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  • 1
    Electronic Resource
    Electronic Resource
    Type 2 (non-insulin-dependent) diabetes mellitus, hypertension and hyperlipidaemia (syndrome X): relation to reduced fetal growth (1993)
    Springer
    Diabetologia 36 (1993), S. 62-67 
    Details
    ISSN: 1432-0428
    Keywords: Type 2 (non-insulin-dependent) diabetes mellitus ; hypertension ; hyperlipidaemia ; syndrome X ; reduced fetal growth
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Two follow-up studies were carried out to determine whether lower birthweight is related to the occurrence of syndrome X — Type 2 (non-insulin-dependent) diabetes mellitus, hypertension and hyperlipidaemia. The first study included 407 men born in Hertfordshire, England between 1920 and 1930 whose weights at birth and at 1 year of age had been recorded by health visitors. The second study included 266 men and women born in Preston, UK, between 1935 and 1943 whose size at birth had been measured in detail. The prevalence of syndrome X fell progressively in both men and women, from those who had the lowest to those who had the highest birthweights. Of 64-year-old men whose birthweights were 2.95 kg (6.5 pounds) or less, 22% had syndrome X. Their risk of developing syndrome X was more than 10 times greater than that of men whose birthweights were more than 4.31 kg (9.5 pounds). The association between syndrome X and low birthweight was independent of duration of gestation and of possible confounding variables including cigarette smoking, alcohol consumption and social class currently or at birth. In addition to low birthweight, subjects with syndrome X had small head circumference and low ponderal index at birth, and low weight and below-average dental eruption at 1 year of age. It is concluded that Type 2 diabetes and hypertension have a common origin in sub-optimal development in utero, and that syndrome X should perhaps be re-named “the small-baby syndrome”.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00399095
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  • 2
    Electronic Resource
    Electronic Resource
    Fetal growth and impaired glucose tolerance in men and women (1993)
    Springer
    Diabetologia 36 (1993), S. 225-228 
    Details
    ISSN: 1432-0428
    Keywords: Impaired glucose tolerance ; non-insulin-dependent diabetes mellitus ; fetal growth ; ponderal index at birth ; placental weight to birthweight ratio
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A follow-up study was carried out to determine whether reduced fetal growth is associated with the development of impaired glucose tolerance in men and women aged 50 years. Standard oral glucose tolerance tests were carried out on 140 men and 126 women born in Preston (Lancashire, UK) between 1935 and 1943, whose size at birth had been measured in detail. Those subjects found to have impaired glucose tolerance or non-insulin-dependent diabetes mellitus had lower birthweight, a smaller head circumference and were thinner at birth. They also had a higher ratio of placental weight to birthweight. The prevalence of impaired glucose tolerance or diabetes fell from 27% in subjects who weighed 2.50 kg (5.5 pounds) or less at birth to 6% in those who weighed more than 3.41 kg (7.5 pounds) (p 〈 0.002 after adjusting for body mass index). Plasma glucose concentrations taken at 2-h in the glucose tolerance test fell progressively as birthweight increased (p 〈 0.004), as did 2-h plasma insulin concentrations (p 〈 0.001). The trends with birthweight were independent of duration of gestation and must therefore be related to reduced rates of fetal growth. These findings confirm the association between impaired glucose tolerance in adult life and low birthweight previously reported in Hertfordshire (UK), and demonstrate it in women as well as men. It is suggested that the association reflects the long-term effects of reduced growth of the endocrine pancreas and other tissues in utero. This may be a consequence of maternal undernutrition.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00399954
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  • 3
    Electronic Resource
    Electronic Resource
    Thinness at birth and insulin resistance in adult life (1994)
    Springer
    Diabetologia 37 (1994), S. 150-154 
    Details
    ISSN: 1432-0428
    Keywords: Key words Type 2 (non-insulin-dependent) diabetes mellitus, insulin resistance, fetal growth, metabolic programming.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Type 2 (non-insulin-dependent) diabetes mellitus may originate through impaired development in fetal life. Both insulin deficiency and resistance to the action of insulin are thought to be important in its pathogenesis. Although there is evidence that impaired fetal development may result in insulin deficiency, it is not known whether insulin resistance could also be a consequence of reduced early growth. Insulin resistance was therefore measured in 81 normoglycaemic subjects, and 22 subjects with impaired glucose tolerance, who were born in Preston, UK, between 1935 and 1943. Their birth measurements had been recorded in detail. Insulin resistance was measured by the insulin tolerance test which uses the rate of fall in blood glucose concentrations after intravenous injection of insulin as an index of insulin resistance. Men and women who were thin at birth, as measured by a low ponderal index, were more insulin resistant. The association was statistically significant (p =0.01) and independent of duration of gestation, adult body mass index and waist to hip ratio and of confounding variables including social class at birth or currently. Thinness at birth and in adult life has opposing effects such that resistance fell with increasing ponderal index at birth but rose with increasing adult body mass index. It is concluded that insulin resistance is associated with impaired development in fetal life. [Diabetologia (1994) 37: 150–154]
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001250050086
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  • 4
    Electronic Resource
    Electronic Resource
    Response from the authors (1993)
    Springer
    Diabetologia 36 (1993), S. 974-974 
    Details
    ISSN: 1432-0428
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02374485
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  • 5
    Electronic Resource
    Electronic Resource
    Maternal nutritional status in pregnancy and blood pressure in childhood (1994)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 101 (1994), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Objective To examine the relation between indices of maternal nutrition during pregnancy, including haemoglobin concentration, skinfold thickness and body weight, and the child's blood pressure at 10 to 12 years of age.Design Follow up study of children whose mothers had haemoglobin estimations, weights and skinfold thicknesses recorded during pregnancy.Setting Kingston, Jamaica.Subjects Seventy-seven children whose mothers took part in a prospective study of nutrition during pregnancy in relation to fetal growth.Main outcome measure Blood pressure at 10 to 12 years of age.Results The child's mean systolic pressure adjusted for current weight rose by 2.6 mmHg (95 % CI 0.5–4.6, P= 0.01) for each 1 g/dl fall in the mother's lowest haemoglobin during pregnancy. Mothers with a lower haemoglobin had thinner skinfold thicknesses, especially over the triceps (P= 0.005). In multiple regression analyses, taking account of the child's sex and current weight, there was a strong association between thin maternal triceps skinfold thickness at 15 weeks of gestation and raised blood pressure in the offspring. Taking account of the mother's triceps skinfold thickness abolished the relation between lower haemoglobin and raised blood pressure in the child. Lower weight gain between 15 and 35 weeks of gestation was independently associated with raised children's blood pressure. Systolic pressure rose by 10.7 mmHg (95 % CI 5.7 to 15.6, P= 0.0001) for each log mm decrease in the mother's triceps skinfold thickness, and by 0.6 mmHg (95% CI 0.1 to 1.0, P= 0.02) for each 1 kg decrease in the mother's weight gain during pregnancy.Conclusions These results parallel animal experiments suggesting that impaired maternal nutrition may underlie the programming of adult hypertension during fetal life.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.1994.tb11911.x
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  • 6
    Electronic Resource
    Electronic Resource
    Disproportionate fetal growth and raised IgE concentration in adult life (1994)
    Oxford, UK : Blackwell Publishing Ltd
    Clinical & experimental allergy 24 (1994), S. 0 
    Details
    ISSN: 1365-2222
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Summary. A follow-up study was carried out to determine whether either impaired or disproportionate fetal growth are associated with a raised total serum IgE concentration in men and women aged 50 years. The serum IgE concentration was measured in 146 men and 134 women born in Preston (Lancashire, UK) between 1935 and 1943, whose size at birth had been measured in detail.Sixty-two subjects were found to have an IgE concentration above 80 IU/ml. Compared with subjects with a normal IgE on average they had a 0.30 inch larger head circumference at birth (P -0.004) and weighed 5.6 ounces more at birth (P= 0.04). People with a raised and with a normal IgE were of similar crown-heel length at birth, indicating that in utero those with a raised IgE had had disproportionate growth of the head in relation to the trunk and limbs. The prevalence of a raised IgE rose from 14% in subjects whose head circumference at birth was 13 inches or less to 37% in those whose head circumference was more than 14 inches. This association was independent of gestational age at birth and of the mother's pelvic size and parity. It was also independent of adult physique, social class and smoking, and was similar in men and women. In multiple logistic regression analyses odds ratios of a raised IgE rose progressively to more than 4 as head circumference at birth increased from 13 inches or less to more than 14 inches.One possibility is that these associations reflect the long-term effects of sustaining fetal brain growth at the expense of the trunk, in particular the thymus. This may be a consequence of fetal under-nutrition in late gestation.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1365-2222.1994.tb00968.x
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  • 7
    Electronic Resource
    Electronic Resource
    Anomalies in sculpins (Myoxocephalus spp.) sampled near a pulp and paper mill (1994)
    Springer
    Archives of environmental contamination and toxicology 26 (1994), S. 491-496 
    Details
    ISSN: 1432-0703
    Source: Springer Online Journal Archives 1860-2000
    Topics: Energy, Environment Protection, Nuclear Power Engineering , Medicine
    Notes: Abstract This study investigated anomalies in two species of benthic sculpins (Myoxocephalus octodecemspinosus and M. scorpius) inhabiting a marine inlet in Newfoundland, Canada, where effluent from a pulp and paper mill is discharged and from two reference sites. Condition factor of both species of sculpins from the polluted and a reference site was similar. Some differences in parasite fauna were observed. Tissues from reference fish, obtained from two uncontaminated sites for comparison, were normal. Impaired vision, fin and tail necrosis, hyperplasia of the gill epithelium, depletion of energy reserves in the liver, and multifocal hemosiderosis in the spleen were observed primarily in M. octodecemspinosus captured near the paper mill. These stress-associated lesions, probably caused by undetermined xenobiotics, appear to be associated with the sediment.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00214152
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  • 8
    Electronic Resource
    Electronic Resource
    Histopathology in winter flounder (Pleuronectes americanus) living adjacent to a pulp and paper mill (1994)
    Springer
    Archives of environmental contamination and toxicology 26 (1994), S. 95-102 
    Details
    ISSN: 1432-0703
    Source: Springer Online Journal Archives 1860-2000
    Topics: Energy, Environment Protection, Nuclear Power Engineering , Medicine
    Notes: Abstract Winter flounder were captured by scuba divers from an area adjacent to a sulfite pulp and paper mill and from a reference site and the tissues examined for lesions. Severe hyperplasia of the gills, focal vacuolation in the liver, and multifocal hemosiderosis in the spleen and liver were most pronounced in large, adult fish collected near the mill. Lesions were less severe and prevalent in smaller fish. Vacuolation in the liver represents a preneoplastic lesion. The histopathological changes appear to be the result of chronic exposure. Few or no lesions were observed in the tissues of flounder taken from the reference site. Although the specific cause of these lesions is unknown, it is likely associated with cytotoxic compounds.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00212799
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  • 9
    Electronic Resource
    Electronic Resource
    Failure and design limit criteria for blast loaded structures (1993)
    New York, NY [u.a.] : Wiley-Blackwell
    Process Safety Progress 12 (1993), S. 216-221 
    Details
    ISSN: 1066-8527
    Keywords: Chemistry ; Chemical Engineering
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology , Process Engineering, Biotechnology, Nutrition Technology
    Notes: The majority of buildings located at petrochemical plants, exclusive of control rooms, are of conventional construction and do not explicitly provide for resistance to blast loads. Typical construction types include steel frame with metal cladding, concrete masonry unit, and brick clad with concrete or steel frame. These buildings are designed for conventional loads without regard for high overpressures and fragments resulting from an accidental explosion. Current regulatory trends are causing many companies to evaluate design standards for new and existing support structures especially in the wake of recent accidental explosions. Response criteria is an important part of these design standards especially when they are used to analyze existing structures for blast protection. Structural evaluations at several sites have revealed that few existing structures meet current design criteria primarily due to weak member connections. Previous work has shown that many conventional structures can develop a surprising degree of resistance to blast loading if proper detailing is used in design, thus allowing members to develop their full capacity. This paper discusses response criteria currently used for new structures and examines the problem of determining acceptance criteria for existing structures. Data from explosion accidents and test programs is reviewed to determine the degree of conservatism in current criteria. Finally, alternatives for establishing blast capacity of existing structures are discussed.
    Additional Material: 2 Ill.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1002/prs.680120407
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