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Administrative Unit (administrative + unit)

Distribution by Scientific Domains

Medical Sciences	50%

Selected Abstracts

Nonobese population in a developing country has a high prevalence of nonalcoholic fatty liver and significant liver disease,,

HEPATOLOGY, Issue 5 2010
Kausik Das
There is a paucity of community-based epidemiological data on nonalcoholic fatty liver (NAFL) among nonaffluent populations in developing countries. Available studies are radiological and/or biochemical and lack histological assessment, limiting their strength. We conducted a prospective epidemiological study comprising a 1:3 subsample of all adult (>18 years) inhabitants of a rural administrative unit of West Bengal, India. Subjects positive for hepatitis B virus and/or hepatitis C virus infection and consuming any amount of alcohol were excluded. Diagnosis of NAFL was by dual radiological screening protocol consisting of ultrasonographic and computed tomographic examination of the liver. Transient elastographic examination and liver biopsy were performed in a subset to identify significant liver disease. The risk factors of having NAFL were analyzed. A total of 1,911 individuals were analyzed, 7% of whom were overweight and 11% of whom had abdominal obesity. The prevalence of NAFL, NAFL with elevated alanine aminotransferase, and cryptogenic cirrhosis was 8.7%, 2.3%, and 0.2%, respectively. Seventy-five percent of NAFL subjects had a body mass index (BMI) <25 kg/m2, and 54% were neither overweight nor had abdominal obesity. The subjects with the highest risk of having NAFL were those with a BMI >25 kg/m2 (odds ratio 4.3, 95% confidence interval 1.6-11.5). Abdominal obesity, dysglycemia (fasting plasma glucose >100 mg/dL or elevated homeostatic model assessment of insulin resistance), and higher income were the other risk factors. Even having a normal BMI (18.5-24.9 kg/m2) was associated with a 2-fold increased risk of NAFL versus those with a BMI <18.5 kg/m2. Conclusion: There is a significant prevalence of NAFL and potentially significant liver disease, including cryptogenic cirrhosis, in this predominantly nonobese, nonaffluent population in a developing country. NAFL will be a major determinant of future liver disease burden in countries of the developing world. (HEPATOLOGY 2010) [source]

Organizational structures that support internal program evaluation

NEW DIRECTIONS FOR EVALUATION, Issue 120 2008
Michael T. Lambur
This chapter explores how the structure of large complex organizations such as Cooperative Extension affects their ability to support internal evaluation of their programs and activities. Following a literature review of organizational structure and its relation to internal evaluation capacity, the chapter presents the results of interviews with 10 selected Extension evaluators. Four structures for evaluation in Extension organizations are identified: (1) a separate evaluation unit, (2) within an administrative unit, (3) within a program area, and (4) within an academic department or school. The interviews addressed the philosophy and approach to program evaluation, what evaluators do, the perceived effects of organizational structure on evaluation, and reflections on the optimal structure for program evaluation in Extension. Several conclusions are presented: the evaluation function should be associated with a high administrative level in the organization, locating the evaluation function in program units appears to be preferred, roles and responsibilities of internal evaluators need to be clearly specified, internal evaluators need to work closely with administration and management to carry out their roles effectively and to incorporate evaluation into organizational decision making, and internal evaluators often assume other roles beyond their primary role as evaluator. © Wiley Periodicals, Inc. [source]

Occurrence of seizures in association with work-related stress in young male army recruits

EPILEPSIA, Issue 8 2008
Shlomo Moshe
Summary Purpose: To examine the risk of undergoing an epileptic seizure as a function of differing levels of occupational stress (physical and mental) in new military recruits with no previous history of epilepsy or with epilepsy in remission for over 2 years. Methods: The medical records of over 300,000 18-year-old men recruited to the Israeli army between mid-eighties and mid-nineties were used to assemble a cohort, which was followed for a period of 30 months. The severity of epilepsy at recruitment was determined according to four categories, 0 (no history of seizures) and 1,3 (history of seizures with different relapse-free periods, with or without treatment). The soldiers were subdivided according to their occupational categories to: combat units (CU), maintenance units (MU), and administrative units (AU). Results: The annual incidence rates per 100,000 in category 0 were 317, 298, and 401 in AU, MU, and CU, respectively. The incidence of seizures in category 0 was higher (relative risk [RR]= 1.29, CI = 1.03,1.62) in CU compared to AU and MU. No differences were found for seizure recurrence among various occupational groups. Conclusion: The increased risk of seizures in CU compared to AU and MU may indicate contribution of service conditions in CU, like physical and mental stress. The equivalent rates of seizure relapse, regardless of the type of occupation, suggests the need for minimal occupational restrictions for epilepsy patients who have been free of seizures for long periods. [source]

Modelling long-term pan-European population change from 1870 to 2000 by using geographical information systems

JOURNAL OF THE ROYAL STATISTICAL SOCIETY: SERIES A (STATISTICS IN SOCIETY), Issue 1 2010
Ian N. Gregory
Summary., The paper presents work that creates a geographical information system database of European census data from 1870 to 2000. The database is integrated over space and time. Spatially it consists of regional level data for most of Europe; temporally it covers every decade from 1870 to 2000. Crucially the data have been interpolated onto the administrative units that were available in 2000, thus allowing contemporary population patterns to be understood in the light of the changes that have occurred since the late 19th century. The effect of interpolation error on the resulting estimates is explored. This database will provide a framework for much future analysis on long-term Europewide demographic processes over space and time. [source]