The name to remember: Flexibility and contextuality of preliterate folk plant categorization from the 1830s, in Pernau, Livonia, historical region on the eastern coast of the Baltic Sea.

ETHNOPHARMACOLOGICAL RELEVANCE: Research on the folk categorization of nature in preliterate societies in Europe is complicated due to the fragmentation of the information available and is rarely undertaken. Yet the data is valuable and may provide, in certain circumstances, important insights, if not into novel medicines, then into the historical logic of selection and memorisation of plants useful from a medicinal perspective. AIMS OF THE STUDY: We aim to understand the ethnobotany of a preliterate society by analysing the emic (derived from people) perspective on nature-related culture of one of Europe's smaller nations, whose written language and culture was shaped in the 18th-19th centuries by other, larger nations of Europe, and thus from the etic (academic) perspective. We attempt to identify how folk categorization is reflected in the relationships between plant names and uses and to map the structure of those relationships. DATA AND METHODS: We base our analysis on one of the oldest ethnobotanical manuscripts and herbaria of the Baltic governorates, compiled in 1831 by an amateur botanist, Baltic German Pastor Johann Heinrich Rosenplänter (1782-1846), which was derived from conversations with his parishioners from the tiny Pärnu parish. The historical dataset was critically analysed from an ethnobotanical perspective in light of recent identifications of the herbarium specimens. RESULTS: Although the Rosenplänter collection is fragmentary, the logic of plant categorization by non-literate peasants at that time is clearly seen in the data. Plants preserved in the herbarium were predominantly used for ethno-medicinal, food or ethno-veterinary purposes, such as treating chronic skin and joint diseases as well as severe acute diseases in humans and animals. Among 129 folk taxa analysed, more than one third had apparent purpose-related plant names providing clear links to their use, whereas a few multifunctional plants had several names reflecting diverse uses. For example, Hypericum spp., which was used in three different ways, had three semantically distinct names. However, among the plants that Rosenplänter collected, there were also some that were simply named and described by people but lacked any usability data (e.g., Trollius europaeus), meaning that use as such was not the primary criterion for recognising a plant. The web-like structure of preliterate thinking in plant-related knowledge reveals a deep relationship with the environment and the interpretation of new elements through familiar natural objects. CONCLUSION: Our findings demonstrate that historical ethnobotanical data, if thoughtfully analysed, can be used not only for comparative purposes, but also for understanding the logic of preliterate thinking. We encourage future in-depth studies of historical ethnobotanical data in Europe in order to understand the relationship between nature and culture of native European populations.

The Incidence of Nonaffective, Nonorganic Psychotic Disorders in Older People: A Population-based Cohort Study of 3 Million People in Sweden.

BACKGROUND: There are limited data on the epidemiology of very late-onset schizophrenia-like psychosis (VLOSLP) and how this relates to potential risk factors including migration, sensory impairment, traumatic life events, and social isolation. METHODS: We followed up a cohort of 3 007 378 people living in Sweden, born 1920-1949, from their 60th birthday (earliest: January 15, 1980) until December 30 2011, emigration, death, or first recorded diagnosis of nonaffective psychosis. We examined VLOSLP incidence by age, sex, region of origin, income, partner or child death, birth period, and sensory impairments. RESULTS: We identified 14 977 cases and an overall incidence of 37.7 per 100 000 person-years at-risk (95% CI = 37.1-38.3), with evidence that rates increased more sharply with age for women (likelihood ratio test: χ2(6) = 31.56, P < .001). After adjustment for confounders, rates of VLOSLP were higher among migrants from Africa (hazard ratio [HR] = 2.0, 95% CI = 1.4-2.7), North America (HR = 1.4, 95% CI = 1.0-1.9, P = .04), Europe (HR = 1.3, 95% CI = 1.2-1.4), Russian-Baltic regions (HR = 1.6, 95% CI = 1.4-1.9), and Finland (HR = 1.6, 95% CI = 1.5-1.7). VLOSLP risk was highest for those in the lowest income quartile (HR = 3.1, 95% CI = 2.9-3.3). Rates were raised in those whose partner died 2 years before cohort exit (HR = 1.1, 95% CI = 1.0-1.3, P = .02) or whose child died in infancy (HR = 1.2, 95% CI = 1.0-1.4, P = .05), those without a partner (HR = 1.9, 95% CI = 1.8-1.9) or children (HR = 2.4, 95% CI = 2.3-2.5), and those whose child had a psychotic disorder (HR = 2.4, 95% CI = 2.2-2.6). INTERPRETATION: We identified a substantial burden of psychosis incidence in old age, with a higher preponderance in women and most migrant groups. Life course exposure to environmental factors including markers of deprivation, isolation, and adversity were associated with VLOSLP risk.

Comparing alcohol mortality in Tsarist and contemporary Russia: is the current situation historically unique?

AIMS: This study compared the level of alcohol mortality in tsarist and contemporary Russia. METHODS: Cross-sectional and annual time-series data from 1870 to 1894, 2008 and 2009 on the mortality rate from deaths due to 'drunkenness' were compared for men in the 50 provinces of tsarist 'European Russia': an area that today corresponds with the territory occupied by the Baltic countries, Belarus, Moldova, Ukraine and the Russian provinces to the west of the Ural Mountains. RESULTS: In 1870-1894, the male death rate from 'drunkenness' in the Russian provinces (15.9 per 100,000) was much higher than in the non-Russian provinces. However, the rate recorded in Russia in the contemporary period was even higher--23.3. CONCLUSIONS: Russia has had high levels of alcohol mortality from at least the late 19th century onwards. While a dangerous drinking pattern and spirits consumption may underpin high alcohol mortality across time, the seemingly much higher levels in the contemporary period seem to be also driven by an unprecedented level of consumption, and also possibly, surrogate alcohol use. This study highlights the urgent need to reduce the level of alcohol consumption among the population in order to reduce high levels of alcohol mortality in contemporary Russia.

Recent trends of cancer mortality in Romanian adults: mortality is still increasing, although young adults do better than the middle-aged and elderly population.

We analysed the mortality trends (1986-2009) for all cancers combined and selected cancers in adult Romanians by three age groups (15-49, 50-69 and older than 70 years of age) in comparison with 11 other European countries. We extracted mortality data from the WHO database and grouped the countries into four regions: central and eastern Europe (Romania, Bulgaria, the Czech Republic, Hungary), Baltic countries (Estonia, Latvia and Lithuania), western and northern Europe (Austria, the Netherlands and Finland), and southern Europe (Croatia and Slovenia). Mortality rates were age-standardized against the standard European population. Significant changes in mortality trends were identified by Joinpoint regression and annual percentage changes (APCs) were calculated for periods with uniform trends. Cancer mortality in Romania was among the lowest in Europe in 1986, but was higher than most countries by 2009. Despite the declining mortality (APC) in younger Romanians for all cancers combined (men-1.5% from 1997, women-1.2% 1997-2004 and -3.8% 2004-2009), male lung cancer (-2.8% from 1997), female breast (-3.5% from 1999) and cervical (-5.4% from 2004) cancers, mortality has increased in middle-aged and elderly patients for most cancers analysed. The exception was declining stomach cancer mortality in most Romanians, except elderly men. For most cancers analysed, mortality declined in the Baltic countries in young and middle-aged patients, and in western and northern countries for all ages. Lung cancer mortality in women increased in all countries except Latvia. We urge immediate steps to reverse the alarming increase in cancer mortality among middle-aged and elderly Romanians.

Collaboration in genocide: the Ottoman Empire 1915­1916, the German-occupied Baltic 1941­1944, and Rwanda 1994.

This article develops a new paradigm for the study of collaboration by applying the concept to events outside the context of the Second World War. The authors examine three instances of collaboration in twentieth-century mass killings, seeking to situate them within the framework of genocide. Using a multidisciplinary approach, the article questions the validity of explanations of conflict predicated on the existence of binary systems­explanations that appear frequently in comparative genocide studies. The authors relate the decision to participate in mass murder to the history of structural inequality within a given society. The article concludes that, however vague, the concept of collaboration is useful in accentuating a bottom-up approach in the study of genocide.

The influence of country of birth on mortality from all causes and cardiovascular disease in Sweden 1979-1993.

BACKGROUND: Epidemiological data on ethnicity and health in Sweden have mostly been derived from small populations and focused on morbidity. The present study highlights the relation between country of birth, adjusted for other social variables, and total mortality and mortality from circulatory diseases and coronary heart disease (CHD). METHODS: The interviews with 21,420 males and 21,977 females aged 20-74 were conducted during a 7-year period, 1979-1985. The data consist of seven independent samples of the Swedish population. The present investigation was designed as a longitudinal follow-up study ranging from the day of the interview to 31 December 1993. Mortality data were obtained from the Cause of Death Register based on the Swedish national registration number. Person-years at risk were calculated from the date of the interview until death, or for those who survived, until the end of the follow-up period. The data were analysed by sex, using a proportional hazard model. RESULTS: Men born in Finland had an increased mortality from all causes of death. Women born in Finland had an increased mortality risk for circulatory diseases with a relative risk (RR) of 2.15 (95% confidence interval [CI] : 1.45-3.20) when adjusted for age, marital status, form of housing tenure and years of education. The relationship between being a woman born in Finland or Eastern Europe and mortality for coronary heart disease (CHD) was significant with an RR of 2.18 (95% CI : 1.24-3.81) and 3.02 (95% CI : 1.24-7.34) respectively. The form of housing tenure was significantly associated with mortality in all models. Education showed a graded relation to total mortality and to mortality from circulatory diseases and CHD. CONCLUSIONS: The increased mortality risk for Finnish males and females and, in addition the increased circulatory disease mortality risk for Finnish females and the strongly increased risk for CHD mortality for females born in Finland and Eastern Europe could not be explained by confounding by age, marital status or socioeconomic position.

Epidemiology of insulin-dependent diabetes mellitus around the Baltic Sea. The DIABALT Study Group.

Great spatial variation in the incidence of IDDM is found among countries around the Baltic Sea, a relative small area on the global scale. We present recent data on IDDM incidence from countries around the Baltic Sea, monthly variation and time trends in incidence from the early 1980s to the early 1990s. The change in IDDM incidence was calculated from logarithms of incidence using linear regression. The incidence was high in the countries to the north and west from the Baltic Sea, being the highest in Finland (35 per 100,000/year) followed by Sweden (26), Denmark (22) and Norway (21). In the countries on the eastern and southern coast of the Baltic Sea the incidence was markedly lower, in Estonia the incidence (10) was the highest within these countries, though slightly less than one third of that in Finland, while it was in Lithuania 7, Latvia 7 and Poland 6. There was an increasing trend in incidence of IDDM in Finland, Norway and Poland. In Sweden the incidence increased from 1978 to 1984, but since then the trend has been flat. In Estonia, Latvia and Lithuania, no significant change in incidence was seen. The reasons for large differences observed in the incidence of IDDM between countries around the Baltic Sea area are unknown, but a complex interaction between genetic and environmental risk factors that can vary in different ethnic, socio-economic and cultural settings play an important role in this variation.

Mediterranean macrothrombocytopenia.

Platelet count, platelet size, and circulating platelet biomass concentration estimates made with an erythrocyte-calibrated electronic sizing system on EDTA-anticoagulated blood samples gave population medians and 95% ranges for 145 asymptomatic Mediterranean and 200 healthy Northern European subjects. The Mediterraneans had lower platelet counts [161,000 (89,000-290,000)/mul compared with 219,000 (148,000-323,000)/mul] and higher arithmetic mean volumes [17.8 (10.8-29.2) cu mum compared with 12.4 (9.9-15.6) cu mum], while the individual lognormal platelet size distribution profiles were comparable [geomatric standard deviations of 1.78 (1.60-1.98) against 1.70 (1.54-1.88)]; and the platelet biomass concentrations, given by count per microliter times mean volume times 10- minus 7 and expressed as a volumetric percentage of whole blood, were almost identical [0.286% (0.216%-0.379%) against 0.272% (0.201%-0.367%)]. Mediterranean macrothrombocytopenia is, therefore, considered a benign morphologic variant that requires differentiation from thrombocytopenias in which the circulating platelet biomass concentration is decreased.