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Population Data (population + data)
Selected AbstractsSouthwest China Han Population Data for Nine Y-STR Loci by Multiplex Polymerase Chain ReactionJOURNAL OF FORENSIC SCIENCES, Issue 1 2007Meisen Shi Ph.D. POPULATION: One hundred and twenty unrelated Han ethnic individuals from Chengdu, southwest China. [source] Significant paternal contribution to the risk of small for gestational ageBJOG : AN INTERNATIONAL JOURNAL OF OBSTETRICS & GYNAECOLOGY, Issue 2 2005Delphine Jaquet Objective The aim of this study is to investigate both maternal and paternal contributions in the familial aggregation of small for gestational age. Design Nested case,control study. Setting Metropolitan area of Haguenau, France. Population Data were drawn from a French population-based maternity registry. After selection, 256 cases born either small for gestational age or average for gestational age were included. Methods Controlling for known pregnancy-related risk factors, logistic regression models were used to determine the risk of the child being small for gestational age, given that the mother, father or both were small for gestational age, and to examine interactions between maternal small for gestational age and pregnancy risk factors. Main outcome measures Specifically, we investigate to what extent having either or both parents born small for gestational age increases the risk of small for gestational age in their offspring, after controlling for the established risk factors of small for gestational age and maternal and paternal characteristics. We also explore the extent to which the intergenerational predictors of small for gestational age may modify the effect of current pregnancy-related risk factors. Results The risk of a small for gestational age offspring was 4.7 times greater for mothers and 3.5 times greater for fathers who were small for gestational age, compared with average for gestational age counterparts. Furthermore, the risk of a small for gestational age offspring was 16.3 times greater when both parents were small for gestational age. No significant interactions between maternal small for gestational age and maternal smoking, hypertension or parity were observed. Conclusion These results indicate that small for gestational age in both mother and father significantly influences the risk of their offspring being small for gestational age. While previous research has indicated that the birth outcome of the mother is an important determinant of the birth outcome of her offspring, these data indicate that the birth outcome of the father plays an equally critical role in determining fetal growth, strongly suggesting a genetic component in the familial aggregation of small for gestational age. [source] Assessment of fetal liver volume and umbilical venous volume flow in pregnancies complicated by insulin-dependent diabetes mellitusBJOG : AN INTERNATIONAL JOURNAL OF OBSTETRICS & GYNAECOLOGY, Issue 11 2003Simona M. Boito Objectives To determine fetal liver volume and its relation with umbilical venous volume flow and maternal glycosylated haemoglobin (HbA1c) in pregnancies complicated by diabetes mellitus type I. Design A cross sectional matched control study. Setting Obstetric out patient clinic, Erasmus MC,University Medical Centre, Rotterdam. Population Data from fetuses of diabetic women (n = 32; 18,36 weeks) were compared with data from normal controls (n = 32) matched for gestational age. Methods Umbilical venous cross sectional area (mm2) and time-averaged velocity (mm/s Doppler) were determined for calculation of volume flow (mL/min) and flow per kilogram fetal weight (mL/min/kg). Umbilical artery pulsatility index was determined. Fetal liver volume measurements were obtained using a Voluson 530-D. Main outcome measures Fetal liver volume, umbilical venous volume flow and downstream impedance. Results A statistically significant difference between fetuses of diabetic women and normal controls was found for liver volume (mean [SD]: 45.9 [34.0] vs 38.3 [28.7] mL), abdominal circumference (22.2 [6.6] vs 21.3 [5.6] cm), estimated fetal weight (1162 [898] vs 1049 [765] g) and fetoplacental weight ratio (0.22 vs 0.19) and liver volume/estimated fetal weight ratio (4.13% [0.007] vs 3.62% [0.009]). Umbilical venous volume flow (mL/min) and umbilical artery pulsatility index were not essentially different between the two study groups, but umbilical venous volume flow per kilogram fetal weight was lower (P < 0.05) in the diabetes group (94.3 [26.1] mL/min kg) compared with normal controls (109.5 [28.0] mL/min/kg). A positive correlation existed between fetal liver volume and maternal HbA1c (P = 0.002). Conclusions Measurement of fetal liver volume by three-dimensional ultrasound may play a role in identifying fetal growth acceleration in diabetic pregnancies. Fetal liver volume increase is positively related to maternal HbA1c levels reflecting degree of maternal glycemic control. Fetal liver volume normalised for estimated fetal weight is significantly higher in the fetuses of diabetic women. In the present study, umbilical venous volume flow and fetoplacental downstream impedance are not different between diabetic and normal pregnancies. [source] Autoimmune cholestatic liver disease in people with coeliac disease: a population-based study of their associationALIMENTARY PHARMACOLOGY & THERAPEUTICS, Issue 4 2005A. Lawson Summary Background :,Population data supporting an association between the autoimmune cholestatic liver diseases, primary biliary cirrhosis and primary sclerosing cholangitis and coeliac disease, is limited and at times contradictory. Aim :,To explore the relationship between coeliac disease and both primary biliary cirrhosis and primary sclerosing cholangitis within the General Practice Research Database, a UK-based longitudinal primary care database. Methods :,We identified 4732 people with diagnosed coeliac disease and 23 620 age- and sex-matched controls within the General Practice Research Database. We calculated the prevalence of primary biliary cirrhosis and primary sclerosing cholangitis for both the coeliac disease and control group. Results :,There was a higher prevalence of primary biliary cirrhosis in adults with coeliac disease, compared with controls [0.17% vs. 0.05%, odds ratio 3.63 (95% confidence interval: 1.46,9.04)]. Primary sclerosing cholangitis was also more common in the coeliac disease group [0.04% vs. 0%, fishers exact test (P = 0.03)]. Conclusions :,There was a threefold or greater increase in risk of both primary biliary cirrhosis and primary sclerosing cholangitis in people with coeliac disease compared with the general population. The association with primary biliary cirrhosis was weaker than in some reports and it is difficult on the basis of this study to justify screening patients with coeliac disease for either primary biliary cirrhosis or primary sclerosing cholangitis. [source] Osmoregulation in Six Sympatric Fiddler Crabs (genus Uca) from the Northwestern Gulf of MexicoMARINE ECOLOGY, Issue 4 2002Carl L. Thurman Abstract. As problems in taxonomy and systematic relationships among the Uca species are resolved, a definition of how each fiddler crab species partitions and utilizes habitat resources is needed. To this end, the osmoregulatory capabilities were studied in six species of fiddler crabs from the western Gulf of Mexico. Specimens were placed in 50,ml of artificial seawater ranging in osmolality from 50 to 3450,mOsm (2 to 109,,) for five days. Survivorship was recorded for each species. Uca rapax, U. panacea and U. subcylindrica are hardy from 200 to 3200,mOsm (6 to 101,,). Uca spinicarpa and U. minax survive only below 1400,mOsm (44,,). U. longisignalis is intermediate, with limited survival above 2500,mOsm (79,,). Hemolymph osmolality was determined for crabs surviving the osmotic regimen. Uca panacea, U. subcylindrica and U. rapax are equivalent in their regulation between 50 and 3200,mOsm (2,,,101,,). Uca longisignalis lost its ability to control hemolymph osmolality above 2200,mOsm (69,,). On the other hand, U. spinicarpa and U. minax become less effective hyporegulators in media above 1200 (38,,) and 1500,mOsm (47,,), respectively. Only U. longisignalis appears to exhibit clear differences in osmoregulatory capacity between populations. Population data for U. panacea and laboratory experiments with U. subcylindrica also support the notion of capacitative acclimation in Uca. These physiological capabilities correlate well with the known habitat characteristics for each fiddler crab species in the northwestern Gulf of Mexico. [source] Ethnic differences in participation in prenatal screening for Down syndrome: A register-based studyPRENATAL DIAGNOSIS, Issue 10 2010Mirjam P. Fransen Abstract Objective To assess ethnic differences in participation in prenatal screening for Down syndrome in the Netherlands. Methods Participation in prenatal screening was assessed for the period 1 January 2009 to 1 July 2009 in a defined postal code area in the southwest of the Netherlands. Data on ethnic origin, socio-economic background and age of participants in prenatal screening were obtained from the Medical Diagnostic Centre and the Department of Clinical Genetics. Population data were obtained from Statistics Netherlands. Logistic regression models were used to assess ethnic differences in participation, adjusted for socio-economic and age differences. Results The overall participation in prenatal screening was 3865 out of 15 093 (26%). Participation was 28% among Dutch women, 15% among those from Turkish ethnic origin, 8% among those from North-African origin, 15% among those from Aruban/Antillean origin and 26% among women from Surinamese origin. Conclusions Compared to Dutch women, those from Turkish, North-African, Aruban/Antillean and other non-Western ethnic origin were less likely to participate in screening. It was unexpected that women from Surinamese origin equally participated. It should be further investigated to what extent participation and non-participation in these various ethnic groups was based on informed decision-making. Copyright © 2010 John Wiley & Sons, Ltd. [source] Demo-genetic analysis of a recovering population of otters in Central SwedenANIMAL CONSERVATION, Issue 6 2008M. Björklund Abstract We performed a demo-genetic population viability analysis on a recovering population of otters Lutra lutra in Central Sweden, using data on population size, survival and genetic data from microsatellites. Population data were obtained from genotyping faeces. At present, the size and genetic variability of the population is increasing. We found that survival to first reproduction was the most crucial demographic parameter, and that even slight changes downward in this parameter, might lead to a declining population trajectory. Human factors that can affect mortality are traffic, fishing equipment and traps, and we argue that efforts to minimize road kills by means of safe passages as well as careful fishing efforts in streams and lakes would reduce the risk of extinction. In general, even though the population is now growing and has no inbreeding problem, its small abundance could make it vulnerable to chance events and environmental perturbations. [source] A new index of access to primary care services in rural areasAUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, Issue 5 2009Matthew R. McGrail Abstract Objective: To outline a new index of access to primary care services in rural areas that has been specifically designed to overcome weaknesses of using existing geographical classifications. Methods: Access was measured by four key dimensions of availability, proximity, health needs and mobility. Population data were obtained through the national census and primary care service data were obtained through the Medical Directory of Australia. All data were calculated at the smallest feasible geographical unit (collection districts). The index of access was measured using a modified two-step floating catchment area (2SFCA) method, which incorporates two necessary additional spatial functions (distance-decay and capping) and two additional non-spatial dimensions (health needs and mobility). Results: An improved index of access, specifically designed to better capture access to primary care in rural areas, is achieved. These improvements come from: 1) incorporation of actual health service data in the index; 2) methodological improvements to existing access measures, which enable both proximity to be differentiated within catchments and the use of varying catchment sizes; and 3) improved sensitivity to small-area variations. Conclusion: Despite their recognised weaknesses, the Australian government uses broad geographical classifications as proxy measures of access to underpin significant rural health funding programs. This new index of access could provide a more equitable means for resource allocation. Implications: Significant government funding, aimed at improving health service access inequities in rural areas, could be better targeted by underpinning programs with our improved access measure. [source] National Study of the Relation of Primary Care Shortages to Emergency Department UtilizationACADEMIC EMERGENCY MEDICINE, Issue 3 2007Ilana B. Richman BA Background: Emergency department (ED) visit volumes are increasing nationwide. Objectives: To determine whether states with primary care shortages have higher rates of ED use. Methods: Populations residing in primary care shortage areas were abstracted from the Health Resources and Services Administration Geospatial Database. Annual ED visit volumes were available from the 2001 National ED Inventory. Population data and potential confounders were abstracted from federal data sets. All analyses were conducted at the state level. Results: Primary care shortage densities varied greatly across states, ranging from 3 (New Jersey) to 28 (Mississippi) medically underserved individuals per 100 people. States also varied in their annual ED visit densities, ranging from 23 visits (Hawaii) to 65 visits (Washington, DC) per 100 people. Of the 17 states in the top tertile for primary care shortage, 7 also were in the top tertile for ED visits. Primary care shortage density was positively associated with ED visit density. An increase of 10 medically underserved individuals per 100 people was associated with an annual increase of 4.2 ED visits per 100 people (p = 0.04). The association remained after controlling for six factors, with an increase of 10 medically underserved individuals per 100 people associated with an annual increase of 3.3 ED visits per 100 people (p = 0.04). Nevertheless, five states had high ED visit densities despite comparatively low primary care shortage densities (Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont), whereas five others had low ED visit densities despite high primary care shortage densities (Arizona, Idaho, Montana, New Mexico, and South Dakota). Conclusions: A positive association between primary care shortage densities and ED visit densities was found. Although most states adhere to this pattern, some states do not. Further investigation of this dissociation may yield additional explanations for rising ED visit volumes. [source] Financial modelling of the potential cost of ovine Johne's disease and the benefit of vaccinating sheep flocks in southern New South WalesAUSTRALIAN VETERINARY JOURNAL, Issue 10 2008RD Bush Objective To develop an enterprise gross margin (GM) model that predicts the on-farm financial impact of ovine Johne's disease (OJD) for various sheep enterprises in Australia. In addition, to estimate the benefits and costs of control through the use of the GudairÔ vaccination, including a breakeven point. Design and population Data for the model was gained from an observational study conducted over a 3-year period from 2002 to 2004 using sheep from 12 OJD-infected flocks from southern New South Wales. Flocks ranged between 3500 and 20,000 sheep, with owner estimates of 5% or greater OJD mortality at the start of the study. Procedure A GM model was developed to predict the on-farm financial impact of OJD for various sheep enterprises in Australia, comparing non-infected, infected (status quo) and infected (vaccination) disease scenarios. Results Vaccination breakeven points are achieved within 2 to 3 years for breeding enterprises if OJD mortalities are high, rising towards 7 years for a Merino ewe enterprise if OJD mortalities are low. Conclusion The GM model demonstrates the returns to investment of vaccination for Australian sheep producers with OJD-infected flocks. [source] One hundred males with Asperger syndrome: a clinical study of background and associated factorsDEVELOPMENTAL MEDICINE & CHILD NEUROLOGY, Issue 10 2004Mats Cederlund MD The objective of this study was to investigate the background and associated factors in a representative group of young males with Asperger syndrome (AS) presenting at a specialized autism clinic. One hundred males aged 5 years 6 months to 24 years 6 months, with a mean age of 11 years 4 months (SD 3y 10mo), who had a clinical diagnosis of AS were included in the study. An in-depth review of their medical records and neuropsychological test data was performed. There was a high rate (51%) of non-verbal learning disability (defined as Verbal IQ more than 15 points higher than Performance IQ), but otherwise there was little or no support for the notion of right-hemisphere brain dysfunction being at the core of the syndrome. There was a very high rate of close relatives with autism spectrum problems, but also high rates of prenatal and perinatal problems, including prematurity and postmaturity. In comparison with general population data, those with AS very often had a combination of genetic and prenatal and perinatal risk factors. Non-verbal learning disability test results applied in about half the group. There was a subgroup of individuals with AS who had macrocephalus. However, there was no support for an association of AS with low body mass index. [source] Type 2 diabetes mellitus and obesity in sub-Saharan AfricaDIABETES/METABOLISM: RESEARCH AND REVIEWS, Issue 6 2010Vivian C. Tuei Abstract While communicable diseases such as human immunodeficiency virus/acquired immune deficiency syndrome, malaria, and tuberculosis have continued to pose greater threats to the public health system in sub-Saharan Africa (SSA), it is now apparent that non-communicable diseases such as diabetes mellitus are undoubtedly adding to the multiple burdens the peoples in this region suffer. Type 2 diabetes mellitus (T2DM) is the most common form of diabetes (90,95%), exhibiting an alarming prevalence among peoples of this region. Its main risk factors include obesity, rapid urbanization, physical inactivity, ageing, nutrition transitions, and socioeconomic changes. Patients in sub-Saharan Africa also show manifestations of ,-cell dysfunction and insulin resistance. However, because of strained economic resources and a poor health care system, most of the patients are diagnosed only after they have overt symptoms and complications. Microvascular complications are the most prevalent, but metabolic disorders and acute infections cause significant mortality. The high cost of treatment of T2DM and its comorbidities, the increasing prevalence of its risk factors, and the gaps in health care system necessitate that solutions be planned and implemented urgently. Aggressive actions and positive responses from well-informed governments appear to be needed for the conducive interplay of all forces required to curb the threat of T2DM in sub-Saharan Africa. Despite the varied ethnic and transitional factors and the limited population data on T2DM in sub-Saharan Africa, this review provides an extensive discussion of the literature on the epidemiology, risk factors, pathogenesis, complications, treatment, and care challenges of T2DM in this region. Copyright © 2010 John Wiley & Sons, Ltd. [source] Smoking cessation in severe mental illness: what works?ADDICTION, Issue 7 2010Lindsay Banham ABSTRACT Aims The physical health of people with severe mental illness (SMI) is poor. Smoking-related illnesses are a major contributor to excess mortality and morbidity. An up-to-date review of the evidence for smoking cessation interventions in SMI is needed to inform clinical guidelines. Methods We searched bibliographic databases for relevant studies and independently extracted data. Included studies were randomized controlled trials (RCTs) of smoking cessation or reduction conducted in adult smokers with SMI. Interventions were compared to usual care or placebo. The primary outcome was smoking cessation and secondary outcomes were smoking reduction, change in weight, change in psychiatric symptoms and adverse events. Results We included eight RCTs of pharmacological and/or psychological interventions. Most cessation interventions showed moderate positive results, some reaching statistical significance. One study compared behavioural support and nicotine replacement therapy (NRT) to usual care and showed a risk ratio (RR) of 2.74 (95% CI 1.10,6.81) for short-term smoking cessation, which was not significant at longer follow-up. We pooled five trials that effectively compared bupropion to placebo giving an RR of 2.77 (95% CI 1.48,5.16), which was comparable to Hughes et al.'s 2009 figures for general population data; RR = 1.69 (95% CI 1.53,1.85). Smoking reduction data were too heterogeneous for meta-analysis, but results were generally positive. Trials suggest few adverse events. All trials recorded psychiatric symptoms and the most significant changes favoured the intervention groups over the control groups. Conclusions Treating tobacco dependence is effective in patients with SMI. Treatments that work in the general population work for those with severe mental illness and appear approximately equally effective. Treating tobacco dependence in patients with stable psychiatric conditions does not worsen mental state. [source] Genetic and expression analysis of all non-synonymous single nucleotide polymorphisms in the human deoxyribonuclease I-like 1 and 2 genesELECTROPHORESIS, Issue 12 2010Misuzu Ueki Abstract Members of the human DNase I family, DNase I-like 1 and 2 (DNases 1L1 and 1L2), with physiological role(s) other than those of DNase I, possess three and one non-synonymous SNPs in the genes, respectively. However, only limited population data are available, and the effect of these SNPs on the catalytic activity of the enzyme remains unknown. Genotyping of all the non-synonymous SNPs was performed in three ethnic groups including six different populations using the PCR-RFLP method newly developed. Asian and African groups including Japanese, Koreans, Ghanaians and Ovambos were typed as a single genotype at each SNP, but polymorphism at only SNP V122I in DNase 1L1 was found in Caucasian groups including Germans and Turks; thus a Caucasian-specific allele was identified. The DNase 1L1 and 1L2 genes show relatively low genetic diversity with regard to these non-synonymous SNPs. The level of activity derived from the V122I, Q170H and D227A substituted DNase 1L1 corresponding to SNPs was similar to that of the wild-type, whereas replacement of the Asp residue at position 197 in the DNase 1L2 protein with Ala, corresponding to SNP D197A, reduced its activity greatly. Thus, SNP V122I in DNase 1L1 exhibiting polymorphism exerts no effect on the catalytic activity, and furthermore SNP D197A in DNase 1L2, affecting its catalytic activity, shows no polymorphism. These findings permit us to postulate that the non-synonymous SNPs identified in the DNase 1L1 and 1L2 genes may exert no influence on the activity levels of DNases 1L1 and 1L2 in human populations. [source] Bivariate combined linkage and association mapping of quantitative trait lociGENETIC EPIDEMIOLOGY, Issue 5 2008Jeesun Jung Abstract In this paper, bivariate/multivariate variance component models are proposed for high-resolution combined linkage and association mapping of quantitative trait loci (QTL), based on combinations of pedigree and population data. Suppose that a quantitative trait locus is located in a chromosome region that exerts pleiotropic effects on multiple quantitative traits. In the region, multiple markers such as single nucleotide polymorphisms are typed. Two regression models, "genotype effect model" and "additive effect model", are proposed to model the association between the markers and the trait locus. The linkage information, i.e., recombination fractions between the QTL and the markers, is modeled in the variance and covariance matrix. By analytical formulae, we show that the "genotype effect model" can be used to model the additive and dominant effects simultaneously; the "additive effect model" only takes care of additive effect. Based on the two models, F -test statistics are proposed to test association between the QTL and markers. By analytical power analysis, we show that bivariate models can be more powerful than univariate models. For moderate-sized samples, the proposed models lead to correct type I error rates; and so the models are reasonably robust. As a practical example, the method is applied to analyze the genetic inheritance of rheumatoid arthritis for the data of The North American Rheumatoid Arthritis Consortium, Problem 2, Genetic Analysis Workshop 15, which confirms the advantage of the proposed bivariate models. Genet. Epidemiol. 2008. © 2008 Wiley-Liss, Inc. [source] Population trends of Rooks Corvus frugilegus in Spain and the importance of refuse tipsIBIS, Issue 1 2008PEDRO P. OLEA Anthropogenic food from refuse tips can affect population dynamics in birds, especially gulls, but the evidence is mostly circumstantial. We combine analyses of long-term population data and natural experiments to show a positive effect of refuse tips on the growth of the Spanish breeding population of Rooks Corvus frugilegus. In this isolated population of around 2000 breeding pairs, monitored since 1976, birds in colonies less than 10 km from tips fed largely on refuse, particularly during periods of lowest natural food availability. Three lines of evidence support the hypothesis that the supply of refuse influenced breeding numbers, suggesting that this population is limited by food: 1) between 1976 and 2003, the two population nuclei that had access to tips increased 2.1 and 3.7 times more than that without a tip nearby; 2) annual colony growth between 1996 and 2003 was strongly correlated with the availability of tips when other potentially important variables were taken into account; 3) the number of breeding pairs in refuse-foraging colonies declined rapidly after the closure of the local tip and recovered only when a supply of refuse was restored. The effect of tips on colony growth was stronger when the availability of natural foraging habitat around the colonies was low, suggesting that anthropogenic food acts as a buffer against shortage of natural food. Artificial food supplementation may be an effective tool to increase the breeding population of target species, especially those facing a reduction of their foraging habitats. The potential effects on bird species of Directive 1999/31/CE, which is enforcing a massive closure of tips in Europe, are discussed. [source] Selective non-response to clinical assessment in the longitudinal study of aging: implications for estimating population levels of cognitive function and dementiaINTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 8 2002Kaarin J. Anstey Abstract Objective To identify the cognitive outcome of interviewed participants who did not progress to partake in clinical assessments in a longitudinal aging study. Design A retrospective study was conducted on participants who were interviewed but who did not complete the clinical assessment (including an extended cognitive assessment) at either Wave 1 or both Wave 1 and Wave 3 of the Australian Longitudinal Study of Ageing. A total of 1947 participants aged 70 and older commenced the study, 246 participants without clinical data at either or both Waves 1 and 3 were identified for the sub-sample followed-up retrospectively. The Informant Questionnaire for Cognitive Decline in the Elderly (IQCODE) was administered to informants and medical records were reviewed. Results Participants who did not complete the clinical assessment at Wave 3 reported poorer health and had poorer cognitive function at Wave 1 independent of age and gender. Rates of possible dementia or cognitive decline were higher in the group who did not undertake the clinical assessment compared with both those who did the clinical assessment and with population data. Conclusion Selective non-response to clinical assessment in a longitudinal aging study is associated with higher risk of cognitive decline and probable dementia. Longitudinal aging studies may underestimate rates of dementia and population levels of cognitive decline. Copyright © 2002 John Wiley & Sons, Ltd. [source] Comparison of medication-prescribing patterns for patients in different social groups by a group of doctors in a general practiceINTERNATIONAL JOURNAL OF PHARMACY PRACTICE, Issue 4 2005Mrs. Jenifer Anne Harding Primary care pharmacist Objective This study was designed to compare medication-prescribing patterns of five general practitioners (GPs) who served patients living in two different communities, one of which is more economically deprived. Method The study focused on cardiovascular and antibiotic prescribing. Practice population data including history of cardiovascular disease and records of medication prescribed were considered with public health and socio-economic statistics for each community. Setting The study practice serves 8300 patients in two clinics, Tipton and Gornal, 4 miles apart. Each has similar numbers of registered patients. Tipton is in one of England's most deprived areas, ranked 16 out of 354 in the Indices of Multiple Deprivation 2004, compared with Gornal which is situated in an area ranked 109. Key findings For each Tipton patient, mean prescribing costs were 37% higher and mean number of prescription items were 16% higher over the study period compared with Gornal. Although a higher incidence might be expected in Tipton, little difference in identified cardiovascular disease (CVD) was found between Tipton and Gornal, and prescribing rates of aspirin and statins were similar. Tipton patients with CVD were less likely to be prescribed antihypertensives especially calcium channel blockers (P = 0.003) and diuretics (P = 0.02). Tipton patients received on average 3.27 different cardiovascular drugs compared with 3.80 in Gornal (P = 0.004). In those aged 65 years and over, this reduced to 3.08 in Tipton compared with 3.82 in Gornal (P = 0.001). Tipton patients generally, and children specifically, were significantly more likely to receive antibiotic prescriptions (P <0.0001). Conclusion This study suggested that some prescribing patterns differed at the two clinics, which may reflect different behaviours by the GPs when prescribing in the two communities of different population need. [source] Habitat heterogeneity affects population growth in goshawk Accipiter gentilisJOURNAL OF ANIMAL ECOLOGY, Issue 2 2001Oliver Krüger Summary 1The concept of site-dependent population regulation combines the ideas of Ideal Free Distribution-type of habitat settlement and density dependence in a vital rate mediated by habitat heterogeneity. The latter is also known as habitat heterogeneity hypothesis. Site-dependent population regulation hypothesis predicts that increasing population density should lead to inhabitation of increasingly poor territories and decreasing per capita population growth rate. An alternative mechanism for population regulation in a territorial breeding system is interference competition. However, this would be expected to cause a more even decrease in individual success with increasing density than site-dependent regulation. 2We tested these ideas using long-term (1975,99) population data from a goshawk Accipiter gentilis population in Eastern Westphalia, Germany. 3Goshawk territory occupancy patterns and reproduction parameters support predictions of site-dependent population regulation: territories that were occupied more often and earlier had a higher mean brood size. Fecundity did not decrease with increasing density in best territories. 4Using time-series modelling, we also showed that the most parsimonious model explaining per capita population growth rate included annual mean habitat quality, weather during the chick rearing and autumn period and density as variables. This model explained 63% of the variation in per capita growth rate. The need for including habitat quality in the time-series model provides further support for the idea of site-dependent population regulation in goshawk. [source] Indirect effects of invasive species removal devastate World Heritage IslandJOURNAL OF APPLIED ECOLOGY, Issue 1 2009Dana M. Bergstrom Summary 1Owing to the detrimental impacts of invasive alien species, their control is often a priority for conservation management. Whereas the potential for unforeseen consequences of management is recognized, their associated complexity and costs are less widely appreciated. 2We demonstrate that theoretically plausible trophic cascades associated with invasive species removal not only take place in reality, but can also result in rapid and drastic landscape-wide changes to ecosystems. 3Using a combination of population data from of an invasive herbivore, plot-scale vegetation analyses, and satellite imagery, we show how a management intervention to eradicate a mesopredator has inadvertently and rapidly precipitated landscape-wide change on sub-Antarctic Macquarie Island. This happened despite the eradication being positioned within an integrated pest management framework. Following eradication of cats Felis catus in 2001, rabbit Oryctolagus cuniculus numbers increased substantially although a control action was in place (Myxoma virus), resulting in island-wide ecosystem effects. 4Synthesis and applications. Our results highlight an important lesson for conservation agencies working to eradicate invasive species globally; that is, risk assessment of management interventions must explicitly consider and plan for their indirect effects, or face substantial subsequent costs. On Macquarie Island, the cost of further conservation action will exceed AU$24 million. [source] Sensitivity of comparative analyses to population variation in trait values: clutch size and cavity excavation tendenciesJOURNAL OF AVIAN BIOLOGY, Issue 4 2000Mikko Mönkkönen Importance of within-species (population) variation in trait values to correlations of traits among species has received very little attention in comparative analyses. We use randomization and bootstrapping techniques to provide a sensitivity analysis of the influence of population variation on correlations between clutch size and propensity to excavate. These traits are predicted to be negatively correlated under the limited breeding opportunities hypothesis, but opposing results have been found by two studies using different population estimates for western Palearctic Paridae. Our analyses support the limited breeding opportunities hypothesis and suggest low sensitivity to within-species variation in trait values. Yet, a small proportion of population data provide non-significant results. Checking for the effects of this variation on the postulated association between traits is necessary in comparative studies if one wishes to avoid type I and type II errors. [source] Underweight, obesity and exercise among adults with intellectual disabilities in supported accommodation in Northern EnglandJOURNAL OF INTELLECTUAL DISABILITY RESEARCH, Issue 2 2005E. Emerson Abstract Background Significant deviation from normal weight (obesity and underweight) and lack of physical exercise have been identified as three of the most significant global behavioural risks to health. Methods Body mass index (BMI) and levels of physical activity were measured in a sample of 1542 adults with intellectual disabilities (ID) receiving supported accommodation in nine geographical localities in Northern England. Comparative population data were extracted from the Health Survey for England 1998 and 2001. Results Men and women with ID living in supported accommodation are at increased risk of being significantly underweight and physically inactive. Women with ID living in supported accommodation are at increased risk of obesity. Within the population of people with ID living in supported accommodation increased behavioural health risks are associated with gender, severity of ID, age and location. Conclusion Significant deviation from normal weight and lack of physical exercise are significant behavioural risks to health among people with ID. [source] Hospitalisations due to pertussis in New Zealand in the pre-immunisation and mass immunisation erasJOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 3 2007Rebecca L Somerville Aim: Pertussis disease burden in New Zealand in recent decades has been large compared with other developed countries. However, these comparisons use data from relatively short time periods given the long epidemic cycle of pertussis. To better understand the current disease burden, this study examined pertussis hospitalisation data in New Zealand in both the pre-immunisation and mass immunisation eras. Methods: Hospital discharge data and population data from 1873 to 2004 were used to estimate average pertussis hospital discharge rates per decade. Rates were compared using relative risks and 95% confidence intervals (CI). Results: Average annual pertussis hospitalisation rates per 100 000 were less than two from 1873 to 1919, increased to 12 in the 1940s, decreased to less than four in the 1960s and have increased since then with the rate in the current decade being 5.8. Compared with the 1960s (3.8 per 100 000) the average annual rate has been significantly greater in the 1980s (RR = 1.11, 95% CI 1.03, 1.21), 1990s (RR = 1.33, 95% CI 1.23, 1.44) and 2000s (RR = 1.55, 95% CI 1.42, 1.68). Since 1960 hospitalisation rates have increased for those less than one year old, one to four years old and five years and older. The increases have been most marked for infants (RR 2000s vs. 1960s = 2.87, 95% CI 2.59, 3.18). Conclusion: After an initial decline following mass immunisation, pertussis hospitalisation rates in New Zealand have subsequently increased steadily. To reduce pertussis disease burden improved immunisation coverage and timeliness is required and consideration given to spreading the pertussis vaccine schedule over a wider age range. [source] Interpretation of recent sudden infant death syndrome rates in Western AustraliaJOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 12 2005CJ Freemantle Abstract:, The diagnosis of sudden infant death syndrome (SIDS) has undergone several changes in definition since first being recognised as a cause of death. Linked total population data from Western Australia enable investigations to determine changes in classifications of mortality for the infants of Aboriginal and non-Aboriginal mothers (Aboriginal and Torres Strait Islander people are referred to throughout this report as ,Aboriginal'). Data for recent years show a shift away from a classification of ,SIDS' towards a classification of ,unascertainable', particularly for Aboriginal infants. This has implications for the accurate translation of data into policy and practice. [source] Prospective Follow-Up of Empirically Derived Alcohol Dependence Subtypes in Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC): Recovery Status, Alcohol Use Disorders and Diagnostic Criteria, Alcohol Consumption Behavior, Health Status, and Treatment SeekingALCOHOLISM, Issue 6 2010Howard B. Moss Background:, We have previously reported on an empirical classification of Alcohol Dependence (AD) individuals into subtypes using nationally representative general population data from the 2001 to 2002 Wave 1 of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) and latent class analysis. Our results suggested a typology of 5 separate clusters based upon age of onset of AD, multigenerational familial AD, rates of antisocial personality disorder (ASPD), endorsement of specific AD and Alcohol Abuse (AA) criteria, and the presence of comorbid mood, anxiety, and substance use disorders (SUD). In this report, we focus on the clinical follow-up of these cluster members in Wave 2 of the NESARC (2004 to 2005). Methods:, The mean interval between NESARC Wave 1 and NESARC Wave 2 interviews was 36.6 (SD = 2.6) months. For these analyses, we utilized a Wave 2 NESARC sample that was comprised of a total of 1,172 individuals who were initially ascertained as having past-year AD at NESARC Wave 1 and initially subtyped into one of 5 groupings using latent class analysis. We identified these subtypes as: (i) Young Adult, characterized by very early age of onset, minimal family history, and low rates of psychiatric and SUD comorbidity; (ii) Functional, characterized by older age of onset, higher psychosocial functioning, minimal family history, and low rates of psychiatric and SUD comorbidity; (iii) Intermediate Familial, characterized by older age of onset, significant familial AD, and elevated comorbid rates of mood disorders SUD; (iv) Young Antisocial, characterized by early age of onset and elevated rates of ASPD, significant familial AD, and elevated rates of comorbid mood disorders and SUD; (v) Chronic Severe, characterized by later onset, elevated rates of ASPD, significant familial AD, and elevated rates of comorbid mood disorders and SUD. In this report, we examine Wave 2 recovery status, health status, alcohol consumption behavior, and treatment episodes based upon these subtypes. Results:, Significantly fewer of the Young Adult and Functional subtypes continued to meet full DSM-IV AD criteria in Wave 2 than did the Intermediate Familial, the Young Antisocial, and the Chronic Severe subtypes. However, we did not find that treatment seeking for alcohol problems increased over Wave 1 reports. In Wave 2, Young Antisocial and Chronic Severe subtypes had highest rates of past-year treatment seeking. In terms of health status, the Intermediate Familial, the Young Antisocial, and the Chronic Severe subtypes had significantly worse mental health scores than the Young Adult and Functional subtypes. For physical health status, the Functional, Intermediate Familial, Young Antisocial, and the Chronic Severe subtypes had significantly worse scores than the Young Adult subtype. In terms of alcohol consumption behavior, the Young Adult, Functional, and Young Antisocial subtypes significantly reduced their risk drinking days between Wave 1 and Wave 2, whereas the Intermediate Familial and the Chronic Severe subtypes did not. Discussion:, The results suggest that the empirical AD typology predicts differential clinical outcomes 3 years later. Persistence of full AD, treatment seeking, and worse mental health status were associated most strongly with those subtypes manifesting the greatest degree of psychiatric comorbidity. Reductions in alcohol consumption behavior and good physical health status were seen among the 2 younger subtypes. Overall, the least prevalent subtype, the Chronic Severe, showed the greatest stability in the manifestations of AD, despite having the highest rate of treatment seeking. [source] Developing Nutrient Criteria for Streams: An Evaluation of the Frequency Distribution Method,JOURNAL OF THE AMERICAN WATER RESOURCES ASSOCIATION, Issue 2 2007Michael W. Suplee Abstract:, The U.S. Environmental Protection Agency recommends two statistical methods to States and Tribes for developing nutrient criteria. One establishes a criterion as the 75th percentile of a reference-population frequency distribution, the other uses the 25th percentile of a general-population distribution; the U.S. Environmental Protection Agency suggests either method results in similar criteria. To evaluate each method, the Montana Department of Environmental Quality (MT DEQ) assembled data from STORET and other sources to create a nutrient general population. MT DEQ's reference-stream project provided reference population data. Data were partitioned by ecoregions, and by seasons (winter, runoff, and growing) defined for the project. For each ecoregion and season, nutrient concentrations at the 75th percentile of the reference population were matched to their corresponding concentrations in the general population. Additionally, nutrient concentrations from five regional scientific studies were matched to their corresponding reference population concentrations; each study linked nutrients to impacts on water uses. Reference-to-general population matches were highly variable between ecoregions, as nutrients at the 75th percentile of reference corresponded to percentiles ranging from the 4th to the 97th of the general population. In contrast, case studies-to-reference matches were more consistent, matching on average to the 86th percentile of reference, with a coefficient of variation of 13%. [source] Detecting year-of-birth mortality patterns with limited dataJOURNAL OF THE ROYAL STATISTICAL SOCIETY: SERIES A (STATISTICS IN SOCIETY), Issue 1 2008S. J. Richards Summary., Late life mortality patterns are of crucial interest to actuaries assessing risk of longevity, most obviously for annuities and defined benefit pension schemes. The stability of public finances is also affected, as the governments have very substantial risk of longevity in the form of state benefits and public sector pension schemes. One important explanatory variable for late life mortality patterns is year of birth. Previous work has demonstrated various techniques for detecting such patterns, but always with long time series of mortality rates. The paper describes two alternative ways to detect such patterns, even with missing population data or the absence of a time series. The paper finds support for the idea that different birth cohorts have different rates of aging. [source] Multiple growth-correlated life history traits estimated simultaneously in individualsOIKOS, Issue 1 2010Fabian M. Mollet We present a new methodology to estimate rates of energy acquisition, maintenance, reproductive investment and the onset of maturation (four-trait estimation) by fitting an energy allocation model to individual growth trajectories. The accuracy and precision of the method is evaluated on simulated growth trajectories. In the deterministic case, all life history parameters are well estimated with negligible bias over realistic parameter ranges. Adding environmental variability reduces precision, causes the maintenance and reproductive investment to be confounded with a negative error correlation, and tends, if strong, to result in an underestimation of the energy acquisition and maintenance and an overestimation of the age and size at the onset of maturation. Assuming a priori incorrect allometric scaling exponents also leads to a general but fairly predictable bias. To avoid confounding in applications we propose to assume a constant maintenance (three-trait estimation), which can be obtained by fitting reproductive investment simultaneously to size at age on population data. The results become qualitatively more robust but the improvement of the estimate of the onset of maturation is not significant. When applied to growth curves back-calculated from otoliths of female North Sea plaice Pleuronectes platessa, the four-trait and three-trait estimation produced estimates for the onset of maturation very similar to those obtained by direct observation. The correlations between life-history traits match expectations. We discuss the potential of the methodology in studies of the ecology and evolution of life history parameters in wild populations. [source] Antiepileptic drugs in Australia: 2002,2007,PHARMACOEPIDEMIOLOGY AND DRUG SAFETY, Issue 1 2010Samantha A Hollingworth BSc (Hons) Abstract Purpose With the marketing of a number of new antiepileptic drugs (AEDs) in recent years it seemed possible that the pattern of Australian prescribing for patients with epilepsy may have been changing. We examined the trends in the prescribing of subsidised AEDs in the Australian population from 2002 to 2007. Methods We analysed the Medicare Australia and Drug Utilisation Sub-Committee databases for script data for AEDs from 2002 to 2007 in 5-year age groups by gender and by class of prescriber. Scripts were converted to defined daily doses (DDDs)/1000/day using Australian Bureau of Statistics population data. Results Overall AED use (mainly valproate, lamotrigine and levetiracetam) increased progressively in 2002,2007 from 9.33 to 10.12 DDD/1000 population/day. Sodium valproate was the most widely used agent followed by carbamazepine then phenytoin. Amount of AED used increased in those aged in their 20s and 30s to plateau between 40 and 90 years. Use peaked in those aged 80,84 years and was slightly higher in males than females. Conclusions The rate of increase in the prescribing of AEDs remained steady between 2002 and 2007. The gender differences in prescribing reflect the higher prevalence of epilepsy in men and higher individual dosages used when many AEDs are prescribed on a body weight basis. The high use of some of these drugs in elderly people (,80 years) warrants further exploration. There is growing use of lamotrigine and gabapentin for indications apart from epilepsy,most likely neuropathic pain and mood disorders. Copyright © 2009 John Wiley & Sons, Ltd. [source] Is it effective to target treatment using just calculated CHD risk?PRESCRIBER, Issue 14 2010FRCPath, Tim Reynolds BSc Statin prescribing for the primary prevention of CHD is based on risk calculated from long-term population data. Here, the author discusses the issues with the current risk models and suggests that money could be better spent on improved targeting through the use of a diagnostic test. Copyright © 2010 Wiley Interface Ltd [source] | ||||||||||||||||