A Narrative Review of Strategies to Optimize Nutrition, Feeding, and Growth among Preterm-Born Infants: Implications for Practice

Preterm birth is the leading cause of neonatal and under-5 mortality globally, and healthcare-related burden and nutrition-related morbidities are unsustainable, particularly in resource-limited regions. Additionally, preterm infants are susceptible to multiple adverse outcomes including growth faltering, suboptimal neurodevelopment, and multisystemic morbidities. Maturation, healing, repair, and restoration to normalcy in preterm-born infants require optimizing nutrition; only then, prognosis, growth, neurodevelopment, and overall quality of life can improve. In this article, we discuss the various evidence-based feeding and nutritional strategies that can be applicable even in resource-limited settings, where resources and infrastructure for advanced neonatal care are limited. This article addresses nutrition, feeding strategies, and growth monitoring in the neonatal intensive care unit and at discharge to optimize nutrition, growth, and development.

Select micronutrients for the preterm neonate

If premature neonates are not provided with adequate nutrition, they will quickly become deficient because of increased requirements and a lack of nutrient stores to achieve adequate growth. The provision of many of the recommended micronutrients for pediatric and adult patients is challenging in premature neonates because of the limited data surrounding the true needs of premature neonates and the difficulty in assessing adequate serum levels of these nutrients in this patient population. Parenteral and enteral nutrition shortages further complicate providing adequate micronutrients to premature neonates. This review will discuss select micronutrients and their importance to the preterm neonate, with special emphasis on micronutrients with limited evidence and more challenging supplementation and repletion strategies.

Selective and sensitive fluorescent nanoprobe based on AgInS2-ZnS quantum dots for the rapid detection of Cr (III) ions in the midst of interfering ions

We herein report a novel eco-friendly method for the fluorescent sensing of Cr (III) ions using green synthesized glutathione (GSH) capped water soluble AgInS₂-ZnS (AIS-ZnS) quantum dots (QDs). The as-synthesized AIS-ZnS QDs were speherical in shape with average diameter of ∼2.9 nm and exhibited bright yellow emission. The fluorimetric analyses showed that, compared to Cr (VI) ions and other 20 metal ions across the periodic table, AIS-ZnS QDs selectively detected Cr (III) ions via fluorescent quenching. In addition, AIS-ZnS QDs fluorescent nanoprobes exhibited selective detection of Cr (III) ions in the mixture of interfering divalent metal ions such as Cu (II), Pb (II), Hg (II), Ni (II). The mechanism of Cr (III) sensing investigated using HRTEM and FTIR revealed that the binding of Cr (III) ions with the GSH capping group resulted in the aggregation of QDs followed by fluorescence quenching. The limit of detection of Cr (III) ions was calculated to be 0.51 nM. The present method uses cadmium free QDs and paves a greener way for selective determination of Cr (III) ions in the midst of other ions in aqueous solutions.