Gender and ethnicity differences in the prevalence of traumatic events: evidence from a New Zealand community sample

One thousand five hundred community residing New Zealand adults were assessed regarding their experience of traumatic events. Sixty‐one per cent of those surveyed reported exposure to a traumatic event during their lifetime. Unexpected death of a close friend or relative was the most prevalent traumatic experience for the present sample, whereas combat and natural disasters were the least prevalent traumatic events. Consistent with prior research demonstrating gender differences in exposure to traumatic events, child and adult sexual assault was more common among women, and motor vehicle accidents and combat were more common among men. The present study also found that Maori individuals (indigenous people) had experienced a number of traumatic events to a greater extent than their European counterparts. These results are discussed within the New Zealand social context. Copyright © 2004 John Wiley & Sons, Ltd.     

Contextual issues for vocational placement coordinators: some preliminary findings.

While vocational placement is seen as an important component of the rehabilitation process, the experience of being a vocational placement officer has not been well documented in New Zealand. In the present study, previously developed and validated measures of occupational stress (defined as responsibility pressure, quality concern, role conflict, and job vs non-job conflict) and general life satisfaction were completed by 16 vocational placement officers employed by the Accident Compensation Corporation. Subjects also completed two open-ended questions assessing significant stresses in their work and strategies whereby stress could be reduced. There were high negative correlations between job stress and life satisfaction, and subjects reported particularly high levels of role conflict in their work. Open-ended stresses identified by subjects included: time pressure/workload problems; difficulties with negative societal and employer attitudes to disability; problems with clients, and; personal motivation problems. Most strategies for stress reduction that were identified were concerned with creating more effective communication and decision making processes in the organizational environment. Problems and limitations of the present study are addressed and future research directions are identified.     

Fulminant necrotising enterocolitis immediately following change to low birth weight formula feeds.

INTRODUCTION: The aim of this study was to investigate how low birth weight formula (LBWF) feeds may be implicated in the pathogenesis of a particularly fulminant form of necrotising enterocolitis (NEC). MATERIALS AND METHODS: A retrospective case note review was undertaken of cases of fulminant NEC between 1997 and 2003 with particular regard to the feeding history. RESULTS: Nine preterm infants were stable and already tolerating full enteral feeds for a median of seven days prior to developing fulminant NEC within a median of 24 hours following the introduction of LBWF. CONCLUSIONS: Although fortification of feeds undoubtedly benefits many premature neonates, there may be a tendency for LBWF feeds to preempt the development of fulminant NEC. This possible temporal association between LBWF and fulminant NEC requires further investigation.     

Effects of very early monocular and binocular enucleation on primary visual centers in the tammar wallaby (Macropus eugenii)

The role of retinal afferents and their binocular interactions in the development of mammalian primary visual centers has been studied in the marsupial wallaby. Monocular and binocular enucleation was performed prior to any retinal innervation of the visual centers. After monocular enucleation retinal projections were traced by horseradish peroxidase histochemistry and compared with those in normal animals and those during development. The topography of retinal projections to the superior colliculus and the dorsal lateral geniculate nucleus after monocular enucleation was determined by making retinal lesions and tracing the remaining projections with horseradish peroxidase. The position and nature of the filling defects in terminal label were compared with controls with similarly placed lesions. The superior colliculus and dorsal lateral geniculate nucleus ipsilateral to the remaining eye were shrunken. Projections to the ipsilateral superior colliculus, ipsilateral accessory optic nuclei, and ipsilateral suprachiasmatic nucleus, although enlarged, never approached the density contralaterally, as was also the case during normal development. The expanded projection in the ipsilateral superior colliculus came primarily from temporal and ventral retina. In the dorsal lateral geniculate nucleus, terminal bands and cellular laminae, although not identical to normal, did develop. During normal development overlap of afferents from the two eyes occurs in the binocular region. The decrease in volume of the nucleus ipsilateral to the remaining eye after monocular enucleation suggests that the monocular region disappears in the absence of appropriate input and the binocular region survives. Contralaterally there was no decrease in volume, compatible with this idea. The topography of retinal projections supports this interpretation. It was normal contralaterally while ipsilaterally it was appropriate for the normal binocular region. There was an expansion of the projection along the lines of projection in what would normally be binocular regions of the nucleus, where retinal afferents failed to segregate in the absence of binocular competition. After binocular enucleation the alpha and beta segments of the dorsal lateral geniculate nucleus were still recognizable but cell-sparse zones were absent, as was the characteristic orientation of primary dendrites of geniculocortical cells. There are rigid developmental constraints operating on the innervation of territory by retinal afferents from the two eyes, and many features of the mature pattern arise without binocular interactions during development.     

The number of receptors for factor VII correlates with the ability of cultured cells to initiate coagulation

Previously, we showed that cells derived from nonvascular tissues initiate clotting primarily by markedly increasing the activity of coagulation factor VII. Cells derived from vascular tissue do not normally exhibit this property (tissue factor activity). In this study, we have characterized the relationship between the tissue factor activity of cultured cells derived from normal tissues and the number of receptors they possess for coagulation factor VII. Only cultured nonvascular cells expressed tissue factor activity or possessed receptors for 125I-factor VII. Fetal lung cells, the nonvascular tissue with the largest amount of procoagulant and tissue factor activity, possessed the most receptors for 125I-factor VII (880,000/cell). Bovine corneal endothelial cells, the nonvascular tissue possessing the fewest number of receptors (2,400/cell), had the least amount of procoagulant or tissue factor activity. The affinity of nonvascular cells for 125I- factor VII varied for the cells studied (Kd congruent to 1.3-90 X 10(- 10) M). Vascular cells expressed no tissue factor activity, nor did they bind 125I-factor VII. 125I-factor VII and unlabeled factor VII bound to cells had identical procoagulant activities. These results indicate that the ability of cultured cells to initiate coagulation may be regulated in part by the number of receptors they possess for factor VII.