Trends in the prevalence, risk and pregnancy outcome of multiple births with congenital anomaly: a registry-based study in 14 European countries 1984-2007.

OBJECTIVE: To assess the public health consequences of the rise in multiple births with respect to congenital anomalies. DESIGN: Descriptive epidemiological analysis of data from population-based congenital anomaly registries. SETTING: Fourteen European countries. POPULATION: A total of 5.4 million births 1984-2007, of which 3% were multiple births. METHODS: Cases of congenital anomaly included live births, fetal deaths from 20 weeks of gestation and terminations of pregnancy for fetal anomaly. MAIN OUTCOME MEASURES: Prevalence rates per 10,000 births and relative risk of congenital anomaly in multiple versus singleton births (1984-2007); proportion prenatally diagnosed, proportion by pregnancy outcome (2000-07). Proportion of pairs where both co-twins were cases. RESULTS: Prevalence of congenital anomalies from multiple births increased from 5.9 (1984-87) to 10.7 per 10,000 births (2004-07). Relative risk of nonchromosomal anomaly in multiple births was 1.35 (95% CI 1.31-1.39), increasing over time, and of chromosomal anomalies was 0.72 (95% CI 0.65-0.80), decreasing over time. In 11.4% of affected twin pairs both babies had congenital anomalies (2000-07). The prenatal diagnosis rate was similar for multiple and singleton pregnancies. Cases from multiple pregnancies were less likely to be terminations of pregnancy for fetal anomaly, odds ratio 0.41 (95% CI 0.35-0.48) and more likely to be stillbirths and neonatal deaths. CONCLUSIONS: The increase in babies who are both from a multiple pregnancy and affected by a congenital anomaly has implications for prenatal and postnatal service provision. The contribution of assisted reproductive technologies to the increase in risk needs further research. The deficit of chromosomal anomalies among multiple births has relevance for prenatal risk counselling.

O Porto Grande e a Urbe Mindelense na Aurora da Contemporaneidade (1850-1914)

Este trabalho, que obedece aos requisitos parciais para a obtenção do grau de mestre em História Contemporânea na Universidade Nova de Lisboa, enquadra-se no campo da História Local, incidindo sobre o Porto Grande na Ilha de S. Vicente de Cabo Verde, no período compreendido entre 1850 a 1914. Procurar-se-á, à luz da documentação disponível, analisar a importância do porto para a afirmação da urbe, numa altura em que por força da Revolução Industrial o barco a vapor entrou nos mares do mundo e revolucionou o sistema de transportes. Nessa altura, S. Vicente, que até então mantinha- se deserta de gente, é elegida por hidrógrafos ingleses que procuravam um porto seguro onde pudessem instalar as suas companhias carvoeiras para abastecer os seus navios na rota do Atlântico Médio. Foi só por essa altura que o povoamento da ilha tornou-se possível, e a dinâmica do seu crescimento uma realidade, impulsionada pelo porto e sob uma forte influência inglesa. Este ritmo de desenvolvimento começou, porém, a decair nos finais do séc. XIX, altura em que o Porto Grande começa a sofrer uma forte concorrência por parte dos portos de Las Palmas e de Santa Cruz de Tenerife, no Arquipélago das Canárias, agravada ainda mais no inicio do séc. XX, quando, por altura da 1ª Grande Guerra, o Porto Grande do Mindelo também é sulcado por navios das potências beligerantes, envolvidas no conflito.

Bahías el Ferrol y Coishco, Chimbote, Perú: evaluación ambiental en abril y julio 2002

Se evaluó la calidad del ambiente marino y la contaminación de origen terrestre. En la bahía El Ferrol las aguas servidas son vertidas por cuatro cámaras de bombeo en la zona norte, y al sur desemboca el río Lacramarca. La bahía Coishco recibe aguas de escorrentía agrícola y doméstica que, con las del río Santa, forman aguas de mezcla con salinidad propia

Naiset miesten asialle : naiset radikaalivasemmistolaisessa agitaatiossa Saksassa 1914-1919

Virve Manninen

Reliure de : Coryciana. - "A la fin" : Impressum Romae apud L. Vicentinum et L. Perusinum, mense julio MDXXIIII

Comprend : Protrepticon ad Corycium

Low birthweight, preterm, and small for gestational age babies in Scotland, 1981-1984.

The aim was to examine the effect of maternal age, gravidity, marital status, previous perinatal deaths, and parental social class on babies born low birthweight, preterm, and small for gestational age. DESIGN--The study used data on discharge summaries from all maternity hospitals in Scotland. SETTING--The study was based on all singleton deliveries in Scotland. PARTICIPANTS--The analysis involved information on 259,462 singleton babies born during the four years 1981-84 in Scotland. MEASUREMENTS AND MAIN RESULTS--Previous perinatal death was found to be the strongest predictor for both preterm and low birthweight. Single mothers were at particularly high risk of having a small for gestational age baby and those who were previously married of having a preterm baby. Women aged less than 20 years old, those over 34 years old, nulligravidae, and those of parity 3 or more were also at increased risk of adverse pregnancy outcome. Mothers and fathers in manual social classes and those who could not be assigned a social class on the basis of their occupation were at increased risk for all three adverse outcomes studied. The babies of parents who were in manual occupations were twice as likely as those of parents in non-manual occupations to be small for gestational age and almost twice as likely to be low birthweight. CONCLUSIONS--Mother's social class is a risk factor for adverse pregnancy outcome independent of maternal age, parity, and adverse reproductive history, and also independent of father's social class. Information on both parents' occupations should be collected in maternity discharge systems.

Agglomeration and labour productivity in Spanish industry: a long-term analysis

This paper analyzes the relationship between spatial density of economic activity and interregional differences in the productivity of industrial labour in Spain during the period 1860-1999. In the spirit of Ciccone and Hall (1996) and Ciccone (2002), we analyze the evolution of this relationship over the long term in Spain. Using data on the period 1860-1999 we show the existence of an agglomeration effect linking the density of economic activity with labour productivity in the industry. This effect was present since the beginning of the industrialization process in the middle of the 19th century but has been decreasing over time. The estimated elasticity of labour productivity with respect to employment density was close to 8% in the subperiod 1860-1900, reduces to a value of around 7% in the subperiod 1914-1930, to 4% in the subperiod 1965-1979 and becomes insignificant in the final subperiod 1985-1999. At the end of the period analyzed there is no evidence of the existence of net agglomeration effects in the industry. This result could be explained by an important increase in the congestion effects in large industrial metropolitan areas that would have compensated the centripetal or agglomeration forces at work. Furthermore, this result is also consistent with the evidence of a dispersion of industrial activity in Spain during the last decades.

New Estimates of Regional GDP in Spain, 1860-1930

This paper presents a new regional database on GDP in Spain for the years 1860, 1900, 1914 and 1930. Following Geary and Stark (2002), country level GDP estimates are allocated across Spanish provinces. The results are then compared with previous estimates. Further, this new evidence is used to analyze the evolution of regional inequality and convergence in the long run. According to the distribution dynamics approach suggested by Quah (1993, 1996) persistence appears as a main feature in the regional distribution of output. Therefore, in the long run no evidence of regional convergence in the Spanish economy is found.

One hundred topics in Iowa history, 1914.

Dr. Dan Elbert Clark compiled and Benjamin F. Shambaugh edited this edition of a list of Iowa history topics, which originally was suggested by Miss Alice Tyler, Secretary of the Iowa Library Commission in 1907. It is also called Bulletin of Information Series, no. 7 published by the State Historical Society of Iowa. The subjects presented will give the reader a general knowledge of the more important facts and phases of Iowa's commonwealth history. Also included in this document are lists of authors of the articles sited, suggested courses of study or reading in Iowa history, the Governor's of Iowa, United State Senators from Iowa and a list of some of the important dates in early Iowa history.

Iowa "50 States Project": A Review of the 1983 Code for Sexuality Discrimination, February 1984

The "50 States Project" is the name given to President Ronald D. Reagan;s 1981 pledge to encourage the fifty governors to initiate individual state projects to review their state Codes for unequal treatment of persons based upon sex. We believe that Iowa is the first state to complete this project. Project efforts in Iowa began in June of 1981, when the Governor Robert D. ray appointed Dr. Patricia L. Geadelmann, Chairperson on the Iowa commission on the Status of Women, as Iowa's 50 State Project representative. A 50 States planning committee was formed consisting of members from the Governor Ray's staff, the Iowa Commission on the Status of Women, and the Iowa Legislature. Various alternatives for reviewing the Iowa code and the Iowa Administrative Rules were studied and recommendations of the group were reported to Governor Terry E. Branstad prior to his inauguration.