Reference Values for Birth Weight in Relation to Gestational Age in Poland and Comparison with the Global Percentile Standards.

INTRODUCTION: Percentiles of birth weight by gestational age (GA) are an essential tool for clinical assessment and initiating interventions to reduce health risks. Unfortunately, Poland lacks a reference chart for assessing newborn growth based on the national population. This study aimed to establish a national reference range for birth weight percentiles among newborns from singleton deliveries in Poland. Additionally, we sought to compare these percentile charts with the currently used international standards, INTERGROWTH-21 and WHO. MATERIALS AND METHODS: All singleton live births (n = 3,745,239) reported in Poland between 2010 and 2019 were analyzed. Using the Lambda Mu Sigma (LMS) method, the Generalized Additive Models for Location Scale, and Shape (GAMLSS) package, smoothed percentile charts (3-97) covering GA from 23 to 42 weeks were constructed. RESULTS: The mean birth weight of boys was 3453 ± 540 g, and this was higher compared with that of girls (3317 ± 509 g). At each gestational age, boys exhibited higher birth weights than girls. The weight range between the 10th and 90th percentiles was 1061 g for boys and 1016 g for girls. Notably, the birth weight of Polish newborns was higher compared to previously published international growth standards. CONCLUSION: The reference values for birth weight percentiles established in this study for Polish newborns differ from the global standards and are therefore useful for evaluating the growth of newborns within the national population. These findings hold clinical importance in identifying neonates requiring postbirth monitoring.

Evaluation of Chemical Elements, Lipid Profiles, Nutritional Indices and Health Risk Assessment of European Eel (Anguilla anguilla L.).

The concentrations of ten elements (K, Na, Ca, Mg, Zn, Fe, Hg, Cu, Mn, and Cd) and fatty acids were analyzed in muscles of the European eel (Anguilla anguilla Linnaeus, 1758). The eels were caught in freshwater lakes connected with the Sawica River (north-eastern Poland). On this basis, it was determined whether the consumption of the fish is beneficial and safe for the health of the consumer. The results showed that the metal concentrations followed this order: K > Na > Ca > Mg > Zn > Fe > Hg > Cu > Mn > Cd. The fatty acids gave rise to the following sequence: MUFAs > SFAs > n-3 PUFAs > n-6 PUFAs. The target hazard quotient (THQ) value was below 1.0. The hazard quotient for the benefit-risk ratio HQEFA (0.39) also was below one, indicating that the intake of the recommended dose of EPA + DHA (250 mg/day) and the intake of mercury (0.415 mg/kg) for a person weighing 70 kg does not pose an obvious risk for human health. The lipid quality indices were OFA: 24.69, DFA: 74.36, AI: 0.55, and TI: 0.41. Based on the above statements, the consumption of eel meat is safe from a health point of view. However, the levels of toxic metals in the muscles of eels and their environment should continue to be monitored, as eels occupy a high position in the food chain.

Total Mercury and Fatty Acids in Selected Fish Species on the Polish Market: A Risk to Human Health.

The muscles of lake trout (Salvelinus namaycush Walbaum, 1792), crucian carp (Carassius carassius Linnaeus, 1758), flounder (Platichthys flesus Linnaeus, 1758), gilthead seabream (Sparus aurata Linnaeus, 1758), mackerel (Scomber scombrus Linnaeus, 1758) and tench (Tinca tinca Linnaeus, 1758) were examined. The total mercury (THg) was processed using the Milestone DMA-80 and the fatty acids were analyzed using the 7890A Agilent Technologies chromatograph. The THg content in analyzed fish ranged from 0.024 (lake trout) to 0.092 mg/kg wet weight (gilthead seabream). The muscles of fish examined had lower amounts of SFAs, and n-3 and n-6 PUFAs than MUFAs. The ratio of n-3/n-6 was higher in muscles of mackerel than other fish (p < 0.05). Due to the fact that both the THQ and HI are below 1, the tested fish are safe for the consumer from a nutritional point of view. Similarly, fatty acid indices indicate the safe consumption of selected fish species, and the daily consumption of the recommended dose of EPA + DHA (250 mg/day) and the concentration of mercury in fish calculations showed a hazard quotient for the benefit−risk ratio HQEFA below 1, suggesting that the intake of EPA + DHA poses no evident risk to human health. The ratio was calculated for a person weighing 60 kg. Therefore, it is important to monitor the fish, not only bought in the store, but also caught in various aquatic environments.

Effect of Application of Different Activation Media on Fertilization and Embryo Survival of Northern Pike, (Esox lucius) under Hatchery Conditions.

One of the finfish species that European and North American breeders are most interested in is the northern pike, Esox lucius. Artificial reproduction and the production of viable larvae has a huge impact on further culture. The quality of stripped gametes is highly variable. Therefore, it is important to use gametes with maximum efficiency, which has a direct impact on the amount of stocking material produced and therefore on the economics of production. The aim of this study was to compare northern pike fertilization efficiency, expressed as the survival rate of embryos until hatching. In the first experiment, the highest percentage of hatched embryos was observed in groups of eggs fertilized in a saline diluent prepared with deionized water (after reverse osmosis: group D), at 61.2% and 56.5% in the NaCl5-D and NaCl6-D groups, respectively. The highest percentage of hatched embryos in the second experiment was observed in the egg groups activated with Woynarovich solution (V) at 75.5% and 74.7% for V-D (D-deionized water) and V-T (T-tap water), respectively. In all cases, preparing the activation medium using T versus D water resulted in lower fertilization percentages and lower percentages of hatched larvae. At the same time, two variants (V and B1-Billard solution) were tested during mass spawning in three hatcheries using hatchery water (tap water). The results showed that repeatability was the highest when using activation medium B1.

Assessment of Fish Quality Based on the Content of Heavy Metals.

The aim of this study was to estimate the fish quality in terms of the Cu, Fe, Mn and Zn contents. The research material was the muscle tissue of the fish crucian carp (Carassius carassius Linnaeus, 1758), flounder (Platichthys flesus Linnaeus, 1758), Gilthead seabream (Sparus aurata Linnaeus, 1758), mackerel (Scomber scombrus Linnaeus, 1758), Blue grenadier (Macruronus novaezelandiae Hector, 1871), rainbow trout (Oncorhynchus mykiss Walbaum, 1792), tench (Tinca tinca Linnaeus, 1758), tilapia (Oreochromis niloticus Linnaeus, 1758), Walleye pollock (Gadus chalcogrammus Pallas, 1814) and perch (Perca fluviatilis Linnaeus, 1758.). Heavy metals were determined with the atomic absorption spectrometry method (AAS). Significantly high concentrations of zinc (19.52 mg/kg wet weight), copper (0.77 mg/kg) and iron (6.95 mg/kg) were found in the muscles of crucian carp (p < 0.05) compared to the other fish studied, whereas Walleye pollock had a higher content of manganese (0.266 mg/kg) (p < 0.05). All studied fish species do not pose a threat to humans from these four metals. This was indicated by quality indexes (THQ and HI) whose values were below one. The values of these metals also did not exceed the maximum allowable concentrations established by the FAO (1983), but monitoring both the aquatic environment and the fish living there is necessary, for example, for the time-changing abiotic and biotic factors that can cause an increase in metals in the organs of fish.

Aluminum in Bottom Sediments of the Lower Silesian Rivers Supplying Dam Reservoirs vs. Selected Chemical Parameters.

The study was carried out on sediments collected from three rivers: Nysa Szalona, Strzegomka and Bystrzyca flowing in southwestern Poland. The content of Al in sediments and in bottom water was determined in relation to chemical conditions. The study was carried out in a four-year cycle, during spring and autumn. The aim of the study was to determine the level and accumulation of aluminum in sediments of rivers supplying dam reservoirs storing water for consumption. The sediments studied were mineral in nature, with neutral pH and moderate sulfate content. The level of Al and heavy metals in the sediments was the highest in the Nysa Szalona River and the lowest in the Strzegomka River, which was also evident in the concentration factor (CF). In terms of season, higher Al contents were recorded in sediments in autumn than in spring, which was also reflected in the concentration factor (CF). Along the course of the river, a gradual decrease in Al levels was observed in successive tributaries in the Nysa Szalona and Strzegomka Rivers, while there was no apparent regularity for the Bystrzyca. Against this background, a comparison of extreme sites below the springs and at the reservoir outlet shows that values were higher in the Nysa Szalona below the springs, and lower in the Strzegomka and Bystrzyca below the reservoir outlet. The general picture of Al and heavy metal loading of the studied sediments shows the lowest loading for the Strzegomka, only the enrichment factor (EF) was the lowest for the Nysa Szalona: metal pollution index (MPI)-S < B < NS, contamination factor (Cf)-S < B < NS, degree of contamination (DC)-S < NS < B, EF-NS < B < S, geoaccumulation index (Igeo)-S < B < NS, CF-S < NS < B. There was no effect of catchment size and river length on Al levels in sediments.

Changes in Cadmium Concentration in Muscles, Ovaries, and Eggs of Silver European Eel (Anguilla anguilla) during Maturation under Controlled Conditions.

This study determined the contents of cadmium (Cd) in the muscles, ovaries, and eggs of silver female European eels. The analysis of cadmium content was performed on female European eels caught during commercial fishing in freshwater in Warmia and Mazury (Poland), and then subjected to artificial maturation and ovulation processing under controlled conditions. The content of cadmium (Cd) in the tissues was determined by flameless atomic spectrometry using an electrothermal atomizer. The analysis showed statistically significant differences between the cadmium content in the muscles, ovaries, and eggs (p < 0.05) of female European eels. The lowest cadmium content was found in the muscle tissue (0.0012 ± 0.0001 mg kg-1 wet weight) and the highest in eggs (after ovulation) (0.0038 ± 0.0007 mg kg-1 wet weight). Moreover, a relationship was found between the cadmium content in the muscle tissue and the ovaries (R = 0.673; p = 0.0117) in the same fish. The movement of cadmium from tissues to oocytes may indicate a significant problem concerning this heavy metal content in the reproduction of European eel.

The Comparison of Fatty Acid Composition and Lipid Quality Indices in Hard Cow, Sheep, and Goat Cheeses.

This study aimed to evaluate the fatty acid composition, including the contents, of conjugated linoleic acid cis9trans11 C18:2 (CLA) and trans C18:1 and C18:2 isomers in hard cow, sheep, and goat cheeses found on the Polish market and to compare lipid quality indices in these cheeses. The gas chromatography method was used to determine the fatty acid profile. The study demonstrated various contents of cis9trans 11 C18:2 (CLA), trans C18:1, and C18:2 isomers and the values of lipid quality indices in the cheeses. Sheep and goat cheeses were richer sources of short-chain fatty acids (SCFA) (14.73 ± 2.55% and 14.80 ± 2.80%, respectively) than the cow cheeses (9.38 ± 0.87%). The cow cheeses had a significantly higher (p < 0.05) content of monounsaturated fatty acids (MUFA), the lowest n-6/n-3 ratio, and the highest content of fatty acids, inducing a desirable dietary effect in humans (DFA) compared to the sheep and goat cheeses. Significantly higher (p < 0.05) contents of polyunsaturated fatty acids (PUFA) were found in sheep cheeses. Goat cheeses had the highest n-3 PUFA content and the lowest values of the thrombogenicity index (TI) (2.67 ± 0.44) compared to the sheep and cow cheeses (3.14 ± 0.29 and 3.13 ± 0.13, respectively). The cow, sheep, and goat cheeses were characterized by similar values of the hypocholesterolemic/hypercholesterolemic (H/H) ratio. Sheep cheeses had the highest levels of cis9trans11 C18:2 (CLA) and the highest total content of trans C18:1 and trans C18:2 isomers. The research showed that sheep, cow, and goat cheeses offered various health benefits. The differences in fatty acid composition and the different values of the lipid quality indices found in the cheeses may be due to differences in both the composition of milk used to produce them and the cheese-making technology. Studies conducted by many authors have indicated that the feeding system of the ruminants has a significant impact on the quality and chemical composition of milk, as well as its applicability for cheese production.

Using Rutilus rutilus (L.) and Perca fluviatilis (L.) as Bioindicators of the Environmental Condition and Human Health: Lake Lanskie, Poland.

The aim of this study was to determine the mercury content and fatty acids profile in roach (Rutilus rutilus L.) and European perch (Perca fluviatilis L.) from Lake Lanskie (Poland). Mercury content was higher in the muscles than other organs in both species (p < 0.05). Mercury accumulates along the food chain of the lake's ecosystem. The value of the bioconcentration factor (BCF) indicated that Hg had accumulated in the highest amounts in muscles and in the other organs as follows: muscles > liver > gills > gonads. The metal pollution index (MPI) and target hazard quotient (THQ) were below 1, which means that these fish are safe for consumers. The values of HIS, GSI and FCF indicators show that both species of fish can be good indicators of water quality and food contamination. There were few differences between fatty acid content in the muscles of perch and roach. Contents of fatty acids having an undesirable dietary effect in humans (OFA-hypercholesterolemic fatty acids) were lower compared to hypocholesterolemic fatty acids (DFA, i.e., the desirable ones). In addition, the lipid quality indices AI and TI in the muscles of fish were at 0.40 and 0.22 (perch) and at 0.35 and 0.22 (roach), respectively. On this basis, it can be concluded that the flesh of the fish studied is beneficial from the health point of view.

Effects of the Ionic and Nanoparticle Forms of Cu and Ag on These Metals' Bioaccumulation in the Eggs and Fry of Rainbow Trout (Oncorhynchus mykiss W.).

Nanotechnology is a rapidly growing field of science, and an increasing number of nanoproducts, including nanometals, can be found on the market. Various nanometals and the products that are manufactured based on them can help to fight bacteria and fungi, but they can also penetrate organisms and accumulate in them. This study aimed to compare the effects of two metals, silver (Ag) and copper (Cu), with known antibacterial and fungicidal properties in their ionic (AgNO3, CuSO4·5H2O) and nanoparticle (AgNPs, CuNPs) forms on rainbow trout eggs and fry. Concentrations of metals ranging from 0 to 16 mg/L were used during egg swelling for 2 h. The swelling of eggs in Cu solutions resulted in an increase in Cu content in the eggs (just like in the case of Ag); however, the changes in fry were not significant in the case of both Ag and Cu. The concentrations of these metals in eggs was greatly affected by the applied form of Ag and Cu. Because CuNPs penetrated the embryo in fish eggs at lower concentrations compared to AgNPs, it would be worth considering them for antibacterial applications during egg incubation.

Fatty Acids Profile, Trans Isomers, and Lipid Quality Indices in Smoked and Unsmoked Cheeses and Cheese-Like Products.

The purpose of this study was to evaluate the fatty acid composition, including trans C18:1 and C18:2 isomers and the content of conjugated linoleic acid cis9trans11 C18:2 (CLA), in commercial smoked and unsmoked cheeses and cheese-like products available on the Polish market as well as to compare lipid quality indices in these products. The composition of fatty acids was determined with the gas chromatography method. The conducted study demonstrated that smoked and unsmoked cheeses as well as smoked and unsmoked cheese-like products were characterized by various contents of fatty acids and various lipid quality indices. The smoked and the unsmoked cheeses had significantly higher (p < 0.05) contents of saturated fatty acids (SFA), short-chain fatty acids (SCFA), and branched-chain fatty acids (BCFA) than the smoked and the unsmoked cheese-like products. The monounsaturated fatty acids (MUFA) and the polyunsaturated fatty acids (PUFA) contents were the highest in unsmoked cheese-like products (39.29 ± 1.49% and 9.13 ± 0.33%, respectively). In smoked and unsmoked cheeses, MUFA were above 24% and PUFA were above 2.4%. The total content of trans C18:1 isomers was significantly higher (p < 0.05) in the cheeses, but in the group of these isomers, trans10 + trans11 isomers were dominant. High levels of trans6-trans9 isomers (up to 2.92% of total fatty acid) were found in some of the samples of unsmoked cheese-like products, while their content in cheeses was lower. The lipid quality indices in cheeses and cheese-like products were varied. The smoked and the unsmoked cheeses were characterized by significantly higher (p < 0.05) values of the index of thrombogenicity (TI) and atherogenicity (AI) indices and significantly lower (p < 0.05) values of the hypocholesterolemic/hypercholesterolemic (HH) ratio.

Health Risk Assessment of Heavy Metals and Lipid Quality Indexes in Freshwater Fish from Lakes of Warmia and Mazury Region, Poland.

The objectives of study were to determine heavy metals content (Zn, Cu, Mn, Fe and Hg) and fatty acids in selected organs of roach, Rutilus rutilus (L.); bream, Abramis brama (L.); pike, Esox lucius (L.); Eurasian perch, Perca fluviatilis (L.) collected from reservoirs of Warmia and Mazury region (northeastern Poland). Heavy metals were determined with atomic absorption spectrometry AAS. The fatty acids were analyzed using gas chromatography. In a few cases, differences in the content of heavy metals and fatty acids were not significant between species. The muscles of fish characterized significantly higher values of mercury than other organs (p ≤ 0.05), except for bream. The reverse regularity was observed in the case of content of Cu, Zn, Mn and Fe. Fatty acids having a desirable dietary effect in humans (DFA-Hypocholesterolaemic fatty acids) (74.00-74.84) were more than OFA (hypercholesterolaemic fatty acids), i.e., those undesirable (24.03-24.79). The lipid quality indexes AI (index of atherogenicity) (0.40-0.44) and TI (index of thrombogenicity) (0.18-0.24) in muscles of fish were low, which means that the meat of the fish may be recommended for human health. THQ (target hazard quotient) and HI (hazard index) as individual foodstuff were below 1, whereas HI for a specific receptor/pathway combination exceeded 1. This may suggest that eating meat from a given species is safe from a health point of view.

Dynamics of mercury content in adult sichel (Pelecus cultratus L.) tissues from the Baltic Sea before and during spawning.

This study compares the content of mercury in the muscles, liver, kidneys, gonads and gills of male and female individuals of sichel (Pelecus cultratus). Moreover, the trend of changes of mercury concentration before (March) and during (May) the spawning season was examined. Sichel brooders were caught in the Vistula Lagoon during commercial fishing. The mercury content in tissues was determined by atomic absorption using a Milestone DMA-80. The tests revealed a statistically higher mercury concentration in muscles, liver and gonads in male vs. female fish. Moreover, significantly higher mercury concentration was found in male and female fish caught during the spawning season (May) than in those caught before this season (March). Moreover, testes (0.011 ±â€¯0.007 mg kg-1 w/w) were found to contain 12 times, and ovaries (0.004 ±â€¯0.001 mg kg-1 w/w) - approx. 19 times less mercury than the muscular tissue of those same fish. This may suggest the existence of a protective barrier, defending future offspring against the transfer of toxic mercury from the parent body to gonads and gametes.

Fish as a bioindicator of heavy metals pollution in aquatic ecosystem of Pluszne Lake, Poland, and risk assessment for consumer's health.

Heavy metals content (Zn, Cu and Hg) were measured in gills, liver, gonads and muscles of perch, Perca fluviatilis (L.) and roach, Rutilus rutilus (L.) from Lake Pluszne (north-eastern Poland). Correlations between heavy metals levels and total length, weight, HSI, GSI and FCF were examined. As expected, muscles contained the significantly highest values of Hg (P ≤ .05). The concentrations of Zn were significantly higher in gills of roach and gonads of perch (P ≤ .05), while the liver of fish accumulated significantly more Cu than other organs (P ≤ .05). In all organs of perch the higher content of mercury was found (P ≤ .05). The value of Zn and Cu was highest in organs of roach (P ≤ .05) (with the exception of Zn in muscles P > .05). Sequence of metals in both species was Zn > Cu > Hg. Only in muscle tissue, Hg was significantly positive correlated with weight of roach (r = 0.811, P = .045) and perch (r = 0.652, P = .041), and total length of roach (r = 0.806, P = .005). A positive relationship was also observed between Zn concentration in gills of perch and their weight (r = 0.634, P = .049). In contrary, Zn in gills of roach decreased with weight (r = -0.693, P = .026)) and length (r = -0.668, P = .035). Cu concentration in liver of perch was statistically positively correlated with HSI (r = 0.717, P = .020), whereas Hg content in muscle tissue of roach with FCF (r = 0.643, P = .045). There was negative relationship between Hg in perch gonads and GSI (r = -0.808, P = .005). Metal pollution index (MPI) in gills, liver, gonads and muscles of roach was 7.68, 7.24, 6.77 and 3.13, respectively, whereas in these organs of perch was 3.25 (gills), 4.75 (liver), 5.84 (gonads) and 4.44 (muscles), therefore the contamination of each tissue ranged from very low contamination to low contamination. The concentration of mercury was lower than the maximum acceptable limit estimated by the Commission Regulation (EC) No 629/2008 of 2 July 2008. The values of HI and THQ were below 1, which means that consumption of these fish is not hazardous to the consumer.

Mercury, Fatty Acids Content and Lipid Quality Indexes in Muscles of Freshwater and Marine Fish on the Polish Market. Risk Assessment of Fish Consumption.

Mercury content and fatty acids in muscles of Perca fluviatilis L. (European perch), Leuciscus idus L. (ide), Cyprinus carpio L. (European or common carp), Oncorhynchus mykiss Walb. (rainbow trout), Platichthys flesus L. (European flounder). and Clupea harengus L. (bream) from the Polish market were investigated. The total mercury was processed with AAS. The fatty acids were analyzed by gas chromatography. The concentration of mercury in muscles varied from 0.006 to 0.138 mg/kg and decreased as follows: perch ≈ ide > flounder > herring ≈ bream ≈ rainbow trout > carp (p ≤ 0.05). There were only significant positive correlations between body weight and mercury content in muscle tissue of carp (r = 0.878), flounder (r = 0.925) and herring (r = 0.982) (p ≤ 0.05). The atherogenic index (AI), thrombogenicity index (TI) and flesh-lipid quality index (FLQ) were calculated as follows 0.33-0.70 (IA), 0.16-0.31 (IT) and 13.01-33.22 (FLQ). Hypocholesterolemic (OFA) and hypercholesterolemic fatty acids (DFA) in muscles of fish ranged from 18.26 to 23.01 and from 73.91 to 78.46, respectively. In most cases, there were not significant correlations between size (body weight and total length) and fatty acids in the muscles of the examined fish (p > 0.05). The Target Hazard Quotient (THQ) values were below 1, which shows that there is no non-carcinogenic health risk to the consumer by consuming the examined fish.

The type of spawning agent affects the egg composition during out-of-season spawning but not during in-season spawning in Eurasian perch, Perca fluviatilis.

The aim of the study was to verify the effect of various hormonal agents [human chorionic gonadotropin (hCG) and salmon gonadoliberine analogue (sGnRHa)] applied at different stages of maturity of the females [out-of-season (maturation stage I) and in-season spawning (maturation stages II and IV)] on the proximate composition (PC) and fatty acid (FA) profile of eggs of Eurasian perch, Perca fluviatilis. The egg samples (7 samples from each group) were also collected from spontaneous spawning (without hormonal treatment) fish representing each maturation stage (I, II and IV for groups C-I, C-II and C-IV, respectively). The results were also compared with the eggs collected in nature (seven randomly chosen egg samples from natural spawning; group NS). Embryonic survival rate was recorded and analysis of PC and FA profile were performed, for all the groups. Embryonic survival rate varied among the groups, and only differences (P<0.05) between group C-I and NS were recorded. In-season spawning operation did not affect PC and FA profiles. Application of hCG or spontaneous spawning (group C-I) were found to have the highest effect on the FA profile. It concerned mostly total n-3 polyunsaturated fatty acids, but also stearic (C18:0), oleic [C18:1(cis9)], linoleic [C18:2(n-6)], arachidonic [C20:4(n-6)] and docosahexaenoic[C22:6(n-3)] acids. The application of sGnRHa during out-of-season spawning had the lowest effect on the FA profile. The results presented indicate that controlled reproduction can affect the FA profile only during out-of-season spawning. This negative effect can be presumably compensated by the application of sGnRHa as a spawning agent.

Does prematurity affect thrombocytopoiesis?

Data concerning thrombocytopoiesis in newborns are poorly recognized. Platelets have a crucial role in hemostatic physiology, which is deficient in newborns, especially in preterm newborns. A total of 51 preterm newborns (PTN), 25 girls and 26 boys, were recruited for the study. The control group consisted of 25 female and 30 male healthy term newborns (HTN). Plasma thrombopoietin (TPO) was measured using Quantikine human TPO system. Reticulated platelets (PLRET) was estimated by means of Retic-Count Kit. Platelet count (PLT) was determined using Advia(TU) 120 Hematology System. TPO was evidently higher in PTN (110.9 pg/ml) than in HTN (71.5 pg/ml), (p < 0.001). The percentage of reticulated platelets (PLRET) was also twice as high in PTN (3.49%) in comparison to HTN (1.7%), (p < 0.001). The PLT count was lower in PTN (246.7 x 10(3) microL) than in HTN (287.2 x 10(3) microL), (p < 0.01). Increased TPO levels and the percentage of PLRET indicate that thrombocytopoiesis is more active in prematurity. Our finding may be useful in therapeutic strategies.