Congenital choledochal cyst is frequently seen ininfants and children in China. The extra-hepatic ductalchanges have been well described, but the changes in theintra-hepatic ducts in choledochal cyst are less well kno...Congenital choledochal cyst is frequently seen ininfants and children in China. The extra-hepatic ductalchanges have been well described, but the changes in theintra-hepatic ducts in choledochal cyst are less well known.This report is composed of 2 groups of patients: thirty-four cases who were operated upon between 1971 and1982 were followed post-operatively by plain abdominalfilm and barium meal examination and a group of 26cases receiving PTC between 1982 and 1984. In this lattergroup, both extra-and intra-hepatic ducts were shownsatisfactorily by PTC. In 23 cases (88.5%) besides thedilatation of the extra-hepatic duct, there were differentdegree and different forms of dilatation of the intra-hepatic ducts. In 10 cases(38.5%)the branches peripheralto the dilated main intra-hepatic ducts were found to benormal, in the other 10 cases (38.5%) the more peripheralbranches abruptly narrowed or were obliterated. In one case(3.8%) the entire intra-hepatic ductal system were dilatedwith a bead-like appearance. In only 3 cases were theintra-hepatic ducts normal (11.5%). Moreover the dilata-tion of the intra-hepatic ducts were found to persist longafter the obstruction was relieved in 28 cases (82.3%) ofthe 34 post-operative cases. Due to the frequent associationof intra-hepatic ductal dilatation with choledochal cyst,the various forms of dilatation and persistance of dilata-tion after relief of the obstruction, the term congenital biliary dilatation is suggested for this disease.展开更多
Objective To evaluate the effect of the cardiopulmonary bypass (CPB) on the pulmonary function in infants with or withoutpulmonary hypertension in congential ventricular septal defect (VSD). MethodsTwenty infants with...Objective To evaluate the effect of the cardiopulmonary bypass (CPB) on the pulmonary function in infants with or withoutpulmonary hypertension in congential ventricular septal defect (VSD). MethodsTwenty infants with VSD were enrolled in the study fromJan. to Dec.2004. They were divided into two groups: pulmonary hypertension group and non-pulmonary hypertension group, ten infantsrespectively. Pulmonary function parameters were measured before CPB and 3, 6, 9, 12, 15, 18, 21, 24h after CPB, the following datawere recorded: duration for mechanical ventilation (Tmv) and staying in the cardiac intensive care unit (Tcicu) after cardiac surgery.Results Before CPB, the pulmonary function parameters in non-pulmonary hypertension group were more superior than in pulmonary hy-pertension group (P<0.01). By contraries, the pulmonary function parameters in every time stage after CPB statistically significant de-creased in non-pulmonary hypertension group (P<0.05), especially at 6, 9, and 15h after CPB (P<0.01). In pulmonary hyperten-sion group, the pulmonary function parameters in 3h after CPB were more improved than before CPB, though there was no statistical sig-nificance. But they had statistically significant decreased at9, 12, 15h after CPB (P<0.05). There was a similar change in pulmonaryfunction between two groups at 21, 24h after CPB. Conclusion Exposure to CPB adversely affects pulmonary function after surgicalrepair of VSD in infants. We consider that the benefits of the surgical correction in infants with pulmonary hypertension outweight the neg-ative effects of CPB on pulmonary function. We should improve cardiac function to avoid the presence of the nadir trough in pulmonaryfunction. The infants with pulomonary hypertension also have ability to wean from mechanical ventilation as soon as possible, if the hemo-dynamics is stable, and without the responsive pulmonary hypertension or pulmonary hypertension crisis after surgical repair.展开更多
随着儿童康复医学的发展，儿童康复医师和治疗师们对于儿童运动发育的机制、运动发育的评估及早期发现运动发育异常的方法等有了较深入的研究，认识到早期发现运动发育异常患儿并早期给予干预治疗的必要性，在这样的需求下，Alberta婴...随着儿童康复医学的发展，儿童康复医师和治疗师们对于儿童运动发育的机制、运动发育的评估及早期发现运动发育异常的方法等有了较深入的研究，认识到早期发现运动发育异常患儿并早期给予干预治疗的必要性，在这样的需求下，Alberta婴儿运动量表（Alberta infant motor scale。AIMS）应运而生。展开更多
2019年6月3日,江米足教授团队以“Unusual fever and diarrhea in an infant”为文题在《胃肠病学》( Gastroenterology )上报道罕见的朗格汉斯细胞肉瘤(LCS)累及胃肠道的病例(https://doi.org/10.1053/j.gastro.2019.01.006)。患儿就...2019年6月3日,江米足教授团队以“Unusual fever and diarrhea in an infant”为文题在《胃肠病学》( Gastroenterology )上报道罕见的朗格汉斯细胞肉瘤(LCS)累及胃肠道的病例(https://doi.org/10.1053/j.gastro.2019.01.006)。患儿就诊年龄9个月,因反复不明原因发热伴腹泻2个月入住浙江大学金华医院,并表现为贫血、皮肤出血点、进行性淋巴结和肝脾肿大,经多种抗菌药物治疗和激素治疗无效,肠镜提示结肠黏膜充血、红斑、糜烂和溃疡,极易误诊为炎性肠疾病。展开更多
Nutritional oil for infant formula food was microencapsulated by the spray drying method with coating materials including maltodextrin （MD）, soy protein isolate （SPI）, and emulsifier （soy lecithin）. Vegetable oi...Nutritional oil for infant formula food was microencapsulated by the spray drying method with coating materials including maltodextrin （MD）, soy protein isolate （SPI）, and emulsifier （soy lecithin）. Vegetable oil blend was prepared by mixing coconut oil, safflower oil and soybean oil at a ratio to achieve a fatty acid profile comparable to human milk fat （HMF）. The fatty acid composition of the product was determined by capillary gas chromatograph. As a result, the composition was as close as possible to that of HMF, it could be used for infant fomular food to make up some deficiencies of milk powder in nutrition and functional properties. Furthermore, the glass transition temperature （Tg） of the wall material was determined by DSC and its Tg was 66.42℃. It provided a theoretical basis for the storage of the product at the normal temperature.展开更多
A total of 151 infant formula powder samples were tested for the screening of the Enterobacteriaceae bacteria, and it had been contaminated by the conditioned pathogen like Enterobacter sakazakii, Klebsiella pneumonia...A total of 151 infant formula powder samples were tested for the screening of the Enterobacteriaceae bacteria, and it had been contaminated by the conditioned pathogen like Enterobacter sakazakii, Klebsiella pneumoniae, Klebsiella oxytoca, and Enterobacter cloacae. The results showed that six samples were separated Enterobacter sakazakii, 24 samples were separated Enterobacteriaceae by using the traditional validation and real-time fluorescence quantitative PCR. Then the result identified by API20E biochemistry test and VITEC2 identification system. Through the study we concluded the potential safety hazard of the current infant formula powder and should regard Enterobacteriaceae as an indicator to carry out effective management, the neglected mild and discontinuity contamination could be easily found, thus to guarantee the safety of the special group.展开更多
文摘Congenital choledochal cyst is frequently seen ininfants and children in China. The extra-hepatic ductalchanges have been well described, but the changes in theintra-hepatic ducts in choledochal cyst are less well known.This report is composed of 2 groups of patients: thirty-four cases who were operated upon between 1971 and1982 were followed post-operatively by plain abdominalfilm and barium meal examination and a group of 26cases receiving PTC between 1982 and 1984. In this lattergroup, both extra-and intra-hepatic ducts were shownsatisfactorily by PTC. In 23 cases (88.5%) besides thedilatation of the extra-hepatic duct, there were differentdegree and different forms of dilatation of the intra-hepatic ducts. In 10 cases(38.5%)the branches peripheralto the dilated main intra-hepatic ducts were found to benormal, in the other 10 cases (38.5%) the more peripheralbranches abruptly narrowed or were obliterated. In one case(3.8%) the entire intra-hepatic ductal system were dilatedwith a bead-like appearance. In only 3 cases were theintra-hepatic ducts normal (11.5%). Moreover the dilata-tion of the intra-hepatic ducts were found to persist longafter the obstruction was relieved in 28 cases (82.3%) ofthe 34 post-operative cases. Due to the frequent associationof intra-hepatic ductal dilatation with choledochal cyst,the various forms of dilatation and persistance of dilata-tion after relief of the obstruction, the term congenital biliary dilatation is suggested for this disease.
文摘Objective To evaluate the effect of the cardiopulmonary bypass (CPB) on the pulmonary function in infants with or withoutpulmonary hypertension in congential ventricular septal defect (VSD). MethodsTwenty infants with VSD were enrolled in the study fromJan. to Dec.2004. They were divided into two groups: pulmonary hypertension group and non-pulmonary hypertension group, ten infantsrespectively. Pulmonary function parameters were measured before CPB and 3, 6, 9, 12, 15, 18, 21, 24h after CPB, the following datawere recorded: duration for mechanical ventilation (Tmv) and staying in the cardiac intensive care unit (Tcicu) after cardiac surgery.Results Before CPB, the pulmonary function parameters in non-pulmonary hypertension group were more superior than in pulmonary hy-pertension group (P<0.01). By contraries, the pulmonary function parameters in every time stage after CPB statistically significant de-creased in non-pulmonary hypertension group (P<0.05), especially at 6, 9, and 15h after CPB (P<0.01). In pulmonary hyperten-sion group, the pulmonary function parameters in 3h after CPB were more improved than before CPB, though there was no statistical sig-nificance. But they had statistically significant decreased at9, 12, 15h after CPB (P<0.05). There was a similar change in pulmonaryfunction between two groups at 21, 24h after CPB. Conclusion Exposure to CPB adversely affects pulmonary function after surgicalrepair of VSD in infants. We consider that the benefits of the surgical correction in infants with pulmonary hypertension outweight the neg-ative effects of CPB on pulmonary function. We should improve cardiac function to avoid the presence of the nadir trough in pulmonaryfunction. The infants with pulomonary hypertension also have ability to wean from mechanical ventilation as soon as possible, if the hemo-dynamics is stable, and without the responsive pulmonary hypertension or pulmonary hypertension crisis after surgical repair.
文摘随着儿童康复医学的发展，儿童康复医师和治疗师们对于儿童运动发育的机制、运动发育的评估及早期发现运动发育异常的方法等有了较深入的研究，认识到早期发现运动发育异常患儿并早期给予干预治疗的必要性，在这样的需求下，Alberta婴儿运动量表（Alberta infant motor scale。AIMS）应运而生。
文摘2019年6月3日,江米足教授团队以“Unusual fever and diarrhea in an infant”为文题在《胃肠病学》( Gastroenterology )上报道罕见的朗格汉斯细胞肉瘤(LCS)累及胃肠道的病例(https://doi.org/10.1053/j.gastro.2019.01.006)。患儿就诊年龄9个月,因反复不明原因发热伴腹泻2个月入住浙江大学金华医院,并表现为贫血、皮肤出血点、进行性淋巴结和肝脾肿大,经多种抗菌药物治疗和激素治疗无效,肠镜提示结肠黏膜充血、红斑、糜烂和溃疡,极易误诊为炎性肠疾病。
文摘Nutritional oil for infant formula food was microencapsulated by the spray drying method with coating materials including maltodextrin （MD）, soy protein isolate （SPI）, and emulsifier （soy lecithin）. Vegetable oil blend was prepared by mixing coconut oil, safflower oil and soybean oil at a ratio to achieve a fatty acid profile comparable to human milk fat （HMF）. The fatty acid composition of the product was determined by capillary gas chromatograph. As a result, the composition was as close as possible to that of HMF, it could be used for infant fomular food to make up some deficiencies of milk powder in nutrition and functional properties. Furthermore, the glass transition temperature （Tg） of the wall material was determined by DSC and its Tg was 66.42℃. It provided a theoretical basis for the storage of the product at the normal temperature.
文摘A total of 151 infant formula powder samples were tested for the screening of the Enterobacteriaceae bacteria, and it had been contaminated by the conditioned pathogen like Enterobacter sakazakii, Klebsiella pneumoniae, Klebsiella oxytoca, and Enterobacter cloacae. The results showed that six samples were separated Enterobacter sakazakii, 24 samples were separated Enterobacteriaceae by using the traditional validation and real-time fluorescence quantitative PCR. Then the result identified by API20E biochemistry test and VITEC2 identification system. Through the study we concluded the potential safety hazard of the current infant formula powder and should regard Enterobacteriaceae as an indicator to carry out effective management, the neglected mild and discontinuity contamination could be easily found, thus to guarantee the safety of the special group.
