27 annual Society for Pediatric and Perinatal Epidemiologic Research (SPER) meeting held in Seattle Washington on 23 and 24 June 2014 proved to be yet another stimulating and enlightening event. two fundamental issues in epidemiology were resolved. Dr Fox showed how simulation methods can be used to better understand common sources of bias and random error with quantitative bias analyses (including accomplishing these in Excel) followed by Dr Kelly Getz’s description of her application of these methods for dependent error between an exposure and a confounder. Dr Hutcheon explained the different conceptual frameworks for risk prediction models versus aetiologic models. Interleaved between Dr Hutcheon’s conceptual points was Laura Schummers who explained model building to predict outcomes for numerous preconception excess weight patterns. Monday evening’s opening reception and poster session featured over 100 poster presentations on preconception and pregnancy outcomes and maternal behaviours. The Heinz Berendes International Travel Award winner Jessica Tearne from your Telethon Institute for Child Health Research in Australia offered her poster on late childbearing and child years outcomes in this poster session as well as the Tuesday poster session. Dr Judy Hall gave a provocative presentation on her theory that totems from your Northwest Aboriginal peoples pay specific homage to persons with rare inherited phenotypes. Early risers on Tuesday morning selected from five roundtable discussions on PHA 408 some of the more common outcomes analyzed among SPER users. Sessions on fetal growth restriction twinning pre-eclampsia child years outcomes and the placenta were well lead attended and received. Four plenary sessions showcased nineteen excellent presenters. The first session theme was ‘Counting Time Matters’ with presentations on successive pregnancy loss and time-to-pregnancy circadian rhythms and placental abruption timing of miscarriage left truncation as an explanation for the protective effect of smoking on pre-eclampsia and generational effects of low birth weight and recurrent preterm birth. The second session ‘Behaviors Matter’ covered maternal exercise child years sexual abuse aspirin use styles in income equality and fruit and vegetable intake each in relation to different reproductive outcomes. ‘Mediating on Mediation Matters’ included four different research questions and whether associations were mediated by a factor in the causal pathway. The last session was devoted to child years outcomes including allergic disease autism weight gain and neurodevelopment. All speakers were engaging and their presentations PHA 408 spurred suggestions for next actions. The Mentoring Award this year was offered to Dr KS Joseph from your Department of Obstetrics and Gynecology and School of Populace and Public Health at the University or college of British Columbia Canada. By prioritising the professional and personal development of his students over his own research agenda Dr Joseph has not only trained but also inspired many young investigators. The Rising Star Award was for Dr Sunni L. Mumford Earl Stadtman Investigator at the Epidemiology Branch Division of Intramural Populace Health Research at the National Institute of Child Health and Human Development USA. Dr Mumford’s research focuses on pressing questions related to the impact of dietary and lifestyle factors on reproduction and infertility. Her ability to synthesise knowledge from biology reproductive epidemiology and epidemiologic methods has allowed PHA 408 her to tackle important biological questions with the most sophisticated methodological methods. We heard a presentation by Quaker Harmon who received the Student Prize Paper and proved to not ENOX1 only be an excellent writer but an excellent speaker as well. Through her work at the National Institute of Environmental Health Sciences and using data PHA 408 from Norway she showed that fetal death was higher for pre-eclampsia-affected pregnancies regardless of gestational age at delivery. The second poster session during the noontime break included another 108 posters. Presentations in this session covered the areas of interpersonal and environmental risk factors parturition child years outcomes and methods. Dr Judy Hall Medical Geneticist and Professor Emeritus at PHA 408 University or college of British Columbia was the keynote speaker. Her ambitious presentation on epigenetic mechanisms was broad providing historical evidence that modification of inherited.