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Biomedical subjects

J Fellman

Publications and source records attributed to J Fellman.

35 records · Page 2Linked to original sources

Regional, temporal, and seasonal variations in births and deaths: the effects of famines.

A knowledge of the seasonal variation in births and deaths during normal years is important for analyses of the effects of wars, famines, epidemics or similar privations on these two variables. In studies of seasonality, multiple trigonometric regression models are more flexible than the simple sine curve. The seasonal variation in mortality in Iceland, 1856-1990, shows a strong secular decrease, and a connection between this and the epidemiological transition is considered. As a consequence of the severe famine in Finland in 1867-68, the mortality for the whole year 1868 was almost four times as high as during normal years, and the seasonality of the mortality was even more accentuated. The birth rate in Finland during 1868 was about 70 percent of that during normal years and showed an aberrant seasonality, with a strong trough from October 1868 to February 1869 (fewer conceptions between January and May 1868, when the food shortage was severe).

Birth Rate↗

Serum cholesterol and triglyceride concentrations of Finns and Finnish Lapps. I. Basic data.

Serum cholesterol and triglyceride (TG) concentrations have been studied in six Finnish population groups in South and East Finland and in one group of Finnish Lapps in North Finland. Altogether 11626 Finns, aged 15 or above and 828 Lapps of all ages were studied. Serum cholesterol and TG concentrations of the Lapp children were higher in the age group 0--4 than in the age groups 5-9 and 10-14. Mean serum cholesterol of girls aged 0-9 was higher than that of the boys. The sex and age dependence of mean lipid values in the adults were in several respect similar to those observed in other industrialized populations. The serum cholesterol mean rose with age to reach a maximum in age group 50-59 in men, in age group 60-69 in women. Among the adults, women had lower cholesterol means than men only in age groups 30-39 and 40-49. The serum TG distribution was markedly skewed, and logarithmic transformation brought it closer to normal. Maximal log(TG) values (greater than 12 hours' fast) were attained by men aged 30-39 and by women aged 60-69. Men had considerably higher TG levels than women in middle-aged groups. Of all the sex and age groups studied, the men aged 30-39 had the most skewed cholesterol frequency distribution. Up to this age variability in men's cholesterol values were also increased, as reflected by an increasing S.D. As to women the cholesterol S.D. increased until the age of 60-69. In all the age groups above 14 years, the variability of TG values was larger in men than in women, but it was not age dependent.

Adolescent↗

Serum cholesterol and triglyceride concentrations of Finns and Finnish Lapps. II. Interpopulation comparisons and occurrence of hyperlipidemia.

Only small differences in serum cholesterol means and somewhat larger, but still modest differences in log(TG) means were observed, when seven Finnish population groups were compared. Semiurban and industrial groups had the highest triglyceride levels. Cholesterol levels tended to be lower in South Finland than in East or North Finland and lowest in semiurban population groups. Between 15-59 years of age, rural Finns of both sexes had higher and after this age lower cholesterol means than the Finns in the other population groups. The highest cholesterol levels below the age of 60 were observed in a rural population group in East Finland. The Finnish Lapps and the rural Finns had nearly identical serum lipid levels in spite of the differences in genetic background and way of life. The serum lipid concentration means were quite similar to those reported from the other Nordic countries, Denmark, Norway and Sweden. The differences between the populations of the Nordic countries are no larger than those observed between the Finnish population groups. However, no population in Scandinavia or elsewhere can confidently be said to have higher serum lipid levels than the Finns. The similarity of the lipid levels observed in different areas in Finland and in the larger Nordic area is remarkable in view of the large differences in the incidence of coronary heart disease and in mortality rates. It is conceivable that part of the variations in disease rates is attributable to differences in the prevalence of hyperlipidemias, although the present study does not prove this hypothesis. Such differences could occur in spite of similarities in the lipid concentration means. Prevalences of hyperlipidemias in Finland are given.

Adolescent↗