Characteristics of female nonagenarian participants in an observational health study

Background: Inclusion of very elderly participants in health studies is limited, despite the increasing longevity in the population. We aimed to describe characteristics of female nonagenarians who had been retained for a decade in an ongoing, population-based cohort study.Methods: This study describes 14 female nonagenarians who participated in the 10-year follow-up phase of the Geelong Osteoporosis Study. Their baseline characteristics, from a decade earlier, were compared with 109 fellow participants lost to follow-up.Results: For nonagenarians at follow-up, mean BMI, relative appendicular mass and blood pressure were in the ideal ranges recommended for all adult ages, whereas mean BMD was in the osteopenic range for the hip and spine. Three (21.4%) of the nonagenarian women were underweight, four (28.6%) were overweight and one was obese; five (38.5%) had hypertension, two (14.3%) required assistance walking, nine (69.2%) had osteoporosis and two (15.4%) had low lean mass in the sarcopenic range. None of the women smoked or had fallen in the previous year, nine (64.3%) used three or more prescription medications and five (35.7%) used five or more. Comparisons of baseline data collected a decade earlier for the nonagenarians and their peers who were subsequently lost to followup, showed similarities in body habitus, falls, polypharmacy, education, marriage status, socioeconomic status and morbidity. However, the group lost to follow-up were more likely to have had osteoporosis and/or be hypertensive.Conclusion: We present health-related data for nonagenarian participants of a prospective cohort study. While few differences were found between these participants and age-matched peers for baseline data collected a decade earlier, the nonagenarians who participated in the 10-year follow-up were less likely to have had osteoporosis or hypertension than their peers at recruitment. Further involvement of the very elderly in health research is warranted, since data for this age group are rare

Knowledge change regarding osteoporosis prevention: translating recommended guidelines into user-friendly messages within a community forum.

Osteoporosis is a skeletal disorder characterised by low bone mineral density and increased fracture risk. Nationally the total costs of this chronic disease are currently estimated at $2.754 billion annually. Effective public health messages providing clear recommendations are vital in supporting prevention efforts. This research aimed to investigate knowledge change associated with the translation of preventive guidelines into accessible messages for the community

Excessive daytime sleepiness and body composition: a population-based study of adults

Excessive daytime sleepiness (EDS) is often associated with increased adiposity, particularly when assessed in the context of samples of sleep-disordered patients; however, it is unclear if this relationship is sustained among non-clinical, population-based cohorts. This study aimed to investigate the relationship between EDS and a number of body composition markers among a population-based sample of men and women

Characteristics of female nonagenarian participants in an observational health study

Abstract Background: Inclusion of very elderly participants in health studies is limited, despite the increasing longevity in the population. We aimed to describe characteristics of female nonagenarians who had been retained for a decade in an ongoing, population-based cohort study

Dental service patterns among private and public adult patients in Australia

Background While the majority of dental care in Australia is provided in the private sector those patients who attend for public care remain a public health focus due to their socioeconomic disadvantage. The aims of this study were to compare dental service profiles provided to patients at private and public clinics, controlling for age, sex, reason for visit and income. Methods Data were collected in 2004–06, using a three-stage, stratified clustered sample of Australians aged 15+ years, involving a computer-assisted telephone interview (CATI), oral examination and mailed questionnaire. Analysis was restricted to those who responded to the CATI. Results A total of 14,123 adults responded to the CATI (49% response) of whom 5,505 (44% of those interviewed) agreed to undergo an oral epidemiological examination. Multivariate analysis controlling for age, sex, reason for visit and income showed that persons attending public clinics had higher odds [Odds ratio, 95%CI] of extraction (1.69, 1.26–2.28), but lower odds of receiving oral prophylaxis (0.50, 0.38–0.66) and crown/bridge services (0.34, 0.13–0.91) compared to the reference category of private clinics. Conclusion Socio-economically disadvantaged persons who face barriers to accessing dental care in the private sector suffer further oral health disadvantage from a pattern of services received at public clinics that has more emphasis on extraction of teeth and less emphasis on preventive and maintenance care.David S Brennan, Liana Luzzi and Kaye F Roberts-Thomso

On Lagrangian mechanics and the implicit material point method for large deformation elasto-plasticity

The material point method is ideally suited to modelling problems involving large deformations where conventional mesh-based methods would struggle. However, total and updated Lagrangian approaches are unsuitable and non-ideal, respectively, in terms formulating equilibrium for the method. This is due to the basis functions, and particularly the derivatives of the basis functions, of material point methods normally being dened based on an unformed, and sometimes regular, background mesh. It is possible to map the basis function spatial derivatives using the deformation at a material point but this introduces additional algorithm complexity and computational expense. This paper presents a new Lagrangian statement of equilibrium which is ideal for material point methods as it satises equilibrium on the undeformed background mesh at the start of a load step. The formulation is implemented using a quasi-static implicit algorithm which includes the derivation of the consistent tangent to achieve optimum convergence of the global equilibrium iterations. The method is applied to a number of large deformation elasto-plastic problems, with a specic focus of the convergence of the method towards analytical solutions with the standard, generalised interpolation and CPDI2 material point methods. For the generalised interpolation method, dierent domain updating methods are investigated and it is shown that all of the current methods are degenerative under certain simple deformation elds. A new domain updating approach is proposed that overcomes these issues. The proposed material point method framework can be applied to all existing material point methods and adopted for implicit and explicit analysis, however its advantages are mainly associated with the former

Designing Engaging Learning Experiences in Programming

In this paper we describe work to investigate the creation of engaging programming learning experiences. Background research informed the design of four fieldwork studies to explore how programming tasks could be framed to motivate learners. Our empirical findings from these four field studies are summarized here, with a particular focus upon one – Whack a Mole – which compared the use of a physical interface with the use of a screen-based equivalent interface to obtain insights into what made for an engaging learning experience. Emotions reported by two sets of participant undergraduate students were analyzed, identifying the links between the emotions experienced during programming and their origin. Evidence was collected of the very positive emotions experienced by learners programming with a physical interface (Arduino) in comparison with a similar program developed using a screen-based equivalent interface. A follow-up study provided further evidence of the motivation of personalized design of programming tangible physical artefacts. Collating all the evidence led to the design of a set of ‘Learning Dimensions’ which may provide educators with insights to support key design decisions for the creation of engaging programming learning experiences

Mapping oral health related quality of life to generic health state values

BACKGROUND: A summary utility index is useful for deriving quality-adjusted life years (QALY) for cost analyses or disability weights for burden of disease studies. However, many quality of life instruments provide descriptive profiles rather than a single utility index. Transforming quality of life instruments to a utility index could extend the use of quality of life instruments to costs analyses and burden of disease studies. The aims of the study were to map a specific oral health measure, the Oral Health Impact Profile to a generic health state measure, the EuroQol, in order to enable the estimation of health state values based on OHIP data. METHODS: Data were collected from patients treated by a random sample of South Australian dentists in 2001–02 using mailed self-complete questionnaires. Dentists recorded the diagnosis of dental conditions and provided patients with self-complete questionnaires to record the nature, severity and duration of symptoms using the EuroQol (EQ-5D) and 14-item version of the Oral Health Impact Profile (OHIP-14) instruments. Data were available from 375 patients (response rate = 72%). A random two-thirds sample of patients was used in tobit regressions of EQ-5D health state values estimated using OHIP-14 in a model with categories of OHIP responses as indicator variables and in a model with OHIP responses as continuous variables. Age and sex were included as covariates in both models. The remaining one-third sample of patients was used to test the models. RESULTS: The OHIP item 'painful aching in mouth' was significantly related to health state values in both models while 'life less satisfying' was also significant in the continuous model. Mean forecast errors relative to the mean observed health state value were higher when fitted to the categorical model (17.4%) compared to the continuous model (15.2%) (P < 0.05). CONCLUSION: The findings enable health state values to be derived from OHIP-14 scores for populations where utility has not or cannot be measured directly

An efficient and locking-free material point method for three dimensional analysis with simplex elements

The Material Point Method is a relative newcomer to the world of solid mechanicsmodelling. Its key advantage is the ability to model problems having large defor-mations while being relatively close to standard nite element methods, howeverits use for realistic engineering applications will happen only if the material pointcan be shown to be both ecient and accurate (compared to standard nite elementmethods), when modelling complex geometries with a range of material models. Inthis paper we present developments of the standard material point method aimed atrealising these goals. The key contribution provided here is the development of amaterial point method that avoids volumetric locking (arising from elastic or elasto-plastic material behaviour) whilst using low order tetrahedral nite elements forthe background computational mesh, hence allowing unstructured background gridsto be used for complex geometries. We also show that these developments can beeectively parallelised to improve computational ecienc

Educational difference in the prevalence of osteoporosis in postmenopausal women: a study in northern Iran

<p>Abstract</p> <p>Background</p> <p>Osteoporosis is the most common metabolic bone disease in the world and it is rapidly increasing in Iran. In this study the relationship between educational levels and osteoporosis was investigated among Iranian postmenopausal women.</p> <p>Method and subjects</p> <p>Seven hundred and six women aged 50-75 years old were randomly recruited from urban (<it>n </it>= 440) and rural (<it>n </it>= 266) areas in Guilan. Osteoporosis was diagnosed by quantitative ultrasound technique and dual X-ray absorptiometry. Serum 25(OH) D3, body weight and height were measured in all subjects. Other data including age, educational level, menopause age, medications and history of illness were also collected.</p> <p>Results</p> <p>We found that the prevalence of osteoporosis was significantly greater among women with low educational level than women with high educational status (18.0% vs 3.8% <it>P </it>< 0.0001). However, women with low educational level had higher mean serum level of vitamin D than women with high educational level. Osteoporosis was significantly more prevalent among women living in rural areas than women living in urban areas (19.1% v.s 13.3%, <it>P </it>< 0.0001).</p> <p>Conclusion</p> <p>This study showed that educational level is associated with bone health in this population of postmenopausal women with significantly higher osteoporosis found in lower social groups. Therefore, we suggest that women with low social level should be carefully evaluated for signs of osteoporosis during routine physical examinations.</p