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PubMed2005

Preliminary economic analysis of poultry litter gasification option with a simple transportation model.

Several environmental issues are related to the disposal of poultry litter. In an effort to provide a more environmentally friendly alternative than landfill disposal or spreading as a soil amendment, work has been carried out previously at the University of Tennessee Space Institute (UTSI). This past UTSI work was concentrated on developing a catalytic steam gasification concept to produce energy from poultry litter. In the past UTSI studies, preliminary design and economics for a stationary, centralized gasification plant capable of processing approximately 100 ton/day of poultry litter were developed. However, in this preliminary design the economic impact of transporting litter to a centralized gasification plant location was not addressed. To determine the preliminary impact of transporting the poultry litter on the overall economics of this energy conversion plant design, a simple transportation model was developed. This model was used in conjunction with the earlier plant design prepared at UTSI to determine the economic feasibility of a centralized, stationary poultry litter gasification plant. To do so, major variables such as traveling distance, plant feed rate (or capacity), fluctuations in the sales price of the product gas (that means value of the energy), population density of poultry farms, impact of tipping fees, and cost of litter were varied. The study showed that for plant with a capacity of 1000 ton/day to be able to withstand several changes in economic conditions and sustain itself, the poultry farm density would need to be approximately 0.3 houses/mi2. Smaller plants would need either a higher energy price or some kind of subsidy to be economically feasible.

Animals↗
PubMed2002

Utilization of physician health care services in Mexico by U.S. Hispanic border residents.

One of the most controversial topics in the U.S. is the issue of accessibility to health services by U.S. residents. This issue is most critical to U.S. Hispanic residents living along the U.S.-Mexico border who have been identified as having low health standards and low socio-economic conditions when compared to the rest of the state and the country. The availability of lower cost health services across the U.S. border in Mexico is, therefore, perceived as a viable economic alternative source of health care. This study is derived from a health needs assessment survey of 1,100 households residing in Laredo, Texas, the largest land port along the 2,000-miles long U.S.-Mexico border. The major result of this study indicates that about 41.2 percent of the Laredo U.S. Hispanic residents are utilizing cross border physician health care services in Mexico.

Adult↗
PubMedDate not supplied

[Prevalence of normal occlusion and malocclusion in Bauru (Sao Paulo) students. 2. Influence of socioeconomic level].

We have evaluated 2,416 children of both sexes from Bauru, with mixed dentition, at the age between 7 and 11 years, enrolled in 18 public and private schools. The data regarding their occlusal conditions were written down in index cards previously elaborated to make possible the percentual calculation and the illustrative graphics. In this article we propose to find out the percentage of normal occlusion and distribution of malocclusions, according to the anteroposterior relationship between the dental archs (following the ANGLE3 classification) and their social-economical status. The results show a low percentual of normal occlusion, in total of 11.47% from the studied population. Class I malocclusion was the most prevalent (55%), followed by class II (42%) and, finally, by class III (3%). The social-economical condition had an influence upon the percentual of normal occlusion and class I malocclusion. In a lower social-economical level there was an increase in the percentual of class I malocclusion to the detriment of the reduction of normal occlusion. Class II and III malocclusions were not influenced by the social-economical status.

Brazil↗
PubMed2004

Childhood migration and cardiovascular risk.

BACKGROUND: Childhood living conditions have been hypothesized to be associated with the development of cardiovascular diseases and diabetes mellitus in adult life. METHODS: We analysed, using logistic regression, the risk of self-reported diabetes, hypertension, hyperlipidaemia, and ischaemic heart disease in a population-based sample of 3643 Chinese men and 3778 Chinese women some of whom had experienced a change to more favourable economic conditions at different life stages through migration from mainland China to Hong Kong. RESULTS: Adjusting for socio-economic status, risk behaviours, and family history, the development of diabetes was associated with migration from China to Hong Kong in the first two decades of life, albeit with a decreasing intensity of effect (OR = 2.02, 95% CI: 1.18, 3.45, OR = 1.84, 95% CI: 1.27, 2.66, and OR = 1.72, 95% CI: 1.21, 2.45 for migration at ages 0-7, 8-17, and 18-24, respectively). The development of hypertension was mostly susceptible to environmental change during the growth spurt and puberty (migration at ages 8-17 OR = 1.56, 95% CI: 1.22, 1.99). The development of heart disease was associated with a sex-specific critical period in early childhood for men (migration at ages 0-7 OR = 3.17, 95% CI: 1.70, 5.91). CONCLUSION: Environmental change by migration throughout the first two decades of life can affect the development of diabetes, hypertension, hyperlipidaemia, and ischaemic heart disease, although adverse childhood conditions alone may not be a risk factor. Our results suggest that specific life course pathways may pre-dispose to these conditions and could be relevant to their aetiology in populations undergoing rapid development.

Adolescent↗
PubMed2003

Place characteristics and residential location choice among the retirement-age population.

OBJECTIVES: We investigate the association between an extensive set of location-specific factors and the propensity of retirement-age individuals to remain in, or relocate to, those locations. In particular we investigate whether state and local fiscal factors influence the migration decisions of retirees, and we study the relative importance of fiscal and other factors in these decisions. METHODS: We place decisions regarding whether to move and where to locate in a single discrete-choice framework. We estimate an individual-level location-choice model by using a combination of place-characteristics data and Census county-to-county migration data for the period 1985-1990. RESULTS: We find that levels of tax burdens and public services can affect location decisions. Of the fiscal variables, income taxes have the largest relative effects. However, other factors, including climate, economic conditions, and population characteristics, appear to play much larger roles in migration and location decisions. DISCUSSION: Although income tax reductions might influence the location decisions of recent retirees, whether or not the economic benefits associated with these population gains outweigh the accompanying revenue losses is an important area for further research. A more cost-effective strategy may be for states to focus on marketing their amenities rather than using fiscal policy to recruit retirees.

Aged↗
PubMed2007

Diet, physical activity, and adiposity in children in poor and rich neighbourhoods: a cross-sectional comparison.

BACKGROUND: Obesity in Canadian children increased three-fold in twenty years. Children living in low-income neighborhoods exercise less and are more overweight than those living in more affluent neighborhoods after accounting for family socio-economic status. Strategies to prevent obesity in children have focused on personal habits, ignoring neighborhood characteristics. It is essential to evaluate diet and physical activity patterns in relation to socio-economic conditions to understand the determinants of obesity. The objective of this pilot study was to compare diet, physical activity, and the built environment in two Hamilton area elementary schools serving socio-economically different communities. METHODS: We conducted a cross-sectional study (November 2005-March 2006) in two public elementary schools in Hamilton, Ontario, School A and School B, located in low and high socioeconomic areas respectively. We assessed dietary intake, physical activity, dietary restraint, and anthropometric measures in consenting children in grades 1 and higher. From their parents we assessed family characteristics and walkability of the built environment. RESULTS: 160 children (n = 48, School A and n = 112, School B), and 156 parents (n = 43, School A and n = 113, School B) participated in this study. The parents with children at School A were less educated and had lower incomes than those at School B. The School A neighborhood was perceived to be less walkable than the School B neighborhood. Children at School A consumed more baked foods, chips, sodas, gelatin desserts, and candies and less low fat dairy, and dark bread than those at School B. Children at School A watched more television and spent more time in front of the computer than children studying at School B, but reported spending less time sitting on weekdays and weekends. Children at both schools were overweight but there was no difference in their mean BMI z-scores (School A = 0.65 versus School B = 0.81, p-value = 0.38). CONCLUSION: The determinants of overweight in children may be more complex than imagined. In future intervention programs researchers may consider addressing environmental factors, and customizing lifestyle interventions so that they are closer to community needs.

Adiposity↗
PubMedDate not supplied

[At the start of the 21st century, we have the means to reduce malnutrition in sub-Saharan Africa, but will we do it?].

The number of malnourished children in Africa continues to increase. It has been proven that such tendency could be stopped or even reversed if the lessons learnt from successful community nutrition programs were applied. The authors do not deny the role that poor socio-economic conditions play on malnutrition, and that those conditions need to be improved for a long-lasting impact, but they also argue that it is possible to act in parallel and get positive results, without waiting for macro-economic improvements. Successful projects such as those from Tamil Nadu in India, Iringa in Tanzania, Secaline in Madagacar, the PNC in Senegal, the AIN-C in Honduras, Prosen in Cameroon all applied the same principles and a similar approach. To reach success, international nutrition experts identified eighteen principles which should be used when designing and monitoring a community nutrition program, and there are also five phases to follow during the design stage. Finally, the authors suggest that if nutrition seems to often be underfunded, it is mainly because nutritionists in general have not been able to come up with feasible and well-conceived programmes. A few ideas are provided on how to access financing from health sector programs, by ensuring that the community nutrition programme helps implement certain aspects of those health sector programs. The conclusion is that there is no excuse not to start improving the nutritional status of African children now.

Adolescent↗
PubMed1992

Biological status of Jastarnia, Szczawnica and Krościenko populations as an effect of adaptation to seaside and low mountain conditions.

The material consists of the families from Krościenko and Szczawnica examined in 1983 (309 men and 256 women) and of the families from Jastarnia examined in 1987 (163 men and 192 women). In addition to 43 biological traits (somatic, physiological, and psychomotor), also socio-economic conditions of families were analyzed, along with basic demographic data for the study areas. It has been found that migrations of people and marital radius were higher in Jastarnia than in Pieniny, and at the same time infant mortality was higher in Jastarnia, although living conditions were better there (more rooms and more opportunities for additional income). Children and youth of both areas were characterized by a medium-strong body build. Stature, body weight, and adipose tissue were higher in Jastarnia than in Pieniny. Moreover, the inhabitants of Pieniny were europrosopus and hyperbrachycephalic, whereas the inhabitants of the seaside areas were leptoprosopic and brachycephalic. The vascular-respiratory system of the seaside population was characterized by lower mean hemoglobin concentrations and hematocrit index as compared with those in the low-mountain population. Most of the respiratory traits (VC, Ap, VE, MVV, FEV1), however, were higher in Jastarnia, only the frequency of respiration (f) being higher in Pieniny. A comparison of psychomotor traits showed no difference in the static strength and muscular explosive power between the two populations, but agility traits were higher in Jastarnia, whereas the body balance and musculatory endurance were better in the Pieniny population.

Adaptation, Physiological↗
PubMed1997

Health inequalities in later life in a social democratic welfare state.

The paper examines inequalities in mental health and "serious" illness, i.e. illness with significant consequences, among 964 men and women aged 65 and over in Norway. The aim is to analyse the extent to which the assumed class differentials in ill health in later life are accounted for by current socioeconomic circumstances and social and economic conditions during upbringing. Multiple logistic regression analyses suggest that the bivariate relationship between previous class location and present health condition among elderly men remains or may be attributed to current income. For women, their previous class location is not significantly related to either health outcome. However, women's current income and present economic difficulties are significantly related to both health measures in the expected direction. In addition, serious illness is related to long-standing illness in childhood, and poorer mental health is associated with economic hardship in childhood and dissension in the family of upbringing. For neither sex was father's social class during upbringing an important predictor of ill health. It is concluded that health inequalities in later life may, at least to some extent, be attributed to the "legacy of the past", and that the social democratic welfare state has not succeeded in eradicating health inequalities despite its egalitarian age pension policy.

Aged↗
PubMed1996

The nutritional status of the elderly in Russia, 1992 through 1994.

OBJECTIVES: The purpose of this study was to ascertain how economic reform has affected nutritional well-being of the elderly in the Russian Federation. METHODS: A sample of more than 2932 Russians 60 years of age and older was selected from a nationally representative survey of Russian households. A 24-hour dietary recall and data on weight, height, and socioeconomic status were collected during 1992 and 1993 and from a separate nationally representative sample of 1955 persons in the same age group in 1994. RESULTS: Russia's elderly did not experience major declines in economic or nutritional well-being during the first 2 years of the reform period. Dietary composition shifted slightly toward reduced fat consumption. A small proportion of individuals showed signs of underweight. Of those who were underweight in 1992, none had lost more than 3 kg of weight by 1993. Among those 70 years of age and older, none who were underweight had lost any appreciable weight, although half lost small amounts. CONCLUSIONS: Many more underweight elderly people increased than reduced their weight. Mean weight increased among all body mass index groups over the year reported here. However, economic conditions in December 1994 raise concerns.

Aged↗
PubMedDate not supplied

A subregional assessment of demographic and health trends in the Americas: 1980-1998.

Close to 14 percent of the world's population lives in the Americas and the total population of this area is expected to reach 823,225,000 by the year 2000. Periodic assessments of the health situation and trends in conditions throughout subregions of the Americas have been undertaken by the Pan American Health Organization (PAHO) since the mid-1950s. These assessments demonstrate and underscore some major disparities in social, health and economic conditions in the various countries within the region. Analysis of some 38 demographic, socioeconomic, vital statistics and resource availability indicators show encouraging health and social progress between 1980 and 1998. Data concerning the health situation and trends in eight subregions of the Americas show a demographic reshape and an overall improvement in a variety of health indicators over this period. Important changes occurred in the epidemiological profile of the populations, shifting from a mainly communicable disease profile to one in which chronic diseases also affect a major portion of the population. This double health burden is unique in the region of the Americas. Improvements in social as well as health indicators were evidenced throughout the various subregions but at differing levels and at varying rates. Marked changes in total fertility, infant mortality, life expectancy and morbidity rates characterized the period between 1980 and 1998. The discrepancies between countries are highlighted and areas in need of further improvement outlined.

Americas↗
PubMed1993

Influence of living conditions on the incidence of anemia and effects of health guidance and diet supplementation on recovery from anemia of women in fishing villages.

Studies were made on the relationship between the incidence of anemia and living conditions of women in fishing villages in Tokushima prefecture, and also on the effects of health guidance and supplementation of the diet with iron enriched food on recovery from anemia. With regard to economic conditions, Hb values were found to be higher in women who spent more money on food and who had much leisure time compared with working hours. With regard to diet, Hb values were higher in women with higher intakes of animal protein and vitamin C. Intake of vitamin C was significantly higher in a group with hemoglobin value of over 12.0 g/dl than in a group with hemoglobin value of under 12.0 g/dl. The cumulative recovery rate from anemia of women receiving health guidance was 61.5% and the cumulative recovery rate from anemia of women receiving Tsukudani (a preparation of small dried sardines) enriched with iron for 60 to 105 days (30 to 75 mg iron per day: average 59.3 mg per day) was 53.3%. But the recovery rate of serum iron was lower than those of Hb and Ht, being about 40% on the average.

Adult↗
PubMed2004

Pediculosis capitis among schoolchildren in urban and rural areas of eastern Poland.

The objective of this study was to compare the prevalence of head pediculosis in the rural and urban environments of Lublin Province (eastern Poland) in 1996-2000 and to examine socioeconomic factors influencing distribution among schoolchildren. A total of 95,153 schoolchildren living in urban and rural areas were examined twice yearly by school nurses. The overall rate of head pediculosis differs significantly between rural (1.59%) and urban (0.48%) schools in eastern Poland. Children between 8 and 12 years old were most frequently infested. Pediculosis was observed most frequently in girls both in the urban (63.5%) and rural (75.3%) schools and this was related with hairstyles. The prevalence of pediculosis decreased with increasing life standards, i.e. with high income, accessibility and consumption of water and better health care systems. Our findings showed that prevalence of pediculosis capitis depends on the age and sex of the schoolchildren and their living conditions. Hygienic controls of schoolchildren by nurses are important in the elimination of Pediculus humanus capitis. Our results confirmed pediculosis capitis is still a problem in different environments, particularly with lower life standards and poorer economic conditions of health care.

Adolescent↗
PubMed1993

Caregiving and long-term health care in the People's Republic of China.

The growing proportion of frail elderly in the People's Republic of China has necessitated policy of the state toward their long-term care. In this decade, there has been an increase in the amount of data available on the care and needs of Chinese frail elders. This article synthesizes these data and traces the patterns of care of frail elders. It distinguishes between urban and rural patterns, and identifies the increasing role of the family and community in the caregiving of elders. State policy, evident from the data, suggests that the state's role in direct care of elders is minor but that it continues to influence and support eldercare as part of its policy of promoting the one-child per couple policy. This process can be seen in support programs for the childless elder, who symbolizes the expected condition of a large number of future elders under the one-child policy. The article identifies four factors that are influencing the changing patterns of long-term care of elders in China: (1) economic reform programs; (2) the political agenda of the Chinese Communist Party; (3) differences in urban and rural economic conditions; and (4) policy directed at long-term investment in health care technology.

Aged↗
PubMed2004

[Nursing practice in the context of geographic isolation: implications for training].

A survey on the characteristics of the unique working context of nursing practice in remote areas of French Polynesia and semi-remote areas of northern Quebec demonstrates the importance of a specific training to best prepare the professionals who find themselves in this type of setting. Twenty professionals were interviewed: six nurses practicing in isolated stations in French Polynesia (Tuamotu Archipelago, Marquesas Islands and Austral Islands), six nurses practicing in semi-remote areas within northern Quebec (namely among the Algonquins, the Crees and the Attikameks), four officials of the French Polynesian Health Directorate and four training programme designers from Quebec who were encountered during an expedition to Montreal, Mistissini and Trois-Rivieres. The authors identified ten characteristics which were then regrouped into two categories for both of the practice contexts: first, those inherently linked to professional practice in an isolated context (including the characteristics of nursing practice, the working conditions, the community's health problems, their forms of socio-professional relations, their way of life, and their perception and responses to isolation); and second, those pertaining to the social and natural environment, the economic conditions and the community's cultural specificities. All of the results strongly demonstrate that the specificities of the skills utilised by these nurses are indeed very different than those which they received in their initial preparatory training. If a training programme specific to nursing practice in isolated settings seems essential for these nurses, their individual predisposition to practice in such a complex environment and the acknowledgement of their professional competencies are equally to be considered within the perspective of human resources management.

Adult↗
PubMed2002

How to reform the health care system given the experience of past failures.

There have been a number of attempts at a large-scale reform of the US health care system during the 20th century and all have failed. Problems continue to exist, however, in the organization, delivery, and financing of health care services. Under current economic conditions, the possibility for both reform and recovery is slim if at all. In this article, we discusses a realistic option to incremental reform that takes a more realistic view of the US social and economic situation of the 21st century and is more consistent with basic US values. Perhaps it is time for reformers to take such a pragmatic approach to this long-term problem.

Health Care Reform↗
PubMed2004

Relation between children's height and outdoor air pollution from coal-burning sources in the British 1946 birth cohort.

OBJECTIVE: Air pollution is associated with a number of health outcomes in childhood. In this study, we investigated whether air pollution is related to children's height. METHODS: The 1946 British birth cohort study recruited 5,362 children born in 1 week in March 1946. Height was measured when the children were aged 2, 4, 6, 7, 11 and 15 years. Data on socio-economic conditions and other characteristics were obtained in interviews. Areas of children's residence were categorised into four groups of air pollution on the basis of published coal-consumption data. RESULTS: After controlling for socio-economic factors, we found that air pollution was associated with children's height at several ages. The association, adjusted for socio-economic factors, was strongest at the age of 7 years, when children in the most polluted areas were 1.2 (95% confidence interval 0.5-1.8) cm shorter than those in the least polluted areas. After the age of 7 years the effect of air pollution diminished and disappeared by the age of 15 years. Further adjustment for birth weight and respiratory illness in childhood did not change this pattern. CONCLUSIONS: Children's height was inversely associated with air pollution, but the magnitude of the effect depended on age. However, the biological mechanisms linking children's growth with air pollution are not evident, and it remains to be confirmed whether the relationship is genuine and causal.

Adolescent↗
PubMed2002

[Characterization of peptide and amino acid profile in casein hydrolysates].

The nutritional quality of protein hydrolysates has been related in several reports to their di- and tripeptide contents. In the present work different hydrolytic conditions were tested using papain in order to prepare casein hydrolysates with a suitable peptide profile for being used in special diets. The hydrolysates were fractionated by size-exclusion HPLC and the rapid Correct Fraction Area method was used for quantifying the peptides. Among the five hydrolytic conditions studied, three of them gave rise to preparations having nutritionally similar peptide profiles. However, the use of the temperature of 37 degrees C and enzyme:substrate ratio (E:S) of 2% may probably be the most economical condition for industrial production.

Amino Acids↗