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.     

Erratum to “Helminth communities in the burrowing toad, Rhinella fernandezae, from Northeastern Argentina” by Monika Inés Hamann, Arturo Ignacio Kehr & Cynthya Elizabeth González

The original version of the article was published in Biologia 68 (6): 1155–1163 (2013), DOI: 10.2478/s11756-013-0272-5. Unfortunately, the original version of this article contains a mistake in Table 1 and in left collumn, line 8 on page 1157. Here we display the corrected version of the table and text.     

Biogeography of common dolphins (genus Delphinus) in the Southwestern Atlantic Ocean

• 1 The common dolphins (genus Delphinus) have one of most problematic taxonomies and complex distribution patterns of all cetaceans. Although the taxonomy and the distribution seem to have been clarified somewhat in the eastern North Pacific and Indo‐Pacific Oceans, many questions remain in the Southwestern Atlantic Ocean (SWA). We review the biogeography of Delphinus in the SWA.
• 2 We reviewed data from strandings, incidental catches and sightings since 1922. Systematic surveys were conducted in five major areas. Twenty‐one natural history collections were examined, and 135 skulls were measured.
• 3 A total of 184 records of common dolphins were compiled. Delphinus apparently occurs in three stocks in the SWA: one located in northern Brazil and two from southeastern Brazil (～22°S) to central Argentina (～42°S). Two distinct patterns in habitat use were observed by depth: in southeastern Brazil, sightings were restricted to coastal waters with water depths ranging from 18m to 70m. On the other hand, in the area that extends from southern Brazil to Central Argentina (from 28°S to 42°S), sightings were recorded in deeper waters, ranging from 71m to 1435m, with the exception of occasional coastal sightings. The cranial analyses demonstrated that both short‐beaked common dolphins Delphinus delphis and long‐beaked common dolphins Dephinus capensis occur in the SWA.
• 4 In the SWA, Delphinus seems to occur near areas of high productivity. One stock is associated with the productive waters discharged by the Amazon River and possibily with the coastal upwelling system off the coast of Venezuela, while the other stocks are associated with the Cabo Frio upwelling system and the Subtropical Convergence. Our results indicate that the current taxonomy does not adequately reflect the amount of variation within the genus in the world.

     

Changes in plasma amino acid levels in a euryhaline fish exposed to different environmental salinities

Previous studies have shown that Senegalese sole is partially euryhaline in the juvenile phase, being able to adapt to a wide range of salinities in a short-time period, due to changes at the osmoregulatory and metabolic level. This study aimed to assess the effects of acclimation of sole to a wide range of salinities, with a special emphasis on the role of plasma amino acids during this process. Sole juveniles were acclimated for 2 weeks to different salinities: 5, 15, 25, 38, and 55 g L⁻¹. Plasma levels of cortisol, glucose, osmolality, and free amino acids were assessed at the end. Changes in plasma levels of cortisol, glucose, and amino acids indicate that fish reared at 5 and 55 g L⁻¹ were facing extra energy costs. Amino acids seem to play an important role during salinity acclimation, either as energy sources or as important osmolytes for cell volume regulation.     

A new species of Phyllotis (Rodentia,Cricetidae, Sigmodontinae) from Tucumán province,Argentina

A new species of rodent of the genus Phyllotis is described based in cranial and external morphology, as well as morphometric data. Additionally, sequences of the mitochondrial gene cytochrome-b were used to asses the phylogenetic relationships. We have compared our specimens with all the extant species of the genus Phyllotis and also with some species of related genera, particularly with the most similar and with those that occur in the province of Tucumán and northwestern Argentina. The new species is large compared to the average size of the genus, and can be easily distinguished from all other species essentially by coloration and by cranial morphology. It is closely related to the recently described P. anitae, and these two species are, in turn, sister to P. osilae. The only two localities where the new species has been found are in the Upper Montane Forests of the southern portion of the Yungas Ecoregion, in the province of Tucumán, Argentina.     

Assessing age,breeding stage,and mating activity as drivers of variation in the reproductive microbiome of female tree swallows

Sexually transmitted microbes are hypothesized to influence the evolution of reproductive strategies. Though frequently discussed in this context, our understanding of the reproductive microbiome is quite nascent. Indeed, testing this hypothesis first requires establishing a baseline understanding of the temporal dynamics of the reproductive microbiome and of how individual variation in reproductive behavior and age influence the assembly and maintenance of the reproductive microbiome as a whole. Here, we ask how mating activity, breeding stage, and age influence the reproductive microbiome. We use observational and experimental approaches to explain variation in the cloacal microbiome of free‐living, female tree swallows (Tachycineta bicolor). Using microsatellite‐based parentage analyses, we determined the number of sires per brood (a proxy for female mating activity). We experimentally increased female sexual activity by administering exogenous 17ß‐estradiol. Lastly, we used bacterial 16S rRNA amplicon sequencing to characterize the cloacal microbiome. Neither the number of sires per brood nor the increased sexual activity of females significantly influenced female cloacal microbiome richness or community structure. Female age, however, was positively correlated with cloacal microbiome richness and influenced overall community structure. A hypothesis to explain these patterns is that the effect of sexual activity and the number of mates on variation in the cloacal microbiome manifests over an individual''s lifetime. Additionally, we found that cloacal microbiome alpha diversity (Shannon Index, Faith''s phylogenetic distance) decreased and community structure shifted between breeding stages. This is one of few studies to document within‐individual changes and age‐related differences in the cloacal microbiome across successive breeding stages. More broadly, our results contribute to our understanding of the role that host life history and behavior play in shaping the cloacal microbiomes of wild birds.