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            "abstractNote": "There is little information on inbreeding during the critical early years of human existence. However, given the small founding group sizes and restricted mate choices it seems inevitable that intrafamilial reproduction occurred and the resultant levels of inbreeding would have been substantial. Currently, couples related as second cousins or closer (F ≥ 0.0156) and their progeny account for an estimated 10.4% of the global population. The highest rates of consanguineous marriage occur in north and sub-Saharan Africa, the Middle East, and west, central, and south Asia. In these regions even couples who regard themselves as unrelated may exhibit high levels of homozygosity, because marriage within clan, tribe, caste, or biraderi boundaries has been a long-established tradition. Mortality in first-cousin progeny is ≈3.5% higher than in nonconsanguineous offspring, although demographic, social, and economic factors can significantly influence the outcome. Improving socioeconomic conditions and better access to health care will impact the effects of consanguinity, with a shift from infant and childhood mortality to extended morbidity. At the same time, a range of primarily social factors, including urbanization, improved female education, and smaller family sizes indicate that the global prevalence of consanguineous unions will decline. This shift in marriage patterns will initially result in decreased homozygosity, accompanied by a reduction in the expression of recessive single-gene disorders. Although the roles of common and rare gene variants in the etiology of complex disease remain contentious, it would be expected that declining consanguinity would also be reflected in reduced prevalence of complex diseases, especially in population isolates.",
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            "abstractNote": "The Fourth Lateran Council (1215) under Pope Innocent III had a lasting impact on the reform of the church and the life of the laity. Indeed, scholars of medieval marriage have long regarded the conciliar legislation, canons 50-52, as causing a major sea-change in the canon law of marriage. They have proposed numerous factors which motivated these reforms such as this pope's previous education under the tutelage of Peter the Chanter and his circle in Paris, decretals of earlier popes such as Alexander III, the reasons of 'urgency and necessity', and even cosmic numerology, the last two reasons noted in the Lateran IV decrees themselves. This article argues for an additional influence: the individual marriage cases concerning forbidden degrees of relationship that Innocent addressed throughout his pontificate (1198-1216) acted as an influential catalyst and an ad hoc preparation for the ultimate formulation of canon 50 which reduced the degrees of forbidden relationship of consanguinity and affinity from seven to four and abolished the impediment of the second and third kinds of affinity. Furthermore, Innocent's experience and decisions concerning earlier marriage cases involving procedural issues influenced canons 51 and 52 of this council. Eventually, the pope realized that formalized conciliar legislation was necessary. Thus, Innocent attempted in an innovative way through canons 50-52 to streamline, clarify, and define the canon law, stipulating uniform and stringent rules to achieve a pastoral and practical solution so that the Christian faithful could marry and stay married more easily, and obtain annulments and dispensations less frequently.",
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