113 research outputs found

    CT-guided nucleoplasty: preliminary experience

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    Cognitive function, social integration and mortality in a U.S. national cohort study of older adults

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    <p>Abstract</p> <p>Background</p> <p>Prior research suggests an interaction between social networks and Alzheimer's disease pathology and cognitive function, all predictors of survival in the elderly. We test the hypotheses that both social integration and cognitive function are independently associated with subsequent mortality and there is an interaction between social integration and cognitive function as related to mortality in a national cohort of older persons.</p> <p>Methods</p> <p>Data were analyzed from a longitudinal follow-up study of 5,908 American men and women aged 60 years and over examined in 1988–1994 followed an average 8.5 yr. Measurements at baseline included self-reported social integration, socio-demographics, health, body mass index, C-reactive protein and a short index of cognitive function (SICF).</p> <p>Results</p> <p>Death during follow-up occurred in 2,431. In bivariate analyses indicators of greater social integration were associated with higher cognitive function. Among persons with SICF score of 17, 22% died compared to 54% of those with SICF score of 0–11 (p < 0.0001). After adjusting for confounding by baseline socio-demographics and health status, the hazards ratio (HR) (95% confidence limits) for low SICF score was 1.43 (1.13–1.80, p < 0.001). After controlling for health behaviors, blood pressure and body mass, C-reactive protein and social integration, the HR was 1.36 (1.06–1.76, p = 0.02). Further low compared to high social integration was also independently associated with increased risk of mortality: HR 1.24 (1.02–1.52, p = 0.02).</p> <p>Conclusion</p> <p>In a cohort of older Americans, analyses demonstrated a higher risk of death independent of confounders among those with low cognitive function and low social integration with no significant interaction between them.</p

    Changes of overweight and obesity in the adult Swiss population according to educational level, from 1992 to 2007

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    In many high income developed countries, obesity is inversely associated with educational level. In some countries, a widening gap of obesity between educational groups has been reported. The aim of this study was to assess trends in body mass index (BMI) and in prevalence of overweight and obesity and their association with educational level in the adult Swiss population. Four cross-sectional National health interview surveys conducted in 1992/93 (n = 14,521), 1997 (n = 12,474), 2002 (n = 18,908) and 2007 (n = 17,879) using representative samples of the Swiss population (age range 18-102 years). BMI was derived from self-reported data. Overweight was defined as BMI &gt; or = 25 and &lt;30 kg/m(2), and obesity as BMI &gt; or = 30 kg/m(2). Mean (+/- standard deviation) BMI increased from 24.7 +/- 3.6 in 1992/3 to 25.4 +/- 3.6 kg/m2 in 2007 in men and 22.8 +/- 3.8 to 23.7 +/- 4.3 kg/m(2) in women. Between 1992/3 and 2007, the prevalence of overweight + obesity increased from 40.4% to 49.5% in men and from 22.3% to 31.3% in women, while the prevalence of obesity increased from 6.3% to 9.4% in men and from 4.9% to 8.5% in women. The rate of increase in the prevalence of obesity was greater between 1992/3 and 2002 (men: +0.26%/year; women: +0.31%/year) than between 2002 and 2007 (men: +0.10%/year; women: +0.10%/year). A sizable fraction (approximately 25%) of the increasing mean BMI was due to increasing age of the participants over time. The increase was larger in low than high education strata of the population. BMI was strongly associated with low educational level among women and this gradient remained fairly constant over time. A weaker similar gradient by educational level was apparent in men, but it tended to increase over time. In Switzerland, overweight and obesity increased between 1992 and 2007 and was associated with low education status in both men and women. A trend towards a stabilization of mean BMI levels was noted in most age categories since 2002. The increase in the prevalence of obesity was larger in low education strata of the population. These findings suggest that obesity preventive measures should be targeted according to educational level in Switzerland

    Cervical CT-guided, selective nerve root blocks: improved safety by dorsal approach

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    Application of Nearest Neighbor Indices in Studying Structure of the Unlogged Beech (Fagus Orientalis Lipsky) Forests in Kheyrud, Nowshahr

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    The quantitative description of forest structure can be regarded as one of the most usable working tools in modern forest management.The study aims at analyzing the stand structure in unlogged beech forests using nearest neighbor indices. Data collection was done in compartment 319 with an area about 48 ha in Educational and Experimental Forests of University of Tehran. Species and DBH of all trees with DBH > 7.5 cm were recorded. The location of each tree species was determined using azimuth and distance method in order to map tree positions. The nearest neighbor indices including Clark and Evans’s index, species mingling’s index (DMi), Relative mingling index (S) and diameter differentiation index (Tij) were then calculated using Crancod ver. 1.3 software. Using Clark and Evans’ index, the spatial pattern of trees in the study area was determined as clustered. The value of mingling index (0.31) indicated low mingling of species in these forests. The mean value of Tij (0.43) indicates moderate differentiation of trees regarding DBH, whereas S index (0.44) which is greater than 0 implies species separation in the study area. This research emphasizes the application of nearest neighbor indices in studying the beech stands structure

    Investigation of Different Forest Type’s Structure with Applying Nearest Neighbor Indices (Case Study: Gorazon District, Kheyrud Forest)

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    To implement correct management of forest ecosystems, enough information in relation to the structures of tree species is necessary. In this study, the structures of trees species in Fagus, Fagus-Carpinus, Carpinus-Fagus and Carpinus-Quercus types were investigated and compared in Hyrcanian forest. The data used in this study was collected from 239 plots with an area of 1000 m2 in Gorazbon district of Kheyrud forest, and Crancod (ver. 1.3) software was employed to calculate the uniform angle (Wi), Mingling (DMi), DBH dominance (TDi) and Height dominance (THi) indices. The result of uniform angle index showed a random positioning for the trees in the studied types. Also, the result of mingling index showed a low mixture for four studied types. The result of this index indicated an intra-specific competition for Fagus orientalis and Carpinus betulus and an inter-specific competition for other species. The average value of DBH and Height dominance indices showed a relative similarity among the studied types. The result of these indices showed that some species such as Acer velutinum,، Tilia begonifolia and Alnus subcordata are dominant and species including Ulmus glabra and Diospyros lotus are dominated. The comparing of similar species structure showed a non significant difference for positioning, DBH and height dominance features in different types. Also, this comparison showed a significant difference in mingling feature of Carpinus betulus, Fagus orientalis, Acer velutinum, Tilia begonifolia, and also deadwoods in the studied types. The utilized indices in this study had a high ability in the description of forest types' structures and also the ecological features of trees species
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