Analysis 1.4. Comparison 1 Antibiotics versus placebo for the treatment of sore throats: symptom of sore throat, Outcome 4 Symptom of sore throat on day 3: GABHS-positive throat swab, negative swab, untested/inseparable.. .. Analysis 1.5. Comparison 1 Antibiotics versus placebo for the treatment of sore throats: symptom of sore throat, Outcome
[1] Securing water supplies in urban areas is a major challenge for policy makers, both now and into the future. This study aimed to identify the key determinants of household water use, with a view to identifying those factors that could be targeted in water demand management campaigns. Objective water use data and surveys were collected from 1008 households in four local government areas of southeast Queensland, Australia. Results showed that demographic, psychosocial, behavioral, and infrastructure variables all have a role to play in determining household water use. Consistent with past research, household occupancy was the most important predictor of water use. Households in regions recently exposed to drought conditions and higher-level restrictions also used less water than those who had less experience with drought. The effect of water efficient technology was mixed: some water efficient appliances were associated with less water use, while others were associated with more water use. Results also demonstrated the importance of considering water use as a collective behavior that is influenced by household dynamics. Households who reported a stronger culture of water conservation used less water. These findings, along with evidence that good water-saving habits are linked to water conservation, highlight the value of policies that support long-term cultural shifts in the way people think about and use water.
BackgroundHigh birth weight has serious adverse impacts on chronic health conditions and development in children. This study identifies the social determinants and obstetric complications of high birth weight adjusted for gestational age and baby gender.MethodsPregnant women were recruited from three maternity hospitals in South-East Queensland in Australia during antenatal clinic visits. A questionnaire was completed by each participant to elicit information on eco-epidemiological exposures. Perinatal information was extracted from hospital birth records. A hierarchical mixture regression model was used in the analysis to account for the heterogeneity of birth weights and identify risk factors and obstetric complications of births that were large for gestational age. A generalized linear mixed model was used to adjust for (random) "community" effects.ResultsPre-pregnancy obesity (adjusted OR = 2.73, 95% CI = 1.49-5.01), previous pregnancy (adjusted OR = 2.03, 95% CI = 1.08-3.81), and married mothers (adjusted OR = 1.85, 95% CI = 1.00-3.42) were significantly associated with large for gestational age babies. Subsequent complications included the increased need for delivery by caesarean sections or instrumental procedures (adjusted OR = 1.98, 95% CI = 1.10-3.55), resuscitation (adjusted OR = 2.52, 95% CI = 1.33-4.79), and transfer to intensive/special care nursery (adjusted OR = 3.76, 95% CI = 1.89-7.49). Communities associated with a higher proportion of large for gestational age births were identified.ConclusionsPre pregnancy obesity is the principal modifiable risk factor for large for gestational age births. Large for gestational age is an important risk factor for the subsequent obstetric complications. The findings improve the evidence-base on which to base preventive interventions to reduce the impact of high birth weight on maternal and child health.
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