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Biomedical subjects

C Hayward

Publications and source records attributed to C Hayward.

At least 73 records · Page 4Linked to original sources
PubMed1995

Aspects of the ecology of metazoan ectoparasites of marine fishes.

Numerous (3947) individuals of 102 marine fish species from Papua New Guinea, New Zealand, the North Sea, Antarctica, the deepsea and coast of southeastern Australia, Pacific Canada, Brazil, Argentina and the Great Barrier Reef were examined for metazoan ectoparasites. Of the 102 fish species, 86 harboured at least 1 parasite species, and only in Antarctica and the deepsea were large proportions of fish species found to be free of ectoparasites. The mean prevalence of infection was 30.1%, the average of abundances was 6.7 parasites per fish, due to very heavy intensities of some parasite species (mean median abundance 4.31). Most parasite species exhibited a clustered distribution in the host populations, as measured by variance to mean ratios, i.e. some fish were more, and others less, heavily infected than if infection were random. Core and satellite species cannot be distinguished unambiguously, because numbers of parasites on almost all hosts are too small for any bimodality to become apparent. On average, the most dominant species represented 90% of all parasite individuals of a particular fish; different parasite species were often dominant on different fish individuals of a particular host species. Both abundances and maximum intensities of infection were positively correlated with prevalence of infection. Community richness varies greatly at and between localities, with the lowest richness found in Antarctic and deepsea fish and the highest richness in tropical fish. Species richness, abundance and prevalence of infection in many fish groups (with different ecological characteristics) are strongly correlated with temperature. If fish from all localities were pooled, pelagic fish had fewer intensities and (jointly with benthopelagic fishes) fewer species than benthic fish, and planktivorous fish had lower abundances and prevalences of infection than predatory and omnivorous fish. Prevalences of infection, abundance and parasite species richness were significantly correlated with host length. Fifteen positive and 1 negative associations among species were found. This and the generally low prevalences and abundances of infection indicate that competitive interactions are probably scarce. Overall, the findings indicate that most (if not all) metazoan ectoparasite communities of marine fish live in non-saturated, little-ordered assemblages.

Animals↗
PubMed1995

Psychiatric illness and cardiovascular disease risk.

Studies evaluating the risk of cardiovascular disease in the psychiatrically ill yield mixed results. Phobic anxiety in men is associated with an increased risk for cardiovascular disease, particularly sudden coronary death. This finding is in need of replication in women, and hypotheses regarding the potential mechanisms for this association warrant pilot testing. Other than this finding, there is only weak evidence supporting an association between psychiatric illness and risk for cardiovascular disease. This is surprising in light of the strong evidence that psychiatric illness in general is associated with elevated rates of cigarette smoking. In addition, there may also be higher rates of hypertension, hypercholesterolemia, and physical inactivity in some psychiatric disorders. Why the high rates of cigarette smoking and possibly other cardiovascular disease risk factors have not translated into consistently detectable elevated cardiovascular disease risk in individuals with psychiatric diagnoses is not apparent. Weaknesses in study designs and variations in assessment methods may partially explain the inconsistent results. Future studies of cardiovascular disease in the psychiatrically ill should be prospective, use nonclinical samples of men and women, have clear diagnostic criteria, determine order of onset of the two disorders if they coexist, and control for variability in known cardiovascular disease risk factors.

Cardiovascular Diseases↗
PubMed1994

Timing and rate of sexual maturation and the onset of cigarette and alcohol use among teenage girls.

OBJECTIVE: To test the hypothesis that the patterns of pubertal progression, early vs late puberty and fast vs slow, are associated with the age at which girls start to drink alcohol and smoke cigarettes. DESIGN: The study included 1463 female students, 10.7 to 18.2 years of age, who were assessed five times during the 2.7-year study. Data regarding pubertal stage, alcohol use, and cigarette use were obtained at each assessment. These data were used to calculate two indexes of pubertal development, the age at which the midpoint of puberty was achieved and the rate of progression through puberty, and the ages when each subject first drank, first drank moderate amounts of alcohol, and first smoked. RESULTS: Girls with earlier puberty (midpoint < 12.2 years) first reported drinking any alcohol at a median age of 12.5 years, 0.7 years younger than girls whose puberty was later. Similarly, girls with earlier puberty reported drinking moderate amounts of alcohol at a median age of 13.7 years, 0.9 years younger than girls with later puberty. Girls with earlier puberty further reported first smoking cigarettes at a median age of 12.8 years, 0.6 years younger than girls with later puberty. The rate of pubertal progression was significantly associated only with the age when girls first drank moderate amounts of alcohol. CONCLUSION: Earlier puberty is associated with a younger age of onset for both drinking and smoking among adolescent girls.

Adolescent↗
PubMed1994

Pursuit of thinness and onset of eating disorder symptoms in a community sample of adolescent girls: a three-year prospective analysis.

Community-based prospective studies are needed to shed light on mechanisms that may influence development of eating disorders and identify variables that could serve as potential targets for prevention efforts. In this paper we examine level of weight preoccupation and other variables prospectively associated with age of onset of eating disorder symptoms over a 3-year interval in a community sample (N = 939) of young adolescent girls. 3.6% (32/887) experienced onset of symptoms over the interval. Only one factor, a measure of Weight Concerns, was significantly associated with onset (p < .001). Girls scoring in the highest quartile on the measure of Weight Concerns had the shortest survival time (12% incidence by age 14.5) and those scoring in the lowest quartile had the highest survival time (2% incidence by age 14.5; p < .001). This finding is consistent with both theoretical and clinical perspectives and represents one of the first prospective demonstrations of a linkage between weight and body shape concerns and later onset of eating disorder symptoms. An understanding of the independent variables that predispose girls to development of symptoms is a useful step towards the establishment of a rational basis for the choice of a prevention intervention target.

Adolescent↗
PubMed1994

Factors associated with eating disorder symptoms in a community sample of 6th and 7th grade girls.

Nine hundred thirty-nine 6th and 7th grade girls participated in the baseline phase of a prospective study designed to examine a set of potential risk factors for the development of eating disorders. Of the 939,839 girls (89%) completed the bulimia nervosa section of the Structured Clinical Interview for DSM-III-R disorders. One girl received the diagnosis of bulimia nervosa, another 35 were classified as a symptomatic group. Using analysis of covariance (ANCOVA), controlling for age and stage of sexual maturation, symptomatic and asymptomatic groups were compared on the following measures: Eating Disorders Inventory (EDI), BMI, triceps skinfold thickness, waist-to-hip ratio, depression symptoms (CES-D and DSRS), Restraint Scale, and a measure of family adaptability and cohesion (FACES). Symptomatic girls were more developmentally mature, significantly heavier, reported greater fear of weight gain, experienced greater dysphoria, indicated increased body dissatisfaction, and reported greater feelings of inadequacy and personal worthlessness. Their status on these dimensions may indicate potential vulnerability to eating disorders and, ultimately, suggest the choice of targets for intervention. Our future goal is to conduct the prospective analyses needed to confirm the hypothesized linkages.

Adolescent↗
PubMed1994

A novel mutation in the fibrillin gene (FBN1) in familial arachnodactyly.

Mutations of the fibrillin gene (FBN1) are known to cause classical Marfan's syndrome, ectopia lentis and neonatal Marfan's syndrome. We have identified a novel missense mutation in exon 28 of the FBN1 gene (R1170H) which is responsible for an atypical marfanoid phenotype characterised by dolichostenomelia and arachnodactyly.

Adult↗
PubMed1994

A tropical assemblage of ectoparasites: gill and head parasites of Lethrinus miniatus (Teleostei, Lethrinidae).

Aspects of the community ecology of metazoan ectoparasites of Lethrinus miniatus (Teleostei. Lethrinidae) from 3 localities on the Great Barrier Reef were examined. Twelve species of Monogenea, 6 of Copepoda, 2 species of adult and several larval Isopoda and 1 leech were found. Total parasite numbers reach 3500 per host, and prevalence of infection with a particular parasite species reached 100% in some species. Numbers of parasite species per fish varied from 5 to 11. Four parasite species were most dominant on different fish if intensities of infection were used to calculate dominance, one species representing about 80% of all parasite individuals on a particular fish at 2 localities and about 50% at the third locality. Ten parasite species were most dominant on different fish, if volume (biomass) was used for calculating dominance, one species representing about 55% at one and 80% of total parasite volume at 2 localities. Parasites included at least 12 congeneric species of 4 or more genera, and those (of 2 genera) occurring on the gills showed much overlap in their distribution. Congeneric Monogenea of the families Dactylogyridae and Diplectanidae occurring in the same sites differ markedly in the size and structure of their copulatory sclerites. Positive associations between species were much more common than negative ones. The bony parts of the gills (gill arches) were never found to be infected, indicating the availability of empty niches.

Animals↗
PubMed1994

Planning for the hospital of the future.

The trade-offs between quality of care, operational efficiency, convenient patient access, physician productivity, and initial capital costs should be considered in evaluating functional relationships, dedicated versus shared facilities, and the creation of decentralized, satellite services. With rapidly changing technology, new payment initiatives, and uncertainties about various healthcare reform measures, planning for the healthcare campus of the future should involve an integrated process of clinical program planning, operations planning, and facility planning to ensure that new or renovated facilities are both flexible and promote operational efficiency well into the twenty-first century.

Health Care Reform↗
PubMed1993

An attempt to modify unhealthful eating attitudes and weight regulation practices of young adolescent girls.

This is the first long-term, controlled study evaluating the effectiveness of a prevention curriculum designed to modify the eating attitudes and unhealthful weight regulation practices of young adolescent girls. Nine hundred sixty-seven sixth and seventh-grade girls were randomized to experimental healthy weight regulation curriculum or no-treatment control classes. A prevention intervention was developed around three principal components: (1) Instruction on the harmful effects of unhealthful weight regulation; (2) promotion of healthful weight regulation through the practice of sound nutrition and dietary principles and regular aerobic physical activity; (3) development of coping skills for resisting the diverse sociocultural influences that appear linked to the current popular obsessions with thinness and dieting. The intervention failed to achieve the hoped-for impact. We did observe a significant increase in knowledge among girls receiving the intervention and among high-risk students only, there was a small albeit statistically significant effect on body mass index. These findings question the wisdom of providing a curriculum directed at all young adolescents, most of whom are not at risk to develop an eating disorder. Rather than targeting the entire population, a healthy weight curriculum designed to modify the eating attitudes and unhealthful weight regulation practices of young adolescent girls might better focus on "at risk" students.

Adolescent↗
PubMed1993

Does television viewing increase obesity and reduce physical activity? Cross-sectional and longitudinal analyses among adolescent girls.

To examine the relationships between hours of television viewing and adiposity and physical activity among female adolescents, a cohort study with follow-up assessments 7, 14, and 24 months after baseline was conducted. All sixth- and seventh-grade girls (N = 971) attending four northern California middle schools were eligible to participate. Six hundred seventy-one students had sufficient data for baseline cross-sectional analyses, and 279 students in a no-intervention cohort had sufficient data for longitudinal analyses. The baseline sample had a mean age of 12.4 years and was 43% white, 22% Asian, 21% Latino, 6% Pacific Islander, 4% black, 2% American Indian, and 2% other. Hours of after-school television viewing, level of physical activity, and stage of sexual maturation were assessed with self-report instruments. Height, weight, and triceps skinfold thickness were measured and body mass index (ratio of weight [in kilograms] to height [in meters] squared) and triceps skinfold thickness were adjusted by level of sexual maturity for the analyses. Baseline hours of after-school television viewing was not significantly associated with either baseline or longitudinal change in body mass index or triceps skinfold thickness. Baseline hours of after-school television viewing was weakly negatively associated with level of physical activity in cross-sectional analyses but not significantly associated with change in level of physical activity over time. All results were essentially unchanged when adjusted for age, race, parent education, and parent fatness. Among adolescent girls, television viewing time appears to have only weak, if any, meaningful associations with adiposity, physical activity, or change in either over time.

Adolescent↗
PubMed1992

Is puberty a risk factor for eating disorders?

OBJECTIVE: To examine the association between stage of sexual maturation and eating disorder symptoms in a community-based sample of adolescent girls. PARTICIPANTS: All sixth- and seventh-grade girls (N = 971) enrolled in four northern California middle schools. MAIN VARIABLES EXAMINED: Pubertal development measured using self-reported Tanner stage and body mass index (kg/m2). The section of the Structured Clinical Interview for DSM-III-R Disorders (SCID) discussing bulimia nervosa was used to evaluate symptoms of bulimia nervosa. RESULTS: Girls manifesting eating disorder symptoms, while not significantly older than their peers without such symptoms, were more developmentally advanced as determined with Tanner self-staging. The odds ratio for the association between sexual maturity and symptoms was 1.8 (95% confidence interval, 1.2 to 2.8); ie, at each age, an increase in sexual maturity of a single point was associated with a 1.8-fold increase in the odds of presenting symptoms. The odds ratio for the association between body mass index (adjusted for sexual maturity) and symptoms was 1.02 (95% confidence interval, 1.0 to 1.05). There was no independent effect of age or of the interaction between age and the sexual maturity index. CONCLUSIONS: These results suggest that (1) puberty may be a risk factor for the development of eating disorders, and (2) prevention efforts might best be directed at prepubertal and peripubertal adolescents.

Adolescent↗
PubMed1992

Schizophrenia and rheumatoid arthritis: a review.

Fourteen epidemiologic studies of the relationship of rheumatoid arthritis to schizophrenia have been conducted between 1934 and 1985. Twelve of the studies report a lower-than-expected rate of rheumatoid arthritis in populations of schizophrenics. Methodologic weaknesses in the studies are assessed. Nutritional, hormonal, psychosocial, genetic, and immunologic data and theories are briefly reviewed which might explain the epidemiologic results. There is sufficient evidence for the negative association between the two disorders to justify further research.

Arthritis, Rheumatoid↗
PubMed1992

A linkage map of 10 loci flanking the Marfan syndrome locus on 15q: results of an International Consortium study.

Members of an International Consortium for Linkage Analysis of the Marfan Syndrome (MFS1) have pooled data for joint analysis in an attempt to determine the precise location of the MFS1 gene and the order of 10 DNA markers on 15q. Five laboratories performed a total of 2111 genotypes in 22 families consisting of 225 affected and 248 normal subjects. For each marker a mean of 98 meioses was informative. D15S48 and D15S1 were identified as the closest linked markers with 99% upper confidence intervals of 12% and 13% respectively. We have used the CRI-MAP program to construct the most likely order as: D15S24-D15S25-D15S1-MFS1-D15S48-D15S49+ ++-(D15S45/S51)-(D15S29/S38). Placement of D15S2 in relation to -D15S1-D15S48- cannot be determined with certainty. The genetic map of these markers extends 53.6 cM in males and 65.0 cM in females with a sex averaged map of 60.7 cM. The sex difference was statistically significant (p = 0.005). Linkage heterogeneity between 22 MFS1 families was documented (p = 0.009) necessitating the exclusion of one family from the analysis. However, comparison of the remaining 21 families for two point and multipoint lod scores showed no evidence for linkage heterogeneity of the MFS1 locus.

Chromosome Mapping↗