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Multiple sclerosis in island populations: prevalence in the Bailiwicks of Guernsey and Jersey.

The aim of this study was to establish for the first time the prevalence of multiple sclerosis in the Bailiwicks of Guernsey and Jersey, as representing the most southerly part of the British Isles. All patients with multiple sclerosis in the Channel Islands resident on prevalence day were identified by contacting all medical practices, Multiple Sclerosis, and Action Research for Multiple Sclerosis societies by letter and visits. The crude overall prevalence rates were 113/100,000 (95% confidence interval (95% CI) 90.3-135.7) and 86.7/100,000 (95% CI 63.3-110.0) for the Bailiwicks of Jersey and Guernsey respectively. When standardised to the age and sex structure of a previously reported Northern Ireland population the standardised prevalence ratios were 120.2/100,000 (95% CI 96.0-144.3) for Jersey and 95.6/100,000 (95% CI 69.9-121.3) for the Bailiwick of Guernsey. When compared with recent studies in the northern United Kingdom the prevalence rates for multiple sclerosis in the Channel Islands lend some support to the proposed latitudinal gradient in the British Isles although the standardised prevalence ratio in the Bailiwick of Jersey is similar to those found in recent studies of southern Britain. The standardised prevalence rates of probable and definite multiple sclerosis for the male populations were 37.3/100,000 (95% CI 17.9-56.7) for the Bailiwick of Guernsey and 45.5/100,000 (95% CI 26.3-64.7) for the Bailiwick of Jersey whereas the standardised prevalence rates for the female populations were 97.5/100,000 (95% CI 73.9-143.5) and 139.5/100,000 (95% CI 112.6-181.2) respectively. Thus there is a striking and unexplained 43% higher prevalence of probable and definite multiple sclerosis in the female population of Jersey compared with that of the Bailiwick of Guernsey. This seems to be due to an unusually low prevalence of the disease among the female population of the Bailiwick of Guernsey compared with that of the United Kingdom mainland.

Adolescent↗

Genetic parameters and evaluation of rear legs (rear view) for Brown Swiss and Guernseys.

Genetic parameters were estimated for rear legs (rear view; RLRV) and 15 current linear type traits of Brown Swiss and Guernsey dairy cattle. The Brown Swiss Cattle Breeders' Association of the USA and the American Guernsey Association began scoring RLRV in 2004. For Brown Swiss, 8,502 records were available for 7,676 cows in 417 herds; Guernsey data included 5,437 records for 4,749 cows in 229 herds. Nine unknown-parent groups were defined for each breed, each with 2 birth years. The model included fixed effects for the interaction of herd, appraisal date, and parity; appraisal age within parity; and lactation stage within parity and random effects for animal, permanent environment, and residual error. The multitrait analysis for RLRV and the 15 linear type traits used canonical transformation, multiple diagonalization, and a decelerated expectation-maximization REML algorithm. For Brown Swiss, heritability was 0.102 for RLRV and ranged from 0.099 for rear legs (side view) to 0.453 for stature. For Guernseys, heritability ranged from 0.078 for RLRV to 0.428 for stature. For Brown Swiss, the highest genetic correlation with RLRV was 0.71 for rear udder width; the most negative correlation was -0.19 with rump angle. For Guernseys, the highest genetic correlations with RLRV were 0.43 for rear udder width and 0.42 for body depth; the most negative correlation was -0.46 with rear legs (side view). With heritability near 0.10, RLRV should be useful in selection for improved locomotion. Release of genetic evaluations for RLRV began in May 2006 for Brown Swiss and Guernseys.

Animals↗

Colostral immunoglobulin concentrations in Holstein and Guernsey cows.

OBJECTIVE: To compare the concentration of IgG in colostrum between Holstein and Guernsey cows and among cows of various lactations. DESIGN: Cross-sectional cohort study. SAMPLE POPULATION: Colostrum samples from 77 Holstein and 24 Guernsey cows. PROCEDURE: Colostrum samples were obtained from 101 cows. Colostral IgG concentration was determined, using a radial immunodiffusion assay. Regression analysis was used to determine the effect of breed and lactation number on colostral IgG concentration. Survival analysis and t-tests were used to compare the proportion of colostrum samples that would provide 100 g of IgG for various volumes of colostral intake. RESULTS: Guernsey cows produced 36.4 g of IgG/L of colostrum more than that of Holstein cows. Cows in the third or greater lactation produced 19.5 g of IgG/L of colostrum more than that of first-lactation cows. The IgG concentration of colostrum produced by second-lactation cows did not differ significantly from that produced by first-lactation cows. The colostral IgG concentration of these Holstein and Guernsey cows was higher than values that have been reported elsewhere. CONCLUSIONS AND CLINICAL RELEVANCE: Volume of colostrum needed to meet IgG intake goals is probably lower for Guernsey cows than Holstein cows. Colostrum from first-lactation cows was adequate in IgG content. The practice of discarding colostrum from first-lactation cows on the basis of inadequate IgG content was not justified in this study.

Animals↗

Effect of herd and sire on uniform functional type trait appraisal scores for Ayrshires, Guernseys, Jerseys, and milking shorthorns.

Type appraisal data supplied by United States breed organizations for Ayrshires, Guernseys, Jerseys, and Milking Shorthorns were examined for genetic and environmental sources of variation. Repeatabilities were highest for pelvic angle, udder depth, stature, suspensory ligament, and final score (.51 to .74) and lowest for foot shape (.15 to .29). Variances and covariances were estimated from appraisals from 230 Ayrshire, 352 Guernsey, 699 Jersey, and 51 Milking Shorthorn herds and represented 117, 157, 333, and 32 sires. Herd variances by trait and breed ranged from 2 to 23%. Herd effects were large for stature and rear udder width of Ayrshires, for most traits of Jerseys, and for udder depth of Milking Shorthorns. Herd X sire variance was small but averaged 3% across all breeds and traits. Heritabilities ranged from .06 to .75. Stature had the highest heritability (.34 to .75) for all four breeds. Heritabilities also were high for chest and body (.42), rump width (.36), and pelvic angle (.34) for Guernseys; pelvic angle (.29) and udder depth (.27) for Jerseys; and chest and body (.70), rump width (.50), and final score (.44) for Milking Shorthorns. Foot shape had the lowest heritability for Ayrshires, Guernseys, and Jerseys (.06 to .07). Most of the phenotypic correlations between appraisal traits were low to moderately high. Genetic correlations were calculated.

Animals↗

Nursing in war-time Guernsey: a preliminary review.

The research for this article was carried out in the Channel Island of Guernsey during 1996-97 and focuses on the remarkable resilience of a small group of nurses as they strove to provide an emergency hospital service to the civilian population of Guernsey between 1940 and 1945, during which time German forces were in occupation. Insights are provided into a unique period of nursing history, giving a flavour of the harsh environment in which care was provided. Hospital records at the time described a nurse as 'someone who earns her living nursing', therefore the title 'nurse' is used collectively to describe both the qualified State Registered Nurse and the unqualified junior staff. The article is part of an ongoing oral history project representing a collaborative venture between the Department of Health Studies at the University of Lincolnshire and Humberside, and the School of Healthcare Studies at the University of Leeds. Data for this study were obtained from a series of semi-structured audio-taped interviews with 13 former nurses who worked at the States of Guernsey Emergency Hospital during the occupation. Supporting data were derived from official archives, news reports and other published literature. The article is based on the author's inaugural lecture delivered at The University of Lincoln Campus, Friday 30 May 1997.

Germany↗

Do urinary oestrogen metabolites predict breast cancer? Guernsey III cohort follow-up.

This is the first prospective study of urinary measures of the two major competing pathways of oestrogen metabolism, 16alpha-hydroxyoestrone (16alpha-OHE1) and 2-hydroxyoestrone (2-OHE1), in relation to incident breast cancer risk. Experimental and case-control study results suggest that metabolism favouring the more oestrogenic 16alpha-OHE1 pathway may be linked to higher breast cancer risk. Women aged 35 and older from Guernsey (n = 5104) were surveyed in 1977-85 and have been continuously monitored for breast cancer and mortality up to the present (Guernsey III, Imperial Cancer Research Fund). Incident cases of breast cancer were matched to three control subjects for comparison of urinary oestrogen metabolite levels measured by enzyme immunoassay (EIA) in spot urine samples collected at baseline and stored frozen for up to 19 years. Consistent with case-control study results, post-menopausal (but not premenopausal) women at baseline who went on to develop breast cancer showed about a 15% lower 2:16alpha-OHE1 ratio than matched control subjects. Further, subjects with metabolite ratios in the highest tertile of 2:16alpha-OHE1 had about a 30% lower risk than women with ratios in the lowest two-thirds, although results were not statistically significant (OR = 0.71, 95% CI = 0.29-1.75). It is of potential importance that, in contrast to most risk factors for breast cancer, such as late age at first birth, oestrogen metabolism appears to be modifiable via diet and exercise, offering women the possibility of lowering breast cancer risk through non-pharmacological measures, although this remains to be tested.

Adult↗

Indirect prediction of herd life in Guernsey dairy cattle.

Production and type data were used to investigate the relationships of these traits with herd life data in US Guernsey cows that calved from 1985 through 1990. Two definitions of herd life were used: actual days from birth to disposal (true herd life) and herd life adjusted for milk production (functional herd life). Genetic parameters were calculated with data from cows that had an opportunity to reach 84 mo of age (n = 18,725). Linear type traits were preadjusted for stage of lactation and age at classification. True herd life was preadjusted for age at first calving and for functional herd life, within herd-year quartile ranking for milk yield. The (co)variance components for true and functional herd life, milk, fat, protein, and 15 linear type traits were estimated with multiple-trait REML in an animal model. Heritability estimates for true and functional herd life were 0.12 for both traits. Estimated genetic correlations of herd life with body size traits were from -0.14 to -0.29, with feet and leg traits were from -0.10 to 0.06, and with udder traits were from -0.09 to 0.24. These correlation parameters were used for indirect prediction of herd life from available production and type information in Guernseys.

Aging↗

Chromosome anomalies in Canadian Guernsey bulls.

The performance records of a group of Guernsey bulls used for artificial insemination revealed lower 60 to 90 day non-return rates as compared to that for bulls of the Holstein breed, and nine out of the 19 Guernsey bulls in this group exhibited fertility level below the average for this group. A cytogenetic survey to test whether or not the reduced fertility of these bulls was due to chromosome anomalies revealed a relatively high frequency of chromatid breaks and achromatic gaps in three out of 19 bulls while two carried 59 chromosomes each including a translocation chromosome. The 1/29 translocation heterozygote and the bulls showing achromatic gaps and chromatid breaks were among the five bulls which were consistently below the breed average in fertility as evidenced by the t test (P less than 0.01), whereas the bull with translocation 27/29 (G3) exhibited a non-return rate slightly higher than the breed average (P less than 0.01). It is possible that the chromosomally abnormal bulls contribute to increased returns to service not only because of the defective gametes they themselves might produce but also through their influence on the performance of their daughters.

Animals↗

A prospective study of endogenous serum hormone concentrations and breast cancer risk in premenopausal women on the island of Guernsey.

The associations between serum concentrations of oestradiol, progesterone, testosterone and sex hormone-binding globulin (SHBG) and risk of breast cancer in premenopausal women were investigated in a prospective study of breast cancer on the island of Guernsey. Sixty-two women diagnosed with breast cancer an average of 8 years subsequent to blood collection were matched for day of menstrual cycle, age and year of blood collection with 182 control subjects. Cases had a 12% higher mean oestradiol concentration over the whole menstrual cycle (P = 0.17) with a large difference at mid-cycle (75% higher, P = 0.04). Differences between cases and control subjects in progesterone (luteal phase), testosterone and SHBG were small and not statistically significant: luteal phase progesterone 9% lower in cases, P = 0.64; testosterone 4% higher, P = 0.57; SHBG 8% higher, P = 0.24. The small difference in oestradiol concentration could be aetiologically important, but larger prospective studies are needed.

Breast Neoplasms↗

A prospective study of endogenous serum hormone concentrations and breast cancer risk in post-menopausal women on the island of Guernsey.

The associations between serum concentrations of oestradiol, testosterone and sex hormone-binding globulin (SHBG) and risk of breast cancer in post-menopausal women were investigated in a prospective study on the island of Guernsey. Sixty-one women who developed breast cancer an average of 7.8 years after blood collection were matched for age, year of blood collection and number of years post-menopausal with 179 control subjects. Women using exogenous hormones at the time of blood collection were excluded from the study. Women who subsequently developed breast cancer had a 29% higher geometric mean oestradiol concentration than control women (P = 0.004). The odds ratio for breast cancer in the top third compared with the lowest third of the oestradiol concentration distribution was 5.03 (95% confidence interval 2.02-12.49, P for trend < 0.001). Adjusting for testosterone and SHBG concentrations did not substantially alter the odds ratio for oestradiol. Although testosterone and SHBG concentrations were associated with breast cancer risk, the concentrations of these hormones were correlated with those of oestradiol; the associations were not statistically significant after adjusting for oestradiol concentration. These data provide evidence that serum oestradiol concentrations in post-menopausal women may have a substantial effect on breast cancer risk.

Adult↗

Tackling the tobacco challenge: achieving 'healthy public policy' in tobacco control in Guernsey.

Scientific evidence identifying smoking as the major cause of poor health and premature death in both industrialised and increasingly in developing countries is now overwhelming. Despite this, for a variety of reasons, there has been reluctance amongst many Governments including that of Britain, to take all logical action necessary to restrict and reduce smoking, especially amongst the young. The States of Guernsey in the Channel Islands has recently agreed to introduce an integrated package of measures designed specifically to make smoking less attractive and less accessible and less affordable to young people in an attempt to reduce the number of addicted adult smokers. These measures include a total ban of all public advertising of tobacco, apart from at point of sale, a substantial price rise followed by further price rises for a minimum period of five years, a raising of the minimum age for the purchase of tobacco from 16 to 18 years, an increase in the size and content of pack health warnings, and increased funding for specific nonsmoking health promotion activities. The various barriers to achieving these reforms are described.

Adolescent↗

The association of height, weight, menstrual and reproductive events with breast cancer: results from two prospective studies on the island of Guernsey (United Kingdom).

The association with breast cancer of menstrual and reproductive events, family history of breast cancer, and body size have been studied on two cohorts of 6,706 volunteers on the island of Guernsey (United Kingdom), 168 of whom had breast cancer detected during follow-up. The median follow-up time of the non-cases was 21 years in the first study and 10 years in the second. A time-dependent Cox regression model was fitted to the data with age as the time-dependent variable in order to represent the effect of changing menopausal status. Other variables examined in the model were age at menarche, parity, age at first birth, family history of breast cancer, height, weight (both directly measured), relative weight (weight [kg]/height[m]), and Quetelet's body mass index (weight[kg]/height[m]2). Interactions between age and all other covariates also were examined. Family history was found to be the most important risk factor for women aged less than 51 years (relative risk [RR] = 3.5, 95 percent confidence interval [CI] = 2.0-6.0), and intervals between menarche and first birth longer than 14 years were found to increase significantly the risk of breast cancer in women older than 61 years (RR = 2.4, CI = 1.3-4.4). Height was the only indicator of body size which was associated significantly with risk of breast cancer, the estimated regression coefficient indicating an increase in risk of about 70 percent for women on the 90th centile of height relative to those on the 10th centile. A survey of the literature showed that the association between risk of breast cancer and height was found in those studies which used direct measurements of height but not in others which used self-reported values.

Age Factors↗

Hormone dependency of breast tumours developing in the Guernsey Cohort study.

The aim of this study was to determine whether endogenous estradiol levels in postmenopausal women helped determine the estrogen receptor status of subsequent breast cancers. Within the Guernsey Cohort study of 6127 women, 140 have been diagnosed with breast cancer of whom 59 had estradiol assays performed and ER status available. Estradiol levels in serum and urine were measured by radioimmunoassay and ER status of tumours by immunohistochemistry. Of the individuals in the highest tertile of serum estradiol 35% had ER+ve tumours compared with 27% in the lowest tertile. In terms of 16hydroxyestrone excretion the proportions ER+ve tumours were 22% in the lowest tertile and 38% in the highest tertile. This suggests that endogenous estrogen levels do impact on the phenotype of subsequent breast cancer.

Breast Neoplasms↗

A prospective study of serum bile acid concentrations and colorectal cancer risk in post-menopausal women on the island of Guernsey.

Secondary bile acids produced by the action of the colonic microflora may increase risk of colorectal cancer. Serum bile acid concentrations reflect the faecal bile acid profile and may be of value as biomarkers of risk of colorectal cancer. In a pilot investigation we examined: (i) the reproducibility of measurements of serum bile acids in two blood samples collected several years apart; and (ii) the hypothesis that relatively high levels of secondary bile acids, particularly deoxycholic acid, would be positively associated with an increased risk of colorectal cancer in a prospective study of 3680 women in Guernsey. There was poor reproducibility between repeat measurements of absolute serum concentrations of bile acids, but there was moderately good reproducibility for the ratios of serum concentrations of deoxycholic/cholic acid, lithocholic/chenodeoxycholic and secondary/primary bile acid concentrations (duplicate blood samples were available for 30 women). There were no significant differences in ratios of serum secondary to primary bile acids or in absolute concentrations of bile acids between the 46 women who developed colorectal cancer and their matched controls, although there was a suggestion that an increased risk was associated with a high ratio of deoxycholic/cholic acid (relative risk in top third compared to lower third=3.92 (95% CI 0.91-17.0, P for trend=0.096). These findings suggest that the ratios of serum bile acid concentrations are sufficiently reproducible for epidemiological studies, but that a larger study than our own is needed to adequately test the hypothesis of their relation to cancer risk.

Adult↗

Mammographic features and subsequent risk of breast cancer: a comparison of qualitative and quantitative evaluations in the Guernsey prospective studies.

Mammographic features are known to be associated with breast cancer but the magnitude of the effect differs markedly from study to study. Methods to assess mammographic features range from subjective qualitative classifications to computer-automated quantitative measures. We used data from the UK Guernsey prospective studies to examine the relative value of these methods in predicting breast cancer risk. In all, 3,211 women ages > or =35 years who had a mammogram taken in 1986 to 1989 were followed-up to the end of October 2003, with 111 developing breast cancer during this period. Mammograms were classified using the subjective qualitative Wolfe classification and several quantitative mammographic features measured using computer-based techniques. Breast cancer risk was positively associated with high-grade Wolfe classification, percent breast density and area of dense tissue, and negatively associated with area of lucent tissue, fractal dimension, and lacunarity. Inclusion of the quantitative measures in the same model identified area of dense tissue and lacunarity as the best predictors of breast cancer, with risk increasing by 59% [95% confidence interval (95% CI), 29-94%] per SD increase in total area of dense tissue but declining by 39% (95% CI, 53-22%) per SD increase in lacunarity, after adjusting for each other and for other confounders. Comparison of models that included both the qualitative Wolfe classification and these two quantitative measures to models that included either the qualitative or the two quantitative variables showed that they all made significant contributions to prediction of breast cancer risk. These findings indicate that breast cancer risk is affected not only by the amount of mammographic density but also by the degree of heterogeneity of the parenchymal pattern and, presumably, by other features captured by the Wolfe classification.

Adult↗

Pheochromocytomas and ultimobranchial (C-cell) neoplasms in the bull: evidence of autosomal dominant inheritance in the Guernsey breed.

Pheochromocytomas and ultimobranchial (C-cell) neoplasms were diagnosed at a high frequency in a family of Guernsey bulls. The incidence supported the hypothesis of autosomal dominant inheritance of the neoplasms. These two neoplasms also occur in man as multiple endocrine adenomatosis type 2, which has autosomal dominant inheritance.

Adrenal Gland Neoplasms↗

Effects of protein and energy supplementation of Guernsey cows on the kinetics of digestion and passage of orchardgrass versus alfalfa.

Four mature, nonlactating Guernsey cows were used in a 4 x 4 latin square experiment to determine nutrient digestibility, rate of particulate passage, ruminal volume and composition of ruminal contents in cows fed diets at 80% of ad libitum intake. Diets consisted of 100% alfalfa (AL), 100% orchardgrass (OG), 85% OG plus 15% soybean meal (OG + SBM) and 70% OG plus 20% SBM plus 10% starch (OG + SBM + S) on an as-fed basis. Particulate passage rates were measured by either meal marking (Ce) or ruminal marking (La). Intake (1.6 vs 1.4% of BW) and digestibility of DM (63 vs 56%) and NDF (66 vs 39%) were greater (P less than .05) for OG than for AL. Dry matter and CP digestibility were improved 6 and 16 percentage units, respectively, when OG was supplemented with SBM + S. Nitrogen retention, higher (19 vs 3 g/d; P less than .02) in animals fed OG than in those fed AL, was reduced (P less than .05) when OG was supplemented with SBM (5 g/d), but it was improved (P less than .05) when OG + SBM was supplemented with S (39 g/d). Particulate passage (-k) measured with Ce (3.8 vs 4.6%/h) and La (4.2 vs 4.9%/h) was slower (P less than .01 and P less than .10) for AL vs OG, respectively. Supplementation of OG with SBM increased (P less than .01) -k and reduced (P less than .01) ruminal t1/2 and total t1/2. Averaged across diets, total (32.3 vs 31.1 h) and ruminal t1/2 (15.1 vs 14.0 h) of Ce were slower (P less than .10) than La. Marking techniques were not different (P greater than .05) in sensitivity for passage characteristics. Total ruminal NDF content was not different (P greater than .05) for AL vs OG (10 vs 9 g/kg BW), but it was lower for OG + SBM and OG + SBM + S (7.8 and 7.9 g/kg BW; P less than .05). Supplementation of OG with protein and starch increased total diet intake but did not decrease extent of NDF and ADF digestion.

Animal Feed↗

Genotype x environment interaction for milk production in Guernsey cattle.

International genetic evaluations that use national genetic evaluation results as input need to acknowledge country boundaries. The current model for international evaluation treats each country as a genetically separate trait, i.e., assumes milk production to be similar within country, but different between countries. The use of cow performance records does not require such restriction, and allows for other statistical models to consider genotype x environment interaction. First-lactation records from 40,000 Guernsey cows in four countries (Australia, Canada, United States, and South Africa) were used to detect and describe genotype x environment interaction for milk production traits. Five statistical models were considered: single-trait across-county (ST), single-trait across-country with heterogeneous residual variance (SThet), multiple-trait across-country (MT), multiple-trait herd cluster model (HC), and reaction norm model (RR). For the herd cluster model, herds were clustered into groups based on information on herd management, genetic composition, and climate. Reaction norms describe the phenotype expressed by a genotype as a function of the environment, and was modeled by random regression on the herd average for peak milk yield as the descriptor of production environment. Gibbs sampling was used to make inferences about the parameters of interest, and models were compared based on goodness of fit and deviance information criterion. Posterior mode of the heritability for the single-trait model was 0.32, and ranged from 0.15 to 0.53 for models SThet and MT. Posterior mode of the genetic correlations between countries estimated with model MT were generally high (0.78 to 0.90). However, posterior SD were high (up to 0.15 for Australia-South Africa), and values near unity for the genetic correlations were not unlikely. Model HC gave more precise inferences but lower goodness of fit compared with model MT. Results from model RR provided evidence for heterogeneity of genetic variances. This model was least supported by the data, probably because heterogeneity of residual variances was not considered. Among the models in this study, the one with homogeneous genetic and heterogeneous residual variances across countries fitted best to the data, and we expect a model for which the assumption of homogeneous genetic variance is relaxed to show an even better fit to the data.

Animals↗