responsible for the falling infant mortality rats since 1977 in developing countries, especially among 1-12 month old infants. Yet, neonatal mortality in developing countries had not changed. WHO intends to step up efforts to improve newborn survival. Accurate data are needed, however. Even in developed countries which keep good statistics, infant mortality bias exists. For example, in Japan, some infant deaths are called fetal deaths. In developing countries, much of the data come from hospitals, yet most birth do not occur in hospitals. Even in surveys, bias exists, such as problems with recall. Many researchers use traditional birth attendants (TBAs) to follow up on all births in an area which may eliminate some biases. Such a prospective and longitudinal study in Trairi county in northeastern Brazil shows the infant mortality rate to be less than half of the official rate (65 vs. 142). The major causes of infant death in developed countries, which tends to occur in the neonatal period, are low birth weight, prematurity, birth complications, and congenital defects; developing countries; they are vaccine preventable infectious diseases, diarrhea and dehydration, and respiratory illnesses, all complicated by malnutrition. To make further strides in reducing infant mortality, public health workers must concentrate on the neonatal period. Training TBAs in sterile techniques, appropriate technology, resuscitation of infants, and identification of potential problems is a positive step. Yet, unpredictable conditions (e.g., AIDS) exist and/or will arise which erode improvements. For example, in Nicaragua, within 1 year after the new government introduced health budget cuts which resulted in the poor paying for

  10. Infant Respiratory Outcomes Associated with Prenatal Exposure to Maternal 2009 A/H1N1 Influenza Vaccination

    Science.gov (United States)

    Fell, Deshayne B.; Wilson, Kumanan; Ducharme, Robin; Hawken, Steven; Sprague, Ann E.; Kwong, Jeffrey C.; Smith, Graeme; Wen, Shi Wu; Walker, Mark C.

    2016-01-01

    Background Infants are at high risk for influenza illness, but are ineligible for vaccination before 6 months. Transfer of maternal antibodies to the fetus has been demonstrated for 2009 A/H1N1 pandemic vaccines; however, clinical effectiveness is unknown. Our objective was to evaluate the association between 2009 A/H1N1 pandemic vaccination during pregnancy and rates of infant influenza and pneumonia. Methods We linked a population-based birth cohort to administrative databases to measure rates of influenza and pneumonia diagnosed during ambulatory physician visits, hospitalizations and emergency department visits during one year of follow-up. We estimated incidence rate ratios and 95% confidence intervals (95% CI) using Poisson regression, comparing infants born to A/H1N1-vaccinated women (vaccine-exposed infants) with unexposed infants, adjusted for confounding using high-dimensional propensity scores. Results Among 117,335 infants in the study, 36,033 (31%) were born to A/H1N1-vaccinated women. Crude rates of influenza during the pandemic (per 100,000 infant-days) for vaccine-exposed and unexposed infants were similar (2.19, 95% CI: 1.27–3.76 and 3.60, 95% CI: 2.51–5.14, respectively), as were crude rates of influenza and pneumonia combined. We did not observe any significant differences in rates of study outcomes between study groups during the second wave of the 2009 A/H1N1 pandemic, nor during any post-pandemic time period. Conclusion We observed no difference in rates of study outcomes among infants born to A/H1N1-vaccinated mothers relative to unexposed infants born during the second A/H1N1 pandemic wave; however, due to late availability of the pandemic vaccine, the available follow-up time during the pandemic time period was very limited. PMID:27486858

  11. Development of Translational Methods in Spectral Analysis of Human Infant Crying and Rat Pup Ultrasonic Vocalizations for Early Neurobehavioral Assessment

    OpenAIRE

    Philip Sanford Zeskind; McMurray, Matthew S.; Kristin Ann Garber; Juliana Miriam Neuspiel; Elizabeth Thomas Cox; Grewen, Karen M.; Mayes, Linda C.; Johns, Josephine M.

    2011-01-01

    The purpose of this article is to describe the development of translational methods by which spectrum analysis of human infant crying and rat pup ultrasonic vocalizations (USVs) can be used to assess potentially adverse effects of various prenatal conditions on early neurobehavioral development. The study of human infant crying has resulted in a rich set of measures that has long been used to assess early neurobehavioral insult due to non-optimal prenatal environments, even among seemingly he...

  12. Infants-feeding practices and their relationship with socio-economic and health conditions in Lahore, Pakistan

    OpenAIRE

    Saadia Ijaz; Tayyaba Ijaz; Raja Kamran Afzal; Muhammad Masood Afzal; Osama Mukhtar; Nayab Ijaz

    2015-01-01

    Background: Pakistan, has high infant mortality rate. Among every 1000 live births 0.76% becomes the victim of death due to malnutrition and fatal infections. Therefore, feeding modes and practices may serve as important factors for assessment of an infant's growth and nutritional status. This study was designed to assess the exclusive breast feeding rate, frequency of diseases during breast feeding, status of breast feeding along with weaning, level of education, occupation and socio-economi...

  13. [Treatment of burns in infants].

    Science.gov (United States)

    Foyatier, J L; Latarjet, J; Comparin, J P; Zaragori, M; Robert, A; Braye, F; Weill, E; Masson, C L

    1995-10-01

    Because of the potential severity of their residual deformities, burn injuries in infants justify an early management in specialized centres when they cover more than 5% of body surface and in every case when hands, face, or external genitalia are concerned. Cooling with cold water is the first aid treatment to be performed as early as possible after the injury. The treatment in specialized centres must be both general and surgical. General treatment includes fluid and electrolyte therapy, temperature control, appropriate nutrition and pain suppression. Pain suppression is a major part of the treatment and morphine must be largely used. Surgical treatment starts as soon as the patient arrives in the centre and is eventually performed under general anesthesia: all the burned areas are covered with occlusive dressings. Infections are prevented by systematic cultures and adjusted antibiotic therapy. A vigorous rehabilitation program must be instituted as soon as possible: massages, compressive clothes, splints, physical therapy, plastic surgery. Primary prevention by sustained parental education is important in order to reduce the frequency of burn injuries in infants.

  14. Non-immune hydrops fetalis: Clinical experience in newborn infants

    Directory of Open Access Journals (Sweden)

    Pejić Katarina

    2011-01-01

    Full Text Available Introduction. Non-immune hydrops fetalis is a condition of excessive accumulation of extravascular fluid without identifiable circulating antibody to erythrocytes membrane antigens. In newborn infants it is characterized by skin oedema and pleural, pericardial or peritoneal effusion. In the era of routine Rh immunization for the prevention of foetal erythroblastosis, non-immune pathophysiologic mechanisms are presented in 76-87% of all hydropic newborns. Non-immune hydrops fetalis can be associated with numerous and various disorders. The mortality rate may exceed 50%. This study was aimed at presenting our clinical experience in treating newborn infants with non-immune hydrops fetalis. Material and methods. A retrospective-prospective study included newborn infants with non-immune hydrops fetalis, who were treated in the Neonatal Intensive Care Unit of Mother and Child Health Institute of Serbia between January 1, 2001 and October 31, 2010. All valid data about aetiology, diagnosis, clinical course and outcome were recorded. Results. The diagnosis of non-immune hydrops fetalis was made in 11 newborns. The etiologic diagnosis was established in 8 patients: anaemia due to fetomaternal transfusion in 4 patients and conatal cytomegalovirus infection, intracranial haemorrhage, isolated pulmonary lymphangiectasia and diffuse skin and mediastinal lymphangiomatosis in the remaining 4 patients. Conclusion. Non-immune hydrops of newborn infant is associated with a high mortality rate and requires complex diagnostic and therapeutic procedures. An optimal management of neonates with non-immune hydrops fetalis demands a multidisciplinary approach to the treatment in a neonatal intensive care unit.

  15. Technical Due Diligence

    DEFF Research Database (Denmark)

    Jensen, Per Anker; Varano, Mattia

    2011-01-01

    Technical Due Diligence (TDD) as an evaluation of the performance of constructed facilities has become an important new field of practice for consultants. Before the financial crisis started in autumn 2008 it represented the fastest growing activity in some consulting companies. TDD is mostly...... carried out for buyers or sellers involved in real estate transactions. It can also be part of mergers including real estate and other assets or part of facilities management outsourcing. This paper is based on a case study and an interview survey of companies involved in TDD consulting in Denmark......, the investigation of current practice also identifies examples of value adding practices, which can give the companies in question competitive advantages by differentiation and/or give input to improvements of the recommended practice guidelines....

  16. Nutritional recommendations for the late-preterm infant and the preterm infant after hospital discharge.

    Science.gov (United States)

    Lapillonne, Alexandre; O'Connor, Deborah L; Wang, Danhua; Rigo, Jacques

    2013-03-01

    Early nutritional support of preterm infants is critical to life-long health and well being. Numerous studies have demonstrated that preterm infants are at increased risk of mortality and morbidity, including disturbances in brain development. To date, much attention has focused on enhancing the nutritional support of very low and extremely low birth weight infants to improve survival and quality of life. In most countries, preterm infants are sent home before their expected date of term birth for economic or other reasons. It is debatable whether these newborns require special nutritional regimens or discharge formulas. Furthermore, guidelines that specify how to feed very preterm infants after hospital discharge are scarce and conflicting. On the other hand, the late-preterm infant presents a challenge to health care providers immediately after birth when decisions must be made about how and where to care for these newborns. Considering these infants as well babies may place them at a disadvantage. Late-preterm infants have unique and often-unrecognized medical vulnerabilities and nutritional needs that predispose them to greater rates of morbidity and hospital readmissions. Poor or inadequate feeding during hospitalization may be one of the main reasons why late-preterm infants have difficulty gaining weight right after birth. Providing optimal nutritional support to late premature infants may improve survival and quality of life as it does for very preterm infants. In this work, we present a review of the literature and provide separate recommendations for the care and feeding of late-preterm infants and very preterm infants after discharge. We identify gaps in current knowledge as well as priorities for future research. PMID:23445854

  17. 6月龄赤点石斑鱼主要形态性状与体质量的相关分析%Correlation Analysis of Main Morphological Traits with Body Weight of 6 Month Old Redspotted Grouper Epinephelus akaara

    Institute of Scientific and Technical Information of China (English)

    周绍峰; 黄伟卿; 周瑞发; 谢友亮; 夏道演; 史辉

    2015-01-01

    The path coefficientand determ ination coefficientw ere calculated via path analysis correlation ofm orphologicalcharacter-istics w ith body w eightin 6-m onth-old redspotted grouperEpinephelus akaara.The m orphologicaltraits including body w eight,total length,body length,body heightand head length w ere show n to have jointly significance level (P<0.01).Itw as found thatthere w as differenteffectofthe m orphologicaltraits on body w eight,totallength having the greatestdirecteffecton body w eight,w ith the path coefficientof0.611,the totallength and head length (0.4137)having a decisive influence on body w eight.The totaldecision coeffi-cientofvarious characters to body w eightw as found to be 0.9241,indicating thatthe m orphologicalcharacters selected here are the m ain body w eight properties.In selection breeding of redspotted grouper at this phase,total length,body height, and body length should be considered forthe indirectselective breeding ofbody w eight.%采用通径分析方法,以体质量为依变量,其他主要形态性状为自变量计算了6月龄赤点石斑鱼Epinephelus akaara 形态特征的通径系数和决定系数。结果表明:体质量、全长、体长、体高和头长间两两呈现极显著差异水平(P<0.01);各性状对体质量的直接影响不同,全长对体质量的直接作用最大,通径系数为0.611,全长与头长(0.4137)共同对体质量起主要决定作用。所测各性状对体质量的总决定系数为0.9241,表明所选性状是影响体质量的主要性状;对该阶段赤点石斑鱼进行以体质量为主的选择育种,可以体质量为主,结合全长、体长和体高进行选择育种。

  18. Vestibular Stimulation and Development of the Small Premature Infant.

    Science.gov (United States)

    Neal, Mary V.

    This study was designed to explore the effects of vestibular stimulation on the developmental behavior, respiratory functioning, weight and length gains, and morbidity and mortality rates of premature infants. A total of 20 infants participated in this study in 4 groups of 5 infants each. Group A infants were placed in a motorized hammock within…

  19. Breastfeeding and the Mother-Infant Relationship--A Review

    Science.gov (United States)

    Jansen, Jarno; de Weerth, Carolina; Riksen-Walraven, J. Marianne

    2008-01-01

    A positive effect of breastfeeding on the mother-infant relationship is often assumed in the scientific literature, but this has not been systematically reviewed. This review aims to clarify the role of breastfeeding in the mother-infant relationship, which is conceptualized as the maternal bond toward the infant and infant attachment toward the…

  20. Marital Aggression Predicts Infant Orienting toward Mother at Six Months

    OpenAIRE

    Parade, Stephanie H.; Leerkes, Esther M.

    2011-01-01

    Links between marital aggression and infant orienting toward mother in fearful and frustrating contexts were examined in 92 mother-infant dyads when infants were 6 months. Results demonstrated that marital aggression was linked with less orienting toward mothers in frustrating situations, in fearful situations marital aggression was linked with less orienting among infants who were high on fear reactivity only.

  1. Spontaneously resolving macular cyst in an infant

    Directory of Open Access Journals (Sweden)

    Anuradha Ganesh

    2013-01-01

    Full Text Available The purpose of this study is to describe transient macular cysts in an infant and correlate their occurrence with normal development events. A newborn Caucasian girl presented with a protruding corneal mass in her left eye at birth. She underwent a complete ophthalmic examination. A keratinized staphylomatous malformation involving the entire cornea and precluding further visualization of the anterior and posterior segment was observed in the left eye. Spectral domain optical coherence tomography (SD-OCT of the right eye performed when the child was approximately 6-week-old had revealed an unexpected finding of macular cysts involving the inner nuclear and outer retinal layers. Corneal transplant in the left eye was performed a month later. Ocular examination under anesthesia just prior to surgery revealed normal intraocular pressure, anterior segment and retina in the right eye. SD-OCT was normal in both eyes and showed complete resolution of the cysts in the right eye. The patient had not been on any medications at that time. Although clinical retinal examination might be unremarkable, SD-OCT may reveal cystic spaces in the macula. In the absence of conditions known to be associated with macular edema, transient macular cysts may arise due to a developmental incompetence of the blood-retinal barrier or may represent transient spaces created during normal migration of retinal cells. Further study is warranted to delineate the entity of transient macular cysts in infancy.

  2. Controversies Surrounding Clostridium difficile Infection in Infants and Young Children

    Directory of Open Access Journals (Sweden)

    Maribeth R. Nicholson

    2014-06-01

    Full Text Available Clostridium difficile is a frequent cause of antibiotic-associated diarrhea in adults and older children. However, as many as 80% of infants can be asymptomatically colonized. The reasons for this have not been well established but are believed to be due to differences in toxin receptors or toxin internalization. Determining which children who test positive for C. difficile warrant treatment is exceedingly difficult, especially in the setting of increased rates of detection and the rising risk of disease in children lacking classic risk factors for C. difficile.

  3. Infective Endocarditis and Aortic Valve Abscess in an Infant.

    Science.gov (United States)

    Williamson, Kristy A; Gmuca, Sabrina; Rosman, Eliyahu C; Thomas, Philomena

    2015-09-01

    Infective endocarditis is relatively uncommon in the pediatric population, but when it does occur, results in substantial morbidity and mortality. Children at risk for endocarditis are typically those with an underlying congenital heart condition. Furthermore, an endocardial abscess is a very rare yet serious complication of infective endocarditis. We describe a case of a 23-month-old previously healthy male infant with no known congenital heart disease who returned to the emergency department after a recent hospitalization for pneumococcal bacteremia, presenting acutely ill but without fever. He was found to be in congestive heart failure due to endocarditis and an aortic root abscess.

  4. [Severe vitamin B12 deficiency in infants breastfed by vegans].

    Science.gov (United States)

    Roed, Casper; Skovby, Flemming; Lund, Allan Meldgaard

    2009-10-19

    Weight loss and reduction of motor skills resulted in paediatric evaluation of a 10-month-old girl and a 12-month-old boy. Both children suffered form anaemia and delayed development due to vitamin B12 deficiency caused by strict maternal vegan diet during pregnancy and nursing. Therapy with cyanocobalamin was instituted with remission of symptoms. Since infants risk irreversible neurologic damage following severe vitamin B12 deficiency, early diagnosis and treatment are mandatory. Vegan and vegetarian women should take vitamin B12 supplementation during the pregnancy and nursing period.

  5. Pacifier Use, Finger Sucking, and Infant Sleep.

    Science.gov (United States)

    Butler, Rachel; Moore, Melisa; Mindell, Jodi A

    2016-01-01

    Few studies to date have investigated the relationship between pacifier use or finger sucking and infant sleep. One hundred and four mothers of infants (ages 0-11 months) completed the Brief Infant Sleep Questionnaire (BISQ). Infants who engaged in finger sucking had fewer night wakings and longer stretches of nighttime sleep, although less daytime sleep. There were no significant differences in sleep patterns between pacifier users and infants who did not engage in nonnutritive sucking. Furthermore, no significant differences were found across groups for sleep ecology, including parental involvement at bedtime and following night wakings. Finally, infants were consistently able to retrieve their pacifiers independently by 7 months of age, although this did not appear to be associated with sleep outcomes. Results suggest that when parents are deciding whether to give their infant a pacifier, sleep may not be a critical factor. In contrast, parents of finger and thumb suckers should be reassured that this nonnutritive sucking is beneficial to sleep, at least in the first year of life. PMID:26548755

  6. MANAGEMENT ALTERNATIVES FOR INFANT COLIC (IN SPANISH

    Directory of Open Access Journals (Sweden)

    González-Coquel Suanny del Carmen

    2014-01-01

    Full Text Available Introduction: infant colic is a frequent problem in pediatric consultation, it has a prevalence from 15 to 40% in children younger than four months old, independently of the type of breast feeding administered. It usually generates anxiety to carers and even to pediatricians. Objective: to identify which one is the best alternative for infantile colic management. Methodology: a search was realized on the web in different databases of scientific articles. Systematic reviews, clinical trials and abstracts were considered. There were analyzed the different alternatives proposed for the managing of colic. RESULTS: infantile colic is multifactorial. Treatment options include the use of milkbased extensively hydrolyzed protein, lactose-free milk or soy protein-based, behavioral therapy, breastfeeding and use of drugs as: simethicone, dicyclomine and probiotics. Milks based on extensively hydrolyzed proteins are effective in infants with atopy history. Soy milk can generate unwanted effects in the reproductive system and crossreactive with proteins in cow’s milk effects, which is not recommended. Some studies have showed the efficiency of dicyclomine, nevertheless, it has important adverse effects. Administration of Lactobacillus reuteri has shown efficacy and appears to be an important therapeutic. CONCLUSION: changes in infant formula, drugs, behavioral measures and recently probiotics (L. Reuteri are proposed and recommended for an undefined cause benign and self-limited course. Rev.cienc.biomed. 2014;5(1:100-106 KEYWORDS Colic, Infant, Infant care, Infant welfare, Infant nutrition.

  7. Speech vs. singing: infants choose happier sounds.

    Science.gov (United States)

    Corbeil, Marieve; Trehub, Sandra E; Peretz, Isabelle

    2013-01-01

    Infants prefer speech to non-vocal sounds and to non-human vocalizations, and they prefer happy-sounding speech to neutral speech. They also exhibit an interest in singing, but there is little knowledge of their relative interest in speech and singing. The present study explored infants' attention to unfamiliar audio samples of speech and singing. In Experiment 1, infants 4-13 months of age were exposed to happy-sounding infant-directed speech vs. hummed lullabies by the same woman. They listened significantly longer to the speech, which had considerably greater acoustic variability and expressiveness, than to the lullabies. In Experiment 2, infants of comparable age who heard the lyrics of a Turkish children's song spoken vs. sung in a joyful/happy manner did not exhibit differential listening. Infants in Experiment 3 heard the happily sung lyrics of the Turkish children's song vs. a version that was spoken in an adult-directed or affectively neutral manner. They listened significantly longer to the sung version. Overall, happy voice quality rather than vocal mode (speech or singing) was the principal contributor to infant attention, regardless of age. PMID:23805119

  8. Effect of tilting on cerebral hemodynamics in preterm and term infants

    NARCIS (Netherlands)

    Pichler, G; van Boetzelar, MC; Muller, W; Urlesberger, B

    2001-01-01

    Tilting is known to cause changes in hemodynamics due to hydrostatic pressure. The present study is an analysis of changes in cerebral hemodynamics measured by near infrared spectroscopy (NIRS) following tilting up and down in preterm and term infants. A significantly different effect of tilting up

  9. Is near-infrared spectroscopy clinically useful in the preterm infant?

    DEFF Research Database (Denmark)

    da Costa, Cristine Sortica; Greisen, Gorm; Austin, Topun

    2015-01-01

    Near-infrared spectroscopy (NIRS) has been used to study cerebral haemodynamics and oxygenation in the preterm infant for many years, but its use as a clinical tool has remained elusive. This has partly been due to the challenges of providing a continuous quantitative measurement that is valid...

  10. Limb defects and congenital anomalies of the genitalia in an infant with homozygous alpha-thalassemia.

    Science.gov (United States)

    Abuelo, D N; Forman, E N; Rubin, L P

    1997-01-20

    We describe an infant with homozygous alpha-thalassemia, genital abnormalities, and terminal transverse limb defects, whose limbs demonstrate evidence of loss of tissue and abnormal morphogenesis. We propose these defects were due to either severe fetal anemia or to vascular occlusion by abnormal erythrocytes, resulting in hypoxia of the developing distal limbs and genitalia.

  11. Effects of low humidity on small premature infants in servocontrol incubators. II. Increased severity of apnea.

    Science.gov (United States)

    Belgaumkar, T K; Scott, K E

    1975-01-01

    Apneic spells were recorded in 8 of 19 premature infants nursed in high and low humidity alternately in servocontrol incubators. A significantly greater proportion of severe apnea occurred in low than in high humidity. It is postulated that this frequency and severity was due to the increased (as well as widely fluctuating) ambient temperature during low humidity.

  12. Twelve-month-old infants anticipatorily plan their actions according to expected object weight in a novel motor context

    Directory of Open Access Journals (Sweden)

    Michaela Boone Upshaw

    2015-02-01

    Full Text Available Planning actions in anticipation of object weight is fundamental to skilled action production. The present study investigated whether infants can apply weight information gained from direct actions on objects in order to plan their actions according to object weight in a novel and indirect motor context. In the present study, two groups of 12-month-old infants were provided with experience acting directly on two blocks of different weights and colors (70 g versus 470 g; red versus yellow. Subsequently, infants were administered a novel task in which the same blocks (standard condition; n = 60, or blocks of the reversed color-weight pairings (switch condition; n = 60, were placed out-of-reach, on top of a cloth, and infants were encouraged to retrieve the block by acting on the cloth. Infants in the switch condition produced more failed cloth pulls when retrieving the 470 g block, due to inadequate generation of anticipatory force, relative to infants in the standard condition. This demonstrates that infants’ force on the cloth was prospectively generated based on their mental representation of the supported block’s weight, which was formed through their previous direct actions on the object. Thus, infants use information about the weight of an object in order to anticipate how to obtain that object in a novel and indirect problem-solving context.

  13. Preventing infant abductions: an infant security program transitioned into an interdisciplinary model.

    Science.gov (United States)

    Hiner, Jacqueline; Pyka, Jeanine; Burks, Colleen; Pisegna, Lily; Gador, Rachel Ann

    2012-01-01

    Ensuring the safety of infants born in a hospital is a top priority and, therefore, requires a solid infant security plan. Using an interdisciplinary approach and a systematic change process, nursing leadership in collaboration with clinical nurses and security personnel analyzed the infant security program at this community hospital to identify vulnerabilities. By establishing an interdisciplinary approach to infant security, participants were able to unravel a complicated concept, systematically analyze the gaps, and agree to a plan of action. This resulted in improved communication and clarification of roles between the nursing and security divisions. Supply costs decreased by 17.4% after the first year of implementation. Most importantly, this project enhanced and strengthened the existing infant abduction prevention measures, hard wired the importance of infant security, and minimized vulnerabilities. PMID:22293642

  14. Review of Infant Feeding: Key Features of Breast Milk and Infant Formula

    Directory of Open Access Journals (Sweden)

    Camilia R. Martin

    2016-05-01

    Full Text Available Mothers’ own milk is the best source of nutrition for nearly all infants. Beyond somatic growth, breast milk as a biologic fluid has a variety of other benefits, including modulation of postnatal intestinal function, immune ontogeny, and brain development. Although breastfeeding is highly recommended, breastfeeding may not always be possible, suitable or solely adequate. Infant formula is an industrially produced substitute for infant consumption. Infant formula attempts to mimic the nutritional composition of breast milk as closely as possible, and is based on cow’s milk or soymilk. A number of alternatives to cow’s milk-based formula also exist. In this article, we review the nutritional information of breast milk and infant formulas for better understanding of the importance of breastfeeding and the uses of infant formula from birth to 12 months of age when a substitute form of nutrition is required.

  15. Parental responsibility and the Infant Bioethics Committee.

    Science.gov (United States)

    Fleischman, A R

    1990-01-01

    The prognosis is not good for an infant whose entire intestine has been destroyed by necrotizing enterocolitis. An infant bioethics committee is asked to advise whether the parents should be offered the option of total parenteral intravenous nutrition, with its ultimately fatal complications, for their child. Committee members agree that the option of intravenous feeding should be offered, and that it is morally acceptable for the parents to refuse it. Fleischman reviews the issues that an infant bioethics committee must consider when it is asked to help decide what treatment options will be discussed with the family of a seriously ill neonate. PMID:2108103

  16. [Infant psychiatry - more reality than tale].

    Science.gov (United States)

    Puura, Kaija; Tamminen, Tuula

    2016-01-01

    In early childhood, the ability of the parent and the child to adapt to each other's needs during early interaction is essential for a healthy mental development.The parent's ability to carry out adequate early interaction may be compromised because of various problems. Positive, shared emotional experiences with the parent can protect the child's mental health. Severe or prolonged problems in baby care, interaction or behavior of the infant may result in the development of a psychic disorder in the infant. Infant psychiatric diagnosis and treatment plan are based on clinical examination of the child and the family and evaluation of the need for support. PMID:27382831

  17. Radiodiagnosis of meconial diseases in infants

    International Nuclear Information System (INIS)

    An analysis of X-ray data on 21 infants with meconial diseases including 7 with meconial peritonitis, 2 with colon perforation (1) and appendix perforation (1) resulting from Hirschprung's disease, 10 with intestimal obstruction and 2 with the meconium plung syndrome was performed. Obstruction type was correctly established in 13 infants. Methods of examination of infants with low intestinal obstruction permitting one to raise diagnostic accuracy, were presented. Expediency of conservative treatment of meconial obstruction with gastrografin was shown basing on literature data

  18. The nasogastric tube syndrome in infants.

    Science.gov (United States)

    Harmon, Jeffrey; Balakrishnan, Karthik; de Alarcon, Alessandro; Hart, Catherine K

    2014-05-01

    This series of three patients is the first description of the presentation, clinical course, and endoscopic findings of nasogastric tube-related airway distress, or nasogastric tube syndrome, in infants. We identify key differences in disease features from those described in adults, based on our literature review. Specifically, infant nasogastric tube syndrome presented as significant respiratory distress and postcricoid inflammation without vocal fold immobility. Symptoms resolved more quickly (mean±SD, 2±1 days) than reported in adults. We suggest that nasogastric tube syndrome should be considered in infants with otherwise unexplained respiratory distress, even in the absence of impaired vocal fold mobility.

  19. Speech versus singing: Infants choose happier sounds

    OpenAIRE

    Marieve eCorbeil; Trehub, Sandra E.; Isabelle ePeretz

    2013-01-01

    Infants prefer speech to non-vocal sounds and to non-human vocalizations, and they prefer happy-sounding speech to neutral speech. They also exhibit an interest in singing, but there is little knowledge of their relative interest in speech and singing. The present study explored infants’ attention to unfamiliar audio samples of speech and singing. In Experiment 1, infants 4-13 months of age were exposed to happy-sounding infant-directed speech versus hummed lullabies by the same woman. They l...

  20. Neonatal osteomyelitis in Nigerian infants

    International Nuclear Information System (INIS)

    Twenty-seven Nigerian infants with osteomyelitis are presented during the first 28 days of life to highlight the severity of the clinical manifestations and the radiological features of this infection. The clinical signs inlcude limitation of movement of the extremities involved and localised swelling. Severe constitutional changes such as fever (>390C) and abdominal distension were common. This contrasts with results from North America and Europe which emphasize the paucity of clinical signs despite involvement of multiple sites. Multiple site involvement was encountered in only eight cases. Staphylococcus aureus, proteus mirabilis and candida albicans were the main pathogens isolated. The long bones were more frequently affected. Aggressive bone destruction was a constant radiological finding peculiar to Staphylococcal osteomyelitis while the formation of Sequestrum, are rare occurrence in the newborn, was present in six patients. The mortality rate was 7.4% and the morbidity rate was equally low. (orig.)

  1. Neonatal osteomyelitis in Nigerian infants

    Energy Technology Data Exchange (ETDEWEB)

    Omene, J.A.; Okolo, A.A.; Odita, J.C.

    1984-07-01

    Twenty-seven Nigerian infants with osteomyelitis are presented during the first 28 days of life to highlight the severity of the clinical manifestations and the radiological features of this infection. The clinical signs include limitation of movement of the extremities involved and localised swelling. Severe constitutional changes such as fever (>39/sup 0/C) and abdominal distension were common. This contrasts with results from North America and Europe which emphasize the paucity of clinical signs despite involvement of multiple sites. Multiple site involvement was encountered in only eight cases. Staphylococcus aureus, proteus mirabilis and candida albicans were the main pathogens isolated. The long bones were more frequently affected. Aggressive bone destruction was a constant radiological finding peculiar to Staphylococcal osteomyelitis while the formation of Sequestrum, are rare occurrence in the newborn, was present in six patients. The mortality rate was 7.4% and the morbidity rate was equally low.

  2. Lamotrigine Effects on Breastfed Infants

    Directory of Open Access Journals (Sweden)

    Hosein Dalili

    2015-10-01

    Full Text Available Lamotrigine is a safe anti-epileptic drug among pregnant and lactating women. Some concerns exist regarding the safety of lamotrigine during breastfeeding and related neonatal complications. In this brief review, this matter was evaluated and discussed. In this review study, the medical literature available in search databases such as Embase, Scopus, PubMed, and Medline and even also local medical search engines were evaluated. The results indicated that lamotrigine is a safe anti-epileptic drug for breastfeeding women with rare and usually mild adverse effects among neonates exposed to high milk concentration of this drug and its metabolites. However, close periodical monitoring for infants whose mothers are utilizing lamotrigine is recommended to decrease the probability of severe side effects among them.

  3. Progress in developing an infant and child feeding index

    OpenAIRE

    Arimond, Mary; Ruel, Marie T.

    2002-01-01

    "Feeding practices are an important determinant of the nutritional status of infants and children. It is therefore useful to measure and describe infant and child feeding practices in a number of contexts. Such measurements could enable (1) international comparisons of the adequacy of infant and child feeding, (2) research linking infant and child feeding to determinants or outcomes, (3) advocacy regarding the importance of adequate infant and child feeding, and (4) monitoring and evaluation ...

  4. Relationship between maternal contingent responsiveness and infant social expectations

    OpenAIRE

    Mcquaid, Nancy Ella

    2007-01-01

    This study investigated the relationship between maternal contingent responsiveness and 4- and 5-month-old infants' (N = 61) social expectation behaviour in a Still Face procedure. Mothers were asked to interact with their infants for 2 minutes (Interactive phase), remain still-faced for 1 minute (Still Face phase), and resume interaction for 2 minutes. Mother and infant behaviour was assessed for the frequency of infant and mother smiles, mother smiles that were contingent to infant smiles d...

  5. Motor Developmental Status of Moderately Low Birth Weight Preterm Infants

    OpenAIRE

    TAVASOLI, Azita; Aliabadi, Faranak; Eftekhari, Rooholah

    2014-01-01

    Objective: Motor development is frequently reported to be impaired in very low birth weight (VLBW) infants, but little is known about the moderately low birth weight (MLBW) infants. The aim of this study was to investigate whether MLBW preterm infants present developmental delay. Methods: In a historical cohort study, 18±2 month-old infants with a history of low birth weight (LBW) were identified. All infants with complications of LBW with negative effects on development were excluded. Health...

  6. Management of inguinal hernia in premature infants: 10-year experience

    OpenAIRE

    Stanley John Crankson; Khalil Al Tawil; Mohammad Al Namshan; Saud Al Jadaan; Beverly Jane Baylon; Mutaz Gieballa; Ibrahim Hakim Ahmed

    2015-01-01

    Aim: Debatable issues in the management of inguinal hernia in premature infants remain unresolved. This study reviews our experience in the management of inguinal hernia in premature infants. Materials and Methods: Retrospective chart review of premature infants with inguinal hernia from 1999 to 2009. Infants were grouped into 2: Group 1 had repair (HR) just before discharge from the neonatal intensive care unit (NICU) and Group 2 after discharge. Results: Eighty four premature infants were i...

  7. Multiple sevoflurane exposures in infant monkeys do not impact the mother-infant bond.

    Science.gov (United States)

    Raper, Jessica; Bush, Angela; Murphy, Kathy L; Baxter, Mark G; Alvarado, Maria C

    2016-01-01

    Exposure to general anesthesia during the postnatal period is associated with death of brain cells as well as long-term impairments in cognitive and emotional behavior in animal models. These models are critical for investigating mechanisms of pediatric anesthetic neurotoxicity as well as for testing potential strategies for preventing or mitigating this toxicity. Control conditions for anesthesia exposure involve separation of conscious infants from their mothers for variable periods of time, which could have its own effect on subsequent behavior because of stress to the mother and/or infant as a consequence of separation.We are conducting a long-term study of infant rhesus monkeys exposed three times for 4h each to sevoflurane anesthesia during the first six postnatal weeks, with a comparison condition of control infant monkeys that undergo brief maternal separations on the same schedule, to equate the period of time each infant is conscious and separated from its mother. Because mothers are separated from their infants longer for infants in the anesthesia condition, this could modify maternal behavior toward the infant, which may influence subsequent socioemotional behavior in the infants. In this study, we analyzed maternal behavior immediately after the first post-anesthesia (or control) reunion, as well as during reintroduction of the mother-infant pair to the larger social group 24 hpost-anesthesia or control separation, and found no differences between the conditions with mothers spending most of their time in contact with infants in all conditions analyzed. This indicates that the different durations of maternal separation in this study design do not impact the mother-infant bond, strengthening conclusions that subsequent differences in behavior between monkeys exposed to anesthesia compared to controls are a consequence of anesthesia exposure and not differential maternal behavior in the two conditions. PMID:26878984

  8. Supervised and semi-supervised infant-directed speech classification for parent-infant interaction analysis

    OpenAIRE

    Mahdhaoui, Ammar; Chetouani, Mohamed

    2011-01-01

    Abstract This paper describes the development of an infant-directed speech discrimination system for parent-infant interaction analysis. Different feature sets for emotion recognition were investigated using two classification techniques: supervised and semi-supervised. The classification experiments were carried out with short pre-segmented adult-directed speech and infant-directed speech segments extracted from real-life family home movies (with durations typically between 0.5 s ...

  9. Costs and Infant Outcomes After Implementation of a Care Process Model for Febrile Infants

    Science.gov (United States)

    Reynolds, Carolyn C.; Korgenski, Kent; Sheng, Xiaoming; Valentine, Karen J.; Nelson, Richard E.; Daly, Judy A.; Osguthorpe, Russell J.; James, Brent; Savitz, Lucy; Pavia, Andrew T.; Clark, Edward B.

    2012-01-01

    OBJECTIVE: Febrile infants in the first 90 days may have life-threatening serious bacterial infection (SBI). Well-appearing febrile infants with SBI cannot be distinguished from those without by examination alone. Variation in care resulting in both undertreatment and overtreatment is common. METHODS: We developed and implemented an evidence-based care process model (EB-CPM) for the management of well-appearing febrile infants in the Intermountain Healthcare System. We report an observational study describing changes in (1) care delivery, (2) outcomes of febrile infants, and (3) costs before and after implementation of the EB-CPM in a children’s hospital and in regional medical centers. RESULTS: From 2004 through 2009, 8044 infants had 8431 febrile episodes, resulting in medical evaluation. After implementation of the EB-CPM in 2008, infants in all facilities were more likely to receive evidence-based care including appropriate diagnostic testing, determination of risk for SBI, antibiotic selection, decreased antibiotic duration, and shorter hospital stays (P < .001 for all). In addition, more infants had a definitive diagnosis of urinary tract infection or viral illness (P < .001 for both). Infant outcomes improved with more admitted infants positive for SBI (P = .011), and infants at low risk for SBI were more often managed without antibiotics (P < .001). Although hospital admissions were shortened by 27%, there were no cases of missed SBI. Health Care costs were also reduced, with the mean cost per admitted infant decreasing from $7178 in 2007 to $5979 in 2009 (−17%, P < .001). CONCLUSIONS: The EB-CPM increased evidence-based care in all facilities. Infant outcomes improved and costs were reduced, substantially improving value. PMID:22732178

  10. Comparison of the Effect of Two Human Milk Fortifiers on Clinical Outcomes in Premature Infants

    Directory of Open Access Journals (Sweden)

    Melissa Thoene

    2014-01-01

    Full Text Available The use of human milk fortifiers (HMF helps to meet the high nutritional requirements of the human milk-fed premature infant. Previously available powdered products have not met the protein requirements of the preterm infant population and many neonatologists add powder protein modulars to help meet protein needs. The use of powdered products is discouraged in neonatal intensive care units (NICU due to concern for invasive infection. The use of a commercially available acidified liquid product with higher protein content was implemented to address these two concerns. During the course of this implementation, poor growth and clinically significant acidosis of infants on Acidified Liquid HMF (ALHMF was observed. The purpose of this study was to quantify those observations by comparing infant outcomes between groups receiving the ALHMF vs. infants receiving powdered HMF (PHMF. A retrospective chart review compared outcomes of human milk-fed premature infants <2000 g receiving the ALHMF (n = 23 and the PHMF (n = 46. Infant growth, enteral feeding tolerance and provision, and incidence of necrotizing enterocolitis (NEC, metabolic acidosis, and diaper dermatitis were compared between the two groups. No infants were excluded from this study based on acuity. Use of ALHMF resulted in a higher incidence of metabolic acidosis (p = 0.002. Growth while on HMF as measured in both g/kg/day (10.59 vs. 15.37, p < 0.0001 and in g/day (23.66 vs. 31.27, p = 0.0001 was slower in the ALHMF group, on increased mean cal/kg/day (128.7 vs. 117.3, p = 0.13 with nearly twice as many infants on the ALHMF requiring increased fortification of enteral feedings beyond 24 cal/ounce to promote adequate growth (48% vs. 26%, p = 0.10. Although we were not powered to study NEC as a primary outcome, NEC was significantly increased in the ALHMF group. (13% vs. 0%, p = 0.03. Use of a LHMF in an unrestricted NICU population resulted in an increase in clinical complications within a high

  11. [Thromboembolic events, abortions and a sick infant--unusual presentation of a vitamin deficiency].

    Science.gov (United States)

    Sturm, I; Hennermann, J B; von Arnim-Baas, A; Driever, P H; Massenkeil, G

    2008-12-01

    Homocysteine is a risk factor for the development of thromboembolic disorders and vascular diseases. Furthermore, complications during pregnancy have been ascribed to hyperhomocysteinemia. We report on a pregnant woman being substituted by high doses folic acid for hyperhomocysteinemia. Thereby, the underlying pernicious anemia was masked. After birth, the neonate was exclusively breastfed. At the age of 5 months, the infant had to be admitted to hospital due to severe vitamin B(12)-deficiency. Using parenteral vitamin B(12) substitution, homocystein levels of the mother normalized and the infant throve and prospered again. PMID:18815762

  12. Chest X-ray in newborns and infants; Konventionelle Thoraxdiagnostik bei Neugeborenen und Kleinkindern

    Energy Technology Data Exchange (ETDEWEB)

    Moritz, Joerg D. [Universitaetsklinikum Schleswig-Holstein, Kiel (Germany). Klinik fuer diagnostische Radiologie, Paediatrische Radiologie und Sonographie

    2012-12-15

    Chest X-ray in newborns and infants shows great differences to that in adults. Therefore all radiologists, who engage in X-rays in this age group, must be familiar with the special features. At the beginning specific items of examination methods are explained, which must be strictly followed due to radiological protection. Focus of the paper is the discussion of the important chest diseases in newborn and infants, which are mostly unknown in chest diagnosis in adults. Many of them can be life-threatening, thus their knowledge is essential. Pathophysiological explanations shall make the special radiological signs understandable. (orig.)

  13. An Opinion on "Staging" of Infant Formula: A Developmental Perspective on Infant Feeding.

    Science.gov (United States)

    Lönnerdal, Bo; Hernell, Olle

    2016-01-01

    Breast milk is a dynamic fluid with compositional changes occurring throughout the period of lactation. Some of these changes in nutrient concentrations reflect the successively slowing growth rate and developmental changes in metabolic requirements that infants undergo during the first year of life. Infant formula, in contrast, has a static composition, intended to meet the nutritional requirements of infants from birth to 6 or 12 months of age. To better fit the metabolic needs of infants and to avoid nutrient limitations or excesses, we suggest that infant formulas should change in composition with the age of the infant, that is, different formulas are created/used for different ages during the first year of life. We propose that specific formulas for 0 to 3 months (stage 1), 3 to 6 months (stage 2), and 6 to 12 months (stage 3) of age may be nutritionally and physiologically advantageous to infants. Although this initially may impose some difficult practical/conceptual issues, we believe that this staging concept would improve nutrition of formula-fed infants and, ultimately, improve outcomes and make their performance more similar to that of breast-fed infants.

  14. Association between Infant Feeding and Early Postpartum Infant Body Composition: A Pilot Prospective Study

    Directory of Open Access Journals (Sweden)

    Alex Kojo Anderson

    2009-01-01

    Full Text Available Research studies have produced conflicting results of the impact of breastfeeding on overweight/obesity. This study evaluated the impact of infant feeding on infant body composition. There were two groups of mother-infant pairs (exclusive breastfeeding [EBF; n=27] and mixed feeding [MF; n=13] in this study. At baseline, participants were similar in their demographic characteristics except prepregnancy weight, where MF mothers tended to be heavier than their EBF counterparts (67.3 kg versus 59.9 kg; P=.034. Infant birth weight was slightly higher among the MF group than their EBF counterparts (3.5 kg versus 3.4 kg, although the differences were not statistically significant. At 3 months postpartum, mean infant FMI (4.1 kg/m2 versus 3.8 kg/m2 and percent body fat (24.4% versus 23.1% were slightly higher among EBF infants than MF infants. In terms of growth velocity, EBF infants gained weight faster than their MF counterparts, although the differences were not statistically significant. The findings from this study suggest that EBF may promote faster weight gain and increase in both fat mass index (FMI and percent body fat in the early postpartum period in addition to the numerous health benefits enjoyed by the infant and the mother who exclusively breastfeeds her newborn.

  15. Mother-infant interaction improves with a developmental intervention for mother-preterm infant dyads.

    Science.gov (United States)

    White-Traut, Rosemary; Norr, Kathleen F; Fabiyi, Camille; Rankin, Kristin M; Li, Zhyouing; Liu, Li

    2013-12-01

    While premature infants have a high need for positive interactions, both infants and their mothers are challenged by the infant's biological immaturity. This randomized clinical trial of 198 premature infants born at 29-34 weeks gestation and their mothers examined the impact of the H-HOPE (Hospital to Home: Optimizing the Infant's Environment) intervention on mother-premature infant interaction patterns at 6-weeks corrected age (CA). Mothers had at least 2 social environmental risk factors such as minority status or less than high school education. Mother-infant dyads were randomly assigned to the H-HOPE intervention group or an attention control group. H-HOPE is an integrated intervention that included (1) twice-daily infant stimulation using the ATVV (auditory, tactile, visual, and vestibular-rocking stimulation) and (2) four maternal participatory guidance sessions plus two telephone calls by a nurse-community advocate team. Mother-infant interaction was assessed at 6-weeks CA using the Nursing Child Assessment Satellite Training-Feeding Scale (NCAST, 76 items) and the Dyadic Mutuality Code (DMC, 6-item contingency scale during a 5-min play session). NCAST and DMC scores for the Control and H-HOPE groups were compared using t-tests, chi-square tests and multivariable analysis. Compared with the Control group (n = 76), the H-HOPE group (n = 66) had higher overall NCAST scores and higher maternal Social-Emotional Growth Fostering Subscale scores. The H-HOPE group also had significantly higher scores for the overall infant subscale and the Infant Clarity of Cues Subscale (p responsiveness during play as measured by the DMC (67.6% versus 58.1% of controls). After adjustment for significant maternal and infant characteristics, H-HOPE dyads had marginally higher scores during feeding on overall mother-infant interaction (β = 2.03, p = 0.06) and significantly higher scores on the infant subscale (β = 0.75, p = 0.05) when compared to controls. In the adjusted

  16. Musical intervention enhances infants' neural processing of temporal structure in music and speech.

    Science.gov (United States)

    Zhao, T Christina; Kuhl, Patricia K

    2016-05-10

    Individuals with music training in early childhood show enhanced processing of musical sounds, an effect that generalizes to speech processing. However, the conclusions drawn from previous studies are limited due to the possible confounds of predisposition and other factors affecting musicians and nonmusicians. We used a randomized design to test the effects of a laboratory-controlled music intervention on young infants' neural processing of music and speech. Nine-month-old infants were randomly assigned to music (intervention) or play (control) activities for 12 sessions. The intervention targeted temporal structure learning using triple meter in music (e.g., waltz), which is difficult for infants, and it incorporated key characteristics of typical infant music classes to maximize learning (e.g., multimodal, social, and repetitive experiences). Controls had similar multimodal, social, repetitive play, but without music. Upon completion, infants' neural processing of temporal structure was tested in both music (tones in triple meter) and speech (foreign syllable structure). Infants' neural processing was quantified by the mismatch response (MMR) measured with a traditional oddball paradigm using magnetoencephalography (MEG). The intervention group exhibited significantly larger MMRs in response to music temporal structure violations in both auditory and prefrontal cortical regions. Identical results were obtained for temporal structure changes in speech. The intervention thus enhanced temporal structure processing not only in music, but also in speech, at 9 mo of age. We argue that the intervention enhanced infants' ability to extract temporal structure information and to predict future events in time, a skill affecting both music and speech processing. PMID:27114512

  17. Clinical review of 13 exclusively breast-fed infants with food allergy.,%纯母乳喂养婴儿食物过敏13例分析

    Institute of Scientific and Technical Information of China (English)

    谢广清; 龙晓玲; 熊勇; 张泉山; 黄娟; 付四毛

    2011-01-01

    目的 分析纯母乳喂养婴儿食物过敏的临床特征,以提高对纯母乳喂养婴儿食物过敏的认识.方法 回顾分析我科2008-2010年收治的13例纯母乳喂养食物过敏婴儿的临床资料.结果 13例纯母乳喂养食物过敏婴儿中,年龄均小于6个月,9例小于3个月.12例有家族过敏史.临床表现多样:迁延性腹泻、血便、呕血、腹胀、生长发育落后、烦躁不安、特应性皮炎等.大便中可出现红细胞、白细胞和黏液.血生化检查可出现球蛋白下降和谷丙转氨酶(ALT)、谷草转氨酶(AST)升高.血清特异性免疫球蛋白可阳性,但阳性率不高.胃镜检查者6例,表现为糜烂性胃炎或(和)十二指肠球炎.胃镜检查者同时行胃黏膜活检,病理检查均为非特异性慢性炎症性改变,未见嗜酸细胞浸润.食物回避治疗,13例均有效;食物激发试验,13例均阳性.结论 纯母乳喂养婴儿也可发生食物过敏,临床表现多样,以消化道症状最为突出,内镜下胃黏膜有改变,食物特异性免疫球蛋白检测阳性率低,食物回避和激发试验是诊断的金标准,食物回避治疗疗效肯定.%Objective To analyze the clinical features of exclusively breast-fed infants with food allergy, and to enhance the understanding of this disease. Methods The clinical data of 13 exclusively breast-fed infants with food allergy, admitted to our department from 2008 to 2010, were retrospectively analyzed. Results All the cases were under 6 months old, in which 9 were under 3 months old. 12 cases had family history of food allergy. The clinical features are variant, such as diarrhea, bloody stool, hematemesis, abdominal distension, growth retardation, dysphoria, atopic dermatitis. Red blood cells, white blood cells and mucilage appeared in the stool. Blood biochemical examination revealed decreased globulin level and increased alanine aminotransferase (ALT) and aspartate aminottansferase (AST) level. Serum specific immune

  18. 超声在婴幼儿发育性髋关节异常早期筛查中的应用研究%The application reserch of ultrasonography for screening of developmental dysplasia of the hip in infants

    Institute of Scientific and Technical Information of China (English)

    李芹; 李凤华; 孙涟漪; 闫冰; 隗帆; 史晓婧

    2013-01-01

    Objective To evaluate the value of ultrasonic Graf methods in screening developmental dysplasia of the hip (DDH)in infants .Methods 1 580 cases of 0-6 monthes old infants without severe limb anomalies were examined .Bilateral hip joints were examined mcluded analyzed according to Graf method .Results A total of 1 580 cases included 3 160 hip joints were analyzed ,827 were male (52 .34% ) and 753 were female (52 .34% ) among them .104 cases (6 .58% ) were diagnosed with abnormalities of the hip joints .Among the 104 cases ,88 cases (5 .57% ) were type Ⅱa hip joints ,9 cases (0 .57% ) were type Ⅱ b ,5 cases (0 .32% ) were type Ⅱc ,1 case (0 .06% ) and 1 case (0 .06% ) were type Ⅲ and type Ⅳ respectively .In each month of age abnormalities of the hip joints were diagnosed as followed :79 cases(9 .69% ) were one month old ,13 cases (3 .98% ) were two month old ,2 cases (2 .15% ) were three month old ,6 cases (2 .26% ) were four month old ,1 cases (2 .44% ) was five month old and 3 cases (7 .69% ) were six month old .Conclusion Ultrasonic Graf method can provide the basic data for incidence of developmental dysplasia of hip in infants in local region and may be helpful to offer the related standards for early screening the abnormalities of the hip joints .%目的:探讨超声格拉夫(Graf)法在婴幼儿发育性髋关节异常(DDH)早期筛查中的应用价值。方法对1580例无严重肢体畸形的0~6个月龄婴幼儿(包括3160个髋关节),其中,依据超声Graf法行双侧髋关节检查,并进行分析。结果1580例婴幼儿,男827例(52.34%),女753例(47.66%),超声诊断为异常髋关节104例(6.58%),其中Ⅱa型髋关节88例(5.57%),Ⅱb型髋关节9例(0.57%),Ⅱc型髋关节5例(0.32%),Ⅲ型髋关节1例(0.06%)),Ⅳ型髋关节1例(0.06%)。各月龄异常髋关节检出值分别为:1月龄79例(9.69%),2月龄13例(3.98

  19. Dietary status of 336 infants aged 0-18 months in rural areas of Shaanxi province%陕西农村0~18月龄婴幼儿膳食状况调查研究

    Institute of Scientific and Technical Information of China (English)

    杨媛媛; 刘黎明; 孙晓勉; 杨文方; 张水平; 王懿; 贾梅

    2013-01-01

    % before 4 months old, and then decreased to 60% of recommended dietary nutrients. After 6 month old, except vitamin B2 and Mg were sufficient, other dietary nutrients were all lower than adequate intake. Compared with non -anemia infants , most dietary micronutrients intake , including energy , protein, fat, carbohydrate , vitamin A, vitamin B2 , vitamin C , Ca, Mg, Fe, Zn and others, were lower in anemic infants. But the difference was not significant (all P >0. 05). Conclusion Dietary nutrients intakes of these infants are generally insufficient and imbalanced , and source of protein is poor. It has great significance of adopting effective health education to improve infants 'dietary in rural areas of Shaanxi province.

  20. Elimination Problems in Infants and Children

    Science.gov (United States)

    ... inability to digest wheat (CELIAC DISEASE) or milk (LACTOSE INTOLERANCE) can cause these symptoms. Eliminate foods that make ... be an appropriate substitute for infants who have lactose intolerance. No 4. Does your child seem to have ...