电化学发光法在检测孕产妇乙肝中的应用

背景与目的：探讨电化学发光法（electrochemiluminescence ECL）在检测孕产妇乙肝病毒中的应用价值,从而正确指导乙肝孕产妇产后的喂养方式。方法：用ELISA法和ECL法平行测定孕产妇血清乙肝病毒血清标志物（HBV—M）,并对ELISA法检测表面抗原为阴性而ECL法为低浓度的标本,用荧光定量PCR测定病毒DNA。结果：ECL法表面抗原的检出率（9．66％）明显高于ELISA法（6.54％）,p〈0.05,ELISA法检测为阴性而ECL法为低浓度的标本,病毒DNA均为阳性。结论：ECL法测定HBV—M的敏感性比ELISA法高,可以更灵敏的检出低浓度的表面抗原,从而可以更好的指导孕产妇产后的喂养方式,但HBcAb阳性率过高。     

Dynamic tensile properties of human placenta

Automobile crashes are the largest cause of injury death for pregnant females and the leading cause of traumatic fetal injury mortality in the United States. Computational models, useful tools to evaluate the risk of fetal loss in motor vehicle crashes, are based on a limited number of quasi-static material tests of the placenta. This study presents a total of 20 dynamic uniaxial tensile tests on the maternal side of the placenta and 10 dynamic uniaxial tensile tests on the chorion layer of the placenta. These tests were completed from 6 human placentas to determine material properties at a strain rate of 7.0 strains/s. The results show that the average peak strain at failure for both the maternal portion and the chorion layer of the placenta are similar with a value of 0.56 and 0.61, respectively. However, the average failure stress for the chorion layer, 167.8 kPa, is much higher than the average failure stress for the placenta with the chorionic plate removed, 18.6 kPa. This is due to differences in the structure and function of these layers in the placenta. In summary, dynamic loading data for the placenta have been determined for use in computational modeling of pregnant occupant kinematics in motor vehicle crashes. Moreover the computational model should utilize the material properties for the placenta without the chorion layer.     

Do nurse sows and foster litters have impaired animal welfare? Results from a cross-sectional study in sow herds

Increasing litter size has led to introduction of so-called nurse sows in several EU countries. A nurse sow is a sow receiving piglets after having weaned her own piglets and thereby experiencing an extended lactation. In order to analyse whether nurse sows have more welfare problems than non-nurse sows a cross-sectional study was conducted in 57 sow herds in Denmark. Clinical observations were made on nurse and non-nurse sows and their litters. The clinical observations were dichotomized and the effect of being a nurse sow was analysed based on eight parameters: thin (body condition score<2.5), swollen bursae on legs, dew claw wounds, vulva lesions, poor hygiene, poor skin condition, shoulder lesions and cuts and wounds on the udder. Explanatory variables included in the eight models were: nurse sow (yes=1/no=0), age of piglets (weeks old, 1 to 7), parity (1 to 8+) and all first order interactions between these three variables. The effect of using nurse sows on piglet welfare was analysed with five models. The outcomes were: huddling, poor hygiene, lameness, snout cuts and carpal abrasions. The explanatory variables included in the five models were: nurse sow (yes=1/no=0), age of piglets (weeks old, 1 to 7), parity (1 to 8+) and all first order interactions between these three variables. Herd identity was included as a random factor in all models. The nurse sows had a significantly higher risk of swollen bursae on legs (P=0.038) and udder wounds (P=0.001). No differences in risk of being thin or having shoulder lesions were found. Foster litters had significantly higher risk of being dirty (P=0.026) and getting carpal abrasions (P=0.024) than non-foster litters. There was a tendency for higher lameness in foster litters than in non-foster litters (P=0.052). The results show that nurse sows and their piglets to some extent experience more welfare problems than non-nurse sows with piglets at a similar age.     

肥胖孕妇肠道菌群与子代肥胖的相关性

妊娠期肥胖发生率在世界范围内呈上升趋势,成为影响人类健康的公共卫生问题。肥胖母亲肠道菌群失调导致婴儿早期定植菌群异常,而婴儿早期菌群定植情况与其日后生长发育密切相关,容易导致成年后出现肥胖、胰岛素抵抗、代谢综合征等疾病。因此针对肥胖孕妇肠道菌群分析,以及婴儿肠道菌群及生长发育的分析,对于孕妇孕期管理、健康宣教提高国民整体身体素质具有重要意义。     

Multidimensional analysis of the essential elements in pregnant women's whole blood and characterization of maternal status by elemental pattern

BackgroundDuring pregnancy, the fetus needs to obtain a lot of nutrients from the mother, but the micronutrient deficiencies in pregnancy are not clear at present, and there is no reliable basis for nutrient intake and supplement. The purpose of this study was to understand the levels of essential elements in whole blood of pregnant women during various pregnancy stages at different ages and in different regions, to evaluate the deficiency of essential elements in Chinese pregnant women, and to explore the feasibility of using the elemental pattern to characterize maternal status.MethodsWhole blood samples of 11222 healthy pregnant women enrolled in different areas of China from Jan–Dec 2019, were analyzed for concentrations of six essential elements including Mn, Cu, Zn, Ca, Mg, and Fe, using the inductively coupled plasma mass spectrometer. A retrospective comparative study during different pregnancy periods at different ages and in different regions in whole blood essential elements content from non-pregnant normal women and pregnant normal women was developed using multivariate statistical analysis. Principal component analysis evaluation elemental pattern was used to characterize pregnancy status of pregnant women.ResultsIn general, the levels of six essential elements in whole blood of pregnant women can satisfy the needs of normal physiological activities. With the development of pregnancy, the contents of Cu and Mn increased, while the contents of Fe and Mg decreased, and the contents of Zn and Ca have no noteworthy change. At the same gestation stage, the Cu content in whole blood of elderly pregnant women was higher. There were some differences in whole blood essential elements content of pregnant women in different regions. Principal component analysis and heat map analysis showed the feasibility of using bioinformatics research strategies to identify different pregnancies.ConclusionsThere are differences in the content of whole blood essential elements of women at different stages of pregnancy in different regions. It was found that there was no obvious deficiency in whole blood essential elements levels of pregnant women in recent years. The pattern of essential elements has a certain application potential in the evaluation of pregnancy and pregnant women's health status.     

Women's voice pitch lowers after pregnancy

Women's voice pitch (the perceptual correlate of fundamental frequency, F0) varies across the menstrual cycle and lowers after menopause, and may represent a putative signal of women's fertility and reproductive age. Yet, despite dramatic changes in women's sex hormone levels and bodies during and after pregnancy, previous between-subject and case studies have not found systematic changes in F0 due to pregnancy. Here, we tracked within-individual variation in 20 mothers' voices during their first pregnancy, as well as up to 5?years before conception and 5?years postpartum. Voice recordings from 20 age-matched nulliparous women were measured as a control. Linear Mixed Models indicated that F0 mean, range and variation changed significantly following pregnancy in mothers, controlling for age at time of recording, whereas we did not observe any F0 changes across corresponding timeframes in our sample of nulliparous controls. Mothers' voices became significantly lower-pitched and more monotonous during the first year postpartum compared to during pregnancy or before. These F0 parameters did not decrease within-individuals over a 5-year period prior to conception above and beyond the effects of ageing. Although voice pitch decreased following pregnancy, mothers' F0 parameters reverted after the first year postpartum, approaching pre-pregnancy levels. Our results demonstrate that pregnancy has a transient and perceptually salient masculinizing effect on women's voices.     

Maternal dietary supplementation with ferrous N-carbamylglycinate chelate affects sow reproductive performance and iron status of neonatal piglets

Iron-deficiency anemia is a public health concern that frequently occurs in pregnant mammals and neonatal offspring. Ferrous N-carbamylglycinate chelate (Fe-CGly) is a newly designed iron fortifier with proven effects in iron-deficient rats and weanling piglets. However, the effects of this new compound on pregnant mammals are unknown. Therefore, this experiment was conducted to evaluate the effects of Fe-CGly on sow reproductive performance and iron status of both sows and neonatal piglets. A total of 40 large-white sows after second parity were randomly assigned to two groups (n=20). They were receiving a diet including 80 mg Fe/kg as FeSO₄ or Fe-CGly, respectively, from day 85 of gestation to parturition. The serum (day 110 of pregnancy) and placentas of sows were sampled. Litter size, mean weight of live born piglets, birth (live) litter weight, number of live born piglets, and the number of still-born piglets, mummies, and weak-born piglets were recorded. Once delivered, eight litters were randomly selected from the 20 litters per treatment, and one new-born male piglet (1.503±0.142 kg) from each selected litter was slaughtered within 3 h after birth from the selected litters, without colostrum ingestion. The serum, longissimus muscle, liver and kidneys of the piglets were collected. The iron status of the serum samples and the messenger RNA level of iron-related genes in the placenta, liver and kidney were analyzed. The results showed that litter weight of live born piglets was higher (P=0.030) in the Fe-CGly group (19.86 kg) than in the FeSO₄ group (17.34 kg). Fe-CGly significantly increased placental iron concentration (P<0.05) of sows. It also significantly increased iron saturation and reduced the total iron-binding capacity of piglets (P<0.05) at birth. However, the results revealed that supplementation of Fe-CGly in sows reduced liver and kidney iron concentration of neonatal piglets (P<0.05), indicating decreased iron storage. In addition, the concentration of iron in the colostrum was not significantly changed. Therefore, the present results suggested that replacement of maternal FeSO₄ supplement with Fe-CGly in the late-gestating period for sows could improve litter birth weight, probably via enhanced iron transportation in the placenta.     

Dietary fibre for gestating sows: effects on parturition progress, behaviour, litter and sow performance

In pig production, parturition progress is a key event for sow's reproductive performance, evaluated by piglet survival and piglets' performance. The aim of this study was to investigate the impact of feeding a high-fibre (HF) diet during gestation on parturition progress and reproductive performance of sows. Forty-two primiparous sows (Large-White × Landrace crossbred) were fed during gestation either a control diet (C diet; 2.40 kg/day, 3.2% crude fibre, in % of dry matter (DM)), or a HF diet (2.80 kg/day, 12.4% crude fibre, in % of DM). All sows received 33 MJ digestible energy per day. Continuous video recordings were done on the parturition day to determine postural changes (standing, sitting, lying) and behavioural activities (nesting behaviour, uterine contractions, restlessness, social behaviour towards piglets) during parturition. Duration of parturition and individual birth intervals were also measured. Piglets' growth was evaluated by weekly weighing from birth until weaning, at 26.5 days of age. Sows were weighed and backfat thickness was measured at mating, on day 105 of gestation, on the 1st day post partum, and at weaning. Durations of parturition and of birth intervals were not affected by the gestation diet and averaged 211 ± 12 min and 16.5 ± 0.9 min (mean ± s.e.), respectively. During the parturition progress, the gestation diet did not affect the frequency and the time devoted to postural and behavioural activities. Dietary treatment during gestation did not influence duration of gestation and weaning-to-oestrus interval, as well as litter size, and number of stillborn and weaned piglets. Piglet weight at birth did not differ between gestation dietary treatments but piglets nursed by HF sows showed a 13.5% greater growth rate during the 1st week of life (P < 0.01) and tended to be heavier at weaning (P = 0.06) compared with C piglets. The HF sows were leaner at the end of gestation (P < 0.05), but variations of sows' weight during gestation and lactation were not affected by the gestation diet. All sows lost the same amount of backfat thickness during lactation. During lactation, the average daily feed intake was not significantly affected by the gestation diet. This study shows that substituting a control diet for a HF diet during gestation has limited effects on farrowing progress and reproductive performance, but improved piglets' growth rate during the 1st week of life and tended to increase their live weight at weaning.     

B族链球菌感染妊娠妇女产时 抗生素治疗临床效果评价

目的探讨沈阳地区孕晚期妊娠妇女B族链球菌(group B Streptococcus,GBS)的定植率及其耐药性,评估GBS感染妊娠妇女分娩期给予产时抗生素预防(intrapartum antibiotic prophylaxis,IAP)的临床效果。方法选择2017年9月至2017年12月在沈阳市妇婴医院行GBS筛查的691例怀孕35～37周的妊娠妇女为研究对象,将GBS筛查阳性妊娠妇女中采用顺产方式分娩的38例妊娠妇女作为研究组,638例GBS筛查阴性妊娠妇女作为对照组。研究组妊娠妇女给予IAP,对照组妊娠妇女不作处理。分析两组妊娠妇女GBS定植情况、GBS菌株耐药情况及给予IAP后新生儿不良事件发生率。结果 691例妊娠妇女中有53例GBS培养阳性,GBS定植率为7.67%。全部GBS菌株对青霉素、头孢唑林及万古霉素的敏感率均为100.00%;对红霉素、克林霉素耐药率分别为81.48%和73.95%。研究组中新生儿黄疸发生率为7.89%,新生儿窒息发生率为2.63%,脑膜炎、肺炎、败血症的发生率均为0.00%。对照组中新生儿黄疸发生率为3.13%,新生儿窒息发生率为0.63%,肺炎发生率为0.16%,新生儿脑膜炎及败血症发生率均为0.00%。两组新生儿在新生儿黄疸、新生儿窒息、脑膜炎、肺炎和败血症发生率方面比较差异无统计学意义(均P0.05)。结论沈阳地区妊娠妇女GBS带菌率较高,青霉素可作为治疗的首选药物。预防性使用抗生素治疗可以改善新生儿结局。     

Follicular development of sows at weaning in relation to estimated breeding value for within-litter variation in piglet birth weight

In this study we aimed to identify possible causes of within-litter variation in piglet birth weight (birth weight variation) by studying follicular development of sows at weaning in relation to their estimated breeding value (EBV) for birth weight variation. In total, 29 multiparous sows (parity 3 to 5) were selected on their EBV for birth weight variation (SD in grams; High-EBV: 15.8±1.6, N=14 and Low-EBV: −24.7±1.5, N=15). The two groups of sows had similar litter sizes (15.7 v. 16.9). Within 24 h after parturition, piglets were cross-fostered to ensure 13 suckling piglets per sow. Sows weaned 12.8±1.0 and 12.7±1.0 piglets, respectively, at days 26.1±0.2 of lactation. Blood and ovaries were collected within 2 h after weaning. The right ovary was immediately frozen to assess average follicle size and percentage healthy follicles of the 15 largest follicles. The left ovary was used to assess the percentage morphologically healthy cumulus-oocyte complexes (COCs) of the 15 largest follicles. To assess the metabolic state of the sows, body condition and the circulating metabolic markers insulin, IGF1, non-esterified fatty acid, creatinine, leptin, urea and fibroblast growth factor 21 were analysed at weaning. No significant differences were found in any of the measured follicular or metabolic parameters between High-EBV and Low-EBV. A higher weight loss during lactation was related to a lower percentage healthy COCs (β= −0.65, P=0.02). Serum creatinine, a marker for protein breakdown, was negatively related to average follicle size (β= −0.60, P=0.05). Backfat loss during lactation was related to a higher backfat thickness at parturition and to a higher average follicle size (β=0.36, P<0.001) at weaning. In conclusion, we hypothesise that modern hybrid sows with more backfat at the start of lactation are able to mobilise more energy from backfat during lactation and could thereby spare protein reserves to support follicular development.