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1.
This study identified the influences of neonatal and maternal factors on premature birth and low birth weight in New South Wales, Australia. Bivariate and multivariate analyses were used to explore the association of selected neonatal and maternal characteristics with premature birth and low birth weight. The findings of this study showed that premature birth and low birth weight rate significantly varied by infant sex, maternal age, marital status, Aboriginality, parity, maternal smoking behaviour during pregnancy and maternal hypertension. First-born infants, and infants born to mothers aged less than 20 years, or who were single, separated/divorced, Aboriginal or who smoked during the pregnancy, were at increased risk of being premature or of low birth weight. This study also found that risk factors for premature births and low birth weight were similar in both singleton and multiple births. Gestational age was confirmed to be the single most important risk factor for low birth weight. The findings of this study suggest that in order to reduce the incidence of low birth weight and premature births, health improvement strategies should focus on anti-smoking campaigns during pregnancy and other healthcare programmes targeted at the socially disadvantaged populations identified in the study.  相似文献   

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Using data from The World Fertility Survey, this study shows that the length of the preceding birth interval was the most important maternal factor influencing infant and child mortality risks in Bangladesh. This was such a crucial factor that its effects remain unaltered whether or not the influences of mother's age at birth and birth order are controlled. Infant and child mortality in Bangladesh can be expected to decline considerably if successive births can be spaced by an interval of at least 1.5 years. Child spacing seems to be the major factor requiring program attention. The effects of mother's education and place of residence on infant and child mortality are independent of the effects of maternal age at birth, birth order, and the preceding birth interval. The higher survival chances of children of educated mothers resulted neither through the age at which childbearing started nor through birth spacing but are likely to be related to their smaller family size and to other non-maternal proximate determinants of early mortality.  相似文献   

3.
We estimated the geographic distributions of triatomine species in Central-West Region of Brazil (CW) and analysed the climatic factors influencing their occurrence. A total of 3,396 records of 27 triatomine species were analysed. Using the maximum entropy method, ecological niche models were produced for eight species occurring in at least 20 municipalities based on 13 climatic variables and elevation. Triatoma sordida and Rhodnius neglectus were the species with the broadest geographic distributions in CW Brazil. The Cerrado areas in the state of Goiás were found to be more suitable for the occurrence of synanthropic triatomines than the Amazon forest areas in the northern part of the state of Mato Grosso. The variable that best explains the evaluated models is temperature seasonality. The results indicate that almost the entire region presents climatic conditions that are appropriate for at least one triatomine species. Therefore, it is recommended that entomological surveillance be reinforced in CW Brazil.  相似文献   

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Between November 1979 and April 1984, 790 consecutive pregnant women who considered themselves as having a "normal" pregnancy were followed in private practice from 9 weeks'' gestation until 6 weeks post partum. The women had no pre-existing disease or problem classified as a risk to the pregnancy at the time of their first visit, had a singleton pregnancy and gave birth at Notre-Dame Hospital, Montreal. Maternal complications occurred during the course of pregnancy in 181 women (23%). Complications were mostly related to obstetric conditions (10%), such as preterm labour, intrauterine growth retardation (IUGR) and antepartum hemorrhage, or to medical conditions (12%), the most prevalent of which was hypertension (77% of medical conditions). Neonatal complications occurred in 183 infants (23%). The corrected perinatal death rate was 2.5 per 1000. Prematurity, IUGR and dysmaturity/postmaturity accounted for nearly half of the complications. Hyperbilirubinemia occurred in 7% of the cases. Among women without any maternal complications during pregnancy, the frequency rate of neonatal complications was 19%, compared with 23% among the entire group of 790 women. Our results suggest that the absence of maternal complications does not protect the infant from a neonatal complication. Further refinement is needed to identify markers of obstetric, medical and neonatal complications in pregnancies with no risk factors.  相似文献   

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Perinatal mortality rates (PMRs) in triplets were analyzed using Japanese Vital Statistics during the period of 1980-1998. The total number of perinatal deaths in triplets was 1051. The PMR significantly decreased from 214 per 1000 births in 1980 to 39 in 1998, a reduction of 82%. PMRs in triplets were 11.1-fold higher in 1980 and 6.9-fold higher in 1998 than in singletons, indicating that PMRs improved more in triplets than in singletons during the last two decades in Japan. The PMR was the highest in the third-born, followed by the second- and the first-born triplets in each period. As for maternal age, the PMR was 1.5-3.7 times higher in the < 25 years of age group than the other age groups. Additionally, the PMR was the lowest for birthweight (BW) >or= 2000 g during the entire period. In addition, the PMR decreased with gestational age (GA) of up to 38-39 weeks and increased thereafter. The effects of BW on the PMR were stronger than the effects of GA. The proportion of perinatal deaths in triplets with extremely low BW (< 1000 g) was 74% in 1980-1989 and increased to 82% in 1990-1998. The declining PMR was unlikely to be due to the improvement in BW in triplets. It is likely that it was related to the improved medical management of triplets during the perinatal period and the first week of life. Information obtained in the present study may be useful in counseling pregnant woman about triplet births.  相似文献   

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Background:

Concurrent admission of a mother and her newborn to separate intensive care units (herein referred to as co-ICU admission), possibly in different centres, can magnify family discord and stress. We examined the prevalence and predictors of mother–infant separation and mortality associated with co-ICU admissions.

Methods:

We completed a population-based study of all 1 023 978 singleton live births in Ontario between Apr. 1, 2002, and Mar. 31, 2010. We included data for maternal–infant pairs that had co-ICU admission (n = 1216), maternal ICU admission only (n = 897), neonatal ICU (NICU) admission only (n = 123 236) or no ICU admission (n = 898 629). The primary outcome measure was mother–infant separation because of interfacility transfer.

Results:

The prevalence of co-ICU admissions was 1.2 per 1000 live births and was higher than maternal ICU admissions (0.9 per 1000). Maternal–newborn separation due to interfacility transfer was 30.8 (95% confidence interval [CI] 26.9–35.3) times more common in the co-ICU group than in the no-ICU group and exceeded the prevalence in the maternal ICU group and NICU group. Short-term infant mortality (< 28 days after birth) was higher in the co-ICU group (18.1 per 1000 live births; maternal age–adjusted hazard ratio [HR] 27.8, 95% CI 18.2–42.6) than in the NICU group (7.6 per 1000; age-adjusted HR 11.5, 95% CI 10.4–12.7), relative to 0.7 per 1000 in the no-ICU group. Short-term maternal mortality (< 42 days after delivery) was also higher in the co-ICU group (15.6 per 1000; age-adjusted HR 328.7, 95% CI 191.2–565.2) than in the maternal ICU group (6.7 per 1000; age-adjusted HR 140.0, 95% CI 59.5–329.2) or the NICU group (0.2 per 1000; age-adjusted HR 4.6, 95% CI 2.8–7.4).

Interpretation:

Mother–infant pairs in the co-ICU group had the highest prevalence of separation due to interfacility transfer and the highest mortality compared with those in the maternal ICU and NICU groups.Admission of a newborn to a neonatal intensive care unit (NICU) produces a great deal of stress for the parents.1 A new mother who also falls ill may be unable to care for, or bond with, her newborn during the time of her illness.2 Although the father will experience a sense of loss of control when his infant is admitted to the NICU,3,4 this feeling is conceivably worsened when the mother too requires intensive care. In this situation of concurrent ICU admission (herein referred to as “co-ICU”), the mother and newborn may be in different areas of the same hospital or in different facilities. This separation would magnify the degree of mother–infant and family discord and stress and could create competing priorities for family members in terms of decision-making and support. Moreover, the situation would be made more devastating if the mother or newborn died in hospital and the other remained critically ill, or after discharge of one, the other required continuing hospital care or died.Because of the serious, potentially negative consequences of co-ICU admissions, we examined the prevalence and predictors of mother–infant separation and mortality associated with co-ICU admissions.  相似文献   

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Archaea, like the bacterial communities are gradually being realized as key players in the biogeochemical progress of water ecosystems. In this study, tilapia aquaculture ponds were used for an in-depth understanding of archaeal community compositions in water and surface sediment. Some of the main functions, as well as the communities’ response patterns, to time variations, pond differences and some physio-chemical parameters were investigated. The results revealed the dominant phylum in both the water and surface sediment, as Euryarchaeota, while, the most abundant classes were: Halobacteria and Methanomicrobia respectively. Significant differences in the archaeal community compositions in the water and surface sediment, were observed in the early stages of cultivation, which became minimal at the later stage of the GIFT tilapia cultivation. Additionally to the differences in the most abundant classes, more OTUs were observed in water samples than in surface sediment samples. The methane generation could be attributed to the large proportion of methanogens found in both pond water and in the surface sediment. Furthermore, the archaeal community compositions in water and the surface sediment were shaped mainly by temporal variations and pond differences respectively. In the pond water, the archaeal community compositions were highly co-related to the concentration changes of ammonia, sulfate and total nitrogen; while in the surface sediment, the correlation to the content changes was significant in total phosphorus. The archaeal community compositions in surface sediment should be considered as an indicator for future environmental capacity studies in aquaculture.  相似文献   

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【目的】种子是植物微生物群代际传递的重要途径,但种子携带的微生物群落尚缺乏系统的研究。本研究以水稻种子为模型,定量分析种子的细菌含量、测定种子的细菌群落结构、探究地域与品种对细菌含量及群落结构的影响和鉴定水稻种子的核心菌群。【方法】选取18个水稻品种,每个品种分别来自中国海南和天津2个地域,共36组样本。每组样本包含5或10个DNA样本,每个DNA样本由3粒种子提取的总DNA构成。使用细菌特异性16S rDNA介导的荧光定量PCR技术测定种子的细菌含量,并分析影响因素;使用16S rDNA扩增子测序技术测定种子的细菌群落结构,并用生物信息学方法分析了影响因素和核心菌群。【结果】本研究测定了1 080粒水稻种子的细菌含量,发现经过表面除菌的水稻种子内部存在共栖细菌,平均每克种子的细菌含量为1.53×106。水稻品种对种子的细菌含量有显著影响,而地域无影响。测定180个扩增子文库的细菌群落结构,发现水稻种子的菌群与水稻植株有相似之处,均以变形菌门为主要的细菌门类;地域对水稻种子的细菌群落结构有重要影响,不同地域的水稻种子在主坐标分析(principal co-ordinate analysis, PCoA)中有明显分离;而粳稻和籼稻之间无显著差异。还发现水稻种子存在核心菌群,且相对丰度高达总菌群的85.56%。【结论】本研究系统地揭示了水稻种子的细菌含量、群落结构及其影响因素,为利用种传微生物促进水稻健康提供了数据和方法支持。  相似文献   

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从海洋中分离驯化得到的非光合固碳微生物菌群(NPMC)是无需光照和供氢的化能自养微生物,若能用于贫瘠盐碱地改良,实现其在盐碱土壤中的二次固碳,对于盐碱土壤的低碳化改良具有重要的意义.本实验初步验证了NPMC的耐盐特性,以及微量元素和磷酸盐缓冲液两单因素在次高盐条件下对NPMC固碳效率的影响.并通过响应面法研究了微量元素与盐浓度对NPMC固碳效率的交互作用.结果表明,非光合固碳微生物拥有耐受高盐浓度的特性,可耐受高达100g/L以上的总盐度,因此可用于重盐碱土壤的改良.微量元素和磷酸盐缓冲液浓度的增加,都可增强NPMC的固碳效率,微量元素的促进效应高于磷酸盐缓冲液.微量元素和盐度对NPMC固碳效率的影响存在交互作用.  相似文献   

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Background: Although lianas are important in forest ecosystems, information on the environmental factors influencing their diversity, structure and habitat associations is scanty.

Aims: This study had the aim of determining variation in liana diversity, structure and habitat associations across different topographic habitats, and the environmental factors influencing them, in the Penang Hill Forest Reserve, Malaysia.

Methods: Liana diversity, structure and habitat associations were examined in 30 plots, 40 m × 40 m, randomly demarcated within three topographic habitats (flatland, slope and valley). The physico-chemical properties of the soils in the plots were determined and the altitude and slope of the plots recorded.

Results: Liana species richness, diversity and structure varied significantly among the topographic habitats. Liana species richness, diversity and abundance variations were related to soil moisture, phosphorus content, pH and altitude, whereas liana diameter and basal area were associated with soil magnesium and slope. A total of eight species had a positive association with the habitat and a further six showed a negative association. Four species had a positive association with the flatland habitat, but only three and two species, respectively, with slope and valley habitats. The slope habitat gave the highest number of species that showed a negative association.

Conclusions: Liana diversity and structure varied between habitats. Some liana species showed different associations with specific habitats. Environmental variables were identified that influence liana diversity, structure and habitat associations. The study provides important information about the factors influencing liana success, and these will be of value in liana conservation and management in tropical forests.  相似文献   


13.
A study of female mummies representing seven pre-Columbian Andean populations of Arica, Chile, dating from 1300 B.C. (Azapa phase) to A.D. 1400 (Gentilar phase), disclosed that 18 (14% of the total) had died from childbirth-complicated death (CCD). The majority of these individuals appear to have died during puerperium, three of them without complete delivery. Higher rates of CCD were found in the earlier cultural phases (1300 B.C.-A.D. 600) after which the maternal mortality rate decreased. The precise causes of this mortality are not known, but septic conditions, acute diseases, and cultural practices relating to birth are implicated.  相似文献   

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Postpartum scalp hair samples from 82 term-pregnancy mother/ neonate pairs were analyzed for their concentrations of zinc (Zn), copper (Cu), cadmium (Cd), and lead (Pb), using inductively coupled plasma-mass spectrometry. Maternal and neonatal Zn concentrations had geometric means (and 99% confidence intervals) of 122.5 microg/g (117.9--131.5 microg/g) and 146.9 microg (141.5--156.7 microg/g) respectively. Corresponding Cu values were 18.4 microg/g (17.6--23.8 microg/g) and 6.7 microg/g (6.3--7.6 microg/g). Those of Cd were 0.49 microg/g (0.47--0.69 microg/g) in the mothers and 0.57 microg/g (0.55--0.86 microg/g) in the neonates. For Pb, they were 7.95 microg/g (7.60--9.32 microg/g) and 4.56 microg/g (4.39--5.56 microg/g). Cigarette smoking, despite its relatively low prevalence (19.5%), was associated with lower Zn and higher Cd and Pb concentrations and in lower Zn/Cd and Zn/Pb molar concentration ratios. Smoking also altered interelemental relationships, particularly those of Zn with Cd and Pb and those between Cd and Pb. Smoking frequency appeared to show negative dose-response effects on maternal and neonatal Zn concentrations, Zn/Pb molar concentration ratios, and birth weight. Mothers with a history of oral contraceptive (OC) usage had significantly higher Cu concentrations and lower Zn/Cu molar concentration ratios than non users, with the highest Cu concentrations and lowest Zn/Cu values being associated with third-generation OCs. No similar effects were elicited in the respective neonatal Cu concentrations. Neither alcohol consumption nor prenatal supplementation with iron and/or folic acid had discernible effects on the maternal or neonatal elemental concentrations. The data from this study suggest that in a given population of term-pregnancy mothers and neonates, significant interindividual variations in hair trace element concentrations can occur, irrespective of commonality of general environment, and that lifestyle factors, including cigarette smoking and OC usage history, can be significant contributory factors to such variations. The data are discussed in relation to the effects of smoking-associated exposure to Cd and Pb exposure on Zn availability for placental transfer, as well as on the quantitative maternal Zn supply levels to the fetus resulting from the known tendency of smokers to have lower dietary intakes of Zn.  相似文献   

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浮游真菌在海洋食物网和生物地球化学循环中发挥着关键作用。【目的】为解析广西北部湾茅尾海不同季节浮游真菌群落结构及其关键环境影响因子,于2017年7月(夏季)、9月(秋季)、12月(冬季)和2018年3月(春季)期间在该海域设置7个站点,采集表层海水样品。【方法】利用内部转录间隔区(internal transcribed spacer, ITS)基因高通量测序技术,分析茅尾海浮游真菌群落结构与多样性。【结果】茅尾海海域浮游真菌隶属6个门、26个纲、71个目、167个科、282个属和374个种。主要浮游真菌类群为子囊菌门(Ascomycota, 82.14%)和担子菌门(Basidiomycota, 10.74%),共占浮游真菌总丰度的92.88%。茅尾海浮游真菌群落Shannon指数和Simpson指数在春季最高,Chao1指数和丰富度(richness)指数在冬季最高。主坐标分析(principal coordinates analysis, PCoA)和相似性分析(analysis of similarities, ANOSIM)结果显示,不同季节浮游真菌群落的β多样性具有极显著差异(R=0.591 2, P<0.001)。通过随机森林模型分析(random forest modeling analysis, RF),发现黄曲霉(Aspergillus flavus)、二色胶孔菌(Gloeoporus dichrous)、杂色曲霉(Aspergillus subversicolor)和微扁沃利雅炭皮菌(Whalleya microplaca)、翹鱗香菇(Lentinus squarrosulus)等20种海洋浮游真菌对环境变化敏感,可用于评估茅尾海富营养化状况。Spearman相关性分析表明,浮游真菌α多样性与海水pH、盐度和溶解氧(dissolved oxygen, DO)呈显著正相关关系(P<0.05),与温度、叶绿素-a (chlorophyll a, Chl-a)以及总有机碳(total organic carbon, TOC)呈显著负相关关系(P<0.05)。方差分解分析(variance partitioning analysis, VPA)发现营养因子是浮游真菌群落结构的主要驱动因子。【结论】本研究可为揭示北部湾海洋浮游真菌多样性提供理论参考,并为茅尾海生态环境监测与资源利用提供科学依据。  相似文献   

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The effects of birth spacing on neonatal and post-neonatal mortality in Brazil were found to be very consistent with models based on data from other South American countries. The model for neonatal mortality simplified to three significant variables, whereas the model for post-neonatal mortality included four significant interactions.  相似文献   

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外生菌根(ECM)真菌可促进宿主植物对土壤中水分和营养的吸收,提高宿主植物的抗逆性及对环境的适应,在森林生态系统的物质循环中发挥了重要作用。为探明寒温带地区ECM真菌多样性和群落组成以及土壤理化因子对真菌群落组成的可能影响机制,采用高通量测序(Illumina Miseq)平台对大兴安岭4种典型森林类型白桦、樟子松、兴安落叶松和偃松的根围土壤ECM真菌群落组成进行了分析。结果表明,4种典型森林类型根围土壤中共获得167个ECM真菌可操作分类单元(OTUs),隶属于2个门、4个纲、10个目、24个科、36个属。在门水平上,担子菌门(Basidiomycota)真菌的相对丰度占96.4%,子囊菌门(Ascomycota)真菌占3.6%。在属水平上,红菇属(Russula,30.2%)、丝膜菌属(Cortinarius,17.1%)、Piloderma(9.6%)、棉革菌属(Tomentella,7.2%)、丝盖伞属(Inocybe,7.2%)和蜡壳耳属(Sebacina,6.2%)的相对丰度均>5.0%,是该地区的优势ECM真菌类群。不同森林类型的优势ECM真菌在属水平上的组成存在显...  相似文献   

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