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J Lipson

Publications and source records attributed to J Lipson.

4 recordsLinked to original sources

Paternal age and birth defects: how strong is the association?

BACKGROUND: Although the association between maternal age and the risks of birth defects has been well studied, the evidence from population data linking paternal age with birth defects was limited and inconsistent. METHODS: We conducted a population-based retrospective cohort study of 5,213,248 subjects from the 1999-2000 birth registration data of the USA. Multiple logistic regressions were used to estimate the independent effect of paternal age on all birth defects and 21 specific defects groups after adjusting for potential confounding of maternal age, race, education, marital status, parity, prenatal care initiation, maternal smoking and alcohol drinking during pregnancy. RESULTS: A total of 77,514 (1.5%) birth defects were recorded in the study cohort. The adjusted odds ratios were 1.04 (1.01, 1.06), 1.08 (1.04, 1.12), 1.08 (1.02, 1.14) and 1.15 (1.06, 1.24), respectively, for infants born to fathers 30-35, 40-44, 45-49 and over 50 years (test for trend, P = 0.0155), when compared with those infants born to fathers aged 25-29 for any birth defect. Advanced paternal age was associated with increased risks of heart defects, tracheo-oesophageal fistulaoesophageal atresia, other musculoskeletal/integumental anomalies, Down's syndrome and other chromosomal anomalies. Fathers under 25 years of age were also at increased risks of spina bifida/meningocele, microcephalus, omphalocele/gastroschisis and other musculoskeletal/integumental anomalies. CONCLUSIONS: Infants born to older fathers have a slightly increased risk of birth defects. Young paternal age is also associated with slightly increased risk of several selected birth defects in their offspring. However, given the weak association, paternal age appears to play a small role in the aetiology of birth defects.

Adult↗

Increased reinforcement when timeout from avoidance includes access to a safe place.

Three experiments investigated the reinforcing value of access to a safe place during timeout from an avoidance schedule. Rats were trained on conjoint schedules in which responding both postponed shock on a free-operant avoidance schedule and produced periods of timeout on fixed-ratio schedules. In some conditions, a shelf was inserted into the operant chamber during timeout, enabling subjects to get off the grid floor. The combination of timeout and shelf maintained substantially higher response rates than the baseline avoidance schedule with ratio requirements as high as 90 (Experiment I). Adding the shelf to timeouts in one component of multiple fixed-ratio schedules of timeout resulted in higher response rates in the component where the shelf was included (Experiment II). When timeouts with and without the shelf were arranged on concurrent schedules, the shelf-timeout combination was preferred, even when of shorter duration than timeout alone (Experiment III). In all three experiments, subjects climbed on the shelf, although all shocks were cancelled during timeout periods. The results could not be accounted for solely in terms of the reinforcing properties of changes in shock rates, but required an interpretation that ascribed conditioned reinforcing value to stimuli associated with such changes.

Journal Article↗

Genitourinary tract anomalies in lobster claw syndrome.

A child with ectrodactyly or lobster claw syndrome and bilateral ureterovesical junction obstruction is described. The embryogenesis of the kidney and the limb buds suggest that a close association exists between these 2 conditions. Therefore, it is important to investigate the urinary tract in all patients with limb deformities.

Abnormalities, Multiple↗