Effects of an oil price rise on inflation, output, and the exchange rate in the case of subsidization policy

Energy Technology Data Exchange (ETDEWEB)

Zandi, F R

1982-01-01

Since the Organization of Petroleum Exporting Countries raised the price of oil by 400% in 1974, the theory of supply inflation has received a great deal of attention. This study analyses the short and long run effects of an oil price rise on output, inflation, and the exchange rate. The study also analyses dynamic adjustments to the oil price rise in cases where oil-price subsidies are provided and where no subsidies are provided. In the no-subsidy case it is shown that the oil price rise can be inflationary or deflationary. The implications of the policy of subsidizing the price of oil is highlighted by taking account of a government budget constraint which in turn leads to the possibility of monetization as a source of financing the deficit, and thereby to higher output relative to the no subsidy case. As to the price level, the possibility is illustrated that subsidization can actually be more inflationary. The important element giving rise to the above possibility is the subsidy induced increase in the money supply. Exchange-rate flexibility is shown not to insulate the domestic price level against an oil price rise. In the long run the rate of inflation and exchange-rate variations are determined by the rate of growth of the money supply. The dynamic adjustment path of price and output is shown to be determined by the rate of adjustment of inflationary expectations.

Smoking rate and periodontal disease prevalence: 40-year trends in Sweden 1970-2010.

Science.gov (United States)

Bergstrom, Jan

2014-10-01

To investigate the relationship between smoking rate and periodontal disease prevalence in Sweden. National smoking rates were found from Swedish National Statistics on smoking habits. Based on smoking rates for the years 1970-2010, periodontal disease prevalence estimates were calculated for the age bracket 40-70 years and smoking-associated relative risks between 2.0 and 20.0. The impact of smoking on the population was estimated according to the concept of population attributable fraction. The age-standardized smoking rate in Sweden declined from 44% in 1970 to 15% in 2010. In parallel with the smoking decline the calculated prevalence estimate of periodontal disease dropped from 26% to 12% assuming a 10-fold smoking-associated relative risk. Even at more moderate magnitudes of the relative risk, e.g. 2-fold or 5-fold, the prevalence decrease was quite tangible, suggesting that the current prevalence in Sweden is about 20-50% of the level 40 years ago. The population attributable fraction, estimating the portion of the disease that would have been avoided in the absence of smoking, was 80% in 1970 and 58% in 2010 at a ten-fold relative risk. Calculated estimates of periodontal disease prevalence are closely related to real changes in smoking rate. As smoking rate drops periodontal disease prevalence will drop. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Rising longitudinal trajectories in suicide rates: The role of firearm suicide rates and firearm legislation.

Science.gov (United States)

Anestis, Michael D; Selby, Edward A; Butterworth, Sarah E

2017-07-01

Firearms account for approximately half of all US suicide deaths each year despite being utilized in only a small minority of suicide attempts. We examined the extent to which overall suicide rates fluctuated relative to firearm and non-firearm suicide rates across a period of 16years (1999-2015). We further tested the notion of means substitution by examining the association between firearm suicide rates and non-firearm suicide rates. Lastly, we examined the extent to which the presence of specific laws related to handgun ownership previously shown cross-sectionally to be associated with lower suicide rates (universal background checks, mandatory waiting periods) were associated with an attenuated trajectory in suicide rates across the study period. As anticipated, whereas decreases in firearm suicide rates were associated with decreases in overall suicide rates (b=0.46, SE=0.07, psuicides were not associated with off-setting increases in suicides by other methods (b=-0.04, SE=0.05, p=0.36). Furthermore, the absence of universal background check (b=0.12, SE=0.05, p=0.028) and mandatory waiting period (b=0.16, SE=0.06, p=0.008) laws was associated with a more steeply rising trajectory of statewide suicide rates. These results mitigate concerns regarding means substitution and speak to the potential high yield impact of systematically implemented means safety prevention efforts focused on firearms. Copyright © 2017 Elsevier Inc. All rights reserved.

Prevalence Rates of the Incubus Phenomenon: A Systematic Review and Meta-Analysis

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Marc L. Molendijk

2017-11-01

Full Text Available BackgroundThe incubus phenomenon is a paroxysmal sleep-related disorder characterized by compound hallucinations experienced during brief phases of (apparent wakefulness. The condition has an almost stereotypical presentation, characterized by a hallucinated being that exerts pressure on the thorax, meanwhile carrying out aggressive and/or sexual acts. It tends to be accompanied by sleep paralysis, anxiety, vegetative symptoms, and feelings of suffocation. Its prevalence rate is unknown since, in prior analyses, cases of recurrent isolated sleep paralysis with/without an incubus phenomenon have been pooled together. This is unfortunate, since the incubus phenomenon has a much greater clinical relevance than isolated sleep paralysis.MethodsPubMed, Embase, and PsycINFO were searched for prevalence studies of the incubus phenomenon, and a meta-analysis was performed.ResultsOf the 1,437 unique records, 13 met the inclusion criteria, reporting on 14 (k independent prevalence estimates (total N = 6,079. The pooled lifetime prevalence rate of the incubus phenomenon was 0.19 [95% confidence interval (CI = 0.14–0.25, k = 14, N = 6,079] with heterogeneous estimates over different samples. In selected samples (e.g., patients with a psychiatric disorder, refugees, and students, prevalence rates were nearly four times higher (0.41, 95% CI = 0.25–0.56, k = 4, n = 1,275 than in the random samples (0.11, 95% CI = 0.08–0.14, k = 10, n = 4,804. This difference was significant (P < 0.001.ConclusionThis review and meta-analysis yielded a lifetime prevalence of the incubus phenomenon in the general population of 0.11 and, in selected samples, of 0.41. This is slightly higher than the prevalence rates in previous analyses that included cases of recurrent isolated sleep paralysis without an incubus phenomenon. Based on the condition’s robust clinical presentation and the relatively high prevalence rates, we advocate

The Vaccination Kuznets Curve: Do vaccination rates rise and fall with income?

Science.gov (United States)

Sakai, Yutaro

2018-01-01

This paper presents a new stylized fact about the relationship between income and childhood vaccination. It shows vaccination rates first rise but then fall as income increases. This pattern is observed in WHO country-level panel data, and in US county-level panel and individual-level repeated cross-section data. This data pattern suggests that both low and high-income parents are less likely to follow the standard vaccination schedule, and that such behavior is reflected in the vaccination rate at the population level. I provide several alternative explanations as to why we observe this data pattern, including avoidance measures, medical care, and social segregation. Copyright © 2017 Elsevier B.V. All rights reserved.

Epidemiology of Eating Disorders : Incidence, Prevalence and Mortality Rates

NARCIS (Netherlands)

Smink, Frederique R. E.; van Hoeken, Daphne; Hoek, Hans W.

Eating disorders are relatively rare among the general population. This review discusses the literature on the incidence, prevalence and mortality rates of eating disorders. We searched online Medline/Pubmed, Embase and PsycINFO databases for articles published in English using several keyterms

Study on pulsed-discharge devices with high current rising rate for point spot short-wavelength source in dense plasma observations

International Nuclear Information System (INIS)

Tachinami, Fumitaka; Anzai, Nobuyuki; Sasaki, Toru; Kikuchi, Takashi; Harada, Nob.

2014-01-01

A pulsed-power generator with high current rise based on a pulse-forming-network was studied toward generating intense point-spot X-ray source. To obtain the high rate of current rise, we have designed the compact discharge device with low circuit inductance. The results indicate that the inductance of the compact discharge device was dominated by a gap switch inductance. To reduce the gap switch inductance and operation voltage, the feasible gap switch inductance in the vacuum chamber has been estimated by the circuit simulation. The gap switch inductance can be reduced by the lower pressure operation. It means that the designed discharge device achieves the rate of current rise of 10 12 A/s

Is the Rise in the Prevalence of Renal Replacement Therapy at Older Ages the Price for Living Longer?

Directory of Open Access Journals (Sweden)

Frederik Peters

2018-05-01

Full Text Available BackgroundRenal replacement therapy (RRT is one of the most expensive in renal medicine. Cross-sectional studies suggest that life expectancy increases in the general population are associated with a higher burden of RRT. This study tests this hypothesis in a prospective setting among people aged 75+ living in Western Europe.MethodsWe gathered sex-specific data for 11 Western European countries in 2005–2014. RRT prevalence on country level was extracted from the ERA-EDTA registry, while data on population size and life expectancy for the 75+ age group came from the Eurostat database. GDP per capita was extracted from the OECD database. To measure the association between RRT prevalence and life expectancy, we performed Poisson regression models separately for each country and for all countries combined. To adjust for confounding, GDP per capita as well as time and country-fixed effects were included.ResultsOur analysis revealed that living longer coincides with rising RRT prevalence at ages 75+ in Western Europe between 2005 and 2014. On average, a 1-year increase in life expectancy was associated with a roughly 20% increase in RRT prevalence [(95% CI 21–23% in men and 19–22% in women]. However, after adjustments for confounding were made, the association became insignificant among women and became weaker among men, falling to a level of 11% [(95% CI 6–17%].ConclusionLiving longer was not necessarily associated with a higher burden of RRT in Western European countries.

The rate of rise, fall and gravity spreading at Siahou diapir (Southern Iran)

Science.gov (United States)

Aftabi, P.; Roustaie, M.

2009-04-01

InSAR imaging can be used for extracting three dimensional information of the diapirs surface by using the phase part of the radar signal. We used InSAR to examine the cumulative surface deformation between 920706 to 060518, in a 10×10 km region surrounding the salt diapir at Kuh-e-Namak Siahou. The interferograms span periods was between 35-70 and 1248 days. Images acquired in 12 increments provided by ESA. This technique used here involves computation and subsequent combinations of interferometric phase gradient maps were used for mapping the salt flow deformation in the Zagros. Kuh-e-Namak Siahou is one of the salt extrusions currently active in the Zagros range in Iran. Salt rises from a mother salt horizon about 4 km deep and extruded as a dome with glacier on the surface. The geometry and inferred flow pattern of the salt changed between the increments, emphasizing that the extrusion rate and gravity spreading is not steady. Elevations in the salt mountain range from 1000 to 1640 meters and the displacements exceed to 20cm per year . Our InSAR study(Fig1) suggest that the dimensions and velocity of the salt movements are changing between 2 to 20mm per year(-0.7 to0.59 mm per day).The rate of surface dissolution changed between 2 to 4 cm a-1, and its rate of rise out of its orifice at 0 to 200 mm per year. The InSAR study suggest that the vigorous salt extrusion in Siahou is probably active.The deep source probably rise at a similar rates in the past but it fall in the time of InSAR study. The rate of fall was 260 mm per year(for 14 years). The InSAR images suggest that salt extrusion in Siahou flow laterally at rate 20-25 mm per year and the namakiers felt at -2 mm per month. The InSAR results indicated concentric and radial flow in the diapir from a central point at summit and spreading glaciers in sideways.Phase differences measured in our interferograms generally in the range of 0-260 mm/yr(-260 mm) within the studied period, with exceptional high rates

Prevalence rate and dentoskeletal features associated with buccally displaced maxillary canines.

Science.gov (United States)

Mucedero, Manuela; Ricchiuti, Maria Rosaria; Cozza, Paola; Baccetti, Tiziano

2013-06-01

The aim of the study was to analyse the prevalence and distribution of buccally displaced canines (BDCs) in subjects scheduled for orthodontic treatment and to investigate the association between BDC and sagittal, vertical, and transverse dentoskeletal relationships. A study sample of 1852 subjects was examined, and it was divided randomly into two groups. A first group of 252 subjects served as control group: the 'reference' prevalence rates for the examined parameters were calculated in this group. The remaining 1600 subjects comprised the sample from which the experimental BDC group was derived. Presence of unilateral or bilateral maxillary BDC, ANB, and SN GOGn angles for sagittal and vertical skeletal relationships, intercanine and intermolar distances, and tooth crowding at the maxillary arch were recorded for each subject. The statistical significance of differences between the BDC and the control groups in transverse relations and tooth crowding at the upper arch was tested by means of independent sample t-tests. Chi-square tests were performed to compare the prevalence rates of BDC and also sagittal and vertical skeletal features in the two groups. The prevalence rate of BDC was 3.06 per cent with a male-to-female ratio of 1:1. BDC subjects exhibited a significant association with hyperdivergent skeletal relationships (38.8%), reduced maxillary intercanine width, and crowding in the upper arch. The presence of specific dentoskeletal characteristics can be considered as a risk indicator for developing a buccal displacement of upper permanent canines.

Impact of macro-level socio-economic factors on rising suicide rates in South Korea: panel-data analysis in East Asia.

Science.gov (United States)

Hong, Jihyung; Knapp, Martin

2014-12-01

The rapid increase in suicide rates in South Korea, particularly in the aftermath of the Asian economic crisis in the late 1990s, compares with the declining suicide rates observed in most other OECD countries over the same period. This study aimed to examine an array of macro-level societal factors that might have contributed to the rising suicide trend in South Korea. We first investigated whether this trend was unique to South Korea, or ubiquitous across five Asian countries/areas that are geographically and culturally similar (South Korea, Hong Kong, Japan, Singapore, and Taiwan), using WHO mortality data and national statistics (1980-2009). Age-standardised suicide rates (per 100,000 population) were calculated for each gender and age group (15-24, 25-44, 45-64, and 65+) for each country. Both panel data and country-specific time-series analyses were employed to investigate the impact of economic change and social integration/regulation on suicide. Despite similarities in geography and culture, the rising trend of suicide rates was unique to South Korea. This atypical trend was most apparent for people aged 65 and over, which was in sharp contrast to the decreasing suicide trends observed in the other four Asian countries. The results of the panel data analyses generally pointed to a negative relationship between economic growth and suicide rates, particularly for working-aged people. The results of the time-series analyses further suggested that low levels of social integration, as indicated by rising divorce rates, may also have a role in rising suicide rates in South Korea, particularly for older people. Furthermore, the association between suicide rates and economic adversity (unemployment and economic downturn) was most salient among middle-aged men in South Korea. Compared to four other East Asian countries/areas (Hong Kong, Japan, Singapore, and Taiwan), South Korea has uniquely experienced a rising trend of suicide rates over the past three decades

HIV infection among tuberculosis patients in Vietnam: prevalence and impact on tuberculosis notification rates

NARCIS (Netherlands)

Thanh, D. H.; Sy, D. N.; Linh, N. D.; Hoan, T. M.; Dien, H. T.; Thuy, T. B.; Hoa, N. P.; Tung, L. B.; Cobelens, F.

2010-01-01

Vietnam has an emerging human immunodeficiency virus (HIV) epidemic (estimated population prevalence 0.5%), but valid data on HIV prevalence among tuberculosis (TB) patients are limited. Recent increases in TB notification rates among young adults may be related to HIV. To assess the prevalence of

College Students' Perceived Disease Risk versus Actual Prevalence Rates

Science.gov (United States)

Smith, Matthew Lee; Dickerson, Justin B.; Sosa, Erica T.; McKyer, E. Lisako J.; Ory, Marcia G.

2012-01-01

Objective: To compare college students' perceived disease risk with disease prevalence rates. Methods: Data were analyzed from 625 college students collected with an Internet-based survey. Paired t-tests were used to separately compare participants' perceived 10-year and lifetime disease risk for 4 diseases: heart disease, cancer, diabetes, and…

Thresholds of sea-level rise rate and sea-level acceleration rate in a vulnerable coastal wetland

Science.gov (United States)

Wu, W.; Biber, P.; Bethel, M.

2017-12-01

Feedback among inundation, sediment trapping, and vegetation productivity help maintain coastal wetlands facing sea-level rise (SLR). However, when the SLR rate exceeds a threshold, coastal wetlands can collapse. Understanding the threshold help address the key challenge in ecology - nonlinear response of ecosystems to environmental change, and promote communication between ecologists and policy makers. We studied the threshold of SLR rate and developed a new threshold of SLR acceleration rate on sustainability of coastal wetlands as SLR is likely to accelerate due to the enhanced anthropogenic forces. We developed a mechanistic model to simulate wetland change and derived the SLR thresholds for Grand Bay, MS, a micro-tidal estuary with limited upland freshwater and sediment input in the northern Gulf of Mexico. The new SLR acceleration rate threshold complements the threshold of SLR rate and can help explain the temporal lag before the rapid decline of wetland area becomes evident after the SLR rate threshold is exceeded. Deriving these two thresholds depends on the temporal scale, the interaction of SLR with other environmental factors, and landscape metrics, which have not been fully accounted for before this study. The derived SLR rate thresholds range from 7.3 mm/yr to 11.9 mm/yr. The thresholds of SLR acceleration rate are 3.02×10-4 m/yr2 and 9.62×10-5 m/yr2 for 2050 and 2100 respectively. Based on the thresholds developed, predicted SLR that will adversely impact the coastal wetlands in Grand Bay by 2100 will fall within the likely range of SLR under a high warming scenario (RCP8.5), and beyond the very likely range under a low warming scenario (RCP2.6 or 3), highlighting the need to avoid the high warming scenario in the future if these marshes are to be preserved.

Do pregnancy characteristics contribute to rising childhood cancer incidence rates in the United States?

Science.gov (United States)

Kehm, Rebecca D; Osypuk, Theresa L; Poynter, Jenny N; Vock, David M; Spector, Logan G

2018-03-01

Since 1975, childhood cancer incidence rates have gradually increased in the United States; however, few studies have conducted analyses across time to unpack this temporal rise. The aim of this study was to test the hypothesis that increasing cancer incidence rates are due to secular trends in pregnancy characteristics that are established risk factors for childhood cancer incidence including older maternal age, higher birthweight, and lower birth order. We also considered temporal trends in sociodemographic characteristics including race/ethnicity and poverty. We conducted a time series county-level ecologic analysis using linked population-based data from Surveillance, Epidemiology, and End Results cancer registries (1975-2013), birth data from the National Center for Health Statistics (1970-2013), and sociodemographic data from the US Census (1970-2010). We estimated unadjusted and adjusted average annual percent changes (AAPCs) in incidence of combined (all diagnoses) and individual types of cancer among children, ages 0-4 years, from Poisson mixed models. There was a statistically significant unadjusted temporal rise in incidence of combined childhood cancers (AAPC = 0.71%; 95% CI = 0.55-0.86), acute lymphoblastic leukemia (0.78%; 0.49-1.07), acute myeloid leukemia (1.86%; 1.13-2.59), central nervous system tumors (1.31%; 0.94-1.67), and hepatoblastoma (2.70%; 1.68-3.72). Adjustment for county-level maternal age reduced estimated AAPCs between 8% (hepatoblastoma) and 55% (combined). However, adjustment for other county characteristics did not attenuate AAPCs, and AAPCs remained significantly above 0% in models fully adjusted for county-level characteristics. Although rising maternal age may account for some of the increase in childhood cancer incidence over time, other factors, not considered in this analysis, may also contribute to temporal trends. © 2017 Wiley Periodicals, Inc.

HIV infection among tuberculosis patients in Vietnam: prevalence and impact on tuberculosis notification rates.

Science.gov (United States)

Thanh, D H; Sy, D N; Linh, N D; Hoan, T M; Dien, H T; Thuy, T B; Hoa, N P; Tung, L B; Cobelens, F

2010-08-01

Vietnam has an emerging human immunodeficiency virus (HIV) epidemic (estimated population prevalence 0.5%), but valid data on HIV prevalence among tuberculosis (TB) patients are limited. Recent increases in TB notification rates among young adults may be related to HIV. To assess the prevalence of HIV infection among smear-positive TB patients in six provinces with relatively high HIV population prevalence in Vietnam. All patients who registered for treatment of smear-positive TB during the fourth quarter of 2005 were offered HIV testing. Of the 1217 TB patients included in the study, 100 (8.2%) tested HIV-positive. HIV prevalence varied between 2% and 17% in the provinces, and was strongly associated with age Vietnam, HIV infection is concentrated in drug users, as well as in specific geographic areas where it has considerable impact on TB notification rates among men aged 15-34 years.

Rising U.S. income inequality, gender and individual self-rated health, 1972-2004.

Science.gov (United States)

Zheng, Hui

2009-11-01

The effect of income inequality on health has been a contested topic among social scientists. Most previous research is based on cross-sectional comparisons rather than temporal comparisons. Using data from the General Social Survey and the U.S. Census Bureau, this study examines how rising income inequality affects individual self-rated health in the U.S. from 1972 to 2004. Data are analyzed using hierarchical generalized linear models. The findings suggest a significant association between income inequality and individual self-rated health. The dramatic increase in income inequality from 1972 to 2004 increases the odds of worse self-rated health by 9.4 percent. These findings hold for three measures of income inequality: the Gini coefficient, the Atkinson Index, and the Theil entropy index. Results also suggest that overall income inequality and gender-specific income inequality harm men's, but not women's, self-rated health. These findings also hold for the three measures of income inequality. These findings suggest that inattention to gender composition may explain apparent discrepancies across previous studies.

The trend of pressure ulcer prevalence rates in German hospitals: results of seven cross-sectional studies.

Science.gov (United States)

Kottner, Jan; Wilborn, Doris; Dassen, Theo; Lahmann, Nils

2009-05-01

Pressure ulcer prevalence rates provide useful information about the magnitude of this health problem. Only limited information on pressure ulcers in Germany was available before 2001. The purpose of this study was to compare results of seven pressure ulcer prevalence surveys which were conducted annually between 2001 and 2007 and to explore whether pressure ulcer prevalence rates decreased. The second aim was to evaluate if the measured prevalence rates of our sample could be generalised for all German hospitals. Results of seven point pressure ulcer prevalence studies conducted in 225 German hospitals were analysed. Chi-square tests, chi-square trend tests and one-way ANOVA to assess differences and trends across the years were applied. The sample was stratified according to pressure ulcer risk and speciality. Finally, study samples were compared with the potential population. In total data of 40,247 hospital patients were analysed. The overall pressure ulcer prevalence rate in German hospitals was 10.2%. Patient samples of each year were comparable regarding gender, age and pressure ulcer risk. Pressure ulcer prevalence rates decreased from 13.9% (year 2001) to 7.3% (year 2007) (pcare units remained stable. With some limitations our study results are representative for all hospitals within Germany. It is highly probable that the decrease of prevalence rates was due to an increased awareness of the pressure ulcer problem in Germany and subsequent efforts to improve pressure ulcer prevention and treatment. The quality of clinical practice regarding pressure ulcer prevention and treatment has improved. However, pressure ulcers are still relevant and require attention. In 2007, one out of 10 hospital patients who were at pressure ulcer risk had at least one pressure related skin damage.

Prevalence and incidence rate of injuries in runners at a local athletic club in Cape Town

Directory of Open Access Journals (Sweden)

C. Hendricks

2013-12-01

Full Text Available People across the world are running on a daily basis to improvetheir health status. However, running can predispose an individual to injuryto the back and lower limb. Baseline data on prevalence, incidence rate ofinjury and aetiological factors associated with running injuries are neededby physiotherapists to develop and implement effective prevention programmesto allow optimal performance in runners. Thus, the purpose of this study wasto determine the prevalence and incidence of injuries in runners at a localathletic club.Methods: A prospective, non-experimental cohort study was conductedover a 16 week period. A sample of 50 runners completed a self-administeredquestionnaire and an injury report form recording injuries sustained during the 16 week study period. Injury prevalence andcumulative incidence was calculated as a proportion rate along with 95% confidence interval.Results: The prevalence rate of injuries was 32%. The incidence rate of injuries was 0.67 per 1000km run (95% CI: 0.41- 1.08.The most common anatomical sites for new injuries were the calf (20% and the knee (18%.Conclusions: The study found a moderate prevalence and incidence rate of injury in runners, thus the need for physiotherapyledinjury surveillance and prevention programmes have been highlighted.

The impact of height during childhood on the national prevalence rates of overweight

NARCIS (Netherlands)

Van Dommelen, Paula; De Kroon, Marlou L A; Cameron, Noël; Schon̈beck, Yvonne; Van Buuren, Stef

2014-01-01

Background: It is known that height and body mass index (BMI) are correlated in childhood. However, its impact on the (trend of) national prevalence rates of overweight and obesity has never been investigated. The aim of our study is to investigate the relation between height and national prevalence

The impact of height during childhood on the national prevalence rates of overweight

NARCIS (Netherlands)

Dommelen, P. van; Kroon, M.L.A. de; Cameron, N.; Schonbeck, Y.; Buuren, S. van

2014-01-01

Background It is known that height and body mass index (BMI) are correlated in childhood. However, its impact on the (trend of) national prevalence rates of overweight and obesity has never been investigated. The aim of our study is to investigate the relation between height and national prevalence

Impact of Disease Prevalence Adjustment on Hospitalization Rates for Chronic Ambulatory Care-Sensitive Conditions in Germany.

Science.gov (United States)

Pollmanns, Johannes; Romano, Patrick S; Weyermann, Maria; Geraedts, Max; Drösler, Saskia E

2018-04-01

To explore effects of disease prevalence adjustment on ambulatory care-sensitive hospitalization (ACSH) rates used for quality comparisons. County-level hospital administrative data on adults discharged from German hospitals in 2011 and prevalence estimates based on administrative ambulatory diagnosis data were used. A retrospective cross-sectional study using in- and outpatient secondary data was performed. Hospitalization data for hypertension, diabetes, heart failure, chronic obstructive pulmonary disease, and asthma were obtained from the German Diagnosis Related Groups (DRG) database. Prevalence estimates were obtained from the German Central Research Institute of Ambulatory Health Care. Crude hospitalization rates varied substantially across counties (coefficients of variation [CV] 28-37 percent across conditions); this variation was reduced by prevalence adjustment (CV 21-28 percent). Prevalence explained 40-50 percent of the observed variation (r = 0.65-0.70) in ACSH rates for all conditions except asthma (r = 0.07). Between 30 percent and 38 percent of areas moved into or outside condition-specific control limits with prevalence adjustment. Unadjusted ACSH rates should be used with caution for high-stakes public reporting as differences in prevalence may have a marked impact. Prevalence adjustment should be considered in models analyzing ACSH. © Health Research and Educational Trust.

Prevalence rates and epidemiological risk factors for astigmatism in Singapore school children.

Science.gov (United States)

Tong, Louis; Saw, Seang-Mei; Carkeet, Andrew; Chan, Wai-Ying; Wu, Hui-Min; Tan, Donald

2002-09-01

This study examined the prevalence rate of astigmatism and its epidemiological risk factors in Singapore school children. In a study of school children aged 7 to 9 years old in two schools in Singapore in 1999, a detailed questionnaire was administered to parents regarding reading or close-work habits, past history of close-work, family history, and socioeconomic factors. Cycloplegic refraction was performed five times in each eye. Defining astigmatism as worse than or equal to 0.5, 0.75, and 1 D cylinder in the right eye, the prevalence of astigmatism was calculated. The study population consisted of 1028 children. The prevalence rate of astigmatism (worse than or equal to 1 D cylinder) was 19.2% (95% confidence interval, 16.8 to 21.6). This was not different between genders, ethnic groups, or age (p > 0.05). With-the-rule astigmatism was more common than against-the-rule astigmatism. The prevalence of astigmatism and myopia was 9.8% (95% confidence interval, 8.0 to 11.6). A high AC/A ratio was associated (p = 0.003) with astigmatism, even after exclusion of myopic children. On vectorial analysis, J0 and J45 were associated with the number of hours of playing video games, whereas J45 was also associated with computer use. Only J45 was associated to male gender, a high AC/A ratio, and a family history of myopia. The prevalence rate of astigmatism (> or = 1 D) was 19%. Playing video games and computer use may be associated with astigmatism severity, although the presence of astigmatism (> or = 1 D) was not associated with any nearwork factors. A family history of myopia was associated with oblique astigmatism severity. A high AC/A ratio is associated with astigmatism, and this requires further investigation.

Prevalence, Treatment, and Control Rates of Conventional and Ambulatory Hypertension Across 10 Populations in 3 Continents

DEFF Research Database (Denmark)

Melgarejo, Jesus D.; Maestre, Gladys E; Thijs, Lutgarde

2017-01-01

Hypertension is a major global health problem, but prevalence rates vary widely among regions. To determine prevalence, treatment, and control rates of hypertension, we measured conventional blood pressure (BP) and 24-hour ambulatory BP in 6546 subjects, aged 40 to 79 years, recruited from 10 com...

Short report: entomologic inoculation rates and Plasmodium falciparum malaria prevalence in Africa.

Science.gov (United States)

Beier, J C; Killeen, G F; Githure, J I

1999-07-01

Epidemiologic patterns of malaria infection are governed by environmental parameters that regulate vector populations of Anopheles mosquitoes. The intensity of malaria parasite transmission is normally expressed as the entomologic inoculation rate (EIR), the product of the vector biting rate times the proportion of mosquitoes infected with sporozoite-stage malaria parasites. Malaria transmission intensity in Africa is highly variable with annual EIRs ranging from 1,000 infective bites per person per year. Malaria control programs often seek to reduce morbidity and mortality due to malaria by reducing or eliminating malaria parasite transmission by mosquitoes. This report evaluates data from 31 sites throughout Africa to establish fundamental relationships between annual EIRs and the prevalence of Plasmodium falciparum malaria infection. The majority of sites fitted a linear relationship (r2 = 0.71) between malaria prevalence and the logarithm of the annual EIR. Some sites with EIRs 80%. The basic relationship between EIR and P. falciparum prevalence, which likely holds in east and west Africa, and across different ecologic zones, shows convincingly that substantial reductions in malaria prevalence are likely to be achieved only when EIRs are reduced to levels less than 1 infective bite per person per year. The analysis also highlights that the EIR is a more direct measure of transmission intensity than traditional measures of malaria prevalence or hospital-based measures of infection or disease incidence. As such, malaria field programs need to consider both entomologic and clinical assessments of the efficacy of transmission control measures.

5A.01: CORONARY ATHEROSCLEROSIS AND ADVERSE OUTCOME IN HYPERTENSIVE PATIENTS WITH RECENT-ONSET ATRIAL FIBRILLATION AND TROPONIN RISE.

Science.gov (United States)

Conti, A; Angeli, E; Trausi, F; Grifoni, C; Lazzeretti, D; Bianchi, S; Catarzi, S; Covelli, A; Perrotta, M E; Lencioni, A M; Pisani, N; Bertolini, L

2015-06-01

Atrial fibrillation (AF), the most common cardiac-arrhythmia in critical-care, has reached a high prevalence in hypertensive patients. Prevention of systemic-embolism is mandatory; unfortunately, evidence to support the treatment of comorbidities as coronary artery disease (CAD) that contribute to excess mortality is lacking, and the mechanism underlying the troponin-rise during AF without acute coronary syndrome (ACS) is unclear. This study investigates the relationship between CAD, stroke and outcomes in patients with troponin-rise and AF. Patients with a recent-onset AF and without severe comorbidities were enrolled. Baseline characteristics in those with troponin-rise versus those without were adjusted with propensity-score-matching for possible confounders. SPSS-software allowed estimation of the propensity-score using logistic-regression and specifying nearest-neighbor matching in prior-stroke, heart-rate, hypertension, TIMI-risk-score, GRACE-score, CHA2DS2Vasc-score. Patients with a troponin-rise or cardiovascular event (CVE) were considered for angiography. The primary endpoint was the composite of ACS, revascularization (with critical CAD>/ = 70%) and cardiac-death at the follow-up; the secondary endpoint was stroke. Out of 6203 AF patients without severe comorbidities, 3541 with recent-onset AF completed the study; 202(6%) showed a troponin-rise, 91(3%) a CVE. After matching no difference existed in baseline characteristics. On multivariate analysis, in the entire cohort, troponin-rise, know-CAD and hypertension were predictors of the endpoint, whereas only troponin-rise (Odd Ratio, OR: 10, Confidence Interval 95%, CI: 4-22, p  2 (OR 4, CI 2-9, p rise achieved the endpoint in 38(19%) and 43(1%), respectively (p  0.50 ng/L with 55% and 75%, respectively. Patients with a recent-onset AF and troponin-rise showed a high prevalence of CVE but not stroke, thus CAD might have a role in poor outcomes.

Food availability and the rising obesity prevalence in Malaysia

OpenAIRE

Geok-Lin Khor

2012-01-01

It is estimated that more than 1.1 billion adultsand 115 million children worldwide are overweight.In Malaysia, the second and third National Healthand Morbidity Surveys in 1996 and 2006 respectivelyreported a three-fold increase in obesity prevalenceamong adults, surging from 4.4% to 14% over the10-year period. Evidence of rising childhood obesityhas also emerged. The aim of this article is to gatherevidence from food availability data for an insightinto population shifts in dietary patterns...

A Continuation of the Paradigm Wars? Prevalence Rates of Methodological Approaches across the Social/Behavioral Sciences

Science.gov (United States)

Alise, Mark A.; Teddlie, Charles

2010-01-01

A new line of research has emerged that examines the prevalence rates of mixed methods within disciplines in the social/behavioral sciences. Research presented in this article is unique in that it examines prevalence rates across multiple disciplines using an established cross-disciplinary classification scheme. Results indicate that there are…

Estimates of global HIV/AIDS mortality, prevalence and incidence rates, and their association with the Human Development Index

OpenAIRE

Kamyar Mansori; Erfan Ayubi; Fatemeh Khosravi Shadmani; Shiva Mansouri Hanis; Somayeh Khazaei; Mohadeseh Sani; Yousef Moradi; Salman Khazaei; Abolfazl Mohammadbeigi

2017-01-01

Background: HIV/AIDS is one of greatest global public health concerns today due to the high incidence, prevalence and mortality rates. The aim of this research was investigate and estimate the global HIV/AIDS mortality, prevalence and incidence rates, and explore their associations with the Human Development Index. Methods: The global age-standardized rates of mortality, prevalence and incidence of HIV/AIDS were obtained from the UNAIDS for different countries in 2015. The human developm...

Rising trends and inequalities in cesarean section rates in Pakistan: Evidence from Pakistan Demographic and Health Surveys, 1990-2013.

Science.gov (United States)

Mumtaz, Sarwat; Bahk, Jinwook; Khang, Young-Ho

2017-01-01

Despite global efforts to improve maternal health, many developing countries including Pakistan have failed to achieve the target of a 75% reduction in maternal deaths by 2015. Addressing socioeconomic inequalities in access to emergency obstetric care is crucial for reducing the maternal mortality rate. This study was done to examine the time trends and socioeconomic inequalities in the utilization of cesarean section (C-section) in Pakistan during 1990-2013. We used data from the Pakistan Demographic and Health Surveys (PDHS) conducted during 1990 to 2013. All these surveys are nationally representative surveys of ever-married women aged 15-49 years with a sample size of 6611, 10,023, and 13,558 women in 1990-1991, 2006-2007, and 2012-2013, respectively, with an overall response rate of over 90%. The unit of analysis for this study was women with their most recent live birth in the five years preceding the surveys. Bivariate analyses and multivariable logistic regression models were employed to investigate the prevalence of cesarean sections according to selected sociodemographic characteristics of women. C-section rates were found to have increased during this period, with an especially significant rise from 2.7% in 1990-1991 to 15.8% in 2012-2013 with lower utilization among the non-educated women (7.5%), compared with the women with higher education (40.3%). C-section rates ranged from 5.5% in the poorest women to 35.3% in the richest women. Only 11.5% of the rural women had a C-section compared to 25.6% of the urban women. A greater likelihood of having a cesarean section was observed in the richest, highly educated, and urban-living women while there was no significant difference observed in cesarean section rates between the private and public sectors in all three surveys. To improve maternal health, routine monitoring and evaluation of the provision of emergency obstetric services are needed to address the underuse of C-section in poor and rural areas and

Rising trends and inequalities in cesarean section rates in Pakistan: Evidence from Pakistan Demographic and Health Surveys, 1990-2013.

Directory of Open Access Journals (Sweden)

Sarwat Mumtaz

Full Text Available Despite global efforts to improve maternal health, many developing countries including Pakistan have failed to achieve the target of a 75% reduction in maternal deaths by 2015. Addressing socioeconomic inequalities in access to emergency obstetric care is crucial for reducing the maternal mortality rate. This study was done to examine the time trends and socioeconomic inequalities in the utilization of cesarean section (C-section in Pakistan during 1990-2013. We used data from the Pakistan Demographic and Health Surveys (PDHS conducted during 1990 to 2013. All these surveys are nationally representative surveys of ever-married women aged 15-49 years with a sample size of 6611, 10,023, and 13,558 women in 1990-1991, 2006-2007, and 2012-2013, respectively, with an overall response rate of over 90%. The unit of analysis for this study was women with their most recent live birth in the five years preceding the surveys. Bivariate analyses and multivariable logistic regression models were employed to investigate the prevalence of cesarean sections according to selected sociodemographic characteristics of women. C-section rates were found to have increased during this period, with an especially significant rise from 2.7% in 1990-1991 to 15.8% in 2012-2013 with lower utilization among the non-educated women (7.5%, compared with the women with higher education (40.3%. C-section rates ranged from 5.5% in the poorest women to 35.3% in the richest women. Only 11.5% of the rural women had a C-section compared to 25.6% of the urban women. A greater likelihood of having a cesarean section was observed in the richest, highly educated, and urban-living women while there was no significant difference observed in cesarean section rates between the private and public sectors in all three surveys. To improve maternal health, routine monitoring and evaluation of the provision of emergency obstetric services are needed to address the underuse of C-section in poor and

The issue of prevalence of autism/asd

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Kamil Özerk

2016-12-01

Full Text Available From a purely educationist perspective, gaining a deeper understanding of several aspects related to the prevalence of autism/ASD in a given population is of great value in planning and improving educational and psychological intervention for treatment, training, and teaching of children with this disorder. In this article, I present and discuss numerous facets of prevalence studies, beginning with assessing the changes in diagnostic manuals (DSM and ICD over time. Based on the existing available research literature and empirical studies published during 2000 to 2016, I address the geographical-dimension and age-dimension of prevalence of autism/ASD. Over 50 studies from 21 countries reveals that prevalence rates of autism/ASD among children are on rise. There are inter-national and intra-national, regional/territorial variations with regard to prevalence rates, and I present and discuss possible factors/factor-groups that can explain these variations. Regardless of their geographic location, children with autism/ASD can be treated, trained, and taught, but to do so effectively requires reliable prevalence studies that can properly inform policy makers and higher institutions about the steps that must be taken in the field in order to improve the learning conditions of these children with special needs. Moving forward, it’s essential that studies of geographical dimension and age dimension of prevalence of autism/ASD must be supplemented by other (i.e. gender, socio-economic, ethnic, cultural, and language dimensions to help give us the perspective we need to grapple with this increasingly common disorder.

The Issue of Prevalence of Autism/ASD

Directory of Open Access Journals (Sweden)

Kamil ÖZERK

2016-12-01

Full Text Available From a purely educationist perspective, gaining a deeper understanding of several aspects related to the prevalence of autism/ASD in a given population is of great value in planning and improving educational and psychological intervention for treatment, training, and teaching of children with this disorder. In this article, I present and discuss numerous facets of prevalence studies, beginning with assessing the changes in diagnostic manuals (DSM and ICD over time. Based on the existing available research literature and empirical studies published during 2000 to 2016, I address the geographical-dimension and age-dimension of prevalence of autism/ASD. Over 50 studies from 21 countries reveals that prevalence rates of autism/ASD among children are on rise. There are inter-national and intra-national, regional/territorial variations with regard to prevalence rates, and I present and discuss possible factors/factor-groups that can explain these variations. Regardless of their geographic location, children with autism/ASD can be treated, trained, and taught, but to do so effectively requires reliable prevalence studies that can properly inform policy makers and higher institutions about the steps that must be taken in the field in order to improve the learning conditions of these children with special needs. Moving forward, it’s essential that studies of geographical dimension and age dimension of prevalence of autism/ASD must be supplemented by other (i.e. gender, socio-economic, ethnic, cultural, and language dimensions to help give us the perspective we need to grapple with this increasingly common disorder.

Burden of type 2 diabetes in Mexico: past, current and future prevalence and incidence rates.

Science.gov (United States)

Meza, Rafael; Barrientos-Gutierrez, Tonatiuh; Rojas-Martinez, Rosalba; Reynoso-Noverón, Nancy; Palacio-Mejia, Lina Sofia; Lazcano-Ponce, Eduardo; Hernández-Ávila, Mauricio

2015-12-01

Mexico diabetes prevalence has increased dramatically in recent years. However, no national incidence estimates exist, hampering the assessment of diabetes trends and precluding the development of burden of disease analyses to inform public health policy decision-making. Here we provide evidence regarding current magnitude of diabetes in Mexico and its future trends. We used data from the Mexico National Health and Nutrition Survey, and age-period-cohort models to estimate prevalence and incidence of self-reported diagnosed diabetes by age, sex, calendar-year (1960-2012), and birth-cohort (1920-1980). We project future rates under three alternative incidence scenarios using demographic projections of the Mexican population from 2010-2050 and a Multi-cohort Diabetes Markov Model. Adult (ages 20+) diagnosed diabetes prevalence in Mexico increased from 7% to 8.9% from 2006 to 2012. Diabetes prevalence increases with age, peaking around ages 65-68 to then decrease. Age-specific incidence follows similar patterns, but peaks around ages 57-59. We estimate that diagnosed diabetes incidence increased exponentially during 1960-2012, roughly doubling every 10 years. Projected rates under three age-specific incidence scenarios suggest diabetes prevalence among adults (ages 20+) may reach 13.7-22.5% by 2050, affecting 15-25 million individuals, with a lifetime risk of 1 in 3 to 1 in 2. Diabetes prevalence in Mexico will continue to increase even if current incidence rates remain unchanged. Continued implementation of policies to reduce obesity rates, increase physical activity, and improve population diet, in tandem with diabetes surveillance and other risk control measures is paramount to substantially reduce the burden of diabetes in Mexico. Copyright © 2015 Elsevier Inc. All rights reserved.

Influence of Sea-Level Rise and Storms on Soil Accretion Rates in the Mangrove Forests of Everglades National Park, USA

Science.gov (United States)

Smoak, J. M.; Breithaupt, J.; Smith, T., III; Sanders, C. J.; Peterson, L. C.

2014-12-01

Mangrove forests provide a range of valuable ecosystem services including sequestering large quantities of organic carbon (OC) in their soils at rates higher than other forests. Whether or not mangrove soils continue to be a sink for OC will be determined by the mangrove ecosystems' response to climate change-induced stressors. The threats of rising sea level outpacing mangrove forest soil accretion and increased wave energy associated with this rise may become the primary climate change-induced stressors on mangrove ecosystems. The threat from wave energy is amplified during storm events, which could increasingly damage mangrove forests along the coastline. However, storms may enhance accretion rates at some sites due to delivery of storm surge material, which could increase the system's ability to keep pace with sea-level rise (SLR). To investigate these processes we measure soil accretion rates over the last 100 years (via 210Pb dating) within the mangrove forests of Everglades National Park, which are situated within the largest contiguous mangrove forest in North America. Accretion rates range from 2 to 2.8 mm per year for sites within 10 km of the Gulf of Mexico. These rates match (within error) or exceed SLR over the last 100 years. Sites farther inland than 10 km have slightly lower accretion rates. Throughout the system organic matter accumulation is the most important source material contributing to accretion. The more seaward sites also show an important contribution from carbonate material. Soil cores from the most seaward sites exhibited visual laminations and Ca peaks (determined via x-ray fluorescence). These are indicators of storm surge deposits. While higher sea level might produce more damage and loss of mangrove forest along open water (e.g., Gulf of Mexico), our findings suggest some sites will have enhanced accretion rates due to supplementation with storm surge material.

ICD-11 Prevalence Rates of Posttraumatic Stress Disorder and Complex Posttraumatic Stress Disorder in a German Nationwide Sample.

Science.gov (United States)

Maercker, Andreas; Hecker, Tobias; Augsburger, Mareike; Kliem, Sören

2018-04-01

Prevalence rates are still lacking for posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD) diagnoses based on the new ICD-11 criteria. In a nationwide representative German sample (N = 2524; 14-99 years), exposure to traumatic events and symptoms of PTSD or CPTSD were assessed with the International Trauma Questionnaire. A clinical variant of CPTSD with a lower threshold for core PTSD symptoms was also calculated, in addition to conditional prevalence rates dependent on trauma type and differential predictors. One-month prevalence rates were as follows: PTSD, 1.5%; CPTSD, 0.5%; and CPTSD variant, 0.7%. For PTSD, the highest conditional prevalence was associated with kidnapping or rape, and the highest CPTSD rates were associated with sexual childhood abuse or rape. PTSD and CPTSD were best differentiated by sexual violence. Combined PTSD and CPTSD (ICD-11) rates were in the range of previously reported prevalences for unified PTSD (Diagnostic and Statistical Manual of Mental Disorders, 4th Edition; ICD-10). Evidence on differential predictors of PTSD and CPTSD is still preliminary.

The Rising Prevalence and Incidence of Gout in British Columbia, Canada: Population-Based Trends from 2000-2012

Science.gov (United States)

Rai, Sharan K.; Aviña-Zubieta, J. Antonio; McCormick, Natalie; De Vera, Mary A.; Shojania, Kam; Sayre, Eric C.; Choi, Hyon K.

2016-01-01

Objectives Gout is increasingly recognized as the most common form of inflammatory arthritis worldwide; however, no Canadian data on the disease burden of gout are available. We estimated the prevalence, incidence, prescription patterns, and comorbidity burden of gout in an entire Canadian province (British Columbia [BC]) over the last decade. Methods We utilized PopulationData BC, a province-wide database, to estimate temporal trends in the prevalence and incidence of gout from 2000-2012, as well as according to age category. Annual estimates were age-sex-standardized using 2012 as the reference. We also examined annual trends in prescription patterns of common gout medications and assessed the comorbidity burden among gout patients in 2012. Results The 2012 prevalence of gout was 3.8% among the overall population, and the incidence rate was 2.9 per 1,000 person-years. Both gout prevalence and incidence increased substantially over the study period. This burden additionally increased according to age category, affecting over 8% of those ages 60-69 years in 2012. Approximately 22% of gout patients received a prescription for urate-lowering therapy (ULT), which remained stable over the study period, while colchicine and oral glucocorticoid use both increased modestly. By 2012, 72%, 52%, and 18% of prevalent gout patients had been diagnosed with hypertension, hyperlipidemia, and diabetes, respectively. Conclusions The burden of gout in BC, Canada, is substantial, and both the prevalence and incidence have increased over the past decade, while prescription of ULT remains low. These data support the need to improve gout prevention and care. PMID:28040245

The Effects of Rising Interest Rates on Electric Utility Stock Prices: Regulatory Considerations and Approaches

Energy Technology Data Exchange (ETDEWEB)

Kihm, Steve [Seventhwave, Madison, WI (United States); Satchwell, Andrew [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Cappers, Peter [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

2017-07-26

This technical brief identifies conditions under which utility regulators should consider implementing policy approaches that seek to mitigate negative outcomes due to an increase in interest rates. Interest rates are a key factor in determining a utility’s cost of equity and investors find value when returns exceed the cost of equity. Through historical observations of periods of rising and falling interest rates and application of a pro forma financial tool, we identify the key drivers of utility stock valuations and estimate the degree to which those valuations might be affected by increasing interest rates.3 We also analyze the efficacy of responses by utility regulators to mitigate potential negative financial impacts. We find that regulators have several possible approaches to mitigate a decline in value in an environment of increasing interest rates, though regulators must weigh the tradeoffs of improving investor value with potential increases in customer costs. Furthermore, the range of approaches reflects today’s many different electric utility regulatory models and regulatory responses to a decline in investor value will fit within state-specific models.

Smoking prevalence in Medicaid has been declining at a negligible rate.

Directory of Open Access Journals (Sweden)

Shu-Hong Zhu

Full Text Available In recent decades the overall smoking prevalence in the US has fallen steadily. This study examines whether the same trend is seen in the Medicaid population.National Health Interview Survey (NHIS data from 17 consecutive annual surveys from 1997 to 2013 (combined N = 514,043 were used to compare smoking trends for 4 insurance groups: Medicaid, the Uninsured, Private Insurance, and Other Coverage. Rates of chronic disease and psychological distress were also compared.Adjusted smoking prevalence showed no detectable decline in the Medicaid population (from 33.8% in 1997 to 31.8% in 2013, trend test P = 0.13, while prevalence in the other insurance groups showed significant declines (38.6%-34.7% for the Uninsured, 21.3%-15.8% for Private Insurance, and 22.6%-16.8% for Other Coverage; all P's<0.005. Among individuals who have ever smoked, Medicaid recipients were less likely to have quit (38.8% than those in Private Insurance (62.3% or Other Coverage (69.8%; both P's<0.001. Smokers in Medicaid were more likely than those in Private Insurance and the Uninsured to have chronic disease (55.0% vs 37.3% and 32.4%, respectively; both P's<0.01. Smokers in Medicaid were also more likely to experience severe psychological distress (16.2% for Medicaid vs 3.2% for Private Insurance and 7.6% for the Uninsured; both P's<0.001.The high and relatively unchanging smoking prevalence in the Medicaid population, low quit ratio, and high rates of chronic disease and severe psychological distress highlight the need to focus on this population. A targeted and sustained campaign to help Medicaid recipients quit smoking is urgently needed.

Period Prevalence and Reporting Rate of Needlestick Injuries to Nurses in Iran: A Systematic Review and Meta-Analysis.

Science.gov (United States)

Rezaei, Satar; Hajizadeh, Mohammad; Zandian, Hamed; Fathi, Afshin; Nouri, Bijan

2017-08-01

The purpose of this systematic review and meta-analysis was to provide a precise estimate of the period prevalence of needlestick injuries (NSI) among nurses working in hospitals in Iran and the reporting rate of NSI to nurse managers. We searched both international (PubMed, Scopus and the Institute for Scientific Information) and Iranian (Scientific Information Database, Iranmedex and Magiran) scientific databases to find studies published from 2000 to 2016 of NSI among Iranian nurses. The following keywords in Persian and English were used: "needle-stick" or "needle stick" or "needlestick," with and without "injury" or "injuries," "prevalence" or "frequency," "nurses" or "nursing staff," and "Iran." In a sample of 21 articles with 6,480 participants, we estimated that the overall 1-year period prevalence of NSI was 44% (95% confidence interval [CI], 35-53%) among Iranian nurses. The overall 1-year period prevalence of reporting NSI to nurse managers was 42% (95% CI, 33-52%). In meta-regression analysis, sample size, mean age, years of experience, and gender ratio were not associated with prevalence of NSI or reporting rate. The year of data collection was positively associated with period prevalence of NSI (p managers. Results indicated a high NSI period prevalence and low NSI reporting rate among nurses in Iran. Thus, effective interventions are required in hospitals in Iran to reduce the prevalence and increase the reporting rate of NSI. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

Historical Cavern Floor Rise for All SPR Sites

Energy Technology Data Exchange (ETDEWEB)

Moriarty, Dylan Michael [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

2016-09-01

The Strategic Petroleum Reserve (SPR) contains the largest supply is the largest stockpile of government-owned emergency crude oil in the world. The oil is stored in multiple salt caverns spread over four sites in Louisiana and Texas. Cavern infrastructure near the bottom of the cavern can be damaged from vertical floor movement. This report presents a comprehensive history of floor movements in each cavern. Most of the cavern floor rise rates ranged from 0.5-3.5 ft/yr, however, there were several caverns with much higher rise rates. BH103, BM106, and BH105 had the three highest rise rates. Information from this report will be used to better predict future vertical floor movements and optimally place cavern infrastructure. The reasons for floor rise are not entirely understood and should be investigated.

Prevalence of xerostomia and the salivary flow rate in diabetic patients.

Science.gov (United States)

Malicka, Barbara; Kaczmarek, Urszula; Skośkiewicz-Malinowska, Katarzyna

2014-01-01

Diabetes is a metabolic disease characterized by hyperglycemia, which results from relative or absolute insulin deficiency. One of the first oral symptoms of diabetes is xerostomia. The aim of the study was to determine the prevalence of the xerostomia symptoms and salivary flow rate in diabetic patients according to the type of diabetes, the level of metabolic control and the duration of the disease. The study involved 156 adult patients of both sexes including 34 patients with diabetes type 1 (group C1), 59 with diabetes type 2 (group C2), and 63 generally healthy individuals as two control groups, sex- and age-matched to the diabetic group. The patients suffering from both types of diabetes were additionally subdivided according to the level of metabolic control and the duration of the disease. Xerostomia was diagnosed with the use of a specially prepared questionnaire and Fox's test. Moreover, the salivary flow rate of resting mixed saliva was measured. In type 1 diabetics, a significantly lower salivary flow rate in comparison to the age-matched control group (0.38 ± 0.19 mL/min vs. 0.53 ± 0.20 mL/min, p diabetics, a slight lower salivary flow rate was noticed (on average, 20% lower). Dry mouth was far more frequently diagnosed in type 1 diabetics than in the control group. In type 1 diabetics, in comparison to healthy subjects, a significantly lower resting flow rate of saliva and significantly higher prevalence of xerosomia were observed, but in type 2 diabetics, only a trend of such variability was observed.

National HIV/AIDS mortality, prevalence, and incidence rates are associated with the Human Development Index.

Science.gov (United States)

Lou, Li-Xia; Chen, Yi; Yu, Chao-Hui; Li, You-Ming; Ye, Juan

2014-10-01

HIV/AIDS is a worldwide threat to human health with mortality, prevalence, and incidence rates varying widely. We evaluated the association between the global HIV/AIDS epidemic and national socioeconomic development. We obtained global age-standardized HIV/AIDS mortality, prevalence, and incidence rates from World Health Statistics Report of the World Health Organization. The human development indexes (HDIs) of 141 countries were obtained from a Human Development Report. Countries were divided into 4 groups according to the HDI distribution. We explored the association between HIV/AIDS epidemic and HDI information using Spearman correlation analysis, regression analysis, and the Kruskal-Wallis test. HIV/AIDS mortality, prevalence, and incidence rates were inversely correlated with national HDI (r = -0.675, -0.519, and -0.398, respectively; P birth, mean years of schooling, expected years of schooling, and gross national income per capita). Low HDI countries had higher HIV/AIDS mortality, prevalence, and incidence rates than that of medium, high, and very high HDI countries. Quantile regression results indicated that HDI had a greater negative effect on the HIV/AIDS epidemic in countries with more severe HIV/AIDS epidemic. Less-developed countries are likely to have more severe HIV/AIDS epidemic. There is a need to pay more attention to HIV/AIDS control in less-developed countries, where lower socioeconomic status might have accelerated the HIV/AIDS epidemic more rapidly. Copyright © 2014 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

The effect of somatic symptom attribution on the prevalence rate of depression and anxiety among nursing home patients.

Science.gov (United States)

Smalbrugge, Martin; Pot, Anne Margriet; Jongenelis, Lineke; Beekman, Aartjan T F; Eefsting, Jan A

2005-01-01

The validity of diagnostic psychiatric instruments for depression and anxiety disorders may be compromised among patients with complex physical illness and disability. The objective of this study was to determine the effect on the prevalence rate of depression and anxiety in a nursing home population of attributing somatic symptoms of depression and anxiety to either somatic or psychiatric disorder. Symptoms of major depression (MD), generalized anxiety disorder (GAD) and panic disorder (PD) were measured using the Schedules for Clinical Assessment in Neuropsychiatry (SCAN). Somatic symptoms of MD, GAD and PD were attributed to somatic causes when the interviewer was not sure about a psychiatric cause. To analyse the effect of this attribution on the prevalence rate of MD, GAD and PD, a sensitivity analysis was undertaken in which symptoms that were attributed to somatic causes were recoded as symptoms attributed to psychiatric disorder. Prevalence rates of MD, GAD and PD were calculated before and after recoding. The prevalence of MD after recoding rose from 7.5% to 8.1%. The prevalence of GAD did not change. The prevalence of PD rose from 1.5% to 1.8%. Attribution of somatic symptoms to either somatic or psychiatric disorder when the interviewer was not sure about a psychiatric cause of the somatic symptoms had only a very modest effect on the prevalence rate of major depression, generalized anxiety disorder and panic disorder in a nursing home population.

Influence of duration and rate of pulse rise of the applied voltage on ozone concentration in the barrier glow discharge

International Nuclear Information System (INIS)

Krasnyj, V.V.; Klosovski, A.V.; Knysh, A.S.; Shvets, O.M.; Taran, V.S.; Tereshin, V.I.

2005-01-01

The barrier glow discharge between two planar electrodes, covered with dielectric, is studied under high-voltage pulsed power supply. Wide applications of such type of discharges, in particular, for ozone production, stimulated a number of investigations in this direction. In this work we investigated the dependence of ozone concentration on the duration and the rate of pulse rise of the applied voltage. The thyristor converter circuit with the shortening of input pulses on the base of the saturable throttle was used for the realization of this task. The output pulses with amplitude up to 15 kV, repetition frequency of 1 kHz, pulse duration of 0.3 μs (or 7 μs) and the rate of pulse rise of 0.1 μs were generated with this scheme. Measurements of the ozone concentration produced in the air mixture have shown that its value increased by factor two with variation of the rate of pulse rise from 0.5 μs to 0.1 μs (for pulse duration of 7 μs). The dependence of the ozone concentration on the variation of air mixture pressure in the discharge gap of reactor was investigated also. It was shown proportional increase of the output concentration of ozone with increasing the pressure value. Spectroscopic measurements carried out in the ultraviolet spectrum made it possible to analyze changing the concentration of ozone and nitric components. (author)

Monitoring Rates of Subsidence and Relative Sea-Level Rise in Low-Elevation Coastal Zones: A New Approach

Science.gov (United States)

Tornqvist, T. E.; Jankowski, K. L.; Fernandes, A. M.; Keogh, M.; Nienhuis, J.

2017-12-01

Low-elevation coastal zones (LECZs) that often host large population centers are particularly vulnerable to accelerating rates of relative sea-level rise (RSLR). Traditionally, tide-gauge records are used to obtain quantitative data on rates of RSLR, given that they are perceived to capture the rise of the sea surface, as well as land subsidence which is often substantial in such settings. We argue here that tide gauges in LECZs often provide ambiguous data because they ultimately measure RSLR with respect to a benchmark that is typically anchored tens of meters deep. This is problematic because the prime target of interest is usually the rate of RSLR with respect to the land surface. We illustrate this problem with newly obtained rod surface elevation table - marker horizon (RSET-MH) data from coastal Louisiana (n = 274) that show that shallow subsidence in the uppermost 5-10 m accounts for 60-85% of total subsidence. Since benchmarks in this region are anchored at 23 m depth on average, tide-gauge records by definition do not capture this important process and thus underestimate RSLR by a considerable amount. We show how RSET-MH data, combined with GPS and satellite altimetry data, enable us to bypass this problem. Rates of RSLR in coastal Louisiana over the past 6-10 years are 12 ± 8 mm/yr, considerably higher than numbers reported in recent studies based on tide-gauge analysis. Subsidence rates, averaged across this region, total about 9 mm/yr. It is likely that the problems with tide-gauge data are not unique to coastal Louisiana, so we suggest that our new approach to RSLR measurements may be useful in LECZs worldwide, with considerable implications for metropolitan areas like New Orleans that are located within such settings.

Analyse of the prevalence rate and risk factors of pulmonary embolism in the patients with dyspnea

International Nuclear Information System (INIS)

Cao Yanxia; Su Jian; Wang Bingsheng; Wu Songhong; Dai Ruiting; Cao Caixia

2005-01-01

Objective: To analyse the prevalence rate and risk factors of pulmonary embolism (PE) in patients with dyspnea and to explore the predisposing causes and its early clinical manifestations. Methods: Retrospective analysis was done in 461 patients with dyspnea performed 99 Tc m -macroaggregated albumin (MAA) lung perfusion imaging and 99 Tc m -DTPA ventilation imaging or 99 Tc m -MAA perfusion imaging and chest X-ray examination. Among them, 48 cases without apparent disease were considered as control group, whereas the remaining patients with other underlying illnesses as patients group. PEMS statistics software package was used for estimation of prevalence rate, χ 2 test and PE risk factor analysis. Results: There were 251 PE patients among 461 patients, the prevalence rate [ (π)=95% confidence interval (CI) ] was: lower extremity thrombosis and varicosity (80.79-95.47 ), post cesarean section (55.64-87.12), lower extremity bone surgery or fracture (52.76-87.27 ), cancer operation (52.19-78.19), atrial fibrillation or heart failure (53.30-74.88), obesity (23.14-50.20), post abdominal surgery (20.23-59.43), diabetes (19.12-63.95), chronic bronchitis (1.80-23.06), normal control group (3.47-22.66). Except chronic bronchitis, PE prevalence rate between patients group and control group had significant difference (P 99 Tc m -MAA and DTPA lung imaging should be done as early as possible. (authors)

High prevalence of tuberculosis and insufficient case detection in two communities in the Western Cape, South Africa.

Directory of Open Access Journals (Sweden)

Mareli Claassens

Full Text Available In South Africa the estimated incidence of all forms of tuberculosis (TB for 2008 was 960/100000. It was reported that all South Africans lived in districts with Directly Observed Therapy, Short-course. However, the 2011 WHO report indicated South Africa as the only country in the world where the TB incidence is still rising.To report the results of a TB prevalence survey and to determine the speed of TB case detection in the study communities.In 2005 a TB prevalence survey was done to inform the sample size calculation for the ZAMSTAR (Zambia South Africa TB and AIDS Reduction trial. It was a cluster survey with clustering by enumeration area; all households were visited within enumeration areas and informed consent obtained from eligible adults. A questionnaire was completed and a sputum sample collected from each adult. Samples were inoculated on both liquid mycobacterium growth indicator tube (MGIT and Löwenstein-Jensen media. A follow-up HIV prevalence survey was done in 2007.In Community A, the adjusted prevalence of culture positive TB was 32/1000 (95%CI 25-41/1000 and of smear positive TB 8/1000 (95%CI 5-13/1000. In Community B, the adjusted prevalence of culture positive TB was 24/1000 (95%CI 17-32/1000 and of smear positive TB 9/1000 (95%CI 6-15/1000. In Community A the patient diagnostic rate was 0.38/person-year while in community B it was 0.30/person-year. In both communities the adjusted HIV prevalence was 25% (19-30%.In both communities a higher TB prevalence than national estimates and a low patient diagnostic rate was calculated, suggesting that cases are not detected at a sufficient rate to interrupt transmission. These findings may contribute to the rising TB incidence in South Africa. The TB epidemic should therefore be addressed rapidly and effectively, especially in the presence of the concurrently high HIV prevalence.

Risk of tuberculosis in high-rise and high density dwellings: An exploratory spatial analysis

International Nuclear Information System (INIS)

Lai, Poh-Chin; Low, Chien-Tat; Tse, Wing-Sze Cindy; Tsui, Chun-Kan; Lee, Herman; Hui, Pak-Kwan

2013-01-01

Studies have shown that socioeconomic and environmental factors have direct/indirect influences on TB. This research focuses on TB prevalence of Hong Kong in relation to its compact urban development comprising of high-rise and high-density residential dwellings caused by rapid population growth and limited land resources. It has been postulated that occupants living on higher levels of a building would benefit from better ventilation and direct sunlight and thus less likely to contract infectious respiratory diseases. On the contrary, those on lower floors amid the dense clusters of high-rises are more susceptible to TB infection because of poorer air quality from street-level pollution and lesser exposure to direct sunlight. However, there have not been published studies to support these claims. As TB continues to threaten public health in Hong Kong, this study seeks to understand the effects of housing development on TB occurrences in an urban setting. -- Highlights: ► We examined association between TB prevalence and floor levels using sky view factor. ► TB is more prevalent on lower floors and relationship manifested in taller buildings. ► Floor level and building height jointly affect sky view factors at diseased locations. ► GIS framework is effective in associating disease prevalence in an urban setting. -- Research on TB prevalence of Hong Kong and its compact urban development with public health implications for Asian cities in pursuit of high-rise urban living

High rates of obesity and non-communicable diseases predicted across Latin America.

Directory of Open Access Journals (Sweden)

Laura Webber

Full Text Available Non-communicable diseases (NCDs such as cardiovascular disease and stroke are a major public health concern across Latin America. A key modifiable risk factor for NCDs is overweight and obesity highlighting the need for policy to reduce prevalence rates and ameliorate rising levels of NCDs. A cross-sectional regression analysis was used to project BMI and related disease trends to 2050. We tested the extent to which interventions that decrease body mass index (BMI have an effect upon the number of incidence cases avoided for each disease. Without intervention obesity trends will continue to rise across much of Latin America. Effective interventions are necessary if rates of obesity and related diseases are to be reduced.

Prevalence, Treatment, and Control Rates of Conventional and Ambulatory Hypertension Across 10 Populations in 3 Continents.

Science.gov (United States)

Melgarejo, Jesus D; Maestre, Gladys E; Thijs, Lutgarde; Asayama, Kei; Boggia, José; Casiglia, Edoardo; Hansen, Tine W; Imai, Yutaka; Jacobs, Lotte; Jeppesen, Jørgen; Kawecka-Jaszcz, Kalina; Kuznetsova, Tatiana; Li, Yan; Malyutina, Sofia; Nikitin, Yuri; Ohkubo, Takayoshi; Stolarz-Skrzypek, Katarzyna; Wang, Ji-Guang; Staessen, Jan A

2017-07-01

Hypertension is a major global health problem, but prevalence rates vary widely among regions. To determine prevalence, treatment, and control rates of hypertension, we measured conventional blood pressure (BP) and 24-hour ambulatory BP in 6546 subjects, aged 40 to 79 years, recruited from 10 community-dwelling cohorts on 3 continents. We determined how between-cohort differences in risk factors and socioeconomic factors influence hypertension rates. The overall prevalence was 49.3% (range between cohorts, 40.0%-86.8%) for conventional hypertension (conventional BP ≥140/90 mm Hg) and 48.7% (35.2%-66.5%) for ambulatory hypertension (ambulatory BP ≥130/80 mm Hg). Treatment and control rates for conventional hypertension were 48.0% (33.5%-74.1%) and 38.6% (10.1%-55.3%) respectively. The corresponding rates for ambulatory hypertension were 48.6% (30.5%-71.9%) and 45.6% (18.6%-64.2%). Among 1677 untreated subjects with conventional hypertension, 35.7% had white coat hypertension (23.5%-56.2%). Masked hypertension (conventional BP hypertension rates. Higher social and economic development, measured by the Human Development Index, was associated with lower rates of conventional and ambulatory hypertension. In conclusion, high rates of hypertension in all cohorts examined demonstrate the need for improvements in prevention, treatment, and control. Strategies for the management of hypertension should continue to not only focus on preventable and modifiable risk factors but also consider societal issues. © 2017 American Heart Association, Inc.

Prevalence Rate and Risk Factors of Depression in Outpatients with Premature Ejaculation

Directory of Open Access Journals (Sweden)

Xiansheng Zhang

2013-01-01

Full Text Available The purpose of this study is to investigate the prevalence rate and risk factors of depression in outpatients who were diagnosed with PE. Therefore, between September 2009 and September 2011, 1801 outpatients at andrology clinics were enrolled and consented to participate in our survey by completed a verbal questionnaire. It included the following: (1 demographic data (e.g., age, body mass index, (2 PE duration, medical history, and sexual history, (3 self-estimated intravaginal ejaculatory latency times, (4 the Zung Self-rating Depression Scale (SDS, and (5 the National Institute of Health Chronic Prostatitis Symptom Index (NIH-CPSI and (6 the International Index of Erectile Function (IIEF-5. The results showed that a total of 1,206 patients were diagnosed with PE. The prevalence rate of depression in these PE patients was 26.78%. Depression was associated with PE duration, NIH-CPSI score, and IIEF-5 score. Risk factors for depression specifically included PE durations for 13–24, 25–60, or ≥61 months, CPSI scores of 15–30 or ≥31, and IIEF-5 scores <22. These findings suggested that several associated factors (PE duration, CPSI scores, and IIEF-5 scores were the risk factors of depression in men with PE.

Prevalence rates for depression by industry: a claims database analysis.

Science.gov (United States)

Wulsin, Lawson; Alterman, Toni; Timothy Bushnell, P; Li, Jia; Shen, Rui

2014-11-01

To estimate and interpret differences in depression prevalence rates among industries, using a large, group medical claims database. Depression cases were identified by ICD-9 diagnosis code in a population of 214,413 individuals employed during 2002-2005 by employers based in western Pennsylvania. Data were provided by Highmark, Inc. (Pittsburgh and Camp Hill, PA). Rates were adjusted for age, gender, and employee share of health care costs. National industry measures of psychological distress, work stress, and physical activity at work were also compiled from other data sources. Rates for clinical depression in 55 industries ranged from 6.9 to 16.2 %, (population rate = 10.45 %). Industries with the highest rates tended to be those which, on the national level, require frequent or difficult interactions with the public or clients, and have high levels of stress and low levels of physical activity. Additional research is needed to help identify industries with relatively high rates of depression in other regions and on the national level, and to determine whether these differences are due in part to specific work stress exposures and physical inactivity at work. Claims database analyses may provide a cost-effective way to identify priorities for depression treatment and prevention in the workplace.

Prevalence rates for depression by industry: a claims database analysis

Science.gov (United States)

Alterman, Toni; Bushnell, P. Timothy; Li, Jia; Shen, Rui

2015-01-01

Purpose To estimate and interpret differences in depression prevalence rates among industries, using a large, group medical claims database. Methods Depression cases were identified by ICD-9 diagnosis code in a population of 214,413 individuals employed during 2002–2005 by employers based in western Pennsylvania. Data were provided by Highmark, Inc. (Pittsburgh and Camp Hill, PA). Rates were adjusted for age, gender, and employee share of health care costs. National industry measures of psychological distress, work stress, and physical activity at work were also compiled from other data sources. Results Rates for clinical depression in 55 industries ranged from 6.9 to 16.2 %, (population rate = 10.45 %). Industries with the highest rates tended to be those which, on the national level, require frequent or difficult interactions with the public or clients, and have high levels of stress and low levels of physical activity. Conclusions Additional research is needed to help identify industries with relatively high rates of depression in other regions and on the national level, and to determine whether these differences are due in part to specific work stress exposures and physical inactivity at work. Clinical significance Claims database analyses may provide a cost-effective way to identify priorities for depression treatment and prevention in the workplace. PMID:24907896

On the merging rates of envelope-deprived components of binary systems which can give rise to supernova events

International Nuclear Information System (INIS)

Tornambe, Amedo

1989-01-01

We derive theoretical rates of mergings of envelope-deprived components of binary systems, which can give rise to supernova events. The effects of the various assumptions one is forced to make on the physical properties of the progenitor system and of its evolutionary behaviour through common envelope phases are discussed. Four cases have been analysed: CO-CO, He-CO, He-He double degenerate mergings and He star-CO dwarf merging. (author)

Rising prevalence of non-B HIV-1 subtypes in North Carolina and evidence for local onward transmission.

Science.gov (United States)

Dennis, Ann M; Hué, Stephane; Learner, Emily; Sebastian, Joseph; Miller, William C; Eron, Joseph J

2017-01-01

HIV-1 diversity is increasing in North American and European cohorts which may have public health implications. However, little is known about non-B subtype diversity in the southern United States, despite the region being the epicenter of the nation's epidemic. We characterized HIV-1 diversity and transmission clusters to identify the extent to which non-B strains are transmitted locally. We conducted cross-sectional analyses of HIV-1 partial pol sequences collected from 1997 to 2014 from adults accessing routine clinical care in North Carolina (NC). Subtypes were evaluated using COMET and phylogenetic analysis. Putative transmission clusters were identified using maximum-likelihood trees. Clusters involving non-B strains were confirmed and their dates of origin were estimated using Bayesian phylogenetics. Data were combined with demographic information collected at the time of sample collection and country of origin for a subset of patients. Among 24,972 sequences from 15,246 persons, the non-B subtype prevalence increased from 0% to 3.46% over the study period. Of 325 persons with non-B subtypes, diversity was high with over 15 pure subtypes and recombinants; subtype C (28.9%) and CRF02_AG (24.0%) were most common. While identification of transmission clusters was lower for persons with non-B versus B subtypes, several local transmission clusters (≥3 persons) involving non-B subtypes were identified and all were presumably due to heterosexual transmission. Prevalence of non-B subtype diversity remains low in NC but a statistically significant rise was identified over time which likely reflects multiple importation. However, the combined phylogenetic clustering analysis reveals evidence for local onward transmission. Detection of these non-B clusters suggests heterosexual transmission and may guide diagnostic and prevention interventions.

Prevalence and incidence rates of autism in the UK: time trend from 2004–2010 in children aged 8 years

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Taylor, Brent; Jick, Hershel; MacLaughlin, Dean

2013-01-01

Objectives To update UK studies begun in the early 1990s on the annual prevalence and incidence rates of autism in children; undertaken in response to a March 2012 press release, widely covered by the media, from the US Centre for Disease Control (CDC) reporting that the autism prevalence rate in 2008 in 8-year-old US children was 1 in 88, a 78% increase from a CDC estimate in 2004. This finding suggested a continuation of the dramatic increase in children diagnosed as autistic, which occurred in the 1990s. Design Population study using the UK General Practice Research Database (GPRD). Methods Annual autism prevalence rates were estimated for children aged 8 years in 2004–2010 by dividing the number diagnosed as autistic in each or any previous year by the number of children active in the study population that year. We also calculated annual incidence rates for children aged 2–8 years, by dividing the number newly diagnosed in 2004–2010 by the same denominators. Results Annual prevalence rates for each year were steady at approximately 3.8/1000 boys and 0.8/1000 girls. Annual incidence rates each year were also steady at about 1.2/1000 boys and 0.2/1000 girls. Conclusions Following a fivefold increase in the annual incidence rates of autism during the 1990s in the UK, the incidence and prevalence rates in 8-year-old children reached a plateau in the early 2000s and remained steady through 2010. Whether prevalence rates have increased from the early 2000s in the USA remains uncertain. PMID:24131525

Gambling disorder: estimated prevalence rates and risk factors in Macao.

Science.gov (United States)

Wu, Anise M S; Lai, Mark H C; Tong, Kwok-Kit

2014-12-01

An excessive, problematic gambling pattern has been regarded as a mental disorder in the Diagnostic and Statistical Manual for Mental Disorders (DSM) for more than 3 decades (American Psychiatric Association [APA], 1980). In this study, its latest prevalence in Macao (one of very few cities with legalized gambling in China and the Far East) was estimated with 2 major changes in the diagnostic criteria, suggested by the 5th edition of DSM (APA, 2013): (a) removing the "Illegal Act" criterion, and (b) lowering the threshold for diagnosis. A random, representative sample of 1,018 Macao residents was surveyed with a phone poll design in January 2013. After the 2 changes were adopted, the present study showed that the estimated prevalence rate of gambling disorder was 2.1% of the Macao adult population. Moreover, the present findings also provided empirical support to the application of these 2 recommended changes when assessing symptoms of gambling disorder among Chinese community adults. Personal risk factors of gambling disorder, namely being male, having low education, a preference for casino gambling, as well as high materialism, were identified.

The contribution of gastric digestion and ingestion of amino acids on the postprandial rise in oxygen consumption, heart rate and growth of visceral organs in pythons.

Science.gov (United States)

Enok, Sanne; Simonsen, Lasse Stærdal; Wang, Tobias

2013-05-01

To investigate the contribution of gastric and intestinal processes to the postprandial rise in metabolism in pythons (Python regius), we measured oxygen consumption after ligation of the pyloric sphincter to prevent the chyme from entering the intestine. Pyloric blockade reduced the postprandial rise in metabolism during the first 18h after ingestion of mice amounting to 18% of the snake's body mass by 60%. In another series of the experiments, we showed that infusion of amino acids directly into the stomach or the intestine elicited similar metabolic responses. This indicates a lower gastric contribution to the SDA response than previously reported. To include an assessment of the gastric contribution to the postprandial cardiovascular response, we also measured blood and heart rate. While heart rate increased during digestion in snakes with pyloric blockade, there was no rise in the double-blocked heart rates compared to fasting controls. Thus, the non-adrenergic-non-cholinergic factor that stimulates heart rate during digestion does not stem from the stomach. Finally, there was no growth of the visceral organs in response to digestion when chyme was prevented from reaching the intestine. Copyright © 2013 Elsevier Inc. All rights reserved.

Sea level rise and the geoid: factor analysis approach

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Alexey Sadovski

2013-08-01

Full Text Available Sea levels are rising around the world, and this is a particular concern along most of the coasts of the United States. A 1989 EPA report shows that sea levels rose 5-6 inches more than the global average along the Mid-Atlantic and Gulf Coasts in the last century. The main reason for this is coastal land subsidence. This sea level rise is considered more as relative sea level rise than global sea level rise. Thus, instead of studying sea level rise globally, this paper describes a statistical approach by using factor analysis of regional sea level rates of change. Unlike physical models and semi-empirical models that attempt to approach how much and how fast sea levels are changing, this methodology allows for a discussion of the factor(s that statistically affects sea level rates of change, and seeks patterns to explain spatial correlations.

Back pain in the working population: Prevalence rates in Dutch trades and professions

NARCIS (Netherlands)

Hildebrandt, V.H.

1995-01-01

An analysis of three health surveys in the Dutch working population is described, aimed at the identification of Dutch trades and professions with relative high and low prevalence rates of back pain. The sample was representative of the working population in the Netherlands and consisted of 5840 men

On the merging rates of envelope-deprived components of binary systems which can give rise to supernova events

Science.gov (United States)

Tornambe, Amedeo

1989-08-01

Theoretical rates of mergings of envelope-deprived components of binary systems, which can give rise to supernova events are described. The effects of the various assumptions on the physical properties of the progenitor system and of its evolutionary behavior through common envelope phases are discussed. Four cases have been analyzed: CO-CO, He-CO, He-He double degenerate mergings and He star-CO dwarf merging. It is found that, above a critical efficiency of the common envelope action in system shrinkage, the rate of CO-CO mergings is not strongly sensitive to the efficiency. Below this critical value, no CO-CO systems will survive for times larger than a few Gyr. In contrast, He-CO dwarf systems will continue to merge at a reasonable rate up to 20 Gyr, and more, also under extreme conditions.

Seabed Gradient Controlling Onshore Transport Rates of Surf Sand during Beach Retreat by Sea Level Rise

Science.gov (United States)

Lee, Hee Jun; Yi, Hi-Il

2018-03-01

A simple relationship is proposed for the onshore transport rates of surf-zone sand to evaluate the beach retreat caused by sea level rise. It suggests that the preservation potential of surf sand is proportional inversely to the seabed gradient during beach retreat. According to this relationship, the erosional remnants of surf sand would be more readily developed on a gentler shelf collectively as transgressive sand sheets. This finding may explain the previous studies regarding the Korean shelves that proposed that the Holocene transgressive sand sheets (HTSS) occur not in the steep eastern shelf but in the gentle western shelf. In line with such presence/absence of the HTSS are the results from some coastal seismic profiles obtained in the present study. The profiles indicate that sand deposits are restricted within the nearshore in the eastern coast, whereas they are persistently traceable to the offshore HTSS in the western coast. Tide is proven to have a negligible influence on the total duration of surf-zone processes. This study may be useful in predicting the consequences of the beach retreat that takes place worldwide as sea levels rise as a result of global warming.

The validated hypoallergenic cosmetics rating system: its 30-year evolution and effect on the prevalence of cosmetic reactions.

Science.gov (United States)

Verallo-Rowell, Vermén M

2011-01-01

The validated hypoallergenic (vh) rating system was initiated in 1988 to try to objectively validate the "hypoallergenic" claim in cosmetics. To show how the system rates cosmetic hypoallergenicity and to compare the prevalence of cosmetic contact dermatitis (CCD) among users of regular cosmetics versus cosmetics with high VH numbers. (1) Made a VH list based on top allergens from patch-test results published by the North American Contact Dermatitis Group (NACDG) and the European Surveillance System on Contact Allergies (ESSCA); (2) reviewed global regulatory, cosmetic, drug, packaging, and manufacturing practices to show how allergens may contaminate products; (3) compared cosmetic ingredients lists against the VH list to obtain the VH rating (the more allergens absent, the higher the VH rating); and (4) obtained CCD prevalence among users of regular cosmetics versus users of cosmetics with high VH ratings. (1) Two VH lists (1988, 2003) included only cosmetic allergens in the NACDG surveys, the third (2007) included cosmetic and potential contaminant noncosmetic allergens, and the fourth (2010) adds ESSCA patch-test surveys. (2) CCD prevalence is 0.05 to 0.12% (average, 0.08%) among users of cosmetics with high VH ratings versus 2.4 to 36.3% among users of regular cosmetics. The VH rating system is shown to objectively validate the hypoallergenic cosmetics claim.

The National and Regional Prevalence Rates of Disability, Type, of Disability and Severity in Saudi Arabia-Analysis of 2016 Demographic Survey Data.

Science.gov (United States)

Bindawas, Saad M; Vennu, Vishal

2018-02-28

The prevalence of disability varies between countries ranging from less than 1% to up to 30% in some countries, thus, the estimated global disability prevalence is about 15%. However, it is unknown what the current estimate of disability and its types and severity are in Saudi Arabia. Thus, the objective of this study is to estimate national and regional prevalence rates of any disability, types of disability, and their severity among Saudi populations. Data on disability status were extracted from the national demographic survey conducted in 2016 as reported by the General Authority for Statistics, Saudi Arabia (N = 20,064,970). Prevalence rates per a population of 100,000 of any disability, type of disability, and its severity were calculated at the national level and in all 13 regions. Out of 20,064,970 Saudi citizens surveyed, 667,280 citizens reported disabilities, accounting for a prevalence rate of 3326 per a population of 100,000 (3.3%). Individuals aged 60 years and above (11,014) and males (3818) had a higher prevalence rate of disability compared with females (2813). The Tabuk region has the highest rate of reported disability, at 4.3%. The prevalence rates of extreme disabilities in mobility and sight were higher in Madinah (57,343) and Northern border (41,236) regions, respectively. In Saudi Arabia, more than half a million Saudi citizens (1 out of every 30 individuals) reported the presence of disability during the year 2016. A higher prevalence rate of disability was seen among those aged 60 years and above, and males. Targeted efforts are required at the national and regional levels to expand and improve rehabilitation and social services for all people with disabilities.

Salt marsh persistence is threatened by predicted sea-level rise

Science.gov (United States)

Crosby, Sarah C.; Sax, Dov F.; Palmer, Megan E.; Booth, Harriet S.; Deegan, Linda A.; Bertness, Mark D.; Leslie, Heather M.

2016-11-01

Salt marshes buffer coastlines and provide critical ecosystem services from storm protection to food provision. Worldwide, these ecosystems are in danger of disappearing if they cannot increase elevation at rates that match sea-level rise. However, the magnitude of loss to be expected is not known. A synthesis of existing records of salt marsh elevation change was conducted in order to consider the likelihood of their future persistence. This analysis indicates that many salt marshes did not keep pace with sea-level rise in the past century and kept pace even less well over the past two decades. Salt marshes experiencing higher local sea-level rise rates were less likely to be keeping pace. These results suggest that sea-level rise will overwhelm most salt marshes' capacity to maintain elevation. Under the most optimistic IPCC emissions pathway, 60% of the salt marshes studied will be gaining elevation at a rate insufficient to keep pace with sea-level rise by 2100. Without mitigation of greenhouse gas emissions this potential loss could exceed 90%, which will have substantial ecological, economic, and human health consequences.

The Climate Science Special Report: Rising Seas and Changing Oceans

Science.gov (United States)

Kopp, R. E.

2017-12-01

GMSL has risen by about 16-21 cm since 1900. Ocean heat content has increased at all depths since the 1960s, and global mean sea-surface temperature increased 0.7°C/century between 1900 to 2016. Human activity contributed substantially to generating a rate of GMSL rise since 1900 faster than during any preceding century in at least 2800 years. A new set of six sea-level rise scenarios, spanning a range from 30 cm to 250 cm of 21st century GMSL rise, were developed for the CSSR. The lower scenario is based on linearly extrapolating the past two decades' rate of rise. The upper scenario is informed by literature estimates of maximum physically plausible values, observations indicating the onset of marine ice sheet instability in parts of West Antarctica, and modeling of ice-cliff and ice-shelf instability mechanisms. The new scenarios include localized projections along US coastlines. There is significant variability around the US, with rates of rise likely greater than GMSL rise in the US Northeast and the western Gulf of Mexico. Under scenarios involving extreme Antarctic contributions, regional rise would be greater than GMSL rise along almost all US coastlines. Historical sea-level rise has already driven a 5- to 10-fold increase in minor tidal flooding in several US coastal cities since the 1960s. Under the CSSR's Intermediate sea-level rise scenario (1.0 m of GMSL rise in 2100) , a majority of NOAA tide gauge locations will by 2040 experience the historical 5-year coastal flood about 5 times per year. Ocean changes are not limited to rising sea levels. Ocean pH is decreasing at a rate that may be unparalleled in the last 66 million years. Along coastlines, ocean acidification can be enhanced by changes in the upwelling (particularly along the US Pacific Coast); by episodic, climate change-enhanced increases in freshwater input (particularly along the US Atlantic Coast); and by the enhancement of biological respiration by nutrient runoff. Climate models project

Heart rate index

DEFF Research Database (Denmark)

Haedersdal, C; Pedersen, F H; Svendsen, J H

1992-01-01

after the myocardial infarction. A significant correlation (Spearman's correlation coefficient rs, p less than 0.05) was found between LVEF at rest and the following variables assessed at exercise test: 1) the heart rate at rest, 2) rise in heart rate, 3) ratio between maximal heart rate and heart rate...... at rest, 4) rise in systolic blood pressure, 5) rate pressure product at rest, 6) rise in rate pressure product, 7) ratio (rHR) between maximal rate pressure product and rate pressure product at rest, 8) total exercise time. The heart rate was corrected for effects caused by age (heart index (HR...

The impact of height during childhood on the national prevalence rates of overweight.

Science.gov (United States)

van Dommelen, Paula; de Kroon, Marlou L A; Cameron, Noël; Schönbeck, Yvonne; van Buuren, Stef

2014-01-01

It is known that height and body mass index (BMI) are correlated in childhood. However, its impact on the (trend of) national prevalence rates of overweight and obesity has never been investigated. The aim of our study is to investigate the relation between height and national prevalence rates of overweight and obesity in childhood between 1980, 1997, and 2009, and to calculate which fixed value of p (2.0,2.1, …,3.0) in kg/m(p) during childhood is most accurate in predicting adult overweight. Cross-sectional growth data of children from three Dutch nationwide surveys in 1980, 1997, and 2009, and longitudinal data from the Terneuzen Birth Cohort and the Harpenden Growth Study were used. Relative risks (RR) and 95% confidence intervals (CI) were calculated. Our study showed that tall (>1 standard deviation (SD)) girls aged 5.0-13.9 y were more often overweight (RR = 3.5,95%CI:2.8-4.4) and obese (RR = 3.9,95%CI:2.1-7.4) than short girls (rates of overweight and obesity than their shorter peers. We suggest taking into account the impact of height when evaluating trends and variations of BMI distributions in childhood, and to use BMI to predict adult overweight.

Leaf litter decomposition rates increase with rising mean annual temperature in Hawaiian tropical montane wet forests

Directory of Open Access Journals (Sweden)

Lori D. Bothwell

2014-12-01

Full Text Available Decomposing litter in forest ecosystems supplies nutrients to plants, carbon to heterotrophic soil microorganisms and is a large source of CO2 to the atmosphere. Despite its essential role in carbon and nutrient cycling, the temperature sensitivity of leaf litter decay in tropical forest ecosystems remains poorly resolved, especially in tropical montane wet forests where the warming trend may be amplified compared to tropical wet forests at lower elevations. We quantified leaf litter decomposition rates along a highly constrained 5.2 °C mean annual temperature (MAT gradient in tropical montane wet forests on the Island of Hawaii. Dominant vegetation, substrate type and age, soil moisture, and disturbance history are all nearly constant across this gradient, allowing us to isolate the effect of rising MAT on leaf litter decomposition and nutrient release. Leaf litter decomposition rates were a positive linear function of MAT, causing the residence time of leaf litter on the forest floor to decline by ∼31 days for each 1 °C increase in MAT. Our estimate of the Q10 temperature coefficient for leaf litter decomposition was 2.17, within the commonly reported range for heterotrophic organic matter decomposition (1.5–2.5 across a broad range of ecosystems. The percentage of leaf litter nitrogen (N remaining after six months declined linearly with increasing MAT from ∼88% of initial N at the coolest site to ∼74% at the warmest site. The lack of net N immobilization during all three litter collection periods at all MAT plots indicates that N was not limiting to leaf litter decomposition, regardless of temperature. These results suggest that leaf litter decay in tropical montane wet forests may be more sensitive to rising MAT than in tropical lowland wet forests, and that increased rates of N release from decomposing litter could delay or prevent progressive N limitation to net primary productivity with climate warming.

High Prevalence of Hypertension in Ethiopian and Non-Ethiopian HIV-Infected Adults

Directory of Open Access Journals (Sweden)

Maya Korem

2018-01-01

Full Text Available Objectives. Prevalence of hypertension has not been studied in the Ethiopian HIV-infected population, which represents 60% of the patients in our AIDS unit. Our aim was to identify risk factors and characterize the prevalence of hypertension in the population monitored at our unit. Methods. A retrospective chart review categorized subjects according to their blood pressure levels. Hypertension prevalence was determined and stratified according to variables perceived to contribute to elevated blood pressure. Results. The prevalence of hypertension in our study population was significantly higher compared to the general population (53% versus 20%, P<0.0001 and was associated with known risk factors and not with patients’ viral load and CD4 levels. Ethiopian HIV-infected adults had a prominently higher rate of blood pressure rise over time as compared to non-Ethiopians (P=0.016. Conclusions. The high prevalence of hypertension in this cohort and the rapid increase in blood pressure in Ethiopians are alarming. We could not attribute high prevalence to HIV-related factors and we presume it is part of the metabolic syndrome. The lifelong cardiovascular risk associated with HIV infection mandates hypertension screening and close monitoring in this population.

Computed tomography (CT) findings in 88 neurofibromatosis 1 (NF1) patients: Prevalence rates and correlations of thoracic findings

International Nuclear Information System (INIS)

Ueda, Ken; Honda, Osamu; Satoh, Yukihisa; Kawai, Misa; Gyobu, Tomoko; Kanazawa, Toru; Hidaka, Shojiro; Yanagawa, Masahiro; Sumikawa, Hiromitsu; Tomiyama, Noriyuki

2015-01-01

Highlights: • Various thoracic CT findings, including cysts, mediastinal masses, etc. were found. • Cysts show upper and peripheral dominant distribution. • The number, size, and distribution of the pulmonary cysts in NF-1 revealed significant correlation. • It is suspected that thoracic CT findings in NF-1 occur independently. - Abstract: Purpose: To evaluate the prevalence rates and the correlations of thoracic computed tomography (CT) findings of neurofibromatosis 1 (NF1) in 88 patients. Materials and methods: Chest CT images of 88 NF1 patients were independently reviewed by three observers, and the CT findings were evaluated. If abnormal findings were present, their number, size, and distribution were recorded. The prevalence rate of each CT finding was calculated, and the correlations between CT findings were analyzed. Results: Of the 88 cases, 13 were positive for cysts, 16 for emphysema, 8 for nodules, 8 for GGNs (ground glass nodules), 13 for mediastinal masses, 20 for scoliosis, 44 for subcutaneous nodules, and 34 for skin nodules. Cysts showed upper and peripheral dominant distributions. Regarding 13 mediastinal masses, 2 were diagnosed as malignant peripheral nerve sheath tumors (MPNSTs), 1 was diagnosed as primary lung cancer, 2 were diagnosed as lateral meningocele, 3 were diagnosed as neurofibromas, and the remaining 7 were considered neurofibromas. There was a significant correlation between the prevalence of subcutaneous nodules and that of skin nodules. Significant positive correlations were also seen between size and number, size and rate of central distribution, and number and rate of central distribution of cysts. Conclusion: Various CT findings were found in NF-1 patients, and the prevalence rates of subcutaneous and skin nodules were higher than other findings. Though the prevalence rates of subcutaneous nodules and skin nodules were significantly correlated, the other CT findings in NF-1 occurred independently. The number, size, and

Computed tomography (CT) findings in 88 neurofibromatosis 1 (NF1) patients: Prevalence rates and correlations of thoracic findings

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Ueda, Ken, E-mail: k-ueda@radiol.med.osaka-u.ac.jp [Department of Radiology, Osaka University Graduate School of Medicine (Japan); Honda, Osamu [Department of Radiology, Osaka University Graduate School of Medicine (Japan); Satoh, Yukihisa [Department of Diagnostic Radiology, Osaka Medical Center for Cancer and Cardiovascular Diseases (Japan); Kawai, Misa; Gyobu, Tomoko; Kanazawa, Toru; Hidaka, Shojiro; Yanagawa, Masahiro [Department of Radiology, Osaka University Graduate School of Medicine (Japan); Sumikawa, Hiromitsu [Department of Diagnostic Radiology, Osaka Rosai Hospital (Japan); Tomiyama, Noriyuki [Department of Radiology, Osaka University Graduate School of Medicine (Japan)

2015-06-15

Highlights: • Various thoracic CT findings, including cysts, mediastinal masses, etc. were found. • Cysts show upper and peripheral dominant distribution. • The number, size, and distribution of the pulmonary cysts in NF-1 revealed significant correlation. • It is suspected that thoracic CT findings in NF-1 occur independently. - Abstract: Purpose: To evaluate the prevalence rates and the correlations of thoracic computed tomography (CT) findings of neurofibromatosis 1 (NF1) in 88 patients. Materials and methods: Chest CT images of 88 NF1 patients were independently reviewed by three observers, and the CT findings were evaluated. If abnormal findings were present, their number, size, and distribution were recorded. The prevalence rate of each CT finding was calculated, and the correlations between CT findings were analyzed. Results: Of the 88 cases, 13 were positive for cysts, 16 for emphysema, 8 for nodules, 8 for GGNs (ground glass nodules), 13 for mediastinal masses, 20 for scoliosis, 44 for subcutaneous nodules, and 34 for skin nodules. Cysts showed upper and peripheral dominant distributions. Regarding 13 mediastinal masses, 2 were diagnosed as malignant peripheral nerve sheath tumors (MPNSTs), 1 was diagnosed as primary lung cancer, 2 were diagnosed as lateral meningocele, 3 were diagnosed as neurofibromas, and the remaining 7 were considered neurofibromas. There was a significant correlation between the prevalence of subcutaneous nodules and that of skin nodules. Significant positive correlations were also seen between size and number, size and rate of central distribution, and number and rate of central distribution of cysts. Conclusion: Various CT findings were found in NF-1 patients, and the prevalence rates of subcutaneous and skin nodules were higher than other findings. Though the prevalence rates of subcutaneous nodules and skin nodules were significantly correlated, the other CT findings in NF-1 occurred independently. The number, size, and

Does multimorbidity influence the occurrence rates of chronic conditions? A claims data based comparison of expected and observed prevalence rates.

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Ingmar Schäfer

Full Text Available OBJECTIVE: Multimorbidity is a complex phenomenon with an almost endless number of possible disease combinations with unclear implications. One important aspect in analyzing the clustering of diseases is to distinguish between random coexistence and statistical dependency. We developed a model to account for random coexistence based on stochastic distribution. We analyzed if the number of diseases of the patients influences the occurrence rates of chronic conditions. METHODS: We analyzed claims data of 121,389 persons aged 65+ using a list of 46 chronic conditions. Expected prevalences were simulated by drawing without replacement from all observed diseases using observed overall prevalences as initial probability weights. To determine if a disease occurs more or less frequently than expected by chance we calculated observed-minus-expected deltas for each disease. We defined clinical relevance as |delta| ≥ 5.0%. 18 conditions were excluded because of a prevalence < 5.0%. RESULTS: We found that (1 two chronic conditions (e.g. hypertension were more frequent than expected in patients with a low number of comorbidities; (2 four conditions (e.g. renal insufficiency were more frequent in patients with many comorbidities; (3 six conditions (e.g. cancer were less frequent with many comorbidities; and (4 16 conditions had an average course of prevalences. CONCLUSION: A growing extent of multimorbidity goes along with a rapid growth of prevalences. This is for the largest part merely a stochastic effect. If we account for this effect we find that only few diseases deviate from the expected prevalence curves. Causes for these deviations are discussed. Our approach also has methodological implications: Naive analyses of multimorbidity might easily be affected by bias, because the prevalence of all chronic conditions necessarily increases with a growing extent of multimorbidity. We should therefore always examine and discuss the stochastic interrelations

Nutritional determinants of worldwide diabetes: an econometric study of food markets and diabetes prevalence in 173 countries.

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Basu, Sanjay; Stuckler, David; McKee, Martin; Galea, Gauden

2013-01-01

Ageing and urbanization leading to sedentary lifestyles have been the major explanations proposed for a dramatic rise in diabetes worldwide and have been the variables used to predict future diabetes rates. However, a transition to Western diets has been suggested as an alternative driver. We sought to determine what socio-economic and dietary factors are the most significant population-level contributors to diabetes prevalence rates internationally. Multivariate regression models were used to study how market sizes of major food products (sugars, cereals, vegetable oils, meats, total joules) corresponded to diabetes prevalence, incorporating lagged and cumulative effects. The underlying social determinants of food market sizes and diabetes prevalence rates were also studied, including ageing, income, urbanization, overweight prevalence and imports of foodstuffs. Data were obtained from 173 countries. Population-based survey recipients were the basis for diabetes prevalence and food market data. We found that increased income tends to increase overall food market size among low- and middle-income countries, but the level of food importation significantly shifts the content of markets such that a greater proportion of available joules is composed of sugar and related sweeteners. Sugar exposure statistically explained why urbanization and income have been correlated with diabetes rates. Current diabetes projection methods may estimate future diabetes rates poorly if they fail to incorporate the impact of nutritional factors. Imported sugars deserve further investigation as a potential population-level driver of global diabetes.

Prevalence of human papillomavirus in cancer of the oropharynx by gender.

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Combes, Jean-Damien; Chen, Alyce A; Franceschi, Silvia

2014-12-01

Oropharyngeal cancer (OPC) is more frequent in men than women mainly due to the heavier and longer duration of smoking in men. Human papillomavirus (HPV) has a role in the rising incidence of OPC in the United States and other high-income countries. To determine whether there is a difference in the proportion of HPV-attributable OPC between men and women, we systematically retrieved HPV prevalence data from 63 studies reporting separately on OPC by gender. The male/female (M/F) ratios of HPV prevalence in OPC across different countries and the corresponding M/F ratios of cumulative lung cancer risk (a proxy for smoking) were compared. The United States had the highest M/F ratios of HPV prevalence in OPC (1.5). The lowest M/F ratios (≤0.7) were found in Asia and some European countries (e.g., France). The countries in which the M/F ratio of HPV prevalence in OPC was ≥1.0 had the most similar lung cancer risks for men and women. When HPV prevalence data were applied to age-standardized OPC incidence rates in the United States, Australia, the United Kingdom, and France, the M/F ratio for the HPV-positive OPC incidence rates was rather stable (around 4) in all countries. In contrast, the M/F ratio for the HPV-negative OPC incidence rates reached 10.2 in France versus gender and country mainly as a consequence of the vast international variation in male smoking habits. Nevertheless, HPV-positive OPC may affect men more heavily than women in different populations for reasons that are unclear. ©2014 American Association for Cancer Research.

National evaluation of Chinese coastal erosion to sea level rise using a Bayesian approach

International Nuclear Information System (INIS)

Zhan, Q; Fan, X; Du, X; Zhu, J

2014-01-01

In this paper a Causal Bayesian network is developed to predict decadal-scale shoreline evolution of China to sea-level rise. The Bayesian model defines relationships between 6 factors of Chinese coastal system such as coastal geomorphology, mean tide range, mean wave height, coastal slope, relative sea-level rise rate and shoreline erosion rate. Using the Bayesian probabilistic model, we make quantitative assessment of china's shoreline evolution in response to different future sea level rise rates. Results indicate that the probability of coastal erosion with high and very high rates increases from 28% to 32.3% when relative sea-level rise rates is 4∼6mm/a, and to 44.9% when relative sea-level rise rates is more than 6mm/a. A hindcast evaluation of the Bayesian model shows that the model correctly predicts 79.3% of the cases. Model test indicates that the Bayesian model shows higher predictive capabilities for stable coasts and very highly eroding coasts than moderately and highly eroding coasts. This study demonstrates that the Bayesian model is adapted to predicting decadal-scale Chinese coastal erosion associated with sea-level rise

Probabilistic reanalysis of twentieth-century sea-level rise.

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Hay, Carling C; Morrow, Eric; Kopp, Robert E; Mitrovica, Jerry X

2015-01-22

Estimating and accounting for twentieth-century global mean sea level (GMSL) rise is critical to characterizing current and future human-induced sea-level change. Several previous analyses of tide gauge records--employing different methods to accommodate the spatial sparsity and temporal incompleteness of the data and to constrain the geometry of long-term sea-level change--have concluded that GMSL rose over the twentieth century at a mean rate of 1.6 to 1.9 millimetres per year. Efforts to account for this rate by summing estimates of individual contributions from glacier and ice-sheet mass loss, ocean thermal expansion, and changes in land water storage fall significantly short in the period before 1990. The failure to close the budget of GMSL during this period has led to suggestions that several contributions may have been systematically underestimated. However, the extent to which the limitations of tide gauge analyses have affected estimates of the GMSL rate of change is unclear. Here we revisit estimates of twentieth-century GMSL rise using probabilistic techniques and find a rate of GMSL rise from 1901 to 1990 of 1.2 ± 0.2 millimetres per year (90% confidence interval). Based on individual contributions tabulated in the Fifth Assessment Report of the Intergovernmental Panel on Climate Change, this estimate closes the twentieth-century sea-level budget. Our analysis, which combines tide gauge records with physics-based and model-derived geometries of the various contributing signals, also indicates that GMSL rose at a rate of 3.0 ± 0.7 millimetres per year between 1993 and 2010, consistent with prior estimates from tide gauge records.The increase in rate relative to the 1901-90 trend is accordingly larger than previously thought; this revision may affect some projections of future sea-level rise.

Statewide prevalence of school children at risk of anaphylaxis and rate of adrenaline autoinjector activation in Victorian government schools, Australia.

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Loke, Paxton; Koplin, Jennifer; Beck, Cara; Field, Michael; Dharmage, Shyamali C; Tang, Mimi L K; Allen, Katrina J

2016-08-01

The prevalence of school students at risk of anaphylaxis in Victoria is unknown and has not been previously studied. Similarly, rates of adrenaline autoinjector usage in the school environment have yet to be determined given increasing prescription rates. We sought to determine time trends in prevalence of school children at risk of anaphylaxis across all year levels and the annual usage rate of adrenaline autoinjectors in the school setting relative to the number of students at risk of anaphylaxis. Statewide surveys from more than 1,500 government schools including more than 550,000 students were used and prevalence rates (%) with 95% CIs were calculated. The overall prevalence of students at risk of anaphylaxis has increased 41% from 0.98% (95% CI, 0.95-1.01) in 2009 to 1.38% (95% CI, 1.35-1.41) in 2014. There was a significant drop in reporting of anaphylaxis risk with transition from the final year of primary school to the first year of secondary school, suggesting a change in parental reporting of anaphylaxis risk among secondary school students. The number of adrenaline autoinjectors activated per 1000 students at risk of anaphylaxis ranged from 6 to 8 per year, with consistently higher activation use in secondary school students than in primary school students. Statewide prevalence of anaphylaxis risk has increased in children attending Victorian government schools. However, adrenaline autoinjector activation has remained fairly stable despite known increase in the rates of prescription. Copyright © 2016 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

Anterior disc displacement with reduction and symptomatic hypermobility in the human temporomandibular joint : Prevalence rates and risk factors in children and teenagers

NARCIS (Netherlands)

Slater, James J. R. Huddleston; Lobbezoo, Frank; Onland-Moret, N. Charlotte; Naeije, Machiel

2007-01-01

Aims: To assess the prevalence rates and risk factors of anterior disc displacement with reduction (ADDR) and symptomatic hypermobility in a large sample of children and teenagers. Prevalence rates were also established in samples of young adults and adults. Methods: Children from 7 Dutch primary

Feeding and eating disorders in the DSM-5 era: a systematic review of prevalence rates in non-clinical male and female samples.

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Lindvall Dahlgren, Camilla; Wisting, Line; Rø, Øyvind

2017-01-01

The objective of this study was to systematically review the literature on the prevalence of eating disorders (EDs) during the DSM-5 era, and to report rates of point- and lifetime prevalence. A PubMed search was conducted targeting articles on the epidemiology of EDs, in particular, reported rates of prevalence. The review was performed in accordance with PRISMA guidelines, and was limited to DSM-5 based eating disorder diagnoses published between 2012 and 2017. A total of 19 studies fulfilled inclusion criteria and were included in the study. Following the transition to DSM-5, it is evident that the prevalence of eating disorder not otherwise specified (EDNOS)/other specified feeding and eating disorders (OSFED) has decreased as intended, and there is preliminary evidence suggesting that rates of anorexia nervosa (AN) and bulimia nervosa (BN) and binge eating disorder (BED) have increased. Further, we observed higher rates of BED prevalence among females compared to males, with rates increasing with age. A limitation to the study was the search date, and that none of the included studies investigated the "new" DSM-5 feeding disorders avoidant restrictive food intake disorder (ARFID), pica or rumination disorder warranting attention in future studies investigating the epidemiology of feeding and eating disorders.

Oppositional Defiant Disorder: prevalence based on parent and teacher ratings of Malaysian primary school children.

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Gomez, Rapson; Hafetz, Nina; Gomez, Rashika Miranjani

2013-08-01

This study examined the prevalence rate of Oppositional Defiant Disorder (ODD) in Malaysian primary school children. In all 934 Malaysian parents and teachers completed ratings of their children using a scale comprising DSM-IV-TR ODD symptoms. Results showed rates of 3.10%, 3.85%, 7.49% and 0.64% for parent, teacher, parent or teacher ("or-rule"), and parent and teacher ("and-rule") ratings, respectively. When the functional impairment criterion was not considered, the rate reported by parents was higher at 13.28%. The theoretical, diagnostic and cultural implications of the findings are discussed. Copyright © 2013 Elsevier B.V. All rights reserved.

Stakeholders views on why child overweight and obesity is rising in Lagos, Nigeria: A qualitative study

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Adeteju A Adedini

2016-01-01

Full Text Available Background and Objective: According to the World Health Organization, the number of obese children would increase to 70 million by 2025 if no intervention is made. An increase in the prevalence of overweight and obesity among school children in Lagos State, Nigeria has been established, but specific factors promoting its prevalence are unknown. The aim of this study was to elicit the views of stakeholders on the perceived causes for the rise in child overweight and obesity. Methods: Five focus group discussions were conducted with different groups of stakeholders involved in child care, namely: Parents, teachers, and healthcare givers. Participants were recruited using a purposive sampling method; a structured question guide was employed for the discussion sessions. The discussions were recorded, collated, and analyzed using grounded theory to extract themes. Results: Six themes emerged as factors responsible for the rise, of which civilization and lifestyle imbalance of the populace emerged as the prominent cause. Of the fifty respondents, 76% of respondents identified parents (particularly young mothers as major contributors to the prevalence of overweight and obesity in children of Lagos State; and 52.3% of the participants reported that a direct relationship exists between income class of parent and weight of a child resident in Lagos. Conclusion: Civilization and lifestyle imbalance, insecurity and congestion, low level of public awareness, inadequate educative and enlightenment programs, myths and societal perception were factors identified to responsible for the rise in the prevalence of child obesity in Lagos, Nigeria. Preventive strategies to control the prevalence of overweight and obesity in children residing in Lagos State should be considered for further studies.

Examining the evidence for a recent acceleration in the rate of sea-level rise using combined instrumental and proxy data, North Carolina, USA

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Kemp, A.; Horton, B. P.

2007-12-01

Whilst accelerated rates of relative sea-level (RSL) rise are potentially one of the most devastating impacts of future climate change, our understanding of decadal scale changes in sea-level is poor. This paper seeks to address this knowledge gap by combining tide gauge and high-precision geological reconstructions of relative sea-level of sufficient resolution and duration to detect any recent acceleration in the rate of sea-level rise. We offer a high resolution relative sea-level history for the last ~2000 years from the Albemarle - Pamlico Estuarine System in North Carolina. Contemporary foraminifera were collected from five back barrier marshes to create a regional scale modern training set. The use of multiple marshes from a region increases the ecological and environmental diversity included within the training set and reduces the probability of a no modern analogue outcome. To merge the five spatially distinct sites and to relate each to local tide levels we used the VDatum transformation tool. This method relates all samples to a common orthometric datum (NAVD88) and reduces error. We developed an accurate and precise transfer function to reconstruct former sea levels based upon the modern observable relationship between foraminifera and elevation with respect to the tidal frame. We applied the transfer function to salt-marsh core(s) from Sand Point (Roanoke Island), North Carolina to produce a late Holocene RSL record. An age-depth model was produced from composite chronologies of 210Pb, 14C and pollen chrono-horizons. We validated our approach by comparing geological based reconstructions and instrumental tide gauge records. Our records show that in the last ~2000 years sea level has risen at a background rate of ~1.1mm/yr. There is evidence for two recent accelerations in the rate of sea-level rise during the late 19th and 20th centuries to a current rate of ~4mm/yr.

Prevalence Rate of Vulvovaginal Candidiasis and Identification of Candida Species in Women in Referred to Hamedan Hospitals 2013 - 2014, West of Iran

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Reza Habibipour

2016-03-01

Full Text Available Background Vulvovaginal candidiasis is a common gynecological finding among the women worldwide. Objectives In this study determine of prevalence rate of vulvovaginal candidiasis and identification of Candida species was investigated. Patients and Methods In this cross-sectional study study, 350 females selected and examined by wet mount and culture procedure. Results The prevalence rate, by means of culture procedure was 26%. Candida albicans was responsible for 81.3% episodes of volvovaginal candidiasis. Conclusions In order to decrease the prevalence rate of vulvovaginitis, more epidemiological surveillance and accurate informative programs about public health care, symptoms and signs and transmission ways should be performed in the future.

The prevalence and Predictors of generalised obesity in a rural ...

African Journals Online (AJOL)

Background: Obesity, an independent risk factor for cardiovascular diseases has become a global epidemic even in the developing nations of the world. Epidemiologic transition with rapid urbanisation is important variable implicated in the rising prevalence of obesity. The prevalence of this major risk factor for ...

Obesity detection rate among primary school students in the People's Republic of China: a meta-analysis

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Jin Y

2013-10-01

Full Text Available Yue-long Jin,* Ling-ling Ding,* Ying-shui Yao, Xiu-li Song, Hui Tang, Lian-ping He, Yan ChenFaculty of Epidemiology and Statistics, School of Public Health, Wannan Medical College, Anhui, People's Republic of China*These authors contributed equally to this workBackground: Obesity has become a major public health problem worldwide. The prevalence of obesity is rising alarmingly among children and adolescents in the People's Republic of China, with an estimated 120 million now in the obese range. It is estimated that 8% of children in the People's Republic of China are obese and 12% are overweight.Methods: Eligible papers on the prevalence of obesity among primary school students in the People's Republic of China and published between 2006 and 2011 were retrieved from PubMed and from online Chinese periodicals, ie, the full-text databases of VIP, the Chinese National Knowledge Infrastructure, and Wan Fang. Meta-Analyst software was used to collate and analyze the detection rates cited in the papers retrieved.Results: After evaluation of the quality of the papers, 25 were finally included, giving a total sample population size for investigation of obesity of 219,763, in which 28,121 cases were detected. Meta-analysis showed that the combined obesity detection rate was 10.4% (95% confidence interval 8.6–12.6 among primary school students in the People's Republic of China, with a higher detection rate in boys (12.6% than in girls (7.2%. The prevalence of obesity was higher in the north (11.8% than in the south (9.5%, east (11.6%, and mid-west (8.0% regions. Obesity defined according to the World Health Organization weight-for-height standard (14.3% was higher than that using age-specific and gender-specific cutoff points for body mass index (9.0%.Conclusion: Our meta-analysis found an obesity prevalence rate of 10.4%, which does not seem as high as previous reports of childhood obesity rates in other countries. However, the prevalence of childhood

Prevalence rates of ADIPOQ polymorphisms in Indian population and a comparison with other populations

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Sandhya Kiran Pemmasani

2018-01-01

Full Text Available Introduction: The adiponectin gene, ADIPOQ, encodes an adipocytokine, known as adiponectin hormone. This hormone is known to be associated with insulin sensitization, fat metabolism, immunity, and inflammatory response. Polymorphisms in ADIPOQ gene lower the adiponectin levels, increasing the risk for diabetes and cardiovascular diseases. Aims: The study aimed to calculate the prevalence rates of ADIPOQ polymorphisms in Indian population and to compare those prevalence rates with that of other populations. Subjects and Methods: Microarray-based genotypic data of 14 ADIPOQ polymorphisms from 703 individuals of Indian origin were used. Statistical Analysis Used: Frequency estimation, identity-by-descent, Hardy–Weinberg equilibrium, Chi-square test of significance were used for statistical analysis. Results: Allelic and genotypic frequencies of ADIPOQ polymorphisms, Chi-square tests of significance for allelic and genotypic frequencies across various populations. Conclusions: East Asians are very different from Indians in terms of allelic and genotypic frequencies of ADIPOQ polymorphisms. Europeans have similar genotypic and allelic patterns with Indians. Admixture Americans and Africans also showed significant differences with polymorphisms of the Indian population.

Predicting the impacts of Mississippi River diversions and sea-level rise on spatial patterns of eastern oyster growth rate and production

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Wang, Hongqing; Chen, Qin; La Peyre, Megan K.; Hu, Kelin; La Peyre, Jerome F.

2017-01-01

There remains much debate regarding the perceived tradeoffs of using freshwater and sediment diversions for coastal restoration in terms of balancing the need for wetland restoration versus preserving eastern oyster (Crassostrea virginica) production. Further complicating the issue, climate change-induced sea-level rise (SLR) and land subsidence are also expected to affect estuarine water quality. In this study, we developed a process-based numerical modeling system that couples hydrodynamic, water quality, and oyster population dynamics. We selected Breton Sound Estuary (BSE) (∼2740 km2) in the eastern Mississippi River Deltaic Plain since it is home to several of the largest public oyster seed grounds and private leases for the Gulf coast. The coupled oyster population model was calibrated and validated against field observed oyster growth data. We predicted the responses of oyster population in BSE to small- (142 m3 s−1) and large-scale (7080 m3 s−1) river diversions at the Caernarvon Freshwater Diversion structure planned in the 2012 Coastal Master Plan (Louisiana) under low (0.38 m) and high (1.44 m) relative sea-level rise (RSLR = eustatic SLR + subsidence) compared to a baseline condition (Year 2009). Model results showed that the large-scale diversion had a stronger negative impact on oyster population dynamics via freshening of the entire estuary, resulting in reduced oyster growth rate and production than RSLR. Under the large-scale diversion, areas with optimal oyster growth rates (>15 mg ash-free dry weight (AFDW) oyster−1 wk−1) and production (>500 g AFDW m−2 yr−1) would shift seaward to the southeastern edge of the estuary, turning the estuary into a very low oyster production system. RSLR however played a greater role than the small-scale diversion on the magnitude and spatial pattern of oyster growth rate and production. RSLR would result in an overall estuary-wide decrease in oyster growth rate and production as a

Formation of 1.4 MeV runaway electron flows in air using a solid-state generator with 10 MV/ns voltage rise rate

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Mesyats, G. A.; Pedos, M. S.; Rukin, S. N.; Rostov, V. V.; Romanchenko, I. V.; Sadykova, A. G.; Sharypov, K. A.; Shpak, V. G.; Shunailov, S. A.; Ul'masculov, M. R.; Yalandin, M. I.

2018-04-01

Fulfillment of the condition that the voltage rise time across an air gap is comparable with the time of electron acceleration from a cathode to an anode allows a flow of runaway electrons (REs) to be formed with relativistic energies approaching that determined by the amplitude of the voltage pulse. In the experiment described here, an RE energy of 1.4 MeV was observed by applying a negative travelling voltage pulse of 860-kV with a maximum rise rate of 10 MV/ns and a rise time of 100-ps. The voltage pulse amplitude was doubled at the cathode of the 2-cm-long air gap due to the delay of conventional pulsed breakdown. The above-mentioned record-breaking voltage pulse of ˜120 ps duration with a peak power of 15 GW was produced by an all-solid-state pulsed power source utilising pulse compression/sharpening in a multistage gyromagnetic nonlinear transmission line.

Rising Rate of Liver Transplantation in the Baby Boomer Generation with Non-alcoholic Steatohepatitis in the United States.

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Siddique, Osama; Joseph-Talreja, Mairin; Yoo, Eric R; Perumpail, Ryan B; Cholankeril, George; Harrison, Stephen A; Younossi, Zobair M; Wong, Robert J; Ahmed, Aijaz

2017-09-28

Background and Aims: Nonalcoholic steatohepatitis (NASH) is the most rapidly growing indication for liver transplantation (LT) in the United States and is on a trajectory to become the leading indication for LT in the next decade. We aimed to study the trends in NASH-related LT among persons born between 1945 and 1965, the baby boomer (BB) generation. Methods: We performed a retrospective cohort analysis using population-based data from the United Network for Organ Sharing/Organ Procurement and Transplantation Network registry from 2004-2015 to evaluate the birth cohort-specific trends in liver transplant waitlist registrations and liver transplant surgeries in patients with NASH. We stratified our study population into three birth cohorts: 1) birth before 1945, 2) birth between 1945 and 1965, and 3) birth after 1965. Results: The overall rates of NASH-related waitlist registrations and liver transplant surgeries steadily increased from 2004 to 2015 and were reflective of a sharp rise noted in the NASH BB sub-group. From 2004 to 2015, the proportion of BB patients with NASH added to LT waitlist demonstrated an incremental growth, 60.6% in 2004 versus 83.2% in 2015 ( p < 0.01). Among the liver transplant recipients with NASH, the proportion represented by the BB cohort increased from 56.3% in 2004 to 80.0% in 2015 ( p < 0.01). Conclusions: We report rising rates of waitlist registration and LT for the indication of NASH. More importantly, the BB sub-cohort was mainly responsible for these alarming trends.

Prevalence of Childhood Mental Disorders Among School Children of Kashmir Valley.

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Paul, Mohd Altaf; Khan, Waheeda

2018-03-05

Prevalence of mental disorders among children is affected by armed conflict and same is true in protracted conflict of Kashmir, where the ongoing conflict has affected mental health of children badly. In order to understand mental health condition of school going children, the present study was designed to study the nature and prevalence of mental disorders among school children in Kashmir valley. The present study employed multi-stage sampling and multi-informant reporting of mental health problems in children. A sample of 1000 school children was taken from 12 schools of Shopian district through systematic random sampling method. Data was collected at different levels of screening by using Strength and Difficulties Questionnaire (SDQ) (Teacher form) and Mini International Neuropsychiatric Inventory (MINI-Kid). Socio-demographic data sheet was included to gather relevant information. The prevalence rates of mental disorders among school children were presented at different levels of screening. It was found to be 27.1% based on SDQ and 22.2% when assessed by MINI-Kid at second level of screening. The most commonly found mental disorders were of anxiety (8.5%), followed by mood disorders (6.3%) and then behavioural disorders (4.3%). Percentage of schoolgoing children with mental disorders in Kashmir is much more than in other states of India. The political conflict in the state and lack of mental health facilities give rise to high prevalence rates of mental disorders and warrant our urgent attention.

Determinants of cognitive development of low SES children in Chile: a post-transitional country with rising childhood obesity rates.

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Galván, Marcos; Uauy, Ricardo; Corvalán, Camila; López-Rodríguez, Guadalupe; Kain, Juliana

2013-09-01

Studies conducted in developing countries have noted associations between concurrent stunting, social-emotional problems and poor cognitive ability in young children. However, the relative contribution of these variables in Latin America is likely changing as undernutrition rates decline and prevalence of childhood obesity rises. We conducted a cross-sectional study of 106 normal-weight and 109 obese preschool children to compare the relative contribution of early nutrition, sociodemographic factors and psychosocial variables on cognitive development in normal-weight and obese preschool children in Chile. The study variables were categorized as: (1) socio-demographic (age, sex, birth order and socioeconomic) (2) early nutrition (maternal height, birth weight, birth length and height at 5 years) (3) psychosocial factors (maternal depression, social-emotional wellbeing and home space sufficiency). In order to assess determinants of cognitive development at 4-5 years we measured intelligence quotient (IQ); variability in normal children was mostly explained by socio-demographic characteristics (r(2) = 0.26), while in obese children early nutritional factors had a significant effect (r(2) = 0.12) beyond socio-demographic factors (r(2) = 0.19). Normal-weight children, who were first born, of slightly better SES and height Z score >1, had an IQ ≥ 6 points greater than their counterparts (p birth weight >4,000 g and low risk of socio-emotional problems had on average ≥5 IQ points greater than their peers (p < 0.05). We conclude that in Chile, a post-transitional country, IQ variability of normal children was mostly explained by socio-demographic characteristics; while in obese children, early nutrition also played a significant role.

Depressive symptomatology in severe dementia in a European sample: prevalence, associated factors and prescription rate of antidepressants.

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Giebel, Clarissa M; Sutcliffe, Caroline; Renom-Guiteras, Anna; Arve, Seija; Hallberg, Ingalill Rahm; Soto, Maria; Zabalegui, Adelaida; Hamers, Jan; Saks, Kai; Challis, David

2015-04-01

Depression is a common comorbid disorder of dementia. This study explores the prevalence of and factors associated with depressive symptomatology, and antidepressant prescription rates in severe dementia across eight European countries. In total, 414 people with severe dementia completed measures of cognition and quality of life (QoL), whilst carers completed proxy measures of activities of daily living (ADLs), depression, neuropsychiatric symptoms, QoL and comorbidity. Findings indicated that 30% of the sample had depression, whilst the highest and lowest prevalence of depression was reported in Germany and Finland, respectively. Lower QoL, the presence of pain and more frequent neuropsychiatric symptoms were associated with depressive symptomatology, whilst no significant relationship between impairment of ADLs, comorbidity, and depression emerged. Spain and Estonia had the highest and lowest rates of antidepressant prescribing, respectively, whilst Germany had the highest discrepancy between depressive symptomatology and prescription. The study highlights variations across countries in the prevalence of depressive symptomatology in severe dementia and prescription of antidepressants. Information about factors associated with depressive symptomatology may help to better identify and manage depression.

Clinical investigation of proximate exposed group. 1. A study for prevalence rate of diabetes mellitus

Energy Technology Data Exchange (ETDEWEB)

Ito, Chikako; Hasegawa, Kazuyo; Kato, Masafumi; Kumasawa, Toshihiko

1984-11-01

In order to investigate effects of the A-bombing on prevalence of diabetes mellitus, follow-up studies were made on 5907 A-bomb survivors who received glucose tolerance test (GTT) during 20 years between 1963 and 1983. The A-bomb survivors were divided into the group A (1899 men and 1165 women exposed within 1.9 km from the hypocenter) and the group B (1725 men and 1118 women exposed 3.0 km or farther from it). Among non-obese survivors, 21.9% and 21.8% were being treated for diabetes mellitus or were evaluated as having diabetic type on GTT in the group A and the group B, respectively; while this was seen in 52.1% of obese survivors in the group A and 49.9% in the group B. There was no difference between the groups. In non-obese survivors, the annual development rate from the normal type to the diabetic type was 0.89% in the group A and 0.65% in the group B; the annual development rate from the borderline type to the diabetic type was 5.73% in the group A and 5.49% in the group B, showing no differences between the groups. The annual development rate from the normal or borderline type to the diabetic type was two times or higher in obese survivors than in non-obese survivors irrespective of exposure status. Regarding the number of diabetic survivors who became non-diabetic type in spite of having no treatment, and prevalence of diabetic complications, no difference was seen between the groups. These results suggest that the A-bombing has scarcely influenced the prevalence of diabetes mellitus and clinical course.

Evaluation of sea level rise in Bohai Bay and associated responses

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Ke-Xiu LIU

2017-03-01

Full Text Available Tide gauge data from 1950 to 2015 are used to analyze sea level change, tidal change, return levels, and design tide levels under rising sea level scenarios in Bohai Bay. Results show the following: 1 Since 1950 sea levels in Bohai Bay show a significant rising trend of 3.3 mm per year. The speed has been particularly rapid in 1980–2015 at a rate of 4.7 mm per year. 2 Astronomical tides showed a clear long-term trend in 1950–2015. The amplitude and phase lag of the M2 tide constituent decreased at a rate of 0.21 cm per year and 0.11° per year, respectively and the phase lag of K1 decreased at a rate of 0.09° per year, whereas there was little change in its amplitude. The mean high and low tides increased at a rate of 0.08 and 0.52 cm per year, respectively, whereas the mean tidal range decreased at a rate of 0.44 cm per year. Results from numerical experiments show that local sea level rise plays an important role in the tidal dynamics change in Bohai Bay. 3 It is considered that the sea level return periods will decrease owing to the influence of sea level rise and land subsidence, therefore design tide level will change in relation to sea level rise. Therefore, the ability of seawalls to withstand water will diminish, and storm surge disasters will become more serious in the future.

Food allergies in developing and emerging economies: need for comprehensive data on prevalence rates

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Boye Joyce Irene

2012-12-01

Full Text Available Abstract Although much is known today about the prevalence of food allergy in the developed world, there are serious knowledge gaps about the prevalence rates of food allergy in developing countries. Food allergy affects up to 6% of children and 4% of adults. Symptoms include urticaria, gastrointestinal distress, failure to thrive, anaphylaxis and even death. There are over 170 foods known to provoke allergic reactions. Of these, the most common foods responsible for inducing 90% of reported allergic reactions are peanuts, milk, eggs, wheat, nuts (e.g., hazelnuts, walnuts, almonds, cashews, pecans, etc., soybeans, fish, crustaceans and shellfish. Current assumptions are that prevalence rates are lower in developing countries and emerging economies such as China, Brazil and India which raises questions about potential health impacts should the assumptions not be supported by evidence. As the health and social burden of food allergy can be significant, national and international efforts focusing on food security, food safety, food quality and dietary diversity need to pay special attention to the role of food allergy in order to avoid marginalization of sub-populations in the community. More importantly, as the major food sources used in international food aid programs are frequently priority allergens (e.g., peanut, milk, eggs, soybean, fish, wheat, and due to the similarities between food allergy and some malnutrition symptoms, it will be increasingly important to understand and assess the interplay between food allergy and nutrition in order to protect and identify appropriate sources of foods for sensitized sub-populations especially in economically disadvantaged countries and communities.

Changes in Yearly Birth Prevalence Rates of Children with Down Syndrome in the Period 1986-2007 in the Netherlands

Science.gov (United States)

de Graaf, G.; Haveman, M.; Hochstenbach, R.; Engelen, J.; Gerssen-Schoorl, K.; Poddighe, P.; Smeets, D.; van Hove, G.

2011-01-01

Background: The Netherlands are lacking reliable national empirical data in relation to the development of birth prevalence of Down syndrome. Our study aims at assessing valid national live birth prevalence rates for the period 1986-2007. Method: On the basis of the annual child/adult ratio of Down syndrome diagnoses in five out of the eight Dutch…

The vulnerability of Indo-Pacific mangrove forests to sea-level rise

Science.gov (United States)

Lovelock, Catherine E.; Cahoon, Donald R.; Friess, Daniel A.; Guntenspergen, Glenn R.; Krauss, Ken W.; Reef, Ruth; Rogers, Kerrylee; Saunders, Megan L.; Sidik, Frida; Swales, Andrew; Saintilan, Neil; Thuyen, Le Xuan; Triet, Tran

2015-01-01

Sea-level rise can threaten the long-term sustainability of coastal communities and valuable ecosystems such as coral reefs, salt marshes and mangroves. Mangrove forests have the capacity to keep pace with sea-level rise and to avoid inundation through vertical accretion of sediments, which allows them to maintain wetland soil elevations suitable for plant growth. The Indo-Pacific region holds most of the world’s mangrove forests, but sediment delivery in this region is declining, owing to anthropogenic activities such as damming of rivers. This decline is of particular concern because the Indo-Pacific region is expected to have variable, but high, rates of future sea-level rise. Here we analyse recent trends in mangrove surface elevation changes across the Indo-Pacific region using data from a network of surface elevation table instruments. We find that sediment availability can enable mangrove forests to maintain rates of soil-surface elevation gain that match or exceed that of sea-level rise, but for 69 per cent of our study sites the current rate of sea-level rise exceeded the soil surface elevation gain. We also present a model based on our field data, which suggests that mangrove forests at sites with low tidal range and low sediment supply could be submerged as early as 2070.

The vulnerability of Indo-Pacific mangrove forests to sea-level rise.

Science.gov (United States)

Lovelock, Catherine E; Cahoon, Donald R; Friess, Daniel A; Guntenspergen, Glenn R; Krauss, Ken W; Reef, Ruth; Rogers, Kerrylee; Saunders, Megan L; Sidik, Frida; Swales, Andrew; Saintilan, Neil; Thuyen, Le Xuan; Triet, Tran

2015-10-22

Sea-level rise can threaten the long-term sustainability of coastal communities and valuable ecosystems such as coral reefs, salt marshes and mangroves. Mangrove forests have the capacity to keep pace with sea-level rise and to avoid inundation through vertical accretion of sediments, which allows them to maintain wetland soil elevations suitable for plant growth. The Indo-Pacific region holds most of the world's mangrove forests, but sediment delivery in this region is declining, owing to anthropogenic activities such as damming of rivers. This decline is of particular concern because the Indo-Pacific region is expected to have variable, but high, rates of future sea-level rise. Here we analyse recent trends in mangrove surface elevation changes across the Indo-Pacific region using data from a network of surface elevation table instruments. We find that sediment availability can enable mangrove forests to maintain rates of soil-surface elevation gain that match or exceed that of sea-level rise, but for 69 per cent of our study sites the current rate of sea-level rise exceeded the soil surface elevation gain. We also present a model based on our field data, which suggests that mangrove forests at sites with low tidal range and low sediment supply could be submerged as early as 2070.

Anthropogenic forcing dominates sea level rise since 1850

DEFF Research Database (Denmark)

Jevrejeva, Svetlana; Grinsted, Aslak; Moore, John

2009-01-01

The rate of sea level rise and its causes are topics of active debate. Here we use a delayed response statistical model to attribute the past 1000 years of sea level variability to various natural (volcanic and solar radiative) and anthropogenic (greenhouse gases and aerosols) forcings. We show...... that until 1800 the main drivers of sea level change are volcanic and solar radiative forcings. For the past 200 years sea level rise is mostly associated with anthropogenic factors. Only 4 ± 1.5 cm (25% of total sea level rise) during the 20th century is attributed to natural forcings, the remaining 14 ± 1...

The impact of height during childhood on the national prevalence rates of overweight.

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Paula van Dommelen

Full Text Available BACKGROUND: It is known that height and body mass index (BMI are correlated in childhood. However, its impact on the (trend of national prevalence rates of overweight and obesity has never been investigated. The aim of our study is to investigate the relation between height and national prevalence rates of overweight and obesity in childhood between 1980, 1997, and 2009, and to calculate which fixed value of p (2.0,2.1, …,3.0 in kg/m(p during childhood is most accurate in predicting adult overweight. METHODS AND FINDINGS: Cross-sectional growth data of children from three Dutch nationwide surveys in 1980, 1997, and 2009, and longitudinal data from the Terneuzen Birth Cohort and the Harpenden Growth Study were used. Relative risks (RR and 95% confidence intervals (CI were calculated. Our study showed that tall (>1 standard deviation (SD girls aged 5.0-13.9 y were more often overweight (RR = 3.5,95%CI:2.8-4.4 and obese (RR = 3.9,95%CI:2.1-7.4 than short girls (<-1 SD. Similar results were found in boys aged 5.0-14.9 y (RR = 4.4,95%CI:3.4-5.7 and RR = 5.3,95%CI:2.6-11.0. No large differences were found in the other age groups and in comparison with children with an average stature. Tall boys aged 2.0-4.9 y had a significantly higher positive trend in overweight between 1980 and 1997 compared to short boys (RR = 4.0,95%CI:1.38-11.9. For other age groups and in girls, no significant trends were found. The optimal Area Under the Curve (AUC to predict adult overweight was found for p = 2.0. CONCLUSIONS AND SIGNIFICANCE: Tall girls aged 5.0-13.9y and tall boys aged 5.0-14.9y have much higher prevalence rates of overweight and obesity than their shorter peers. We suggest taking into account the impact of height when evaluating trends and variations of BMI distributions in childhood, and to use BMI to predict adult overweight.

Prevalence and occurrence rate of Mycobacterium tuberculosis Haarlem family multi-drug resistant in the worldwide population: A systematic review and meta-analysis

Science.gov (United States)

Ramazanzadeh, Rashid; Roshani, Daem; Shakib, Pegah; Rouhi, Samaneh

2015-01-01

Background: Transmission of Mycobacterium tuberculosis (M. tuberculosis) can occur in different ways. Furthermore, drug resistant in M. tuberculosis family is a major problem that creates obstacles in treatment and control of tuberculosis (TB) in the world. One of the most prevalent families of M. tuberculosis is Haarlem, and it is associated with drug resistant. Our objectives of this study were to determine the prevalence and occurrence rate of M. tuberculosis Haarlem family multi-drug resistant (MDR) in the worldwide using meta-analysis based on a systematic review that performed on published articles. Materials and Methods: Data sources of this study were 78 original articles (2002-2012) that were published in the literatures in several databases including PubMed, Science Direct, Google Scholar, Biological abstracts, ISI web of knowledge and IranMedex. The articles were systematically reviewed for prevalence and rate of MDR. Data were analyzed using meta-analysis and random effects models with the software package Meta R, Version 2.13 (P < 0.10). Results: Final analysis included 28601 persons in 78 articles. The highest and lowest occurrence rate of Haarlem family in M. tuberculosis was in Hungary in 2006 (66.20%) with negative MDR-TB and in China in 2010 (0.8%), respectively. From 2002 to 2012, the lowest rate of prevalence was in 2010, and the highest prevalence rate was in 2012. Also 1.076% were positive for MDR and 9.22% were negative (confidence interval: 95%).0020. Conclusion: Many articles and studies are performed in this field globally, and we only chose some of them. Further studies are needed to be done in this field. Our study showed that M. tuberculosis Haarlem family is prevalent in European countries. According to the presence of MDR that was seen in our results, effective control programs are needed to control the spread of drug-resistant strains, especially Haarlem family. PMID:25767526

Contemporary sea level rise.

Science.gov (United States)

Cazenave, Anny; Llovel, William

2010-01-01

Measuring sea level change and understanding its causes has considerably improved in the recent years, essentially because new in situ and remote sensing observations have become available. Here we report on most recent results on contemporary sea level rise. We first present sea level observations from tide gauges over the twentieth century and from satellite altimetry since the early 1990s. We next discuss the most recent progress made in quantifying the processes causing sea level change on timescales ranging from years to decades, i.e., thermal expansion of the oceans, land ice mass loss, and land water-storage change. We show that for the 1993-2007 time span, the sum of climate-related contributions (2.85 +/- 0.35 mm year(-1)) is only slightly less than altimetry-based sea level rise (3.3 +/- 0.4 mm year(-1)): approximately 30% of the observed rate of rise is due to ocean thermal expansion and approximately 55% results from land ice melt. Recent acceleration in glacier melting and ice mass loss from the ice sheets increases the latter contribution up to 80% for the past five years. We also review the main causes of regional variability in sea level trends: The dominant contribution results from nonuniform changes in ocean thermal expansion.

The coupling of bay hydrodynamics with sediment supply and micro-tidal wetland stability under high rates of relative sea level rise

Science.gov (United States)

Wang, J.; Xu, K.; Restreppo, G. A.; Bentley, S. J.; Meng, X.; Zhang, X.

2017-12-01

Due to global sea level rise, local subsidence and sediment deficit, the Mississippi River (MR) deltaic plain has lost a total of 25% of coastal Louisiana's wetlands during the last century, leading to huge losses of ecological services, economic and social crises. Ecosystem-based restoration strategies which rely on coastal system processes and feedbacks are urgently needed. Understanding linkages between estuarine and coastal systems and the adjacent marshlands will help the designing strategies. To investigate bay hydrodynamics and its impacts on the adjacent micro-tidal wetland stability, hourly measurements of wave, tidal current, and benthic sediment concentration in summer, winter, and spring of 2015-2016 were conducted in Fourleague Bay, Louisiana, USA. The bay-marsh system has been stable for almost 80 years under high relative sea level rising rate, which is 11 km southeast of the Atchafalaya River mouth, with a water depth of 1-3 m. High-temporal resolution data indicate that benthic sediment resuspension is mainly caused by wind-driven waves with a dominant periodicity of 4.8 d. The sediment flux reaches 28 g·m-1·s-1 per unit depth in cm during the events. Net sediment transport is northwestward in summer, and southeastward in winter and spring. Sediment flux available for surrounding marsh varies from 0-500 g·m-1·s-1. An optimal inundation depth of 50 cm is estimated by the equilibrium wetland elevation change model under high relative sea level rising rate of 1.57 cm·yr-1. Seasonal variations of river discharge and wind direction (particularly speeds >3 m·s-1) greatly impact potential sediment contribution from bay to the surrounding wetlands. Three sediment transport regimes are concluded based on the seasonal variations of river discharge and wind direction: the `bypassing' season, the resuspension-accumulation season, and the combined `bypassing' and resuspension-accumulation season. The bay hydrodynamic processes and their impacts on the

The rising home birth trend in America

OpenAIRE

Nurlan Aliyev; Chastidy Roldan; Bulent Cakmak

2015-01-01

In recent years home birth rates are increased in the whole world, mainly in the United States (US). Between 2004-2012, non-hospital births increasing rate is 89% in the US. Home birth increased especially among the married, non-Hispanic, over 35 years of age, multipar and singleton pregnancies. However the high rate of cesarean birth did not increase in recent years in the US, now it has been stable at 32%. It is reported that the stability of the cesarean rate is related to rising rate of h...

HiRISE: The People's Camera

Science.gov (United States)

McEwen, A. S.; Eliason, E.; Gulick, V. C.; Spinoza, Y.; Beyer, R. A.; HiRISE Team

2010-12-01

The High Resolution Imaging Science Experiment (HiRISE) camera, orbiting Mars since 2006 on the Mars Reconnaissance Orbiter (MRO), has returned more than 17,000 large images with scales as small as 25 cm/pixel. From it’s beginning, the HiRISE team has followed “The People’s Camera” concept, with rapid release of useful images, explanations, and tools, and facilitating public image suggestions. The camera includes 14 CCDs, each read out into 2 data channels, so compressed images are returned from MRO as 28 long (up to 120,000 line) images that are 1024 pixels wide (or binned 2x2 to 512 pixels, etc.). This raw data is very difficult to use, especially for the public. At the HiRISE operations center the raw data are calibrated and processed into a series of B&W and color products, including browse images and JPEG2000-compressed images and tools to make it easy for everyone to explore these enormous images (see http://hirise.lpl.arizona.edu/). Automated pipelines do all of this processing, so we can keep up with the high data rate; images go directly to the format of the Planetary Data System (PDS). After students visually check each image product for errors, they are fully released just 1 month after receipt; captioned images (written by science team members) may be released sooner. These processed HiRISE images have been incorporated into tools such as Google Mars and World Wide Telescope for even greater accessibility. 51 Digital Terrain Models derived from HiRISE stereo pairs have been released, resulting in some spectacular flyover movies produced by members of the public and viewed up to 50,000 times according to YouTube. Public targeting began in 2007 via NASA Quest (http://marsoweb.nas.nasa.gov/HiRISE/quest/) and more than 200 images have been acquired, mostly by students and educators. At the beginning of 2010 we released HiWish (http://www.uahirise.org/hiwish/), opening HiRISE targeting to anyone in the world with Internet access, and already more

Prevalence and change of central obesity among US Asian adults: NHANES 2011-2014.

Science.gov (United States)

Liu, Xuefeng; Chen, Yang; Boucher, Nicole L; Rothberg, Amy E

2017-08-25

Central obesity is a major risk factor for cardiometabolic diseases. The prevalence of central obesity has not been reported fully among Asian adults in the United States (US). Cross-sectional data of 1288 Asian adults aged 20 years or over was selected from the US National Health and Nutrition Examination Survey with a stratified multi-stage sampling design. The prevalence of central obesity was calculated with 95% confidence intervals (CIs) and Chi-square tests were conducted to test the significance of the prevalence differences across characteristic groups. The overall prevalence of central obesity among US Asian adults was 58.1% in 2011-2014. The prevalence of central obesity was higher in older adults (73.5%) than in young adults (45.4%) (p young adults (39.2% vs 51.5%), men (45.4% vs 56.6%), adults with college education or above (54.2% vs 61.7%) and non-poor adults (55.4% vs 62.4%). Compared with men, women had higher prevalence in each subgroup of age, education, poverty, and length of time (except for the subgroup of "born in the US") (all p obesity is prevalent in Asian adults, particularly in older adults and women. More efforts are needed to prevent and treat obesity in Asian adults as Asians are incurring the greatest increase in type 2 diabetes in parallel with the rising rate of central adiposity.

Association between the Delta Estimated Glomerular Filtration Rate and the Prevalence of Monoclonal Gammopathy of Undetermined Significance in Korean Males

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Tae-Dong Jeong

2014-01-01

Full Text Available Background. We investigated the association between the reduction in the estimated glomerular filtration rate (eGFR and the prevalence of monoclonal gammopathy of undetermined significance (MGUS in Korean males. Methods. We enrolled 723 healthy Korean males. Serum creatinine concentration, serum electrophoresis, serum immunofixation, and the serum free light chain assay were performed. We calculated delta eGFR per year (ΔeGFR/yr. The prevalence of MGUS was compared based on the ΔeGFR/yr and age group. Results. Thirteen (1.8% of 723 participants exhibited the monoclonal band on serum immunofixation. Prevalence of MGUS by age group was 0.00% (0/172 for 40 years, 1.63% (6/367 for 60 years, and 3.80% (7/184 for >60 years. The median decrease in ΔeGFR/yr was 5.3%. The prevalence of MGUS in participants in their 50s with >5.3% decline in ΔeGFR/yr was significantly higher than those with 5.3% decrease in ΔeGFR/yr was similar to that of healthy males in their 60s. Conclusion. Using the rate of reduction in ΔeGFR/yr in healthy Korean males who had their serum creatinine level checked regularly may increase the MGUS detection rate in clinical practice.

Subnanosecond-rise-time, low-impedance pulse generator

International Nuclear Information System (INIS)

Druce, R.; Vogtlin, G.

1983-01-01

This paper describes a fast rise, low-impedance pulse generator that has been developed at the Lawrence Livermore National Laboratory. The design specifications of this generator are: 50-kV operating voltage, 1-ohm output impedance, subnanosecond rise time, and a 2 to 10 nanosecond pulse length. High repetition rate is not required. The design chosen is a parallel-plate, folded Blumlein generator. A tack switch is utilized for its simple construction and high performance. The primary diagnostic is a capacitive voltage divider with a B probe used to measure the current waveform

Subnanosecond-rise-time, low-impedance pulse generator

Energy Technology Data Exchange (ETDEWEB)

Druce, R.; Vogtlin, G.

1983-06-03

This paper describes a fast rise, low-impedance pulse generator that has been developed at the Lawrence Livermore National Laboratory. The design specifications of this generator are: 50-kV operating voltage, 1-ohm output impedance, subnanosecond rise time, and a 2 to 10 nanosecond pulse length. High repetition rate is not required. The design chosen is a parallel-plate, folded Blumlein generator. A tack switch is utilized for its simple construction and high performance. The primary diagnostic is a capacitive voltage divider with a B probe used to measure the current waveform.

Subnanosecond-rise-time, low-impedance pulse generator

Science.gov (United States)

Druce, R.; Vigtlin, G.

1983-06-01

A fast rise, low impedance pulse generator developed at the Lawrence Livermore National Laboratory is described. The design specifications of this generator are: 50-kV operating voltage, 1-ohm output impedance, subnanosecond rise time, and a 2 to 10 nanosecond pulse length. High repetition rate is not required. The design chosen is a parallel plate, folded Blumlein generator. A tack switch is utilized for its simple construction and high performance. The primary diagnostic is a capacitive voltage divider with a B probe used to measure the current waveform.

Prevalence rates and socioeconomic characteristics of post-partum depression in Hungary.

Science.gov (United States)

Nagy, Emese; Molnar, Peter; Pal, Attila; Orvos, Hajnalka

2011-01-30

The rapid socioeconomic transition in post-communist Hungary adversely affected the overall morbidity and mortality rates in the 1990s. Prevalence data on depressive disorders from the region are still scarce, however. This study reports the findings of the first epidemiological survey, using the Edinburgh Postnatal Depression Scale (EPDS) and the Beck Depression Inventory (BDI), on the prevalence of post-partum depression and the associated risk factors in Hungary. A total of 1030 mothers who delivered their babies between May and July 1999 in 16 counties in Hungary were screened for depressive symptoms 3-26 weeks post-partum. The survey found that 10.81% of the sample was above the cut-off score of 13, and the EPDS detected post-partum depressive symptoms with 76% (95% confidence interval (CI)=60.5-87.1) sensitivity and 92% (95% CI=90.5-94.1) specificity. In addition, 24 socio-demographic, socio-psychiatric data and personal and obstetric variables were surveyed. Results of a hierarchical logistic regression analysis showed that depression of the mother during pregnancy was the strongest predictor of depressive symptoms post-partum. Depression before pregnancy, housing conditions, marital relationship status and family history of alcohol problems were also identified as predictors for post-partum depressive symptoms. Copyright © 2010 Elsevier Ltd. All rights reserved.

[Correlative factors on prevalence rate of dislipidemia among 1 337 coal miners in Shanxi province].

Science.gov (United States)

Fu, Z D; Wen, D D; Wang, B; Xue, S L; Liu, G S; Li, X H; Zhao, Z H; Wang, J; Wei, B G; Wang, S P

2017-02-10

Objective: To understand the prevalence rate and correlative factors of dislipidemia among Shanxi coal miners and to provide evidence for the development of programs on dislipidemia prevention. Methods: We investigated 1 337 mine workers from a Coal Group in April 2016 and collected data related to their blood biochemistry. We then classified the types in accordance with the diagnostic criteria of " Guidelines for prevention and treatment of dyslipidemia in Chinese adults (2007)" , using χ (2) test and unconditional logistic regression model for analysis. Results: The overall prevalence rate of Dislipidemia was 59.1% (790/1 337), with males as 60.4% (708/1 173) and females as 50.0%(82/164) while males appeared higher ( χ (2)=6.386, P dislipidemia ( χ (2)=7.117, P dislipidemia ( P dislipidemia. Conclusion: Among the coal mine workers, those who were males, aged from 20 to 34, having high blood pressure (systolic blood pressure abnormalities) or with high BMI (≥24.0 kg/m(2)) need to be taken special attention on care and prevention of dislipidemia.

Associations between presence of relevant information in referrals to radiology and prevalence rates in patients with suspected pulmonary embolism.

Science.gov (United States)

Hedner, Charlotta; Sundgren, Pia C; Kelly, Aine Marie

2013-09-01

The purpose of this study was to assess if the presence of information including the pretest probability (Wells score), other known risk factors, and symptoms given on referrals for computed tomography (CT) pulmonary angiography correlated with prevalence rates for pulmonary embolism (PE). Also, to evaluate for differences between a university and a regional hospital setting regarding patient characteristics, amount of relevant information provided on referrals, and prevalence rates for pulmonary embolism. Retrospective review of all consecutive referrals (emergency room, inpatient, and outpatient) for CT performed on children and adults for suspected PE from two sites: a tertiary (university) hospital (site 1) and a secondary (regional) hospital (site 2) over a 5-year period. The overall prevalence rate was 510/3641 or 14% of all referrals. Significantly higher number of males had a positive CT compared to women (18% versus 12%, P relevant information on the referral and the probability for positive finding existed, a slight trend was noted (P = .09). In two categories, "hypoxia" and "signs of deep vein thrombosis," the presence of this information conferred a higher probability for pulmonary embolism, P information conferred a higher probability for pulmonary embolism. The amount of relevant clinical information on the request did not correlate with prevalence rates, which may reflect a lack of documentation on the part of emergency physicians who may use a "gestalt" approach. Request forms likely did not capture all relevant patient risks and many factors may interact with each other, both positively and negatively. Pretest probability estimations were rarely performed, despite their inclusion in major society guidelines. Copyright © 2013 AUR. Published by Elsevier Inc. All rights reserved.

Associations of Undergoing a Routine Medical Examination or Not with Prevalence Rates of Hypertension and Diabetes Mellitus: A Cross-Sectional Study.

Science.gov (United States)

Zhang, Lin; Zhang, Wei; Zhang, Lingling; Tian, Danping; Li, Li; Deng, Xin; Deng, Jing; Ning, Peishan; Hu, Guoqing

2016-06-23

Undergoing a routine medical examination may be associated with the prevalence rate of chronic diseases from a population-based household interview survey. However, this important issue has not been examined so far. Data came from the first health service household interview of Hunan province, China, in 2013. A Rao-Scott chi-square test was performed to examine the difference in prevalence rates between subgroups. Adjusted odds ratio (OR) was calculated using the PROC SURVEYLOGISTIC procedure of SAS9.1 statistical software. In total, 24,282 residents of 8400 households were surveyed. A higher proportion of elderly adults had undergone a medical examination within the prior 12 months compared with young adults (≥65 years, 60%; 45-64 years, 46%; 18-44 years, 37%). After controlling for location, sex, and household income per capita, undergoing a medical examination was significantly associated with high prevalence rates of hypertension (adjusted OR: 2.0, 95% CI: 1.1-3.5) and of diabetes mellitus (adjusted OR: 3.3, 95% CI: 1.7-6.5) for young adults aged 18-44 years. The associations were not statistically significant for age groups 45-64 years and 65 years or older. The prevalence rates of hypertension and diabetes mellitus may be seriously underestimated for young adults not undergoing a routine medical examination in a health household interview survey.

Rare chromosome abnormalities, prevalence and prenatal diagnosis rates from population-based congenital anomaly registers in Europe

NARCIS (Netherlands)

Wellesley, Diana; Dolk, Helen; Boyd, Patricia A.; Greenlees, Ruth; Haeusler, Martin; Nelen, Vera; Garne, Ester; Khoshnood, Babak; Doray, Berenice; Rissmann, Anke; Mullaney, Carmel; Calzolari, Elisa; Bakker, Marian; Salvador, Joaquin; Addor, Marie-Claude; Draper, Elizabeth; Rankin, Judith; Tucker, David

The aim of this study is to quantify the prevalence and types of rare chromosome abnormalities (RCAs) in Europe for 2000-2006 inclusive, and to describe prenatal diagnosis rates and pregnancy outcome. Data held by the European Surveillance of Congenital Anomalies database were analysed on all the

Prevalence rate of supernumerary teeth among non-syndromic South Indian population: An analysis

Directory of Open Access Journals (Sweden)

M Nazargi Mahabob

2012-01-01

Full Text Available Aim: Supernumerary teeth are considered as one of the most significant dental anomalies during the primary and early mixed dentition stage. The main objective of the study was to determine the prevalence rate of supernumerary teeth in the patients who reported to the Department of Oral Medicine and Radiology and to study the associated clinical complications. Materials and Methods: A longitudinal observational study was conducted of 2216 patients for a period of 4 months with the documentation of demographic data, the presence of supernumerary teeth, their location, and associated complications such as mechanical trauma, dental caries, and associated pathology. Results: The study recorded 27 supernumerary teeth from the examined 2216 patients. This yields a prevalence of 1.2%, with greater frequency in males which was 1.49% and in females the frequency was 0.85%. The greatest proportion of supernumerary teeth was found in the maxillary anterior region (77.8%. Out of this, 85.7% were classified as mesiodens based on their location. The displacement of adjacent teeth was the most common finding, followed by dental caries. Conclusion: The prevalence of supernumerary teeth in this study was 1.2% which is in agreement with that reported in similar studies and the maxillary mesiodens was the most common location. Displacement of adjacent teeth was the most common finding.

Morphological changes within Florida Bay as a result of sea level rise

Science.gov (United States)

Holmes, C. W.

2011-12-01

Data from Florida Bay indicates that from 10,000 year BP to 6000 BP, the rate of sea level rise averaged about 10 mm/yr. The rate slowed at the end of this period flooding the shallow shelves surrounding the reef platforms of the western Atlantic. The relative flat South Florida shelf, because of its slight tilt to the southwest is an ideal local to assess the effects of this flooding. From 6000 BP to the present, numerous banks were formed within Florida Bay. A morphological model of bank formation based on the sea level oscillations was constructed from analysis of over 120 cores. These cores record sedimentological changes which are correlated to climatic events. In the central bay, the sediment accumulation was controlled by variations in rate of progressive sea-level rise. The Key West sea-level record shows that sea level has been rising incrementally over the last century. Between 1931 and 1950, sea level rose at a rate of 5 mm/yr. After 1950, it remained stable until 1971, when it again began to rise, but at a rate of 3 mm/yr. On the leeward side of mud banks, these variations resulted in shifts in sediment- accumulation rates, with accretion increasing during rising sea level and decreasing during stable periods. Between late 1970 and early 1972, a sharp jump in sea-level rise occurred that was approximately 10 cm higher than the preceding period. This jump coincided with a strongly positive North Atlantic Oscillation (NAO), a la Niña (negative ENSO), and a negative Pacific Decadal Oscillation (PDO). Water driven northward into Florida Bay eroded banks along the northern coastline, increased sediment accumulation in the northern lakes, and increased accretion rates on the banks. In addition to the sedimentological variations in the central portion of the bay, there was significant changes along the northern fringe. Around 1950, the northern fringe of the bay morphed from a fresh water environment to a marine environment. As a result, carbonate production

The prevalence of colorectal adenomas in asymptomatic Korean men and women.

Science.gov (United States)

Yang, Moon Hee; Rampal, Sanjay; Sung, Jidong; Choi, Yoon-Ho; Son, Hee Jung; Lee, Jun Haeng; Kim, Young-Ho; Chang, Dong Kyung; Rhee, Poong-Lyul; Rhee, Jong Chul; Guallar, Eliseo; Cho, Juhee

2014-03-01

Colorectal cancer incidence is rapidly rising in many Asian countries, with rates approaching those of Western countries. This study aimed to evaluate the prevalence and trends of colorectal adenomas by age, sex, and risk strata in asymptomatic Koreans. Cross-sectional study of 19,372 consecutive participants aged 20 to 79 years undergoing screening colonoscopy at the Center for Health Promotion of the Samsung Medical Center in Korea from January 2006 to June 2009. Among participants at average risk, those without a history of colorectal polyps or a family history of colorectal cancer, the prevalence of colorectal adenomas and advanced adenomas were 34.5% and 3.1%, respectively, in men and 20.0% and 1.6%, respectively, in women. The prevalence of adenomas increased with age in both men and women, with a more marked increase for advanced adenoma. Participants with a family history of colorectal cancer or with a history of colorectal polyps had significantly higher prevalence of adenomas compared with participants of average risk (36.9% vs. 26.9%; age- and sex-adjusted prevalence ratio = 1.16; 95% confidence interval, 1.09-1.22). The prevalence of adenomas increased annually in both men and women. In this large study of asymptomatic Korean men and women participating in a colonoscopy screening program, the prevalence of colorectal adenomas was comparable and possibly higher than previously reported in Western countries. Cost-effectiveness studies investigating the optimal age for starting colonoscopy screening and etiological studies to identify the reasons for the increasing trend in colorectal adenomas in Koreans are needed. ©2014 AACR.

Sharply rising prevalence of HIV infection in Bali: a critical assessment of the surveillance data.

Science.gov (United States)

Januraga, P P; Wulandari, L P L; Muliawan, P; Sawitri, S; Causer, L; Wirawan, D N; Kaldor, J M

2013-08-01

This study critically examines serological survey data for HIV infection in selected populations in Bali, Indonesia. Sero-survey data reported by the Bali Health Office between 2000 and 2010 were collated, and provincial health staff were interviewed to gain a detailed understanding of survey methods. Analysis of time series restricted to districts that have used the same sampling methods and sites each year indicates that there has been a steady decline in HIV prevalence among prisoners, from 18.7% in 2000 to 4.3% in 2010. In contrast, HIV prevalence among women engaged in sex work increased sharply: from 0.62% in 2000 to 20.2% in 2010 (brothel based), and from 0% in 2000 to 7.2% in 2010 (non-brothel based). The highest prevalence was recorded among people who injected drugs. Recent surveys of gay men and transvestites also found high prevalences, at 18.7% and 40.9%, respectively. Review of the methodology used in the surveys identified inconsistencies in the sampling technique, sample numbers and sites over time, and incomplete recording of individual information about survey participants. Attention to methodological aspects and incorporation of additional information on behavioural factors will ensure that the surveillance system is in the best position to support prevention activities.

Transfusion rate and prevalence of unexpected red blood cell alloantibodies in women undergoing hysterectomy for benign disease

DEFF Research Database (Denmark)

Thoestesen, Lisbeth M; Rasmussen, Kjeld L; Lauszus, Finn F

2011-01-01

To determine transfusion rates, risk factors for transfusion and the prevalence of unexpected red blood cell alloantibodies in women undergoing hysterectomy for benign disease. In addition, we aimed to evaluate the necessity of the pretransfusion testing for red blood cell alloantibodies....

Present-day sea level rise: a synthesis

International Nuclear Information System (INIS)

Cazenave, A.; Llovel, W.; Lombard, A.

2008-01-01

Measuring sea level change and understanding its causes have improved considerably in the recent years, essentially because new in situ and remote sensing data sets have become available. Here we report on the current knowledge of present-day sea level change. We briefly present observational results on sea level change from satellite altimetry since 1993 and tide gauges for the past century. We next discuss recent progress made in quantifying the processes causing sea level change on time scales ranging from years to decades, i.e., thermal expansion, land ice mass loss and land water storage change. For the 1993-2003 decade, the sum of climate-related contributions agree well (within the error bars) with the altimetry-based sea level, half of the observed rate of rise being due to ocean thermal expansion, land ice plus land waters explaining the other half. Since about 2003, thermal expansion increase has stopped, whereas the sea level continues to rise, although at a reduced rate compared to the previous decade (2.5 mm/yr versus 3.1 mm/yr). Recent increases in glacier melting and ice mass loss from the ice sheets appear able to account alone for the rise in sea level reported over the last five years. (authors)

Prevalence and occurrence rate of Mycobacterium tuberculosis Haarlem family multi-drug resistant in the worldwide population: A systematic review and meta-analysis

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Rashid Ramazanzadeh

2015-01-01

Full Text Available Background: Transmission of Mycobacterium tuberculosis (M. tuberculosis can occur in different ways. Furthermore, drug resistant in M. tuberculosis family is a major problem that creates obstacles in treatment and control of tuberculosis (TB in the world. One of the most prevalent families of M. tuberculosis is Haarlem, and it is associated with drug resistant. Our objectives of this study were to determine the prevalence and occurrence rate of M. tuberculosis Haarlem family multi-drug resistant (MDR in the worldwide using meta-analysis based on a systematic review that performed on published articles. Materials and Methods: Data sources of this study were 78 original articles (2002-2012 that were published in the literatures in several databases including PubMed, Science Direct, Google Scholar, Biological abstracts, ISI web of knowledge and IranMedex. The articles were systematically reviewed for prevalence and rate of MDR. Data were analyzed using meta-analysis and random effects models with the software package Meta R, Version 2.13 (P < 0.10. Results: Final analysis included 28601 persons in 78 articles. The highest and lowest occurrence rate of Haarlem family in M. tuberculosis was in Hungary in 2006 (66.20% with negative MDR-TB and in China in 2010 (0.8%, respectively. From 2002 to 2012, the lowest rate of prevalence was in 2010, and the highest prevalence rate was in 2012. Also 1.076% were positive for MDR and 9.22% were negative (confidence interval: 95%.0020. Conclusion: Many articles and studies are performed in this field globally, and we only chose some of them. Further studies are needed to be done in this field. Our study showed that M. tuberculosis Haarlem family is prevalent in European countries. According to the presence of MDR that was seen in our results, effective control programs are needed to control the spread of drug-resistant strains, especially Haarlem family.

Timescales for detecting a significant acceleration in sea level rise.

Science.gov (United States)

Haigh, Ivan D; Wahl, Thomas; Rohling, Eelco J; Price, René M; Pattiaratchi, Charitha B; Calafat, Francisco M; Dangendorf, Sönke

2014-04-14

There is observational evidence that global sea level is rising and there is concern that the rate of rise will increase, significantly threatening coastal communities. However, considerable debate remains as to whether the rate of sea level rise is currently increasing and, if so, by how much. Here we provide new insights into sea level accelerations by applying the main methods that have been used previously to search for accelerations in historical data, to identify the timings (with uncertainties) at which accelerations might first be recognized in a statistically significant manner (if not apparent already) in sea level records that we have artificially extended to 2100. We find that the most important approach to earliest possible detection of a significant sea level acceleration lies in improved understanding (and subsequent removal) of interannual to multidecadal variability in sea level records.

Prevalence of dementia among elderly Brazilians: a systematic review

Directory of Open Access Journals (Sweden)

Susana Dytz Fagundes

2011-01-01

Full Text Available CONTEXT AND OBJECTIVE: The rapid growth of the elderly population in Brazil has implied a significant rise in the number of individuals with dementia. The real prevalence of this disease needs to be ascertained in order to establish appropriate measures for improving the quality of life of those affected. The aim of this study was to estimate the prevalence of dementia among elderly Brazilians (> 60 years through a systematic review of high-quality, population-based, double-blind studies published between 1990 and 2010. DESIGN AND SETTING: Systematic review of prevalence studies. The manuscript was produced in the School of Medicine, Universidade de Brasília. METHODS: Database searches for articles were conducted in Medline (Medical Literature Analysis and Retrieval System Online, Embase (Excerpta Medica database, Lilacs (Literatura Latino-Americana e do Caribe em Ciências da Saúde, SciELO (Scientific Electronic Library Online and theses and dissertations, using specific keywords. Quality was assessed according to eight criteria for sampling and measurement of findings. RESULTS: Out of 112 articles identified, eleven were included in the qualitative synthesis. In five higher-quality studies from São Paulo, the prevalence rates ranged from 5.1 to 19.0%. No meta-analysis was presented because of heterogeneity among the studies. Poor, illiterate, female and very elderly individuals were the groups most affected. CONCLUSION: The findings from this review did not reflect the reality of the whole country. Although the results brought some information on the prevalence and distribution of dementia in Brazil, cross-sectional studies with consistent methodology are needed

Temporal variation of accumulation rates on a natural salt marsh in the 20th century determined by 137Cs chronologies – the impact of sea level rise and increased inundation frequency

DEFF Research Database (Denmark)

Andersen, Thorbjørn Joest; Svinth, Steffen; Pejrup, Morten

2011-01-01

Salt marshes are potentially threatened by sea level rise if sediment supply is unable to balance the rising sea. A rapid sea level rise is one of the pronounced effects of global warming and global sea level is at present rising at an elevated rate of about 3.4 mm y-1 on average. This increasing...... in sediment deposition is significant and gives reason for concern as it may be the first sign of a sedimentation deficiency which could be threatening this and other salt marshes in the case of a rapidly rising sea level. Our work demonstrates that the assumption of a constant relationship between salt marsh...... with salt marsh accretion is most probably not valid in the present case study and it may well be that this is also the case for many other salt marshes, especially if sea level continues to rise rapidly as indicated by some climate change scenarios....

Changes in hypertension prevalence, awareness, treatment, and control rates in Turkey from 2003 to 2012

Science.gov (United States)

Sengul, Sule; Akpolat, Tekin; Erdem, Yunus; Derici, Ulver; Arici, Mustafa; Sindel, Sukru; Karatan, Oktay; Turgan, Cetin; Hasanoglu, Enver; Caglar, Sali; Erturk, Sehsuvar

2016-01-01

Objectives: The study aimed to assess the current epidemiology of hypertension, including its prevalence, the awareness of the condition and its treatment and control, in Turkey to evaluate changes in these factors over the last 10 years by comparing the results with the prevalence, awareness, treatment, and control of hypertension in Turkey (PatenT) study data (2003), as well as to assess parameters affecting awareness and the control of hypertension. Methods: The PatenT 2 study was conducted on a representative sample of the Turkish adult population (n = 5437) in 2012. Specifically trained staff performed the data collection. Hypertension was defined as mean SBP or DBP at least 140/90 mmHg, previously diagnosed disease or the use of antihypertensive medication. Awareness and treatment were assessed by self-reporting, and control was defined as SBP/DBP less than 140/90 mmHg. Results: Although the prevalence of hypertension in the PatenT and PatenT 2 surveys was stable at approximately 30%, hypertension awareness, treatment, and control rates have improved in Turkey. Overall, 54.7% of hypertensive patients were aware of their diagnosis in 2012 compared with 40.7% in 2003. The hypertension treatment rate increased from 31.1% in 2003 to 47.4% in 2012, and the control rate in hypertensives increased from 8.1% in 2003 to 28.7% in 2012. The rate of hypertension control in treated patients improved between 2003 (20.7%) and 2012 (53.9%). Awareness of hypertension was positively associated with older age, being a woman, residing in an urban area, a history of parental hypertension, being a nonsmoker, admittance by a physician, presence of diabetes mellitus, and being obese or overweight; it was inversely associated with a higher amount of daily bread consumption. Factors associated with better control of hypertension were younger age, female sex, residing in an urban area, and higher education level in Turkey. Conclusion: Although some progress has been made in

Prevalence of pervasive developmental disorders in preschool children in the UAE.

Science.gov (United States)

Eapen, Valsamma; Mabrouk, Abdul Azim; Zoubeidi, Taoufik; Yunis, Feisal

2007-06-01

Available evidence from the literature suggests that the prevalence of autistic disorder may be on the rise world wide, but no prevalence studies have been carried out till date in the Arabian Gulf region. A representative random sample of 694 three-year-old United Arab Emirates national children was evaluated in a two-stage study in the community. In the first stage, using Autism Screening Questionnaire, 58 per 10,000 children were noted to have autistic features. In the second stage using clinical interview, the weighted prevalence was estimated to be 29 per 10,000 for a DSM-IV diagnosis of pervasive developmental disorder (PDD). However, none of these children had been diagnosed prior to the study. Presence of autistic features was associated with male gender, presence of behavioural problems and a family history of developmental delay. The rate of PDD observed in the UAE is comparable with that reported from western countries. However, the lack of recognition of these disorders suggests the need for a comprehensive screening program, as early diagnosis can open the door for early intervention which in turn may improve the prognosis.

Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) normative elevation rates: comparisons with epidemiological prevalence rates.

Science.gov (United States)

Tarescavage, Anthony M; Marek, Ryan J; Finn, Jacob A; Hicks, Adam; Rapier, Jessica L; Ben-Porath, Yossef S

2013-01-01

Odland, Berthelson, Sharma, Martin, and Mittenberg ( 2013 ) caution that clinically elevated scale scores produced by members of the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF; Ben-Porath & Tellegen, 2008 /2011) normative sample raise concerns about the potential for false positive findings of psychopathology. However, the MMPI-2-RF normative sample is intended to represent the general population of the United States, 26.2% of which met criteria for a Diagnostic and Statistical Manual-IV (APA, 1994 ) disorder in a 12-month period (Kessler, Chiu, Demler, & Walters, 2005 ). In the current study we compare scale elevation rates in the MMPI-2-RF normative sample to prevalence rates of mental disorders primarily drawn from the National Comorbidity Study Replication (Kessler et al., 2005 ). Our objective was to evaluate MMPI-2-RF elevation rates in an epidemiological context. Results indicate that MMPI-2-RF scale elevation rates were generally consistent with epidemiological data when examined in the context of standard interpretation guidelines for the inventory. We also reiterate Ben-Porath and Tellegen's (2008/2011) caution that MMPI-2-RF scale elevations alone are not sufficient to indicate the presence of psychiatric disorder. Rather they are best viewed as indications of the need to evaluate the individual for possible disorder(s). Implications of these results, limitations of this study, and future directions in research are discussed.

Contributing Indications to the Rising Cesarean Delivery Rate

Science.gov (United States)

BARBER, Emma L.; LUNDSBERG, Lisbet; BELANGER, Kathleen; PETTKER, Christian M.; FUNAI, Edmund F.; ILLUZZI, Jessica L.

2013-01-01

OBJECTIVE To examine physician-documented indications for cesarean delivery in order to investigate the specific indications contributing to this increase. METHODS We analyzed rates of primary and repeat cesarean delivery, including indications for the procedure, among 32,443 live births at a major academic hospital between 2003–2009. Time trends for each indication were modeled to estimate the absolute and cumulative annualized relative risk of cesarean by indication over time and the relative contribution of each indication to the overall increase in primary cesarean delivery rate. RESULTS The cesarean delivery rate increased from 26% to 36.5% between 2003 and 2009; 50.0% of the increase was attributable to an increase in primary cesarean delivery. Among the documented indications, nonreassuring fetal status, arrest of dilation, multiple gestation, pre-eclampsia, suspected macrosomia, and maternal request increased over time, while arrest of descent, malpresentation, maternal-fetal indications, and other obstetric indications (eg, cord prolapse, placenta previa) did not increase. The relative contributions of each indication to the total increase in primary cesarean rate were: Non-reassuring fetal status (32%), labor arrest disorders (18%), multiple gestation (16%), suspected macrosomia (10%), pre-eclampsia (10%), maternal request (8%), maternal-fetal conditions (5%), and other obstetric conditions (1%). CONCLUSION Primary cesarean births accounted for 50% of the increasing cesarean rate. Among primary cesareans, more subjective indications (nonreassuring fetal status and arrest of dilation) contributed larger proportions than more objective indications (malpresentation, maternal-fetal, and obstetric conditions). PMID:21646928

How oxygen gave rise to eukaryotic sex

NARCIS (Netherlands)

Hörandl, Elvira; Speijer, Dave

2018-01-01

9years ago. The large amount of ROS coming from a bacterial endosymbiont gave rise to DNA damage and vast increases in host genome mutation rates. Eukaryogenesis and chromosome evolution represent adaptations to oxidative stress. The host, an archaeon, most probably already had repair mechanisms

Projecting Future Sea Level Rise for Water Resources Planning in California

Science.gov (United States)

Anderson, J.; Kao, K.; Chung, F.

2008-12-01

Sea level rise is one of the major concerns for the management of California's water resources. Higher water levels and salinity intrusion into the Sacramento-San Joaquin Delta could affect water supplies, water quality, levee stability, and aquatic and terrestrial flora and fauna species and their habitat. Over the 20th century, sea levels near San Francisco Bay increased by over 0.6ft. Some tidal gauge and satellite data indicate that rates of sea level rise are accelerating. Sea levels are expected to continue to rise due to increasing air temperatures causing thermal expansion of the ocean and melting of land-based ice such as ice on Greenland and in southeastern Alaska. For water planners, two related questions are raised on the uncertainty of future sea levels. First, what is the expected sea level at a specific point in time in the future, e.g., what is the expected sea level in 2050? Second, what is the expected point of time in the future when sea levels will exceed a certain height, e.g., what is the expected range of time when the sea level rises by one foot? To address these two types of questions, two factors are considered: (1) long term sea level rise trend, and (2) local extreme sea level fluctuations. A two-step approach will be used to develop sea level rise projection guidelines for decision making that takes both of these factors into account. The first step is developing global sea level rise probability distributions for the long term trends. The second step will extend the approach to take into account the effects of local astronomical tides, changes in atmospheric pressure, wind stress, floods, and the El Niño/Southern Oscillation. In this paper, the development of the first step approach is presented. To project the long term sea level rise trend, one option is to extend the current rate of sea level rise into the future. However, since recent data indicate rates of sea level rise are accelerating, methods for estimating sea level rise

Gas-rise velocities during kicks

Energy Technology Data Exchange (ETDEWEB)

White, D.B. (Sedco Forex (FR))

1991-12-01

This paper reports on experiments to examine gas migration rates in drilling muds that were performed in a 15-m-long, 200-mm-ID inclinable flow loop where air injection simulates gas entry during a kick. These tests were conducted using a xanthum gum (a common polymer used in drilling fluids) solution to simulate drilling muds as the liquid phase and air as the gas phase. This work represents a significant extension of existing correlations for gas/liquid flows in large pipe diameters with non- Newtonian fluids. Bubbles rise faster in drilling muds than in water despite the increased viscosity. This surprising result is caused by the change in the flow regime, with large slug-type bubbles forming at lower void fractions. The gas velocity is independent of void fraction, thus simplifying flow modeling. Results show that a gas influx will rise faster in a well than previously believed. This has major implications for kick simulation, with gas arriving at the surface earlier than would be expected and the gas outflow rate being higher than would have been predicted. A model of the two-phase gas flow in drilling mud, including the results of this work, has been incorporated into the joint Schlumberger Cambridge Research (SCR)/BP Intl. kick model.

The 1988 coal outlook: steadily rising consumption

Energy Technology Data Exchange (ETDEWEB)

Soras, C.G.; Stodden, J.R.

1987-12-01

Total coal use - domestic and foreign - will reach 910 million tons in 1988, an expansion of 1.3% from an estimated 898 million tons in 1987. The overall rise in consumption will add to inventory needs. Moreover, lower interest rates cut effective carrying costs and further encourage the holding of coal stocks by users. The results will be a gain in inventories of 3.5 tons by the end of 1988. As a result of all these factors, coal production is anticipated to rise by 11.6 million tons, or 1.2%, which projects firm markets in a time of relatively soft economic conditions in the USA. 2 tabs.

By the book: ADHD prevalence in medical students varies with analogous methods of addressing DSM items

Directory of Open Access Journals (Sweden)

Paulo Mattos

2018-02-01

Full Text Available Objective: The marked increase in the prevalence of attention-deficit/hyperactivity disorder (ADHD among university students gives rise to questions about how best to diagnose in this setting. The aim of the present study was to calculate ADHD prevalence in a large non-clinical sample of medical students using a stepwise design and to determine whether ADHD diagnosis varies if interviewees use additional probing procedures to obtain examples of positive DSM items. Methods: A total of 726 students were screened with the Adult Self-Report Scale (ASRS and invited for an interview with the Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS adapted for adults. Results: The ASRS was positive for 247 students (37%, although only 83 (7.9% received an ADHD diagnosis. ASRS sensitivity and specificity rates were 0.97 and 0.40, respectively. Probing procedures were used with a subgroup of 226 students, which decreased the number of ADHD diagnoses to 12 (4.5%. Conclusion: Probing for an individual’s real-life examples during the K-SADS interview almost halved ADHD prevalence rate based on the ASRS and K-SADS, which rendered the rate consistent with that typically reported for young adults. In reclassified cases, although examples of inattention did not match the corresponding DSM item, they often referred to another DSM inattention item.

Bangladesh’s dynamic coastal regions and sea-level rise

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Hugh Brammer

2014-01-01

Full Text Available The physical geography of Bangladesh’s coastal area is more diverse and dynamic than is generally recognised. Failure to recognise this has led to serious misconceptions about the potential impacts of a rising sea-level on Bangladesh with global warming. This situation has been aggravated by accounts giving incorrect information on current rates of coastal erosion and land subsidence. This paper describes physical conditions within individual physiographic regions in Bangladesh’s coastal area based on ground-surveyed information, and it reviews possible area-specific mitigation measures to counter predicted rates of sea-level rise in the 21st century. Two important conclusions are drawn: the adoption of appropriate measures based on knowledge of the physical geography of potentially-affected areas could significantly reduce the currently-predicted displacement of many millions of people; and the impacts of a slowly-rising sea-level are currently much less than those generated by rapidly increasing population pressure on Bangladesh’s available land and water resources and by exposure to existing environmental hazards, and the latter problems need priority attention.

Administrators' Pay Rises Less than Inflation Rate.

Science.gov (United States)

Blum, Debra E.

1990-01-01

For the second time in three years, raises for administrators have fallen behind the inflation rate, says a survey conducted by the College and University Personnel Association. At public institutions increases have remained stable. At private institutions, which rely on tuition to finance their payroll, raises tended to vary more. (MLW)

Generation of fast-rise time, repetitive, (sub) nanosecond, high-voltage pulses

NARCIS (Netherlands)

Huiskamp, T.; Pemen, A.J.M.

2017-01-01

In this contribution we present our fast-rise time nanosecond pulse generator, capable of generating up to 50 kV (positive and negative) rectangular pulses at a repetition rate of up to 1 kHz and with a rise time of less than 200 picoseconds. We focus on the general concepts involved in the design

Global mean sea-level rise in a world agreed upon in Paris

Science.gov (United States)

Bittermann, Klaus; Rahmstorf, Stefan; Kopp, Robert E.; Kemp, Andrew C.

2017-12-01

Although the 2015 Paris Agreement seeks to hold global average temperature to ‘well below 2 °C above pre-industrial levels and to pursue efforts to limit the temperature increase to 1.5 °C above pre-industrial levels’, projections of global mean sea-level (GMSL) rise commonly focus on scenarios in which there is a high probability that warming exceeds 1.5 °C. Using a semi-empirical model, we project GMSL changes between now and 2150 CE under a suite of temperature scenarios that satisfy the Paris Agreement temperature targets. The projected magnitude and rate of GMSL rise varies among these low emissions scenarios. Stabilizing temperature at 1.5 °C instead of 2 °C above preindustrial reduces GMSL in 2150 CE by 17 cm (90% credible interval: 14-21 cm) and reduces peak rates of rise by 1.9 mm yr-1 (90% credible interval: 1.4-2.6 mm yr-1). Delaying the year of peak temperature has little long-term influence on GMSL, but does reduce the maximum rate of rise. Stabilizing at 2 °C in 2080 CE rather than 2030 CE reduces the peak rate by 2.7 mm yr-1 (90% credible interval: 2.0-4.0 mm yr-1).

Rising rates of hospital admissions for atrial fibrillation

DEFF Research Database (Denmark)

Friberg, Jens; Buch, Nina Pernille Gardshodn; Scharling, Henrik

2003-01-01

Atrial fibrillation is a common arrhythmia associated with excess morbidity and mortality. We studied temporal changes in hospital admission rates for atrial fibrillation using data from a prospective population-based cohort study spanning 2 decades (the Copenhagen City Heart Study).......Atrial fibrillation is a common arrhythmia associated with excess morbidity and mortality. We studied temporal changes in hospital admission rates for atrial fibrillation using data from a prospective population-based cohort study spanning 2 decades (the Copenhagen City Heart Study)....

Coral reef growth in an era of rapidly rising sea level: predictions and suggestions for long-term research

Energy Technology Data Exchange (ETDEWEB)

Buddemeier, R W; Smith, S V

1988-01-01

Coral reef growth is intimately linked to sea level. It has been postulated that over the next century, sea level will rise at a probable average rate of 15 mm/year, in response to fossil fuel emissions, heating, and melting of the Antarctic ice cap. This predicted rate of sea level rise is five times the present modal rate of vertical accretion on coral reef flats and 50% greater than the maximum vertical accretion rates apparently attained by coral reefs. We use these predictions and observations to offer the following hypothesis for reef growth over the next century. The vertical accretion rates of protected reef flats will accelerate from the present modal rate up to the maximum rate, in response to the more rapidly rising sea level. This more rapid vertical accretion rate will be insufficient to keep up with sea level rise, if present predictions prove to be correct. Less protected reef flats will slow their rate of growth as they become inundated and subjected to erosion by progressively larger waves. This projected sea level rise and postulated reef response will provide an opportunity for long- term studies of the response of coral reef systems to a predictable and measurable forcing function.

Updating Maryland's sea-level rise projections

Science.gov (United States)

Boesch, Donald F.; Atkinson, Larry P.; Boicourt, William C.; Boon, John D.; Cahoon, Donald R.; Dalrymple, Robert A.; Ezer, Tal; Horton, Benjamin P.; Johnson, Zoe P.; Kopp, Robert E.; Li, Ming; Moss, Richard H.; Parris, Adam; Sommerfield, Christopher K.

2013-01-01

With its 3,100 miles of tidal shoreline and low-lying rural and urban lands, “The Free State” is one of the most vulnerable to sea-level rise. Historically, Marylanders have long had to contend with rising water levels along its Chesapeake Bay and Atlantic Ocean and coastal bay shores. Shorelines eroded and low-relief lands and islands, some previously inhabited, were inundated. Prior to the 20th century, this was largely due to the slow sinking of the land since Earth’s crust is still adjusting to the melting of large masses of ice following the last glacial period. Over the 20th century, however, the rate of rise of the average level of tidal waters with respect to land, or relative sea-level rise, has increased, at least partially as a result of global warming. Moreover, the scientific evidence is compelling that Earth’s climate will continue to warm and its oceans will rise even more rapidly. Recognizing the scientific consensus around global climate change, the contribution of human activities to it, and the vulnerability of Maryland’s people, property, public investments, and natural resources, Governor Martin O’Malley established the Maryland Commission on Climate Change on April 20, 2007. The Commission produced a Plan of Action that included a comprehensive climate change impact assessment, a greenhouse gas reduction strategy, and strategies for reducing Maryland’s vulnerability to climate change. The Plan has led to landmark legislation to reduce the state’s greenhouse gas emissions and a variety of state policies designed to reduce energy consumption and promote adaptation to climate change.

Is the global rise of asthma an early impact of anthropogenic climate change?

Directory of Open Access Journals (Sweden)

Paul John Beggs

Full Text Available The increase in asthma incidence, prevalence, and morbidity over recent decades presents a significant challenge to public health. Pollen is an important trigger of some types of asthma, and both pollen quantity and season depend on climatic and meteorological variables. Over the same period as the global rise in asthma, there have been considerable increases in atmospheric carbon dioxide concentration and global average surface temperature. We hypothesize anthropogenic climate change as a plausible contributor to the rise in asthma. Greater concentrations of carbon dioxide and higher temperatures may increase pollen quantity and induce longer pollen seasons. Pollen allergenicity can also increase as a result of these changes in climate. Exposure in early life to a more allergenic environment may also provoke the development of other atopic conditions, such as eczema and allergic rhinitis. Although the etiology of asthma is complex, the recent global rise in asthma could be an early health effect of anthropogenic climate change.

The rise of neglected tropical diseases in the "new Texas".

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Peter J Hotez

2018-01-01

Full Text Available Within the last five years, the State of Texas has experienced either transmission or outbreaks of Ebola, chikungunya, West Nile, and Zika virus infections. Autochthonous transmission of neglected parasitic and bacterial diseases has also become increasingly reported. The rise of such emerging and neglected tropical diseases (NTDs has not occurred by accident but instead reflects rapidly evolving changes and shifts in a "new" Texas beset by modern and globalizing forces that include rapid expansions in population together with urbanization and human migrations, altered transportation patterns, climate change, steeply declining vaccination rates, and a new paradigm of poverty known as "blue marble health." Summarized here are the major NTDs now affecting Texas. In addition to the vector-borne viral diseases highlighted above, there also is a high level of parasitic infections, including Chagas disease, trichomoniasis, and possibly leishmaniasis and toxocariasis, as well as typhus-group rickettsiosis, a vector-borne bacterial infection. I also highlight some of the key shifts in emerging and neglected disease patterns, partly due to an altered and evolving economic and ecological landscape in the new Texas, and provide some preliminary disease burden estimates for the major prevalent and incident NTDs.

The rise of neglected tropical diseases in the "new Texas"

Science.gov (United States)

2018-01-01

Within the last five years, the State of Texas has experienced either transmission or outbreaks of Ebola, chikungunya, West Nile, and Zika virus infections. Autochthonous transmission of neglected parasitic and bacterial diseases has also become increasingly reported. The rise of such emerging and neglected tropical diseases (NTDs) has not occurred by accident but instead reflects rapidly evolving changes and shifts in a “new” Texas beset by modern and globalizing forces that include rapid expansions in population together with urbanization and human migrations, altered transportation patterns, climate change, steeply declining vaccination rates, and a new paradigm of poverty known as “blue marble health.” Summarized here are the major NTDs now affecting Texas. In addition to the vector-borne viral diseases highlighted above, there also is a high level of parasitic infections, including Chagas disease, trichomoniasis, and possibly leishmaniasis and toxocariasis, as well as typhus-group rickettsiosis, a vector-borne bacterial infection. I also highlight some of the key shifts in emerging and neglected disease patterns, partly due to an altered and evolving economic and ecological landscape in the new Texas, and provide some preliminary disease burden estimates for the major prevalent and incident NTDs. PMID:29346369

The Prevalence of Obesity in a Nigerian Military Population

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Ezekiel Taiwo Adebayo Obashina Ayodele Ogunbiyi Ishiaku Baba Abdulkareem Nurudeen Ayoola Hussain

2011-06-01

Full Text Available ABSTRACT Background: Worldwide, obesity is increasing in prevalence, nearing epidemic proportions in the United States of America. Also, there are reports of rising prevalence in Africa. Obesity is an important aetiological factor for many non-communicable diseases. Recent anecdotal reports indicate that the prevalence of non-communicable diseases such as hypertension, type 2 diabetes mellitus and bronchial asthma is increasing among Nigerian military personnel; however, the rate of possible aetiological factors such as obesity is not known. Obesity can be evaluated using the body mass index (BMI, waist circumference and waist to height ratio (WHR. However, for epidemiological convenience and study within populations, the BMI is satisfactory. Methodology: A cross sectional study. Data of Nigerian military personnel�s annual medical examination conducted between January and March 2010 were retrieved to compute body mass index using World Health Organisation (WHO criteria. Results: 39.6% of personnel were overweight or obese. Most of these were aged between 30 and 39 years. While there were differences in the BMI of males and females, this did not reach statistical significance. Conclusion: To manage weight problems, focused health education, increased physical activity and nutritional advice are necessary. Modalities such as waist circumference should be added to annual medical examination of military personnel to improve the predictive value of the examination. [TAF Prev Med Bull 2011; 10(3.000: 313-318

High rates of incident and prevalent anal human papillomavirus infection among young men who have sex with men.

Science.gov (United States)

Glick, Sara Nelson; Feng, Qinghua; Popov, Viorica; Koutsky, Laura A; Golden, Matthew R

2014-02-01

There are few published estimates of anal human papillomavirus (HPV) infection rates among young men who have sex with men (YMSM). We estimated incidence and prevalence of type-specific anal HPV infection using clinician-collected anal swabs for HPV DNA testing obtained during a 1-year prospective study of 94 YMSM (mean age, 21 years) in Seattle. Seventy percent of YMSM had any HPV infection detected during the study, and HPV-16 and/or -18 were detected in 37%. The incidence rate for any new HPV infection was 38.5 per 1000 person-months and 15.3 per 1000 person-months for HPV-16/18; 19% had persistent HPV-16/18 infection. No participant tested positive for all 4 HPV types in the quadrivalent vaccine. The number of lifetime male receptive anal sex partners was significantly associated with HPV infection. The prevalence of HPV-16/18 was 6% among YMSM with a history of 1 receptive anal sex partner and 31% among YMSM with ≥ 2 partners. Although the high prevalence of HPV among YMSM highlights the desirability of vaccinating all boys as a strategy to avert the morbidity of HPV infection, most YMSM appear to remain naive to either HPV-16 or -18 well into their sexual lives and would benefit from HPV immunization.

Incidence and prevalence of elite male cricket injuries using updated consensus definitions

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Orchard JW

2016-12-01

Full Text Available John W Orchard, Alex Kountouris, Kevin Sims National Cricket Centre, Cricket Australia, Brisbane, Australia Background: T20 (Twenty20 or 20 over cricket has emerged in the last decade as the most popular form of cricket (in terms of spectator attendances. International consensus cricket definitions, first published in 2005, were updated in 2016 to better reflect the rise to prominence of T20 cricket.  Methods: Injury incidence and prevalence rates were calculated using the new international methods and units for elite senior male Australian cricketers over the past decade (season 2006–2007 to season 2015–2016 inclusive.  Results: Over the past 10 seasons, average match injury incidence, for match time-loss injuries, was 155 injuries/1,000 days of play, with the highest daily rates in 50-over cricket, followed by 20-over cricket and First-Class matches. Annual injury incidence was 64 injuries/100 players per season, and average annual injury prevalence was 12.5% (although fast bowlers averaged 20.6%, much higher than other positions. The most common injury was the hamstring strain (seasonal incidence 8.7 injuries/100 players per season. The most prevalent injury was lumbar stress fractures (1.9% of players unavailable at all times owing to these injuries, which represents 15% of all missed playing time.  Discussion: The hamstring strain has emerged from being one of the many common injuries in elite cricket a decade ago to being clearly the most common injury in the sport at the elite level. This is presumably in association with increased T20 cricket. Lumbar stress fractures in fast bowlers are still the most prevalent injury in the sport of cricket at the elite level, although these injuries are more associated with high workloads arising from the longer forms of the game. Domestic and international matches have very similar match injury incidence rates across the formats, but injury prevalence is higher in international players as

Prevalent Rate of Nonalbuminuric Renal Insufficiency and Its Association with Cardiovascular Disease Event in Korean Type 2 Diabetes

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Hye Won Lee

2016-12-01

Full Text Available BackgroundNonalbuminuric renal insufficiency is a unique category of diabetic kidney diseases. The objectives of the study were to evaluate prevalent rate of nonalbuminuric renal insufficiency and to investigate its relationship with previous cardiovascular disease (CVD event in Korean patients with type 2 diabetes mellitus (T2DM.MethodsLaboratory and clinical data of 1,067 subjects with T2DM were obtained and reviewed. Study subjects were allocated into four subgroups according to the CKD classification. Major CVD events were included with coronary, cerebrovascular, and peripheral vascular events.ResultsNonalbuminuric stage ≥3 CKD group, when compared with albuminuric stage ≥3 CKD group, had shorter diabetic duration, lower concentrations of glycated hemoglobin, high density lipoprotein cholesterol, and high-sensitivity C-reactive protein, lower prevalent rates of retinopathy and previous CVD, and higher rate of treatment with angiotensin-converting enzyme inhibitors/angiotensin II receptor blockers. Nonalbuminuric stage ≥3 CKD group showed a greater association with prior CVD events than no CKD group; however, albuminuric stage ≥3 CKD group made addition to increase prevalence of prior CVD events significantly when CKD categories were applied as covariates. Association of prior CVD events, when compared with normal estimated glomerular filtration rate (eGFR and nonalbuminuria categories, became significant for declined eGFR, which was higher for eGFR of <30 mL/min/1.73 m2, and albuminuria.ConclusionThe results show that subjects with nonalbuminuric stage ≥3 CKD is significantly interrelated with occurrence of prior CVD events than those with normal eGFR with or without albuminuria. Comparing with normal eGFR and nonalbuminuria categories, the combination of increased degree of albuminuria and declined eGFR is becoming significant for the association of prior CVD events.

Adapting to Rising Sea Level: A Florida Perspective

Science.gov (United States)

Parkinson, Randall W.

2009-07-01

Global climate change and concomitant rising sea level will have a profound impact on Florida's coastal and marine systems. Sea-level rise will increase erosion of beaches, cause saltwater intrusion into water supplies, inundate coastal marshes and other important habitats, and make coastal property more vulnerable to erosion and flooding. Yet most coastal areas are currently managed under the premise that sea-level rise is not significant and the shorelines are static or can be fixed in place by engineering structures. The new reality of sea-level rise and extreme weather due to climate change requires a new style of planning and management to protect resources and reduce risk to humans. Scientists must: (1) assess existing coastal vulnerability to address short term management issues and (2) model future landscape change and develop sustainable plans to address long term planning and management issues. Furthermore, this information must be effectively transferred to planners, managers, and elected officials to ensure their decisions are based upon the best available information. While there is still some uncertainty regarding the details of rising sea level and climate change, development decisions are being made today which commit public and private investment in real estate and associated infrastructure. With a design life of 30 yrs to 75 yrs or more, many of these investments are on a collision course with rising sea level and the resulting impacts will be significant. In the near term, the utilization of engineering structures may be required, but these are not sustainable and must ultimately yield to "managed withdrawal" programs if higher sea-level elevations or rates of rise are forthcoming. As an initial step towards successful adaptation, coastal management and planning documents (i.e., comprehensive plans) must be revised to include reference to climate change and rising sea-level.

High prevalence and resistance rates to antibiotics in anaerobic bacteria in specimens from patients with chronic balanitis.

Science.gov (United States)

Boyanova, Lyudmila; Mitev, Angel; Gergova, Galina; Mateev, Grisha; Mitov, Ivan

2012-08-01

Aim of the study was to assess both prevalence and antibiotic resistance in anaerobic bacteria from glans penis skin of 70 adults. Strain susceptibility was determined by breakpoint susceptibility test or E test. In 9 asymptomatic, 48 untreated and 13 treated symptomatic patients, anaerobes were found in 22.2%, 70.8% and 53.3%, respectively. Gram-positive strains (GPAs) were 2.2-fold more common than Gram-negative ones. Prevalent Gram-negative (GNAs) and GPAs were Prevotella spp. and anaerobic cocci, respectively. Clostridium difficile strain was found in an untreated patient. In GNAs, resistance rates to amoxicillin, metronidazole, clindamycin, tetracycline, levofloxacin, and amoxicillin/clavulanate were 42.1, 0, 52.6, 53.3, 86.7 and 5.2%, respectively. In GPAs, the resistance rates to metronidazole, clindamycin, tetracycline, levofloxacin and amoxicillin/clavulanate were 18.2, 34.1, 52.6, 36.8 and 0%, respectively. In conclusion, anaerobes were 1.6-fold more frequent in untreated symptomatic patients compared with other patients, suggesting their participation in development of chronic balanitis. GPAs were more common than GNAs. The resistance rates to amoxicillin, clindamycin, tetracycline, and levofloxacin were high. Most active agents were metronidazole and amoxicillin/clavulanate. Resistance in anaerobes varies according to sites of specimens and years of study. Copyright © 2012 Elsevier Ltd. All rights reserved.

Rising Sludge in Secondary Settlers Due to Denitrification

DEFF Research Database (Denmark)

Henze, Mogens; Dupont, Rene; Grau, Peter

1993-01-01

High suspended solids concentrations in settler effluents can be caused by rising sludge, which is the effect of flotation of solids by nitrogen gas resulting from biological denitrification. Many factors influence the nitrogen gas bubble evolution. The most important factor is the rate...

The effect of somatic symptom attribution on the prevalence rate of depression and anxiety among nursing home patients

NARCIS (Netherlands)

Smalbrugge, M.; Pot, A.M.; Jongenelis, L.; Beekman, A.T.F.; Eefsting, J.A.

2005-01-01

The validity of diagnostic psychiatric instruments for depression and anxiety disorders may be compromised among patients with complex physical illness and disability. The objective of this study was to determine the effect on the prevalence rate of depression and anxiety in a nursing home

Trends in U.S. adult chronic disability rates over time.

Science.gov (United States)

Iezzoni, Lisa I; Kurtz, Stephen G; Rao, Sowmya R

2014-10-01

Trends in the patterns and prevalence of chronic disability among U.S. residents carry important implications for public health and public policies across multiple societal sectors. To examine trends in U.S. adult population rates of chronic disability from 1998 to 2011 using 7 different disability measures and examining the implications of trends in population age, race and ethnicity, and body mass index (BMI). We used National Health Interview Survey data on civilian, non-institutionalized U.S. residents ages ≥ 18 from selected years between 1998 and 2011. We used self-reported information on functional impairments, activity/participation limitations, and expected duration to create 7 chronic disability measures. We used direct standardization to account for changes in age, race/ethnicity, and BMI distributions over time. Multivariable logistic regression models identified associations of disability with sociodemographic characteristics. Without adjustment, population rates of all 7 disabilities increased significantly (p disability types continued to show increased rates over time (p disability. If these trends continue, the numbers and proportions of U.S. residents with various disabilities will continue rising in coming years. In particular, the prevalence of movement difficulties and work limitations will increase. Furthermore, disability will remain strongly associated with low levels of education, employment, and income. Copyright © 2014 Elsevier Inc. All rights reserved.

Statistics of EMIC Rising Tones Observed by the Van Allen Probes

Science.gov (United States)

Sigsbee, K. M.; Kletzing, C.; Smith, C. W.; Santolik, O.

2017-12-01

We will present results from an ongoing statistical study of electromagnetic ion cyclotron (EMIC) wave rising tones observed by the Van Allen Probes. Using data from the Electric and Magnetic Field Instrument Suite and Integrated Science (EMFISIS) fluxgate magnetometer, we have identified orbits by both Van Allen Probes with EMIC wave events from the start of the mission in fall 2012 through fall 2016. Orbits with EMIC wave events were further examined for evidence of rising tones. Most EMIC wave rising tones were found during H+ band EMIC wave events. In Fourier time-frequency power spectrograms of the fluxgate magnetometer data, H+ band rising tones generally took the form of triggered emission type events, where the discrete rising tone structures rapidly rise in frequency out of the main band of observed H+ EMIC waves. A smaller percentage of EMIC wave rising tone events were found in the He+ band, where rising tones may appear as discrete structures with a positive slope embedded within the main band of observed He+ EMIC waves, similar in appearance to whistler-mode chorus elements. Understanding the occurrence rate and properties of rising tone EMIC waves will provide observational context for theoretical studies indicating that EMIC waves exhibiting non-linear behavior, such as rising tones, may be more effective at scattering radiation belt electrons than ordinary EMIC waves.

Impact of prenatal screening on the prevalence of Down syndrome in Slovenia.

Science.gov (United States)

Rudolf, Gorazd; Tul, Nataša; Verdenik, Ivan; Volk, Marija; Brezigar, Anamarija; Kokalj Vokač, Nadja; Jeršin, Nataša; Prosenc, Bernarda; Premru Sršen, Tanja; Peterlin, Borut

2017-01-01

To evaluate the impact of prenatal screening and genetic testing for trisomy 21 (T21) on the prevalence of T21 in Slovenia. Data about all prenatally and postnatally confirmed cases of T21 in Slovenia between 1981 and 2012 were collected retrospectively from all genetic laboratories in Slovenia. The expected number of babies with T21 according to maternal age was calculated. The primary outcomes measures were number of fetuses and newborn infants with T21 diagnosed prenatally and postnatally and the impact of advances in screening and genetic diagnostics on the prevalence of newborns with T21 in Slovenia. Despite a significantly increased mean maternal age from 25.4 years in year 1981 to 30.3 years in year 2012 the prevalence of newborn infants with T21 was 0.51 per 1000 births compared to 0.55 per 1000 births, respectively. The prevalence of prenatally diagnosed cases increased from 0.03 per 1000 births to 2.06 per 1000. The detection rate of T21 in year 2012 was 78,9%. The total number of prenatal invasive procedures (chorionic villous sampling and amniocenteses) carried out during that period was rising until 2002, since when it is stable at around 7%. The advancement and implementation of screening tests and prenatal diagnostic procedures in Slovenia caused an important improvement in the efficiency of the prenatal detection of T21.

Prevalence of Total Hip and Knee Replacement in the United States.

Science.gov (United States)

Maradit Kremers, Hilal; Larson, Dirk R; Crowson, Cynthia S; Kremers, Walter K; Washington, Raynard E; Steiner, Claudia A; Jiranek, William A; Berry, Daniel J

2015-09-02

Descriptive epidemiology of total joint replacement procedures is limited to annual procedure volumes (incidence). The prevalence of the growing number of individuals living with a total hip or total knee replacement is currently unknown. Our objective was to estimate the prevalence of total hip and total knee replacement in the United States. Prevalence was estimated using the counting method by combining historical incidence data from the National Hospital Discharge Survey and the Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases from 1969 to 2010 with general population census and mortality counts. We accounted for relative differences in mortality rates between those who have had total hip or knee replacement and the general population. The 2010 prevalence of total hip and total knee replacement in the total U.S. population was 0.83% and 1.52%, respectively. Prevalence was higher among women than among men and increased with age, reaching 5.26% for total hip replacement and 10.38% for total knee replacement at eighty years. These estimates corresponded to 2.5 million individuals (1.4 million women and 1.1 million men) with total hip replacement and 4.7 million individuals (3.0 million women and 1.7 million men) with total knee replacement in 2010. Secular trends indicated a substantial rise in prevalence over time and a shift to younger ages. Around 7 million Americans are living with a hip or knee replacement, and consequently, in most cases, are mobile, despite advanced arthritis. These numbers underscore the substantial public health impact of total hip and knee arthroplasties. Copyright © 2015 by The Journal of Bone and Joint Surgery, Incorporated.

Prevalence, Employment Rate, and Cost of Schizophrenia in a High-Income Welfare Society: A Population-Based Study Using Comprehensive Health and Welfare Registers.

Science.gov (United States)

Evensen, Stig; Wisløff, Torbjørn; Lystad, June Ullevoldsæter; Bull, Helen; Ueland, Torill; Falkum, Erik

2016-03-01

Schizophrenia is associated with recurrent hospitalizations, need for long-term community support, poor social functioning, and low employment rates. Despite the wide- ranging financial and social burdens associated with the illness, there is great uncertainty regarding prevalence, employment rates, and the societal costs of schizophrenia. The current study investigates 12-month prevalence of patients treated for schizophrenia, employment rates, and cost of schizophrenia using a population-based top-down approach. Data were obtained from comprehensive and mandatory health and welfare registers in Norway. We identified a 12-month prevalence of 0.17% for the entire population. The employment rate among working-age individuals was 10.24%. The societal costs for the 12-month period were USD 890 million. The average cost per individual with schizophrenia was USD 106 thousand. Inpatient care and lost productivity due to high unemployment represented 33% and 29%, respectively, of the total costs. The use of mandatory health and welfare registers enabled a unique and informative analysis on true population-based datasets. © The Author 2015. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For permissions, please email: journals.permissions@oup.com.

Comparing the prevalence rates of social phobia in a community according to ICD-10 and DSM-III-R Comparando estimativas de prevalência da fobia social na comunidade empregando-se a CID-10 e a DSM-III-R

Directory of Open Access Journals (Sweden)

Fábio Lopes Rocha

2005-09-01

Full Text Available OBJECTIVE: This population-based study aimed to compare the prevalence rates of social phobia using DSM-III-R and CID-10, based on the Composite International Diagnostic Interview (CIDI, in a Brazilian community. METHODS: This survey was carried out in a representative sample of 1,041 residents from Bambuí, Minas Gerais, Brazil (attrition rate = 14.7%. The Brazilian version of the CIDI was used. One-month, one-year and lifetime social phobia prevalence rates were estimated, employing the DSM-III-R and ICD-10 classifications, using the CIDI computer program. RESULTS: One-month, one-year, and life prevalence rates of social phobia, based on the DSM-III-R (7.9, 9.0 and 11.7% respectively were higher than those based on the ICD-10 (4.7, 5.2 and 6.7% respectively; p OBJETIVO: Este estudo populacional visa comparar estimativas de prevalência de fobia social empregando-se a CID-10 e a DSM-III-R em uma comunidade brasileira. MÉTODOS: O levantamento foi realizado em uma amostra representativa de 1.041 residentes de Bambuí, Minas Gerais, Brasil (perda = 14,7%. Foi utilizada a versão brasileira da Composite International Diagnostic Interview (CIDI. As prevalências de 1 mês, 1 ano e vida foram estimadas empregando-se as classificações CID-10 e DSM-III-R, utilizando-se o programa de computador da CIDI. RESULTADOS: As prevalências de 1 mês, 1 ano e vida da fobia social, baseadas na DSM-III-R (7,9, 9,0 e 11,7% respectivamente foram mais elevadas que aquelas baseadas na CID-10 (4,7, 5,2 e 6,7%, respectivamente; p < 0,01 para todos. CONCLUSÃO: Nossos resultados reforçam a hipótese de que as taxas de prevalência de fobia social são mais elevadas quando baseadas na DSM-III-R em comparação com a CID-10.

ACCELERATION OF SEA LEVEL RISE OVER MALAYSIAN SEAS FROM SATELLITE ALTIMETER

Directory of Open Access Journals (Sweden)

A. I. A. Hamid

2016-09-01

Full Text Available Sea level rise becomes our concern nowadays as a result of variously contribution of climate change that cause by the anthropogenic effects. Global sea levels have been rising through the past century and are projected to rise at an accelerated rate throughout the 21st century. Due to this change, sea level is now constantly rising and eventually will threaten many low-lying and unprotected coastal areas in many ways. This paper is proposing a significant effort to quantify the sea level trend over Malaysian seas based on the combination of multi-mission satellite altimeters over a period of 23 years. Eight altimeter missions are used to derive the absolute sea level from Radar Altimeter Database System (RADS. Data verification is then carried out to verify the satellite derived sea level rise data with tidal data. Eight selected tide gauge stations from Peninsular Malaysia, Sabah and Sarawak are chosen for this data verification. The pattern and correlation of both measurements of sea level anomalies (SLA are evaluated over the same period in each area in order to produce comparable results. Afterwards, the time series of the sea level trend is quantified using robust fit regression analysis. The findings clearly show that the absolute sea level trend is rising and varying over the Malaysian seas with the rate of sea level varies and gradually increase from east to west of Malaysia. Highly confident and correlation level of the 23 years measurement data with an astonishing root mean square difference permits the absolute sea level trend of the Malaysian seas has raised at the rate 3.14 ± 0.12 mm yr-1 to 4.81 ± 0.15 mm yr-1 for the chosen sub-areas, with an overall mean of 4.09 ± 0.12 mm yr-1. This study hopefully offers a beneficial sea level information to be applied in a wide range of related environmental and climatology issue such as flood and global warming.

Acceleration of Sea Level Rise Over Malaysian Seas from Satellite Altimeter

Science.gov (United States)

Hamid, A. I. A.; Din, A. H. M.; Khalid, N. F.; Omar, K. M.

2016-09-01

Sea level rise becomes our concern nowadays as a result of variously contribution of climate change that cause by the anthropogenic effects. Global sea levels have been rising through the past century and are projected to rise at an accelerated rate throughout the 21st century. Due to this change, sea level is now constantly rising and eventually will threaten many low-lying and unprotected coastal areas in many ways. This paper is proposing a significant effort to quantify the sea level trend over Malaysian seas based on the combination of multi-mission satellite altimeters over a period of 23 years. Eight altimeter missions are used to derive the absolute sea level from Radar Altimeter Database System (RADS). Data verification is then carried out to verify the satellite derived sea level rise data with tidal data. Eight selected tide gauge stations from Peninsular Malaysia, Sabah and Sarawak are chosen for this data verification. The pattern and correlation of both measurements of sea level anomalies (SLA) are evaluated over the same period in each area in order to produce comparable results. Afterwards, the time series of the sea level trend is quantified using robust fit regression analysis. The findings clearly show that the absolute sea level trend is rising and varying over the Malaysian seas with the rate of sea level varies and gradually increase from east to west of Malaysia. Highly confident and correlation level of the 23 years measurement data with an astonishing root mean square difference permits the absolute sea level trend of the Malaysian seas has raised at the rate 3.14 ± 0.12 mm yr-1 to 4.81 ± 0.15 mm yr-1 for the chosen sub-areas, with an overall mean of 4.09 ± 0.12 mm yr-1. This study hopefully offers a beneficial sea level information to be applied in a wide range of related environmental and climatology issue such as flood and global warming.

Future sea level rise constrained by observations and long-term commitment

Science.gov (United States)

Mengel, Matthias; Levermann, Anders; Frieler, Katja; Robinson, Alexander; Marzeion, Ben; Winkelmann, Ricarda

2016-01-01

Sea level has been steadily rising over the past century, predominantly due to anthropogenic climate change. The rate of sea level rise will keep increasing with continued global warming, and, even if temperatures are stabilized through the phasing out of greenhouse gas emissions, sea level is still expected to rise for centuries. This will affect coastal areas worldwide, and robust projections are needed to assess mitigation options and guide adaptation measures. Here we combine the equilibrium response of the main sea level rise contributions with their last century's observed contribution to constrain projections of future sea level rise. Our model is calibrated to a set of observations for each contribution, and the observational and climate uncertainties are combined to produce uncertainty ranges for 21st century sea level rise. We project anthropogenic sea level rise of 28–56 cm, 37–77 cm, and 57–131 cm in 2100 for the greenhouse gas concentration scenarios RCP26, RCP45, and RCP85, respectively. Our uncertainty ranges for total sea level rise overlap with the process-based estimates of the Intergovernmental Panel on Climate Change. The “constrained extrapolation” approach generalizes earlier global semiempirical models and may therefore lead to a better understanding of the discrepancies with process-based projections. PMID:26903648

Future sea level rise constrained by observations and long-term commitment.

Science.gov (United States)

Mengel, Matthias; Levermann, Anders; Frieler, Katja; Robinson, Alexander; Marzeion, Ben; Winkelmann, Ricarda

2016-03-08

Sea level has been steadily rising over the past century, predominantly due to anthropogenic climate change. The rate of sea level rise will keep increasing with continued global warming, and, even if temperatures are stabilized through the phasing out of greenhouse gas emissions, sea level is still expected to rise for centuries. This will affect coastal areas worldwide, and robust projections are needed to assess mitigation options and guide adaptation measures. Here we combine the equilibrium response of the main sea level rise contributions with their last century's observed contribution to constrain projections of future sea level rise. Our model is calibrated to a set of observations for each contribution, and the observational and climate uncertainties are combined to produce uncertainty ranges for 21st century sea level rise. We project anthropogenic sea level rise of 28-56 cm, 37-77 cm, and 57-131 cm in 2100 for the greenhouse gas concentration scenarios RCP26, RCP45, and RCP85, respectively. Our uncertainty ranges for total sea level rise overlap with the process-based estimates of the Intergovernmental Panel on Climate Change. The "constrained extrapolation" approach generalizes earlier global semiempirical models and may therefore lead to a better understanding of the discrepancies with process-based projections.

Elevated CO2 stimulates marsh elevation gain, counterbalancing sea-level rise.

Science.gov (United States)

Langley, J Adam; McKee, Karen L; Cahoon, Donald R; Cherry, Julia A; Megonigal, J Patrick

2009-04-14

Tidal wetlands experiencing increased rates of sea-level rise (SLR) must increase rates of soil elevation gain to avoid permanent conversion to open water. The maximal rate of SLR that these ecosystems can tolerate depends partly on mineral sediment deposition, but the accumulation of organic matter is equally important for many wetlands. Plant productivity drives organic matter dynamics and is sensitive to global change factors, such as rising atmospheric CO(2) concentration. It remains unknown how global change will influence organic mechanisms that determine future tidal wetland viability. Here, we present experimental evidence that plant response to elevated atmospheric [CO(2)] stimulates biogenic mechanisms of elevation gain in a brackish marsh. Elevated CO(2) (ambient + 340 ppm) accelerated soil elevation gain by 3.9 mm yr(-1) in this 2-year field study, an effect mediated by stimulation of below-ground plant productivity. Further, a companion greenhouse experiment revealed that the CO(2) effect was enhanced under salinity and flooding conditions likely to accompany future SLR. Our results indicate that by stimulating biogenic contributions to marsh elevation, increases in the greenhouse gas, CO(2), may paradoxically aid some coastal wetlands in counterbalancing rising seas.

Elevated CO2 stimulates marsh elevation gain, counterbalancing sea-level rise

Science.gov (United States)

Langley, J. Adam; McKee, Karen L.; Cahoon, Donald R.; Cherry, Julia A.; Megonigal, J. Patrick

2009-01-01

Tidal wetlands experiencing increased rates of sea-level rise (SLR) must increase rates of soil elevation gain to avoid permanent conversion to open water. The maximal rate of SLR that these ecosystems can tolerate depends partly on mineral sediment deposition, but the accumulation of organic matter is equally important for many wetlands. Plant productivity drives organic matter dynamics and is sensitive to global change factors, such as rising atmospheric CO2 concentration. It remains unknown how global change will influence organic mechanisms that determine future tidal wetland viability. Here, we present experimental evidence that plant response to elevated atmospheric [CO2] stimulates biogenic mechanisms of elevation gain in a brackish marsh. Elevated CO2 (ambient + 340 ppm) accelerated soil elevation gain by 3.9 mm yr−1 in this 2-year field study, an effect mediated by stimulation of below-ground plant productivity. Further, a companion greenhouse experiment revealed that the CO2 effect was enhanced under salinity and flooding conditions likely to accompany future SLR. Our results indicate that by stimulating biogenic contributions to marsh elevation, increases in the greenhouse gas, CO2, may paradoxically aid some coastal wetlands in counterbalancing rising seas. PMID:19325121

Rising rates of Caesarean sections: an audit of Caesarean sections ...

African Journals Online (AJOL)

Most of the caesarean sections were carried out because of a previous CS; maternal request and HIV status also contributed to the high rate. Conclusion: The high CS rate in private practice is probably a window to the increased rates of Caesarean section being performed worldwide. This high rate is in keeping with trends ...

Trends in prevalence of overweight and obesity in danish infants, children and adolescents--are we still on a plateau?

Directory of Open Access Journals (Sweden)

Camilla Schmidt Morgen

Full Text Available After the worldwide steep increase in child and adolescent overweight and obesity during the last decades, there is now evidence of a levelling off in the prevalence in many countries in the Western world.To examine whether there still is a plateau in the prevalence of overweight and obesity in Danish children and adolescents, or whether the prevalence is decreasing or rising again.THE TRENDS IN THE PREVALENCE RATES WERE BASED ON THREE DATA SETS PROVIDING COMPARABLE REPEATED ESTIMATES: 1 the Danish Health Visitors Child Health Database (DHVCHD with measurements on infant and childhood height and weight from 2002 to 2011 (n up to 39,984, 2 the Danish National Birth Cohort (DNBC with maternal reports of measured infant and childhood height and weight from 1998 to 2010 (n up to 56,826 and 3 the Danish part of the Health Behaviour in School-aged Children survey (HBSC with self-reported information on adolescent height and weight from the years 2002 to 2010 (n = 16,557. Overweight and obesity were categorized according to WHO growth standards. Trends were assessed by repeated point estimates and linear regression analyses providing regression coefficients for changes in per cent per year with 95% confidence intervals (CI.The prevalence rates of overweight and obesity for infants, children and adolescents showed a mixed pattern of decline, stability and increase (ranging from -1.10 through 0.29 per cent per year with CI's from -3.10 through 2.37. Overall, there were no consistent statistically significant trends upwards or downwards, although some significant downward trends in childhood and adolescence were observed.This study, based on data from 1998 through 2011, showed that the prevalence rates of overweight and obesity among Danish infants, children and adolescents were largely still on a plateau with tendencies for a decline among children and adolescents.

A livability rating system of a high-rise housing and its computer simulation

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Liu, Zhengrui

2017-09-01

Aiming at the problems in housing choosing and purchasing in the high-rise residential buildings, this paper considers the factors that affect various livable degrees and analyzes the important degrees of the factors through the Analytic Hierarchy Process (AHP), quantifying the various factors by 10 point scoring system. Accordingly, this paper puts forward a habitable housing index, validating the correctness of the indicators by simulating the process of housing choosing through computer program.

Trends in rates of mental illness in homicide perpetrators.

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Swinson, Nicola; Flynn, Sandra M; While, David; Roscoe, Alison; Kapur, Navneet; Appleby, Louis; Shaw, Jenny

2011-06-01

The rise in homicides by those with serious mental illness is of concern, although this increase may not be continuing. To examine rates of mental illness among homicide perpetrators. A national consecutive case series of homicide perpetrators in England and Wales from 1997 to 2006. Rates of mental disorder were based on data from psychiatric reports, contact with psychiatric services, diminished responsibility verdict and hospital disposal. Of the 5884 homicides notified to the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness between 1997 and 2006, the number of homicide perpetrators with schizophrenia increased at a rate of 4% per year, those with psychotic symptoms at the time of the offence increased by 6% per year. The number of verdicts of diminished responsibility decreased but no change was found in the number of perpetrators receiving a hospital order disposal. The likeliest explanation for the rise in homicide by people with psychosis is the misuse of drugs and/or alcohol, which our data show increased at a similar magnitude to homicides by those with psychotic symptoms. However, we are unable to demonstrate a causal association. Although the Poisson regression provides evidence of an upward trend in homicide by people with serious mental illness between 1997 and 2006, the number of homicides fell in the final 2 years of data collection, so these findings should be treated with caution. There appears to be a concomitant increase in drug misuse over the period, which may account for this rise in homicide. However, an increase in the number of people in contact with mental health services may suggest that access to mental health services is improving. Previous studies have used court verdicts such as diminished responsibility as a proxy measure of mental disorder. Our data indicate that this does not reflect accurately the prevalence of mental disorder in this population.

Influence of refreshment/activation cycles and temperature rise on the reaction rate of sodium hypochlorite with bovine dentine during ultrasonic activated irrigation.

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Macedo, R G; Verhaagen, B; Wesselink, P R; Versluis, M; van der Sluis, L W M

2014-02-01

To evaluate the effect of multiple refreshment/activation cycles and temperature on the reaction rate of sodium hypochlorite (NaOCl) with bovine dentine during ultrasonic activated irrigation (UAI) under laboratory conditions. The root canal walls of 24 standardized root canals in bovine incisors were exposed to a standardized volume of NaOCl at different temperatures (24 °C and 38 °C) and exposure times (20, 60 and 180 s). The irrigant was refreshed and ultrasonically activated four times for 20 s followed by a 40 s rest interval, with no refreshment and no activation as the controls. The reaction rate was determined by measuring the amount of active chlorine in the NaOCl solution before and after being exposed to dentine during the specific experimental conditions. Calorimetry was used to measure the electrical-to-sonochemical conversion efficiency during ultrasonic activation. Refreshment, activation and exposure time all increased the reaction rate of NaOCl (P reaction rate of NaOCl (P > 0.125). The reaction rate of NaOCl with dentine is enhanced by refreshment, ultrasonic activation and exposure time. Temperature rise of irrigant during ultrasonic activation was not sufficient to alter the reaction rate. © 2013 International Endodontic Journal. Published by John Wiley & Sons Ltd.

Sensitivity analysis of hydrogeological parameters affecting groundwater storage change caused by sea level rise

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Shin, J.; Kim, K.-H.; Lee, K.-K.

2012-04-01

Sea level rise, which is one of the representative phenomena of climate changes caused by global warming, can affect groundwater system. The rising trend of the sea level caused by the global warming is reported to be about 3 mm/year for the most recent 10 year average (IPCC, 2007). The rate of sea level rise around the Korean peninsula is reported to be 2.30±2.22 mm/yr during the 1960-1999 period (Cho, 2002) and 2.16±1.77 mm/yr (Kim et al., 2009) during the 1968-2007 period. Both of these rates are faster than the 1.8±0.5 mm/yr global average for the similar 1961-2003 period (IPCC, 2007). In this study, we analyzed changes in the groundwater environment affected by the sea level rise by using an analytical methodology. We tried to find the most effective parameters of groundwater amount change in order to estimate the change in fresh water amount in coastal groundwater. A hypothetical island model of a cylindrical shape in considered. The groundwater storage change is bi-directional as the sea level rises according to the natural and hydrogeological conditions. Analysis of the computation results shows that topographic slope and hydraulic conductivity are the most sensitive factors. The contributions of the groundwater recharge rate and the thickness of aquifer below sea level are relatively less effective. In the island with steep seashore slopes larger than 1~2 degrees or so, the storage amount of fresh water in a coastal area increases as sea level rises. On the other hand, when sea level drops, the storage amount decreases. This is because the groundwater level also rises with the rising sea level in steep seashores. For relatively flat seashores, where the slope is smaller than around 1-2 degrees, the storage amount of coastal fresh water decreases when the sea level rises because the area flooded by the rising sea water is increased. The volume of aquifer fresh water in this circumstance is greatly reduced in proportion to the flooded area with the sea

Prevalence of hepatitis B virus and hepatitis C virus among blood donors at a tertiary care hospital in India: a five-year study.

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Meena, Monika; Jindal, Tarun; Hazarika, Anjali

2011-01-01

Hepatitis B virus (HBV) and hepatitis C virus (HCV) are important transfusion-transmissible infections. This study was performed to assess the prevalence of HBV and HCV seropositivity among blood donors at a tertiary care hospital-based blood bank in India. The blood donation records over 5 years (2005-2009) were reviewed, retrospectively, for the prevalence and yearly trends of HBV and HCV seropositivity. A total of 94,716 donations were received. The overall number of HBV-seropositive donations was 1353 and that for HCV was 537, with the prevalence rates of 1.43% for hepatitis B surface antigen (HBsAg) and 0.57% for HCV. The seropositivity rate was higher in the replacement donors compared to the voluntary donors. The annual rates showed decreasing trends in case of HBsAg, but in case of HCV, there was a linear increase. Our study raises serious concerns regarding the HBV and HCV prevalence in our country. Although HBV showed decreasing trends, it cannot be relied upon because the donors were screened only for HBsAg. HCV is clearly on the rise. Stringent measures need to be taken on urgent basis including dissemination of information, strict screening of blood, inclusion of antibody to hepatitis B core antigen and other sensitive markers to the screening protocol, and better donor recruitment. © 2010 American Association of Blood Banks.

The Prevalence of food hypersensitivity in young adults

DEFF Research Database (Denmark)

Østerballe, Morten; Mørtz, Charlotte G; Hansen, Tine Kjær

2009-01-01

by questionnaire, skin prick test (SPT) and histamin release (HR) followed by oral challenge to the most common allergenic foods. FHS was divided into primary and secondary FHS. Primary FHS was defined as being independent of pollen sensitization, whereas secondary FHS was defined as reactions to pollen related......Osterballe M, Mortz CG, Hansen TK, Andersen KE, Bindslev-Jensen C. The Prevalence of food hypersensitivity in young adults. Pediatr Allergy Immunol 2009. (c) 2009 The Authors Journal compilation (c) 2009 John Wiley & Sons A/SA rising prevalence of food hypersensitivity (FHS) and severe allergic...... reactions to foods have been reported in the last decade. However, little is known on the prevalence in young adults. This study estimated the prevalence of FHS to the most common allergenic foods in an unselected population of young adults. We investigated a cohort of 1272 young adults 22 years of age...

Prevalence and rates of intimate partner violence among South African women during pregnancy and the postpartum period

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Groves, Allison K.; Moodley, Dhayendre; McNaughton-Reyes, Luz; Martin, Sandra L.; Foshee, Vangie; Maman, Suzanne

2014-01-01

Objectives Intimate partner violence (IPV) is a significant public health problem in South Africa. However, limited research exists on IPV during pregnancy and the postpartum period in South Africa. The purpose of this study is to describe the prevalence, rates and correlates of IPV among South African women during pregnancy and the first nine months postpartum. Methods Data are from a longitudinal study with women recruited during pregnancy between 2008 and 2010 at a public clinic in Durban. We used a modified version of the World Health Organization’s IPV scale to estimate prevalence and rates of IPV during pregnancy, at four months postpartum and nine months postpartum and we used logistic regression to assess the correlates of IPV during this time. Results More than 20% of all women experienced at least one act of physical, psychological or sexual IPV during pregnancy. Nearly one-quarter of all women experienced at least one act of physical, psychological or sexual IPV during the first nine months postpartum. Psychological IPV was the most prevalent type of IPV during pregnancy and the first four months postpartum. Age and previous violence within the relationship were associated with IPV during pregnancy and IPV during the postpartum period. Conclusions The high levels of IPV during pregnancy and the postpartum period highlight the need to develop screening and intervention strategies specifically for this time. Further, women should be screened not only for physical violence but also psychological violence given that psychological violence may result in distinct negative consequences. PMID:24889116

Updated prevalence rates of overweight and obesity in 4- to 10-year-old children in Germany. Results from the telephone-based KiGGS Wave 1 after correction for bias in parental reports.

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Brettschneider, Anna-Kristin; Schienkiewitz, Anja; Schmidt, Steffen; Ellert, Ute; Kurth, Bärbel-Maria

2017-04-01

The nationwide 'German Health Interview and Examination Survey for Children and Adolescents' (KiGGS), conducted in 2003-2006, showed an increase in the prevalence rates of overweight and obesity compared to the early 1990s, indicating the need for regular monitoring. Recently, a follow-up-KiGGS Wave 1 (2009-2012)-was carried out as a telephone-based survey, providing parent-reported height and weight from 5155 children aged 4-10 years. Since parental reports lead to a bias in prevalence rates of weight status, a correction is needed. From a subsample of KiGGS Wave 1 participants, measurements for height and weight were collected in a physical examination. In order to correct prevalence rates derived from parent reports, weight status categories based on parent-reported and measured height and weight were used to estimate a correction formula according to an established procedure. The corrected prevalence rates derived from KiGGS Wave 1 for overweight, including obesity, in children aged 4-10 years in Germany showed that stagnation is reached compared to the KiGGS baseline study (2003-2006). The rates for overweight, including obesity, in Germany have levelled off. However, they still remain at a high level, indicating a need for further public health action. What is Known: • In the last decades, prevalence of overweight and obesity has risen. Now a days, the prevalence seems to be stagnating. • In Germany, prevalence estimates of overweight and obesity are only available from regional or non-representative studies. What is New: • This article gives an update for prevalence rates of overweight and obesity amongst children aged 4-10 years in Germany based on a nationwide and representative sample. • Results show that stagnation in prevalence rates for overweight in children in Germany is reached.

Periodontitis prevalence and severity in Indonesians with type 2 diabetes

NARCIS (Netherlands)

Susanto, H.; Nesse, W.; Dijkstra, P.U.; Agustina, D.; Vissink, A.; Abbas, F.

2010-01-01

Background: The prevalence of diabetes mellitus type 2 (DM2) in Indonesia is high and still rising. Periodontitis is associated with DM2. No study has investigated this association in Indonesia, nor has any study investigated this association using a variety of methods to operationalize

Periodontitis Prevalence and Severity in Indonesians With Type 2 Diabetes

NARCIS (Netherlands)

Susanto, Hendri; Nesse, Willem; Dijkstra, Pieter U.; Agustina, Dewi; Vissink, Arjan; Abbas, Frank

Background: The prevalence of diabetes mellitus type 2 (DM2) in Indonesia is high and still rising. Periodontitis is associated with DM2. No study has investigated this association in Indonesia, nor has any study investigated this association using a variety of methods to operationalize

The Rising Rate of Rural Hospital Closures.

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Kaufman, Brystana G; Thomas, Sharita R; Randolph, Randy K; Perry, Julie R; Thompson, Kristie W; Holmes, George M; Pink, George H

2016-01-01

Since 2010, the rate of rural hospital closures has increased significantly. This study is a preliminary look at recent closures and a formative step in research to understand the causes and the impact on rural communities. The 2009 financial performance and market characteristics of rural hospitals that closed from 2010 through 2014 were compared to rural hospitals that remained open during the same period, stratified by critical access hospitals (CAHs) and other rural hospitals (ORHs). Differences were tested using Pearson's chi-square (categorical variables) and Wilcoxon rank test of medians. The relationships between negative operating margin and (1) market factors and (2) utilization/staffing factors were explored using logistic regression. In 2009, CAHs that subsequently closed from 2010 through 2014 had, in general, lower levels of profitability, liquidity, equity, patient volume, and staffing. In addition, ORHs that closed had smaller market shares and operated in markets with smaller populations compared to ORHs that remained open. Odds of unprofitability were associated with both market and utilization factors. Although half of the closed hospitals ceased providing health services altogether, the remainder have since converted to an alternative health care delivery model. Financial and market characteristics appear to be associated with closure of rural hospitals from 2010 through 2014, suggesting that it is possible to identify hospitals at risk of closure. As closure rates show no sign of abating, it is important to study the drivers of distress in rural hospitals, as well as the potential for alternative health care delivery models. © 2015 National Rural Health Association.

Rising tides, rising gates: The complex ecogeomorphic response of coastal wetlands to sea-level rise and human interventions

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Sandi, Steven G.; Rodríguez, José F.; Saintilan, Neil; Riccardi, Gerardo; Saco, Patricia M.

2018-04-01

Coastal wetlands are vulnerable to submergence due to sea-level rise, as shown by predictions of up to 80% of global wetland loss by the end of the century. Coastal wetlands with mixed mangrove-saltmarsh vegetation are particularly vulnerable because sea-level rise can promote mangrove encroachment on saltmarsh, reducing overall wetland biodiversity. Here we use an ecogeomorphic framework that incorporates hydrodynamic effects, mangrove-saltmarsh dynamics, and soil accretion processes to assess the effects of control structures on wetland evolution. Migration and accretion patterns of mangrove and saltmarsh are heavily dependent on topography and control structures. We find that current management practices that incorporate a fixed gate for the control of mangrove encroachment are useful initially, but soon become ineffective due to sea-level rise. Raising the gate, to counteract the effects of sea level rise and promote suitable hydrodynamic conditions, excludes mangrove and maintains saltmarsh over the entire simulation period of 100 years

Reducing Bias in Citizens’ Perception of Crime Rates: Evidence From a Field Experiment on Burglary Prevalence

DEFF Research Database (Denmark)

Larsen, Martin Vinæs; Olsen, Asmus Leth

2018-01-01

Citizens are on average too pessimistic when assessing the trajectory of current crime trends. In this study, we examine whether we can correct this perceptual bias with respect to burglaries. Using a field experiment coupled with a large panel survey (n=4,895), we explore whether a public...... information campaign can reduce misperceptions about the prevalence of burglaries. Embedding the correct information about burglary rates in a direct mail campaign, we find that it is possible to substantially reduce citizens’ misperceptions. The effects are not short lived – they are detectable several weeks...... after the mailer was sent, but they are temporary. Eventually the perceptual bias re-emerges. Our results suggest that if citizens were continually supplied with correct information about crime rates they would be less pessimistic. Reducing bias in citizens’ perception of crime rates might therefore...

Dengue virus serological prevalence and seroconversion rates in children and adults in Medellin, Colombia: implications for vaccine introduction.

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Carabali, Mabel; Lim, Jacqueline Kyungah; Velez, Diana Carolina; Trujillo, Andrea; Egurrola, Jorge; Lee, Kang Sung; Kaufman, Jay S; DaSilva, Luiz Jacinto; Velez, Ivan Dario; Osorio, Jorge E

2017-05-01

Dengue is an important public health problem worldwide. A vaccine has recently been licensed in some countries of Latin America and Asia. Recommendations for dengue vaccine introduction include endemicity and a high serological prevalence of dengue in the territories considering its introduction. A community-based survey was conducted to estimate dengue seroprevalence and age-specific seroconversion rates in a community in Medellin, Colombia, using a dengue serological test (IgG indirect ELISA). Residents were selected at random and were first screened for dengue infection; they were then followed over 2.5 years. A total of 3684 individuals aged between 1 and 65 years participated in at least one survey. The overall dengue seroprevalence was 61%, and only 3.3% of seropositive subjects self-reported a past history of dengue. Among dengue virus (DENV)-naïve subjects with more than two visits (n=1002), the overall seroconversion rate was 8.7% (95% confidence interval 7.3-10.4) per 1000 person-months, over the study period. Overall, the mean age of DENV prevalent subjects was significantly higher than the mean age of seroconverted subjects. Specifically, DENV seropositivity over 70% was observed in participants over 21 years old. Serotype-specific plaque-reduction neutralization tests (PRNT) revealed that all four dengue serotypes were circulating, with DENV4 being most prevalent. These laboratory-based findings could inform dengue vaccine decisions, as they provide age-specific seroprevalence and seroconversion data, evidencing permanent and ongoing dengue transmission in the study area. This study provides evidence for the existing rates of secondary and heterotypic responses, presenting a challenge that must be addressed adequately by the new vaccine candidates. Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.

Trends in Prevalence of Overweight and Obesity in Danish Infants, Children and Adolescents – Are We Still on a Plateau?

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Schmidt Morgen, Camilla; Rokholm, Benjamin; Sjöberg Brixval, Carina; Schou Andersen, Camilla; Geisler Andersen, Lise; Rasmussen, Mette; Nybo Andersen, Anne-Marie; Due, Pernille; Sørensen, Thorkild I. A.

2013-01-01

Background After the worldwide steep increase in child and adolescent overweight and obesity during the last decades, there is now evidence of a levelling off in the prevalence in many countries in the Western world. Aim To examine whether there still is a plateau in the prevalence of overweight and obesity in Danish children and adolescents, or whether the prevalence is decreasing or rising again. Methods The trends in the prevalence rates were based on three data sets providing comparable repeated estimates: 1) the Danish Health Visitors Child Health Database (DHVCHD) with measurements on infant and childhood height and weight from 2002 to 2011 (n up to 39,984), 2) the Danish National Birth Cohort (DNBC) with maternal reports of measured infant and childhood height and weight from 1998 to 2010 (n up to 56,826) and 3) the Danish part of the Health Behaviour in School-aged Children survey (HBSC) with self-reported information on adolescent height and weight from the years 2002 to 2010 (n = 16,557). Overweight and obesity were categorized according to WHO growth standards. Trends were assessed by repeated point estimates and linear regression analyses providing regression coefficients for changes in per cent per year with 95% confidence intervals (CI). Results The prevalence rates of overweight and obesity for infants, children and adolescents showed a mixed pattern of decline, stability and increase (ranging from -1.10 through 0.29 per cent per year with CI’s from -3.10 through 2.37). Overall, there were no consistent statistically significant trends upwards or downwards, although some significant downward trends in childhood and adolescence were observed. Conclusion This study, based on data from 1998 through 2011, showed that the prevalence rates of overweight and obesity among Danish infants, children and adolescents were largely still on a plateau with tendencies for a decline among children and adolescents. PMID:23894553

Prevalence of behavior problems in three-year-old children living near Three Mile Island: a comparative analysis.

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Cornely, P; Bromet, E

1986-07-01

The Behavior Screening Questionnaire (BSQ) was used to determine whether 2 1/2-3 1/2 yr old children living near the TMI nuclear reactor were more disturbed than children living near another nuclear plant or near a fossil-fuel facility in Pennsylvania when assessed 2 1/2 yr later. The prevalence of behavior problems was 11%. Differences among the sites in overall rates and individual symptoms were small. Perceptions of environmental stress among the TMI sample of mothers were unrelated to BSQ scores, whereas in the comparison sites, where unemployment was rising, economic concerns were meaningfully related to the BSQ.

Case-mix adjustment approach to benchmarking prevalence rates of nosocomial infection in hospitals in Cyprus and Greece.

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Kritsotakis, Evangelos I; Dimitriadis, Ioannis; Roumbelaki, Maria; Vounou, Emelia; Kontou, Maria; Papakyriakou, Panikos; Koliou-Mazeri, Maria; Varthalitis, Ioannis; Vrouchos, George; Troulakis, George; Gikas, Achilleas

2008-08-01

To examine the effect of heterogeneous case mix for a benchmarking analysis and interhospital comparison of the prevalence rates of nosocomial infection. Cross-sectional survey. Eleven hospitals located in Cyprus and in the region of Crete in Greece. The survey included all inpatients in the medical, surgical, pediatric, and gynecology-obstetrics wards, as well as those in intensive care units. Centers for Disease Control and Prevention criteria were used to define nosocomial infection. The information collected for all patients included demographic characteristics, primary admission diagnosis, Karnofsky functional status index, Charlson comorbidity index, McCabe-Jackson severity of illness classification, use of antibiotics, and prior exposures to medical and surgical risk factors. Outcome data were also recorded for all patients. Case mix-adjusted rates were calculated by using a multivariate logistic regression model for nosocomial infection risk and an indirect standardization method.Results. The overall prevalence rate of nosocomial infection was 7.0% (95% confidence interval, 5.9%-8.3%) among 1,832 screened patients. Significant variation in nosocomial infection rates was observed across hospitals (range, 2.2%-9.6%). Logistic regression analysis indicated that the mean predicted risk of nosocomial infection across hospitals ranged from 3.7% to 10.3%, suggesting considerable variation in patient risk. Case mix-adjusted rates ranged from 2.6% to 12.4%, and the relative ranking of hospitals was affected by case-mix adjustment in 8 cases (72.8%). Nosocomial infection was significantly and independently associated with mortality (adjusted odds ratio, 3.6 [95% confidence interval, 2.1-6.1]). The first attempt to rank the risk of nosocomial infection in these regions demonstrated the importance of accounting for heterogeneous case mix before attempting interhospital comparisons.

The Dynamics of Type 2 Diabetes Mellitus Prevalence and Management Rates among Rural Population in Henan Province, China

Directory of Open Access Journals (Sweden)

Xiaotian Liu

2017-01-01

Full Text Available The aim of this study was to estimate the dynamics of type 2 diabetes mellitus (T2DM prevalence and management rates based on a rural cohort study in Henan Province of China. The rural prospective study was conducted for 20194 Chinese population ≥18 years in 2007-2008 and followed during 2013-2014. A total of 14009 individuals were recruited for the prospective analysis ultimately. Over 5.74 years of follow-up, the age-standardized prevalence, awareness, treatment, and control of T2DM increased from 6.18%, 44.41%, 34.39%, and 19.08% at baseline to 7.87%, 59.64%, 52.17%, and 26.52% at follow-up in total population, respectively. Similar changes were found in men and women except the age-standardized control in men. The four parameters of T2DM were higher among various factors at follow-up than those at baseline. There was no statistical difference in awareness (P=0.089 and treatment (P=0.257 in the newly diagnosed T2DM compared with the rates at baseline. The current study indicated that the prevalence, awareness, treatment, and control of T2DM displayed chronological increasing trends while the awareness, treatment, and control of T2DM were still disproportionally low in central China. More works are needed urgently to popularize public health education and improve the quality of medical care in T2DM.

Prevalence, rates and correlates of intimate partner violence among South African women during pregnancy and the postpartum period.

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Groves, Allison K; Moodley, Dhayendre; McNaughton-Reyes, Luz; Martin, Sandra L; Foshee, Vangie; Maman, Suzanne

2015-03-01

Intimate partner violence (IPV) is a significant public health problem in South Africa. However, limited research exists on IPV during pregnancy and the postpartum period in South Africa. The purpose of this study is to describe the prevalence, rates and correlates of IPV among South African women during pregnancy and the first 9 months postpartum. Data are from a longitudinal study with women recruited during pregnancy between 2008 and 2010 at a public clinic in Durban. We used a modified version of the World Health Organization's IPV scale to estimate prevalence and rates of IPV during pregnancy, at 4 months postpartum and 9 months postpartum and we used logistic regression to assess the correlates of IPV during this time. More than 20 % of all women experienced at least one act of physical, psychological or sexual IPV during pregnancy. Nearly one-quarter of all women experienced at least one act of physical, psychological or sexual IPV during the first 9 months postpartum. Psychological IPV was the most prevalent type of IPV during pregnancy and the first 4 months postpartum. Age and previous violence within the relationship were associated with IPV during pregnancy and IPV during the postpartum period. The high levels of IPV during pregnancy and the postpartum period highlight the need to develop screening and intervention strategies specifically for this time. Further, women should be screened not only for physical violence but also psychological violence given that psychological violence may result in distinct negative consequences.

Prevalence and change of central obesity among US Asian adults: NHANES 2011–2014

Directory of Open Access Journals (Sweden)

Xuefeng Liu

2017-08-01

Full Text Available Abstract Background Central obesity is a major risk factor for cardiometabolic diseases. The prevalence of central obesity has not been reported fully among Asian adults in the United States (US. Methods Cross-sectional data of 1288 Asian adults aged 20 years or over was selected from the US National Health and Nutrition Examination Survey with a stratified multi-stage sampling design. The prevalence of central obesity was calculated with 95% confidence intervals (CIs and Chi-square tests were conducted to test the significance of the prevalence differences across characteristic groups. Results The overall prevalence of central obesity among US Asian adults was 58.1% in 2011–2014. The prevalence of central obesity was higher in older adults (73.5% than in young adults (45.4% (p < 0.0001. Women had 13.4% higher prevalence than men (64.4% vs 51.0%, p < 0.0001. The prevalence increased over time (2011–2012 vs 2013–2014 in young adults (39.2% vs 51.5%, men (45.4% vs 56.6%, adults with college education or above (54.2% vs 61.7% and non-poor adults (55.4% vs 62.4%. Compared with men, women had higher prevalence in each subgroup of age, education, poverty, and length of time (except for the subgroup of “born in the US” (all p < 0.05 and in the subgroup of “married or living with partner” for marital status (p < 0.0001. Conclusion Central obesity is prevalent in Asian adults, particularly in older adults and women. More efforts are needed to prevent and treat obesity in Asian adults as Asians are incurring the greatest increase in type 2 diabetes in parallel with the rising rate of central adiposity.

Experimental investigation of channel avulsion frequency on river deltas under rising sea levels

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Silvestre, J.; Chadwick, A. J.; Steele, S.; Lamb, M. P.

2017-12-01

River deltas are low-relief landscapes that are socioeconomically important; they are home to over half a billion people worldwide. Many deltas are built by cycles of lobe growth punctuated by abrupt channel shifts, or avulsions, which often reoccur at a similar location and with a regular frequency. Previous experimental work has investigated the effect of hydrodynamic backwater in controlling channel avulsion location and timing on deltas under constant sea level conditions, but it is unclear how sea-level rise impacts avulsion dynamics. We present results from a flume experiment designed to isolate the role of relative sea-level rise on the evolution of a backwater-influenced delta. The experiment was conducted in the river-ocean facility at Caltech, where a 7m long, 14cm wide alluvial river drains into a 6m by 3m "ocean" basin. The experimental delta grew under subcritical flow, a persistent backwater zone, and a range of sea level rise rates. Without sea level rise, lobe progradation produced in-channel aggradation and periodic avulsions every 3.6 ± 0.9 hours, which corresponded to when channels aggraded to approximately one-half of their flow depth. With a modest rate of sea-level rise (0.25 mm/hr), we observed enhanced aggradation in the backwater zone, causing channels to aggrade more quickly and avulse more frequently (every 2.1 ± 0.6 hours). In future work, we expect further increases in the rate of relative sea-level rise to cause avulsion frequency to decrease as the delta drowns and the backwater zone retreats upstream. Experimental results can serve as tests of numerical models that are needed for hazard mitigation and coastal sustainability efforts on drowning deltas.

Predictability of twentieth century sea-level rise from past data

International Nuclear Information System (INIS)

Bittermann, Klaus; Rahmstorf, Stefan; Perrette, Mahé; Vermeer, Martin

2013-01-01

The prediction of global sea-level rise is one of the major challenges of climate science. While process-based models are still being improved to capture the complexity of the processes involved, semi-empirical models, exploiting the observed connection between global-mean sea level and global temperature and calibrated with data, have been developed as a complementary approach. Here we investigate whether twentieth century sea-level rise could have been predicted with such models given a knowledge of twentieth century global temperature increase. We find that either proxy or early tide gauge data do not hold enough information to constrain the model parameters well. However, in combination, the use of proxy and tide gauge sea-level data up to 1900 AD allows a good prediction of twentieth century sea-level rise, despite this rise being well outside the rates experienced in previous centuries during the calibration period of the model. The 90% confidence range for the linear twentieth century rise predicted by the semi-empirical model is 13–30 cm, whereas the observed interval (using two tide gauge data sets) is 14–26 cm. (letter)

Socioeconomic status is associated with global diabetes prevalence.

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Xu, Zhiye; Yu, Dan; Yin, Xueyao; Zheng, Fenping; Li, Hong

2017-07-04

The incidence of diabetes is increasing globally. We investigated the relationship between diabetes prevalence and patient socioeconomic status across multiple countries. We searched PubMed to identify population-based surveys reporting diabetes prevalence between 1990 and May 2016. Search results were filtered, and Human Development Index (HDI) values from the United Nations Development Programme were used to assess socioeconomic status for a given nation. Our analysis included 45 national surveys from 32 countries. Diabetes prevalence was positively correlated with national HDI (r = 0.421 P = 0.041) in developing countries, and negatively correlated with HDI (r = -0.442 P = 0.045) in developed countries. Diabetes prevalence trends were the same in women and men, although men were associated with increased diabetes risk in developed countries (r = 0.459 P = 0.048). Thus, diabetes prevalence rises with increasing HDI in developing countries, and this is reversed in developed countries. Ours is the first study to investigate the relationship between diabetes and socioeconomic status at global level using HDI values. These results will aid in evaluating global diabetes prevalence and risk with respect to patient socioeconomic status, and will be useful in the development of policies that help reduce disease incidence.

Determination of Temperature Rise and Temperature Differentials of CEMII/B-V Cement for 20MPa Mass Concrete using Adiabatic Temperature Rise Data

Science.gov (United States)

Chee Siang, GO

2017-07-01

Experimental test was carried out to determine the temperature rise characteristics of Portland-Fly-Ash Cement (CEM II/B-V, 42.5N) of Blaine fineness 418.6m2/kg and 444.6m2/kg respectively for 20MPa mass concrete under adiabatic condition. The estimation on adiabatic temperature rise by way of CIRIA C660 method (Construction Industry Research & Information Information) was adopted to verify and validate the hot-box test results by simulating the heat generation curve of the concrete under semi-adiabatic condition. Test result found that Portland fly-ash cement has exhibited decrease in the peak value of temperature rise and maximum temperature rise rate. The result showed that the temperature development and distribution profile, which is directly contributed from the heat of hydration of cement with time, is affected by the insulation, initial placing temperature, geometry and size of concrete mass. The mock up data showing the measured temperature differential is significantly lower than the technical specifications 20°C temperature differential requirement and the 27.7°C limiting temperature differential for granite aggregate concrete as stipulated in BS8110-2: 1985. The concrete strength test result revealed that the 28 days cubes compressive strength was above the stipulated 20MPa characteristic strength at 90 days. The test demonstrated that with proper concrete mix design, the use of Portland flyash cement, combination of chilled water and flake ice, and good insulation is effective in reducing peak temperature rise, temperature differential, and lower adiabatic temperature rise for mass concrete pours. As far as the determined adiabatic temperature rise result was concern, the established result could be inferred for in-situ thermal properties of 20MPa mass concrete application, as the result could be repeatable on account of similar type of constituent materials and concrete mix design adopted for permanent works at project site.

Possible impact of rising sea levels on vector-borne infectious diseases

Directory of Open Access Journals (Sweden)

Surendran Sinnathamby N

2011-01-01

Full Text Available Abstract Background Vector-borne infectious diseases are a significant cause of human and animal mortality and morbidity. Modeling studies predict that changes in climate that accompany global warming will alter the transmission risk of many vector-borne infectious diseases in different parts of the world. Global warming will also raise sea levels, which will lead to an increase in saline and brackish water bodies in coastal areas. The potential impact of rising sea levels, as opposed to climate change, on the prevalence of vector-borne infectious diseases has hitherto been unrecognised. Presentation of the hypothesis Mosquito species possessing salinity-tolerant larvae and pupae, and capable of transmitting arboviruses and parasites are found in many parts of the world. An expansion of brackish and saline water bodies in coastal areas, associated with rising sea levels, can increase densities of salinity-tolerant vector mosquitoes and lead to the adaptation of freshwater vectors to breed in brackish and saline waters. The breeding of non-mosquito vectors may also be influenced by salinity changes in coastal habitats. Higher vector densities can increase transmission of vector-borne infectious diseases in coastal localities, which can then spread to other areas. Testing the hypothesis The demonstration of increases in vector populations and disease prevalence that is related to an expansion of brackish/saline water bodies in coastal areas will provide the necessary supportive evidence. However the implementation of specific vector and disease control measures to counter the threat will confound the expected findings. Implications of the hypothesis Rising sea levels can act synergistically with climate change and then interact in a complex manner with other environmental and socio-economic factors to generate a greater potential for the transmission of vector-borne infectious diseases. The resulting health impacts are likely to be particularly

Prevalence of diabetic retinopathy in various ethnic groups: a worldwide perspective.

Science.gov (United States)

Sivaprasad, Sobha; Gupta, Bhaskar; Crosby-Nwaobi, Roxanne; Evans, Jennifer

2012-01-01

The alarming rise in diabetes prevalence is a global public health and economic problem. Diabetic retinopathy is the most common complication of diabetes and the leading cause of blindness among working-age populations in the Western world. Screening and prompt treatment of diabetic retinopathy are not top priorities in many regions of the world, because the impacts of other causes of preventable blindness remain an issue. Ethnicity is a complex, independent risk factor for diabetic retinopathy. Observations from white populations cannot be extrapolated fully to other ethnic groups. The prevalence of diabetic retinopathy, sight-threatening diabetic retinopathy, and clinically significant macular edema are higher in people of South Asian, African, Latin American, and indigenous tribal descent compared to the white population. Although all ethnic groups are susceptible to the established risk factors of diabetic retinopathy-such as length of exposure and severity of hyperglycemia, hypertension, and hyperlipidemia-ethnic-specific risk factors also may influence these rates. Such risk factors may include differential susceptibility to conventional risk factors, insulin resistance, differences in anthropometric measurements, truncal obesity, urbanization, variations in access to healthcare systems, genetic susceptibility, and epigenetics. The rates of nonproliferative diabetic retinopathy appear to be declining in the United States, supporting the observation that better medical management of diabetes and prompt treatment of sight-threatening diabetic retinopathy substantially improve the long-term diabetic retinopathy incidence; studies from other parts of the world are limited and do not mirror this finding, however. We examine the ethnicity and region-based prevalence of diabetic retinopathy around the world and highlight the need to reinforce ethnicity-based screening and treatment thresholds in diabetic retinopathy. Copyright © 2012 Elsevier Inc. All rights

Impact of prenatal screening on the prevalence of Down syndrome in Slovenia.

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Gorazd Rudolf

Full Text Available To evaluate the impact of prenatal screening and genetic testing for trisomy 21 (T21 on the prevalence of T21 in Slovenia.Data about all prenatally and postnatally confirmed cases of T21 in Slovenia between 1981 and 2012 were collected retrospectively from all genetic laboratories in Slovenia. The expected number of babies with T21 according to maternal age was calculated.The primary outcomes measures were number of fetuses and newborn infants with T21 diagnosed prenatally and postnatally and the impact of advances in screening and genetic diagnostics on the prevalence of newborns with T21 in Slovenia.Despite a significantly increased mean maternal age from 25.4 years in year 1981 to 30.3 years in year 2012 the prevalence of newborn infants with T21 was 0.51 per 1000 births compared to 0.55 per 1000 births, respectively. The prevalence of prenatally diagnosed cases increased from 0.03 per 1000 births to 2.06 per 1000. The detection rate of T21 in year 2012 was 78,9%. The total number of prenatal invasive procedures (chorionic villous sampling and amniocenteses carried out during that period was rising until 2002, since when it is stable at around 7%.The advancement and implementation of screening tests and prenatal diagnostic procedures in Slovenia caused an important improvement in the efficiency of the prenatal detection of T21.

Assessment on vulnerability of coastal wetlands to sea level rise in the Yangtze Estuary, China

Science.gov (United States)

Cui, L.; Ge, Z.; Zhang, L.

2013-12-01

The Yangtze Delta in China is vital economic hubs in terms of settlement, industry, agriculture, trade and tourism as well as of great environmental significance. In recent decades, the prospect of climate change, in particular sea level rise and its effects on low lying coastal areas have generated worldwide attention to coastal ecosystems. Coastal wetlands, as important parts of coastal ecosystem, are particularly sensitive to sea level rise. To study the responses of coastal wetlands to climate change, assess the impacts of climate change on coastal wetlands and formulate feasible and practical mitigation strategies are the important prerequisites for securing the coastal zone ecosystems. In this study, taking the coastal wetlands in the Yangtze Estuary as a case study, the potential impacts of sea-level rise to coastal wetlands habitat were analyzed by the Source-Pathway-Receptor-Consequence (SPRC) model. The key indicators, such as the sea-level rise rate, subsidence rate, elevation, daily inundation duration of habitat and sedimentation rate, were selected to build a vulnerability assessment system according to the IPCC definition of vulnerability, i.e. the aspects of exposure, sensitivity and adaptation. A quantitatively spatial assessment method on the GIS platform was established by quantifying each indicator, calculating the vulnerability index and grading the vulnerability. The vulnerability assessment on the coastal wetlands in the Yangtze Estuary under the sea level rise rate of the present trend and IPCC A1F1 scenario were performed for three sets of projections of short-term (2030s), mid-term (2050s) and long-term (2100s). The results showed that at the present trend of sea level rise rate of 0.26 cm/a, 92.3 % of the coastal wetlands in the Yangtze Estuary was in the EVI score of 0 in 2030s, i.e. the impact of sea level rise on habitats/species of coastal wetlands was negligible. While 7.4 % and 0.3 % of the coastal wetlands were in the EVI score of

Is incidence of multiple HPV genotypes rising in genital infections?

Directory of Open Access Journals (Sweden)

Amir Sohrabi

2017-11-01

Full Text Available Frequency of cervical cancer related to Human Papilloma Virus (HPV has increased remarkably in less-developed countries. Hence, applying capable diagnostic methods is urgently needed, as is having a therapeutic strategy as an effective step for cervical cancer prevention. The aim of this study was to investigate the prevalence of various multi-type HPV infection patterns and their possible rising incidence in women with genital infections.This descriptive study was conducted on women who attended referral clinical laboratories in Tehran for genital infections from January 2012 until December 2013. A total of 1387 archival cervical scraping and lesion specimens were collected from referred women. HPV genotyping was performed using approved HPV commercial diagnostic technologies with either INNO-LiPA HPV or Geno Array Test kits.HPV was positive in 563 cases (40.59% with mean age of 32.35 ± 9.96. Single, multiple HPV genotypes and untypable cases were detected in 398 (70.69%, 160 (28.42% and 5 (0.89% cases, respectively. Multiple HPV infections were detected in 92 (57.5%, 42 (26.2%, 17 (10.6% and 9 (5.7% cases as two, three, four and five or more genotypes, respectively. The prevalence of 32 HPV genotypes was determined one by one. Seventeen HPV genotypes were identified in 95.78% of all positive infections. Five dominant genotypes, HPV6, 16, 53, 11 and 31, were identified in a total of 52.35%of the HPV positive cases.In the present study, we were able to evaluate the rate of multiple HPV types in genital infections. Nevertheless, it is necessary to evaluate the role of the dominant HPV low-risk types and the new probably high-risk genotypes, such as HPV53, in the increasing incidences of genital infections. Keywords: Multiple HPV Types, Incidence, Genital infection, Cervical cancer, Iran

HIV infection among foreign transsexual sex workers in Rome: prevalence, behavior patterns, and seroconversion rates.

Science.gov (United States)

Spizzichino, L; Zaccarelli, M; Rezza, G; Ippolito, G; Antinori, A; Gattari, P

2001-07-01

The Azienda Sanitaria Locale Roma E (ASL-RME) outpatient clinic is the main reference center in Rome for HIV testing of foreign people. To define the prevalence and incidence of HIV infection among foreign transsexual sex workers attending the center. A cross-sectional, follow-up study was conducted. Between 1993 and 1999, 353 transsexuals attended the ASL-RME. They were from Colombia (n = 208), Brazil (n = 122), and other countries (n = 23). Most of these transsexuals reported having 5 to 10 partners per day. The overall HIV prevalence was 38.2%, which multivariate analysis found to be associated with origin from Brazil and a higher number of sex partners. The observed HIV seroconversion rate was 4.1 per 100 person-years, and non-regular condom use was the only factor related to seroconversion. The data from this study suggest that promotion of safer sex practices and regular condom use still is the main priority among marginalized population subgroups, such as foreign prostitutes, involved in sex activities that put them at risk for HIV infection.

Multimorbidity is associated with increased rates of depression in patients hospitalized with diabetes mellitus in the United States.

Science.gov (United States)

Chima, Charles C; Salemi, Jason L; Wang, Miranda; Mejia de Grubb, Maria C; Gonzalez, Sandra J; Zoorob, Roger J

2017-11-01

Information on the burden and risk factors for diabetes-depression comorbidity in the US is sparse. We used data from the largest all-payer, nationally-representative inpatient database in the US to estimate the prevalence, temporal trends, and risk factors for comorbid depression among adult diabetic inpatients. We conducted a retrospective analysis using the 2002-2014 Nationwide Inpatient Sample databases. Depression and other comorbidities were identified using ICD-9-CM codes. Logistic regression was used to investigate the association between patient characteristics and depression. The rate of depression among patients with type 2 diabetes increased from 7.6% in 2002 to 15.4% in 2014, while for type 1 diabetes the rate increased from 8.7% in 2002 to 19.6% in 2014. The highest rates of depression were observed among females, non-Hispanic whites, younger patients, and patients with five or more chronic comorbidities. The prevalence of comorbid depression among diabetic inpatients in the US is increasing rapidly. Although some portion of this increase could be explained by the rising prevalence of multimorbidity, increased awareness and likelihood of diagnosis of comorbid depression by physicians and better documentation as a result of the increased adoption of electronic health records likely contributed to this trend. Copyright © 2017 Elsevier Inc. All rights reserved.

Prevalence of diabetes mellitus among adults in rural north central ...

African Journals Online (AJOL)

Background: Diabetes Mellitus is one of the noncommunicable diseases and a public health problem facing the world. This chronic disease is expected to rise due to rapid population growth, urbanization, aging, obesity and physical inactivity. The objective of this study was to determine the prevalence of Diabetes Mellitus ...

[Aids in Madagascar. II. Intervention policy for maintaining low HIV infection prevalence].

Science.gov (United States)

Ravaoarimalala, C; Andriamahenina, R; Ravelojaona, B; Rabeson, D; Andriamiadana, J; May, J F; Behets, F; Rasamindrakotroka, A

1998-01-01

The HIV seroprevalence per 100,000 adults Malagasy rose from 20 in 1989, to 30 in 1992, and to 70 in 1995. In that year, the total number of HIV infected people in the Big Island was estimated at 5,000, the number of people sick with AIDS at 130, and the people at risk at more than 1,000,000. The latter are the persons infected with other STDs and individuals (or their partners) with risky sexual behaviour (e.g. numerous sexual partners, occasional sexual partners, and/or sexual contacts with commercial sex workers). The HIV prevalence rate is low as compared with those of other countries. Nevertheless, the spread of the HIV infection is alarming in some parts of the country and the risk factors are also present, namely: the high prevalence of STDs, numerous sexual partners, the low use of condoms in all groups, the development of tourism, the development of prostitution associated with social and economical problems, and internal and international migrations (with risky sexual contacts). Therefore, the still low but rising HIV prevalence in 1995 does not warrant complacency. To estimate the trend of HIV prevalence within the population, it is useful to know two different assumptions, as follows: firstly, a controlled evolution of the epidemic (low epidemic) and secondly, a very fast spread of the epidemic (high epidemic). If we consider the 5,000 individuals seropositive in July 1995, the Aids Impact Model (AIM) projection model shows that HIV seroprevalence rates among adults in 2015 might be between 3% (when the progression course of HIV epidemic is low) and 15% (when the progression course of HIV epidemic is high). By 2015 AIDS could have severe demographic, social, and economic impacts. Then, it is necessary to take measures to prevent contamination. Five major interventions are required: public information about AIDS, HIV transmission mechanism, and its prevention, communities education via the respected people and the notabilities to promote moral values

Prevalence of rosacea in the general population of Germany and Russia - The RISE study.

Science.gov (United States)

Tan, J; Schöfer, H; Araviiskaia, E; Audibert, F; Kerrouche, N; Berg, M

2016-03-01

There is an unmet need for general population-based epidemiological data on rosacea based on contemporary diagnostic criteria and validated population survey methodology. To evaluate the prevalence of rosacea in the general population of Germany and Russia. General population screening was conducted in 9-10 cities per country to ensure adequate geographic representation. In Part I of this two-phase study, screening of a representative sample of the general population (every fifth person or every fifth door using a fixed-step procedure on a random route sample) was expedited with use of a questionnaire and algorithm based on current diagnostic criteria for rosacea. Of the subjects that screened positive in the initial phase, a randomly selected sample (every third subject) t`hen underwent diagnostic confirmation by a dermatologist in Part II. A total of 3052 and 3013 subjects (aged 18-65 years) were screened in Germany and Russia respectively. Rosacea prevalence was 12.3% [95%CI, 10.2-14.4] in Germany and 5.0% [95%CI, 2.8-7.2] in Russia. The profile of subjects with rosacea (75% women; mean age of 40 years; mainly skin phototype II or III, majority of subjects with sensitive facial skin) and subtype distribution were similar. Overall, 18% of subjects diagnosed with rosacea were aged 18-30 years. Over 80% were not previously diagnosed. Within the previous year, 47.5% of subjects had received no rosacea care and 23.7% had received topical and/or systemic drugs. Over one-third (35% Germany, 43% Russia) of rosacea subjects reported a moderate to severe adverse impact on quality of life. Rosacea is highly prevalent in Germany (12.3%) and Russia (5.0%). The demographic profile of rosacea subjects was similar between countries and the majority were previously undiagnosed. © 2016 The Authors. Journal of the European Academy of Dermatology and Venereology published by John Wiley & Sons Ltd on behalf of European Academy of Dermatology and Venereology.

Rare chromosome abnormalities, prevalence and prenatal diagnosis rates from population-based congenital anomaly registers in Europe

DEFF Research Database (Denmark)

Wellesley, Diana; Dolk, Helen; Boyd, Patricia A

2012-01-01

The aim of this study is to quantify the prevalence and types of rare chromosome abnormalities (RCAs) in Europe for 2000-2006 inclusive, and to describe prenatal diagnosis rates and pregnancy outcome. Data held by the European Surveillance of Congenital Anomalies database were analysed on all the...... currently requiring specialised genetic counselling services in the perinatal period for these conditions and, for some, long-term care.European Journal of Human Genetics advance online publication, 11 January 2012; doi:10.1038/ejhg.2011.246....

Mangrove sedimentation and response to relative sea-level rise

Science.gov (United States)

Woodroffe, CD; Rogers, K.; Mckee, Karen L.; Lovelock, CE; Mendelssohn, IA; Saintilan, N.

2016-01-01

Mangroves occur on upper intertidal shorelines in the tropics and subtropics. Complex hydrodynamic and salinity conditions influence mangrove distributions, primarily related to elevation and hydroperiod; this review considers how these adjust through time. Accumulation rates of allochthonous and autochthonous sediment, both inorganic and organic, vary between and within different settings. Abundant terrigenous sediment can form dynamic mudbanks; tides redistribute sediment, contrasting with mangrove peat in sediment-starved carbonate settings. Sediments underlying mangroves sequester carbon, but also contain paleoenvironmental records of adjustments to past sea-level changes. Radiometric dating indicates long-term sedimentation, whereas Surface Elevation Table-Marker Horizon measurements (SET-MH) provide shorter perspectives, indicating shallow subsurface processes of root growth and substrate autocompaction. Many tropical deltas also experience deep subsidence, which augments relative sea-level rise. The persistence of mangroves implies an ability to cope with moderately high rates of relative sea-level rise. However, many human pressures threaten mangroves, resulting in continuing decline in their extent throughout the tropics.

Mangrove Sedimentation and Response to Relative Sea-Level Rise.

Science.gov (United States)

Woodroffe, C D; Rogers, K; McKee, K L; Lovelock, C E; Mendelssohn, I A; Saintilan, N

2016-01-01

Mangroves occur on upper intertidal shorelines in the tropics and subtropics. Complex hydrodynamic and salinity conditions, related primarily to elevation and hydroperiod, influence mangrove distributions; this review considers how these distributions change over time. Accumulation rates of allochthonous and autochthonous sediment, both inorganic and organic, vary between and within different settings. Abundant terrigenous sediment can form dynamic mudbanks, and tides redistribute sediment, contrasting with mangrove peat in sediment-starved carbonate settings. Sediments underlying mangroves sequester carbon but also contain paleoenvironmental records of adjustments to past sea-level changes. Radiometric dating indicates long-term sedimentation, whereas measurements made using surface elevation tables and marker horizons provide shorter perspectives, indicating shallow subsurface processes of root growth and substrate autocompaction. Many tropical deltas also experience deep subsidence, which augments relative sea-level rise. The persistence of mangroves implies an ability to cope with moderately high rates of relative sea-level rise. However, many human pressures threaten mangroves, resulting in a continuing decline in their extent throughout the tropics.

Rates and limits of climatic change: Discussion of possible targets; Rates and limits of temperature, precipitation, and sea-level changes

Energy Technology Data Exchange (ETDEWEB)

Gleick, P H [Pacific Inst. for SiDES, Berkeley, CA (US); Sassin, W [Landl (AT)

1990-10-01

The rate of sea-level rise over the next century is likely to accelerate rapidly and exceed rates of rise experienced over the last several thousand years. Under these conditions, adverse effects on natural ecosystems such as coastal marshes and coral reef islands would be widely observable by 2050, and would be noticeable in vulnerable ecosystems by the year 2000, even under low sea-level rise scenario. Non-linearities and sudden events such as storm surges and a change in storm frequency and intensity could lead to damages even earlier. Similarly, change in temperature and precipitation patterns far greater than those experienced in the last 10000to 100000 years seem likely unless strong actions are taken soon. Rates of change in temperature, precipitation, and sea level over geologic time have often exceeded the rates expected over the next century from global warming. These large excursions, however, were often accompanied by dramatic changes in ecosystems and by large species extinctions, and they occurred when no human infrastructure existed. The adaptive abilities of natural ecosystems can be used to define targets of maximum rates of rise. For coral reef islands and coastal marshes, the maximum rate of accretion of materials is 10 to 15 mm/yr. At this rate, however, many reefs and marshes that accrete materials at slower rates will be inundated and destroyed. Average rates of accretion for marshes are lower - between 2 and 5 mm/yr, and between 5 and 10 mm/yr for coral reefs. Even at these lower rates, some ecosystem losses are to be expected. This information leads to a recommended target for the rate of sea-level rise of between 20 and 50 mm per decade, and a target for absolute sea-level rise of between 0.2 and 0.5 above the 1990 global mean sea level. (authors).

Convergence of prevalence rates of diabetes and cardiometabolic risk factors in middle and low income groups in urban India: 10-year follow-up of the Chennai Urban Population Study.

Science.gov (United States)

Deepa, Mohan; Anjana, Ranjit Mohan; Manjula, Datta; Narayan, K M Venkat; Mohan, Viswanathan

2011-07-01

The aim of this study was to look for temporal changes in the prevalence of diabetes and cardiometabolic risk factors in two residential colonies in Chennai. Chennai Urban Population Study (CUPS) was carried out between 1996-1998 in Chennai in two residential colonies representing the middle income group (MIG) and lower income group (LIG), respectively. The MIG had twice the prevalence rate of diabetes as the LIG and higher prevalence rates of hypertension, obesity, and dyslipidemia. They were motivated to increase their physical activity, which led to the building of a park. The LIG was given standard lifestyle advice. Follow-up surveys of both colonies were performed after a period of 10 years. In the MIG, the prevalence of diabetes increased from 12.4 to 15.4% (24% increase), while in the LIG, it increased from 6.5 to 15.3% (135% increase, p India with a convergence of prevalence rates among people in the MIG and LIG. This could have a serious economic impact on poor people in developing countries such as India. © 2011 Diabetes Technology Society.

[Vulnerability assessment on the coastal wetlands in the Yangtze Estuary under sea-level rise].

Science.gov (United States)

Cui, Li-Fang; Wang, Ning; Ge, Zhen-Ming; Zhang, Li-Quan

2014-02-01

To study the response of coastal wetlands to climate change, assess the impacts of climate change on the coastal wetlands and formulate feasible and practical mitigation strategies are the important prerequisite for securing coastal ecosystems. In this paper, the possible impacts of sea level rise caused by climate change on the coastal wetlands in the Yangtze Estuary were analyzed by the Source-Pathway-Receptor-Consequence (SPRC) model and IPCC definition on the vulnerability. An indicator system for vulnerability assessment was established, in which sea-level rise rate, subsidence rate, habitat elevation, inundation threshold of habitat and sedimentation rate were selected as the key indicators. A quantitatively spatial assessment method based on the GIS platform was established by quantifying each indicator, calculating the vulnerability index and grading the vulnerability index for the assessment of coastal wetlands in the Yangtze Estuary under the scenarios of sea-level rise. The vulnerability assessments on the coastal wetlands in the Yangtze Estuary in 2030 and 2050 were performed under two sea-level rise scenarios (the present sea-level rise trend over recent 30 years and IPCC A1F1 scenario). The results showed that with the projection in 2030 under the present trend of sea-level rise (0.26 cm x a(-1)), 6.6% and 0.1% of the coastal wetlands were in the low and moderate vulnerabilities, respectively; and in 2050, 9.8% and 0.2% of the coastal wetlands were in low and moderate vulnerabilities, respectively. With the projection in 2030 under the A1F1 scenario (0.59 cm x a(-1)), 9.0% and 0.1% of the coastal wetlands were in the low and moderate vulnerabilities, respectively; and in 2050, 9.5%, 1.0% and 0.3% of the coastal wetlands were in the low, moderate and high vulnerabilities, respectively.

Prevalence Rates of Work Organization Characteristics Among Workers in the U.S.: Data From the 2010 National Health Interview Survey

Science.gov (United States)

Alterman, Toni; Luckhaupt, Sara E.; Dahlhamer, James M.; Ward, Brian W.; Calvert, Geoffrey M.

2015-01-01

Background Surveillance is needed to capture work organization characteristics and to identify their trends. Methods Data from the 2010 National Health Interview Survey (NHIS) were used to calculate prevalence rates for four work organization characteristics (long work hours, non-standard work arrangements, temporary positions, and alternative shifts) overall, and by demographic characteristics, and industry and occupation of current/recent employment. Results Data were available for 27,157 adults, of which 65% were current/recent workers. Among adults who worked in the past 12 months, 18.7% worked 48 hr or more per week, 7.2% worked 60 hr or more per week, 18.7% had non-standard work arrangements, 7.2% were in temporary positions, and 28.7% worked an alternative shift. Conclusions Prevalence rates of work organization characteristics are provided. These national estimates can be used to help occupational health professionals and employers to identify emerging occupational safety and health risks, allow researchers to examine associations with health, and use the data for benchmarking. PMID:22911666

Factors that could explain the increasing prevalence of type 2 diabetes among adults in a Canadian province: a critical review and analysis

Directory of Open Access Journals (Sweden)

Véronique Thibault

2016-11-01

Full Text Available Abstract Background The prevalence of diabetes has increased since the last decade in New Brunswick. Identifying factors contributing to the increase in diabetes prevalence will help inform an action plan to manage the condition. The objective was to describe factors that could explain the increasing prevalence of type 2 diabetes in New Brunswick since 2001. Methods A critical literature review was conducted to identify factors potentially responsible for an increase in prevalence of diabetes. Data from various sources were obtained to draw a repeated cross-sectional (2001–2014 description of these factors concurrently with changes in the prevalence of type 2 diabetes in New Brunswick. Linear regressions, Poisson regressions and Cochran Armitage analysis were used to describe relationships between these factors and time. Results Factors identified in the review were summarized in five categories: individual-level risk factors, environmental risk factors, evolution of the disease, detection effect and global changes. The prevalence of type 2 diabetes has increased by 120% between 2001 and 2014. The prevalence of obesity, hypertension, prediabetes, alcohol consumption, immigration and urbanization increased during the study period and the consumption of fruits and vegetables decreased which could represent potential factors of the increasing prevalence of type 2 diabetes. Physical activity, smoking, socioeconomic status and education did not present trends that could explain the increasing prevalence of type 2 diabetes. During the study period, the mortality rate and the conversion rate from prediabetes to diabetes decreased and the incidence rate increased. Suggestion of a detection effect was also present as the number of people tested increased while the HbA1c and the age at detection decreased. Period and birth cohort effect were also noted through a rise in the prevalence of type 2 diabetes across all age groups, but greater increases were

Effects of sea-level rise and pumpage elimination on saltwater intrusion in the Hilton Head Island area, South Carolina, 2004-2104

Science.gov (United States)

Payne, Dorothy F.

2010-01-01

Saltwater intrusion of the Upper Floridan aquifer has been observed in the Hilton Head area, South Carolina since the late 1970s and currently affects freshwater supply. Rising sea level in the Hilton Head Island area may contribute to the occurrence of and affect the rate of saltwater intrusion into the Upper Floridan aquifer by increasing the hydraulic gradient and by inundating an increasing area with saltwater, which may then migrate downward into geologic units that presently contain freshwater. Rising sea level may offset any beneficial results from reductions in groundwater pumpage, and thus needs to be considered in groundwater-management decisions. A variable-density groundwater flow and transport model was modified from a previously existing model to simulate the effects of sea-level rise in the Hilton Head Island area. Specifically, the model was used to (1) simulate trends of saltwater intrusion from predevelopment to the present day (1885-2004) and evaluate the conceptual model, (2) project these trends from the present day into the future based on different potential rates of sea-level change, and (3) evaluate the relative influences of pumpage and sea-level rise on saltwater intrusion. Four scenarios were simulated for 2004-2104: (1) continuation of the estimated sea-level rise rate over the last century, (2) a doubling of the sea-level rise, (3) a cessation of sea-level rise, and (4) continuation of the rate over the last century coupled with an elimination of all pumpage. Results show that, if present-day (year 2004) pumping conditions are maintained, the extent of saltwater in the Upper Floridan aquifer will increase, whether or not sea level continues to rise. Furthermore, if all pumpage is eliminated and sea level continues to rise, the simulated saltwater extent in the Upper Floridan aquifer is reduced. These results indicate that pumpage is a strong driving force for simulated saltwater intrusion, more so than sea-level rise at current rates

Child maltreatment in Germany: prevalence rates in the general population.

Science.gov (United States)

Witt, Andreas; Brown, Rebecca C; Plener, Paul L; Brähler, Elmar; Fegert, Jörg M

2017-01-01

Child maltreatment and its consequences are considered a major public health problem. So far, there is only one study from Germany reporting prevalence rates on different types of maltreatment. A representative sample of the German general population was examined for experiences of child maltreatment using the Childhood Trauma Questionnaire (CTQ) between September and November 2016. A total of 2510 (53.3% female) participants between 14 and 94 years (M = 48.8 years) were enrolled. Besides the CTQ, a range of sociodemographic information was collected. The interrelatedness of different types of maltreatment was examined using configuration analysis and predictors for maltreatment were identified by performing binary logistic regression analyses. Overall, 2.6% (f: 3.9%, m: 1.2%) of all participants reported severe emotional abuse, 3.3% (f: 3.4%, m: 3.3%) severe physical abuse, 2.3% (f: 3.7%, m: 0.7%) severe sexual abuse, 7.1% (f: 8.1%, m: 5.9%) severe emotional neglect and 9% (f: 9.2%, m: 8.9%) severe physical neglect. Women were more likely to report at least moderate sexual and emotional abuse than men. The largest difference between age groups was reported for physical neglect, with participants aged over 70 years reporting the highest rates. Participants who reported childhood maltreatment were more likely to be unemployed or have lower educational outcomes. The most common combination of maltreatment types were physical and emotional neglect, all five types of maltreatment combined and physical and emotional neglect and physical abuse combined. Child maltreatment, especially physical neglect is common in the German population. Women seem to be at greater risk for sexual and emotional abuse than men. Knowledge about different types of maltreatment based on the Childhood Trauma Questionnaire (CTQ) can help to put findings of future studies into an epidemiological and societal context.

Urbanization and prevalence of type 2 diabetes in Southern Asia: A systematic analysis

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Cheema, Arsalan; Adeloye, Davies; Sidhu, Simrita; Sridhar, Devi; Chan, Kit Yee

2014-01-01

Background Diabetes mellitus is one of the diseases considered to be the main constituents of the global non–communicable disease (NCD) pandemic. Despite the large impact that NCDs are predicted to have, particularly in developing countries, estimates of disease burden are sparse and inconsistent. This systematic review transparently estimates prevalence of type 2 diabetes mellitus in Southern Asia, its association with urbanization and provides insight into the policy challenges facing the region. Methods The databases Medline and PubMed were searched for population–based studies providing estimates of diabetes prevalence in the Southern Asia region. Studies using WHO diagnostic criteria of fasting plasma glucose (FPG) ≥7.0mmol/L and/or 2h–plasma glucose (2hPG) ≥11.1mmol/L were included. Data from eligible studies was extracted into bubble graphs, and trend lines were applied to UNPD figures to estimate age–specific prevalence in the regional population. Estimates specific to sex, area of residency, and diagnostic method were compared and trends analysed. Results A total of 151 age–specific prevalence estimates were extracted from 39 studies. Diabetes prevalence was estimated to be 7.47% for 2005 and 7.60% for 2010. Prevalence was strongly associated with increased age, male gender and urban residency (P 1). Conclusion Diabetes prevalence in Southern Asia is high and predicted to increase in the future as life expectancy rises and the region continues to urbanise. Countries in this region need to improve NCD surveillance and monitoring so policies can be informed with the best evidence. Programs for prevention need to be put in place, and health system capacity and access needs to be assessed and increased to deal with the predicted rise in NCD prevalence. PMID:24976963

Was the economic crisis 1997-1998 responsible for rising suicide rates in East/Southeast Asia? A time-trend analysis for Japan, Hong Kong, South Korea, Taiwan, Singapore and Thailand.

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Chang, Shu-Sen; Gunnell, David; Sterne, Jonathan A C; Lu, Tsung-Hsueh; Cheng, Andrew T A

2009-04-01

In 1997-1998 a widespread economic crisis hit the economies of many East/Southeast Asian countries; its impact on suicide rates across the region has not been systematically documented. We investigated the impact of the Asian economic crisis (1997-1998) on suicide in Japan, Hong Kong, South Korea, Taiwan, Singapore and Thailand. Suicide and population data for the period 1985-2006 were extracted from the World Health Organisation's mortality database and Taiwanese mortality statistics. Sex-specific age-standardised suicide rates for people aged 15years or above were analysed using joinpoint regression. Trends in divorce, marriage, unemployment, gross domestic product (GDP) per capita and alcohol consumption were compared with trends in suicide rates graphically and using time-series analysis. Suicide mortality decreased in the late 1980s and early 1990s but subsequently increased markedly in all countries except Singapore, which had steadily declining suicide rates throughout the study period. Compared to 1997, male rates in 1998 rose by 39% in Japan, 44% in Hong Kong and 45% in Korea; rises in female rates were less marked. Male rates also rose in Thailand, but accurate data were incomplete. The economic crisis was associated with 10,400 more suicides in 1998 compared to 1997 in Japan, Hong Kong and Korea. Similar increases in suicide rates were not seen in Taiwan and Singapore, the two countries where the economic crisis had a smaller impact on GDP and unemployment. Time-series analyses indicated that some of the crisis's impact on male suicides was attributable to increases in unemployment. These findings suggest an association of the Asian economic crisis with a sharp increase in suicide mortality in some, but not all, East/Southeast Asian countries, and that these increases were most closely associated with rises in unemployment.

Keep up or drown: adjustment of western Pacific coral reefs to sea-level rise in the 21st century.

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van Woesik, R; Golbuu, Y; Roff, G

2015-07-01

Since the Mid-Holocene, some 5000 years ago, coral reefs in the Pacific Ocean have been vertically constrained by sea level. Contemporary sea-level rise is releasing these constraints, providing accommodation space for vertical reef expansion. Here, we show that Porites microatolls, from reef-flat environments in Palau (western Pacific Ocean), are 'keeping up' with contemporary sea-level rise. Measurements of 570 reef-flat Porites microatolls at 10 locations around Palau revealed recent vertical skeletal extension (78±13 mm) over the last 6-8 years, which is consistent with the timing of the recent increase in sea level. We modelled whether microatoll growth rates will potentially 'keep up' with predicted sea-level rise in the near future, based upon average growth, and assuming a decline in growth for every 1°C increase in temperature. We then compared these estimated extension rates with rates of sea-level rise under four Representative Concentration Pathways (RCPs). Our model suggests that under low-mid RCP scenarios, reef-coral growth will keep up with sea-level rise, but if greenhouse gas concentrations exceed 670 ppm atmospheric CO2 levels and with +2.2°C sea-surface temperature by 2100 (RCP 6.0 W m(-2)), our predictions indicate that Porites microatolls will be unable to keep up with projected rates of sea-level rise in the twenty-first century.

Implications of sea-level rise in a modern carbonate ramp setting

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Lokier, Stephen W.; Court, Wesley M.; Onuma, Takumi; Paul, Andreas

2018-03-01

This study addresses a gap in our understanding of the effects of sea-level rise on the sedimentary systems and morphological development of recent and ancient carbonate ramp settings. Many ancient carbonate sequences are interpreted as having been deposited in carbonate ramp settings. These settings are poorly-represented in the Recent. The study documents the present-day transgressive flooding of the Abu Dhabi coastline at the southern shoreline of the Arabian/Persian Gulf, a carbonate ramp depositional system that is widely employed as a Recent analogue for numerous ancient carbonate systems. Fourteen years of field-based observations are integrated with historical and recent high-resolution satellite imagery in order to document and assess the onset of flooding. Predicted rates of transgression (i.e. landward movement of the shoreline) of 2.5 m yr- 1 (± 0.2 m yr- 1) based on global sea-level rise alone were far exceeded by the flooding rate calculated from the back-stepping of coastal features (10-29 m yr- 1). This discrepancy results from the dynamic nature of the flooding with increased water depth exposing the coastline to increased erosion and, thereby, enhancing back-stepping. A non-accretionary transgressive shoreline trajectory results from relatively rapid sea-level rise coupled with a low-angle ramp geometry and a paucity of sediments. The flooding is represented by the landward migration of facies belts, a range of erosive features and the onset of bioturbation. Employing Intergovernmental Panel on Climate Change (Church et al., 2013) predictions for 21st century sea-level rise, and allowing for the post-flooding lag time that is typical for the start-up of carbonate factories, it is calculated that the coastline will continue to retrograde for the foreseeable future. Total passive flooding (without considering feedback in the modification of the shoreline) by the year 2100 is calculated to likely be between 340 and 571 m with a flooding rate of 3

Trends and geographic inequalities in the prevalence of Down syndrome in Europe, 1980-1999.

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Dolk, H; Loane, M; Garne, E; De Walle, H; Queisser-Luft, A; De Vigan, C; Addor, M C; Gener, B; Haeusler, M; Jordan, H; Tucker, D; Stoll, C; Feijoo, M; Lillis, D; Bianchi, F

2005-11-01

EUROCAT is a network of population-based registries for the epidemiologic surveillance of congenital anomalies covering approximately one quarter of births in the European Union. Down syndrome constitutes approximately 8% of cases of registered congenital anomaly in Europe, with over 7000 affected pregnancies in the 15 current member states of the European Union each year. In this paper, we aim to examine trends in the live birth prevalence of Down syndrome in Europe in the light of trends in maternal age and in prenatal diagnosis. Descriptive analysis of data from 24 EUROCAT registries, covering 8.3 million births 1980-99. Cases include live births, stillbirths and terminations of pregnancy following prenatal diagnosis. Since 1980, the proportion of births to mothers of 35 years of age and over has risen quite dramatically from 8 to 14% for the European Union as a whole, with steeper rises in some regions. By 1995-1999, the proportion of "older" mothers varied between regions from 10% to 25%, and the total prevalence (including terminations of pregnancy) of Down syndrome varied from 1 to 3 per 1000 births. Some European regions have shown a more than twofold increase in total prevalence of Down syndrome since 1980. The proportion of cases of Down syndrome which were prenatally diagnosed followed by termination of pregnancy in 1995-1999 varied from 0% in the three regions of Ireland and Malta where termination of pregnancy is illegal, to less than 50% in 14 further regions, to 77% in Paris. The extent to which terminations of pregnancy were concen trated among older mothers varied between regions. The live birth prevalence has since 1980 increasingly diverged from the rising total prevalence, in some areas remaining approximately stable, in others decreasing over time. The rise in average maternal age in Europe has brought with it an increase in the number of pregnancies affected by Down syndrome. The widespread practice of prenatal screening and termination of

Final report for sea-level rise response modeling for San Francisco Bay estuary tidal marshes

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Takekawa, John Y.; Thorne, Karen M.; Buffington, Kevin J.; Spragens, Kyle A.; Swanson, Kathleen M.; Drexler, Judith Z.; Schoellhamer, David H.; Overton, Cory T.; Casazza, Michael L.

2013-01-01

The International Panel on Climate Change has identified coastal ecosystems as areas that will be disproportionally affected by climate change. Current sea-level rise projections range widely with 0.57 to 1.9 meters increase in mea sea level by 2100. The expected accelerated rate of sea-level rise through the 21st century will put many coastal ecosystems at risk, especially those in topographically low-gradient areas. We assessed marsh accretion and plant community state changes through 2100 at 12 tidal salt marshes around San Francisco Bay estuary with a sea-level rise response model. Detailed ground elevation, vegetation, and water level data were collected at all sites between 2008 and 2011 and used as model inputs. Sediment cores (taken by Callaway and others, 2012) at four sites around San Francisco Bay estuary were used to estimate accretion rates. A modification of the Callaway and others (1996) model, the Wetland Accretion Rate Model for Ecosystem Resilience (WARMER), was utilized to run sea-level rise response models for all sites. With a mean sea level rise of 1.24 m by 2100, WARMER projected that the vast majority, 95.8 percent (1,942 hectares), of marsh area in our study will lose marsh plant communities by 2100 and to transition to a relative elevation range consistent with mudflat habitat. Three marshes were projected to maintain marsh vegetation to 2100, but they only composed 4.2 percent (85 hectares) of the total marsh area surveyed.

Dissipation of mechanical work and temperature rise in AS4/PEEK thermoplastic composite

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Georgiou, I.; Sun, C. T.

1990-01-01

The dissipated mechanical work per cycle of sinusoidal stress in the thermoplastic composite material AS4/PEEK was measured as a function of stress amplitude for fixed frequency and fiber orientation. The experimental result shows that the dissipated work per cycle is proportional to the square of the stress amplitude. Using the concept of the equivalent isotropic material, it is shown that the relaxation modulus satisfies a proportionality condition. Also, the rate of temperature rise due to sinusoidal stresses has been measured as a function of stress amplitude. The result shows that the rate of temperature rise is not proportional to the square of the stress amplitude.

Foreshock sequences and short-term earthquake predictability on East Pacific Rise transform faults.

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McGuire, Jeffrey J; Boettcher, Margaret S; Jordan, Thomas H

2005-03-24

East Pacific Rise transform faults are characterized by high slip rates (more than ten centimetres a year), predominantly aseismic slip and maximum earthquake magnitudes of about 6.5. Using recordings from a hydroacoustic array deployed by the National Oceanic and Atmospheric Administration, we show here that East Pacific Rise transform faults also have a low number of aftershocks and high foreshock rates compared to continental strike-slip faults. The high ratio of foreshocks to aftershocks implies that such transform-fault seismicity cannot be explained by seismic triggering models in which there is no fundamental distinction between foreshocks, mainshocks and aftershocks. The foreshock sequences on East Pacific Rise transform faults can be used to predict (retrospectively) earthquakes of magnitude 5.4 or greater, in narrow spatial and temporal windows and with a high probability gain. The predictability of such transform earthquakes is consistent with a model in which slow slip transients trigger earthquakes, enrich their low-frequency radiation and accommodate much of the aseismic plate motion.

Does a Rise in Income Inequality Lead to Rises in Transportation Inequality and Mobility Practice Inequality?

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Joko Purwanto

2016-06-01

Full Text Available Social and economic inequalities have sharpened in the late 20th century. During this period, Europe has witnessed a rising unemployment rate, a declining wages for the least qualified workers, a slowing of income growth, and an increasing gap between the richest and the poorest. Based on the hypothesis of the relation between socio-economic condition and mobility behaviour, it is necessary to ask how these socio-economic inequalities manifest themselves in transportation: does a rise in income inequality lead to a rise in transportation inequality and mobility practice inequality? This question is particularly relevant today as some European countries are facing high socio-economic inequalities following the financial crisis that started in 2008. Using results from transport, car ownership and mobility surveys as well as household surveys from the Paris (Île-de-France region between eighties and late nineties, this paper tries to answer this question. The results show how inequalities in transportation and mobility practice have decreased during the period in spite of an increase in income inequalities. We find that the evolution of socio-economic inequality, most specifically income inequality was simply one of the determining factors of the evolution of inequalities in transportation and mobility practice. In fact, the most important role in that evolution is not played by the evolution of income inequality but by the evolution of elasticity between transportation and income. Reducing the effects of this elasticity should be the main target of transport policies to diminish inequality in transportation and mobility practice.

Prevalence of hypertension and hypertension control rates among elderly adults during the cold season in rural Northeast China: a cross-sectional study.

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Kawazoe, Nobuo; Zhang, Xiumin; Chiang, Chifa; Liu, Hongjian; Li, Jinghua; Hirakawa, Yoshihisa; Aoyama, Atsuko

2018-05-01

Objective: The burden of noncommunicable diseases (NCDs) is increasing in China, together with economic development and social changes. The prevalence of risk factors for NCDs, such as overweight/obesity, hypertension, diabetes, and dyslipidemia, is reported to be high even among poor residents of rural areas. We aimed to investigate the prevalence of hypertension among elderly adults in rural Northeast China and the proportion with controlled hypertension among those on antihypertensive medication (hypertension control rate). We also aimed to examine the association of hypertension control with health facilities that provide treatment. Methods: We conducted a community-based cross-sectional study in six rural villages of Northeast China from February to early March, 2012. We interviewed 1593 adults aged 50-69 years and measured their blood pressure. We examined the differences in mean blood pressure between participants who obtained antihypertensive medication from village clinics and those who obtained medication from other sources, using analysis of covariance adjusted for several covariates. Results: The prevalence of hypertension among participants was as high as 63.3%, but the hypertension control rate was only 8.4%. Most villagers (98.1%) were not registered in the chronic disease treatment scheme of the public rural health insurance. The mean systolic blood pressure, adjusted for the covariates, of participants who obtained antihypertensive medication from village clinics was significantly lower than that of participants who obtained medication from township hospitals (by 16.5 mmHg) or from private pharmacies (by 7.3 mmHg). Conclusion: The prevalence of hypertension was high and the hypertension control rate low among elderly villagers during the cold season. As treatment at village clinics, which villagers can access during the cold season seems to be more effective than self-medication or treatment at distant hospitals, improving the quality of treatment

Rapid sea level rise in the aftermath of a Neoproterozoic snowball Earth.

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Myrow, P M; Lamb, M P; Ewing, R C

2018-04-19

Earth's most severe climate changes occurred during global-scale snowball-Earth glaciations, which profoundly altered Earth's atmosphere, oceans, and biosphere. Extreme rates of glacio-eustatic sea-level rise are a fundamental prediction of the snowball Earth hypothesis, but supporting geologic evidence is lacking. We use paleohydraulic analysis of wave ripples and tidal laminae of the Elatina Formation, Australia - deposited following the Marinoan glaciation ca. 635Ma - to show that water depths of 9-16m remained nearly constant for ~100yrs throughout 27m of sediment accumulation. This accumulation rate was too great to have been accommodated by subsidence, and instead indicates an extraordinarily rapid rate of sea-level rise (0.2-0.27m/yr). Our results substantiate a fundamental prediction of snowball Earth models of rapid deglaciation during the early transition to a super-greenhouse climate. Copyright © 2018, American Association for the Advancement of Science.

Analysis of Sea Level Rise in Singapore Strait

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Tkalich, Pavel; Luu, Quang-Hung

2013-04-01

Sea level in Singapore Strait is governed by various scale phenomena, from global to local. Global signals are dominated by the climate change and multi-decadal variability and associated sea level rise; at regional scale seasonal sea level variability is caused by ENSO-modulated monsoons; locally, astronomic tides are the strongest force. Tide gauge records in Singapore Strait are analyzed to derive local sea level trend, and attempts are made to attribute observed sea level variability to phenomena at various scales, from global to local. It is found that at annual scale, sea level anomalies in Singapore Strait are quasi-periodic, of the order of ±15 cm, the highest during northeast monsoon and the lowest during southwest monsoon. Interannual regional sea level falls are associated with El Niño events, while the rises are related to La Niña episodes; both variations are in the range of ±9 cm. At multi-decadal scale, sea level in Singapore Strait has been rising at the rate 1.2-1.9 mm/year for the period 1975-2009, 2.0±0.3 mm/year for 1984-2009, and 1.3-4.7 mm/year for 1993-2009. When compared with the respective global trends of 2.0±0.3, 2.4, and 2.8±0.8 mm/year, Singapore Strait sea level rise trend was weaker at the earlier period and stronger at the recent decade.

Rising inequalities in income and health in China: Who is left behind?

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Baeten, Steef; Van Ourti, Tom; van Doorslaer, Eddy

2013-01-01

In recent decades, China has experienced double-digit economic growth rates and rising inequality. This paper implements a new decomposition approach using the China Health and Nutrition Survey (1991–2006) to examine the extent to which changes in level and distribution of incomes and in income mobility are related to health disparities between rich and poor. We find that health disparities in China relate to rising income inequality and in particular to the adverse health and income experience of older (wo)men, but not to the growth rate of average incomes over the last decades. These findings suggest that replacement incomes and pensions at older ages may be one of the most important policy levers for reducing health disparities between rich and poor Chinese. PMID:24189450

The prevalence and factors associated with obesity among adult women in Selangor, Malaysia

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Sidik Sherina

2009-04-01

Full Text Available Abstract Introduction The prevalence of obesity in developing countries especially among women is on the rise. This matter should be taken seriously because it can burden the health care systems and lower the quality of life. Aim The purpose of this study was to determine the prevalence of obesity among adult women in Selangor and to determine factors associated with obesity among these women. Methods This community based cross sectional study was conducted in Selangor in January 2004. Multi stage stratified proportionate to size sampling method was used. Women aged 20–59 years old were included in this study. Data was collected using a questionnaire-guided interview method. The questionnaire consisted of questions on socio-demographic (age, ethnicity, religion, education level, occupation, monthly income, marital status, Obstetric & Gynaecology history, body mass index (BMI, and the Patient Health Questionnaire (PHQ-9. Results Out of 1032 women, 972 agreed to participate in this study, giving a response rate of 94.2%. The mean age was 37.91 ± 10.91. The prevalence of obesity among the respondents was 16.7% (mean = 1.83 ± 0.373. Obesity was found to be significantly associated with age (p = 0.013, ethnicity (p = 0.001, religion (p = 0.002, schooling (p = 0.020, educational level (p = 0.016, marital status (p = 0.001 and the history of suffering a miscarriage within the past 6 months (p = 0.023. Conclusion The prevalence of obesity among adult women in this study was high. This problem needs to be emphasized as the prevalence of obesity keeps increasing, and will continue to worsen unless appropriate preventive measures are taken.

Weather Balloon Ascent Rate

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Denny, Mark

2016-05-01

The physics of a weather balloon is analyzed. The surprising aspect of the motion of these balloons is that they ascend to great altitudes (typically 35 km) at a more or less constant rate. Such behavior is not surprising near the ground—say for a helium-filled party balloon rising from street level to the top of the Empire State building—but it is unexpected for a balloon that rises to altitudes where the air is rarefied. We show from elementary physical laws why the ascent rate is approximately constant.

Tidal Marshes across a Chesapeake Bay Subestuary Are Not Keeping up with Sea-Level Rise.

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Beckett, Leah H; Baldwin, Andrew H; Kearney, Michael S

2016-01-01

Sea-level rise is a major factor in wetland loss worldwide, and in much of Chesapeake Bay (USA) the rate of sea-level rise is higher than the current global rate of 3.2 mm yr-1 due to regional subsidence. Marshes along estuarine salinity gradients differ in vegetation composition, productivity, decomposition pathways, and sediment dynamics, and may exhibit different responses to sea-level rise. Coastal marshes persist by building vertically at rates at or exceeding regional sea-level rise. In one of the first studies to examine elevation dynamics across an estuarine salinity gradient, we installed 15 surface elevation tables (SET) and accretion marker-horizon plots (MH) in tidal freshwater, oligohaline, and brackish marshes across a Chesapeake Bay subestuary. Over the course of four years, wetlands across the subestuary decreased 1.8 ± 2.7 mm yr-1 in elevation on average, at least 5 mm yr-1 below that needed to keep pace with global sea-level rise. Elevation change rates did not significantly differ among the marshes studied, and ranged from -9.8 ± 6.9 to 4.5 ± 4.3 mm yr-1. Surface accretion of deposited mineral and organic matter was uniformly high across the estuary (~9-15 mm yr-1), indicating that elevation loss was not due to lack of accretionary input. Position in the estuary and associated salinity regime were not related to elevation change or surface matter accretion. Previous studies have focused on surface elevation change in marshes of uniform salinity (e.g., salt marshes); however, our findings highlight the need for elevation studies in marshes of all salinity regimes and different geomorphic positions, and warn that brackish, oligohaline, and freshwater tidal wetlands may be at similarly high risk of submergence in some estuaries.

Plume rise from multiple sources

International Nuclear Information System (INIS)

Briggs, G.A.

1975-01-01

A simple enhancement factor for plume rise from multiple sources is proposed and tested against plume-rise observations. For bent-over buoyant plumes, this results in the recommendation that multiple-source rise be calculated as [(N + S)/(1 + S)]/sup 1/3/ times the single-source rise, Δh 1 , where N is the number of sources and S = 6 (total width of source configuration/N/sup 1/3/ Δh 1 )/sup 3/2/. For calm conditions a crude but simple method is suggested for predicting the height of plume merger and subsequent behavior which is based on the geometry and velocity variations of a single buoyant plume. Finally, it is suggested that large clusters of buoyant sources might occasionally give rise to concentrated vortices either within the source configuration or just downwind of it

Diabetes mellitus prevalence is increasing in South Asians but is stable in Chinese living in Singapore and Mauritius.

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Tan, Kristin H X; Barr, Elizabeth L M; Koshkina, Vira; Ma, Stefan; Kowlessur, Sudhir; Magliano, Dianna J; Söderberg, Stefan; Chia, Kee Seng; Zimmet, Paul; Lim, Wei-Yen

2017-09-01

Asia is experiencing a type 2 diabetes epidemic, but prevalence differs by ethnicity and level of socioeconomic development. Singapore and Mauritius have implemented comprehensive campaigns to address this public health problem. We compared diabetes and obesity prevalence trends among Chinese and South Asians living in Singapore and Mauritius to determine the contribution of ethnicity and economic development to diabetes. Age-specific data from serial national population-based surveys in Singapore and Mauritius between 1987 and 2010 were used to estimate age-standardized diabetes and obesity prevalence. Modified Breslow-Cox proportional hazard models were used to obtain rate ratios for diabetes risk factors. In Singapore, the age-standardized prevalence of diabetes remained stable for Chinese (men: 14% in 1992, 13% in 2010; women: 12% in 1992, 10% in 2010), but increases were observed for South Asians (men: 20% in 1992, 26% in 2010; women: 18% in 1992, 20% in 2010). There were similar patterns in Mauritius. In both countries, obesity prevalence trends were stable for Chinese women, but increased for Chinese men and South Asians. Associations between obesity and diabetes were stronger in Chinese than South Asians regardless of country. Despite different socioeconomic settings in Singapore and Mauritius, we observed rising diabetes prevalence among South Asians but stable prevalence in Chinese in both countries. This provides further evidence that ethnicity contributes to the development of diabetes, and that there should be an increased emphasis on future prevention strategies targeting South Asian populations in these countries. © 2016 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd.

Global warming and sea level rise. Chikyu Ondanka to kaimen josho

Energy Technology Data Exchange (ETDEWEB)

Mimura, N [Ibaraki University, Ibaraki (Japan). Faculty of Engineering

1993-10-15

This paper describes the following matters on the problems of global warming and sea level rise. The first evaluation report published by the inter-government panel on climate change (IPCC) in 1990 estimates that, if emission of greenhouse effect gas keeps increasing at the present rate, the air temperature and the average sea level would rise by 3[degree]C and 65 centimeters, respectively by 2100. Global warming would not only result in rise of the sea level, but also accompany changes in strengths and routes of tropical low pressure areas, and precipitation patterns. Downstream areas of large rivers and island countries on coral reefs may have a risk of getting submerged. Countries having coasts developed to high densities (Japan, for example) would be subjected to a high potential effect. An 'East Hemisphere International Conference on Sea Level Rising Problem' was held in Japan in August 1993 as part of the works to prepare the second evaluation report of the IPCC (publication scheduled for 1995). The conference was attended by 24 countries, and 43 study results were reported. 4 figs.

Assess the prevalence rate of Campylobacter genus and Campylobacter jejuni species in raw milk collected from the Amol City by Multiplex- Polymerase Chain Reaction

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Ali Dabiri

2016-03-01

Full Text Available Background & Objective: Campylobacter can be transmitted through the raw milk. The purpose of this study was to determine the prevalence of Campylobacter genus and Campylobacter jejuni (C. jejuni species in raw milk samples. Materials & Methods: In this study, 72 samples of raw milk were collected of the platforms milk in the Amol city in summer. Phenotypic identification of Campylobacter genus and C. jejuni species using microbiology laboratory methods and molecular identification of this bacterium using Multiplex- Polymerase Chain Reaction (M-PCR were performed. The data was calculated using the SPSS 16.0 software and the Fisher's exact test (p < 0.05. Results: Among the 72 samples, 13.88% of samples were contaminated with C. jejuni and 2.77% were contaminated with Campylobacter genus. The highest prevalence rate for this bacterium was in July (20.83% and the lowest prevalence rate was in September (12.5%. The significant difference between the prevalence of the Campylobacter genus and C. jejuni species in raw milk samples in various months of summer was not observed (p = 0.07. Conclusion: This study showed the raw milk contamination with Campylobacter, and thereby the sanitation in the dairy food production places and the use of fast and accurate method to identify this bacterium is important.

The rise of angiosperm-dominated herbaceous floras: Insights from Ranunculaceae.

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Wang, Wei; Lin, Li; Xiang, Xiao-Guo; Ortiz, Rosa Del C; Liu, Yang; Xiang, Kun-Li; Yu, Sheng-Xiang; Xing, Yao-Wu; Chen, Zhi-Duan

2016-06-02

The rise of angiosperms has been regarded as a trigger for the Cretaceous revolution of terrestrial ecosystems. However, the timeframe of the rise angiosperm-dominated herbaceous floras (ADHFs) is lacking. Here, we used the buttercup family (Ranunculaceae) as a proxy to provide insights into the rise of ADHFs. An integration of phylogenetic, molecular dating, ancestral state inferring, and diversification analytical methods was used to infer the early evolutionary history of Ranunculaceae. We found that Ranunculaceae became differentiated in forests between about 108-90 Ma. Diversification rates markedly elevated during the Campanian, mainly resulted from the rapid divergence of the non-forest lineages, but did not change across the Cretaceous-Paleogene boundary. Our data for Ranunculaceae indicate that forest-dwelling ADHFs may have appeared almost simultaneously with angiosperm-dominated forests during the mid-Cretaceous, whereas non-forest ADHFs arose later, by the end of the Cretaceous terrestrial revolution. Furthermore, ADHFs were relatively unaffected by the Cretaceous-Paleogene mass extinction.

Population dynamics of Hawaiian seabird colonies vulnerable to sea-level rise

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Hatfield, Jeff S.; Reynolds, Michelle H.; Seavy, Nathaniel E.; Krause, Crystal M.

2012-01-01

Globally, seabirds are vulnerable to anthropogenic threats both at sea and on land. Seabirds typically nest colonially and show strong fidelity to natal colonies, and such colonies on low-lying islands may be threatened by sea-level rise. We used French Frigate Shoals, the largest atoll in the Hawaiian Archipelago, as a case study to explore the population dynamics of seabird colonies and the potential effects sea-level rise may have on these rookeries. We compiled historic observations, a 30-year time series of seabird population abundance, lidar-derived elevations, and aerial imagery of all the islands of French Frigate Shoals. To estimate the population dynamics of 8 species of breeding seabirds on Tern Island from 1980 to 2009, we used a Gompertz model with a Bayesian approach to infer population growth rates, density dependence, process variation, and observation error. All species increased in abundance, in a pattern that provided evidence of density dependence. Great Frigatebirds (Fregata minor), Masked Boobies (Sula dactylatra), Red-tailed Tropicbirds (Phaethon rubricauda), Spectacled Terns (Onychoprion lunatus), and White Terns (Gygis alba) are likely at carrying capacity. Density dependence may exacerbate the effects of sea-level rise on seabirds because populations near carrying capacity on an island will be more negatively affected than populations with room for growth. We projected 12% of French Frigate Shoals will be inundated if sea level rises 1 m and 28% if sea level rises 2 m. Spectacled Terns and shrub-nesting species are especially vulnerable to sea-level rise, but seawalls and habitat restoration may mitigate the effects of sea-level rise. Losses of seabird nesting habitat may be substantial in the Hawaiian Islands by 2100 if sea levels rise 2 m. Restoration of higher-elevation seabird colonies represent a more enduring conservation solution for Pacific seabirds.

Complexities in barrier island response to sea level rise: Insights from numerical model experiments, North Carolina Outer Banks

Science.gov (United States)

Moore, Laura J.; List, Jeffrey H.; Williams, S. Jeffress; Stolper, David

2010-09-01

Using a morphological-behavior model to conduct sensitivity experiments, we investigate the sea level rise response of a complex coastal environment to changes in a variety of factors. Experiments reveal that substrate composition, followed in rank order by substrate slope, sea level rise rate, and sediment supply rate, are the most important factors in determining barrier island response to sea level rise. We find that geomorphic threshold crossing, defined as a change in state (e.g., from landward migrating to drowning) that is irreversible over decadal to millennial time scales, is most likely to occur in muddy coastal systems where the combination of substrate composition, depth-dependent limitations on shoreface response rates, and substrate erodibility may prevent sand from being liberated rapidly enough, or in sufficient quantity, to maintain a subaerial barrier. Analyses indicate that factors affecting sediment availability such as low substrate sand proportions and high sediment loss rates cause a barrier to migrate landward along a trajectory having a lower slope than average barrier island slope, thereby defining an "effective" barrier island slope. Other factors being equal, such barriers will tend to be smaller and associated with a more deeply incised shoreface, thereby requiring less migration per sea level rise increment to liberate sufficient sand to maintain subaerial exposure than larger, less incised barriers. As a result, the evolution of larger/less incised barriers is more likely to be limited by shoreface erosion rates or substrate erodibility making them more prone to disintegration related to increasing sea level rise rates than smaller/more incised barriers. Thus, the small/deeply incised North Carolina barriers are likely to persist in the near term (although their long-term fate is less certain because of the low substrate slopes that will soon be encountered). In aggregate, results point to the importance of system history (e

Complexities in barrier island response to sea level rise: Insights from numerical model experiments, North Carolina Outer Banks

Science.gov (United States)

Moore, Laura J.; List, Jeffrey H.; Williams, S. Jeffress; Stolper, David

2010-01-01

Using a morphological-behavior model to conduct sensitivity experiments, we investigate the sea level rise response of a complex coastal environment to changes in a variety of factors. Experiments reveal that substrate composition, followed in rank order by substrate slope, sea level rise rate, and sediment supply rate, are the most important factors in determining barrier island response to sea level rise. We find that geomorphic threshold crossing, defined as a change in state (e.g., from landward migrating to drowning) that is irreversible over decadal to millennial time scales, is most likely to occur in muddy coastal systems where the combination of substrate composition, depth-dependent limitations on shoreface response rates, and substrate erodibility may prevent sand from being liberated rapidly enough, or in sufficient quantity, to maintain a subaerial barrier. Analyses indicate that factors affecting sediment availability such as low substrate sand proportions and high sediment loss rates cause a barrier to migrate landward along a trajectory having a lower slope than average barrier island slope, thereby defining an “effective” barrier island slope. Other factors being equal, such barriers will tend to be smaller and associated with a more deeply incised shoreface, thereby requiring less migration per sea level rise increment to liberate sufficient sand to maintain subaerial exposure than larger, less incised barriers. As a result, the evolution of larger/less incised barriers is more likely to be limited by shoreface erosion rates or substrate erodibility making them more prone to disintegration related to increasing sea level rise rates than smaller/more incised barriers. Thus, the small/deeply incised North Carolina barriers are likely to persist in the near term (although their long-term fate is less certain because of the low substrate slopes that will soon be encountered). In aggregate, results point to the importance of system history (e

Interrelation between the prevalence rate of suicides and the length of working hours

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P. A. Korotkov

2017-01-01

Full Text Available It is known that overworking as well as deficiency of work (plenty of free time are major factors of a suicide on an individual level which allows when passing to the level of a real social group (employees to suppose of existence of a certain optimum of working time or a parabolic (U-shaped connection between the suicide rate and an average duration of working time. From the theoretical point of view the supposed parabolic dependence of the level of prevalence of suicides from an average duration of working time of employees is described from the point of view of suicidology: excessive increase of working time is an external tendency which prevents satisfaction of actual needs of an employee and limits physically the space (off-work time for their realization. Multidirectional tendencies form a life conflict which has crucial significance when transferring to a suicidal phase. The objective of this article consists in a qualitative assessment of an influence of “an average duration of working time” on the level of prevalence of suicides when other things are fixed (economic, social, religious and others in a relatively stable social situation. For the econometric analysis, reliable and comparable data of the European database of detailed mortality data of the World Health Organization and Eurostat are used for 22 European countries for the period from 1998 till 2012. Based on analysis of a dynamics of the studied variables different hypothesis have been made: 1 about existence of statistically significant linear or logarithmic dependence of the level of prevalence of suicides from an average factual duration of working time inside a country 2 about existence of a parabolic (U-shaped dependence of the level of prevalence of suicides from an average factual duration of working time between countries. A set of panel unit root tests and stationarity testify that the examined variables are unsteady variables with integratedness order I(1. The

Prevalence of diabetic complications in rural Goa, India

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Nafisa C Vaz

2011-01-01

Full Text Available Objective : To determine the prevalence of diabetes mellitus (DM and its associated diabetic complications in rural Goa, India. Materials and Methods: A community-based study was carried out in a rural setting in Goa, India. About 1,266 participants were selected by systematic random sampling. The participants were interviewed using a semi-structured questionnaire and were subjected to anthropometric, clinical evaluation and biochemical investigations. American Diabetes Association criteria were used to determine the prevalence of diabetes and standard operational definitions were used to define the diabetic complications. Data was analyzed using SPSS version 14.0 while chi-square and chi-square for trend were the tests used. Results: Among the total 1,266 study participants about 130 (10.3% were diabetics. The prevalence of the associated diabetic complications were as follows viz. neuropathy (60%, CHD (32.3% and cataract (20%, retinopathy (15.4%, peripheral vascular disease (11.5% and cerebrovascular accidents (CVAs (6.9%. A significant rising trend in the prevalence of all diabetic complications was observed with advancing duration of diabetes. Conclusion: The prevalence of DM and its associated complications was higher among the diabetic individuals in the rural setting of Goa, India. All the associated diabetic complications observed need to be addressed with appropriate prevention and control strategies.

Rising inequalities in income and health in China: who is left behind?

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Baeten, Steef; Van Ourti, Tom; van Doorslaer, Eddy

2013-12-01

In recent decades, China has experienced double-digit economic growth rates and rising inequality. This paper implements a new decomposition approach using the China Health and Nutrition Survey (1991-2006) to examine the extent to which changes in level and distribution of incomes and in income mobility are related to health disparities between rich and poor. We find that health disparities in China relate to rising income inequality and in particular to the adverse health and income experience of older (wo)men, but not to the growth rate of average incomes over the last decades. These findings suggest that replacement incomes and pensions at older ages may be one of the most important policy levers for reducing health disparities between rich and poor Chinese. Copyright © 2013 Elsevier B.V. All rights reserved.

Estimated prevalence of halitosis: a systematic review and meta-regression analysis.

Science.gov (United States)

Silva, Manuela F; Leite, Fábio R M; Ferreira, Larissa B; Pola, Natália M; Scannapieco, Frank A; Demarco, Flávio F; Nascimento, Gustavo G

2018-01-01

This study aims to conduct a systematic review to determine the prevalence of halitosis in adolescents and adults. Electronic searches were performed using four different databases without restrictions: PubMed, Scopus, Web of Science, and SciELO. Population-based observational studies that provided data about the prevalence of halitosis in adolescents and adults were included. Additionally, meta-analyses, meta-regression, and sensitivity analyses were conducted to synthesize the evidence. A total of 584 articles were initially found and considered for title and abstract evaluation. Thirteen articles met inclusion criteria. The combined prevalence of halitosis was found to be 31.8% (95% CI 24.6-39.0%). Methodological aspects such as the year of publication and the socioeconomic status of the country where the study was conducted seemed to influence the prevalence of halitosis. Our results demonstrated that the estimated prevalence of halitosis was 31.8%, with high heterogeneity between studies. The results suggest a worldwide trend towards a rise in halitosis prevalence. Given the high prevalence of halitosis and its complex etiology, dental professionals should be aware of their roles in halitosis prevention and treatment.

Coronary atherosclerosis and adverse outcomes in patients with recent-onset atrial fibrillation and troponin rise.

Science.gov (United States)

Conti, Alberto; Angeli, Elena; Scorpiniti, Margherita; Alesi, Andrea; Trausi, Federica; Lazzeretti, Delia; Padeletti, Luigi; Gensini, Gian Franco

2015-10-01

The relationship between troponin and atrial fibrillation (AF) without acute coronary syndrome is still unclear. We sought to investigate the presence of coronary atherosclerosis and adverse outcomes in patients with AF. Consecutive patients with recent-onset AF and without severe comorbidities were enrolled between 2004 and 2013. Patients with a troponin rise or with adverse outcomes were considered for coronary angiography and revascularization when "critical" stenosis (≥70%) was recognized. Propensity score matching was performed to adjust for baseline characteristics; after matching, no differences existed between the groups of patients with or without troponin rise. The primary end point was the composite of acute coronary syndrome, revascularization, and cardiac death at 1- and 12-month follow-ups. Of 3627 patients enrolled, 3541 completed the study; 202 (6%) showed troponin rise; and 91 (3%), an adverse outcome. In the entire cohort, on multivariate analysis, the odds ratio for the occurrence of the primary end point of troponin rise was 14 (95% confidence interval [CI], 10-23; Prise was 10 (CI, 4-22; Prise achieved the primary end point in 38 (19%) and 43 (1%) patients, respectively (Prise showed higher prevalence of coronary atherosclerosis and adverse cardiac events. Stroke per se did not succeed in justifying the high morbidity. Thus, beyond stroke, coronary atherosclerosis might have a pivotal role in poor outcomes. Copyright © 2015 Elsevier Inc. All rights reserved.

Rising incidence of Merkel cell carcinoma

DEFF Research Database (Denmark)

Lyhne, Dorte; Lock-Andersen, Jørgen; Dahlstrøm, Karin

2011-01-01

Abstract Merkel cell carcinoma (MCC) is a rare, aggressive, skin cancer of obscure histogenesis, the incidence of which is rising. There is no consensus on the optimal treatment. Our aim was to evaluate the staging, investigation, treatment, and follow-up of MCC in eastern Denmark, and to investi......Abstract Merkel cell carcinoma (MCC) is a rare, aggressive, skin cancer of obscure histogenesis, the incidence of which is rising. There is no consensus on the optimal treatment. Our aim was to evaluate the staging, investigation, treatment, and follow-up of MCC in eastern Denmark......, and to investigate the incidence. We suggest guidelines for treatment. First we reviewed the medical records of 51 patients diagnosed with MCC from 1995 until 2006 in eastern Denmark. The nation-wide incidence of MCC was extracted from the Danish Cancer Registry for the calculations for the period 1986-2003. We...... reviwed published papers about MCC based on a MEDLINE search. Fourteen of the 51 patients developed recurrence, and 37 (73%) died during the study period. Mean follow-up was 13 months (range 1-122). A total of 153 patients were identified in the Danish Cancer Registry, and showed that incidence rates had...

Higher Prevalence and Awareness, but Lower Control Rate of Hypertension in Patients with Diabetes than General Population: The Fifth Korean National Health and Nutrition Examination Survey in 2011

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Seung-Hyun Ko

2014-02-01

Full Text Available BackgroundWe investigated the prevalence, awareness, treatment, and control rate of hypertension in Korean adults with diabetes using nationally representative data.MethodsUsing data of 5,105 adults from the fifth Korea National Health and Nutrition Examination Survey in 2011 (4,389 nondiabetes mellitus [non-DM], 242 newly diagnosed with DM (new-DM, and 474 previously diagnosed with DM (known-DM, we analyzed the prevalence of hypertension (mean systolic blood pressure ≥140 mm Hg, diastolic blood pressure ≥90 mm Hg, or use of antihypertensive medication and control rate of hypertension (blood pressure [BP] <130/80 mm Hg.ResultsThe prevalence of hypertension in diabetic adults was 54.6% (44.4% in new-DM and 62.6% in known-DM, P<0.0001 and P<0.0001, respectively compared with non-DM adults (26.2%. Compared to non-DM, awareness (85.7%, P<0.001 and treatment (97.0%, P=0.020 rates were higher in known-DM, whereas no differences were found between new-DM and non-DM. Control rate among all hypertensive subjects was lower in new-DM (14.9%, compared to non-DM (35.1%, P<0.001 and known-DM (33.3%, P=0.004. Control rate among treated subjects was also lower in new-DM (25.2%, compared to non-DM (68.4%, P<0.0001 and known-DM (39.9%, P<0.0001.ConclusionHigher prevalence and low control rate of hypertension in adults with diabetes suggest that stringent efforts are needed to control BP in patients with diabetes, particularly in newly diagnosed diabetic patients.

Lifetime prevalence of injuries in incoming division I collegiate football players.

Science.gov (United States)

Sarac, Nikolas; Haynes, William; Pedroza, Angela; Kaeding, Christopher; Borchers, James

2017-11-01

The purpose of this study is to determine the lifetime prevalence of past injuries in incoming first year football players in a Division 1 college football team. Pre-participation questionnaires from 605 first-year football players over 20 years (1996-2015) were examined to determine the prevalence of concussions, stingers, fractures, and musculoskeletal surgeries sustained before playing at the collegiate level. Players were grouped by position: wide receiver and defensive back (WR/DB), offensive and defensive linemen (OL/DL), all other positions (OP), and unknown (UKN). Prevalence of injuries by year and position was compared using Pearson's χ 2 Test (p football injuries are on the rise. Under reporting is a significant concern as players may fear disqualification or that they are evaluated by the coaching staff based on their medical history. More research is needed to confirm lifetime injury prevalence and evaluate differences over time among football players.

Prevalence of Korean cats with natural feline coronavirus infections

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Lee Myoung-Heon

2011-09-01

Full Text Available Abstract Background Feline coronavirus is comprised of two pathogenic biotypes consisting of feline infectious peritonitis virus (FIPV and feline enteric coronavirus (FECV, which are both divided into two serotypes. To examine the prevalence of Korean cats infected with feline coronavirus (FCoV type I and II, fecal samples were obtained from 212 cats (107 pet and 105 feral in 2009. Results Fourteen cats were FCoV-positive, including infections with type I FCoV (n = 8, type II FCoV (n = 4, and types I and II co-infection (n = 2. Low seroprevalences (13.7%, 29/212 of FCoV were identified in chronically ill cats (19.3%, 16/83 and healthy cats (10.1%, 13/129. Conclusions Although the prevalence of FCoV infection was not high in comparison to other countries, there was a higher prevalence of type I FCoV in Korean felines. The prevalence of FCoV antigen and antibody in Korean cats are expected to gradually increase due to the rising numbers of stray and companion cats.

Perceptions of Climate Change, Sea Level Rise, and Possible Consequences Relate Mainly to Self-Valuation of Science Knowledge.

Science.gov (United States)

Burger, Joanna; Gochfeld, Michael; Pittfield, Taryn; Jeitner, Christian

2016-05-01

This study examines perceptions of climate change and sea level rise in New Jersey residents in 2012 and 2014. Different surveys have shown declines in interest and concern about climate change and sea level rise. Climate change and increasing temperatures have an anthropogenic cause, which relates to energy use, making it important to examine whether people believe that it is occurring. In late 2012 New Jersey experienced Super storm Sandy, one of the worst hurricanes in its history, followed by public discussion and media coverage of stronger more frequent storms due to climate change. Using structured interviews, we tested the null hypotheses that there were no differences in perceptions of 1260 interviewees as a function of year of the survey, age, gender, years of education, and self-evaluation of science knowledge (on a scale of 1 to 5). In 2012 460 of 639 (72%) rated "global warming occurring" as "certain" (#4) or "very certain" (#5) compared with 453 of 621 (73%) in 2014. For "due to human activities" the numbers of "certain" or "very certain" were 71% in 2012, and 67% in 2014 and for sea level rise the numbers were 64% and 70%. There were some inconsistent between-year differences with higher ratings in 2012 for 3 outcomes and higher ratings in 2014 for 5 outcomes. However, for 25 questions relative to climate change, sea level rise, and the personal and ecological effects of sea level rise, self-evaluation of science knowledge, independent of years of education, was the factor that entered 23 of the models, accounting for the most variability in ratings. People who believed they had a "high knowledge" (#4) or "very high knowledge" (#5) of science rated all issues as more important than did those people who rated their own scientific knowledge as average or below average.

Prevalence rate of post-traumatic stress disorders (PTSD and other psychological disorders among Saudi firefighters

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Mohammed Alghamd

2013-08-01

Full Text Available Background: Firefighters have a high probability of being exposed to a variety of traumatic events. Potentially traumatic events can occur during a single rescue such as: providing aid to seriously injured or helpless victims. Moreover, firefighters who are injured in the line of duty may have to retire as a consequence of their injury. The psychological cost of this exposure may increase the risk of long-term problems, such as post-traumatic stress disorder (PTSD symptoms, depression, and anxiety. Objective: The purpose of this study was to investigate the prevalence of PTSD symptoms, depression, anxiety, and assess related variables such as coping strategies and social support among Saudi firefighters. Method: Two hundred firefighters completed the Fire-fighter Trauma History Screen (FTHS to measure the number of traumatic events, Screen for Post-traumatic Stress Symptoms (SPTSS scale to assess the prevalence of PTSD symptoms, Hospital Anxiety and Depression Scales (HADS to assess depression and anxiety, Brief Cope (BC scale to measure coping strategies used, and Social Support scale was used to evaluate the firefighter's support received. Results: The results showed that 84% (169/200 of firefighters were exposed to at least one traumatic event. The result presented that 57% (96/169 of exposure firefighters fully met the DSM-IV criteria for PTSD with high levels of depression and anxiety; 39% (66/169 partially met the PTSD criteria. However, only 4% participants have not met the PTSD criteria. The results also revealed that adaptive coping strategies and higher perceived social support was associated with lower levels of PTSD. Conclusion: The high prevalence rate of PTSD related to the type and severity of the traumatic events and years of experience in the job. Accordingly, many firefighters were severely affected by their experiences, and we should be developing methods to help them.

Regional approaches in high-rise construction

Science.gov (United States)

Iconopisceva, O. G.; Proskurin, G. A.

2018-03-01

The evolutionary process of high-rise construction is in the article focus. The aim of the study was to create a retrospective matrix reflecting the tasks of the study such as: structuring the most iconic high-rise objects within historic boundaries. The study is based on contemporary experience of high-rise construction in different countries. The main directions and regional specifics in the field of high-rise construction as well as factors influencing the further evolution process are analyzed. The main changes in architectural stylistics, form-building, constructive solutions that focus on the principles of energy efficiency and bio positivity of "sustainable buildings", as well as the search for a new typology are noted. The most universal constructive methods and solutions that turned out to be particularly popular are generalized. The new typology of high-rises and individual approach to urban context are noted. The results of the study as a graphical scheme made it possible to represent the whole high-rise evolution. The new spatial forms of high-rises lead them to new role within the urban environments. Futuristic hyperscalable concepts take the autonomous urban space functions itself and demonstrate us how high-rises can replace multifunctional urban fabric, developing it inside their shells.

Soil Structure Interaction Effect on High Rise and Low Rise Buildings

OpenAIRE

Divya Pathak; PAresh H. SHAH

2000-01-01

Effect of supporting soil on the response of structure has been analyzed in the present study. A low rise (G+ 5 storey) and a high rise (G+12 storey) building has been taken for the analysis. For both type of buildings, the response of building with and without consideration of soil structure interaction effect has been compared.Without interaction case is the case in which ends of the structure are assumed to be fixed while in interaction case, structure is assumed to be...

Estimation of the prevalence and rate of acute transfusion reactions occurring in Windhoek, Namibia

Science.gov (United States)

Meza, Benjamin P.L.; Lohrke, Britta; Wilkinson, Robert; Pitman, John P.; Shiraishi, Ray W.; Bock, Naomi; Lowrance, David W.; Kuehnert, Matthew J.; Mataranyika, Mary; Basavaraju, Sridhar V.

2014-01-01

Background Acute transfusion reactions are probably common in sub-Saharan Africa, but transfusion reaction surveillance systems have not been widely established. In 2008, the Blood Transfusion Service of Namibia implemented a national acute transfusion reaction surveillance system, but substantial under-reporting was suspected. We estimated the actual prevalence and rate of acute transfusion reactions occurring in Windhoek, Namibia. Methods The percentage of transfusion events resulting in a reported acute transfusion reaction was calculated. Actual percentage and rates of acute transfusion reactions per 1,000 transfused units were estimated by reviewing patients’ records from six hospitals, which transfuse >99% of all blood in Windhoek. Patients’ records for 1,162 transfusion events occurring between 1st January – 31st December 2011 were randomly selected. Clinical and demographic information were abstracted and Centers for Disease Control and Prevention National Healthcare Safety Network criteria were applied to categorize acute transfusion reactions1. Results From January 1 – December 31, 2011, there were 3,697 transfusion events (involving 10,338 blood units) in the selected hospitals. Eight (0.2%) acute transfusion reactions were reported to the surveillance system. Of the 1,162 transfusion events selected, medical records for 785 transfusion events were analysed, and 28 acute transfusion reactions were detected, of which only one had also been reported to the surveillance system. An estimated 3.4% (95% confidence interval [CI]: 2.3–4.4) of transfusion events in Windhoek resulted in an acute transfusion reaction, with an estimated rate of 11.5 (95% CI: 7.6–14.5) acute transfusion reactions per 1,000 transfused units. Conclusion The estimated actual rate of acute transfusion reactions is higher than the rate reported to the national haemovigilance system. Improved surveillance and interventions to reduce transfusion-related morbidity and mortality

The prevalence of Giardia infection in dogs and cats, a systematic review and meta-analysis of prevalence studies from stool samples.

Science.gov (United States)

Bouzid, Maha; Halai, Kapil; Jeffreys, Danielle; Hunter, Paul R

2015-01-30

Giardia has a wide range of host species and is a common cause of diarrhoeal disease in humans and animals. Companion animals are able to transmit a range of zoonotic diseases to their owners including giardiasis, but the size of this risk is not well known. The aim of this study was to analyse giardiasis prevalence rates in dogs and cats worldwide using a systematic search approach. Meta-analysis enabled to describe associations between Giardia prevalence and various confounding factors. Pooled prevalence rates were 15.2% (95% CI 13.8-16.7%) for dogs and 12% (95% CI 9.2-15.3%) for cats. However, there was very high heterogeneity between studies. Meta-regression showed that the diagnostic method used had a major impact on reported prevalence with studies using ELISA, IFA and PCR reporting prevalence rates between 2.6 and 3.7 times greater than studies using microscopy. Conditional negative binomial regression found that symptomatic animals had higher prevalence rates ratios (PRR) than asymptomatic animals 1.61 (95% CI 1.33-1.94) in dogs and 1.94 (95% CI 1.47-2.56) in cats. Giardia was much more prevalent in young animals. For cats >6 months, PRR=0.47 (0.42-0.53) and in dogs of the same age group PRR=0.36 (0.32-0.41). Additionally, dogs kept as pets were less likely to be positive (PRR=0.56 (0.41-0.77)) but any difference in cats was not significant. Faecal excretion of Giardia is common in dogs and slightly less so in cats. However, the exact rates depend on the diagnostic method used, the age and origin of the animal. What risk such endemic colonisation poses to human health is still unclear as it will depend not only on prevalence rates but also on what assemblages are excreted and how people interact with their pets. Copyright © 2015 The Authors. Published by Elsevier B.V. All rights reserved.

Radiation monitoring for the HTTR rise-to-power test (1) and (2)'

Energy Technology Data Exchange (ETDEWEB)

Nakazawa, Takashi; Yoshino, Toshiaki; Yasu, Katsuji; Ashikagaya, Yoshinobu; Kikuchi, Toshiki [Japan Atomic Energy Research Inst., Oarai, Ibaraki (Japan). Oarai Research Establishment

2001-02-01

The High Temperature Engineering Test Reactor (HTTR) is the first high temperature gas-cooled research reactor in Japan. This reactor is a helium-gas-cooled and graphite-moderated reactor with a thermal output of 30 MW. The rated operation temperature of the outlet coolant is 850degC. (During high temperature test operation, this reaches 950degC). The first criticality of the HTTR was attained in November 1998. The single loaded, parallel loaded operation with a thermal output of 9 MW (called the HTTR Rise-to-Power Test (1)) was completed between September 16, 1999 and July 8, 2000. The single loaded, parallel loaded continuous operation with a thermal output of 20 MW (called the HTTR Rise-to-Power Test (2)) has also been carried out, but it was shutdown at the halfway stage by a single from the reactor, when the thermal output was 16.5 MW and the reactor outlet coolant temperature was 500degC. This report describes the radiation monitoring carried out during the HTTR Rise-to-Power Tests (1) and (2)'. The data measured by the various radiation monitors is also reported. These data will be used for the estimation of radiation levels (such as the radiation dose equivalent rate, the radioactive concentration in effluents, etc.) for the next HTTR Rise-to-Power Test, and for periodic inspections. (author)

Prevalence of hepatitis C virus infection among HIV+ men who have sex with men: a systematic review and meta-analysis.

Science.gov (United States)

Jordan, Ashly E; Perlman, David C; Neurer, Joshua; Smith, Daniel J; Des Jarlais, Don C; Hagan, Holly

2017-02-01

Since 2000, an increase in hepatitis C virus infection among HIV-infected (HIV+) men who have sex with men has been observed. Evidence points to blood exposure during sex as the medium of hepatitis C virus transmission. Hepatitis C virus prevalence among HIV + MSM overall and in relation to injection drug use is poorly characterized. In this study, a systematic review and meta-analysis examining global hepatitis C virus antibody prevalence and estimating active hepatitis C virus prevalence among HIV + MSM were conducted; 42 reports provided anti-hepatitis C virus prevalence data among HIV + MSM. Pooled prevalence produced an overall anti-hepatitis C virus prevalence among HIV + MSM of 8.1%; active HCV prevalence estimate was 5.3%-7.3%. Anti-hepatitis C virus prevalence among injection drug use and non-injection drug use HIV + MSM was 40.0% and 6.7%, respectively. Among HIV + MSM, hepatitis C virus prevalence increased significantly over time among the overall and non-injection drug use groups, and decreased significantly among injection drug use HIV + MSM. We identified a moderate prevalence of hepatitis C virus among all HIV + MSM and among non-injection drug use HIV + MSM; for both, prevalence was observed to be increasing slightly. Pooled prevalence of hepatitis C virus among HIV + MSM was higher than that observed in the 1945-1965 US birth cohort. The modest but rising hepatitis C virus prevalence among HIV + MSM suggests an opportunity to control HCV among HIV + MSM; this combined with data demonstrating a rising hepatitis C virus incidence highlights the temporal urgency to do so.

Assessing Sea Level Rise Impacts on the Surficial Aquifer in the Kennedy Space Center Region

Science.gov (United States)

Xiao, H.; Wang, D.; Hagen, S. C.; Medeiros, S. C.; Warnock, A. M.; Hall, C. R.

2014-12-01

Global sea level rise in the past century due to climate change has been seen at an average rate of approximately 1.7-2.2 mm per year, with an increasing rate over the next century. The increasing SLR rate poses a severe threat to the low-lying land surface and the shallow groundwater system in the Kennedy Space Center in Florida, resulting in saltwater intrusion and groundwater induced flooding. A three-dimensional groundwater flow and salinity transport model is implemented to investigate and evaluate the extent of floods due to rising water table as well as saltwater intrusion. The SEAWAT model is chosen to solve the variable-density groundwater flow and salinity transport governing equations and simulate the regional-scale spatial and temporal evolution of groundwater level and chloride concentration. The horizontal resolution of the model is 50 m, and the vertical domain includes both the Surficial Aquifer and the Floridan Aquifer. The numerical model is calibrated based on the observed hydraulic head and chloride concentration. The potential impacts of sea level rise on saltwater intrusion and groundwater induced flooding are assessed under various sea level rise scenarios. Based on the simulation results, the potential landward movement of saltwater and freshwater fringe is projected. The existing water supply wells are examined overlaid with the projected salinity distribution map. The projected Surficial Aquifer water tables are overlaid with data of high resolution land surface elevation, land use and land cover, and infrastructure to assess the potential impacts of sea level rise. This study provides useful tools for decision making on ecosystem management, water supply planning, and facility management.

The emergence of rural transport strategies in response to rising fuel costs

International Nuclear Information System (INIS)

Shapiro, Dana; Pearlmutter, David; Schwartz, Moshe

2012-01-01

Rising and sometimes volatile fuel prices pose a challenge for rural organizations reliant on long distance transport. To understand the coping mechanisms used by such organizations, we survey rural business strategies in Israel, where fuel prices are high and urban development is concentrated in the country's geographic center. The businesses surveyed are operated by kibbutzim, historically collective communities that are now in various stages of privatization. Analysis of the ‘transport strategies’ employed by nearly 100 organizations in three regions of varying remoteness and isolation shows that firms rely on distinct strategies such as localization and high value density. Localization was found to be prevalent in all regions, as it requires little capital investment. Strategies exploiting high value density, including information-based services, were prevalent in remote and isolated regions where sensitivity to transport costs is acute. Non-remote firms were less inclined toward strategic adaptation, preferring non-disruptive changes such as cheaper shipping modes. The development implications of these transport strategies are consistent with rural economic trends observed throughout the developed world. If transport costs continue to rise, rural firms may shrink the radius of their sales and labor pools, or search for more lucrative products to reduce their relative transport costs. - Highlights: ► We survey transport strategies used by rural businesses in Israeli kibbutzim. ► The seven distinct strategies identified include localization and value density. ► Localization is used in all regions and value density in remote and isolated regions. ► Development implications are consistent with economic trends in other rural regions. ► Rural firms will likely respond to high fuel costs by strategic transport adaptation.

Prevalence and causes of visual impairment and rate of wearing spectacles in schools for children of migrant workers in Shanghai, China.

Science.gov (United States)

He, Jiangnan; Lu, Lina; Zou, Haidong; He, Xiangui; Li, Qiangqiang; Wang, Weijie; Zhu, Jianfeng

2014-12-22

To assess the prevalence of visual impairment and rate of wearing spectacles in schools for children of migrant workers in Shanghai, China. Children from grade 1 to 5 in schools for children of migrant workers were randomly chosen for ocular examinations. All children were screened for uncorrected visual acuity and presenting visual acuity. After screening, the children whose uncorrected visual acuity was 20/40 or less received ocular motility evaluation, cycloplegic refraction/non-cycloplegic refraction, and external eye, anterior segment, media, and fundus examinations. A total of 9673 children were enumerated and 9512 (98.34%) participated in this study. The prevalence of uncorrected, presenting, and best-corrected visual acuity of 20/40 or worse in the better eye were 13.33%, 11.26%, and 0.63%, respectively. The rate of wearing spectacles of the children with visual impairment in one or both eyes was 15.50%. Of these, 26.05% were wearing spectacles with inaccurate prescriptions. Refractive error was a major cause of visual impairment, accounting for 89.48% of all the visual impairment causes. Other causes of visual impairment included amblyopia accounting for 10.12%; congenital cataract, 0.1%; congenital nystagmus, 0.1%; ocular prosthesis, 0.1%; macular degeneration, 0.05%; and opaque cornea, 0.05%. This is the first study of the prevalence and causes of visual impairment in schools for children of migrant workers in Shanghai, China. The visual impairment rate in schools for children of migrant workers in suburbs of Shanghai in the best eye before vision correction was lower than those of urban children in mainstream schools in Guangzhou in 2012, and higher than students in rural of Beijing in 1998 and in suburb of Chongqing in 2007. The refractive error was the principal cause of the visual impairment of the children of migrant workers. The rate of wearing spectacles was low and the percentage of inaccurate prescriptions, among those who wore spectacles, was

Family planning use: prevalence, pattern and predictors among ...

African Journals Online (AJOL)

Introduction: High fertility,high birth rates and low family planning prevalence rate is a common feature in developing countries with consequent rapid population growth. Family planning has saved the lives and protected the health of millions of women and children. This study aims to ascertain prevalence, pattern and ...

An investigation of the prevalence rate of fatty liver disease among people undergoing physical examination in Tangshan, China

Directory of Open Access Journals (Sweden)

MENG Yulin

2017-12-01

Full Text Available ObjectiveTo investigate the prevalence rate of fatty liver disease among people undergoing physical examination in Tangshan, China, and to provide a reasonable basis for the prevention and treatment of fatty liver disease. MethodsThe clinical data of 12 808 individuals who underwent physical examination in Tangshan from March 2014 to February 2016 were collected, and among these individuals, 3540 had fatty liver disease. The data including age, sex, body mass index (BMI, fasting plasma glucose (FPG, total cholesterol (TC, triglyceride (TG, low-density lipoprotein cholesterol (LDL-C, and liver ultrasound findings were analyzed. The t-test was used for comparison of continuous data between groups and the chi-square test was used for comparison of categorical data between groups. Results Of all 7151 male individuals who underwent physical examination, 2750 (38.46% had fatty liver disease, and of all 5657 female individuals, 790 (13.96% had fatty liver disease; there was a significant difference in the prevalence rate of fatty liver disease between male and female individuals (χ2=947.25, P＜0.01. There was a significant difference in the detection rate of fatty liver disease between male and female individuals in each age group of 18-29, 30-39, 40-49, and ≥50 years (χ2=337.58, 474.06, 449.38, and 12.86, all P＜0.01. There was a significant difference in the detection rate of fatty liver disease between male or female individuals with different BMIs ［obese (BMI ≥28, overweight (24≤BMI＜28, and normal (BMI＜24］ (χ2=1104.01 and 500.23, both P＜0.01. In the three groups of obese (BMI ≥28, overweight (24≤BMI＜28, and normal (BMI＜24 individuals who underwent physical examination, there was a significant difference in the detection rate of fatty liver disease between male and female individuals in each group (χ2=71.24, 87.97, and 323.84, all P＜0.01. Male and female individuals with obesity (BMI ≥28 and overweight (24�

Analysis of uncertainties in CRAC2 calculations: wet deposition and plume rise

International Nuclear Information System (INIS)

Ward, R.C.; Kocher, D.C.; Hicks, B.B.; Hosker, R.P. Jr.; Ku, J.Y.; Rao, K.S.

1984-01-01

We have studied the sensitivity of results from the CRAC2 computer code, which predicts health impacts from a reactor-accident scenario, to uncertainties in selected meteorological models and parameters. The sources of uncertainty examined include the models for plume rise and wet deposition and the meteorological bin-sampling procedure. An alternative plume-rise model usually had little effect on predicted health impacts. In an alternative wet-deposition model, the scavenging rate depends only on storm type, rather than on rainfall rate and atmospheric stability class as in the CRAC2 model. Use of the alternative wet-deposition model in meteorological bin-sampling runs decreased predicted mean early injuries by as much as a factor of 2 to 3 and, for large release heights and sensible heat rates, decreased mean early fatalities by nearly an order of magnitude. The bin-sampling procedure in CRAC2 was expanded by dividing each rain bin into four bins that depend on rainfall rate. Use of the modified bin structure in conjunction with the CRAC2 wet-deposition model changed all predicted health impacts by less than a factor of 2. 9 references

Prevalence of positive urinary dipstick analysis (leucocyte esterase, nitrite, haemoglobin, or glucose) in a population of 3645 adult subjects--consequence for measurement of urinary albumin excretion rate

DEFF Research Database (Denmark)

Clausen, P; Jensen, J S; Borch-Johnsen, K

1998-01-01

OBJECTIVES: To assess prevalence of positive urinary dipstick analysis for leucocyte esterase, nitrite, haemoglobin, or glucose in the general population and measure the urinary albumin excretion rate (UAER) in subjects with or without a positive dipstick analysis. DESIGN: A cross-sectional study...... of 3645 subjects. SETTING: An unselected urban population study. MAIN OUTCOME MEASURES: Prevalence data of positive dipstick analyses and UAER values. RESULTS: Prevalence data of a positive dipstick analysis were 12%, 4%, 3% and 6%, respectively, for leucocyte esterase, nitrite, haemoglobin, and glucose...

Cohort Default Rates in Context

Science.gov (United States)

Looney, Shannon M.

2011-01-01

Burgeoning student loan debt indicates problems not only for the country's borrowers but also for the postsecondary system. The rise in student loan defaults signifies a rise in institutional cohort default rates (CDRs)--a measure of accountability that informs the government and the general public how well an institution prepares its students for…

The prevalence of PFS and prevalence and characteristics of reported food allergy; a survey of UK adults aged 18-75 incorporating a validated PFS diagnostic questionnaire.

Science.gov (United States)

Skypala, I J; Bull, S; Deegan, K; Gruffydd-Jones, K; Holmes, S; Small, I; Emery, P W; Durham, S R

2013-08-01

Pollen-food syndrome (PFS), a food allergy affecting pollen-sensitized individuals, is likely to be the most prevalent food allergy in adults, estimated to affect 50-90% of people allergic to birch tree pollen. A validated PFS diagnostic questionnaire (PFSDQ2) was used to determine the prevalence of PFS and also to characterize those who report reactions to foods. Five UK General practices each sent the PFSDQ2 by post to 2000 patients aged 18-75 years randomly selected from their practice database. The validated questionnaire was accompanied by an additional set of questions to ascertain the demographic of the population, the foods involved and the age of onset. There were 3590 subjects who returned completed questionnaires, with an average return rate from each practice of 36% (range 22-47%). Of these, 73 were diagnosed with PFS according to the questionnaire (PFS+ve) giving a population prevalence of 2%. A further 482 subjects reported reactions to foods but did not fulfil the diagnostic criteria for PFS. The greatest prevalence of PFS was in the Croydon (SE England) urban practice (4.1%) and the lowest in the Aberdeen (Scotland) urban practice (0.8%) (P < 0.001).The most frequently reported trigger foods were apples, hazelnuts and kiwifruit and the majority of those with PFS first experienced symptoms below the age of 20 years. PFS+ve subjects were also more likely to be female and have a higher socio-economic status than those who did not report reactions to foods. The UK prevalence of PFS was 2%, although this varied according to the location of the practice population. The majority of PFS+ve subjects first reported symptoms in their teens. The reported age of onset has important implications for the diagnosis of primary and cross-reactive peanut and tree nut allergies in teenagers and young adults. The continuing rise in aeroallergen sensitization is likely to result in an increased frequency of PFS presenting in both primary and secondary care. © 2013

A systematic review of childhood obesity in the Middle East and North Africa (MENA) region: Prevalence and risk factors meta-analysis.

Science.gov (United States)

Farrag, Nesrine S; Cheskin, Lawrence J; Farag, Mohamed K

2017-01-01

Obesity rates are rising globally, but there is evidence that young people in the Middle East and North Africa (MENA) region are at particularly high risk. We systematically searched the literature to map the MENA region for prevalence of childhood overweight and obesity, and examine the underlying risk factors and adverse effects associated with obesity in this region. Inclusion criteria were: English-language, non-basic-science focused articles that used any of the standard obesity definitions and were conducted in the MENA countries within the last five years. We searched PubMed using combinations of key terms ((childhood) OR adolescence) AND obesity) AND (MENA or each country) AND ("last five years" [PDat]). Studies demonstrated an increasing prevalence of obesity among many countries in the MENA region, especially in the Gulf area. Notably, in Kuwait, prevalence rates of overweight and obesity were 25.6% and 34.8% among young males and 20.8% and 20.5% among females. A meta-analysis revealed that physical inactivity, increased screen time, and higher social status were risk factors for childhood obesity. Childhood and adolescent obesity is a major challenge facing countries of the MENA region. Further research is needed to fully investigate the role of nutrition and other specific risk factors and evaluate various interventions to manage this pervasive and growing health problem.

Numerical investigation of interaction between rising bubbles in a viscous liquid

Energy Technology Data Exchange (ETDEWEB)

Yoon, Ik Roh [Korea Institute of Marine Science and Technology Promotion, Seoul (Korea, Republic of); Shin Seung Won [Hongik University, Seoul (Korea, Republic of)

2016-07-15

The rising behavior of bubbles undergoing bubble-bubble interaction in a viscous liquid is studied using a two-dimensional direct numerical simulation. Level contour reconstruction method (LCRM), one of the connectivity-free front tracking methods, is applied to describe a moving interface accurately under highly deformable conditions. This work focuses on the effects of bubble size on the interaction of two bubbles rising side-by-side in a stagnant liquid. Several characteristics of bubble-bubble interaction are analyzed quantitatively as supported by energy analysis. The results showed clear differences between small and large bubbles with respect to their interaction behavior in terms of lateral movement, vortex intensity, suppression of surface deformation, and viscous dissipation rate. Distributions of vorticity and viscous dissipation rate near the bubble interfaces also differed depending on the size of the bubbles. Strong vortices from large bubbles triggered oscillation in bubble-bubble interaction and played a dominant role in the interaction process as the size of bubbles increases.

Dutch diabetes prevalence estimates (DUDE-1)

NARCIS (Netherlands)

Kleefstra, Nanne; Landman, Gijsw. D.; Van Hateren, Kornelis J. J.; Meulepas, Marianne; Romeijnders, Arnold; Rutten, Guy E. H.; Klomp, Maarten; Houweling, Sebastiaan T.; Bilo, Henk J. G.

2016-01-01

Background: Recent decades have seen a constant upward projection in the prevalence of diabetes. Attempts to estimate diabetes prevalence rates based on relatively small population samples quite often result in underestimation. The aim of the present study was to investigate whether the Dutch

Dutch diabetes prevalence estimates (DUDE-1)

NARCIS (Netherlands)

Kleefstra, Nanne; Landman, Gijsw. D.; Van Hateren, Kornelis J. J.; Meulepas, Marianne; Romeijnders, Arnold; Rutten, Guy E. H.; Klomp, Maarten; Houweling, Sebastiaan T.; Bilo, Henk J. G.

Background: Recent decades have seen a constant upward projection in the prevalence of diabetes. Attempts to estimate diabetes prevalence rates based on relatively small population samples quite often result in underestimation. The aim of the present study was to investigate whether the Dutch

Seasonal variation in the prevalence of preeclampsia

Directory of Open Access Journals (Sweden)

Fatemeh Janani

2017-01-01

Full Text Available Introduction: Hypertension in pregnancy is one of the three factors of maternal mortality. Etiology of the disease is unknown, but the many factors contributing to the identification and control of it can be taken a step to prevent and reduce the symptoms of the disease. The purpose of this study was to determine the prevalence of preeclampsia (high-blood pressure in different seasons of the year. Methods: The present retrospective cross-sectional study was conducted on more than 8,000 pregnant women visiting Assali specialized hospital from 2011 to 2013. Required data was collected through questionnaire checklist. The Chi-square test with multiple comparisons was used to compare the frequencies of pregnancy-induced hypertension (PIH according to the month of year, and adjustment of multiplicity was conducted using Bonferroni's method. Student's t-test was used to compare the means of PIH prevalence rates. In all analyses, P < 0.05 was taken to indicate statistical significance. Results: In these 8000 woman admitted to labor, overall prevalence of PIH was 3.8 ± 0.6%. The prevalence rate of PIH was highest in the summer (4.5% and lowest frequent in the winter (2.7%, respectively. In July, the prevalence rate was significantly higher than those for any other month (4.7%, and in March, it was lower prevalence than for any month (2.2%, respectively. Using the Chi-square test, a significant difference between the incidence of disease was observed in summer and winter (P < 0.001. Conclusion: The prevalence rate of PIH was higher for delivery in summer and early spring and lowest for winter delivery among Khorramabad women based on these results; it seems that changes in temperature and humidity in different seasons can affect preeclampsia, and preeclampsia increases with increasing frequency temperature.

Sea Level Rise in the 21st Century: Will projections ever become reliable?

Science.gov (United States)

Willis, J. K.

2014-12-01

Global sea level rise has the potential to become one of the most costly and least well predicted impacts of human caused climate change. Unlike global surface temperature, the spread of possible scenarios (as little as 1 foot and as much as 6 feet by 2100) is not due to uncertainty about future rates of greenhouse gas emissions, but rather by a fundamental lack of knowledge about how the major ice sheets will behave in a warming climate. Clearly improved projections of sea level rise should become a major research priority in the next decade. At present, controversial techniques based on comparison with historical analogs and rates of recent warming and sea level rise are often used to create projections for the 21st Century. However, many in the scientific community feel that reliable projections must be based on a sound knowledge of the physics governing sea level rise, and particularly ice sheet behavior. In particular, large portions of the West Antarctic Ice Sheet and parts of the Greenland Ice Sheet rest on solid earth that sits below sea level. These regions may be threatened, not by atmospheric warming or changes in precipitation, but rather by direct forcing from the ocean. Fledgling efforts to understand these ocean ice interactions are already underway, as are efforts to make improved models of ice sheet behavior. However a great deal of work is still needed before widely accepted projections of sea level rise become a reality. This paper will highlight the hurdles to making such projections today and suggest ways forward in this critical area of research.

Gender differences in drunk driving prevalence rates and trends: a 20-year assessment using multiple sources of evidence.

Science.gov (United States)

Schwartz, Jennifer

2008-09-01

This research tracked women's and men's drunk driving rates and the DUI sex ratio in the United States from 1982-2004 using three diverse sources of evidence. Sex-specific prevalence estimates and the sex ratio are derived from official arrest statistics from the Federal Bureau of Investigation, self-reports from the Centers for Disease Control and Prevention, and traffic fatality data from the National Highway and Transportation Safety Administration. Drunk driving trends were analyzed using Augmented Dickey Fuller time series techniques. Female DUI arrest rates increased whereas male rates declined then stabilized, producing a significantly narrower sex ratio. According to self-report and traffic data, women's and men's drunk driving rates declined and the gender gap was unchanged. Women's overrepresentation in arrests relative to their share of offending began in the 1990s and accelerated in 2000. Women's arrest gains, contrasted with no systematic change in DUI behavior, and the timing of this shift suggest an increased vulnerability to arrest. More stringent laws and enforcement directed at less intoxicated offenders may inadvertently target female offending patterns.

Impacts of Global Warming and Sea Level Rise on Service Life of Chloride-Exposed Concrete Structures

Directory of Open Access Journals (Sweden)

Xiao-Jian Gao

2017-03-01

Full Text Available Global warming will increase the rate of chloride ingress and the rate of steel corrosion of concrete structures. Furthermore, in coastal (atmospheric marine zones, sea level rise will reduce the distance of concrete structures from the coast and increase the surface chloride content. This study proposes a probabilistic model for analyzing the effects of global warming and sea level rise on the service life of coastal concrete structures. First, in the corrosion initiation stage, an improved chloride diffusion model is proposed to determine chloride concentration. The Monte Carlo method is employed to calculate the service life in the corrosion initiation stage; Second, in the corrosion propagation stage, a numerical model is proposed to calculate the rate of corrosion, probability of corrosion cracking, and service life. Third, overall service life is determined as the sum of service life in the corrosion initiation and corrosion propagation stages. After considering the impacts of global warming and sea level rise, the analysis results show that for concrete structures having a service life of 50 years, the service life decreases by about 5%.

Carbon burial and storage in tropical salt marshes under the influence of sea level rise.

Science.gov (United States)

Ruiz-Fernández, A C; Carnero-Bravo, V; Sanchez-Cabeza, J A; Pérez-Bernal, L H; Amaya-Monterrosa, O A; Bojórquez-Sánchez, S; López-Mendoza, P G; Cardoso-Mohedano, J G; Dunbar, R B; Mucciarone, D A; Marmolejo-Rodríguez, A J

2018-07-15

Coastal vegetated habitats can be important sinks of organic carbon (C org ) and mitigate global warming by sequestering significant quantities of atmospheric CO 2 and storing sedimentary C org for long periods, although their C org burial and storage capacity may be affected by on-going sea level rise and human intervention. Geochemical data from published 210 Pb-dated sediment cores, collected from low-energy microtidal coastal wetlands in El Salvador (Jiquilisco Bay) and in Mexico (Salada Lagoon; Estero de Urias Lagoon; Sian Ka'an Biosphere Reserve) were revisited to assess temporal changes (within the last 100years) of C org concentrations, storage and burial rates in tropical salt marshes under the influence of sea level rise and contrasting anthropization degree. Grain size distribution was used to identify hydrodynamic changes, and δ 13 C to distinguish terrigenous sediments from those accumulated under the influence of marine transgression. Although the accretion rate ranges in all sediment records were comparable, C org concentrations (0.2-30%), stocks (30-465Mgha -1 , by extrapolation to 1m depth), and burial rates (3-378gm -2 year -1 ) varied widely within and among the study areas. However, in most sites sea level rise decreased C org concentrations and stocks in sediments, but increased C org burial rates. Lower C org concentrations were attributed to the input of reworked marine particles, which contribute with a lower amount of C org than terrigenous sediments; whereas higher C org burial rates were driven by higher mass accumulation rates, influenced by increased flooding and human interventions in the surroundings. C org accumulation and long-term preservation in tropical salt marshes can be as high as in mangrove or temperate salt marsh areas and, besides the reduction of C org stocks by ongoing sea level rise, the disturbance of the long-term buried C org inventories might cause high CO 2 releases, for which they must be protected as a part of

Examination of anonymous canine faecal samples provides data on endoparasite prevalence rates in dogs for comparative studies.

Science.gov (United States)

Hinney, Barbara; Gottwald, Michaela; Moser, Jasmine; Reicher, Bianca; Schäfer, Bhavapriya Jasmin; Schaper, Roland; Joachim, Anja; Künzel, Frank

2017-10-15

Several endoparasites of dogs cannot only be detrimental to their primary host but might also represent a threat to human health because of their zoonotic potential. Due to their high dog population densities, metropolitan areas can be highly endemic for such parasites. We aimed to estimate the prevalence of endoparasites in dogs in the Austrian capital of Vienna by examining a representative number of canine faecal samples and to compare the prevalences with two neighbouring peri-urban and rural regions. In addition we analysed whether the density of dog populations and cleanliness of dog zones correlated with parasite occurrence. We collected 1001 anonymous faecal samples from 55 dog zones from all 23 districts of the federal state of Vienna, as well as 480 faecal samples from the Mödling district and Wolkersdorf with a peri-urban and rural character, respectively. Faeces were examined by flotation and by Baermann technique. Additionally we evaluated 292 Viennese, 102 peri-urban and 50 rural samples for Giardia and Cryptosporidium by GiardiaFASTest ® and CryptoFASTest ® . Samples from "clean" dog zones were compared to samples from "dirty" zones. The infection rate of Toxocara was surprisingly low, ranging from 0.6% to 1.9%. Trichuris was the most frequent helminth (1.8-7.5%) and Giardia the most frequent protozoan (4.0-10.8%). Ancylostomatidae, Crenosoma, Capillaria, Taeniidae, Cystoisospora and Sarcocystis were found in 1.8-2.2%, 0-0.9%, 0-0.9%, 0-0.6%, 0.3-3.1% and 0-0.6% of the samples, respectively. Samples from "dirty" dog zones in Vienna showed a significantly higher rate of parasites overall (p=0.003) and of Trichuris (p=0.048) compared to samples from "clean" dog zones. There were no statistically significant differences in densely vs. less densely populated areas of Vienna. Samples from the rural region of Wolkersdorf had significantly higher overall parasite, Trichuris and Cystoisospora prevalences than the peri-urban Mödling district and Vienna (p

Real Exchange Rate and Productivity in an OLG Model

OpenAIRE

Thi Hong Thinh DOAN; Karine GENTE

2013-01-01

This article develops an overlapping generations model to show how demography and savings affect the relationship between real exchange rate (RER) and productivity. In high-saving (low-saving) countries and/or low-population-growth-rate countries, a rise in productivity leads to a real depreciation (appreciation) whereas the RER may appreciate or depreciate in highproduction-growth-rate. Using panel data, we conclude that a rise in productivity generally causes a real exchange rate appreciati...

Population dynamics of Hawaiian seabird colonies vulnerable to sea-level rise.

Science.gov (United States)

Hatfield, Jeff S; Reynolds, Michelle H; Seavy, Nathaniel E; Krause, Crystal M

2012-08-01

Globally, seabirds are vulnerable to anthropogenic threats both at sea and on land. Seabirds typically nest colonially and show strong fidelity to natal colonies, and such colonies on low-lying islands may be threatened by sea-level rise. We used French Frigate Shoals, the largest atoll in the Hawaiian Archipelago, as a case study to explore the population dynamics of seabird colonies and the potential effects sea-level rise may have on these rookeries. We compiled historic observations, a 30-year time series of seabird population abundance, lidar-derived elevations, and aerial imagery of all the islands of French Frigate Shoals. To estimate the population dynamics of 8 species of breeding seabirds on Tern Island from 1980 to 2009, we used a Gompertz model with a Bayesian approach to infer population growth rates, density dependence, process variation, and observation error. All species increased in abundance, in a pattern that provided evidence of density dependence. Great Frigatebirds (Fregata minor), Masked Boobies (Sula dactylatra), Red-tailed Tropicbirds (Phaethon rubricauda), Spectacled Terns (Onychoprion lunatus), and White Terns (Gygis alba) are likely at carrying capacity. Density dependence may exacerbate the effects of sea-level rise on seabirds because populations near carrying capacity on an island will be more negatively affected than populations with room for growth. We projected 12% of French Frigate Shoals will be inundated if sea level rises 1 m and 28% if sea level rises 2 m. Spectacled Terns and shrub-nesting species are especially vulnerable to sea-level rise, but seawalls and habitat restoration may mitigate the effects of sea-level rise. Losses of seabird nesting habitat may be substantial in the Hawaiian Islands by 2100 if sea levels rise 2 m. Restoration of higher-elevation seabird colonies represent a more enduring conservation solution for Pacific seabirds. Conservation Biology ©2012 Society for Conservation Biology. No claim to original

[Pigment dispersion and Artisan implants: crystalline lens rise as a safety criterion].

Science.gov (United States)

Baikoff, G; Bourgeon, G; Jodai, H Jitsuo; Fontaine, A; Vieira Lellis, F; Trinquet, L

2005-06-01

To validate the theoretical notion of a crystalline lens rise as a safety criterion for ARTISAN implants in order to prevent the development of pigment dispersion in the implanted eye. Crystalline lens rise is defined by the distance between the crystalline lens's anterior pole and the horizontal plane joining the opposite iridocorneal recesses. We analyzed the biometric measurements of 87 eyes with an Artisan implant. A comparative analysis of the crystalline lens rise was carried out on the nine eyes having developed pigment dispersion and 78 eyes with no problems. Among the modern anterior segment imaging devices (Artemis, Scheimpflug photography, optical coherence tomography, radiology exploration, magnetic resonance imaging, TDM), an anterior chamber optical coherence tomography (AC-OCT) prototype was used. This working hypothesis was confirmed by this study: the crystalline lens rise must be considered as a new safety criterion for implanting Artisan phakic lenses. Indeed, the higher the crystalline lens's rise, the greater the risk of developing pigment dispersion in the pupil area. This complication is more frequent in hyperopes than in myopes. We can consider that there is little or no risk of pigment dispersion if the rise is below 600 microm; however, at 600 microm or greater, there is a 67% rate of pupillary pigment dispersion. In certain cases, when the implant was loosely fixed, there was no traction on the iris root. This is a complication that can be avoided or delayed. The crystalline lens rise must be part of new safety criteria to be taken into consideration when inserting an Artisan implant. This notion must also be applied to other types of phakic implants. The distance remaining between the crystalline lens rise and a 600-micromm theoretical safety level allows one to calculate a safety time interval.

Updated prevalence rates of overweight and obesity in 11- to 17-year-old adolescents in Germany. Results from the telephone-based KiGGS Wave 1 after correction for bias in self-reports.

Science.gov (United States)

Brettschneider, Anna-Kristin; Brettschneidera, Anna-Kristin; Schaffrath Rosario, Angelika; Kuhnert, Ronny; Schmidt, Steffen; Wiegand, Susanna; Ellert, Ute; Kurth, Bärbel-Maria

2015-11-06

The nationwide "German Health Interview and Examination Survey for Children and Adolescents" (KiGGS), conducted in 2003-2006, showed an increase in the prevalence rates of overweight and obesity compared to the early 1990s, indicating the need for regularly monitoring. Recently, a follow-up-KiGGS Wave 1 (2009-2012)-was carried out as a telephone-based survey, providing self-reported height and weight. Since self-reports lead to a bias in prevalence rates of weight status, a correction is needed. The aim of the present study is to obtain updated prevalence rates for overweight and obesity for 11- to 17-year olds living in Germany after correction for bias in self-reports. In KiGGS Wave 1, self-reported height and weight were collected from 4948 adolescents during a telephone interview. Participants were also asked about their body perception. From a subsample of KiGGS Wave 1 participants, measurements for height and weight were collected in a physical examination. In order to correct prevalence rates derived from self-reports, weight status categories based on self-reported and measured height and weight were used to estimate a correction formula according to an established procedure under consideration of body perception. The correction procedure was applied and corrected rates were estimated. The corrected prevalence of overweight, including obesity, derived from KiGGS Wave 1, showed that the rate has not further increased compared to the KiGGS baseline survey (18.9 % vs. 18.8 % based on the German reference). The rates of overweight still remain at a high level. The results of KiGGS Wave 1 emphasise the significance of this health issue and the need for prevention of overweight and obesity in children and adolescents.

Prevalence and intensity of Schistosoma haematobium urinary ...

African Journals Online (AJOL)

period 1987 - 1989. Prevalence rates were low to moderate with an overaJl prevalence of 42%. These ranged from approximately 10% in the low-prevalence ... PH. DC. C. C. Appieton. PI-lD. Department of Zoology, University of Tr

Diagnostics from three rising submillimeter bursts

International Nuclear Information System (INIS)

Zhou, Ai-Hua; Li, Jian-Ping; Wang, Xin-Dong

2016-01-01

In this paper we investigate three novel rising submillimeter (THz) bursts that occurred sequentially in Super Active Region NOAA 10486. The average rising rate of the flux density above 200 GHz is only 20 sfu GHz −1 (corresponding to spectral index α of 1.6) for the THz spectral components of the 2003 October 28 and November 4 bursts, but it attained values of 235 sfu GHz −1 (α = 4.8) in the 2003 November 2 burst. The steeply rising THz spectrum can be produced by a population of highly relativistic electrons with a low-energy cutoff of 1 MeV, but it only requires a low-energy cutoff of 30 keV for the two slowly rising THz bursts, via gyrosynchrotron (GS) radiation based on our numerical simulations of burst spectra in the magnetic dipole field case. The electron density variation is much larger in the THz source than in the microwave (MW) source. It is interesting that the THz source radius decreased by 20%–50% during the decay phase for the three events, but the MW source increased by 28% for the 2003 November 2 event. In the paper we will present a formula that can be used to calculate the energy released by ultrarelativistic electrons, taking the relativistic correction into account for the first time. We find that the energy released by energetic electrons in the THz source exceeds that in the MW source due to the strong GS radiation loss in the THz range, although the modeled THz source area is 3–4 orders smaller than the modeled MW source one. The total energies released by energetic electrons via the GS radiation in radio sources are estimated, respectively, to be 5.2 × 10 33 , 3.9 × 10 33 and 3.7 × 10 32 erg for the October 28, November 2 and 4 bursts, which are 131, 76 and 4 times as large as the thermal energies of 2.9 × 10 31 , 2.1 × 10 31 and 5.2 × 10 31 erg estimated from soft X-ray GOES observations. (paper)

Operating experiences since rise-to-power test in high temperature engineering test reactor (HTTR)

International Nuclear Information System (INIS)

Tochio, Daisuke; Watanabe, Shuji; Motegi, Toshihiro; Kawano, Shuichi; Kameyama, Yasuhiko; Sekita, Kenji; Kawasaki, Kozo

2007-03-01

The rise-to-power test of the High Temperature Engineering Test Reactor (HTTR) was actually started in April 2000. The rated thermal power of 30MW and the rated reactor outlet coolant temperature of 850degC were achieved in the middle of Dec. 2001. After that, the reactor thermal power of 30MW and the reactor outlet coolant temperature of 950degC were achieved in the final rise-to-power test in April 2004. After receiving the operation licensing at 850degC, the safety demonstration tests have conducted to demonstrate inherent safety features of the HTGRs as well as to obtain the core and plant transient data for validation of safety analysis codes and for establishment of safety design and evaluation technologies. This paper summarizes the HTTR operating experiences for six years from start of the rise-to-power test that are categorized into (1) Operating experiences related to advanced gas-cooled reactor design, (2) Operating experiences for improvement of the performance, (3) Operating experiences due to fail of system and components. (author)

Influence of the Gilbert damping constant on the flux rise time of write head fields

International Nuclear Information System (INIS)

Ertl, Othmar; Schrefl, Thomas; Suess, Dieter; Schabes, Manfred E.

2005-01-01

Magnetic recording at fast data rates requires write heads with rapid rise times of the magnetic flux during the write process. We present three-dimensional (3D) micromagnetic finite element calculations of an entire ring head including 3D coil geometry during the writing of magnetic bits in granular media. The simulations demonstrate how input current profiles translate into magnetization processes in the head and which in turn generate the write head field. The flux rise time significantly depends on the Gilbert damping constant of the head material. Low damping causes incoherent magnetization processes, leading to long rise times and low head fields. High damping leads to coherent reversal of the magnetization in the head. As a consequence, the gap region can be quickly saturated which causes high head fields with short rise times

High Plasmodium malariae Prevalence in an Endemic Area of the Colombian Amazon Region.

Science.gov (United States)

Camargo-Ayala, Paola Andrea; Cubides, Juan Ricardo; Niño, Carlos Hernando; Camargo, Milena; Rodríguez-Celis, Carlos Arturo; Quiñones, Teódulo; Sánchez-Suárez, Lizeth; Patarroyo, Manuel Elkin; Patarroyo, Manuel Alfonso

2016-01-01

Malaria is a worldwide public health problem; parasites from the genus Plasmodium are the aetiological agent for this disease. The parasites are mostly diagnosed by conventional microscopy-based techniques; however, their limitations have led to under-registering the reported prevalence of Plasmodium species. This study has thus been aimed at evaluating the infection and coinfection prevalence of 3 species of Plasmodium spp., in an area of the Colombian Amazon region. Blood samples were taken from 671 symptomatic patients by skin puncture; a nested PCR amplifying the 18S ssRNA region was used on all samples to determine the presence of P. vivax, P. malariae and P. falciparum. Statistical analysis determined infection and coinfection frequency; the association between infection and different factors was established. The results showed that P. vivax was the species having the greatest frequency in the study population (61.4%), followed by P. malariae (43.8%) and P. falciparum (11.8%). The study revealed that 35.8% of the population had coinfection, the P. vivax/P. malariae combination occurring most frequently (28.3%); factors such as age, geographical origin and clinical manifestations were found to be associated with triple-infection. The prevalence reported in this study differed from previous studies in Colombia; the results suggest that diagnosis using conventional techniques could be giving rise to underestimating some Plasmodium spp. species having high circulation rates in Colombia (particularly in the Colombian Amazon region). The present study's results revealed a high prevalence of P. malariae and mixed infections in the population being studied. The results provide relevant information which should facilitate updating the epidemiological panorama and species' distribution so as to include control, prevention and follow-up measures.

Accelerated relative sea-level rise and rapid coastal erosion: Testing a causal relationship for the Louisiana barrier islands

Science.gov (United States)

List, J.H.; Sallenger, A.H.; Hansen, M.E.; Jaffe, B.E.

1997-01-01

The role of relative sea-level rise as a cause for the rapid erosion of Louisiana's barrier island coast is investigated through a numerical implementation of a modified Bruun rule that accounts for the low percentage of sand-sized sediment in the eroding Louisiana shoreface. Shore-normal profiles from 150 km of coastline west of the Mississippi delta are derived from bathymetric surveys conducted during the 1880s. 1930s and 1980s. An RMS difference criterion is employed to test whether an equilibrium profile form is maintained between survey years. Only about half the studied profiles meet the equilibrium Criterion this represents a significant limitation on the potential applicability of the Bruun rule. The profiles meeting the equilibrium criterion, along with measured rates of relative sea-level rise, are used to hindcast shoreline retreat rates at 37 locations within the study area. Modeled and observed shoreline retreat rates show no significant correlation. Thus in terms of the Bruun approach relative sea-level rise has no power for hindcasting (and presumably forecasting) rates of coastal erosion for the Louisiana barrier islands.

Rise, stagnation, and rise of Danish women's life expectancy

DEFF Research Database (Denmark)

Lindahl-Jacobsen, Rune; Rau, Roland; Jeune, Bernard

2016-01-01

Health conditions change from year to year, with a general tendency in many countries for improvement. These conditions also change from one birth cohort to another: some generations suffer more adverse events in childhood, smoke more heavily, eat poorer diets, etc., than generations born earlier...... favor forecasts that hinge on cohort differences. We use a combination of age decomposition and exchange of survival probabilities between countries to study the remarkable recent history of female life expectancy in Denmark, a saga of rising, stagnating, and now again rising lifespans. The gap between...... female life expectancy in Denmark vs. Sweden grew to 3.5 y in the period 1975-2000. When we assumed that Danish women born 1915-1945 had the same survival probabilities as Swedish women, the gap remained small and roughly constant. Hence, the lower Danish life expectancy is caused by these cohorts...

Ecological Effects of Sea Level Rise: Advancing coastal management through integrated research and engagement

Science.gov (United States)

Kidwell, D. M.

2012-12-01

Rising sea level represents a significant threat to coastal communities and ecosystems through land loss, altered habitats, and increased vulnerability to coastal storms and inundation. This threat is exemplified in the northern Gulf of Mexico where low topography, expansive marshes, and a prevalence of tropical storms have already resulted in extensive coastal impacts. The development of robust predictive capabilities that incorporate complex biological processes with physical dynamics are critical for informed planning and restoration efforts for coastal ecosystems. Looking to build upon existing predictive modeling capabilities and allow for use of multiple model (i.e., ensemble) approaches, NOAA initiated the Ecological Effects of Sea Level Rise program in 2010 to advance physical/biological integrative modeling capabilities in the region with a goal to provide user friendly predictive tools for coastal ecosystem management. Focused on the northern Gulf of Mexico, this multi-disciplinary project led by the University of Central Florida will use in situ field studies to parameterize physical and biological models. These field studies will also result in a predictive capability for overland sediment delivery and transport that will further enhance marsh, oyster, and submerged aquatic vegetation models. Results from this integrated modeling effort are envisioned to inform management strategies for reducing risk, restoration and breakwater guidelines, and resource sustainability for project planning, among other uses. In addition to the science components, this project incorporates significant engagement of the management community through a management applications principle investigator and an advisory management committee. Routine engagement between the science team and the management committee, including annual workshops, are focused on ensuring the development of applicable, relevant, and useable products and tools at the conclusion of this project. Particular

Logistics: Price Rises Incurred by High Oil Price

Institute of Scientific and Technical Information of China (English)

Lai Zhihui

2011-01-01

@@ "When the oil price grows by 100%, the logistic indus-try will see a price growth of 40%, while the logistics in-dustry a price rise of 35%, which means every price increase of 5% in the oil price will bring along that of 2% in this industry." said Liu Zongsheng, General Manager of Itochu Logistics Co., Ltd., on the seminar "Focusing on the eco-nomic consequences of raising oil price, interest rate and deposit reserve ratio", which was held recently.

Modeling Anthropogenic Impact on Sediment Balance and Relative Sea-Level Rise in Contemporary and Future Deltas

Science.gov (United States)

Tessler, Z. D.; Vorosmarty, C. J.; Overeem, I.; Syvitski, J. P.

2017-12-01

Modern deltas are dependent on human-mediated freshwater and sediment fluxes. Changes to these fluxes impact delta biogeophysical functioning, and affect the long-term sustainability of these landscapes for both human and natural systems. Here we present contemporary estimates of long-term mean sediment balance and relative sea-level rise across 46 global deltas. We model ongoing development and scenarios of future water resource management and hydropower infrastructure in upstream river basins to explore how changing sediment fluxes impact relative sea-level in coastal delta systems. Model results show that contemporary sediment fluxes, anthropogenic drivers of land subsidence, and sea-level rise result in relative sea-level rise rates in deltas that average 6.8 mm/year. Currently planned or under-construction dams can be expected to increase rates of relative sea-level rise on the order of 1 mm/year. Some deltas systems, including the Magdalena, Orinoco, and Indus, are highly sensitive to future impoundment of river basins, with RSLR rates increasing up to 4 mm/year in a high-hydropower-utilization scenario. Sediment fluxes may be reduced by up to 60% in the Danube and 21% in the Ganges-Brahmaputra-Megnha if all currently planned dams are constructed. Reduced sediment retention on deltas due to increased river channelization and local flood controls increases RSLR on average by nearly 2 mm/year. Long-term delta sustainability requires a more complete understanding of how geophysical and anthropogenic change impact delta geomorphology. Strategies for sustainable delta management that focus on local and regional drivers of change, especially groundwater and hydrocarbon extraction and upstream dam construction, can be highly impactful even in the context of global climate-induced sea-level rise.

High prevalence rate of left superior vena cava determined by ...

African Journals Online (AJOL)

2013-10-08

Oct 8, 2013 ... persistent LSVC (6). There was a similar high prevalence, in the current study, of persistent LSVC in patients with tetralogy of. Fallot and coarctation of the aorta when compared to other studies (6, 8). This can be explained by the fact that the patient sample in the current study with these lesions was small.

Prevalence of toxoplasma antibodies according to age with comments on the risk of prenatal infection.

OpenAIRE

van der Veen, J.; Polak, M. F.

1980-01-01

Sera from 1661 persons in 12 age groups from 0 to 79 years were titrated for toxoplasma antibodies in the indirect immunofluorescence test. The sera were collected from patients with symptoms suggestive of acute, mainly respiratory, viral infections. After the first year of life, the prevalence of antibodies started to rise, reaching 59% between 40 and 79 years of age. From the prevalence of antibodies in different age groups the annual infection risk, i.e, the risk of a non-immune person acq...

Identification of Transportation Infrastructure at Risk Due To Sea-Level Rise and Subsidence of Land In Coastal Louisiana

Science.gov (United States)

Tewari, S.; Palmer, W.; Manning, F.

2017-12-01

Climate change can affect coastal areas in a variety of ways. Coasts are sensitive to sea level rise, changes in the frequency/intensity of storms, increase in precipitation and storm surges. The resilience of transportation infrastructure located in Louisiana's coastal zone, against storm surges and climatic sea-level rise is critical. The net change in sea-level is affected by the increase in global sea level as well as land movement up or down. There are many places in coastal Louisiana that have a high subsidence rate. The subsidence could be related to excess extraction activities of oil and water, natural and/or human induced compaction, and tectonic movement. Where the land is sinking, the rate of relative sea level rise is larger than the global rate. Some of the fastest rates of relative sea level rise in the United States are occurring in areas where the land is sinking, including parts of the Gulf Coast. For example, coastal Louisiana has seen its relative sea level rise by eight inches or more in the last 50 years, which is about twice the global rate. Subsiding land in the Gulf area worsens the effects of relative sea level rise, increasing the risk of flooding in cities, inhabited islands, and tidal wetlands. The research team is investigating the trends for sea-level rise and land subsidence in coastal region of Louisiana. The variability in storm surges and its potential implication on the transportation infrastructure in the region is the focus of the study. The spatial maps will be created for spatial trends. This is extremely useful in being prepared for long-term natural hazards. The results of this study will be helpful to LADOTD and infrastructure managers and officials who are tasked with resiliency planning and management. Research results will also directly benefit university researchers in the state, Coastal Protection and Restoration Authority and LADOTD/LTRC through collaborative activity which will educate both professionals and the

Groundwater table rise in northwest Nile Delta:Problems and Recommendations

International Nuclear Information System (INIS)

El-Sayed, S. A.; Atta, E. R.; Al-Ashri, K. M.

2012-01-01

The present research work is devoted to evaluate the surrounding zones of a site which could be selected for construction of radiation facility. It is a model study to investigate the factors that protect sites from the risks of groundwater rising. The study area (village 17 and the related cultivated lands) lies in Bangar El Sukar area, south Alexandria Governorate. The area is suffering from the groundwater table rise phenomenon and its relevant problems (water logging, soil salinization and degradation of buildings). This water table rise is investigated using the hydrogeological, hydrogeochemical and isotopic approaches. The groundwater table of the Pleistocene-Holocene aquifer rises due to uncontrolled irrigation and drainage systems and the lack of municipal sewage system as well as soil and aquifer characteristics. The aquifer is being shallow and exists under semi-confined conditions. It consists of heterogeneous deposits (very fine to coarse grained sand, clay and calcareous rock fragments). Depths to water vary between 0.85 m and 1.44 m from ground surface. The groundwater (TDS 3331 mg/l, averagely) is a mixture of both the fresh water of the irrigation canals (TDS = 544.2 mg/l) and the more saline water (TDS = 5505 mg/l, averagely) of the drains used in irrigation. Nile water is considered the main recharge source to these types of waters. The recharge to the aquifer occurs by seepage from the canals and/or by the infiltration of the return flow after irrigation. The infiltration rate is moderately rapid (ranging from 1.8 mm/min to 2.6 mm/min). The groundwater moves from south to north with an average hydraulic gradient reaching about 1.7 x 10-3. The average rate of groundwater flow through the aquifer varies between 1799 m2/day and 543.65 m2/day. In order to avoid the risks related to the problem and its environmental impacts, proper recommendations are presented. Suggested design for a constructed net of drainage system and pumped well is presented in

Effects of sea level rise on the formation and drowning of shoreface-connected sand ridges, a model study

Science.gov (United States)

Nnafie, A.; de Swart, H. E.; Calvete, D.; Garnier, R.

2014-06-01

Shoreface-connected sand ridges occur on many storm-dominated inner shelves. These rhythmic features have an along-shelf spacing of 2-10 km, a height of 1-12 m, they evolve on timescales of centuries and they migrate several meters per year. An idealized model is used to study the impact of sea level rise on the characteristics of the sand ridges during their initial and long-term evolution. Different scenarios (rates of sea level rise, geometry of inner shelf) are examined. Results show that with increasing sea level the height of sand ridges increases and their migration decreases until they eventually drown. This latter occurs when the near-bed wave orbital velocity drops below the critical velocity for erosion of sediment. In contrast, in the absence of sea level rise, the model simulates shoreface-connected sand ridges with constant heights and migration rates. Model results furthermore indicate that sand ridges do not form if the rate of sea level rise is too high, or if the initial depth of the inner shelf is too small. A larger transverse bottom slope enhances growth and height of sand ridges and they drown quicker. When shoreface retreat due to sea level rise is considered, new ridges form in the landward part of the inner shelf, while ridges on the antecedent part of the shelf become less active and ultimately drown. Only if sea level rise is accounted for, merging of ridges is reduced such that multiple ridges occur in the end state, thereby yielding a better agreement with observations. The physical mechanisms responsible for these findings are also explained.

Changes in Prevalence of HIV or Syphilis among Male Sex Workers and Non-Commercial Men Who Have Sex with Men in Shenzhen, China: Results of a Second Survey.

Science.gov (United States)

Huang, Yuanwei; Zhang, Yanting; Li, Ke; Zhao, Jin

2016-01-01

A previous time-location sampling survey (TLS) was performed in 2008 to evaluate the HIV or syphilis infection rate among male sex workers (MSWs) and non-commercial men who have sex with men (ncMSM) in Shenzhen, China. This is a second TLS performed in 2014. This article describes the findings and changes in the prevalence of HIV and syphilis. TLS was used to collect information as a second cross-sectional survey to an earlier TLS assessment. Data on behavior (e.g., sexual history and sexual behavior) were analyzed. Blood specimens were drawn for HIV and syphilis testing. To determine the changes in the prevalence of HIV and syphilis, we analyzed these results and compared them to the results of our first survey. A total of 965 participants were recruited, including 489 MSWs and 476 ncMSM. Overall, the prevalence of HIV was 9.7%: 2.9% for MSWs and 16.8% for ncMSM (PHIV prevalence in MSWs decreased from 4.5% in 2008 to 2.9% in 2014 (P = 0.143) but increased in ncMSM (7.0% in 2008 vs 16.8% in 2014, PHIV and syphilis in MSWs but not in ncMSM. The study indicated the need for continued efforts to improve public health, particularly to counter the rising rate of HIV in ncMSM.

The appearance of discretionary income: Influence on the prevalence of under- and over-nutrition

Directory of Open Access Journals (Sweden)

Cheng Cindy

2005-06-01

Full Text Available Abstract Undernutrition – protein energy malnutrition or specific nutrient deficiencies – has been an inherent characteristic of impoverished populations throughout the world. Over-nutrition, obesity and nutrition imbalance is a current concern among those with rising though still insufficient incomes. We review data to suggest that the prevalence of these forms of malnutrition in populations is highly influenced by the rate of appearance of discretionary income. In developed countries, discretionary (alternatively "disposable" income refers to funds available after obligate payments (rent, heat, and the cost of getting to work and payment for necessities (food and clothing. For families living at or below poverty, the last dollar earned is spent on these obligations. Undernutrition is common. By contrast, likelihood for obesity or imbalance increases with rising income when that last dollar is earned without certainty that it is available for discretionary spending. In the United States, neither under- nor over-nutrition is likely when new income is free and clear of debt or obligation. This occurs at approximately three times the poverty level. While income poverty and food insecurity affect risk for malnutrition rather than outcome, nutrition education programs that address issues of income and food support increase likelihood for adherence to recommendations.

Prevalence & consequences of anaemia in pregnancy.

Science.gov (United States)

Kalaivani, K

2009-11-01

Prevalence of anaemia in India is among the highest in the world. Prevalence of anaemia is higher among pregnant women and preschool children. Even among higher income educated segments of population about 50 per cent of children, adolescent girls and pregnant women are anaemic. Inadequate dietary iron, folate intake due to low vegetable consumption, perhaps low B12 intake and poor bioavailability of dietary iron from the fibre, phytate rich Indian diets are the major factors responsible for high prevalence of anaemia. Increased requirement of iron during growth and pregnancy and chronic blood loss contribute to higher prevalence in specific groups. In India, anaemia is directly or indirectly responsible for 40 per cent of maternal deaths. There is 8 to 10-fold increase in MMR when the Hb falls below 5 g/dl. Early detection and effective management of anaemia in pregnancy can contribute substantially to reduction in maternal mortality. Maternal anaemia is associated with poor intrauterine growth and increased risk of preterm births and low birth weight rates. This in turn results in higher perinatal morbidity and mortality, and higher infant mortality rate. A doubling of low birth weight rate and 2 to 3 fold increase in the perinatal mortality rates is seen when the Hb is anaemia contributes to intergenerational cycle of poor growth in the offspring. Early detection and effective management of anaemia in pregnancy can lead to substantial reduction in undernutrition in childhood, adolescence and improvement in adult height.

Human schistosomiasis in Puerto Rico: reduced prevalence rate and absence of Biomphalaria glabrata.

Science.gov (United States)

Giboda, M; Malek, E A; Correa, R

1997-11-01

A combined epidemiologic and malacologic survey of schistosomiasis in Puerto Rico was carried out in areas where previous surveys had reported the prevalence of the disease. This limited survey, with 495 persons examined, found a low prevalence (0.6%) of Schistosoma mansoni infections. The infections were restricted to three people more than 36 years of age. No infections were detected in children 16 years of age or less, and this cohort comprised 57.8% of the study group. Malacologic surveys of the four streams, 10 rivers, and eight lakes throughout the island revealed the absence of intermediate host Biomphalaria glabrata and the presence of Thiara granifera, a competitive species of B. glabrata and the predatory snail Marisa cornuarietis. We believe that the absence of B. glabrata is the primary reason for the sustained reduction in the prevalence of schistosomiasis in Puerto Rico.

Prevalence of triangular fibrocartilage complex abnormalities regardless of symptoms rise with age: systematic review and pooled analysis.

Science.gov (United States)

Chan, Jimmy J; Teunis, Teun; Ring, David

2014-12-01

Triangular fibrocartilage complex abnormalities seem to be more common with age, but the degree to which this is so, and the degree to which the presence of an abnormality is associated with symptoms, are topics of controversy. We wished to perform a systematic review to determine the prevalence of triangular fibrocartilage complex abnormalities, and to determine if the prevalence of abnormalities are greater with increasing age. In addition, we stratified age groups based on symptoms. We searched MEDLINE, EMBASE, and the Cochrane Library through August 15, 2013. Studies that reported triangular fibrocartilage complex abnormalities by age were included. Fifteen studies including 977 wrists met our criteria and reported a total of 368 (38%) triangular fibrocartilage complex abnormalities. Eight studies included symptomatic patients; the remainder studied cadavers (six studies) or asymptomatic volunteers (one study). Patients were divided into four age groups (fibrocartilage complex abnormalities increased with age, from 27% (80/301) in patients younger than 30 years to 49% (130/265) in patients 70 years and older (p fibrocartilage complex prevalence abnormality increased from 15% (24/159) to 49% (129/263) in the same age groups (p fibrocartilage complex abnormalities are common in symptomatic and asymptomatic wrists, and they are increasingly common with age. As in all situations where abnormalities are so common that they may be incidental, we need (1) a reliable and accurate method for determining whether these abnormalities are the cause of symptoms; and (2) evidence that treatment of these abnormalities improves symptoms better than placebo. Level III, prognostic study. See the Instructions for Authors for a complete description of levels of evidence.

Study on closed pressure vessel test. Effect of heat rate, sample weight and vessel size on pressure rise due to thermal decomposition; Mippeigata atsuryoku yoki shiken ni kansuru kenkyu. Atsuryoku hassei kyodo ni oyobosu kanetsusokudo, shiryoryo oyobi youki saizu no eikyo

Energy Technology Data Exchange (ETDEWEB)

Aoki, Kenji.; Akutsu, Yoshiaki.; Arai, Mitsuru.; Tamura, Masamitsu. [The University of Tokyo, Tokyo (Japan). School of Engineering

1999-02-28

We have attempted to devise a new closed pressure vessel test apparatus in order to evaluate the violence of thermal decomposition of self-reactive materials and have examined some influencing factors, such as heat rate, sample weight, filling factor (sample weight/vessel size) and vessel size on Pmax (maximum pressure rise) and dP/dt (rate of pressure rise) due to their thermal decomposition. As a result, the following decreasing orders of Pmax and dP/dt were shown. Pmax: ADCA>BPZ>AIBN>TCP dP/dt: AIBN>BPZ>ADCA>TCP Moreover, Pmax was not almost influenced by heat rate, while dP/dt increased with an increase in heat rate in the case of BPZ. Pmax and dP/dt increased with an increase in sample weight and the degree of increase depended on the kinds of materials. In addition, it was shown that Pmax and dP/dt increased with an increase in vessel size at a constant filling factor. (author)

Reconciling disparate prevalence rates of PTSD in large samples of US male Vietnam veterans and their controls

Directory of Open Access Journals (Sweden)

Gottesman Irving I

2006-05-01

Full Text Available Abstract Background Two large independent studies funded by the US government have assessed the impact of the Vietnam War on the prevalence of PTSD in US veterans. The National Vietnam Veterans Readjustment Study (NVVRS estimated the current PTSD prevalence to be 15.2% while the Vietnam Experience Study (VES estimated the prevalence to be 2.2%. We compared alternative criteria for estimating the prevalence of PTSD using the NVVRS and VES public use data sets collected more than 10 years after the United States withdrew troops from Vietnam. Methods We applied uniform diagnostic procedures to the male veterans from the NVVRS and VES to estimate PTSD prevalences based on varying criteria including one-month and lifetime prevalence estimates, combat and non-combat prevalence estimates, and prevalence estimates using both single and multiple indicator models. Results Using a narrow and specific set of criteria, we derived current prevalence estimates for combat-related PTSD of 2.5% and 2.9% for the VES and the NVVRS, respectively. Using a more broad and sensitive set of criteria, we derived current prevalence estimates for combat-related PTSD of 12.2% and 15.8% for the VES and NVVRS, respectively. Conclusion When comparable methods were applied to available data we reconciled disparate results and estimated similar current prevalences for both narrow and broad definitions of combat-related diagnoses of PTSD.

Global prevalence and incidence of traumatic spinal cord injury

Directory of Open Access Journals (Sweden)

Singh A

2014-09-01

Full Text Available Anoushka Singh*, Lindsay Tetreault*, Suhkvinder Kalsi-Ryan, Aria Nouri, Michael G FehlingsToronto Western Research Institute, Toronto Western Hospital, Toronto, Ontario, Canada  *These authors contributed equally to this paper Background: Spinal cord injury (SCI is a traumatic event that impacts a patient's physical, psychological, and social well-being and places substantial financial burden on health care systems. To determine the true impact of SCI, this systematic review aims to summarize literature reporting on either the incidence or prevalence of SCI. Methods: A systematic search was conducted using PubMed, MEDLINE, MEDLINE in process, EMBASE, Cochrane Controlled Trial Register, and Cochrane Database of Systematic Reviews to identify relevant literature published through June 2013. We sought studies that provided regional, provincial/state, or national data on the incidence of SCI or reported estimates of disease prevalence. The level of evidence of each study was rated using a scale that evaluated study design, methodology, sampling bias, and precision of estimates. Results: The initial search yielded 5,874 articles, 48 of which met the inclusion criteria. Forty-four studies estimated the incidence of SCI and nine reported the prevalence, with five discussing both. Of the incidence studies, 14 provided figures at a regional, ten at a state or provincial level and 21 at a national level. The prevalence of SCI was highest in the United States of America (906 per million and lowest in the Rhone-Alpes region, France (250 per million and Helsinki, Finland (280 per million. With respect to states and provinces in North America, the crude annual incidence of SCI was highest in Alaska (83 per million and Mississippi (77 per million and lowest in Alabama (29.4 per million, despite a large percentage of violence injuries (21.2%. Annual incidences were above 50 per million in the Hualien County in Taiwan (56.1 per million, the central Portugal

River rating complexity

Science.gov (United States)

Holmes, Robert R.

2016-01-01

Accuracy of streamflow data depends on the veracity of the rating model used to derive a continuous time series of discharge from the surrogate variables that can readily be collected autonomously at a streamgage. Ratings are typically represented as a simple monotonic increasing function (simple rating), meaning the discharge is a function of stage alone, however this is never truly the case unless the flow is completely uniform at all stages and in transitions from one stage to the next. For example, at some streamflow-monitoring sites the discharge on the rising limb of the hydrograph is discernably larger than the discharge at the same stage on the falling limb of the hydrograph. This is the so-called “loop rating curve” (loop rating). In many cases, these loops are quite small and variation between rising- and falling-limb discharge measurements made at the same stage are well within the accuracy of the measurements. However, certain hydraulic conditions can produce a loop that is large enough to preclude use of a monotonic rating. A detailed data campaign for the Mississippi River at St. Louis, Missouri during a multi-peaked flood over a 56-day period in 2015 demonstrates the rating complexity at this location. The shifting-control method used to deal with complexity at this site matched all measurements within 8%.

Sun Radio Interferometer Space Experiment (SunRISE)

Science.gov (United States)

Kasper, Justin C.; SunRISE Team

2018-06-01

The Sun Radio Interferometer Space Experiment (SunRISE) is a NASA Heliophysics Explorer Mission of Opportunity currently in Phase A. SunRISE is a constellation of spacecraft flying in a 10-km diameter formation and operating as the first imaging radio interferometer in space. The purpose of SunRISE is to reveal critical aspects of solar energetic particle (SEP) acceleration at coronal mass ejections (CMEs) and transport into space by making the first spatially resolved observations of coherent Type II and III radio bursts produced by electrons accelerated at CMEs or released from flares. SunRISE will focus on solar Decametric-Hectometric (DH, 0.1 space before major SEP events, but cannot be seen on Earth due to ionospheric absorption. This talk will describe SunRISE objectives and implementation. Presented on behalf of the entire SunRISE team.

Rise of a cold plume

International Nuclear Information System (INIS)

Kakuta, Michio

1977-06-01

The rise of smoke from the stacks of two research reactors in normal operation was measured by photogrametric method. The temperature of effluent gas is less than 20 0 C higher than that of the ambient air (heat emission of the order 10 4 cal s -1 ), and the efflux velocity divided by the wind speed is between 0.5 and 2.8 in all 16 smoke runs. The field data obtained within downwind distance of 150m are compared with those by plume rise formulas presently available. Considering the shape of bending-over plume, the Briggs' formula for 'jet' gives a reasonable explanation of the observed plume rise. (auth.)

Effects of ocean acidification and sea-level rise on coral reefs

Science.gov (United States)

Yates, K.K.; Moyer, R.P.

2010-01-01

U.S. Geological Survey (USGS) scientists are developing comprehensive records of historical and modern coral reef growth and calcification rates relative to changing seawater chemistry resulting from increasing atmospheric CO2 from the pre-industrial period to the present. These records will provide the scientific foundation for predicting future impacts of ocean acidification and sea-level rise on coral reef growth. Changes in coral growth rates in response to past changes in seawater pH are being examined by using cores from coral colonies.

Prevalence of metabolic syndrome in Bangladesh: a systematic review and meta-analysis of the studies.

Science.gov (United States)

Chowdhury, Mohammad Ziaul Islam; Anik, Ataul Mustufa; Farhana, Zaki; Bristi, Piali Dey; Abu Al Mamun, B M; Uddin, Mohammad Jasim; Fatema, Jain; Akter, Tanjila; Tani, Tania Akhter; Rahman, Meshbahur; Turin, Tanvir C

2018-03-02

Metabolic syndrome (MS) is a cluster of health problems that set the stage for serious health conditions and places individuals at higher risk of cardiovascular disease, diabetes and stroke. The worldwide prevalence of MS in the adult population is on the rise and Bangladesh is no exception. According to some epidemiological study, MS is highly prevalent in Bangladesh and has increased dramatically in last few decades. To provide a clear picture of the current situation, we conducted a systematic review and meta-analysis with an objective to assess the prevalence of metabolic syndrome among the Bangladeshi population using data already published in the scientific literature. We searched MEDLINE, EMBASE and PubMed and manually checked references of all identified relevant publications that described the prevalence of MS in Bangladesh. Random effects meta-analysis was used to pool the prevalence. Heterogeneity was explored using formal tests and subgroup analyses. Study quality and publication bias was also explored. Electronic and grey literature search retrieved 491 potentially relevant papers. After removing duplicates, reviewing titles and abstracts and screening full texts, 10 studies were finally selected. Most of the studies were conducted in rural populations and study participants were mostly females. The weighted pooled prevalence of metabolic syndrome regardless of gender and criteria used to define metabolic syndrome, was 30.0% with high heterogeneity observed. Weighted pooled prevalence of metabolic syndrome is higher in females (32%) compared to males (25%) though not statistically significant (p = 0.434). Prevalence was highest (37%) when Modified NCEP ATP III criteria was used to define MS, while it was lowest (20%) when WHO criteria was used. In most cases, geographical area (urban/rural) was identified as a source of heterogeneity between the studies. Most of the studies met study quality assessment criteria's except adequate sample size

[Diabetes mellitus in Spain: death rates, prevalence, impact, costs and inequalities].

Science.gov (United States)

Ruiz-Ramos, Miguel; Escolar-Pujolar, Antonio; Mayoral-Sánchez, Eduardo; Corral-San Laureano, Florentino; Fernández-Fernández, Isabel

2006-03-01

Describing the situation of diabetes mellitus (DM) in Spain from a public health perspective. manual review of books and other documents on diabetes mellitus in Spain was conducted. In addition, a specific research of articles published using MeSH terms diabetes mortality, prevalence, incidence, cost, inequalities and Spain was conducted in Medline through Internet (PubMed). Minimun Basic Data Set was utilized as source for complication description by Communities Autonomus. DM is one of the leading cause of mortality and the third one in women. With regard to Autonomous Communities, Canary Islands, Ceuta y Melilla and Andalusia show the greatest mortality with a downward trend. Diabetics present greater mortality than non diabetic patients, being complications the main cause of the over-mortality, especially ischemic heart disease. Estimations of prevalence for DM2 range from 4.8% to 18.7% and for DM1, from .08% to .2%. In pregnancy, it has been noted a prevalence ranging from 4.5% to 16.1%. With respect to incidence per year, it is estimated a range from 146 to 820 per 100,000 inhabitants for DM2 and a range from 10 to 17 new cases annually per 100,000 inhabitants for DM1. Costs for DM1 show very different results, averaging between 1,262 and 3,311 euro per people and year. There are differences for DM2 costs as well, averaging between 381 and 2,560 euro per patient and year. Total costs estimated range from 758 to 4,348 euro per person and year. Relationship between a low socioeconomic level (LSL) and DM2 risk has been proved. Moreover, it has been noted that the less LSL the worse is the disease control, coupled with a greater frequency and more frequent factors of DM2 risk. The knowledge about the situation of the DM as a Public Health problem in Spain is limited. Mortality data available does not gather its real magnitude, and prevalence, incidence, costs and inequalities research are very poor and hardly comparable. In spite of this degree of incertitude, we

Prevalence of sun protection behaviors in Hispanic youth residing in a high ultraviolet light environment.

Science.gov (United States)

Altieri, Lisa; Miller, Kimberly A; Huh, Jimi; Peng, David H; Unger, Jennifer B; Richardson, Jean L; Allen, Martin W; Cockburn, Myles

2018-01-01

Although rates of late-stage melanoma are rising in Hispanics, particularly those living in high ultraviolet light environments, little is known about the prevalence of sun protective behaviors in Hispanic children. We analyzed baseline data including frequency of sunburn, sun protective behaviors, level of U.S. acculturation, and skin phototype from a cross-sectional survey of 2003 Hispanic elementary school children in Los Angeles, California, who participated in a skin cancer prevention intervention. Although the Hispanic children reported frequently engaging in some sun protective behaviors, they also had a high rate of sunburn (59%) that exceeded previous national estimates for non-Hispanic white children (43%). Fewer U.S.-acculturated children reported more frequent shade-seeking at home (P = .02), along with less shade-seeking at school (P = .001) and more sunscreen use at school (P = .02). The surprisingly high rate of sunburn in Hispanic children suggests that the way in which they are practicing sun protection is not preventing sunburns. Sun safety interventions should be targeted toward Hispanic youth to provide them with practical methods of effective sun protection, in addition to education on the risks of high sun exposure. © 2017 Wiley Periodicals, Inc.

Studies on the Prevalence, Knowledge, and Practices Toward ...

African Journals Online (AJOL)

PROF. OLIVER OSUAGWA

2015-06-01

Jun 1, 2015 ... Teenagers (10-19yrs) had the highest malaria prevalence rate and were followed by ... Keywords: Cluster sampling, Malaria, Prevalence, Knowledge, Practices, ... annual rainfall and humidity were relatively .... Alcohol/ Don't.

The Rise of the Penal State: Neo-Liberalisation or New Political Culture?

NARCIS (Netherlands)

W. de Koster (Willem); J. van der Waal (Jeroen); P.H.J. Achterberg (Peter); D. Houtman (Dick)

2008-01-01

textabstractImprisonment rates are presumed to have risen in the west, and it is argued by certain social scientists that this can be explained by a comprehensive process of economic neoliberalisation. In this paper, we develop an alternative explanation, focussing on the rise of a ‘new political

Depression and anxiety in patients with rheumatoid arthritis: prevalence rates based on a comparison of the Depression, Anxiety and Stress Scale (DASS) and the hospital, Anxiety and Depression Scale (HADS)

OpenAIRE

Covic Tanya; Cumming Steven R; Pallant Julie F; Manolios Nick; Emery Paul; Conaghan Philip G; Tennant Alan

2012-01-01

Abstract Background While it is recognised that depression is prevalent in Rheumatoid Arthritis (RA), recent studies have also highlighted significant levels of anxiety in RA patients. This study compared two commonly used scales, the Depression Anxiety and Stress Scale (DASS) and the Hospital Anxiety and Depression Scale (HADS), in relation to their measurement range and cut points to consider the relative prevalence of both constructs, and if prevalence rates may be due to scale-specific ca...

Reef-scale modeling of coral calcification responses to ocean acidification and sea-level rise

Science.gov (United States)

Nakamura, Takashi; Nadaoka, Kazuo; Watanabe, Atsushi; Yamamoto, Takahiro; Miyajima, Toshihiro; Blanco, Ariel C.

2018-03-01

To predict coral responses to future environmental changes at the reef scale, the coral polyp model (Nakamura et al. in Coral Reefs 32:779-794, 2013), which reconstructs coral responses to ocean acidification, flow conditions and other factors, was incorporated into a reef-scale three-dimensional hydrodynamic-biogeochemical model. This coupled reef-scale model was compared to observations from the Shiraho fringing reef, Ishigaki Island, Japan, where the model accurately reconstructed spatiotemporal variation in reef hydrodynamic and geochemical parameters. The simulated coral calcification rate exhibited high spatial variation, with lower calcification rates in the nearshore and stagnant water areas due to isolation of the inner reef at low tide, and higher rates on the offshore side of the inner reef flat. When water is stagnant, bottom shear stress is low at night and thus oxygen diffusion rate from ambient water to the inside of the coral polyp limits respiration rate. Thus, calcification decreases because of the link between respiration and calcification. A scenario analysis was conducted using the reef-scale model with several pCO2 and sea-level conditions based on IPCC (Climate change 2013: the physical science basis. Contribution of working group I to the fifth assessment report of the intergovernmental panel on climate change, Cambridge University Press, Cambridge, 2013) scenarios. The simulation indicated that the coral calcification rate decreases with increasing pCO2. On the other hand, sea-level rise increases the calcification rate, particularly in the nearshore and the areas where water is stagnant at low tide under present conditions, as mass exchange, especially oxygen exchange at night, is enhanced between the corals and their ambient seawater due to the reduced stagnant period. When both pCO2 increase and sea-level rise occur concurrently, the calcification rate generally decreases due to the effects of ocean acidification. However, the

Ecological association between HIV and concurrency point-prevalence in South Africa's ethnic groups.

Science.gov (United States)

Kenyon, Chris

2013-11-01

HIV prevalence between different ethnic groups within South Africa exhibits considerable variation. Numerous authors believe that elevated sexual partner concurrency rates are important in the spread of HIV. Few studies have, however, investigated if differential concurrency rates could explain differential HIV spread within ethnic groups in South Africa. This ecological analysis, explores how much of the variation in HIV prevalence by ethnic group is explained by differential concurrency rates. Using a nationally representative survey (the South African National HIV Prevalence, HIV Incidence, Behaviour and Communication Survey, 2005) the HIV prevalence in each of eight major ethnic groups was calculated. Linear regression analysis was used to assess the association between an ethnic group's HIV prevalence and the point-prevalence of concurrency. Results showed that HIV prevalence rates varied considerably between South Africa's ethnic groups. This applied to both different racial groups and to different ethnic groups within the black group. The point-prevalence of concurrency by ethnic group was strongly associated with HIV prevalence (R(2) = 0.83; p = 0.001). Tackling the key drivers of high HIV transmission in this population may benefit from more emphasis on partner reduction interventions.

Obstetricians' rising liability insurance premiums and inductions at late preterm gestations.

Science.gov (United States)

Murthy, Karna; Grobman, William A; Lee, Todd A; Holl, Jane L

2009-04-01

To estimate the association between professional liability insurance premiums for obstetricians and late preterm induction (LPI) rates. Data from the National Center for Health Statistics were used to identify all Illinois women pregnant with singletons at 34 weeks' gestation from 1991 to 2003. The independent association between LPI (induction between 34 and 37 weeks' gestation) rates and the previous year's obstetric malpractice insurance premiums was evaluated using linear regression. The mean annual LPI rate (5.4/1000 in 1991 to 15.2/1000 in 2003, P insurance premiums ($55,480 to $110,613, P insurance premium. Rising premiums are associated with increased frequency of LPI among women with singleton gestations.

Pulse-shape Discrimination in Organic Scintillators Using the Rising Edge

International Nuclear Information System (INIS)

Jones, A.; Joyce, M.J.

2013-06-01

The possibility of discriminating between neutrons and γ rays on the basis of differences in the rising edge of corresponding pulses from organic scintillation detectors is described. It has long been known that radiation type can be discerned on the basis of subtle differences in pulse shape from a variety of detection materials, but discrimination in fast organic scintillators has long been reliant on the separation in decay face of the pulse. This can constrain pulse-shape discrimination techniques to follow after the peak amplitude of the event and they can thus be more susceptible to the effects of pile up. Furthermore, discrimination in the decay face places a fundamental limit on the time relative to the evolution of the event when discrimination can be performed and thus this can be a significant constraint on the event processing rate for high pulse-rate applications. In this paper the correspondence between established mathematical models of organic pulse shape and real events in the rising edge part of the event is investigated, and the potential for rise-time based pulse-shape discrimination in mixed-field data from organic scintillators is explored. Special nuclear materials (SNM) are of particular interest to security surveillance and based on active interrogation. Active interrogation involves neutrons hitting a material that is fissile, and detecting the emitted γ rays and neutrons to try and classify materials. Faster, more efficient and more transportable devices are being sought to help in the prevention of illicit transport of nuclear materials. SNM are difficult to detect due to high-flux γ emissions, and very low neutron signatures (authors)

On Capillary Rise and Nucleation

Science.gov (United States)

Prasad, R.

2008-01-01

A comparison of capillary rise and nucleation is presented. It is shown that both phenomena result from a balance between two competing energy factors: a volume energy and a surface energy. Such a comparison may help to introduce nucleation with a topic familiar to the students, capillary rise. (Contains 1 table and 3 figures.)

Simulation of plume rise: Study the effect of stably stratified turbulence layer on the rise of a buoyant plume from a continuous source by observing the plume centroid

Science.gov (United States)

Bhimireddy, Sudheer Reddy; Bhaganagar, Kiran

2016-11-01

Buoyant plumes are common in atmosphere when there exists a difference in temperature or density between the source and its ambience. In a stratified environment, plume rise happens until the buoyancy variation exists between the plume and ambience. In a calm no wind ambience, this plume rise is purely vertical and the entrainment happens because of the relative motion of the plume with ambience and also ambient turbulence. In this study, a plume centroid is defined as the plume mass center and is calculated from the kinematic equation which relates the rate of change of centroids position to the plume rise velocity. Parameters needed to describe the plume are considered as the plume radius, plumes vertical velocity and local buoyancy of the plume. The plume rise velocity is calculated by the mass, momentum and heat conservation equations in their differential form. Our study focuses on the entrainment velocity, as it depicts the extent of plume growth. This entrainment velocity is made up as sum of fractions of plume's relative velocity and ambient turbulence. From the results, we studied the effect of turbulence on the plume growth by observing the variation in the plume radius at different heights and the centroid height reached before loosing its buoyancy.

Association between rising professional liability insurance premiums and primary cesarean delivery rates.

Science.gov (United States)

Murthy, Karna; Grobman, William A; Lee, Todd A; Holl, Jane L

2007-12-01

To estimate the association between changes in Illinois professional liability premiums for obstetrician-gynecologists and singleton primary cesarean delivery rates. Data from the National Center for Health Statistics were used to identify all singleton births between 37 weeks and 44 weeks of gestation occurring in Illinois from 1998 through 2003. Primary cesarean delivery rates for women delivered between 37 weeks and 44 weeks of gestation per 1,000 gravid women eligible to have a primary cesarean delivery were calculated for each Illinois county. The annual medical professional liability premium for each county in Illinois was represented by the reported professional liability insurance rate charges (adjusted to 2004 dollars) from the ISMIE Mutual Insurance Company. Separate analyses were conducted for nulliparous and multiparous women. The independent association between county-level primary cesarean delivery rates and the previous year's insurance premiums was evaluated using linear regression models. During the study period, 817,521 women were eligible for inclusion in the analysis. The county-level mean primary cesarean delivery rate increased from 126 to 163 per 1,000 (Pinsurance premiums also rose significantly (from $60,766 in 1997 to $83,167 in 2002, Pinsurance premium increase, the primary cesarean delivery rate increased by 15.7 per 1,000 for nulliparous women. This association also was evident for multiparous women, who had an increase in cesarean deliveries of 4.7 per 1,000 for every $10,000 increase. Higher rates of primary cesarean delivery are associated with increased medical professional liability premiums for obstetrician-gynecologists in Illinois. II.

Sea-level rise: towards understanding local vulnerability

Science.gov (United States)

Rahmstorf, Stefan

2012-06-01

Projections of global sea-level rise into the future have become more pessimistic over the past five years or so. A global rise by more than one metre by the year 2100 is now widely accepted as a serious possibility if greenhouse gas emissions continue unabated. That is witnessed by the scientific assessments that were made since the last IPCC report was published in 2007. The Delta Commission of the Dutch government projected up to 1.10 m as a 'high-end' scenario (Vellinga et al 2009). The Scientific Committee on Antarctic Research (SCAR) projected up to 1.40 m (Scientific Committee on Antarctic Research 2009), and the Arctic Monitoring and Assessment Programme (AMAP) gives a range of 0.90-1.60 m in its 2011 report (Arctic Monitoring and Assessment Programme 2011). And recently the US Army Corps of Engineers recommends using a 'low', an 'intermediate' and a 'high' scenario for global sea-level rise when planning civil works programmes, with the high one corresponding to a 1.50 m rise by 2100 (US Army Corps of Engineers 2011). This more pessimistic view is based on a number of observations, most importantly perhaps the fact that sea level has been rising at least 50% faster in the past decades than projected by the IPCC (Rahmstorf et al 2007, IPCC 2007). Also, the rate of rise (averaged over two decades) has accelerated threefold, from around 1 mm yr-1 at the start of the 20th century to around 3 mm yr-1 over the past 20 years (Church and White 2006), and this rate increase closely correlates with global warming (Rahmstorf et al 2011). The IPCC projections, which assume almost no further acceleration in the 20th century, thus look less plausible. And finally the observed net mass loss of the two big continental ice sheets (Van den Broeke et al 2011) calls into question the assumption that ice accumulation in Antarctica would largely balance ice loss from Greenland in the course of further global warming (IPCC 2007). With such a serious sea-level rise on the horizon

Strategic advantages of high-rise construction

Directory of Open Access Journals (Sweden)

Yaskova Natalya

2018-01-01

Full Text Available Traditional methods to assess the competitiveness of different types of real estate in the context of huge changes of new technological way of life don’t provide building solutions that would be correct from a strategic perspective. There are many challenges due to changes in the consumers’ behavior in the housing area. A multiplicity of life models, a variety of opportunities and priorities, traditions and new trends in construction should be assessed in terms of prospective benefits in the environment of the emerging new world order. At the same time, the mane discourse of high-rise construction mainly relates to its design features, technical innovations, and architectural accents. We need to clarify the criteria for economic evaluation of high-rise construction in order to provide decisions with clear and quantifiable contexts. The suggested approach to assessing the strategic advantage of high-rise construction and the prospects for capitalization of high-rise buildings poses new challenges for the economy to identify adequate quantitative assessment methods of the high-rise buildings economic efficiency, taking into account all stages of their life cycle.

Strategic advantages of high-rise construction

Science.gov (United States)

Yaskova, Natalya

2018-03-01

Traditional methods to assess the competitiveness of different types of real estate in the context of huge changes of new technological way of life don't provide building solutions that would be correct from a strategic perspective. There are many challenges due to changes in the consumers' behavior in the housing area. A multiplicity of life models, a variety of opportunities and priorities, traditions and new trends in construction should be assessed in terms of prospective benefits in the environment of the emerging new world order. At the same time, the mane discourse of high-rise construction mainly relates to its design features, technical innovations, and architectural accents. We need to clarify the criteria for economic evaluation of high-rise construction in order to provide decisions with clear and quantifiable contexts. The suggested approach to assessing the strategic advantage of high-rise construction and the prospects for capitalization of high-rise buildings poses new challenges for the economy to identify adequate quantitative assessment methods of the high-rise buildings economic efficiency, taking into account all stages of their life cycle.

Restless legs syndrome: relationship between prevalence and latitude.

Science.gov (United States)

Koo, Brian B

2012-12-01

Restless legs syndrome (RLS) has a broad worldwide prevalence between 0.01% and 18.3%. While differences in RLS definitions and data ascertainment methods account for some variability, other factors likely contribute. The circadian nature of RLS and the fact that RLS symptoms track with endogenous melatonin levels suggest that light or ultraviolet radiation (UVR) may be related to RLS expression. As the amount of UVR decreases with latitude, we considered the potential effect of geography on RLS prevalence with the thought being that RLS prevalence rises with increasing latitude. RLS epidemiologic studies were sought via Pubmed search in the period between January 1, 1992 and November 15, 2010. Prevalence was mapped for each country or specific region studied and examined by continent. Pearson's correlational testing was carried out for RLS prevalence and latitude of the region studied. Global RLS prevalence ranges from 0.01% in Africa, 0.7% to 12.5% in Asia, 2.0% to 18.9% in the Americas, and 3.2% to 18.3% in Europe. Mapping RLS prevalence by country or region in both the Americas and in Europe suggests increasing RLS frequency with greater northern latitude. RLS prevalence is positively correlated with northern latitude in both North America and Europe with correlation coefficients of r = 0.77 (0.15, 0.96; p = 0.02) and r = 0.74 (0.44, 0.89; p = 0.0002), respectively. In Europe, lower latitudinal countries like Greece and Turkey had RLS prevalence (per 1,000 persons) of 38 and 34, respectively, middle latitudinal countries like France and England of 108 and 86, respectively, and high latitudinal countries like Norway and Iceland of 143 and 183, respectively. RLS epidemiology indicates an increase in RLS frequency in northern latitudinal countries as a function of distance from the equator, an effect most evident in Europe. This suggests that factors that track with latitude like UVR may be involved in the expression of RLS.

Comparison of occlusion break responses and vacuum rise times of phacoemulsification systems.

Science.gov (United States)

Sharif-Kashani, Pooria; Fanney, Douglas; Injev, Val

2014-07-30

Occlusion break surge during phacoemulsification cataract surgery can lead to potential surgical complications. The purpose of this study was to quantify occlusion break surge and vacuum rise time of current phacoemulsification systems used in cataract surgery. Occlusion break surge at vacuum pressures between 200 and 600 mmHg was assessed with the Infiniti® Vision System, the WhiteStar Signature® Phacoemulsification System, and the Centurion® Vision System using gravity-fed fluidics. Centurion Active FluidicsTM were also tested at multiple intraoperative pressure target settings. Vacuum rise time was evaluated for Infiniti, WhiteStar Signature, Centurion, and Stellaris® Vision Enhancement systems. Rise time to vacuum limits of 400 and 600 mmHg was assessed at flow rates of 30 and 60 cc/minute. Occlusion break surge was analyzed by 2-way analysis of variance. The Centurion system exhibited substantially less occlusion break surge than the other systems tested. Surge area with Centurion Active Fluidics was similar to gravity fluidics at an equivalent bottle height. At all Centurion Active Fluidics intraoperative pressure target settings tested, surge was smaller than with Infiniti and WhiteStar Signature. Infiniti had the fastest vacuum rise time and Stellaris had the slowest. No system tested reached the 600-mmHg vacuum limit. In this laboratory study, Centurion had the least occlusion break surge and similar vacuum rise times compared with the other systems tested. Reducing occlusion break surge may increase safety of phacoemulsification cataract surgery.

The Prevalence and Natural History of Food Allergy.

Science.gov (United States)

Kattan, Jacob

2016-07-01

Numerous studies have demonstrated that the prevalence of food allergy is increasing. Not only are more children being diagnosed with food allergies, but studies suggest that when people outgrow their food allergies, it is taking longer than was previously thought. Studies in recent years have noted factors that may lead to a lower likelihood of developing a food allergy, including the early introduction of common food allergens, having a sufficient vitamin D level, or having a higher maternal intake of peanut early in pregnancy. Given a recent report that sensitization to common food allergens did not increase from the late 1980s/early 1990s to the mid-2000s, further studies will need to examine if the rise in food allergy prevalence is due to a change in the relationship between sensitization and clinical allergy or changes in the recognition and diagnosis of food allergy.

High prevalence of osteoporosis in Saudi men

International Nuclear Information System (INIS)

El-Desouki, Mahmoud I.; Sulimani, Riyadh A.

2007-01-01

Objective was to determine the prevalence of osteoporosis in healthy Saudi men. We randomly recruited 429 Saudi men from the community. The recruited Saudi men were subjected to an interview to reveal their lifestyle parameters, calcium intake and level of activity. Bone densitometry was assessed at lumbar spine (L-4) and the femoral neck. The dual x-ray absorptiometry (DXA) scan was carried out in the Nuclear Medicine at King Khalid University Hospital, Riyadh, Saudi Arabia from September 2002 to December 2004. The World Health Organization definition of low bone mineral density was used. Poor oral calcium intake and low level of daily activity were noted. The overall prevalence of osteopenia for the lumbar spine in the whole group was 35.7% while osteoporosis was present in 21.4% of the subjects. In the femoral neck, osteopenia was noted in 38% and osteoporosis in 11.4%. When either lumbar spine or femoral neck osteoporosis is used for diagnosis, the prevalence of osteoporosis rises to 23.5%. Within the whole group, osteopenia and osteoporosis were more common in individuals above the age of 50 than those below 50 years old. Low bone mineral density occurs with high frequency in Saudi men. Lumbar spine appears to be affected to a higher degree. The reason for the high prevalence of osteoporosis in Saudi men is unclear. Possible underlying causes include nutritional, life style and genetic factors. (author)

Prevalence of sinus floor elevation procedures and survival rates of implants placed in the posterior maxilla

Directory of Open Access Journals (Sweden)

Ceyda Ozçakır Tomruk

2016-01-01

Full Text Available The aim of this study was to assess the prevalence of sinus-lifting procedures and survival rates of implants placed in the posterior maxilla. This retrospective chart review examined consecutive patients with tooth/teeth loss in the posterior maxilla between 2008 and 2012 treated with sinus lift, when needed, and implant insertion. Demographic variables, health status, residual alveolar bone height, augmentation types, the implant position, diameter and height, and implant failure, prosthesis types, and the marginal bone loss were recorded. The study included 302 patients at a mean age of 5.2 years, who received a total of 609 dental implants. A total of 380 (62.3% implants were inserted in native areas, 203 (33.3% ones in external sinus-lifted areas and 26 (4.4% ones in internal lifted areas. The survival rate in native or internal lifted areas were 100% and 95.6% in external sinus lifted ones (10 implant failures/203 implants. Almost half of the implants were examined radiologically with a mean duration of 30 months and the mean marginal bone loss was 0.64 ± 1.2 mm. The results showed that the survival rates of native bone and the internal sinus lifting were slightly higher than that of external sinus lifting. Implants placed with sinus augmentation exhibited more marginal bone loss than implants in native bone.

Explaining the Rise in Danish Vocational Education System Dropouts: The Effect of a Youth Unemployment Program

DEFF Research Database (Denmark)

Munk, Martin D.; Park, Do-Yeun

This project focuses on the impact of Denmark’s Youth Unemployment Program(YUP) enacted in late 1990s on the rise in VET dropout rates. The Youth Unemployment Program targeted unemployed, low-educated youth to strengthen the employment possibilities and to motivate for them to undertake an educat......This project focuses on the impact of Denmark’s Youth Unemployment Program(YUP) enacted in late 1990s on the rise in VET dropout rates. The Youth Unemployment Program targeted unemployed, low-educated youth to strengthen the employment possibilities and to motivate for them to undertake...... an education. If the Youth Unemployment Program incentivized less capable/ambitious students to enter vocational education, it would increase the dropout rates via selection. This project investigates whether the program had an effect on the population characteristics of incoming VET students and the resulting...

Understanding increases in smoking prevalence: case study from France in comparison with England 2000-10.

Science.gov (United States)

McNeill, Ann; Guignard, Romain; Beck, François; Marteau, Rosie; Marteau, Theresa M

2015-03-01

In France, following a long-term decline in smoking prevalence, an increase in smoking was observed between 2005 and 2010, an unusual occurrence in countries in the 'mature' stage of the smoking epidemic. By contrast, smoking prevalence in England, the neighbouring country, continued its long-term decline. We identified and translated recent reports on smoking and tobacco control in France and using these assessed the main data sources on smoking and compared them with similar sources in England, in order to explore possible explanations. In France, national smoking prevalence data are collected 5-yearly, minimizing opportunities for fine-grained analysis; the comparable study in England is implemented annually. We identified several probable causes of the recent increased prevalence of smoking in France, the primary one being the absence of sufficient price rises between 2005 and 2010, due probably to the lack of a robust tobacco control strategy, which also appeared to have empowered tobacco industry influence. Funding to compensate tobacconists appears to incentivize tobacco sales and is significantly higher than tobacco control funding. Mindful of the limitations of a case-study approach, the absence of sufficient price rises in the context of a weak tobacco control strategy seems the most likely explanation for the recent increase in smoking prevalence in France. A new cancer control plan and a national smoking reduction programme have been proposed by the French government in 2014 which, depending on implementation, may reverse the trend. In both countries, the higher levels of smoking among the more disadvantaged groups are of great concern and require greater political leadership for effective action. © 2014 Society for the Study of Addiction.

Climate-change-driven accelerated sea-level rise detected in the altimeter era.

Science.gov (United States)

Nerem, R S; Beckley, B D; Fasullo, J T; Hamlington, B D; Masters, D; Mitchum, G T

2018-02-27

Using a 25-y time series of precision satellite altimeter data from TOPEX/Poseidon, Jason-1, Jason-2, and Jason-3, we estimate the climate-change-driven acceleration of global mean sea level over the last 25 y to be 0.084 ± 0.025 mm/y 2 Coupled with the average climate-change-driven rate of sea level rise over these same 25 y of 2.9 mm/y, simple extrapolation of the quadratic implies global mean sea level could rise 65 ± 12 cm by 2100 compared with 2005, roughly in agreement with the Intergovernmental Panel on Climate Change (IPCC) 5th Assessment Report (AR5) model projections. Copyright © 2018 the Author(s). Published by PNAS.

Construction and demolition waste generation rates for high-rise buildings in Malaysia.

Science.gov (United States)

Mah, Chooi Mei; Fujiwara, Takeshi; Ho, Chin Siong

2016-12-01

Construction and demolition waste continues to sharply increase in step with the economic growth of less developed countries. Though the construction industry is large, it is composed of small firms with individual waste management practices, often leading to the deleterious environmental outcomes. Quantifying construction and demolition waste generation allows policy makers and stakeholders to understand the true internal and external costs of construction, providing a necessary foundation for waste management planning that may overcome deleterious environmental outcomes and may be both economically and environmentally optimal. This study offers a theoretical method for estimating the construction and demolition project waste generation rate by utilising available data, including waste disposal truck size and number, and waste volume and composition. This method is proposed as a less burdensome and more broadly applicable alternative, in contrast to waste estimation by on-site hand sorting and weighing. The developed method is applied to 11 projects across Malaysia as the case study. This study quantifies waste generation rate and illustrates the construction method in influencing the waste generation rate, estimating that the conventional construction method has a waste generation rate of 9.88 t 100 m -2 , the mixed-construction method has a waste generation rate of 3.29 t 100 m -2 , and demolition projects have a waste generation rate of 104.28 t 100 m -2 . © The Author(s) 2016.

PREVALENCE OF METABOLIC SYNDROME IN GRANITE WORKERS

Directory of Open Access Journals (Sweden)

Srilakshmi

2015-10-01

Full Text Available BACKGROUND: The prevalence of the metabolic syndrome (MS has significantly increased over the last few decades and has become a main health challenge worldwide. Prevalence of MS is quickly rising in developing countries due to changing lifestyle. It was considered worthwhile to study MS and its components in granite workers since granite factories are situated in and around Khammam area. Moreover, no studies of MS in granite workers have been reported in literature. OBJECTIVES: Aim of our study is to assess the prevalence of metabolic syndrome and its components in granite workers. MATERIALS AND METHODS: 210 male workers in the age group of 20 - 50 working in granite industries located in and around the Khammam town of Telangana State are selected for the present study. Blood pressures (BP, waist circumference (WC were measured. Fasting blood samples were collected for the estimation of glucose and lipids. RESULTS: 69 subjects out of 210 were identified as having MS based on updated National cholesterol education programme - Adult Treatment Panel III (NCEP - ATP III guidelines. CONCLUSION: MS should be identified and remedial measures may be suggested, so that the risk of hypertension, cardiovascular risk, diabetes and the resultant morbidity is minimized and can be delayed

Variations in the prevalence of obesity among european countries, and a consideration of possible causes

DEFF Research Database (Denmark)

Blundell, John E.; Baker, Jennifer Lyn; Boyland, Emma

2017-01-01

Over the last 10 years the prevalence of obesity across the European continent has in general been rising. With the exception of a few countries where a levelling-off can be perceived, albeit at a high level, this upward trend seems likely to continue. However, considerable country to country var...

Prevalence of obesity and its correlates in school going adolescents of Haldwani, Nainital, Uttarakhand, India

Directory of Open Access Journals (Sweden)

Shantanu Aggarwal

2016-07-01

Full Text Available Background: With a rising trend of Non-Communicable Diseases (NCDs in the present world, overweight and obesity has gained importance as it is not only a disease in itself but also risk factor for majority of other NCDs. A dramatic increase in overweight and obesity among children and adolescent has raised the concern of various public health physicians especially in developing country like India. Aims & Objective: To study the prevalence of overweight and obesity & its correlates among school going adolescents of Haldwani block. Material & Methods: School based cross sectional study was done among the adolescents of 8th to 12th standard. To calculate the maximum sample size prevalence of obesity was assumed to be 50%, taking absolute error of 5%, design effect of 2 and 10% non-response rate the sample was calculated to be 880, rounded off to 900. Samples were collected from 30 clusters/schools using simple random sampling. Data was collected using a pre-designed, semi-structured and pre-tested questionnaire and analyzed by using SPSS version 22. Results: Prevalence of overweight and obesity was 13% (CI = 10.8 - 15.2%. Overweight and obesity was found to be significantly associated with urban area, private school, Socio-economic class I, non-vegetarian diet, physical inactivity and playing videogames, working on laptops and computer on univariate analysis. On applying binary logistic regression factors like private schools, socioeconomic class I, non-vegetarian diet and physical inactivity were again found to be significantly associated with overweight and obesity. Conclusion: Prevalence of obesity was found to be more in adolescents having modifiable risk factors. 

A systematic review of studies of depression prevalence in university students.

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Ibrahim, Ahmed K; Kelly, Shona J; Adams, Clive E; Glazebrook, Cris

2013-03-01

Depression is a common health problem, ranking third after cardiac and respiratory diseases as a major cause of disability. There is evidence to suggest that university students are at higher risk of depression, despite being a socially advantaged population, but the reported rates have shown wide variability across settings. To explore the prevalence of depression in university students. PubMed, PsycINFO, BioMed Central and Medline were searched to identify studies published between 1990 and 2010 reporting on depression prevalence among university students. Searches used a combination of the terms depression, depressive symptoms, depressive disorders, prevalence, university students, college students, undergraduate students, adolescents and/or young adults. Studies were evaluated with a quality rating. Twenty-four articles were identified that met the inclusion and exclusion criteria. Reported prevalence rates ranged from 10% to 85% with a weighted mean prevalence of 30.6%. The results suggest that university students experience rates of depression that are substantially higher than those found in the general population. Study quality has not improved since 1990. Copyright © 2012 Elsevier Ltd. All rights reserved.

Same-Sex Domestic Violence: Prevalence, Unique Aspects, and Clinical Implications.

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Stiles-Shields, Colleen; Carroll, Richard A

2015-01-01

Domestic violence is a significant public health issue. Prevalence rates for same-sex domestic violence vary because of methodological issues related to recruitment and definitions of sexual orientation. However, such prevalence rates are currently considered to be similar to slightly greater than other-sex prevalence rates. Research has identified differences between same-sex domestic violence and other-sex domestic violence, including internalized and externalized stressors associated with being a sexual minority that interact with domestic violence to create or exacerbate vulnerabilities, higher risk for complex trauma experiences, and difficulties accessing services. This review provides a critical review of the literature, focusing upon empirical findings regarding same-sex domestic violence.

Notwithstanding High Prevalence of Overweight and Obesity, Smoking Remains the Most Important Factor in Poor Self-rated Health and Hospital Use in an Australian Regional Community

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Helen Mary Haines

2017-08-01

Full Text Available Objective: To classify a rural community sample by their modifiable health behaviours and identify the prevalence of chronic conditions, poor self-rated health, obesity and hospital use. Method: Secondary analysis of a cross- sectional self-report questionnaire in the Hume region of Victoria, Australia. Cluster analysis using the two-step method was applied to responses to health behaviour items. Results: 1,259 questionnaires were completed. Overall 63% were overweight or obese. Three groups were identified: ‘Healthy Lifestyle’ (63%, ‘Non Smoking, Unhealthy Lifestyle’ (25% and ‘Smokers’ (12%. ‘Healthy lifestyle’ were older and more highly educated than the other two groups while ‘Non Smoking, Unhealthy Lifestyle’ were more likely to be obese. ‘Smokers’ had the highest rate of poor self-rated health. Prevalence of chronic conditions was similar in each group (>20%. ‘Smokers’ were twice as likely to have had two or more visits to hospital in the preceding year even after adjustment for age, gender and education. Conclusion: High rates of overweight and obesity were identified but ‘Smokers’ were at the greatest risk for poor self-rated health and hospitalisation. Implications for Public Health: Within an environment of high rates of chronic ill health and obesity, primary care clinicians and public health policy makers must maintain their vigilance in encouraging people to quit smoking.

Socioecological Aspects of High-rise Construction

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Eichner, Michael; Ivanova, Zinaida

2018-03-01

In this article, the authors consider the socioecological problems that arise in the construction and operation of high-rise buildings. They study different points of view on high-rise construction and note that the approaches to this problem are very different. They also analyse projects of modern architects and which attempts are made to overcome negative impacts on nature and mankind. The article contains materials of sociological research, confirming the ambivalent attitude of urban population to high-rise buildings. In addition, one of the author's sociological survey reveals the level of environmental preparedness of the university students, studying in the field of "Construction of unique buildings and structures", raising the question of how future specialists are ready to take into account socioecological problems. Conclusion of the authors: the construction of high-rise buildings is associated with huge social and environmental risks, negative impact on the biosphere and human health. This requires deepened skills about sustainable design methods and environmental friendly construction technologies of future specialists. Professor M. Eichner presents in the article his case study project results on implementation of holistic eco-sustainable construction principles for mixed-use high-rise building in the metropolis of Cairo.

Perceptions of Community HIV/ STI Risk Among U.S Women Living in Areas with High Poverty and HIV Prevalence Rates

OpenAIRE

Blackstock, Oni J.; Frew, Paula; Bota, Dorothy; Vo-Green, Linda; Parker, Kim; Franks, Julie; Hodder, Sally L.; Justman, Jessica; Golin, Carol E.; Haley, Danielle F.; Kuo, Irene; Adimora, Adaora A.; Rompalo, Anne; Soto-Torres, Lydia; Wang, Jing

2015-01-01

Although studies have consistently demonstrated that women at high risk for HIV and non-HIV sexually transmitted infections (STIs) tend to underestimate their individual risk, little is known about how women at risk perceive their community’s HIV/STI risk. We explored perceptions of community HIV/ STI risk among U.S. women living in areas with high poverty and HIV prevalence rates as part of a qualitative substudy of the Women’s HIV SeroIncidence Study. Semi-structured focus groups were condu...

Prevalence of overweight and obesity in young adults in Uganda.

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Baalwa, J; Byarugaba, B B; Kabagambe, E K; Kabagambe, K E; Otim, A M

2010-12-01

Obesity in young adults is rising and predicts diabetes and cardiovascular diseases later in life. Data on prevalence and determinants of obesity in developing countries are needed for primary prevention. To determine the prevalence of overweight and obesity in young adults in urban (Kampala city) and rural areas (Kamuli District) of Uganda. Cross-sectional survey of 683 randomly selected young adults aged 18-30 years. Obesity was defined as body mass index (BMI) > 30 kg/m(2) and overweight as BMI > 25 kg/m(2). Distribution of BMI by socio-demographic characteristics was determined. Of the 683 participants, 50.5% were female and 53.2% were from Kampala. The overall prevalence of obesity and overweight was 2.3% and 10.4%, respectively. The prevalence of obesity was 4.4% in Kampala and 0% in Kamuli while the prevalence of overweight was 10.2% and 10.6% in Kampala and Kamuli, respectively. Compared to males, females were more likely to be obese (2.9% vs. 1.8%) or overweight (17.4% vs. 3.3%). Residing in the city, alcohol consumption, smoking, non-engagement in sports activities, commuting to school by taxi or private vehicle and being from a rich family were the main factors significantly associated (Pobesity. Being female (p = 0.0001) and not engaging in any sports activities (P = 0.002) were two factors significantly associated with being overweight. We observed significant gender differences in the prevalence of obesity among young adults in Uganda. Contrary to expectation, we did not observe significant rural-urban differences in the prevalence of overweight.

A model of water and sediment balance as determinants of relative sea level rise in contemporary and future deltas

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Tessler, Zachary D.; Vörösmarty, Charles J.; Overeem, Irina; Syvitski, James P. M.

2018-03-01

Modern deltas are dependent on human-mediated freshwater and sediment fluxes. Changes to these fluxes impact delta biogeophysical functioning and affect the long-term sustainability of these landscapes for human and for natural systems. Here we present contemporary estimates of long-term mean sediment balance and relative sea level rise across 46 global deltas. We model scenarios of contemporary and future water resource management schemes and hydropower infrastructure in upstream river basins to explore how changing sediment fluxes impact relative sea level rise in delta systems. Model results show that contemporary sediment fluxes, anthropogenic drivers of land subsidence, and sea level rise result in delta relative sea level rise rates that average 6.8 mm/y. Assessment of impacts of planned and under-construction dams on relative sea level rise rates suggests increases on the order of 1 mm/y in deltas with new upstream construction. Sediment fluxes are estimated to decrease by up to 60% in the Danube and 21% in the Ganges-Brahmaputra-Meghna if all currently planned dams are constructed. Reduced sediment retention on deltas caused by increased river channelization and management has a larger impact, increasing relative sea level rise on average by nearly 2 mm/y. Long-term delta sustainability requires a more complete understanding of how geophysical and anthropogenic change impact delta geomorphology. Local and regional strategies for sustainable delta management that focus on local and regional drivers of change, especially groundwater and hydrocarbon extraction and upstream dam construction, can be highly impactful even in the context of global climate-induced sea level rise.

Actual and undiagnosed HIV prevalence in a community sample of men who have sex with men in Auckland, New Zealand

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Saxton Peter JW

2012-02-01

Full Text Available Abstract Background The prevalence of HIV infection and how this varies between subgroups is a fundamental indicator of epidemic control. While there has been a rise in the number of HIV diagnoses among men who have sex with men (MSM in New Zealand over the last decade, the actual prevalence of HIV and the proportion undiagnosed is not known. We measured these outcomes in a community sample of MSM in Auckland, New Zealand. Methods The study was embedded in an established behavioural surveillance programme. MSM attending a gay community fair day, gay bars and sex-on-site venues during 1 week in February 2011 who agreed to complete a questionnaire were invited to provide an anonymous oral fluid specimen for analysis of HIV antibodies. From the 1304 eligible respondents (acceptance rate 48.5%, 1049 provided a matched specimen (provision rate 80.4%. Results HIV prevalence was 6.5% (95% CI: 5.1-8.1. After adjusting for age, ethnicity and recruitment site, HIV positivity was significantly elevated among respondents who were aged 30-44 or 45 and over, were resident outside New Zealand, had 6-20 or more than 20 recent sexual partners, had engaged in unprotected anal intercourse with a casual partner, had had sex with a man met online, or had injected drugs in the 6 months prior to survey. One fifth (20.9% of HIV infected men were undiagnosed; 1.3% of the total sample. Although HIV prevalence did not differ by ethnicity, HIV infected non-European respondents were more likely to be undiagnosed. Most of the small number of undiagnosed respondents had tested for HIV previously, and the majority believed themselves to be either "definitely" or "probably" uninfected. There was evidence of continuing risk practices among some of those with known HIV infection. Conclusions This is the first estimate of actual and undiagnosed HIV infection among a community sample of gay men in New Zealand. While relatively low compared to other countries with mature epidemics

Actual and undiagnosed HIV prevalence in a community sample of men who have sex with men in Auckland, New Zealand.

Science.gov (United States)

Saxton, Peter J W; Dickson, Nigel P; Griffiths, Richard; Hughes, Anthony J; Rowden, John

2012-02-01

The prevalence of HIV infection and how this varies between subgroups is a fundamental indicator of epidemic control. While there has been a rise in the number of HIV diagnoses among men who have sex with men (MSM) in New Zealand over the last decade, the actual prevalence of HIV and the proportion undiagnosed is not known. We measured these outcomes in a community sample of MSM in Auckland, New Zealand. The study was embedded in an established behavioural surveillance programme. MSM attending a gay community fair day, gay bars and sex-on-site venues during 1 week in February 2011 who agreed to complete a questionnaire were invited to provide an anonymous oral fluid specimen for analysis of HIV antibodies. From the 1304 eligible respondents (acceptance rate 48.5%), 1049 provided a matched specimen (provision rate 80.4%). HIV prevalence was 6.5% (95% CI: 5.1-8.1). After adjusting for age, ethnicity and recruitment site, HIV positivity was significantly elevated among respondents who were aged 30-44 or 45 and over, were resident outside New Zealand, had 6-20 or more than 20 recent sexual partners, had engaged in unprotected anal intercourse with a casual partner, had had sex with a man met online, or had injected drugs in the 6 months prior to survey. One fifth (20.9%) of HIV infected men were undiagnosed; 1.3% of the total sample. Although HIV prevalence did not differ by ethnicity, HIV infected non-European respondents were more likely to be undiagnosed. Most of the small number of undiagnosed respondents had tested for HIV previously, and the majority believed themselves to be either "definitely" or "probably" uninfected. There was evidence of continuing risk practices among some of those with known HIV infection. This is the first estimate of actual and undiagnosed HIV infection among a community sample of gay men in New Zealand. While relatively low compared to other countries with mature epidemics, HIV prevalence was elevated in subgroups of MSM based on

Actual and undiagnosed HIV prevalence in a community sample of men who have sex with men in Auckland, New Zealand

Science.gov (United States)

2012-01-01

Background The prevalence of HIV infection and how this varies between subgroups is a fundamental indicator of epidemic control. While there has been a rise in the number of HIV diagnoses among men who have sex with men (MSM) in New Zealand over the last decade, the actual prevalence of HIV and the proportion undiagnosed is not known. We measured these outcomes in a community sample of MSM in Auckland, New Zealand. Methods The study was embedded in an established behavioural surveillance programme. MSM attending a gay community fair day, gay bars and sex-on-site venues during 1 week in February 2011 who agreed to complete a questionnaire were invited to provide an anonymous oral fluid specimen for analysis of HIV antibodies. From the 1304 eligible respondents (acceptance rate 48.5%), 1049 provided a matched specimen (provision rate 80.4%). Results HIV prevalence was 6.5% (95% CI: 5.1-8.1). After adjusting for age, ethnicity and recruitment site, HIV positivity was significantly elevated among respondents who were aged 30-44 or 45 and over, were resident outside New Zealand, had 6-20 or more than 20 recent sexual partners, had engaged in unprotected anal intercourse with a casual partner, had had sex with a man met online, or had injected drugs in the 6 months prior to survey. One fifth (20.9%) of HIV infected men were undiagnosed; 1.3% of the total sample. Although HIV prevalence did not differ by ethnicity, HIV infected non-European respondents were more likely to be undiagnosed. Most of the small number of undiagnosed respondents had tested for HIV previously, and the majority believed themselves to be either "definitely" or "probably" uninfected. There was evidence of continuing risk practices among some of those with known HIV infection. Conclusions This is the first estimate of actual and undiagnosed HIV infection among a community sample of gay men in New Zealand. While relatively low compared to other countries with mature epidemics, HIV prevalence was

Applicability of the ICD-11 proposal for PTSD: a comparison of prevalence and comorbidity rates with the DSM-IV PTSD classification in two post-conflict samples.

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Stammel, Nadine; Abbing, Eva M; Heeke, Carina; Knaevelsrud, Christine

2015-01-01

The World Health Organization recently proposed significant changes to the posttraumatic stress disorder (PTSD) diagnostic criteria in the 11th edition of the International Classification of Diseases (ICD-11). The present study investigated the impact of these changes in two different post-conflict samples. Prevalence and rates of concurrent depression and anxiety, socio-demographic characteristics, and indicators of clinical severity according to ICD-11 in 1,075 Cambodian and 453 Colombian civilians exposed to civil war and genocide were compared to those according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). Results indicated significantly lower prevalence rates under the ICD-11 proposal (8.1% Cambodian sample and 44.4% Colombian sample) compared to the DSM-IV (11.2% Cambodian sample and 55.0% Colombian sample). Participants meeting a PTSD diagnosis only under the ICD-11 proposal had significantly lower rates of concurrent depression and a lower concurrent total score (depression and anxiety) compared to participants meeting only DSM-IV diagnostic criteria. There were no significant differences in socio-demographic characteristics and indicators of clinical severity between these two groups. The lower prevalence of PTSD according to the ICD-11 proposal in our samples of persons exposed to a high number of traumatic events may counter criticism of previous PTSD classifications to overuse the PTSD diagnosis in populations exposed to extreme stressors. Also another goal, to better distinguish PTSD from comorbid disorders could be supported with our data.

Stretching of material lines in pseudo-turbulence induced by small rising bubbles

International Nuclear Information System (INIS)

Tanaka, M; Tsujimura, Y; Kanatani, H

2011-01-01

Direct numerical simulations have been conducted for the stretching of material lines in pseudo-turbulence induced by small rising bubbles in order to understand the mixing characteristics of bubbly flows. Contaminated bubbles are considered and are treated as light solid particles. An immersed boundary method has been used for evaluating the coupling force between the bubbles and the surrounding fluid flows. Numerical results show that the total length of material lines increases exponentially in time as a result of stretching and folding due to the rising bubbles. The material lines tend to accumulate in the wake regions of the bubbles, and they are strongly stretched in the vertical direction there. It is also found that the stretching rate of material lines increases with the mean void fraction when it is normalized by the magnitude of the rate-of-strain tensor of liquid flow in pseudo-turbulence. In the case of high void fractions, material lines tend to align with the direction of maximum stretching, and are effectively stretched.

Stretching of material lines in pseudo-turbulence induced by small rising bubbles

Energy Technology Data Exchange (ETDEWEB)

Tanaka, M; Tsujimura, Y; Kanatani, H, E-mail: mtanaka@kit.ac.jp [Department of Mechanical and System Engineering, Kyoto Institute of Technology, Matsugasaki, Sakyo-ku, Kyoto 606-8585 (Japan)

2011-12-22

Direct numerical simulations have been conducted for the stretching of material lines in pseudo-turbulence induced by small rising bubbles in order to understand the mixing characteristics of bubbly flows. Contaminated bubbles are considered and are treated as light solid particles. An immersed boundary method has been used for evaluating the coupling force between the bubbles and the surrounding fluid flows. Numerical results show that the total length of material lines increases exponentially in time as a result of stretching and folding due to the rising bubbles. The material lines tend to accumulate in the wake regions of the bubbles, and they are strongly stretched in the vertical direction there. It is also found that the stretching rate of material lines increases with the mean void fraction when it is normalized by the magnitude of the rate-of-strain tensor of liquid flow in pseudo-turbulence. In the case of high void fractions, material lines tend to align with the direction of maximum stretching, and are effectively stretched.

Prevalence of parent-rated attention deficit hyperactivity disorder and associated parent-related factors in primary school children of Navi Mumbai--a school based study.

Science.gov (United States)

Ajinkya, Shaunak; Kaur, Darpan; Gursale, Akshay; Jadhav, Pradeep

2013-03-01

To study the prevalence of parent-rated attention deficit hyperactivity disorder and associated parent-related factors in primary school children of Navi Mumbai. One hundred twenty two children including both boys and girls aged between 6 y and 11 y were selected from a school at Navi Mumbai and their parents were given the National Innovative for Children's Healthcare Quality (NICHQ) Vanderbilt Assessment Scale to be filled and returned, which was subsequently analyzed using SPSS (version 16). The prevalence of attention deficit hyperactivity disorder was 12.3 % with boy to girl ratio of 3:2. It was more prevalent in nuclear type of family and in families where a single parent was working especially where the father was the sole breadwinner and doing semi-skilled or unskilled type of work. No significant relation was found between the numbers of work-related hours when parents were away from children and attention deficit hyperactivity disorder. Attention deficit hyperactivity disorder is prevalent in the primary school-going population of Navi Mumbai, especially in boys. The increased prevalence in nuclear families and families with single working parent should further be explored. Further studies with larger sample size and longer period of follow up may be recommended. The study also recommends screening of school children for symptoms of attention deficit hyperactivity disorder (ADHD) for early diagnosis and treatment.

Potential impact of predicted sea level rise on carbon sink function of mangrove ecosystems with special reference to Negombo estuary, Sri Lanka

Science.gov (United States)

Perera, K. A. R. S.; De Silva, K. H. W. L.; Amarasinghe, M. D.

2018-02-01

Unique location in the land-sea interface makes mangrove ecosystems most vulnerable to the impacts of predicted sea level rise due to increasing anthropogenic CO2 emissions. Among others, carbon sink function of these tropical ecosystems that contribute to reduce rising atmospheric CO2 and temperature, could potentially be affected most. Present study was undertaken to explore the extent of impact of the predicted sea level rise for the region on total organic carbon (TOC) pools of the mangrove ecosystems in Negombo estuary located on the west coast of Sri Lanka. Extents of the coastal inundations under minimum (0.09 m) and maximum (0.88 m) sea level rise scenarios of IPCC for 2100 and an intermediate level of 0.48 m were determined with GIS tools. Estimated total capacity of organic carbon retention by these mangrove areas was 499.45 Mg C ha- 1 of which 84% (418.98 Mg C ha- 1) sequestered in the mangrove soil and 16% (80.56 Mg C ha- 1) in the vegetation. Total extent of land area potentially affected by inundation under lowest sea level rise scenario was 218.9 ha, while it was 476.2 ha under intermediate rise and 696.0 ha with the predicted maximum sea level rise. Estimated rate of loss of carbon sink function due to inundation by the sea level rise of 0.09 m is 6.30 Mg C ha- 1 y- 1 while the intermediate sea level rise indicated a loss of 9.92 Mg C ha- 1 y- 1 and under maximum sea level rise scenario, this loss further increases up to 11.32 Mg C ha- 1 y- 1. Adaptation of mangrove plants to withstand inundation and landward migration along with escalated photosynthetic rates, augmented by changing rainfall patterns and availability of nutrients may contribute to reduce the rate of loss of carbon sink function of these mangrove ecosystems. Predictions over change in carbon sequestration function of mangroves in Negombo estuary reveals that it is not only affected by oceanographic and hydrological alterations associated with sea level rise but also by anthropogenic

Rising Prevalence and Neighborhood, Social, and Behavioral Determinants of Sleep Problems in US Children and Adolescents, 2003–2012

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Gopal K. Singh

2013-01-01

Full Text Available We examined trends and neighborhood and sociobehavioral determinants of sleep problems in US children aged 6–17 between 2003 and 2012. The 2003, 2007, and 2011-2012 rounds of the National Survey of Children’s Health were used to estimate trends and differentials in sleep problems using logistic regression. Prevalence of sleep problems increased significantly over time. The proportion of children with <7 days/week of adequate sleep increased from 31.2% in 2003 to 41.9% in 2011-2012, whereas the prevalence of adequate sleep <5 days/week rose from 12.6% in 2003 to 13.6% in 2011-2012. Prevalence of sleep problems varied in relation to neighborhood socioeconomic and built-environmental characteristics (e.g., safety concerns, poor housing, garbage/litter, vandalism, sidewalks, and parks/playgrounds. Approximately 10% of children in neighborhoods with the most-favorable social environment had serious sleep problems, compared with 16.2% of children in neighborhoods with the least-favorable social environment. Children in neighborhoods with the fewest health-promoting amenities or the greatest social disadvantage had 37%–43% higher adjusted odds of serious sleep problems than children in the most-favorable neighborhoods. Higher levels of screen time, physical inactivity, and secondhand smoke exposure were associated with 20%–47% higher adjusted odds of sleep problems. Neighborhood conditions and behavioral factors are important determinants of sleep problems in children.

Created mangrove wetlands store belowground carbon and surface elevation change enables them to adjust to sea-level rise

Science.gov (United States)

Krauss, Ken W.; Cormier, Nicole; Osland, Michael J.; Kirwan, Matthew L.; Stagg, Camille L.; Nestlerode, Janet A.; Russell, Marc J.; From, Andrew; Spivak, Amanda C.; Dantin, Darrin D.; Harvey, James E.; Almario, Alejandro E.

2017-01-01

Mangrove wetlands provide ecosystem services for millions of people, most prominently by providing storm protection, food and fodder. Mangrove wetlands are also valuable ecosystems for promoting carbon (C) sequestration and storage. However, loss of mangrove wetlands and these ecosystem services are a global concern, prompting the restoration and creation of mangrove wetlands as a potential solution. Here, we investigate soil surface elevation change, and its components, in created mangrove wetlands over a 25 year developmental gradient. All created mangrove wetlands were exceeding current relative sea-level rise rates (2.6 mm yr−1), with surface elevation change of 4.2–11.0 mm yr−1 compared with 1.5–7.2 mm yr−1 for nearby reference mangroves. While mangrove wetlands store C persistently in roots/soils, storage capacity is most valuable if maintained with future sea-level rise. Through empirical modeling, we discovered that properly designed creation projects may not only yield enhanced C storage, but also can facilitate wetland persistence perennially under current rates of sea-level rise and, for most sites, for over a century with projected medium accelerations in sea-level rise (IPCC RCP 6.0). Only the fastest projected accelerations in sea-level rise (IPCC RCP 8.5) led to widespread submergence and potential loss of stored C for created mangrove wetlands before 2100.

Created mangrove wetlands store belowground carbon and surface elevation change enables them to adjust to sea-level rise.

Science.gov (United States)

Krauss, Ken W; Cormier, Nicole; Osland, Michael J; Kirwan, Matthew L; Stagg, Camille L; Nestlerode, Janet A; Russell, Marc J; From, Andrew S; Spivak, Amanda C; Dantin, Darrin D; Harvey, James E; Almario, Alejandro E

2017-04-21

Mangrove wetlands provide ecosystem services for millions of people, most prominently by providing storm protection, food and fodder. Mangrove wetlands are also valuable ecosystems for promoting carbon (C) sequestration and storage. However, loss of mangrove wetlands and these ecosystem services are a global concern, prompting the restoration and creation of mangrove wetlands as a potential solution. Here, we investigate soil surface elevation change, and its components, in created mangrove wetlands over a 25 year developmental gradient. All created mangrove wetlands were exceeding current relative sea-level rise rates (2.6 mm yr -1 ), with surface elevation change of 4.2-11.0 mm yr -1 compared with 1.5-7.2 mm yr -1 for nearby reference mangroves. While mangrove wetlands store C persistently in roots/soils, storage capacity is most valuable if maintained with future sea-level rise. Through empirical modeling, we discovered that properly designed creation projects may not only yield enhanced C storage, but also can facilitate wetland persistence perennially under current rates of sea-level rise and, for most sites, for over a century with projected medium accelerations in sea-level rise (IPCC RCP 6.0). Only the fastest projected accelerations in sea-level rise (IPCC RCP 8.5) led to widespread submergence and potential loss of stored C for created mangrove wetlands before 2100.

Optimization of Process Parameters During End Milling and Prediction of Work Piece Temperature Rise

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Bhirud N.L.

2017-09-01

Full Text Available During the machining processes, heat gets generated as a result of plastic deformation of metal and friction along the tool–chip and tool–work piece interface. In materials having high thermal conductivity, like aluminium alloys, large amount of this heat is absorbed by the work piece. This results in the rise in the temperature of the work piece, which may lead to dimensional inaccuracies, surface damage and deformation. So, it is needed to control rise in the temperature of the work piece. This paper focuses on the measurement, analysis and prediction of work piece temperature rise during the dry end milling operation of Al 6063. The control factors used for experimentation were number of flutes, spindle speed, depth of cut and feed rate. The Taguchi method was employed for the planning of experimentation and L18 orthogonal array was selected. The temperature rise of the work piece was measured with the help of K-type thermocouple embedded in the work piece. Signal to noise (S/N ratio analysis was carried out using the lower-the-better quality characteristics. Depth of cut was identified as the most significant factor affecting the work piece temperature rise, followed by spindle speed. Analysis of variance (ANOVA was employed to find out the significant parameters affecting the work piece temperature rise. ANOVA results were found to be in line with the S/N ratio analysis. Regression analysis was used for developing empirical equation of temperature rise. The temperature rise of the work piece was calculated using the regression equation and was found to be in good agreement with the measured values. Finally, confirmation tests were carried out to verify the results obtained. From the confirmation test it was found that the Taguchi method is an effective method to determine optimised parameters for minimization of work piece temperature.

Assessment of the environmental and genetic factors influencing prevalence of metabolic syndrome in Saudi Arabia

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Ibrahim M. Gosadi

2016-01-01

Full Text Available Metabolic syndrome (MS is a combination of factors that increases the risk of cardiovascular atherosclerotic diseases including diabetes, obesity, dyslipidemia, and high blood pressure. Cardiovascular diseases are one of the leading causes of death in the adult Saudi population where the increase in cardiovascular-related mortality is augmented by the rise in the prevalence of MS. Metabolic syndrome is a multi-factorial disorder influenced by interactions between genetic and environmental components. This review aims to provide a comprehensive assessment of studied environmental and genetic factors explaining the prevalence of MS in the Kingdom of Saudi Arabia. Additionally, this review aims to illustrate factors related to the population genetics of Saudi Arabia, which might explain a proportion of the prevalence of MS.

Assessment of the environmental and genetic factors influencing prevalence of metabolic syndrome in Saudi Arabia

Science.gov (United States)

Gosadi, Ibrahim M.

2016-01-01

Metabolic syndrome (MS) is a combination of factors that increases the risk of cardiovascular atherosclerotic diseases including diabetes, obesity, dyslipidemia, and high blood pressure. Cardiovascular diseases are one of the leading causes of death in the adult Saudi population where the increase in cardiovascular-related mortality is augmented by the rise in the prevalence of MS. Metabolic syndrome is a multi-factorial disorder influenced by interactions between genetic and environmental components. This review aims to provide a comprehensive assessment of studied environmental and genetic factors explaining the prevalence of MS in the Kingdom of Saudi Arabia. Additionally, this review aims to illustrate factors related to the population genetics of Saudi Arabia, which might explain a proportion of the prevalence of MS. PMID:26739969

Temperature rise due to mechanical energy dissipation in undirectional thermoplastic composites(AS4/PEEK)

Science.gov (United States)

Georgious, I. T.; Sun, C. T.

1992-01-01

The history of temperature rise due to internal dissipation of mechanical energy in insulated off-axis uniaxial specimens of the unidirectional thermoplastic composite (AS4/PEEK) has been measured. The experiment reveals that the rate of temperature rise is a polynomial function of stress amplitude: It consists of a quadratic term and a sixth power term. This fact implies that the specific heat of the composite depends on the stretching its microstructure undergoes during deformation. The Einstein theory for specific heat is used to explain the dependence of the specific heat on the stretching of the microstructure.

Prevalência de depressão na doença de Parkinson Prevalence of depression in Parkinson's disease

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Tatiana Iuriko Kawasaki Nakabayashi

2008-01-01

to the treatment of PD and to the validation of scales were excluded. RESULTS: A total of 20 studies were selected, including six case-control studies, 3 longitudinal (2 cohort studies, and 43 non-sectional studies. Prevalence rates ranged from 1.8% to 68.1%. Concerning the evaluation of techniques employed, eight studies used clinical interviews, nine used just self-report instruments, one utilized clinical interviews and self-report instruments and four consulted data bases. DISCUSSION: The prevalence of depression varied according to the methodology, however, in general, rates proved to be considerably elevated. The analysis reveals the necessity of more precise and consensual definitions regarding depression in PD so that more accurate prevalence rates can be obtained.

Socioecological Aspects of High-rise Construction

Directory of Open Access Journals (Sweden)

Eichner Michael

2018-01-01

Full Text Available In this article, the authors consider the socioecological problems that arise in the construction and operation of high-rise buildings. They study different points of view on high-rise construction and note that the approaches to this problem are very different. They also analyse projects of modern architects and which attempts are made to overcome negative impacts on nature and mankind. The article contains materials of sociological research, confirming the ambivalent attitude of urban population to high-rise buildings. In addition, one of the author’s sociological survey reveals the level of environmental preparedness of the university students, studying in the field of "Construction of unique buildings and structures", raising the question of how future specialists are ready to take into account socioecological problems. Conclusion of the authors: the construction of high-rise buildings is associated with huge social and environmental risks, negative impact on the biosphere and human health. This requires deepened skills about sustainable design methods and environmental friendly construction technologies of future specialists. Professor M. Eichner presents in the article his case study project results on implementation of holistic eco-sustainable construction principles for mixed-use high-rise building in the metropolis of Cairo.

Enhanced performance of high current discharges in JET produced by ICRF heating during the current rise

International Nuclear Information System (INIS)

Bures, M.; Bhatnagar, V.; Christiansen, J.P.

1989-01-01

The performance of high current discharges can be improved by applying central ICRF heating before or shortly after the onset of sawtooth activity in the plasma current rise phase. Long sawtooth-free periods have been obtained which result in a transiently-enhanced discharge performance. High T c (0) = 9-10.5 keV with peaked profile T e (0)/ e > = 3-4 were obtained giving values of N e (0)T e (0) up to 6 x 10 20 (keV m -3 ). Improvements in T i (0) and neutron production are observed. A best value of n Dd (0)T i (0)τ E = 1.65 x 10 20 (m -3 keV s) was achieved. Local transport simulation shows that the electron and ion thermal diffusivities do not differ substantially in the two cases of current-rise (CR) and flat-top (FT) heating, the performance of the central plasma region being enhanced, in the case of current-rise, entirely by the elimination of the sawtooth instability. The maximum D-D reaction rate is enhanced by a factor of 2 compared to the flat-top value. An appreciable part of the reaction rate is attributed to 2nd harmonic deuterium (2ω CD ) heating. In all current-rise discharges radiation amounts to 25-50% of total power and Ζ eff remains roughly constant. (author)

The prevalence of Down syndrome in County Galway.

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O'Nualláin, S; Flanagan, O; Raffat, I; Avalos, G; Dineen, B

2007-01-01

This is a retrospective survey of all cases of Down syndrome recorded between 1981 and 2000 to mothers resident in Co. Galway. The study compares the incidence of Down syndrome in both decades and examines the effects of changing demographics on incidence rates. The overall prevalence rate was 26.8/10,000 live births for the full period. Although there were 5119 fewer births in the 1991-2000 period, the prevalence was 29.8/10,000 compared to 24.1/10,000 in the previous decade. Despite the falling birth rates and fertility rates observed in our study between the two decades we found that the higher prevalence of Down syndrome in the second decade was directly related to the significant increase in the proportion of women in the 30 plus age group. Our study also found the place of the child with Down syndrome in the family changed, with 25.3% being the 5th or more child in the first decade compared with 9.5% in the second decade.

Prevalence of oropharyngeal dysphagia in Parkinson's disease: a meta-analysis.

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Kalf, J G; de Swart, B J M; Bloem, B R; Munneke, M

2012-05-01

Dysphagia is a potentially harmful feature, also in Parkinson's disease (PD). As published prevalence rates vary widely, we aimed to estimate the prevalence of oropharyngeal dysphagia in PD in a meta-analysis. We conducted a systematic literature search in February 2011 and two independent reviewers selected the papers. We computed the estimates of the pooled prevalence weighted by sample size. Twelve studies were suitable for calculating prevalence rates. Ten studies provided an estimate based on subjective outcomes, which proved statistically heterogeneous (p dysphagia occurs in one third of community-dwelling PD patients. Objectively measured dysphagia rates were much higher, with 4 out of 5 patients being affected. This suggests that dysphagia is common in PD, but patients do not always report swallowing difficulties unless asked. This underreporting calls for a proactive clinical approach to dysphagia, particularly in light of the serious clinical consequences. Copyright © 2011 Elsevier Ltd. All rights reserved.

Target-present guessing as a function of target prevalence and accumulated information in visual search.

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Peltier, Chad; Becker, Mark W

2017-05-01

Target prevalence influences visual search behavior. At low target prevalence, miss rates are high and false alarms are low, while the opposite is true at high prevalence. Several models of search aim to describe search behavior, one of which has been specifically intended to model search at varying prevalence levels. The multiple decision model (Wolfe & Van Wert, Current Biology, 20(2), 121--124, 2010) posits that all searches that end before the observer detects a target result in a target-absent response. However, researchers have found very high false alarms in high-prevalence searches, suggesting that prevalence rates may be used as a source of information to make "educated guesses" after search termination. Here, we further examine the ability for prevalence level and knowledge gained during visual search to influence guessing rates. We manipulate target prevalence and the amount of information that an observer accumulates about a search display prior to making a response to test if these sources of evidence are used to inform target present guess rates. We find that observers use both information about target prevalence rates and information about the proportion of the array inspected prior to making a response allowing them to make an informed and statistically driven guess about the target's presence.

Prevalência do aleitamento materno Prevalence of breastfeeding

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Amauri Pinto da Silva

2005-06-01

education, and were evaluated by breastfeeding rates within the two groups. The questionnaires were answered by the parents or guardians. Data from other studies were compared to those resulting from this study. RESULTS: There were significant differences in parental income, socioeconomic condition and education between the two groups of infants; however, no significant difference was observed in the breastfeeding rates between the two groups. Overall, in both groups, the prevalence of exclusive breastfeeding in 4-month-old infants was 61.1%, and the average period of exclusive breastfeeding was 120 days. These results were higher than those registered in other studies. CONCLUSIONS: The results showed differences between the socio-economic levels of the two groups, but no differences in the breastfeeding indicators between them.. The overall rates of exclusive breastfeeding in the city of Lins, SP, Brazil, were higher than the rates reported in other investigations.

Caribbean mangroves adjust to rising sea level through biotic controls on change in soil elevation

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McKee, K.L.; Cahoon, D.R.; Feller, Ilka C.

2007-01-01

Aim The long-term stability of coastal ecosystems such as mangroves and salt marshes depends upon the maintenance of soil elevations within the intertidal habitat as sea level changes. We examined the rates and processes of peat formation by mangroves of the Caribbean Region to better understand biological controls on habitat stability. Location Mangrove-dominated islands on the Caribbean coasts of Belize, Honduras and Panama were selected as study sites. Methods Biological processes controlling mangrove peat formation were manipulated (in Belize) by the addition of nutrients (nitrogen or phosphorus) to Rhizophora mangle (red mangrove), and the effects on the dynamics of soil elevation were determined over a 3-year period using rod surface elevation tables (RSET) and marker horizons. Peat composition and geological accretion rates were determined at all sites using radiocarbon-dated cores. Results The addition of nutrients to mangroves caused significant changes in rates of mangrove root accumulation, which influenced both the rate and direction of change in elevation. Areas with low root input lost elevation and those with high rates gained elevation. These findings were consistent with peat analyses at multiple Caribbean sites showing that deposits (up to 10 m in depth) were composed primarily of mangrove root matter. Comparison of radiocarbon-dated cores at the study sites with a sea-level curve for the western Atlantic indicated a tight coupling between peat building in Caribbean mangroves and sea-level rise over the Holocene. Main conclusions Mangroves common to the Caribbean region have adjusted to changing sea level mainly through subsurface accumulation of refractory mangrove roots. Without root and other organic inputs, submergence of these tidal forests is inevitable due to peat decomposition, physical compaction and eustatic sea-level rise. These findings have relevance for predicting the effects of sea-level rise and biophysical processes on tropical

Prevalence of and associations between body dysmorphic concerns, obsessive beliefs and social anxiety.

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Barahmand, Usha; Shahbazi, Zeynab

2015-03-01

Physical attractiveness has been of concern in different cultures and at different times. Physical attractiveness can influence one's thoughts and actions, and concerns regarding body image can be destructive, giving rise to psychological problems. The purpose of the present study was to determine the prevalence of body dysmorphic concerns, related sex differences and comorbidity with social anxiety and obsessive beliefs. Using a stratified and cluster sampling procedure, 1,200 males and females were randomly selected. Self-report measures on body image, social anxiety and obsessive beliefs were distributed of which 843 completed questionnaires (54.9% males and 45.1% females) were returned (return rate of 70.25%). Therefore, data pertaining to 463 males and 380 females ranging in age from 17 to 20 years with a mean age of 18.12 years (SD = 1.06) were analyzed. Findings suggest a prevalence rate of 19.1% for body dysmorphic disorder, 23.6% for social anxiety and 8.8% for obsessive beliefs. Both social anxiety and obsessive beliefs were found to be comorbid with body dysmorphic concerns. The percentage of individuals reporting comorbid social anxiety (12.9%) was greater than that of those reporting comorbid obsessive beliefs (6.4%). Males with body dysmorphic concerns reported more obsessive beliefs (8.2% versus 4.1%), while their female counterparts reported more social anxiety (23.4% versus 4.2%). In males, body image concerns appear to be more cognitive in quality, while in females, body image concerns seem more emotional in tone. As the measures used do not yield formal diagnoses, findings should be viewed with caution. Copyright © 2013 Wiley Publishing Asia Pty Ltd.

Prevalence of asthma in regional Victorian schoolchildren.

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Robertson, C F; Bishop, J; Dalton, M; Caust, J; Nolan, T M; Olinsky, A; Phelan, P D

1992-06-15

To determine whether the high prevalence of reported asthma in Melbourne schoolchildren is seen in rural Victoria. A questionnaire on respiratory symptoms was distributed to children to be completed by parents and returned to the school. Results were compared with a previous Melbourne study. Two hundred and twenty-seven government and non-government primary schools in five rural regions of Victoria: coast, wheatbelt, riverland, highland and Latrobe valley. All children enrolled in grade 2 were invited to join the study. Parents completed questionnaires for 4661 children after 4886 questionnaires were distributed (response rate, 95%). History of wheeze in the past 12 months. The overall prevalence of wheeze in the last 12 months was 23.6%. There was a significant difference overall in this rate across the five rural areas and Melbourne, with the Latrobe Valley (26.2%) and highland areas (25.0%) having the highest rate, and the wheatbelt the lowest (19.6%). The spectrum of severity of asthma was similarly distributed across rural regions, although severe episodes were significantly more frequently reported by parents from rural areas than by parents in Melbourne. The reported use of bronchodilators and diagnosis of asthma showed a similar pattern of variation to that of the 12-month prevalence of wheeze. The prevalence of asthma in 7-year-old children is similar for rural Victoria as a whole compared with Melbourne, but there is variability in asthma prevalence in individual rural areas which is difficult to account for in terms of known environmental precipitants.

Population aging, macroeconomic changes, and global diabetes prevalence, 1990-2008.

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Sudharsanan, Nikkil; Ali, Mohammed K; Mehta, Neil K; Narayan, K M Venkat

2015-01-01

Diabetes is an important contributor to global morbidity and mortality. The contributions of population aging and macroeconomic changes to the growth in diabetes prevalence over the past 20 years are unclear. We used cross-sectional data on age- and sex-specific counts of people with diabetes by country, national population estimates, and country-specific macroeconomic variables for the years 1990, 2000, and 2008. Decomposition analysis was performed to quantify the contribution of population aging to the change in global diabetes prevalence between 1990 and 2008. Next, age-standardization was used to estimate the contribution of age composition to differences in diabetes prevalence between high-income (HIC) and low-to-middle-income countries (LMICs). Finally, we used non-parametric correlation and multivariate first-difference regression estimates to examine the relationship between macroeconomic changes and the change in diabetes prevalence between 1990 and 2008. Globally, diabetes prevalence grew by two percentage points between 1990 (7.4 %) and 2008 (9.4 %). Population aging was responsible for 19 % of the growth, with 81 % attributable to increases in the age-specific prevalences. In both LMICs and HICs, about half the growth in age-specific prevalences was from increasing levels of diabetes between ages 45-65 (51 % in HICs and 46 % in LMICs). After age-standardization, the difference in the prevalence of diabetes between LMICs and HICs was larger (1.9 % point difference in 1990; 1.5 % point difference in 2008). We found no evidence that macroeconomic changes were associated with the growth in diabetes prevalence. Population aging explains a minority of the recent growth in global diabetes prevalence. The increase in global diabetes between 1990 and 2008 was primarily due to an increase in the prevalence of diabetes at ages 45-65. We do not find evidence that basic indicators of economic growth, development, globalization, or urbanization were related

Monitoring and prevalence rates of metabolic syndrome in military veterans with serious mental illness.

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Sameed Ahmed M Khatana

Full Text Available BACKGROUND: Cardiovascular disease is the leading cause of mortality among patients with serious mental illness (SMI and the prevalence of metabolic syndrome--a constellation of cardiovascular risk factors--is significantly higher in these patients than in the general population. Metabolic monitoring among patients using second generation antipsychotics (SGAs--a risk factor for metabolic syndrome--has been shown to be inadequate despite the release of several guidelines. However, patients with SMI have several factors independent of medication use that predispose them to a higher prevalence of metabolic syndrome. Our study therefore examines monitoring and prevalence of metabolic syndrome in patients with SMI, including those not using SGAs. METHODS AND FINDINGS: We retrospectively identified all patients treated at a Veterans Affairs Medical Center with diagnoses of schizophrenia, schizoaffective disorder or bipolar disorder during 2005-2006 and obtained demographic and clinical data. Incomplete monitoring of metabolic syndrome was defined as being unable to determine the status of at least one of the syndrome components. Of the 1,401 patients included (bipolar disorder: 822; schizophrenia: 222; and schizoaffective disorder: 357, 21.4% were incompletely monitored. Only 54.8% of patients who were not prescribed SGAs and did not have previous diagnoses of hypertension or hypercholesterolemia were monitored for all metabolic syndrome components compared to 92.4% of patients who had all three of these characteristics. Among patients monitored for metabolic syndrome completely, age-adjusted prevalence of the syndrome was 48.4%, with no significant difference between the three psychiatric groups. CONCLUSIONS: Only one half of patients with SMI not using SGAs or previously diagnosed with hypertension and hypercholesterolemia were completely monitored for metabolic syndrome components compared to greater than 90% of those with these characteristics

The role of surface and subsurface processes in keeping pace with sea level rise in intertidal wetlands of Moreton Bay, Queensland, Australia

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Lovelock, Catherine E.; Bennion, Vicki; Grinham, Alistair; Cahoon, Donald R.

2011-01-01

Increases in the elevation of the soil surfaces of mangroves and salt marshes are key to the maintenance of these habitats with accelerating sea level rise. Understanding the processes that give rise to increases in soil surface elevation provides science for management of landscapes for sustainable coastal wetlands. Here, we tested whether the soil surface elevation of mangroves and salt marshes in Moreton Bay is keeping up with local rates of sea level rise (2.358 mm y-1) and whether accretion on the soil surface was the most important process for keeping up with sea level rise. We found variability in surface elevation gains, with sandy areas in the eastern bay having the highest surface elevation gains in both mangrove and salt marsh (5.9 and 1.9 mm y-1) whereas in the muddier western bay rates of surface elevation gain were lower (1.4 and -0.3 mm y-1 in mangrove and salt marsh, respectively). Both sides of the bay had similar rates of surface accretion (~7–9 mm y-1 in the mangrove and 1–3 mm y-1 in the salt marsh), but mangrove soils in the western bay were subsiding at a rate of approximately 8 mm y-1, possibly due to compaction of organic sediments. Over the study surface elevation increments were sensitive to position in the intertidal zone (higher when lower in the intertidal) and also to variation in mean sea level (higher at high sea level). Although surface accretion was the most important process for keeping up with sea level rise in the eastern bay, subsidence largely negated gains made through surface accretion in the western bay indicating a high vulnerability to sea level rise in these forests.

Coastal Marsh Longevity, Ecological Succession, and Organic Carbon Dynamics During Early Holocene Sea-Level Rise

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Vetter, L.; Schreiner, K. M.; Rosenheim, B. E.; Tornqvist, T. E.

2016-02-01

Coastal marsh environments perform essential ecosystem services, including nutrient filtering, soil organic matter storage, and storm surge abatement, yet much is still unknown about their formation and fate under periods of sea-level change. During the early Holocene (7-10 ka), rapid sea-level rise in coastal Louisiana was one of the primary controls over marsh development and longevity. Here, we investigate plant community composition and succession and soil organic matter storage in early Holocene coastal marshes in Louisiana using bulk elemental ratios, lignin phenol biomarkers and stable isotopes from peat layers. Sediment cores were collected in southeastern Louisiana and contain a record of an early Holocene transgressive sea-level sequence 16-25 m below present sea-level. The sedimentary record consists of an immature paleosol overlain by basal peat that accumulated in an estuarine marsh, overlain by marine lagoonal muds. A re-established marsh peat is present 1-4 m above the initial transition to marine conditions, indicating a sequence of marsh development, sea-level rise and onset of marine conditions, and then further marsh development as the rate of relative sea-level rise decelerated. Plant community composition in coastal marshes was determined through cupric oxide oxidation and lignin-phenol and non-lignin-phenol biomarker abundances. The degradation state of soil organic matter and the specific source of stabilized organic matter within the sedimentary peats were determined through lignin-phenol biomarker ratios. Organic matter sources ranged from terrestrial to marine over the course of sea-level rise, and different sites showed different amounts of marine organic matter influence and different levels of terrestrial organic matter degradation. These results have important implications for reconstructing the response of coastal marshes and their plant communities to accelerated rates of sea-level rise projected through 2100.

Prevalence and burden of chronic kidney disease among the general population and high-risk groups in Africa: a systematic review

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Abd ElHafeez, Samar; Bolignano, Davide; D’Arrigo, Graziella; Dounousi, Evangelia; Tripepi, Giovanni; Zoccali, Carmine

2018-01-01

Objectives While increasing attention is paid to the rising prevalence of chronic diseases in Africa, there is little focus on chronic kidney disease (CKD). This systematic review assesses CKD burden among the general population and high-risk groups on the entire African continent. Design, setting and participants We searched Medline and PubMed databases for articles published between 1 January 1995 and 7 April 2017 by sensitive search strategies focusing on CKD surveys at the community level and high-risk groups. In total, 7918 references were evaluated, of which 7766 articles were excluded because they did not meet the inclusion criteria. Thus, 152 studies were included in the final analysis. Outcome measurement The prevalence of CKD in each study group was expressed as a range and pooled prevalence rate of CKD was calculated as a point estimate and 95% CI. No meta-analysis was done. Data were presented for different populations. Results In the community-level studies, based on available medium-quality and high-quality studies, the prevalence of CKD ranged from 2% to 41% (pooled prevalence: 10.1%; 95% CI 9.8% to 10.5%). The prevalence of CKD in the high-risk groups ranged from 1% to 46% (pooled prevalence: 5.6%; 95% CI 5.4% to 5.8%) in patients with HIV (based on available medium-quality and high-quality studies), 11%–90% (pooled prevalence: 24.7%; 95% CI 23.6% to 25.7%) in patients with diabetes (based on all available studies which are of low quality except four of medium quality) and 13%–51% (pooled prevalence: 34.5%; 95 % CI 34.04% to 36%) in patients with hypertension (based on all available studies which are of low quality except two of medium quality). Conclusion In Africa, CKD is a public health problem, mainly attributed to high-risk conditions as hypertension and diabetes. The poor data quality restricts the validity of the findings and draws the attention to the importance of designing future robust studies. PMID:29326180

Engaging a moving target: Adapting to rates of climate change

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Shayegh, S.; Caldeira, K.; Moreno-Cruz, J.

2015-12-01

Climate change is affecting the planet and its human and natural systems at an increasing rate. As temperatures continue to rise, the international community has increasingly been considering adaptation measures to prepare for future climate change. However, most discussion around adaptation strategies has focused on preparedness for some expected amount of climate change impacts, e.g. 2 meters sea level rise. In this study, we discuss adaptation to rates of change as an alternative conceptual framework for thinking about adaptation. Adaptation is not only about adapting to amounts of change, but the rate at which these changes occur is also critically important. We ground our discussion with an example of optimal coastal investment in the face of ongoing sea level rise. Sea level rise threatens coastal assets. Finite resources could be devoted to building infrastructure further inland or to building coastal defense systems. A possible policy response could be to create a "no-build" coastal buffer zone that anticipates a future higher sea level. We present a quantitative model that illustrates the interplay among various important factors (rate of sea level rise, discount rate, capital depreciation rate, attractiveness of coastal land, etc). For some cases, strategies that combine periodic defensive investments (e.g. dikes) with planned retreat can maximize welfare when adapting to rates of climate change. In other cases, planned retreat may be optimal. It is important to prepare for ongoing increasing amounts of climate change. Preparing for a fixed amount of climate change can lead to a suboptimal solution. Climate is likely to continue changing throughout this century and beyond. To reduce adverse climate impacts, ecosystems and human systems will need to continuously adapt to a moving target.

Environmental temperature affects prevalence of blood parasites of birds on an elevation gradient: implications for disease in a warming climate.

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Itzel Zamora-Vilchis

Full Text Available BACKGROUND: The rising global temperature is predicted to expand the distribution of vector-borne diseases both in latitude and altitude. Many host communities could be affected by increased prevalence of disease, heightening the risk of extinction for many already threatened species. To understand how host communities could be affected by changing parasite distributions, we need information on the distribution of parasites in relation to variables like temperature and rainfall that are predicted to be affected by climate change. METHODOLOGY/PRINCIPAL FINDINGS: We determined relations between prevalence of blood parasites, temperature, and seasonal rainfall in a bird community of the Australian Wet Tropics along an elevation gradient. We used PCR screening to investigate the prevalence and lineage diversity of four genera of blood parasites (Plasmodium, Haemoproteus, Leucocytozoon and Trypanosoma in 403 birds. The overall prevalence of the four genera of blood parasites was 32.3%, with Haemoproteus the predominant genus. A total of 48 unique lineages were detected. Independent of elevation, parasite prevalence was positively and strongly associated with annual temperature. Parasite prevalence was elevated during the dry season. CONCLUSIONS/SIGNIFICANCE: Low temperatures of the higher elevations can help to reduce both the development of avian haematozoa and the abundance of parasite vectors, and hence parasite prevalence. In contrast, high temperatures of the lowland areas provide an excellent environment for the development and transmission of haematozoa. We showed that rising temperatures are likely to lead to increased prevalence of parasites in birds, and may force shifts of bird distribution to higher elevations. We found that upland tropical areas are currently a low-disease habitat and their conservation should be given high priority in management plans under climate change.

The prevalence of foot ulceration in patients with rheumatoid arthritis.

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Firth, Jill; Hale, Claire; Helliwell, Philip; Hill, Jackie; Nelson, E Andrea

2008-02-15

To establish the prevalence of foot ulceration in patients with rheumatoid arthritis (RA) in secondary care. A postal survey of all patients with RA (n = 1,130) under the care of rheumatologists in Bradford, West Yorkshire, UK was performed. The prevalence data were validated through clinical examination, case-note review, and contact with health professionals. The false-negative rate was investigated in a subsample of patients (n = 70) who denied any history of ulceration. The postal survey achieved a 78% response rate. Following validation, the point prevalence of foot ulceration was 3.39% and the overall prevalence was 9.73%. The false-positive rate was initially high at 21.21%, but use of diagrammatic questionnaire data to exclude leg ulceration reduced the rate to 10.76%. The false-negative rate was 11.76%. The most common sites for ulceration were the dorsal aspect of hammer toes, the metatarsal heads, and the metatarsophalangeal joint in patients with hallux abducto valgus, with 33% of patients reporting multiple sites of ulceration. Patients with open-foot and healed-foot ulceration had significantly longer RA disease duration, reported significantly greater use of special footwear, and had a higher prevalence of foot surgery than ulcer-free patients. Foot ulceration affects a significant proportion of patients with RA. Further work is needed to establish risk factors for foot ulceration in RA and to target foot health provision more effectively.

English language proficiency and smoking prevalence among California's Asian Americans.

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Tang, Hao; Shimizu, Robin; Chen, Moon S

2005-12-15

The authors documented California's tobacco control initiatives for Asian Americans and the current tobacco use status among Asian subgroups and provide a discussion of the challenges ahead. The California Tobacco Control Program has employed a comprehensive approach to decrease tobacco use in Asian Americans, including ethnic-specific media campaigns, culturally competent interventions, and technical assistance and training networks. Surveillance of tobacco use among Asian Americans and the interpretation of the results have always been a challenge. Data from the 2001 The California Health Interview Survey (CHIS) were analyzed to provide smoking prevalence estimates for all Asian Americans and Asian-American subgroups, including Korean, Filipino, Japanese, South Asian, Chinese, and Vietnamese. Current smoking prevalence was analyzed by gender and by English proficiency level. Cigarette smoking prevalence among Asian males in general was almost three times of that among Asian females. Korean and Vietnamese males had higher cigarette smoking prevalence rates than males in other subgroups. Although Asian females in general had low smoking prevalence rates, significant differences were found among Asian subgroups, from 1.1% (Vietnamese) to 12.7% (Japanese). Asian men who had high English proficiency were less likely to be smokers than men with lower English proficiency. Asian women with high English proficiency were more likely to be smokers than women with lower English proficiency. Smoking prevalence rates among Asian Americans in California differed significantly on the basis of ethnicity, gender, and English proficiency. English proficiency seemed to have the effect of reducing smoking prevalence rates among Asian males but had just the opposite effect among Asian females. Cancer 2005. (c) 2005 American Cancer Society.

Prevalence of oppositional defiant disorder in Spain.

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López-Villalobos, José Antonio; Andrés-De Llano, Jesús María; Rodríguez-Molinero, Luis; Garrido-Redondo, Mercedes; Sacristán-Martín, Ana María; Martínez-Rivera, María Teresa; Alberola-López, Susana; Sánchez-Azón, María Isabel

2014-01-01

Oppositional defiant disorder (ODD) is characterized by a pattern of negative, defiant, disobedient and hostile behavior toward authority figures. ODD is one of the most frequent reasons for clinical consultation on mental health during childhood and adolescence. ODD has a high morbidity and dysfunction, and has important implications for the future if not treated early. To determine the prevalence of ODD in schoolchildren aged 6-16 years in Castile and Leon (Spain). Population study with a stratified multistage sample, and a proportional cluster design. Sample analyzed: 1,049. Cases were defined according to DSM-IV criteria. An overall prevalence rate of 5.6% was found (95% CI: 4.2%-7%). Male gender prevalence=6.8%; female=4.3%. Prevalence in secondary education=6.2%; primary education=5.3%. No significant differences by gender, age, grade, type of school, or demographic area were found. ODD prevalence without considering functional impairment, such as is performed in some research, would increase the prevalence to 7.4%. ODD cases have significantly worse academic outcomes (overall academic performance, reading, maths and writing), and worse classroom behavior (relationship with peers, respect for rules, organizational skills, academic tasks, and disruption of the class). Castile and Leon has a prevalence rate of ODD slightly higher to that observed in international publications. Depending on the distribution by age, morbidity and clinical dysfunctional impact, an early diagnosis and a preventive intervention are required for health planning. Copyright © 2013 SEP y SEPB. Published by Elsevier España. All rights reserved.

A decade of sea level rise slowed by climate-driven hydrology.

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Reager, J T; Gardner, A S; Famiglietti, J S; Wiese, D N; Eicker, A; Lo, M-H

2016-02-12

Climate-driven changes in land water storage and their contributions to sea level rise have been absent from Intergovernmental Panel on Climate Change sea level budgets owing to observational challenges. Recent advances in satellite measurement of time-variable gravity combined with reconciled global glacier loss estimates enable a disaggregation of continental land mass changes and a quantification of this term. We found that between 2002 and 2014, climate variability resulted in an additional 3200 ± 900 gigatons of water being stored on land. This gain partially offset water losses from ice sheets, glaciers, and groundwater pumping, slowing the rate of sea level rise by 0.71 ± 0.20 millimeters per year. These findings highlight the importance of climate-driven changes in hydrology when assigning attribution to decadal changes in sea level. Copyright © 2016, American Association for the Advancement of Science.

Barriers on the brink? The complex intertwined roles of geologic framework, sediment availability and sea-level rise in island evolution

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Moore, Laura; List, Jeffrey H.; Williams, S. Jeffress; Patsch, Kiki; Rosati, Julie D.; Wang, Ping; Roberts, Tiffany M.

2011-01-01

Sensitivity experiments in the North Carolina Outer Banks (OBX) have previously revealed that substrate sand proportion, followed by substrate slope, sea-level rise rate and sediment-loss rate are the most important factors in determining how barrier islands respond to sea-level rise. High sediment-loss rates and low substrate sand proportions cause barriers to be smaller and more deeply incised. Thus, as sea level rise rates increase, more deeply incised barriers do not need to migrate as far landward as larger, less-incised barriers to liberate sand from the shoreface. However, if the combination of sand losses and substrate sand proportions requires a barrier to migrate landward faster than the shoreface can erode to replenish losses, a barrier will change state and begin to disintegrate. Because the substrate of the OBXis sand-rich, these barriers are likely to persist in the near-term. In contrast, model simulations for the Chandeleur Islands, Louisiana suggest sediment loss rates are too high and/or substrate sand proportions are too low to be matched by liberation of shoreface sand. These simulations further suggest that a state change, from a landward-migrating barrier system to a subaqueous shoal complex, is either already underway or imminent.

Do We Really Know the Prevalence of MIH?

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Hernandez, M; Boj, J R; Espasa, E

2016-01-01

To analyze the existing variability on molar incisor hypomineralization prevalence in the literature; to distinguish the various molar incisor hypomineralization prevalence rates in different countries, areas, and regions of the world; and to know the valid diagnostic criteria used for the correct identification of molar incisor hypomineralization prevalence. A literature review from Medline and Cochrane Library online databases was performed using five terms individually or in combination. Articles not reporting diagnostic criteria employed and articles not written English were excluded. The results were analyzed by country, region, year of study, sample size, range of age, and prevalence rate. A total of 37 articles in English were selected from 1987 to 2014 and from those only 14 employed the EAPD's 2003 diagnostic criteria. The reported age range varied from 5.5 to 17 years; the most frequently range used was 7 to 9 years. A wide prevalence range from 2.8% to 44% was found and 82.61% of the articles reported calibrated examiners. Comparison among the results of the studies is difficult due to the use of different indexes and diagnostic criteria, the analysis variability, selection methods, and different age groups. In reality, we are probably far from knowing the real MIH prevalence.

Interhospital differences and case-mix in a nationwide prevalence survey.

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Kanerva, M; Ollgren, J; Lyytikäinen, O

2010-10-01

A prevalence survey is a time-saving and useful tool for obtaining an overview of healthcare-associated infection (HCAI) either in a single hospital or nationally. Direct comparison of prevalence rates is difficult. We evaluated the impact of case-mix adjustment on hospital-specific prevalences. All five tertiary care, all 15 secondary care and 10 (25% of 40) other acute care hospitals took part in the first national prevalence survey in Finland in 2005. US Centers for Disease Control and Prevention criteria served to define HCAI. The information collected included demographic characteristics, severity of the underlying disease, use of catheters and a respirator, and previous surgery. Patients with HCAI related to another hospital were excluded. Case-mix-adjusted HCAI prevalences were calculated by using a multivariate logistic regression model for HCAI risk and an indirect standardisation method. Altogether, 587 (7.2%) of 8118 adult patients had at least one infection; hospital-specific prevalences ranged between 1.9% and 12.6%. Risk factors for HCAI that were previously known or identified by univariate analysis (age, male gender, intensive care, high Charlson comorbidity and McCabe indices, respirator, central venous or urinary catheters, and surgery during stay) were included in the multivariate analysis for standardisation. Case-mix-adjusted prevalences varied between 2.6% and 17.0%, and ranked the hospitals differently from the observed rates. In 11 (38%) hospitals, the observed prevalence rank was lower than predicted by the case-mix-adjusted figure. Case-mix should be taken into consideration in the interhospital comparison of prevalence rates. Copyright 2010 The Hospital Infection Society. Published by Elsevier Ltd. All rights reserved.

Prevalence of cardiovascular morbidities in Myanmar.

Science.gov (United States)

Zaw, Ko Ko; Nwe, Nwe; Hlaing, Su Su

2017-02-15

Cardiovascular diseases (CVDs) are now in a rising trend in South East Asia including Myanmar due to increase in major cardiovascular risk factors in both urban and rural areas, such as smoking, obesity and diabetes mellitus. It is necessary to determine CVD morbidities in Myanmar for planning of prevention and control activities for CVDs. The cross-sectional household survey was conducted in 2012 with 600 people aged 40 years and above in four townships (Kyauk-Tan, Mawlamyaing, Pathein and Pyay) and used face-to-face interview with standard questionnaire [Rose Angina Questionnaire and Questionnaire by European Cardiovascular Indicators Surveillance Set (EUROCISS) Research Group] to determine the level of reported CVD morbidities in adult population. Age of the study population ranged from 40 to 99 years with the mean age of 56 years. Seventy-one percent of the study population was women. Nine percent of the study population have suffered from angina according to Rose Angina Questionnaire. Prevalence of possible heart attack, stroke and heart failure was 7.5, 1.5 and 2.8%. Prevalence of hypertension was 51%. The CVD morbidities are high. There is a need for strengthening prevention and control activities of CVDs.

Screen-based behaviour in Czech adolescents is more prevalent at weekends

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Zdenek Hamrik

2014-12-01

Full Text Available Background: One of the main reasons for recent scientific interest in screen-based behaviour (SB is the relationship between SB and risk of being overweight or obese. The primary mechanism for overweight and obesity is an imbalance of energy intake versus energy expenditure and one reason for the interest in SB is its association with reduced energy expenditure relative to other activities. Objective: The aim of this study is to provide a basic overview of the level and structure of SB in Czech adolescents on the basis of age and gender while taking into account the differences between weekday and weekend screen based activities. Methods: Data from the Health Behaviour in School-aged Children (HBSC study conducted in May-June 2010 in the Czech Republic were used. The sample consisted of 4365 Czech pupils (48.5% boys; age 11, n = 1406; age 13, n = 1446; age 15, n = 1513. Binomial logistic regression and Chi-square test of independence were used to provide basic comparison on the basis of gender and age groups. Results: The prevalence of SB rise with growing age with the most visible increase in prevalence is between ages 11 and age 13. SB is significantly more prevalent among adolescent boys compared with adolescent girls. Czech adolescents are more likely to not meet the recommendation of 2 hours for watching TV at weekends compared to weekdays. Playing computer games is more common among boys contrary to chatting online, which is more common among girls. The overall patterns of playing computer games and chatting online during weekends were similar to those at weekdays but increased. Conclusions: Most children in the Czech Republic do not meet the limit for total SB time of 4 or fewer hours while the prevalence of SB rises with growing age and at weekends. Interventions and strategies aiming at reducing SB in children focusing on the family and school environment in the Czech Republic are required.

Stroke Prevalence, Mortality and Disability-Adjusted Life Years in Children and Youth Aged 0-19 Years

DEFF Research Database (Denmark)

Krishnamurthi, Rita V; deVeber, Gabrielle; Feigin, Valery L

2015-01-01

, childhood stroke burden in terms of absolute numbers of prevalent strokes, deaths and DALYs remained much higher in developing countries. There is an urgent need to address these disparities with both global and country-level initiatives targeting prevention as well as improved access to acute and chronic...... increases in the global prevalence rates of childhood IS, as well as significant decreases in the global death rate and DALYs rate of all strokes in those of age 0-19 years. While prevalence rates for childhood IS and HS decreased significantly in developed countries, a decline was seen only in HS......, with no change in prevalence rates of IS, in developing countries. The childhood stroke DALY rates in 2013 were 13.3 (95% UI 10.6-17.1) for IS and 92.7 (95% UI 80.5-109.7) for HS per 100,000. While the prevalence of childhood IS compared to childhood HS was similar globally, the death rate and DALY rate of HS...

Applicability of the ICD-11 proposal for PTSD: a comparison of prevalence and comorbidity rates with the DSM-IV PTSD classification in two post-conflict samples

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Nadine Stammel

2015-05-01

Full Text Available Background: The World Health Organization recently proposed significant changes to the posttraumatic stress disorder (PTSD diagnostic criteria in the 11th edition of the International Classification of Diseases (ICD-11. Objective: The present study investigated the impact of these changes in two different post-conflict samples. Method: Prevalence and rates of concurrent depression and anxiety, socio-demographic characteristics, and indicators of clinical severity according to ICD-11 in 1,075 Cambodian and 453 Colombian civilians exposed to civil war and genocide were compared to those according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV. Results: Results indicated significantly lower prevalence rates under the ICD-11 proposal (8.1% Cambodian sample and 44.4% Colombian sample compared to the DSM-IV (11.2% Cambodian sample and 55.0% Colombian sample. Participants meeting a PTSD diagnosis only under the ICD-11 proposal had significantly lower rates of concurrent depression and a lower concurrent total score (depression and anxiety compared to participants meeting only DSM-IV diagnostic criteria. There were no significant differences in socio-demographic characteristics and indicators of clinical severity between these two groups. Conclusions: The lower prevalence of PTSD according to the ICD-11 proposal in our samples of persons exposed to a high number of traumatic events may counter criticism of previous PTSD classifications to overuse the PTSD diagnosis in populations exposed to extreme stressors. Also another goal, to better distinguish PTSD from comorbid disorders could be supported with our data.

Rise in prostate-specific antigen in men with untreated low-grade prostate cancer is slower during spring-summer.

Science.gov (United States)

Vieth, R; Choo, R; Deboer, L; Danjoux, C; Morton, G C; Klotz, L

2006-01-01

To test the hypothesis that the rate of rise in prostate-specific antigen (PSA) is slower during the spring-summer than during the rest of the year, we used PSA data from a prospective single-arm cohort study of men who had been followed to characterize a watchful observation protocol with selective delayed intervention for clinically localized, low-to-intermediate grade prostate adenocarcinoma. The rate of PSA increase was calculated as the visit-to-visit slope of log (PSA) against time, from 1 calendar-quarter visit to the next. The nonparametric Friedman test confirmed differences in rate of PSA rise among the calendar quarters (P = 0.041). Post hoc analysis showed the rate of PSA increase during Q2 was significantly slower than in each one of the other calendar quarters (Q1 versus Q2, P = 0.025; Q3 versus Q2, P = 0.002; Q4 versus Q2, P = 0.013), with no differences among quarters Q1, Q3, and Q4. These results are consistent with the vitamin D hypothesis that the higher 25-hydroxyvitamin D levels associated with spring and summer have a desirable effect on prostate biology. The therapeutic implication is that vitamin D supplementation in the range of 2000 IU/d, a dose comparable to the effect of summer, can benefit men monitored for rising PSA.

Revisiting the concept of ‘chronic disease’ from the perspective of the episode of care model. Does the ratio of incidence to prevalence rate help us to define a problem as chronic?

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Jean K Soler

2013-12-01

Full Text Available Background This is a study of the epidemiology of acute and chronic episodes of care (EoCs in the Transition Project in three countries. We studied the duration of EoCs for acute and chronic health problems and the relationship of incidence to prevalence rates for these EoCs.Method The Transition Project databases collect data on all elements of the doctor–patient encounter in family medicine. Family doctors code these elements using the International Classification of Primary Care.We used the data from three practice populations to study the duration of EoCs and the ratio of incidence to prevalence for common health problems.Results We found that chronic health problems tended to have proportionately longer duration EoCs, as expected, but also a lower incidence to prevalence rate ratio than acute health problems. Thus, the incidence to prevalence index could be used to define a chronic condition as one with a low ratio, below a defined threshold.Conclusions Chronic health problems tend to have longer duration EoCs, proportionately, across populations. This result is expected, but we found important similarities and differences which make defining a problem as chronic on the basis of time rather difficult. The ratio of incidence to prevalence rates has potential to categorise health problems into acute or chronic categories, at different ratio thresholds (such as 20, 30 or 50%. It seems to perform well in this study of three family practice populations, and is proposed to the scientific community for further evaluation.

Infection prevalence of Schistosoma mansoni and associated risk ...

African Journals Online (AJOL)

Bheema

prevalence rate, identifying risk factors of infection and high-risk groups. ... other hand, the highest (31.2%) prevalence was recorded in children with ages ranging from 10 ..... School children and their teachers were acknowledged for ... transmission and infection with S. mansoni in village in the South eastern Brazil. Mem.

Disposal of Kitchen Waste from High Rise Apartment

Science.gov (United States)

Ori, Kirki; Bharti, Ajay; Kumar, Sunil

2017-09-01

The high rise building has numbers of floor and rooms having variety of users or tenants for residential purposes. The huge quantities of heterogenous mixtures of domestic food waste are generated from every floor of the high rise residential buildings. Disposal of wet and biodegradable domestic kitchen waste from high rise buildings are more expensive in regards of collection and vertical transportation. This work is intended to address the technique to dispose of the wet organic food waste from the high rise buildings or multistory building at generation point with the advantage of gravity and vermicomposting technique. This innovative effort for collection and disposal of wet organic solid waste from high rise apartment is more economical and hygienic in comparison with present system of disposal.

Effects of sea-level rise on salt water intrusion near a coastal well field in southeastern Florida

Science.gov (United States)

Langevin, Christian D.; Zygnerski, Michael

2013-01-01

A variable-density groundwater flow and dispersive solute transport model was developed for the shallow coastal aquifer system near a municipal supply well field in southeastern Florida. The model was calibrated for a 105-year period (1900 to 2005). An analysis with the model suggests that well-field withdrawals were the dominant cause of salt water intrusion near the well field, and that historical sea-level rise, which is similar to lower-bound projections of future sea-level rise, exacerbated the extent of salt water intrusion. Average 2005 hydrologic conditions were used for 100-year sensitivity simulations aimed at quantifying the effect of projected rises in sea level on fresh coastal groundwater resources near the well field. Use of average 2005 hydrologic conditions and a constant sea level result in total dissolved solids (TDS) concentration of the well field exceeding drinking water standards after 70 years. When sea-level rise is included in the simulations, drinking water standards are exceeded 10 to 21 years earlier, depending on the specified rate of sea-level rise.

Prevalence of obesity and its correlates in school going adolescents of Haldwani, Nainital, Uttarakhand, India

Directory of Open Access Journals (Sweden)

Shantanu Aggarwal

2016-06-01

Full Text Available Background: With a rising trend of Non-Communicable Diseases (NCDs in the present world, overweight and obesity has gained importance as it is not only a disease in itself but also risk factor for majority of other NCDs. A dramatic increase in overweight and obesity among children and adolescent has raised the concern of various public health physicians especially in developing country like India. Aims & Objective: To study the prevalence of overweight and obesity & its correlates among school going adolescents of Haldwani block. Material & Methods: School based cross sectional study was done among the adolescents of 8th to 12th standard. To calculate the maximum sample size prevalence of obesity was assumed to be 50%, taking absolute error of 5%, design effect of 2 and 10% non-response rate the sample was calculated to be 880, rounded off to 900. Samples were collected from 30 clusters/schools using simple random sampling. Data was collected using a pre-designed, semi-structured and pre-tested questionnaire and analyzed by using SPSS version 22. Results: Prevalence of overweight and obesity was 13% (CI = 10.8 - 15.2%. Overweight and obesity was found to be significantly associated with urban area, private school, Socio-economic class I, non-vegetarian diet, physical inactivity and playing videogames, working on laptops and computer on univariate analysis. On applying binary logistic regression factors like private schools, socioeconomic class I, non-vegetarian diet and physical inactivity were again found to be significantly associated with overweight and obesity. Conclusion: Prevalence of obesity was found to be more in adolescents having modifiable risk factors.  

Increasing prevalence of diagnosed diabetes--United States and Puerto Rico, 1995-2010.

Science.gov (United States)

2012-11-16

In 2010, an estimated 18.8 million persons in the United States had diagnosed diabetes mellitus and another 7.0 million had undiagnosed diabetes. Since 1990, the prevalence of diagnosed diabetes in the United States has risen sharply among all age groups, both sexes, and all racial/ethnic groups for which data are available. To learn whether the increase has been greater in some regions of the United States than in others, data on self-reported diabetes in adults collected during 1995-2010 by the Behavioral Risk Factor Surveillance System (BRFSS) were analyzed. The analysis showed that the age-adjusted prevalence of diagnosed diabetes increased during the interval in every state, the District of Columbia (DC), and Puerto Rico. In 1995, age-adjusted prevalence was ≥6% in only three states, DC, and Puerto Rico, but by 2010 it was ≥6% in every state, DC, and Puerto Rico, and ≥10.0% in six states and Puerto Rico. Strategies to prevent diabetes and its preventable risk factors are needed, especially for those at highest risk for diabetes, to slow the rise in diabetes prevalence across the United States. Continued surveillance of diabetes prevalence and incidence, its risk factors, and prevention efforts is important to measure progress of prevention efforts.

Trend analysis of modern high-rise construction

Science.gov (United States)

Radushinsky, Dmitry; Gubankov, Andrey; Mottaeva, Asiiat

2018-03-01

The article reviews the main trends of modern high-rise construction considered a number of architectural, engineering and technological, economic and image factors that have influenced the intensification of construction of high-rise buildings in the 21st century. The key factors of modern high-rise construction are identified, which are associated with an attractive image component for businessmen and politicians, with the ability to translate current views on architecture and innovations in construction technologies and the lobbying of relevant structures, as well as the opportunity to serve as an effective driver in the development of a complex of national economy sectors with the achievement of a multiplicative effect. The estimation of the priority nature of participation of foreign architectural bureaus in the design of super-high buildings in Russia at the present stage is given. The issue of economic expediency of construction of high-rise buildings, including those with only a residential function, has been investigated. The connection between the construction of skyscrapers as an important component of the image of cities in the marketing of places and territories, the connection of the availability of a high-rise center, the City, with the possibilities of attracting a "creative class" and the features of creating a large working space for specialists on the basis of territorial proximity and density of high-rise buildings.

prevalence and age distribution of peripheral hamartomas in adult ...

African Journals Online (AJOL)

1990-07-24

Jul 24, 1990 ... distribution of peripheral pulmonary hamartomas in 47635 southern African miners ... The prevalence rate for white miners was 7,5/1000 and for ..... in childhood and are never seen at birth.14 The peak prevalence is reported ...

Rising equity

International Nuclear Information System (INIS)

Burr, M.T.

1992-01-01

This article reports on the results of a financial rankings survey of the independent energy industry indicating that lenders and investors provided more than five billion dollars in capital for new, private power projects during the first six months of 1992. The topics of the article include rising equity requirements, corporate finance, mergers and acquisitions, project finance investors, revenue bonds, project finance lenders for new projects, project finance lenders for restructurings, and project finance advisors

Dysarthria and dysphagia are highly prevalent among various types of neuromuscular diseases

NARCIS (Netherlands)

Knuijt, Simone; Kalf, Johanna G.; de Swart, Bert J. M.; Drost, Gea; Hendricks, Henk T.; Geurts, Alexander C. H.; van Engelen, Baziel G. M.

2014-01-01

Purpose: Patients with a neuromuscular disease (NMD) can present with dysarthria and/or dysphagia. Literature regarding prevalence rates of dysarthria and dysphagia is scarce. The purpose of this study was to determine prevalence rates, severity and co-presence of dysarthria and dysphagia in adult

Dysarthria and dysphagia are highly prevalent among various types of neuromuscular diseases

NARCIS (Netherlands)

Knuijt, S.; Kalf, J.G.; Swart, B.J. de; Drost, G.; Hendricks, H.T.; Geurts, A.C.; Engelen, B.G.M. van

2014-01-01

PURPOSE: Patients with a neuromuscular disease (NMD) can present with dysarthria and/or dysphagia. Literature regarding prevalence rates of dysarthria and dysphagia is scarce. The purpose of this study was to determine prevalence rates, severity and co-presence of dysarthria and dysphagia in adult

Prevalence of Coronary Artery Disease Risk factors in Teachers Residing in Shiraz-Iran 2009

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J Tahmasebi

2010-06-01

Full Text Available Background: coronary artery diseases (CAD are the leading cause of mortality, morbidity and disability with high health care cost in any countries including Iran. The prevalence of all CAD risk factors including hypertension, diabetes, lipid profile abnormalities and obesity is rising in the population of Iran. Knowing the population at risk would lead to proper education to decrease these risk factors and ultimately would reduce CAD.Methods: This descriptive cross- sectional study was conducted in February to December 2009 and comprised a total of 3115 Shiraz educational staff, aged 21- 73 years.Questionnaires were applied to collect information including; demographic data, physical activity, history of CAD, hypertension, dyslipidemia, and smoking. In addition, waist circumference, height, weight, body mass index (BMI, and hip circumference (HC were measured and serum biochemistry profiles were determined on venous blood samples. Such data helped identify the prevalence of diabetes, hypercholesterolemia, hypertriglyceridemia, hypertension, overweight and obesity, central obesity, and smoking. Results: The mean age of 3115 participant was 42.7 and 41.5 years for men and women respectively. The prevalence of pre-diabetes, diabetes hypertension, hypercholesterolemia and hypertriglyceridemia were %10.2, %4, %18.2, %38.30 and %33.2 respectively. Diabetes, hypertension and dyslipidemia were more prevalent among males and older subjects. The prevalence of central obesity was %75.05 (IDF criteria and %40.64 (ATP- III criteria. The frequency of obesity, current smoking, ex-smoking and passive smoking were %12.1, %5.85 , %1.52 ,%7.9 respectively which were below the reported prevalence in Iran in previous studies, but physical inactivity was %73.3 which is very high in this study group.Conclusion: Although CAD risk factors seem to be very common in the study population, clinical and paraclinical data indicated that teachers residing in Shiraz have a

Prevalence of renal uric acid stones in the adult.

Science.gov (United States)

Trinchieri, Alberto; Montanari, Emanuele

2017-12-01

The aim of this study was to estimate uric acid renal stone prevalence rates of adults in different countries of the world. PubMed was searched for papers dealing with "urinary calculi and prevalence or composition" for the period from January 1996 to June 2016. Alternative searches were made to collect further information on specific topics. The prevalence rate of uric acid stones was computed by the general renal stone prevalence rate and the frequency of uric acid stones in each country. After the initial search, 2180 papers were extracted. Out of them, 79 papers were selected after the reading of the titles and of the abstracts. For ten countries, papers relating to both the renal stone prevalence in the general population and the frequency of uric stones were available. Additional search produced 13 papers that completed information on 11 more countries in 5 continents. Estimated prevalence rate of uric acid stones was >0.75% in Thailand, Pakistan, Saudi Arabia, Iran, South Africa (white population), United States and Australia; ranged 0.50-0.75% in Turkey, Israel, Italy, India (Southern), Spain, Taiwan, Germany, Brazil; and uric acid stone formation. A hot and dry climate increases fluid losses reducing urinary volume and urinary pH. A diet rich in meat protein causes low urinary pH and increased uric acid excretion. On the other hand, uric acid stone formation is frequently associated with obesity, metabolic syndrome and diabetes type 2 that are linked to dietary energy excess mainly from carbohydrate and saturated fat and also present with low urine pH values. An epidemic of uric acid stone formation could be if current nutritional trends will be maintained both in developed countries and in developing countries and the areas of greater climatic risk for the formation of uric acid stones will enlarge as result of the "global warming".

Present-day sea level rise: a synthesis; Hausse actuelle du niveau de la mer: synthese

Energy Technology Data Exchange (ETDEWEB)

Cazenave, A.; Llovel, W. [Laboratoire d' Etudes en Geophysique et Oceanographie Spatiales (LEGOS), Observatoire Midi-Pyrenees, 31 - Toulouse (France); Lombard, A. [CNES, 31 - Toulouse (France)

2008-11-15

Measuring sea level change and understanding its causes have improved considerably in the recent years, essentially because new in situ and remote sensing data sets have become available. Here we report on the current knowledge of present-day sea level change. We briefly present observational results on sea level change from satellite altimetry since 1993 and tide gauges for the past century. We next discuss recent progress made in quantifying the processes causing sea level change on time scales ranging from years to decades, i.e., thermal expansion, land ice mass loss and land water storage change. For the 1993-2003 decade, the sum of climate-related contributions agree well (within the error bars) with the altimetry-based sea level, half of the observed rate of rise being due to ocean thermal expansion, land ice plus land waters explaining the other half. Since about 2003, thermal expansion increase has stopped, whereas the sea level continues to rise, although at a reduced rate compared to the previous decade (2.5 mm/yr versus 3.1 mm/yr). Recent increases in glacier melting and ice mass loss from the ice sheets appear able to account alone for the rise in sea level reported over the last five years. (authors)

Bayesian Statistical Analysis of Historical and Late Holocene Rates of Sea-Level Change

Science.gov (United States)

Cahill, Niamh; Parnell, Andrew; Kemp, Andrew; Horton, Benjamin

2014-05-01

A fundamental concern associated with climate change is the rate at which sea levels are rising. Studies of past sea level (particularly beyond the instrumental data range) allow modern sea-level rise to be placed in a more complete context. Considering this, we perform a Bayesian statistical analysis on historical and late Holocene rates of sea-level change. The data that form the input to the statistical model are tide-gauge measurements and proxy reconstructions from cores of coastal sediment. The aims are to estimate rates of sea-level rise, to determine when modern rates of sea-level rise began and to observe how these rates have been changing over time. Many of the current methods for doing this use simple linear regression to estimate rates. This is often inappropriate as it is too rigid and it can ignore uncertainties that arise as part of the data collection exercise. This can lead to over confidence in the sea-level trends being characterized. The proposed Bayesian model places a Gaussian process prior on the rate process (i.e. the process that determines how rates of sea-level are changing over time). The likelihood of the observed data is the integral of this process. When dealing with proxy reconstructions, this is set in an errors-in-variables framework so as to take account of age uncertainty. It is also necessary, in this case, for the model to account for glacio-isostatic adjustment, which introduces a covariance between individual age and sea-level observations. This method provides a flexible fit and it allows for the direct estimation of the rate process with full consideration of all sources of uncertainty. Analysis of tide-gauge datasets and proxy reconstructions in this way means that changing rates of sea level can be estimated more comprehensively and accurately than previously possible. The model captures the continuous and dynamic evolution of sea-level change and results show that not only are modern sea levels rising but that the rates

Contraceptive prevalence and factors associated with usage of ...

African Journals Online (AJOL)