26.12.2013 Views

Universlty of Manitoba, ln Partîal Fulfiìlment - MSpace at the ...

Universlty of Manitoba, ln Partîal Fulfiìlment - MSpace at the ...

Universlty of Manitoba, ln Partîal Fulfiìlment - MSpace at the ...

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

6<br />

and about 112 after two (Laure,nce, 1969). These r<strong>at</strong>es fall well short<br />

<strong>of</strong> <strong>the</strong> 257. level suggesti,,,e <strong>of</strong> recessive inheiîtance (Pen'rose, l!å$) .<br />

Twîn studies show a lower concordance than might be expected, with<br />

a risk to <strong>the</strong> co-twin <strong>of</strong> about lt% (Record and l"lcKeown, 195]). When a<br />

woman remarries <strong>the</strong> recurrence risk for m<strong>at</strong>ernal half-síbl ings is <strong>at</strong><br />

¡east ês gre<strong>at</strong> as for fuii sibiings (Yen and l"iact4ahon, 1968).<br />

2.2.8 M<strong>at</strong>ernal Age and Parity<br />

M<strong>at</strong>ernal age and parÍty are difficult to anâlyse separ<strong>at</strong>ely. Dysraphic<br />

pregnancies are commoner ín primipara and grand multipara than <strong>at</strong> inter- ..<br />

medì<strong>at</strong>e parities (Record and McKeown, ,|949). Some (though not all)<br />

¡nvest¡g<strong>at</strong>ors êlso report a higher frequency in older mo<strong>the</strong>rs as an<br />

independent effect (Edwards, t95B; Record, l96l).<br />

2.2,9 Soc io- Ecojgdqlta tus<br />

Poorer fami I íes show a higher incidence <strong>of</strong> dysraphism (Ceffey and<br />

Jessop, 1957; Edwards, l95B; Pleydell, 1960) though nor <strong>of</strong> -o<strong>the</strong>r<br />

lethal<br />

bîrth defects (Anderson, BaÍrd and Thomson., I95B). This social gradient<br />

however is not shown by Jewish famil ìes (Naggan and HacMahon, i967) and<br />

does not apply to <strong>the</strong> Negro, popul<strong>at</strong>íon <strong>of</strong> <strong>the</strong> sou<strong>the</strong>rn U.S.A. (Alter,<br />

1962) .<br />

2.2.10 Urbanîz<strong>at</strong>ion<br />

u".,1* ,JJreport<br />

ê hígher incidence <strong>of</strong> dysraphísm in industri<strong>at</strong><br />

and urban communities, especially among poor familíes (Anderson, Baird<br />

and Thomson, 1958; Edwards, .t958; Pleydelt, f960).<br />

2.2.11 0o0c Llq íons_<br />

Epidemiological studíes have thus revealed many assocî<strong>at</strong>ions but<br />

no clear etîology for neural tube defects. lmportant environmental

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!