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Birth weights of South African babies. III. Seasonal variation in birth weight. 南非婴儿的出生体重。3出生体重的季节性变化。
Pub Date : 1952-07-01 DOI: 10.1136/jech.6.3.190
E J SALBER, E S BRADSHAW
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引用次数: 7
Dysplastic growth differentials in patients with psychiatric disorders studies on the morphology of maturity. 发育不良的精神障碍患者发育发育差异的形态学研究。
Pub Date : 1952-07-01 DOI: 10.1136/jech.6.3.169
J W LOVETT DOUST
This paper is concerned with some aspects of the morphology of man, as they present in relationship to the occurrence of psychiatric disorder. Kallmann in the U.S.A. and Slater in England, among others, have initiated fundamental work, summarized recently by Slater (1950), dealing with the genetic linkages involved in the causation of mental illness, while the sociological, clinical, psychiatric, and especially psycho-analytic literature provides an overwhelming if diffuse body of evidence pointing to the importance of environmental factors. It is not a function of this paper to review this literature; it is necessary only to mention its existence for orientation purposes since the studies which follow will necessarily have to be interpreted in terms of the relative importance of these two fundamental aetiological influences. The present investigation resulted from two assumptions based on the clinical observation of mentally ill patients in a psychiatric hospital. These were firstly, that there is something about the physical appearance of such patients which reflects their relative incapacity to remain emotionally stable under stress, and secondly, that, if this clinical impression be true, then over the length of the patient's life the separate features of his physical appearance on which the impression is based must have resulted from dysplastic or imperfect develop ment at some definite phase of his growth, since such features cannot be assumed to appear sud denly out of the blue. Some of the differentials contributing to the clinical "hunch" have been measured and analysed by Draper and his co-workers (1944) at Columbia University with respect to physical illnesses such as cholecystitis, peptic ulceration, rheumatoid arthritis, rheumatic fever, and migraine. Features of significance in Draper's data are convincing, not only because of the com prehensive nature of his morphological observations, but also because of their ontogenetic basis. This point will be referred to later, but it is worth remark ing here that, in the field of psychiatry, the scientific strictures of the developmental hypothesis in biology ave been largely neglected. Somatotypology has been widely employed by Kretschmer (1936) a d authors to reveal constitutional dysplasias in psychiatric patients but these studies remain largely descriptive, and therefore sterile, in so far as they do hot lead to an increase in understanding of causation and later of rational therapy in mental disor ers. The studies of Sheldon and others (1941, 1942) suffer from the same purely descriptive faults but do at least add one set of useful data to those of Kretschmer, i.e., an analysis of the predominating germ-layer involved in the resulting dysplasia. Both workers, moreover, have pointed to the concordance of emotional, temperamental, and other psychological features of the personality with the constitutional somatotype of the individual examined, each agreeing that the extreme dysplasias in
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引用次数: 0
Observations on all births (23, 970) in Birmingham, 1947. VII. Effect of changing family size on infant mortality. 对1947年伯明翰所有出生人口(23,970)的观察。7家庭规模变化对婴儿死亡率的影响。
Pub Date : 1952-07-01 DOI: 10.1136/jech.6.3.183
J R GIBSON, T McKEOWN
The object of this communication is to enquire to what extent the reduction in infant mortality during the 20th century may be attributed to changes in family size. This important question was referred to in Volume XIII (Pt II) of the 1911 Census of England and Wales (p. xlix). The census recorded for each married woman the total number of children born alive, and the number living and dead at the time of the Census. This made it possible to relate mortality to family size (but not to order of birth), and it was noted that: Whatever the ages of the parents and the duration of marriage the increase of mortality with number of births is very great, the rates being generally three to five times as high for the largest families as for the smallest.
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引用次数: 9
Relative frequencies and sex distributions of human multiple births. 人类多胞胎的相对频率和性别分布。
Pub Date : 1952-07-01 DOI: 10.1136/jech.6.3.192
R G RECORD
Hellin (1895) published evidence indicating that the relative frequencies of multiple births conform to a simple mathematical relationship which may be expressed thus: The frequency of triplet maternities is equal to the square of the frequency of twin maternities, and the frequency of quadruplet maternities is equal to its cube. Stated in general terms, if / is the frequency of twin litters, the frequency of litters of size n is equal to fn~l. This expression has since been tested many times. Although discrepancies between predicted and observed values have been noted (Strandskov, 1945), they appear not to have dispelled belief in the validity of the relationship which, it would appear, has now acquired the status of a "law".
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引用次数: 4
Statistical theory of prophylactic and therapeutic trials. I. Limitations of the unique null hypothesis. 预防和治疗试验的统计理论。唯一零假设的局限性。
Pub Date : 1952-04-01 DOI: 10.1136/jech.6.2.89
L HOGBEN, R WRIGHTON
validify the testimony of the patient or the clinical judgement of the author, a clinical trial so conceived violates any or all of three canons of scientific method, as is now becoming recognized widely in all branches of medicine, except perhaps psychiatry. A change of outlook is largely due to the impact of more exacting standards of evidence established at an earlier date in connexion with the assessment of prophylactic measures, partly as a consequence of public controversy over the merits of vaccination. In this context, the term prophylactic calls for no comment. We here employ the expression therapeutic measures in the widest sense, including administration of drugs or convalescent sera, operative and manipulative surgery, diathermy and radiation (deep X-ray, short wave, radium) treatments, occupational and physio therapy (including remedial gymnastics, faradization, massage), rehabilitation techniques. Bradford Hill (1951), who has himself directed a series of therapeutic trials on the now familiar pattern expounded by Greenwood (1935), has lately set forth in clear and simple language some of the essential safeguards of a scientific assessment of remedial measures; and there is no need to recapitulate them in this context. Our aim in what follows is to examine statistical procedures invoked to validate results within a framework of the precautions to which he has drawn attention; but it will simplify our task if we first specify the desiderata. Prophylactic or thera
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引用次数: 3
The health of an urban community. 城市社区的健康
Pub Date : 1952-04-01 DOI: 10.1136/jech.6.2.118
L STEIN, S A SKLAROFF
Present-day society urgently needs reliable measures, both local and national, of the health of the people. Declines in death rates undoubtedly indicate great improvements in public health in terms of survival, but do not necessarily represent equal declines in the numbers of the sick and the magnitude of their needs. More precise knowledge is needed of ailments and diseases in specific communities, as a factual basis to administer present services for the sick, to interpret local trends of morbidity, to enlarge the content of epidemiology and translate its findings into preventive measures, and to plan new services in changing conditions or newly developing areas. But this knowledge must be specified in precise terms. "Total" knowledge of a community is an abstract concept, in reality unattainable. Medicine does not deal with the total person, nor does public health administer the total community, but each selects certain features which to the doctor or administrator seem important. In social medicine we must consider it important to seek knowledge concerning the preventable ill-health of communities in order that preventive action may be taken. Since prevention and the measurement of the preventable are aspects of a single process, and since the normal agencies of prevention are local, the laboratory of social medicine is the local community, and its interest is focussed on the social group rather than on individuals. The life and circumstances of the small community or "neighbourhood" are dominant influences on the health of the individual in an urban society. This small definable community we take to be the unit of research: and we judge as important those environmental factors which can foster or impair the life and well-being of the social group. We therefore select for investigation those aspects of social and health experience which relate particularly to the pro motion of the health of the group in its own local environment.
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引用次数: 4
Observations on all births (23,970) in Birmingham, 1947. VI. Birth weight, duration of gestation, and survival related to sex. 对1947年伯明翰所有出生人口(23,970)的观察。出生体重、妊娠持续时间和与性别有关的生存。
Pub Date : 1952-04-01 DOI: 10.1136/jech.6.2.152
J R GIBSON, T McKEOWN
BIRTH WEIGHT AND DURATION OF GESTATION That mean birth weight is higher for males than for females has been consistently recorded (for example by Pearson, 1900; Murray, 1924; Martin, 1931; Bakwin and Bakwin, 1934; Anderson, Brown, and Lyon, 1943), and more recently by Karn and Penrose (1951), Norval, Kennedy, and Berkson (1951), and Salber and Bradshaw (1951). There have been fewer investigations of duration of gestation; but in general reported differences between the two sexes have been trivial (Schlichting, 1880; Siegel, 1921; Anderson, Brown and Lyon, 1943; Karn, 1947; Karn and Penrose, 1951). Table I gives mean birth weights of the Birmingham births as 7 57 and 7 31 lb.
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引用次数: 25
On the Objective Study of Crowd Behaviour 论群体行为的客观研究
Pub Date : 1952-04-01 DOI: 10.1136/JECH.6.2.159
L. Hogben
In this brochure Professor Penrose puts forward one novel, challenging, and highly original idea buried in a banal matrix of tedious metaphor and metalepsis about the behaviour of men in groups and their reactions to micro-organisms and viruses. Those who fail to derive any profit from the analogy between crowd diseases as Greenwood uses the term and crowd disorders as Penrose does may also miss the point which makes the publication of the essay more than worth while. True to the Galton Laboratory tradition, the author assumes that the reader, if also a mathematician, will immediately grasp the statistical theory he advances; and, if not, will be too dumb to do so. This is a pity, because a public of thoughtful people is getting more and more suspicious of statistical generalizations advanced for allegedly adequate theoretical reasons when there is, as for the so-called cube law, merely a somewhat exiguous empirical basis to support them. The Penrose square-root law has also to do with voting; and what follows is an attempt to fill in the argument which the author himself does not deign to elaborate. The elaboration is all the more pertinent because his hope that the reader "will tolerate the necessary introduction of mathematical notation" (p. 6) immediately precedes three gross errors in the formulae which follow, viz.:
在这本小册子中,彭罗斯教授提出了一个新颖的、具有挑战性的、极具独创性的观点,它被隐藏在单调乏味的隐喻和对人类群体行为及其对微生物和病毒的反应的刻板印象中。那些未能从格林伍德所使用的群体疾病和彭罗斯所使用的群体失调之间的类比中获得任何利益的人,也可能错过了让这篇文章的发表更加值得的一点。忠实于高尔顿实验室的传统,作者假设读者,如果也是一位数学家,将立即掌握他提出的统计理论;如果不这样做,他们就会太笨而不能这样做。这是一个遗憾,因为一群有思想的公众越来越怀疑那些以所谓充分的理论理由提出的统计概括,而实际上,就像所谓的立方体定律一样,只有多少缺乏经验基础来支持它们。彭罗斯平方根法也与投票有关;接下来的内容是试图填补作者本人不愿详细阐述的论点。由于他希望读者“能够容忍必要的数学符号的引入”(第6页),因此他的阐述更加中肯,因为他希望读者“能够容忍必要的数学符号的引入”(第6页)紧随其后的公式中有三个严重的错误,即:
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引用次数: 92
Demographic Yearbook 1949-50, Second Issue 1949- 1950年人口年鉴,第二期
Pub Date : 1952-01-01 DOI: 10.1136/JECH.6.1.76
L. Stein
With the publication of the first issue of the Demographic Yearbook, a precedent was established in the presentation of comprehensive and sound demographic data for almost every country in the world. The most reliable and recent figures on population, mortality, natality, and migration were collected for the years up to and including 1947, making possible up-to-date descriptions of each country and comparisons of characteristics in different countries. This second issue of the Yearbook continues the main descriptions and further enlarges the field covered in the first issue. It gives a number of basic tables of population composition, economic characteristics, mortality rates, and migration across national boundaries for the years up to 1948 and in many cases up to 1949. Various sources of data are used, but for a number of the tables special questionnaires were answered by government and administrative departments. Undoubtedly the population data thus presented constitute the most comprehensive and up-to-date body of knowledge at present available. Moreover, this issue includes in the text a chapter which analyses regional population trends and attempts some interpretation of them. In addition to the basic tables of the first issue, several new tables are included, some of which will be repeated annually, and others every five years. The subject of special emphasis in this issue, that of marriage and fertility, is one of particular interest to the western countries with their ageing populations. The special tables here presented cover a wider field than the customary summaries of marriage and fertility rates: there are tables of fertility rates by age of father, of births by age of mother and order of birth, and of information concerning surviving children, proportions of children under 5 years of age, and the like. In such a large array of tables from countries differing so widely in their methods of collecting and recording data, it is hardly surprising that discrepancies become apparentdue in some cases to the divergence of ideas and definitions in different countries, and in others to inaccuracies of all kinds. These irregularities are discussed in the text at the appropriate points, and certain steps have been taken to minimize them; moreover, several devices are introduced to safeguard against misinterpretation of the data. One of these devices in connection with population data, takes the form of a code describing the type of estimate from which the data were obtained and indicating the reliability of the estimate. Nevertheless, the non-comparability of figures for many countries detracts to some extent from the value of certain comparisons. In every table curious differences between countries emerge, and it is important to know whether these represent real differences or whether the curious points are only the results of inaccuracies in figures or different definitions of categories. For instance, Table 6, which gives the percentages of
《人口年鉴》第一期的出版开创了一个先例,为世界上几乎每一个国家提供全面和可靠的人口数据。收集了截至1947年及包括1947年在内的最可靠和最新的人口、死亡率、出生和移徙数据,从而可以对每个国家进行最新的描述并比较不同国家的特征。《年鉴》的第二期延续了第一期的主要描述,并进一步扩大了第一期所涵盖的领域。它提供了截至1948年,在许多情况下截至1949年的人口构成、经济特征、死亡率和跨国界移徙的一些基本表格。使用了各种来源的数据,但对于一些表格,政府和行政部门回答了特殊的问卷。毫无疑问,这样提出的人口数据构成了目前可获得的最全面和最新的知识体系。此外,这个问题的案文中有一章分析了区域人口趋势,并试图对此作出一些解释。除了第一期的基本表之外,还列入了几个新表,其中一些表将每年重复一次,另一些表将每五年重复一次。这一问题特别强调的主题,即婚姻和生育问题,是人口老龄化的西方国家特别关心的问题之一。这里提出的特别表格所涵盖的范围比一般的婚姻和生育率摘要更广:其中有按父亲年龄分列的生育率、按母亲年龄和出生顺序分列的生育率,以及关于未亡子女、5岁以下子女比例等资料的表格。各国收集和记录数据的方法差异如此之大,在如此多的表格中,由于不同国家的观念和定义的分歧,以及由于各种不准确,差异变得明显,这一点也不奇怪。文中在适当的地方讨论了这些不正常情况,并采取了某些步骤尽量减少这些不正常情况;此外,还引入了一些设备来防止对数据的误解。其中一种与人口数据有关的方法是采用代码的形式,说明获得数据的估计类型,并表明估计的可靠性。然而,许多国家的数字不可比较,在某种程度上减损了某些比较的价值。在每个表格中,国家之间都会出现奇怪的差异,重要的是要知道这些差异是否代表了真正的差异,还是这些奇怪的点只是数字不准确或类别定义不同的结果。例如,表6给出了每个年龄-性别组中未婚男女的百分比,显示了非常大的差异。法国的大龄单身男女比例显然很小,而爱尔兰的大龄未婚男女比例特别高,尤其是大龄和65岁以上的未婚男女。其他表格披露了其他有趣的点:表5、表7和表8,其中涉及婚姻状况和按年龄和生育人数分列的妇女
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引用次数: 0
UNESCO: Report of the Co-ordinating Committee on Abstracting and Indexing in the Medical and Biological Sciences 联合国教科文组织:医学和生物科学摘要和索引协调委员会的报告
Pub Date : 1952-01-01 DOI: 10.1136/jech.6.1.78
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引用次数: 0
期刊
British journal of social medicine
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