[The association between the frequency of prenatal care in childbearing aged women and risk of small for gestational age among neonatal twins in Shaanxi Province].

Objective: To explore the association between the frequency of prenatal care in childbearing aged women and risk of small for gestational age (SGA) among neonatal twins in Shaanxi Province. Methods: From July to December 2013, a total of 30 027 childbearing aged women, who were pregnant from January 2010 to November 2013 and had definite outcomes, were selected from 30 districts (counties) of Shaanxi Province by using the multi-stage random sampling method. The questionnaires with a face-to-face survey method were used to retrospectively collect demographic information, pregnancy history, lifestyle during pregnancy, disease history, nutritional supplements, and health care during pregnancy. Information on the gestational age and birth weight of the newborn were obtained by consulting the medical certificate of birth and were registered as twin A and twin B by birth order. Finally, 356 childbearing aged women and their twin babies with complete data were included in the analysis. A generalized estimation equation model was used to analyze the association between the frequency of prenatal care and the risk of SGA among neonatal twins. Results: The age of childbearing aged women was (27.44±4.68) years old, of which 79.49% (283 women) were rural residents and 44.38% (158 women) had seven or more times prenatal care. The gestational age and birth weight were (37.64±2.51) weeks and (2 510±497) g, respectively. The prevalence of SGA was 51.40% (183/356) for twin A and 53.37% (190/356) for twin B, respectively. The prevalence of SGA was 44.30% (70/158) for twin A with seven or more times prenatal care and 42.41% (67/158) for twin B with seven or more times prenatal care, which was lower than that for twins with less than seven times prenatal care, respectively [57.07% (113/198) and 62.12% (123/198)] (P values were 0.017 and <0.001). The results of generalized estimation equation model suggested that compared to those with less than seven times prenatal care, after adjusting for parity, birth order, place of residence, maternal age, occupation, education, family wealth index, passive smoking, pregnancy-induced hypertension syndrome, folic acid, and iron supplement during perinatal period, and gender of the newborn, the OR (95%CI) of risk of SGA among childbearing aged women with seven or more times prenatal care was 0.60 (0.40-0.91). Conclusion: Seven or more times prenatal care could reduce the risk of SGA among neonatal twins in Shanxi Province.

Chemical composition of yak colostrum and transient milk.

The objective of this study was to assess the changes in the chemical composition of yak colostrum and transient milk. Samples were collected from 12 yaks on days 1, 2, 3, 4, 5, 6 and 7 post-partum (PP). The gross composition, nitrogen fraction distribution, amino acid (AA) profile and fatty acid (FA) profile were analysed. All the components decreased rapidly during the first 3 days except lactose which increased. The ratio of whey protein to casein protein decreased from 46:54 to 17:83 during the first 7 days PP. The content of all the AAs decreased, while the percentages of eight essential AAs in protein of samples increased during the study period. Monounsaturated FAs and polyunsaturated FAs decreased in the first 7 days PP, whereas saturated FAs increased. In conclusion, the changes in chemical composition were remarkable during the first 3 days. The slight variations, happened during the transient period, are not negligible, which also should be taken into account in the development of yak colostrum supplements.

Preparation and characterization of ß-lactoglobulin hydrolysate-iron complexes.

The purpose of this study was to determine the best preparation condition of ß-lactoglobulin hydrolysate-iron complexes and characterize its structural transformation both before and after binding using the UV-visible absorption spectrum, Fluorescence spectrum, and Fourier transform infrared spectroscopy. Results showed that ß-lactoglobulin hydrolysates obtained with alcalase after hydrolysis for 6h possessed the highest iron-binding capacity. The highest yield of complexes was obtained when the mass ratio between ß-lactoglobulin hydrolysate and Fe(3+) reached 40:1, with the optimal pH value of 7.0. All of the spectra indicated that some sites such as amido bonds transformed during chelation, and nitrogen atoms could chelate with Fe(3+) to form coordinate bonds by offering electron pairs. Therefore, ß-lactoglobulin hydrolysate-iron complexes may be good carriers for iron and possess great potential to be used as iron supplements.

Fatty acid profile of yak milk from the Qinghai-Tibetan Plateau in different seasons and for different parities.

Yaks are the most important grazing livestock for milk production on the Qinghai-Tibetan plateau because these animals are adapted to the high elevations and extremes of cold and can graze throughout the year. In the present study, 30 yaks were selected and the fatty acid (FA) profile of yak milk at different seasons and parities was investigated using gas chromatography. The concentrations of cis-9 C18:1, cis-11 C18:1, cis-9,trans-11 C18:2, and C18:3 n-3 in yak milk were higher in summer (25.26, 1.50, 1.46, and 0.33 g/100 g of total FA, respectively) than in winter (22.17, 0.77, 1.27, and 0.28 g/100 g of total FA, respectively). The contents of monounsaturated and polyunsaturated FA in milk fat of multiparous (parities 2 to 5) yaks (31.61 and 4.20 g/100 g of total FA, respectively) were higher than those in primiparous yaks (29.61 and 3.80 g/100g of total FA, respectively). These results suggest (1) that the potential exists to improve the FA composition of yak milk by developing local supplement resources during the winter and (2) that multiparous yaks have a more favorable FA profile than primiparous yaks.

Randomized phase II trial on mitomycin-C/cisplatin +/- KLT in heavily pretreated advanced breast cancer.

A randomized phase II study using mitomycin (MMC)/cisplatin (DDP) regimen with or without Kanglaite (KLT, a traditional Chinese medicine) as salvage treatment was conducted to exploit KLT's potential effects on patients with advanced breast cancer (ABC). Triweekly regimen consisted of mitomycin (8 mg/m(2)) administered intravenously on day 1, and cisplatin (25 mg/m(2)) intravenously on days 1 to 3. KLT (100 ml) was given intravenously per day on days 1 to 14 every 3 weeks. Between April 2006 and July 2007, 60 patients with a median age of 48 years were randomized into MMC/DDP with or without KLT treatment. In all, the objective response rate (ORR) was 17.5%. There were no significant differences between experimental and control treatments in terms of ORR (14.3% vs. 20.7%, p = 0.730), clinical benefit rates (24.1% vs. 28.6%, p = 0.468), median time to progression (TTP; 3.63 vs. 4.0, p = 0.872), and overall survival (OS; 7.17 vs. not reached, p = 0.120). The median TTP for patients with complete or partial responses was 6.0 months, but only 2.1 months for patients with stable or progressive disease (SD or PD; p = 0.028). While the median OS for patients who obtained clinical benefit from chemotherapy was not reached, that of patients with SD of no more than 6 months or PD was only 7.17 months (p = 0.004). There is no additional benefit when KLT is added to the MMC/DDP doublet in the management of ABC. Patients who obtained clinical benefit from chemotherapy had a longer TTP and OS.

Quantification and index of non-point source pollution in Taihu Lake region with GIS.

The contribution of phosphorus and nitrogen from non-point source pollution (NPS) in the Taihu Lake region was investigated through case study and surveying in the town of Xueyan, From experimental results coupled with survey and statistics in the studied area, the distribution of nitrogen and phosphorus input to the water body is achieved from four main sources: agricultural land, village, the town center and the poultry factory. The results showed that about 38% of total phosphorus (TP) and 48% of total nitrogen (TN) discharged is from agricultural land, 33% of TP and 40% TN from village residents, 25% of TP and 10% of TN from the town center and 4% of TP and 2% of TN from the poultry factory. The Agricultural Non-point Pollution Potential Index (APPI) system for identifying and ranking critical areas of NPS was established with a Geographic Information Systems (GIS)-based technology. Quantification of the key factors in non-point sources pollution was carried out utilizing the following: Sediment Production Index (SPI), Runoff Index (RI), People and Animal Loading Index (PALI) and Chemical Use Index (CUI). These are the core parts of the model, and the weighting factor of each index was evaluated according the results of quantification. The model was successfully applied for evaluating APPI in Xueyan. Results from the model showed that the critical area identified for NPS control in Xueyan. The model has several advantages including: requiring fewer parameters, easy acquirement of these parameters, friendly interface, and convenience of operation. In addition it is especially useful for identifying critical areas of NPS when the basic data are not fully accessible, which is the present situation in China.

Case study on nitrogen and phosphorus emissions from paddy field in Taihu region.

The agricultural non-point source pollution by nitrogen (N) and phosphorus (P) loss from typical paddy soil (whitish soil, Bai Tu in Chinese) in the Taihu Lake region was investigated through a case study. Results shown that the net load of nutrients from white soil is 34.1 kg ha(-1) for total nitrogen (TN), distributed as 19.4 kg ha(-1), in the rice season and 14.7 kg ha(-1) in the wheat season, and for total phosphorus (TP) 1.75 kg ha(-1), distributed as 1.16 kg ha(-1) in the rice season and 0.58 kg ha(-1) in the wheat season. The major chemical species of N loss is different in the two seasons. NH4-N is main the form in the rice season (53% of TN). NO3-N is the main form in wheat season (46% of TN). Particle-P is the main form in both seasons, (about 56% of TP). The nutrient loss varied with time of the year. The main loss of nutrients happened in the 10 days after planting, 64% of TN and 42% of TP loss, respectively. Rainfall and fertilizer application are the key factors which influence nitrogen and phosphorus loss from arable land, especially rainfall events shortly after fertilizer application. So it is very important to improve the field management of the nutrients and water during the early days of planting.