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The Development of Circadian Rhythms in Human Infants

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Alternative method <strong>of</strong> ur<strong>in</strong>e collection - pads<br />

<strong>The</strong> Newcastle ur<strong>in</strong>e collector Uricol pads (Redlands, Newcastle UK) were used as a<br />

third alternative method by mothers to collect the night time/day time ur<strong>in</strong>e samples.<br />

Firstly the <strong>in</strong>fant‟s pubic and perianal area was cleaned and clear <strong>of</strong> powder, oils and<br />

creams. <strong>The</strong> Uricol pad was accurately positioned over the expected void area cotton<br />

side down. <strong>The</strong> adhesive tape on the back <strong>of</strong> the pad was removed and the sticky<br />

back<strong>in</strong>g attached to the baby nappy. <strong>The</strong> nappy was then secured. At 10 m<strong>in</strong>ute<br />

<strong>in</strong>tervals the pad was checked for wetness. As soon as this was confirmed the pad<br />

was removed and laid on a flat surface, wet side up. Us<strong>in</strong>g the 5ml syr<strong>in</strong>ge provided,<br />

the tip was placed on the pad at an angle <strong>of</strong> 45 degrees and 5 ml <strong>of</strong> ur<strong>in</strong>e extracted.<br />

<strong>The</strong> ur<strong>in</strong>e was then decanted <strong>in</strong>to a sterile universal conta<strong>in</strong>er and stored.<br />

Parents placed collected ur<strong>in</strong>e <strong>in</strong> universal conta<strong>in</strong>ers which were placed <strong>in</strong> household<br />

refrigeration facilities. <strong>The</strong>se were then transported the follow<strong>in</strong>g day to university<br />

where they were kept at -20 degrees till process<strong>in</strong>g.<br />

2.4 Estimation <strong>of</strong> creat<strong>in</strong><strong>in</strong>e<br />

Creat<strong>in</strong><strong>in</strong>e was estimated us<strong>in</strong>g the RANDOX Creat<strong>in</strong><strong>in</strong>e Colorimetric method, us<strong>in</strong>g<br />

commercially available reagents (piric acid and sodium hydroxide). <strong>The</strong> creat<strong>in</strong><strong>in</strong>e<br />

reacts with the piric acid to form a coloured complex. <strong>The</strong> amount <strong>of</strong> complex<br />

formed is proportional to the concentration <strong>of</strong> creat<strong>in</strong><strong>in</strong>e (Stockgrand Ltd, Surrey<br />

UK). Equal volumes <strong>of</strong> piric acid and sodium hydroxide are added to make the<br />

standard solution. <strong>The</strong> ur<strong>in</strong>e samples are diluted to 1:29 concentration with water.<br />

<strong>The</strong> standard piric acid/sodium hydroxide solution was added to aliquots <strong>of</strong> the<br />

diluted ur<strong>in</strong>e samples and quality control high/low creat<strong>in</strong><strong>in</strong>e solutions. <strong>The</strong> samples<br />

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