Perinatal mortality in term and preterm twin and singleton births.

Although, in general, twins have higher perinatal mortality rates than singletons, preterm twins have lower perinatal mortality rates than singletons of the same birth weight or gestational age. This study investigated the hypotheses that this paradoxical twin advantage: 1) is due to gestational age distribution differences between the singleton and twin populations, and 2) is due to increased likelihood of birth having occurred in a tertiary perinatal center. A pre-existing, time-limited data set of all births in the province of Ontario in odd years between 1979 and 1985 was chosen for this study because of the large sample size (n = 618,579). Multivariable logistic regression of the relationship between perinatal mortality and twin status was controlled for mother's age, hospital level and gestational age. Findings confirm the lower mortality of preterm twins. After controlling for level of hospital of birth this difference remained, suggesting that level of hospital of birth was not a major factor responsible for the twin advantage. Analyses in which gestational age was standardized indicate that, for those whose gestational age was less than 2 SD below the mean for their particular group (twin or singleton), twins were actually at higher risk than singletons. These results support hypothesis 1 and do not strongly support hypothesis 2. The results also support earlier authors' suggestions that the definition of term birth should be different for twins and singletons     

灵芝菌丝发酵提取液减肥作用的初步探讨

目的:对灵芝菌丝发酵提取液的减肥作用进行初步研究.方法:用高营养饲料建立营养性肥胖小鼠模型后,治疗组用灵芝菌丝发酵提取液灌胃,对照组用无菌生理盐水,观察体重变化.结果:灵芝菌丝发酵提取液能明显降低肥胖小鼠体重.讨论:灵芝菌丝发酵提取液具有减肥、降低体重作用.     

The effect of neighbours on the mortality of harvester ant colonies

1. This study investigates how the density and size of conspecific neighbours affected the mortality of established colonies. Data were from a population of 250–300 colonies of the red harvester ant [ Pogonomyrmex barbatus (F. Smith)], on a 10-ha site, from 1988 to 1995.
2. Colonies are more likely to die as they grow older.
3. Small neighbours tend to lower the probability of dying.
4. The probability of dying varied significantly from year to year.
5. There was little effect of crowding on mortality.
6. There appeared to be no spatial effects, on the scale of 25. m, on the probability of dying.
7. Previous work shows effects of density on the founding of new colonies and on the reproductive output of established ones. The results presented here indicate that competition with neighbours rarely causes the death of established colonies.     

Hybridity effect on mortality

Abstract

Several techniques for preselecting the sex of offspring are available now or will be in the near future. Although hundreds of studies indicate that sons are desired by the overwhelming proportion of persons asked, few studies ask whether preselecting of sex of offspring ought to be made available generally, as the technologies become perfected. In northern California, 2,138 respondents indicated widespread acceptance of ongoing biomedical research to perfect preselection methods and of making these procedures available to potential parents. Almost half agreed that they might want to use such techniques. Variation in levels of agreement were assessed by sex, race, marital status, child‐parity, religious affiliation and attendance, level of education, class, and general attitudes toward medical and scientific leaders. The implications of the general acceptability of sex selection go far beyond the freedom of parental choice—to such matters as socialization patterns of first son, second daughter ordering, sex role inflexibilities, sex ratio imbalances, and also include possibilities for curtailing rapid population growth.     

The effect of water stress on the mortality ofBetula pendula Roth. andBuddleia davidii Franch. seedlings

Summary A simple container is described whereby small seedlings may be grown at controlled levels of water stress. The water stress was induced in the soil by an osmoticum which is separated from the soil by a semi-permeable membrane. The mortality ofBetula pendula seedlings was markedly increased at a matric potential of –1.6 bars whereas the mortality ofBuddleia davidii was only affected below –2.8 bars. This difference in tolerance to water stress at the seedling stage might not be reflected in the distribution of the species in the colonisation of chalk and sand pits in England unless there is a dry spring.     

The effect of color polymorphism on mortality in the aphidMacrosiphoniella yomogicola

We examined body color polymorphism in the aphidMacrosiphoniella yomogicola from July to September 1993. We classified body color into eight types: green 1, green 2, red 1, red 2, white, orange, yellow and mist. The frequencies of body color varied with time and among patches of the host plant, yomogi (Artemisia spp.). Color diversity within a shoot was calculated using the Shannon diversity index. Of five usable data sets, three showed negative relationships between color diversity and mortality. The regression coefficients for two of these relationships were significant. No significant relationship between mortality and the number of aphids was found. The color diversity was not significantly related to a particular body color found on a yomogi shoot. Color polymorphism may be maintained because selection may favor a high color diversity on the host plant shoot.     

The effect of ultraviolet radiation on the vertical distribution and mortality of estuarine zooplankton

The effect of UV-B radiation on the vertical distribution ofthree calanoid copepod species (Tortanus dextrilobatus, Acartiuraspp. and Acanthacartia spp.) and three larval stages of Pacificherring, Clupea pallasi (1-, 7-, and 14-day-old larvae) wasinvestigated. A series of 2 m high columnar tanks equipped withinfra-red light and video-microscopy was used to investigatethe vertical distribution of zooplankton in the presence andabsence of UV-B radiation. In the presence of UV-B radiation,T.dextrilobatus and 1-day-old C.pallasi resided about 50 cmdeeper than in the absence of UV-B, while Acartiura spp. andAcanthacartia spp. showed no (or only minimal) change in verticaldistribution. Mortality experiments were also conducted outdoorsin which each copepod species was exposed to full or reducednatural radiation levels. Only T.dextrilobatus showed an increasein mortality when exposed to full radiation. Our results showedthat T.dextrilobatus and 1-day-old C.pallasi larvae were sensitiveto UV radiation (UVR), and to reduce or eliminate UV-inducedstress, they avoided the surface of the water column when UV-Bradiation was present. Copepod species were chosen to span arange of pigmentation: T.dextrilobatus (heavily pigmented),Acartiura spp. (moderately pigmented) and Acanthacartia spp.(not pigmented). The pigmentation did not appear to play a rolein UVR tolerance of the copepods, but may be a factor determiningUV tolerance of C.pallasi.     

The effect of diagnostic misclassification on non-cancer and cancer mortality dose response in A-bomb survivors.

We used the EM algorithm in the context of a joint Poisson regression analysis of cancer and non-cancer mortality in the Radiation Effects Research Foundation (RERF) Life Span Study (LSS) to assess whether the observed increased risk of non-cancer death due to radiation exposure (Shimizu et al., RERF Technical Report 02-91, 1991) can be attributed solely to misclassification of cancer as non-cancer on death certificates. We show that greater levels of dose-independent misclassification than are indicated by a series of autopsies conducted on a subset of LSS members would be required to explain the non-cancer dose response, but that a relatively small amount of dose-dependence in the misclassification of cancer would explain the result. The adjustment for misclassification also results in higher risk estimates for cancer mortality. We review applications of similar statistical methods in other contexts and discuss extensions of the methods to more than two causes of death.     

The effect of obesity on overall,circulatory disease- and diabetes-specific mortality

This paper explores the relationship between body mass and risk of death among US adults. The National Health Interview Survey-Multiple Cause of Death linked data set is used for the years 1987-1997, and Cox proportional hazard models are employed to estimate the association between obesity, as measured by the body mass index (BMI), and overall, circulatory disease-specific and diabetes-specific mortality. A U-shaped relationship is found between BMI and overall mortality. Compared with normal weight individuals, mortality during the follow-up period is 34% higher among obese class II individuals and 77% higher among obese class III individuals, controlling for age and sex. A J-shaped relationship exists between circulatory disease mortality and obesity, with a slightly higher risk of death for all categories of BMI. The relationship between BMI and diabetes mortality is striking. Compared with normal weight individuals, obese class I individuals are 2.8 times as likely to die, obese class II individuals are 4.7 times as likely to die, and obese class III individuals are 9.0 times as likely to die of diabetes during the follow-up period, controlling for age and sex. These results demonstrate that obesity heightens the risk of overall and circulatory disease mortality, and even more substantially increases the risk of diabetes mortality. These mortality findings, together with the substantial recent increases in obesity, lend urgency to public health programmes aimed at reducing the prevalence and consequences of obesity.     

The effect of universal influenza immunization on mortality and health care use

Background

In 2000, Ontario, Canada, initiated a universal influenza immunization program (UIIP) to provide free influenza vaccines for the entire population aged 6 mo or older. Influenza immunization increased more rapidly in younger age groups in Ontario compared to other Canadian provinces, which all maintained targeted immunization programs. We evaluated the effect of Ontario''s UIIP on influenza-associated mortality, hospitalizations, emergency department (ED) use, and visits to doctors'' offices.

Methods and Findings

Mortality and hospitalization data from 1997 to 2004 for all ten Canadian provinces were obtained from national datasets. Physician billing claims for visits to EDs and doctors'' offices were obtained from provincial administrative datasets for four provinces with comprehensive data. Since outcomes coded as influenza are known to underestimate the true burden of influenza, we studied more broadly defined conditions. Hospitalizations, ED use, doctors'' office visits for pneumonia and influenza, and all-cause mortality from 1997 to 2004 were modelled using Poisson regression, controlling for age, sex, province, influenza surveillance data, and temporal trends, and used to estimate the expected baseline outcome rates in the absence of influenza activity. The primary outcome was then defined as influenza-associated events, or the difference between the observed events and the expected baseline events. Changes in influenza-associated outcome rates before and after UIIP introduction in Ontario were compared to the corresponding changes in other provinces. After UIIP introduction, influenza-associated mortality decreased more in Ontario (relative rate [RR] = 0.26) than in other provinces (RR = 0.43) (ratio of RRs = 0.61, p = 0.002). Similar differences between Ontario and other provinces were observed for influenza-associated hospitalizations (RR = 0.25 versus 0.44, ratio of RRs = 0.58, p < 0.001), ED use (RR = 0.31 versus 0.69, ratio of RRs = 0.45, p < 0.001), and doctors'' office visits (RR = 0.21 versus 0.52, ratio of RRs = 0.41, p < 0.001). Sensitivity analyses were carried out to assess consistency, specificity, and the presence of a dose-response relationship. Limitations of this study include the ecological study design, the nonspecific outcomes, difficulty in modeling baseline events, data quality and availability, and the inability to control for potentially important confounders.

Conclusions

Compared to targeted programs in other provinces, introduction of universal vaccination in Ontario in 2000 was associated with relative reductions in influenza-associated mortality and health care use. The results of this large-scale natural experiment suggest that universal vaccination may be an effective public health measure for reducing the annual burden of influenza.     

The Tayside infant morbidity and mortality study: effect on health of using gas for cooking.

The relation between respiratory illness and the use of gas for cooking was examined from data on 1565 infants born to mothers who were primigravidas living in Dundee in 1980. Episodes of, and admissions to hospital for, respiratory illness were recorded during the first year of life. Both admissions and episodes were more common in infants from families using gas for cooking or heating than in infants from families using any other type of cooking or heating, but the differences were not significant. Results from this and other studies show that there is probably a small relation between respiratory illness and the use of gas appliances without a flue. To show convincingly whether such a relation exists might require a survey of 18 000-23 000 subjects. Respiratory illness was, however, strongly and positively related to parental smoking, a finding that is often made even in small studies.