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Barycentric parameterizations for isotropic BRDFs.

A bidirectional reflectance distribution function (BRDF) is often expressed as a function of four real variables: two spherical coordinates in each of the the "incoming" and "outgoing" directions. However, many BRDFs reduce to functions of fewer variables. For example, isotropic reflection can be represented by a function of three variables. Some BRDF models can be reduced further. In this paper, we introduce new sets of coordinates which we use to reduce the dimensionality of several well-known analytic BRDFs as well as empirically measured BRDF data. The proposed coordinate systems are barycentric with respect to a triangular support with a direct physical interpretation. One coordinate set is based on the BRDF model proposed by Lafortune. Another set, based on a model of Ward, is associated with the "halfway" vector common in analytical BRDF formulas. Through these coordinate sets we establish lower bounds on the approximation error inherent in the models on which they are based. We present a third set of coordinates, not based on any analytical model, that performs well in approximating measured data. Finally, our proposed variables suggest novel ways of constructing and visualizing BRDFs.

Algorithms↗

[Factors associated with preference for cesarean delivery].

OBJECTIVE: To study factors related to preference for cesarean delivery, among pregnant women without medical complications. METHODS: A cross-sectional study was carried out among 156 pregnant women, in a private clinic in the city of Osasco, State of São Paulo, from October 2000 to December 2001. The pregnant women were at 28 weeks of pregnancy or more, with no formal contraindication for vaginal delivery at the time of the interview. Sociodemographic data and past and present obstetric history were assessed by applying a questionnaire. The pregnant women were specifically asked what their current preference for delivery was. Pearson's Chi-square test and logistic regression for multivariate analysis were performed with a 5% significance level. RESULTS: Sixty-seven pregnant women (42.9%) said they had little motivation to undergo vaginal delivery. In the multivariate analysis, the following variables were statistically significant: previous vaginal birth (p=0.001; ORadj=0.04; 95% CI=0.01-0.12); husband's monthly income greater than 750 reais (p=0.006, ORadj=3.44; 95% CI=1.38-8.33). The women with a previous vaginal delivery presented 25-fold lower chance of choosing cesarean delivery. The opinion that the previous delivery experience was unsatisfactory was marginally associated with the main outcome (p=0.06; ORadj=0.42; 95% CI=0.16-1.05). CONCLUSIONS: Motivation for cesarean delivery is associated with influences such as the type and degree of satisfaction with previous delivery and income.

Brazil↗

[Inequality in health care use by the elderly in three districts in Rio de Janeiro].

This article analyzes social inequalities in health care services utilization by the elderly and tests the influence of place of residence. The study was based on a sample survey of residents 60 years of age and older from three different areas in the city of Rio de Janeiro. The multi-stage sampling method led to violations of the logistic regression assumptions which were considered in the data analysis stage. Need was the most important factor related to utilization. However, gender, type of service, income, and place of residence also showed positive impact on health care utilization. Moreover, the effect of the income was modified by place of residence. The area with the best living conditions (Copacabana) did not show inequalities in health care services utilization. The income gradient was more important in middle and lower-income areas, i.e., Méier and Santa Cruz, respectively.

Age Distribution↗

Economic values of optimum traits: the example of meat quality in pigs.

In this paper a method is outlined to derive marginal-income functions and to calculate economic values for traits with an intermediate optimum such as meat-quality traits. A normal distribution of the quality trait was assumed, but the method can be used for other distributions as well. The parameters necessary to use this method are distribution of the quality trait, population mean and the standard deviation of the quality trait, optimum range, and price differences between products within and outside the optimum range. Especially, the optimum range for the quality trait and the price differences to be used have to be derived from consumer and processing research. Some alternative methods that can be used for selection on quality traits, such as restricted selection index, desired-gains index, and indices based on a quadratic aggregate genotype, are discussed.

Animals↗

Gravidity and parity in postmenopausal American Indian women: the Strong Heart Study.

The fertility of a large sample of American Indian women participating in the Strong Heart Study was examined to determine which factors are associated with variation in completed fertility among women in this population. The Strong Heart Study (SHS) is a study of cardiovascular disease (CVD) and its risk factors in American Indians living in Arizona, Oklahoma, and the Dakotas. Data were derived from a baseline examination between 1989 and 1992 of approximately 1,500 men and women, aged 45-74, from each of the 3 SHS centers. A personal interview elicited demographic information, family health history, and information on several life-style variables. A total of 1,955 ever-married, postmenopausal women were considered in these analyses. Women were considered to be postmenopausal if their menstrual cycles had stopped completely for at least 12 months, either because of natural or surgical processes. The average number of pregnancies (gravidity) for all women was 5.9, whereas the mean number of live births (parity) was 5.3. Women living in Arizona (5.6) and the Dakotas (5.8) had higher parity than those in Oklahoma (4.6). Furthermore, there was lower completed fertility in younger women: When American Indian women from all 3 centers were considered together, women born between 1910 and 1919 had a mean parity of 5.3, whereas women born between 1940 and 1949 had a mean parity of 4.0. Although previous research has suggested a relationship between parity and CVD risk factors, no linear associations between CVD risk factors and fertility were indicated in this population. We also examined the relationship of contraception, level of education, and income to fertility. While no significant relationship between contraception and the level of fertility was identified, there was a significant inverse linear relationship of both education and income with fertility. In summary, fertility rates in American Indian women are high, but appear to be decreasing in younger generations. Fertility is higher in those with less education and lower incomes.

Age Distribution↗

Health science libraries in the United States: a five-year perspective.

Two surveys of the universe of health science libraries in the United States have been completed by the Medical Library Association's Committee on Surveys and Statistics over a five-year period. This paper compares, for 1969 and 1973, summary data on the universe, and the distribution of libraries, resources, personnel, and salaries.

Educational Status↗

Marib Dam: the importance of environmental and health impact studies for development projects.

Marib Dam was built without an environmental impact assessment study which created many conflicts. In 1995 and 1996 its impact on water quality, agriculture and groundwater recharge and socioeconomics was studied. Lake water could suffer severe eutrophication when floods are weak and algae growth is not controlled. Introducing Tilapia nilotica provided biological control of algae growth. The dam positively affected agriculture and groundwater within the designed irrigation scheme but negatively affected them beyond it. The dam also negatively affected health conditions and increased conflicts over water distribution. It positively affected women by allowing them to work in agriculture and participate in decision-making. The dam raised income levels of farmers and encouraged tourism.

Agriculture↗

[Dental caries and socioeconomic conditions: a cross-sectional study among 18 years-old male in Florianópolis, Santa Catarina State, Brazil].

The aim of this study was to assess the prevalence and severity of dental caries and need for treatment among 18 years-old males in Florianópolis, Southern Brazil. In addition, the associations between dental caries and socioeconomic conditions were tested. A cross sectional study was carried out. A random sample of 300, was selected from a list of Brazilian Army conscripts. Clinical data were collected according to World Health Organization criteria. Socioeconomic data (years of education of the subjects, their fathers and mothers and family income) were collected through interviews. The statistical significance of associations between socioeconomic indicators and dental caries prevalence were tested using the chi-square test whilst for severity of dental caries Mann-Whitney test was used. The prevalence of dental caries was 81% and the mean DMF-T was 4.5. The mean number of teeth that needed treatment was 1.2. Both dental status and treatment need were statistically significantly associated with socioeconomic indicators. Those with low levels of education and income experienced more disease and needed more treatment than those from high levels of education and income.

Adolescent↗

Ecstasy use in New Zealand: findings from the 1998 and 2001 National Drug Surveys.

AIMS: To examine changes in the use of ecstasy, current conditions of supply, harms resulting from use, and the demographics of users. METHODS: National Drug Surveys were conducted in 1998 and 2001. In each survey, a representative national sample of approximately 5500 people aged 15-45 years were asked about their drug use, including ecstasy use, using a Computer Assisted Telephone Interview (CATI) system. Response rates of 79% and 80% respectively were achieved. RESULTS: Last-year use of ecstasy increased from 1.5% in 1998, to 3.4% in 2001. Large increases were found among men aged 20-24 (4.3% to 12.5%), and 25-29 (3.2% to 8.8%). In 2001, 43% of users thought ecstasy was easier to obtain and 29% thought the price was lower compared with a year earlier. About one in ten ecstasy users reported problems related to 'energy and vitality', 'financial position', 'health', and 'outlook on life'. Ecstasy users were predominantly male, aged 20-29, European and single, but were from a broad range of occupational and income-earning groups. CONCLUSIONS: The use of ecstasy in New Zealand increased between 1998 and 2001. Conditions of supply became easier. Users reported problems related to use in a range of areas of their lives. There was little evidence to suggest ecstasy use was limited to high-income-earning professionals.

Adolescent↗

[Willingness to pay for ecosystem services of urban river in Shanghai].

The contingent valuation method (CVM) is one of the most dominating and standard techniques for eliciting the willingness to pay (WTP) for the ecosystem services provided by environment and resources. Taking Zhangjiabang Creek, a model project in the comprehensive management of urban river in China, as a case study, 800 payment card CVM questionnaires were surveyed and 646 as useful questionnaires were feed back in August 2003, then, the mean WTP, 195.07 - 253.04 Yen per person every year in the future 3 years, to the ecosystem services of the urban river was got in the payment card CVM study, and the figure was compared to some other river CVM studies. Distribution shape and range of WTP were probed, and the regression relationship between respondents WTP and their socioeconomic information such as income, education level, donation experience, and environmental attitude was discussed, what's important, an environmental economics explanation was given to the regression results. Some biases which influence the mean WTP of payment card CVM are inspected and corresponding countermeasures were seriously noticed and implemented in the survey. Finally the critiques and controversies that CVM is faced with were advanced, but the reliability of CVM is also given based upon environmental decision-making theory.

China↗

[Community participation in health promotion: an experience from hygiene and sanitation committees in the district of Touba (Senegal)].

This qualitative exploratory study carried out in November 2000 describes and analyzes health promotion by community participation in the health district of Touba, in Senegal. The committees were primarily made up of women with an implication of local religious authorities which represented the moral responsible. The promotional activities regularly carried out were: health education, distribution of insecticide treated nets, police in waste management and hygiene, and cleaning. Theses activities were supported through the development of income generating activities. The success of the communities is based on the favorable socio-religious environment, strengthened by the particular commitment of the women. The diversity of activities undertaken by the committees is a proof that the identification of people's needs was not limited to health care questions. The community leadership was stimulated by the district, to enhance the dynamics of participation. The financial autonomy of the majority of communities is a guarantee of their sustainability within the district health system. Extremely encouraging results obtained, two essential recommendations were made to strengthen the experience of sanitation committees in health promotion.

Attitude of Health Personnel↗

Birthweight distribution in a healthy urban population in Surabaya-Indonesia.

The birthweight distribution was assessed in an apparently healthy urban population in Surabaya, Indonesia. A total of 924 pregnant women of a middle income group were enrolled at 20-24 weeks of gestation of which 543 women delivered in the university hospital. In the latter group mean birthweight of liveborn singletons was 3047 g for males and 2900 g for females. The percentages of low birthweight by sex were 7.9% and 13.8% respectively. These values were lower than those reported for more affluent women in Indonesia and comparable with those of rural Madurese women studied in the same time period.

Adolescent↗

Changing Social Security benefits to reflect child-care years: a policy proposal whose time has passed?

This article estimates the effects of proposals to increase the retirement benefits of women who reduce their earnings to care for young children. Using the 1990 Survey of Income and Program Participation file--exactly matched to the Social Security Administration's record of lifetime earnings--the authors present the distribution of child-care dropout years by retirement cohort and other demographic characteristics, and estimate the dollar impact of adjustments for caregiving years. The policies examined do increase the retirement benefits of some women, but the increases on average are small, are lowered with each successive retirement cohort, and benefit women from the more privileged socioeconomic groups. Thus, because the policy effects are small and will diminish in the future, the time of efficacy for the proposals has passed. Subsidizing child-care dropout years does not seem to be a well-targeted policy.

Adult↗

Blood pressure trends and life style risk factors in rural India.

A door to door survey of a random sample of 448 subjects (> or = 15 years of age) of Kodamendhi village (near Nagpur) revealed a prevalence of hypertension of 4% rising to 19% in more than 60 years age group. One of the main goals of the study was to search for social, behavioural and life style risk factors and provide baseline information on blood pressure distribution in rural Indian population, information regarding which is scarce from Central India. The relationship between alcohol consumption, smoking, obesity, education, income and diet (assessed by a questionnaire administered by trained interviewers) to blood pressure were studied, in multivariate context. Separate multiple linear regression analysis, performed in males and females with mean blood pressure (MBP) as dependent variable showed that the MBP increased significantly with age (p = 0.000) and males had significantly higher MBP than females (p = 0.002). In males, BMI (p = 0.000) and alcohol intake (p = 0.008) were significantly related to MBP while smokers had significantly lower MBP than non smokers (p = 0.004). Per capita income was a significant predictor of MBP in females (p = 0.000). There was no relationship with education and diet.

Adolescent↗

Impaired fecundity in the United States: 1982-1995.

CONTEXT: The 1995 National Survey of Family Growth (NSFG) provides new nationally representative data to test the accuracy of the commonly held assumption that impaired fecundity has been rising in the United States over the past decade. METHODS: Using data from the 1982, 1988 and 1995 rounds of the NSFG, trends in both the proportions and numbers of women with impaired fecundity and of those who received infertility services were examined. Multiple logistic regressions were carried out to estimate the effects of demographic characteristics on the likelihood of currently having impaired fecundity and of ever having received medical help for infertility. RESULTS: The proportion of U.S. women aged 15-44 who reported some form of fecundity impairment rose from 8% in 1982 and 1988 to 10% in 1995, an increase in absolute numbers from 4.6 million to 6.2 million women. Although the proportion of fecundity-impaired women who had ever sought medical help did not change between 1988 and 1995 (44%), the absolute numbers of such women grew by nearly 30%, from 2.1 million to 2.7 million. Women who had ever sought help for fertility problems were older and had a higher income than those who had not, and were more likely to be married. CONCLUSION: The dramatic increase in the numbers of U.S. women with impaired fecundity occurred because the large baby-boom cohort, many of whom delayed childbearing, had reached their later and less fecund reproductive years. This increase in both rates and numbers occurred across almost all age, parity, marital status, education, income, and race and ethnicity subgroups.

Adolescent↗

Perceptions of child labour among working children in Ibadan, Nigeria.

BACKGROUND: The adverse effects of child labour on the children's psychological development continue to raise concerns about this public health problem worldwide. Several views have been presented by child health authorities, non-governmental organizations (NGOs) and international agencies. Few studies have focused on the children themselves. This study sought to determine working children's perspective of child labour, its benefits and disadvantages and the working children's perceptions of themselves, and their aspirations for the future. METHODS: A cross-sectional study was carried out among working children in a large market in Ibadan, south-west Nigeria. Questionnaires were administered to all consenting children. RESULTS: A total of 225 children, 132 females and 93 males, participated in the survey. Their age range was 8-17 years. A total of 103 respondents (46%) were currently in school while 117 (52%) were out of school. Five respondents (2%) had never attended school. A total of 104 (46%) thought that children should not work. However, when asked about the benefits of working, 81 working children (36%) felt that work provided a source of income for them, 52 (23%) indicated that it was a way of helping their parents and 39 (17%) thought it was part of their training to be responsible adults. Bad company, ill health and road traffic accidents were the perceived ill effects of child labour. The majority of the children interviewed were aspiring towards artisan trades and very few towards professional or office jobs. A total of 106 (47%) children perceived themselves as less fortunate than their peers. Fifty-five children (24%) thought that child labour was a sign of deprivation. The perception that child labour is a sign of deprivation was more prevalent among child workers whose highest educational attainment was primary school, child workers who had worked for more than 6 months and those whose earnings were small. CONCLUSION: We recommend that school education for children should be a priority even when the harsh economic realities in their families force parents to send them to work outside the home.

Adolescent↗

The effect of economic incentives on the education and distribution of physicians: a review.

This paper examines the available evidence on the impact of economic factors on the specialty and locational choices of physicians. Economic variables which influence the "rate of return" to the physician (profitability in relation to training costs) to alternative specialties and locational decisions include average yearly income, hours of work, price for each health service and training costs. The findings of the review indicate that the rate of return to specialty training varies substantially among specialties. Rates of return to training in surgery and radiology are nearly three times that of other medical specialties. These rates of return differences are shown to have a small, albeit significant, effect on a physician's specialty as well as location choices. Furthermore, there is a positive relationship between the mean fees of physicians and the physician population ratio in an area, i.e., areas with more physicians have higher fees. Confounding the relationship between economic variables and specialty and locational choice is the fact that physicians may have substantial amounts of market power and can themselves influence the price of their services. Thus, the influence of reimbursement policies to alter the distribution of physicians may be less effective because physicians may have the ability to influence and alter the level of income and rate of return to training.

Economics, Medical↗

Health impacts of rapid economic changes in Thailand.

The economic crisis in Thailand in July 1997 had major social implications for unemployment, under employment, household income contraction, changing expenditure patterns, and child abandonment. The crisis increased poverty incidence by 1 million, of whom 54% were the ultra-poor. This paper explores and explains the short-term health impact of the crisis, using existing data and some special surveys and interviews for 2 years during 1998-99. The health impacts of the crisis are mixed, some being negative and some being positive. Household health expenditure reduced by 24% in real terms; among the poorer households, institutional care was replaced by self-medication. The pre-crisis rising trend in expenditure on alcohol and tobacco consumption was reversed. Immunization spending and coverage were sustained at a very high level after the crisis, but reports of increases in diphtheria and pertussis indicate declining programme quality. An increase in malaria, despite budget increases, had many causes but was mainly due to reduced programme effectiveness. STD incidence continued the pre-crisis downward trend. Rates of HIV risky sexual behaviour were higher among conscripts than other male workers, but in both groups there was lower condom use with casual partners. HIV serosurveillance showed a continuation of the pre-crisis downward trend among commercial sex workers (CSW, both brothel and non-brothel based), pregnant women and donated blood; this trend was slightly reversed among male STD patients and more among intravenous drug users. Condom coverage among brothel based CSW continued to increase to 97.5%, despite a 72% budget cut in free condom distribution. Poverty and lack of insurance coverage are two major determinants of absence of or inadequate antenatal care, and low birthweight. The Low Income Scheme could not adequately cover the poor but the voluntary Health Card Scheme played a health safety net role for maternal and child health. Low birthweight and underweight among school children were observed during the crisis. The impact of the crisis on health was minimal in some sectors but not in the others if the pre-crisis condition is efficient and healthy and vice versa. We demonstrated some key health status parameters during the 2-year period after the 1997 crisis but do not have firm conclusions on the impact of the economic crisis on health status, as our observation is too short and there is uncertainty on how long the crisis will last.

Adult↗