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Noticias News Nouvelles Volume 6 Issue 8 August 31, 2007 University of Toronto Maternal, Infant and Reproductive Health Research Unit at the Women s College Research Institute 7 th Floor, 790 Bay Street Toronto ON CANADA M5G 1N8 Tel: 1 416 351 2533 Fax: 1 416 351 3771 email: tbs@sw.ca website: www.utoronto.ca/miru/tbs Overall Total: 1152 Total this month: 30 Recruitment Excellence Congratulations to Dr Renato Augusto Moreira de Sa and the team at Maternidade Escola da UFRJ in Rio de Janeiro, Brazil; Dr Peter Scheufler and the team at Trillium Health Centre in Mississauga, Canada; Dr Oscar Sadan and the team at Edith Wolfson Medical Center in Holon, Israel; Dr Donnette Simms-Stewart and the team at University Hospital of the West Indies in Kingston, Jamaica; and PrDr Grzegorz H Breborowicz and the team at University School of Medical Sciences in Poznan, Poland. We will be sending a gold seal to place on your Certificate of Achievement. Congratulations on reaching your TBS annual recruitment goal. Keep up the good work! Interim Analysis & Data Campaign Programming for the interim analysis is nearly complete. The intense data campaign is underway. Please send any outstanding data to the Data Coordinating Centre by courier and any queries by email or fax as soon as possible. Thanks to the following sites with complete and clean data for the analysis! We look forward to adding the names of more sites when we receive the outstanding data. ARGENTINA: Hospital Ramon Carrillo, Santiago del Estero; Hospital Avellaneda, Tucuman; AUSTRALIA: St George Hospital, Sydney; Mater Mothers Hospital, Brisbane; Ipswich Hospital, Ipswich; Toowoomba Base Hospital, Toowoomba; Logan Hospital, Meadowbrook; Monash Medical Centre, Clayton; Townsville Hospital, Townsville; BRAZIL: Maternidade Escola da UFRJ, Rio de Janeiro; Hospital Universitario Antonio Pedro, Niteroi; ISCMPA-Maternidade Mario Totta, Porto Alegre; CANADA: McMaster University Medical Centre, Hamilton; IWK Health Centre, Halifax; Mount Sinai Hospital, Toronto; Trillium Health Centre, Mississauga; Calgary Health Region Foothills Hospital, Calgary; Lions Gate Hospital, Vancouver; Royal Columbian Hospital, New Westminster; Eastern Health, St John s; Toronto East General, Toronto; York Central Hospital, Richmond Hill; CHILE: Hospital Dr Gustavo Fricke, Vina del Mar; ESTONIA: Tartu University Hospital Women s Clinic, Tartu; GERMANY: Ludwig Maximilians University of Munich, Munich; CUB Benjamin Franklin, Berlin; ISRAEL: Bnai Zion Medical Center, Haifa; HaEmek Medical Center, Afula; POLAND: Polish Mothers Memorial Hospital, Lodz; ROMANIA: University of Pharmacy and Medicine, Cluj-Napoca; SPAIN: Hospital Clinic- University of Barcelona, Barcelona; THE NETHERLANDS: Atrium Medical Center, Heerlen; Maaslandziekenhuis Sittard, Sittard; Academisch Ziekenhuis Maastricht, Maastricht; Sint Lucas Andreas Ziekenhuis, Amsterdam; UK: Nottingham City Hospital, Nottingham; Lewisham Hospital, London; University Hospital of North Staffordshire, Stoke-on-Trent; Derriford Hospital, Plymouth; USA: Maricopa Medical Center, Phoenix; University of South Carolina, Columbia; Jamaica Hospital Medical Center, Jamaica; Texas Tech UHSC, Lubbock; Let s keep moving towards our goal! Do women pregnant with twins know that TBS is ongoing at your centre? Consider using a local press release to spread the word that your hospital is participating in a large international trial. &

Twin Birth Study Recruitment (Projected sample size of 2800) as of August 31, 2007 Jan - Jan - Jan - Jul - Jan - Annual Dec Dec Dec Jun Dec May June July Aug Grand Goal 2003 2004 2005 2006 2006 2007 2007 2007 2007 Total COUNTRY ARGENTINA 61 60 65 41 55 46 11 5 7 290 BRAZIL 42 2 44 40 31 26 5 3 6 157 CANADA 90 3 25 53 24 22 22 2 4 1 156 POLAND 15 4 28 6 12 16 6 3 75 ISRAEL 40 21 27 9 7 5 1 3 73 EGYPT 20 19 14 9 6 6 54 AUSTRALIA 26 2 15 4 8 12 1 1 43 CHILE 16 8 11 9 4 3 1 2 38 THE NETHERLANDS 9 7 9 12 5 2 1 1 37 USA 24 4 13 7 3 4 1 32 UK 45 2 2 5 10 10 2 31 ESTONIA 3 5 12 4 4 3 1 29 JORDAN 9 5 5 3 5 5 2 25 HUNGARY 4 5 11 5 1 1 23 SPAIN 5 2 6 3 7 3 1 22 JAMAICA 4 9 1 5 15 BELGIUM 3 5 7 1 2 15 ROMANIA 3 2 5 1 1 4 13 GERMANY 4 3 3 1 2 1 1 11 CROATIA 4 4 3 2 9 GREECE 6 1 3 4 Total 433 3 182 333 186 187 182 26 23 30 1152 CENTRES BY COUNTRY (Shaded area is prior to start-up) ARGENTINA Hospital LC Lagomaggiore, Mendoza 12 31 32 15 12 6 4 2 3 105 Hospital Posadas, Buenos Aires 6 22 28 6 11 13 1 81 Hospital Ramon Carrillo, Santiago del Estero 10 2 7 8 6 3 1 27 Hospital Avellaneda, Tucuman 6 2 5 6 8 1 1 23 Hospital Penna, Bahia Blanca 4 5 7 2 2 2 18 Hospital Ramos Mejia, Buenos Aires 4 7 1 2 10 Hospital Angela Iglesia de Llano, Corrientes 3 1 4 3 1 1 10 Hospital JR Vidal, Corrientes 6 4 4 1 9 Hospital Sarda, Buenos Aires 10 3 4 7 BRAZIL University of Campinas, Campinas 5 2 17 6 9 7 2 3 2 48 Maternidade Escola da UFRJ, Rio de Janeiro 6 8 7 9 9 1 4 38 University of Pernambuco, Recife 7 13 10 4 5 32 Hospital Universitario Antonio Pedro, Niteroi 5 1 7 3 1 2 14 Laranjeiras Clinica Perinatal, Rio de Janeiro 8 6 2 3 11 ISCMPA-Maternidade Mario Totta, Porto Alegre 6 5 2 2 9 UFPE, Recife 5 2 2 1 5 CANADA Sunnybrook Health Sciences Centre, Toronto 5 3 14 11 8 5 9 1 4 55 McMaster University Medical Centre, Hamilton 5 10 2 5 4 21 Regina General Hospital, Regina 5 5 5 2 2 14 IWK Health Centre, Halifax 7 1 4 1 5 3 14 Trillium Health Centre, Mississauga 6 6 3 1 1 1 12 Mount Sinai Hospital, Toronto 11 5 2 2 1 10 Lions Gate Hospital, Vancouver 3 6 1 7 Calgary Health Region - Foothills Hospital, Calgary 18 1 5 1 7 Royal Columbian Hospital, New Westminster 5 3 3 6 Royal University Hospital, Saskatoon 6 1 3 1 5 SMBD Jewish General Hospital, Montreal 6 1 1 2 York Central Hospital, Richmond Hill 4 1 1 Eastern Health, St John's 4 1 1 Toronto East General, Toronto 5 1 1 POLAND University School of Medical Sciences, Poznan 8 3 24 3 12 15 4 3 64 Medical University of Gdansk, Gdansk 2 1 3 1 1 6 Polish Mothers Memorial Hospital, Lodz 5 1 2 2 5

Jan - Jan - Jan - Jul - Jan - Annual Dec Dec Dec Jun Dec May June July Aug Grand Goal 2003 2004 2005 2006 2006 2007 2007 2007 2007 Total ISRAEL Edith Wolfson Medical Center, Holon 5 11 6 5 1 2 25 Ma'ayney HaYeshua Medical Center, Bnei Brak 10 5 4 2 3 1 1 1 17 HaEmek Medical Center, Afula 7 1 7 2 2 12 Bnai Zion Medical Center, Haifa 8 4 7 11 Poriya Government Hospital, Tiberias 4 3 2 1 6 Hillel Yaffe Medical Center, Hadera 6 2 2 EGYPT Assiut University Hospital, Assiut 20 19 14 9 6 6 54 AUSTRALIA Ipswich Hospital, Ipswich 3 1 8 1 1 11 St George Hospital, Sydney 3 2 5 1 8 Mater Mothers' Hospital, Brisbane 6 2 3 3 8 Toowoomba Base Hospital, Toowoomba 2 4 2 6 Monash Medical Centre, Clayton 4 1 3 1 5 Logan Hospital, Meadowbrook 5 3 1 4 Townsville Hospital, Townsville 3 1 1 CHILE Hospital Dr Gustavo Fricke, Vina del Mar 5 8 11 6 2 3 1 31 Hospital Dr Sotero del Rio, Puente Alto 11 3 2 2 7 THE NETHERLANDS Atrium Medical Center, Heerlen 3 4 5 4 3 1 1 1 19 Maaslandziekenhuis Sittard, Sittard 2 2 5 7 Academisch Ziekenhuis Maastricht, Maastricht 2 3 2 1 6 Sint Lucas Andreas Ziekenhuis, Amsterdam 2 2 2 1 5 USA East Bay Perinatal Medical Associates, Oakland 12 9 4 1 1 1 16 Maricopa Medical Center, Phoenix 8 3 2 1 6 University of South Carolina, Columbia 4 1 1 1 3 6 Centres that are no longer recruiting 0 4 UK Bradford Royal Infirmary, Bradford 8 3 5 3 11 Nottingham City Hospital, Nottingham 9 2 2 1 2 1 1 9 University Hospital of North Staffordshire, Stoke-on-Trent 8 3 3 Lewisham Hospital, London 5 1 2 3 Queen Elizabeth Hospital, King's Lynn 3 1 1 2 Basildon & Thurrock University, Basildon 6 1 1 2 Derriford Hospital, Plymouth 6 1 1 ESTONIA Tartu University Hospital - Women's Clinic, Tartu 3 5 12 4 4 3 1 29 JORDAN Islamic Hospital, Amman 9 5 5 3 5 5 2 25 HUNGARY University of Debrecen, Debrecen 4 5 11 5 1 1 23 SPAIN Hospital Clinic-University of Barcelona, Barcelona 5 2 6 3 7 3 1 22 JAMAICA University Hospital of the West Indies, Kingston 4 9 1 5 15 BELGIUM Vrije Universiteit Brussel, Brussels 3 5 7 1 2 15 ROMANIA University of Pharmacy and Medicine, Cluj-Napoca 3 2 5 1 1 4 13 GERMANY Ludwig Maximilians University of Munich, Munich 2 1 3 1 2 1 8 CUB - Benjamin Franklin, Berlin 2 2 1 3 CROATIA Sveti Duh Hospital, Zagreb 4 4 3 2 9 GREECE Alexandra Maternity, Athens 6 1 3 4 Centres awaiting first patient: [COUNTRY: Hospital, City (annual goal)] [month/year start-up package sent] ARGENTINA: Hospital Alvarez, Buenos Aires (2) [06/07]; AUSTRALIA: Women's & Children's, Adelaide (6) [09/05], Royal North Shore, St Leonards (3) [11/06]; BRAZIL: Botucatu Medical School, Botucatu (2) [06/07]; GERMANY: Charité Virchow-Klinikum, Berlin (5) [01/06]; UK: Aberdeen Maternity, Aberdeen (6) [11/06], Liverpool Women's Hospital, Liverpool (12) [05/07]; USA: University of Iowa, Iowa City (3) [01/07]; Washington University, St Louis (5) [01/07];

2 Year Follow-up of TBS Babies The status of the TBS 2 Year Follow-up is displayed in the following table for centres that recruited patients. Centres are listed according to the total number of recruits by country and centre. See below for the number of follow-up assessments performed by your centre! Let's aim for 100% follow-up!! Status 2003 2004 2005 2006 2007 Totals As of August 2007 COUNTRY ARGENTINA 60 50 65 19 96 69 290 69 BRAZIL 2 2 44 7 71 40 157 9 CANADA 3 3 25 15 53 12 46 29 156 30 POLAND 4 4 28 6 18 25 75 10 ISRAEL 21 21 27 9 16 9 73 30 EGYPT 19 19 14 3 15 6 54 22 AUSTRALIA 2 2 15 5 12 14 43 7 CHILE 8 8 11 4 13 6 38 12 THE NETHERLANDS 7 6 9 3 17 4 37 9 USA 4 2 13 3 10 5 32 5 UK 2 2 1 15 12 31 1 ESTONIA 5 5 12 6 8 4 29 11 JORDAN 5 5 5 1 8 7 25 6 HUNGARY 5 5 11 2 6 1 23 7 SPAIN 2 2 6 2 10 4 22 4 JAMAICA 15 15 BELGIUM 5 7 3 15 ROMANIA 2 2 5 3 2 4 13 5 GERMANY 3 4 4 11 CROATIA 4 4 3 2 9 4 GREECE 1 3 4 Total 3 3 182 152 333 86 373 261 1152 241 100.0% 83.5% 25.8% 21% CENTRES BY COUNTRY (Shaded area is prior to start-up) ARGENTINA Hospital LC Lagomaggiore, Mendoza 31 27 32 13 27 15 105 40 Hospital Posadas, Buenos Aires 22 21 28 6 17 14 81 27 Hospital Ramon Carrillo, Santiago del Estero 2 15 10 27 Hospital Avellaneda, Tucuman 2 11 10 23 Hospital Penna, Bahia Blanca 12 6 18 Hospital Angela Iglesia de Llano, Corrientes 5 5 10 Hospital Ramos Mejia, Buenos Aires 7 2 1 2 10 2 Hospital JR Vidal, Corrientes 4 5 9 Hospital Sarda, Buenos Aires 3 4 7 BRAZIL University of Campinas, Campinas 2 2 17 7 15 14 48 9 Maternidade Escola da UFRJ, Rio de Janeiro 8 16 14 38 University of Pernambuco, Recife 13 14 5 32 Hospital Universitario Antonio Pedro, Niteroi 1 10 3 14 Laranjeiras Clinica Perinatal, Rio de Janeiro 8 3 11 ISCMPA-Maternidade Mario Totta, Porto Alegre 5 4 9 UFPE, Recife 4 1 5 CANADA Sunnybrook Health Sciences Centre, Toronto 3 3 14 7 11 13 14 55 10 McMaster University Medical Centre, Hamilton 10 4 7 4 21 4 IWK Health Centre, Halifax 1 1 4 1 6 3 14 2 Regina General Hospital, Regina 5 7 2 14 Trillium Health Centre, Mississauga 6 1 4 2 12 1 Mount Sinai Hospital, Toronto 5 3 2 3 10 3 Calgary Health Region - Foothills Hospital, Calgary 1 1 5 1 7 1 Lions Gate Hospital, Vancouver 6 4 1 7 4 Royal Columbian Hospital, New Westminster 3 3 3 1 6 4 Royal University Hospital, Saskatoon 4 1 5 SMBD Jewish General Hospital, Montreal 2 2 Eastern Health, St John's 1 1 1 1 Toronto East General, Toronto 1 1 York Central Hospital, Richmond Hill 1 1 POLAND Univ School of Medicine, Poznan 3 3 24 6 15 22 64 9 Medical University of Gdansk, Gdansk 1 1 3 1 1 6 1 Polish Mothers Memorial Hospital, Lodz 1 2 2 5

Status 2003 2004 2005 2006 2007 Totals As of August 2007 ISRAEL Edith Wolfson Medical Center, Holon 11 11 6 6 2 25 11 Ma'ayney HaYeshua Medical Center, Bnei Brak 5 5 4 1 5 3 17 6 HaEmek Medical Center, Afula 1 1 7 2 2 2 12 3 Bnai Zion Medical Center, Haifa 4 4 7 6 11 10 Poriya Government Hospital, Tiberias 3 3 6 Hillel Yaffe Medical Center, Hadera 2 2 EGYPT Assiut University Hospital, Assiut 19 19 14 3 15 6 54 22 AUSTRALIA Ipswich Hospital, Ipswich 1 10 11 Mater Mothers' Hospital, Brisbane 2 2 3 3 8 2 St George Hospital, Sydney 2 2 5 3 1 8 5 Toowoomba Base Hospital, Toowoomba 4 2 6 Monash Medical Centre, Clayton 4 1 5 Logan Hospital, Meadowbrook 3 1 4 Townsville Hospital, Townsville 1 1 CHILE Hospital Dr Gustavo Fricke, Vina del Mar 8 8 11 4 8 4 31 12 Hospital Dr Sotero del Rio, Puente Alto 5 2 7 THE NETHERLANDS Atrium Medical Center, Heerlen 4 4 5 3 7 3 19 7 Maaslandziekenhuis Sittard, Sittard 2 5 7 Academisch Ziekenhuis Maastricht, Maastricht 3 2 2 1 6 2 Sint Lucas Andreas Ziekenhuis, Amsterdam 4 1 5 USA East Bay Perinatal Medical Associates, Oakland 9 2 5 2 16 2 Maricopa Medical Center, Phoenix 3 1 3 6 1 University of South Carolina, Columbia 1 2 3 6 Texas Tech UHSC, Lubbock 2 2 Jamaica Hospital Medical Center, Jamaica 2 2 2 2 UK Bradford Royal Infirmary, Bradford 8 3 11 Nottingham City Hospital, Nottingham 2 2 1 3 2 9 1 University Hospital of North Staffordshire, Stoke-on-Trent 3 3 Lewisham Hospital, London 3 3 Queen Elizabeth Hospital, King's Lynn 2 2 Basildon & Thurrock University, Basildon 1 1 2 Derriford Hospital, Plymouth 1 1 ESTONIA Tartu University Hospital - Women's Clinic, Tartu 5 5 12 6 8 4 29 11 JORDAN Islamic Hospital, Amman 5 5 5 1 8 7 25 6 HUNGARY University of Debrecen, Debrecen 5 5 11 2 6 1 23 7 SPAIN Hospital Clinic-University of Barcelona, Barcelona 2 2 6 2 10 4 22 4 JAMAICA University Hospital of the West Indies, Kingston 15 15 BELGIUM Vrije Universiteit Brussel, Brussels 5 7 3 15 ROMANIA University of Pharmacy and Medicine, Cluj-Napoca 2 2 5 3 2 4 13 5 GERMANY Ludwig Maximilians University of Munich, Munich 1 4 3 8 CUB - Benjamin Franklin, Berlin 2 1 3 CROATIA Sveti Duh Hospital, Zagreb 4 4 3 2 9 4 GREECE Alexandra Maternity, Athens 1 3 4