Bacterial contamination of expressed breast milk.

In a study of breast milk collected into sterile bottles rinsed in 1% hypochlorite solution the hypochlorite solution adherent to the sides of the bottles apparently caused a large reduction in bacterial contamination of the milk after storage at 4 degrees C for up to four hours. Heating expressed breast milk at 62.5 degrees C for five minutes destroyed over 90% of the Escherichia coli, Staphylococcus aureus, and group B beta-haemolytic streptococci inoculated into the milk samples. Rinsing collecting bottles with hypochlorite solution may be valuable in collecting milk with a low bacterial content for human-milk banks. Furthermore, the currently accepted pasteurisation time of 30 minutes may be excessive.     

Quantity and quality of retrograde menstruation: a case control study

Background  

The purpose of this study was to test the hypothesis that menstruation is associated with a higher concentration of endometrial cells in peritoneal fluid(PF) and with increased white and red blood cell concentration in PF when compared to nonmenstrual phases of the cycle.     

A disposable microbial based biosensor for quality control in milk

The food industry needs suitable analytical methods for quality control, that is, methods that are rapid, reliable, specific and cost-effective as current wet chemistries and analytical practices are time consuming and may require highly skilled labor and expensive equipment. The need arises from heightened consumer concern about food composition and safety. The present study was carried out keeping in view the recently emerging concern of the presence of urea in milk, called "synthetic milk". The biocomponent part of the urea biosensor is an immobilized urease yielding bacterial cell biomass isolated from soil and is coupled to the ammonium ion selective electrode of a potentiometric transducer. The membrane potential of all types of potentiometric cell based probes is related to the activity of electrochemically detected product, and thus to the activity of the substrate by a form of the Nernst equation. Samples of milk were collected and analyzed for the presence of urea by the developed biosensor with a response time as low as 2 min. The results were in good correlation with the pure enzyme system.     

Energy intake and weight gain of very low birthweight babies fed raw expressed breast milk.

The energy intake and weight gain of low birthweight infants (under 1500 g) fed expressed breast milk were measured. Between the second and fourth weeks of life the mean energy intake was 577 kJ (138 kcals)/kg/day and the mean weekly increase in weight 119 g/week. Feeding energy-rich hind milk to two babies increased their energy intake but had little effect on their rate of weight gain. There appeared to be no correlation between energy intake and weight gain, probably owing to variation in the absorption of nutrients from expressed breast milk. This study forms a basis for a comparison of weight gain in babies fed alternative regimens of artificial milks.     

Human behavioral influences and milk quality control programs

Mastitis is a major disease affecting the herds of dairy farmers worldwide. One of the indicators directly related to the widespread infection of this disease in herds is the bulk tank somatic cell count (BTSCC). Recent studies have shown that one of the risk factors associated with mastitis is the human factor. Therefore, understanding the influence of humans is essential to control and prevent the disease. The main goal of this study was to determine whether the motivations and barriers perceived by farmers could explain the variation in the BTSCC. This study was conducted at 75 dairy farms in southern Brazil. In the interviews with farmers, a survey based on Likert scale items was used to collect data. Structural equation models were used to explain the subjectivity in the ratio of observed variables and latent variables elucidating the possible causal relationships between the variables. The model indicated that some of the variation in the BTSCC can be explained by the farmer’s behavior, which is elucidated by his/her motivations and barriers. The correlations between motivations and the BTSCC and between barriers and the BTSCC were positive. These findings suggest that variations in the BTSCC can be explained by the motivations and barriers perceived by farmers and that the Fogg Behavior Model used in this study can be used to explain how human behaviors influence mastitis control. This study also indicates that consulting companies focused on improving milk quality should pay attention to the human factor to reduce these barriers.     

Selenium content of milk and milk products of Turkey. II

Selenium content of 1028 milk and milk products of Turkey are presented in this study. The selenium content of human milk (colostrum, transitional, and mature milk), various kinds of milk [cow, sheep, goat, buffalo, paper boxes (3%, 1.5%, 0.012% fat), bottled milk, condensed milk (10% fat), mineral added milk (1.6%), and banana, strawberry, and chocolate milk] and milk products (kefir, yogurt, Ayran, various cheese, coffee cream, ice cream, butter, margarine, milk powder, and fruit yogurt) in Turkey were determined by a spectrofluorometric method. The selenium levels of cow milks collected from 57 cities in Turkey were also determined. Selenium levels in cow milk varied with geographical location in Turkey and were found to be lowest for Van and highest for Aksaray. The results [milk (cow, sheep, goat, buffalo and human) and milks products] were compared with literature data from different countries.     

Fat stigmatization in television shows and movies: a content analysis

Objective: To examine the phenomenon of fat stigmatization messages presented in television shows and movies, a content analysis was used to quantify and categorize fat‐specific commentary and humor. Research Methods and Procedures: Fat stigmatization vignettes were identified using a targeted sampling procedure, and 135 scenes were excised from movies and television shows. The material was coded by trained raters. Reliability indices were uniformly high for the seven categories (percentage agreement ranged from 0.90 to 0.98; kappas ranged from 0.66 to 0.94). Results: Results indicated that fat stigmatization commentary and fat humor were often verbal, directed toward another person, and often presented directly in the presence of the overweight target. Results also indicated that male characters were three times more likely to engage in fat stigmatization commentary or fat humor than female characters. Discussion: To our knowledge, these findings provide the first information regarding the specific gender, age, and types of fat stigmatization that occur frequently in movies and television shows. The stimuli should prove useful in future research examining the role of individual difference factors (e.g., BMI) in the reaction to viewing such vignettes.     

Haloperidol secreted in breast milk.

A nursing mother was given haloperidol 5 mg twice daily for puerperal psychosis and continued to breast feed under hospital supervision. Despite considerable amounts of haloperidol being secreted in the breast milk (up to 23.5 micrograms/l), the infant was apparently not sedated, fed well, and continued to thrive. The findings suggest that maternal ingestion of haloperidol for short periods has no deleterious effect on the infant''s development.     

Immunoregulation by breast milk cells.

Although B cells capable of synthesizing IgG and IgM have been identified in human milk, only IgA synthesis is measured in vitro. These data suggest that milk lymphocyte differentiation is a regulated process and that there may be a specific milk cell factor capable of stimulating differentiation of IgA-bearing B cells. To investigate this possibility lymphocyte/ macrophages from early (≤5 days) and late (≥8 days) milk were incubated and subsequently small aliquots of their cell-free culture media were added to peripheral blood lymphocyte cultures. The release of IgA, IgG, and IgM by the blood lymphocytes in culture was quantitated using double-antibody (Ab) competitive radioimmunoassays. The cell-free media from early (colostral) milk cell cultures significantly stimulated (P < 0.0001) IgA synthesis and had no effect on the production of IgG or IgM. There was no effect on immunoglobulin production when the milk cell supernate came from cells isolated from more mature milk. Therefore, it is postulated (i) that a soluble mediator(s) of immunologic regulation is released by human milk cells, (ii) that this factor(s) at least in part, explains the peculiar immunologic behavior of human milk cells in vitro, (iii) that this factor(s) is released in greater amounts by colostral cells than by cells in mature milk, and (iv) that human colostrum may play a role in affecting active local immunity in the gastrointestinal tract of the recipient newborn.     

Estrogen and progesterone measurement and its quality control in breast cancer: a reappraisal

This article illustrates the two main methods for routine measurement of cytoplasmic estrogen receptor status in neoplastic biopsy. The first is the Dextran Coated Charcoal Technique (D.C.C. Assay) which is still the method of choice in the majority of clinical laboratories for its simplicity, reproducibility and low cost. The second is a more advanced technique based on the specific binding, enzymatically displayed, of commercially available antiestrogen monoclonal antibodies (Enzyme Immuno Assay - ABBOTT). The sui generis characteristics of endocrine sensitivity assessment on tumor tissues and the importance of decision-making connected with the assay justify rigorous quality assurance schemes. The quality control design proposed by the Italian Committee concerned the evaluation of several lyophilized preparations with scalar receptor content; this permits the identification through linear regression analysis of systematic and non-systematic errors. The Italian Committee has currently connected 50 labs from most regions of the country.     

Cytomorphometry as quality control for fine needle aspiration. A study in 321 breast lesions

Material collected by fine needle aspiration (FNA) in 321 histologically examined primary breast lesions of previously untreated patients was analyzed by morphometry. The mean nuclear area (MNA) and its standard deviation (SD) were calculated for 50 cells in each case. Four subclasses were defined on the basis of the MNA and SD: benign (less than 10% probability of malignancy), doubtful benign (10% to 49%), doubtful malignant (50% to 90%) and malignant (greater than 90% probability of malignancy). FNA samples showing signs of acute inflammation or only apocrine metaplastic cells were not suitable for analysis by this morphometric method and were excluded. In 274 (85.4%) of the cases, the measurements allowed a definite morphometric conclusion, with predictive values of 99.5% and 100% for the histologically malignant and benign aspirates, respectively. The probability of malignancy in the doubtful malignant group was almost 86%. The morphometric method described is quick, easy to perform and well suited for use in routine daily practice; furthermore, it does not require expensive equipment. The ease of the technique and its high predictive value make this method appropriate for use as a quality control procedure in FNA cytology.     

Microarray data quality control improves the detection of differentially expressed genes

Microarrays have become a routine tool for biomedical research. Data quality assessment is an essential part of the analysis, but it is still not easy to perform objectively or in an automated manner, and as a result it is often neglected. Here, we compared two strategies of array-level quality control using five publicly available microarray experiments: outlier removal and array weights. We also compared them against no outlier removal and random array removal. We find that removing outlier arrays can improve the signal-to-noise ratio and thus strengthen the power of detecting differentially expressed genes. Using array weights is similarly effective, but its applicability is more limited. The quality metrics presented here are implemented in the Bioconductor package arrayQualityMetrics.     

Obstructive jaundice due to a chlorinated hydrocarbon in breast milk.

A 6-week-old breast-fed infant had obstructive jaundice and hepatomegaly. When a dry-cleaning solvent, tetrachloroethylene, was detected in the mother''s milk and blood, breast-feeding was discontinued. Rapid clinical and biochemical improvement followed. The child grew normally and had normal liver function during 2 years of follow-up.