Huulisuihkun homogeenisuuden vaikutus paperin rakenneominaisuuksiin

Työssä verrattiin perälaatikoilla 1 ja 2 valmistettujen papereiden rakenteellisia ominaisuuksia. Paperin rakenteessa formaatio oli tärkein ominaisuus ja sen jälkeen kuituorientaatio. Näytteiden valintaperusteena pidettiin sitä, että vertailtavilla näytteillä formaatio (pohja) oli paras kyseisellä perälaatikolla ja vetolujuussuhteet olivat samoja. Toinen valintatapa oli verrata samoissa virtausolosuhteissa valmistettuja papereita keskenään. Näytteiden formaatio mitattiin betaradiografialla. Fosforikuvalevystä skannattu kuva analysoitiin kuva-analyysillä. Mittauksen etuna oli suuri erottelukyky, joka mahdollisti monipuolisen tunnuslukujen laskennan. Näistä esimerkkeinä olivat keskihajonta, vinous ja huipukkuus. Lisäksi määritettiin flokkikokojakaumat sekä kone- että poikkisuuntaan. Kuituorientaation määrityksessä paperinäyte revittiin kerroksiin, kerrokset skannattiin ja kuvat analysoitiin kuvankäsittelyohjelmilla. Juova- ja kuituorientaatioanalyysissä määritettiin orientaatiokulma, max/min-arvo ja anisotropia. Virtaviiva-analyysin tunnusluku oli pyörrekoko. Käytettäessä tunnuslukuna variaatiokerrointa formaatio oli parempi perälaatikolla 1 ali- ja yliperällä. Tasaperän läheisyydessä formaatio oli huonompi. Keskihajonta oli pienempi perälaatikolla 1, mutta erot perälaatikoiden välillä tasaantuivat lähellä tasaperää. Flokkikoko oli koko s/v-alueella hieman suurempi perälaatikolla 1. Virtaviiva-analyysin avulla saatiin selville, että perälaatikolla 1 valmistettujen papereiden paikallinen orientaatiovaihtelu ja pintojen toispuoleisuus oli lievempää kuin perälaatikolla 2.

Antenatal inflammation and brain pathology in preterm infants

Chorioamnionitis is known to be an important risk factor underlying preterm delivery, and it has also been suggested to associate with brain lesions and deviant neurological development in both preterm and term infants. Cytokines are believed to be the link causing the deleterious effects of inflammation to the nervous system. Their genetic regulation has also been suggested to play a role, as interleukin (IL)-6 -174 and -572 genotypes, which partly regulate IL-6 synthesis responses, have been connected with deviant neurological development in preterm infants. We evaluated the association of histological chorioamnionitis with brain lesions, regional brain volumes, and the functioning of the auditory pathway in very low birth weight/very low gestational age (VLBW/VLGA) infants. In addition, we investigated the association between IL-6 -174 and -572 genotypes and histological chorioamnionitis, neonatal infections, and brain lesions and regional brain volumes in VLBW/VLGA infants. This study is a part of a larger multidisciplinary project PIPARI (Development and Functioning of Very Low Birth Weight Infants from Infancy to School Age), in which the survivors of a 6-year cohort of VLBW/VLGA infants (n=274) are being followed until school age in Turku University Central Hospital, Finland. Placental samples were collected in the delivery room, and were analyzed for histological inflammatory findings. Blood samples from the infants were collected and DNA was genotyped for IL-6-174 and -572 polymorphisms (GG/GC/CC). Brain ultrasound examinations were performed repeatedly in the neonatal intensive care unit and at term age, and were analysed for structural brain lesions. Brain magnetic resonance imaging was performed at term age, and was analysed for regional brain volumes. In addition, diffusion tensor imaging was performed at term, and was used to analyse fractional anisotrophy and the apparent diffusion coefficient of inferior colliculus. The brainstem auditory evoked potential recordings were carried out according to the routine clinical procedure at median age of 30 days after term age. In our study, we found that histological chorioamnionitis was not an independent risk factor for brain lesions, reduced regional brain volumes or abnormal functioning of the auditory pathway in VLBW/VLGA infants. In addition, we found that IL-6 -174 GG and -572 GC genotypes were associated with a higher incidence of histological chorioamnionitis, and that -174 CC genotype associated with higher incidence of septicaemia. The analysed IL-6 genotypes were not associated with other brain lesions, but a reduced volume of basal ganglia and thalami was associated with IL-6 -174 CC and -572 GG genotypes. In conclusion, our findings suggest that histological chorioamnionitis is not an independent risk factor for the brain development of VLBW/VLGA infants, or that the risk caused by inflammation does not exceed the risks attributed to other underlying pathologies behind preterm deliveries. In addition, our findings give reason to propose that IL-6 promoter genotypes have a role in the defence against serious infections and in the brain development of VLBW/VLGA infants.

Diffusion Tensor Imaging as a Diagnostic and Research Tool: A Study on Preterm Infants

Diffusion tensor imaging (DTI) is an advanced magnetic resonance imaging (MRI) technique. DTI is based on free thermal motion (diffusion) of water molecules. The properties of diffusion can be represented using parameters such as fractional anisotropy, mean diffusivity, axial diffusivity, and radial diffusivity, which are calculated from DTI data. These parameters can be used to study the microstructure in fibrous structure such as brain white matter. The aim of this study was to investigate the reproducibility of region-of-interest (ROI) analysis and determine associations between white matter integrity and antenatal and early postnatal growth at term age using DTI. Antenatal growth was studied using both the ROI and tract-based spatial statistics (TBSS) method and postnatal growth using only the TBSS method. The infants included to this study were born below 32 gestational weeks or birth weight less than 1,501 g and imaged with a 1.5 T MRI system at term age. Total number of 132 infants met the inclusion criteria between June 2004 and December 2006. Due to exclusion criteria, a total of 76 preterm infants (ROI) and 36 preterm infants (TBSS) were accepted to this study. The ROI analysis was quite reproducible at term age. Reproducibility varied between white matter structures and diffusion parameters. Normal antenatal growth was positively associated with white matter maturation at term age. The ROI analysis showed associations only in the corpus callosum. Whereas, TBSS revealed associations in several brain white matter areas. Infants with normal antenatal growth showed more mature white matter compared to small for gestational age infants. The gestational age at birth had no significant association with white matter maturation at term age. It was observed that good early postnatal growth associated negatively with white matter maturation at term age. Growth-restricted infants seemed to have delayed brain maturation that was not fully compensated at term, despite catchup growth.