Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 686
Filter
1.
BMC Public Health ; 21(1): 952, 2021 05 20.
Article in English | MEDLINE | ID: mdl-34016085

ABSTRACT

BACKGROUND: Improving maternal health has been a primary goal of international health agencies for many years, with the aim of reducing maternal and child deaths and improving access to antenatal care (ANC) services, particularly in low-and-middle-income countries (LMICs). Health interventions with these aims have received more attention from a clinical effectiveness perspective than for cost impact and economic efficiency. METHODS: We collected data on resource use and costs as part of a large, multi-country study assessing the use of routine antenatal screening ultrasound (US) with the aim of considering the implications for economic efficiency. We assessed typical antenatal outpatient and hospital-based (facility) care for pregnant women, in general, with selective complication-related data collection in women participating in a large maternal health registry and clinical trial in five LMICs. We estimated average costs from a facility/health system perspective for outpatient and inpatient services. We converted all country-level currency cost estimates to 2015 United States dollars (USD). We compared average costs across countries for ANC visits, deliveries, higher-risk pregnancies, and complications, and conducted sensitivity analyses. RESULTS: Our study included sites in five countries representing different regions. Overall, the relative cost of individual ANC and delivery-related healthcare use was consistent among countries, generally corresponding to country-specific income levels. ANC outpatient visit cost estimates per patient among countries ranged from 15 to 30 USD, based on average counts for visits with and without US. Estimates for antenatal screening US visits were more costly than non-US visits. Costs associated with higher-risk pregnancies were influenced by rates of hospital delivery by cesarean section (mean per person delivery cost estimate range: 25-65 USD). CONCLUSIONS: Despite substantial differences among countries in infrastructures and health system capacity, there were similarities in resource allocation, delivery location, and country-level challenges. Overall, there was no clear suggestion that adding antenatal screening US would result in either major cost savings or major cost increases. However, antenatal screening US would have higher training and maintenance costs. Given the lack of clinical effectiveness evidence and greater resource constraints of LMICs, it is unlikely that introducing antenatal screening US would be economically efficient in these settings--on the demand side (i.e., patients) or supply side (i.e., healthcare providers). TRIAL REGISTRATION: Trial number: NCT01990625 (First posted: November 21, 2013 on https://clinicaltrials.gov ).


Subject(s)
Cesarean Section , Developing Countries , Child , Female , Humans , Poverty , Pregnancy , Pregnant Women , Prenatal Care
2.
J Radiol Prot ; 40(2): 431-443, 2020 06.
Article in English | MEDLINE | ID: mdl-32066122

ABSTRACT

There is some evidence that both distance from transmission lines and measured or calculated magnetic fields are associated with childhood leukemia. Because distance is a key component when calculating the magnetic field generated by power lines, distance from lines and calculated fields based on lines tend to be highly correlated. Socioeconomic status (SES) and dwelling type are also associated with magnetic field exposure. We used exposure data from two large studies of childhood leukemia and other cancers, in the US and the UK, to describe a relationship between distance and magnetic fields across the population within 100 meters (m) of power lines as a whole and evaluate potential modifiers such as SES and type of dwelling. There were 387 subjects living within 100 m of an overhead power line. There was no significant difference in mean calculated fields or distance to 200+ kV lines within 100 m by study. Within the range where the power-line field is expected to be significant compared to other sources, which we take as 100 m, distance to high-voltage lines predicted magnetic field (MF) variation in both studies better than other functions of distance tested in both linear and logistic regression. There were no differences between high and low SES or dwelling types (single-family home versus other). In conclusion, we found that calculated fields do appear to diminish linearly with increasing distance from overhead power lines, up to 100 m, particularly those 200+ kV and above. These results are stronger in the UK study. Within 100 m, distance to high-voltage lines continues to be highly correlated with calculated MFs and each can be a proxy for the other.


Subject(s)
Electric Power Supplies/adverse effects , Electromagnetic Fields/adverse effects , Environmental Exposure/adverse effects , Leukemia/epidemiology , Neoplasms, Radiation-Induced/epidemiology , Adolescent , Child , Female , Humans , Male , Residence Characteristics , Risk Assessment , Risk Factors , United Kingdom/epidemiology , United States/epidemiology
3.
J Radiol Prot ; 39(2): 470-488, 2019 Jun.
Article in English | MEDLINE | ID: mdl-30736028

ABSTRACT

There have been many studies from 1979 to the present reporting raised risks for childhood leukaemia with exposure to power-frequency magnetic fields. There are also suggestions that the reported risk has been decreasing. We examine trends in the risk over time from all available studies. For 41 studies, we combine reported risks using inverse-variance weighting, drawing risk estimates from previous pooled analyses where possible for greater consistency. We examine the cumulative risk for studies published up to each successive calendar year for all studies and for various subsets, and test for a trend over the period. The cumulative relative risk has indeed declined, for our most rigorous analysis from a maximum 2.44 in 1997 to 1.58 in 2017, but not statistically significantly when tested as a linear trend. We find suggestions of higher risks in studies looking at higher exposures and in studies with better quality exposure assessment. We conclude that there is a decline in reported risk from the mid 1990s to now, which is unlikely to be solely explained by improving study quality but may be due to chance, and an elevated risk remains.


Subject(s)
Leukemia, Radiation-Induced/epidemiology , Magnetic Fields/adverse effects , Child , Humans , Risk Assessment , Time Factors
4.
BJOG ; 125(12): 1591-1599, 2018 Nov.
Article in English | MEDLINE | ID: mdl-29782696

ABSTRACT

OBJECTIVE: Ultrasound is widely regarded as an important adjunct to antenatal care (ANC) to guide practice and reduce perinatal mortality. We assessed the impact of ANC ultrasound use at health centres in resource-limited countries. DESIGN: Cluster randomised trial. SETTING: Clusters within five countries (Democratic Republic of Congo, Guatemala, Kenya, Pakistan, and Zambia) METHODS: Clusters were randomised to standard ANC or standard care plus two ultrasounds and referral for complications. The study trained providers in intervention clusters to perform basic obstetric ultrasounds. MAIN OUTCOME MEASURES: The primary outcome was a composite of maternal mortality, maternal near-miss mortality, stillbirth, and neonatal mortality. RESULTS: During the 24-month trial, 28 intervention and 28 control clusters had 24 263 and 23 160 births, respectively; 78% in the intervention clusters received at least one study ultrasound; 60% received two. The prevalence of conditions noted including twins, placenta previa, and abnormal lie was within expected ranges. 9% were referred for an ultrasound-diagnosed condition, and 71% attended the referral. The ANC (RR 1.0 95% CI 1.00, 1.01) and hospital delivery rates for complicated pregnancies (RR 1.03 95% CI 0.89, 1.20) did not differ between intervention and control clusters nor did the composite outcome (RR 1.09 95% CI 0.97, 1.23) or its individual components. CONCLUSIONS: Despite availability of ultrasound at ANC in the intervention clusters, neither ANC nor hospital delivery for complicated pregnancies increased. The composite outcome and the individual components were not reduced. TWEETABLE ABSTRACT: Antenatal care ultrasound did not improve a composite outcome that included maternal, fetal, and neonatal mortality.


Subject(s)
Maternal-Child Health Services , Medically Underserved Area , Perinatal Care , Pregnancy Complications/diagnostic imaging , Ultrasonography, Prenatal , Adolescent , Adult , Cluster Analysis , Developing Countries , Female , Humans , Infant , Infant Mortality , Infant, Newborn , Male , Maternal Mortality , Pregnancy , Pregnancy Complications/mortality , Young Adult
5.
J Radiol Prot ; 38(3): N30-N35, 2018 Sep.
Article in English | MEDLINE | ID: mdl-29844249

ABSTRACT

Our previous study of childhood leukaemia and distance to high-voltage overhead power lines in the UK has been included in an international pooled analysis. That pooled analysis used different distance categories to those we did, which has focussed attention on the effect of that choice. We re-analyse our previous subjects, using finer distance categories. In the 1960s and 1970s, when we principally found an elevated risk, the risk did not fall monotonically with distance from the power line but had a maximum at 100-200 m. This weakens the evidence that any elevated risks are related to magnetic fields, and slightly strengthens the evidence for a possible effect involving residential mobility or other socioeconomic factors.


Subject(s)
Electric Power Supplies , Leukemia/etiology , Neoplasms, Radiation-Induced/etiology , Child , Humans , Population Dynamics , Risk
6.
J Dairy Sci ; 99(7): 5892-5903, 2016 Jul.
Article in English | MEDLINE | ID: mdl-27179876

ABSTRACT

This research used surveys of the public and dairy farmers in the United States to assess perceptions and attitudes related to dairy cattle welfare. Sixty-three percent of public respondents indicated that they were concerned about dairy cattle welfare. Most public respondents agreed that animal welfare was more important than low milk prices but that the average American did not necessarily agree. Most public respondents had not viewed media stories related to dairy cattle welfare. Respondents who had viewed these stories did so on television or Internet. The United States Department of Agriculture (USDA) was viewed as the most accurate source of information related to dairy cattle welfare, followed by the Humane Society of the United States (HSUS) and the American Veterinary Medicine Association (AVMA). Both public and dairy farmer respondents viewed farmers as having the most influence on dairy cattle welfare. However, there was a general pattern of public respondents indicating that groups including USDA, HSUS, and AVMA had a relatively larger influence on dairy cattle welfare than did farmer respondents. In contrast, dairy farmers indicated that individual actors-farmers, veterinarians, consumers-had more influence than the public indicated. When asked about production practices, most public respondents indicated that they would vote for a ban on antibiotic use outside of disease treatment or for the mandated use of pain control in castration. However, a minority indicated they would vote to ban the use of recombinant bovine somatotropin (rbST) or to pay a premium for milk produced without rbST. With respect to explaining public support for the production practice bans and limits, respondents were more likely to vote for the restrictions if they were older, female, had higher income, or had viewed animal welfare stories in the media.


Subject(s)
Animal Welfare/statistics & numerical data , Dairying/standards , Farmers/statistics & numerical data , Perception , Animals , Cattle , Female , United States , Veterinarians/statistics & numerical data
7.
Poult Sci ; 95(1): 176-87, 2016 Jan.
Article in English | MEDLINE | ID: mdl-26195806

ABSTRACT

Many producers in the laying hen industry, including in North America, are phasing out conventional cages in response to consumer demands and sometimes subsequent legislation. Alternative housing systems such as aviaries are being implemented in an attempt to improve hen welfare. Aviaries provide additional space and resources to groups of hens, including a litter area on the floor. However, little is known about hen movement between tiered enclosures and floor litter areas in aviary systems. Diurnal rhythms and social attraction may result in peak times of movement that could lead to overcrowding of areas, or alternatively hen preferences may lead to some areas not being fully utilized. We monitored hen movement between tiered enclosures and litter areas, including movement on and off the outer perch, across the day at peak, mid and end of lay in a commercial aviary. Hens moved onto and off of the open litter area across the day, transitioning between tiered enclosures, outer perches, open litter areas, and litter areas under tiered enclosures. At certain times of day, there were periods of greater hen movement down to the open litter area and between litter areas. For example, more hens were typically observed exiting enclosures, jumping from perches to open litter, and traveling between open litter and litter under tiered enclosures in the morning (all P ≤ 0.001). In all but one instance, more hens were observed on open litter areas in the afternoon than at other times of day (all P ≤ 0.029). However, hen re-entry to tiered enclosures showed less circadian patterning. Hen movement was observed between areas of interest at all sampled time periods, indicating hens use all areas of the system. Further research should examine whether all individual hens do move between areas equally, including within levels of the tiered enclosure, or if crowding occurs on the outer perches or in the litter during times of peak movement.


Subject(s)
Chickens/physiology , Floors and Floorcoverings , Housing, Animal , Movement , Animal Welfare , Animals , Circadian Rhythm , Female , Reproduction
8.
Poult Sci ; 95(1): 164-75, 2016 Jan.
Article in English | MEDLINE | ID: mdl-26354762

ABSTRACT

The laying hen industry, including in the United States, is responding to social concerns about hen welfare by implementing alternative housing systems such as the aviary, to provide more space and resources to large groups of hens. Data detailing the behavior of hens in commercial aviaries is needed to determine hens' use of the resources in order to understand their impact on hen welfare. The open litter area of aviaries provides additional space for hens during the day. Litter is also a substrate for dust bathing which is a strongly motivated natural behavior. Hens are often synchronous in their performance of dust bathing, which may lead to overcrowding in the litter area. Additionally, the open litter area can facilitate expression of unusual behavior such as flock piling (defined as the occurrence of densely grouped clusters of hens, resulting from no obvious cause and occurring randomly throughout the day and flock cycle) which may be a welfare concern. Therefore, we conducted observations of hen occupancy of the open litter area and the performance of dust bathing and flock piling across 3 production points (peak lay, mid lay and end of lay) for two flocks of Lohmann White laying hens housed in a commercial aviary. All areas of the open litter area were occupied to the same degree. Hens performed dust bathing throughout the day but showed peak dust bathing activity in the afternoon for Flock 1 (all P < 0.001) and in the late morning for Flock 2 (all P < 0.001). Overall, 174 incidents of piling behavior were observed between the 2 flocks, with piles varying in size, duration, and time of occurrence; however, no smothering was detected. Crowding on the open litter area sometimes occurred during peak periods of synchronous dust bathing and when hens piled. Further research is needed to understand the welfare implications of individual hen use of the open litter area and the causes and welfare implications of hen piling.


Subject(s)
Animal Welfare , Chickens/physiology , Floors and Floorcoverings , Motor Activity , Animal Husbandry , Animals , Circadian Rhythm , Crowding , Dust , Female , Housing, Animal
9.
Poult Sci ; 95(1): 188-97, 2016 Jan.
Article in English | MEDLINE | ID: mdl-26527703

ABSTRACT

Many egg producers are adopting alternative housing systems such as aviaries that provide hens a tiered cage and a litter-covered open floor area. This larger, more complex environment permits expression of behaviors not seen in space-limited cages, such as flight. Flight is an exercise important for strengthening bones; but domestic hens might display imperfect flight landings due to poor flight control. To assess the potential implications of open space, we evaluated the landing success of Lohmann white laying hens in a commercial aviary. Video recordings of hens were taken from 4 aviary sections at peak lay, mid lay and end lay across two flock cycles. Observations were made in each focal section of all flights throughout the day noting flight origin and landing location (outer perch or litter) and landing success or failure. In Flock 1, 9.1% of all flights failed and 21% failed in Flock 2. The number of flights decreased across the laying cycle for both flocks. Proportionally more failed landings were observed in the double row sections in Flock 2. Collisions with other hens were more common than slipping on the ground or colliding with aviary structures across sections and flocks. More hens slipped on the ground and collided with physical structures at peak lay for Flock 2 than at other time points. More collisions with other hens were seen at mid and end lay than at peak lay for Flock 2. Landings ending on perches failed more often than landings on litter. These results indicate potential for flight-related hen injuries in aviary systems resulting from failed landings, which may have implications for hen welfare and optimal system design and management.


Subject(s)
Chickens/physiology , Flight, Animal , Floors and Floorcoverings , Housing, Animal , Animal Husbandry , Animal Welfare , Animals , Female , Video Recording
10.
Poult Sci ; 95(1): 138-43, 2016 Jan.
Article in English | MEDLINE | ID: mdl-26527709

ABSTRACT

The effect of rapid carcass chilling on breast meat quality was evaluated using commercial (COMM) and random-bred (RB) turkeys. Immediately after slaughter, 48 turkeys from COMM or RB line were randomly subjected to one of four chilling methods: 1) water-immersion chilling (WIC) of the carcasses at 0°C ice slurry, 2) WIC after temperature abuse (TA) of the carcasses at 40°C for 30 min (TA-WIC), 3) hot-boning, quarter sectioning, and crust-freeze-air-chilling (HB-(1)/4CFAC) of breast fillets at -12°C, and 4) HB-(1)/4CFAC of fillets after TA of carcasses (TA-HB-(1)/4CFAC). The TA increased carcass and fillet temperatures by ∼1.3 and ∼4.1°C, respectively, regardless of turkey line, whereas HB-(1)/4CFAC of fillets required 28 and 33% of carcass chilling time for COMM and RB, respectively. During chilling, COMM breast pH rapidly reduced from 6.04 to 5.82, resulting in a significantly lower pH than RB after chilling (P < 0.05), whereas COMM R-value sharply increased from 1.17 to 1.43, causing no difference from RB (P > 0.05). Significantly higher L* value and cooking yield (P < 0.05) were seen in the samples of TA and WIC than those of no TA and HB-(1)/4CFAC, respectively, with no difference observed between COMM and RB fillets (P > 0.05). Higher values of hardness, gumminess, and chewiness were found for RB, no TA, and HB-(1)/4CFAC gels than COMM, TA, and WIC, respectively. These results generally indicated that protein quality and textural properties of turkey fillets were improved, regardless of strains or temperature abuse, using HB-(1)/4CFAC technology.


Subject(s)
Food Handling/methods , Food Quality , Meat/analysis , Pectoralis Muscles/physiology , Turkeys/physiology , Animals , Cold Temperature , Cooking , Gels/metabolism , Hot Temperature , Meat/standards , Random Allocation , Turkeys/genetics
11.
J Radiol Prot ; 36(3): 437-455, 2016 Sep.
Article in English | MEDLINE | ID: mdl-27356108

ABSTRACT

We report further analyses from an epidemiological study of childhood cancer and residence at birth near high-voltage power lines in the UK. These results suggest that the elevated risks for childhood leukaemia that we previously found for overhead power lines may be higher for older age at diagnosis and for myeloid rather than lymphoid leukaemia. There are differences across regions of birth but not forming any obvious pattern. Our results suggest the decline in risk we previously reported from the 1960s to the 2000s is linked to calendar year of birth or of cancer occurrence rather than the age of the power lines concerned. Finally, we update our previous analysis of magnetic fields to include later subjects.


Subject(s)
Electromagnetic Fields/adverse effects , Environmental Exposure/adverse effects , Neoplasms, Radiation-Induced/etiology , Adolescent , Child , Child, Preschool , England/epidemiology , Humans , Infant , Infant, Newborn , Leukemia, Radiation-Induced/epidemiology , Leukemia, Radiation-Induced/etiology , Neoplasms, Radiation-Induced/epidemiology , Residence Characteristics , Risk Factors
12.
Poult Sci ; 94(3): 473-4, 2015 Mar.
Article in English | MEDLINE | ID: mdl-25737565

ABSTRACT

In the United States, empirical information on the sustainability of commercial-scale egg production is lacking. The passage of state regulations specific to hen housing created urgency to better understand the effects of different housing systems on the sustainability of the egg supply, and stimulated the formation of a coalition, the Coalition for a Sustainable Egg Supply (CSES), to conduct research on this topic. The CSES is a multi-stakeholder group with 27 members, including food manufacturers, research institutions, scientists, restaurants, food service, retail food companies, egg suppliers, and nongovernmental organizations. A commercial-scale study was developed to better understand the effect of 3 housing systems (conventional cage, enriched colony, and cage-free aviary) on 5 areas related to a sustainable egg supply. These 5 sustainability areas represent effects on people, animals, and the environment: animal health and well-being, environment, food safety, worker health and safety, and food affordability. Five teams of scientists, each associated with a sustainability area, conducted an integrated field study at a commercial site in the upper Midwest through 2 flock cycles in 3 housing systems. This paper provides a brief overview of the CSES project to serve as an introduction for the papers that follow in this volume of Poultry Science.


Subject(s)
Animal Husbandry , Animal Welfare , Eggs , Housing, Animal , Poultry/physiology , Animal Welfare/standards , Animals , Eggs/supply & distribution , Environment , Food/economics , Food Safety , Housing, Animal/standards , Humans , Midwestern United States , Occupational Health/standards , Social Responsibility
13.
Poult Sci ; 94(9): 2018-26, 2015 Sep.
Article in English | MEDLINE | ID: mdl-26195807

ABSTRACT

Commercial turkey production has increased greatly in recent decades. Along with increased production, problems with turkey meat quality have also increased. Research with other species has demonstrated that differences in meat quality exist among pigs and cattle differing in characteristics such as fearfulness. However, associations between fear responses and postmortem (PM) muscle characteristics related to the meat quality of turkeys have not been examined. This study evaluated the test-retest repeatability of responses of male commercial (COMM) and randombred (RB) turkeys in an open field (OF) test, which is used to assess fear and activity levels of poultry. Another objective of this study was to evaluate the relationship between behavioral OF responses and PM breast muscle characteristics (pH and R-value) that are related to meat quality. Thirdly, this study evaluated differences in pH and R-value between the turkey lines. Male COMM and RB turkeys were each housed in groups in 4 pens. Turkeys were individually tested in an OF (2.74×2.74 m, divided into 81 squares) at 1, 4, and 11 wk (COMM N=27; RB N=33). Turkeys were then grouped into clusters based on a cluster analysis of OF behavior. Turkeys were processed and meat quality characteristics were evaluated at 15-17 wk for COMM and 20-21 wk for RB turkeys. Results were analyzed using a mixed model (SAS 9.4). Breast muscle pH and R-value did not differ between genetic lines, and there were no differences in pH and R-value among clusters within genetic lines. These findings suggest that OF responses measured during rearing are not related to PM breast muscle pH and R-value, which ultimately affect meat quality. Further research is needed to assess whether other types of fear responses are associated with meat quality and whether differences in R-value between genetic lines are associated with differences in other meat quality characteristics.


Subject(s)
Fear , Meat/analysis , Pectoralis Muscles/physiology , Turkeys/physiology , Animals , Male , Random Allocation , Turkeys/genetics , Turkeys/growth & development
14.
Poult Sci ; 94(3): 475-84, 2015 Mar.
Article in English | MEDLINE | ID: mdl-25737566

ABSTRACT

This paper is an integral part of the special publication series that arose from the multidisciplinary and multi-institutional project of the Coalition for Sustainable Egg Supply (CSES). The CSES project involves 3 housing systems for egg production at the same research farm site in the Midwest, USA, namely, a conventional cage (CC) house, an aviary (AV) house, and an enriched colony (EC) house. The CC house (141.4 m L×26.6 m W×6.1 m H) had a nominal capacity of 200,000 hens (6 hens in a cage at a stocking density of 516 cm2/hen), and the cages were arranged in 10 rows, 8 tiers per cage row, with a perforated aisle walkway at 4-tier height. The AV house (154.2 m L×21.3 m W×3.0 m H) and the EC house (154.2 m L×13.7 m W×4.0 m H) each had a nominal capacity of 50,000 hens. The AV house had 6 rows of aviary colonies, and the EC house had 5 rows of 4-tier enriched colonies containing perches, nestbox, and scratch pads (60 hens per colony at a stocking density of 752 cm2/hen). The overarching goal of the CSES project, as stated in the opening article of this series, was to comprehensively evaluate the 3 egg production systems from the standpoints of animal behavior and well-being, environmental impact, egg safety and quality, food affordability, and worker health. So that all the area-specific papers would not have to repeat a detailed description of the production systems and the management practices, this paper is written to provide such a description and to be used as a common reference for the companion papers.


Subject(s)
Animal Husbandry/standards , Chickens/physiology , Housing, Animal/standards , Animal Welfare , Animals , Eggs , Female , Manure/analysis , Midwestern United States
15.
J Radiol Prot ; 35(3): 695-705, 2015 Sep.
Article in English | MEDLINE | ID: mdl-26344172

ABSTRACT

Epidemiological evidence of increased risks for childhood leukaemia from magnetic fields has implicated, as one source of such fields, high-voltage overhead lines. Magnetic fields are not the only factor that varies in their vicinity, complicating interpretation of any associations. Underground cables (UGCs), however, produce magnetic fields but have no other discernible effects in their vicinity. We report here the largest ever epidemiological study of high voltage UGCs, based on 52,525 cases occurring from 1962-2008, with matched birth controls. We calculated the distance of the mother's address at child's birth to the closest 275 or 400 kV ac or high-voltage dc UGC in England and Wales and the resulting magnetic fields. Few people are exposed to magnetic fields from UGCs limiting the statistical power. We found no indications of an association of risk with distance or of trend in risk with increasing magnetic field for leukaemia, and no convincing pattern of risks for any other cancer. Trend estimates for leukaemia as shown by the odds ratio (and 95% confidence interval) per unit increase in exposure were: reciprocal of distance 0.99 (0.95-1.03), magnetic field 1.01 (0.76-1.33). The absence of risk detected in relation to UGCs tends to add to the argument that any risks from overhead lines may not be caused by magnetic fields.


Subject(s)
Electromagnetic Fields/adverse effects , Environmental Exposure/adverse effects , Neoplasms, Radiation-Induced/epidemiology , Adolescent , Case-Control Studies , Child , Electric Power Supplies , England/epidemiology , Female , Humans , Male , Radiation Dosage , Registries , Residence Characteristics , Risk Factors , Wales/epidemiology
16.
Br J Cancer ; 110(5): 1402-8, 2014 Mar 04.
Article in English | MEDLINE | ID: mdl-24504371

ABSTRACT

BACKGROUND: We extend our previous study of childhood leukaemia and proximity to high-voltage powerlines by including more recent data and cases and controls from Scotland, by considering 132-kV powerlines as well as 275 and 400 kV and by looking at greater distances from the powerlines. METHODS: Case-control study using 53,515 children from the National Registry of Childhood Tumours 1962-2008, matched controls, and calculated distances of mother's address at child's birth to powerlines at 132, 275, and 400 kV in England, Wales and Scotland. RESULTS: Our previous finding of an excess risk for leukaemia at distances out to 600 m declines over time. Relative risk and 95% confidence interval for leukaemia, 0-199 m compared with>1000 m, all voltages: 1960s 4.50 (0.97-20.83), 2000s 0.71 (0.49-1.03), aggregate over whole period 1.12 (0.90-1.38). Increased risk, albeit less strong, may also be present for 132-kV lines. Increased risk does not extend beyond 600 m for lines of any voltage. CONCLUSIONS: A risk declining over time is unlikely to arise from any physical effect of the powerlines and is more likely to be the result of changing population characteristics among those living near powerlines.


Subject(s)
Electromagnetic Fields , Environmental Exposure/statistics & numerical data , Leukemia/epidemiology , Neoplasms/epidemiology , Adolescent , Case-Control Studies , Child , Environmental Exposure/adverse effects , Female , Humans , Leukemia/etiology , Neoplasms/etiology , Risk , United Kingdom/epidemiology
17.
Mol Psychiatry ; 18(5): 568-75, 2013 May.
Article in English | MEDLINE | ID: mdl-22710270

ABSTRACT

The literature on GWAS (genome-wide association studies) data suggests that very large sample sizes (for example, 50,000 cases and 50,000 controls) may be required to detect significant associations of genomic regions for complex disorders such as Alzheimer's disease (AD). Because of the challenges of obtaining such large cohorts, we describe here a novel sequential strategy that combines pooling of DNA and bootstrapping (pbGWAS) in order to significantly increase the statistical power and exponentially reduce expenses. We applied this method to a very homogeneous sample of patients belonging to a unique and clinically well-characterized multigenerational pedigree with one of the most severe forms of early onset AD, carrying the PSEN1 p.Glu280Ala mutation (often referred to as E280A mutation), which originated as a consequence of a founder effect. In this cohort, we identified novel loci genome-wide significantly associated as modifiers of the age of onset of AD (CD44, rs187116, P=1.29 × 10⁻¹²; NPHP1, rs10173717, P=1.74 × 10⁻¹²; CADPS2, rs3757536, P=1.54 × 10⁻¹°; GREM2, rs12129547, P=1.69 × 10⁻¹³, among others) as well as other loci known to be associated with AD. Regions identified by pbGWAS were confirmed by subsequent individual genotyping. The pbGWAS methodology and the genes it targeted could provide important insights in determining the genetic causes of AD and other complex conditions.


Subject(s)
Alanine/genetics , Alzheimer Disease/genetics , Genetic Predisposition to Disease , Glutamic Acid/genetics , Presenilin-1/genetics , Age of Onset , Alzheimer Disease/epidemiology , Cohort Studies , Databases, Factual/statistics & numerical data , Female , Founder Effect , Gene Frequency , Genome-Wide Association Study , Genotype , Humans , Male , Mutation/genetics , Polymorphism, Single Nucleotide , Quantitative Trait Loci
18.
J Radiol Prot ; 34(4): N81-6, 2014 Dec.
Article in English | MEDLINE | ID: mdl-25325707

ABSTRACT

In the UK, the location of an address, necessary for calculating the distance to overhead power lines in epidemiological studies, is available from different sources. We assess the accuracy of each. The grid reference specific to each address, provided by the Ordnance Survey product Address-Point, is generally accurate to a few metres, which will usually be sufficient for calculating magnetic fields from the power lines. The grid reference derived from the postcode rather than the individual address is generally accurate to tens of metres, and may be acceptable for assessing effects that vary in the general proximity of the power line, but is probably not acceptable for assessing magnetic-field effects.


Subject(s)
Electricity , Environmental Exposure/statistics & numerical data , Geographic Information Systems/statistics & numerical data , Geographic Mapping , Power Plants/statistics & numerical data , Radiation Monitoring/methods , Radiation Monitoring/statistics & numerical data , Electromagnetic Fields , Environmental Exposure/analysis , Postal Service/classification , Reproducibility of Results , Sensitivity and Specificity , United Kingdom/epidemiology
19.
J Radiol Prot ; 34(4): 873-89, 2014 Dec.
Article in English | MEDLINE | ID: mdl-25356811

ABSTRACT

We previously reported an association between childhood leukaemia in Britain and proximity of the child's address at birth to high-voltage power lines that declines from the 1960s to the 2000s. We test here whether a 'corona-ion hypothesis' could explain these results. This hypothesis proposes that corona ions, atmospheric ions produced by power lines and blown away from them by the wind, increase the retention of airborne pollutants in the airways when breathed in and hence cause disease. We develop an improved model for calculating exposure to corona ions, using data on winds from meteorological stations and considering the whole length of power line within 600 m of each subject's address. Corona-ion exposure is highly correlated with proximity to power lines, and hence the results parallel the elevations in leukaemia risk seen with distance analyses. But our model explains the observed pattern of leukaemia rates around power lines less well than straightforward distance measurements, and ecological considerations also argue against the hypothesis. This does not disprove the corona-ion hypothesis as the explanation for our previous results, but nor does it provide support for it, or, by extension, any other hypothesis dependent on wind direction.


Subject(s)
Electricity , Environmental Exposure/statistics & numerical data , Leukemia, Radiation-Induced/epidemiology , Power Plants/statistics & numerical data , Radiometry/statistics & numerical data , Wind , Body Burden , Child , Child, Preschool , Electromagnetic Fields , Female , Humans , Incidence , Infant , Infant, Newborn , Ions , Male , Radiation Dosage , Risk Factors , United Kingdom/epidemiology
20.
BMC Genomics ; 14: 2, 2013 Jan 16.
Article in English | MEDLINE | ID: mdl-23324311

ABSTRACT

BACKGROUND: Rapid development of highly saturated genetic maps aids molecular breeding, which can accelerate gain per breeding cycle in woody perennial plants such as Rubus idaeus (red raspberry). Recently, robust genotyping methods based on high-throughput sequencing were developed, which provide high marker density, but result in some genotype errors and a large number of missing genotype values. Imputation can reduce the number of missing values and can correct genotyping errors, but current methods of imputation require a reference genome and thus are not an option for most species. RESULTS: Genotyping by Sequencing (GBS) was used to produce highly saturated maps for a R. idaeus pseudo-testcross progeny. While low coverage and high variance in sequencing resulted in a large number of missing values for some individuals, a novel method of imputation based on maximum likelihood marker ordering from initial marker segregation overcame the challenge of missing values, and made map construction computationally tractable. The two resulting parental maps contained 4521 and 2391 molecular markers spanning 462.7 and 376.6 cM respectively over seven linkage groups. Detection of precise genomic regions with segregation distortion was possible because of map saturation. Microsatellites (SSRs) linked these results to published maps for cross-validation and map comparison. CONCLUSIONS: GBS together with genome-independent imputation provides a rapid method for genetic map construction in any pseudo-testcross progeny. Our method of imputation estimates the correct genotype call of missing values and corrects genotyping errors that lead to inflated map size and reduced precision in marker placement. Comparison of SSRs to published R. idaeus maps showed that the linkage maps constructed with GBS and our method of imputation were robust, and marker positioning reliable. The high marker density allowed identification of genomic regions with segregation distortion in R. idaeus, which may help to identify deleterious alleles that are the basis of inbreeding depression in the species.


Subject(s)
Chromosome Mapping/methods , Genome, Plant/genetics , Genotyping Techniques/methods , High-Throughput Nucleotide Sequencing/methods , Rosaceae/genetics , Genetic Markers/genetics , Microsatellite Repeats/genetics , Polymorphism, Single Nucleotide/genetics
SELECTION OF CITATIONS
SEARCH DETAIL