Biological Differences between Late 19th and Early 20th Century Urban and Rural Residence.

Communities urbanize when the net benefits to urbanization exceed rural areas. Body mass, height, and weight are biological welfare measures that reflect the net difference between calories consumed and calories required for work and to withstand the physical environment. Individuals of African-decent had greater BMIs, heavier weights, and shorter statures. Urban farmers had lower BMIs, shorter statures, and lower weight than rural farmers. Over the late 19th and early 20th centuries, urban and rural BMIs, height, and weight were constant, and rural farmers had greater BMIs, taller statures, and heavier weights than urban farmers and workers in other occupations.

Nutrition within the household: 18th through early 20th century female and male statures.

When other measures for material conditions are scarce or unreliable, the use of height is now common to evaluate economic conditions during economic development. However, throughout US economic development, height data by gender have been slow to emerge. Throughout the late 19th and early 20th centuries, female and male statures remained constant. Agricultural workers had taller statures than workers in other occupations, and the female agricultural height premium was over twice that of males. For both females and males, individuals with fairer complexions were taller than their darker complexioned counterparts. Gender collectively had the greatest explanatory effect associated with stature, followed by age and nativity. Socioeconomic status and birth period had the smallest collective effects with stature.

Weight and economic development: current net nutrition in the late 19th- and early 20th-century United States.

When traditional measures for material and economic welfare are scarce or unreliable, height and the body mass index (BMI) are now widely accepted measures that represent cumulative and current net nutrition in development studies. However, as the ratio of weight to height, BMI does not fully isolate the effects of current net nutrition. After controlling for height as a measure for current net nutrition, this study uses the weight of a sample of international men in US prisons. Throughout the late 19th- and early-20th centuries, individuals with darker complexions had greater weights than individuals with fairer complexions. Mexican and Asian populations in the US had lower weights and reached shorter statures. Black and white weights stagnated throughout the late 19th- and early-20th centuries. Agricultural workers' had greater weights than workers in other occupations.

Late 19th, early 20th century US, foreign-born body mass index values in the United States.

Little work exists that compares the BMIs of 19th century foreign-born and US-born natives. Russian, Italian, German, and French BMIs were 5.1, 3.9, 2.9, and 1.8 percent higher than that of North Americans; Asians were nearly 4.2 percent lower. African-Americans and multiracial/multiethnic individual BMIs were 4.9 and 3.8 percent greater than fairer complexioned whites, indicating there was no multiracial/multiethnic BMI advantage. Farm laborers and ranchers had BMIs that were 2.9 percent and 2.2 percent greater, respectively, than that of workers with no occupations.

Net nutrition on the late 19th and early 20th century American Great Plains: a robust biological response to the challenges to the Turner Hypothesis.

In 1893, Frederick Jackson Turner proposed that America's Western frontier was an economic 'safety-valve' - a place where settlers could migrate when conditions in eastern states and Europe crystallized against their upward economic mobility. However, recent studies suggest the Western frontier's material conditions may not have been as advantageous as Jackson proposed because settlers lacked the knowledge and human capital to succeed on the Plains and Far Western frontier. Using stature, BMI and weight from five late 19th and early 20th century prisons, this study uses 61,276 observations for men between ages 15 and 79 to illustrate that current and cumulative net nutrition on the Great Plains did not deteriorate during the late 19th and early 20th centuries, indicating that recent challenges to the Turner Hypothesis are not well supported by net nutrition studies.

The BMI values of the lower classes likely declined during the Great Depression.

The BMI values of inmates in the McNeil Island Penitentiary in Washington State declined between the 1860s and the 1910s birth cohorts by 1.44. Furthermore, those who were imprisoned in the 1930s had significantly lower BMI values (by between 0.72 and 1.01) than those who were incarcerated at the end of the 19th century. This corresponds to a decrease in weight of some 2.25kg (4.95lbs) for a man of average height of 173.86cm (68.5inches). The diminution in nutritional status among this lower-class sample is hardly surprising, given the high level of unemployment at the time but has not been verified until now. In marked contrast, the BMI values of Citadel cadets increased by 1.5 units in the 1930s. This divergence in BMI values is most likely due to the different social status, to the different regional origins of the two samples or to both.

Direct cerebral perfusion and cooling in experimental cardiac arrest.

BACKGROUND: Cerebral protection is a key priority during cardiac arrest (CA). However, current approaches are suboptimal. OBJECTIVE: To test whether direct perfusion and cooling of the anterior cerebral circulation by means of cerebral vessel cannulation and extracorporeal membrane oxygenation (ECMO) increases cerebral oxygenation and induces cerebral hypothermia during CA. METHODS: We performed proof-of-concept animal experiments in sheep. We cannulated the carotid artery (for antegrade perfusion) or the jugular vein (for retrograde perfusion) for direct perfusion and cooling, and the jugular vein on the opposite side for drainage. We connected these cannulae to an ECMO circuit. We induced CA and, after 10 minutes, and during open-chest cardiac massage, we provided ECMO-based perfusion and cooling. We measured cerebral tissue oxygen saturation (SctO2) by near infrared spectroscopy (NIRS) and cerebral temperature by means of invasively inserted tissue temperature probes. RESULTS: In the antegrade perfusion experiments (n = 2), CA markedly decreased the SctO2 to below 40% over 10 minutes, despite open-chest cardiac massage. ECMO-based cerebral perfusion and cooling increased SctO2 levels to 60% and lowered cerebral temperature to 25°C within about 3 minutes. With retrograde perfusion (n = 2), ECMObased cerebral perfusion and cooling was less effective; ECMO increased SctO2 levels slowly and to a much lesser extent and similarly decreased cerebral temperature slowly and to a lesser extent. CONCLUSIONS: During experimental CA, cerebral perfusion and cooling are possible by means of an ECMO circuit connected to the anterior cerebral circulation. Antegrade perfusion appears to be superior. Further investigations of the antegrade perfusion technique appear justified.

Biological Conditions and Economic Development: Nineteenth-Century Stature on the U.S. Great Plains.

Average stature is now a well-accepted measure of material and economic well-being in development studies when traditional measures are sparse or unreliable, but little work has been done on the biological conditions for individuals on the nineteenth-century U.S. Great Plains. Records of 14,427 inmates from the Nebraska state prison are used to examine the relationship between stature and economic conditions. Statures of both black and white prisoners in Nebraska increased through time, indicating that biological conditions improved as Nebraska's output market and agricultural sectors developed. The effect of rural environments on stature is illustrated by the fact that farm laborers were taller than common laborers. Urbanization and industrialization had significant impacts on stature, and proximity to trade routes and waterways was inversely related to stature.

A Weighty Issue: Diminished Net Nutrition Among the U.S. Working Class in the Nineteenth Century.

Much has been written about the modern obesity epidemic, and historical BMIs are low compared with their modern counterparts. However, interpreting BMI variation is difficult because BMIs increase when weight increases or when stature decreases, and the two have different implications for human health. An alternative measure for net current nutritional conditions is body weight. After controlling for height, I find that African American and white weights decreased throughout the late nineteenth and early twentieth centuries. Farmers had greater average weights than workers in other occupations. Individuals from the South had taller statures, greater BMIs, and heavier weights than workers in other U.S. regions, indicating that even though the South had higher disease rates in the nineteenth century, it had better net nutritional conditions.

The relationship between 19th century BMIs and family size: Economies of scale and positive externalities.

The use of body mass index values (BMI) to measure living standards is now a well-accepted method in economics. Nevertheless, a neglected area in historical studies is the relationship between 19th century BMI and family size, and this relationship is documented here to be positive. Material inequality and BMI are the subject of considerable debate, and there was a positive relationship between BMI and wealth and an inverse relationship with inequality. After controlling for family size and wealth, BMI values were related with occupations, and farmers and laborers had greater BMI values than workers in other occupations.

Black and white body mass index values in developing nineteenth century Nebraska.

Little is known about late 19th and early 20th century BMIs on the US Central Plains. Using data from the Nebraska state prison, this study demonstrates that the BMIs of dark complexioned blacks were greater than for fairer complexioned mulattos and whites. Although modern BMIs have increased, late 19th and early 20th century BMIs in Nebraska were in normal ranges; neither underweight nor obese individuals were common. Farmer BMIs were consistently greater than those of non-farmers, and farm labourer BMIs were greater than those of common labourers. The BMIs of individuals born in Plains states were greater than for other nativities, indicating that rural lifestyles were associated with better net current biological living conditions.

Haemostatic management for aortic valve replacement in a patient with advanced liver disease.

Redo-sternotomy and aortic valve replacement in patients with advanced liver disease is rare and associated with a prohibitive morbidity and mortality. Refractory coagulopathy is common and a consequence of intense activation of the coagulation system that can be triggered by contact of blood with the cardiopulmonary bypass circuitry, bypass-induced fibrinolysis, platelet activation and dysfunction, haemodilution, surgical trauma, hepatic decompensation and hypothermia. Management can be further complicated by right heart dysfunction, porto-pulmonary hypertension, poor myocardial protection, and hepato-renal syndrome. Complex interactions between coagulation/fibrinolysis and systemic inflammatory response syndrome reactions like "post-perfusion-syndrome" also compound haemostatic failure. Given the limited information available for the specific management and prevention of cardiopulmonary bypass-induced haemostatic failure, this report serves to guide the anaesthesia and medical management of future cases of a similar kind. We discuss our multimodal management of haemostatic failure using pharmacological strategies, thromboelastography, continuous cerebral and liver oximetry, and continuous cardiac output monitoring.

Body mass, wealth, and inequality in the 19th century: joining the debate surrounding equality and health.

We explore relationships among BMI variation, wealth, and inequality in the 19th century US. There was an inverse relationship between BMI and average state-level wealth and a small, inverse relationship with wealth inequality. After controlling for wealth and inequality, farmers had greater BMI values than workers in other occupations, and blacks had greater BMI values because of nutritional deprivation in utero.

Family size, the physical environment, and socioeconomic effects across the stature distribution.

A neglected area in historical stature studies is the relationship between stature and family size. Using robust statistics and a large 19th century data set, this study documents a positive relationship between stature and family size across the stature distribution. The relationship between material inequality and health is the subject of considerable debate, and there was a positive relationship between stature and wealth and an inverse relationship between stature and material inequality. After controlling for family size and wealth variables, the paper reports a positive relationship between the physical environment and stature.

Black and white body mass index values in nineteenth century developing Philadelphia county.

This paper demonstrates that although modern BMIs in the US have increased, 19th century BMIs in Philadelphia were lower than elsewhere within Pennsylvania, indicating that urbanization and agricultural commercialization were associated with lower BMIs. After controlling for stature, blacks consistently had greater BMI values than mulattos and whites; therefore, there is no evidence of a 19th century mulatto BMI advantage in the industrializing North. Farmers' BMIs were consistently heavier than those of non-farmers.

The body mass index of blacks and whites in the United States during the nineteenth century.

Body mass index (BMI) values reflect the net balance between nutrition, work effort, and calories consumed to fight disease. Nineteenth-century prison records in the United States demonstrate that the BMI values of blacks and whites were distributed symmetrically; neither underweight nor obese individuals were common among the working class. BMI values declined throughout the nineteenth century. By modern standards, however, nineteenth-century BMIs were in healthy weight ranges, though the biological living standards in rural areas exceeded those in urban areas. The increase in BMIs during the twentieth century did not have its origin in the nineteenth century.

Height of female Americans in the 19th century and the antebellum puzzle.

Using 19th century state prison records, this study contrasts the biological standard of living of comparable US African-American and white females during a period of relatively rapid economic development. White females were consistently taller than black females by about 1.5 cm (0.6 in.). Whites from Great Lakes and Plains states and black Southwestern females were the tallest. US females were tall compared to their European counterparts. The height of females began to decline in the antebellum period, possibly before that of males. The recovery of physical stature was also earlier among females than among males. This implies that the biological standard of lower-class men and women did not move in parallel during the onset of modern economic growth. It also implies that the antebellum puzzle was most likely rooted in the endogenous forces of socio-economic change rather than the exogenous changes in the disease environment.