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Proxy Indicator (proxy + indicator)
Selected AbstractsDental injury among Brazilian schoolchildren in the state of São PauloDENTAL TRAUMATOLOGY, Issue 3 2004Sylvia Grimm Abstract ,,,To describe the distribution of dental trauma in Brazilian schoolchildren and its association with demographic, environmental and clinical factors. A random sample of 73 243 schoolchildren's oral examination records from private and public units, selected from 131 cities within the state of São Paulo, Brazil, was analysed. Trauma was assessed based on international methodological standards prescribed by the World Health Organization for Oral Health Surveys (1997). Proportions obtained were compared between urban and rural schools, as well as between private and public units. Oral health status indices were estimated based on the decayed, missing and filled teeth (DMFT) index , the average number of decayed, missing and filled teeth; the proportion of caries-free 5-year-old schoolchildren and anterior maxillary overjet among 12-year-old schoolchildren. The prevalence of dental trauma in anterior dentition was of 2.4, enrolling average 1.2 teeth per child. A rate of 2.4 impaired anterior teeth per thousand was obtained, upper central incisors being those that were most affected , 7.7 in every 10. Among 8- to 11-year-old children, the rates grew regularly. The proportion of dental trauma was significantly higher in boys than in girls (P < 0.01), and gender prevalence ratio was of 1.58 for boys. The results showed positive associations between dental trauma and caries-free 5-year-old schoolchildren (P = 0.003), anterior maxillary overjet,3 mm (P < 0.001), and private school as a socio-economic proxy indicator (P = 0.048). [source] A late Holocene record of arid events from the Cuzco region, PeruJOURNAL OF QUATERNARY SCIENCE, Issue 6 2003Alex Chepstow-Lusty Abstract The small recently infilled lake basin of Marcacocha (13°13,S, 72°12,W, 3355,m) in the Cuzco region of Peru has a morphology and location that renders it extremely sensitive to environmental change. A record of vegetation, human impact and climatic change during the past 4200,yr has been obtained from a highly organic core taken from the centre of the basin. Sustained arid episodes that affected the Peruvian Andes may be detectable using the proxy indicator of sedge (Cyperaceae) pollen abundances. As the lake-level was lowered during sustained drier conditions, the local catchment was colonised by Cyperaceae, whereas during lake floods, they retreated or were submerged and pollen production was correspondingly reduced. Drier episodes during prehistoric times occurred around 900,bc, 500,bc, ad 100 and ad 550, with a longer dry episode occurring from ad 900 to 1800. Evidence from the independently derived Quelccaya ice-core record and the archaeological chronology for the Cuzco region appears to support the climatic inferences derived from the sedge data. Many of these aridity episodes appear to correspond with important cultural changes in the Cuzco region and elsewhere in the Central Andes. Copyright © 2003 John Wiley & Sons, Ltd. [source] Urinary incontinence among institutionalized oldest old Chinese men in Taiwan,NEUROUROLOGY AND URODYNAMICS, Issue 4 2009Yi-Ming Chen Abstract Aims To explore prevalence and related factors for urinary incontinence (UI) among the oldest old institutionalized Chinese men in Taiwan. Methods All residents living in Banciao Veterans Care Home were invited for study. UI was defined as urinary leakage at least once weekly. Additional data items from the Minimum Data Set (MDS Nursing Home Chinese Version 2.1) were used to explore impact associated with physical function, cognitive status and quality of life (social engagement, SocE). Depressive symptoms were screened by the Short Form Geriatric Depression Scale. Results Data from 594 male residents (mean age: 80.9,±,5.3 years) were analyzed. Among all study subjects, 92.8% were functionally independent, 20.4% had certain cognitive impairment and 8.2% had depressive symptoms. The prevalence of UI in the Banciao Veterans Care Home was 10.1%. Compared with residents without UI, subjects with UI had poorer physical function, cognitive status, and more depressive symptoms. The mean SocE score was 1.5,±,1.3, and was similar between UI (+) and UI (,) subjects (1.4,±,1.2 vs. 1.6,±,1.3, P,=,0.411). By multivariate logistic regression, poorer physical functional status, cognitive impairment and depressive symptoms were independent risk factors for UI (P,<,0.05). Conclusions Poorer physical function, poorer cognitive status and depressive symptoms were all statistically significant independent risk factors for UI. However, SocE score (proxy indicator of quality of life) did not differ between subjects with and without UI. Further investigations are needed to evaluate the impact of UI on quality of life among oldest old institutionalized Chinese men in Taiwan. Neurourol. Urodynam. 28:335,338, 2009. © 2008 Wiley-Liss, Inc. [source] Potential impacts on the incidence of fatal heroin-related overdose in Western Australia: a time-series analysisDRUG AND ALCOHOL REVIEW, Issue 4 2002KIM HARGREAVES Abstract In response to the rising concerns about the rate of heroin-related fatalities, overdose prevention campaigns, run by both users' organizations and government agencies, have been implemented in a number of states across Australia. In Western Australia (WA) in mid-1997, various overdose prevention initiatives were implemented. These included the implementation of a protocol limiting police presence at overdose events; the commencement of naloxone administration by ambulance staff; and the establishment of the Opiate Overdose Prevention Strategy (OOPS) which provided follow-up for individuals treated for overdose in emergency departments. This paper reports the results of a multiple linear regression analysis of 60 months of time-series data, both prior to and following the implementation of these interventions, to determine their impact on the number of fatal heroin overdoses in WA. The model employed in the analysis controlled for changes over time in proxy indicators of use and community concerns about heroin, as well as market indicators. The results suggest that, although the interventions implemented have managed to reduce the expected number of fatalities, they have become less successful in doing so as time passes. This has implications for both existing and potential interventions to reduce fatal heroin-related overdose. [source] Development of a historical ice database for the study of climate change in CanadaHYDROLOGICAL PROCESSES, Issue 18 2002Frédéric Lenormand Abstract The Canadian government has been compiling various observations on freshwater and coastal sea ice conditions for many years. However, the records are not easily accessible and are dispersed within different government departments. Given this, a major effort was undertaken in order to gather all available observations into a common database,the Canadian Ice Database (CID). This database will respond to the needs for climate monitoring in Canada, the validation and improvement of numerical ice models and the development of new remote-sensing methods. Indeed, several studies have shown that freshwater ice and sea ice are good proxy indicators of climate variability and change. The first version of CID contains in situ observations from 757 sites distributed across Canada, which were originally kept on digital or paper records at the Meteorological Service of Canada Headquarters and the Canadian Ice Service (CIS). The CID holds 63 546 records covering the period from ice season 1822,23 to 2000,01. An analysis of the database allows one to trace the temporal evolution of the ice networks. The freeze-up/break-up network of 2000,01 only represents 4% of what it was in 1985,86. A drastic decline of the ice thickness and the snow on ice network is also observable. In 1997,98, it represented only 10% of the network that existed in 1984,85. The major budget cuts in Canadian government agencies during the late 1980s and the 1990s offer the most plausible explanation for the drastic decline in the ice observation networks. Weekly ice coverage determination on large lakes from satellite imagery by the CIS and the national volunteer ice monitoring program, IceWatch, may provide a means of reviving, at least, the freeze-up/break-up network. Copyright © 2002 John Wiley & Sons, Ltd. [source] Self-Esteem and Socioeconomic Disparities in Self-Perceived Oral HealthJOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 1 2009David Locker Abstract Objective: To determine if psychosocial factors explain the socioeconomic disparities in self-perceived oral health that persist after controlling for oral status variables. Methods: Data came from the participants in the Canadian Community Health Survey 2003 who were residents in the city of Toronto. Oral health variables included self-rated oral health, a 13-item oral health scale, denture wearing, and having a tooth extracted in the previous year. The last two measures were regarded as proxy indicators of tooth loss. Psychosocial variables included a self-esteem scale, a depression scale, and single items measuring life satisfaction, life stress, and sense of cohesion. Socioeconomic status was assessed using total annual household income. Results: Interviews were completed with 2,754 dentate persons aged 20 years and over. Bivariate analyses confirmed that there were income gradients in self-rated oral health and scores on the oral health scale. Linear regression analyses confirmed that these persisted after controlling for age, gender, denture wearing, and having a tooth extracted in the previous year. In the model predicting self-rated oral health self-esteem, life satisfaction, stress, a sense of cohesion, and depression also contributed to the model, increased its explanatory power, and reduced the strength of but did not eliminate the association between income and self-rated oral health. Broadly, similar results were obtained when the oral health scale score was used as the dependent variable. In both analyses and all models, denture wearing had the strongest and most enduring effect. Conclusion: Psychosocial factors partly but do not wholly explain the socioeconomic disparities in self-perceived oral health in this population after controlling for tooth loss and denture wearing. Other variables need to be added to the models to increase their explanatory power. [source] | ||||||||||