423 research outputs found
Religion and Child Death in Ireland's Industrial Capital: Belfast 1911
Ireland is often seen as an outlier within the western world in terms of demographic behavior. As a society it has also been noted for its religious fervor, including religious division, at least until fairly recently. Might there be connections historically between these two spheres? One intriguing area of enquiry relates to possible links between religious denomination and child mortality. We explore this possibility using individual-level data from the household schedules of the Irish Census of 1911. The study area is Belfast, Ireland's leading industrial city, which allows for a wide range of occupational and social class differences. Combining regression techniques and the mortality index proposed by Preston and Haines (1991), we seek to tease out the relationship between child mortality and religious affiliation while controlling for a range of other explanatory variables. We show that religious identity is clearly associated with different infant and child mortality outcomes. Of the three major religious denominations, Catholics suffered the most from high infant mortality, Church of Ireland (Anglican) families were only a little better off, while the largest Protestant denomination, the Presbyterians, had the best infant mortality outcomes. These differences were related, in the main, to the varying socioeconomic composition of the three major religious denominations but religious affiliation also mattered in its own right
Early suppression of lymphoproliferative response in dogs with natural infection by Leishmania infantum.
Dogs are the domestic reservoirs of zoonotic visceral leishmaniasis caused by Leishmania
infantum. Early detection of canine infections evolving to clinically patent disease may be
important to leishmaniasis control. In this study we firstly investigated the peripheral blood
mononuclear cell (PBMC) response to leishmanial antigens and to polyclonal activators
concanavalin A, phytohemagglutinin and pokeweed mitogen, of mixed-breed dogs with natural
L. infantum infection, either in presymptomatic or in patent disease condition, compared to healthy
animals. Leishmania antigens did not induce a clear proliferative response in any of the animals
examined. Furthermore, mitogen-induced lymphocyte proliferation was found strongly reduced not
only in symptomatic, but also in presymptomatic dogs suggesting that the cell-mediated immunity
is suppressed in progressive canine leishmaniasis. To test this finding, naive Beagle dogs were
exposed to natural L. infantum infection in a highly endemic area of southern Italy. Two to 10
months after exposure all dogs were found to be infected by Leishmania, and on month 2 of
exposure they all showed a significant reduction in PBMC activation by mitogens. Our results
indicate that suppression of the lymphoproliferative response is a common occurrence in dogs
already at the beginning of an established leishmanial infection. # 1999 Elsevier Science B.V. All
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Health-related quality of life burden in scleroderma patients treated with two different intravenous iloprost regimens
Systemic sclerosis (SSc)-related Raynaud's phenomenon (RP) and digital ulcers (DU) can impair health-related quality of life (HRQoL). The aim of our study was to estimate HRQoL in SSc patients treated with two different intravenous (IV) iloprost (ILO) regimens and in patients not treated with IV ILO. 96 consecutive SSc patients were enrolled in a pragmatic, prospective and non-randomized study, and divided into 3 groups: not requiring therapy with IV ILO (N=52), IV ILO once monthly (N=24) or IV ILO for 5 consecutive days every 3 months (N=20). Patients were followed up for three months. We assessed HRQoL using the generic preference-based questionnaire EQ-5D-5L. We conducted multiple regression analyses to estimate, in each treatment group, the mean general health (GH) and the mean utility index of the EQ-5D-5L, adjusting for possible confounders. The mean adjusted utility index and GH score, after three months' follow-up, were not different in the three groups: IV ILO was able to make patients requiring IV ILO similar to those not requiring it. Moreover, there was no difference in this model between the two ILO regimens (1 day monthly vs 5 consecutive days every 3 months). The two different IV ILO regimens (the most appropriate regimen was decided according to patients' characteristics and needs) were able to stabilize HRQoL in RP secondary to SSc non-adequately controlled by oral therapy
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