Inequality as a Powerful Predictor of Infant and Maternal Mortality around the World

Background

Maternal and infant mortality are highly devastating, yet, in many cases, preventable events for a community. The human development of a country is a strong predictor of maternal and infant mortality, reflecting the importance of socioeconomic factors in determinants of health. Previous research has shown that the Human Development Index (HDI) predicts infant mortality rate (IMR) and the maternal mortality ratio (MMR). Inequality has also been shown to be associated with worse health in certain populations. The main purpose of the present study was to determine the correlation and predictive power of the Inequality Adjusted Human Development Index (IHDI) as a measure of inequality with the Infant Mortality Rate (IMR), Maternal Mortality Rate (MMR), Early Neonatal Mortality Rate (ENMR), Late Neonatal Mortality Rate (LNMR), and the Post Neonatal Mortality Rate (PNMR).

Methods and Findings

Data for the present study were downloaded from two sources: infant and maternal mortality data were downloaded from the Global Burden of Disease 2013 Cause of Death Database and the Human Development Index (HDI) and Inequality-Adjusted Human Development Index (IHDI) data were downloaded from the United Nations Development Program (UNDP). Pearson correlation coefficients were estimated, following logarithmic transformations to the data, to examine the relationship between HDI and IHDI with MMR, IMR, ENMR, LNMR, and PNMR. Steiger’s Z test for the equality of two dependent correlations was utilized in order to determine whether the HDI or IHDI was more strongly associated with the outcome variables. Lastly, we constructed OLS regression models in order to determine the predictive power of the HDI and IHDI in terms of the MMR, IMR, ENMR, LNMR, and PNMR.Maternal and infant mortality were both strongly and negatively correlated with both HDI and IHDI; however, Steiger’s Z test for the equality of two dependent correlations revealed that IHDI was more strongly correlated than HDI with MMR (Z = 4.897, p < 0.001), IMR (Z = 2.524, p = 0.012), ENMR (Z = 2.936, p = 0.003), LNMR (Z = 2.272, p = 0.023), and PNMR (Z = 2.277, p = 0.023). Furthermore, side-by-side OLS regression models revealed that, when IHDI was used as the predictor variable instead of HDI, the R ² value was 0.053 higher for MMR, 0.025 higher for IMR, 0.038 higher for ENMR, 0.029 higher for LNMR, and 0.026 higher for PNMR.

Conclusions

Even when both the HDI and the IHDI correlate with the infant and maternal mortality rates, the IHDI is a better predictor for these two health indicators. Therefore, these results add more evidence that inequality is playing an important role in determining the health status of various populations in the world and more efforts should be put into programs to fight inequality.     

Pleiotropic consequences of mutations towards antibiotic-hypersensitivity in Serratia marcescens

Various mutants (oxa ^s ) were isolated from Serratia marcescens SM-6 by selecting for hypersensitivity towards oxacillin. All mutants found are highly pleiotropic and able to yield spontaneous revertants which behave like the wild-type. Mutant W 1421 mostly studied shows the following phenotypic properties not found in the wild-type: (1) The growth is hypersensitive to various antibiotics, detergents and dyes which differ remarkably in their chemical structure and antibacterial action-mechanism, (2) the cells can be easily solubilized by 0.05% Sodium-dodecylsulfate, (3) the cells allow the adsorption of the roughmutant specific Salmonella phage 6SR, (4) strong cellular binding of crystal violet, (5) agglutination of the cells in 0.3% auramin solution and (6) reduced formation of red pigment. Strain W 1421 is assumed to be a lipopolysaccharide-defective mutant. The outer membrane of mutant W 1421 analyzed by Sodiumdodecylsulfate-polyacrylamide gel electrophoresis possesses a single protein less than that of the wild-type. Mutant W 1421 is further characterized by its low exolipase activity; exoprotease and exonuclease activities are as in the wild-type. This specific exoenzyme deficiency can be overcome either by backmutation to oxacillin-resistance or by growing mutant W 1421 in a medium supplemented with certain non-metabolizable polysaccharides, e.g. glycogen or pectin B. Both polysaccharides increase the exolipase activity of the wild-type too.List of Abbreviations amp ampicillin - LPS lipopolysaccharide - MIC minimal inhibitory concentration - NB nutrient broth - oxa oxacillin - str streptomycin - TBY tryptone broth with yeast extract - SDS sodium-dodecylsulfate - OD optical density This paper is dedicated to Prof. Dr. R. W. Kaplan, University of Frankfurt/M., on the occasion of his 65th birthday     

Synthesis and biological investigation of S-aryl-S-DABO derivatives as HIV-1 inhibitors

S-Aryl-S-DABO derivatives, a novel subclass of S-DABO anti-HIV-1 agents, were synthesized via Ullmann type reaction starting from the corresponding 2-thiouracils by the aid of microwave irradiation. The results of their evaluation as inhibitors of RT are reported together with their antiviral activity in cellular assays.     

Pyrenean Pastoralists’ Ecological Knowledge: Documentation and Application to Natural Resource Management and Adaptation

Pastoral production systems in the Spanish Pyrenees have changed dramatically in recent decades, leading to the loss of traditional ecological knowledge (TEK). We documented TEK of pastoralists from two valleys in the western Central Pyrenees of Aragón and explored its potential applications to resource management and adaptation. Pyrenean pastoralists possess extensive knowledge of relationships between terrain, climate, vegetation and animal nutrition and behavior. TEK could contribute to sustainable stewardship and facilitate adaptation by informing pasture monitoring; providing traditional practices to manage mountain vegetation; and preserving knowledge of extensive livestock production strategies, such as transhumance. Institutional barriers to applying TEK include weak economic cooperation among stockmen, their dependence on EU subsidies, and lack of voice in regional government decisions about local resources. A more collaborative, place-based stewardship of the Central Pyrenees might begin with direct involvement of pastoralists in designing monitoring of pasture conditions and vegetation type changes.     

Mixture models and wavelet transforms reveal high confidence RNA-protein interaction sites in MOV10 PAR-CLIP data

The Photo-Activatable Ribonucleoside-enhanced CrossLinking and ImmunoPrecipitation (PAR-CLIP) method was recently developed for global identification of RNAs interacting with proteins. The strength of this versatile method results from induction of specific T to C transitions at sites of interaction. However, current analytical tools do not distinguish between non-experimentally and experimentally induced transitions. Furthermore, geometric properties at potential binding sites are not taken into account. To surmount these shortcomings, we developed a two-step algorithm consisting of a non-parametric two-component mixture model and a wavelet-based peak calling procedure. Our algorithm can reduce the number of false positives up to 24% thereby identifying high confidence interaction sites. We successfully employed this approach in conjunction with a modified PAR-CLIP protocol to study the functional role of nuclear Moloney leukemia virus 10, a putative RNA helicase interacting with Argonaute2 and Polycomb. Our method, available as the R package wavClusteR, is generally applicable to any substitution-based inference problem in genomics.     

Pelagic swarms and beach strandings of the squat lobster Munida gregaria (Anomura: Munididae) in the Beagle Channel, Tierra del Fuego

The present article is the first formal record of pelagic swarms and beach strandings of the squat lobster Munida gregaria in the Beagle Channel, southern South America. To describe size composition and natural diet of beach strandings and swarms, samples from strandings were taken in April 2007, March 2008 and March 2010. Samples from swarms were taken in May 2007 and April 2010. Also, during November 2008 and January 2009, two acoustic surveys were carried out to describe both, horizontal distribution and school metrics of swarms. Pelagic swarms and beach strandings were composed of 100% individuals of the morph gregaria of M. gregaria. Mean size of males and females in both, beach strandings and swarms, were similar. The diet of pelagic M. gregaria was composed mainly of crustaceans, unicellular algae and small macroalgae, sediment and particulate organic matter. Swarms of pelagic Munida took the shape of extended layers of varying density and height. Their positions in the water column were also variable: swarms were found at different depths, from the subsurface layer to near the sea bottom. Occasionally, some large swarms occupied most of the water column. In the Beagle Channel, SW winds during spring tides could be a forcing factor for M. gregaria strandings. The absence of shoaling animals in the Beagle Channel between 1997 and 2002 and the recent occurrence of swarms are coincident with their appearance in other locations in Patagonia. In consequence, we hypothesize that the factor influencing the formation of swarms must be acting at a regional scale.     

A fossil Dendrocygninae (Aves,Anatidae) from the Early Pliocene of the Argentine Pampas and its paleobiogeographical implications

In the present paper, the distal end of a humerus referable to a Dendrocygninae anseriform bird is reported. The specimen was collected at the Monte Hermoso Formation (early Pliocene) of the Farola Monte Hermoso locality (Buenos Aires Province, Argentina). This record constitutes one of the oldest for the group in South America and elsewhere. The overview of the anseriform record in South America indicates a similar pattern to that of other localities across the world. Paleogene localities are dominated by non-Anatinae taxa, whereas more recent faunas are dominated by anatines. Following this pattern, in South America the Anatinae appears in the fossil record as recently as in the Pleistocene, probably arriving from North America during the Great American Biotic Interchange. Pleistocene and Recent anseriform avifaunas are dominated by Anatinae taxa, and this dominance is probably due to some “key characters” regarding reproductive biology. In fact, the anatines exhibit a high reproductive success probably due to the capability of having two molts per year, and that the parental care of the downy young is only conducted by the female. The combination of characters may have allowed anatines to dominate most aquatic environments, surpassing in diversity more plesiomorphic taxa.