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Births To Unmarried Women Increasing In U.S., Driven By Women In 20s, 30s, Report Shows
Almost 40% of U.S. births in 2007 occurred among unmarried women, according to a report from the Centers for Disease Control and Prevention"s National Center for Health Statistics, the Washington Post reports. About 1.7 million infants were born to unmarried women in 2007, representing a 26% increase over the 1.4 million in 2002 and more than double the number in 1980. Unmarried women accounted for 39.7% of all U.S. births in 2007, up from 34% in 2002 and more than double the percentage in 1980, according to the report, which studied birth certificates nationwide.Women in their 20s and 30s are the biggest drivers of the trend, with out-of-wedlock births in this age group increasing from a rate of 13% to 34% between 2002 and 2006, according to the report (Stein/St. George, Washington Post, 5/14). For example, the birthrate for unmarried women ages 30 to 34 rose by 34% in 2007 compared with 2002 (Harris, New York Times, 5/14). Sixty percent of births to women ages 20 to 24 were to unmarried women, compared to 52% in 2002. In addition, 32% of births to women 25 to 29 were to unmarried women, compared to 25% in 2002, the report shows (Jayson, USA Today, 5/14). Overall, women in their 20s made up 60% of U.S. unmarried births in 2007, while teens accounted for 23% and women ages 30 and older accounted for 17% (New York Times, 5/13). Unmarried Hispanic women gave birth at a rate of 106 births per 1,000 unmarried women. The rate was 72 per 1,000 for blacks, 32 per 1,000 for whites and 26 per 1,000 for Asians. The rates for blacks and Hispanics rose the fastest, according to the report (Washington Post, 5/14). Compared with other countries, the U.S. rate of unmarried births was near the middle of the 14 countries included in the report (USA Today, 5/14).Although researchers did research the reasons for the trend, they cited several factors that in combination likely affected the rate, including a decrease in the social stigma surrounding out-of-wedlock births, an increasing number of couples putting off or forgoing marriage, and growing numbers of financially independent, older or single women who choose to have children on their own (Washington Post, 5/14). Researchers noted that most of the increase in these births was among parents who live together but are not married (New York Times, 5/13)."I think this is the tipping point," Rosanna Hertz of Wellesley College said, adding, "This is becoming increasingly the norm. The old adage that "first comes love, then comes marriage, then comes baby in the baby carriage" just no longer holds true." Hertz added, "Women can have children on their own, and it"s not going to destroy your employment, and it"s not going to mean that you"ll be made a pariah by the community. It"s much more socially acceptable." Sarah Brown of the National Campaign To Prevent Teen and Unplanned Pregnancy said, "I look at this and say, maybe this trend is what young adults want or stumble into, but it"s not in the best interest of children" (Washington Post, 5/14).
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Washington Post Examines Northern Virginia Clinic That Serves People Living With HIV/AIDS
The Washington Post examines one of INOVA Juniper Program"s six clinics serving those with HIV/AIDS located "[t]wo blocks down the road" from the old Whitman-Walker clinic, which "served the Northern Virginia HIV/AIDS community for more than a decade, [and] closed this year because of financial constraints." As of late last month the new Arlington, Va., clinic served 198 people, but Karen Berube, director of the program, said she expects to have 250 clients there by the end of the year. By comparison, the Whitman-Walker center treated 678 people at its Arlington clinic, according to the Post. Services are provided on a sliding-fee scale based on income, "but the majority of patients do not pay anything. Instead, they are funded by Medicaid, Medicare or private insurance, or they receive charity care through government and private donor grants," the article states (Caputo, 7/9).
News of the day
Researchers Develop Key Brake For Immune Cells In Petri Dish -- Hope For Easier Organ Transplantation?
Scientists from the Helmholtz Center for Infection Research in Braunschweig, Germany and the Medical School Hannover, Germany have succeeded in treating immune cells in a way that enables them to inhibit unwanted immune reactions such as organ rejection. Their results have now been published in the current issue of the scientific journal Journal of Cellular and Molecular Medicine.
Medical Devices

Mechanics Of Bacteria Colonies Measured By New Lab-On-A-Chip

Researchers at the University of Michigan have devised a microscale tool to help them understand the mechanical behavior of biofilms, slimy colonies of bacteria involved in most human infectious diseases. Most bacteria in nature take the form of biofilms. Bacteria are single-celled organisms, but they rarely live alone, said John Younger, associate chair for research in the Department of Emergency Medicine at the U-M Health System. Younger is a co-author of a paper about the research that will be the cover story of the July 7 edition of Langmuir. The new tool is a microfluidic device, also known as a "lab-on-a-chip." Representing a new application of microfluidics, the device measures biofilms" resistance to pressure. Biofilms experience various kinds of pressure in nature and in the body as they squeeze through capillaries and adhere to the surfaces of medical devices, for example. "If you want to understand biofilms and their life cycle, you need to consider their genetics, but also their mechanical properties. You need to think of biofilms as materials that respond to forces, because how they live in the environment depends on that response," said Mike Solomon, associate professor of chemical engineering and macromolecular science and engineering, who is senior author of the paper. Mechanical forces are at play when our bodies defend against these bacterial colonies as well, Younger says. "We think a lot of host defense boils down to doing some kind of physical work on these materials, from commonplace events like hand-washing and coughing to more mysterious processes like removing them out of the bloodstream during a serious infection," he said. "You can study gene expression patterns as much as you want, but until you know when the materials will bend or break, you don"t really know what the immune system has to do from a physical perspective to fight this opponent." Researchers haven"t studied these properties yet because there hasn"t been a good way to examine biofilms at the appropriate scale. The U-M microfluidic device provides the right scale. The channel-etched chip, made from a flexible polymer, allows researchers to study minute samples of between 50 and 500 bacterial cells that form biofilms of 10-50 microns in size. A micron is one-millionth of a meter. A human hair is about 100 microns wide. Such small samples behave in the device as they do in the body. Tools that require larger samples don"t always give an accurate picture of how a particular substance behaves on the smallest scales. The researchers found that the biofilms they studied had a greater elasticity than previous methods had measured. They also discovered a "strain hardening response," which means that the more pressure they applied to the biofilms, the more resistance the materials put forth. If doctors and engineers can gain a greater understanding of how biofilms behave, they could perhaps design medical equipment that is more difficult for the bacteria to adhere to, Younger said. The experiments were performed on colonies of Staphylococcus epidermidis and Klebsiella pneumoniae, which are known to cause infections in hospitals. The new microfluidic device could also be used to measure the resistance of various other soft-solid materials in the consumer products, food science, biomaterials and pharmaceutical fields. Notes: The paper is called, "Flexible Microfluidic Device for Mechanical Property Characterization of Soft Viscoelastic Solids Such as Bacterial Biofilms." The first author is Danial Hohne, a recently-graduated Ph.D. student in the Department of Chemical Engineering. The research is funded by the National Institutes of Health, the National Institute of General Medical Sciences, the U-M Center for Computational Medicine and Biology and the Department of Emergency Medicine. Nicole Casal Moore University of Michigan


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