Objective: This investigation tests the hypothesis that the clinical presentation and the outcome of necrotizing enterocolitis (NEC) vary with gestational age (GA).Methods: All infants admitted to our center between October 1991 and September 2003 were evaluated weekly to identify confirmed cases of NEC. Based upon GA, these infants were divided into five groups: Extremely premature (EP, 23 to 26 weeks), very premature (VP, 27 to 29 weeks), moderately premature (MP, 30 to 34 weeks), near-term (NT, 35 to 36 weeks), and term (T, 37 to 42 weeks).Results: A total of 202 infants developed NEC. The most common sign of NEC among EP infants was ileus (77%), followed by abdominal distention (71%), emesis (58%), pneumoperitoneum (54%), fixed intestinal loop (52%), gasless abdomen (42%) and bloody stools (17%). Intramural gas was detected in 100% of T but was present in only 29% of EP infants (P<0.0001). Similarly, portal venous gas was common in T but infrequent in the EP infants (47 vs 10%, P<0.0001). Despite a higher peritoneal drain insertion rate (31 vs 5%, P<0.001) and a higher mortality rate (33 vs 10%, P ¼ 0.05) in EP compared to T infants, other clinical outcomes were not different. Conclusions:The clinical presentation of NEC is different in EP compared to more mature infants; however, outcome among NEC survivors is similar across all GA. Reliance solely on observation of intramural or on portal venous gas in EP infants may lead to a delay or failure in the diagnosis.

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Nanometer- scale proximal probe thermal desorption/electrospray ionization mass spectrometry (TD/ESI-MS) was demonstrated for molecular surface sampling of caffeine from a thin film using a 30 nm diameter nanothermal analysis (nano-TA) probe tip in an atomic force microscope (AFM) coupled via a vapor transfer line and ESI interface to a MS detection platform. Using a probe temperature of 350 °C and a spot sampling time of 30 s, conical desorption craters 250 nm in diameter and 100 nm deep were created as shown through subsequent topographical imaging of the surface within the same system. Automated sampling of a 5 × 2 array of spots, with 2 μm spacing between spots, and real time selective detection of the desorbed caffeine using tandem mass spectrometry was also demonstrated. Estimated from the crater volume (∼2 × 10(6) nm(3)), only about 10 amol (2 fg) of caffeine was liberated from each thermal desorption crater in the thin film. These results illustrate a relatively simple experimental setup and means to acquire in an automated fashion submicrometer scale spatial sampling resolution and mass spectral detection of materials amenable to TD. The ability to achieve MS-based chemical imaging with 250 nm scale spatial resolution with this system is anticipated.

RVI appears prevalent in the NICU setting. An absence of watery stools in a neonate should not preclude consideration of RVI when evaluating gastrointestinal signs among neonates. The clinical spectrum of RVI differs in term and preterm infants.

Silicon nanopillars are important building elements for innovative nanoscale systems with unique optical, wetting, and chemical separation functionalities. However, technologies for creating expansive pillars arrays on the submicron scale are often complex and with practical time, cost, and method limitations. Herein we demonstrate the rapid fabrication of nanopillar arrays using the thermal dewetting of Pt films with thicknesses in the range from 5 to 19 nm followed by anisotropic reactive ion etching (RIE) of the substrate materials. A second level of roughness on the sub-30 nm scale is added by overcoating the silicon nanopillars with a conformal layer of porous silicon oxide (PSO) using room temperature plasma enhanced chemical vapor deposition (PECVD). This technique produced environmentally conscious, economically feasible, expansive nanopillar arrays with a production pathway scalable to industrial demands. The arrays were systematically analyzed for size, density, and variability of the pillar dimensions. We show that these stochastic arrays exhibit rapid wicking of various fluids and, when functionalized with a physiosorbed layer of silicone oil, act as a superhydrophobic surface. We also demonstrate high brightness fluorescence and selective transport of model dye compounds on surfaces of the implemented nanopillar arrays with two-tier roughness. The demonstrated combination of functionalities creates a platform with attributes inherently important for advanced separations and chemical analysis.