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The relationship between Achilles tendon rupture and serum uric acid level.

The serum uric acid level of 30 patients with a rupture of the Achilles tendon was compared with that of 30 healthy control subjects matched for age and sex. In patients with a ruptured Achilles tendon the serum uric acid level was significantly higher than in the control subjects. This finding was not dependent on sex or race. It is possible that hyperuricaemia is a contributing factor in rupture of the Achilles tendon and warrants further study. It is suggested that this finding might be related to an adverse effect on the tendon's nutrition.

Achilles Tendon↗

Coral reef health and effects of socio-economic factors in Fiji and Cook Islands.

This research focuses on coral reef health in the South Pacific region, an area of high global coral diversity. Coral reef health surrounding four island case studies in the Cook Islands and Fiji have been assessed in areas that have not been previously surveyed. This study compares four islands with barrier and fringing reefs that have different levels of economic development, population pressure, land-use practices, and marine management practices. This interdisciplinary research methodology includes both ecological and social data collection to further understanding of human environment interactions. In comparing the reefs with different socio-economic factors, this research shows that reefs with traditional systems of resources management are healthier, population pressure is not the main factor causing the demise of the reefs and agro-industry is the main industry causing the degradation of the reef in these four South Pacific Islands. In addition, researchers need to use a whole reef perspective to examine coral reef health.

Animals↗

Meat consumption, cancer risk and population groups within New Zealand.

In comparison with other OECD countries with good cancer registries, New Zealand has the highest mortality rate of colon cancer, second highest of breast cancer and third highest of prostate cancer. A possible association with heterocyclic amine consumption has been suggested for each of these cancers. Studies of locally cooked meat suggest that the main contributors to heterocyclic amines in the New Zealand diet would be well-cooked beef, chicken and pork. Well-cooked beef steak, and the specific heterocyclic amine, IFP, showed a weak positive correlation with prostate cancer risk in the New Zealand population, but no studies thus far have considered the role of meat cooking practices or heterocyclic amines in the development of other cancers. The Maori and Pacific Island people, despite a superficially similar diet, have a substantially lower incidence of colon cancer than people of Caucasian origin. These differences are particularly intriguing in view of a report that a very high percentage of these people have a fast acetylator phenotype-a factor suggested to augment the effect of well-cooked red meat in other populations. The three population groups are known to differ in their preferences for meat type (including processed meats), and there are anecdotal suggestions that they may differ in preferred cooking methods. More detailed population studies are warranted to establish the role of meat, meat processing, cooking methods and the interaction with food plants and/or with genotype and phenotype in New Zealand.

Animals↗

Potential functional foods in the traditional Maori diet.

The Maori people were early New Zealand settlers of Polynesian descent. The incidence of non-infectious diseases appears to have been low in these people, perhaps in part due to the presence of protective chemical constituents within their food plant supply. Three of the tropical crops they introduced are still eaten here today: the sweet potato or kumara (Ipomoea batatas), the taro (Colocasia esculenta) and the cabbage tree or ti (Cordyline terminalis). Sporamins A and B, the major storage proteins of kumara tubers, act as proteinase inhibitors, and may have other anti-cancer properties. The tubers also contain the anti-coagulant coumarins, scopoletin, aesculetin, and umbelliferone. The corms of taro contain the anthocyanins, cyanidin 3-glucoside, pelargonidin 3-glucoside and cyanidin 3-rhamnoside, reported to have antioxidant and anti-inflammatory properties. Anthocyanins are also major components of a so-called "Maori potato", a variety officially known as Ureniki, which has a purple skin and flesh and was widely eaten in the early 1900s. Anthocyanins are also present in ripe berries of the ramarama (Lophomyrtus bullata) and rohutu (Neomyrtus pedunculata). Both the leaves and seeds of the introduced cabbage tree (Cordyline terminalis) and the native Cordyline spp., C. australis, C. indivisa, and C. pumilo, were eaten. The seeds of C. australis, of some Astelia spp., and of hinau (Elaeocarpus dentatus) are good sources of various essential fatty acids, generally regarded as protective against cardiovascular disease. Shoots and leaves from a wide range of native species were traditionally eaten as greens, especially "sow thistle" or puha (Sonchus spp.), reportedly high in Vitamin C and various phenolics. "New Zealand spinach" (Tetragonia tetragonioides or T. expansa) has anti-ulcerogenic activity that has been traced to two cerebrosides and anti-inflammatory activity that has been traced to novel water-soluble polysaccharides, as well as antioxidant phenylpropanoids including caffeic acid. Leaves of the "hen and chickens" fern (Asplenium bulbiferum) contain antioxidant flavonoids such as kaempferol glucosides. Native seaweeds also have useful nutritive properties.

Antioxidants↗

Cilia and sperm tail abnormalities in Polynesian bronchiectatics.

Sperm tails and bronchial cilia from Polynesians with bronchiectasis were examined in the electron microscope. The outer doublet tubules of the axonemal skeleton in these organelles either lacked dynein arms or had only partial arms. Various other cilial abnormalities were common. The sperm were immotile and pulmonary mucociliary clearance was reduced or absent.

Bronchi↗

Infant room-sharing and prone sleep position in sudden infant death syndrome. New Zealand Cot Death Study Group.

BACKGROUND: There is evidence that the risk of sudden infant death syndrome is lower among ethnic groups in which parents generally share a room with the infant for sleeping. We investigated whether the presence of other family members in the infant's sleeping room affects the risk of the sudden infant death syndrome. METHODS: The case-control study covered a region with 78% of all births in New Zealand during 1987-90. Home interviews were completed with parents of 393 (81.0% of total) babies who died from the sudden infant death syndrome aged 28 days to 1 year and 1592 (88.4% of total) controls, selected from all hospital births in the study region. FINDINGS: The relative risk of sudden infant death for sharing the room with one or more adults compared with not sharing was 0.19 (95% CI 0.08-0.45) for sharing at night during the last 2 weeks and 0.27 (0.17-0.41) for sharing in the last sleep, after control for other confounders. Sharing the room with one or more children did not affect the relative risk (1.25 [0.86-1.82] for sharing during last 2 weeks; 1.29 [0.85-1.94] for sharing in last sleep). There was a significant interaction (p = 0.033) between not sharing the room with an adult and prone sleep position in the last sleep. Compared with infants sharing the room with an adult and not prone, the multivariate relative risk was 16.99 (10.43-27.69) for infants not sharing with an adult and prone, 3.28 (2.06-5.23) for infants sharing the room and prone, and 2.60 (1.58-4.30) for infants not sharing the room and not prone. The interaction between adult room-sharing and prone sleep position suggests that both exposures may affect the risk of sudden infant death syndrome through a common mechanism. INTERPRETATION: We recommend that infants sleep in the same bedroom as their parents at night to reduce the risk of sudden infant death syndrome.

Adult↗

Serum phospholipase A2 in dengue.

Group II phospholipase A2 is an enzyme involved in the pathologies of various inflammatory diseases, including infections. We measured the concentration of group II phospholipase A2 in sera of 49 patients suffering from dengue, virus serotype 3, during a recent epidemic in The Cook Islands. Group II phospholipase A2 concentrations were elevated above the normal level in 90% of the patients. There was a significant negative correlation between group II phospholipase A2 levels and platelet counts. It was concluded that dengue virus infection causes a generalized inflammatory reaction and acute phase response. Determination of serum group II phospholipase A2 level gives useful information for assessing the severity of viral infections, including dengue.

Adolescent↗

Diabetes in New Zealand.

While the ethnic make up of the New Zealand population is predominantly European, the Polynesian population, consisting of indigenous New Zealand Maori and more recent immigrants from the other Pacific Islands is increasing rapidly. The prevalence of diabetes in these Polynesians is high. There is also an increasing prevalence of obesity, and obesity is a greater problem amongst Polynesian people. The number of elderly people in the population is increasing. All of these demographic changes are increasing the incidence and prevalence of Type 2 diabetes. The incidence of Type 1 diabetes is also rising, although the reasons for this are unknown. Diabetic nephropathy is the most common cause of end stage renal failure in New Zealand. Polynesian people with diabetes, and in particular Maori, have a very high rate of diabetic nephropathy and develop renal failure at a more rapid rate than European patients with nephropathy relating to Type 1 diabetes. The propensity for Maori patients with Type 2 diabetes to develop renal failure may relate to a younger age at the onset of diabetes, a genetic susceptibility to nephropathy, and socio-economic or cultural factors leading to less adequate medical care.

Adolescent↗

Diabetes in Wallis Polynesians: a comparison of residents of Wallis Island and first generation migrants to Noumea, New Caledonia.

A comparative study of diabetes, impaired glucose tolerance and obesity was undertaken in samples of rural Wallisians of Wallis Island and first generation Wallisian migrants in the urban centre of Noumea, New Caledonia. Approximately 20-25% of the adult population of the 2 communities was included in the study. Wallisians in Noumea tended to be more obese than those in Wallis (particularly females). The prevalence of diabetes was 7 and 4 times higher in Noumea compared to Wallis for males and females respectively. Differences in the extent of obesity appeared to account for some of the difference in prevalence of diabetes, but other environmental factors (such as constituents of the diet, and exercise) must be operative as well. The results of this study are consistent with previous findings concerning environmental determinants of diabetes in Pacific populations.

Adult↗

Early childhood growth in ethnic groups predisposed to NIDDM: a prospective study.

Evidence is accumulating to suggest that the intrauterine environment may not only influence fetal growth and anthropometric indices at birth but also contribute to susceptibility to adult onset diseases such as non-insulin-dependent diabetes (NIDDM). We have followed up 77 out of 123 (65%) children at age 2 years 8 months derived from a population at high risk of NIDDM who were initially studied throughout pregnancy and birth to determine whether their weight, height, and measures of adiposity were predicted by maternal size, glycaemic control during pregnancy, or ethnicity. Adiposity was correlated with maternal pre-pregnancy weight and maternal serum triglyceride concentration. In contrast to the data gathered at birth, ethnic group did not predict any anthropometric variable except that South Asian children demonstrated faster weight gain in infancy compared to Polynesian or European subgroups.

Adult↗

Genetic markers of immunoglobulins and diabetes mellitus in the multiracial population of New Caledonia. The CALDIA Study Group.

GM and KM immunoglobulin allotypes, which are the markers, respectively, of the constant parts of the heavy and the light chains of the IgG1, IgG2 and IgG3 subclasses, have been analysed in diabetic mellitus patients and controls living in New Caledonia. We tested 40 Europeans, 256 Melanesians and 44 Polynesians, as well as their 340 matched controls, in order to search for a genetic susceptibility at those polymorphic loci. All the subjects were tested for G1M (1, 2, 3, 17), G2M (23), G3M (5, 6, 10, 11, 13, 14, 15, 16, 21, 24, 28) and KM (1) by the classical hemagglutination method. The frequencies of GM haplotypes and KM alleles have been estimated by a maximum likelihood method. The results are in favour of no influence of the GM and KM loci. The prevalence of diabetes mellitus varies in the populations of New Caledonia: Polynesians are at much higher risk than Melanesians or Europeans. The GM haplotype distribution differs among ethnic groups; so they provide a useful marker to measure genetic admixture. The higher prevalence of diabetes observed among New Caledonians of European origin compared to the prevalence in Europe may be explained by genetic admixture with neighbouring Pacific populations, notably Polynesians (Asian haplotypes are present at a frequency of 9.4%). So, the genetic admixture should be measured in any genetic epidemiological study.

Adult↗

Radionuclide release and transport from nuclear underground tests performed at Mururoa and Fangataufa--predictions under uncertainty.

In the context of a study by the International Geomechanical Commission (IGC) and the International Atomic Energy Agency (IAEA) on the effects of nuclear tests at the atolls of Mururoa and Fangataufa, release to the biosphere is estimated for 35 radionuclides originating from 147 nuclear underground tests. Based on a qualitatively characterised hydrogeological situation of atolls and relatively scarce site-specific data, a model chain was developed to conservatively estimate the radionuclide fluxes via groundwater, from their sources, the explosion cavities, towards the biosphere, the ocean or lagoon. Finite element hydro-thermal modelling was used to describe water flow. Parameters were calibrated by a very few measured pre-test temperature profiles in bore holes. The impact of the tests on groundwater flow and mechanical impact on rock was considered. Estimates were made to quantify spatial extensions and temporal evolution of impact by using measurements on refilling rate of the cavities. Tests were categorised according to their specific yield and location although detailed data were missing. A base case parameter set was defined for the hydraulic conditions and for the initial radionuclide inventory of individual tests. Models were used to describe the concentration of radionuclides in the cavities as a function of time. Radionuclide transport from the cavities to the biosphere was represented by two different approaches: a double porosity model for the fractured volcanic rock and a single porosity model for the overlaying, highly porous carbonates. Results consist of conservative estimates on radionuclide release into the environment, or concentration in the lagoon or ocean water. Their sensitivity was investigated using different models and parameters. A few measured data (concentrations in a few cavities, in the deep carbonates and in the lagoons for selected radionuclides, such as 3H, 14C, 36Cl, 90Sr, 129I, 137Cs239 240Pu and 241Am) were available for a comparison with the calculations. In view of the lack and uncertainty of site-specific data, the agreement is of acceptable quality.

Air Pollution, Radioactive↗