84 research outputs found
Effects of altitude versus economic status on birth weight and body shape at birth
No full textThe compelling evidence linking small size at birth with later cardiovascular disease has renewed and amplified a clinical and scientific interest in the determinants of fetal growth. Although the effects of maternal nutrition on fetal growth have been extensively studied, comparatively little is known about the effects of maternofetal hypoxia. This study tested the hypothesis that in highland regions, high altitude rather than maternal economic status is associated with reduced and altered fetal growth by investigating the effects of high altitude versus economic status on birth weight and body shape at birth in Bolivia. Bolivia is geographically and socioeconomically unique. It contains several highland (>3500 m above sea level) and lowland (<500 m) cities that are inhabited by very economically divergent populations. Birth weight, body length, and head circumference were compared between a high- (n = 100) and low- (n = 100) income region of La Paz (3649 m; largest high-altitude city) and a high- (n = 100) and low- (n = 100) income region of Santa Cruz (437 m; largest low-altitude city). In addition, the frequency distribution across the continuum of birth weights was plotted for babies born from high- and low-income families in La Paz and Santa Cruz. Mean birth weights were lower in babies from La Paz than in babies from Santa Cruz in both high- and low-income groups. The cumulative frequency curve across all compiled birth weights was shifted to the left in babies from La Paz compared with those from Santa Cruz, regardless of economic status. The frequency of low birth weight (<2500 g) was higher in babies from La Paz than from Santa Cruz in both high- and low-income groups. In addition, at high altitude but not at low altitude, high income was associated with an increase in the head circumference:birth weight ratio. These findings suggest that high altitude rather than economic status is associated with low birth weight and altered body shape at birth in babies from Bolivia
Enhancing paramedic care at end of life: Policy Brief
No full textParamedics play a vital role in end of life care, attending patients and families at home via ambulance calls, often during moments of acute crisis. However, this research conducted across England highlights critical challenges that hinder their ability to provide effective care to individuals in the last year of life. Key barriers include limited training in palliative and end of life care, poor integration with wider health and social care systems, and restricted access to patient records, essential medicines and clinical advice. These issues can lead to less than adequate care experiences for patients and distress among families and paramedics alike. This policy brief outlines key findings and actionable recommendations to improve paramedic preparedness, build professional confidence, and foster stronger system-wide collaboration. Addressing these will enable ambulance paramedics to better support individuals at end of life with dignity and compassion.<br/
Letter from David Griesdorf to Syd Freedman
No full textLetter written by David Griesdorf to Syd Freedman congratulating Syd Freedman on his recent marriage to Marjorie Shine
Letter from S. Rolston to Syd Freedman
No full textLetter written by S. Rolston, Secretary Treasurer at Canadian Picture Pioneers, to Syd Freedman thanking Syd Freedman for his and his workers' assistance at Sunday night shows
Syd Freedman's personal notes on directors
No full textPersonal notes written by Syd Freedman listing directors of films
Syd Freedman's personal notes on prizes
No full textPersonal notes written by Syd Freedman listing a series of prizes
Syd Freedman's personal notes on uniforms
No full textPersonal notes written by Syd Freedman listing the different uniforms worn at the Studio Theatre
Syd Freedman's financial notes on Last Summer
No full textSyd Freedman's financial notes on the Studio Theatre's showing of the film Last Summer (1969)
Syd Freedman's personal notes on theatres
No full textPersonal notes written by Syd Freedman about the theatres he worked at
Syd Freedman's personal notes on cinema managers
No full textPersonal notes written by Syd Freedman listing the different managers of cinemas in 1943 and 1954
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