The prevalence and impact of overweight and obesity in an Australian obstetric population

Objective: To assess the prevalence and impact of overweight and obesity in an Australian obstetric population. Design, setting and participants: The Mater Mother's Hospital (MMH), South Brisbane, is an urban tertiary referral maternity hospital. We reviewed data for the 18401 women who were booked for antenatal care at the MMH, delivered between January 1998 and December 2002, and had a singleton pregnancy. Of those women, 14 230 had an estimated pre-pregnancy body mass index (BMI) noted in their record; 2978 women with BMI 40 kg/m(2)). Main outcome measures: Prevalence of overweight and obesity in an obstetric population; maternal, peripartum and neonatal outcomes associated with raised BMI. Results: Of the 14230 women, 6443 (45%) were of normal weight, and 4809 (34%) were overweight, obese or morbidly obese. Overweight, obese and morbidly obese women were at increased risk of adverse outcomes (figures represent adjusted odds ratio [AOR] [95% Cl]): hypertensive disorders of pregnancy (overweight 1.74 [1.45-2.15], obese 3.00 [2.40-3.74], morbidly obese 4.87 [3.27-7.24]); gestational diabetes (overweight 1.78 [1.25-2.52], obese 2.95 [2.05-4.25], morbidly obese 7.44 [4.42-12.54]); hospital admission longer than 5 days (overweight 1.36 [1.13-1.63], obese 1.49 [1.21-1.86], morbidly obese 3.18 [2.19-4.61]); and caesarean section (overweight 1.50 [1.36-1.66], obese 2.02 [1.79-2.29], morbidly obese 2.54 [1.94-3.321). Neonates born to obese and morbidly obese women had an increased risk of birth defects (obese 1.58 (1.02-2.46], morbidly obese 3.41 [1.67-6.94]); and hypoglycaemia (obese 2.57 [1.39-4.78], morbidly obese 7.14 [3.04-16.74]). Neonates born to morbidly obese women were at increased risk of admission to intensive care (2.77 [1.81-4.25]); premature delivery (< 34 weeks' gestation) (2.13 [1.13-4.01]); and jaundice (1.44 [1.09-1.89]). Conclusions: Overweight and obesity are common in pregnant women. Increasing BMI is associated with maternal and neonatal outcomes that may increase the costs of obstetric care. To assist in planning health service delivery, we believe that BMI should be routinely recorded on perinatal data collection sheets

Geochronology of the Pengjiakuang and Rushan gold deposits, Eastern Jiaodong Gold Province, Northeastern China: Implications for regional mineralization and geodynamic setting

The Jiaodong gold province, the largest gold-producing district in China, is located in the jiaodong peninsula at the eastern margin of the North China craton and bounded by the continental scale Tan-Lu fault, 40 kin to the west. Previous geochronological studies suggest that pervasive gold deposition took place in the western part of the province between 122 and 119 Ma. Here we report high-quality Ar-40/Ar-39 ages of the Pengjiakuang and Rushan deposits from the eastern part of the jiaodong gold province, placing additional chronological constraints on the timing of regional mineralization. Seven sericite grains extracted from auriferous alteration assemblages at the Pengiiakuang deposit yielded well-defined plateau ages between 120.9 +/- 0.4 and 119.1 +/- 0.2 Ma (2 sigma). Three separates of igneous biotite from a sample of the Queshan gneissic granite, adjacent to the Pengjiakuang deposit, gave reproducible plateau ages of 124.6 +/- 0.6 to 123.9 +/- 0.4 Ma (2 sigma). Six sericite separates front two samples in the Rushan deposit yielded Ar-40/Ar-39 plateau ages at 109.3 +/- 0.3 to 107.7 +/- 0.5 Ma (2 sigma), whereas biotite from the Kunyushan monzogranite that hosts the Rushan deposit had plateau ages ranging from 129.0 +/- 0.6 to 126.9 +/- 0.6 Ma (3 separates front one sample). The apparent age gap between hydrothermal sericite and magmtic biotite from both deposits, together with the similar argon closure temperatures for these mica minerals, suggest that gold mineralization had no direct relationship to the granitoid magmatism. Instead, gold deposition coincided with the emplacement of mafic to intermediate dikes widespread in the jiaodong gold province, which have been dated at ca. 122 to 119 Ma and, less commonly, at 110 to 102 Ma. The new Ar-40/Ar-39 ages from the eastern jiaodong peninsula, when combined with published data from the western part suggest that gold mineralization was broadly contemporaneous throughout the district. The Early Cretaceous gold mineralization also is widely developed in four other major gold districts along the Tan-Lu fault. The temporal and spatial correlation of these gold deposits with mafic to intermediate dikes commonly found in most mineralized areas, the presence of well-documented metamorphic core complexes and half-graben basins along the Tan-Lu fault, and voluminous basalts therein, suggest that the Early Cretaceous was an important period of lithospheric extension, possibly caused by the late Mesozoic lithospheric thinning beneath the eastern block of the North China craton. Lithospheric thinning and extension could have resulted in abnormally high heat and fluid fluxes necessary for large-scaled gold mineralization.

On the simultaneous use of clinical and microarray expression data in the cluster analysis of tissue samples

This paper considers a model-based approach to the clustering of tissue samples of a very large number of genes from microarray experiments. It is a nonstandard problem in parametric cluster analysis because the dimension of the feature space (the number of genes) is typically much greater than the number of tissues. Frequently in practice, there are also clinical data available on those cases on which the tissue samples have been obtained. Here we investigate how to use the clinical data in conjunction with the microarray gene expression data to cluster the tissue samples. We propose two mixture model-based approaches in which the number of components in the mixture model corresponds to the number of clusters to be imposed on the tissue samples. One approach specifies the components of the mixture model to be the conditional distributions of the microarray data given the clinical data with the mixing proportions also conditioned on the latter data. Another takes the components of the mixture model to represent the joint distributions of the clinical and microarray data. The approaches are demonstrated on some breast cancer data, as studied recently in van't Veer et al. (2002).

Searching the world wide web for local services and facilities: A review on the patterns of location-based queries

Many queries sent to search engines refer to specific locations in the world. Location-based queries try to find local services and facilities around the user’s environment or in a particular area. This paper reviews the specifications of geospatial queries and discusses the similarities and differences between location-based queries and other queries. We introduce nine patterns for location-based queries containing either a service name alone or a service name accompanied by a location name. Our survey indicates that at least 22% of the Web queries have a geospatial dimension and most of these can be considered as location-based queries. We propose that location-based queries should be treated different from general queries to produce more relevant results.

Comparisons of the structural and catalytic properties of Ti-HMS synthesized using the hydrothermal and molecular designed dispersion methods

Titanium containing wormhole-like mesoporous silicas, denoted Ti-HMS, synthesized both via the hydrothermal synthesis route and the post synthesis grafting technique, known as molecular designed dispersion, have been successfully applied in the gas phase oxidation of Toluene to CO and CO2. Selectivity towards CO2 for all catalysts, at temperatures between 400-600degreesC, was above 80%. Benzene and benzaldehyde were observed at temperatures above 450degreesC, but in very low concentrations. The conversion of toluene was shown to increase significantly when the V-TEX/N-MESO ratios were increased from 0.07 to 0.84. No significant difference in catalytic activity was observed for catalysts prepared via the different synthesis techniques. The catalytic activity also depends on the concentration of tetrahedrally coordinated titanium atoms and not on the total concentration of titanium in the catalyst.