The relationship of maternal low birthweight and infant low birthweight among African-American women at term delivery: Findings from the 1988 National Maternal and Infant Health Survey

A cohort study study design was used to study the relationship of maternal low birthweight and infant low birthweight among African American women delivering full term infants. The cohort consisted of 3,157 mother-infant pairs drawn from the 1988 National Maternal and Infant Health Survey conducted by the National Center for Health Statistics. The objectives of the study were (1) to determine if low birthweight, African American mothers delivering term infants experienced higher rates of infant low birthweight and (2) to examine the role of selected contributory variables in the relationship of maternal low birthweight and infant low birthweight. Contributory risk factors examined included maternal marital status, maternal age, maternal education, maternal height, maternal prepregnant weight, birth order, history of a prior low birthweight delivery, timing of prenatal care, number of prenatal visits, gestational length, infant gender, and behavioral factors of smoking, alcohol, and illicit drug use during pregnancy.^ Using logistic regression analysis, risk of infant low birthweight among maternal low birthweight mothers increased after controlling for less than a high school education, less than 20 years of age, prepregnant weight less than 100 lbs, history of a prior low birthweight delivery, birth order, smoking during pregnancy, and use of alcohol and illicit drugs during pregnancy, but was not statistically significant. Loss of statistical significance was attributed to a large reduction in cases available for analysis after including illicit drug use in the model.^ This study demonstrated a consistent pattern of increased rates of infant low birthweight among low birthweight mothers. The force of history remains, hence women with this trait should be carefully monitored and advised during pregnancy to decrease risk of a low birthweight infant, in order to decrease the chain of events leading to future generations of low birthweight mothers. ^

Adaptive, convergent origins of the pygmy phenotype in African rainforest hunter-gatherers

Tropical rainforest hunter-gatherer populations worldwide share the pygmy phenotype, or small human body size. The evolutionary history of this phenotype is largely unknown. Here we studied DNA from the Batwa, a rainforest hunter-gatherer population from east central Africa, to identify regions of the Batwa genome that underlie the pygmy phenotype. We then performed population genomic analyses to study the evolution of these regions, including comparisons with the Baka, a west central African rainforest hunter-gatherer population. We conclude that the pygmy phenotype likely arose due to positive natural selection and that it arose possibly multiple times within Africa. These results support longstanding anthropological hypotheses that small body size confers an important selective advantage for human rainforest hunter-gatherers.

Prevalence and determinants of type 2 diabetes among Filipino Americans in Houston metropolitan statistical area, Texas

Diabetes in adults (type 2) has emerged as a world health problem. Prevalence and risk factors have been found to vary in different populations. The wide range of prevalence rates worldwide indicates the importance of genetic and environmental factors in the etiology of the disease. The few available studies suggest that Filipinos are among the higher-risk groups for developing diabetes. This cross-sectional study estimated the overall prevalence rate of type 2 diabetes among Filipino Americans, ages 20–74 years and residents of Houston Metropolitan Statistical Area, Texas, to be 16.1%. The observed high prevalence was associated with age, sex, family history of diabetes, obesity, region of birth; and, in women, gestational diabetes and income. The diabetic Filipino Americans had a higher proportion of parental history of diabetes, medical history of hypertension, and history of smoking; were physically less active, but generally non-obese, compared with the United States diabetic population. ^

Case-control study of factors associated with virologic failure in HIV-infected children on HAART in Botswana, a developing African country

According to the United Nations Program on HIV/AIDS (UNAIDS, 2008), in 2007 about 67 per cent of all HIV-infected patients in the world were in Sub-Saharan Africa, with 35% of new infections and 38% of the AIDS deaths occurring in Southern Africa. Globally, the number of children younger than 15 years of age infected with HIV increased from 1.6 million in 2001 to 2.0 million in 2007 and almost 90% of these were in Sub-Saharan Africa. (UNAIDS, 2008).^ Both clinical and laboratory monitoring of children on Highly Active Anti-Retroviral Therapy (HAART) are important and necessary to optimize outcomes. Laboratory monitoring of HIV viral load and genotype resistance testing, which are important in patient follow-up to optimize treatment success, are both generally expensive and beyond the healthcare budgets of most developing countries. This is especially true for the impoverished Sub-Saharan African nations. It is therefore important to identify those factors that are associated with virologic failure in HIV-infected Sub-Saharan African children. This will inform practitioners in these countries so that they can predict which patients are more likely to develop virologic failure and therefore target the limited laboratory monitoring budgets towards these at-risk patients. The objective of this study was to examine those factors that are associated with virologic failure in HIV-infected children taking Highly Active Anti-retroviral Therapy in Botswana, a developing Sub-Saharan African country. We examined these factors in a Case-Control study using medical records of HIV-infected children and adolescents on HAART at the Botswana-Baylor Children's Clinical Center of Excellence (BBCCCOE) in Gaborone, Botswana. Univariate and Multivariate Regression Analyses were performed to identify predictors of virologic failure in these children.^ The study population comprised of 197 cases (those with virologic failure) and 544 controls (those with virologic success) with ages ranging from 3 months to 16 years at baseline. Poor adherence (pill count <95% on at least 3 consecutive occasions) was the strongest independent predictor of virologic failure (adjusted OR = 269.97, 95% CI = 104.13 to 699.92; P < 0.001). Other independent predictors of virologic failure identified were: First Line NNRTI with Nevirapine (OR = 2.99, 95% CI = 1.19 to7.54; P = 0.020), Baseline HIV-1 Viral Load >750,000/ml (OR = 257, 95% CI = 1.47 to 8.63; P = 0.005), Positive History of PMTCT (OR = 11.65, 95% CI = 3.04-44.57; P < 0.001), Multiple Care-givers (>=3) (OR = 2.56, 95% CI = 1.06 to 6.19; P = 0.036) and Residence in a Village (OR = 2.85, 95% CI = 1.36 to 5.97; P = 0.005).^ The results of this study may help to improve virologic outcomes and reduce the costs of caring for HIV-infected children in resource-limited settings. ^ Keywords: Virologic Failure, Highly Active Anti-Retroviral Therapy, Sub-Saharan Africa, Children, Adherence.^

Cross-sectional study examining the role of acculturation in self-reported hypertension among Mexican Americans in Harris County, Texas

The objective of this secondary analysis was to examine the role of acculturation and self-reported hypertension in a Mexican-American cohort from Harris County, Texas. Specifically, we examined the acculturation measures of language-based Bidimensional Acculturation Scale (BAS), nativity, and length of United States (U.S) residency. Of 6,229 participants aged 40 and older, 38.0% self-reported hypertension at baseline. ^ Multiple logistic regression was used to estimate the prevalence odds ratios (pOR) for the association of each acculturation measure and hypertension while controlling for confounding. When adjusted for age, gender, body mass index, number of comorbidities, and family history of hypertension, U.S.-born participants were 1.37 times more likely to report having hypertension compared to Mexico-born participants (95% CI: 1.21, 1.55). Similarly, immigrants residing in the U.S. for more than 20 years had an adjusted pOR of 1.40 (95% CI: 1.16, 1.70) as compared to immigrants living in the U.S. for less than 10 years. ^ In conclusion, individuals who were born in the U.S. or emigrated to the U.S. over 20 years ago were more likely to report having hypertension compared to individuals born in Mexico or compared to those who emigrated more recently to the U.S. This study will contribute to the literature in demonstrating the need for more initiatives in prevention of cardiovascular disease, specifically hypertension, in the acculturating Mexican American population.^

Metabolic syndrome in Mexican American females---prevalence and impact of age, socioeconomic status, and family history of type II diabetes

This thesis presents an analysis of data from Molecular Epidemiology of Type II Diabetes Mellitus in Mexican Americans. The study included 294 families. Among the participating families were 500 Mexican American females aged 19 to 86 who provided information on characteristics such as height, weight, and a variety of biochemical indicators. The research questions for this thesis are: (1) How strong is the association between indicators of the metabolic syndrome in study participants and their family histories of type II diabetes; and (2) How is an individual's family history of type II diabetes, age and socioeconomic status associated with the metabolic syndrome? In this thesis education status of the participants is used as an indicator of socioeconomic status. Answers to these questions are provided through the analysis of women's responses to written questionnaires and biochemical data. ^

Sediment accumulation rates of sediment cores from the North-West African continental margin

Six soft sediment cores, up to and over 9 m in length, and additional surface samples were selected for study of their planktonic foraminifera to provide information on the Holocene and Pleistocene stratigraphy of the West African continental margin south of the present boundary of the Sahara. The material was collected by the German research vessel "Meteor" during Cruise 25 in 1971. The residues larger than 160 microns determined, counted and statistically evaluated. Stratigraphical correlations with trans- Antlantic regions are given by occurrence of Truncorotalidoides hexagonus and Globorotalia tumidula flexuosa which mark the last interglacial stage. According to the climatic record the two deep-sea cores extend down to the V-zone, considered here as equivalent to the Mindel-Riss-interglacial time, as there are three distinctly warm and two cold periods indicated in the cores by planktonic foraminiferal faunas. Z-zone = Holocene is present in all cores, Y-zone = Wuermian glacial can be divided into five section, three cold and two warm stages; the X-zone can be divided into three warm stages, separated into two cool periods. The earliest warm stage is indicated to be the warmest one. There are excellent correlations to the Camp century ice core from Greenland, to the Mediterranean, to the Carribean and to the tropical Atlantic as well as to the Barnados stage. The W-zone was correlated to the Riss-glacial. V-zone is a warm period, the upper limit of which being not sufficiently defined, which contains also some cool sections. Increasing sedimentation rates from the deep-sea to the upper slope reveal climatic and regional details in Holocene and Late Pleistocene history of the continental margin. These were based mainly on different parameters of planktonic foraminiferal thanatocoenoses which are the main components of the size fraction >160 microns of the pelagic core. They become incerasingly diluted by other faunal and terrigenous components with decreasing slope depths. Estimates of absolute abundances, ranging from 25000 specimens/gm of sediment in the deep sea to less than 100, indicate various sedimentary processes at the continental margin. An ecological correlation by dominant species is possible. Readily computed temperature indices of different scales are presented which indicate, for instance, three distinctly cold sections within the last glacial and seven warm sections within the last interglacial lime. These are used for estimates of sedimentation rates. During cold periods sedimentation rates are higher than during warmer periods. Stratigraphic correlation and faunal record, combined with absolute abundances and sedimentation rates, indicated that in the deep sea turbidity currents not only cause high sedimentation rates for short periods of time, but also that material is occasionally eroded. Effects of upwelling may be detected in the surfacc sediment samples as well as in late Pleistocene and early Holocene samples of the slope by planktonic foraminiferal data which are not influenced by sedimentary processes.

Jurassic sedimentation history at DSDP Hole 76-534A

Site 534 reflects a complex interplay of global, basinal, and local influences on sedimentation during the Callovian and Late Jurassic. Rifting and rapid subsidence of the continental margins of the North Atlantic-Tethys seaway occurred during the late Early Jurassic (Sinemurian-Pliensbachian), but rapid spreading between the North American margin (Blake Spur Ridge and magnetic lineation) and the northwest African margin did not commence until the Bathonian or earliest Callovian. Site 534, drilled on marine magnetic anomaly "M-28" of Bryan et al. (1980), was initially about 150 km from either continental margin. The ?middle Callovian basal sediments are dusky red silty marl. Callovian transgression led to active carbonate platforms on the margin, recorded at Site 534 as a rise in the CCD (carbonate compensation depth), then arrival of lime-rich turbidites from the Blake Plateau platform across the Blake Spur Ridge. The host pelagic sediment is greenish black, organic-rich, radiolarian-rich, silty claystone. Hydrothermal activity on the nearby spreading ridge enriched this lower unit in metals. In the Oxfordian, the input of terrestrial silt rapidly diminished; radiolarians or other bioclasts were not preserved. The dark variegated claystone has fine-grained marl and reddish claystone turbidite beds. The late Callovian-Oxfordian Western Tethys has radiolarian chert deposition, marine hiatuses, or organic-rich sediments. The Kimmeridgian and Tithonian had a stable or receding sea level. Near the end of the Jurassic many of the carbonate platforms of the margins were buried beneath prograding fan or alluvial deposits. Carbonate deposition shifted to the deep sea. Site 534 records the deepening of the CCD and ACD (aragonite compensation depth) during the Kimmeridgian and early Tithonian, then a rise of the ACD in the middle Tithonian. Similar trends occurred throughout the Western Tethys-Atlantic. High nannofossil productivity of the seaway led to deposition of very widespread white micritic limestone in the late Tithonian-Berriasian. The underlying sediment had a slower deposition rate of carbonate, therefore its higher clay and associated Fe content produced a red marl. A short sea-level incursion occurred on the Atlantic margins during the Kimmeridgian and is reflected in the Site 534 greenish gray marl unit by numerous turbidite beds of shallow-water carbonates.

Composition of the sand fraction of sediment cores from the West-African continental margin

Seven cores from the West African continental margin in 12-18° N have been investigated by means of a coarse fraction analysis. Four of the seven cores contain allochthonous material: turbidites and debris flow deposits. The source of the allochthonous material is in about 300-600 m water depth. The age of the slide induced debris flow deposits is at the end of oxygen isotope stage 2. One debris flow deposit is covered by a turbidite (core GIK13211-1). The turbidites in the deep-sea core GIK13207-3 originate from river-influenced sediments from the West-African continental margin, whereas the autochthonous sequences are influenced by volcanic material from the Cape Verde Islands. Particle by particle supply from upper slope areas has been found in all four cores from the continental slope. Current sorting occurs on the submarine diapir (core GIK13289-3), whereas core GIK13291-1 on the NW-flanc, 200 m below core GIK13289-3, has no current sorting, except for stage 1 and parts of stage 5. The current sorting is reflected by parallel variations of median diameters of whole tests and of fragments of planktonic foraminifers, by higher median diameters of foraminifers on top of the diapir, by reduced accumulation rates and increased sand fraction percentages in core GIK13289-3 compared to core GIK13291-1. The Late Quarternary climatic history of the West-African near coastal area (12-18° N) has been redrawn: - in oxygen isotope stage 1 a humid climate is found in 12-18° N (This "humid impression" in 18° N, which is actually an arid area, is due to the poleward directed undercurrent, which transports Senegal river material to the north). - in oxygen isotope stage 2 an arid climate existed in 14-18° N, whereas in 12° N river discharfe persisted. But within stage 2 dune formation occured in 12° N on the (dry) shelf, additionally to fluviatile sediment input. - Older periods are preserved in autochthonous sediments of core GIK13289-3 and GIK13291-1, where oxygen stage 3,5 and 7 (the latter only in core GIK13289-3 present) show a humid climate (as well as in stage 5 of core GIK13255-3), interrupted by short arid intervals in core GIK12389-3, and stage 4 and 6 show an arid climate, interrupted by short humid periods The allochthonous stage 5 sediment in core GIK13211-1 also reflects a humid climate. The dissolution of planktonic foraminifers is strongest in th eLate Holocene and shows a minimum in the early Holocene, where also pteropods are preserved. The degree of carbonate dissolution is related mainly to the fine matter content (< 63 µm) whereas water depth is a less decisvive factor.