Evaluation of the risk of congenital cardiovascular defects associated with use of paroxetine during pregnancy.

OBJECTIVE: In 2005-2006, several studies noted an increased risk of cardiovascular birth defects associated with maternal use of paroxetine compared with other antidepressants in the same class. In this study, the authors sought to determine whether paroxetine was associated with an increased risk of cardiovascular defects in infants of women exposed to the drug during the first trimester of pregnancy. METHOD: From teratology information services around the world, the authors collected prospectively ascertained, unpublished cases of infants exposed to paroxetine early in the first trimester of pregnancy and compared them with an unexposed cohort. The authors also contacted the authors of published database studies on antidepressants as a class to determine how many of the women in those studies had been exposed to paroxetine and the rates of cardiovascular defects in their infants. RESULTS: The authors were able to ascertain the outcomes of 1,174 infants from eight services. The rates of cardiac defects in the paroxetine group and in the unexposed group were both 0.7%. The rate in the database studies (2,061 cases from four studies) was 1.5%. CONCLUSIONS: Paroxetine does not appear to be associated with an increased risk of cardiovascular defects following use in early pregnancy, as the incidence in more than 3,000 infants was well within the population incidence of approximately 1%.

Prevalence, characteristics, and publication of discontinued randomized trials.

IMPORTANCE: The discontinuation of randomized clinical trials (RCTs) raises ethical concerns and often wastes scarce research resources. The epidemiology of discontinued RCTs, however, remains unclear. OBJECTIVES: To determine the prevalence, characteristics, and publication history of discontinued RCTs and to investigate factors associated with RCT discontinuation due to poor recruitment and with nonpublication. DESIGN AND SETTING: Retrospective cohort of RCTs based on archived protocols approved by 6 research ethics committees in Switzerland, Germany, and Canada between 2000 and 2003. We recorded trial characteristics and planned recruitment from included protocols. Last follow-up of RCTs was April 27, 2013. MAIN OUTCOMES AND MEASURES: Completion status, reported reasons for discontinuation, and publication status of RCTs as determined by correspondence with the research ethics committees, literature searches, and investigator surveys. RESULTS: After a median follow-up of 11.6 years (range, 8.8-12.6 years), 253 of 1017 included RCTs were discontinued (24.9% [95% CI, 22.3%-27.6%]). Only 96 of 253 discontinuations (37.9% [95% CI, 32.0%-44.3%]) were reported to ethics committees. The most frequent reason for discontinuation was poor recruitment (101/1017; 9.9% [95% CI, 8.2%-12.0%]). In multivariable analysis, industry sponsorship vs investigator sponsorship (8.4% vs 26.5%; odds ratio [OR], 0.25 [95% CI, 0.15-0.43]; P < .001) and a larger planned sample size in increments of 100 (-0.7%; OR, 0.96 [95% CI, 0.92-1.00]; P = .04) were associated with lower rates of discontinuation due to poor recruitment. Discontinued trials were more likely to remain unpublished than completed trials (55.1% vs 33.6%; OR, 3.19 [95% CI, 2.29-4.43]; P < .001). CONCLUSIONS AND RELEVANCE: In this sample of trials based on RCT protocols from 6 research ethics committees, discontinuation was common, with poor recruitment being the most frequently reported reason. Greater efforts are needed to ensure the reporting of trial discontinuation to research ethics committees and the publication of results of discontinued trials.

Organisational PSM Antecedents. Do HRM Practices Matter? Testing the Mediating Role of Job Satisfaction and Organisational Commitment

The present study aims to identify organisational antecedents of public service motivation (PSM). Numerous research has been devoted to the identification of socio-demographic PSM antecedents, or to its outcomes. However, organisational antecedents are understudied thus far. In order to fill this research gap, we question whether human resources management practices, whether intrinsic or extrinsic ones, might be related to PSM. Drawing on person-environment fit theoretical assumptions, we depart from the idea that PSM may be developed or sustained by HRM practices, which might contribute to create an environment allowing public employees to fulfill their needs or personal aspirations. Based upon a survey in an important Swiss municipality (N = 859), our findings surprisingly highlight that extrinsic HRM practices are significantly related to PSM, whereas intrinsic ones are not. Furthermore, when taking into account work-related outcomes, such as job satisfaction and organisational commitment, there is evidence of full mediation effects towards extrinsic HRM practices from organisational commitment. Astonishingly, neither job satisfaction nor intrinsic HRM practices are significantly related to PSM.

Tackling self-selection into treatment and self-selection into the sample biases in VAA research

Self‐selection into treatment and self‐selection into the sample are major concerns of VAA research and need to be controlled for if the aim is to deduce causal effects from VAA use in observational data. This paper focuses on the methodological aspects of VAA research and outlines omnipresent endogeneity issues, partly imposed through unobserved factors that affect both whether individuals chose to use VAAs and their electoral behavior. We promote using Heckman selection models and apply various versions of the model to data from the Swiss electorate and smartvote users in order to see to what extent selection biases interfere with the estimated effects of interest.

Mosquito fauna on the Cape Verde Islands (West Africa): an update on species distribution and a new finding

To evaluate the risk of transmission of vector-borne diseases, regular updates of the geographic distribution of insect vectors are required. In the archipelago of Cape Verde, nine mosquito species have been reported. Of these, four are major vectors of diseases that have been present in the archipelago: yellow fever, lymphatic filariasis, malaria and, currently, an outbreak of dengue. In order to assess variation in mosquito biodiversity, we have carried out an update on the distribution of the mosquito species in Cape Verde, based on an enquiry of 26 unpublished technical reports (1983-2006) and on the results of an entomological survey carried out in 2007. Overall, there seems to be a general trend for an expansion of biological diversity in the islands. Mosquito species richness was negatively correlated with the distance of the islands from the mainland but not with the size of the islands. Human- and/or sporadic climatic-mediated events of dispersal may have contributed to a homogenization of species richness regardless of island size but other ecological factors may also have affected the mosquito biogeography in the archipelago. An additional species, Culex perexiguus, was collected for the first time in the archipelago during the 2007 survey.

La médecine légale : une discipline médiatique et médiatisée

Pendant longtemps, la médecine légale est restée une discipline mal ou peu connue, en marge de la médecine conventionnelle. Actuellement, le domaine est mieux perçu par le public, notamment grâce à l'image qu'en reflètent les médias. Il n'empêche que le médecin légiste reste, à l'aune du 3e millénaire, un personnage énigmatique dont la profession attire, voire fascine, mais dont la formation et le rôle demeurent encore mal définis: est-il un vrai médecin? Un juriste? Est-il les deux à la fois? Au fil des ans, la formation de médecin légiste s'est complexifiée et son rôle s'est accru, du fait des progrès de la médecine et de la police scientifique, ainsi que de l'émergence de nouveaux besoins et domaines d'investigation.

O gênero Xylocopa Latreille no Rio Grande do Sul, Brasil (Hymenoptera, Anthophoridae)

The genus Xylocopa Latreille in Rio Grande do Sul, Brazil (Hymenoptera, Anthophoridae). A survey of the genus Xylocopa Latreille, 1802 is given for Rio Grande do Sul, the southernmost State of Brazil. Data are based on several studies on the bee fauna of southern Brazil and on unpublished observations. A key is provided to the species (males and females) and information on distribution, nesting habits and relation to flowers. Rio Grande do Sul is strikingly rich in species of Xylocopa because of the diversity of habitats and its geographic position in the transition of tropical/subtropical to temperate climate. Nineteen species, classified into ten subgenera, have been recorded in Rio Grande do Sul. Here we maintain the subgenera Ioxylocopa, Megaxylocopa and Xylocospila, which were put into synonymy recently by Minckley (1998). The species are: Xylocopa (Dasyxylocopa) bimaculata Friese, 1903; Xylocopa (Ioxylocopa) chrysopoda Schrottky, 1902; Xylocopa (Megaxylocopa) frontalis (Olivier, 1789); Xylocopa (Nanoxylocopa) ciliata Burmeister, 1876; Xylocopa (Neoxylocopa) augusti Lepeletier, 1841; Xylocopa (N.) brasilianorum (Linnaeus, 1767); Xylocopa (N.) haematospila Moure, 1951; Xylocopa (N.) hirsutissima Maidl, 1912; Xylocopa (N.) nigrocincta Smith, 1854; Xylocopa (N.) ordinaria Smith, 1874; Xylocopa (N.) suspecta Moure & Camargo, 1988; Xylocopa (N.) tacanensis Moure, 1949; Xylocopa (Schonnherria) macrops Lepeletier, 1841; Xylocopa (S.) simillima Smith, 1854; Xylocopa (S.) splendidula Lepeletier, 1841; Xylocopa (S.) varians Smith, 1874; Xylocopa (Stenoxylocopa) artifex Smith, 1874; Xylocopa (Xylocopoda) elegans Hurd & Moure, 1963; Xylocopa (Xylocopsis) funesta Maidl, 1912; Xylocopa (Xylocospila) bambusae Schrottky, 1902. Xylocopa tacanensis is for the first time recorded in Brasil.

2-56514 - Court of Appeals

Court of Appeals February 28, 1976 Appeal of Stroh Cpor. v. Commerical Investment Company of Iowa, Inc. Part of the State Law Library of Iowa ditigal scanning project of unpublished opinons of the Iowa Apeellate Courts.

64663 - Court of Appeals

Court of Appeals January 30, 1981 Appeal from Story County, in Re Karen Kay Schulutz, marriage and Virgil Charles Schulutz Part of the State Law Library of Iowa ditigal scanning project of unpublished opinons of the Iowa Apeellate Courts.