Adverse Maternal and Neonatal Outcomes in Indicated Compared with Spontaneous Preterm Birth in Healthy Nulliparas: A Secondary Analysis of a Randomized Trial.

OBJECTIVE: To compare the risks of adverse maternal and neonatal outcomes associated with spontaneous (SPTB) versus indicated preterm births (IPTB). METHODS: A secondary analysis of a multicenter trial of vitamin C and E supplementation in healthy low-risk nulliparous women. Outcomes were compared between women with SPTB (due to spontaneous membrane rupture or labor) and those with IPTB (due to medical or obstetric complications). A primary maternal composite outcome included: death, pulmonary edema, blood transfusion, adult respiratory distress syndrome (RDS), cerebrovascular accident, acute tubular necrosis, disseminated intravascular coagulopathy, or liver rupture. A neonatal composite outcome included: neonatal death, RDS, grades III or IV intraventricular hemorrhage (IVH), sepsis, necrotizing enterocolitis (NEC), or retinopathy of prematurity. RESULTS: Of 9,867 women, 10.4% (N = 1,038) were PTBs; 32.7% (n = 340) IPTBs and 67.3% (n = 698) SPTBs. Compared with SPTB, the composite maternal outcome was more frequent in IPTB-4.4% versus 0.9% (adjusted odds ratio [aOR], 4.0; 95% confidence interval [CI], 1.4-11.8), as were blood transfusion and prolonged hospital stay (3.2 and 3.7 times, respectively). The frequency of composite neonatal outcome was higher in IPTBs (aOR, 1.8; 95% CI, 1.1-3.0), as were RDS (1.7 times), small for gestational age (SGA) < 5th percentile (7.9 times), and neonatal intensive care unit (NICU) admission (1.8 times). CONCLUSION: Adverse maternal and neonatal outcomes were significantly more likely with IPTB than with SPTB.

Cephalopod beak sections used to trace mercury levels throughout the life of cephalopods: The giant warty squid Moroteuthopsis longimana as a case study.

Cephalopods represent an important pathway for mercury transfer through food webs. Due to the general difficulties in capturing oceanic squid, beaks found in the diet of top predators can be used to study their life-cycles and ecological role. Using upper beaks of the giant warty squid Moroteuthopsis longimana (major prey in the Southern Ocean), we describe a method to assess mercury concentrations along the life of cephalopods through the segmentary analysis of beak sections (i.e. tip of the rostrum and subsections along the hood). Distinct total mercury concentrations in the different subsections support that beaks can be used to study mercury levels in different periods of cephalopods' life-cycle. Mercury values in the anterior (1.3-7.9 µg kg-1 dw) and posterior (7.8-12.5 µg kg-1 dw) subsections of the hood reflect juvenile and adult stages, respectively. Furthermore, these results confirm that mercury bioaccumulates continuously throughout the individuals' life, with adults doubling their mercury concentrations to juveniles.

Solar turbulence in earth's global and regional temperature anomalies.

This paper presents a study of the influence of solar activity on the earth's temperature. In particular, we focus on the repercussion of the fluctuations of the solar irradiance on the temperature of the Northern and Southern hemispheres as well as on land and ocean regions. While solar irradiance data are not directly analyzed, we make use of a published solar irradiance reconstruction for long-time-scale fluctuations, and for short-time-scale fluctuations we hypothesize that solar irradiance and solar flare intermittency are coupled in such a way that the solar flare frequency fluctuations are stochastically equivalent to those of the solar irradiance. The analysis is based upon wavelet multiresolution techniques and scaling analysis methods for processing time series. The limitations of the correlation analysis applied to the short-time-scale fluctuations are discussed. The scaling analysis uses both the standard deviation and the entropy of the diffusion generated by the temperature signals. The joint use of these two scaling methods yields evidence of a Lévy component in the temporal persistence of the temperature fluctuations within the temporal range from a few weeks to a few years. This apparent Lévy persistence of the temperature fluctuations is found, by using an appropriate model, to be equivalent to the Lévy scaling of the solar flare intermittency. The mean monthly temperature data sets cover the period from 1856 to 2002.