TEENAGE MOTHERING: CHILD DEVELOPMENT AT FIVE YEARS

Developmental outcome at 5 yr was compared in 1031 singleton children of teenage mothers and 10,950 singleton children of older mothers in a national longitudinal study. Children born to teenage mothers and living with them through the first 5 yr performed less well than other children in tests of vocabulary and behaviour at 5 yr of age; they were also shorter on average and had a smaller head circumference. These differences remained significant after allowing for certain social and biological factors, whereas a difference on visuomotor coordination did not. Teenage mothering thus appears somewhat disadvantageous to children's development.     

Metabolism of 4-fluoroaniline and 4-fluorobiphenyl in the earthworm Eisenia veneta characterized by high-resolution NMR spectroscopy with directly coupled HPLC-NMR and HPLC-MS

1. Little is known about metabolism of xenobiotics by earthworms, despite their importance in soil ecotoxicity testing. Normal earthworms and earthworms treated with antibiotics to ensure inhibition of gut microflora were exposed to two model xenobiotic compounds, 4-fluoroaniline and 4-fluorobiphenyl, to determine which metabolites were produced, and whether the pattern of metabolism was affected by the presence of microbial transformation ability. 2. (19)F-NMR spectroscopy detected the number and relative proportions of metabolites and directly coupled HPLC-(1)H-NMR spectroscopy and HPLC-MS then identified the metabolites. 3. Despite uptake, no metabolism of 4-fluorobiphenyl was observed at any stage, which appears to be a consequence of the lack of oxidative Phase I metabolic activity of the earthworms towards this substrate. In contrast, 4-fluoroaniline exhibited dose-dependent metabolism. At high doses (leading to mortality within 24 h) one predominant metabolite was observed, which was identified as the N-beta-glucoside conjugate. At lower dose levels, the predominant metabolite was the gamma-glutamyl conjugate, although the glucoside and another as yet unidentified metabolite were also detected. 4. The inhibition of gut microflora did not have any influence on metabolism. The study represents the first evidence for glucoside and glutamyl conjugation as a pathway for xenobiotic metabolism in earthworms.     

19F-NMR and directly coupled 19F/1H-HPLC-NMR spectroscopic investigations of the metabolism of the model ecotoxin 3-trifluoromethylaniline in the earthworm species Eisenia veneta

1. The metabolic fate of the model ecotoxin 3-trifluoromethylaniline (3-TFMA) in earthworm was studied by (19)F- and directly coupled (19)F/(1)H-HPLC-NMR spectroscopy. Earthworms of Eisenia veneta spp. were subjected to the ecotoxin during a filter papercontact toxicity test at exposure levels of 1000, 100, 10, 1 and 0.1 micro g cm(-2). A metabolic profile was obtained previously by (19)F-NMR spectroscopy and metabolites were observed at all the exposure levels. 2. Identification of metabolites in individual worm extracts at the (lethal) exposure levels of 1000 and 100 micro g cm(-2) could be achieved on-line without sample preparation by (19)F/(1)H-HPLC-NMR spectroscopy. (19)F-HPLC-NMR spectroscopy was used in the continuous-flow mode, which enabled the HPLC chromatographic retention times (t(R)) of the metabolites to be established in a single analytical step. 3. In total, three (19)F-NMR signals could be detected, of which one was identified as the parent compound. Two earlier eluting metabolites were identified to be alpha- and beta-glucoside conjugates of 3-TFMA. 4. Metabolites at the lower (sublethal) exposure levels of 10, 1 and 0.1 micro g cm(-2) escaped identification by (19)F/(1)H-HPLC-NMR spectroscopy as outlined here and will require concentration prior to analysis.     

Further statistics in dentistry Part 8: Systematic reviews and meta-analyses

A systematic review of research evidence is an efficient approach to integrating existing information, invariably a multiplicity of published articles, with a view to establishing whether the scientific findings are consistent. If so, it may be possible to draw conclusions and make recommendations about treatment regimens or observed effects which have greater credence than those obtained from individual studies. The systematic review relies on a specified checklist which determines which articles should be included in the review, and how each should be critically appraised to provide relevant information relating to the focus of the review.     

Further statistics in dentistry. Part 9: Bayesian statistics

Statistics can be defined as the methods used to assimilate data, so that guidance can be given, and conclusions drawn, in situations which involve uncertainty. In particular, statistical inference is concerned with drawing conclusions about particular aspects of a population when that population cannot be studied in full. Uncertainty arises here because the totality of the information is not available. Instead, to make inferences about the population, it is necessary to rely on a sample of data which is selected from the population; this sample data may be augmented, in certain circumstances, by auxiliary information which is obtained independently of the sample data. Clearly, uncertainty lies at the heart of statistics and statistical inference. This uncertainty is measured by a probability which therefore forms the crux of statistics and must be properly understood in order to interpret a statistical analysis.     

A prospective study of the value of conventional CT, dynamic CT, ultrasonography and arteriography for staging renal carcinoma

The value of dynamic CT scanning for staging renal carcinoma was studied prospectively in 28 patients and the results compared with those of ultrasonography, arteriography and conventional CT. Arteriography correctly staged 48% of tumours; ultrasonography and conventional CT correctly staged 50% and dynamic CT correctly staged 72%. Dynamic CT staged renal carcinoma more accurately than ultrasonography, conventional CT or arteriography and it is suggested that arteriography should be restricted to specific indications such as the mapping of arterial anatomy and therapeutic renal artery embolisation.