Long-Term Health Effects on the Next Generation of Ramadan Fasting During Pregnancy

Each year, many pregnant women fast from dawn to sunset during the Islamic holy month of Ramadan. Medical theory suggests that this may have negative long-term health effects on their offspring. Building upon the work of Almond and Mazumder (2008), and using Indonesian crosssectional data, I show that people who were exposed to Ramadan fasting during their mother's pregnancy have a poorer general health and are sick more often than people who were not exposed. This effect is especially pronounced among older people, who, when exposed, also report health problems more often that are indicative of coronary heart problems and type 2 diabetes. The exposed are a bit smaller in body size and weigh less. Among Muslims born during, and in the months after, Ramadan, the share of males is lower, which is most likely to be caused by death before birth. I show that these effects are unlikely to be an artifact of common health shocks, correlated to the occurrence of Ramadan, or o f fasting mainly occurring among women who, irrespective of fasting or not, would have had unhealthier children anyway.health, Ramadan, pregnancy, nutrition, Indonesia

Fasting During Pregnancy and Children's Academic Performance

We consider the effects of daytime fasting by pregnant women during the lunar month of Ramadan on their children's test scores at age seven. Using English register data, we find that scores are .05 to .08 standard deviations lower for Pakistani and Bangladeshi students exposed to Ramadan in early pregnancy. These estimates are downward biased to the extent that Ramadan is not universally observed. We conclude that the effects of prenatal investments on test scores are comparable to many conventional educational interventions but are likely to be more cost effective and less subject to "fade out".

Effects of Digitally Enhanced Learning Tasks on Cognitive Functioning

Are brain-training applications effective? In recent years the popularity of brain training programs, such as Lumosity, Brain Age, Big Brain Academy and Elevate has increased significantly. These programs assert that the consistent use of their program can potentially result in increases in cognitive function. The current body of cognitive research shows that these programs train working memory; due to its integral part in general cognition. This research compared the effectiveness of digitally enhanced working memory tasks, versus active control groups for improvements on measures of cognitive functioning. It was hypothesized that the digitally enhanced working memory tasks would have greater improvements in cognitive functioning, to test this hypothesis this study used meta-analysis to examine and assess the current literature. Support of the hypothesis is found in specific areas of functioning such as visual-spatial working memory, fluid intelligence and processing speed. However, more research needs to be conducted with larger samples and more specific dependent measures of cognitive functioning. Practical application of these digitally enhanced working memory tasks are geared towards slowing cognitive decline in elderly populations

The prevalence of traumatic brain injury (TBI) and an investigation of behavioural and executive functioning outcomes (among those who have sustained TBIs) in a sample of male young offenders

Includes bibliographical references.Adolescents are at risk for antisocial behaviour as well as for sustaining traumatic brain injuries (TBI; Moffitt, 1993; Williams, Cordan, Mewse, Tonks & Burgess, 2010). International literature has long made known the explicit link that exists between TBI and delinquent behavior (Eslinger, Flaherty-Craig, & Benton, 2004; S. Anderson, Bechara, Damasio, Tranel, & Damasio, 1999). The onset of antisocial behaviour post-TBI may not be surprising given the vulnerability of the frontal lobes in sustaining such an injury. Considering the strong overlap between the behaviour of offenders and the behavioural outcomes of sustaining TBIs, the high prevalence rates of TBI in offending populations is not surprising (Perron & Howard, 2008; Slaughter, Fann, & Ehde, 2003; Turkstra, Jones, & Toler, 2003; Williams et al., 2010). In this study, I investigate the prevalence of TBI in an offending population and the overlap between offending behaviour and outcomes of sustaining TBIs

Test Characteristics of Urinary Lipoarabinomannan and Predictors of Mortality among Hospitalized HIV-Infected Tuberculosis Suspects in Tanzania.

Tuberculosis is the most common cause of death among patients with HIV infection living in tuberculosis endemic countries, but many cases are not diagnosed pre-mortem. We assessed the test characteristics of urinary lipoarabinomannan (LAM) and predictors of mortality among HIV-associated tuberculosis suspects in Tanzania. We prospectively enrolled hospitalized HIV-infected patients in Dar es Salaam, with ≥2 weeks of cough or fever, or weight loss. Subjects gave 2 mLs of urine to test for LAM using a commercially available ELISA, ≥2 sputum specimens for concentrated AFB smear and solid media culture, and 40 mLs of blood for culture. Among 212 evaluable subjects, 143 (68%) were female; mean age was 36 years; and the median CD4 count 86 cells/mm(3). 69 subjects (33%) had culture confirmation of tuberculosis and 65 (31%) were LAM positive. For 69 cases of sputum or blood culture-confirmed tuberculosis, LAM sensitivity was 65% and specificity 86% compared to 36% and 98% for sputum smear. LAM test characteristics were not different in patients with bacteremia but showed higher sensitivity and lower specificity with decreasing CD4 cell count. Two month mortality was 64 (53%) of 121 with outcomes available. In multivariate analysis there was significant association of mortality with absence of anti-retroviral therapy (p = 0.004) and a trend toward association with a positive urine LAM (p = 0.16). Among culture-negative patients mortality was 9 (75%) of 12 in LAM positive patients and 27 (38%) of 71 in LAM negative patients (p = 0.02). Urine LAM is more sensitive than sputum smear and has utility for the rapid diagnosis of culture-confirmed tuberculosis in this high-risk population. Mortality data raise the possibility that urine LAM may also be a marker for culture-negative tuberculosis

Saving lives at birth:the impact of home births on infant outcomes

Many developed countries have recently experienced sharp increases in home birth rates. This paper investigates the impact of home births on the health of low-risk newborns using data from the Netherlands, the only developed country where home births are widespread. To account for endogeneity in location of birth, we exploit the exogenous variation in distance from a mother's residence to the closest hospital. We find that giving birth in a hospital leads to substantial reductions in newborn mortality. We provide suggestive evidence that proximity to medical technologies may be an important channel contributing to these health gains

Adjusting Learning Parameters to Increase Cognitive Resource Allocation in Persons with Alcoholism Risk

Parental history of alcoholism is associated with increased alcoholism risk in their children. One factor increasing alcoholism risk is the presence of attention and information encoding disruptions in adult children of alcoholics (ACOA) compared to persons who are not ACOAs (NACOA). Alcohol ingestion reduces these disruptions in ACOAs. This study examined whether alterations of information processing parameters can function like alcohol and reduce processing disruptions experienced by the ACOA. Participants were 80 ACOAs and 80 NACOAs, partitioned into four groups of 20 participants. During learning, subjects studied presentations of stimulus items followed by the presentation of associated response items. The task was to learn which stimulus was associated with which response item. Based on information processing parameters, the study used a 2.5 second learning response period and either a short (3.0 second) or a long (5.0 second) period for evaluating whether the response was or was not correct. Within each group, one-half of the subjects received a short and one-half received a long response evaluation period. In addition to learning performance, information processing was evaluated using psychophysiological-indices of resource allocation in the central nervous system. Whereas the learning performance of the ACOAs during the short review periods was significantly below the performance of the NACOAs, the groups did not significantly differ during long review period conditions. The findings support the implementation of “tuning” information processing parameters to compensate for processing disruptions related to ACOA-status. This outcome could allow development of focused preventive strategies for persons at higher risk for alcoholism