11 research outputs found

    Household crowding index: A correlate of socioeconomic status and inter-pregnancy spacing in an urban setting

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    Objectives: This paper examines the effect of household crowding on inter-pregnancy spacing and its association with socioeconomic indicators, among porous mothers delivered in an urban environment. Design: Cross sectional survey. Methods: Sociodemographic data were obtained on 2466 porous women delivering at eight hospitals in Greater Beirut over a one year period. Statistical methodology comprised Pearson χ 2 test and logistic regression analysis. Main results: A significant inverse relation was observed between household crowding and socioeconomic status, defined as education and occupation of women and their spouses. Inter-pregnancy spacing increased with higher levels of crowding. Further analysis suggested that this positive association was confounded by maternal demographic characteristics. Conclusions: These data have shown that household crowding, a correlate of low parental socioeconomic status, is associated with longer birth intervals. This association, however, seems to be largely explained by maternal age and parity.Abebe GM, 1996, E AFR MED J, V73, P552; Bahamdan K, 1996, INT J DERMATOL, V35, P405, DOI 10.1111-j.1365-4362.1996.tb03020.x; Baker D, 1998, J EPIDEMIOL COMMUN H, V52, P451; Baum A, 1978, HUMAN RESPONSE CROWD, P3; BLAKE J, 1981, DEMOGRAPHY, V18, P421, DOI 10.2307-2060941; BRABACK L, 1995, ARCH DIS CHILD, V72, P487; CENTERWALL BS, 1995, JAMA-J AM MED ASSOC, V273, P1755, DOI 10.1001-jama.273.22.1755; COGGON D, 1993, J EPIDEMIOL COMMUN H, V47, P345, DOI 10.1136-jech.47.5.345; DELLORCO V, 1995, AM J EPIDEMIOL, V142, P419; DRUCKER E, 1994, LANCET, V343, P1482, DOI 10.1016-S0140-6736(94)92588-7; EDWARDS JN, 1994, HOUSEHOLD CROWDING I, P1; EDWARDS JN, 1994, HOUSEHOLD CROWING IT, P131; EDWARDS JN, 1992, SOC BIOL, V39, P212; FIKREE FF, 1994, B WORLD HEALTH ORGAN, V72, P581; Fikree Fariyal F., 1993, JPMA (Journal of the Pakistan Medical Association), V43, P230; Freedman J., 1975, CROWDING BEHAV, P1; Fuller TD, 1996, SOC SCI MED, V42, P265, DOI 10.1016-0277-9536(95)00089-5; GALLE OR, 1978, SOCIAL DEMOGRAPHY, P95; George D., 1999, SPSS WINDOWS STEP ST, P151; Grant JC, 1997, ANN HUM GENET, V61, P143; JOHNSON DR, 1976, MILBANK FUND Q, V54, P321, DOI 10.2307-3349602; Keles N, 1999, ARCH ENVIRON HEALTH, V54, P48; KIEFFER EC, 1993, SOC SCI MED, V36, P557, DOI 10.1016-0277-9536(93)90416-2; Kirkwood BR, 1995, B WORLD HEALTH ORGAN, V73, P793; Lotstein DS, 1998, J RHEUMATOL, V25, P1720; MENDALL MA, 1992, LANCET, V339, P896, DOI 10.1016-0140-6736(92)90931-R; MILLER JE, 1994, J BIOSOC SCI, V26, P243; Nuwayhid IA, 1998, AM J EPIDEMIOL, V148, P375; OMRAN AR, 1971, CAROLINA POPULATION, V16, P147; Patterson CC, 1996, DIABETOLOGIA, V39, P1063, DOI 10.1007-BF00400655; Redlinger T, 1997, AM J PUBLIC HEALTH, V87, P1715, DOI 10.2105-AJPH.87.10.1715; RIVARA FP, 1985, PEDIATRICS, V76, P375; Rosenberg T, 1997, AM J PUBLIC HEALTH, V87, P1547, DOI 10.2105-AJPH.87.9.1547; Uday J., 1987, PSYCHOL CONSEQUENCES, P15; ZHU BP, 1999, NEW ENGL J MED, V340, P64314131

    Corrigendum to ‘An international genome-wide meta-analysis of primary biliary cholangitis: Novel risk loci and candidate drugs’ [J Hepatol 2021;75(3):572–581]

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    \ua9 2021It has come to our attention that the name of one of the authors in our manuscript was incorrectly spelled ‘Jinyoung Byan’; the correct spelling is ‘Jinyoung Byun’ as in the author list above. In addition, the excel files of the supplementary tables were not included during the online publication of our article. These have now been made available online. We apologize for any inconvenience caused

    Long-chain omega-3 polyunsaturated fatty acids in relation to gut integrity, growth and cognitive development of rural African children

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    Background and rationale: Weaning foods fed to infants in rural Gambia are often contaminated, resulting in infections which contribute to initiating a persistent inflammation of the gut. This enteropathy, which causes intestinal damage and malabsorption, is strongly associated with the high degree of growth faltering seen in Gambian infants. There is evidence that supplementary omega-3 long-chain polyunsaturated fatty acids (n-3 LCPs) might ameliorate this damage by reducing gastro-intestinal inflammation. Additionally, n-3 LCPs have been shown to benefit mental development and problem-solving ability in infants, but this has not yet been tested in an African population. Methods: A randomised, double-blind, controlled trial (500mg combined n-3 LCPs per day for six months) was conducted in a population of rural African infants aged 3 months - 9 months. The primary outcomes were infant anthropometric indicators and gut integrity (measured by urinary lactulose-mannitol ratios). Plasma fatty acid status (plasma fatty acid profiles), cognitive development (Willatts Test and an attention assessment at 12 months of age), intestinal mucosal inflammation (faecal calprotectin), and daily morbidities were the secondary outcome measures. Results: One-hundred and seventy-two Gambian infants completed the trial. Except for an increase in mid-upper-arm circumference z-scores in the intervention group (95% Cl: 0.06,0.56; p=0.017), no significant differences between treatment groups were detected for growth and lactulose-mannitol ratios at 9 months. At 12 months mid-upper-arm circumference remained greater in the intervention group, and significant increases in skinfold thicknesses were detected (pSO.022 for ali). Supplementation resulted in a significant increase in plasma n-3 LCP levels (p<O.001) and decrease in n-6 LCP:n-3 LCP ratios (p<O.OOl). Plasma n-6 fatty acid levels were not affected. No difference was detected for the other secondary outcomes. Conclusion: Fish oil supplementation proved safe and successfully increased plasma n-3 fatty acid status, but the results of this trial do not support the use of supplementary n-3 LCPs in young, breast-fed, rural Gambian infants for improving overall growth performance, intestinal integrity, and cognitive development, or reducing intestinal and systemic inflammatio

    Cormorant food habit and potential impacts on sport and commercial fisheries: an annotated bibliography

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    cormorant_foodhabits_bib00.pdfPage 1 of 44 Cormorant Food Habit and Potential Impacts on Sport and Commercial Fisheries: An Annotated Bibliography John L. Trapp and Shauna L. Hanisch U.S. Fish and Wildlife Service Office of Migratory Bird Management Arlington, Virginia February 2000 This list includes literature on the double-crested cormorant that contains: (1) qualitative or quantitative descriptions of food habits, or (2) qualitative or quantitative information on the impacts of cormorant predation on fish populations. The latter category includes papers that discuss the various bioenergetics variables that may be used in simulation models to assess impacts on prey populations. 1835 T Audubon, J. J. 1835. Ornithological bibliography. Edinburgh. Lewis (1929) quotes Audubon to the effect that "the food of double-crested cormorants consisted of 'shrimps, lents, capelings, codlings, and other fishes.' It was his [Audubon's] opinion that 'of the codlings especially they devour vast numbers,' but recent investigations have not confirmed this." 1890 T Warren, B. H. 1890. Report on the Birds of Pennsylvania. E. K. Meyers, Harrisburg, Pennsylvania. 434 pp. Author notes (pp. 28-29) that a specimen of a fish (known locally as "buffalo-sucker") taken from the stomach of a bird collected by James Thompson near Erie on 26 October 1889 measured 8-9 inches in length. 1894 T Curtis, C. P., Jr. 1894. The double-crested cormorant. Auk 11: 175. "For the past ten years I have spent one day in the last part of September on the Graves at the entrance to Boston Harbor [Massachusetts, where] . . . I generally shoot four or five [double-crested cormorants] . . . and . . . I have . . . invariably found the throat of the bird full of fish, generally the common sea-perch." Mackay, G. H. 1894. Habits of the double-crested cormorant (Phalacrocorax Page 2 of 44 dilophus) in Rhode Island. Auk 11: 18-25. Fourteen pellets examined at Cormorant Rocks, off Seconnet Point, on 19 April 1892 were "composed almost entirely of fish bones, chiefly the bones of young parrot-fishes (Labroids) and drums (Sciaenoids)," while one pellet "contained three crabs (Cancer irroratus... [and] Panopeus sayi)." Five birds collected on the same date all had eels (Anguilla vulgaris) in their gullets; one bird contained an eel that was 16 inches long, while those in the other four birds were 7-11 inches long. "Mr. Geo. A. Tapley of Revere, Mass., shot one of three [cormorants] (variety not noted [but presumably double-crested]) which were standing on the edge of a marsh in that place in the winter, at a time when there was much ice around. They were engaged in eating a sculpin (Cottus scorpius...).” 1895 T Chamberlain, C. 1895. An inland rookery of Phalacrocorax d. albociliatus. Nidiologist 3: 29-30. "Under the trees [containing double-crested cormorant nests at Clear Lake, Lake County, California, in March 1895] were pieces of carp dropped from above. Some pieces were from fish that must have been fifteen inches long. The carp constitutes probably the sole food of these cormorants." 1904 T Todd, W. E. C. 1904. The birds of Erie and Presque Isle, Erie County, Pennsylvania. Ann. Carnegie Mus. 2(4): 481-596. [p. 308] S. E. Bacon reported that a double-crested cormorant collected near Erie on 14 December 1901 contained two 10 inch perch, and added that "The fishermen inform me that the birds when present often alight on the pond-net stakes." 1908 Chapman, F. M. 1908. Camps and Cruises of an Ornithologist. New York. Chapman (p. 305) observed a perch lying on the ground among nests in a cormorant colony at Shoal Lake, Manitoba, in June 1901. 1910 T Ferry, J. F. 1910. Birds observed in Saskatchewan during the summer of 1909. Page 3 of 44 Auk 27: 185-204. At a double-crested cormorant colony at Big Quill Lake in July, "The young appeared to be fed upon minnows, which they would sometimes disgorge in a semi-digested state when alarmed." 1913 T Wright, H. 1913. The birds of San Martin Island, Lower California. Condor 15: 207-210. In describing a visit to this island in July 1913, Wright notes that "We became very much interested in estimating the amount of fish these birds [from a double-crested cormorant colony estimated at 348,480 nests] consumed per day. We noted the amount each young cormorant threw up when molested, and found on several occasions a bunch of fish as big as a man's two fists. This mass was generally composed of surf fish, smelt, and sardines. I have heard of other estimates of from three to six sardines a day for a cormorant, so I consider a half pound of fish a day very conservative." 1915 T Taverner, P. A. 1915. The double-crested cormorant (Phalacrocorax auritus) and its relation to the salmon industries on the Gulf of St. Lawrence. Canada Geol. Surv. Mus. Bull. 13 (Biol. Ser. 5), 24 pp. Six fish species were identified in the 27 birds with food in their stomachs collected along the GaspJ Peninsula, June-July 1914, with sculpin, herring, flounder, and capelin being predominant. No salmon remains were found in cormorant stomachs. "From all reports, the salmon in the rivers have been lately increasing from year to year. One experienced man says that ten or twelve years ago about thirty fish were taken in the York river per year, while in 1913 from 120 to 130 were caught by anglers. The cormorants are also generally increasing in number, the rookeries are enlarging and new ones being established. These facts taken together do not indicate that the cormorants are markedly harmful to the salmon..." 1919 Pearson, T. G., C. S. Brimley, and H. H. Brimley. 1919. Birds of North Carolina. North Carolina Geol. Econ. Surv. 4, 380 pp. "The food of these cormorants must consist largely of eels, as eel remains are constantly found in the nests and on the limbs of the trees, and the young when Page 4 of 44 alarmed disgorge copiously fragments of partly digested eels. In the summer of 1905, H. H. Brimley saw an immature bird disgorge a portion of a large watersnake (Natrix taxispilota) [p. 49]." 1922 T Bent, A. C. 1922. Life histories of North American petrels and pelicans and their allies. U.S. Natl. Mus. Bull. 121, 343 pp. "On the New England coast they are frequently seen flying up the larger rivers and tidal estuaries to fish, where they live largely on eels [p. 248-249]." Bent also quotes extensively from Mackay (1894) and Taverner (1915). Jackson, H. H. T. 1922. Some birds of Roosevelt Lake, Arizona. Condor 24: 22-25. Three fish dropped by cormorants at nesting colonies in May 1916 included two carp (Cyprinus carpio) and one largemouth bass (Micropterus salmoides). Stoddard, H. L. 1922. Bird notes from southern Wisconsin. Wilson Bull. 34: 67-79. "The stomachs of seven adults shot April 10 [1921, along the Wisconsin River near Sauk City] all contained fish. Five each held one large bullhead of nearly a pound weight . . . while each of the others held a pike that would weigh over a pound. Others examined from time to time contained partly digested bullheads or more rarely other fish." 1924 T Howell, A. H. 1924. Birds of Alabama. Alabama Dep. Game and Fish., Montgomery, Alabama. 597 pp. "Cormorants feed exclusively on fish: stomachs of two collected in the Mobile River each contained remains of two gizzard shad (Dorosoma cepedianum) about 10 inches long, and one stomach contained, also, part of the tail of an eel [p. 39]." 1925 T Uhler, F. M. 1925. Report on the Economic Status of the Double-crested Cormorant (Phalacrocorax auritus auritus) and Other Fish-eating Birds in Minnesota and North Dakota. Unpublished manuscript report to Chief, Bureau of Biological Survey, Washington, D.C. Page 5 of 44 1926 T Hall, E. R. 1926. Notes on water birds nesting at Pyramid Lake, Nevada. Condor 28: 87-91. Fish disgorged by double-crested cormorant chicks on 26 July 1924 included 36 lake minnows (Leucidius pectinifer) and ten lake chubs (Siphateles obesus). One adult disgorged five lake minnows, each 5.5" long (Table). 1927 T Bailey, A. 1927. Notes on the birds of southeastern Alaska. Auk 44: 1-23. "At Klawack [= Klawock], where they [double-crested cormorants] were fairly common [in March 1920], they were feeding upon the schooling herring, in company with other cormorants and gulls." Munro, J. A. 1927. Observations on the double-crested cormorant (Phalacrocorax auritus) on Lake Manitoba. Canadian Field-Nat. 41: 102-108. Munro provides information on nine prey items found in stomachs (n = 10) or regurgitations in July 1925, but the data are difficult to quantify in terms of frequency of occurrence or relative abundance. He states that: "The number of individual fish of different species found [regurgitated by cormorants] on the reefs was in proportion to their local abundance in the waters close at hand." Esox lucius. Northern Pike. One 14 inch fish was found in one stomach, and seven fish (8-14 inches in length) were found regurgitated on nesting islands. This and the pickerel were the only commercially important fish taken, and Munro estimated that (in combination) these two species comprised one-third of the fish taken or 25% of the entire diet. Other species included: Stizostedion vitreum, pickerel; Perca flavescens, perch; Stizostedion canadense, sauger; Moxostoma aureolum or Catostomus catostomus, mullet; Lota maculose, Ling; Eucalia inconstans, brook stickleback; Notropis atherinoides, lake shiner; Notropis spp., unidentified shiners; and unidentified crayfish. Wetmore, A. 1927. The amount of food consumed by cormorants. Condor 29: 273-274. Reports that double-crested cormorants of the Florida (P. auritus floridanus) race housed at the National Zoo "thrive and live in perfect health for years" on a diet of 0.75-1.00 lbs of fish/day, 6 days/week (not fed on Sundays). 1929 Page 6 of 44 Lewis, H. F. 1929. The Natural History of the Double-crested Cormorant (Phalacrocorax auritus auritus (Lesson)). Ru-Mi-Lou Books, Ottawa, Canada. Lewis (pp. 62-71) provides 13 quantifiable data sets on food habits, but only two of these represent analysis of 30 or more samples (stomachs or regurgitated pellets). "In a letter dated December 3, 1928, Mr. Alexander Sprunt, Jr., of Charleston, South Carolina, states, concerning this bird in his vicinity: 'It is rather difficult to ascertain just exactly the scope of its feeding habits, but the following items of food are certainly represented: gizzard shad (Dorosoma cepedianum), sea catfish (Felichthys felis and Galeichthys milberti), mullet Mugil cephalus), common eel (Anguilla chrysypa), and an occasional shrimp (Palemon vulgaris).'" "...Reuben Lloyd (in lit., 1929) ...says that the food of the colony at the north end of Last Mountain Lake, Saskatchewan, consists chiefly of perch and pike [p. 69]..." "The files of the Biological Survey contain additional records of the food of these birds in Minnesota, including the following items: Perca flavescens (yellow perch), Abramis crysoleucus (golden shiner), catfish, part of a beetle, and Centrarchidae that are probably Lepomis megalotes [p. 69]" "Other records of the food of this species in the same state [Minnesota] include an anonymous statement (1921) in 'Fins, Feathers, and Fur', official bulletin of the Minnesota Game and Fish Department, that black bass, perch, and sunfish were found in stomachs of double-crested cormorants taken at Clearwater Lake, Minnesota, and the statement of Mr. P. O. Fryklund (in lit., 1927) that he found many pike in a cormorant colony on Gull Rock, in that part of the Lake of the Woods belonging to Minnesota [p. 69]" 1931 T Munro, J. A., and W. A. Clemens. 1931. Waterfowl in relation to the spawning of herring in British Columbia. Biol. Board Canada Bull. 17, 46 pp. The stomach of a double-crested cormorant collected in Departure Bay on 11 March 1929 contained the remains of one herring (p30). 1932 T Howell, A. H. 1932. Florida Bird Life. Florida Dep. Game and Fresh Water Fish. 597 pp. "Examination of 72 stomachs of this species in the Biological Survey showed its food to be about 99 per cent fish, the remainder comprising crabs, shrimps, other crustaceans, and a frog. Thirty-six species of fishes were identified in the Page 7 of 44 stomachs examined, including sea catfish, horned pout, gizzard shad, herring, skipjack, sunfish, black bass, yellow perch, pigfish, spot, file fish, and toadfish" [p92]. McAtee, W. L. 1932. Effectiveness in nature of the so-called protective adaptations in the animal kingdom, chiefly as illustrated by the food habits of nearctic birds. Smithsonian Misc. Coll. 85(7), 201 pp. In an analysis of 237,399 "identifications" of animals recorded in stomachs of 80,000 birds (of an unspecified number and composition of species) collected in nearctic America, 1885-1931, author tabulates relative abundance by family (pp. 111-120). Fifteen of the 54 families represented in 2,670 identifiable remains of fish had a relative abundance of >1%, and 10 of these occurred in significantly larger numbers than expected (indicated by *): Siluridae 3.7%, Catostomidae 2.3%, *Cyprinidae 18.0%, *Dorosomidae/Clupeidae 9.3%, *Engraulididae 1.9, *Salmonidae 7.4%, *Argentinidae 1.1%, *Poeciliidae 19.8%, *Gasterosteidae 4.2%, *Centrarchidae 6.1%, *Percidae 6.4%, *Cottidae 7.0%, Gadidae 1.2%, and Pleuronectidae/Soleidae 1.1%. "One double-crested cormorant had eaten 16 Symphurus plagiusa [a flatfish of the family Pleuronectidae; p118]." Roberts, T. 1932. The Birds of Minnesota. Volume 1. Univ. Minnesota Press. 718 pp. "Friends of the bird have tried to make it appear that the cormorant catches mainly rough fish of little value, but there is reliable evidence to show that it captures game-fish as well, if they chance to be in its way and it is able to run them down. Under their tree nesting-places, as at lake Minnetonka, may be found numerous fish that have been dropped by the young birds, and among them the writer has identified crappies, sunfish, small bass, and pickerel, as well as carp and bullpouts" [p. 171]. 1936 Cottam, C., and F. M. Uhler. 1936. The role of fish-eating birds. Progr. Fish-Cult. 14: 1-14. "Inland colonies [of the double-crested cormorant] are frequently condemned to an unwarranted degree although some of them undoubtedly cause destruction to valuable fish. Threat of complete destruction of one of the two remaining colonies in one of the north central states was made because local sportsmen believed the birds were responsible for the elimination of fish in a lake that formerly had afforded some of the best fishing in the state. A careful investigation revealed that excessive alkalinity of the water resulting from greatly lowered levels throughout a period of many years, made the production of any Page 8 of 44 valuable species of fish impossible in this lake. Stomach examination of a series of these birds collected there showed that 75 percent of the food consisted of the axolotl stage of the tiger salamander, 20 percent of bull-heads taken from an adjoining prairie slough, and the remaining 5 percent of the five-spined sticklebacks, which were the sole remaining fish capable of enduring the high alkalinity occurring in the lake." Mendall, H. L. 1936. The Home Life and the Economic Status of the Double-crested Cormorant (Phalacrocorax auritus auritus). Univ. Maine Stud. 2nd Ser. No. 38, Maine Bull. 39(3): 1-159. 1940 Gabrielson, I. N., and S. G. Jewett. 1940. Birds of Oregon. Oregon State Coll., Corvallis, Oregon. "Food of this cormorant consists very largely of fish and other aquatic life . . . . Although fishermen sometimes claim that it destroys large numbers of commercially valuable fish, examinations of some Oregon stomachs confirm our belief that trash fish comprise a large percentage of its diet. Two stomachs from Warner Valley each contained remains of one sucker (Catostomus warnerensis) [Table] One stomach from Tillamook Bay (taken May 20) contained seven or more Chitonotus pugetensis and remains of a few shrimp. Three stomachs contained pieces of two species of crustaceans, bits of grass, and a mass of fish remains, so digested as to be unidentifiable, that comprised 95% of the entire contents. Another stomach taken at the same time in Tillamook Bay contained the remains of six sculpins (Cotus asper), and another (taken January 1) contained remains of one Chitonotus pugetensis. Two other stomachs were practically empty and contained only tiny bits of fish bones and crustaceans [p97]." Todd, W. E. C. 1940. Birds of Western Pennsylvania. Univ. Pittsburgh Press. 710 pp. "S. E. Bacon speaks of having taken two ten-inch perch from the gullet of a bird that he shot at Erie, and adds that 'the fishermen inform me that the birds when present often alight on the pond-net stakes.' [p45]" 1942 Bartholomew, G. A., Jr. 1942. The fishing activities of double-crested cormorants on San Francisco Bay. Condor 44: 13-21. Bartholomew describes flock-feeding activities of cormorants during the winter of Page 9 of 44 1940-1941. "Mass fishing is an efficient way of obtaining food and a surprising number of cormorants return to the surface with fish in their bills... based on many hours of observation, I would suggest that one in every six or seven birds returning to the surface has a fish [NOTE: this implies a success rate of 14- 17%]. The fish (possibly anchovies) caught in mass fishing seldom exceed five inches in length and many are required to furnish an adequate meal." While Bartholomew reports concentrations of up to 1,500-2,000 birds, "Small flocks of fishing cormorants are more common than large ones and the flocks most frequently seen on the Bay contain fewer than twenty birds." "As a rule relatively fewer fish are caught by the members of the small flocks than by the members of the larger groups." Twice within three minutes on 10 November 1940, exceptionally large fish were caught by a flock of 25 cormorants, with 1 bird surfacing with "a flounder about eight inches long." "On February 8, 1941, while watching birds in the Berkeley Aquatic Park, Mr. [Herman V.] Leffler saw about ten double-crested cormorants . . . catching perch (size unspecified), some of which were pregnant." "Since during most of the fall and winter of 1940-41 the number of cormorants in the central part of San Francisco Bay was about 2,000, they caught and ate approximately one ton of fish daily. Nevertheless, it seems improbable that these birds have any economic importance, for little commercial fishing is done on the Bay. Cormorants do not compete with sport fishermen because the only important game fish on the Bay is the introduced striped bass, and this fish is usually too large for the birds to handle." "No effort was made to determine by an examination of stomach contents the kinds of fish eaten, but cormorants on San Francisco Bay have been seen catching smelt, founder, and pipe fish, and they probably will eat any fish of a reasonable size that they can catch." 1944 Gross, A. O. 1944. The present status of the double-crested cormorant on the coast of Maine. Auk 61: 513-537. 1945 T Cottam, C., and F. M. Uhler. 1945. Birds in Relation to Fishes. U.S. Fish Wildl. Serv. Wildl. Leafl. 272, 16 pp. In this revision of Cottam and Uhler (1937), the cormorant discussion remains unchanged from the original (Cottam and Uhler 1936). Page 10 of 44 1947 Baillie, J. L. 1947. The double-crested cormorant nesting in Ontario. Canadian Field-Nat. 61: 119-126. In August 1946, the author visited a nesting colony in Georgian Bay where cormorants were said to be "detrimental to the black bass fishing... and to pound net fishing." "We visited the only nesting rock then occupied by cormorants (McCoy Island) and an examination of the fish remains lying around the nests supported our conclusion that the local ranges of the bass and the cormorants did not overlap to any significant extent. At any rate, 17 of the 18 fishes examined at the nests were yellow and log perch, suckers and rock bass (all of them under six inches in length) and only one a small-mouthed black bass, 5 1/2 inches in length. The rest of the cormorants' larder was made up of 21 crayfish (mostly claws)... The perch, suckers, and rock bass are not important as sport fish. The black bass fishing, for which the... region is famous, was poor in 1945 and 1946, and it seems that the cormorants were made the scapegoats." 1949 T Sprunt, Jr., A., and E. B. Chamberlain. 1949. South Carolina Bird Life. Contrib. Charleston Mus. 11, Univ. South Carolina Press, Columbia, South Carolina. 585 pp. "Food: Largely fish, about 99 per cent. Sea-catfish, gizzard shad, herring, skipjack, sunfish, and toadfish have been found in stomach contents. Shrimp, crabs, and other crustaceans are taken, and sometimes frogs [p. 74]." 1950 T Scattergood, L. W. 1950. Observations on the food habits of the double-crested cormorant, Phalacrocorax a. auritus. Auk 67: 506-508. Of 35 cormorants collected in the Gulf of Maine (31 August and 2 October 1944, 22 July 1947, and 12 and 18 May 1949), 29 contained the remains of at least 10 species of fish. Sixty-seven regurgitations collected at a colony on Little White Island, Maine, in 1949 contained the remains of 305 individuals of 15 species of fish; four of the species had a relative abundance of greater than 10%. 1951 T Trautman, C. G. 1951. Food habits of the double-crested cormorant. South Dakota Conserv. Digest 18(11): 3-5 and 10. Page 11 of 44 A total of 157 food samples (147 regurgitants of young and 10 stomach contents of adults) were analyzed from colonies at four lakes, June-July 1949. Waubay and Traverse lakes contained a large variety of prey species, including both game and rough fish; Oakwood Lake had very few rough fish, but had been stocked with bullheads, perch, walleyes, northerns, bass, and bluegills; and Sand Lake was highly c

    Barrett’s Oesophagus Surveillance Versus Endoscopy at Need Study (BOSS): a randomized controlled trial

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    Background &amp; Aims: Barrett’s esophagus (BE) is a precursor lesion for esophageal adenocarcinoma (EAC). Surveillance endoscopy aims to detect early malignant progression; although widely practiced, it has not previously been tested in a randomized trial. Methods: BOSS (Barrett’s Oesophagus Surveillance Versus Endoscopy at Need Study) was a randomized controlled trial at 109 centers in the United Kingdom. Patients with BE were randomized to 2-yearly surveillance endoscopy or “at-need” endoscopy, offered for symptoms only. Follow-up was a minimum of 10 years. The primary outcome was overall survival in the intention-to-treat population. Secondary outcomes included cancer-specific survival, time to diagnosis of EAC, stage of EAC at diagnosis, frequency of endoscopy, and serious adverse events related to interventions. Results: There were 3453 patients recruited; 1733 patients were randomized to surveillance and 1719 to at-need endoscopy. Median follow-up time was 12.8 years for the primary outcome. There was no evidence of a difference in overall survival between the surveillance arm (333 deaths among 1733 patients) and the at-need arm (356 deaths among 1719 patients; hazard ratio, 0.95; 95% CI, 0.82–1.10; stratified log-rank P = .503). There was no evidence of a difference for surveillance vs at-need endoscopy in cancer-specific survival (108 vs 106 deaths from any cancer; hazard ratio, 1.01; 95% CI, 0.77–1.33; P = .926), time to diagnosis of EAC (40 vs 31 patients had a diagnosis of EAC; hazard ratio, 1.32; 95% CI, 0.82–2.11; P = .254), or cancer stage at diagnosis. Eight surveillance patients (0.46%) and 7 at-need patients (0.41%) reported serious adverse events. Conclusions: Surveillance did not improve overall survival or cancer-specific survival. At-need endoscopy may be a safe alternative for low-risk patients. ClinicalTrials.gov, Number: NCT00987857

    Pretreatment prediction of response to ursodeoxycholic acid in primary biliary cholangitis: development and validation of the UDCA response score

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    BACKGROUND: Treatment guidelines recommend a stepwise approach to primary biliary cholangitis: all patients begin treatment with ursodeoxycholic acid (UDCA) monotherapy and those with an inadequate biochemical response after 12 months are subsequently considered for second-line therapies. However, as a result, patients at the highest risk can wait the longest for effective treatment. We determined whether UDCA response can be accurately predicted using pretreatment clinical parameters. METHODS: We did logistic regression analysis of pretreatment variables in a discovery cohort of patients in the UK with primary biliary cholangitis to derive the best-fitting model of UDCA response, defined as alkaline phosphatase less than 1·67 times the upper limit of normal (ULN), measured after 12 months of treatment with UDCA. We validated the model in an external cohort of patients with primary biliary cholangitis and treated with UDCA in Italy. Additionally, we assessed correlations between model predictions and key histological features, such as biliary injury and fibrosis, on liver biopsy samples. FINDINGS: 2703 participants diagnosed with primary biliary cholangitis between Jan 1, 1998, and May 31, 2015, were included in the UK-PBC cohort for derivation of the model. The following pretreatment parameters were associated with lower probability of UDCA response: higher alkaline phosphatase concentration (p<0·0001), higher total bilirubin concentration (p=0·0003), lower aminotransferase concentration (p=0·0012), younger age (p<0·0001), longer interval from diagnosis to the start of UDCA treatment (treatment time lag, p<0·0001), and worsening of alkaline phosphatase concentration from diagnosis (p<0·0001). Based on these variables, we derived a predictive score of UDCA response. In the external validation cohort, 460 patients diagnosed with primary biliary cholangitis were treated with UDCA, with follow-up data until May 31, 2016. In this validation cohort, the area under the receiver operating characteristic curve for the score was 0·83 (95% CI 0·79-0·87). In 20 liver biopsy samples from patients with primary biliary cholangitis, the UDCA response score was associated with ductular reaction (r=-0·556, p=0·0130) and intermediate hepatocytes (probability of response was 0·90 if intermediate hepatocytes were absent vs 0·51 if present). INTERPRETATION: We have derived and externally validated a model based on pretreatment variables that accurately predicts UDCA response. Association with histological features provides face validity. This model provides a basis to explore alternative approaches to treatment stratification in patients with primary biliary cholangitis. FUNDING: UK Medical Research Council and University of Milan-Bicocca

    Pretreatment prediction of response to ursodeoxycholic acid in primary biliary cholangitis: development and validation of the UDCA Response Score

    No full text
    Background: Treatment guidelines recommend a stepwise approach to primary biliary cholangitis: all patients begin treatment with ursodeoxycholic acid (UDCA) monotherapy and those with an inadequate biochemical response after 12 months are subsequently considered for second-line therapies. However, as a result, patients at the highest risk can wait the longest for effective treatment. We determined whether UDCA response can be accurately predicted using pretreatment clinical parameters. Methods: We did logistic regression analysis of pretreatment variables in a discovery cohort of patients in the UK with primary biliary cholangitis to derive the best-fitting model of UDCA response, defined as alkaline phosphatase less than 1·67 times the upper limit of normal (ULN), measured after 12 months of treatment with UDCA. We validated the model in an external cohort of patients with primary biliary cholangitis and treated with UDCA in Italy. Additionally, we assessed correlations between model predictions and key histological features, such as biliary injury and fibrosis, on liver biopsy samples. Findings: 2703 participants diagnosed with primary biliary cholangitis between Jan 1, 1998, and May 31, 2015, were included in the UK-PBC cohort for derivation of the model. The following pretreatment parameters were associated with lower probability of UDCA response: higher alkaline phosphatase concentration (p<0·0001), higher total bilirubin concentration (p=0·0003), lower aminotransferase concentration (p=0·0012), younger age (p<0·0001), longer interval from diagnosis to the start of UDCA treatment (treatment time lag, p<0·0001), and worsening of alkaline phosphatase concentration from diagnosis (p<0·0001). Based on these variables, we derived a predictive score of UDCA response. In the external validation cohort, 460 patients diagnosed with primary biliary cholangitis were treated with UDCA, with follow-up data until May 31, 2016. In this validation cohort, the area under the receiver operating characteristic curve for the score was 0·83 (95% CI 0·79–0·87). In 20 liver biopsy samples from patients with primary biliary cholangitis, the UDCA response score was associated with ductular reaction (r=–0·556, p=0·0130) and intermediate hepatocytes (probability of response was 0·90 if intermediate hepatocytes were absent vs 0·51 if present). Interpretation: We have derived and externally validated a model based on pretreatment variables that accurately predicts UDCA response. Association with histological features provides face validity. This model provides a basis to explore alternative approaches to treatment stratification in patients with primary biliary cholangitis. Funding: UK Medical Research Council and University of Milan-Bicocca

    X Chromosome Contribution to the Genetic Architecture of Primary Biliary Cholangitis

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    BACKGROUND &amp; AIMS: Genome-wide association studies in primary biliary cholangitis (PBC) have failed to find X chromosome (chrX) variants associated with the disease. Here, we specifically explore the chrX contribution to PBC, a sexually dimorphic complex autoimmune disease.METHODS: We performed a chrX-wide association study, including genotype data from 5 genome-wide association studies (from Italy, United Kingdom, Canada, China, and Japan; 5244 case patients and 11,875 control individuals).RESULTS: Single-marker association analyses found approximately 100 loci displaying P &lt; 5* 10-4, with the most significant being a signal within the OTUD5 gene (rs3027490; P= 4.80* 10-6; odds ratio [OR], 1.39; 95% confidence interval [CI], 1.028-1.88; Japanese cohort). Although the transethnic meta-analysis evidenced only a suggestive signal (rs2239452, mapping within the PIM2 gene; OR, 1.17; 95% CI, 1.09-1.26; P= 9.93* 10-8), the population-specific meta-analysis showed a genome-wide significant locus in East Asian individuals pointing to the same region (rs7059064, mapping within the GRIPAP1 gene; P= 6.2* 10-9; OR, 1.33; 95% CI, 1.21-1.46). Indeed, rs7059064 tags a unique linkage disequilibrium block including 7 genes: TIMM17B, PQBP1, PIM2, SLC35A2, OTUD5, KCND1, and GRIPAP1, as well as a superenhancer (GH0XJ048933 within OTUD5) targeting all these genes. GH0XJ048933 is also predicted to target FOXP3, the main T-regulatory cell lineage specification factor. Consistently, OTUD5 and FOXP3 RNA levels were up-regulated in PBCcase patients (1.75- and 1.64-fold, respectively).CONCLUSIONS: This work represents the first comprehensive study, to our knowledge, of the chrX contribution to the genetics of an autoimmune liver disease and shows a novel PBC-related genome-wide significant locus
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