1,287 research outputs found

    Collecting State-level Oral Health Data When Resources Are Limited: an Approach to Oral Health Surveillance

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    Many states and localities do not have the resources to conduct oral health surveys of their whole populations, but the demands for data collection continue to increase for both program administration and for Maternal and Child Health Block Grant funding. As one response to this problem, the Oral Health Program of the Michigan Department of Public Health developed an oral health surveillance system as a low-cost method of collecting usable data from the service populations of local health agencies providing direct patient care in Michigan. A record form, to be completed by dentists or hygienists in those agencies at initial or recall examinations, was developed and pilot-tested for all patients of target age groups who presented over a specified four-week period. This paper gives the results from 19 agencies that participated in the pilot test in Michigan. Results showed that 40.5 percent of 2–5-year-olds (n/341) had some caries experience, their d/dft was 78.2 percent, and mean dft was 4.8 (SD±3.5). Among the 6–19-year-olds (n/710), 61.4 percent had experienced caries, the D/DFT was 41.8 percent, and the mean DFT was 4.2 (SD±3.2). Among the adults examined, 45.1 percent of 20–64-year-olds (n = 820) and 38.1 percent of those 65 years or older (n = 105) had two or more teeth with untreated decay. These data suggest a high level of untreated disease among the service populations of the local dental health agencies. The method of data collection was well accepted by the staff of the agencies concerned and proved to be simple and inexpensive to conduct. While the population examined is not representative of the state population, it reflects a good cross-section of the population seeking clinical dental services through public health agencies. The data will be used in program development and to address the Maternal and Child Health reporting requirements of the Omnibus Budget Reconciliation Act of 1989. We intend to conduct this oral health surveillance survey periodically in Michigan to demonstrate trends in oral disease.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/66051/1/j.1752-7325.1993.tb02713.x.pd

    Conducting Polymers and Corrosion III. A Scanning Vibrating Electrode Study of Poly(3-octyl pyrrole) on Steel and Aluminum

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    Electroactive conducting polymers (ECPs) continue to be of considerable interest as components of corrosion-resistant coating systems. ECPs, in addition to being conductive, are redox active materials, typically with potentials that are positive of iron and aluminum. Thus, as with chromate, interesting and potentially beneficial interactions of ECPs with active metal alloys such as steel and aluminum are anticipated. In this work, the scanning vibrating electrode technique (SVET), also known as the current density probe, was used to probe such interactions between a poly(3-octyl pyrrole) coating (POP) and cold-rolled steel and aluminum (Al 2024-T3) substrates. The POP coatings were scribed to simulate a defect through the coating to the metal substrate surface. The SVET was used to map the current flowing in and around the defect while the sample was immersed in either 3% NaCl (steel) or in dilute Harrison solution (aluminum), an aqueous solution consisting of 0.35% (NH4)2SO4, 0.05% NaCl. Although there were significant differences in the behavior of the POP-coated steel and POP-coated aluminum substrates, both exhibited a significant delay before the onset of any observable current compared to uncoated or epoxy-coated samples. Current density maps for the steel clearly indicate that the reduction reaction occurred on the conducting polymer surface, with oxidation confined to the defect. Current density maps for the aluminum alloy never displayed significant oxidation at the defect. Rather, reduction (after a significant delay) occurred at the defect as well as across the polymer surface, with concomitant localized undercoating oxidation of the aluminum substrate

    Cardiovascular disease in the Peruvian Andes: local perceptions, barriers, and paths to preventing chronic diseases in the Cajamarca region

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    Objectives: Public health interventions can be improved by understanding peoples' explanatory models of disease. We explore awareness and perceptions of cardiovascular diseases (CVD) and options for preventative actions in young adults living in rural Andean communities. Methods: We used convenience sampling to select 46 men and women from communities in Cajamarca (Peru). Subjects participated in eight focus groups where they discussed their understanding and perceived causes of CVD as well as barriers and pathways to healthy lifestyles. Results: Fresh foods, physical activity, unpleasant emotions, and healthcare access were cited as important determinants of healthy lifestyles. Barriers to healthy diets included lacking nutritional knowledge, fluctuating food prices, and limited access to foodstuffs. Women felt particularly vulnerable to CVD and identified gendered barriers to manage stress and engage in sports. Low health literacy, poor doctor-patient relationships, and long distances prevented participants from fully accessing healthcare. Conclusion: CVD prevention interventions should consider local knowledge of these diseases and of healthy lifestyles, and harness ongoing programmes that have successfully promoted good nutrition in children and pregnant women. In concert with public-private parterships, governments should include disease prevention interventions for the entire family

    Early anthropoid femora reveal divergent adaptive trajectories in catarrhine hind-limb evolution

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    The divergence of crown catarrhines—i.e., the split of cercopithecoids (Old World monkeys) from hominoids (apes and humans)—is a poorly understood phase in our shared evolutionary history with other primates. The two groups differ in the anatomy of the hip joint, a pattern that has been linked to their locomotor strategies: relatively restricted motion in cercopithecoids vs. more eclectic movements in hominoids. Here we take advantage of the first well-preserved proximal femur of the early Oligocene stem catarrhine Aegyptopithecus to investigate the evolution of this anatomical region using 3D morphometric and phylogenetically-informed evolutionary analyses. Our analyses reveal that cercopithecoids and hominoids have undergone divergent evolutionary transformations of the proximal femur from a similar ancestral morphology that is not seen in any living anthropoid, but is preserved in Aegyptopithecus, stem platyrrhines, and stem cercopithecoids. These results highlight the relevance of fossil evidence for illuminating key adaptive shifts in primate evolution

    Gender based water violence: cross cultural evidence of severe harm associated with water insecurity for women and girls

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    We examined how study participants in Indonesia and Peru viewed the relationship between water insecurity and women's health via thematic analysis of interviews and focus groups. Participants reported that water insecurity led to vaginal infections, miscarriage, premature births, uterine prolapse, poor nutrition, restricted economic opportunities, and intergenerational cycles of poverty. Participants in both countries stated that extreme burdens associated with water insecurity should be categorized as violence. Based on these findings, we developed the concept of “gender-based water violence,” defined as the spectrum of stressors associated with water insecurity that are so severe as to threaten human health and well-being, particularly that of women and girls

    A "cookbook" for vulnerability research

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    There is a growing need to facilitate the interdisciplinary study of the relationship between the environment and human health and well-being. It is increasingly recognized that vulnerability is a key construct allowing discipline-specific research questions on these topics to be meaningfully contextualized. However, there is little consensus regarding the meaning of the concept of vulnerability or how it can best be utilized in research studies. In this perspective article, we use the metaphor of a "cookbook" to review promising trends in vulnerability research and to make this body of research accessible to a multi-disciplinary audience. Specifically, we discuss a selection of "recipes" (theoretical frameworks), "ingredients" (vulnerability domains), "cooking tools" (qualitative and quantitative methods), and approaches to "meal presentation" (communication of results) drawn from vulnerability studies published in the past 15 years. Our aim is for this short "cookbook" to serve as a jumping-off point for scholars unfamiliar with the vulnerability literature and an inspiration for scholars more familiar with this topic to develop new ways to navigate the tension between locally-specific assessments of vulnerability and attempts at standardization. Our ultimate take-home message is that the specifics theories and methods used in vulnerability research are less important than attention to what we see as the 3 'T's of transparency, triangulation, and transferability, and to efforts to make vulnerability research both "place-based" and comparable
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