A new electroencephalogram classification with reduced recording time in asphyxiated term infants

Abstract Study Objectives Sleep features in infancy are potential biomarkers for brain maturation but poorly characterised. We describe normative values for sleep macrostructure and sleep spindles at 4-5 months of age. Methods Healthy term infants were recruited at birth and had daytime sleep EEGs at 4-5 months. Sleep staging was performed and 5 features were analysed. Sleep spindles were annotated and 7 quantitative features were extracted. Features were analysed across sex, recording time (am/pm), infant age and from first to second sleep cycles. Results We analysed sleep recordings from 91 infants, 41% girls. Median (IQR) macrostructure results: sleep duration 49.0 (37.8-72.0) minutes (n=77); first sleep cycle duration 42.8 (37.0 – 51.4) minutes; REM percentage 17.4 (9.5 - 27.7)% (n=68); latency to REM 36.0 (30.5-41.1) minutes (n=66). First cycle median (IQR) values for spindle features: number 241.0 (193.0-286.5), density 6.6 (5.7-8.0) spindles.min -1(n=77); mean frequency 13.0 (12.8-13.3) Hz, mean duration 2.9 (2.6-3.6)s, spectral power 7.8 (4.7-11.4)µV 2, brain symmetry index 0.20 (0.16-0.29), synchrony 59.5 (53.2-63.8)% (n=91). In males, spindle spectral power (µV 2) is 24.5% lower (p=0.032) and brain symmetry index 24.2% higher than females (p=0.011) when controlling for gestational and postnatal age and timing of the nap. We found no other significant associations between studied sleep features and sex, recording time (am/pm), or age. Spectral power decreased (p<0.001) on the second cycle. Conclusion This normative data may be useful for comparison with future studies of sleep dysfunction and atypical neurodevelopment in infancy.

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Neural activation in mothers of preterm and full-term infants: Preliminary findings from a 3T fMRI study

PsycEXTRA Dataset ◽

10.1037/e579192013-354 ◽

2012 ◽

Author(s):

R. Montirosso ◽

S. Moriconi ◽

B. Riccardi ◽

G. Reni ◽

F. Arrigoni ◽

...

Keyword(s):

Full Term ◽

Neural Activation ◽

Term Infants ◽

Fmri Study

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The Platelet of the Newborn Infant – Adenine Nucleotide Metabolism and Release

Thrombosis and Haemostasis ◽

10.1055/s-0038-1650026 ◽

1980 ◽

Vol 43 (02) ◽

pp. 099-103 ◽

Cited By ~ 9

Author(s):

J M Whaun ◽

P Lievaart ◽

Keyword(s):

Newborn Infant ◽

Adenine Nucleotide ◽

Platelet Rich Plasma ◽

Adenine Nucleotides ◽

Newborn Infants ◽

Specific Radioactivity ◽

Nucleotide Metabolism ◽

Breakdown Product ◽

Term Infants ◽

Adenine Nucleotide Metabolism

SummaryBlood from normal full term infants, mothers and normal adults was collected in citrate. Citrated platelet-rich plasma was prelabelled with 3H-adenine and reacted with release inducers, collagen and adrenaline. Adenine nucleotide metabolism, total adenine nucleotide levels and changes in sizes of these pools were determined in platelets from these three groups of subjects.At rest, the platelet of the newborn infant, compared to that of the mother and normal adult, possessed similar amounts of adenosine triphosphate (ATP), 4.6 ± 0.2 (SD), 5.0 ± 1.1, 4.9 ± 0.6 µmoles ATP/1011 platelets respectively, and adenosine diphosphate (ADP), 2.4 ± 0.7, 2.8 ± 0.6, 3.0 ± 0.3 umoles ADP/1011 platelets respectively. However the marked elevation of specific radioactivity of ADP and ATP in these resting platelets indicated the platelet of the neonate has decreased adenine nucleotide stores.In addition to these decreased stores of adenine nucleotides, infant platelets showed significantly impaired release of ADP and ATP on exposure to collagen. The release of ADP in infants, mothers, and other adults was 0.9 ± 0.5 (SD), 1.5 ± 0.5, 1.5 ± 0.1 umoles/1011 platelets respectively; that of ATP was 0.6 ± 0.3, 1.0 ± 0.1,1.3 ± 0.2 µmoles/1011 platelets respectively. With collagen-induced release, platelets of newborn infants compared to those of other subjects showed only slight increased specific radioactivities of adenine nucleotides over basal levels. The content of metabolic hypoxanthine, a breakdown product of adenine nucleotides, increased in both platelets and plasma in all subjects studied.In contrast, with adrenaline as release inducer, the platelets of the newborn infant showed no adenine nucleotide release, no change in total ATP and level of radioactive hypoxanthine, and minimal change in total ADP. The reason for this decreased adrenaline reactivity of infant platelets compared to reactivity of adult platelets is unknown.Infant platelets may have different membranes, with resulting differences in regulation of cellular processes, or alternatively, may be refractory to catecholamines because of elevated levels of circulating catecholamines in the newborn period.

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