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American Journal of Epidemiology 2004 160(3):211-212; doi:10.1093/aje/kwh203
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Copyright © 2004 by the Johns Hopkins Bloomberg School of Public Health

ORIGINAL CONTRIBUTIONS

Invited Commentary: What’s So Bad about Curves Crossing Anyway?

Mark A. Klebanoff1  and Kenneth C. Schoendorf2

1 Division of Epidemiology, Statistics and Prevention Research, National Institute of Child Health and Human Development, National Institutes of Health, Department of Health and Human Services, Bethesda, MD.
2 Infant and Child Health Studies Branch, National Center for Health Statistics, Centers for Disease Control and Prevention, Department of Health and Human Services, Hyattsville, MD.

Received for publication November 18, 2003; accepted for publication December 15, 2003.

The first 10% of the full text of this article appears below.

The purpose of science is not to analyse or describe but to make useful models of the world. A model is useful if it allows us to get use out of it.

—Edward De Bono

When we trained in pediatrics during the era before synthetic surfactant, there was an old saw among neonatologists that African-American infants, when born remote from term, were more likely to survive than White infants born after pregnancies of comparable duration. It was said that African-American infants seemed less likely to develop neonatal respiratory distress syndrome, and, when they did, it was less severe. Old clinical saws are often wrong, but when the Centers for Disease Control linked the birth and infant death certificates for the 1980 birth cohort, the clinical impression of the neonatologists proved correct. Whether maturity was measured . . . [Full Text of this Article]


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