Mourning Bit by Bit

In this piece I describe the process of mourning my mother since her death in 2001, via my short animated documentary ‘Oneironauts – the Dream Travellers’ (2011) and my more recent experiences as the mother of a young baby. I consider my experience in the context of Freud's ‘Mourning and Melancholia’.     

彩色多普勒血流显像(CDFI)评价胎儿生长发育状况

目的阐明CDFI对评价胎儿宫内状况的可行性。方法200例经普通B超检查的胎儿,按测量各项常规指标的数值分为正常组100例和异常组100例,再分析经CDFI检查,所测定的指标包括胎儿大脑中动脉、肾动脉、胎盘床动脉、脐动脉血流搏动指数(PI)、阻力指数(RI)及脐动脉的收缩与舒张期峰值速率之比(S/D)。对其结果做详细记录,并进行统计学分析。结果正常组100例,经CDFI检查亦正常;胎儿出生时体重在2500g以上,新生儿发育正常。另100例异常组经CDFI检查各项指标中,54例正常,46例异常;胎儿出生时体重均小于2500g,其中54例新生儿虽体重较正常儿偏小,但发育正常;另46例胎儿宫内窘迫,导致导常分娩、新生儿生存率低。结论彩色多普勒血流显像对了解胎儿宫内情况有着重要的作用,是产科检查监护中不可缺少的部分。     

加强爱婴医院文化建设 促进母乳喂养

爱婴医院的文化氛围与爱婴医院的建立和发展密切相关。为搞好爱婴医院文化建设与管理,促进母乳喂养,本文对近几年发展起来的爱婴医院文化的构成、功能、特征和今后发展的标准进行了讨论。     

新生儿红臀的病原学监测及治疗护理对策

目的探讨新生儿红臀继发感染的主要病原和合适的临床治疗护理方法,评价红臀患儿局部使用抗菌药物的价值.方法对2002年1月～2004年12月收治的132例新生儿的红臀进行病原学监测,并分为观察组和对照组,观察组在传统护理基础上加用含制霉菌素和氯霉素的激素软膏局部使用.比较2组红臀愈合时间.结果132例红臀患儿中,共获取细菌137株,真菌19株;122例(92.4%)存在合并感染的病原学证据;肺炎克雷伯氏菌和大肠杆菌是主要病原,分别占47.4%和19.2%;86例在传统护理基础上经应用含制霉菌素和氯霉素的激素软膏,愈合时间为(4.5±1.8)d,较传护理愈合时间(6.2±3.5)d明显缩短(t=3.083,p＜0.01).结论新生儿红臀常继发各种细菌和真菌感染,局部使用抗菌药物和合理适当的护理可加快红臀的愈合.     

抚触对人工喂养新生儿生长发育的影响

目的 探讨抚触对人工喂养儿生长发育影响。方法 选择30例人工喂养新生儿进行抚触,并随机选择条件相似的30例人工喂养儿做对照,100d时比较两组婴儿的身长、头围、体质量、日摄奶量、睡眠时间、大便情况。结果 抚触组人工喂养婴儿的体质量、摄奶量较对照明显增加,睡眠时间较对照组长,且较对照组大便正常,较少发生便秘。身高、头围无明显差异。结论 抚触能明显提高人工喂养儿的体质量及摄奶量,促进排泄,改善睡眠。     

Chloramphenicol toxicity associated with severe cardiac dysfunction

Summary A 9-month-old infant experienced severe chloramphenicol toxicity associated with high serum levels (313 g/ml). Cardiovascular collapse with cardiomyopathic changes and impaired left ventricular function was documented by echocardiography. Serial echocardiographic evaluation showed resolution of the cardiomyopathic findings as the chloramphenicol levels were spontaneously cleared. Clinical course was complicated by the development of liver disease and coagulopathy compatible with disseminated intravascular consumption. Patient's recovery was complete and uneventful, nevertheless, chloramphenicol toxicity in childhood is associated with a significant mortality rate of 40%. The related impaired cardiac function, although reversible, appears to play a major role in the pathogenesis and eventual outcome in this syndrome.     

新生儿窒息复苏后早期凝血功能的变化及临床意义

目的探讨新生儿窒息复苏后早期凝血功能的变化及其临床意义。方法检测58例窒息复苏后的新生儿血浆D-二聚体(DD)、蛋白C(PC)水平以及凝血酶原时间(PT)、凝血酶时间(TT)和部分活化凝血活酶时间(APTT),并与20例正常新生儿比较。结果重度窒息组血浆DD值增高,PC值降低,与正常对照组或轻度窒息组比较差异具有显著性意义(P<0.01)。轻度窒息组血浆DD值亦增高,与正常对照组比较差异具有显著性意义(P<0.01),而PC值与正常对照组比较差异无显著性意义(P>0.05)。轻度窒息组和重度窒息组血浆PT、TT、及APTT均较对照组延长,比较差异具显著性意义(P<0.05和P<0.01);重度窒息组PT、TT及APTT与轻度窒息组比较,差异亦具显著性意义(P<0.01)。结论新生儿窒息复苏后早期多数存在凝血功能紊乱,主要表现高凝状态,且凝血功能紊乱程度与窒息程度相关。对窒息新生儿复苏后早期进行凝血功能监测具有重要的临床意义。     

不同喂养方式婴儿体格生长水平比较

目的　了解本市婴儿喂养方式及与生长发育的关系。　方法　以问卷方式调查 3 84名 4月龄婴儿的喂养方式 ,并测量婴儿身长、体重、头围 ,计算Kaup指数。　 结果　 4月龄婴儿母乳喂养率为 45 .83 % ,人工喂养率为 2 8.64 % ,混合喂养率为 2 5 .5 2 %。母乳喂养婴儿平均身长、体重、头围均大于人工和混合喂养的婴儿 (P <0 .0 1)。母乳喂养的婴儿Kaup指数为 15～ 19者 ( 82 .3 8% )多于人工 ( 5 8.10 % )和混合混养 ( 4 8.9% ) (P <0 .0 1) ,Kaup指数为 19～ 2 2者 ( 17.0 4% )则少于人工 ( 4 1.81% )和混合喂养 ( 5 1.0 2 % ) (P <0 .0 1)。　结论　 4月龄婴儿母乳喂养比人工和混合喂养更有利于生长发育。     

Determination of furfural and hydroxymethyl furfural from baby formula using dispersive liquid–liquid microextraction coupled with high performance liquid chromatography and method optimization by response surface methodology

A simple, rapid and efficient method was developed using dispersive liquid–liquid microextraction (DLLME) coupled with high performance liquid chromatography (HPLC) for extraction and determination of furfural (F) and hydroxymethyl furfural (HMF) in baby formula. The effects of different variables on the extraction efficiency such as the volume of extraction and disperser solvents, pH and salt effect were studied and optimized simultaneously using (RSM) based on central composite design (CCD). Under optimum conditions, a mixture of ethanol (disperser solvent) and 1-octanol (extraction solvent) was rapidly injected in to the sample solution (after adding 2 g salt and adjusting pH to 6.5). Limit of detection for F and HMF were 0.7 and 1.8 ng g⁻¹, respectively. The inter-day relative standard deviation (RSD%) were 4.9 for HMF and 3.9 for F and also inter-day RSD% were in the range of 5.2–8%. The results showed that DLLME-HPLC is a very fast, simple, sensitive and accurate analytical method for the determination of F and HMF in baby formulas. Finally, The ability of the proposed method to determine F and HMF in different baby formulas in Iran was studied and suitable result was obtained.