Birth weight charts for a Chinese population: an observational study of routine newborn weight data from Chongqing

Background To construct birth weight charts for the Chongqing municipality, China and to identify whether differences in birth weight exist across urban/rural populations, thereby warranting separate charts. Methods Secondary analysis of routinely collected data from 338,454 live infants between 2014 and 2017 in Chongqing municipality. Sex-specific birth weight-for-gestational age centiles were constructed by the lambda-mu-sigma method via the GAMLSS R-based package. This method remodels the skewed birth weight distribution to estimate a normal distribution, allowing any birth weight centile to be generated. A separate set of centiles were created, accounting for urban/rural differences in birth weight. Results The centiles performed well across all gestational ages. For example, 2.37% (n = 4176) of males and 2.26% (n = 3656) of females were classified as below the 2nd centile (expected percentage = 2.28%), 49.75% of males (n = 87,756) and 50.73% of females (n = 82,203) were classified as below the 50th centile (expected proportion = 50%) and 97.52% of males (n = 172,021) and 97.48% of females (n = 157,967) were classified as below the 98th centile (expected proportion = 97.72%). The overall estimated centiles of birth weight for rural infants were higher than the centiles for urban infants at the earlier gestational ages (< 37 gestational weeks). However, this trend was reversed in infants born at term. Conclusion We have constructed a readily utilizable set of birth weight references from a large representative sample of births in Chongqing. The method used to construct the references allows for the calculation of the exact centile for any infant delivered between 28 and 42 completed weeks, which was not possible with previous charts.

Serum analyte levels in children: relationship with malnutrition

Malnutrition is the cellular imbalancing among the supply of energy and nutrients which are essential for maintenance, growth and particular functions. It becomes a major cause of mortality of children less than five years of age. The aim of present study to evaluate the serum analytes such as electrolyte (sodium (Na+), potassium (K+) and calcium (Ca+)), creatinine and blood components in malnourished than healthy children. We had collected the data of 300 malnourished children (100 marasmus, 100 kwashiorkorand, 100 healthy children) with age 6-36 months from Children complex Hospital Multan, Pakistan. Data was analyzed by Paired sample t-test by SPSS software. Then socio-demographic data of their mothers was also collected. The result showed that level of Na+ and creatinine was high whereas, the levels of K+ and Ca+ were lower in both Marasmus and Kwashiorkor than control subjects. The levels of leukocytes, platelets and hemoglobin (Hb) were decreased in both diseases. Erythrocytes (RBCs) level was decreased in Marasmus while increased in Kwashiorkor. It is concluded that inadequate feeding practices, birth order, poverty, illiterate mothers, low nutritional quality of meals responsible for malnutrition. Feasible strategies are needed to address the dietary inadequacies and chronic malnutrition of rural infants.

Infant engagement and early vocabulary development: a naturalistic observation study of Mozambican infants from 1;1 to 2;1

This study analyzes how others engage rural and urban Mozambican infants during naturalistic observations, and how the proportion of time spent in different engagements relates to infants' language development over the second year of life. Using an extended version of Bakeman and Adamson's (1984) categorization of infant engagement, we investigated to what extent a detailed analysis of infant engagement can contribute to our understanding of vocabulary development in natural settings. In addition, we explored how the different infant engagements relate to vocabulary size, and how these differ between the two communities. Results show that rural infants spend significantly more time in forms of solitary engagement, whereas urban infants spend more time in forms of triadic joint engagement. In regard to correlations with reported productive vocabulary, we find that dyadic persons engagement (i.e. interactions not about concrete objects) has positive correlations with vocabulary measures in both rural and urban communities. In addition, we find that triadic coordinated joint attention has a positive relationship with vocabulary in the urban community, but a contrasting negative correlation with vocabulary in the rural community. These similarities and differences are explained, based upon the parenting beliefs and socialization practices of different prototypical learning environments. Overall, this study concludes that the extended categorization provides a valuable contribution to the analysis of infant engagement and their relation to language acquisition, especially for analyzing naturalistic observations as compared to semi-structured studies. Moreover, with respect to vocabulary development, Mozambican infants appear to benefit strongest from dyadic Persons engagement, while they do not necessarily benefit from joint attention, as tends to be the case for children from industrial, developed communities.

Neurodevelopment of Amazonian Infants: Antenatal and Postnatal Exposure to Methyl- and Ethylmercury

Neurodevelopment as Gesell development scores (GDSs) in relation to mercury exposure in infants (<6 months of age) of one urban center and two rural villages, respectively, of fisherman and cassiterite miners. Mean total hair-Hg (HHg) concentrations of infants from Itapuã (3.95±1.8 ppm) were statistically (P=0.0001) different from those of infants from Porto Velho (3.84±5.5 ppm) and Bom Futuro (1.85±0.9 ppm). Differences in vaccine coverage among these populations resulted in significantly higher (P=0.0001) mean ethylmercury (EtHg) exposure in urban infants (150 μg) than in infants from either village (41.67 μg, Itapuã; 42.39 μg, Bom Futuro). There was an inverse significant (Spearmanr=−0.2300;P=0.0376) correlation between HHg and GDS for infants from Porto Velho, but not for the rural infants from Bom Futuro (Spearmanr=0.1336;P=0.0862) and Itapuã (Spearmanr=0.1666;P=0.5182). Logistic regression applied to variables above or below the median GDS showed that EtHg exposure (estimatedprobability=−0.0157;P=0.0070) and breastfeeding score (estimatedprobability=−0.0066;P=0.0536) score were significantly associated with GDS.Conclusion. In nurslings whose mothers are exposed to different levels of fish-MeHg (HHg), a higher score of neurological development at six months was negatively associated with exposure to additional TCV-EtHg. Results should be interpreted with caution because of unaccounted variables.