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Pediatric Research
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Pediatric Research
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Bulk Fractionation of Donor Human Milk

Authors: V. Greasley; J D Baum; A Lee; A. F. Williams;

Bulk Fractionation of Donor Human Milk

Abstract

Milk donated by mothers of term infants may not be of optimal nutrient concentration if used to feed low birthweight infants (LBW), but since many milk constituents have functions other than classically 'nutritional' ones it is, in theory, qualitatively superior to artificial formulae. We describe a system for bulk preparation of a human milk protein concentrate which can be used in powder form to adjust the nutrient content of human milk to any specified protein/calorie content. Donor human milk is separated into skimmed milk (0.01g protein/g, 0.34kCal/g) and fat (0.01g protein/g, 2kCal/g). Skimmed milk is concentrated fourfold from 16-20L starting volume by a commercial ultrafiltration apparatus which contains2.5sq M of polysulfone membrane having a nominal molecular weight cut-off of 10,000. The resulting liquid concentrate (protein 0.04-0.05g/g) is lyophilised to a dry powder (protein 0.4g/g, energy 4kCal/g). Skimmed milk, protein-rich powder and fat are stored separately at -20°C. A microcomputer program has been developed which sepcified the weight of each fraction required to produce a human milk of any protein/calorie content desired. The human milk fractions can therefore be utilised to provide a feed of any composition required. Studies of the absorption and utilisation of milk constituents processed in this way are in progress.

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
bronze