5,056 research outputs found
"Map of the City of Old St. Stephens as it Appeared A.D. 1841."
No full textBlueprint of an 1899 map by E. M. Slaughter and Mary J. Welsh. Taced in 1942 by Owen Draper
Emanuel A. Goldenweiser papers, 1945 - 1951; and Jesse J. Jones and Ernest G. Draper papers, 1936 - 1955
No full textCorrespondence between economist Emanuel A. Goldenweiser and others from 1945 to 1951, from his papers at the Library of Congress, copied for Everett Cooley at the University of Utah\u27s J. Willard Marriott Library. Includes an exchange of letters in 1945 between Goldenweiser and Walter W. Stewart of the Institute for Advanced Study at Princeton, New Jersey; letters exchanged between Goldenweiser and Carl E. Parry at the time Parry retired from the Federal Reserve in 1948; and a note from Marriner S. Eccles dated 2 July 1951. Also a copy of the finding aids for the Jesse Holman Jones papers and the Ernest Gallaudet Draper papers, both housed at the Library of Congress
Socioeconomic inequalities in very preterm birth rates
No full textAims: To investigate the extent of socioeconomic inequalities in the incidence of very preterm birth over the past decade. Methods: Ecological study of all 549 618 births in the former Trent health region, UK, from 1 January 1994 to 31 December 2003. All singleton births of 22+0 to 32+6 weeks gestation (7 185 births) were identified from population surveys of neonatal services and stillbirths. Poisson regression was used to calculate incidence of very preterm birth (22-32 weeks) and extremely preterm birth (22-28 weeks) by year of birth and decile of deprivation (child poverty section of the Index of Multiple Deprivation). Results: Incidence of very preterm singleton birth rose from 11.9 per 1000 births in 1994 to 13.7 per 1000 births in 2003. Those from the most deprived decile were at nearly twice the risk of very preterm birth compared with those from the least deprived decile, with 16.4 per 1000 births in the most deprived decile compared with 8.5 per 1000 births in the least deprived decile (incidence rate ratio 1.94; 95% CI (1.73 to 2.17)). This deprivation gap remained unchanged throughout the 10-year period. The magnitude of socioeconomic inequalities was the same for extremely preterm births (22-28 weeks incidence rate ratio 1.94; 95% CI (1.62 to 2.32)). Conclusions: This large, unique dataset of very preterm births shows wide socio-economic inequalities that persist over time. These findings are likely to have consequences on the burden of long-term morbidity. Our research can assist future healthcare planning, the monitoring of socio-economic inequalities and the targeting of interventions in order to reduce this persistent deprivation gap.</p
PPO.28 Birth prevalence and one year survival of congenital diaphragmatic hernia, England and Wales, 2002-2011
No full textBACKGROUND: Congenital diaphragmatic hernia (CDH) is the failure of the diaphragm to develop and fuse properly during fetal development, allowing the abdominal organs to push up into the chest cavity. Newborn infants with CDH often have severe respiratory distress which can be life-threatening unless treated appropriately. The aim of this study was to determine the birth prevalence, characteristics, antenatal diagnosis, pregnancy outcome and survival of cases with CDH.METHODS: Six regional congenital anomaly registers (covering 36% of births in England and Wales) from 2002-2011 contributed 743 cases to this study.RESULTS: The overall birth prevalence of CDH was 3.4 (95% CI: 3.1-3.6) per 10,000 births; there was no significant change in the birth prevalence over the ten years. Sixty-one percent were isolated, 27% were associated with another structural anomaly (multiple) and 12% had a chromosomal anomaly (36% Edwards, 9% Patau syndrome). Sixty-six percent of isolated, 80% of multiple and 83% of chromosomal CDH cases were antenatally diagnosed. The majority of cases with isolated and multiple CDH were live born (84% and 62% respectively), whereas 58% of CDH pregnancies associated with a chromosomal anomaly ended in a termination (58%). The 1-year survival of live born babies was higher in isolated CDH (75%) compared to multiple (64%) and chromosomal CDH cases (57%).CONCLUSIONS: The prevalence of CDH remained constant over the past 10 years. Sixty-one percent of CDH cases were isolated, of whom 66% were antenatally diagnosed. One-year survival in isolated cases was only 75%
Revising U.S. State Water Allocation Laws
No full textProceedings of the 1993 Georgia Water Resources Conference, April 20-21, 1993, Athens, Georgia.Since 1950, surface water withdrawals in the fifty United States have increased over 129%. (USGS, 1990) In 1985, the fifty states withdrew almost 265,000 Million gallons per
day (MGD) from surface waters, consuming almost 23% of the withdrawals. (Ibid.) In some areas of the country, surface waters in specific basins have been completely allocated and water must be imported from other basins to meet the increasing demands.
The increase in water demand in Georgia has been greater than most other states. In 1985, Georgia users withdrew over 4300 MGD from surface waters, an increase of 165% over 1950 withdrawals. (Ibid.; Hodler, 1986) In the Atlanta Metropolitan Area alone it is estimated that by the year 2010 surface water withdrawals will have increased
another 58% over the present water demand. (Stevens, 1991) The growing demand for use of a finite amount of water means that Georgia and other states must allocate their water resources efficiently to insure that water is available for reasonable and beneficial uses when and where it is needed.
A new initiative by the American Society of Civil Engineers will help states structure their water allocation laws to achieve the objective of efficient water use. It is called a Model State Water Allocation Code.Sponsored and Organized by: U.S. Geological Survey, Georgia Department of Natural Resources, The University of Georgia, Georgia State University, Georgia Institute of TechnologyThis book was published by the Institute of Natural Resources, The University of Georgia, Athens, Georgia 30602 with partial funding provided by the U.S. Department of Interior, Geological Survey, through the Georgia Water Research Institute as authorized by the Water Resources Research Act of 1984 (P.L. 98-242).
The views and statements advanced in this publication are solely those of the authors and do not represent official views or policies of the University of Georgia or the U.S. Geological Survey or the conference sponsors
PPO.17 Is congenital heart disease on the increase in the UK? A register-based study
No full textAim The aim of this study was to describe trends in the prevalence of congenital heart disease (CHD) according to severity and adjusted for maternal age. Methods All CHD cases notified to six British Isles Network of Congenital Anomaly Registers between 1991–2010 formed this population-based study. Prevalence and 95% confidence intervals (CIs) were calculated as the number of cases (occurring in live births, fetal deaths or terminations for fetal anomaly) per 10,000 live and stillbirths. Relative risks (RRs) of CHD over time, adjusted for maternal age were estimated using multilevel Poisson models. Results There were 19,353 singleton cases of CHD among 3,040,952 total births. Excluding, 2,848 (14.7%) cases with a chromosomal anomaly, 683 (3.6%) with a genetic syndrome and 2,639 (15.8%) with extra-cardiac anomalies, there were 13,183 isolated cases. Of these, 7,150 (54.2%, Prevalence = 23.51; 95% CI: 22.97–24.06 per 10,000 total births) were classed as mild, 3,204 (24.3%, Prevalence = 10.54; 95% CI: 10.18–10.91) as moderate and 1,143 (8.7%, Prevalence = 3.76 95%; CI: 3.54–3.98) as severe CHD. There were no significant trends in prevalence over time in mild (RR = 1.04; 95% CI:. 99–1.10; p = 0.096), moderate (RR = 0.99; 95% CI: 0.99–1.00; p = 0.168) or severe CHD (RR = 1.01; 95% CI: 1.00–1.02; p = 0.074), even after adjustment for maternal age. The risk of a pregnancy associated with a mild CHD was significantly greater in women aged 35 and over compared to aged 20–29 (RR = 1.16; 95% CI:1.04–1.29; p = 0.009). Conclusion There were no significant differences in trends in the prevalence by CHD severity, before or after adjustment for maternal age.<br/
Alignment between chronic disease policy and practice : case study at a primary care facility
No full textIncludes bibliographical references.Current literature supports the need to make the prevention and management of chronic diseases an international health priority. In South Africa, our Health Minister has committed the government to tackling the burden of chronic diseases alongside communicable diseases. The Western Cape has developed an excellent policy and framework to guide and improve the prevention and management of chronic diseases at a primary care level, however limited literature exists around the alignment of the policy with current practice and around any challenges to its implementation. Should the policy be well implemented, it has the potential to make a significant difference to the health of the population served. For this reason, the overall purpose of this study is to improve the care and management of patients with chronic diseases within primary health care facilities. The aim of this study is to assess the alignment of current primary care practices with the PGWC Adult Chronic Disease Management policy (which includes an audit tool), using one primary health care facility in the Cape Town metropolis as a case study
- …
