Changes in the Pattern of Admissions for Attempted Suicide in Newcastle upon Tyne during the 1960s

Comparison of 726 admissions to Newcastle upon Tyne General Hospital for attempted suicide in the period 1 October 1966 to 30 September 1969 with a previously reported series of 276 in 1962-4 showed an overall increase in annual admissions of 77%. For both sexes under age 30 years and females over 60 years the increase was over double. Psychiatric morbidity had increased, and there was also a significant rise in the proportion of unemployed men.The relative frequency of ingestion of non-barbiturate psychotropic or hypnotic drugs and barbiturates had changed, the former now being more common than the latter as the suicidal agent. Finally, there had been a significant increase in the proportion of patients receiving subsequent psychiatric treatment.     

Veränderungen in einem natürlichen vorkommen hügelbauender waldameisen derFormica rufa-Gruppe (Hymenoptera: Formicidae) im verlauf von drei jahren

Zusammenfassung In zwei vollständigen Aufnahmen während der Jahre 1966 und 1969 wurde das natürliche Vorkommen hügelbauender Waldameisen derFormica rufa-Gruppe in einem 1639,5 ha grossen Waldgebiet der Vorbergzone des Schwarzwaldes nahe Freiburg/Br. festgestellt. 1966 wurden 260 bewohnte Ameisenhügel gefunden; dies entspricht einer Ameisendichte von 15,9 Nestern je 100 ha. Bei der zweiten Aufnahme 1969 wurden in demselben Gebiet nur noch 208 bewohnte Nesthügel vorgefunden. Dieser im Verlauf von drei Jahren eingetretene Rückgang der Nestzahl um 24,4% hat die einzelnen Arten in unterschieldlichem Ausmass betroffen.Durch zusätzliche Registrierung aller während des Untersuchungszeitraums neu entstandenen, aber bereits wieder verlassenen Nesthügel bei der Zweitaufnahme konnte gezeigt werden, dass die im Verlauf von drei Jahren eingetretenen Veränderungen des Bestandes an bewohnten Ameisenhaufen weit übertroffen werden durch die Zahl nicht dauerhafter Neuanlagen.

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Summary A total census was carried out near Freiburg/Br. (Black Forest) in a woodland of 1639.5 ha (=4098.8 acres) in the year 1966 and again in 1969 to evaluate the number of natural populations of ants of theFormica rufa-group. In 1966, 260 lived-in ant hills were found, this corresponds to 15.9 nests per 100 ha (=6.3/100 acres). In 1969, only 208 lived-in ant hills were found in the same area. The single species were differently affected by this reduction of 24.4% in three years.The amount of change in the natural populations of red wood ants in the area studied is in fact very much higher than indicated by the reduction in numbers of lived-in ant hills. This could be evaluated by an additional registration of all «dead» nests during the second survey; a comprehensive list of the shifting in nesting sites and populations during these three years is given.

     

Main results of recent Hungarian family planning studies.

The demographic situation in Hungary is analyzed by presenting results of 5 different surveys on family planning carried out between 1958-1974. During those 16 years the practice of planning the number of children desired grew. In 1958 only 63 out of 100 women planned the number of children at marriage, and in 1974 98% gave an affirmative reply. The number of children planned by women declined from 2.25 in 1958 to 2.05 in 1966, and then increased to 2.19 in 1974. More and more childless married women want to give birth to a child. In early studies, 66-67% desired a child, and in 1974 83% desired a child. The idea of a family size with 2 children has become the rule in Hungary. In 1958 only 76% of the women used birth control; by 1966 the percentage was 84. 37% in 1958, 44% in 1966, and 26% in 1969 used both contraception and induced abortion. By 1972, 42% of the women interviewed had had an abortion. The use of contraception has increased considerably from 58% in 1958 to 75% in 1974. In 1974, 36% of the women using contraception were taking oral pills and only 7% were using the IUD.     

Long-term persistence of low coral cover and abundance on a disturbed coral reef flat in the northern Red Sea

Levels of coral cover and abundance on a coral reef flat in Eilat (Israeli Red Sea) were estimated in 2001 by surveying nineteen 10-m transects, and compared to the levels reported in the same area between 1966 and 1973. Lower values compared to 1966 levels are evident, and there has been only a modest recovery following a catastrophic low tide that killed a large proportion of the corals in 1970. Percent cover of soft and stony corals (16.1%) was less than half of that reported for 1969 (35%), when a sharp decrease in coral abundance had already been observed. The total number of soft and stony coral colonies observed was 300, compared to 541 in 1966. In contrast to 1966, when half of the transects surveyed contained more than 30 coral colonies, no transects with this number of corals were observed. The cover of seven of the most common stony coral species was 841 cm, which is twice the coral cover of that in 1973, but only 22% of the 1969 level. Millepora dichotoma, an abundant species before 1970, has almost disappeared, and the soft coral Litophyton, abundant in 1972, was not observed. Anthropogenic nutrient enrichment is apparently among the causes for the lack of coral recovery in the studied reef flat. Reefs located further away from sources of pollution have recovered quickly after natural and anthropogenic disturbances and have retained their coral abundance and diversity.     

Pustules on wood as sources of inoculum in apple scab and their response to chemical treatments

The green stems and leaves of potted Cox's Orange Pippin trees were susceptible to infection by Venturia inaequalis from June to August. Some isolates of the fungus showed conspicuous ability to attack the wood. In the orchard, many conidia were released from pustules in early March (2—3 wk before bud-burst) but in the 3 years examined (1967—9) most were liberated in April and May. In 1969 it was shown that a decline in numbers in June was accompanied by a decrease in viability of conidia. Infections near the tips of leading shoots were partially controlled by a single treatment with 5% urea (aqueous solution) in October 1966 or 2% urea or 0·01% phenylmercuric chloride (PMC) in March 1967. The subsequent reduction in inoculum was correlated with a reduction in the numbers of primary infections developing on leaves. Basal infections on leading shoots were not susceptible to treatment in October 1967 or March 1968, but in 1969 similar infections were controlled with PMC applied mid-April when the pustules had burst and were actively sporulating.     

Edmund Keffer Kline 1894-1976

It is with deep regret that the friends of Dr. E. K. Kline learned of his death on January 26th, 1976. Dr. Kline served with the Biological Stain Commission for many years, joining the Board of Trustees as representative of the American Public Health Association shortly after the reorganization of the Commission during the latter stages of World War II. Dr. Kline served as Vice-president of the Commission from 1963 to 1966, and as President from 1966 to 1969. His warm good nature and sound judgement combined effectively to help advance the goals of the Commission throughout his period of service, and his absence will be keenly felt.     

Tyrosine hydroxylase activity in rat brain following "REM" sleep deprivation

I n R ecent years biogenic amines have been implicated in the control mechanism for induction and maintenance of sleep processes (J ouvet , 1969). Investigators have looked for changes in the rate of synthesis of cerebral norepinephrine from [³H]tyrosine after REM sleep deprivation and reported increased rates of synthesis during REM sleep deprivation (M ark , H einer , M andel and G odin , 1969) and REM sleep rebound following 91 h of deprivation (P ujol , M ouret and G lowinski , 1968). Because tyrosine is thought to be the rate-limiting enzyme (U denfriend , 1966) in the synthetic pathways for norepinephrine and since the above-mentioned studies are suggestive of changes in the activity of the enzyme, we decided to measure tyrosine hydroxylase activity following REM sleep deprivation.     

Part-time medical training: 15 years' experience in the Oxford region.

Part-time training of doctors with domestic commitments has taken place successfully in the Oxford region since 1966; 249 doctors have now passed through such training schemes and a further 120 are currently training part-time. Two training schemes are now offered for doctors at senior house officer and registrar level: one of six to eight sessions a week for those undertaking recognised training aiming for consultant or principal in general practice posts, the other of one to two sessions a week providing ad hoc training for those unable for personal reasons to follow a recognised training programme. For doctors at senior registrar level, part-time training entails five to eight sessions a week. Of the 115 doctors who have left the schemes and are now in career posts in the United Kingdom, 19% are now consultants, 30% in other hospital posts, 27% in general practice, and 18% are clinical medical officers; overall, 71% of those in career posts are working part-time. This experience shows that part-time training can be successful and that there is a continuing need for part-time career posts.     

Assessing Reports of Therapeutic Trials

A check list is described which helps the systematic assessment of reports of therapeutic trials, particularly the aspects that need to be considered in assessing their validity. The check list was used to examine 141 reports of therapeutic trials published in four British non-specialist journals in the first six months of 1966 and of 1969. Of these reports 51% were found to be acceptable and a further 16% probably acceptable; 33% were considered unacceptable because they lacked one or more of the features required in a valid report. The check list has been found useful in assessing claims made for drugs and other therapeutic measures on the basis of published reports.     

Myocardial Revascularization for Patients With an Ejection Fraction of 0.2 or Less—12 Year's Results

From 1969 through December 31, 1981, a total of 232 patients with an ejection fraction of 0.2 or less (normal 0.67) had myocardial revascularization. The in-hospital mortality in these patients decreased from 25 deaths in 82 patients (30%) from 1969 through 1972 to 10 deaths in 150 patients (7%) from 1973 through December 31, 1981. There was a 24% five-year survival for patients in congestive heart failure at the time of operation, a 40% survival at five years for patients successfully treated for failure before operation and a 60% five-year survival for those patients who had never been in failure. These results would appear to be better than those with cardiac transplantation, with neither the restrictions for operation nor the long-term immunotherapy required with cardiac transplantation.     

The effect of soil fumigation with D-D on the yields of sugar beet and other crops

An experiment in a field where sugar beet in 1965 had suffered from Docking disorder caused by Longidorus attenuatus tested the effect of fumigating the soil with 3741/ha D-D and two amounts of nitrogen fertilizer on different crop sequences between 1966 and 1969. Although severe Docking disorder did not recur in sugar beet, fumigation increased yield in each of the three following years. Yield of barley was increased for 4 yr and of wheat, potatoes and ryegrass for 1 or 2 yr after treatment. All plant parasitic nematodes were controlled by the first fumigation and the numbers of those in unfumigated plots 3 yr after treatment. Fumigation also largely prevented infection of sugar beet by the fungus Helicobasidium purpureum.     

Evalution of Home Nurse Attachment in Bristol

By the end of June 1969 home nurses in Bristol were attached to 18 general practices caring for about 137,000 patients, or about one-third of the city''s population. Attachment was associated with an increase by about one-third in the number of patients referred by general practitioners for home nursing. Additional benefits derived from attachment during the nine months from January to September 1969 were 2,047 items of service performed by nurses in general practitioners'' surgeries, 65 home visits to patients who were not receiving domiciliary nursing care, improved communications between general practitioners and nurses, and opportunities for both doctors and nurses to widen their fields of work. The travelling expenses paid to Bristol''s nurses increased by 9·5%.It is suggested that the benefits to patients, doctors, and nurses of attachment far outweigh the costs and that there is scope for extending the role of the attached nurse in the surgery and in home visiting.     

Changes in severity of myocardial infarction and three year survival rates after myocardial infarction in Auckland, 1966-7 and 1981-2.

Mortality from coronary heart disease has been declining steadily over the past 20 years in Auckland. The possibility that improved survival contributed to this decline was examined in patients who survived four weeks after myocardial infarction, changes in the severity of the disease being controlled for. Patients who had had myocardial infarction in 1966-7 (191 patients) or 1981-2 (203) were compared to determine whether three year survival rates had changed and the severity of the disease altered. With a coronary prognostic index taken as the measure of severity the 1981-2 group had significantly more severe myocardial infarctions than the 1966-7 group, but despite this the three year survival was significantly better (86% in the 1981-2 group v 75% in the 1966-7 group). These findings suggest that improved survival after myocardial infarction contributed to the decline in mortality.     

Utilisation of hormone replacement therapy by women doctors.

OBJECTIVES--To ascertain the prevalence and duration of use of hormone replacement therapy by menopausal women doctors. DESIGN--Postal questionnaire. SETTING--General practices in the United Kingdom. SUBJECTS--Randomised stratified sample of women doctors who obtained full registration between 1952 and 1976, taken from the current principal list of the Medical Register. MAIN OUTCOME MEASURES--Prevalence and duration of use of hormone replacement therapy; menopausal status. RESULTS--Overall, 45.7% (436/954) of women doctors aged between 45 and 65 years had ever used hormone replacement therapy. When the results from women still menstruating regularly were excluded, 55.2% (428) were ever users and 41.2% (319) current users. The cumulative probability of remaining on hormone replacement therapy was 0.707 at five years and 0.576 at 10 years. CONCLUSIONS--Women doctors have a higher prevalence of use of hormone replacement therapy than has been reported for other women in the United Kingdom, and most users seem to be taking hormone replacement therapy for more than five years. The results may become generalisable to the wider population as information on the potential benefits of hormone replacement therapy is disseminated.     

Simultaneous Immunization with B.C.G., Diphtheria-tetanus,and Oral Poliomyelitis Vaccines in Children Aged 13-14

The simultaneous administration of B.C.G. vaccine, diphtheria-tetanus toxoid aluminium hydroxide adsorbed vaccine, and oral poliovaccine was studied in 628 children aged 13-14 years between 1966 and 1969 in Newham, London. The efficacy of these vaccines was unaffected by administering them at the same time; routine simultaneous administration is considered justified when organizational difficulties prevent the attainment of high immunization rates with the vaccines given separately. No adverse reactions to B.C.G. or oral poliomyelitis vaccines took place, but 8% of children had moderately severe local reactions after diphtheria-tetanus aluminium hydroxide adsorbed vaccine, which were attributed to diphtheria toxoid.Serological studies showed the need for immunization against diphtheria, tetanus, and poliomyelitis at 13-14 years of age. Because of the adverse reactions to diphtheria toxoid, however, simultaneous administration of tetanus toxoid aluminium hydroxide adsorbed, oral poliomyelitis, and B.C.G. vaccines only is recommended at present.An “adult type” diphtheria-tetanus toxoid might overcome the problem of reactions, though in two to three years'' time most children aged 13-14 years will have received diphtheria-tetanus-pertussis vaccine in infancy and reinforcement might then be accomplished by a small intradermal dose of the currently available fluid diphtheria-tetanus vaccine.Continued serological studies of diphtheria and tetanus antitoxins and polio antibody are necessary to determine the future need for reinforcement of immunity; such studies should become an essential part of the surveillance of the community immunization programme.     

Ablative radioiodine therapy for hyperthyroidism: long term follow up study.

A total of 225 patients were treated for hyperthyroidism with 555 MBq (15 mCi) radioiodine to ablate the thyroid and induce early hypothyroidism. The efficacy of this treatment in eradicating hyperthyroidism and problems of follow up were assessed one to six years later from case records and questionnaires. Information was received from 197 out of 219 live patients (90%) and from 160 doctors concerning 207 patients (92%). Only three patients were not traced and six had died since treatment. The modal time to hypothyroidism was three months, and 64% of patients were hypothyroid at one year; 5.6% had failed to become euthyroid within one year. Ninety five per cent of patients had been seen by the doctor and 82% had had a thyroid test done within the past two years. Most doctors preferred patients to be returned to their care once thyroxine treatment was stabilised. An ablative dose of 131I is recommended as an effective means of treatment which has clear advantages over conventional methods. Good communications and effective follow up should ensure success.     

Effect of Measles Vaccination on Incidence of Measles in the Community

A study of the effect of measles vaccination on the incidence of the disease in eight separate areas of England and Wales was begun in 1966. It showed an inverse association between the proportion of children vaccinated and the incidence of measles in the area in the following year, but measles epidemics occurred in several of the areas in subsequent years, despite continuing vaccinations.Measles vaccination was introduced on a large scale in Britain in 1968. Analysis of the notification and vaccination statistics shows that the vaccination of about 10% of the child population (under 15 years) in 1968 sufficed to “replace” the measles epidemic which had been expected in the period October 1968 to September 1969 by a low incidence of the disease, typical of that in previous “interepidemic” years. Further, the effect of the vaccinations was to prevent the development of natural measles in susceptible unvaccinated children as well as in the vaccinated subjects. Thus the number of immune subjects in the community was increased by the vaccinations, but as a result there was a reduction in the number of subjects who acquired immunity from natural measles. These opposed results can therefore explain why vaccination may be effective in the community for only a year or two, though vaccination protects the individual for much longer.It is estimated that a continuing vaccination rate of 40 to 50% of the children born each year would be necessary to replace the regular biennial measles epidemics in Britain by a continuous endemic incidence, and might perhaps lead to the disappearance of the disease without a further major epidemic, but that a continuing vaccination rate of 80 to 90% of children born each year would then be necessary to prevent its reintroduction. The long-term control of measles by vaccination will thus probably prove more difficult than for any other infectious disease.     

A Case of Bovine Ochronosis

Ochronosis is a sequela to alcaptonuria — an inherited metabolic disease in man, which to our knowledge has not been described in animals. The background of the disease is as follows (O'Brien et al 1963, Hollander 1966, Wolman 1969, Jaffe 1972).     

Estimation of Variance Components Based on a Diallel Model Involving Maternal and Maternal Interaction Effects

For a diallel model (TOPHAM, 1966) estimators of variance components are obtained by adopting the general approach outlined by SEELY (1969, 1970, 1971), SEELY and ZYSKIND (1971) and YUAN (1977) in the case of unbalanced data.