Birthweight and childhood cancer : preliminary findings from the International Childhood Cancer Cohort Consortium (I4C)

BACKGROUND: Evidence relating childhood cancer to high birthweight is derived primarily from registry and case-control studies. We aimed to investigate this association, exploring the potential modifying roles of age at diagnosis and maternal anthropometrics, using prospectively collected data from the International Childhood Cancer Cohort Consortium.

METHODS: We pooled data on infant and parental characteristics and cancer incidence from six geographically and temporally diverse member cohorts [the Avon Longitudinal Study of Parents and Children (UK), the Collaborative Perinatal Project (USA), the Danish National Birth Cohort (Denmark), the Jerusalem Perinatal Study (Israel), the Norwegian Mother and Child Cohort Study (Norway), and the Tasmanian Infant Health Survey (Australia)]. Birthweight metrics included a continuous measure, deciles, and categories (≥4.0 vs. <4.0 kilogram). Childhood cancer (377 cases diagnosed prior to age 15 years) risk was analysed by type (all sites, leukaemia, acute lymphoblastic leukaemia, and non-leukaemia) and age at diagnosis. We estimated hazard ratios (HR) and 95% confidence intervals (CI) from Cox proportional hazards models stratified by cohort.

RESULTS: A linear relationship was noted for each kilogram increment in birthweight adjusted for gender and gestational age for all cancers [HR = 1.26; 95% CI 1.02, 1.54]. Similar trends were observed for leukaemia. There were no significant interactions with maternal pre-pregnancy overweight or pregnancy weight gain. Birthweight ≥4.0 kg was associated with non-leukaemia cancer among children diagnosed at age ≥3 years [HR = 1.62; 95% CI 1.06, 2.46], but not at younger ages [HR = 0.7; 95% CI 0.45, 1.24, P for difference = 0.02].

CONCLUSION: Childhood cancer incidence rises with increasing birthweight. In older children, cancers other than leukaemia are particularly related to high birthweight. Maternal adiposity, currently widespread, was not demonstrated to substantially modify these associations. Common factors underlying foetal growth and carcinogenesis need to be further explored.

International study of perceived neighbourhood environmental attributes and Body Mass Index: IPEN Adult study in 12 countries

BACKGROUND: Ecological models of health behaviour are an important conceptual framework to address the multiple correlates of obesity. Several single-country studies previously examined the relationship between the built environment and obesity in adults, but results are very diverse. An important reason for these mixed results is the limited variability in built environments in these single-country studies. Therefore, the aim of this study was to examine associations between perceived neighbourhood built environmental attributes and BMI/weight status in a multi-country study including 12 environmentally and culturally diverse countries. METHODS: A multi-site cross-sectional study was conducted in 17 cities (study sites) across 12 countries (Australia, Belgium, Brazil, China, Colombia, Czech Republic, Denmark, Mexico, New Zealand, Spain, the UK and USA). Participants (n = 14222, 18-66 years) self-reported perceived neighbourhood environmental attributes. Height and weight were self-reported in eight countries, and measured in person in four countries. RESULTS: Three environmental attributes were associated with BMI or weight status in pooled data from 12 countries. Safety from traffic was the most robust correlate, suggesting that creating safe routes for walking/cycling by reducing the speed and volume of traffic might have a positive impact upon weight status/BMI across various geographical locations. Close proximity to several local destinations was associated with BMI across all countries, suggesting compact neighbourhoods with more places to walk related to lower BMI. Safety from crime showed a curvilinear relationship with BMI, with especially poor crime safety being related to higher BMI. CONCLUSIONS: Environmental interventions involving these three attributes appear to have international relevance and focusing on these might have implications for tackling overweight/obesity.

Psychosocial factors impacting on life transitions among young adults with type 2 diabetes : an Australian - Danish qualitative study

BACKGROUND: Type 2 diabetes (T2DM) prevalence is increasing rapidly worldwide with a significant increase in young adults. There is limited information about psychosocial and service needs of this group. AIM: To explore similarities and differences in how psychosocial factors impact on Australian and Danish young adults with T2DM and to identify unmet support needs during life transitions. METHOD: A qualitative approach was adopted using thematic content analysis of 26 in-depth semi-structured interviews. An inductive descriptive content analysis was undertaken using a comparative coding system. FINDINGS: Eligible participants were from Australia (12) and Denmark (14), aged 19-42 years who had T2DM for more than 10 months. In general, they reported diabetes management was difficult during transitions and diabetes self-care routines had to change to accommodate life changes. The underpinning sense of 'uncertainty' initiated by life transitions caused guilt that often resulted in low self-worth, anxiety and depression, which in turn had a negative impact on social and professional relationships. The participants emphasised the importance of connectedness to social networks, particularly with T2DM peers, and the need for flexible access to health professionals, age-specific tailored support and lower costs for Australians. Australian participants were more concerned than Danish participants about the cost associated with diabetes care and their ability to stay employed; hence, they were reluctant to disclose diabetes at work. CONCLUSION: T2DM had a similar impact on life transitions of Australian and Danish young adults with T2DM, suggesting health care needs to encompass managing life transitions. Participants had to cope with uncertainty and the impact of people's responses to diabetes, particularly at work and in relationships. Health professionals are urged to integrate these factors in care plans and education, which must be individualised and focus on the psychosocial aspects that operate during life transitions.

Migrating swans profit from favourable changes in wind conditions at low altitude

Because energy reserves limit flight range, wind assistance may be of crucial importance for migratory birds. We tracked eight Bewick's swans Cygnus columbianus bewickii, using 95-g satellite transmitters with altimeters and activity sensors, during their spring migration from Denmark to northern Russia in 1996. During the 82 occasions where a swan's location was recorded in flight, average flight altitude was 165 m a.s.1. with a maximum of 759 m a.s.1., despite winds often being more favourable at higher altitudes. We also counted Bewick's swans departing from the Gulf of Finland and subsequently passing an observatory in the next major stop-over area 800 km further north in the White Sea, northern Russia, during the springs of 1994, 1995 and 1996. A comparison of these counts with wind data provided evidence for Bewick's swans using favourable changes in wind conditions to embark on migration. Changes in the numbers of birds arriving in the White Sea correlated best with favourable changes in winds in the Gulf of Finland 1 day earlier. Again, migratory volume showed a correlation with winds at low altitudes only, despite wind conditions for the swans being more favourable at high altitudes. We conclude that the relatively large Bewick's swan tends to gear its migration to wind conditions at low altitude only. We argue that Bewick's swans do not climb to high altitudes because of mechanical and physiological limitations with respect to the generation of power for flight and to avoid rapid dehydration.

Place-based initiatives to tackle mature-age workers’ long-term unemployment in Australia, drawing on successful Nordic precedents

In order to tackle unemployment for the at-risk group of mature-age workers displaced by industry sector restructuring, exemplary place-based initiatives are needed focusing on a selected area of high disadvantage identified by Professor Tony Vinson’s 2015 Jesuit Social Services report Dropping off the Edge, with an Australian state government committed to supporting the initiative, as that report recommends. In order to make such a place-based initiative exemplary in its outcomes, so that it leads to uptake in other areas of high disadvantage, it needs to be thoroughly informed by successful Nordic precedents. In particular, the new Australian place-based initiative needs to be informed by Danish regionally-focused large-scale job skills programs involving transition into a proximate sector of employment growth; and by Norwegian measures for more even population distribution outside capital cities or in particular hard-hit regions within capital cities. An advantage of the proposed initiative is that it will also produce measurable results for children in families in which neither parent works, whose needs are normally tackled (if at all) by separate policy actions in separate tiers or departments of government. Australian children are disproportionately disadvantaged by the internationally extreme concentration of joblessness. Denmark’s Løntilskud and Virksomhedspraktik job training programs subsidised by municipalities and the national government, and supported by Danish trade unions, will be discussed in this paper for the positive effects they have for participants, including establishing or re-establishing unemployed people’s structured work habits and routines, improving their networks along with their social skills, and boosting their confidence. This paper will outline in detail the types of features the proposed new Australian place-based initiative will require, drawing on and drilling down further into data and analysis presented in the author’s recent book: Northern Lights: The Positive Policy Example of Sweden, Finland, Denmark and Norway.

Market coupling in the power markets

The thesis analyses the European Unions’ effort to create an integrated pan-European electricity market based on “market coupling” as the proposed allocation mechanism for interconnector transfer capacity. Thus, the thesis’ main focus is if market coupling leads to a price convergence in interlinked markets and how it affects the behavior of electricity price data. The applied research methods are a qualitative, structured literature review and a quantitative analysis of electricity price data. The quantitative analysis relies on descriptive statistics of absolute price differentials and on a Cointegration analysis according to Engle & Granger (1987)’s two step approach. Main findings are that implicit auction mechanisms such as market coupling are more efficient than explicit auctions. Especially the method of price coupling leads to a price convergence in involved markets, to social welfare gains and reduces market power of producers, as shown on the example of the TLC market coupling. The market coupling initiative between Germany and Denmark, on the other hand, is evaluated as less successful and illustrates the complexity and difficulties of implementing market coupling initiatives. The cointegration analysis shows that the time series were already before the coupling date cointegrated, but the statistical significance increased. The thesis suggests that market coupling leads to a price convergence of involved markets and thus functions as method to create a single, integrated European electricity market.

Description of a new species and complementary description of a known species of Iphiseiodes de Leon (Acari: Phytoseiidae)

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Avaliação de métodos de análises para determinação da contagem de células somáticas no leite cru, mantido em tanque de resfriamento

We analyzed the quality of raw milk from eight dairy farms in Rio Grande do Norte stored in a cooling tank , in order to evaluate methods for determining somatic cell counts (SCC). The Somaticell® kit and a portable Direct Cell Counter (DCC) were compared with each other and with the MilkoScanTM FT+ (FOSS Denmark), which uses Fourier Transform Infrared (FTIR) spectroscopy). Direct cell counter data were processed for somatic cell scores (log-transformed somatic cell count) and analyzed with the SAS®, statistical package , Statistical Analysis System, (SAS, INSTITUTE, 1998). Comparison of means and correlation of somatic cell scores were conducted using Pearson s correlation coefficient and the Tukey Test at 1 %. No significant difference was observed for comparison of means. The correlation between somatic cell scores was significant, that is, 0.907 and 0.876 between the MilkoScanTM FT+ and the Somaticell® kit and Direct Cell Count (DCC) respectively, and 0.943 between the Somaticell® kit and Direct Cell Count (DCC). The methods can be recommended for monitoring the quality of raw milk kept in a cooling tank in the production unit

Diversidade e sazonalidade de ácaros (Acari) em seringal (Hevea brasiliensis, Muell. Arg.) no Noroeste do Estado de São Paulo

A Região Sudeste do Brasil apresenta aspectos edafo-climáticos favoráveis para o plantio e desenvolvimento da seringueira, sendo o estado de São Paulo o maior produtor nacional de látex. Este trabalho teve como objetivos determinar, através de coletas mensais durante três anos de estudo, a diversidade, a riqueza de espécies e a sua sazonalidade, bem como realizar estimativas de densidade populacional das principais espécies de ácaros presentes nas folhas. Todos os ácaros foram montados em lâminas de microscopia, totalizando 74.407 indivíduos, de 26 espécies pertencentes a 10 famílias. Os fitófagos representaram 95,4% do total de indivíduos coletados e os predadores 3,9%. Doze espécies foram consideradas acidentais, seis foram acessórias e oito constantes. Apresentaram maior número de espécies as famílias Phytoseiidae (cinco) e Tydeidae (quatro). A espécie mais abundante foi Calacarus heveae Feres (50.573), com maior abundância nos meses correspondentes ao término da estação chuvosa e início da estação seca na região. Dentre os predadores, a mais abundante foi Zetzellia quasagistemas Hernandes & Feres (1.345), seguida por Pronematus sp. (455), Zetzellia agistzellia Hernandes & Feres (409) e Euseius citrifolius Denmark & Muma (243). C. heveae apresentou maior densidade populacional em março e abril de 2003, e Lorryia formosa Cooreman e Tenuipalpus heveae Baker em março e maio de 2001, respectivamente. Muitos estigmeídeos foram observados associados a agrupamentos de L. formosa predando seus ovos e estágios imaturos.

Diversidade e flutuação populacional de ácaros (Acari) em Mabea fistulifera Mart. (Euphorbiaceae) de dois fragmentos de mata estacional semidecídua em São José do Rio Preto, SP

Amostrou-se mensalmente, durante 2001, ácaros de Mabea fistulifera Mart. em dois fragmentos de mata, um urbano e outro rural. em cada local e coleta, foram coletadas 20 folhas de cada um de três exemplares de M. fistulifera. As folhas foram examinadas sob estereomicroscópio e todos os ácaros encontrados, montados em lâminas e identificados e contados sob microscópio com contraste de fase. A diversidade e a uniformidade de espécies foram analisadas através dos índices de Shannon-Wiener e Pielou, respectivamente. O índice de similaridade de Morisita-Horn foi utilizado para determinar o grau de semelhança entre as áreas. A diversidade máxima teórica e a constância também foram determinadas. O índice de correlação de Pearson foi utilizado para verificar possíveis relações entre a abundância de ácaros com a pluviosidade. No fragmento urbano foram coletados 6326 ácaros pertencentes a 31 espécies, e no rural, 2330 ácaros de 25 espécies. Nos dois fragmentos, a diversidade excedeu 50% da diversidade máxima teórica, entretanto, no rural verificou-se maior diversidade. Registrou-se também, grande abundância de fitófagos, que foi maior no urbano, provavelmente como resultado do estresse das plantas favorecendo o desenvolvimento dos fitófagos. Alguns predadores apresentaram grande abundância durante a floração de M. fistulifera, provavelmente por utilizarem o pólen como alimento. A maior abundância de Euseius citrifolius Denmark & Muma, na estação seca, pode estar correlacionada com a maior disponibilidade de pólen, e não com a menor pluviosidade do período.

Ácaros (Acari) de dois sistemas de cultivo da seringueira no noroeste do estado de São Paulo

A cultura da seringueira (Hevea brasiliensis Muell. Agr.) vem se expandindo consideravelmente no noroeste do estado de São Paulo. O objetivo deste trabalho foi avaliar a fauna de ácaros em dois sistemas comuns de cultivo nessa região, um em monocultivo e outro em consórcio com gariroba (Syagrus oleracea (Mart.) Becc. O estudo foi conduzido entre maio de 2002 e abril de 2003, tomando-se amostras mensais de 150 folíolos de seringueira de cada plantação e 150 folíolos de gariroba. As faunas dos dois sistemas foram semelhantes; os números de espécies, gêneros e famílias, assim como as famílias mais diversas e mais abundantes foram semelhantes entre eles. Dezoito espécies ocorreram exclusivamente em plantas de gariroba. O número de ácaros sobre estas foi consideravelmente menor, mas a riqueza de espécies foi maior que em seringueiras. Dentre as espécies mais freqüentes e abundantes em seringueira, Eutetranychus banksi (McGregor) e Pronematus sp. foram as únicas também freqüentes em gariroba, porém bem menos abundantes. Nenhum dos predadores abundantes em seringueira (Zetzellia aff. yusti, Euseius citrifolius Denmark & Muma, Pronematus sp. e Spinibdella sp.) foi abundante em gariroba. O fungo Hirsutella thompsonii Fisher foi o único patógeno de ácaros encontrado neste estudo, atacando Calacarus heveae Feres. Aparentemente, na forma como cultivada na região, a gariroba não constitui um reservatório adequado dos ácaros predadores mais importantes em seringueira.

Diversidade de ácaros (Acari, Arachnida) em seringueiras (Hevea brasiliensis Muell. Arg., Euphorbiaceae) na região noroeste do Estado de São Paulo, Brasil

The mites of three rubber tree cultures (Cedral, Pindorama and Taquaritinga) in order to determine the abundance of populations, the richness, the diversity and the degree of similarity among the communities was studied. Twenty one species were found, five of which were common to the three cultures. The richness and the abundance were greatest at the beginning of the dry season. The composition of communities differed probably as consequence of the kind of neighboring vegetation to each area, and because of the acaricid pulverization on the culture of Taquaritinga, reductng the richness of mite species in that area. The influence of neighboring vegetation can be shown by the occurrence of Iphiseiodes zuluagui Denmark & Muma, 1972, a common species to citrus trees, on neighboring rubber trees in Taquaritinga, and Tenuipalpus heveae Baker, 1945, a common species on rubber trees, on a coffee culture neighbor to the rubber trees of Pindorama. This data suggests that mites move among neighbor cultures, and can be an importam factor towards pest management and control. The diversity was small on the three cultures, as a result of the occurrence of one dominam species on each area, Calacarus heveae Feres, 1992 or T. heveae, which are considered pests of the rubber tree. The small diversity and the occurrence of dominant species are patterns expected in monocultures, systems with small environmental heterogeneity.

Ácaros (Acari) de seringueira (Hevea brasiliensis Muell. Arg., Euphorbiaceae) e de euforbiáceas espontâneas no interior dos cultivos

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Plant inhabiting mites (Acari) from the Cerrado biome of Mato Grosso State, Brazil

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Plantas de ocorrência espontânea como substratos alternativos para fitoseídeos (Acari, Phytoseiidae) em cultivos de seringueira Hevea brasiliensis Muell. Arg. (Euphorbiaceae)

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)