Racial variation in the number of spontaneous abortions before a first successful pregnancy, and effects on subsequent pregnancies.

OBJECTIVE: To assess the relationship between race and spontaneous abortion, whether the relationship varies by risk factors, and the effect of spontaneous abortions on subsequent pregnancies. METHODS: A retrospective study was undertaken using data collected in London, UK, between 1988 and 2000. Logistic regression evaluated histories of spontaneous abortion and associations with small-for-gestational-age and preterm births in black African, black Caribbean, and South Asian women relative to white European women. Interactions with risk factors were assessed. RESULTS: Overall, 196 040 women were included. Compared with white Europeans, the odds of a previous spontaneous abortion were increased in black African (adjusted odds ratio [aOR] 1.20; 95% confidence interval [CI] 1.12-1.29) and black Caribbean women (aOR 1.31; 95% CI 1.21-1.41). The strength of the association with black African race increased with age (P=0.002), and the association with South Asian race increased with age and body mass index (P<0.001 for both). Spontaneous abortion was associated with preterm birth in all races, but was strongest in black African women (aOR 1.47; 95% CI 1.29-1.67). CONCLUSION: The greater incidence of spontaneous abortion in black African and black Caribbean women should prompt further study of risk factors in relation to race. The interaction with age in black African and South Asian women could be important for counseling in relation to timing of pregnancy.This work was supported by a Medical Research Council PhD Studentship.This is the final published version. It first appeared at http://www.sciencedirect.com/science/article/pii/S002072921500123X

Quiescent Dense Gas in Protostellar Clusters: the Ophiuchus A Core

We present combined BIMA interferometer and IRAM 30 m Telescope data of N2H+ 1-0 line emission across the nearby dense, star forming core Ophiuchus A (Oph A) at high linear resolution (e.g., ~1000 AU). Six maxima of integrated line intensity are detected which we designate Oph A-N1 through N6. The N4 and N5 maxima are coincident with the starless continuum objects SM1 and SM2 respectively but the other maxima are not coincident with previously-identified objects. In contrast, relatively little N2H+ 1-0 emission is coincident with the starless object SM2 and the Class 0 protostar VLA 1623. The FWHM of the N2H+ 1-0 line, Delta V, varies by a factor of ~5 across Oph A. Values of Delta V < 0.3 km/s are found in 14 locations in Oph A, but only that associated with N6 is both well-defined spatially and larger than the beam size. Centroid velocities of the line, V_LSR, vary relatively little, having an rms of only \~0.17 km/s. Small-scale V_LSR gradients of <0.5 km/s over ~0.01 pc are found near SM1, SM1N, and SM2, but not N6. The low N2H+ abundances of SM2 or VLA 1623 relative to SM1, SM1N, or N6 may reflect relatively greater amounts of N2 adsorption onto dust grains in their colder and probably denser interiors. The low Delta V of N6, i.e., 0.193 km/s FWHM, is only marginally larger than the FWHM expected from thermal motions alone, suggesting turbulent motions in the Oph A core have been reduced dramatically at this location. The non-detection of N6 in previous thermal continuum maps suggests that interesting sites possibly related to star formation may be overlooked in such data.Comment: LaTex with 7 figures, produces 36 pages. Accepted for publication in ApJ. Typo related to Equation 3 fixed, caused derived values of N(N2H+) and X(N2H+) to be low by factors of ~40%. Conclusions of paper are unchange

Is the beck anxiety inventory a good tool to assess the severity of anxiety? A primary care study in The Netherlands study of depression and anxiety (NESDA)

<p>Abstract</p> <p>Background</p> <p>Appropriate management of anxiety disorders in primary care requires clinical assessment and monitoring of the severity of the anxiety. This study focuses on the Beck Anxiety Inventory (BAI) as a severity indicator for anxiety in primary care patients with different anxiety disorders (social phobia, panic disorder with or without agoraphobia, agoraphobia or generalized anxiety disorder), depressive disorders or no disorder (controls).</p> <p>Methods</p> <p>Participants were 1601 primary care patients participating in the Netherlands Study of Depression and Anxiety (NESDA). Regression analyses were used to compare the mean BAI scores of the different diagnostic groups and to correct for age and gender.</p> <p>Results</p> <p>Patients with any anxiety disorder had a significantly higher mean score than the controls. A significantly higher score was found for patients with panic disorder and agoraphobia compared to patients with agoraphobia only or social phobia only. BAI scores in patients with an anxiety disorder with a co-morbid anxiety disorder and in patients with an anxiety disorder with a co-morbid depressive disorder were significantly higher than BAI scores in patients with an anxiety disorder alone or patients with a depressive disorder alone. Depressed and anxious patients did not differ significantly in their mean scores.</p> <p>Conclusions</p> <p>The results suggest that the BAI may be used as a severity indicator of anxiety in primary care patients with different anxiety disorders. However, because the instrument seems to reflect the severity of depression as well, it is not a suitable instrument to discriminate between anxiety and depression in a primary care population.</p

Atlas of group A streptococcal vaccine candidates compiled using large-scale comparative genomics.

Group A Streptococcus (GAS; Streptococcus pyogenes) is a bacterial pathogen for which a commercial vaccine for humans is not available. Employing the advantages of high-throughput DNA sequencing technology to vaccine design, we have analyzed 2,083 globally sampled GAS genomes. The global GAS population structure reveals extensive genomic heterogeneity driven by homologous recombination and overlaid with high levels of accessory gene plasticity. We identified the existence of more than 290 clinically associated genomic phylogroups across 22 countries, highlighting challenges in designing vaccines of global utility. To determine vaccine candidate coverage, we investigated all of the previously described GAS candidate antigens for gene carriage and gene sequence heterogeneity. Only 15 of 28 vaccine antigen candidates were found to have both low naturally occurring sequence variation and high (>99%) coverage across this diverse GAS population. This technological platform for vaccine coverage determination is equally applicable to prospective GAS vaccine antigens identified in future studies

Multiple β− decaying states in 194 Re: Shape evolution in neutron-rich osmium isotopes

β decays from heavy, neutron-rich nuclei with A∼190 have been investigated following their production via the relativistic projectile fragmentation of an E/A=1 GeV 208Pb primary beam on a ∼2.5 g/cm2 9Be target. The reaction products were separated a

Paternal and maternal influences on differences in birth weight between Europeans and Indians born in the UK.

BACKGROUND: Ethnic groups differ significantly in adult physique and birth weight. We aimed to improve understanding of maternal versus paternal contributions to ethnic differences in birth weight, by comparing the offspring of same-ethnic versus mixed-ethnic unions amongst Europeans and South Asian Indians in the UK. METHODOLOGY AND PRINCIPAL FINDINGS: We used data from the UK Office for National Statistics Longitudinal Study (LS) and the Chelsea and Westminster Hospital (CWH), London. In the combined sample at all gestational ages, average birth weight of offspring with two European parents was significantly greater than that of offspring with two Indian parents [Δ = 344 (95% CI 329, 360) g]. Compared to offspring of European mothers, the offspring of Indian mothers had lower birth weight, whether the father was European [Δ = -152 (95% CI -92, -212) g] or Indian [Δ = -254 (95% -315, -192) g]. After adjustment for various confounding factors, average birth weight of offspring with European father and Indian mother was greater than that of offspring with two Indian parents [LS: Δ = 249 (95% CI 143, 354) g; CWH: Δ = 236 (95% CI 62, 411) g]. Average birth weight of offspring with Indian father and European mother was significantly less than that of offspring with two European parents [LS: Δ = -117 (95% CI -207, -26) g; CWH: Δ = -83 (-206, 40) g]. CONCLUSIONS/SIGNIFICANCE: Birth weight of offspring with mixed-ethnic parentage was intermediate between that of offspring with two European or two Indian parents, demonstrating a paternal as well as a maternal contribution to ethnic differences in fetal growth. This can be interpreted as demonstrating paternal modulation of maternal investment in offspring. We suggest long-term nutritional experience over generations may drive such ethnic differences through parental co-adaptation