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To evaluate the suitability of the Global Lung Function Initiative (GLI)‐2012 other/mixed and GLI‐2022 global reference equations for evaluating the respiratory capacity of First Nations Australians. Cross‐sectional study; analysis of spirometry data collected by three prospective studies in Queensland, the Northern Territory, and Western Australia between March 2015 and December 2022. Opportunistically recruited First Nations participants in the Indigenous Respiratory Reference Values study (Queensland, Northern Territory; age, 3–25 years; 18 March 2015 – 24 November 2017), the Healthy Indigenous Lung Function Testing in Adults study (Queensland, Northern Territory; 18 years or older; 14 August 2019 – 15 December 2022) and the Many Healthy Lungs study (Western Australia; five years or older; 10 October 2018 – 7 November 2021). Goodness of fit to spirometry data for each GLI reference equation, based on mean Z‐score and its standard deviation, and proportions of participants with respiratory parameter values within 1.64 Z‐scores of the mean value. Acceptable and repeatable forced expiratory volume in the first second (FEV1) values were available for 2700 First Nations participants in the three trials; 1467 were classified as healthy and included in our analysis (1062 children, 405 adults). Their median age was 12 years (interquartile range, 9–19 years; range, 3–91 years), 768 (52%) were female, and 1013 were tested in rural or remote areas (69%). Acceptable and repeatable forced vital capacity (FVC) values were available for 1294 of the healthy participants (88%). The GLI‐2012 other/mixed and GLI‐2022 global equations provided good fits to the spirometry data; the race‐neutral GLI‐2022 global equation better accounted for the influence of ageing on FEV1and FVC, and of height on FVC. Using the GLI‐2012 other/mixed reference equation and after adjusting for age, sex, and height, mean FEV1(estimated difference, –0.34; 95% confidence interval [CI], –0.46 to –0.22) and FVC Z‐scores (estimated difference, –0.45; 95% CI, –0.59 to –0.32) were lower for rural or remote than for urban participants, but their mean FEV1/FVC Z‐score was higher (estimated difference, 0.14; 95% CI, 0.03–0.25). The normal spirometry values of healthy First Nations Australians may be substantially higher than previously reported. Until more spirometry data are available for people in urban areas, the race‐neutral GLI‐2022 global or the GLI‐2012 other/mixed reference equations can be used when assessing the respiratory function of First Nations Australians.

Lung-function impairment underlies chronic obstructive pulmonary disease (COPD) and predicts mortality. In the largest multi-ancestry genome-wide association meta-analysis of lung function to date, comprising 588,452 participants, we identified 1,020 independent association signals implicating 559 genes supported by ≥2 criteria from a systematic variant-to-gene mapping framework. These genes were enriched in 29 pathways. Individual variants showed heterogeneity across ancestries, age and smoking groups, and collectively as a genetic risk score showed strong association with COPD across ancestry groups. We undertook phenome-wide association studies for selected associated variants as well as trait and pathway-specific genetic risk scores to infer possible consequences of intervening in pathways underlying lung function. We highlight new putative causal variants, genes, proteins and pathways, including those targeted by existing drugs. These findings bring us closer to understanding the mechanisms underlying lung function and COPD, and should inform functional genomics experiments and potentially future COPD therapies.

RationaleThe respiratory outcomes for adult survivors of preterm birth in the postsurfactant era are wide-ranging with prognostic factors, especially those encountered after the neonatal period, poorly understood.ObjectivesTo obtain comprehensive ‘peak’ lung health data from survivors of very preterm birth and identify neonatal and life-course risk factors for poorer respiratory outcomes in adulthood.Methods127 participants born ≤32 weeks gestation (64%, n=81 with bronchopulmonary dysplasia (BPD), initially recruited according to a 2 with-BPD:1 without-BPD strategy), and 41 term-born controls completed a lung health assessment at 16–23 years, including lung function, imaging and symptom review. Risk factors assessed against poor lung health included neonatal treatments, respiratory hospitalisation in childhood, atopy and tobacco smoke exposure.Measurements and main resultsYoung adults born prematurely had greater airflow obstruction, gas trapping and ventilation inhomogeneity, in addition to abnormalities in gas transfer and respiratory mechanics, compared with term. Beyond lung function, we observed greater structural abnormalities, respiratory symptoms and inhaled medication use. A previous respiratory admission was associated with airway obstruction; mean forced expiratory volume in 1 s/forced vital capacity z-score was −0.561 lower after neonatal confounders were accounted for (95% CI −0.998 to –0.125; p=0.012). Similarly, respiratory symptom burden was increased in the preterm group with a respiratory admission, as was peribronchial thickening (6% vs 23%, p=0.010) and bronchodilator responsiveness (17% vs 35%, p=0.025). Atopy, maternal asthma and tobacco smoke exposure did not influence lung function or structure at 16–23 years in our preterm cohort.ConclusionsEven after accounting for the neonatal course, a respiratory admission during childhood remained significantly associated with reduced peak lung function in the preterm-born cohort, with the largest difference seen in those with BPD. A respiratory admission during childhood should, therefore, be considered a risk factor for long-term respiratory morbidity in those born preterm, especially for individuals with BPD.

The practice of using race or ethnicity in medicine to explain differences between individuals is being called into question because it may contribute to biased medical care and research that perpetuates health disparities and structural racism. A commonly cited example is the use of race or ethnicity in the interpretation of pulmonary function test (PFT) results, yet the perspectives of practicing pulmonologists and physiologists are missing from this discussion. This discussion has global relevance for increasingly multicultural communities in which the range of values that represent normal lung function is uncertain. We review the underlying sources of differences in lung function, including those that may be captured by race or ethnicity, and demonstrate how the current practice of PFT measurement and interpretation is imperfect in its ability to describe accurately the relationship between function and health outcomes. We summarize the arguments against using race-specific equations as well as address concerns about removing race from the interpretation of PFT results. Further, we outline knowledge gaps and critical questions that need to be answered to change the current approach of including race or ethnicity in PFT results interpretation thoughtfully. Finally, we propose changes in interpretation strategies and future research to reduce health disparities.

Children with asthma face serious mental health risk, but the pathways remain unclear. This study aimed to examine bullying victimisation and perpetration in children with asthma and a comparison sample without a chronic health condition, and the role of bullying in moderating psychosocial adjustment outcomes for those with asthma. A sample of children with (n= 24) and without asthma (n= 39), and their parents, were recruited from hospital clinics. Parents rated children’s psychosocial adjustment; children provided self-report of bullying victimisation and perpetration; from which co-occurring bully/victim status was derived. No differences in mean perpetration or victimisation were found, but children with asthma were more likely to be bully/victims (involved both as target and perpetrator), compared to those without asthma. Children with asthma who were victims of bullying had greater peer problems and overall adjustment problems; bully/victims did not show this pattern. Children with asthma may be more likely to be bully/victims, and those who are victims of bullying may be at elevated risk for psychosocial adjustment problems and require particular support in this area from school counsellors and psychologists.

AbstractChildren with asthma face serious mental health risk, but the pathways remain unclear. This study aimed to examine bullying victimisation and perpetration in children with asthma and a comparison sample without a chronic health condition, and the role of bullying in moderating psychosocial adjustment outcomes for those with asthma. A sample of children with (n= 24) and without asthma (n= 39), and their parents, were recruited from hospital clinics. Parents rated children’s psychosocial adjustment; children provided self-report of bullying victimisation and perpetration; from which co-occurring bully/victim status was derived. No differences in mean perpetration or victimisation were found, but children with asthma were more likely to be bully/victims (involved both as target and perpetrator), compared to those without asthma. Children with asthma who were victims of bullying had greater peer problems and overall adjustment problems; bully/victims did not show this pattern. Children with asthma may be more likely to be bully/victims, and those who are victims of bullying may be at elevated risk for psychosocial adjustment problems and require particular support in this area from school counsellors and psychologists.

Early life is a key period that determines long-term health. Lung development in childhood predicts lung function attained in adulthood and morbidity and mortality across the life course. We aimed to assess the effect of early-life lower respiratory tract infection (LRTI) and associated risk factors on lung development from birth to school age in a South African birth cohort.

This paper reviews the concept of pp-waves and plane waves in classical general relativity theory. The first four sections give discussions of some algebraic constructions and symmetry concepts which will be needed in what is to follow. The final sections deal with the definitions of such wave solutions, their associated geometrical tensors in space–time and their Killing, homothetic, conformal and wave surface symmetries. Some unusual geometrical features of these solutions (compared with standard positive definite geometry) are described.

IMPORTANCE: Tonsillectomy is a common pediatric procedure for the treatment of sleep-disordered breathing and chronic tonsillitis. Up to half of children having this procedure experience a perioperative respiratory adverse event. OBJECTIVE: To determine whether inhaled albuterol sulfate (salbutamol sulfate) premedication decreases the risk of perioperative respiratory adverse events in children undergoing anesthesia for tonsillectomy. DESIGN, SETTING, AND PARTICIPANTS: A randomized, triple-blind, placebo-controlled trial (the Reducing Anesthetic Complications in Children Undergoing Tonsillectomies [REACT] trial) was conducted at Perth Children’s Hospital (formerly Princess Margaret Hospital for Children), the only tertiary pediatric hospital in Western Australia. Participants included 484 children aged 0 to 8 years who were undergoing anesthesia for tonsillectomy. The study was conducted between July 15, 2014, and May 18, 2017. INTERVENTIONS: Participants were randomized to receive either albuterol (2 actuations, 200 μg) or placebo before their surgery. MAIN OUTCOMES AND MEASURES: Occurrence of perioperative respiratory adverse events (bronchospasm, laryngospasm, airway obstruction, desaturation, coughing, and stridor) until discharge from the postanesthesia care unit. RESULTS: Of 484 randomized children (median [range] age, 5.6 [1.6-8.9] years; 285 [58.9%] boys), 479 data sets were available for intention-to-treat analysis. Perioperative respiratory adverse events occurred in 67 of 241 children (27.8%) receiving albuterol and 114 of 238 children (47.9%) receiving placebo. After adjusting for age, type of airway device, and severity of obstructive sleep apnea in a binary logistic regression model, the likelihood of perioperative respiratory adverse events remained significantly higher in the placebo group compared with the albuterol group (odds ratio, 2.8; 95% CI, 1.9-4.2; P < .001). Significant differences were seen in children receiving placebo vs albuterol in laryngospasm (28 [11.8%] vs 12 [5.0%]; P = .009), coughing (79 [33.2%] vs 27 [11.2%]; P < .001), and oxygen desaturation (54 [22.7%] vs 36 [14.9%]; P = .03). CONCLUSIONS AND RELEVANCE: Albuterol premedication administered before tonsillectomy under general anesthesia in young children resulted in a clinically significant reduction in rates of perioperative respiratory adverse events compared with the rates in children who received placebo. Premedication with albuterol should be considered for children undergoing tonsillectomy. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry identifier: ACTRN12614000739617

ObjectiveSurvival rates for congenital diaphragmatic hernia (CDH) are increasing. The long-term outcomes of CDH survivors were compared with a healthy control group to assess the morbidity for guidance of antenatal counselling and long-term follow-up programmes.Participants and designParticipants born with CDH in Western Australia 1993–2008 were eligible with matched controls from the general population. Participants had comprehensive lung function tests, echocardiogram, low-dose chest CT scan and completed a Strengths and Difficulties Questionnaire (SDQ) and quality of life (QOL) questionnaire.Results34 matched case–control pairs were recruited. Demographic data between groups were similar. Cases were smaller at follow-up (weight Z-score of −0.2vs0.3; p=0.03; height Z-score of −0.3vs0.6; p=0.01). Cases had lower mean Z-scores for forced expiratory volume in 1 s (FEV1) (−1.49 vs −0.01; p=0.004), FEV1/forced vital capacity (−1.92 vs −1.2; p=0.009) and forced expiratory flow at 25-75% (FEF25-75) (−1.18vs0.23; p=0.007). Cases had significantly worse respiratory mechanics using forced oscillation technique. Subpleural triangles architectural distortion, linear opacities and scoliosis on chest CT were significantly higher in cases. Prosthetic patch requirement was associated with worse lung mechanics and peak cough flow. Cases had significantly higher rates of gastro-oesophageal reflux disease (GORD) and GORD medication usage. Developmental delay was significantly higher in cases. More cases had a total difficulties score in the high to very high range (25% vs 0%, p=0.03) on the SDQ and reported lower objective QOL scores (70.2 vs 79.8, p=0.02).ConclusionSurvivors of CDH may have significant adverse long-term medical and psychosocial issues that would be better recognised and managed in a multidisciplinary clinic.

Data on longitudinal respiratory follow-up after preterm birth in the surfactant era are scarce and of increasing importance, with concerns that preterm survivors are destined for early onset chronic obstructive airway disease. We aimed to comprehensively assess lung function longitudinally from early childhood to mid-childhood in very preterm children (≤32 weeks gestation), and to explore factors negatively impacting on lung function trajectories.

Perioperative respiratory adverse events (PRAE) are the most common critical incidents in paediatric anaesthesia and occur more often in infants. Use of laryngeal mask airways (LMAs) is associated with reduced PRAE compared with endotracheal tubes in older children (>1 year). We aimed to evaluate the effect of these devices on the incidence of PRAE in infants.

RationaleSurvivors of preterm birth are at risk of chronic and lifelong pulmonary disease. Follow-up data describing lung structure and function are scarce in children born preterm during the surfactant era.ObjectivesTo obtain comprehensive data on lung structure and function in mid-childhood from survivors of preterm birth. We aimed to explore relationships between lung structure, lung function and respiratory morbidity as well as early life contributors to poorer childhood respiratory outcomes.MethodsLung function was tested at 9–11 years in children born at term (controls) and at ≤32 weeks gestation. Tests included spirometry, oscillatory mechanics, multiple breath nitrogen washout and diffusing capacity of the lung for carbon monoxide. Preterm children had CT of the chest and completed a respiratory symptoms questionnaire.Main results58 controls and 163 preterm children (99 with bronchopulmonary dysplasia) participated. Preterm children exhibited pulmonary obstruction and hyperinflation as well as abnormal peripheral lung mechanics compared with term controls. FEV1was improved by 0.10 z-scores for every additional week of gestation (95% CI 0.028 to 0.182; p=0.008) and by 0.34 z-scores per z-score increase in birth weight (0.124 to 0.548; p=0.002). Structural lung changes were present in 92% of preterm children, with total CT score decreased by 0.64 (−0.99 to −0.29; p<0.001) for each additional week of gestation. Obstruction was associated with increased subpleural opacities, bronchial wall thickening and hypoattenuated lung areas on inspiratory chest CT scans (p<0.05).ConclusionsAbnormal lung structure in mid-childhood resulting from preterm birth in the contemporary era has important functional consequences.

BackgroundLow lung function in early life is associated with later respiratory illness. There is limited data on lung function in African infants despite a high prevalence of respiratory disease.AimTo assess the determinants of early lung function in African infants.MethodInfants enrolled in a South African birth cohort, the Drakenstein child health study, had lung function measured at 6–10 weeks of age. Measurements, made with the infant breathing via a facemask during natural sleep, included tidal breathing, sulfur hexafluoride multiple breath washout and the forced oscillation technique. Information on antenatal and early postnatal exposures was collected using questionnaires and urine cotinine. Household benzene exposure was measured antenatally.ResultsSuccessful tests were obtained in 645/675 (95%) infants, median (IQR) age of 51 (46–58) days. Infant size, age and male gender were associated with larger tidal volume. Infants whose mothers smoked had lower tidal volumes (−1.6 mL (95% CI −3.0 to −0.1), p=0.04) and higher lung clearance index (0.1 turnovers (95% CI 0.01 to 0.3), p=0.03) compared with infants unexposed to tobacco smoke. Infants exposed to alcohol in utero or household benzene had lower time to peak tidal expiratory flow over total expiratory time ratios, 10% (95% CI −15.4% to −3.7%), p=0.002) and 3.0% (95% CI −5.2% to −0.7%, p=0.01) lower respectively compared with unexposed infants. HIV-exposed infants had higher tidal volumes (1.7 mL (95% CI 0.06 to 3.3) p=0.04) compared with infants whose mothers were HIV negative.ConclusionWe identified several factors including infant size, sex, maternal smoking, maternal alcohol, maternal HIV and household benzene associated with altered early lung function, many of which are factors amenable to public health interventions. Long-term study of lung function and respiratory disease in these children is a priority to develop strategies to strengthen child health.

ABSTRACTConcern over the release of variola virus as an agent of bioterrorism remains high and a rapid vaccination regimen is desirable for use in the event of a confirmed release of virus. A single, high-dose (5×108TCID50) of Bavarian Nordic's IMVAMUNE was tested in a Phase-II clinical trial, in humans, as a substitute for the standard (1×108TCID50), using a 2-dose, 28-days apart regimen. Prior to this clinical trial taking place a Good Laboratory Practice, repeated high-dose, toxicology study was performed using IMVAMUNE, in New Zealand white rabbits and the results are reported here. Male and female rabbits were dosed twice, subcutaneously, with 5×108TCID50of IMVAMUNE (test) or saline (control), 7-days apart. The clinical condition, body-weight, food consumption, haematology, blood chemistry, immunogenicity, organ-weight, and macroscopic and microscopic pathology were investigated. Haematological investigations indicated changes within the white blood cell profile that were attributed to treatment with IMVAMUNE; these comprised slight increases in neutrophil and monocyte numbers, on study days 1-3 and a marginal increase in lymphocyte numbers on day 10. Macroscopic pathology revealed reddening at the sites of administration and thickened skin in IMVAMUNE, treated animals. After the second dose of IMVAMUNE 9/10 rabbits seroconverted, as detected by antibody ELISA on day 10, by day 21, 10/10 rabbits seroconverted. Treatment-related changes were not detected in other parameters. In conclusion, the subcutaneous injection of 2 high-doses of IMVAMUNE, to rabbits, was well tolerated producing only minor changes at the site of administration. Vaccinia-specific antibodies were raised in IMVAMUNE-vaccinated rabbits only.

The UK Advanced Gas-Cooled reactors (AGRs) have cores made of graphite bricks with dual functions: as structural elements of the core, providing space for and separating fuel and control rods; and as moderator of the nuclear reaction. Nuclear graphite is a quasi-brittle material, where the dominant mechanism for failure is cracking. While cracking of isolated bricks is expected due to operation-induced changes in graphite microstructure and stress fields, these could be tolerated as far as the overall structural function of the core is maintained. Assessment of the whole core behavior has been previously done with whole scale models where bricks have been considered as rigid body elements connected by elastic-brittle springs. This approach does not allow for the realistic assessment of the stresses in the bricks and associated brick cracking. Reported here are results from an ongoing project, which addresses this shortcoming. The proposed model uses deformable bricks with appropriate interactions, allowing for physically realistic whole core analysis. The results are focused on the damage that a graphite moderated reactor develops during a life cycle, how this affects the behavior of the whole core, and how changes in bricks' behavior impacts the core integrity. The proposed methodology is a major step toward high-fidelity assessment of AGRs' fitness for service, required for supporting continuous safe operation and life-extension decisions.

Feral goats (Capra hircus) are estimated to cause >AUD$25 million of losses to pastoralism per year. Feral goats contribute to soil erosion, shrub defoliation, pasture degradation, and compete with stock for browse. Feral goats also impact threatened plants such as curly barked wattle (Acacia curranii), and land degradation by goats is considered a Key Threatening Process under the Australian Commonwealth Environment Protection and Biodiversity Conservation Act 1999. However, many pastoralists supplement their incomes by harvesting feral goats for their meat, fiber, skins, and for live export; this is an industry worth >AUD$73 million/year. In consideration of the commercial industry associated with feral goats, we evaluated a non‐lethal form of management using predator odors at The University of Queensland's Darbalara Research Farm (Australia) in 2008. We evaluated fecal samples from lion (Panthera leo), tiger (P. tigris), and dingo (Canis lupus dingo) as area deterrents. Dingo fecal odor was not an effective deterrent for goats. Tiger fecal odor affected goat movement patterns, which resulted in a shift away from the test area (P= 0.01). The use of both lion and tiger fecal odors resulted in test animals moving their resting sites away from the test areas (lion, P= 0.03; tiger, P= 0.03). These results show that both lion and tiger fecal odors can be used to manipulate resource use by goats by affecting grazing patterns and shifting goat resting sites. © 2012 The Wildlife Society.

The tooth eruption and wear (TEW) technique for aging wild European fallow deer (Dama dama dama) in Tasmania, Australia has been in use for >15 yr, but it is also subjective and relies on the skill of the assessor and their assumptions of tooth wear. Deer managers and hunters have suggested that the TEW patterns observed in Tasmania are not consistent with age predictions of deer based on male antler growth. The cementum annuli (CA) technique provides a more objective assessment of age, but is more costly to perform. Our objective was to examine the relationship between the TEW and CA techniques for estimating the age of wild fallow deer in Tasmania. A game manager experienced in the use of the TEW technique assigned 300 deer jawbones collected from 3 sites during the 2001–2006 hunting seasons in Tasmania to different age categories. We conducted preliminary trials to develop a protocol that reliably exposed the CA in incisor teeth. Finally, we compared the ages determined by both methods. The preliminary trials successfully developed a protocol to use incisor teeth for reliably assessing CA. The CA technique gave a higher putative age than the TEW technique, though the magnitude of this result was dependent on location. The amount of soil ingested by the animals, and whether the animals mainly browsed or grazed were possible reasons why tooth wear varied between locations. Whilst the CA method is effective at indicating the age of wild deer, the method should be proven against known‐aged deer before being offered as a definitive measure of age. Managers should be clear in their objectives whether they require an approximate guide to age or an objective measure of age before deciding on which method to use. © 2011 The Wildlife Society.

ABSTRACTResearch into the use of predator-odor-based repellents as a management tool has gained momentum during the past 30 years. Some studies have suggested that odors from a predator whose diet includes the target species are more effective than odors from a predator that does not consume the species. To evaluate this management tool in the Australian context and to determine the effect, if any, of predator diet on odor repellence, we tested eutherian and metatherian, predator fecal odors on phylogenetically separated pest species that currently occur in Australia. We evaluated fecal odors from tigers (Panthera tigris) and Tasmanian devils (Sarcophilus harrisii) as repellents for goats (Capra hircus) and eastern grey kangaroos (Macropus giganteus). We fed tigers and Tasmanian devils 2 diets: one of goat and one of eastern grey kangaroo. The test fecal odors were more effective than a control odor of carrier material and solvent at deterring goats (P< 0.001) and kangaroos (P= 0.02) from food. Tiger fecal odor was more effective than Tasmanian devil odor in deterring both goats (P= 0.001)and kangaroos (P= 0.03). We observed a decrease in the number of feeding events for goats when they were exposed to the odor from a tiger fed goat compared with all other predator-diet combinations (P< 0.001). We also observed a decrease in feeding events for kangaroos when exposed to the odor from a tiger fed kangaroo compared with all other predator-diet combinations. We observed signs of desensitization to the test odors in goats and habituation to the test odors in kangaroos over the experimental period. A better understanding of the factors involved in desensitization and habituation may increase the effectiveness of fecal odor-based repellents as a humane and nonlethal management tool for managers.

Adenosine-5′-monophosphate (AMP) is an indirect challenge agent thought to reflect allergic airway inflammation. The forced oscillation technique (FOT) is ideal for use in young children and is suitable for inhaled challenge studies in patients who are in this age group. We assessed the agreement between a shortened and a standard AMP challenge and the repeatability of the shortened AMP challenge using FOT as a primary outcome variable.

Air travel may pose risks to ex-preterm neonates due to the low oxygen environment encountered during flights. We aimed to study the utility of the preflight hypoxia challenge test (HCT) to detect in-flight hypoxia in such infants.

Background Despite a growing number of studies using acoustic rhinometry (AR) in children, no reference material exists that incorporates the entire age and height interval of preschool children up to puberty for a range of rhinometric variables. The aim of this study is to provide a reference range for nasal volumes and minimum cross-sectional areas (MCAs) in healthy nondecongested children aged 4-13 years old.Methods Two hundred fifty-six primary school children (mean, 7.95 years; range, 3.8-13.1 years; 123 boys/133 girls) were measured by AR. Variables were MCA (first, second, and absolute minimum) and nasal volumes from 0 to 4 cm (Vol0-4), 0 to 5 cm (Vol0-5), 1 to 4 cm (Vol1-4), and 2 to 5 cm (Vol2-5) into the nasal cavity. Height and weight were measured and atopic status was determined by skin-prick test. Age and current and past respiratory health were recorded from a questionnaire.Results In multiple linear regression models height was the main predictor for all AR variables although weight also was a significant predictor of MCAs. There was no association between any AR variables with sex, atopy, or hay fever but children with current wheeze (within last 12 months) and asthma had decreased nasal patency.Conclusion This article presents the most extensive current reference material for AR in nondecongested prepubescent healthy children. The presented reference material will facilitate the interpretation and evaluation of future and present epidemiologic studies based on AR in children.

The hypoxia test can be performed to identify potential hypoxia that might occur in an at-risk individual during air travel. In 2004, the British Thoracic Society increased the hypoxia test cutoff guideline from 85 to 90% in young children. The aim of this study was to investigate how well the cutoff values of 85% and 90% discriminated between healthy children and those with neonatal chronic lung disease (nCLD).

Abstract: European fallow deer are an introduced species classified as partly protected wildlife in Tasmania, Australia. Current management practices are primarily governed under the Quality Deer Management regime, in which animals are harvested during designated hunting seasons. Among populations, prominent morphological differences have been reported; however, the genetic relationship of these populations has until now been poorly understood. Representative animals were sampled from three key areas across their range and genotyped at ten polymorphic microsatellite loci to investigate genetic diversity, population structure, and genetic bottlenecks. Allelic richness was low in all three populations and ranged between 2.20 and 2.49 alleles/locus. A genetic bottleneck was detected in two of the three populations (P < 0.001). Population differentiation was evident between Lake Echo and Benham (q = 0.122; P < 0.001) and Benham and Connorville (q = 0.110; P < 0.001), but not between Lake Echo and Connorville (q = 0.0235), with individuals being identified as belonging to two genetic clusters. The pattern of population differentiation from the three study populations suggests that deer from the western region of their range are genetically distinct to those from the eastern region. This correlates with morphological variation within Tasmanian fallow deer, in which differences between the regions maybe attributable to geographical barriers.

Logit regression is employed on 320 recipients of loans from the Malaysian Youth Economic Trust Fund to identify factors associated with whether they 'survived', defined as fully repaid their loans or 'failed', defined as being rendered involuntarily insolvent as a result of non-repayment. Explanatory variables are measures of human and social capital, motivation, location and types of strategy. Firm age and size are employed as controls. All variables have the expected sign except age and all have a high level of statistical significance, except level of education. Product differentiation appears the most important factor for survival.

There is limited evidence on the preferred methods for evaluating lung function in infancy. The objective of this study was to compare sensitivity and repeatability of indexes of lung function in young infants during induced airway obstruction.

Abstract: Deer were introduced to Australia in the 19th century, and today 6 species have been established in the wild. Australians have considered deer a pest and an important economic and hunting resource since their early introduction. We recommend promoting the management of wild deer for the joint outcomes of reducing adverse impacts on agriculture, forestry, and conservation values, and for exploitation and harvest. We also recommend that managers recognize deer as an established component of many Australian ecosystems. If Australians are to have a professional approach to wildlife management, we must move away from the traditional paradigms of protection of native species and eradication of exotic species and embrace wildlife management for all its complexities, challenges, and positive outcomes. We discuss wild deer management as a test case to explore these issues.

AbstractObjectives:The aim of this study was to compare subjective measures (overall health assessment both by the study physician and the child’s mother) with objective measurements of forced expiratory volumes (FEVt) and maximal flow at functional residual capacity maxFRC) in recurrently wheezy infants. Methods:Sixteen wheezy infants (12 boys) aged 8–26 months were studied. A clinical assessment at visit 1 was followed by the run-in period during which day- and nighttime asthma symptom scores were obtained. The actual study period consisted of 2 visits when patient’s lung function was assessed. The first of which was during an acute exacerbation (visit 2), while the second was when the infant was asymptomatic (visit 3). FEVtwere obtained by the raised volume rapid thoracic compression technique (RVRTC) and maxFRC by the tidal volume rapid thoracic compression technique (TVRTC). Results:Mean FEVtbut not mean maxFRC were significantly lower at visit 2 compared to visit 3 (FEV0.5: p = 0.005, and FEV0.75: p = 0.002; maxFRC: p = 0.15) and correlated well with overall health assessment by the study physician (FEV0.5: r = 0.82, and FEV0.75: r = 0.84), but not with the overall health assessment by the mother. Conclusions:We have shown in the present study that objective measurements of FEVtfrom a raised lung volume correlate well with the overall health assessment by the study physician; this was in contrast to measurements of maxFRC in the tidal volume range. We therefore conclude that the RVRTC technique is a feasible method to assess and monitor obstructive lung disease in infancy.Copyright © 2002 S. Karger AG, Basel

We investigated whether breath-to-breath fluctuations in tidal volume (Vt) and end-tidal O2and CO2exhibit long-range correlations and whether parameters describing the correlations can be used as noninvasive descriptors of control of breathing. We measured Vtand end-tidal O2and CO2over n= 352 ± 104 breaths in 26 term, healthy, unsedated infants (mean age ± SD: 36 ± 6 days) and calculated the detrended fluctuation function [F(n)]. The F(n) of the breath-to-breath time series of Vt, O2, and CO2revealed a linear increase with a breath number on log-log plots with a slope that was significantly different from 0.5 (random) and thus consistent with scale-invariant behavior. Long-range correlations were stronger for O2than for Vtand CO2.The F(n) of many individual signals exhibited a crossover behavior indicating that control mechanisms regulating fluctuations of Vt, O2, and CO2may be different on different time scales. Thus breathing has a memory up to at least 400 breaths that can be characterized by the simple indicator α.